The possible meanings of care: self-care and care-for-the-other

Detalhes bibliográficos
Autor(a) principal: Tajra, Fábio Solon
Data de Publicação: 2017
Outros Autores: Pontes, Ricardo José Soares, Carvalho, Francisco Herlânio Costa
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Repositório Institucional da Universidade Federal do Ceará (UFC)
Texto Completo: http://www.repositorio.ufc.br/handle/riufc/30093
Resumo: Objective. To understand and to reflect about care based on the experiences of managers, professionals and users of maternal and child health services. Methods. We developed an evaluative research with a qualitative approach in a Northeastern state of Brazil with extensive experience in the regionalization and implementation process of integrated health networks. Semi-structured interviews were carried out with 68 subjects and direct observation of the maternal and child health services. We adopted the theoretical reference framework of Gadamer’s hermeneutics to analyze the narratives. Results. Some units of meaning were present, such as: perception and knowledge about oneself; exercise of autonomy; weaknesses in the provision of resources for the materialization of self-care; and difficulties in accessing health services and care practices. We perceive that care is dynamic, comprises various subjective aspects with respect to the singularities of the subjects and is related to the possibility of generating both individual and collective transformation. Conclusion. Care is built based on a movement among the subjects and between them and the social and health services. Thus, when we intend to take care, we need to consider this instead of focusing care solely on the technical support of health professionals.
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spelling The possible meanings of care: self-care and care-for-the-otherLos posibles sentidos del cuidado: el cuidar de sí y el cuidar de otrosOs possíveis sentidos do cuidado: o cuidar-de-si e o cuidar-dos-outrosAssistência Integral à SaúdeComprehensive Health CareServiços de Saúde Materno-InfantilMaternal-Child Health ServicesObjective. To understand and to reflect about care based on the experiences of managers, professionals and users of maternal and child health services. Methods. We developed an evaluative research with a qualitative approach in a Northeastern state of Brazil with extensive experience in the regionalization and implementation process of integrated health networks. Semi-structured interviews were carried out with 68 subjects and direct observation of the maternal and child health services. We adopted the theoretical reference framework of Gadamer’s hermeneutics to analyze the narratives. Results. Some units of meaning were present, such as: perception and knowledge about oneself; exercise of autonomy; weaknesses in the provision of resources for the materialization of self-care; and difficulties in accessing health services and care practices. We perceive that care is dynamic, comprises various subjective aspects with respect to the singularities of the subjects and is related to the possibility of generating both individual and collective transformation. Conclusion. Care is built based on a movement among the subjects and between them and the social and health services. Thus, when we intend to take care, we need to consider this instead of focusing care solely on the technical support of health professionals.Objetivo. Compreender e refletir sobre o cuidado à luz das experiências de gestores, profissionais e usuárias dos serviços de saúde materna e infantil. Métodos. Desenvolvemos uma pesquisa avaliativa com abordagem qualitativa em um estado do nordeste brasileiro com vasta experiência no processo de regionalização e implantação de redes integradas. Foram realizadas entrevistas semiestruturadas com 68 sujeitos e observação direta dos serviços de saúde materna e infantil. Adotamos o referencial teórico da hermenêutica de Gadamer para análise das narrativas. Resultados. Algumas unidades de significado estiveram presentes, como: percepção e o conhecimento sobre si; exercício da autonomia; fragilidades na oferta de recursos para a materialização do cuidar de si; e, dificuldades quanto ao acesso aos serviços de saúde e às práticas de cuidado. Percebemos que o cuidado é dinâmico, compreende aspectos subjetivos diversos em respeito às singularidades dos sujeitos e está relacionado com a possibilidade de gerar transformação tanto individual como coletiva. Conclusão. O cuidado se constrói a partir de um movimento entre os sujeitos e entre eles e os serviços sociais e de saúde. Desta forma, quando pretendemos cuidar, devemos partir deste horizonte e não centrar o cuidado, unicamente, no apoio técnico dos profissionais de saúde.Objetivo. Comprender y reflexionar sobre el cuidado a luz de las experiencias de directivos, profesionales y usuarios de los servicios de salud materna e infantil. Métodos. Se desarrolló una investigación de evaluación con enfoque cualitativo en un estado en el noreste de Brasil, con una amplia experiencia en el proceso de regionalización e implementación de redes. Se realizaron entrevistas semiestructuradas a 68 sujetos y la observación directa de los servicios de salud materna e infantil. Se adoptó el referencial teórico de la hermenéutica de Gadamer para el análisis de las narrativas. Resultados. Estuvieron presentes algunas unidades de significado, como la percepción y conocimiento sobre sí, el ejercicio de la autonomía, las debilidades en la oferta de recursos para la materialización del cuidar de sí mismos y dificultades en el acceso a los servicios de salud y a las prácticas de cuidado. Se percibió que el cuidado es dinámico, se compone de aspectos subjetivos diversos en relación con las singularidades de los sujetos y está asociado a la posibilidad de generar transformación individual y colectiva. Conclusión. El cuidado se construye a partir de un movimiento entre los sujetos y entre éstos y los servicios sociales y de salud. De esta forma, cuando pretendemos cuidar, debemos partir de este horizonte y no centrar únicamente el cuidado en el apoyo técnico de los profesionales de la salud.Investigación y educación en enfermería2018-03-06T16:34:24Z2018-03-06T16:34:24Z2017info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfTAJRA, F. S. ; PONTES, R. J. S. ; CARVALHO, F. H. C. The possible meanings of care: self-care and care-for-the-other. Investigación y Educación en Enfermería, Medellin, v. 35, n. 2, p. 199-209, 2017.0120-53072216-0280http://www.repositorio.ufc.br/handle/riufc/30093Tajra, Fábio SolonPontes, Ricardo José SoaresCarvalho, Francisco Herlânio Costaengreponame:Repositório Institucional da Universidade Federal do Ceará (UFC)instname:Universidade Federal do Ceará (UFC)instacron:UFCinfo:eu-repo/semantics/openAccess2021-03-29T20:02:16Zoai:repositorio.ufc.br:riufc/30093Repositório InstitucionalPUBhttp://www.repositorio.ufc.br/ri-oai/requestbu@ufc.br || repositorio@ufc.bropendoar:2024-09-11T18:25:31.643287Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)false
dc.title.none.fl_str_mv The possible meanings of care: self-care and care-for-the-other
Los posibles sentidos del cuidado: el cuidar de sí y el cuidar de otros
Os possíveis sentidos do cuidado: o cuidar-de-si e o cuidar-dos-outros
title The possible meanings of care: self-care and care-for-the-other
spellingShingle The possible meanings of care: self-care and care-for-the-other
Tajra, Fábio Solon
Assistência Integral à Saúde
Comprehensive Health Care
Serviços de Saúde Materno-Infantil
Maternal-Child Health Services
title_short The possible meanings of care: self-care and care-for-the-other
title_full The possible meanings of care: self-care and care-for-the-other
title_fullStr The possible meanings of care: self-care and care-for-the-other
title_full_unstemmed The possible meanings of care: self-care and care-for-the-other
title_sort The possible meanings of care: self-care and care-for-the-other
author Tajra, Fábio Solon
author_facet Tajra, Fábio Solon
Pontes, Ricardo José Soares
Carvalho, Francisco Herlânio Costa
author_role author
author2 Pontes, Ricardo José Soares
Carvalho, Francisco Herlânio Costa
author2_role author
author
dc.contributor.author.fl_str_mv Tajra, Fábio Solon
Pontes, Ricardo José Soares
Carvalho, Francisco Herlânio Costa
dc.subject.por.fl_str_mv Assistência Integral à Saúde
Comprehensive Health Care
Serviços de Saúde Materno-Infantil
Maternal-Child Health Services
topic Assistência Integral à Saúde
Comprehensive Health Care
Serviços de Saúde Materno-Infantil
Maternal-Child Health Services
description Objective. To understand and to reflect about care based on the experiences of managers, professionals and users of maternal and child health services. Methods. We developed an evaluative research with a qualitative approach in a Northeastern state of Brazil with extensive experience in the regionalization and implementation process of integrated health networks. Semi-structured interviews were carried out with 68 subjects and direct observation of the maternal and child health services. We adopted the theoretical reference framework of Gadamer’s hermeneutics to analyze the narratives. Results. Some units of meaning were present, such as: perception and knowledge about oneself; exercise of autonomy; weaknesses in the provision of resources for the materialization of self-care; and difficulties in accessing health services and care practices. We perceive that care is dynamic, comprises various subjective aspects with respect to the singularities of the subjects and is related to the possibility of generating both individual and collective transformation. Conclusion. Care is built based on a movement among the subjects and between them and the social and health services. Thus, when we intend to take care, we need to consider this instead of focusing care solely on the technical support of health professionals.
publishDate 2017
dc.date.none.fl_str_mv 2017
2018-03-06T16:34:24Z
2018-03-06T16:34:24Z
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv TAJRA, F. S. ; PONTES, R. J. S. ; CARVALHO, F. H. C. The possible meanings of care: self-care and care-for-the-other. Investigación y Educación en Enfermería, Medellin, v. 35, n. 2, p. 199-209, 2017.
0120-5307
2216-0280
http://www.repositorio.ufc.br/handle/riufc/30093
identifier_str_mv TAJRA, F. S. ; PONTES, R. J. S. ; CARVALHO, F. H. C. The possible meanings of care: self-care and care-for-the-other. Investigación y Educación en Enfermería, Medellin, v. 35, n. 2, p. 199-209, 2017.
0120-5307
2216-0280
url http://www.repositorio.ufc.br/handle/riufc/30093
dc.language.iso.fl_str_mv eng
language eng
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Investigación y educación en enfermería
publisher.none.fl_str_mv Investigación y educación en enfermería
dc.source.none.fl_str_mv reponame:Repositório Institucional da Universidade Federal do Ceará (UFC)
instname:Universidade Federal do Ceará (UFC)
instacron:UFC
instname_str Universidade Federal do Ceará (UFC)
instacron_str UFC
institution UFC
reponame_str Repositório Institucional da Universidade Federal do Ceará (UFC)
collection Repositório Institucional da Universidade Federal do Ceará (UFC)
repository.name.fl_str_mv Repositório Institucional da Universidade Federal do Ceará (UFC) - Universidade Federal do Ceará (UFC)
repository.mail.fl_str_mv bu@ufc.br || repositorio@ufc.br
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