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    Atenção básica e educação permanente na percepção dos coordenadores municipais de atenção basica de uma região de saúde no estado de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2019-02-28) Carvalho, Rita De Cassia Silva [UNIFESP]; Nicolau, Stella Maris [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Primary Health Care and Continuous Education perceptions of the county coordinators of Primary Health Care from a countryside area of the state of São Paulo, Brazil. The city coordinators of primary health care have an important role in the management of the Brazilian Unified Health Care System, mainly in small counties where health care is composed of substantially by basic primary health care units. The knowledge of the county coordinators of primary health care about what is Primary Health Care and Continued Education in Health demonstrates relevant aspects addressing their practice in the health care system. The objective of this study is to understand the perceptions of primary health care managers from a health care place of the State of São Paulo concerning the Primary Health Care (PHC) and Continuous Education. This is a qualitative research approach with data collection using questionnaires, interviews and a focus group with the aim to describe in details the conceptions of these managers of some counties of a Regional Health Care System number 8 (around Sorocaba city). Thirteen municipal counties participated in this research, twelve were women, nurses, with a lack of training to work in the Unified Health Care System during the undergraduation. All participants were regular public employees. Those, only three had officially the coordinated position, six of them received additional gratuity income as a manager, all had less than five years of practice with management, and seven had no more than a year of management experience at the time of the data collection. Results showed a profile of coordinators with little experience, where most of all started to work as managers after the changing of the city councils in the year of 2017, which demonstrates the predominance the eligibility for this position more by a political-partisan than a technical and work career criteria. There was also identified a major reductionism and simplifying conception of PHC and Continuous Education among the coordinators, which indicates the need of investment in opportunities to debate and reflect under the pedagogical approach of the continuous education and its tools to empower these managers about the amplified conception of PHC and based on the integral health care. There was identified a value given by the participants in working groups of PHC as an important place of exchanges and training for this type of work.
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    O Ensino Hibrido Na Educação Permanente Em Saúde: A Experiência De Um Curso Sobre A Evolução De Enfermagem
    (Universidade Federal de São Paulo (UNIFESP), 2017-11-30) Silva, Adriana Da [UNIFESP]; Tarcia, Rita Maria Lino [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: Continuing education in nursing, besides being one of the strategies of the SUS for training and development of workers, enables health organizations to achieve strategic results, since they evolve in the same way that their employees develop. For the effectiveness of learning processes and consequent positive results, the use of active methodologies is fundamental, and among these, blended learning points out as a possibility to facilitate efficiency and participation in corporate training, so this research had the objective: to analyze the experience of a course on nursing evolution carried out in the hybrid teaching format and its contribution to the permanent education in health. Method: field and documentary study, descriptive and exploratory, with a quantitative-qualitative approach using both the triangulation of methods and data, on a training developed in hybrid teaching format referring to one of the stages of the nursing process, called "nursing evolution" In a private hospital. Data collection took place in three phases, the first being: documental analysis of the indicators of the Continuing Education sector of the Hospital, treated quantitatively. While in the second phase, interviews were conducted with the nurses participating in the research through a structured questionnaire, in addition to the evaluation of their immediate managers by means of a script, both to be treated according to the technique of "content analysis "In thematic modality. In the third phase, the data was triangulated in order to obtain a complete and integrated evaluation of the participants' performance results. From the analysis of content emerged 63 contextual units, and from these, 28 registration units were extracted according to the four thematic nuclei established: 1) List of skills in professional development; 2) Development of competencies; 3) Experience with hybrid teaching and 4) Professional performance. From these thematic nuclei the categories of analysis were defined, being these: C1 - Process of teaching and learning in the work; C2 - Hybrid teaching possibilities in the corporate environment; C3 - Contributions of Permanent Education; And C4 - Skills developed. Conclusion: The development of learning proved effective, being evidenced in the short, medium and long term, resulting in the transformation of practices, improvement of care indicators and consequently contributing to professional, organizational and quality growth in patient care. The improvements identified were related to the risk management skills of care, decision making, clinical reasoning, administration and time management. Thus proving that hybrid education is capable of developing skills and improving professional performance, although it is not the solution of all obstacles to continuing education in health occur in its essence.