Olinda Maria de Fátima Lechmann Saldanha

A rotatividade de enfermeiros e médicos: um impasse na implementação da Estratégia de Saúde da Família

The research analyzed the causes for turnover rate of doctors and nurses in family health strategy teams with at least two years of implementation on March 2006 in Vale do Taquari, Rio Grande do Sul State. It is a quantitative and qualitative study identifying 31 teams in 25 towns, and the turnover rate was established by year from 1999 to 2005 by professional category. There was no turnover for doctors and nurses in 1999 and 2000. Doctor turnover was 5.9% in 2002; 32.1% in 2003; 25.8% in 2004; and 64.5% in 2005. Regarding nurses, it was 27.7% in 2001; 47% in 2002; 17.8% in 2003; 41.9% in 2004; and 22.6% in 2005. The analysis of semi-structured interviews with 7 doctors and 7 nurses appointed as main causes for turnover: poor work links, fragmented education, authoritarian way of managing, no links with the community, and poor work conditions. Thus, it is necessary to make changes regarding labor links, work conditions, and education for health workers and managers, seeking for the integrality in health practices.

Clínica-escola: apoio institucional inovador às práticas de gestão e atenção na saúde como parte da integração ensino-serviço

O texto apresenta a implementacao de um servico-escola que tem como proposta a formacao de profissionais da saude em consonância com as Diretrizes Curriculares Nacionais. A Clinica Universitaria Regional de Educacao e Saude (CURES) envolve cursos da area da saude de um Centro Universitario situado na regiao do Vale do Taquari/RS, Brasil, articulando as redes de cuidado de quatro municipios. Neste trabalho relata-se o apoio institucional nas acoes das equipes da rede de cuidados. A insercao no contexto locorregional tem se mostrado um potencial formativo para estudantes e docentes, ressaltando o compromisso e a corresponsabilizacao no cuidado. A “narrativa de formacao” foi o recurso metodologico utilizado, problematizando as acoes da CURES no apoio institucional as equipes. A indissociabilidade entre tecnica e politica / teoria e pratica tem permeado as atividades e reflexoes, resultando em modificacoes no processo ensino-aprendizagem em saude.The text presents the implementation of a school-service that proposes health professionals’ education in line with the National Curriculum Guidelines. The Regional University Clinic of Education and Health (CURES) involves health courses offered by a University Center located in the region of the Taquari Valley, in the state of Rio Grande do Sul (Southern Brazil), linking the care networks of four cities. This paper reports on the institutional support that is present in the actions of the care network teams. Inclusion in the local and regional context has shown an educational potential for students and teachers, highlighting commitment and co-responsibility in care. The “education narrative” was the methodological approach that was employed to analyze the actions of CURES concerning institutional support to the teams. The inseparability between technique and policy/theory and practice has permeated activities and reflections, resulting in changes in the teaching-learning process in the field of health.

Clínica-escuela: apoyo institucional innovador para las prácticas de gestión y atención en la salud como parte de la integración enseñanza-servicio

O texto apresenta a implementacao de um servico-escola que tem como proposta a formacao de profissionais da saude em consonância com as Diretrizes Curriculares Nacionais. A Clinica Universitaria Regional de Educacao e Saude (CURES) envolve cursos da area da saude de um Centro Universitario situado na regiao do Vale do Taquari/RS, Brasil, articulando as redes de cuidado de quatro municipios. Neste trabalho relata-se o apoio institucional nas acoes das equipes da rede de cuidados. A insercao no contexto locorregional tem se mostrado um potencial formativo para estudantes e docentes, ressaltando o compromisso e a corresponsabilizacao no cuidado. A “narrativa de formacao” foi o recurso metodologico utilizado, problematizando as acoes da CURES no apoio institucional as equipes. A indissociabilidade entre tecnica e politica / teoria e pratica tem permeado as atividades e reflexoes, resultando em modificacoes no processo ensino-aprendizagem em saude.The text presents the implementation of a school-service that proposes health professionals’ education in line with the National Curriculum Guidelines. The Regional University Clinic of Education and Health (CURES) involves health courses offered by a University Center located in the region of the Taquari Valley, in the state of Rio Grande do Sul (Southern Brazil), linking the care networks of four cities. This paper reports on the institutional support that is present in the actions of the care network teams. Inclusion in the local and regional context has shown an educational potential for students and teachers, highlighting commitment and co-responsibility in care. The “education narrative” was the methodological approach that was employed to analyze the actions of CURES concerning institutional support to the teams. The inseparability between technique and policy/theory and practice has permeated activities and reflections, resulting in changes in the teaching-learning process in the field of health.

Clinic-school: innovative institutional support to the practices of management and health care as part of the teaching-work integration

O texto apresenta a implementacao de um servico-escola que tem como proposta a formacao de profissionais da saude em consonância com as Diretrizes Curriculares Nacionais. A Clinica Universitaria Regional de Educacao e Saude (CURES) envolve cursos da area da saude de um Centro Universitario situado na regiao do Vale do Taquari/RS, Brasil, articulando as redes de cuidado de quatro municipios. Neste trabalho relata-se o apoio institucional nas acoes das equipes da rede de cuidados. A insercao no contexto locorregional tem se mostrado um potencial formativo para estudantes e docentes, ressaltando o compromisso e a corresponsabilizacao no cuidado. A “narrativa de formacao” foi o recurso metodologico utilizado, problematizando as acoes da CURES no apoio institucional as equipes. A indissociabilidade entre tecnica e politica / teoria e pratica tem permeado as atividades e reflexoes, resultando em modificacoes no processo ensino-aprendizagem em saude.The text presents the implementation of a school-service that proposes health professionals’ education in line with the National Curriculum Guidelines. The Regional University Clinic of Education and Health (CURES) involves health courses offered by a University Center located in the region of the Taquari Valley, in the state of Rio Grande do Sul (Southern Brazil), linking the care networks of four cities. This paper reports on the institutional support that is present in the actions of the care network teams. Inclusion in the local and regional context has shown an educational potential for students and teachers, highlighting commitment and co-responsibility in care. The “education narrative” was the methodological approach that was employed to analyze the actions of CURES concerning institutional support to the teams. The inseparability between technique and policy/theory and practice has permeated activities and reflections, resulting in changes in the teaching-learning process in the field of health.