Trabalho em equipe, práticas colaborativas e educação permanente na atuação de profissionais de saúde do idoso

• Ano de defesa: 2016
• Autor(a) principal: Panfilio, Carlos Eduardo [UNIFESP]
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de São Paulo (UNIFESP)
• Palavras-chave em Português: Interprofessional education; Collaborative practices; Continuing education; Health; Elderly; Educação interprofissional; Práticas colaborativas; Educação permanente; Saúde
• Link de acesso: https://sucupira.capes.gov.br/sucupira/public/consultas/coleta/trabalhoConclusao/viewTrabalhoConclusao.jsf?popup=true&id_trabalho=4622742; https://repositorio.unifesp.br/handle/11600/47088

In the health care, the interprofessionality emerges as one of the ways that, previously delimited and separate areas meet and produce new possibilities. From this perspective, the interprofessionalism favors reformulating the relationship between content, teaching and service, thus setting in motion the exchange of experiences and knowledge, with an attitude of respect for diversity and cooperation for effective and transformative practices, sustained by continuous communication. In this context, teamwork and collaborative practices in health care are essential when health care professionals from different areas provide health care based on integrality, involving users and their families, caregivers and communities. This study aimed to analyze teamwork as the guiding of health care activities, discussing the dimensions of collaborative practice and continuing education of health care professionals providing services to the elderly. In the methodological field, this work was configured as a descriptive, analytical and transversal research. This research comprised 88 participants, health care professionals from 16 different professional categories of the Instituto Paulista de Geriatria e Gerontologia (IPGG) "José Ermínio de Moraes" (São Paulo – Brazil). In the first phase we used the Team Climate Inventory (TCI), an attitude scale of the type "Likert" structured in four distinct parts, each addressing unique aspects of teamwork and effective collaboration with other health professionals. In the second phase, from the data collected in phase 1, a new set of data was gathered using a semi-structured interview method with 24 of the 88 professionals who had participated in phase 1, each of 24 representing one professional category. It was considered as drivers elements: 1.Information Sharing / Team Communication 2.Teamwork and Collaboration 3.Knowledge transfer, commitment to common goals. The group of professionals who participated in the research was characterized by: 76% of the professionals interviewed were women and 24% were men; they were 44 years of age on average; 49% of them had an undergraduate degree; 66% undergraduated from private colleges; 50% of them with graduate; with 16 years of undergraduates on average; and with 7 years of work in the IPGG and in the team on average. Through the Team Climate Inventory, it was observed that on average, the perception of professionals was based on the fact that their own participation and the participation of their colleagues in the team, the support for new ideas, clarity of team goals and orientation to execute the work, if were not in a negative condition, did not reach a positive assessment, indicating that these aspects are present, but need to be improved. Through the semi-structured interview method, as it has been already shown in previous studies, in order for the teamwork and collaborative practices for these professionals to be effective, is necessary to improve the management of collaborative practices, create opportunities for dialogue and sharing of ideas, knowledge and objectives, and allow for a greater commitment and motivation for the majority of colleagues. Despite the complaints of low wages and lacking infrastructure, from the testimony of those professionals, there was a predisposition for teamwork and collaborative practices, provided that that does not entail extra work. It can be concluded that the greatest challenges for the teamwork and collaborative practices are associated with the behavior of people and institutional dynamic, and therefore proposals for interprofessional education, continuing education strategies and institutional awareness are necessary.