The Role of Reflection for Continuing Professional Development of In-Service Health Care Professionals: A Narrative Inquiry in Four Health Professions.

Introduction: Health care providers (HCPs) use reflection to intervene in complex, ambiguous clinical situations. Yet, there is scant evidence about the circumstances when HCPs use reflection and how they perceive reflection within their continuing professional development. We selected a narrative inquiry approach to study how HCPs perceive reflection's role in learning in four health professions.

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Introduction: The action-training research project "Crossing Experiences: Towards a Transformation of Care Action in Chronic Illness" aims to offer an introduction to narrative approaches (NA), including moments of biographical narration and moments of explanation, to a mixed audience composed of patient-peer caregivers, care professionals and family caregivers interested in intervening in therapeutic patient education (TPE) programs.

Objective: To present the initial results of the training component of this research and to identify the forms of enunciation revealing traces of the construction of an emancipatory approach to care and support relationships within the framework of TPE programs.

Methodology: The NAs were presented and then applied to different stages of TPE during three days of training.

[Vulnerabilities in the use of contraceptive methods among youth: intersections between public policies and healthcare].

This article discusses the moments of vulnerability in the utilization of contraceptive methods in the affective-sexual relations in adolescence and youth. The analyzed material consists of 17 semi-structured interviews with young people between 18 and 24 years (9 females and 8 males) of the middle-class of the city of Rio de Janeiro that had passed though at least one episode of pregnancy during adolescence. We also discuss the recent implementation of public policies focused on the sexuality and reproductive health of adolescents and the position of health professionals with respect to this subject within the scope of the Program of Integrated Healthcare for Women, Children and Adolescents (PAISMCA/SES-RJ).