Processo de tomada de decisão no trabalho em uma maternidade: vivências de enfermeiros

Objetivo: conhecer as vivências de enfermeiros com o processo de tomada de decisão no trabalho em uma maternidade. Método: tratou-se de uma pesquisa qualitativa, na qual foram entrevistadas, em 2017, 18 enfermeiras de uma maternidade no sul doBrasil e os dados tratados sob análise temática. Resultados: algumas enfermeiras entenderam a tomada de decisões enquantoum processo contínuo e dinâmico, a depender de outros profissionais. O trabalho em equipe e a experiência foram apontadosenquanto facilitadores do processo e a principal barreira, o poder de decisão do enfermeiro estar subjugado pela soberaniahierárquica médica. O investimento em conhecimento técnico-científico, comunicação efetiva, relacionamento interpessoal saudável e trabalho em equipe multiprofissional foram assinalados como potentes para melhoria da tomada de decisões. Conclusão:Os enfermeiros ainda não se sentem preparados e seguros a partir de sua formação acadêmica para tomar decisões e para otrabalho multiprofissional, requerendo maiores investimentos na educação em serviço.Descritores: Tomada de decisões; Obstetrícia; Enfermeiras e enfermeiros; Ambiente de trabalho.Objective: to know the experiences of nurses with the process of decision making at work in a maternity hospital. Method:it is a qualitative research, including 18 nurses from a maternity hospital in southern Brazil, interviewed in 2017. The data wasanalyzed under thematic analysis. Results: nurses understood decision making as a continuous and dynamic process, dependingon other professionals. Teamwork and experience were identified as facilitators of the process, whereas the hierarchical medicalsovereignty overpowering nurses’ decision-making was the main barrier of process. Investment in technical-scientific knowledge,effective communication, healthy interpersonal relationship and multiprofessional teamwork were pointed out as potent devicesfor better decision-making. Conclusion: nurses still do not feel prepared and confident from their academic education to makedecisions and work multiprofessional, requiring greater investments in professional education.Keywords: Decision making; Obstetrics, Nurses, Work environment.

Terapia ocupacional no núcleo de apoio à saúde da família: um olhar para a especificidade da profissão no contexto interdisciplinar / Occupational therapy in the nucleus of support for family's health: a look for specificity of the profession

O Núcleo de Apoio à Saúde da Família (NASF) foi criado no ano de 2008 pelo Ministério da Saúde como parte da reorganização da atenção primária e para amparar a inserção da Estratégia Saúde da Família. É composto por uma equipe de profissionais de diferentes categorias, que desenvolvem suas ações com base no modelo de trabalho em equipe multiprofissional. Entre essas categorias está a Terapia Ocupacional. Com o objetivo de compreender como os profissionais do NASF entendem a especificidade da Terapia Ocupacional neste contexto interdisciplinar, foi realizado um estudo de campo com abordagem qualitativa, cuja produção de dados ocorreu através de uma entrevista semiestruturada com 11 sujeitos; sua análise, realizada por meio da técnica de Análise de Conteúdo, permitiu identificar três categorias temáticas: Compreensão do terapeuta ocupacional sobre sua atuação no Núcleo de Apoio à Saúde da Família; Percepção da equipe sobre o papel do terapeuta ocupacional no NASF; Potencialidades e desafios para a consolidação da profissão no NASF. Observou-se que a atuação dos terapeutas ocupacionais está pautada por atividades preventivas e do cotidiano dos sujeitos e que os demais membros da equipe demonstram dificuldades em reconhecer o papel da categoria no NASF, apesar de pontuarem algumas práticas gerais. Desse modo, apesar de a Terapia Ocupacional se mostrar como uma profissão promissora no NASF, existem algumas problemáticas que podem fragilizar a prática da categoria e sua colaboração no trabalho da equipe. AbstractThe Nucleus of Support for Family's Health (NSFH) was created in the year 2008 by the Ministry of Health as part of the reorganization of primary care and to support the insertion of the Family Health Strategy. It is composed of a team of professionals from different categories, who develop their actions based on the multiprofessional teamwork model and, among these categories it is Occupational Therapy. With the objective of understanding how NASF professionals understand the specificity of Occupational Therapy in this interdisciplinary context, a field study with a qualitative approach was carried out, whose data production occurred through a semi-structured interview with 11 subjects and its analysis performed through the technique of Content Analysis that allowed to identify three thematic categories: Understanding of the occupational therapist about his role in the Nucleus Of Support For Health Of Family; The perception of the team about the role of the occupational therapist in the NASF and Potentials and challenges for the consolidation of the NASF profession. It was observed that the performance of occupational therapists is based on preventive activities and the daily life of the subjects and that the other members of the team demonstrate difficulties in recognizing the role of the category in the NASF, although they punctuate some general practices. Thus, although Occupational Therapy is shown as a promising profession in the NASF, there are some problems that may weaken the practice of the category and its collaboration in the work of the team.Keywords: Primary health care; Patient care team; Professional practice; Public health; Occupational therapy.

Pain psychology specialist training 2012–2014

AimsThe training includes learning the practical skills related to the psychological examination, treatment and rehabilitation of pain patients. The completion of the training prepares for work in multiprofessional teams as a specialist in pain psychology. A joint project of the Finnish Association of the Study of Pain and the Psychology Institute since 2008. ParticipantsPsychologists working in public, private or occupational health care, in rehabilitation or psychiatric clinics. The fourth training group of 20 psychologists started in the spring of 2012. More than 40 psychologists have already been trained in 1998-2010. The structure and content of the training: Seminars Eight seminars include 12 days of training on the topics of pain as a psychosocial phenomenon, psychological assessment, treatment and rehabilitation of pain patients, interaction and multiprofessional teamwork. Tutorial groups Eight tutorial meetings of 5 students and one tutor in each group gather together in different parts of Finland to discuss selected scientific articles, work on their professional identity as pain psychologists and receive supervision of clinical and diploma work. Literature Getting acquainted with scientific research reports on pain psychology and with vocational literature. Diploma work Written article or a short research report on a development project, experiment or a phenomenon related to pain psychology. Optional studies Giving a lecture or training on the topic of pain psychology to other professionals or patients, participating in a pain education organized by others, writing a report on a research, treatment or rehabilitation experiment or a book review to be published

Teaching at primary healthcare services within the Brazilian national health system (SUS) in Brazilian healthcare professionals' training

The aim of this study was to analyze the role of teaching at primary healthcare services within the Brazilian National Health System (SUS) in dentists' training, at a public university in the south of Brazil. A qualitative methodological approach (case study) was used. Interviews were conducted with 12 dentistry students, six dentists who were preceptors working in public primary healthcare services and three teachers connected with this curricular training. Our findings showed that the curricular training in SUS primary healthcare services had an impact on the dentists' education through establishment of bonds, autonomy in problem-solving and multiprofessional teamwork. It was seen that they learned about how healthcare services function, about healthcare and about development of cultural competence. There is a need to maintain constant questioning regarding these practices, and to ensure the presence of infrastructure and qualified professionals for teaching at these services.

The Problems of Recruitment: A Local Study

Based on a questionnaire survey of all occupational therapists employed in the Western Health and Social Services Board, Northern Ireland, the study highlighted a number of factors which contribute to the acknowledged problems of recruitment and retention. Fundamental to occupational therapists staying in post is their degree of satisfaction with the job. The survey established four specific factors of job satisfaction: multiprofessional teamwork, adequate staffing, further training/retraining and involvement in decision making. Reasons for leaving and deterrents from applying for jobs were viewed together as factors which take or keep occupational therapists out of posts. High weightings were given to lack of resources, unrealistic workload, personal reasons and lack of professional status. The attractive features of occupational therapy that were noted included variety of the work, good working relationships and the challenge of the job.