Educação permanente em saúde: mecanismo indutor do processo educativo no cotidiano do trabalho

Abstract

The study aims to reveal the development of health continuing education proposal (EPS) on a Pará municipality, identifying difficulties and their influence in the educational process in health work daily, in view of the need to discuss on the National Policy of Permanent Education in health (PNEPS) in order to modify the practices, qualify the health care, to evaluate their influences and reflexes to consolidation of the Unified health System (SUS). In the theoretical referential, are used the assumptions of liberating pedagogical concept of Paulo Freire. Participated in the study forty-three (43) subjects, including coordinators and other health professionals involved in permanent education proposals in the Benevides-PA municipality.It consists a study of holistic single case, from a qualitative approach and, according to its objectives, with an explanatory and descriptive strategy (YIN, 2005). The data collection period was from February to June 2014, through focused interview guided by Yin (2015), from the use of interview protocol. Was used to analyze a general analytical strategy named "Couting on theoretical propositions," directed by Yin (2015), founded on the theoretical propositions of Continuing Education in Health and Educational Process in the Labour Everyday Health, followed by analytical procedure Strauss; Corbin (2008), from which emerged a total of three (03) categories, which are : "Understanding on Permanent Education in Health", "Process of Continuing Health Education experienced in Labor Daily", "Importance of Continuing Education in Daily the work in Health "; eight (08) subcategories, namely: "Concept of Continuing Education in Health", "Objective of Continuing Education in Health", "Demands of actions to be taken", "Development of Permanent Education Project Health"; "Development of the actions of Continuing Education in Health", "Difficulties in the development of the actions of Continuing Health Education", "Evaluation of the actions of Continuing Education in Health" and "Influence of Continuing Education in Health in daily work." The results showed that the development of EPS proposal deployed in the city is in its initial phase, because from that guides the PNEPS, interaction and coordination is essential between the levels of government, health workers, education and the community, however , was evidenced of a vertical relationship process, management hierarchical and centralized, with a predominance of traditional educational processes, the transfer of information with little or no process of critical reflection of reality. It is understood that the municipality is experiencing a challenging phase implementation of EPS, in this perspective, it is suggested to prioritize and create more moments and collective spaces, and dialogic participatory planning with all stakeholders, so as to foster horizontal processes of health production, preparation and development of problem-solving educational activities, critical and reflective, that meet the real needs of workers and users, as well as contribute to the motivation and professional appreciation , developing and expanding the services and collaborating effectively with the SUS consolidation.