A cooperação na atividade das equipes do Serviço de Atendimento Móvel de Urgência - SAMU

Abstract

The Mobile Emergency Care Service (SAMU) has a social function of extreme importance, as well as being one of the entry points for the Unified Health System (SUS). This service deals with situations where social violence is very evident and requires intense mobilization by professionals in each service. Therefore, in a first study performed with nursing technicians, cooperation emerged significantly in the discourse of these workers, which motivated the realization of the present study, in which cooperation is the central focus. As a theoretical basis was used the Psychodynamics of Work. The research is characterized as qualitative and the composition of the sample investigated was of ten SAMU teams, six composed of one Nurse and one Conductor that manages the Basic Health Units and four teams composed by a Physician, a) Nurse and a Driver, crew of the Advanced Health Units. The interviewees were selected for convenience. For data collection, we used semi-structured interviews with each team. For the treatment of the data, we used the Thematic Content Analysis. The work was organized and structured in an article format, being a theoretical and the other fruits of the interviews. Regarding the results, it was pointed out that cooperation is determinant for the operation of SAMU, especially among the professionals that compose the street teams, who take the ambulances/motolances to the rescue of users in public and private roads. The ability to work together, in a coordinated way, with fluency and making the relevant choices, allows the best results in terms of efficiency and effectiveness in the services. Thus, the cooperation goes through several moments of service: at the entrance of a new colleague and his familiarization with the activity; during street actions; in the moments of waiting for the occurrences and in situations of informality. Professionals create links that go beyond the workplace, considering their peers as a second family. They are concerned about providing mutual coverage when necessary and value the role of each for the success of the service in general. In addition, in the attendances, although there is a hierarchy, this tends to alleviate its rigid demarcations in the face of some situations, especially those of greater gravity and that demand more agility. Cooperation has also emerged in informality, in moments of rest, where professionals exchange knowledge and confidence, make choices and take actions regarding collective well-being. It is evident, therefore, that cooperation permeates SAMU in its entirety and that it is in fact the basis of service. With the results found, it is hoped to contribute to the production of knowledge about cooperation, its role in the mental health of workers, the benefits to work and to the SAMU.