Banca de DEFESA: ANA PAULA BORGES CARRIJO

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ANA PAULA BORGES CARRIJO
DATE: 04/10/2023
TIME: 09:00
LOCAL: Plataforma Microsoft Teams
TITLE:

“THE CLINICAL COMMUNICATION OF WOMEN'S SEXUALITY IN THE SCOPE OF PRIMARY HEALTH CARE”

KEY WORDS:

“Sexuality; Sexual Health; Women's Health; Gender Equity; Health Communication; Doctor-Patient Relationship; Medical Residency; Primary Health Care.”

PAGES: 1000
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

“Introduction: Despite extensive debates and scientific productions surrounding sexuality today, it still occupies a terrain of disputes crossed by various normative and hegemonic discourses, marked by the regulation of bodies – and consequently, expressions of sexuality – under the exercise of powers of political, economic, religious, legal, cultural, and moral orders. It is in this scenario that medicine, faced with the growing demand related to sexual issues in clinical practice, has been called upon to take a position on the communication and teaching of sexuality in the education of its professionals; a call that this research seeks to address by investigating, as a starting point, the perception of female and male teachers, preceptors, and residents in family and community medicine regarding the communication of sexuality in consultations within the scope of Primary Health Care. General Objective: To analyze clinical communication of sexuality, with a focus on women's sexuality, in its approach by professionals engaged in Family and Community Medicine Residency Programs within the Primary Health Care network of the Federal District (DF). Specific Objectives: To map and analyze cases and narratives about the approach to sexuality, relating them to the practice of clinical communication in consultations with women; to characterize the conceptions of family physicians regarding the approach to female sexuality; to identify challenges and strategies of healthcare professionals regarding clinical communication of sexuality in the context of the research. Method: This is a qualitative research conducted under the triangulation of analysis and data collection methods, including the comprehensive approach according to the hermeneutic-dialectic perspectives of Hans-Georg Gadamer and Jürgen Habermas, narrative interviews, and focus groups. The research participants are family and community medicine professionals linked to Family and Community Medicine Residency Programs in the DF from three institutions: Universidade de Brasília (UnB), Escola Superior de Ciências da Saúde (ESCS) e Fundação Oswaldo Cruz (Fiocruz). Data collection involved 04 focus groups and 09 interviews, totaling 50 participants. Results: Challenges and formative gaps in communication skills were identified, as well as insecurities and a sense of unpreparedness in the clinical care of physicians regarding the approach to female sexuality. The numerous barriers to clinical communication of sexuality identified and analyzed in the research were classified into categories: barriers related to patients; structural barriers of Primary Health Care services; technical and formative barriers; barriers related to the doctor-patient relationship; barriers related to the LGBTQIA+ population; barriers related to the elderly population; barriers related to the approach to violence; intercultural barriers; and barriers at the intersection of sexuality and religion. Conversely, a great interest in enhancing clinical communication in sexuality was observed among the participating professionals. Conclusion: Sexuality reveals itself as a prevalent demand in the everyday care of Primary Health Care and a central component of comprehensive health, but there is a significant gap between the proposals of the World Health Organization for its approach and the practices observed in medical clinics. The study suggests that identifying barriers to communication of sexuality in the context of Primary Health Care is an essential process for theoretical, practical, and pedagogical advancement in the field, allowing for the development and application of necessary resources to overcome them in medical education.”

COMMITTEE MEMBERS:
Externo à Instituição - LUIZ FERNANDO CHAZAN - UERJ
Externa à Instituição - MARCELE BOCATER PAULO DE PAIVA - UERJ
Interno - 1652632 - MIGUEL ANGELO MONTAGNER
Externa à Instituição - PATRÍCIA SAMPAIO CHUEIRI
Presidente - 1261290 - XIMENA PAMELA CLAUDIA DIAZ BERMUDEZ