Micropolítica do trabalho dos profissionais de saúde na UBS: visão sobre necessidades de saúde das famílias

Abstract

Este estudo teve como objetivo compreender as potencialidades e limitações do processo de trabalho da enfermagem de uma Unidade Básica de Saúde para o reconhecimento das necessidades de saúde da população. A vertente metodológica utilizada foi a pesquisa social, na perspectiva qualitativa, tendo como base de análise dos discursos a hermêutica-dialética, e como alicerce a Teoria da Interpretação Práxica da Enfermagem em Saúde Coletiva. Os dados foram coletados por meio da entrevista semiestruturada e os processos de trabalho das equipes foram analisados através do Fluxograma Analisador do Modelo de Atenção de um Serviço de Saúde. Concluiu-se que há limitações no cotidiano do processo de trabalho da equipe de enfermagem à medida em que o reconhecimento e enfrentamento das necessidades de saúde perpassavam pela identificação de agravos instalados, deixando em segundo plano os determinantes sociais das más condições de vida associadas ao processo saúde-doença.

Notificação da violência infantil, fluxos de atenção e processo de trabalho dos profissionais da Atenção Primária em Saúde

“…The theory's philosophical bases are historicity and dynamism, in accordance with the understanding of historical and dialectic materialism, and it considers the constant mobility of history and the continuous becoming of social transformations. Dialectic hermeneutics was used as a method to interpret the statements and responses stemming from interviews 14 and as a technique to analyze the safety network the Flowchart Analyzing the Care Model of a Health Service 15,16 . The use of the dialectic-hermeneutic presupposes that the understanding of the health services' work process must take into account both the historical process in its dynamism, provisional condition and social transformation, as well as the empirical social practice of individuals in society in their contradictory movement 14 .…”

“…The flowchart is a chart used by different fields of knowledge, with the perspective of outlining the way in which a set of interconnected work processes are organized around a production chain 15 . In the field of health, the flowchart allows capturing and interrogating the functional senses of the service, highlight prevailing knowledge and practices and identify alternatives and pathways to address the different types of games of interest in the daily work routine of health 16 . Regarding this study, the use of the flowchart is due to the possibility of identifying working ways in a network in servicing child violence situations, both those in the official documents and those derived from the professionals' statements.…”

Cursos de especialização em Saúde da Família: o que muda no trabalho com a formação?

“…The lack of inter-sectorial work has been identified as a key issue to be overcome in labor management in HFS 4,14 . The practitioners have pointed out that new ways of approaching community and inter-sectorial work were developed after the course, even though they remark the boundaries of the mainstream culture, the importance given by people to office visits instead of preventative actions or health promotion.…”

“…The National Policy for Primary Health Care (NPPHC) is the guiding document to build liaisons and shared responsibility among teams and population, fostering popular participation and social control 2 . In spite of these guidelines, research about the teamwork process showed several elements that hamper its full implementation: the persistence of practices typical of the biomedical approach, the existence of asymmetry of relations between providers and users, hierarchies and inequities among professions and tensions between the clinical and the public health points of view 3,4 .…”

“…The lack of providers (and specifically physicians) with the right profile to act in this context, are persistent problems that may be rightfully attributed to training gaps 4,11,12 .…”