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Health promotion: Criticism of everyday life medicalization practices
Kênia Silva,Roseni Sena
Journal of Nursing Education and Practice , 2013, DOI: 10.5430/jnep.v3n9p83
Abstract: The aim of this study was to analyze the meanings of the practices of health promotion. The results indicate that the practices in different social areas are sustained within the mechanisms of social control and management of vulnerable populations. Thus, there is the feedback of the biomedical paradigm now materialized in different practices in different areas beyond the traditional health services. It is concluded that health promotion in areas of daily life presents the challenge of expanding the potential autonomy of action of individuals in movements that consider the potential social areas in constant transformation of everyday life.
Contribui??o ao movimento de mudan?a na forma??o profissional em saúde: uma avalia??o das experiências UNI
Feuerwerker, Laura C. M.;Sena, Roseni R.;
Interface - Comunica??o, Saúde, Educa??o , 2002, DOI: 10.1590/S1414-32832002000100004
Abstract: this article analyzes strategies for change and the partial results of the experiences on change in the training of healthcare professionals, based on the uni projects in latin america. what stands out is the organic articulation between university, healthcare services and community organizations as the fundamental strategy guiding the processes of change toward social relevance. the essential characteristics of the innovative training proposals are: integrated curricula organized into thematic modules based on relevant real problems; active teaching-learning methodologies, that regard the students as subjects; practice within healthcare services and the community from the very beginning of the course; and educational and overall evaluation during the course of the whole process.
The Reality of Children and Adolescents with Meningomyelocele and Their Families, in the City of Belo Horizonte and Its Metropolitan Area, Brazil  [PDF]
Giselle Lima de Freitas, Roseni Rosangela de Sena, Josana Cristina Faleiros e Silva, Fabiana Faleiros
Health (Health) , 2016, DOI: 10.4236/health.2016.86059
Abstract: Meningomyelocele is a congenital defect involving the central nervous system which is one of the most common among those compatible with life. Children affected by this condition present neurological, orthopedic, renal and urogenital complications, needing lifelong healthcare provisions. The aim of this study was to analyze the reality experienced by children and adolescents with meningomyelocele and their families in the city of Belo Horizonte and its metropolitan area, Brazil. A descriptive and exploratory study was conducted via three home visits and a scripted interview with 16 children and adolescents with meningomyelocele and their families. It was observed that mean age of children and adolescents was 12 years old, most of them did not walk (n = 10), and depended on wheel chairs and parental care. Mothers represented the main caregivers and most (n = 12) had to leave their formal work outside of the home, compromising family income. It concluded that the families had socioeconomic levels aggravated by difficulties in purchasing materials needed for their children’s care. Some social challenges included barriers to education and the acquisition of medications and materials, demonstrating the need for planning public policies aimed at integrating different health services.
El significado de la especialización en enfermería obstétrica desde la perspectiva de algunas egresadas del curso: relato de una experiencia
Aparecida Vieira,María; de Sena,Roseni Rosangela;
Investigación y Educación en Enfermería , 2005,
Abstract: this is an account of the experience of the students of the specialization course in obstetrics nursing of the department of nursing care of the state university of montes claros (unimontes), together with the sofia feldman hospital in belo horizonte, state of minas gerais, brazil. this study intends to get to know the meaning of the course for the students, using the discourse analysis technique. the data which was analyzed provide meanings such as technical and scientific growth, safety, career advancement and some difficulties of professional performance. it focuses on the importance of this specialization course in the life of the students, in so far as their learning contributes to personal and professional growth to transform social reality. we conclude that the qualification of the obstetrics nurses is a strategy to reclaim the competence of this professional, increasing their contribution to the quality of health care to women during pregnancy, puerperium and to the neonate. we recommend that more courses should be made available to train obstetric nurses and to contribute to the quality of care for women and children.
Abordagem ao adolescente e ao jovem nas políticas públicas de saúde no Brasil: um estudo de revis?o
Horta, Natália de Cássia;Sena, Roseni Rosangela de;
Physis: Revista de Saúde Coletiva , 2010, DOI: 10.1590/S0103-73312010000200008
Abstract: this paper aims to analyze the approach and concept of "adolescent" and "youth" commonly found in health-related official documents published by the brazilian ministry of health, as well as the organization of the approach to health proposed for these subjects. furthermore, an attempt was made to contrast, compare and relate the official documents with the experiments and research taken from selected publications, trying to propose strategies for the improvement of present health policies. the approach was explorative, descriptive and document-based, and the study was carried out through the review of official documents published by the brazilian ministry of health and of papers available in previously selected scientific publications. the data were discussed, by means of the analysis of the contents and the structuring of three analytical categories, considering: the concept of adolescence and youth, the perspective of public policies for the youth and the analysis of the health-disease process in youth contrasted with health practices. the conclusion was that the health sector's approach is centered on the concept of adolescence under a perspective of risk, with little regard to youth, and that fact is reflected upon structured public policies. all the health-related publications analyzed clearly show the fragmented comprehension of the health-disease process, with little regard to an integral approach to the health of the youth. the evidences of this study point to the need of integrating health with other youth-oriented policies, maintaining the dialog with the youth-related academic production for the improvement of the measures aimed at that population and the incorporation of such references in the field of health.
A forma??o do enfermeiro: construindo a integralidade do cuidado
Silva, Kênia Lara;Sena, Roseni Rosangela de;
Revista Brasileira de Enfermagem , 2006, DOI: 10.1590/S0034-71672006000400003
Abstract: in this study it was aimed to understand the nursing teaching towards the integrality of healthcare. a qualitative approach study with data obtained from interviews with members of the teaching staff, student nurses and nurses of services. the transcribed interviews were submitted to discourse analysis. intentionalities shown by the research participants regarding the professional training from the perspective of the integrality of healthcare in a movement of overcoming the flexnerian paradigm towards a possibility of critical and reflective education were seen. it was concluded that the nursing training points at reflections on the changing movement on the pedagogical practices and healthcare as fundamental strategy in order to build the integrality of healthcare.
O processo de mudan?a na educa??o de enfermagem nos cenários uni: potencialidades e desafios
Silva, Kênia Lara;Sena, Roseni Rosangela de;
Revista Brasileira de Enfermagem , 2003, DOI: 10.1590/S0034-71672003000400022
Abstract: this study analyzes changes occurred in the nursing teaching and learning process from brazilian schools which pursue the uni project, by describing a movement toward change, besides resistance, conflicts, and current challenges involved. it is a qualitative study whose data were gathered by using focal groups and documents available in these institutions. its results show there is a gradual, dynamic and continuous movement toward change, through the search for teaching models that might replace technical rationality with a critical-reflexive proposal. in spite of challenges related to evaluation and individual competencies to overcome resistance and conflicts, we have found that the change process was supported by the creation of participative spaces and horizontal relationships, allowing for a renewed valorization of nursing education.
A saúde no cotidiano de jovens residentes em um bairro popular de Belo Horizonte, MG, Brasil
Horta, Natália de Cássia;Sena, Roseni Rosangela de;
Revista da Escola de Enfermagem da USP , 2011, DOI: 10.1590/S0080-62342011000800006
Abstract: the object of this study was the everyday health of young individuals considering that their experiences are not contemplated in the health actions. the objective is to analyze the juvenile lifestyles learning the meanings and senses of health in their everyday life. this is a qualitative investigation, founded on dialectics, based on everyday life sociology. this study was developed in a popular neighborhood of belo horizonte, and was structured into an exploratory and interpretative phase, with nineteen young individuals as subjects. through hermeneutics and dialectics analysis, the thesis was confirmed. the health actions present in the young individuals' everyday life consider the resources and constitutive aspects of the juvenile condition, which is still poorly contemplated in the health area propositions. in the everyday life of the young indidivuals, there is an expressiveness of the lifestyles and juvenile condition in which health reveals for their well being and for the basic conditions to lead life. the prevalent health conception is centered on behaviors and corporeity. in order to promote juvenile health it is necessary to consider the juvenile lifestyles and interact with them on an everyday basis. health care actions occupy a (in) visible space in the youngsters' lives and interact with their priorities in their experience of the juvenile condition. this study revealed the importance of proposing health care actions in the micro areas and in the territory in which this condition is expressed.
Políticas e práticas de saúde rumo à eqüidade
Sena, Roseni Rosangela de;Silva, Kênia Lara;
Revista da Escola de Enfermagem da USP , 2007, DOI: 10.1590/S0080-62342007000500005
Abstract: the text approaches the inequalities and the social exclusion in health establishing its social, historical, cultural and economic inter-relations and determinations. it points to the iniquities as consequence of the inequalities in the production and distribution of the wealth expressed by access to services and material goods. it discusses the practices of management, in the field of the health, as supporters of the equity, indicating the shared management as a tool that promotes the values of citizenship and respect to the diversity. it approaches the participation and the social control as practices that promote equity in the health services. it comments the experience of the department of social politics and health of belo horizonte with the work in geopolitical and social territories with practices of management, assistance and social control that contribute for equity. it concludes that, beyond the analyses and macro interventions, it is basic to take the spaces micro of the work for reflection and performance in the construction of equity.
A enfermagem como parceira solidária do Sistema único de Saúde
Sena, Roseni Rosangela de;Silva, Kênia Lara da;
Revista da Escola de Enfermagem da USP , 2011, DOI: 10.1590/S0080-62342011000800027
Abstract: this article is based on the authors' reflections from following the successive accumulations of the brazilian national health system (sistema único de saúde - sus). we present our evaluation of the sus, emphasizing what we consider to be the utmost progresses, recognizing the need to reaffirm a present agenda of political and social commitments for the system. we defend that brazilian nursing, with the processes of professionalizing its workers, is a strong partner of the sus.
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