Saúde e educação na atenção primária: limites e possibilidades das relações dialógicas entre enfermeiros e usuários

• Autor(a) principal: Andrade, Luciana Dantas Farias de
• Data de Publicação: 2012
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Federal do Espírito Santo (riUfes)
• Texto Completo: http://repositorio.ufes.br/handle/10/9088
• topic: Psicologia; Psicologia; Enfermagem; Diálogo; Educação popular; 159.9

The general strategy of this research consisted on selecting and analyzing, in light of the hermeneutic-dialectic phenomenology, the phenomenon of the relations between nurses and users during the activities for health education in the Family Health Strategies in the city of Cuité, Paraíba, Brazil. This research is justified by the fact that the process of health education, essential in the Family Health Strategies, can be emancipating by adopting dialogical relations that value the meeting of nurses and users as an event that produces multiple senses/effects and may (or may not) generate transformations capable of uncovering issues which are limiting or augmenting the autonomy for the expansion of life of the individuals involved. Through qualitative research, conducted with four nurses and four users of the Family Health Strategies of the city of Cuité, by means of interviews respecting the ethical aspects, it was found that nursing professionals are not aware of the pedagogical approaches used in their educational practices when taking care of the individual, family and community leading this educational process to the use of non-emancipatory pedagogical approaches, which is contrary to the Public Health System (SUS) proposal for the expansion of life and autonomy of the individual. What can be concluded from this research is that educational activities are carried out with approaches that favor the training more than the autonomy, revealing and educational feature with relationships that are more prone to dependence than to freedom. Among the models of health education, the dialogical model proposed by Paulo Freire can be used as a philosophical basis for training of future nursing professionals in the university environment and as a strategy for training of nurses working in patient care.