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Ins Raquel Antunes Ramos Sequeira, aluna de Mestrado em Psicologia Clnica e da

Sade, do Departamento de Psicologia e Educao da Universidade da Beira Interior,
vem solicitar a autorizao do Conselho de Administrao do Centro Hospitalar de
Coimbra para realizar a sua investigao no Hospital Peditrico onde se encontra a
realizar o seu estgio curricular Unidade de Psicologia do Departamento de
Pedopsiquiatria e Sade Infantil e Juvenil.

I dentificao
Nmero de aluno(a):
Nome do(a) aluno(a):
E-mail:
Nome do(a)
Orientador(a):

M3109
Ins Raquel Antunes Ramos Sequeira
seq.ines@gmail.com
Professor Doutor Manuel Joaquim da Silva Loureiro

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Ttulo
O Medo e o Auto-conceito Infantil: Estudo comparativo entre crianas com, e sem,
doena oncolgica.
Breve descrio do trabalho
O desenho de investigao observacional-descritivo de comparao entre grupos. Este
tipo de estudos permite descrever acontecimentos, fornecendo informao sobre a
populao em estudo, e comparar dois grupos com base no facto de um possuir uma
caracterstica, de interesse para o estudo, e o outro no.
A realizao desta investigao tem como objectivo descrever e correlacionar os medos
e o auto-conceito infantil, entre crianas com doena oncolgica e crianas sem esta
doena.
Em relao amostra, ser delimitado primeiro o grupo de crianas com doena
oncolgica, em internamento ou ambulatrio, e posteriormente o grupo de crianas sem
doena. Este procedimento ir permitir que as duas populaes sejam equivalentes em
relao a vrias caractersticas.
Quanto aos procedimentos, para a realizao da investigao, necessrio obter
autorizaes das diversas instituies e o consentimento informado das crianas e pais.
Ser administrado um questionrio scio-demogrfico com o objectivo de se recolher
alguma informao pessoal. Quanto avaliao psicolgica, sero administrados o
)HDU6XUYH\6FKHGXOHIRU&KLOGUHQ-5HYLVHGSDUDDYDOLDUDYDULiYHOPHGRHR3LHUVHarris Childrens Self-FRQFHSW6FDOHSDUDDYDOLar o auto-conceito infantil.

Cronograma
A previso da durao do trabalho, no Hospital Peditrico, desde que possvel, ser de
Dezembro a Fevereiro. Neste tempo sero realizados os pedidos de autorizao
instituio e obteno do consentimento informado aos pais e crianas, includas na
amostra.
2

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Posteriormente sero administrados os instrumentos de avaliao psicolgica.

Compromisso
Todos os custos da investigao como, deslocaes, fotocpias e instrumentos de
avaliao psicolgica, sero suportados exclusivamente pela requerente. Posto isto, no
haver quaisquer gastos adicionais por parte do Centro Hospitalar de Coimbra.
A aluna, compromete-se ainda a fornecer um exemplar do trabalho final ao Servio de
Gesto da Formao e Documentao do Centro Hospitalar de Coimbra.
No que respeita ao Cdigo de tica, a investigao est delineada tendo em conta que:
- A investigao s ser desenvolvida aps a clarificao da natureza da investigao
para crianas e pais e a obteno do consentimento informado, por parte dos mesmos;
- O trabalho ser desenvolvido com crianas que se encontram em situao de grandes
exigncias fsicas, psicolgicas e emocionais;
- Proteco dos direitos e do bem-estar dos participantes e de outras pessoas que possam
ser afectadas pela investigao;
- O trabalho realizado com a amostra, ser apenas o de aplicao de provas psicolgicas
que permitam avaliar o medo e o auto-conceito infantil;
- Os dados recolhidos sero apenas utilizados tendo em conta o objectivo da
investigao.

Assinatura do Candidato

Assinatura do Orientador

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Agrupamento de Escolas de Tortosendo

ESCOLA BSICA DOS 2 E 3 CICLOS DE TORTOSENDO Cd. 345349 !
Contri buinte N 600077225!

Direco Regional do Centro

!
Exm() Senhor(a)
Prof.Dr. Manuel Joaquim Da Silva Loureiro
Faculdade De Cincias Sociais E Humanas
Departamento De Psicologia E Educao
Estrada do Sineiro

C/c:
Ins Raquel Antunes R. Sequeira

6200-209 COVILH

Sua referncia

Sua comunicao de

Nossa referncia

Tortosendo,

20-10-2011

Assunto: Solicitao de autorizao para realizao de uma investigao

Conforme solicitado em 19 de Janeiro de 2011 referente a uma investigao subordinado ao
tema "Medo e Auto-Conceito infantil", a levar a efeito pela mestranda Ins Raquel Antunes Ramos
Sequeira, informamos que estamos disponveis para colaborar na investigao proposta, autorizando a
aplicao dos questionrios, quer no 1 ciclo, quer nos 2 e 3 Ciclos.
Pelo interesse do tema em anlise, gostaramos de no final do trabalho, ter conhecimento dos
resultados obtidos.
Com os melhores cumprimentos,
O Director
______________________________________
( Jos Alfredo Costa Rodrigues )

CHC Centro Hospitalar

de Coimbra, E.P.E.

SUA REFERENCIA

29-11-2010

Exmo. Senhor
Prof. Doutor Manuel Joaquim da Silva Loureiro
Universidade da Beira Interior
Faculdade de Ciencias Sociais e Humanas
Departamento de Psicologia e Educagao
Estrada do Sineiro
6200-209 Covilha

0221/Sec

N055A

11-02-2011

A55UNTO

Conselho de
Adminisfrar;ao

Estudo de investigagao - "Medo e auto-conceito infanti/: estudo comparativo em

e sem doen(fa onco/6gica" -Ines Raquel Antunes Ramos Sequeira

Cumpre-nos informar V. Exa. que

com

pedido para a realizagao do estudo de

investigagao, acima melhor identificado, foi autorizado em reuniao do

Conselho de Administragao do dia 11-02-2011, face ao parecer favoravel da
Comissao de Avaliagao de Propostas para Trabalhos Academicos.
Com os melhores cumprimentos,
A Presidente do Conselho de Administragao
do Centro Hospitalar de Coimbra, E.P.E.

IAH

C/c Directora do Servigo de Oncologia do Hospital Pediatrico

vvww.chc.min-saude.pt

Hospital Ceral e
Centrais
Quinta dosVales, 5 Martinllo do Bispo
3041-853 Coimbra, Portugal

Hospital Pecliatrico
Avenida Bissaya Barreto
3000-076 Coimbra, Portugal

Maternidadc de Bissaya Barreto

RuaAugusta
3000-061 Coimbra, Portugal

Tel. +351239 800 lOa, Fax +351239 442 820

Tel. +351239480300, Fax +351239 480 325

Tel. +351239480400, Fax +351239 483 910

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UNIVERSIDADE DA BEIRA INTERIOR

Faculdade de Cincias Sociais e Humanas
Departamento de Psicologia e Educao

Protocolo de Consentimento I nformado para pais de alunos do Agrupamento de Escolas

do Tortosendo

Exm. Sr. (a) Encarregado de Educao:

No mbito da realizao da sua Dissertao de Mestrado, Ins Sequeira, licenciada em
Psicologia pela Universidade da Beira Interior, vem por este meio solicitar a V. Exa que
autorize a aplicao de dois instrumentos de avaliao psicolgica )HDU6XUYH\6FKHGXOHIRU
Children 5HYLVHGHR3LHUV-Harris Childrens Sel-&RQFHSW6FDOH e um questionrio sciodemogrfico (no ir conter questes que possam identificar as crianas integradas no estudo)
ao/ seu/sua filho/filha.
Os documentos referidos sero aplicados em contexto de sala de aula.
O objectivo do estudo ser o de descrever e correlacionar os medos e o auto-conceito
infantil, comparando crianas com doena oncolgica e crianas sem esta doena. Com os
resultados obtidos pretende-se retirar implicaes para uma melhoria da assistncia psicolgica
s crianas portadoras de doena oncolgica.
A escolha de participar, ou no, no estudo voluntria. Se decidir, em qualquer
momento, desistir do estudo poder faz-lo sem quaisquer consequncias. Todos os dados
recolhidos, durante a investigao, sero tratados de forma confidencial. Os resultados do
estudo estaro disponveis sempre que solicitados.
Para qualquer esclarecimento adicional contacte atravs do e-mail seq.ines@gmail.com
Assinale com uma cruz a opo que pretende:

____ Autorizo o/a meu/minha filho/filha a participar no estudo.
____ No autorizo o/a meu filho/filha a participar no estudo.

Assinatura_________________________________________________________
Data__/__/__

Obrigado pela sua colaborao !

UNIVERSIDADE DA BEIRA INTERIOR

Faculdade de Cincias Sociais e Humanas
Departamento de Psicologia e Educao

Protocolo de Consentimento I nformado

Exm. Sr (a):
No mbito da realizao da sua Dissertao de Mestrado, Ins Sequeira, licenciada em
Psicologia pela Universidade da Beira Interior, vem por este meio solicitar a V. Exa que
autorize a aplicao de dois instrumentos de avaliao psicolgica )HDU6XUYH\6FKHGXOHIRU
Children 5HYLVHGHR3LHUV-Harris Childrens Sel-&RQFHSW6FDOH e um questionrio sciodemogrfico (no ir conter questes que possam identificar as crianas integradas no estudo)
ao/ seu/sua filho/filha.
Os documentos referidos sero aplicados em contexto hospitalar.
O objectivo do estudo ser o de descrever e correlacionar os medos e o auto-conceito
infantil, entre crianas com doena oncolgica e crianas sem esta doena.
A escolha de participar, ou no, no estudo voluntria. Se decidir, em qualquer
momento, desistir do estudo poder faz-lo sem quaisquer consequncias. Todos os dados
recolhidos, durante a investigao, sero tratados de forma confidencial. Os resultados do
estudo estaro disponveis sempre que solicitados.
Para qualquer esclarecimento adicional contacte atravs do e-mail seq.ines@gmail.com
Assinale com uma cruz a opo que pretende:

____ Autorizo o/a meu/minha filho/filha a participar no estudo.
____ No autorizo o/a meu filho/filha a participar no estudo.

Assinatura_________________________________________________________
Data__/__/__

Obrigado pela sua colaborao!