Continuidade Do Cuidado E O Interacionismo Simbólico: Um Entendimento Possível

Abstract

RESUMO Objetivo: buscar um entendimento pela consubstanciação entre o conceito de continuidade do cuidado ao referencial teórico do interacionismo simbólico, no sentido de agregar uma possibilidade de fortalecê-lo como conceito indispensável ao cuidado prestado aos usuários do sistema de saúde e provocar uma necessária reflexão sobre este. Método: estudo teórico-reflexivo, organizado em quatro seções, sobre a continuidade do Cuidado analisado sob a luz do referencial do interacionismo simbólico. Resultados: o interacionismo simbólico busca compreender a ação humana em grupo e acredita que os indivíduos ajam tendo como base os significados que as coisas têm para eles. Esta é uma construção social que se desenvolve na medida em que as pessoas agem e interagem consigo mesmas e com os outros. A continuidade do cuidado, trabalhada a partir das dimensões relacional, informacional e de gestão, coaduna com o proposto, por representar um produto social resultante das interações entre os envolvidos no cuidado, que se expressa segundo sua ação e reação, como uma constante para um conjunto de práticas de diferentes profissionais que buscam garantir o cuidado integral e coerente ao usuário. Conclusão: este trabalho possibilitou apresentar a continuidade do cuidado, dentro do contexto das interações sociais, não como algo concreto, mas como um objeto social decorrente do agir de cada um dos envolvidos com o cuidado, embora, ainda assim, se perceba a necessidade de sensibilizar profissionais e usuários a respeito de seu significado e intencionalidade no agir da cada um.

Atuação cotidiana no Sistema Único de Saúde em sua terceira década

“…6 Action-interaction between professionals and users allows individuals to signify and reframe their perspectives in relation to care and, thus, progressively, these perspectives lead and help decision making about health care. 21 Concerning professional practice, this study reinforces the importance of welcoming, listening and trying to solve the needs of users, so that they seek PHC as a gateway to the System and not other services of greater technological/diagnostic complexity, if there is no need. Considering accessibility in health, when users seek health services, they expect professionals to resolve or, at least, minimize the problem that led them to seek that service.…”

“…20 Continuity of care is the result of a joint action, which is characterized as a reflexive, negotiated, shared, meaningful and coherent articulation of the different singular care actions by those involved, in the context of interactions in which it occurs and manifests itself, and the way users perceive this interdisciplinary action in care. 21 The difficulty of the population and health professionals to recognize themselves as proactive in popular participation was manifested in this study. Social control democratically legitimized as a right and principle of SUS only takes on meaning when it is perceived as shared responsibility of health professionals, managers and users, in collaboration and involvement with the construction of health policies and in defense of SUS.…”

“…However, users must be responsible for their health, taking over their role as protagonist, with active and continuous participation, in order to carry out their health monitoring. 21 In a study conducted in the city of Porto Alegre, it was observed that trust and dialogue between users and professionals are factors that contribute to compliance with what was proposed. 30 Professional safety is increased when the work is done in a team.…”

“…These actions, when negotiated and understood in an interdisciplinary manner by these professionals, when interacting, are completed and converge in comprehensive care to users. 21 Professional/user relationship is due to the respectful treatment, but it can become stressful, sometimes, when the Daily practice in the Brazilian Unified Health System Gontijo MD, Viegas SMF, Freitas ATS, Maia AFF, Nitschke RG, Nabarro M needs of users are not met and they become aggressive towards the professionals. A study corroborates this finding by presenting that users/professionals relationship is not always congruent, but it is up to the professional to develop capacities for coexistence and conflict management, since the good relationship between them is related to the quality of care provided.…”

Continuity of Hospital Discharge Care for Primary Health Care: Spanish Practice

“…At the meeting of these subjects, expectations are shared and the understanding of actions for care. [15][16] Nurses are responsible for establishing communication with users, identifying their needs, with the collaboration of family members. Articulation of care depends on communication, with a focus on understanding and empathy.…”