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    Residência multiprofissional e formação em saúde: análise das relações interprofissionais
    (Universidade Federal de São Paulo (UNIFESP), 2019-06-24) Carvalho, Michele Cristina De [UNIFESP]; Rossit, Rosana Aparecida Salvador [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Health education permeates key historical milestones for the understanding of professional relationships in education and health. In the midst of the historical process is the Unified Health System with important programs and policies that induce changes in the perspective of providing comprehensive care that meets the health demands of the population. In this context, the Residency Programs that represent a permanent health education space have arisen, in front of which there are still uncertainties regarding the professionals' perception regarding the dynamics of work. With the objective of analyzing the perception of health professionals about interprofessional team work and collaborative practice, a descriptive research, with quantitative and qualitative approach, was developed at a Philanthropic Hospital of the Coast of São Paulo. From the total of 48 professionals involved with the Multiprofessional Residency and the Medical Residency in Orthopedics and Traumatology, a convenience sample of 42 professionals (87.5%) participated in the study. The first of the study consisted of the application of the instrument with characterization data and the RIPLS scale, composed of 27 assertive and three factors (teamwork and collaboration, professional identity, and patient-centered health care) associated with interprofessional education (PEDUZZI et al., 2015). The second stage consisted of in-depth interviews on aspects addressed in the assertions classified in the alert zone. The RIPLS data were organized into Excel spreadsheets, statistically analyzed, classified in comfort zone, alert and danger, and presented in percentages, averages, tables and graphs. For the analysis of the contents of the interviews, Bardin's thematic analysis technique was used. The data were collected from September 2017 to June 2018. The RIPLS results were classified into a comfort zone with general averages of 4.6 (Factor 1), 3.8 (Factor 2) and 4.7 (Factor 3). The individualized look at the Programs showed that Factor 2 (Professional Identity) with assertiveness in an alert zone for both Multiprofessional Residency and Medical Residency, configuring difficulties without the need for urgent changes. From the analysis of the interviews emerged nuclei of meaning involving issues of autonomy, comprehensiveness and knowledge. The results indicated that there are positive points in both Programs: the look at the dimensions of the health user, the reception of the teams and the motivation for the construction of knowledge; and, challenges: difficulties in collective decision making, the feeling of embarrassment with the lack of knowledge and the paradigm that involves medical knowledge. Although there is evidence of assertiveness in comfort zones in the factors "teamwork and patient-centered attention", there are still aspects related to the previous training of professionals, to the current curricular structure and to the climate / culture / organizational structure that should be better understood. These aspects can impact education and work relations. Thus, it is precocious and tenuous to say that there is total availability of these professionals for interprofessional teamwork. It is necessary to adopt strategies that emphasize collaborative skills, in order to foster interprofessional work and collaborative practice.