Permanent Health Education Research Articles

Professional participation in permanente health education at public hospital in Sobral - CE

This study addresses the theme of Permanent Health Education from the perspective of critical research, seeking to understand its importance and impact in the context of a hospital. The investigation revealed the inherent complexity of PHE, highlighting the need to transce0nd merely bureaucratic and formative approaches to embrace its true essence. Through the analysis of healthcare professionals' perceptions, both weaknesses and strengths of PHE were identified, emphasizing the importance of a dialogue that considers its multidimensionality. Furthermore, the relationship between access and professionals' participation was discussed, highlighting its nuances and the need for a differentiated approach. As a practical result, an interactive guide was developed as a tool to disseminate the principles and practices of PHE, aligned with the data and reflections derived from the research. Finally, the relevance of PHE as a fundamental strategy in health promotion is recognized, especially in times of crisis such as the COVID-19 pandemic, reinforcing the importance of its integration into social policies to effectively address contemporary challenges.

Permanent health education in the work process of primary health care nurses

Objective: To analyze the insertion of the dimensions of the quadrilateral of Permanent Health Education in the work process under the perception of Primary Health Care nurses. Methods: This is an exploratory-descriptive qualitative study carried out in a municipality belonging to the Macroregion of Fortaleza-Ceará. The study sample consisted of 30 nurses working in Primary Care. Data collection took place between November 2019 and February 2020, in which the semi-structured interview script was used and, soon after, the thematic Content Analysis, proposed by Bardin, was carried out. Results: After compiling and analyzing the narratives, they were divided into thematic units, consistent with the dimensions of Permanent Health Education (teaching, sectoral management, health care and social control) in the nurses' work process. Conclusion: Nurses understand the training policy with emphasis on specific, fragmented and decontextualized actions in the context of the service occurring through nurses from several higher education institutions, with no fixed periodicity to happen and no plan for this process.

Development of a Website for Disseminating Knowledge About listening Effort for Professionals.

Introduction Permanent education in health aims to ensure that professionals are constantly learning in the workplace and in the last few years institutions resorted to the technology-mediated education modality and new teaching possibilities were explored. In Brazil, between 2017 and 2021, only six articles and five monographs were published about listening effort. Objective The objective of this study was to develop a website with scientific content on the topic listening effort for Speech -Language Therapist and Audiologist with free online access. Methods The study was carried out in five stages: Analysis, contemplating the search for scientific materials to prepare the material. Design, in which the writing and design of the website was carried out. Development, carrying out the adequacy of the online material. Implementation, a stage in which professionals in the area evaluated the quality of the material after consenting to participation through a free and informed consent term. Review, stage in which the researcher analyzed the evaluators' responses. Results The five stages of elaboration of the website were carried out, which was evaluated by professionals in the area. The average of responses to all applied questions rated the website as "superior". Conclusion The website development was validated for online availability.

Circuito dos Cuidados Psicossociais: sistematização de intervenção na crise psíquica no atendimento pré-hospitalar móvel

An experience report that aims to present the systematization of care for the management of psychic crises developed by the SAMU-DF Mental Health Center. The methodology, based on the steps of the Maguerez’s Arch, allowed both the identification of professionals’ difficulties regarding psychic crises management and the construction of the system called “Psychosocial Care Circuit’’ to guide the assistance of the mobile pre-hospital care. The Circuit has as mnemonic AEIOU, and each letter corresponds to an element evaluated as necessary for the psychic crisis intervention. Therefore, it is possible to affirm that the permanent education in health enables the transformative action of professionals, in addition to transforming the reality in which they are inserted, and that the systematization has accelerated the consolidation of the necessary skills for psychic crises care.

The use of Information and Communication Technologies in Primary Health Care in Brazil - the period of 2014 to 2018.

Information and Communication Technologies in Health allow the storage and processing of digital data, access to information and remote communications. The objective of this article was to describe the use of these Technologies to support clinical practice and continuing education by primary health care teams in Brazil the period of 2014 to 2018, within the scope of the Access and Quality Improvement Program Basic, according to characteristics of the geopolitical context. It's a cross-sectional study that analyzed the data collected from the teams of the Basic Health Units. A growing use by the teams of Telehealth resources, the Telemedicine University Network and the Open University of the Unified Health System was observed to aid clinical practice and permanent health education. In the North and Northeast regions, the use of these Technologies doubled, from cycle II to cycle III. The need for investments in infrastructure, human resources in Primary Health Care, qualification and professional training is a way to strengthen the Unified Health System and its Health Care Network, contributing to a continuous flow of care, with quality and access universal.

Permanent Health Education in the care network for victims of sexual violence in Alagoas, Brazil

Resumo Os profissionais da saúde afiançam que não se sentem seguros para atender as demandas relacionadas à violência sexual. Nesse âmbito, desponta a Educação Permanente em Saúde, política do Sistema Único de Saúde que cumpre os requisitos de desenvolvimento permanente de habilidades e competências profissionais. Assim, este estudo objetivou analisar a compreensão dos trabalhadores acerca dos processos de trabalho e sua articulação com a Educação Permanente em Saúde para a qualificação na Rede de Atenção às Vítimas de Violência Sexual, na gestão e na Área Lilás do Hospital da Mulher Nise da Silveira, de Alagoas. Trata-se de uma pesquisa de caráter descritivo, exploratório e de abordagem qualitativa. Promoveram-se três oficinas integrando dois grupos de pesquisa. Os inquiridos compreendem os impactos que a Educação Permanente em Saúde pode reverberar na atenção às vítimas de violência sexual. Isso acontece porque não se trata de um processo engessado de formação, mas ancora-se na aprendizagem que os provoca a problematizar tanto as suas condutas laborais quanto os processos de trabalho em que estão inseridos, valorizando a experiência que cada um carrega na intenção de (re)pensar novos moldes de cuidado e de reduzir os ruídos de comunicação diante do fazer dialógico.

O uso de Tecnologias de Informação e Comunicação em Saúde na Atenção Primária à Saúde no Brasil, de 2014 a 2018

Abstract Information and Communication Technologies in Health allow the storage and processing of digital data, access to information and remote communications. The objective of this article was to describe the use of these Technologies to support clinical practice and continuing education by primary health care teams in Brazil the period of 2014 to 2018, within the scope of the Access and Quality Improvement Program Basic, according to characteristics of the geopolitical context. It’s a cross-sectional study that analyzed the data collected from the teams of the Basic Health Units. A growing use by the teams of Telehealth resources, the Telemedicine University Network and the Open University of the Unified Health System was observed to aid clinical practice and permanent health education. In the North and Northeast regions, the use of these Technologies doubled, from cycle II to cycle III. The need for investments in infrastructure, human resources in Primary Health Care, qualification and professional training is a way to strengthen the Unified Health System and its Health Care Network, contributing to a continuous flow of care, with quality and access universal.

Managers’ perspectives on a proposal for permanent health education in palliative care in primary care

RESUMO A educação pode agir como um fator transformador da prática de saúde ao promover encontros de sujeitos, da assistência à gestão. Ao intermediar a realidade assistencial, o gestor passa a integrar o espaço onde se produz saúde e educação, permitindo o aprendizado e a construção conjunta de respostas aos problemas inerentes à rotina de trabalho. Com objetivo de analisar a perspectiva dos gestores acerca de uma proposta de educação permanente em cuidado paliativo para capacitação de médicos e enfermeiros da Atenção Primária à Saúde, foi realizada uma pesquisa-ação, com abordagem qualitativa, na atenção primária da região Médio Paraíba do estado do Rio de Janeiro. Através da análise das entrevistas semiestruturadas, realizadas com oito gestoras e a representante da Comissão de Integração Ensino-Serviço da região de saúde, emergiram quatro dimensões temáticas: necessidades, aplicabilidade, equipe de saúde e acesso. Identificou-se que a proposta educacional elaborada, ao agregar educação permanente em saúde e cuidado paliativo, possibilitou à gestão vislumbrar uma estratégia dinâmica e capaz de transformar as práticas de serviço da atenção primária. Envolver a gestão ampliou o escopo do modelo proposto, potencializando sua apropriação não só no nível local, mas de forma integrada à rede de atenção à saúde.

The offer of permanent health education courses offered by the technologies of virtual learning platforms in the training processes of health professionals in the pandemic period of COVID-19 in Brazil in 2020 and 2021

Permanent Health Education (PHE) was the front line in the pandemic, qualifying professionals through electronic devices and Information and Communication Technologies, reducing the pandemic's harm. This research aimed to describe which EPS actions offered by virtual learning platforms were produced during the COVID-19 pandemic period, in Brazil, from 2020 to 2021. In the methodology, documentary research was carried out with a quantitative and qualitative approach. Documents were searched for on the Learning Platform (AVASUS), from 2020 to 2021. Quantitative data were analyzed using descriptive statistics, and qualitative data were categorized using content analysis by the theme of the courses. The results showed that the courses offered by AVASUS were compatible with the needs of health professionals and the population, considering the pandemic. Therefore, the incorporation of technologies, as a pedagogical innovation, guaranteed access, autonomy and dissemination of technical-scientific knowledge to health professionals, during the COVID-19 pandemic.

Assessment of permanent education by the team of the expanded center for family health and primary care

Introduction: the National Policy for Permanent Health Education is a strategy for training workers in the Brazilian Unified Health System. Objective: we sought to evaluate the implementation of the Permanent Health Education Policy from the perspective of professionals from the Expanded Center for Family Health and Primary Care in the city of Vitória, Espírito Santo. Methods: this is a case study, quantitative and qualitative research, with triangulation of methods. A Logic Model and an Analysis and Judgment Matrix were prepared based on document analysis and scientific literature. Results: 49 questionnaires were applied and 28 interviews were conducted with health professionals with at least one year of experience in the position. A descriptive analysis of the quantitative data (absolute and relative frequencies) was performed using SPSS version 21.0, and thematic content analysis of the interviews was conducted using MAXQDA (22.0.1), with the results being applied to the matrix, following the score for each classification level of the criteria provided for in the Governance, Technical Quality, and Sustainability dimensions. Conclusion: the full degree of implementation of the policy was obtained in the view of the teams, with facilitating factors such as the good performance of the Technical School of Health.

Círculo de Cultura e educação permanente para transformação da prática profissional: uma revisão integrativa

Abstract This article aimed to know the scientific evidence that underlies Culture Circle application as a device of Permanent Education in Health for professional practice transformation. This is an integrative literature review carried out in the PubMed, CINAHL, LILACS and Scopus databases, in October 2021, with the descriptors “health professionals”, “professional practice”, “continuing education”, “health promotion” and the uncontrolled term “Culture Circle”. Data were analyzed in a descriptive way. The results identified 217 articles and five were included to compose the final sample. It was identified that the most discussed themes in Culture Circles were health education and health promotion. There was an average of 13 participants, lasting between one and a half to four hours, with the presence of an animator/researcher and carried out in the workplace. It is concluded that applying Culture Circles in Permanent Education in Health is a powerful inducer of change in professional practice. Recommendations are presented for its application in empowering subjects and in strengthening health promotion actions as well as the need for field research to broaden the understanding of the implication of the method and its consequences in professional practice.

Permanent education for quality and patient safety in an accredited hospital

Objective To understand the challenges faced in terms of permanent education in health, for achieving quality improvements and patient safety at a public hospital undergoing hospital accreditation. Methods This was a descriptive, cross-sectional study with a qualitative approach. Semi-structured interviews were conducted with 22 professionals, lasting an average of 22 minutes. The interviews were subsequently analyzed and interpreted using Bardin’s thematic content analysis. The software Iramuteq was used to analyze the textual corpus, and BioEstat 5.3 was used to analyze the profile of the participants. The data collection took place in June 2022, following approval by the Research Ethics Committees. Results The descending hierarchical classification analysis, generated by Iramuteq, was applied, resulting in three categories: Challenges of Permanent Education through the Continuous Improvement Process, Permanent Education for the Promotion of Quality and Patient Safety in the Context of Hospital Accreditation, and Educational Strategies for Improving Quality and Patient Safety. Conclusion Challenges inherent to the actions of permanent education in health were identified, such as resistance to cultural change, adherence to activities, high turnover of professionals, and difficulty in releasing the nursing team to participate in activities, due to work demand.

MAGUEREZ ARC PROBLEMATIZATION IN COOKING WORKSHOPS: A LOW-COST METHOD FOR IMPROVING THE HEALTH OF DIABETICS

Objective. Using cookery to stimulate good habits for the health promotion people with diabetics. Methods. Maguerez arc-based problematisation with twenty adult people with diabetes, attended at Basic Health Units in Ouro Preto, Brazil, voluntarily participated in monthly meetings, four/semester, lasting ~120 minutes each, totalling eight meetings. Results. Through cooking, importance of sharing health care strategies, strengthening collective spaces for case discussion and promoting permanent health education involving people with diabetics was highlighted. The problematisation as a guiding instrument improved the ability to choose and prepare food for healthier nutrition, improved the form of family life and relationships, especially of diabetic individuals living alone, and provided a better quality of life. Conclusion. The method changed eating practices and improved the self-care processes of diabetics. It also reduced the side effects of the disease and represented a suitable, low-cost tool for improving the health of diabetics.

Permanent Education for Health Professionals during COVID-19: Scoping Review

Background: The pandemic of COVID-19 was declared by the World Health Organization on March 11, 2020. With this, the world had to adapt to a new way of carrying out permanent health education. The objective was to map what the national and international literature currently has to say about how continuing education is being provided to health professionals in the context of the COVID-19 pandemic. Methodology: This is a scoping review, thus, the PRISMA-ScR guidelines were used for its elaboration. The search was performed in several stages, by four independent reviewers, following the criteria of the Joanna Briggs Institute (JBI), in the following databases: PubMed, Science Direct, LILACS and MEDLINE (via BVS). The descriptors used were "Continuing Education", "health" and "COVID-19". Results: Ten articles dealing with the proposed theme were included and analyzed in this review. The year of publication ranged from 2020 to 2021. Six articles were conducted in Brazil, one in Poland, one in China and one in Canada. Five of them were in Portuguese and five in English. Nine studies are descriptive experience reports and one theoretical-descriptive study of actions performed to promote HPS. The most prevalent research site was the Brazilian Basic Health Units (BHU), but it also occurred in tertiary hospitals. It was possible to identify several measures for continuing education in Brazil and worldwide during the COVID-19 pandemic. Conclusion: The strategies employed were effective and produced a positive impact on the communities employed. We encourage actions like those presented to be carried out within health services, within the reality and singularity of each place, in order to provide updates and continuity of education in health.

Evaluation of massive education in prison health: a perspective of health care for the person deprived of freedom in Brazil.

Education, with an emphasis on prison health, has acted as a policy inducing changes in work processes, which the Brazilian National Health System (SUS) has used, and which is present in permanent health education, which promotes health care for people deprived of liberty. This article aims to present an analysis of the impacts of the strategy of massive education on prison health in Brazil from the perspective of health professionals and other actors operating in the Brazilian prison system. The data used in the study come from a questionnaire consisting of 37 questions applied nationwide between March and June 2022. Responses were collected from students who completed the course "Health Care for People Deprived of Freedom" of the learning pathway "Prison System", available in the Virtual Learning Environment of the Brazilian Health System (AVASUS). This course was offered nationally, whose adhesion (enrollment) occurred spontaneously, i.e., the course was not a mandatory. The data collected allowed us to analyze the impacts of massive education on prison health. The study also shows that the search for the course is made by several areas of knowledge, with a higher incidence in the health area, but also in other areas, such as humanities, which also work directly with the guarantee of the rights of people deprived of liberty, which are professionals in the areas of social work, psychology, and education. The analysis based on the data suggests that the massive education mediated by technology through the courses of the learning pathway, besides disseminating knowledge-following the action plan of the 2030 Agenda of the United Nations Educational, Scientific and Cultural Organization (UNESCO)-, are an effective tool to promote resilience in response to prison health and care demands of people deprived of liberty.

Strengthening regional governance and the health care network in small municipalities in BrazilFortalecimiento de la gobernanza regional y de la red de atención de salud en municipios pequeños de Brasil

In Brazil, 67.7% of the municipalities are characterized as small, with a population of less than 20 thousand. The objective of this article is to systematize the experience and identify the challenges and lessons learned in the implementation of the model for strengthening regional governance and organizing the health care network (HCN) in a region of Brazil composed of these municipalities, which present low technical and budgetary capacity, in addition to various fragilities related to the organization of the HCN. With a view to strengthening regional governance and the organization of the primary health care (PHC) work process and, consequently, the workflow with other levels of care, a strategy entitled More Care More Health (Mais Cuidado Mais Saúde) was proposed, developed in partnership with the Pan American Health Organization/World Health Organization (PAHO/WHO) and the Ministry of Health. The project was developed through permanent health education and institutional capacity building in the region of Ivaiporã, state of Paraná, based on workshops and addressing three priority axes: HCN integration, capacity building and information management. The target audience were the extended PHC teams. The project made it possible to develop local and governance capacities through joint reflections on the health care model, its components and the necessary changes in work processes for health promotion with a focus on the quality of life of users. Because it is an experience that considers the weaknesses, needs and autonomy of local actors, the project has a high potential for replication and customization for other regions with similar characteristics inside and outside Brazil.

The instituted and the real in the training of community health agents: a scoping review

Objective: To map the formation processes and ongoing education actions experienced by Community Health Agents (CHAs) in the context of family health, anchored in the concept of culture. Methodology: Scope review following the Joanna Briggs Institute (JBI) methodology and guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). The search in databases such as BVS, EBSCO – Academic Search Premier, CINAHL, GreenFILE, SocINDEX, Embase, ERIC, Global Index Medicus, PUBMED, Scielo, Scopus, WOS, took place in November and December 2022. The search terms were: Community Health Workers, Professional Training, Continuing Education, Family Health Strategy, Primary Health Care. Studies analyzing training experiences and actions of Permanent Education in Health (PEH) for CHAs in the context of family health were included. Endnote and Rayyan software were used in managing the selection of findings. The review protocol was registered on the Open Science Framework (OSF). Results: The sample included 25 studies, generating two categories: The primacy of instrumental technical training culture; and The biomedical culture guiding PEH. CHA training involves disinvestment and invisibility, focusing on the biomedical model. On the other hand, even if sporadic, PEH actions are guided by emerging health themes. Final Considerations: The formative processes and PEH for CHAs involve paths of construction and deconstruction, progress, and setbacks, based on a culture that often restricts established rights.

Resolutividade no Subsistema de Atenção à Saúde Indígena (SASI-SUS): análise em um serviço de referência no Amazonas, Brasil

Problem-solving is one of the principles of the Unified Health System (SUS) in Brazil, with its ability to solve the health problems of the population at different levels of complexity. The Indigenous Health Care Subsystem (SASI-SUS) is part of this service, respecting the specificities of indigenous populations. The scope of this article is to analyze the perception of professionals and managers of an Indigenous Health Center (CASAI) regarding its ability to cope with the circumstances of the pandemic. It involved qualitative and descriptive research under the National Health Care Policy for Indigenous Peoples (PNASPI) and Paul Ricoeur's hermeneutic theory. Interviews were conducted with participants in order to record the experiences in the work process of the actors who assist the indigenous people housed at CASAI. Four essential themes were identified in the interviews: cultural care; permanent education in health & health education; negotiation & improvisation; and reception & infrastructure. CASAI is an institution that is more than a support center or accommodation, being a crossover point between the different levels of care and knowledge production of the indigenous people, as well as a place for establishing a relationship, resulting in a problem-solving space.

Permanent health education actions in pandemic times: priorities in state and national contingency plans.

to assess permanent health education actions regarding the national and state contingency plans to face the COVID-19 pandemic in Brazil. documentary research, using 54 plans in the initial and final versions, published between January 2020 and May 2021. The content analysis included the identification and systematization of proposals aimed at training and reorganizing the work process, as well as physical and mental health care of health workers. the actions were focused on training workers with an emphasis on flu syndrome, infection risk control measures and knowledge about biosafety. Few plans addressed the teams' working hours and work process, promotion and assistance to the workers' mental health, mainly in the hospital environment. the superficiality regarding the approach to permanent education actions in contingency plans need to include actions in the strategic agenda of the Ministry of Health and State and Municipal Health Secretariats, with the qualification of workers to face this and other epidemics. They propose the adoption of health protection and promotion measures in daily health work management within the scope of the SUS.

Ações de educação permanente em saúde em tempos de pandemia: prioridades nos planos estaduais e nacional de contingência

Abstract Objective: to assess permanent health education actions regarding the national and state contingency plans to face the COVID-19 pandemic in Brazil. Method: documentary research, using 54 plans in the initial and final versions, published between January 2020 and May 2021. The content analysis included the identification and systematization of proposals aimed at training and reorganizing the work process, as well as physical and mental health care of health workers. Results: the actions were focused on training workers with an emphasis on flu syndrome, infection risk control measures and knowledge about biosafety. Few plans addressed the teams’ working hours and work process, promotion and assistance to the workers’ mental health, mainly in the hospital environment. Conclusion: the superficiality regarding the approach to permanent education actions in contingency plans need to include actions in the strategic agenda of the Ministry of Health and State and Municipal Health Secretariats, with the qualification of workers to face this and other epidemics. They propose the adoption of health protection and promotion measures in daily health work management within the scope of the SUS.