A integralidade no cotidiano de trabalho na Estratégia Saúde da Família

Abstract

This work is part of a research for evaluation of the Expansion and Consolidation of Family Health Program (PROESF). This is a study with a qualitative approach, developed in a unit of family health seen as successful experience in relation to the organization to integral care, located in a city of medium size. This article tried to approach the integrality of care with an emphasis on the team work, to identify in the daily practices, the potential and limits to enable the integration. The instruments used were semi-structured interviews with eight members of staff and observations diary recorded in a field. It was verified the existence of alternative practices that escape from the traditional model, considered as completeness potentiators. However obstacles were also highlighted to the integrality such as difficulty of access for users to certain specialties and lack of reception in the service.

Relational technologies as instruments of care in the Family Health Strategy

“…The nurses who participated in this research pointed communication, listening, empathy and welcoming reception as fundamental relational technologies in their daily work in primary care. The valorization of communication as a basic instrument of care in the context of primary care is consensual in the literature (1)(2)(3)(4)(5)(6)(7)13,(18)(19)(20)(24)(25)(26) regarding relational technologies. The communication reported by the professionals refers to the verbal dimension of the communication process, known as conversation or dialogue, and it mainly involves words and information verbally exchanged between the nurse and the patient.…”

Suffering and pleasure in the process of forming multidisciplinary health residents

“…This process depends on the way workers interact and articulate their labor relationships and how they establish teamwork (6) .…”

“…The multi-professional residencies and those in professional healthcare have been created since the enactment of Law n. 11,129 of 2005 (5) . They aim to contribute to the process of changing the prevailing health care model, which takes place through conventional practices in health services and have determined a lack of resoluteness in the health system (6) . In the advent of this study, the residency programs seek to recognize contributions made by the residents through multiprofessional and interdisciplinary work, aiming to develop intersectorial actions of management, attention, health education and training (7) .…”

Atenção À Criança Com Doença Crônica Na Estratégia Saúde Da Família

“…A ESF, principal proposta de reordenação do modelo assistencial em saúde no Brasil (3) é considerada porta de entrada do sistema e, por isso, o primeiro contato dos usuários acontece nesse nível de atenção. É o espaço preferencial para promoção da saúde infantil no âmbito sanitário, considerando que a maior parte das intervenções preventivas e curativas na infância é tecnologicamente simples, dispensando cuidados hospitalares.…”