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Autonomia(s) no trabalho do enfermeiro na atenção básica.; Authonomy(ies) in the work of primary health care nurses.

Marciano, Franciele Maia
Fonte: Biblioteca Digitais de Teses e Dissertações da USP Publicador: Biblioteca Digitais de Teses e Dissertações da USP
Tipo: Dissertação de Mestrado Formato: application/pdf
Publicado em 22/02/2013 PT
Relevância na Pesquisa
36.76%
Este estudo toma como objeto a autonomia nas práticas de enfermeiros que atuam na atenção básica em um município do interior de Minas Gerais. O referencial teórico metodológico é o processo de trabalho em saúde e tomamos autonomia como um dos elementos desse processo, uma tecnologia leve produzida nos encontros entre trabalhadores e usuários, trabalhadores e trabalhadores e, trabalhadores e gestores. Nosso objetivo foi o de identificar e analisar no processo de trabalho do enfermeiro de atenção básica, a produção de autonomia dos sujeitos envolvidos nas relações de produção em saúde. Com a abordagem qualitativa, realizamos observação participante do cotidiano de trabalho de dois enfermeiros, um de unidade básica de saúde e outro de unidade de saúde da família. Também realizamos doze entrevistas individuais com os enfermeiros de distintas equipes. Os dados foram submetidos a analise de conteúdo, vertente temática, sendo dispostos em dois temas: 1. Concepções de autonomia e 2. Limites e possibilidades para a produção de autonomia no trabalho em saúde. Como concepção predominante está a autonomia como algo centrado em si próprio, relacionada ao poder de fazer e decidir e como objeto que pode ser dado e recebido. Outra concepção é a da autonomia relacional na qual se entende a possibilidade do exercício da autonomia em um processo relacional com a equipe...

O impacto da percepção do modelo relacional dominante, por parte dos colaboradores, na satisfação das necessidades psicológicas básicas definidas pela teoria da autodeterminação

Grazina, Nuno Miguel Lourenço
Fonte: Instituto Universitário de Lisboa Publicador: Instituto Universitário de Lisboa
Tipo: Dissertação de Mestrado
Publicado em //2013 POR
Relevância na Pesquisa
26.6%
Dissertação submetida como requisito parcial para obtenção do grau de Mestre em Psicologia Social e das Organizações / The PsycINFO Content Classification Code System: 2900 Social Processes & Social Issues 3000 Social Psychology 3660 Organizational Behavior; A presente investigação procurou perceber de que modo a forma de coodernação numa cultura organizacional influencia a motivação no trabalho. Desta forma, baseamo-nos na Teoria dos Modelos Relacionais (TMR) de Alan Fiske (1991, 1992) e na Teoria da Autodeterminação de Deci & Ryan (1985, 2000) para formar a nossa base teórica de pesquisa. A Teoria dos Modelos Relacionais descreve todas as relações sociais humanas como manifestações de comportamento de quatro construções fundamentais: Communal Sharing, Authority Ranking, Equality Matching e Market Pricing. Por sua vez, a Teoria da Autodeterminação afirma que para o indivíduo ter comportamentos mais autodeterminados e motivações mais intrínsecas devem ser satisfeitas as necessidades de autonomia, competência e relacionamento. Assim, o presente estudo procurou combinar as duas teorias de forma a compreender qual o impacto que a dominância de um Modelo Relacional numa dada organização tem na satisfação das necessidades dos seus colaboradores. Isto é...

Parent-child relationships in Italian families: connectedness and autonomy in the transition to adulthood

Scabini,Eugenia
Fonte: Instituto de Psicologia, Universidade de Brasília Publicador: Instituto de Psicologia, Universidade de Brasília
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/04/2000 EN
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36.54%
This contribution focuses on the changes in parent-child relationships during the transition to adulthood, that implies a modification of the balance of connectedness and autonomy. The principal aim was twofold: 1) to verify how relational support and style of decision making - respectively markers of family connectedness and autonomy - change from adolescence to young adulthood; 2) to compare the perceptions of parents and children through a measure of agreement. The sample was composed of 259 Italian families with a child between 17 and 25 years of age. Participants filled out a self report questionnaire including the Parent-Adolescent Support Scale and the Style of Decision Making Scale. Results highlighted that children perceived a significant increase in relational support and in autonomy from late adolescence to young adulthood. Furthermore, agreement between parents and children increased by aging. Therefore, near the transition to adulthood, parents and young adults are closer to each other than during late adolescence.

Ethical perspectives for public and environmental health: fostering autonomy and the right to know.

Lambert, Timothy William; Soskolne, Colin L; Bergum, Vangie; Howell, James; Dossetor, John B
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
Publicado em /02/2003 EN
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In this paper we develop an ethical perspective for public and environmental health practice in consideration of the "right to know" by contrasting consequential and deontological perspectives with relational ethics grounded in the concept of fostering autonomy. From the consequential perspective, disclosure of public and environmental health risks to the public depends on the expected or possible consequences. We discuss three major concerns with this perspective: respect for persons, justice, and ignorance. From a deontological perspective, the "right to know" means that there is a "duty" to communicate about all public health risks and consideration of the principles of prevention, precaution, and environmental justice. Relational ethics develops from consideration of a mutual limitation of the traditional perspectives. Relational ethics is grounded in the relationship between the public and public/environmental health providers. In this paper we develop a model for this relationship, which we call "fostering autonomy through mutually respectful relationships." Fostering autonomy is both an end in public health practice and a means to promote the principles of prevention, precaution, and environmental justice. We discuss these principles as they relate to practical issues of major disasters and contaminants in food...

Supporting Patient Autonomy: The Importance of Clinician-patient Relationships

Entwistle, Vikki A.; Carter, Stacy M.; Cribb, Alan; McCaffery, Kirsten
Fonte: Springer-Verlag Publicador: Springer-Verlag
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
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Personal autonomy is widely valued. Recognition of its vulnerability in health care contexts led to the inclusion of respect for autonomy as a key concern in biomedical ethics. The principle of respect for autonomy is usually associated with allowing or enabling patients to make their own decisions about which health care interventions they will or will not receive. In this paper, we suggest that a strong focus on decision situations is problematic, especially when combined with a tendency to stress the importance of patients’ independence in choosing. It distracts attention from other important aspects of and challenges to autonomy in health care. Relational understandings of autonomy attempt to explain both the positive and negative implications of social relationships for individuals’ autonomy. They suggest that many health care practices can affect autonomy by virtue of their effects not only on patients’ treatment preferences and choices, but also on their self-identities, self-evaluations and capabilities for autonomy. Relational understandings de-emphasise independence and facilitate well-nuanced distinctions between forms of clinical communication that support and that undermine patients’ autonomy. These understandings support recognition of the value of good patient-professional relationships and can enrich the specification of the principle of respect for autonomy.

Realizing autonomy in responsive relationships

Moser, Albine; Houtepen, Rob; Spreeuwenberg, Cor; Widdershoven, Guy
Fonte: Springer Netherlands Publicador: Springer Netherlands
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.6%
The goal of this article is to augment the ethical discussion among nurses with the findings from empirical research on autonomy of older adults with type 2 diabetes mellitus. There are many factors influencing autonomy. These include: health conditions, treatment, knowledge, experience and skills, personal approach as well as familial patterns, type of relationship, life history and social context. Fifteen older adults with type 2 diabetes mellitus were interviewed in a nurse-led diabetes clinic. These participants perceive three processes which support autonomy in responsive relationships: preserving patterns of concern and interaction, nurturing collaborative responsibilities and being closely engaged in trustful and helpful family relations. People with diabetes realize autonomy in various responsive relationships in their unique life context. Next, we performed a literature review of care ethics and caring in nursing with regard to relational autonomy. We classified the literature in five strands of care: attitude-oriented, dialogue-oriented, activity-oriented, relationship-oriented and life-oriented. According to our respondents, autonomy in responsive relationships is fostered when patient, nurses, professionals of the health team and family members carry out care activities supported by a relational attitude of care. They can best realize autonomy in relationships with others when several essential aspects of care and caring are present in their lives. Therefore...

Shared Mind: Communication, Decision Making, and Autonomy in Serious Illness

Epstein, Ronald M.; Street, Richard L.
Fonte: American Academy of Family Physicians Publicador: American Academy of Family Physicians
Tipo: Artigo de Revista Científica
Publicado em /09/2011 EN
Relevância na Pesquisa
36.34%
In the context of serious illness, individuals usually rely on others to help them think and feel their way through difficult decisions. To help us to understand why, when, and how individuals involve trusted others in sharing information, deliberation, and decision making, we offer the concept of shared mind—ways in which new ideas and perspectives can emerge through the sharing of thoughts, feelings, perceptions, meanings, and intentions among 2 or more people. We consider how shared mind manifests in relationships and organizations in general, building on studies of collaborative cognition, attunement, and sensemaking. Then, we explore how shared mind might be promoted through communication, when appropriate, and the implications of shared mind for decision making and patient autonomy. Next, we consider a continuum of patient-centered approaches to patient-clinician interactions. At one end of the continuum, an interactional approach promotes knowing the patient as a person, tailoring information, constructing preferences, achieving consensus, and promoting relational autonomy. At the other end, a transactional approach focuses on knowledge about the patient, information-as-commodity, negotiation, consent, and individual autonomy. Finally...

Contextual supports for autonomy and the development of high-quality relationships following mutual self-disclosure

Niemiec, Christopher P. (1981 - ); Deci, Edward L.
Fonte: University of Rochester. Publicador: University of Rochester.
Tipo: Tese de Doutorado Formato: Number of Pages:xix, 142 leaves
ENG
Relevância na Pesquisa
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Thesis (Ph. D.)--University of Rochester. Dept. of Clinical and Social Sciences in Psychology, 2010.; The importance of close, caring, and mutually supportive relationships for the promotion of personal wellness and healthy social functioning is generally accepted within psychology (Baumeister & Leary, 1995). An integral process in the development of high-quality relationships is self-disclosure (Collins & Miller, 1994), which refers to revealing information about oneself to another in a sustained, escalating, and mutual way that gradually increases in depth and breadth (Altman & Taylor, 1973). Of interest is whether the motivational climate in which mutual self-disclosure occurs would affect the development of relationship closeness between strangers. Guided by self-determination theory (SDT; Deci & Ryan, 1985, 2000; Niemiec, Ryan, & Deci, 2010; Ryan & Deci, 2000; Vansteenkiste, Niemiec, & Soenens, in press), the present research addressed this issue by examining whether contextual supports for autonomy (relative to controlling contexts) promote relationship quality following mutual self-disclosure. Autonomy, which literally means self-governance, refers to the experience that behavior is enacted with a sense of ownership, volition...

Autonomie et reconnaissance

Ricard, Laurence
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
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46.66%
La notion d’autonomie personnelle joue un rôle central dans les théories politiques contemporaines et, plus spécifiquement, dans les théories de la justice. Or, dans le paradigme libéral dominant, elle est définie par une compréhension rationaliste de l’agent individuel. La présente étude défend la nécessité de redéfinir ce concept d’autonomie à la lumière des développements philosophiques et psychologiques qui ont complexifié notre compréhension de la subjectivité. L’emploi du concept d’autonomie relationnelle développé par certains auteurs féministes et par certains théoriciens de la reconnaissance semble pour ce faire prometteur. En passant par une critique du libéralisme politique rawlsien, cette étude cherche à montrer qu’une compréhension relationnelle de l’autonomie est nécessaire pour expliquer la motivation à la coopération sociale et pour redéfinir la justice et l’injustice de façon à ce qu’elles correspondent à l’expérience sociale vécue.; The notion of personal autonomy plays a central role in contemporary political theories and especially in theories of justice. Generally speaking, the dominant liberal paradigm defines individual agency in a purely rationalistic manner. Against this tradition...

"Se sentir vivant" : le regard d’aînés et d’auxiliaires familiaux et sociaux sur le soutien à domicile en contexte d’inégalités sociales

Fournier, Aude
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
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36.72%
Cette recherche s’intéresse au soutien à domicile des personnes âgées dites « en perte d’autonomie » dans un contexte où, d’une part, les inégalités socioéconomiques parmi ce groupe sont marquées et, d’autre part, les services à domicile tendent vers une standardisation et une marchandisation. L’autonomie a été mobilisée comme concept pour mieux appréhender les conditions de vie et les rapports sociaux qui nuisent ou contribuent au bien-être des aînés à domicile, de leur propre point de vue et de celui des auxiliaires familiaux et sociaux qui interviennent auprès d’eux. Ce groupe d’acteurs est généralement évoqué dans la littérature comme ayant une vision sociale et globale des personnes qu’ils visitent, de par leur proximité et intrusion dans l’espace de vie de ces dernières. Le discours dominant par rapport au bien-être des personnes âgées (bien-vieillir ou, en anglais, successful aging) dans la littérature en gérontologie ou dans les documents institutionnels s’articule autour d’une conception fonctionnelle de l’autonomie, au détriment des dimensions plus sociales et relationnelles. Cette recherche a ainsi cherché à investir une perspective sociorelationnelle de l’autonomie...

Le multiculturalisme dans une perspective féministe : une théorie libérale de l’aménagement de la diversité culturelle

Gauthier-Chung, Maud
Fonte: Université de Montréal Publicador: Université de Montréal
Tipo: Thèse ou Mémoire numérique / Electronic Thesis or Dissertation
FR
Relevância na Pesquisa
36.25%
L’objectif de ce mémoire est de montrer qu’il est nécessaire de complémenter les schèmes multiculturalistes existants de mesures destinées à promouvoir l’autonomie et l’égalité des individus vulnérables au sein des groupes culturels et religieux minoritaires. En effet, les politiques multiculturalistes sont justifiées, dans une société libérale, dans la mesure où elles permettent de compenser les inégalités imméritées liées à l’appartenance à une culture minoritaire. C’est de cette justification de l’aménagement de la diversité culturelle dont traite le premier chapitre de ce mémoire. Cependant, plusieurs féministes, dont les critiques sont exposées au deuxième chapitre, ont mis en lumière le fait que ces politiques peuvent, en pratique, contribuer à fragiliser encore la position des individus vulnérables au sein de ces minorités et donc à renforcer les inégalités au sein du groupe. Dans le troisième chapitre, à l’aide du concept de capabilités, compris comme définition opérationnelle et procédurale de l’autonomie relationnelle, un modèle pouvant servir de complément aux schèmes multiculturels existants est élaboré. Le fonctionnement concret que pourrait avoir ce modèle fait l’objet du quatrième chapitre. Le modèle des capabilités – qui sont ici conçues à la fois comme guide pour les politiques et comme critère pour trancher les cas particuliers – pourrait donc mener à un type d’aménagement de la diversité à la fois plus flexible...

Non-domination and the Accommodation of Minority Social Practice

BACHVAROVA, MIRA
Fonte: Quens University Publicador: Quens University
Tipo: Tese de Doutorado
EN; EN
Relevância na Pesquisa
36.44%
This thesis develops an account of non-domination as a principle of legitimacy that ought to govern both inter-group and intra-group relations in multicultural states. It applies this principle to the question of how political institutions should respond to claims for the accommodation of controversial minority practices, using the example of the polygamous community in Bountiful, British Columbia. In developing this account, the thesis engages with three bodies of theoretical literature – of multiculturalism, of political legitimacy, and of autonomy. In the dominant normative theories of multiculturalism, answers are centered on what the limits of toleration are, what it means to recognize a collective identity, or what group rights can be claimed and how group rights are balanced with individual rights. While not rejecting the importance of these issues in a pluralistic state, my approach de-centers them by subsuming them under the broader problem of what makes a political authority morally legitimate vis-à-vis particular collective - as well as abstract individual - subjects. I argue that the most promising response to this problem lies with the concept of non-domination, conceived as a foundational principle of political legitimacy for multicultural states. This principle both demands and checks a democratic method for determining specific forms of accommodation. In some cases the advancement of non-domination between groups conflicts with the advancement of non-domination within groups. In political theory this question is often taken up by feminist scholars concerned with the ‘paradox of multicultural vulnerability’ and...

Condiciones para preservar e valor moral del consentimiento informado en medicina

Rojas, Félix Andrés
Fonte: Facultad de Ciencias Humanas Publicador: Facultad de Ciencias Humanas
Tipo: info:eu-repo/semantics/masterThesis; info:eu-repo/semantics/acceptedVersion Formato: application/pdf
Publicado em 09/06/2015 SPA
Relevância na Pesquisa
46.7%
El consentimiento informado (CI) en medicina corre el riesgo de quedar reducido a un formalismo legal sin valor moral; esto puede suceder por dos cosas: 1) como consecuencia de que el paciente no comprenda con suficiencia el concepto de autonomía y 2) debido a la disminución de la autonomía práctica del paciente por efecto de la autoridad del personal médico o de las instituciones de salud. Este artículo tiene como fin mostrar bajo qué condiciones se puede evitar la reducción del CI a un formalismo legal desprovisto de valor moral. Para servir a este propósito, se considera el concepto de autonomía relacional como eje articulador que pone en relación al paciente con su comunidad moral y con el médico, lo que impulsa al personal de la salud a proporcionar las condiciones para tal fin. Así, se afirma que la valía moral del CI puede conservarse, primero, a partir de una concepción relacional de la autonomía y, segundo, mediante la aplicación, por parte del médico y de la institución, de un protocolo que disminuya la posibilidad de choque entre la autonomía y la autoridad.; The Informed Consent (IC) in medicine runs the risk of being reduced to a legal formality without moral value. This can happen for two reasons: 1) because the patient does not understand sufficiently the concept of autonomy and 2) due to the decrease...

Una perspectiva relacional de la autonomía femenina : socialización y pobreza. El caso de las mujeres de Usme

Rojas Cárdenas, Tatiana Suley
Fonte: Escuela de Ciencias Humanas Publicador: Escuela de Ciencias Humanas
Tipo: info:eu-repo/semantics/bachelorThesis; info:eu-repo/semantics/acceptedVersion Formato: application/pdf
Publicado em 09/11/2010 SPA
Relevância na Pesquisa
36.25%
El desarrollo de la investigación inicia con una aproximación a los precedentes y bases del proyecto, en estos se describe detalladamente el estado del arte y la condición de la investigación a cerca de la "Autonomía Femenina" y la "Socialización de Género", como también la metodología y los mecanismos de recolección de información utilizados para resolver la pregunta de investigación; En una segunda instancia los resultados son expuestos y focalizados particularmente en la interacción dada entre el género, el proceso de socialización, la autonomía y la pobreza. Finalmente la investigación expone las conclusiones y anexos respectivos.; The development of the investigation initiates with an approximation to the precedents and bases of the project, in these it is described detailed the condition of the investigation about “Women’s Autonomy” and “Gender Socialization”, as well as the mechanisms of compilation of information and the methodology, used to solve the question of investigation; In a second instance the results are exposed and focused particularly in the interaction between gender, socialization process, autonomy and poverty. Finally the investigation exposed the conclusions and annexs respective.

Choosing embryos: ethical complexity and relational autonomy in staff accounts of PGD

Ehrich, Kathryn; Williams, Clare; Farsides, Bobbie; Sandall, Jane; Scott, Rosamund
Fonte: Blackwell Publishing Ltd Publicador: Blackwell Publishing Ltd
Tipo: Artigo de Revista Científica
Publicado em /11/2007 EN
Relevância na Pesquisa
36.35%
The technique of preimplantation genetic diagnosis (PGD) is commonly explained as a way of checking the genes of embryos produced by IVF for serious genetic diseases. However, complex accounts of this technique emerged during ethics discussion groups held for PGD staff. These form part of a study exploring the social processes, meanings and institutions that frame and produce ‘ethical problems’ for practitioners, scientists and others working in the specialty of PGD in the UK. Two ‘grey areas’ raised by staff are discussed in terms of how far staff are, or in the future may be, able to support autonomous choices of women/couples: accepting ‘carrier’ embryos within the goal of creating a ‘healthy’ child; and sex selection of embryos for social reasons. These grey areas challenged the staff's resolve to offer individual informed choice, in the face of their awareness of possible collective social effects that might ensue from individual choices. We therefore argue that these new forms of choice pose a challenge to conventional models of individual autonomy used in UK genetic and reproductive counselling, and that ‘relational autonomy’ may be a more suitable ethical model to describe the ethical principles being drawn on by staff working in this area.

Relational Autonomy in Assisted Living: A Focus on Diverse Care Settings for Older Adults

Perkins, Molly M.; Ball, Mary M.; Whittington, Frank J.; Hollingsworth, Carole
Fonte: PubMed Publicador: PubMed
Tipo: Artigo de Revista Científica
EN
Relevância na Pesquisa
36.66%
Consistent with Western cultural values, the traditional liberal theory of autonomy, which places emphasis on self-determination, liberty of choice, and freedom from interference by others, has been a leading principle in health care discourse for several decades. In context to aging, chronic illness, disability, and long-term care, increasingly there has been a call for a relational conception of autonomy that acknowledges issues of dependency, interdependence, and care relationships. Although autonomy is a core philosophy of assisted living (AL) and a growing number of studies focus on this issue, theory development in this area is lagging and little research has considered race, class, or cultural differences, despite the growing diversity of AL. We present a conceptual model of autonomy in AL based on over a decade of research conducted in diverse facility settings. This relational model provides an important conceptual lens for understanding the dynamic linkages between varieties of factors at multiple levels of social structure that shape residents' ability to maintain a sense of autonomy in this often socially challenging care environment. Social and institutional change, which is ongoing, as well as the multiple and ever-changing cultural contexts within which residents are embedded...

Dependencia y autonomía : una aproximación antropológica desde el cuidado de los mayores

Cerri, Chiara
Fonte: Universidade Autônoma de Barcelona Publicador: Universidade Autônoma de Barcelona
Tipo: Artigo de Revista Científica Formato: application/pdf
Publicado em //2015 SPA
Relevância na Pesquisa
36.25%
Utilizando como hilo conductor las políticas de asistencia a la dependencia y las políticas de Envejecimiento activo en España, y con el soporte de algunos ejemplos etnográficos sacados del trabajo de campo de la autora, el artículo propone una reflexión acerca de los conceptos de dependencia, autonomía y vulnerabilidad a través de la relación existente entre envejecimiento y cuidado. El análisis presentado muestra la existencia de unas contradicciones entre el discurso y la práctica de estas políticas, aparentemente antagónicas en sus definiciones, planteando la necesidad de un cambio de perspectiva que incorpore los conceptos de interdependencia y autonomía relacional en los estudios empíricos y en las políticas sociales, para ir más allá de la distinción entre cuidador (sujeto independiente) y receptor de cuidado (objeto dependiente).; Through a review of care policies and active aging policies in Spain, relying on some ethnographic examples drawn from the author's fieldwork, the article proposes a critical reflection of such concepts as dependency, autonomy and vulnerability and the relationship between aging and elderly care. The analysis shows the existence of some contradictions between discourse and practice of these policies...

The intersection of relational autonomy and narrative ethics for the patient unwilling to disclose genetic diagnosis information

Gallagher, Michael
Fonte: Springer Berlin Heidelberg Publicador: Springer Berlin Heidelberg
Tipo: Text
Publicado em 18/03/2014 EN
Relevância na Pesquisa
36.25%
The rare case of the patient unwilling to disclose genetic data to his or her family provides an opportunity to expand the atomistic conception of the autonomous individual in medical decision-making. Medical practitioners naturally avoid violating patient autonomy and privacy. However, unwilling disclosure can damage the health of people other than the patient. In this situation, professionals must weigh the principle of autonomy against the nature of relationships, duties, and confidentialities between patient, professional, and family. The paradigm case studied is that of a patient with a potentially dangerous heart condition, Long QT Syndrome 3. Patients with Long QT 3 are at high risk for dying of ventricular tachycardia during rest, especially from ages 40–60. Once familial genetic testing was completed, the proband's mother, who was positive for the mutation, chose not to inform her estranged sister of the diagnosis.

Vínculo e autonomia na prática de saúde bucal no Programa Saúde da Família; Bond and autonomy of the oral health practice in the Family Health Program

Santos, Adriano Maia dos; Assis, Marluce Maria Araújo; Nascimento, Maria Angela Alves do; Jorge, Maria Salete Bessa
Fonte: Universidade de São Paulo. Faculdade de Saúde Pública Publicador: Universidade de São Paulo. Faculdade de Saúde Pública
Tipo: info:eu-repo/semantics/article; info:eu-repo/semantics/publishedVersion; ; ; ; ; Formato: application/pdf; application/pdf
Publicado em 01/06/2008 POR; ENG
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36.31%
OBJETIVO: Compreender o estabelecimento do vínculo na construção de autonomia dos sujeitos que engendram as práticas de saúde bucal no Programa Saúde da Família. PROCEDIMENTOS METODOLÓGICOS: Estudo qualitativo realizado em Alagoinhas, BA, 2004, utilizando-se uma abordagem crítico-reflexiva. Foram realizadas entrevistas semi-estruturadas com trabalhadores e usuários e observação da prática no Programa Saúde da Família, num total de 17 entrevistados. A análise dos dados foi orientada pelo modelo de análise hermenêutico-dialética, confrontando as representações dos diferentes sujeitos e articulando-os com o referencial teórico orientador do estudo. ANÁLISE DOS RESULTADOS: Os usuários atendidos pela equipe de saúde bucal do Programa Saúde da Família apontaram seus problemas e o tratamento que desejavam realizar. Estabeleceu-se uma linha de tensão, que pode definir o serviço como acolhedor e vincular, e assim contribuir para o fortalecimento da autonomia dos demandantes. No entanto, usuários e profissionais negociavam acerca do tratamento. O estabelecimento do vínculo permitiu que a negociação caminhasse para um consenso de necessidades e responsabilidades, impedindo que o ato terapêutico esteja centrado no profissional...

Patient autonomy in the therapeutic process as a value for health

Soares,Jussara Calmon Reis de Souza; Camargo Jr.,Kenneth Rochel
Fonte: Interface - Comunicação, Saúde, Educação Publicador: Interface - Comunicação, Saúde, Educação
Tipo: Artigo de Revista Científica Formato: text/html
Publicado em 01/01/2007 EN
Relevância na Pesquisa
36.37%
This paper presents a critical review of concepts of health and disease in biomedicine, as a contribution to rethinking health in positive terms. We take Canguilhem's epistemology as a starting point in order to highlight fundamental issues in the discussion about health, integrating it with a new understanding of the concept of patient autonomy in the therapeutic process, using an analysis method that takes an approach based on complexity. In this perspective, autonomy is relative, relational and inseparable from dependence. It is also a necessary condition for health, in its broadest meaning, as the self-recovering potential of the human organism. Therefore, autonomy becomes a fundamental value to be reinstated and defended in medical practice, as well as in the social and human sciences' field. A discussion of the implications of the concept of autonomy is presented, if only as a harbinger of a future state, as a precondition for health, citizenship and for life itself.