南里奥格兰德州最南部初级保健工作者对矩阵支持的感觉

Brenda Rodrigues Ongaratto, Daniela Barsotti Santos, Ceres Braga Arejano
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引用次数: 0

摘要

本研究旨在分析初级卫生保健工作者制定的矩阵支持实践的意义。基于社会建构主义的观点进行了定性研究。运用日常意义理论对三个焦点群体进行了分析。在第一时间,焦点小组分别与ESF(家庭健康战略)和NASF(扩大家庭健康中心)团队的工作人员举行。随后,在第二个时刻,两支队伍联合举行了一个焦点小组。对重点小组进行了录音、转录、系统化,随后进行了分析。建立了三个主题轴:矩阵支持定义、矩阵支持教育和工作流程。研究结果揭示了“分享”或“传递”案例的含义;培训不足或难以认识矩阵支持的理论和教学层面;以及Matrix Support工作流程和解决方案中的僵局。强调了为ESF和NASF团队提供空间以反思和批判性的方式讨论工作流程的重要性。矩阵支持是一种丰富的工具,可以使扩大诊所的实践变得更加有效。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Sentidos sobre Apoio Matricial produzidos por trabalhadores da Atenção Básica do extremo sul do Rio Grande do Sul
The present study aimed to analyse the meanings of the matrix support practice produced by Primary Health Care workers. A qualitative research based on a social constructionist perspective was carried out. Three focus groups were analysed by the production of everyday meanings theory. In the first moment, focus groups were held with workers from an ESF (Family Health Strategy) and NASF (Expanded Family Health Center) team separately. Subsequently, in the second moment, a focus group was held with both teams jointly. The focus groups were audio-recorded, transcribed, systematized, and later analysed. Three thematic axes were built: Matrix Support Definitions, Education on Matrix Support and Work Processes. The results presented the meanings of “sharing” or “passing” cases; The insufficient training or difficulties to recognize the theoretical and pedagogical dimension of matrix support; as well as the stalemates in the work processes and solutions for Matrix Support. The importance of providing spaces for the ESF and NASF teams to discuss the work process in a reflective and critical way is highlighted. Matrix support is a rich tool for the practice of expanded clinics to become more effective.
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