Avaliação participativa em saúde: percepção dos enfermeiros da atenção básica em município da região central do Rio Grande do Sul

• Autor(a) principal: Silva, Sérgio Arthur Fernandes da
• Data de Publicação: 2012
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Manancial - Repositório Digital da UFSM
• Texto Completo: http://repositorio.ufsm.br/handle/1/7374
• topic: Enfermagem; Sistema Único de Saúde; Atenção básica; Avaliação participativa; Nursing; National health system; Primary health care; Participatory evaluation; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM

The present dissertation is inserted in the research line Management and Labor of the research group Labor, Health, Education and Nursing of the Department of Nursing at UFSM. It comprehends as object of research the participatory evaluation in health, and as main objective, to recognize the perception of nurses acting in primary health care in municipality of the central region of Rio Grande do Sul state, on the role of participatory evaluation as a tool of qualification of management and subsidiary in the taking of decisions in such level of attention to health. This research aims at contributing to the implementation of the policy of institutionalization of the evaluation in primary health care, and, at the same time, recognizing perceptions of the nurses on such topic, showing them the fact that there is an evaluation policy, and that it can be a tool of qualification of their professional performance. The theoretical framework adopted is based on the evaluation in health, taking as reference the participatory evaluation in health. The methodology brings the qualitative approach, and the attainment of information needed in order to achieve the objective of study was the semistructured interview, and for the analysis of such it was utilized the analysis of content. The research subjects are nurses of the primary health care units, chosen by sortition after the exclusion of those who did not fit in the research criterion, and that agreed in participating in the study. The research was submitted to the appraisal of the Committee of Ethics in Research, being accredited with the CAAE (Certificate of Appraisal) number 0166.0.243.000- 11. The discourses of the research subjects led to four categories: the concept of evaluation in health, the evaluation in health and management, evaluative methodologies, and participatory evaluation in health. The research findings allow us to infer that the answerers are not clear about evaluation, yet, they consider it an important tool for the qualification of primary health care, as well as they consider important the inclusion of health workers and users in the evaluative process, in addition to making evident the inexistence of formal and systematic evaluative practices. There must be a concern, on the part of the manager, in the sense of realizing and motivating evaluative practices, and there is the necessity to be triggered actions in the sense of evaluating in a methodical and systematical form the actions developed, only few informal evaluations that do not impact on their labor process. The perception regarding the importance of participatory evaluation in health led us to the conclusion that the introduction of evaluative practices in health would have, in the professionals, allies for their evolution.