A representação social do cuidado ao paciente soropositivo ao HIV/Aids entre profissionais de saúde

• Autor(a) principal: Thiengo, Priscila Cristina da Silva
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UERJ
• Texto Completo: http://www.bdtd.uerj.br/handle/1/11326
• topic: HIV/Aids; Social Representation; Care; HIV/Aids; Representação social; Cuidado; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM DE DOENCAS CONTAGIOSAS

This research aims at identifying structural representation among health professionals of health care provided to HIV/AIDS-infected patients; describing the representation of health care on the basis of structure and process approaches; analyzing health care on the basis of the representations depicted by the health team; and discussing changes in knowledge and practice derived from those representations. Qualitative, descriptive, and exploratory research conducted within the Social Representations theoretical frameworks. Subjects of research were comprised of health professionals working in state-run health institutions in Rio de Janeiro, RJ, Brazil. One hundred forty-eight (148) professionals of twenty (20) health institutions participated in the first stage of the research, and twenty-three (23) professionals of two (2) health institutions participated in the second one. Data collection was conducted on the basis of characterization questionnaires, free evocation, and semi-structured interviews. Data analysis used the four-folded frame run on the EVOC 2003 software; similitude and lexical analyses were accomplished on the basis of the Alceste 4.10 software. As for the structure of the representation, its Central Nucleus was integrated by love, welcome, information, respect, adhesion-treatment, and non-discrimination, all of which signaling with affective, pragmatical, and functional aspects of that dimension of care. Within the contrasting zone, protection-professional stands out. Similitude analysis identified the central stand of the term love. It organizes representation and is strongly related to the term solidarity. The Alceste-run analysis defined six classes, as follows: the constitution of the health team and the care process: definitions, practices, and difficulties; protective practices adopted by health professionals in face of HIV; professional attitudes; evaluations and judgment; social memories about AIDS: origin, circulation, information, and images; and, finally, the AIDS epidemic today. Conclusions show that social representation of care among health professionals is structured and organized on the basis of an interaction sustained by an archeology of the so-called noble feelings, as well as abnegation and surpassing actions. Love stands out at its core, as it characterizes actions and conditions praxis of care. The relevance of that loving care signals to the humanizing of care actions, as they can both meet the demands of individuals during manifestation of the disease, and respect their uniqueness as human beings, facilitating their condition and their search for health improvement.