Challenge in the Production of Care in a Center for Psychosocial Care and Drugs
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , |
Tipo de documento: | Artigo |
Idioma: | por |
Título da fonte: | Revista Gestão & Saúde (Brasília) |
Texto Completo: | https://periodicos.unb.br/index.php/rgs/article/view/23318 |
Resumo: | This article analyzes the challenges of producing care in a Psychosocial Care Center for Alcohol and Drugs (CAPSad), seeking to act in consonance with the policies that guide this service. It also focuses on analyzing the macro and micropolitical dimensions that permeate this practice and elucidates strategies of the work process that are experienced by the workers. Thus, a qualitative research was carried out with all 28 employees of the service. Eighty hours of observation of daily work were done, a collective interview session with the participation of ten workers and thirteen individual in-depth interviews followed by Thematic Analysis. Therefore, considering that the production of health care is always in relation, we find that in this service there is compromise of its effectiveness. We point out three modes of care observed: 1. Care centered on the prescriptive act; 2. Careful little relational; 3. Warm care. Therefore, we understand that to produce health care from a warm care is the task of all the professionals of CAPSad and that they must recognize in the user a subject who has desires and needs, who has values ”‹”‹and powers. However, under the conditions in which work is performed at this location, care seems compromised. |
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Challenge in the Production of Care in a Center for Psychosocial Care and DrugsDesafío en la Producción de la Atención en un Centro de Atención Psicosocial Alcohol y DrogasDESAFIOS NA PRODUÇÃO DO CUIDADO EM UM CENTRO DE ATENÇÃO PSICOSSOCIAL ÁLCOOL E DROGASCentros de Atenção Psicossocial. Trabalho. Atenção Integral à Saúde.Servicios de Salud Mental. Trabajo. Atención Integral de Salud.Mental Health Services. Work. Comprehensive Health Care.This article analyzes the challenges of producing care in a Psychosocial Care Center for Alcohol and Drugs (CAPSad), seeking to act in consonance with the policies that guide this service. It also focuses on analyzing the macro and micropolitical dimensions that permeate this practice and elucidates strategies of the work process that are experienced by the workers. Thus, a qualitative research was carried out with all 28 employees of the service. Eighty hours of observation of daily work were done, a collective interview session with the participation of ten workers and thirteen individual in-depth interviews followed by Thematic Analysis. Therefore, considering that the production of health care is always in relation, we find that in this service there is compromise of its effectiveness. We point out three modes of care observed: 1. Care centered on the prescriptive act; 2. Careful little relational; 3. Warm care. Therefore, we understand that to produce health care from a warm care is the task of all the professionals of CAPSad and that they must recognize in the user a subject who has desires and needs, who has values ”‹”‹and powers. However, under the conditions in which work is performed at this location, care seems compromised.Este artículo analiza los retos de producción atención en un Centro de Atención Psicosocial Alcohol y Drogas (CAPSad), tratando de actuar de acuerdo con las políticas que guían este servicio. También se centra en el análisis de las dimensiones de macro y micropolítica que impregnan esta práctica y estrategias aclara el proceso de trabajo que son experimentados por los trabajadores. Así, se realizó una investigación cualitativa con los 28 empleados del servicio. Se realizaron ochenta horas de observación del trabajo diario, una sesión de conferencia de prensa con la participación de diez trabajadores y trece entrevistas individuales siguió la profundidad del análisis temático. Luego, considerando que la producción de la asistencia sanitaria siempre se hace cargo, nos encontramos con que este servicio se ve comprometida su eficacia. Señalamos tres modalidades de atención observados: 1. La atención se centró en acto prescriptivo; 2. La atención relacional pequeño; 3. Cuidado de bienvenida. Para tanto, entendemos que la producción de las acciones de salud a partir de una acogedora atención es una tarea para todos los profesionales CAPSad y que deben reconocer al usuario un portador sujeto deseos y necesidades, que tiene valores y poderes. Sin embargo, las condiciones en las que el trabajo se lleva a cabo allí, la atención parece comprometida.Este artigo analisa os desafios de produção do cuidado em um Centro de Atenção Psicossocial Álcool e Drogas (CAPSad), em busca de agir consonante à s políticas que orientam este serviço. Debruça-se, também, em analisar as dimensões macro e micropolíticas que permeiam esta prática e elucida estratégias do processo de trabalho que são vivenciadas pelos trabalhadores. Assim, foi realizada pesquisa qualitativa com todos os 28 trabalhadores do serviço, a partir de oitenta horas de observação do cotidiano de trabalho, uma sessão de entrevista coletiva, com a participação de dez trabalhadores e treze entrevistas em profundidade individuais, seguidas de Análise Temática. Logo, considerando que a produção do cuidado em saúde se dá sempre em relação, constata-se que neste serviço há comprometimento de sua efetividade. Foram observados três modos de cuidar: 1. Cuidado centrado no ato prescritivo; 2. Cuidado pouco relacional; 3. Cuidado acolhedor. Para tanto, entende-se que produzir atos de saúde a partir de um cuidado acolhedor é tarefa de todos os profissionais do CAPSad e que estes devem reconhecer, no usuário, um sujeito portador de desejos e necessidades, que possui valores e potências. Entretanto, nas condições em que o trabalho é realizado, nesse local, o cuidado parece comprometido.Universidade de Brasilia2019-08-14info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://periodicos.unb.br/index.php/rgs/article/view/2331810.26512/gs.v0i0.23318ELECTRONIC JOURNAL MANAGEMENT AND HEALTH; Edição Especial 2019; 37 - 53Revista Gestão & Saúde; Edição Especial 2019; 37 - 531982-478510.26512/gs.v0i0reponame:Revista Gestão & Saúde (Brasília)instname:Universidade de Brasília (UnB)instacron:UNBporhttps://periodicos.unb.br/index.php/rgs/article/view/23318/20939Copyright (c) 2019 Revista Eletronica Gestão & Saúdeinfo:eu-repo/semantics/openAccessWandekoken, Kallen DettmanAraújo, Maristela DalbelloBorges, Luiz Henrique2019-11-08T18:16:46Zoai:ojs.pkp.sfu.ca:article/23318Revistahttp://periodicos.unb.br/index.php/rgs/index/PUBhttps://periodicos.unb.br/index.php/rgs/oaigestaoesaude@unb.br||1982-47851982-4785opendoar:2019-11-08T18:16:46Revista Gestão & Saúde (Brasília) - Universidade de Brasília (UnB)false |
dc.title.none.fl_str_mv |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs Desafío en la Producción de la Atención en un Centro de Atención Psicosocial Alcohol y Drogas DESAFIOS NA PRODUÇÃO DO CUIDADO EM UM CENTRO DE ATENÇÃO PSICOSSOCIAL ÁLCOOL E DROGAS |
title |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs |
spellingShingle |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs Wandekoken, Kallen Dettman Centros de Atenção Psicossocial. Trabalho. Atenção Integral à Saúde. Servicios de Salud Mental. Trabajo. Atención Integral de Salud. Mental Health Services. Work. Comprehensive Health Care. |
title_short |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs |
title_full |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs |
title_fullStr |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs |
title_full_unstemmed |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs |
title_sort |
Challenge in the Production of Care in a Center for Psychosocial Care and Drugs |
author |
Wandekoken, Kallen Dettman |
author_facet |
Wandekoken, Kallen Dettman Araújo, Maristela Dalbello Borges, Luiz Henrique |
author_role |
author |
author2 |
Araújo, Maristela Dalbello Borges, Luiz Henrique |
author2_role |
author author |
dc.contributor.author.fl_str_mv |
Wandekoken, Kallen Dettman Araújo, Maristela Dalbello Borges, Luiz Henrique |
dc.subject.por.fl_str_mv |
Centros de Atenção Psicossocial. Trabalho. Atenção Integral à Saúde. Servicios de Salud Mental. Trabajo. Atención Integral de Salud. Mental Health Services. Work. Comprehensive Health Care. |
topic |
Centros de Atenção Psicossocial. Trabalho. Atenção Integral à Saúde. Servicios de Salud Mental. Trabajo. Atención Integral de Salud. Mental Health Services. Work. Comprehensive Health Care. |
description |
This article analyzes the challenges of producing care in a Psychosocial Care Center for Alcohol and Drugs (CAPSad), seeking to act in consonance with the policies that guide this service. It also focuses on analyzing the macro and micropolitical dimensions that permeate this practice and elucidates strategies of the work process that are experienced by the workers. Thus, a qualitative research was carried out with all 28 employees of the service. Eighty hours of observation of daily work were done, a collective interview session with the participation of ten workers and thirteen individual in-depth interviews followed by Thematic Analysis. Therefore, considering that the production of health care is always in relation, we find that in this service there is compromise of its effectiveness. We point out three modes of care observed: 1. Care centered on the prescriptive act; 2. Careful little relational; 3. Warm care. Therefore, we understand that to produce health care from a warm care is the task of all the professionals of CAPSad and that they must recognize in the user a subject who has desires and needs, who has values ”‹”‹and powers. However, under the conditions in which work is performed at this location, care seems compromised. |
publishDate |
2019 |
dc.date.none.fl_str_mv |
2019-08-14 |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
https://periodicos.unb.br/index.php/rgs/article/view/23318 10.26512/gs.v0i0.23318 |
url |
https://periodicos.unb.br/index.php/rgs/article/view/23318 |
identifier_str_mv |
10.26512/gs.v0i0.23318 |
dc.language.iso.fl_str_mv |
por |
language |
por |
dc.relation.none.fl_str_mv |
https://periodicos.unb.br/index.php/rgs/article/view/23318/20939 |
dc.rights.driver.fl_str_mv |
Copyright (c) 2019 Revista Eletronica Gestão & Saúde info:eu-repo/semantics/openAccess |
rights_invalid_str_mv |
Copyright (c) 2019 Revista Eletronica Gestão & Saúde |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Universidade de Brasilia |
publisher.none.fl_str_mv |
Universidade de Brasilia |
dc.source.none.fl_str_mv |
ELECTRONIC JOURNAL MANAGEMENT AND HEALTH; Edição Especial 2019; 37 - 53 Revista Gestão & Saúde; Edição Especial 2019; 37 - 53 1982-4785 10.26512/gs.v0i0 reponame:Revista Gestão & Saúde (Brasília) instname:Universidade de Brasília (UnB) instacron:UNB |
instname_str |
Universidade de Brasília (UnB) |
instacron_str |
UNB |
institution |
UNB |
reponame_str |
Revista Gestão & Saúde (Brasília) |
collection |
Revista Gestão & Saúde (Brasília) |
repository.name.fl_str_mv |
Revista Gestão & Saúde (Brasília) - Universidade de Brasília (UnB) |
repository.mail.fl_str_mv |
gestaoesaude@unb.br|| |
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1797174681862668288 |