ANA FLAVIA PIRES LUCAS D OLIVEIRA
Projetos de Pesquisa
Unidades Organizacionais
Departamento de Medicina Preventiva, Faculdade de Medicina - Docente
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
LIM/39 - Laboratório de Processamento de Dados Biomédicos, Hospital das Clínicas, Faculdade de Medicina
6 resultados
Resultados de Busca
Agora exibindo 1 - 6 de 6
- Bodily and meditative practices in health promotion: an interdisciplinary, multiprofessional and intersectorial challenge(2018) GALVANESE, Ana Tereza Costa; BARROS, Nelson Filice de; D'OLIVEIRA, Ana Flavia Pires Lucas
- Contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system in the city of Sao Paulo, Brazil(2017) GALVANESE, Ana Tereza Costa; BARROS, Nelson Filice de; D'OLIVEIRA, Ana Flavia Pires LucasThe article presents an analysis of contributions and challenges associated with bodily practices and meditation for health promotion in the public primary care system. The qualitative study was developed in 16 healthcare units in the city of Sao Paulo, Brazil, using interviews with 29 health professionals and 36 practitioners of bodily practices and meditation, including participant observation of 31 practices such as Tai Chi, Lian Gong, Qigong, Yoga, Capoeira, Dance, Meditation, Relaxation, Mindfulness, and Body Awareness. There was an improvement in joint pain, mobility, balance, memory, depression, and anxiety, besides greater ease in coping with chronic conditions. Such contributions are related to favoring practitioners' autonomy, building health references through self-awareness; the combination of health promotion and therapeutic care in the approaches; and support for access to cultural goods and community spaces. The challenges identified here were precarious integration with the supply of other health services, lack of supervision and evaluation, and the predominance of a health-sector culture.
- O “cabo de força” da assistência: concepção e prática de psicólogos sobre o Apoio Matricial no Núcleo de Apoio à Saúde da Família(2017) KLEIN, Ana Paula; D'OLIVEIRA, Ana Flavia Pires LucasThe current study analyzed the conception and practice of matrix-based support among psychologists working at the Center for Family Health Support (NASF in Portuguese) in the city of Sao Paulo, Brazil. A qualitative methodology was used with semi-structured interviews that were taped, transcribed, and submitted to thematic content analysis. The study revealed dilemmas between the work as prescribed and what is possible to achieve in practice, and between idealization of the collaborative proposal and its implementation. Exchanges of knowledge and training appear as the principal meanings in the matrix-based concept. The practice revealed a complex context with heterogeneous work organization, lack of linkage between management levels and tensions in the execution of shared work, such as unequal division of tasks, in with the family health teams take responsibility for direct care to the population, while the NASF occupies the role of training and supervising, thereby generating conflicts over responsibility for care and creating a context which is hardly conducive to comprehensive, shared, and collaborative care.
- Gestores de saúde e o enfrentamento da violência de gênero contra as mulheres: as políticas públicas e sua implementação em São Paulo, Brasil(2018) BATISTA, Karina Barros Calife; SCHRAIBER, Lilia Blima; D'OLIVEIRA, Ana Flavia Pires LucasThe study focuses on policies to deal with violence against women in the city of Sao Paulo, Brazil. The objectives were to map the public policies and the proposals for institutional organization of a network of comprehensive care, in addition to analyzing the implementation of these policies, highlighting the health sector, with reports by administrators and policymakers. The study addresses the relationship between management practice and the public policy provisions, the weight of administrators' personal values and perspectives, and the weight of the sod ally dominant discourse in decision-making for implementation of these policies. Data were produced through semi-structured interviews with 32 administrators working at different levels in the institutional organization of the Municipal Health Department, including some policymakers in the state and national scenarios. The body of data were submitted to thematic content analysis, examining each of the interviews and relating them to the literature and conceptual framework. The study concludes that health administrators, as agents of practices, are influenced by the prevailing structures and beliefs and reference to their social and historical context for decision-making. However, when they relate to such structures, they are also capable of intervening in the ways care is produced and provided for women in situations of violence, especially by addressing the training and awareness-raising processes and new references concerning recognition of women's rights as human rights.
- Reasons and mechanisms for admission of children and adolescents to a psychiatric hospital: the control circuit(2022) BRAGA, Claudia Pellegrini; D'OLIVEIRA, Ana Flavia Pires LucasImportant strides in psychiatric reform include the implementation of mental health services that replace the traditional psychiatric logic. However, admissions to psychiatric hospitals continue to occur, including children and adolescents. This study analyzed the reasons for admission to a psychiatric hospital from the institution's perspective and that of the hospitalized children and adolescents. This was a qualitative study with a hermeneuticdialectic approach, based on a reading of the institutional documents, open interviews with eight adolescents, and participant observation. The results showed that the main alleged reason for admission reported by the psychiatric hospital was ""aggressiveness; justified by the idea of ""risk to self and others"", while the children reported multiple reasons for their hospitalization, including drug use, minor scuffles, and misdemeanors. The analysis showed that the mechanism for admission to the psychiatric hospital involve, during anamnesis, defining an individual as deviating from social norms and, subsequently, assignment of a diagnosis to back the psychiatric institutionalization. It also showed that the backing and continuity of psychiatric hospitalizations occur in a circuit of control that is operated between different institutions for the deviants' custody. The study demonstrates that to avoid psychiatric hospitalizations, besides closing psychiatric hospitals, it is necessary to overcome the psychiatric paradigm, which in turn requires deinstitutionalization of practices and psychosocial care in open, community and substitutive mental health services.
- Violência institucional, autoridade médica e poder nas maternidades sob a ótica dos profissionais de saúde(2013) AGUIAR, Janaina Marques de; D'OLIVEIRA, Ana Flavia Pires Lucas; SCHRAIBER, Lilia BlimaThe current article discusses institutional violence in maternity hospitals from the health workers' perspective, based on data from a study in the city of Sao Paulo, Brazil. Eighteen health workers from the public and private sectors were interviewed, including obstetricians, nurses, and nurse technicians. A semi-structured interview was used with questions on professional experience and the definition of violence. The analysis revealed that these health workers acknowledged the existence of discriminatory and disrespectful practices against women during prenatal care, childbirth, and the postpartum. Examples of such practices cited by interviewees included the use of pejorative slang as a form of ""humor"", threats, reprimands, and negligence in the management of pain. Such practices are not generally viewed by health workers as violent, but rather as the exercise of professional authority in what is considered a ""difficult"" context. The institutional violence is thus trivialized, disguised as purportedly good practice (i.e., ""for the patient's own good""), and rendered invisible in the daily routine of care provided by maternity services.