Qualificação dos registros de procedimentos em centros de atenção psicossocial: educação permanente em saúde como estratégia de gestão
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2018-01-25
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Universidade Federal de Goiás
Resumo
The Psychosocial Care Centers (CAPS) are strategic services of the Psychosocial
Care Network to promote the social reintegration of people with mental disorders and
or problems related to the use of alcohol and other drugs. Thus, it is imperative that
the actions in the CAPS be monitored and evidenced to support the superiority of this
proposal. However, this will only be possible if there are data recorded by the
professionals working in the CAPS to enable the evaluation for the management of
the quality of the services. This study aimed to analyze the quality of records of
procedures using the Permanent Education in Health as a strategy for the
management of the work process of the health professionals of the CAPS. This is an
intervention research of a qualitative nature, carried out with 58 professionals from
seven CAPS from three municipalities of the State of Goiás. Data collection occurred
from March to October 2016. The Permanent Health Education was procedural and
occurred in three stages: focus groups, seminars and workshops on CAPS
procedures and elaboration of a Unique Therapeutic Project (PTS). With the data
obtained through the reflection of the subjects, the thematic content analysis was
performed. The thematic categories and subcategories that emerged from the
content analysis were: Process of registration of the CAPS procedures, the Unique
Therapeutic Project in quotation marks and Qualification of the PTS through the
understanding of the records and and the opposite also. The results showed that the
professionals did not know the instruments of records of CAPS procedures, the
meaning of the names of the procedures, the management and purposes of the
records and the importance of the data as the driver of information for work and
service management. Two situations on the quality of records were evidenced that
the data were underreported or reflected the inexistence of psychosocial actions. It
was perceived the need of investment in the training of the professionals with focus
on the records management and through the systematization of PTS. The Permanent
Health Education strategy expanded the repertoire of information about CAPS
procedures and was evaluated positively by enabling a better understanding of the
records, deconstruction of the idea of association of registration for financial transfer,
use of the list of procedures as a care line for elaboration of more robust PTS and
revision of Institutional Therapeutic Projects. The incompleteness and underreporting
of the data do not depict what the teams in the CAPS are developing and, therefore,
the conclusion that the analysis of the data generated through them does not
coincide with the reality of the services. It is important to emphasize the importance
of the process of permanent education as a way of giving priority to more meaningful
learning practices involving the participants in the process of change and thus
highlighting the psychosocial practices by recording the actions developed in the
CAPS or other devices in the territory. This evidence is fundamental for the technical
and political defense of the model of psychosocial care in force in the country.
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Citação
SILVA, Nathália dos Santos. Qualificação dos registros de procedimentos em centros de atenção psicossocial: educação permanente em saúde como estratégia de gestão. 2018. 140 f. Tese (Doutorado em Enfermagem) - Universidade Federal de Goiás, Goiânia, 2018.