Cooperation and the relationship between education and healthcare institutions: the nursing pró-saúde project

Abstract

ABSTRACT:This qualitative study used a case study approach with the aim of analyzing the cooperation between the Nursing Course of the Federal University of Santa Catarina and the Municipal Health Secretariat of Florianópolis, from the Pró-Saúde I Project. The data, from documentary sources and interviews, were analyzed using the directed content analysis technique, and interpreted considering the Cooperative Interorganizational Relationships Model. The results show commitment to formalize the project between both institutions, at a strategic level, followed by negotiations and commitments, culminating with a modified project and a new agreement regulating the partnership. For its implementation, the Management Committee was responsible for making effective, in a cyclic way, the relationship for the proposed activities. It is concluded that there was approximation between the institutions at different levels, reflected in the cooperation within the healthcare units for education-service integration, with the aim of redirecting the nursing training. DESCRIPTORS:Nursing. Education-Care Integration. Brazilian National Health System. COOPERAÇÃO E RELACIONAMENTO ENTRE INSTITuIÇÕES DE ENSINO E SERVIÇO DE SAÚDE: O PRÓ-SAÚDE ENFERMAGEMRESuMO: Pesquisa qualitativa, com abordagem de estudo de caso, e o objetivo de analisar a cooperação entre o Curso de Enfermagem da Universidade Federal de Santa Catarina e a Secretaria de Saúde Municipal de Florianópolis, a partir do Projeto Pró-Saúde I. Os dados, de fontes documentais e entrevistas, foram analisados pela técnica de análise de conteúdo dirigida, interpretados à luz do modelo de relações interorganizacionais cooperativas. Os resultados mostram comprometimento para formalizar o projeto entre as duas instituições, em nível estratégico, seguido de negociações e compromissos, culminando com projeto modificado e um novo convênio regulando a parceria. Para sua execução, o Comitê Gestor foi responsável pela efetivação, de forma cíclica, das relações para as atividades propostas. Conclui-se que houve aproximação das duas instituições nos diferentes níveis, refletindo na cooperação dentro das unidades de saúde para a integração ensino-serviço, com vista à reorientação da formação em enfermagem. DESCRITORES:Enfermagem. Integração Docente-Assistencial. Sistema Único de Saúde.

Control mechanisms for the integration of teaching and service in the Pró-Saúde nursing programme

“…Insofar as this reality persists, integration will continue to be a practice with many distortions (9) . Another study (2) conducted with strategic-level members of an educational institution and a department of health showed that the respondents of the health department believe that the service is responsible for the care provided to users of the health care system. Professors and students do not follow up on their actions after the end of the semester, which reveals a gap in the partnership.…”

“…Consequently, the integration between municipal departments of health and the universities had to be established in order to execute the Pró-Sáude programme. In Florianopolis, Santa Catarina, the integration occurred at a strategic level -between the directors of the Universidade Federal de Santa Catarina (UFSC) and of the Secretaria Municipal de Saúde (SMSF), or the local department of health -, at a professional/academic level -between the teachers and health professionals involved in the management of resources and coordination of health centres -, and at operational level -between the nurses who provide care on a daily basis and the faculty members of the disciplines who are involved in the practice activities and internships (2) .…”