Apoio institucional e análise do trabalho em saúde: dimensões avaliativas e experiências no Sistema Único de Saúde (SUS)

Abstract

Este artigo apresenta o apoio institucional como estratégia de análise coletiva do trabalho em saúde. Esta estratégia é apresentada em uma perspectiva metodológica que articula os referenciais da humanização e os conceitos de trabalho como atividade e como relação de serviço. Nessa direção, apresentam-se eixos e dimensões de análise do processo de trabalho em saúde, partindo da aproximação com os serviços do SUS, tendo como focos indissociados a prática do apoio institucional e a análise do trabalho no campo da gestão.

Preceptorship in nursing-midwifery: a training-intervention in health work

“…Change processes related to professional practice itself were experienced resulting from the need to maintain a closer relationship with management and other team professionals. Thus, commitments, confrontations and mediations in the field of ethical-aesthetic-political values were revealed, which enhanced training with intervention similar to the devices that support decision-making in the care organization process (10,24) .…”

“…This perspective, similar to research that dialogs with NHP, confirms contribution to changes in reality. It emphasizes the participatoryemancipatory character of the subjects who appropriately reflect and analytically analyze everyday situations, sharing knowledge production (10) . Thus, both care and training, and management professionals began to be invited to rethink their own practice, corroborating indissociability between NHP (2) and PNEPS (18) .…”

“…It should be considered that the methodological proposal used as a support to improve care and teaching in midwifery, from APICEON/MoH, brings in its theoretical anchorage the warning to also take into account the potentialities of individuals in order to improve communicative interactions, active in-service professional participation, and the capacity to mobilize towards changes in a perspective of work co-management (10)(11)(12)(13) .…”

“…means for training/teaching/preceptorship ends up providing conversations about work that, in turn, contribute to the induction of new ways of producing subjects/teams (10,(12)(13) .…”

“…They provoke the possibility to reorganize performance and ways of exercising management that, to some extent, characterize tools to strengthen midwifery (17) . Its theoretical perspective is the concepts of education-intervention as a field of collective analysis of health work (10) and Paulo Freire principles (15) . Such principles underlie a reference that articulates pedagogical practice in transforming reality, representing in this study the spaces of preceptorship and co-management in maternity hospitals (12)(13) where NMEC/MoH/UFF were performed.…”