Encontro Interprofissional da Oncologia: uma estratégia de ensino e trabalho em saúde

Abstract

Interprofessional education is an approach that aims to qualify students and health professionals for collaborative work in the dynamics of teamwork, an essential practice for integrality of care. The approach assumes that collaboration improves the safety and quality of patient care. The purpose of this study was to implement the Interprofessional Oncology Meeting (EIO) as a strategy for teaching interprofessional education and collaborative practices among health professionals from the High Complexity in Oncology Unit (UNACON) of the University Hospital Onofre Lopes. This is a research-action study of a qualitative approach carried out from May 2016 to September 2017, at the Oncology Service of the Onofre Lopes University Hospital (HUOL), involving health professionals (physicians, psychologists, social workers, pharmacists, nurses and nutritionists) who work at UNACON at HUOL. The study took place in three stages: EIO Planning, Implementation and Evaluation of the activity, the last one being carried out through a focal group. After three months of planning, we began the implementation phase with 43 meetings, involving 220 participants from six different professions. At each meeting a clinical case was discussed. After presentation of each case, there was an interprofessional discussion, highlighting the specificity of each professional to improve the integral care with the patient in question. The focus group was analyzed by Bardin's Categorical Analysis, where four categories emerged: Conceptual View of Interprofessional Activity, Prior Experience in Interprofessional Activities, Contribution of EIO to Training and to Collaborative Practices and Challenges of EIO. The planning and implementation of EIO reached the objectives, although the participation of some health professionals has not been systematic due to the overload of activities of some professionals, such as nursing care, physiotherapy and dentistry, as well as difficulties in conciliation schedules. The EIO was considered a positive activity, a precursor within UNACON of the HUOL, being highly exalted and approved as a permanent strategy to improve the care provided to cancer patients. The analysis of the focus group showed that the EIO is an action that positively impacts on both attendance and teaching, however, there remain some important difficulties, such as the adequacy of time and physical space for meetings, devaluation of interprofessional activities by some undergraduate students and medical graduate, lack of human resources and the difficulty of some professionals to integrate systematically.