Abstract
ABSTRACT Case study that aimed to identify the care practices of nurses from a Family Health Unit related to the first-contact accessibility attribute and the contributions to academic nursing education. The data is an excerpt from a database, collected from February to July 2012. Semi-structured interviews were conducted with nurses, participant observation of the care practices took place and a document search was undertaken, analyzed according to the operation proposal. The first contact can be initiated by the demand of the user himself or staff meetings based on the cases shared by the community health agents. The nurses' behavior restricts user access and excludes the possibility of welcoming. Academic training should insert and integrate the students into different scenarios and knowledge; foster human understanding based on the opening to new sensibilities and unpredictability, besides instigating the authentic participation of the student in his learning process.
Highlights
The initiatives of the Brazilian Unified Health System (SUS) culminate in changes in the political, social and economic context, in which Primary Health Care (PHC) and the Family Health Strategy (FHU) are the main elements affecting the paradigm change in the current health care model. These represent the primary access level, in which health care is based on social practices, at an interface, beyond the technical and professional dimension, as it includes the reorganization of the system, such as care coordination in the Health Care Network (HCN), according to the logic of guaranteeing the continuity, problem solving ability and community participation in care.[1,2,3]
The daily reality of the health services is a constituent element of the education process, as it implies the development of new health practices, stimulating the subjects’ implication.[4]
In the methodological phase of the analysis and interpretation, the results were confronted with the social reality of the service under analysis, the Family Health Unit (FHU), so that the results unveiled “[...] focus on a strategic link with the reality”.6:237 In this article, the presentation of the results focused on the attribute of first-contact accessibility, and clarifies the central category: health education for the first contact
Summary
The initiatives of the Brazilian Unified Health System (SUS) culminate in changes in the political, social and economic context, in which Primary Health Care (PHC) and the Family Health Strategy (FHU) are the main elements affecting the paradigm change in the current health care model These represent the primary access level, in which health care is based on social practices, at an interface, beyond the technical and professional dimension, as it includes the reorganization of the system, such as care coordination in the Health Care Network (HCN), according to the logic of guaranteeing the continuity, problem solving ability and community participation in care.[1,2,3]. The National Curricular Guidelines (NCG) guide the type of curriculum and education the students should receive and, they regulate the conducts of the subjects involved in the education process. More than ten years after the implementation of the NCG in the nursing courses, the guidelines are currently being reformulated, as the changes in academic education are still incipient and insufficient
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