A política nacional de humanização: concepções de equipes de saúde da família do município de João Pessoa – PB

Abstract

With the creation of the SUS in the Federal Constitution of Brazil in 1988, a new health care model was established. In order to effectively meet the population fully, health policies are necessary increasingly strong and participatory. Thus, the demand for a more humanized and comprehensive care less fragmenting emerged and the HNP came to just take his place of mainstreaming policy across all levels of governments and involving all subjects in a humanized care process. The general objective was to analyze the conceptions of employees of Health teams PNH family from the analysis of the concept of humanization of workers in the ESF, the presence of PNH devices in daily work and workers' perceptions about care in health through the implementation of the HNP devices. A qualitative study of analytical exploratory approach was carried out in health facilities of the Family Health Strategy in a town in northeastern Brazil. Had as research subjects health professionals working in 13 health facilities in the District III. The technique used for the collection was focus groups with the use of a script with guiding questions and a questionnaire to obtain objective data profile. After approval of the CEP UFSCar and signing the informed consent by the subjects, the discussions were recorded and later transcribed. Data were organized through ALCESTE software, which identified 416 UCE, divided into two classes so-called Class 1 - Knowledge and identification of PNH and its features in the routine of health workers and Class 2 - health care Humanization X dehumanization of health work. The analysis of these UCE pointed out that the subjects reported a superficial contact with PNH. The lack of adequate training has negative repercussions on the progress of activities. There is the need to qualify the service organizing them in order to receive and solve the user's problem and developing empathy among workers and between them and the users. There is a disbelief in the work of management, the process of integration between the teams is harmed, even among integrated teams, recognizing physical illness when care in full is not made reciprocal. Conclusions: Workers have not yet clear on how to implement the HNP devices in their work process, identify some moves towards the host of devices and institutional support, seizing way to humanize and own health policy as a means of care integral. The relationship between managers and workers must be more effective and the difficulty of dialogue between staff and management can be overcome with new forms of integration. The NHP can and should be used in this process involved in provoking discussions and reflections to new ways of caring, proposing changes in the environments of the teams, a movement of exchange of knowledge and care, explicitly exercising the right to health of qualified and active form.