A percepção de médicos e enfermeiros da Atenção Básica sobre a humanização nos serviços de saúde

Abstract

The concept of humanization is very wide and comprehends a group of knowledge, practices, attitudes and relationships. It involves the effective participation of professionals, managers, users and social movements so that the shared experiences are able to offer improvements to the quality of reception on the healthcare area. The objective was to analyze, in light of bioethics and policies of humanization, the perception of doctors and nurses on humanization in healthcare services. We decided to apply a qualitative research, cross-sectional, carried out through interviews with open questions, started after prior approval of the Research Ethics Committee. The representativeness criterion of the sample for the closure of data collection was the saturation of the discourse. The interpretation of collected material was based on the precepts of content analysis. The subjects were doctors and nurses of units with Family Health Strategy (ESF) and Outpatient Medical Care Units (AMA) in the region of Capela do Socorro, municipality of São Paulo. According to the results found, the respondents perceive the humanization in common aspects such as integrality, right from the users, difficulties in relationships, professional value and ambience. They demonstrate, however, that this perception is influenced when the service is considered according to the place they are done, emerging, then, new particular categories to each service. Alterity, team work, uninterrupted access, risk analysis and respect to the AMA autonomy and prevention and health promotion, care, bond, and respect for privacy in the ESF. We conclude that the perception of the humanization of professionals have different senses and varying meanings. Common and particular situations to each type of service are experienced in daily life, influencing the perception of the humanization. These occurrences can affect the preservation of the rights of users and professionals, becoming essential to the effective participation of all for the consolidation of public policies that seek improvements in the area of health and broad respect for the rights.

Bioética e Atenção Primária em Saúde: conflitos éticos vividos na Estratégia de Saúde da Família

“…No grupo de quatorze artigos, foram observados conflitos (bio)éticos na APS/ESF em pesquisas qualitativas de caráter exploratório, cada qual utilizando um roteiro de entrevista semiestruturado como instrumento de coleta de dados [4][5][6][11][12][13][14][15][16][17][18][19][20][21] .Um dos propósitos comuns a esses textos consistiu em fomentar a discutição sobre as circunstâncias e enfrentamentos éticos pertinentes à ESF -enquanto modelo da APS -e centro ordenador das redes de atenção à saúde do SUS.…”