期刊名称：Revista brasileira de crescimento e desenvolvimento humano
印刷版ISSN：0104-1282
电子版ISSN：2175-3598
出版年度：2007
卷号：17
期号：1
页码：13-25
DOI：10.7322/jhgd.19811
语种：Portuguese
出版社：Centro de Estudos de Crescimento e Desenvolvimento do Ser Humano
摘要：Promover saúde à criança é garantir cuidados de qualidade para seu desenvolvimento integral. Visando a identificar percepções de educadoras e proposta institucional sobre cuidados de saúde infantil, foram entrevistadas professoras e coordenadora pedagógica de creche municipal em São Paulo, e analisados documentos institucionais. A integração educar-e-cuidar aparece nos discursos como própria do trabalho em creche, mas dificultada pela precária formação para os cuidados, principalmente de saúde, e sobrecarga de atividades, levantando dúvidas sobre a exeqüibilidade dessa integração. Educar ainda é foco principal do trabalho, e cuidar é inevitável pela dependência das crianças, mas restrito ao corpo e valorizado somente se atrelado à educação. As propostas institucionais documentadas apresentam lacunas quanto à inclusão do cuidado como categoria independente e inerente à função profissional do educador. É imperioso persistir na construção de propostas integradoras do cuidado na formação inicial e permanente das educadoras, apoiada pelas diferentes disciplinas que atuam na atenção infantil.
其他摘要：To promote childrens health is to guarantee quality in the care given, in order to provide their integral development. The day-care center is a place where children live great part of their days, justifying the attempt to understand how this care is offered to them. The general objective of the present study was to characterize the aspects related to the implementation of health care in a day-care center, and the specific objective was to identify the caregivers perceptions and the institutional proposal concerning the child health care. Interviews were carried out with four teachers and the pedagogical coordinator of a public municipal day-care center in the city of São Paulo, and institutional documents were analyzed. The caregivers discourse revealed that the integration of education and care seems to be a characteristic of the work in the day-care center, but many factors made this integration difficult, such as the personnels deficient formation in relation to care, particularly that in the health area, and the overload of activities. In view of these difficulties, questions concerning the possibility to effectively accomplish this integration arose. Education still appears as the main focus of the teachers work, and care seems to be something inevitable since the child is very dependent. Therefore, care actions remain restricted to the childrens body and are emphasized only when they are considered as activities to be taught, aiming at the childs independence. The institutional proposal identified in documents presents gaps concerning the effective inclusion of care as an independent category that is inherentin the caregivers professional function. In conclusion, the study points to the need to continue improving the construction of appropriate proposals to this level of childhood assistance, with the support of other knowledge areas that perform childcare. Keywords: Child health. Day-care centers. Child education. Primary health care. Pediatric nursing.
关键词：Saúde infantil;Creches;Educação infantil;Cuidados primários de saúde;Enfermagem pediátrica
