Educação permanente em saúde e a interface com a gestão do cuidado

Abstract

Since Permanent Education in Health (PEH) is structured on the problematization of the labor process, it is a strategy that transforms professional and organizational practices. In the present study, to analyze the permanent health education as a way to contribute to care management, an itinerary method of research was used, allied to the Culture Circle method which explains Paulo Freire´s dialogic concept based on investigation, participation and problematizing practice. Therefore, the present study had as main goal, to analyze the health educational practice and its relation to care management according to nurse involved in hospital attention. Fifteen supervisor-nurses from a government-run hospital in the northwestern region of the state of Paraná, Brazil, participated in the project between June and July 2014. Data were collected and analyzed according to the theoretical and methodological referential proposed by Paulo Freire. Data collection occurred through the Culture Circle and analysis was undertaken by the transcription of discourses; thematic investigation/research of generative words; coding/decoding; critical revelation that resulted in the following essential themes. Permanent Education in health: Freire´s concept as a subsidy to care management: the theme enhanced that research in health employing Freirean concepts, especially on Permanent Education, were only fledging. Permanent Education in Health: Conceptual Difficulties and Implications for care management: the theme underscored the difficulties mentioned by the participants in the differentiation between educational strategies that may be employed by nurses in the upgrading of the team, or rather, continuous education, education during work and permanent education. The nurses´ concepts on care management: the theme identified that the concept on care management is fragmented between assistance and administration activities and that the main difficulties comprise lack of upgrading of the team, demotivation of health professionals and lack of standardization of techniques and protocols. The essential theme Permanent Health Education and Interface with care management: Capacities and Weaknesses showed that permanent education is perceived by nurses as a process which triggered progress in the welcome practice of the nursing team, with special focus on the development of people and on care management. Results reveal that, according to the perception of the nurses, PEH is a powerful strategy for the qualification of management and care. Further, the Culture Circle promotes efficient and effective educational activities by nurses within the hospital milieu, since it builds collective knowledge based on true situations of work practice.