Aspectos bioéticos da gestão do cuidado: percepções dos enfermeiros da Estratégia Saúde da Família em uma região do município de São Paulo
Data
2021-05-25
Autores
Pastana, Ieda Carla Almeida dos Santos de Souza
Orientadores
Wagner, Gabriela Arantes [UNIFESP]
Tipo
Dissertação de mestrado
Título da Revista
ISSN da Revista
Título de Volume
Resumo
Introdução: Neste estudo foram exploradas as dimensões organizacional e profissional da gestão do cuidado dos Enfermeiros que atuam na Estratégia Saúde da Família, com enfoque para os aspectos bioéticos, uma vez que a literatura aponta para a existência de relevantes problemas bioéticos que emergem da prática de cuidado no contexto da Atenção Básica, especificamente na Estratégia Saúde da Família (ESF). Objetivos: Identificar questões bioéticas envolvidas na gestão do cuidado dos Enfermeiros que atuam na Estratégia Saúde da Família. Método: Estudo qualitativo descritivo com Enfermeiros que atuam na ESF da OSS Santa Marcelina, por meio da realização de grupos focais, que foram realizados de forma presenciais ou virtuais por meio da plataforma Google Meet, cada participante recebeu o TCLE, e um questionário sociodemográfico. Foi realizada a gravação de voz dos participantes e, no caso virtual, foi solicitada a autorização para realizar a gravação do Grupo Focal antes do seu início. Os dados foram submetidos à Análise do Conteúdo de Bardin, e realizada síntese com a utilização de mapa conceitual. Este estudo foi aprovado pelos Comitês de Ética em Pesquisa da SMS-SP e da UNIFESP. Resultados: Foram realizados 05 grupos focais com a participação de 36 Enfermeiros Responsáveis Técnicos, 03 grupos focais foram presenciais e 02 foram virtuais. Ambos os formatos propiciaram a participação e troca de experiências entre os participantes, no virtual, além dos sujeitos da pesquisa e da pesquisadora principal, participaram 01 moderador e 01 observador em cada grupo focal. Os dados coletados foram agrupados em cinco categorias empíricas: questões bioéticas, dificultadores, soluções, facilitadores e consequências, sendo que cada categoria foi dividida em subcategorias. Foi possível identificar questões bioéticas presentes na prática de cuidado dos Enfermeiros da ESF que apresentaram uma diversidade de aspectos relacionados tanto às temáticas específicas da bioética, quanto às particularidades do trabalho na ESF, além de dificultadores e facilitadores que interferem na condução dessas questões, ilustradas por meio de um mapa conceitual. Considerações finais: As questões bioéticas identificadas nesse estudo remetem a temáticas persistentes e atuais deste campo de conhecimento, entretanto, algumas questões intrínsecas ao cotidiano da AB ainda são imperceptíveis para os profissionais, o que contribui para a dificuldade de discutir bioética neste modelo de atenção.
Introduction: In this study, the organizational and professional dimensions of the care management of Nurses who work in the Family Health Strategy were explored, focusing on the bioethical aspects, since the literature points to the existence of relevant bioethical problems that emerge from the practice of care in the context of Primary Health Care (PHC), specifically in the Family Health Strategy (FHS). Objectives: To identify bioethical issues involved in the care management of Nurses who work in the Family Health Strategy. Method: Qualitative descriptive study with Nurses who work in the FHS of OSS Santa Marcelina, through the realization of focus groups, which were carried out in person or virtual through the Google Meet platform, each participant received the Consent Inform and a sociodemographic questionnaire. The voice recording of the participants was carried out and, in the virtual case, authorization was requested to carry out the recording of the Focus Group before it started. The data were submitted to Bardin's Content Analysis, and synthesis was performed using a conceptual map. This study was approved by the Research Ethics Committees of Health Secretary of the city of São Paulo SMS-SP and UNIFESP. Results: Six focus groups were held with the participation of 36 Technical Responsible Nurses, three focus groups were in person and two were virtual. Both formats provided the participation and exchange of experiences among the participants, in the virtual, in addition to the research subjects and the main researcher, one moderator and one observer participated in each focus group. The collected data were grouped into five empirical categories: bioethical issues, difficulties, solutions, facilitators and consequences, and each category was divided into subcategories. It was possible to identify bioethical issues present in practice of care of the FHS Nurses who presented a diversity of aspects related both to the specific themes of bioethics, as well as to the particularities of the work in the FHS, in addition to difficulties and facilitators who interfere in the management of these issues, illustrated by means of a conceptual map. Final considerations: The bioethical issues identified in this study refer to persistent and current themes in this field of knowledge, however, some issues intrinsic in the daily life of PHC are still imperceptible to professionals, which contributes to the difficulty of discussing bioethics in this model of attention.
Introduction: In this study, the organizational and professional dimensions of the care management of Nurses who work in the Family Health Strategy were explored, focusing on the bioethical aspects, since the literature points to the existence of relevant bioethical problems that emerge from the practice of care in the context of Primary Health Care (PHC), specifically in the Family Health Strategy (FHS). Objectives: To identify bioethical issues involved in the care management of Nurses who work in the Family Health Strategy. Method: Qualitative descriptive study with Nurses who work in the FHS of OSS Santa Marcelina, through the realization of focus groups, which were carried out in person or virtual through the Google Meet platform, each participant received the Consent Inform and a sociodemographic questionnaire. The voice recording of the participants was carried out and, in the virtual case, authorization was requested to carry out the recording of the Focus Group before it started. The data were submitted to Bardin's Content Analysis, and synthesis was performed using a conceptual map. This study was approved by the Research Ethics Committees of Health Secretary of the city of São Paulo SMS-SP and UNIFESP. Results: Six focus groups were held with the participation of 36 Technical Responsible Nurses, three focus groups were in person and two were virtual. Both formats provided the participation and exchange of experiences among the participants, in the virtual, in addition to the research subjects and the main researcher, one moderator and one observer participated in each focus group. The collected data were grouped into five empirical categories: bioethical issues, difficulties, solutions, facilitators and consequences, and each category was divided into subcategories. It was possible to identify bioethical issues present in practice of care of the FHS Nurses who presented a diversity of aspects related both to the specific themes of bioethics, as well as to the particularities of the work in the FHS, in addition to difficulties and facilitators who interfere in the management of these issues, illustrated by means of a conceptual map. Final considerations: The bioethical issues identified in this study refer to persistent and current themes in this field of knowledge, however, some issues intrinsic in the daily life of PHC are still imperceptible to professionals, which contributes to the difficulty of discussing bioethics in this model of attention.
Descrição
Citação
PASTANA, I. C. A. S. S. Aspectos bioéticos da gestão do cuidado: percepções dos enfermeiros da Estratégia Saúde da Família em uma região do município de São Paulo. São Paulo, 2021. 122 f. Dissertação (Mestrado em Saúde Coletiva) – Escola Paulista de Medicina, Universidade Federal de São Paulo, São Paulo, 2021.