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I show that because it is a qualitative social study, the more unforeseen or “undesirable” events occur, the greater the richness of our study; in a project like this one, if these events do not occur, it does not produce fruits; unlike controlled studies, where uncontrolled events should be avoided; in our case, the more events the better; we were open to any result and whatever was produced should be interpreted; that was the difference. Even with all these limitations, I think they are critical for this project, if I cannot remove immediate resistance we cannot think of a project that aims to generate “universal” care methodologies and techniques.
The students of presented the PTS; it is the case of a 14-year-old diabetic girl with severe kidney disease. It was a good presentation.
At the end, they presented short-, medium- and long-term actions, where they had several actions involving different professionals: psychologist, endocrinologist, proposal to have a connection with the C.S. Health Center with pediatrics. After the presentation, I asked myself why it had no referral to a dentist.
The students were surprised and said they had not thought about it. (Diary of the dentist from the Family Health Strategy (FHS)-2, March 14, 2014). I found the requirement boring and even silly, but I did as he asked and, at the end, the result was positive because I built a connection with the patients outside the office and they ended up interacting with me during the visits (although I was silent, sitting alone in the back of the room, where the physician put my chair) laughs. (Diary of post-graduate student, October 10, 2013)These diary excerpts showed the required battles to be faced in order to create possible connections in research, professional or institutional contexts. Together, these records are about the challenges of dealing with the theoretical-methodological framework of the project, which used buccality as the structuring concept.
It is stressful to see the patient for years, to see the delay, the time that is wasted; since the beginning of the year I have tried to make a partial denture and then I wonder, you know: “why can’t it work out?” It’s too much bureaucracy. Too much the patient has to come to this clinic so many times. (Diary of a trainee, June 5, 2013)Just as it was reported in the diary of another researcher - the implied author - an emblematic problem that has existed since the start of SUS is: how to establish other types of operation in the teaching-service-community relationship? I agree with the dentist of the denture service, SUS is a field of research and training, yes, but the dialogue with the reality of services is very important for the implementation of our project. I realized that they administrators had not read about the project and if they were concerned, it was just to know what would depend on them to happen.
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(Diary of a university professor-2, June 12, 2013)Another challenge refers to the act of writing, which has an effect on the research diary writers - the implied author - during the meetings with other research participants. Writing can be the passport to help us understand the world, reflect about life. The lines written on a piece of paper cross time, flow in the imagination, can be read and reread. Often while rereading we find something that we did not capture in the first time, but which is deeply interesting and innovative.Writing was a challenge imposed on and assumed by all 14 diary writers/researchers. Final considerationsThe RD device acted as a machine that produced heterogeneous effects in the researchers and the study.
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The diaries constituted an intervention device with potential to articulate different people, in different places, with different knowledge and experiences, including the daily buccal health. They also triggered modes of operation that caused the researchers to reflect about what they were doing in the clinic, write about what they reflected and, above all, share what they wrote about their experiences, often showing resistance during the study and in our seminars.