A humanização no parto e no nascimento: os saberes e as práticas no contexto de uma maternidade pública brasileira

The practice of medicine related to the gestational processes tend to be organized according to the context and the place of work, being thus dependent of the conditions both social and economical, and of the physical structure and the functionality of the services. The high mortality rate in this process has diminished, since 1986, the study made by the World Health Organization (WHO) as to the technical aspects and the social inequalities that influence this situation in different geographical contexts. This culminated recommendations that proposed the reorientation of the dynamical practice of medicine, with a focus on the safety of maternities. Brazil adopted, in the year 2000, the suggestions of the OMS, emphasizing the humanization as the main reason for these actions. However, this discussion tends to not consider the problems caused by the social inequalities and the epidemiological and social conditionings that define the actions of the Unified Health System (Sistema Único de Saúde SUS). In this area, this research seeks to analyze the practices, cares taken, and the universal symbol that promotes and rewards the assistance to the birth of children by the SUS. Besides the analysis of the public documents that deal with this subject, an ethnographic study was developed in a maternity in Natal/RN, considered a model of humanization after receiving the Galba de Araújo prize in 2002. In this stage, the methodological strategies were observed, and the focus of the individual interviews with workers and users of this service. In the analysis of the data, it became evident that the different professional workers and women who gave birth, tend to show concern of the standards the delimit production and reproduction of the practice of medicine, as they favor the absence of a critical posture of the actions destined to the population. Besides this, if became evident that the institutional difficulties associated to the economical, cultural, and political problems also difficult the involvement and the reflection of the workers in favor of assisting changes of the process. There is also a utilization of a perspective prescriptive of humanization in the everyday life of the social workers, without reflection of its meaning. Some workers present, in their statements, a preoccupation with the social and economical aspects that affect the practice of medicine, and with the limitations of the humanization discourse that disarticulates the necessities of those involved in the process of formation, and soon tend to return to the discussion of humanization while a kind practice characterized by the minimization of the interventionist actions. Now the users of the system show themselves before the dynamic of the services, submitting themselves to what is offered while assistance, without questioning and/or reflecting about their usual shortages. Therefore, to think of changes in the know and do of the practice of medicine destined to the birth of children implies reflection on the quotidian production of these practices and of the social contexts that influence the process of assistance in the practice of medicine. Herein it would be possible to predict the appropriation, by different workers concerning their exasperations and necessities, making them active in the pursuit of their rights as citizens

Alinhamento estratégico da TI: o caso da UFRN

It is considered that the Strategic Alignment IT is the first step within the IT Governance process for any institution. Taking as initial point the recognition that the governance corporate has an overall view of the organizations, the IT Governance takes place as a sub-set responsible for the implementation of the organization strategies in what concerns the provision of the necessary tools for the achievement of the goals set in the Institutional Development Plan. In order to do so, COBIT specifies that such Governance shall be built on the following principles: Strategic Alignment, Value Delivery, Risk Management, Performance Measurement. This paper aims at the Strategic Alignment, considered by the authors as the foundation for the development of the entire IT Governance core. By deepening the technical knowledge of the management system development, UFRN has made a decisive step towards the technical empowerment needed to the “Value Delivery”, yet, by perusing the primarily set processes to the “Strategic Alignment”, gaps that limited the IT strategic view in the implementation of the organizational goals were found. In the qualitative study that used documentary research with content analysis and interviews with the strategic and tactical managers, the view on the role of SINFO – Superintendência de Informática was mapped. The documentary research was done on public documents present on the institutional site and on TCU – Tribunal de Contas da União – documents that map the IT Governance profiles on the federal public service as a whole. As a means to obtain the documentary research results equalization, questionnaires/interviews and iGovTI indexes, quantitative tools to the standardization of the results were used, always bearing in mind the usage of the same scale elements present in the TCU analysis. This being said, similarly to what the TCU study through the IGovTI index provides, this paper advocates a particular index to the study area – SA (Strategic Alignment), calculated from the representative variables of the COBIT 4.1 domains and having the representative variables of the Strategic Alignment primary process as components. As a result, an intermediate index among the values in two adjacent surveys done by TCU in the years of 2010 and 2012 was found, which reflects the attitude and view of managers towards the IT governance: still linked to Data Processing in which a department performs its tasks according to the demand of the various departments or sectors, although there is a commission that discusses the issues related to infrastructure acquisition and systems development. With an Operational view rather than Strategic/Managerial and low attachment to the tools consecrated by the market, several processes are not contemplated in the framework COBIT defined set; this is mainly due to the inexistence of a formal strategic plan for IT; hence, the partial congruency between the organization goals and the IT goals.

Projeto ético-político do serviço social e organização política da categoria: dilemas e tensões contemporâneas

The present study was to apprehend the controversies that underlie the political organization of the category nowadays. The research established time frame as the decade from 2003 to 2013, more precisely the situation that opens with Lula's election to the Presidency and its repercussions for the Brazilian left, social movements and for the category. Through documentary research, we studied the professional aspects that are organized politically in different fields , notably the Federal Council of Social Service (CFESS) and the National Federation of Social Workers (FENAS). Seeking to understand their relationship with the Ethical - Political Project of the profession, public documents were analyzed expressing the political positions of these entities, placing the controversies and political differences between them and understanding the political organization as a means to building professionals and corporate projects many.

O espaço de todos, cada um no seu lugar : o uso dos espaçõs públicos destinados ao lazer em Natal

A problemática atual da urbanização coloca questões delicadas referentes ao seu ritmo de crescimento, sua relação com o desenvolvimento econômico, o aparecimento de novas formas urbanas e sua relação com as novas maneiras de articulação capitalista. A compreensão espacial do lazer nas cidades apresenta-se, assim, como tema de grande importância para as sociedades contemporâneas. O interesse e a importância de tratar esse tema na cidade do Natal - enfocando-se a distribuição dos espaços públicos de lazer nos diversos bairros e sua utilização pelos seus habitantes - justifica-se pelo fato dessa capital apresentar um crescimento populacional surpreendente nos últimos anos, tendo uma expansão urbana desordenada que se reflete na carência de infra-estrutura urbana e numa forte segregação espacial. Foram feitas a verificação da disponibilidade de espaços públicos de lazer nos bairros e a identificação dos diversos fatores que interferem na utilização desses espaços, visando contribuir para a compreensão do fenômeno do lazer urbano, bem como, para o aprofundamento da discussão acerca da função social desses, que possibilite montar estratégias para a utilização de forma democrática desses espaços nas cidades. Para tanto foi necessária uma articulação teórica das questões peltinentes ao espaço urbano e ao lazer, que formam uma área epistemológica de interseção quando trata das questões referentes ao direito à cidadania, onde está contemplado o direito à cidade (á moradia e ao seu entomo). Os dados para que caracterizaram as vivências do lazer nos espaços públicos da cidade foram levantados em três fontes: nos documentos (plano diretor da cidade, planos de políticas públicas entre outros), nas entrevistas com a comunidade e nas observações diretas dos espaços de manifestações do lazer. A análise aponta que existe uma distribuição irregular dos espaços públicos de lazer, por bairro e Região Administrativa da cidade do Natal que apresenta relação com a segregação espacial por classe, existente na cidade, fruto da dinâmica econômica e práticas sociais aqui existentes. Constata-se ainda que a camada desprovida desses equipamentos de lazer não age espontaneamente, nem através de seus representantes e mandatários institucionais, em prol da distribuição de oportunidades nesses campos, possibilitando que a segregação continue em círculos viciosos, pois a própria segregação dificulta o encontro, a percepção das diferenças e o conflito, que podem ser resgatados numa nova forma de organização do cotidiano