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This text seeks to discuss health labour at present, in its complex relation to professional education. The research stems from a questioning of the processes that lead to the production of technoscientific knowledge, its practices and its environment in order to focus on technical labour. The aim is to promote integration, albeit small, with the current discussion on labour. The field research was initiated with the choice of a health research laboratory in Rio de Janeiro, which is part of one of the country's main public health research institutions.
The Professionalisation Project for Nurse Practitioners represents the Ministry of Health's main educational policy for such labour force since 2000. Granted this condition, the analytical effort of this article is to understand Profae as a social policy formulated and implemented by management precepts and prescriptions typical of the neoliberal capitalist State. This is the main objetive of this paper. Firstly, the social visibility of Profae - considered as a project geared towards the educational training of nurse practitioners - will be examined. After that, the dilemmas that surround the formation of these professionals in Brazil will be briefly presented, followed by a discussion on the actual possibility of Profae serving as an instrument to revert the deficiencies in this formation. This allows us to seek the mediation between Profae and the typification imposed on the current neoliberal policies, as well as the privatisation forms of public funds, seen as implicit mechanisms for their financing. Finally, the political and economic instrumentality of Profae, beyond its aspect of a mere professionalisation project for nurse practitioners, is examined.
This article focuses on the relationship between teaching and health. It presents an experience in a public school in Vitória, Espírito Santo. The intervention research was based on the ideas of G. Canguilhem, on French ergonomics, and on ergology. Its basic premise is that experience at school confirms the concept that health is the possibility of producing new norms, that is, new forms of life. In this sense, the research sought to produce dialogue and tension at school so that other health-promoting modes of work could be implemented.
O artigo sintetiza alguns resultados de pesquisa documental, especificamente de um de seus objetivos, o de discutir o ensino de ética e bioética no processo de formação de médicos e enfermeiros, a partir da mediação textual levantada em documentos acadêmicos e produção científica sobre temas relacionados. Adotou-se a abordagem pós-estruturalista de Michel Foucault, utilizando-se como fonte documentos acadêmicos dos cursos de enfermagem e medicina de quatro universidades federais do sul do país. Discutiu-se a inserção dos temas éticos/bioéticos nas propostas de formação profissional com o intuito de problematizar o modo como os desdobramentos (estratégicos e tecnológicos) deste discurso penetram no processo de construção dos sujeitos trabalhadores da saúde e geram determinados modos de conceber e intervir destes sujeitos. Ressalta-se a condição da bioética como um saber silenciado e invisibilizado, mas não menos produtivo, pela forma como seu potencial questionador e crítico é reduzido a um conjunto de formulações deslocadas de seu entorno de debate. Tal condição relaciona elementos do processo de emergência do discurso da bioética com as rotas já desenhadas para o que historicamente se definiu como formação ética desses profissionais.
This article describes the EnsinaSUS Project, the research developed within the project, and the various dimensions and implications that will lead to understanding the experiences that have been taking place in courses in the field of health care as regards their processes of change. Our aim is to share the experience of integrating researchers, coming from different institutional and professional backgrounds, in order to build a common project, based on their experience. The purpose of this project was to innovate and to build a new grammar so as to discuss and understand pedagogical processes and their interface with health and work, and so produce health care which is different in its concept of health assistance, thus producing a user-centred care, from a dialogical and politically-ethical viewpoint. We believe that teaching and extension practices open up an 'action-thought-knowledge' overall concept, promoting new concepts and meanings for health, life, knowledge and education. We also believe that explanations from pedagogical praxis may be seen as a possibility of historically building citizenship. We found that some mechanisms of legitimation and modes of articulation, exchange and solidarity are key to the interaction of diversity. The team was composed of representation networks from different political and cultural environments.
The article discusses the political and ethical principles of popular education in the educational process of middle-level health care workers. It is based on the theoretical and conceptual framework of institutional analysis; thus the formation process is considered to be the instituted moment, the Ministry of Health policy for the formation of workers is instituing and popular education in health care is the institutionalization process. The dialectics between the instituted, instituing and the institutionalization process determine different possibilities, in which popular education is a component of autonomy for the professionals, deconstructing pedagogical processes, and linking subjecting agents to the rational and organizational logic of health care services. It is also a strategy for building up ways of escape that may lead to changes in the formation process of these workers.
Educação do corpo na escola brasileira. Marcus Aurélio Taborda de Oliveira (org). Campinas: Autores Associados, 2006, 209 pp.
Estratégias de ensino na enfermagem: enfoque no cuidado e no pensamento crítico. Vera Regina Waldow. Rio de Janeiro: Vozes, 2005, 136pp.
In advanced capitalism, in all industries the labour process has become essentially semiotic, that is, in all steps of the productive chain, from engineering to machine adjustment and control, workers are employed to process information to which they can attribute meanings related to concrete labour situations. Understanding this process helps to understand the Marxian concept of concrete labour and can contribute to a better understanding of the nature of the informational capitalism that has been emerging in the beginning of this century.
ERRATA
Onde se lê, no volume 5, número 1, seção Resenhas, p. 173, "Professora de Educação física da Secretaria de Educação de Juiz de Fora", leia-se "Professor de Educação física da Secretaria de Educação de Juiz de Fora".
Omitimos, no volume 5, número 1, seção Relato, p. 172, as datas de recebimento e de aprovação do texto "A experiência da pesquisa EnsinaSUS", as quais foram, respectivamente, 02/01/2007 e 24/01/2007.