HEALTH PROMOTION CONCEPTIONS AND EXPRESSIONS IN THE TRAINING PROCESS OF THE MULTI-PROFESSIONAL RESIDENCY

Lucas Dias Soares Machado,Maria Rocineide Ferreira Da Silva,Maristela Inês Osawa Vasconcelos,Evanira Rodrigues Maia,Maria De Fátima Antero Sousa Machado,Samyra Paula Lustoza Xavier

doi:10.1590/1980-265x-tce-2020-0129

Abstract

ABSTRACT Objective: to analyze the conception and manifestation of health promotion in the training process of the multi-professional residency in health. Method: a qualitative study anchored in the Theory of Social Representations, carried out from the collection of documentary data and from interviews with 13 professionals from the faculty of five multi-professional residency programs in health in Ceará, from March to July 2017. For data analysis, lexical analysis was performed using the ALCESTE software, with emphasis on the significance and correlation of the terms, through the chi-square test. Results: the training process of the multi-professional residency points to the overcoming of the biomedical model, with health promotion being understood as a training strategy and objective, since it is expressed in a transversal manner in the entire training process, by means of activities with emphasis, among others, in territorialization, health planning, teamwork, popular education, participation and social control. Conclusion: there is an alignment between the adopted and expressed conception of health promotion in the training process of the professional residency, representing advances in health practices and training.

Highlights

IntroductionTransforming training and health care consists of simultaneous and complementary movements that lead to the conformation of an integrated and socially organized system, which operates in a continuous and proactive manner and is capable of responding effectively and with quality to the health needs of the population.[1]In the Brazilian context, the reorientation of health care is consistent with the adoption of health promotion as a transformative process, capable of contributing to the improvement of health and life conditions and to confronting the dominant biologicist model, adding the social sciences in the problematization and understanding of the subjects’ objective and subjective production conditions.[2]In view of its historical construction, with its own characteristics at the time and cultural, economic and political context, health promotion has presented different nuances over the years
Block 1 (Figure 1) formed by class 1, with 14% of the Elementary Context Units (ECUs) (29 units), and class 2, with 43% of the ECUs (88 units), group the discourses related to the conceptions of health promotion and the way in which they are expressed in the training of the residency, these being the classes of interest in the study
It is important to appropriate the conceptions of health promotion expressed, defended and propagated by these professionals in the multi-professional residency programs, in order to ascertain whether their expressions are in line with what is desired to promote health, according to the Ottawa Charter and to other policies of the area

Summary

Introduction

Transforming training and health care consists of simultaneous and complementary movements that lead to the conformation of an integrated and socially organized system, which operates in a continuous and proactive manner and is capable of responding effectively and with quality to the health needs of the population.[1]In the Brazilian context, the reorientation of health care is consistent with the adoption of health promotion as a transformative process, capable of contributing to the improvement of health and life conditions and to confronting the dominant biologicist model, adding the social sciences in the problematization and understanding of the subjects’ objective and subjective production conditions.[2]In view of its historical construction, with its own characteristics at the time and cultural, economic and political context, health promotion has presented different nuances over the years. The conception of health promotion is adopted as a theoretical and practical field with a wide action spectrum, translated into actions that seek to identify and face the macro-determinants of the health-disease-care process, as well as providing their transformation in favor of health.[3] This modern conception includes the subjects with and without clinical evidence in its list of care, arguing that they can be strengthened in order to achieve greater health potential, sensations of well-being, and individual and community development.[4] In this sense, the need to promote training processes aimed at health promotion is confirmed, in order to qualify more humanist, critical and generalist professionals, with the potential to change the work processes, expanding the commitment and the development of skills consistent with the human improvement for the Unified Health System.[2]

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Discussion

Conclusion