Abstract
This study aimed to construct the operational base of the educative work in health from a Marxist perspective. Reports of nursing experiences in the basic health services, published between 1988-2003, served as empirical base. The object was captured from: the participants; the action agents; the objective; health and education conceptions; and the generating necessity. The means/instruments were identified through: physical space; didactic resources; frequency of meetings; and the conception of health education. The type of evaluation; to whom it was directed; the goal to be reached and articulation between the theoretical and operational knowledge were identified in order to capture the purpose. The educative work in collective health can strengthen social groups when it becomes praxis that assumes the participant as a dialogical co-producer of the work in health.
Highlights
This study addresses the construction of an operational basis for the educational work process in health based on the theoretical/methodological framework of Collective Health
These indicators made it possible to identify a variety of objects, means/instruments and purposes of the work performed especially by nursing professionals in the basic healthcare service network as of 1988. These results(17) showed a divergence with the theoretical-methodological and operational axis of Collective Health. They are distant from traditional public health, but without any coherence between the categories composing the Collective Health educational work process
The educational work process is closer to the molds of a public health system that incoherently supports the participation instrument - including authors like Paulo Freire - only to legitimate technical knowledge, and makes the so-called community responsible to search solutions for their health problems
Summary
Rev Latino-am Enfermagem 2007 novembro-dezembro; 15(6):1072-9 www.eerp.usp.br/rlae. Proposal to construct the operational base of the educative work process in collective health. El presente estudio tuvo como objetivo construir la base operacional del trabajo educativo en salud a partir de la vertiente marxista. Los relatos de experiencia de enfermeras que laboraron en la red básica de servicios de salud, publicados entre 1988-2003, fueron utilizados como base empírica. El trabajo educativo en salud colectiva será un potencial de fortalecimiento para los grupos sociales cuando se constituya en una praxis que asume el sujeto como co-productor dialógico del trabajo en salud. Teve como base empírica os relatos de experiência da enfermagem na rede básica de serviços de saúde, publicados entre 1988 e 2003. Disponible en castellano/Disponível em língua portuguesa SciELO Brasil www.scielo.br/rlae
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