Ensino de auxiliares de enfermagem : racionalidades que orientam as ações docentes em uma escola de qualificação profissional

O desvelamento das racionalidades imersas nas ações docentes de uma escola de qualificação profissional de auxiliares de enfermagem, compõem a área temática deste estudo. No intuito de atingirmos esta dimensão de análise, abordamos as seguintes questões de pesquisa: - Qual o entendimento das docentes sobre o seu trabalho enquanto enfermeiras e professoras?; - Qual o entendimento das docentes sobre o trabalho e a qualificação profissional de auxiliares de enfermagem?; - Quais as ações que orientam a prática docente na qualificação profissional, como indicativos da(s) racionalidade(s)?; - Que dimensões estariam presentes na ação docente que possibilitariam uma ação comunicativa?. A teoria de Jürgen Habermas é utilizado como aporte para as idéias trabalhadas neste estudo. A Teoria da Ação Comunicativa, em sua proposta básica, centra-se nas dimensões de desvelamento ideológico de interesses, uso do conhecimento e da racionalidade na busca da emancipação e da autonomia. Esta teoria diferencia três tipos de racionalidades ou ações: instrumental, estratégica e comunicativa. Na coleta de dados é empregada entrevista semi-estruturada, cujas perguntas contemplam as questões acima delineadas, aplicadas à oito professores de uma escola escolhida intencionalmente. A análise de dados utiliza o método de análise de discurso conforme a Pragmática Formal apresentada por Habermas (1987), a qual se preocupa com as dimensões internas e externas dos atos de fala, nem sempre vinculados a questões gramaticais, valendo mais o significado e a consideração de falibilidade da verdade expressa (Habermas, 1987). A dimensão do trabalho das Professoras como categoria teórica, envolve a atividade docente e de enfermeira. No significado que possuem de trabalho, o mesmo é concebido como um agir-racional-com-respeito-a-afins, uma vez que é entendido como uma relação meio-fim. A divisão social e técnica do trabalho, bem como a fragmentação entre a concepção intelectual e manual, são apresentadas em situações distintas ao se referirem ao seu trabalho e ao das auxiliares de enfermagem. Nos seus atos de fala expressam o descontentamento em seguirem normas pré-estabelecidas, com a rotinização dos cuidados e a burocratização dos serviços. No entanto, reproduzem este sistema hierarquizado na relação com as auxiliares de enfermagem, articulando o seu poder como forma de manterem o controle sobre o produto do trabalho. No relacionamento com profissionais de 3º grau surge a hegemonia médica, assumindo as Professoras um posicionamento de submissão, justificado por não considerarem o cuidado de enfermagem como detentor de saber próprio, além do que o trabalho médico teria um conhecimento reconhecido; outras Professoras, em menor expressão, reconhecem a existência de hegemonia, posicionam-se frente a esses profissionais em uma relação de iguais, questionando-os. A qualificação profissional das auxiliares de enfermagem é trazida nos atos de fala em uma racionalidade instrumental, visando a formação técnico-científica. As ações docentes não trazem as bases de uma racionalidade comunicativa. No entanto, é realizado pela pesquisadora, a proposta de desenvolvimento desta realidade na qualificação profissional de auxiliares de enfermagem.

A necessidade do acaso: um convite ao diálogo filosófico

Um posicionamento filosófico realista que não coloque em dúvida a inteligibilidade do universo ao qual investiga e não se pretenda detentor de qualquer privilégio para alcançar a verdade admite a falibilidade de qualquer representação da realidade, não vendo motivo para fugir ao diálogo com aqueles que propõem explicações diferentes das suas, mesmo que por vezes com elas conflitantes.

Aprender versus ensinar: Charles Sanders Peirce e a universidade americana do final do século XIX

A produção científica e filosófica de Charles Sanders PEIRCE (1839-1914), exigindo como critério para o trabalho intelectual e para a conduta da vida do pensador o absoluto rigor na construção dos conceitos e a estrita verificação experimental, teve por conseqüência desvincular o trabalho científico e filosófico de qualquer função apologética. A afirmação de que todo conhecimento do mundo da experiência e mesmo daquele elaborado pela matemática é intrinsecamente provável e falível se opôs a todo e qualquer dogmatismo e mesmo ao a priori de tradição Kantiana. O interesse pela teoria evolucionista e a coerência inabalável da filosofia e das atitudes de PEIRCE, como professor e pesquisador, encontraram profunda resistência no meio universitário e editorial de seu tempo. Num momento de grave crise na Universidade norte-americana, decorrente das transformações econômicas e políticas ocorridas com a guerra da Secessão (1861-1865), o posicionamento de PEIRCE contribuiu muito provavelmente para sua demissão como professor das Universidades de Harvard e de John Hopkins; para dificultar a publicação de seus escritos e para seu total isolamento nos últimos anos de vida.

A crença religiosa sob a perspectiva semiótica de Peirce

Current paper presents the relationships between beliefs, specifically religious ones, and the Peirce’s theory of interpretants. It is assumed that religious belief emphasizes the emotional aspect of faithful, preventing criticism and change of habit. According to the author, the nature of cognition is contrary to the determination of this kind of belief since it is based on the method and fallibility of hypotheses. It is not enough for the method to deduce its consequences but seeks the inductive verification of their results in the long run and through the community of beings who thinks through signs. The problem of religious belief is the acceptance of a transcendent world and intuition which guides behavior. The vague idea of God is not submitted to scientific hypotheses but, engendered by religious systems, it creates signs whose emotional appeal is evident, redirecting it to its own target principles. Therefore, is repeats the success achieved in the past by dogmas, which were effective to appease the anguish of the believer and reproduce order. Knowledge should not have any boundaries because it is grounded on the method and cognition of reality.

Unofficial truths and everyday insights:understanding voice in visual research with the children of accra's urban poor

This article draws upon the use of photography to research the lives of children living in Accra, Ghana. Its aim is to consider method in visual research, and to reflect upon those modes of explanation and understanding that any consideration of method must require. It suggests a role for photography as a 'vector', as something capable of connecting our knowledge and understanding of the everyday with the everyday experiences and reality of others. Drawing upon the photographs and spoken testimonies of children who live and work on the street, and of children who live in a large informal settlement, the article advances an intimate connection between photography and knowledge of the everyday reality of children's lives, most evident in the capacity of children's photographs to surprise and highlight the fallibility of our understandings. © 2010 International Visual Sociology Association.

Medical error:a discussion of the medical construction of error and suggestions for reforms of medical education to decrease error

Introduction: There is a growing public perception that serious medical error is commonplace and largely tolerated by the medical profession. The Government and medical establishment's response to this perceived epidemic of error has included tighter controls over practising doctors and individual stick-and-carrot reforms of medical practice. Discussion: This paper critically reviews the literature on medical error, professional socialization and medical student education, and suggests that common themes such as uncertainty, necessary fallibility, exclusivity of professional judgement and extensive use of medical networks find their genesis, in part, in aspects of medical education and socialization into medicine. The nature and comparative failure of recent reforms of medical practice and the tension between the individualistic nature of the reforms and the collegiate nature of the medical profession are discussed. Conclusion: A more theoretically informed and longitudinal approach to decreasing medical error might be to address the genesis of medical thinking about error through reforms to the aspects of medical education and professional socialization that help to create and perpetuate the existence of avoidable error, and reinforce medical collusion concerning error. Further changes in the curriculum to emphasize team working, communication skills, evidence-based practice and strategies for managing uncertainty are therefore potentially key components in helping tomorrow's doctors to discuss, cope with and commit fewer medical errors.

Inner screens and cybernetic battlefields:Paul Virilio and RoboCop

Padilha’s new Robocop film can be read in the light of Paul Virilio’s theoretical work, notably Desert Screen. Robocop serves as the city’s warrior but also as a munition in the hands of global media forces. Still, even if the film presents the fallibility of robotic technology, its true failure is in sustaining the progressivist myth of technology perfectly under human control.

The Creation and Evaluation of Novel Canine Training Aids for Cocaine Using Molecularly Encapsulated Sol-Gel Polymers and an Investigation of Canine Field Accuracy

Biological detectors, such as canines, are valuable tools used for the rapid identification of illicit materials. However, recent increased scrutiny over the reliability, field accuracy, and the capabilities of each detection canine is currently being evaluated in the legal system. For example, the Supreme Court case, State of Florida v. Harris, discussed the need for continuous monitoring of canine abilities, thresholds, and search capabilities. As a result, the fallibility of canines for detection was brought to light, as well as a need for further research and understanding of canine detection. This study is two-fold, as it looks to not only create new training aids for canines that can be manipulated for dissipation control, but also investigates canine field accuracy to objects with similar odors to illicit materials. It was the goal of this research to improve upon current canine training aid mimics. Sol-gel polymer training aids, imprinted with the active odor of cocaine, were developed. This novel training aid improved upon the longevity of currently existing training aids, while also provided a way to manipulate the polymer network to alter the dissipation rate of the imprinted active odors. The manipulation of the polymer network could allow handlers to control the abundance of odors presented to their canines, familiarizing themselves to their canine’s capabilities and thresholds, thereby increasing the canines’ strength in court. The field accuracy of detection canines was recently called into question during the Supreme Court case, State of Florida v. Jardines, where it was argued that if cocaine’s active odor, methyl benzoate, was found to be produced by the popular landscaping flower, snapdragons, canines will false alert to said flowers. Therefore, snapdragon flowers were grown and tested both in the laboratory and in the field to determine the odors produced by snapdragon flowers; the persistence of these odors once flowers have been cut; and whether detection canines will alert to both growing and cut flowers during a blind search scenario. Results revealed that although methyl benzoate is produced by snapdragon flowers, certified narcotics detection canines can distinguish cocaine’s odor profile from that of snapdragon flowers and will not alert.

The creation and evaluation of novel canine training aids for cocaine using molecularly encapsulated sol-gel polymers and an investigation of canine field accuracy

Biological detectors, such as canines, are valuable tools used for the rapid identification of illicit materials. However, recent increased scrutiny over the reliability, field accuracy, and the capabilities of each detection canine is currently being evaluated in the legal system. For example, the Supreme Court case, State of Florida v. Harris, discussed the need for continuous monitoring of canine abilities, thresholds, and search capabilities. As a result, the fallibility of canines for detection was brought to light, as well as a need for further research and understanding of canine detection. This study is two-fold, as it looks to not only create new training aids for canines that can be manipulated for dissipation control, but also investigates canine field accuracy to objects with similar odors to illicit materials. ^ It was the goal of this research to improve upon current canine training aid mimics. Sol-gel polymer training aids, imprinted with the active odor of cocaine, were developed. This novel training aid improved upon the longevity of currently existing training aids, while also provided a way to manipulate the polymer network to alter the dissipation rate of the imprinted active odors. The manipulation of the polymer network could allow handlers to control the abundance of odors presented to their canines, familiarizing themselves to their canine’s capabilities and thresholds, thereby increasing the canines’ strength in court.^ The field accuracy of detection canines was recently called into question during the Supreme Court case, State of Florida v. Jardines, where it was argued that if cocaine’s active odor, methyl benzoate, was found to be produced by the popular landscaping flower, snapdragons, canines will false alert to said flowers. Therefore, snapdragon flowers were grown and tested both in the laboratory and in the field to determine the odors produced by snapdragon flowers; the persistence of these odors once flowers have been cut; and whether detection canines will alert to both growing and cut flowers during a blind search scenario. Results revealed that although methyl benzoate is produced by snapdragon flowers, certified narcotics detection canines can distinguish cocaine’s odor profile from that of snapdragon flowers and will not alert.^