0154/2019 - Conversas invisíveis: Assuntos falados, mas não ouvidos em consultas ginecológicas. Invisible conversations: Subjects spoken but not heard in gynecological consultations.
Estudo qualitativo baseado nos pressupostos teórico-metodológicos da Análise da Conversa (AC) que descreve e analisa interações face a face entre três enfermeiras e sete usuárias de serviços de atenção primária em saúde, ocorridas durante consultas para coleta do exame citopatológico. As descrições a análises pautaram-se nos excertos das interações gravadas em áudio durante as consultas de enfermagem e transcritas com base nas convenções da AC. A análise micro dos dados tomados segundo a perspectiva êmica permitiu identificar situações interacionais de (des)alinhamento, (des)filiação, reparos e temas delicados, além da ausência de escuta de tópicos específicos por parte das enfermeiras ao conduzirem as consultas. Assim, sinalizações de situações de sofrimento, mal-estar ou violências não foram exploradas, deixando de potencializar o cuidado. O estudo demonstra que a consulta para coleta de exame CP pode ser um espaço para ouvir questões relacionadas à sexualidade e investigar a presença de violência contra a mulher. A divulgação destes achados e desta metodologia junto aos profissionais de saúde coletiva e de enfermagem pode estimular a reflexão dos mesmos sobre suas habilidades comunicativas, contribuindo para melhorar a qualidade da atenção nos serviços de saúde.
Palavras-chave:
Análise da Conversa. Interação face a face. Violências. Saúde da Mulher. Saúde pública.
Abstract:
This is a qualitative based on the theoretical-methodological assumptions of the Analysis of Conversation (CA) that describes and analyzes face-to-face interactions between three nurses and seven users of primary health care services that occurred during consultations to the collect of cytopathological exam. The descriptions and the analyzes were based on excerptsthe audio-recorded interactions during the nursing consultations and transcribed based on the CA conventions. Microanalysis of the data, takenan emic perspective, allowed the identification of interactional situations of (de) alignment, (dis) affiliation, repairs and sensitive issues, as well as the lack of listening to specific topics by nurses in conducting consultations. Thus, signs of situations of suffering, malaise or violence were not explored, leaving no potentiate care. The study demonstrates that the consultation for collection of CP exam can be a space to listen to issues related to sexuality and investigate the presence of violence against women. The dissemination of these findings and of this methodology among public health and nursing professionals may stimulate their reflection on their communicative abilities, contributing to the improvement of the quality of care in health services.
Keywords:
Conversation Analysis. Face-to-face interaction. Violence. Women health. Public Health.
Invisible conversations: Subjects spoken but not heard in gynecological consultations.
Resumo (abstract):
This is a qualitative based on the theoretical-methodological assumptions of the Analysis of Conversation (CA) that describes and analyzes face-to-face interactions between three nurses and seven users of primary health care services that occurred during consultations to the collect of cytopathological exam. The descriptions and the analyzes were based on excerptsthe audio-recorded interactions during the nursing consultations and transcribed based on the CA conventions. Microanalysis of the data, takenan emic perspective, allowed the identification of interactional situations of (de) alignment, (dis) affiliation, repairs and sensitive issues, as well as the lack of listening to specific topics by nurses in conducting consultations. Thus, signs of situations of suffering, malaise or violence were not explored, leaving no potentiate care. The study demonstrates that the consultation for collection of CP exam can be a space to listen to issues related to sexuality and investigate the presence of violence against women. The dissemination of these findings and of this methodology among public health and nursing professionals may stimulate their reflection on their communicative abilities, contributing to the improvement of the quality of care in health services.
Palavras-chave (keywords):
Conversation Analysis. Face-to-face interaction. Violence. Women health. Public Health.
Meneghel, S.N, Andrade, D.N.P, Hesler L.Z. Conversas invisíveis: Assuntos falados, mas não ouvidos em consultas ginecológicas.. Cien Saude Colet [periódico na internet] (2019/mai). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/conversas-invisiveis-assuntos-falados-mas-nao-ouvidos-em-consultas-ginecologicas/17228?id=17228
