A pesquisa e a articulação ensino-serviço na consolidação do Sistema Único de Saúde

Abstract

Esse texto se constitui de reflexões teóricas e vivenciais das autoras acerca da articulação entre pesquisa, ensino e serviços de saúde para a consolidação do Sistema Único de Saúde. As pesquisas de enfermagem na saúde coletiva possuem como desafio romper com as formas tradicionais em que se separa quem pesquisa, aprende, ensina e cuida. É da produção investigativa e reflexiva que se processa o movimento de transformação do processo de cuidar e de ensinar. Assim, as pesquisas para a consolidação do Sistema Único de Saúde clamam por uma intensa articulação entre o ensino-serviço e a produção de conhecimento. Desafia-nos a constituir projetos de pesquisa junto com os trabalhadores e isso implica em avançar da coleta de dados para a produção de dados, do levar estudantes para atividades e estágio para parceria e co-responsabilização pelas ações. Propomos assunção do não saber para criarmos práticas instituintes.

Apprehensions of nurse managers on evidence-based practice

“…Taking into account the apprehensions of the 5 th workshop, when the EBP is discussed in the space of teaching-service integration, it is important to highlight that health services are instances of caregiving generated by daily encounters between researchers, teachers, students and workers in the health area. 27,28 However, one of the major challenges is to place research and scientific evidence in an inventive way in this space, where daily reproduction and repetition of the established environment prevails. 27,28 In general, innovations, such as EBP, play an important role in organizations, when they indicate the internal opportunities that benefit their development in a sustainable way, and generate benefits or responses that can meet the needs of the specific context.…”

“…27,28 However, one of the major challenges is to place research and scientific evidence in an inventive way in this space, where daily reproduction and repetition of the established environment prevails. 27,28 In general, innovations, such as EBP, play an important role in organizations, when they indicate the internal opportunities that benefit their development in a sustainable way, and generate benefits or responses that can meet the needs of the specific context. 29 Thus, organizational leaders -in the present study, UI-HPE nurse managers -have a crucial role to play in the implementation of new approaches, provided that: they identify unmet contextual needs; be able to manage social relations, especially with regard to governance and participation; and, consequently, disseminate improvements to be obtained in the scenario.…”

Parceria ensino e serviço em unidade básica de saúde como cenário de ensino-aprendizagem

“…Os colaboradores deste estudo pedem 'maior envolvimento da universidade por meio de projetos científicos contando com a participação de orientador e aluno'; consideramos que sejam pesquisas que resultem na modificação dos cenários, nas quais os serviços e os trabalhadores sejam coautores dessa produção (Alves, Cardoso e Dimkoski, 2005;Fortuna et al, 2011). A valorização de saberes de todos os atores envolvidos aumenta o vínculo; este vínculo deve ser fortalecido e reforçado com todos os participantes.…”

Modelos Para a Implementação Da Prática Baseada Em Evidências Na Enfermagem Hospitalar: Revisão Narrativa

“…[3][4] As a traditional locus of teaching-service integration, public teaching hospitals have, as part of their mission, the development of the teachingresearch binomial in order to achieve qualified training and assistance. However, one of the greatest challenges is to adopt research in this space in an inventive way where the reproduction of the institution predominates daily.…”

“…However, one of the greatest challenges is to adopt research in this space in an inventive way where the reproduction of the institution predominates daily. [3][4][5][6][7] The culture of Brazilian hospitals has contained elements related to the rigid organizational structure and the centralization of power; resulting in competitions, individualism and difficulty in developing teamwork; disinterest in the welfare and promotion of interpersonal relations; and disregard for the needs of workers. [5][6][7] It is also emphasized that the perseverance of this context is related to the guidelines established by classic administration models, based on the logic of legal authority inherited from bureaucratic conception and characterized by hierarchical, vertical structures and fragmentation of responsibilities.…”