Abstract
To analyze the work process of the Family Health Support Center and identify the repercussions on professionals' quality of life at work. A descriptive-exploratory qualitative case study conducted with workers from Family Health Support Centers. The content analysis technique was used to analyze the resulting empirical material in the light of the theoretical reference of Work Psychodynamics. Twenty workers participated in the focus groups. This study discusses the category of 'suffering' by the chosen theoretical perspective, which derives from interpersonal relationships and teamwork, the feeling of not belonging, lack of infrastructure for work, violence and vulnerability present in the territory. Group union and collaborative integration among workers can be strategies for the minimization of suffering at work in the context of the Family Health Strategy.
Highlights
The proposal of the Family Health Support Center (Portuguese acronym: NASF – Núcleo de Apoio à Saúde da Família) in the context of public policies focused on strengthening Primary Care (PC), in particular the Family Health Strategy (FHS), has brought numerous challenges and possibilities of reflection on its forms of organization, action and resolution in the daily practice of services and health professionals
Since its implementation in 2008, the NASF-AB contributes to the confrontation and resolution of the most prevalent clinical and health problems in the various territories in accordance with its guidelines that estimate a performance based on the expanded clinic and interdisciplinary team work in co-responsibility with the FHS
The study is based on the theoretical reference of the psychodynamics of work by Christophe Dejours for the analysis of the process and organization of work in the NASF-AB, and of situations generating stress and suffering from the distance existing between the estimated work and the actual work[3]
Summary
The proposal of the Family Health Support Center (Portuguese acronym: NASF – Núcleo de Apoio à Saúde da Família) in the context of public policies focused on strengthening Primary Care (PC), in particular the Family Health Strategy (FHS), has brought numerous challenges and possibilities of reflection on its forms of organization, action and resolution in the daily practice of services and health professionals.The NASF, currently named Family Health Support Center Primary Care (Portuguese acronym: NASF-AB), was created with the objective of supporting the FHS teams in the redefinition, qualification and resolution of primary care, in addition to collaborating in the organization of health care networks by expanding the coverage and scope of health care actions in the Brazilian National Health System (Portuguese acronym: SUS – Sistema Único de Saúde)(1).Since its implementation in 2008, the NASF-AB contributes to the confrontation and resolution of the most prevalent clinical and health problems in the various territories in accordance with its guidelines that estimate a performance based on the expanded clinic and interdisciplinary team work in co-responsibility with the FHS. The proposal of the Family Health Support Center (Portuguese acronym: NASF – Núcleo de Apoio à Saúde da Família) in the context of public policies focused on strengthening Primary Care (PC), in particular the Family Health Strategy (FHS), has brought numerous challenges and possibilities of reflection on its forms of organization, action and resolution in the daily practice of services and health professionals. Despite the advances and transformations in health care observed in several contexts that include the NASF-AB, there are intrinsic and extrinsic issues to this team that negatively impact the proposal effectiveness and the quality of life in the work of these professionals. NASF-AB professionals resent the lack of recognition for the work they do
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