Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores
Autor(a) principal: | |
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Data de Publicação: | 2018 |
Tipo de documento: | Tese |
Idioma: | por |
Título da fonte: | Repositório Institucional da UFG |
dARK ID: | ark:/38995/001300000dq79 |
Texto Completo: | http://repositorio.bc.ufg.br/tede/handle/tede/8717 |
Resumo: | The vulnerability on researches involving human being includes the reduction or impairment of individual’s self-determination ability. Several circumstances may determine the vulnerability situation. International regulations and consensus around ethics research are not enough to ensure respect for research participants and to prevent any harms arising from research. Research in hospitals has peculiarities about the health-disease process. This research sough to identify the research patient-participant situations of vulnerability occurring concomitantly with their treatment in a hospital in Goiânia-GO; and to analyze the meanings of vulnerability attributed by the actors involved in the context of research development in a hospital in Goiânia-GO. This was a qualitative approach of an ethnomethodology research based on Foucault's theoretical framework. Semi-structured interviews were conducted with 15 patients and 15 health professionals at a public hospital in Goiânia-GO. Three categories emerged from the interviews: "Changed lives", "Professional training" and "The ideal place". The results evidenced the tendency of the participants to understand the research as something positive that will bring important contributions for treatment, allowing the hope of the cure. The participants recognized the hospital as the ideal place to seek healing. However there were situations of weaknesses, such as the health care system itself and the communication between health professionals and patients. This suggests that the power existing in these relations still reiterates the maintenance of hierarchy and fragilities, affecting the exercise of autonomy by the patient. Thus, the speeches expressed and showed how power is established in that place, as well as the communication itself. Even not all participants perceived the weaknesses present in the research field, which amplifies the dimensions of the vulnerabilities. It is possible to conclude that the senses of vulnerability in this context cover the changes in the lives of those patients-participants, the process of training of the professionals and, also, the experience of the routines in that hospital considered reference for the treatment. |
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Medeiros, Marcelohttp://lattes.cnpq.br/3009722217245952Medeiros, MarceloBezerra, Ana Lúcia QueirozRibeiro, Luana Cássia MirandaBarbosa, Maria AlvesReis, Mary Lopeshttp://lattes.cnpq.br/5761703214699884Oliveira, Luciana Alves de2018-07-18T11:48:18Z2018-07-06OLIVEIRA, L. A. Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores. 2018. 158 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018.http://repositorio.bc.ufg.br/tede/handle/tede/8717ark:/38995/001300000dq79The vulnerability on researches involving human being includes the reduction or impairment of individual’s self-determination ability. Several circumstances may determine the vulnerability situation. International regulations and consensus around ethics research are not enough to ensure respect for research participants and to prevent any harms arising from research. Research in hospitals has peculiarities about the health-disease process. This research sough to identify the research patient-participant situations of vulnerability occurring concomitantly with their treatment in a hospital in Goiânia-GO; and to analyze the meanings of vulnerability attributed by the actors involved in the context of research development in a hospital in Goiânia-GO. This was a qualitative approach of an ethnomethodology research based on Foucault's theoretical framework. Semi-structured interviews were conducted with 15 patients and 15 health professionals at a public hospital in Goiânia-GO. Three categories emerged from the interviews: "Changed lives", "Professional training" and "The ideal place". The results evidenced the tendency of the participants to understand the research as something positive that will bring important contributions for treatment, allowing the hope of the cure. The participants recognized the hospital as the ideal place to seek healing. However there were situations of weaknesses, such as the health care system itself and the communication between health professionals and patients. This suggests that the power existing in these relations still reiterates the maintenance of hierarchy and fragilities, affecting the exercise of autonomy by the patient. Thus, the speeches expressed and showed how power is established in that place, as well as the communication itself. Even not all participants perceived the weaknesses present in the research field, which amplifies the dimensions of the vulnerabilities. It is possible to conclude that the senses of vulnerability in this context cover the changes in the lives of those patients-participants, the process of training of the professionals and, also, the experience of the routines in that hospital considered reference for the treatment.A vulnerabilidade em pesquisas envolvendo humanos compreende a redução ou impedimento da capacidade de autodeterminação do indivíduo. Vários fatores podem influenciar o estado e/ou a condição de vulnerabilidade. Regulamentações e consensosinternacionais sobre ética em pesquisa vigentes não são suficientes para garantir o respeito aos participantes de pesquisa e nem impedir malefícios decorrentes de pesquisas. Pesquisas em hospitais apresentam peculiaridades inerentes ao processo saúde-doença. Objetivos: identificar as situações de vulnerabilidade do paciente/participante de pesquisa presentes na realização de pesquisas concomitantemente ao tratamento em um hospital de Goiânia-GO; e analisar os sentidos de vulnerabilidade atribuídos pelos atores envolvidos no contexto do desenvolvimento de pesquisas em um hospital de Goiânia-GO. Estudo de abordagem qualitativa do tipo etnometodologia adotando o significado como conceito central da investigação. Algumas análises foram fundamentadas no pensamento de Foucault. Foram realizadas entrevistas semiestruturadas com 15 pacientes e 15 profissionais de saúde de um hospital da rede pública de saúde de Goiânia-GO. Três categorias emergiram das entrevistas realizadas: “Vidas alteradas”, “Formação profissional” e “O local ideal”. Os resultados evidenciaram a tendência dos participantes em vislumbrar a pesquisa como algo positivo que trará importantes contribuições no tratamento, permitindo esperança da cura. Os participantes reconheceram o hospital como o local ideal para buscar a cura. Todavia, nele estavam presentes situações de fragilidades, como o próprio sistema de atendimento à saúde e a comunicação entre profissionais de saúde e pacientes. Isto sugere que o poder existente nessas relações ainda reitera a manutenção da hierarquia e fragilidades, afetando o exercício da autonomia pelo paciente. Assim, os discursos expressaram e evidenciaram como o poder se estabelece naquele local, bem como a própria comunicação. Nem todos os participantes percebem as fragilidades que entrelaçam o cenário da pesquisa, o que amplia as dimensões das vulnerabilidades presentes. Concluímos que os sentidos de vulnerabilidade nesse contexto abrangem as modificações nas vidas daqueles pacientes, o processo de formação dos profissionais e, ainda, a vivência das rotinas naquele hospital considerado referência para o tratamento.Submitted by Luciana Ferreira (lucgeral@gmail.com) on 2018-07-18T11:17:54Z No. of bitstreams: 2 Tese - Luciana Alves de Oliveira - 2018.pdf: 1552159 bytes, checksum: 445d2c7e768d673821fe5ddce56e33eb (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Approved for entry into archive by Luciana Ferreira (lucgeral@gmail.com) on 2018-07-18T11:48:18Z (GMT) No. of bitstreams: 2 Tese - Luciana Alves de Oliveira - 2018.pdf: 1552159 bytes, checksum: 445d2c7e768d673821fe5ddce56e33eb (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5)Made available in DSpace on 2018-07-18T11:48:18Z (GMT). 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dc.title.eng.fl_str_mv |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
dc.title.alternative.eng.fl_str_mv |
Vulnerability of research participants: the meanings between participants and researchers |
title |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
spellingShingle |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores Oliveira, Luciana Alves de Experimentação humana Ética em pesquisa Vulnerabilidade em saúde Relações pesquisador-sujeito Institutos de câncer Human experimentation Ethics, research Health vulnerability Researcher-subject relations Cancer care-institutions CIENCIAS DA SAUDE::MEDICINA |
title_short |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
title_full |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
title_fullStr |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
title_full_unstemmed |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
title_sort |
Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores |
author |
Oliveira, Luciana Alves de |
author_facet |
Oliveira, Luciana Alves de |
author_role |
author |
dc.contributor.advisor1.fl_str_mv |
Medeiros, Marcelo |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/3009722217245952 |
dc.contributor.referee1.fl_str_mv |
Medeiros, Marcelo |
dc.contributor.referee2.fl_str_mv |
Bezerra, Ana Lúcia Queiroz |
dc.contributor.referee3.fl_str_mv |
Ribeiro, Luana Cássia Miranda |
dc.contributor.referee4.fl_str_mv |
Barbosa, Maria Alves |
dc.contributor.referee5.fl_str_mv |
Reis, Mary Lopes |
dc.contributor.authorLattes.fl_str_mv |
http://lattes.cnpq.br/5761703214699884 |
dc.contributor.author.fl_str_mv |
Oliveira, Luciana Alves de |
contributor_str_mv |
Medeiros, Marcelo Medeiros, Marcelo Bezerra, Ana Lúcia Queiroz Ribeiro, Luana Cássia Miranda Barbosa, Maria Alves Reis, Mary Lopes |
dc.subject.por.fl_str_mv |
Experimentação humana Ética em pesquisa Vulnerabilidade em saúde Relações pesquisador-sujeito Institutos de câncer |
topic |
Experimentação humana Ética em pesquisa Vulnerabilidade em saúde Relações pesquisador-sujeito Institutos de câncer Human experimentation Ethics, research Health vulnerability Researcher-subject relations Cancer care-institutions CIENCIAS DA SAUDE::MEDICINA |
dc.subject.eng.fl_str_mv |
Human experimentation Ethics, research Health vulnerability Researcher-subject relations Cancer care-institutions |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::MEDICINA |
description |
The vulnerability on researches involving human being includes the reduction or impairment of individual’s self-determination ability. Several circumstances may determine the vulnerability situation. International regulations and consensus around ethics research are not enough to ensure respect for research participants and to prevent any harms arising from research. Research in hospitals has peculiarities about the health-disease process. This research sough to identify the research patient-participant situations of vulnerability occurring concomitantly with their treatment in a hospital in Goiânia-GO; and to analyze the meanings of vulnerability attributed by the actors involved in the context of research development in a hospital in Goiânia-GO. This was a qualitative approach of an ethnomethodology research based on Foucault's theoretical framework. Semi-structured interviews were conducted with 15 patients and 15 health professionals at a public hospital in Goiânia-GO. Three categories emerged from the interviews: "Changed lives", "Professional training" and "The ideal place". The results evidenced the tendency of the participants to understand the research as something positive that will bring important contributions for treatment, allowing the hope of the cure. The participants recognized the hospital as the ideal place to seek healing. However there were situations of weaknesses, such as the health care system itself and the communication between health professionals and patients. This suggests that the power existing in these relations still reiterates the maintenance of hierarchy and fragilities, affecting the exercise of autonomy by the patient. Thus, the speeches expressed and showed how power is established in that place, as well as the communication itself. Even not all participants perceived the weaknesses present in the research field, which amplifies the dimensions of the vulnerabilities. It is possible to conclude that the senses of vulnerability in this context cover the changes in the lives of those patients-participants, the process of training of the professionals and, also, the experience of the routines in that hospital considered reference for the treatment. |
publishDate |
2018 |
dc.date.accessioned.fl_str_mv |
2018-07-18T11:48:18Z |
dc.date.issued.fl_str_mv |
2018-07-06 |
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OLIVEIRA, L. A. Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores. 2018. 158 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. |
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http://repositorio.bc.ufg.br/tede/handle/tede/8717 |
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ark:/38995/001300000dq79 |
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OLIVEIRA, L. A. Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores. 2018. 158 f. Tese (Doutorado em Ciências da Saúde) - Universidade Federal de Goiás, Goiânia, 2018. ark:/38995/001300000dq79 |
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http://repositorio.bc.ufg.br/tede/handle/tede/8717 |
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por |
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por |
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600 600 600 |
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Universidade Federal de Goiás |
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Faculdade de Medicina - FM (RG) |
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Universidade Federal de Goiás |
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