Evaluation of the Multiprofessional Work of the Family Health Support Center (Nasf)

Abstract

The aim of this study was to understand the meanings attributed by the actors (social assistant, physical educator, pharmacist, nutritionist, and psychologist) to the work developed at a Family Health Support Center. A descriptive study with a qualitative focus was carried out by a focus group with 14 health professionals belonging to the center whose data were analyzed by means of a thematic content analysis. Three categories emerged: "interdisciplinarity", "lack of knowledge of the territory," and the "Support Center's isolation". Through this research it was possible to realize that interdisciplinarity has been sought after by the Support Center's professionals. However, this performance does not include the Family Health teams linked to the center, except in specific situations of mental health when Matrix Support is used for discussing and guiding the cases presented by the Family Health Strategy teams.

Pleasure at Work in a Family Health Support Team: A Dejourian Analysis

“…20 Even though the work at Nasf was reported to be the most favorable to interdisciplinary work through matrix support in team meetings and shared actions, its implementation is still a source of doubt and concern on the part of the Nasf workers themselves, 21 as the interdisciplinary practice needs to be increased. 22 Even though the work at Nasf drives workers to perform their practice based on interdisciplinarity, the reports show a lack of clarity and reiterates a dilemma between what is specific to each profession and what is generally from the field of health and, therefore, can be shared, such as concerns regarding boundaries of practice and potential loss of professional identity. The reports also show concerns regarding practice that stays "between what is yours and what is others" and the challenge to enlarge one's view without losing identity and the specificity of each profession.…”

Analysis of suffering at work in Family Health Support Centers

“…Another study focusing on the NASF indicates the resistance felt by this team, very much due to the FHS teams, as a result of the outpatient model focused on demand on which the practices are commonly developed (22) . Findings from this investigation also show suffering of NASF workers related to the profile and work overload.…”

Forças Impulsoras E Restritivas Do Trabalho Em Equipe Em Unidades Básicas De Saúde Da Família

“…A caracterização profissiográfica dos participantes do estudo é similar à de outros estudos que focalizaram as equipes de saúde da família (9)(10)(11) . Pesquisa realizada em Portugal (14) mostra algumas semelhanças no perfil dos pro- (4,7,15) .…”

“…A falta de articulação da equipe multiprofissional, principalmente pela pouca adesão à proposta de trabalho, mostra ainda um grande desafio aos profissionais que atuam na atenção primária a saúde (9)(10)(15)(16)(17) . Tais resultados ainda chamam a atenção para a questão da interdisciplinaridade, cerne do trabalho na saúde da família, já que propõe a organização de relações horizontais em seu interior, com o devido reconhecimento da competência de cada membro e a busca, por meio do diálogo, assim como a definição de uma ação conjunta e não apenas justaposta de todos os integrantes (15) .…”

“…Uma revisão da literatura sobre essa temá-tica mostrou que as pesquisas, geralmente, focalizam o trabalho em equipe no contexto da ESF na perspectiva do sujeito sobre esse tipo de trabalho (9)(10)(11) , mas pouco se particulariza a dinâ-mica e o desempenho das equipes. Também se verificou que, apesar de o trabalho em equipe representar um dos principais pilares na construção da ESF, pouco se avançou na adoção de modelos que possibilitem uma ação mais eficiente (12)(13) .…”