N?cleo de apoio ? sa?de da fam?lia (NASF) : a pr?tica de psic?logas na aten??o b?sica

Autor: Damion, Marina
Jazyk: portugalština
Rok vydání: 2018
Předmět:
Zdroj: Biblioteca Digital de Teses e Dissertações da PUC_RSPontifícia Universidade Católica do Rio Grande do SulPUC_RS.
Druh dokumentu: masterThesis
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Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES
The purpose of this study is to understand how are configured the practices and the work processes of psychologists of NASF in the city of Porto Alegre and metropolitan region. The Family Health Support Center (NASF) has as main objective to qualify Primary Care and increase the resolution of care through multidisciplinary action and technical-pedagogical support with the inclusion of new nuclei of knowledge and strategies of care along with Family Health Teams (ESF). In this context, the insertion of at least one mental health professional in the NASF is also recommended, among them psychology professionals. In addition to mental health, psychology also promotes actions aimed at the health of the family and the territorialization of care, encountering contexts of complexity in the performance of basic care. The research that characterizes the empirical section of this dissertation consists of a qualitative, exploratory and descriptive study. The participants were six psychologists, aged between 29 and 45 years, working in NASFs in Porto Alegre and Metropolitan Region, invited by the snowball method, in which one professional indicates the next to participate. The inclusion criterion was that the participants worked for at least six months in the NASF. The instrument used in the data collection was a semi-directed interview, which was recorded in audio and transcribed. For the analysis of the material, Thematic Analysis technique was used, giving rise to three thematic axes of analysis, which were named: 1) Individual care: subjective health productions and their scope; 2) Me, them and us: interfaces between field and core; 3) The individual in the psychosocial perspective: specifics of the psychologist in NASF. The results point out that the practice of individual care is still an important aspect of NASF policy guidelines, so that the professionals attribute to this practice the professional responsibility and belonging to the specificity of their clinical identity. At the same time, it is pointed towards an approach of the clinic to the psychosocial and health promotion practices, which integrate the professional nuclei and make up a field performance. In this sense, we seek to problematize the NASF psychologist's practice in the current political context and the complexity of its performance.
O objetivo desse estudo ? compreender como se configuram as pr?ticas e os processos de trabalho dos psic?logos inseridos nos NASF na cidade de Porto Alegre e regi?o metropolitana. O N?cleo de Apoio ? Sa?de da Fam?lia (NASF) tem como objetivo principal qualificar a Aten??o B?sica e aumentar a resolutividade da aten??o, por meio da atua??o multidisciplinar e apoio t?cnico-pedag?gico com a inclus?o de novos n?cleos de saberes e estrat?gias de cuidado juntamente ?s Equipes de Sa?de da Fam?lia (ESF). Diante desse contexto, tamb?m se preconiza a inser??o de pelo menos um profissional da ?rea de sa?de mental no NASF, dentre eles profissionais da psicologia. Al?m da sa?de mental, a psicologia tamb?m promove a??es voltadas ? sa?de da fam?lia e ? territorializa??o do cuidado, deparando-se com contextos de complexidade na atua??o na aten??o b?sica. A pesquisa que caracteriza a se??o emp?rica desta disserta??o consiste em um estudo qualitativo, de car?ter explorat?rio e descritivo. As participantes foram seis psic?logas, com idades entre 29 e 45 anos, atuantes em NASFs de Porto Alegre e Regi?o Metropolitana, convidadas a partir do m?todo snowball, no qual um profissional indica o pr?ximo para participar da pesquisa. O crit?rio de inclus?o foi que as participantes atuassem por, pelo menos, seis meses no NASF. O instrumento utilizado na coleta de dados foi uma entrevista semi-dirigida, que foram gravadas em ?udio e transcritas. Quanto ? an?lise do material, utilizou-se a t?cnica de An?lise Tem?tica, dando origem a tr?s eixos tem?ticos de an?lise, as quais foram nomeadas: 1) Atendimento individual: produ??es subjetivas em sa?de e seus alcances; 2) Eu, eles e n?s: interfaces entre campo e n?cleo; 3) O individual na perspectiva psicossocial: especificidades do psic?logo no NASF. Os resultados apontam que a pr?tica do atendimento individual ainda constitui aspecto de importante discuss?o entre as diretrizes da pol?tica do NASF, de forma que os profissionais atribuem a essa pr?tica uma responsabilidade profissional e pertencente a especificidade da sua identidade cl?nica. Ao mesmo tempo, aponta-se para uma aproxima??o da cl?nica ?s pr?ticas psicossociais e de promo??o da sa?de, que integram os n?cleos profissionais e comp?em uma atua??o do campo. Nesse sentido, busca-se problematizar a pr?tica do psic?logo no NASF no contexto pol?tico atual e a complexidade da sua atua??o.
Databáze: Networked Digital Library of Theses & Dissertations
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