Educação permanente como estratégia de humanização da assistência: pesquisa com trabalhadores de uma unidade de cuidados neonatais

Abstract

Permanent education in health care and the humanization of care are the basis of Brazil’s Unified Health System (SUS). The university hospital, Hospital Universitário Lauro Wanderley (HULW), has sought to promote changes in healthcare concepts and practices, aiming to provide comprehensive, ethical, and humanized care. Therefore, it has sought to disseminate the principles of the SUS and the National Humanization Policy (PNH) within the institution, focusing on the workers, managers, and consumers. This study aims to develop a diagnosis, with the Special Care Nursery (UCIN) team of the HULW, with intervention proposals on permanent education in health and humanization of care in that unit and forward the diagnosis made to the institution's staff and personnel management. Twenty-five workers from the UCIN/HULW participated in the study. It was employed a Qualitative Participatory Methodology in the study, and the open questionnaire and participant observation were used as data collection instruments. In open questionnaire, the thematic content analysis procedure was conducted with the support of the IRAMUTEQ software. The analysis on the understanding of humanization of care detected two thematic axes: quality of care and an excellent professional-costumer relationship, resulting in 19,1% of the statements; and humanization: the polysemy of its concept, resulting in 80,9% of the understandings conveyed. As for the comprehension of permanent education in health, two thematic axes were also detected: Permanent education in health: approximation and distancing from its concept, in which 15% of the understandings conveyed approximation to its concept, and 40% revealed distancing; the second thematic axis entitled Permanent Education in Health: Learning in the Workplace encompassed 45% of the understandings. Regarding the humanization of care practices developed in the unit, the following were identified: good welcoming, empathy, the expanded clinic, and those guiding humanized care for low birthweight newborns. Activities in permanent education in health were not observed being developed in the researched unit. Concerning the intervention proposal in the UCIN structured from the diagnosis, it is based on implementing education for praxis to be consolidated by permanent education circles. The study will be sent to the unit’s workers and the institution’s management, pointing out intervention proposals regarding permanent education in health as a strategy to humanization of care in the sector.