Navegando por Palavras-chave "Trabalhador da Saúde"

Agora exibindo 1 - 1 de 1
  • Imagem de Miniatura
    Item
    Acesso aberto (Open Access)
    Política Nacional de Atenção Básica: o que pensam e como operam seus trabalhadores?
    (Universidade Federal de São Paulo (UNIFESP), 2019) Bizetto, Olívia Félix [UNIFESP]; Cecilio, Luiz Carlos de Oliveira [UNIFESP]; http://lattes.cnpq.br/0618708799649594; http://lattes.cnpq.br/4219325063484456; Universidade Federal de São Paulo (UNIFESP)
    Introduction: The Primary Health Care (ABS) was constituted in Brazil under influence of preventivist movement, in a scenario of tension between individual attention and collective practices. The official formulations sought to broaden this concept, especially in the last two decades. In this context, and the workers, what conceptions of ABS bring, and how it influences your practice? Objectives: To characterize what workers consider to be the role of ABS and to identify if, and in what way, such conceptions influence their work. Methodology: The empirical material of the research-matrix was used: Primary Health Care as a strategy for (re)configuration of National Health Policies: the perspective of its professionals and users, with ethnographic clipping, which sought to capture the daily life of seven basic health care units (UBS) in the São Paulo state capital and metropolitan region, in which the researchers stayed from 8 to 12 hours a week, for 10 to 12 months, between 2014 and 2015. In the field journals of the researchers, scenes containing the concepts and practices of the workers about the guiding question of this investigation were selected. Results and Discussion: The scenes were organized from similarities and/or contiguity, composing "visibility plans", which made visible /tellable aspects of the daily life of the UBSs. It was verified that there are multiple tensions that cross the practice of the professionals, with heterogeneous adherence to the norms of the official formulations for the ABS, in particular the Brazil’s National Primary Health Care Policy and the National Health Humanization Policy: there are important limits to the tools that workers have to address social issues; the qualified listening and the accomplishment of an extended clinic sometimes happens, in contraposition to protocolic and biological practices; the moral judgments and user blame interfere with the care provided; teamwork shows itself with its potentialities and also weaknesses; a preventivist discourse persists on the part of the professionals, who expresses themselves in their speech and attitudes, prioritizing prevention and promotion actions, in detriment mainly to the attention to spontaneous demand; the reception, proposed to increase the listening capacity and resolution of demands that arrive at the units, emerges as a highlighted point of tension and conflict in the teams, either because of the conception they bring about the role of ABS, or because they see limited offers demand that seems to have no end. Final Thoughts: The senses that workers give to whatever the ABS have a strong power to guide their practices, and strongly interfere with the way health care is provided. However, this composition contains other elements, which need to be considered in the discussion spaces of ABS guidelines and in the different processes of workers' training, in order to enhance their role of caring for people.