Nutritionists' perceptions of matrix support and expanded family health and primary care

Detalhes bibliográficos
Autor(a) principal: Souza, Luis Rocildo Caracas Vieira e
Data de Publicação: 2021
Outros Autores: Santos, Fátima Café Ribeiro dos, Ávila, Maria Marlene Marques
Tipo de documento: Artigo
Idioma: por
Título da fonte: Research, Society and Development
Texto Completo: https://rsdjournal.org/index.php/rsd/article/view/24102
Resumo: One of the ways of insertion of the nutritionist in primary care is through the Expanded Center for Family Health and Primary Care (NASF-AB), thus, this study sought to understand the performance of this professional from the perspective of matrix support (MS) through of an exploratory study, with a qualitative approach, carried out with the nutritionists of the NASF-AB in Tauá/CE. The field research took place in December 2018 using semi-structured interviews. The analysis was carried out using the thematic analysis technique, which made it possible to identify five empirical categories: concept of NASF-AB; team work; incomprehension of MS; MS: care support and pedagogical support; activation of the professional by EqSF; and, challenge and potential for acting at NASF-AB. The analysis showed the gap between central theoretical-practical assumptions and the work process, contributing to the fragmentation of care, distance between professionals, predominance of impersonal referrals and outpatient focused actions, obstacles to interprofessionality and interdisciplinarity, essential conditions for comprehensiveness in health. As a suggestion, carrying out permanent education actions based on MS and its assumptions.
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spelling Nutritionists' perceptions of matrix support and expanded family health and primary carePercepciones de los nutricionistas sobre el apoyo de la matriz y la salud familiar ampliada y la atención primariaPercepções de nutricionistas sobre o apoio matricial e núcleo ampliado de saúde da família e atenção básicaAtenção Primária à SaúdeNutricionistasIntegralidade em SaúdePesquisa qualitativa.Atención Primaria de SaludNutricionistasIntegralidad en SaludInvestigación cualitativa.Primary Health CareNutritionistsIntegrality in HealthQualitative research.One of the ways of insertion of the nutritionist in primary care is through the Expanded Center for Family Health and Primary Care (NASF-AB), thus, this study sought to understand the performance of this professional from the perspective of matrix support (MS) through of an exploratory study, with a qualitative approach, carried out with the nutritionists of the NASF-AB in Tauá/CE. The field research took place in December 2018 using semi-structured interviews. The analysis was carried out using the thematic analysis technique, which made it possible to identify five empirical categories: concept of NASF-AB; team work; incomprehension of MS; MS: care support and pedagogical support; activation of the professional by EqSF; and, challenge and potential for acting at NASF-AB. The analysis showed the gap between central theoretical-practical assumptions and the work process, contributing to the fragmentation of care, distance between professionals, predominance of impersonal referrals and outpatient focused actions, obstacles to interprofessionality and interdisciplinarity, essential conditions for comprehensiveness in health. As a suggestion, carrying out permanent education actions based on MS and its assumptions.Una de las formas de inserción del nutricionista en la atención primaria es a través del Centro Ampliado de Salud de la Familia y Atención Primaria (NASF-AB), por lo que este estudio buscó comprender el desempeño de este profesional desde la perspectiva de la matriz de apoyo (MA). a través de un estudio exploratorio, con enfoque cualitativo, realizado con los nutricionistas de la NASF-AB en Tauá / CE. La investigación de campo se llevó a cabo en diciembre de 2018 mediante entrevistas semiestructuradas. El análisis se realizó mediante la técnica de análisis temático, que permitió identificar cinco categorías empíricas: concepto de NASF-AB; trabajo en equipo; (mal)entendido de MA; MA: apoyo asistencial y apoyo pedagógico; activación del profesional por EqSF; y desafío y potencial para actuar en NASF-AB. El análisis mostró la brecha entre los supuestos teórico-prácticos centrales y el proceso de trabajo, contribuyendo a la fragmentación de la atención, distanciamiento entre profesionales, predominio de derivaciones impersonales y acciones ambulatorias, obstáculos a la interprofesionalidad e interdisciplinariedad, condiciones esenciales para la integralidad en salud. Como sugerencia, realizar acciones de educación permanente basadas en MA y sus supuestos.Uma das formas de inserção do nutricionista na atenção primária é por meio do Núcleo Ampliado de Saúde da Família e Atenção Básica (NASF-AB), assim, esse estudo buscou compreender a atuação deste profissional sob a perspectiva do apoio matricial (AM) por meio de um estudo exploratório, de abordagem qualitativa, realizado com as nutricionistas dos NASF-AB de Tauá/CE. A pesquisa de campo ocorreu em dezembro de 2018 com o recurso de entrevistas semiestruturadas. A análise ocorreu pela técnica da análise temática, que possibilitou identificar cinco categorias empíricas: conceito de NASF-AB; trabalho em equipe; (in)compreensão de AM; AM: suporte assistencial e suporte pedagógico; acionamento do profissional pela EqSF; e, desafio e potencialidades para atuação no NASF-AB. A análise evidenciou o distanciamento entre pressupostos teórico-práticos centrais e o processo de trabalho, contribuindo para a fragmentação do cuidado, distanciamento entre os profissionais, predomínio de encaminhamentos impessoais e ações de enfoque ambulatorial, entrave para a interprofissionalidade e interdisciplinaridade, condições essenciais para a integralidade em saúde. Como sugestão, a realização de ações de educação permanente com base no AM e seus pressupostos.Research, Society and Development2021-12-18info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfhttps://rsdjournal.org/index.php/rsd/article/view/2410210.33448/rsd-v10i16.24102Research, Society and Development; Vol. 10 No. 16; e554101624102Research, Society and Development; Vol. 10 Núm. 16; e554101624102Research, Society and Development; v. 10 n. 16; e5541016241022525-3409reponame:Research, Society and Developmentinstname:Universidade Federal de Itajubá (UNIFEI)instacron:UNIFEIporhttps://rsdjournal.org/index.php/rsd/article/view/24102/21193Copyright (c) 2021 Luis Rocildo Caracas Vieira e Souza; Fátima Café Ribeiro dos Santos; Maria Marlene Marques Ávilahttps://creativecommons.org/licenses/by/4.0info:eu-repo/semantics/openAccessSouza, Luis Rocildo Caracas Vieira eSantos, Fátima Café Ribeiro dosÁvila, Maria Marlene Marques2021-12-20T11:03:07Zoai:ojs.pkp.sfu.ca:article/24102Revistahttps://rsdjournal.org/index.php/rsd/indexPUBhttps://rsdjournal.org/index.php/rsd/oairsd.articles@gmail.com2525-34092525-3409opendoar:2024-01-17T09:42:45.866167Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)false
dc.title.none.fl_str_mv Nutritionists' perceptions of matrix support and expanded family health and primary care
Percepciones de los nutricionistas sobre el apoyo de la matriz y la salud familiar ampliada y la atención primaria
Percepções de nutricionistas sobre o apoio matricial e núcleo ampliado de saúde da família e atenção básica
title Nutritionists' perceptions of matrix support and expanded family health and primary care
spellingShingle Nutritionists' perceptions of matrix support and expanded family health and primary care
Souza, Luis Rocildo Caracas Vieira e
Atenção Primária à Saúde
Nutricionistas
Integralidade em Saúde
Pesquisa qualitativa.
Atención Primaria de Salud
Nutricionistas
Integralidad en Salud
Investigación cualitativa.
Primary Health Care
Nutritionists
Integrality in Health
Qualitative research.
title_short Nutritionists' perceptions of matrix support and expanded family health and primary care
title_full Nutritionists' perceptions of matrix support and expanded family health and primary care
title_fullStr Nutritionists' perceptions of matrix support and expanded family health and primary care
title_full_unstemmed Nutritionists' perceptions of matrix support and expanded family health and primary care
title_sort Nutritionists' perceptions of matrix support and expanded family health and primary care
author Souza, Luis Rocildo Caracas Vieira e
author_facet Souza, Luis Rocildo Caracas Vieira e
Santos, Fátima Café Ribeiro dos
Ávila, Maria Marlene Marques
author_role author
author2 Santos, Fátima Café Ribeiro dos
Ávila, Maria Marlene Marques
author2_role author
author
dc.contributor.author.fl_str_mv Souza, Luis Rocildo Caracas Vieira e
Santos, Fátima Café Ribeiro dos
Ávila, Maria Marlene Marques
dc.subject.por.fl_str_mv Atenção Primária à Saúde
Nutricionistas
Integralidade em Saúde
Pesquisa qualitativa.
Atención Primaria de Salud
Nutricionistas
Integralidad en Salud
Investigación cualitativa.
Primary Health Care
Nutritionists
Integrality in Health
Qualitative research.
topic Atenção Primária à Saúde
Nutricionistas
Integralidade em Saúde
Pesquisa qualitativa.
Atención Primaria de Salud
Nutricionistas
Integralidad en Salud
Investigación cualitativa.
Primary Health Care
Nutritionists
Integrality in Health
Qualitative research.
description One of the ways of insertion of the nutritionist in primary care is through the Expanded Center for Family Health and Primary Care (NASF-AB), thus, this study sought to understand the performance of this professional from the perspective of matrix support (MS) through of an exploratory study, with a qualitative approach, carried out with the nutritionists of the NASF-AB in Tauá/CE. The field research took place in December 2018 using semi-structured interviews. The analysis was carried out using the thematic analysis technique, which made it possible to identify five empirical categories: concept of NASF-AB; team work; incomprehension of MS; MS: care support and pedagogical support; activation of the professional by EqSF; and, challenge and potential for acting at NASF-AB. The analysis showed the gap between central theoretical-practical assumptions and the work process, contributing to the fragmentation of care, distance between professionals, predominance of impersonal referrals and outpatient focused actions, obstacles to interprofessionality and interdisciplinarity, essential conditions for comprehensiveness in health. As a suggestion, carrying out permanent education actions based on MS and its assumptions.
publishDate 2021
dc.date.none.fl_str_mv 2021-12-18
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/24102
10.33448/rsd-v10i16.24102
url https://rsdjournal.org/index.php/rsd/article/view/24102
identifier_str_mv 10.33448/rsd-v10i16.24102
dc.language.iso.fl_str_mv por
language por
dc.relation.none.fl_str_mv https://rsdjournal.org/index.php/rsd/article/view/24102/21193
dc.rights.driver.fl_str_mv https://creativecommons.org/licenses/by/4.0
info:eu-repo/semantics/openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by/4.0
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
dc.publisher.none.fl_str_mv Research, Society and Development
publisher.none.fl_str_mv Research, Society and Development
dc.source.none.fl_str_mv Research, Society and Development; Vol. 10 No. 16; e554101624102
Research, Society and Development; Vol. 10 Núm. 16; e554101624102
Research, Society and Development; v. 10 n. 16; e554101624102
2525-3409
reponame:Research, Society and Development
instname:Universidade Federal de Itajubá (UNIFEI)
instacron:UNIFEI
instname_str Universidade Federal de Itajubá (UNIFEI)
instacron_str UNIFEI
institution UNIFEI
reponame_str Research, Society and Development
collection Research, Society and Development
repository.name.fl_str_mv Research, Society and Development - Universidade Federal de Itajubá (UNIFEI)
repository.mail.fl_str_mv rsd.articles@gmail.com
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