Contribui??es da Psicologia S?cio-Hist?rica e da Cl?nica da Atividade para a compreens?o da vigil?ncia sanit?ria na jurisdi??o da Superintend?ncia Regional de Sa?de de Diamantina/MG

• Main Author: Sousa, Ros?lia Maria Ferreira de
• Other Authors: Costa, Edin? Alves
• Language: Portuguese
• Published: UFVJM 2015
• Subjects: Vigil?ncia Sanit?ria; Superintend?ncia Regional de Sa?de - Diamantina; Psicologia S?cio-Hist?rica; Cl?nica da Atividade; Atividade de trabalho
• Online Access: http://acervo.ufvjm.edu.br:8080/jspui/handle/1/388

Submitted by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T16:21:34Z No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Approved for entry into archive by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T16:23:02Z (GMT) No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Approved for entry into archive by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T16:22:54Z (GMT) No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Approved for entry into archive by Rodrigo Martins Cruz ([e-mail]) on 2015-01-09T16:23:57Z (GMT) No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) === Made available in DSpace on 2015-01-09T16:23:57Z (GMT). No. of bitstreams: 2 roselia_maria_ferreira_sousa.pdf: 1875651 bytes, checksum: 8bbe8dfebfd8ec06a419b5737fab6604 (MD5) license_rdf: 22974 bytes, checksum: 99c771d9f0b9c46790009b9874d49253 (MD5) Previous issue date: 2013 === Funda??o Diamantinense de Apoio ao Ensino, Pesquisa e Extens?o (FUNDAEPE) === Funda??o de Amparo ? Pesquisa do estado de Minas Gerais (FAPEMIG) === O presente trabalho se constitui em uma pesquisa qualitativa, cujo objetivo ? levantar, analisar e desvelar o processo de constitui??o da atividade do trabalhador da Vigil?ncia Sanit?ria nos munic?pios da jurisdi??o da Superintend?ncia Regional de Sa?de de Diamantina (SRSD), Minas Gerais e especificamente, na Microrregi?o de Sa?de Ara?ua?. Buscamos desvelar os dificultadores e facilitadores da execu??o das a??es de Vigil?ncia Sanit?ria, bem como os sentidos atribu?dos pelos trabalhadores a este processo de execu??o. Adotamos como eixo te?rico-metodol?gico a Psicologia S?cio-Hist?rica e a Cl?nica da Atividade. A primeira concebe o homem a partir da ideia de ?condi??o humana?, em que os sujeitos s?o vistos como hist?ricos, datados, concretos, criadores de ideias e consci?ncia que, ao produzirem e reproduzirem dialeticamente a realidade social s?o, ao mesmo tempo, produzidos e reproduzidos por ela. A Cl?nica da Atividade prop?e um m?todo de an?lise da atividade de trabalho, onde a subjetividade dos trabalhadores ocupa lugar central. Para a coleta de informa??es, utilizamos question?rio semiestruturado, entrevistas centralizadas, semiestruturadas e entrevistas de narrativa de hist?ria de vida. Os sujeitos da pesquisa foram os trabalhadores de Vigil?ncia Sanit?ria de vinte e quatro munic?pios da jurisdi??o SRSD. Para an?lise das informa??es dos question?rios foi utilizado o software Epiinfo?6.04d, sendo calculadas frequ?ncias absolutas e relativas, medianas e desvio padr?o. As entrevistas foram analisadas ? luz de n?cleos de significa??o. Como facilitadores ? execu??o das a??es de Vigil?ncia Sanit?ria foram apontados: a parceria de outros profissionais, o apoio de gestores e da popula??o, recursos materiais e humanos e treinamentos/capacita??es. Os dificultadores apontados foram: insufici?ncia de recursos humanos, de equipamentos e recursos materiais, aus?ncia ou d?ficit na legisla??o, profissionais n?o capacitados ou pouco capacitados. Observamos que a atividade de trabalho na Vigil?ncia Sanit?ria ? constitu?da por sentidos de des?nimo, impot?ncia, negocia??o e pela dial?tica satisfa??o/frustra??o. As condi??es concretas, aliadas aos sentidos atribu?dos pelos trabalhadores ? sua atividade de trabalho apontam para a necessidade da implementa??o de pol?ticas de sa?de e de Vigil?ncia Sanit?ria que propiciem aos trabalhadores o poder de agir, como sujeitos concretos, na defesa e promo??o da sa?de coletiva. === Disserta??o (Mestrado Profissional) ? Programa de P?s-Gradua??o em Tecnologia, Sa?de e Sociedade, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. === ABSTRACT This work is based on qualitative research, the objective of which is to examine, analyze, and unfold the process that constitutes the activity of Health Surveillance workers in the municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina, Minas Gerais state - Brazil, and specifically in the Ara?ua? Health Microregion. We seek to reveal the factors hindering and facilitating the implementation of Health Surveillance actions, as well as the meanings attributed by workers to this implementation process. Socio-Historical Psychology and Activity Clinic are adopted as the theoretical and methodological framework. Socio-Historical Psychology conceives man based on the idea of the ?human condition?, wherein subjects are regarded as ?historical?, dated, concrete, creators of ideas and awareness, and when such subjects dialectically produce and reproduce social reality, they are, at the same time, produced and reproduced by it. The Activity Clinic, in turn, proposes a method for analyzing work activities, where the subjectivity of workers takes center stage. A semi-structured questionnaire, centralized and semi-structured interviews and life-story narrative interviews were used for data collection. The research subjects were people who work with Health Surveillance in the twenty-four municipalities under the jurisdiction of the Regional Health Superintendency of Diamantina. The information in the questionnaires was analyzed using Epi Info? 6.04d software. Absolute and relative frequencies, medians and standard deviation were calculated. The interviews were analyzed in the light of meaning cores. As factors that facilitate the implementation of the actions as appointed: partnerships with other professionals, the support of health managers and of the population, material and human resources, and training and qualification activities. The hindering factors appointed were: absence of human resources, of equipment and material resources, failure to apply the legislation concerned or shortfalls in the enforcement thereof, and unqualified or poorly trained professionals. We observe that the work activity in the Health Surveillance service is constituted by feelings of dismay and powerlessness, as well as by negotiation, and the satisfaction/frustration dialectics. The concrete conditions, combined with the meanings attributed by workers to their work activity, indicate the need to implement heath and Health Surveillance policies that provide workers with the power to act, as concrete subjects, in the defense and promotion of collective health.