O trabalho interprofissional nas equipes de Estratégia Saúde da Família nas unidades básicas de saúde da família de Campo Grande - MS

Abstract

Interprofessional work can be understood as a type of work that takes place through reflection and decision-making in a dialogic way, respecting the differences of the different professional practices involved. Teamwork is the modality of interprofessional collaboration with the greatest capacity to deal with more urgent, unpredictable and complex situations. The organization of Primary Health Care in Brazil brings the Family Health Strategy as the preferred form of organization of health services, with teamwork as standard operation. A better understanding of the factors that influence teamwork in Primary Health Care can contribute to a better assessment and functioning of Family Health Teams. This research aimed to analyze the interprofessional work of workers in the Family Health Strategy in the city of Campo Grande - MS, for this, a cross-sectional study was carried out in which a questionnaire structured in four dimensions was applied. The first refers to the general characterization of the interviewees; the second is intended to characterize the work process; the third is composed of the Jefferson Scale of Attitudes Related to Interprofessional Collaboration; and the fourth is the Team Climate Scale. The results and discussion were organized in the form of an article entitled: “The influence of sociodemographic factors on interprofessional work in primary health care in Campo Grande-MS: a cross-sectional study”. The average age of the professionals participating in the research was 38.21 years and the time of work in Primary Health Care was 73.75 months. The general performance of professionals regarding attitudes related to interprofessional collaboration was satisfactory, with a mean of 112.9 and a median of 115 points. Professionals under 36 years of age, less time working in Primary Health Care (<4 years), less time with the team (<2 years) and employment with other institutions obtained higher scores in attitudes related to interprofessional collaboration (p<0.001). Professionals with a statutory bond had a lower score in attitudes related to interprofessional collaboration compared to those with other types of bond, as well as community health agents compared to other professionals (p<0.001). The team climate in the family health teams where the participants are members can be considered from moderate to good, according to the Team Climate Scale, with an overall average of 169.21 and a median of 175 points (6.02 and 6.43 respectively on a simplified scale from zero to 10). There was a greater participation of teams where professionals had less than 2 years of bond with the team (p=0.023), worked in the desired location (p=0.004) and felt fulfilled or completely fulfilled with the work compared to those who referred partially or not performed (p<0.001). Support for new ideas, clarity of team goals and commitment to performing tasks are associated with working in the desired location (p=0.003/0.011/0.012), feeling fulfilled with the work (p<0.001) and having a positive perception of interprofessional work (p=0.001). We believe that these data reflect the directly proportional effect of interprofessional education, since younger professionals, with higher degrees and more recent links in Primary Health Care and in the teams, had greater access to interprofessional education in the curricula of professional training. The team climate is better when professionals are more satisfied with their work. Interprofessional education should be considered very relevant in continuing education activities for professionals from family health teams, especially community health agents, to seek greater integration of these professionals into the teams.