Carine Vendruscolo

Planejamento situacional na Estratégia Saúde da Família: atividade de integração ensino-serviço na enfermagem

This was an activity developed in the Collective Health Management course, by nursing students in the eighth semester from Unochapecó University. The students were challenged to apply their knowledge of the Unique Health System principles and directives, through an active participation in the Situational Strategic Planning with use of the Family Health Strategy. The theoretical and practical activities were carried out in health centers in Chapecó (SC, Brazil). The students experienced the daily life of the workers, participated in team meetings, domiciliary visits and other work routines, in order to diagnose problem situations and develop the four moments of the Situational Strategic Planning along with the Health Team: explicative, normative, strategic and tactical-operational. The experience consolidated the relation between theory and practice and contributed to the critical-constructive training of students, who helped the team to face the problems. The experience also provided them with a good opportunity for academic-professional interaction through their contact with the workers.Atividade desenvolvida na disciplina Gestao e Gerencia em Saude Coletiva, oitavo periodo de Enfermagem da Unochapeco. Os academicos foram desafiados a aplicar conhecimentos acerca dos principios e diretrizes do Sistema Unico de Saude por meio da participacao ativa no processo de Planejamento Estrategico Situacional junto a Estrategia Saude da Familia. Foram campos para atuacao teorico-pratica centros de saude do municipio de Chapeco, Santa Catarina. Os estudantes vivenciaram o cotidiano dos trabalhadores, participaram de reunioes de equipe, visitas domiciliares e outras rotinas do servico, para diagnosticar situacoes problema e desenvolver com a equipe de saude os quatro momentos do planejamento estrategico situacional: explicativo, normativo, estrategico e tatico-operacional. A experiencia consolidou a relacao entre teoria e pratica e contribuiu para a formacao critico-construtiva dos estudantes, que auxiliaram no enfrentamento dos problemas da equipe, alem de oportunizar a interacao ensino-servico, por meio da convivencia dos estudantes com os trabalhadores.

O planejamento estratégico situacional no ensino da gestão em saúde da família

The Brazilian Unified Health Care System (Sistema Unico de Saude) demands new skills for collective health care management, including effecting social participation and the case-resolving capacity of assistance. This article reports a situational strategic planning experience carried out by the nursing school at Unochapeco in the second semester of 2008. As a Pro-Health activity, the use of this management tool in collective health care was analyzed. From the prioritized problems, the following goals were established: professional education and performance which are coherent with the family health care strategy, emphasizing the situational diagnosis and the schedule of inter-sector actions. Despite the resistance of some workers concerning changes, favourable aspects were emphasized: weekly team meetings, the existence of local health care councils, and the initiatives of community educational actions. This exercise strengthened the students’ communication, leadership, and decision-making skills, bringing together subjects involved in education and service. DESCRIPTORS: Nursing Education, Strategic planning. Health care management. LA PLANIFICACION ESTRATEGICA SITUACIONAL EN LA ENSENANZA DE LA GESTION EN SALUD DE LA FAMILIA RESUMEN: El Sistema Unico de Salud exige nuevas habilidades en la gestion en salud publica, incluyendo hacer efectiva la participacion social y la eficacia de la asistencia. Este articulo relata una experiencia de planificacion estrategica situacional vivida en el curso de enfermeria de la Unochapeco en el segundo semestre de 2008. Como actividad del Pro-Salud se examino la aplicacion de esa planificacion como una herramienta de gestion en salud publica. A partir de los problemas priorizados fueron establecidas las siguientes metas: formacion y actuacion coherentes con la estrategia de salud de la familia, resaltando el diagnostico situacional y la programacion de acciones intersectoriales con la comunidad. A pesar de la resistencia de algunos trabajadores a los cambios, se han podido destacar como aspectos favorables: reuniones semanales de los equipos, consejos locales de salud activos y acciones educativas en la comunidad. Ese ejercicio fortalecio en los estudiantes las competencias de comunicacion, liderazgo y toma de decisiones, aproximando a los actores de la ensenanza y del servicio. DESCRIPTORES: Educacion en enfermeria. Planificacion estrategica. Gestion en saludO Sistema Unico de Saude exige novas habilidades na gestao em saude coletiva, incluindo efetivar a participacao social e a resolutividade da assistencia. Esse artigo relata uma experiencia de planejamento estrategico situacional, vivenciada no curso de enfermagem da Unochapeco, no segundo semestre de 2008. Como atividade do Pro-Saude, buscou-se analisar a aplicacao desse planejamento como ferramenta de gestao na saude coletiva. A partir dos problemas priorizados foram estabelecidas as seguintes metas: formacao e atuacao coerentes com a estrategia saude da familia, ressaltando o diagnostico situacional e a programacao de acoes intersetoriais em parceria com a comunidade. Apesar da resistencia de alguns trabalhadores a mudancas, destacam-se como aspectos favoraveis: reunioes semanais das equipes, existencia de conselhos locais de saude e iniciativas de acoes educativas na comunidade. Esse exercicio fortaleceu nos estudantes competencias de comunicacao, lideranca e tomada de decisoes, aproximando atores do ensino e do servico.

Integração ensino-serviço e sua interface no contexto da reorientação da formação na saúde

Este estudo de caso, de abordagem qualitativa, objetiva analisar como os sujeitos que compoem as instâncias intersetoriais do Pro-Saude desenvolvido no municipio de Chapeco, SC, Brasil, percebem a integracao ensino-servico, em âmbito das estruturas de gestao do programa e no cotidiano das acoes, sinalizando sua interface na reorientacao da formacao em saude. As informacoes foram coletadas mediante observacao direta de reunioes das instâncias intersetoriais: Comite Gestor Local e Comissao Coordenadora Geral e entrevistas com 11 membros do quadrilatero da formacao em saude das referidas instâncias, entre 2012-2013. O tratamento das informacoes ancorou-se na proposta operativa para analise de dados qualitativos. Os resultados expressam que essa forma de gestao e acompanhamento do Programa, somada as acoes desenvolvidas, vem consolidando a parceria entre instituicao de ensino e servicos de saude, por meio do dialogo, da negociacao, do respeito as diferencas e da alteridade.

Integração Ensino-Serviço no âmbito do Programa Nacional de Reorientação da Formação Profissional em Saúde

This integrative literature review aimed at identifying the characteristics and describing how teaching-service integration is expressed in studies on Pro-Saude (Charitable institution for social and hospital assistance) published in Brazil in the period 2007-2012. For the search, the term National Professional Health Education Reorientation Program was entered in the following databases: Virtual Health Library (BVS), Google Scholar and the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel (CAPES). Forty-one publications were selected with the following inclusion criteria: scientific papers; theses and dissertations; studies in English, Portuguese or Spanish. The critical review of studies was performed through a comprehensive reading of the texts. Outcomes are presented in two categories: Dialogue and partnership as tools for teaching-service integration and Movements of change in teaching-service through Pro-Saude. Studies have shown that changes in professional education and practice are possible and necessary, especially when supported by strategies that encourage active participation of subjects and confirm teaching-service integration as opportunity for dialogue, promoted by this inducing policy.This integrative literature review aimed at identifying the characteristics and describing how teaching-service integration is expressed in studies on Pró-Saúde (Charitable institution for social and hospital assistance) published in Brazil in the period 2007-2012. For the search, the term National Professional Health Education Reorientation Program was entered in the following databases: Virtual Health Library (BVS), Google Scholar and the Bank of Theses of the Coordination for the Improvement of Higher Education Personnel (CAPES). Forty-one publications were selected with the following inclusion criteria: scientific papers; theses and dissertations; studies in English, Portuguese or Spanish. The critical review of studies was performed through a comprehensive reading of the texts. Outcomes are presented in two categories: Dialogue and partnership as tools for teaching-service integration and Movements of change in teaching-service through Pró-Saúde. Studies have shown that changes in professional education and practice are possible and necessary, especially when supported by strategies that encourage active participation of subjects and confirm teaching-service integration as opportunity for dialogue, promoted by this inducing policy.

VIVÊNCIAS DE VIOLÊNCIA NO PROCESSO DE FORMAÇÃO EM ENFERMAGEM: REPERCUSSÕES NA CORPOREIDADE DOS JOVENS

Objective: to understand the experiences of violence among young nursing students in the their professional training course and the repercussions of this phenomenon on their corporeity. Method: an exploratory, descriptive, qualitative study conducted between June and August 2013 with 21 young nursing students at a public university in Santa Catarina. The production of the information occurred based on the Creative and Sensitive Method, mediated by Creativity and Sensitivity Dynamics. Hermeneutics was used with the support of the theoretical-philosophical reference of Maurice Merleau-Ponty. Results: two themes emerged: situations of violence experienced by young students in the nursing training process and repercussions of violence on the student’s corporeity. The results reveal the symbolic violence present in the relationships of authority between teachers and students and in the conflicts between health professionals and academics. The young people understand that violence is a natural occurrence in their lives and that it interferes with their corporeity by disturbing their existence, provoking feelings of absence, distancing and indifference, which have repercussions on their health and their care practices. Conclusion: the violence present in the nursing training process interferes with the corporeity by the way of being and the construction of the young person as a being who provides care. The research revealed important elements to reflect on regarding the violence present in the context of nursing education as well as the need to support the actions of the teachers, health and nursing professionals who work in the clinical scenarios

Instâncias intersetoriais de gestão: movimentos para a reorientação da formação na Saúde

Este e um estudo de caso, de abordagem qualitativa, cujo objetivo foi compreender como os foruns gestores – Comite Gestor Local e Comissao Coordenadora Geral – do Programa Nacional de Reorientacao da Formacao Profissional em Saude (Pro-Saude), desenvolvido em Chapeco, Santa Catarina, contribuiram com a mobilizacao da integracao ensino-servico no contexto municipal. As informacoes foram produzidas mediante observacao direta de reunioes das instâncias intersetoriais e entrevistas com membros do quadrilatero da formacao em Saude das referidas instâncias, entre 2012-2013. O tratamento destas ancorou-se na proposta operativa para analise de dados qualitativos. Os resultados distinguem a importância do reconhecimento dos papeis de cada segmento. Apesar dos conflitos, os espacos de encontro dos sujeitos intersetoriais sao importantes iniciativas de integracao ensino-servico, sobretudo como possibilidade de transforma-los e contribuir para reorientar as praticas e a formacao na Saude.

Redes de atenção à saúde no VER-SUS Oeste Catarinense: contribuições para o ensino em enfermagem

Aim: to discuss the contributions of the Program of Experiences and Training in the Reality of the Unified Health System for the study of Health Care Networks and its operationalization in the Unified Health System on the basis of Nursing students’ perspectives. Method: qualitative and descriptive research developed from interviews carried out with the students who participated in the Program between 2014 and 2016, in Santa Catarina. The data were analyzed through thematic analysis. Results: the study revealed the Program as a strategy that contributes significantly to students’ learning about Networks, promoting their inclusion in the context of the service, encouraging the praxis and also contributing to the professional’s permanent education of the network. Conclusion: the importance of providing and enlarging the access of the students at programs/experiences of this nature, in the scope of Health and Nursing training, is emphasized, once it can collaborate to the strengthening of the health system

Educação permanente como potencializadora da gestão do sistema de saúde brasileiro: percepção dos gestores

Aim: to identify managers of the Brazilian health system’s perception regarding the continuing health education in the extreme West macroregion of Santa Catarina, Brazil. Method: descriptive, exploratory qualitative study, developed with health managers that integrate a westernmost region of the state of Santa Catarina. Twenty-one health managers were interviewed. The data was analyzed by the content’s analysis proposal. Results: Noteworthy is the lack of training in health among the managers. There are misconceptions regarding the use of the terminologies permanent and continuing education in health, however, managers recognize the continuing education as a pursuit of knowledge from the working practice and as a management tool. Final considerations: permanent education has been incorporating, gradually, the work of professionals, especially in the nursing area, by recognizing their role in the leadership of health management processes

Representation and participation in management committees of teaching and service integration

OBJECTIVES To analyze the representation and participation of the management, attention, teaching and social control segments in management committees of health teaching-service integration. METHODS Qualitative research with exploratory-analytical approach that involved representatives of these segments who participate in the management instances of the Pro-Health integrated proposal of Chapecó, Santa Catarina, Brazil. The data was collected through semi-structured interviews with 11 members of the segments and observation of six meetings of instances between October 2012 and April 2013. RESULTS The following categories emerged: Representation through dialogue: possibility to negotiate; Legitimacy of representation: establishing fecund relationships; Disparity in the representation of the segments: the four-way approach in disharmony. CONCLUSIONS It is incipient participation of some segments; there are different understandings as to the perception of the meaning of representation. There are conflicts, but the dialogue prevails, provided that the subjects need improve their communication skills.

A formação profissional na orientação da assistência aos grupos vulneráveis na atenção básica

Aim: to identify how the processes of training and Continuing Education in Health have guided assistance to vulnerable population groups. Method: descriptive qualitative research, which was attended by 15 health professionals, including physicians, nurses and nursing technicians. The interview was used for data collection and these were analyzed in the proposed Bardin. Results: the vulnerability has been contextualized in the training, however, mostly theoretical and the practical disjointed. Continuing Education and Permanent Health were highlighted as important strategies for upgrading care. Final Remarks: the recognition of the aspects of the training of individuals who work in Health System emerged as essential for a better understanding of vulnerabilities in the context of Primary Care in Health