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O presente estudo objetivou compreender o significado da atuação profissional de uma equipe ESF em uma comunidade socialmente vulnerável. Utilizou-se como referencial metodológico a Teoria Fundamentada nos Dados e como técnica de coleta de dados a entrevista, realizada entre julho a dezembro de 2009, com 25 profissionais que integram a Estratégia Saúde da Família (ESF). A análise dos dados demonstrou que a ESF pode ser considerada uma estratégia facilitadora e estimuladora do processo de ampliação e de consolidação das redes de cuidado em saúde, à medida que sinaliza para uma nova abordagem de intervenção comunitária, pela valorização do ser humano como um ser singular e multidimensional, inserido em seu contexto real. Um novo modelo assistencial se desenvolve, em suma, mediante a reorganização da prática de atenção à saúde, intermediada pela multiplicidade de relações, interações e associações complexas que ocorrem no contexto familiar e social.
O presente estudo, de caráter teórico, objetivou analisar e discutir um possível código binário para o sistema de Enfermagem, no sentido de identificar o seu próprio saber, na perspectiva dos pressupostos teóricos de Niklas Luhmann. Apostar em uma comunicação funcionalmente diferenciada e socialmente relevante para o sistema de enfermagem implica em transcender o tradicional código saúde-doença, predominante no sistema de saúde e cuja comunicação socialmente relevante é a doença. Implica, ainda, em investir proativamente na promoção e proteção do viver saudável de indivíduos, famílias e comunidades, para que a saúde seja o ponto central das discussões e intervenções.
Objective: To understand the meaning of the Learning Incubator as a teaching and learning technology in the nursing area.
Method: Qualitative research, supported by grounded theory. Data was collected from March to November 2019, through interviews with guiding questions and hypotheses directed at two different groups. The analysis was done by comparative data analysis and included open, axial and integrated coding, as proposed by the method. The theoretical sample included 23 participants, which were nurses, technicians, and nursing students.
Results: The delimitation of the categories converged in the phenomenon (Re)signifying knowledge and practices in the Learning Incubator. Guided by the paradigmatic model, the categories were named according to the three following components: Condition: Recognizing that the being and the professional practice are inextricable; Action/interaction: Revisiting professional practices that are repetitive and mechanic; Consequence: Referring to the reflections and knowledge constructed in the Learning Incubator.
Conclusion: The Learning Incubator, as seen by the study participants, is not limited to the Incubator meetings or the themes addressed in it. Beyond a welcoming physical space, the Incubator expands itself and becomes a tool that promotes self-reflection and self-assessment of professional behaviors and attitudes.
Objective:
to carry out a theoretical reflection on the Nursing Now Campaign and the experience of the unexpected irruptions facing the pandemic period.
Method:
a theoretical-reflective study, supported by the theoretical framework of complexity thinking. It aims at understanding the dialogic between the notions of order, disorder and organization, which translate the transition from simplification to complexity of the pandemic phenomenon and its relation to the theme of Nursing Now and Nursing in the future.
Results:
the universe of phenomena is simultaneously composed of order, disorder and organization. Reasserting the central role of Nursing in the health team, facing the irruptions and uncertainties caused by the current pandemic, implies the ability to dialog with disorder and raise a new and more complex global (re)organization of the being and doing Nursing.
Conclusion:
in addition to answers, theoretical reflection raises new questions and irruptions. The inseparability between the notions of order and disorder in the evolutionary dynamics of the Nursing system is conceived and the promotion of even more complex levels of organization, management and Nursing assistance to achieve universal access to health is advocated.
OBJETIVOS: Compreender o significado do cuidado de enfermagem como prática social empreendedora.
MÉTODOS: Foi baseada na Grounded Theory que, de forma sistemática, criativa e interativa possibilitou o desenvolvimento da teoria: "Vislumbrando o cuidado de enfermagem como prática social empreendedora". Amostra teórica constituiu-se de 35 sujeitos entrevistados, distribuídos em diferentes grupos amostrais. RESULTADOS: O cuidado de enfermagem como prática social empreendedora está associado ao sistema de relações e interações, à capacidade de interagir com os diferentes atores sociais, na capacidade de criar novos canais de comunicação e ações pró-ativas.
CONCLUSÃO: A partir do cuidado como prática social empreendedora é possível atuar de forma pró-ativa, inovadora e participativa, sem desconsiderar as contradições sociais emergentes.
Objective:
To understand the meaning of entrepreneurial nursing care as inducer of healthy practices in vulnerable communities.
Method:
Grounded theory, whose data collection took place between March and December 2019, from interviews with 19 participants from the central region of Rio Grande do Sul, Brazil and comparative data analysis.
Results:
The phenomenon was delimited: Experiencing small/big transformations in the invisibility of everyday life in promoting healthy practices in vulnerable communities. Conducted by the paradigmatic model, the categories were named based on the components: Condition: Making choices and negotiating non-negotiable exchanges; Action/interaction: Motivating oneself to maintain basic human needs; Consequence: Broadening perspectives and transcending personal and collective boundaries.
Conclusion:
Entrepreneurial nursing care as inducer of healthy practices in vulnerable communities is not reduced to a scientific theory or to the linear and decontextualized apprehension of healthy living, but extends to reach small/big transformations that occur in the invisibility of everyday life.
Objectives: To identify emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care.
Methods: Qualitative study carried out in two stages: field approach from healthcare interventions in a Recycling Materials Association, and individual interviews conducted between October and December 2018.
Results: The analysis resulted in three thematic categories: Social contribution of recyclable materials collectors; From the assistentialist perception to entrepreneurial Nursing care; Emancipatory strategies of recycling work.
Final Considerations: The emancipatory strategies to strengthen the social protagonism of recyclable materials collectors in the light of entrepreneurial Nursing care are related to the appreciation, recognition and enhancement of social work that has been already performed by these professionals, and to the creation of spaces for the socialization of experiences, expectations and perspectives.
Das Management von Veränderungsprozessen kann dazu beitragen, dass Veränderungen in Organisationen erfolgreich initiiert und implementiert werden können. Die hohe Nachfrage nach internen oder externen Beratern zur Begleitung derartiger Prozesse verdeutlicht, dass es sich hierbei um herausfordernde Aufgabenstellungen handelt. Ob es um die Einführung neuer Organisationsstrukturen, die Neustrukturierung von Geschäftsprozessen oder die Aktualisierung der technologischen Infrastruktur geht, immer sind Anpassungsleistungen der Organisationsmitglieder erforderlich, damit der jeweilige Wandel gelingen kann. Dies unterstreicht, wie wichtig eine psychologische Perspektive bei diesem Thema ist.
Man muss die individuellen Reaktionen von Menschen in Veränderungskontexten verstehen, damit man die Veränderungen angemessen gestalten kann. Theorien, Modelle und Befunde zu Themen wie Commitment, Stress, Gerechtigkeit, Identifikation oder Führung können hier interessante Perspektiven eröffnen. Aber auch Erkenntnisse über die Rolle der Persönlichkeit für das Umgehen mit Veränderungen sind hier von Bedeutung. Ferner muss man berücksichtigen, dass es verschiedene Formen organisationaler Veränderungen gibt, die mit ihren jeweils spezifischen Herausforderungen verbunden sind. Phasenmodelle zum Ablauf von Veränderungen helfen dabei, die Dynamik des Veränderungsgeschehens einzuordnen und zu strukturieren. Insgesamt sollte es durch das Management der Veränderungsprozesse gelingen, Unsicherheit der Betroffenen zu vermindern, Kontrolle zu ermöglichen und organisationale Gerechtigkeit zu gewährleisten.
Arbeit, Gesundheit, Erfolg : betriebliches Gesundheitsmanagement auf dem Prüfstand: das Projekt BiG
(2010)
Das Projekt "Benchmarking in einem Gesundheitsnetzwerk (BiG)" ist ein gefördertes FuE-Vorhaben des BMBF, das in Kooperation des Bereichs Health & Safety der Daimler AG mit der Abteilung für Arbeits- und Organisationspsychologie der Universität Heidelberg über mehrere Jahre hinweg kontinuierlich durchgeführt wurde. Am Projekt beteiligte Partnerunternehmen waren die Deutsche Bahn AG, die REWE Group, die Neff GmbH und die Fraport AG. Die Projektziele waren:
- Aufzeigen von Wirkungszusammenhängen des Gesundheitsmanagements auf die Leistungsfähigkeit und -bereitschaft der Mitarbeiter sowie - darauf aufbauend - auf den ökonomischen Erfolg,
- Entwicklung von Ansatzpunkten zur Optimierung des betrieblichen Gesundheitsmanagements,
- Entwicklung einer aggregierten Kennzahl zur Darstellung der Güte des Gesundheitsmanagements (Gesundheitsindex).
Mit Beiträgen u.a. zur Entwicklung des Modells eines nachhaltigen Gesundheitsmanagements, über Instrumente zur Evaluation eines nachhaltigen Gesundheitsmanagements (Gesundheits-Index, Experten-Checkliste), zu Studien zum Gesundheitsindex, zur Mitarbeiterleistung und zum ökonomischen Nutzen sowie zu zu Führung, Gesundheit und Innovation, Gestaltungsperspektiven für die Praxis (Benchmarking als Methode zum Erfahrungsaustausch, Das BiG-Gestaltungsmodell zur Arbeitsumgebung, Best-Practice Ansätze).