Colaboração interprofissional em equipes na rede de urgência e emergência em uma cidade do interior de São Paulo

Abstract

The Urgency and Emergency Network (UEN, translated from Portuguese RUE) goal to articulate and integrate healthcare services with agility and humanization to patients in critical situations. This integration requires the development of interprofessional collaboration, in which integrated both health’s and social assistance’s professionals who work together in favor of providing healthcare in a safe and quality way. Aim: To analyze interprofessional collaboration on the UEN of a city of São Paulo State. Method: This is a quantitative, observational and cross-sectional study that was carried out in healthcare units on the RUE of a city of São Paulo State. The study’s population was composed by healthcare’s workers who work in the UEN, whose intentional sample involved participants who responded to self-administered instrument called Assessment of Interprofessional Team Collaboration Scale (AITCS II-BR). The data were analyzed through exploratory, confirmatory and descriptive statistical analysis. Results: The 154 study participants had high averages indicating availability for interprofessional collaboration, Factor 1. Partnership (M = 3.32), Factor 2. Cooperation (M = 4.00), Factor 3. Coordination (M = 3.05) and total collaboration’s score (M = 3.47). Results showed that cooperation factor had a greater influence on collaboration in the study’s sample. Confirmatory factor demonstrated validity’s evidence of AITCS II-BR in urgency and emergency’s context with acceptable indexes CFI = 0.95, TLI = 0.94, RMSEA = 0.089 in three-dimensional oblique model, Factor 1. Partnership (α = 0.91; CC = 0.94; VME = 0.66); Factor 2. Cooperation (α = 0.91; CC = 0.95; VME = 0.69) and Factor 3. Coordination (α = 0.83; CC = 0.88; VME = 0.50). Regarding the external variable, ‘team working time’, a significant difference was identified in the Partnership factor (p = 0.02) with higher scores for workers one year or less. Conclusion: UEN’s workers in the studied region showed positive attitudes to team interprofessional collaboration with an emphasis on cooperation’s dimension. AITCS II-BR was confirmed as valid and reliable instrument to measure interprofessional collaboration in healthcare’s context.