Nós da linha de frente: diálogos sobre o ser da saúde no contexto da pandemia

Abstract

O objetivo deste estudo é compartilhar os fazeres e os saberes de profissionais da área da saúde que atuam na linha de frente no enfrentamento da pandemia por Covid-19 em diferentes regiões do Brasil, com base na discussão sobre suas concepções em relação à finitude, sobre os caminhos e as estratégias adotados e/ou necessários para a promoção de sua saúde mental no período da pandemia e sobre a construção de memórias afetivas e/ou traumáticas de suas ações, condutas e desafios enfrentados na linha de frente. O método utilizado foi a criação de um espaço virtual para discussões teóricas, troca de vivências e promoção da saúde mental, que aconteceram em quatro momentos, uma vez por semana, no mês de julho de 2020. As narrativas dos profissionais sinalizaram as dificuldades e os aprendizados relativos ao confronto exaustivo com a morte, bem como as estratégias funcionais e disfuncionais adotadas para fazer frente aos problemas e para a manutenção da saúde mental. Concluiu-se que experimentar o protagonismo de construir coletiva e eticamente uma narrativa sobre as experiências da pandemia mostrou-se dispositivo de cuidado e refazimento importantes para os participantes da ação.

De cuidador a requisitante de cuidado

“…The scope of the study consisted of 18 scientific articles, [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] of which 12 were extracted from the SciELO database and 6 from the VHL. In line with the study objective and the emergence of the theme, all articles were published between 2020 and 2022, 2 in 2020, 30,42 12 in 2021 [26][27][28][29][32][33][34][35][36][37][38][39][40][41] , and 3 in 2022. 25,31,34 Regarding methodological aspects, mostly cross-sectional studies were presented.…”

“…25,31,34 Regarding methodological aspects, mostly cross-sectional studies were presented. [25][26][27][28][29][30][31][32][33][36][37][38][39][40] Several professional categories were represented in the studies, however, in greater numbers, there was the participation of professionals in the field of Nursing, be they nurses, assistants or technicians. [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] In smaller numbers, there was mention of community health agents 28,35 and physical educators.…”

“…[25][26][27][28][29][30][31][32][33][36][37][38][39][40] Several professional categories were represented in the studies, however, in greater numbers, there was the participation of professionals in the field of Nursing, be they nurses, assistants or technicians. [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] In smaller numbers, there was mention of community health agents 28,35 and physical educators. 28 Sociodemographic characterization of health professionals allows us to recognize that in all studies the workforce is mostly female, [25][26][27][28][29][30][31][32][33][34][35][36][37]…”

“…[25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] In smaller numbers, there was mention of community health agents 28,35 and physical educators. 28 Sociodemographic characterization of health professionals allows us to recognize that in all studies the workforce is mostly female, [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42] in a stable union or married, 27,28,33 employed in hospitals, 26,31,34,35 with a predominance of young people, between 18-59 years of age. 25,[27][28]…”

“…25,[27][28][29][30][31][32][33][35][36][37][38][39] Based on studies that presented ethnic/racial identifications, self-identification as white was predominant (Chart 1). 29,30,32,35 The predictive factors evoked by health professionals in the face of compromised mental health and psychological illness include the fear of becoming ill and infecting family members, 25,27,28,30,31,33,34,[36][37][38][39][40][41][42] labor issues, 25,[28][29][30][31]33,34,[36][37][38][39][40][41][42] feeling of impotence and need for public policies and government actions, 25,26,30,31,...…”