Regionalização, educação e saúde no território potiguar: atuação dos núcleos regionais de educação permanente em saúde

Abstract

Continuing Education in Health is defined as a teaching and learning process integrated into work, based on expressive learning and the likelihood of transforming professional practices. In Rio Grande do Norte, the implementation of Permanent Health Education was guided by national guidelines, first established by the Ministry of Health document that presented guidelines for training and development policies for the Unified Health System and, then, by Ordinance GM /MS n.º 198/2004, which instituted the National Policy for Permanent Education in Health. In this context, this study aims to analyze the performance of the Regional Centers for Permanent Education in Health in the state of Rio Grande do Norte and to develop an action plan to strengthen the work processes of the Regional Centers for Permanent Education in Health. This is a qualitative research, of the action-research type, which was carried out with the professionals responsible for the Nucleus of Permanent Education in Health of seven Regional Public Health Units in Rio Grande do Norte. Data collection and production took place in three stages. The first consisted of a working meeting with the professionals participating in the study to present the research and survey the research needs regarding the perspectives of collaborative intervention to improve work processes. From this, individual interviews were carried out to understand the challenges and potential of the regional units for the implementation of the Regional Centers for Permanent Education in Health. Based on the recognition and analysis of the Centers' performance diagnosis, a plan of action of the Regional Centers for Permanent Education in Health was built, collaboratively in operational groups, with state managers and professionals working in the regional units, to promote regionalization. implementation of the Potiguar Policy for Permanent Education in Health. The Atlas.ti program, version 22, was used for processing and organizing the data. Data analysis followed the principles of content analysis proposed by Minayo (2001), which allowed the elucidation of three categories: Knowing the work processes of Regional Centers for Permanent Education in Health, their challenges and potential; Discussing the necessary actions to qualify the implementation of the Regional Centers of Permanent Education in Health and Building an action plan to improve the work processes of the Regional Centers of Permanent Education in Health in the state of Rio Grande do Norte. There was a need for training for professionals in the regional units, articulation with the Regional Intermanager Commissions of each health region, articulation with the Teaching-Service Integration Commissions to support the construction of Regional Permanent Education Plans and other management actions that promote the physical structuring and work processes of the Centers, allowing articulation with the municipalities. The content of this last category made it possible to materialize the action plan as an intervention in the scenario studied. The product of this study will contribute to the strengthening of health education management in Rio Grande do Norte through the implementation of the Potiguar Policy of Permanent Education in Health of horizontally and regionally.