Abstract

to understand Professional Safety in daily life in Primary Health Care. this is a study on the Grounded Theory method and the Symbolic Interactionism theoretical framework with 82 health professionals. it presents the category "Professional Safety in Daily Life in Primary Health Care: a Grounded Theory" and two subcategories determining and conditioning Professional Safety in PHC: professional training, infrastructure, support and technical responsibility; Professional Safety: physical protection, psychological support, distress and feelings reveal the (un)safe conditions. Professional Safety is mentioned in several dimensions that include professionals' knowledge, decision-making skills, the practice of the profession and what regulates it, the structure and organization of the Unified Health System and services, permanent education. It presents the context of primary care and the factors that impact an (unsafe) work. this study contributes to reflect on Professional Safety to strengthen safety culture in Primary Health Care.

Highlights

  • The context of multidisciplinary work in Primary Health Care (PHC) is configured as a dynamic setting, in which a culture of safety presents itself in a building movement, based on strategies and management tools of work processes, to improve the quality of care provided in primary care in the Unified Health System (SUS – Sistema Único de Saúde)

  • Data analysis allowed the elaboration of a theoretical model, whose category/central concept is named “Professional Safety in Daily Life in Primary Health Care”

  • Two categories/concepts of analysis were identified, which support the formulation of the theoretical model: Daily work in SUS in its third decade: the perspective of Primary Health Care professionals; and Professional Safety in Daily Life in Primary Health Care: a Grounded Theory

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Summary

Introduction

The context of multidisciplinary work in Primary Health Care (PHC) is configured as a dynamic setting, in which a culture of safety presents itself in a building movement, based on strategies and management tools of work processes, to improve the quality of care provided in primary care in the Unified Health System (SUS – Sistema Único de Saúde). In this process of improving care, welcoming contributes to qualifying health systems, enabling users to access comprehensive and meaningful care, through multidisciplinarity, intersectoriality and the implementation of the constitutional principles of SUS[1]. Professionals’ work must be guided by conducts that have scientific and ethical support, with adequate and efficient working relationships, in order to strengthen a culture of safety[3]

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