Abstract
To identify and implement care and ambience strategies, with a view to hospital humanization. Action-research study, whose investigation process occurred between January and March 2019, with the participation of employees in strategic functions of a medium-sized hospital, through a focus group and strategic focal analysis. The implementation of care and ambience strategies started in May 2019 and remains in progress, with the responsible and multiplying participation of professionals and patients. 18 employees participated in the study. It was found that investigative processes accompanied by practical interventions, especially those related to the promotion of interactive, inclusive, care spaces and the creation of a ludic, attractive and interactive environment favor multi-professional actions, mobilize innovative knowledge and practices, and contribute to the (re)signification of the being and doing of the health professional. Care and ambience, with a view to hospital humanization, include the implementation of strategies designed with the responsible and multiplying participation of all actors (professionals and users) of the hospital. It is important that, in this process, everyone feels they are protagonists of new ways of being, living and doing in health.
Highlights
The humanization of hospitals is a topic that has been discussed and, in Brazil, it has been promoted by the Ministry of Health since the middle of 2000, with the National Program for Humanization of Hospital Assistance (PNHAH)
The investigation process resulted in twelve humanization strategies related to care and hospital ambience
The care strategies listed by the participants and implemented in practice were associated with the need to expand interactive and associative processes with all the subjects in that hospital
Summary
The humanization of hospitals is a topic that has been discussed and, in Brazil, it has been promoted by the Ministry of Health since the middle of 2000, with the National Program for Humanization of Hospital Assistance (PNHAH). The humanization of hospitals was understood as an ethical process, in which the “other” human was respected and welcomed, motivated by the synergistic ambience and the enhancement of healthy professional relationships After this path that broadened the possibilities of interaction and participation, and recognizing the realistic and prospective experiences, the Ministry of Health launched, in 2003, the National Humanization Policy – HumanizaSUS (PNH). With this approach, the isolated and linear idea of “Program” (with a beginning, middle and end) was overcome by the notion of a health “Policy”, with the idea of embracing the human being as a subject-citizenpolitical being and the clinic, in its expanded version, as an integrated and coordinated system[1,2,3,4]. This way, humanization is concerned with things as they are, but with things as they can be and, especially, as they should be, according to the identification and mobilization of collective intervention strategies[5,6]
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