Política nacional de promoção da saúde: práticas e saberes dos enfermeiros da estratégia saúde da família
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2017-12-21
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Universidade Federal de Goiás
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The National Health Promotion Policy (NHPP) considers the promotion of health as a set of strategies and ways of producing health, in the individual and collective scope, evidenced in the articulation and intra and intersectorial cooperation, formation and articulation of health care network with broad participation and social control. This policy was instituted in 2006 with the challenge of producing health, qualifying sanitary practices and expanding health promotion actions in SUS services and management. The NHPP undergoes extensive revision and reformulation in 2015, with the aim of increasing participation and capillarity, signaling new arrangements, good governance and fostering spaces for inter- and inter-sectoral articulation. In the same year of NHPP, the Ministry of Health establishes the Family Health Strategy (FHS) as a model for reorienting basic health care in the SUS, proposing changes in the health care paradigm, to overcome the existing biomedical model, health care as a right to citizenship, and to promote practices involved in strengthening health. Among the professionals who make up the Family Health team, nurses are assigned the responsibility of implementing actions to reduce health damage, influence the community's lifestyle and consolidate health promotion practices. This study analyzed the perception of this professional in a large city in the state of Goiás to investigate whether the discursive practices, or the actions taken by the language implicit in the NHPP, made possible the necessary changes in the FHS routine. This is a descriptive-exploratory study with a qualitative-quantitative approach. 38 nurses participated in the study. A self-administered questionnaire was used with information on the professional profile, knowledge about the NHPP, health promotion practices and motivations to work with health promotion. In the FHS, the nurse is predominantly female, married, aged between 26 and 35 years, graduated in private institutions, with 3 to 5 years of training, specialist in several health areas and works in the same team between 1 to 2 years. The nurses affirm that they know between 50% and 75% NHPP, but when indicating the practices performed in the routine of the FHS, observed actions different from those proposed in this Policy. They affirm that they feel motivated to work on health promotion through the possibility of following the users and believing in the FHT as a strategy of impact on the health quality of the population.
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BARROS, Anna Paula de Mendonça. Política nacional de promoção da saúde: práticas e saberes dos enfermeiros da estratégia saúde da família. 2017. 106 f. Dissertação (Mestrado em Saúde Coletiva) - Universidade Federal de Goiás, Goiânia, 2017.