Abstract
To identify, from the professionals' perspective, restrictive and driving factors for teamwork, in the Family Health Strategy. Descriptive study / qualitative approach, carried out with a Family Health Strategy team, in a municipality in the interior of Minas Gerais. Population constituted of nine professionals working in the team for at least six months, interviewed in August / 2016. Data analysis followed content analysis, thematic modality. Nine professionals participated: six community health agents, one physician, one dentist and one oral health aide. The results that emerged from the interviews were grouped by content affinity, in four thematic units, of which two referred to difficulties (restrictive factors) and two, to facilities (driving factors) for teamwork. Restrictive factors for teamwork were included in thematic units: Inadequate organization and resources and weakened interpersonal relationships. It has been shown that inadequate organization / resources and fragile interpersonal relationships restrict and limit teamwork in the Family Health Strategy. The driving factors for teamwork were gathered in thematic units: In-service training and interpersonal relationships based on appropriate collaboration and communication. It was verified that in-service training and interpersonal relationship, based on collaboration, mutual aid and communication, impelled the said teamwork. Both the restrictive and the driving factors for teamwork are linked to the conditions for carrying out the work and the relationship between team agents. The evidence found in this research can lead to advances in organizational behavior, with emphasis on management practices aimed at ensuring and supporting the effective development of the teamwork modality
Highlights
The Health Care Networks (HCN) model aims to integrate and articulate the different levels of health care so that the individual in need of care has a comprehensive and humanized care
In the context of Primary Health Care (PHC), the Family Health Strategy (FHS) was set up as a care model to reorient health care in Brazil (MIRANDA et al, 2017), and it faces several challenges related to professional practice, especially regarding the replacement of the biomedical care model with the model collective, driven by the integrality and universality of health actions (MIRANDA et al, 2017), In this perspective, due to the diversity of professional categories working in the FHS, such as a physician, nurse, nursing technician, dentist, oral health aide (OHA) and community health agent (CHA), it is essential to create proposals that enable the interprofessional practice in health (REIS et al, 2016) and a collective and integrated doing
Restrictive factors for teamwork were grouped in thematic units: Inadequate organization and resources and weakened interpersonal relationships
Summary
The Health Care Networks (HCN) model aims to integrate and articulate the different levels of health care so that the individual in need of care has a comprehensive and humanized care. Primary Health Care (PHC) constitutes the basis of this model, having as its responsibility the resolution of 90% of the problems and demands of the population (DALUCHE; MENDES, 2017). In the context of PHC, the Family Health Strategy (FHS) was set up as a care model to reorient health care in Brazil (MIRANDA et al, 2017), and it faces several challenges related to professional practice, especially regarding the replacement of the biomedical care model with the model collective, driven by the integrality and universality of health actions (MIRANDA et al, 2017), In this perspective, due to the diversity of professional categories working in the FHS, such as a physician, nurse, nursing technician, dentist, oral health aide (OHA) and community health agent (CHA), it is essential to create proposals that enable the interprofessional practice in health (REIS et al, 2016) and a collective and integrated doing.
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