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    Concepções e práticas dos nutricionistas na rede de cuidado em saúde: desafios para construção da integralidade
    (Universidade Federal de São Paulo (UNIFESP), 2019-02-26) Cicco, Vivian Lemos Lopes De [UNIFESP]; Zihlmann, Karina Franco [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the nutritionist is the professional that aims to guarantee the Human Right for Adequate Food and the Food and Nutrition subject is gaining importance due to their essential role in the health prevention and promotion, one of the SUS`s priority actions (Brazilian Unified Health Service). Objective: to know the nutritionist’s conceptions and practices about health comprehensiveness, taking into account the demands and challenges of network care. Method: this study carried out a qualitative research with nine nutritionists from the Municipal Secretariat of Health of Santos, with in-depth interviews, analyzed with Thematic Content Analysis technique. The respondents signed a CF that complies CNS 466/12 Resolution. The project was approved by the Ethics Committee of UNIFESP, number CAAE 81167317.4.0000.5505. Results: nine nutritionists were interviewed, seven of whom were female and two male, with a mean age of 36.2 years. Six participants had more than ten years of Nutrition training; seven had specialization degree, two had master’s degree and one another graduation. It was constructed four categories of analysis: integrality, PNAN (Portuguese acronym for National Policy of Food and Nutrition), Social Nutrition and Networking. It was observed isolated work, little communication between peers. Most affirmed that graduation did not provide adequate training on SUS, Social Nutrition and PNAN, focusing on biomedical technical knowledge. The study highlighted the suffering implied in some speeches, revealing invisibility as a category and low valorization of the nutritionist in the health services. Conclusion: although nutritionists identify institutional difficulties, they emphasized the need of continuous training in their working context. By facing the need to overcome these difficulties, the importance of Permanent Education in Health becomes evident, as a strategy, reflection and support for these professionals, as fundamental agents in health care actions, collaborating with the strengthening of intra and interprofessional actions, in order to meet the population’s needs.