Educação permanente em saúde nas condições crônicas no contexto da atuação do núcleo de apoio à saúde da familia

Abstract

To implement and to qualify basic care there was created the Family Health Support Center. The work together with the Family Health Teams demonstrated the important role of the same in the development of actions of permanent education in health, practices still undervalued but of great importance in professional s training. Thus, the aim of this study was to analyze the practices of permanent education in health performed by the Family Health Support Center (NASF) in the context of chronic conditions and describe the potentialities and difficulties of the process of permanent education in health from the perspective of NASF professionals, performed in the context of chronic conditions. A qualitative and descriptive study carried out in a municipality in the Northern State of Parana, southern Brazil. The participants of the research were of 24 health professionals who are members of NASF. Data collection took place between June and July 2016 through an individual interview, using a semi-structured script composed of questions related to the characterization of the participants and the subject matter, as appropriate by judges in the study area. Previous contact was made to explain to the professionals the purpose of the study and its methodology and to schedule the date, time and place of the interviews and the choice of the participants. The interviews were recorded and transcribed in their entirety and submitted to content analysis, with the help of Iramuteq® software. Regarding the characterization of the professionals, the predominant were females, the average of four years of performance at NASF, and three out of the nine teams were more representative in the survey. Concerning the textual signifiers and the meaning of content, the arrangement of the speeches was organized and, later, the most frequent keywords organized in the shape of a cloud of words: talk - sense of communication , Community Health Agent, give Refers to explanations, actions, functions to find, to be and to achieve. The thematic analysis allowed us to list the five categories, which are divided into subcategories, and these present the permanent education in health in the context of chronic conditions that appear in the actions of the NASF through prevention and follow-up activities carried out by means of indirect and programmed actions developed in the work process of the Family Health Strategy (FHS). The insertion of the NASF into the FHS is a potential for the development of permanent health education regarding the chronic conditions. However, organizational, physical-structural and role identity aspects can be fragilities in the development of these actions. Thus, the findings of this study demonstrate that the work process of the NASF has been changed but remains focused on the interaction of multiprofessional teams those can be evidenced in group performances, home visits, case discussions and matrix process, these being a basic device to enhance the comprehensiveness of care and the resolution of primary health care. However, this study also allowed us to highlight fragilities such as some challenges to be faced in terms of infrastructure, professional aspects and work processes that end up hindering or sometimes facilitating the daily work of these teams.