Banca de DEFESA: TÚLIO ROMÉRIO LOPES QUIRINO

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : TÚLIO ROMÉRIO LOPES QUIRINO
DATE: 28/12/2021
TIME: 15:00
LOCAL: Sessão Remota
TITLE:

TEAMWORK IN THE CONTEXT OF FAMILY HEALTH: An analysis from the perspective of Interprofessional Collaboration in Recife, Pernambuco.

KEY WORDS:

Patient Care Team; Interprofessional Relations; Primary Health Care.

PAGES: 210
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

The development of effective teamwork is now considered a pressing need to adhere to improvements in the results of care processes and optimization of global health systems. Interprofessionalism has been understood as a paradigmatic approach to promote greater integration in health work, whether in the sphere of professional training or in the production of care practices, enabling greater resoluteness and quality in the performance of multidisciplinary teams. In Primary Health Care (PHC), the literature has systematically pointed out the difficulties that teams demonstrate in the organization of integrated work processes, resulting in care fragmentation and discontinuity in care, which requires the strengthening of the perspective of collaboration. Given this, this dissertation sought to analyze the organization of health work developed by multidisciplinary teams within the scope of the Family Health Strategy (ESF) and the Expanded Center for Family Health and Primary Care (NASF-AB), in Recife, from the perspective of of Interprofessional Collaboration. A qualitative, exploratory-descriptive study was carried out, along the lines of everyday research (SPINK, 2007). The locus of realization was the APS network in Recife, from a territorial cut. Health professionals from a NASF-AB team and from the ESF teams supported by it participated, totaling 16 interlocutors. Data collection took place between April and July 2021, using semi-structured interviews and a focus group. The discursive analysis was guided by the Structuring Model of Interprofessional Collaboration, by D'Amour et al (2008), based on four dimensions (Shared Vision and Objectives, Internalization, Formalization and Governance), with subsidy in theoretical contributions. analysis of authors who discuss teamwork from the perspective of interprofessionalism. The results demonstrate how teamwork in PHC is permeated by several nuances, involving institutional and relational aspects, which interfere in the organization of care provision by teams and health services, as well as in the development of professional practices with greater or lesser integration each other. In the context of the difficulties, structural aspects and the lack of support from the municipal administration were emphasized, especially regarding institutional support. The lack of appreciation and recognition of the work performed are also difficulties. The existence of conflicts was reported, which constitute important barriers to the development of collaboration. Initiatives aimed at strengthening collaboration were identified, such as: matrix support developed by the NASF-AB team; the teaching-service-community integration, illustrated by the exercise of preceptorship; and continuing education in health. The adverse scenario of the Covid-19 pandemic also proved to induce interprofessional practices, due to adaptations in work processes that required professionals to help each other. The assessment of interprofessional collaboration based on the adopted model revealed weaknesses in all dimensions evaluated, and those related to organizational aspects (governance and formalization) presented the greatest difficulties. It is demonstrated that the health teams surveyed are still far from developing an effective integrated and collaborative work, requiring greater action from the managing bodies in the construction of institutional possibilities so that teamwork is in fact interprofessional.

BANKING MEMBERS:
Externo à Instituição - MARCELO VIANA DA COSTA
Presidente - 295.638.795-20 - ANA LUIZA QUEIROZ VILASBOAS - UFBA
Interna - 2703891 - LILIANA SANTOS