892 resultados para Humanization of Assistance
Resumo:
The objective was to understand the process of caring for a center for cancer treatment from the perspective of nurses and patients. This is a qualitative research, xploratory and descriptive, performed in a cancer treatment center in Natal / RN / Brazil. Data collection occurred between August 2013 and February 2014, being effected by means of two techniques: photographic record and projective interviews with nurses and patients. Social actors included in the study were ten professional nursing and ten patients admitted to the surgical department of the institution. The criteria used for inclusion of professionals were: be professional in the field of nursing, being an employee of the hospital, to be inserted in the scale of nurses of the institution at the time of data collection. For the patients were included who had preserved their cognitive abilities and who were hospitalized and at any stage of treatment. We used content analysis proposed by Bardin, for the analysis of material collected during projective interview. The research followed the ethical and legal principles that govern scientific research on human beings, being conducted by the project approval by the Research Ethics Committee of the Northern League Against Cancer Riograndense with 295 673 and look CAAE 16104313.0.0000.5293. Referring to nurses, they demonstrated different views about care, which sprouted from a holistic, multidisciplinary approach and welcoming, as well as linked to the performance of procedures and compliance with the requirements technicality. Furthermore, these subjects also showed that care unfolds through the actions of management in carrying out the records in the humanization of care by meeting the needs of the patient and ambience. Front of patients, it is noteworthy that, for them, care happens through attitudes of caring and professional approach, and by performing procedures, being mentioned as a careless lack of structure of the institution and the discomfort caused by this condition factors. It was evident also that the actors involved in the care, the perception of professionals and patients, are represented by nurses, doctors, psychologists, nutritionists, as well as kitchen assistants and cleaners; beyond family companion, the individual himself as responsible for their care and volunteer caregiver. In this opportunity, it is concluded 9 that an understanding of care from the perspective of nurses and patients involves broad issues ranging from perceptions of care that embraces a dynamic complex elements and attitudes imbued with meanings, in which those involved can assume both the role of carers as care beings, even a carefully tied to prescribed routines and performing procedures. Thus, the findings described refer to reflections on the care provided to cancer patients and whether this, in fact, translates principles of a humane practice
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Childhood and adolescence care has frequently caused theoretical and methodological discussions. At national level, the way of dealing with this public has always been on the agenda, either by maintaining a paternalistic treatment, or by coercive and repressive expression with which this public is treated. Given the above, this research presents a thorough study of social policies focused on children and adolescents in Brazil, with the overall purpose of investigating how this process of implementation of public policies for poor children and adolescents in the state of Rio Grande do Norte was. In previous studies, it was identified that there are no official records regarding the policy implementation process for this population in the state of Rio Grande do Norte. A retrospective study about the care towards children and adolescents in Brazil was held. It ranged from the XXVIII century, through the period of assistance, until the historical period in which the child started to be considered from the perspective of a policy. Thus, a certain period was framed, so that, through the historical research method, this study could focus on gathering data about the attention focused on childhood and adolescence in the state of Rio Grande do Norte, between the years 1964 and 1988. Data was listed from newspaper files that circulated in the state during period mentioned above. This time framing corresponds to the regency of the National Policy of Child Welfare. In the state of Rio Grande do Norte, the implementation of institutions such as FUNBERN and then FEBEM did not differ from the national standard, since many projects and care programs for poor children and teenagers were executed in this period. The implementation of these institutions revealed the concern of the state in solving the problem of “minors” regarding to situations of abandonment or "delinquency" which they were involved with. However, the kind of protection provided by the state toward this population was based on the current ideology that supported the political system at the time: the military dictatorship. Thus, the main way to provide care to this population was through its institutionalization, through taking children to daycare centres and adolescents to “reeducational” institutes for “minors”.
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The National Policy on Mental Health is characterized as a territorial - political community , and it has the Psychoso cial Care Strategy (Eaps) as guideline for the proposal and the development of their actions. In its design, CAPS is idealized to be a strategic equipment within the Psychoso cial Care Network/RAPS. Matricial support and at tention to the crisis constitute strategic areas of action of CAPS in its replacement mission , and as it is g uided by the scope of deinstitutionalization, those are essential to the success of these services. We argue that sustain crises in existential territories of life is a condition for the effectiveness of psychosocial care and, ultimately, to the sustainability of its Reform. In this direction, the matricial support tool reveals a territorial supporter, intercessory and powerful in building a psychosocial care to the crisis. Recognized as one of the major challenges by the Brazilian Ministry of Health, forward these fronts materializes for workers in their mi cropolitical crafts. Our research arises as an investment toward empower them , and aimed to understand the operationalization of attention to the crisis and matricial support in a CAPS II, in the view of its workers . Besides, it aims to examine such practi ces forward the principles and purposes of Psychosocial Care Strategy. Inspired by the research - intervention and by the political and social ideas of Institutiona l Analysis, we offer a space for reflection and exchange, by implicational interviews , enablin g workers to launch them in analysis of practices in the EAPs view. We have done a documentary consulting CAPS Technical Project, and a return stage to the institution, by organizing workshop and conversation groups with CAPS workers. The results have show n that there are institutional logics in competition on that service. When operating the logic risk, some difficulties in sustaining most intense crisis situations were identified, the psychiatric hospital internment is used as a facility, particularly in view of some cases, in which the aggressiveness of the person in crises becomes aggressive, and when the brackets SAMU, the CAPS III and Comprehensive Care Beds do not respond satisfactorily to their users requests. Order weaknesses were indicated in this thesis as macropolitical and micropolitical interfering in network support. The matricial actions were identified as a powerful intercessor resource in crisis care appeared weakened, and indicates little porosity in the relationship between the Service and the territory where it takes place. Noticed by the logic of home care, without operate primarily as a knowledge exchange device, we saw capture points in the logic of assistance with ambulatoriza tion production of CAPS, welfare practices and "ext empore " . T he E APs , although it emerge s as a guiding, it is not seen to workers as effective practice. On the one hand, the results signaled that the attention to the crisis and the matricial actions are developed without tenacious connection with the purposes of EA Ps, on the other hand, successful cases were indicated with the main leads to conducting wire of intersectoral actions to the powerful bonds and to the participation of user in their care process es , indicating insurgent forces tha t intend by traditional lo gic .
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The article talks about the challenge of the construction of public policies for the child in the age group from 0 to 6 years old in Brazil, in the perspective of the right guarantees. One can presuppose that to comprehend the development of these policies, it is necessary to analyze the historical route of its assistance, possibilities and limits. It is also important to consider the contradictory relationships of power present in society, and its influence in the building of the conception of child and childhood that are very far to be neutral words, so they are policies. In this point of view, this work analyzes the arrangement of the current policies of assistance to children, making clear the shape as they were reorganized by the neo liberal policies and set of instructions of international organizations. The studies show that, instead of public and universal policies, programs and actions are introduced based on the focus in the fight against poverty, made with low costs and questionable quality.
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This dissertation is the result of a research process that sought , from the speech of women in situations of violence , examine the difficulties these women to access the "network " of assistance to women victims of violence in the city of Natal/RN . Therefore , we made a critical analysis from the perspective of totality on the processual ontological " being a woman " and " be a man " , articulating the determinations of the subjective and objective dimensions in the lives of women at this juncture . Thus , also reflecting on the system of oppression of women through Capitalism / Patriarchate , articulated with other determinations of reality , as race / ethnicity , sexual orientation , generation and territoriality . Because of the oppression of women in all aspects of social life , the feminist movement led to the public domain claims against the oppressions of women and fight for Public Social Policies that aim to the particularities of women , among them, the social policies of coping violence against women . The speeches of the women interviewed show the contradictory aspect of work in women's lives . On the one hand , can become a means to financial independence ( with the possibility of exit from violent means). On the other , it can become "cause " of justification for the exercise of violence against women by their partners or former partners . Also show that despite legal advances , there is no effective implementation of policies aimed at women . This occurs as a result of capitalism / patriarchy and the context of neoliberal management of big capital . Thus , the feminist movement , as well as the social movement of the working class , must seek the empowerment of women through the struggle to end all forms of oppression , exploitation and domination among humans.
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Reproduction is an essential part of humans species’ existence and survival. We are interested in securing it, and having a direct interest in the reproduction of those with whom we have strong genetic relationship. Trivers (1974) featured the parent-offspring conflict, as a divergence about the parents’ investment, which has been mainly studied in the early stages of children’s development. However, the divergence in investment can also be expressed at the time of the reproductive decisions of the offspring. Thus, we investigated whether parents and children have conflicting interests regarding reproductive expectations of the children, understanding reproductive expectations as desired age to marry, have children, have sexual intercourse and desired amount of children. We found that parents and children disagree on some of these points, we also find a more conservative expectation when it comes to daughters, reiterating the daughter-guarding hypothesis. When we consider how much help would be given towards the up bringing of a grandson, we found a clear variation according to the age of the baby's parents: the younger the baby’s parents are, the larger the amount of assistance would be provided by grandparents. Considering the amount and quality of offspring and conditions of reproduction, parental investment is an element that presents itself closely linked to the history of the subject's life. Parents are the first to communicate to children how the environment in which they are inserted is presenting itself. As the life history is closely linked with reproduction, and, therefore, with parental investment, we intend to investigate whether there is a correlation between aspects of the individuals’ history of life (unpredictability and parental care) and their reproductive expectations, seeking further assess on whether there is relationship between parents' life history and their reproductive expectations for their children. We find evidence that partially confirm our expectations; we find relationships of some elements of reproductive expectations with indicators of unpredictability and parental care. The experiences of parents also reflected in their expectations for their children, with a more present correlation to their expectations for daughters. From our results, we find evidence that parent-offspring conflict appears in the reproductive expectations of children and relates to aspects of individuals’ life history.
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Despite numerous government projects aimed at reorganizing and qualifying obstetric and neonatal care in Brazil, it remains problematic, with repercussions for maternal and newborn mortality and humanized care of both the mother and child. The objective of this study was to analyze the care provided to women during the pregnancy-puerperium cycle, based on reports of public health service users regarding their pregnancy and delivery experiences, using comprehensiveness and humanization as reference. The study applied a qualitative approach and the methodological strategy consisted of listening to the women, in order to identify, based on the meanings of their discourse concerning their experiences with health services, continuities and discontinuities of care during the pregnancy-puerperium cycle. Study participants were women who gave birth at a municipal public maternity, residents of Natal, Brazil, who at the time of the interviews, were between 10 and 42 days postpartum. Seven women reported their pregnancy and delivery experiences at public services. As interviews and observation took place, the material produced was also analyzed, in order to achieve simultaneous production and data analysis. Using systematization, a dialogue was established between the women’s discourses and production in the field of Collective Health, with respect to concepts and discussion about obstetric and neonatal care as well as the Comprehensiveness and Humanization of such care. Participant discourses underscored aspects related to prenatal care starting at pregnancy and its repercussions as well as prenatal monitoring by health services; aspects associated with care during labor and delivery, as well as those involved in postpartum in the maternity, both with respect to newborn and maternal careç and lastly, puerperium care after discharge from the maternity. Analysis of results sought to identify lines of continuity and discontinuity in the comprehensiveness and humanization of care. Based on these lines and as final contributions of the study, the following paths were proposed to achieve comprehensive and humanized production of health care for women during the pregnancy-puerperium cycle: Path 1- Reassess care in the maternal and newborn health network, aimed at comprehensiveness in terms of guaranteeing access to the various services and technological resources available to enhance health and life. Path 2- Reorganize work processes in order to attain comprehensive and humanized care for women in the pregnancy-puerperium cycle. Path 3 – Qualify the professional-user relationship in care management during the pregnancy-puerperium cycle. Path 4 – Invest in the qualification of communication processes in the different dimensions of care during the pregnancy-puerperium cycle.
Resumo:
Despite numerous government projects aimed at reorganizing and qualifying obstetric and neonatal care in Brazil, it remains problematic, with repercussions for maternal and newborn mortality and humanized care of both the mother and child. The objective of this study was to analyze the care provided to women during the pregnancy-puerperium cycle, based on reports of public health service users regarding their pregnancy and delivery experiences, using comprehensiveness and humanization as reference. The study applied a qualitative approach and the methodological strategy consisted of listening to the women, in order to identify, based on the meanings of their discourse concerning their experiences with health services, continuities and discontinuities of care during the pregnancy-puerperium cycle. Study participants were women who gave birth at a municipal public maternity, residents of Natal, Brazil, who at the time of the interviews, were between 10 and 42 days postpartum. Seven women reported their pregnancy and delivery experiences at public services. As interviews and observation took place, the material produced was also analyzed, in order to achieve simultaneous production and data analysis. Using systematization, a dialogue was established between the women’s discourses and production in the field of Collective Health, with respect to concepts and discussion about obstetric and neonatal care as well as the Comprehensiveness and Humanization of such care. Participant discourses underscored aspects related to prenatal care starting at pregnancy and its repercussions as well as prenatal monitoring by health services; aspects associated with care during labor and delivery, as well as those involved in postpartum in the maternity, both with respect to newborn and maternal careç and lastly, puerperium care after discharge from the maternity. Analysis of results sought to identify lines of continuity and discontinuity in the comprehensiveness and humanization of care. Based on these lines and as final contributions of the study, the following paths were proposed to achieve comprehensive and humanized production of health care for women during the pregnancy-puerperium cycle: Path 1- Reassess care in the maternal and newborn health network, aimed at comprehensiveness in terms of guaranteeing access to the various services and technological resources available to enhance health and life. Path 2- Reorganize work processes in order to attain comprehensive and humanized care for women in the pregnancy-puerperium cycle. Path 3 – Qualify the professional-user relationship in care management during the pregnancy-puerperium cycle. Path 4 – Invest in the qualification of communication processes in the different dimensions of care during the pregnancy-puerperium cycle.
Resumo:
Este trabalho propõe o estudo analítico de estratégias discursivas das organizações empregadas nas publicidades das mídias sociais no Brasil em que, na tentativa de aproximação com os consumidores, as empresas emitem discursos de humanização. A pesquisa ocupou-se em identificar e analisar as publicidades das marcas notabilizadas nesse ambiente superabundante de informação, capazes de comunicar-se efetivamente com os consumidores, a ponto de levá-los ao engajamento com os interesses da organização pela interação e compartilhamento dos conteúdos nas mídias sociais, e de torná-los os agentes da marca, aqueles que divulgam voluntariamente os seus benefícios para a sua rede de amigos. Trata-se de uma pesquisa exploratória de teor qualitativo, cuja busca se dará pelas delineações de um espaço discursivo. Utilizou-se a análise do discurso (AD), da linha francesa, sob a perspectiva dos estudos do ethos, cenas de enunciação e contrato de comunicação que contemplam os discursos organizacionais. Além da conceituação teórica e revisão de literatura vinculadas às mídias sociais e cultura organizacional, o trabalho analisou as publicidades em vídeo publicadas no Facebook e YouTube, nos anos de 2014 e 2015, cujo intuito era a aproximação com o consumidor. A pesquisa demonstrou que o ambiente das mídias sociais requer outra postura das organizações, uma linguagem dialógica e interativa com a participação do consumidor nas suas publicidades. A supervalorização do consumidor e a sua inclusão nas narrativas é uma tentativa de humanizar as relações entre organização e seus públicos e demonstram ser o eixo conciliador entre ambos na nova ambiência midiática.
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Objetivou-se compreender a humanização do atendimento à criança na Atenção Básica na visão dos profissionais. Estudo qualitativo, realizado em uma Unidade de Saúde da Família de Natal-RN, Brasil. Dezesseis profissionais responderam a um formulário contendo questões referentes ao atendimento à criança, à humanização e às práticas realizadas para humanizar o atendimento. Os dados foram categorizados por temas e analisados a partir dos princípios da Política Nacional de Humanização. Para os profissionais, humanizar o atendimento envolve acolher, escutar, aconselhar sobre o que está sendo realizado com a criança, valorizar a família, e tornar o sujeito ativo no atendimento, mesmo que de forma incipiente. A maioria dos profissionais descreveu atendimento que valorizava parte dos princípios da política de humanização, mesmo com dificuldades para implementá-los na rotina. Requer, portanto, estímulos e atualização dos profissionais para uma postura autocrítica sobre o atendimento
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Due to the appreciation of family farming by the Brazilian Federal Government, the Technical Assistance and Rural Extension was induced to restructure and act in a more participative way, culminating in the National Policy of Technical Assistance and Rural Extension (PNATER), changing the profile of technology transfer and knowledge (diffusionism) for an action that uses participatory methodologies focused on exchange of knowledge between farmers and technicians. The process of discussion of the trends of ATER brought the New ATER , with the recognition of agroecology as the main guidance. This research aimed to analyze methods of public ATER developed by institutions of Rio Grande do Norte, under the guidance of New ATER. The research is qualitative. Secondary data were collected through documental research and literature. Primary data were collected through a set of interviews applied to representatives of public institutions ATER, namely EMATER-RN, Diaconia and AACC and representatives of organizations that receive public ATER. The research showed the difficulties of EMATER-RN in implementing of New ATER due to lack of infrastructure and low adherence of the new form of technical assistance and rural extension. It was shown also that the AACC and Diaconia act with ATER through projects with implementation deadlines set, often interrupting ATER while communities are still in need of assistance
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O crescimento vertiginoso no número de solicitações de refúgio, que de 2010 a 2015 aumentou em mais de 8 vezes, assim como o boom no número de imigrações registradas a partir de 2000 no Ceará por parte de estudantes africanos têm reforçado à população local os efeitos tanto da globalização como da crise humanitária atual. Poder público, organizações do terceiro setor e entes empresariais passam a se envolver na agenda pertinente à imigração em um contexto socioeconômico e legislativo delicados; e intenções de trabalhos e iniciativas de assistência aos imigrantes e refugiados começam a permear a sociedade, mesmo não havendo dados estatísticos da diversidade dos imigrantes, processo de acolhimento formal definido ou avaliação das capacidades absolutas que a cidade de Fortaleza no Ceará possui para agregar a essa agenda. Dessa forma, iremos identificar o perfil dos imigrantes que são provenientes de países africanos de língua portuguesa e refugiados sob a ótica da diversidade de modo a traçar um mapa que traga percepções e insumos para as atividades de assistência desejadas. Adicionalmente, será analisado o processo de acolhimento sob a ótica da avaliação da estrutura (instituições, equipamentos, procedimentos e responsabilidades) com o objetivo de se entender o nível de maturidade do processo de acolhida dos imigrantes e refugiados, assim como suas oportunidades de melhoria. A temática, além de atual, se faz indispensável para a construção de um pensamento crítico acerca da própria capacidade de contribuição ao tema da imigração e da crise dos refugiados. A metodologia utilizada para a construção da parte teórica e para respaldo das hipóteses levantadas foi a consulta bibliográfica, enquanto a parte estatística foi fruto de intenso trabalho de investigação por insumos de ordem qualitativa e quantitativa com diferentes agentes intervenientes no processo de acolhimento no Estado, inclusive pela busca do aspecto subjetivo por parte de gestores públicos acerca do tema. Por fim, foi realizado diagnóstico de qualidade organizacional junto à Pastoral do Migrante em Fortaleza, tida como referência do terceiro setor na agenda dos imigrantes e refugiados, com objetivo de avaliar e contribuir com suas capacidades de gestão e com seu processo de acolhimento. Verificou-se com o trabalho que, diferente do tema dos refugiados, árduo tem sido o caminho percorrido para o desenvolvimento de assistência aos imigrantes como política pública. Contudo, pretende-se demonstrar que conhecer as necessidades deste último grupo, assim como sanar suas dificuldades, pode influenciar positivamente futuros trabalhos até mesmo para o próprio tema dos refugiados. Portanto, conhecer a real situação de ambos os grupos na região é indispensável para se elaborar planos do poder público, além de possibilitar a melhoria nos dispositivos de assistência como um todo e avançar os mecanismos da legislação pertinente.
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Este estudo, desenvolvido através de uma investigação-ação, busca aprofundar a compreensão sobre o papel da poesia e de sua abordagem associado à integração curricular e ao trabalho colaborativo, em programas de formação de professores, inicial e continuada, visando à mudança de uma prática docente solitária para uma prática mais reflexiva e solidária. Esta investigação desenvolveu-se em uma escola pública de São Paulo - Brasil, com professores de diferentes disciplinas, coordenação pedagógica e estagiários do curso de Letras de duas universidades privadas. Com o propósito de contribuir para o debate, associamos o estudo teórico à investigação empírica, numa investigação-ação, recorrendo à observação participante e às entrevistas semiestruturadas. Elegemos para este trabalho três grandes eixos e suas respectivas referências teóricas: i) formação de professores; ii) currículo e desenvolvimento curricular; e iii) poesia e abordadem da poesia. Com base nesses eixos, elaboramos e desenvolvemos o estudo empírico que nos mostrou sua relevância através dos resultados obtidos: viabilidade de construção e implementação de projetos interdisciplinares nas escolas da rede pública; importância da interação entre professores e restante comunidade escolar; humanização do ambiente escolar; protagonismo de professores e alunos. Mostrou-nos também algumas limitações, especialmente o pouco investimento e apoio das equipes de gestão ao desenvolvimento de projetos integrados, assim como a falta de tempo necessário à construção de ambiente propício à criação da cultura de colaboração docente. Esperamos ter contribuído, através deste projeto, para que um novo olhar seja lançado aos programas de formação, inicial e continuada, de professores, menos tecnicista, mais crítico e reflexivo, mais solidário e integrado, mais humanizado e democrático, bem como à potencialidade da poesia/abordagem da poesia nesses contextos.
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Sur quoi fonder une éthique de responsabilité et quelle place accorder aux cultures et aux traditions dans un contexte nouveau caractérisé par la mondialisation? Pour répondre à cette question, posée à partir de l’Afrique, nous avons pris un long chemin de réflexion. À partir de l’évaluation faite par Fabien Eboussi de la crise multiforme actuelle qui frappe l’Afrique, où l’auteur cherche et désigne les coupables et les responsables que sont, selon lui, les cultures africaines, la colonisation européenne et le christianisme, nous nous sommes concentré sur le sujet humain comme tel. La responsabilité est d’abord, à nos yeux, une question de conscience morale. Les approches anthropologiques utilisées dans leurs théories éthiques par Xavier Thévenot, Paul Ricoeur et Emmanuel Levinas nous ont permis de bâtir une définition du sujet comme une « liberté précédée ». L’antécédence est à la fois un principe anthropologique et éthique dans la relation et dans l’existence. Nous avons appliqué ce principe de précédence à la notion africaine d’ancestralité conçue comme le temps éthique hiérarchisé et orienté. Pour échapper à l’étroitesse tribale ou ethnique dans laquelle se vit cette ancestralité africaine, nous l’avons étendue aux dimensions de l’humanité, comme le fondement d’une éthique de responsabilité universelle. On est ancêtre de l’humanité. Sous le néologisme d’ancestrogenèse, nous avons proposé une éthique fondée sur le recrutement de ces ancêtres ou bienfaiteurs de l’humanité. L’ancestrogenèse est donc la construction d’une communauté humaine où chaque membre soit responsable de ses actes devant sa communauté locale – naturelle ou historique – en lien avec toute la communauté humaine dont la facilité de la communication accélère la convergence. À la suite de Bénezet Bujo, et pour fonder cette communauté sur le roc et la faire survivre aux fluctuations de l’esprit humain, nous avons placé le Christ à la tête des ancêtres, comme proto-ancêtre. En lui, nous avons le Verbe créateur unique, le sauveur unique et le rassembleur unique de l’humanité de tous lieux et de tous temps. Voilà qui suscite une multitude de questions d’ordre pédagogique, biblique, christologique, ecclésiologique, éthique, anthropologique, politique et sociologique, questions relatives à la formation morale du sujet-ancêtre telle qu’ébauchée dans le cadre limité de cette recherche.
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Relatório de estágio apresentado à Escola Superior de Educação de Paula Frassinetti, para obtenção do grau de mestre em Pré-escolar