JESUS, L.C. Religious and spiritual coping among nursing professionals who work in emergency units. 2011. 83p. Dissertation (MA) – Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, 2011. Researches published in the area of spiritual/religious coping (SRC) still not addressed this issue related to nursing professionals who are submitted to different stress factors arising not only from their work practice, but also from their everyday life outside the workplace. This study aimed to verify if nursing staff (assistants, technicians and nurses) uses the spiritual/religious coping to deal with the stress factors experienced both at work and in private life. It is a cross-sectional, descriptive, and quantitative study in which all nurses of the Emergency Unit of the Hospital das Clínicas of the University of São Paulo at Ribeirão Preto Medical School were invited to participate, obtaining a sample of 126 participants who were given an envelope containing a free consent form, the General Questionnaire, and the Spiritual Religious Coping Scale (SRCOPE Scale), which were completely filled out by the participants out of the workplace and then returned to the researcher. The results showed that the SRC average was 3.66, the positive SRC average was 3.11, the negative SRC average was 1.78, and that women make more use of positive spiritual/religious coping than men. Regarding the situation of stress mentioned by the participants, it was found that the majority reported having experienced a stressful situation in the family setting (61.1%); 25.4% reported having experienced a stressful situation in the workplace; 2.4% reported having experienced stressful situations in both environments; and 10.3% reported not having experienced any stressful situation during the period of the study. Only 0.8% of the participants did not answer the questions. The results obtained through the index of the SRC Scale were expected in view of the religiosity of the Brazilian people, especially the religiosity of Brazilian women, however, it was not seen the impact of the use of spiritual/religious coping for the health of this professional category, which warrants further studies, particularly with respect to the impact of the use of negative dimension of the SRC, which, although it was rarely used by the participants in this study, it is an important information that can affect the health of those who make its use, leaving it to future researchers in this area also investigate possible ways to work to achieve the promotion of the spiritual dimension of nursing professionals.

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Universidade de são paulo escola de enfermagem de ribeirão preto

A producao teorica sobre incapacidade se apresenta dicotomizada nas perspectivas medica e social. O modelo biomedico foca a deficiencia, doenca ou anormalidade corporal e como esses fatores produzem incapacidade. A abordagem social sugere que o significado de deficiencia e incapacidade emerge de contextos sociais e culturais especificos. A OMS criou a Classificacao Internacional de Funcionalidade, Incapacidade e Saude (CIF), que traz um sistema de classificacao e modelo teorico baseados na juncao dos modelos medico e social e usa uma abordagem biopsicossocial para integrar as dimensoes da saude. Apesar da importância e atualidade da CIF, alguns conceitos foram pouco detalhados e justificados, podendo ocasionar interpretacoes distintas. Propoe-se com este ensaio descrever o modelo da CIF e analisar o alcance da teoria biopsicossocial para explorar a natureza relacional das categorias deficiencia e incapacidade, bem como o carater universal da proposta da OMS. Um dos aspectos mais positivos da CIF e trazer a baila a natureza interativa da incapacidade e a divisao do fenomeno em tres dimensoes, mostrando o grau de complexidade do processo de funcionalidade e incapacidade humana.

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Human functioning and disability: exploring the scope of the World Health Organization's international classification

Current changes in medical education related to transformations in contemporary democratic societies have increasingly posed issues pertaining to the evaluation of teaching-learning processes. New methods and strategies are thus needed to supplant the prevailing summative grading approach. The current article thus discusses elements to construct such a new approach to evaluation, highlighting the portfolio as an evaluation tool.

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Avaliação no Ensino Médico: o papel do portfólio nos currículos baseados em metodologias ativas

Drawing on Complexity Theory and on the literature of autonomy, the discussions herein presented will center around the language learner process of autonomy as a complex system. As empirical evidence to defend our assumptions, a corpus of 80 English language learning narratives, collected in Brazil, were examined and interwined with the theoretical discussion.

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The complex nature of autonomy

This paper discusses adequacy as to the application of Brazilian guidelines, Resolution 196/96¹ and complementaries to qualitative health researches, considering that these are based on non-positivistic paradigms. Frequently, decisions about the research are made together with the studied community. There is a concern with justice and social change. And, since subjectivity can be considered their privileged instrument, such researchers seek a balance between objectivity and subjectivity, discussing how to overcome the researcher's view. We have studied the application and the concept of research found in international and in the Brazilian guidelines. We have noticed that they adopt a positivist conception of research, which establishes 1) the hypothesis test, 2) that all procedures are previously defined by the researcher; 3) neutrality of the researcher and of the knowledge produced. We will present some characteristics of qualitative research; the ethical implications in the way as qualitative research is conceived in non-positivist paradigms and a brief history of these guidelines. Our conclusion: it is inadequate to analyze qualitative researches using these documents, and we suggest the design of specific guidelines for them.

https://www.scielo.br/pdf/csc/v13n2/a02v13n2.pdf

The need for adequate ethical guidelines for qualitative health research

Edgar Morin, em introducao ao pensamento complexo, apresenta suas reflexoes sobre o tema da complexidade na discussao filosofica e cientifica, vindo a aprofunda-lo em publicacoes subsequentes, como ciencia com consciencia e a serie O metodo. O autor insere o tema no metodo de compreensao dos fenomenos. Propoe uma nova relacao entre o metodo de pensar e a realidade, em sua cao pratica.

Gustavo Machado

Papers

Introdução ao Pensamento Complexo