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Family Health Strategy in its micropolitics: a case study about Humanization in work processes

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Author(s):
Lucas Vinco de Oliveira Campos
Total Authors: 1
Document type: Master's Dissertation
Press: Ribeirão Preto.
Institution: Universidade de São Paulo (USP). Escola de Enfermagem de Ribeirão Preto (PCARP/BC)
Defense date:
Examining board members:
Maria José Bistafa Pereira; Antonio dos Santos Andrade; Cinira Magali Fortuna
Advisor: Maria José Bistafa Pereira
Abstract

The subject of this study regards the daily work performed by a team in Family Health Strategy (FHS), in the perspective of humanization, as provided by the Humanization National Policy (HNP). It was carried out by workers of a FHS team from the region of Ribeirão Preto - São Paulo, aiming to map out the ways of producing and capturing the humanization movements that are established in micropolitics of this team\'s work process, to interpret the FHS\' work practices considering the dimensions founded in the HNP fundamental subjects, and to analyze the modes of production of realities/subjectivities in the FHS\' context that may incorporate humanization. A study of qualitative approach was carried out, which was characterized as a case study, using cartography as a research method. Participant observation was used as a tool for data collection. Through the data analyses it was possible to identify that humanization processes still find resistance. The possibilities for change announced by the HNP - those that regard autonomy, creativity, responsibilization, and team work - are crossed by lines of force that are historically instituted, such as monitoring, vertical hierarchy, fragmentation in work process, primacy of scientific knowledge, isolation, bureaucratization, and political disarticulation, both in established relations among workers and among workers and users. As a consequence of such intersections, these relations stand as power relations. Hence, what can sometimes be seen is the feeling of apathy and belittling, especially among high school leveled workers, and that of powerlessness among workers with higher educational level. However, the HNP\'s fundamental topics are produced in some gaps of the institution. Although accurately pointed out, in settings that were considered to be unofficial inside the team, which were identified in the analyses as being outside, in ghettos, some workers\' interventions were observed from which mainly creativity and autonomy came out. Those moments show that there is a lot of power for the production of humanized care within informal knowledge, in the workers\' experience accumulation and in moments of closeness to the users. It is necessary, hence, that institutional settings are used aiming inclusion along all daily team process of these humanization movements, so that it is possible, thus, to articulate autonomy and creativity with their agents\' responsibilization and the effective insertion in team work. (AU)

FAPESP's process: 09/03552-9 - The Family Health strategy in its micropolitics: a case study about the humanization in work processes
Grantee:Lucas Vinco de Oliveira Campos
Support Opportunities: Scholarships in Brazil - Master