Furando ondas para a qualificação dos gerentes de Unidades Básicas de Saúde

Abstract

RESUMO Este manuscrito apresenta uma narrativa de tutores de diferentes estados do Brasil sobre a experiência do exercício da tutoria, no período de 2016 a 2018, no âmbito de um curso de aperfeiçoamento de modalidade semipresencial direcionado a gestores de Unidades Básicas de Saúde. Um dos grandes desafios da atenção à saúde constitui-se na qualificação de gestores para atuação no Sistema Único de Saúde. Aos gerentes de Unidades Básicas de Saúde, são necessárias competências de gestão clínica e do cuidado para que sejam produzidos modos efetivos de fazer saúde de maneira colaborativa e efetiva. Os processos de gestão na esfera da atenção básica requerem o uso de ferramentas que possibilitem a adoção de outros modos de ser gerente, como o processo circular, a comunicação não violenta, o fluxograma descritor, o projeto terapêutico singular, além da valorização das tecnologias relacionais para a qualificação dos processos de gestão. Constata-se a capacidade do curso para a ativação de mudanças na qualificação de profissionais para o exercício da gestão de unidades básicas, haja vista o seu potencial de provocar deslocamentos de olhares, posições e saberes no que concerne à função de gerência.

Non-violent communication as a technology in interpersonal relationships in health work: a scoping review

“… Mixed study Sample: nine participants Scenario: health and social services NVC training promoted individual skills (such as leadership, communication, teamwork) and improved empathy in the workplace. High Prata LMGM, Santos EP, Polido RAF, Souza AC [ 15 ] Making waves for the qualification of Basic Health Unit managers 2019 Brazil Reporting on the experience of a training course for managers of Basic Health Units on clinical and care management. Experience report Sample: n/a* Scenario: Basic Health Units Learning about the NVC technique facilitated the management of the clinic and care by managers of Basic Health Units, proving to be a successful tool that supported micro-political actions, such as conflict management between workers, more productive team meetings and improved multi/interprofessional performance.…”

“…The use of the JBI Appraisal Tools methodological quality assessment tool allowed us to identify low risks of bias in the selected studies, with four [ 10 , 12 , 14 – 15 ] classified as high quality, two as moderate [ 13 , 16 ] and only one as low [ 11 ]. The total number of participants in the studies, excluding reflections, reviews and experience reports, was 185.…”

“…The total number of participants in the studies, excluding reflections, reviews and experience reports, was 185. The places of publication were Brazil [ 10 , 15 ], United States of America [ 11 ], South Korea [ 12 ] France [ 13 ], Canada [ 14 ] and Thailand [ 16 ]. Studies were found from 1998 to 2022.…”

“…Studies have shown that NVC is a light technology that has made it possible to improve interpersonal relationships between health workers, including helping to tackle situations of bullying, which can be harmful to the well-being of workers [ 10 – 14 ]. Managers, leaders of health institutions and even educators are seen as potential promoters of a culture of peace in organizations when they encourage and teach the technique of non-violent communication to current or future health sector workers [ 11 , 12 , 15 ].…”

“…Its assertive and continuous use has allowed improvements in the organizational climate and promoted improvements in personal skills such as teamwork, interpersonal communication, leadership and empathy, favoring the change of negative patterns and attitudes in health services, including primary care [ 12 , 14 , 15 ]. Productivity and the reduction of risks, including physical risks associated with aggression, were also pointed out as improvements after the routine use of non-violent communication [ 13 – 14 ].…”