Vulnerabilidade dos participantes de pesquisa: significados das relações entre participantes e pesquisadores

Detalhes bibliográficos
Autor(a) principal: Oliveira, Luciana Alves de
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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spelling 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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identifier_str_mv 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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