Banca de DEFESA: ANA CARINA DUNHAM MONTEIRO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
DISCENTE : ANA CARINA DUNHAM MONTEIRO
DATA : 16/04/2019
HORA: 14:00
LOCAL: Faculdade de Medicina da Bahia, sede do PPGSAT
TÍTULO:

PROBLEMS AND ETHICAL DILEMS ENHANCED BY THE COMMUNITY HEALTH AGENT IN THEIR WORK PROCESS

PALAVRAS-CHAVES:

ethical dilemmas, community health agents, bioethics, occupational work, skills and abilities, work process

PÁGINAS: 133
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Saúde Pública
RESUMO:

This dissertation presents the result of an investigation about the ethical dilemmas faced by the community health agents in a health unit of the Salvador family. The work of the Community Health Agent (CHA) and its ethical problems, conflicts and dilemmas is related to the particularity of this professional category. Part of the health team of primary health care (PHC). The CHA guides families and the community about health care. However, in the daily life of their activities, the CHA suffer numerous situations of tension.They usually reside in the areas where they work and thus experience the daily life of the community, in its positive or negative aspects, with more intensity than the other members of the team. In its general objective, it analyzed the problems, conflicts and ethical dilemmas faced / experienced by the Community Health Agent (CHA) in its work process in the unit and the territory of a family health unit in Salvador in Bahia and as specific: sought to identify the ethical dilemmas; understand the work process of the Community Health Agent (CHA), its ethical aspects, in the unity and territory of the family health strategy and the repercussions on their health; knowing the skills of these professionals in dealing with conflicts and ethical dilemmas. A comprehensive perspective was used and for the construction of the empirical data of this research, the theoretical methodological framework of content analysis was used, based on the interview narratives and the use of the field diary. Fifteen CHA from the USF Federation were interviewed between May and November of 2018. This dissertation was organized in three articles. The first article consists of an integrative review whose objective was to analyze the current state of knowledge about ethical problems experienced within the scope of family health strategy in PHC. The analysis of the findings of this study was guided by the PICO strategy that guides the elaboration of the research question and the bibliographic search, allowing the researcher to obtain with accuracy, the best scientific information available and got as main results the urgent need to enable the teams of the FHS in handling the ethical problems that occur under the PHC and the the need to create interdisciplinary instruments that bring the active subjects closer to an autonomous work process and to foster dialogue among them, so as to contribute decisively to the know-how of these professionals. The second article had as objective to know the competences of these professionals in dealing with the ethical dilemmas experienced in their daily practice analyzing these identified dilemmas. The results pointed to the need to instrumentalize CHA in ways that, due to the absence of an ethical approach, would have disastrous consequences for individual users, for families, for their relationships with the health team and for the affiliated community. The dilemmas related to CHA behaviors lead to domestic and intrafamily violence, the silencing and sharing of information, as well as religious beliefs. They are complex dilemmas, but they need support from an ethics committee in the field of basic care, for example, that analyzes, in the light of bioethics, possible ways to solve them.The third article had as objective to understand the work process of the CHA, its ethical aspects and the repercussions for their health related to its work in the unit and the health territory of the family of a health unit of Salvador, Bahia. And the results have favored the perception that CHA, in addition to addressing complex health and disease issues, become accomplices in classified information that could put them at risk of death and coexist with organized and gang violence and workloads. These represent imponderances to your physical and / or mental integrity. It was concluded, therefore, that the dilemmas and ethical problems faced by the ACS interfere greatly in their performance in their work activities due to the lack of technical support to deal with them, and, at the same time, it is necessary to review this work process by evaluating their burdens, as they have repercussions on their health. There is an urgent need to recognize the ethical responsibility of the health manager, or to enable professionals to take a bioethical approach to the conflicts that exist in their daily work, and to provide technical and assistance support through support networks and formation of ethics committees. to revise this process of painful work and health risk.

MEMBROS DA BANCA:
Presidente - 132.642.735-00 - PAULO GILVANE LOPES PENA - UFBA
Interno - 2451922 - CLAUDIA BACELAR BATISTA
Externo ao Programa - 2703891 - LILIANA SANTOS