Trabalho na Atenção Primária à Saúde sob a luz da interprofissionalidade no contexto da pandemia da Covid-19

The complexity of the obstacles in the context of health care and the need to make systems more responsive to the demands of citizens trigger debates about the most appropriate ways to organize health care. Therefore, from the pandemic scenario due to COVID-19, greater demands and practices in he...

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Autor principal: Xavier, Pedro Bezerra
Outros Autores: Guedes, Dimitri Taurino
Formato: Dissertação
Idioma:pt_BR
Publicado em: Universidade Federal do Rio Grande do Norte
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Endereço do item:https://repositorio.ufrn.br/handle/123456789/52359
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Resumo:The complexity of the obstacles in the context of health care and the need to make systems more responsive to the demands of citizens trigger debates about the most appropriate ways to organize health care. Therefore, from the pandemic scenario due to COVID-19, greater demands and practices in health have been evidenced, increasing work overload and the complexity of health activities, also creating a context of instability and vulnerability. Therefore, it is necessary to understand these changes and, thus, to outline ways to effect collaborative and integrated work, from the establishment of an interdisciplinary dialogue, respecting the users' autonomy. This study has as a general objective to analyze the impacts of the pandemic of COVID-19 in the interprofessional work of Primary Health Care teams. And in this way, it is developed through two studies. The first article is an Integrative Literature Review (ILR), with the purpose of synthesizing results of studies already carried out. It was searched in PubMed, with the descriptors: "primary health care"; "interprofessionality"; "COVID-19", with the Boolean operator "AND". A total of 79 articles were obtained. After a critical reading of the documents, using the exclusion criteria, 7 articles were obtained. This article sought to contribute to the good development of the systematization of the interprofessional work process in health teams, improving the quality of care provided to the population and favoring the good functioning of health units. The second article is an exploratory, descriptive study with a qualitative approach, whose field of investigation will be the Basic Family Health Units in the municipality of Campina Grande, Paraíba. The study sample was composed of the health teams linked to the ESF. Data collection occurred between the months of January and April 2022. The content analysis was based on Bardin, with the help of the Atlas ti software. This research was submitted to the Ethics and Research Committee of the Faculdade de Ciências da Saúde do Trairi (FACISA/UFRN) and approved under CAAE number 54029521.0.0000.5568. From the content analysis, through data management by means of Atlas ti., the coding process of the interviews was carried out, which generated 4 categories of codes, being the following: interprofessional competencies, consequences of the pandemic of COVID-19, management and management, organization of the work process. The categories reveal that the main activities affected by the pandemic are health promotion, prevention and surveillance activities. From this perspective, The results indicate that the pandemic caused impacts on the interprofessional work in PHC, including the development of health promotion actions, fragmentation of prevention activities, changes in collaborative practices, lack of training provided by management, structural problems, distance between the service, professionals and the community and direct impacts on teamwork and quality of care. These results are relevant, and may contribute to future decisions about the theme; this study reveals actions that were impaired during the pandemic, and that need more attention.