The challenges of teamwork in the family health strategy

Abstract

Objective: To grasp the perceptions and experiences of professionals in the primary health care as teamwork in the Family Health Strategy (FHS) in a medium-sized municipality in the southern of Brazil. Method: Qualitative research carried out, between April and July 2016, with 13 health professionals (nurses, doctors, dentists, community health agents, nursing technicians and oral health aide) workers in FHS. Data were collected through semi-structured interviews, transcribed and submitted to content analysis. Results: From the analysis emerged three thematic categories: Teamwork from the perspective of the FHS health professionals; Strategies for maintaining teamwork out of daily routine; and Challenges of the insertion of Oral Health in the FHS. Conclusions and implications for a practice: Participants demonstrated that they understood the importance of teamwork and interpersonal relationships, and recognize the inherent challenges of this process. They revealed weaknesses in the relationships among dentistry and other members of the FHS, marked by a sense of exclusion and disinterest in participating.

The daily routine of nurses in rural areas in the Family Health Strategy

“…Interdisciplinary work presumes the establishment of interpersonal relations based on collaboration and communication, with the purpose of contributing to the development of a work that is based on the construction of dialogical and horizontalized relations. In this sense, it is possible to implement an assistance that is committed to the needs of the population (26) . Regarding identification with work in rural areas, although there are difficulties for nurses to perform, it is possible to construct a creative and supportive practice in order to develop new paths for nursing care that favors qualified listening and quality improvement life in rural areas.…”

Professional qualification in the School Health Program from the perspective of Complexity Theory

“…In the health sector, this performance includes the professionals of the Family Health Strategy, made up of doctors, nurses, nursing technicians, community health agents, dentists and auxiliary or dental health technicians. 20 For the participation of professionals in the education sector, there are the teachers and pedagogical coordinators. 11 It is essential that throughout the training, aspects such as the development of the actions of the program by the multiprofessional team are emphasized, which requires the contribution of all members of the teams in any of the activities, not only in the subject matter related to their profession.…”

Comunicação de notícias difíceis na atenção básica à saúde: barreiras e facilitadores percebidos por enfermeiras

“…The care provided by a multidisciplinary team is presented as a valuable element because it enables the delivery of integral care that is relevant in the relationship between workers and patients (12) . Healthcare actions provided by the multidisciplinary team enable the identification of new strategies to meet the demands of the population and avoid the fragmentation of care (13) .…”

“…Personal relationships and interactions are subject to conflicts and estrangement within the staff. These conflicts, however, need to be overcome for teamwork to take place, because these are intervenient situations affecting performance (13) .…”