NASF's tools and practices in health of physical therapists

Janainny Magalhães Fernandes,Talita Abi Rios,Vinicius Santos Sanches,Mara Lisiane De Moraes Dos Santos

doi:10.1590/1980-5918.029.004.ao10

Janainny Magalhães Fernandes, Talita Abi Rios + Show 2 more

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https://doi.org/10.1590/1980-5918.029.004.ao10

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Abstract

Abstract Introduction: With the creation of the Support Center for Family Health (NASF) and the high insertion of physiotherapists in this, it is necessary to have a better knowledge on this category's current work. Objective: To analyze the process of work of physiotherapists at NASF and their education, and the technological tools usage. Methods: Transversal study, descriptive, analytic, enforced by online semi-structured questionnaires to NASF's physiotherapists in Mato Grosso do Sul. The results were analyzed through descriptive statistics and chi-square test (significant level of 5%). Results: 37 physiotherapists (21 cities) participated. Among them, 27% Family-Health/Primary-Health-Care post graduates, and 51.4% in other clinical areas. Most (91,9%) did not receive enough capacitation when joining NASF, and 94.6% consider that did not have enough knowledge to do their activities. The articulation NASF and Family-Health-Strategy team is considered unsatisfactory to 51.3%. Individual rehabilitation is the most carried activity on a daily basis (59.5%), and NASF's tools are used by less than half, except the Amplified Clinic, which is used by 54,1% of physiotherapists. There was a significant association between capacitation to NASF's work and the tools usage of Singular-Therapeutic Project, Territorial Health Project and Support Pact. There was no association between the tools usage and the specialization in Family Health. Conclusion: The assistive and rehabilitator model has been the conductor of physiotherapists' actions. NASF's tools are little used. These results are explained due to the limited knowledge about NASF's attributions, resulting from the small capacitation offer to these activities and the traditional rehabilitator education.

Highlights

With the creation of the Support Center for Family Health (NASF) and the high insertion of physiotherapists in this, it is necessary to have a better knowledge on this category’s current work
This study aims to analyse the working process of physical therapists in Núcleo de Apoio à Saúde da Família (NASF) from all over the state of Mato Grosso do Sul (MS) in order to identify the use of NASF’s tools in daily work, the most performed activities by these professionals, in addition to aspects related to the training of the Physical Therapist for this function
In Mato Grosso do Sul, at the time of data collection, there were 39 cities with implanted NASF and from these 33 reported that the physical therapist was among the professionals who made up the teams

Summary

Introduction

With the creation of the Support Center for Family Health (NASF) and the high insertion of physiotherapists in this, it is necessary to have a better knowledge on this category’s current work. In Brazil, in recent years, we have observed the implementation of new juridical and legal arrangements, managerial and organizational, theoretical and technical-assistance arrangements in the ield of public health policies in order to overcome the challenges to the implementation of the Uni ied Health System (SUS) and qualify the actions in the health industrial facilities [1] In this context, in 2008, it was instituted the Support Center for Family Health (NASF) with the aim of expanding the scope, the resolution, the territoriality, and the regionalization of the actions of the Family Health Strategy (ESF). NASF’s working process has very particular characteristics and should develop itself into a logical counter-hegemonic health work [3] It requires the joint effort, integrated and intersectoral [4, 5], with the basic principles of integrity, knowledge of the territory, teamwork, humanization, popular and permanent health education, interdisciplinarity [2], the participation of users, incorporating the expanded concept of health assumed by SUS [4]. It foresees the shared responsibility between the ESF’s and NASF’s team, expanding the practice of referrals to a longitudinal follow-up process of the ESF’s team’s responsibility, prioritizing shared and interdisciplinary care, with knowledge exchange, training and mutual responsibility between all the professionals involved [2]

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