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A presente dissertação tem como objetivo compreender o funcionamento e organização das Estruturas Residenciais para Pessoas Idosas (ERPI´s), sob o atual Modelo de Gestão da Qualidade, através do olhar dos/as técnicos/as que diariamente o implementam e que pode influênciar o quotidiano da vida dos/as residentes bem como identificar as dificuldades sentidas por aqueles, na execução das suas funções e as suas propostas para melhorar a qualidade dos serviços prestados. Partindo da seguinte questão-problema: “As práticas profissionais dos/as técnicos/as das ERPI´s, assentes no atual modelo de funcionamento/gestão da qualidade, favorecem o quotidiano dos/as residentes?”, as opções metodológicas assentaram no estudo das ERPI´s , do Concelho de Torre de Moncorvo e na realização de entrevistas semiestruturadas a 31 técnicos/as das oito ERPI´s sediadas no concelho. Após a transcrição integral das entrevistas e através da análise de conteúdo, a perceção de muitos/as técnicos/as é que estas instituições fazem um trabalho positivo e tentam prestar os serviços, previstos legalmente pelo Instituto de Segurança Social, aos/às idosos/as, dentro das suas limitações financeiras e humanas, embora assumam que estas estruturas residenciais não estão preparadas para receber utentes mais dependentes ou com patologias incapacitantes como as demências, apontando como um dos motivos o facto de grande parte do quadro pessoal ter pouca formação. Outra conclusão relevante é que o Modelo de Gestão não está adaptado para estas instituições de pequena dimensão, inseridas em territórios maioritariamente rurais, em que os/as idosos/as adiam a integração na ERPI, quando entram apresentam elevados índices de dependência para as atividades de vida diárias e/ou psicopatologias, e com poucos recursos humanos, em comparação com as instituições maiores sediadas no litoral.
The present dissertation has two purposes. Firstly, it aims at improving knowledge of the way of functioning and organization of Residential Infrastructure for Elderly people (ERPI´s) according to the current Quality Management Model, based on the experience of skilled technicians who daily implement it and observe its influence on the daily lives of the residents of nursing homes. Additionally, it intends to identify the difficulties experienced by these same technicians in carrying out their tasks, as well as their proposals to improve the quality of the services provided. Beginning with the question-issue:“Do working practices of the ERPI´s technicians based on the current model of functioning and quality management stimulate the everyday for residents?”, the methodological choices adopted included the study of the Residential Infrastructures for Elderly people (ERPI´s) of the Municipality of Torre de Moncorvo and using semi-structured interviews with 31 technicians, working in the eight ERPI´s domiciled in this municipality. After the full transcription of the interviews, and through the analysis of the content, it can be concluded that the perception of many technicians is that these institutions do a positive work and try to provide the services legally stipulated by the Social Security Institute for the elderly people, within their financial and staffing constraints. It should be noted that these residential infrastructures are not prepared to receive more dependent residents or users suffering from disabling diseases, such as dementias. One of the main constraints referred is the fact that the majority of the staff establishment plan has little formation. Another relevant conclusion is that the Quality Management Model is not adapted to these smaller institutions integrated in mostly rural areas, where the elderly postpone their integration in an ERPI up to the point in which they present high rates of physical dependence for their daily routines and / or psychopathologies and the establishments have scarce human resources, when compared to bigger institutions domiciled in the coastal areas.
The present dissertation has two purposes. Firstly, it aims at improving knowledge of the way of functioning and organization of Residential Infrastructure for Elderly people (ERPI´s) according to the current Quality Management Model, based on the experience of skilled technicians who daily implement it and observe its influence on the daily lives of the residents of nursing homes. Additionally, it intends to identify the difficulties experienced by these same technicians in carrying out their tasks, as well as their proposals to improve the quality of the services provided. Beginning with the question-issue:“Do working practices of the ERPI´s technicians based on the current model of functioning and quality management stimulate the everyday for residents?”, the methodological choices adopted included the study of the Residential Infrastructures for Elderly people (ERPI´s) of the Municipality of Torre de Moncorvo and using semi-structured interviews with 31 technicians, working in the eight ERPI´s domiciled in this municipality. After the full transcription of the interviews, and through the analysis of the content, it can be concluded that the perception of many technicians is that these institutions do a positive work and try to provide the services legally stipulated by the Social Security Institute for the elderly people, within their financial and staffing constraints. It should be noted that these residential infrastructures are not prepared to receive more dependent residents or users suffering from disabling diseases, such as dementias. One of the main constraints referred is the fact that the majority of the staff establishment plan has little formation. Another relevant conclusion is that the Quality Management Model is not adapted to these smaller institutions integrated in mostly rural areas, where the elderly postpone their integration in an ERPI up to the point in which they present high rates of physical dependence for their daily routines and / or psychopathologies and the establishments have scarce human resources, when compared to bigger institutions domiciled in the coastal areas.
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Modelo funcionamento-gestão ERPI Representações sociais Práticas profissionais