Fatores associadas ao clima de trabalho em equipe na estratégia saúde da família

Abstract

INTRODUCTION: The global Health Systems are increasingly challenged to provide resolute and quality responses to the dynamic and complex health needs of the population, demanding a change in the care logic, in which health services and professionals are encouraged to act in the perspective of interprofessional collaboration. In this context, the Primary Health Care-PHC stands out, which best incorporated this model of work organization, proposed by the Family Health Strategy-ESF. It presents itself as a favorable space for collaborative work, thus enabling the development of studies on the subject. OBJECTIVE: In this context, this study has as general objective: To analyze the team atmosphere in the Family Health Strategy in a capital of Brazil, and as specific objectives: to draw a profile of professionals and the work of the Family Health Strategy; assess the climate of the team of workers in the Family Health Strategy; verify the factors associated with the scores of the Team Climate Scale-ECE. METHOD: This is a case study, with a quantitative nature, defining a Brazilian capital as a case-unit (João Pessoa-PB). The target population for the study were those with higher education in the FHS (dental surgeons, doctors and nurses) and community health workers. Data collection was performed by a trained team, which applied a structured questionnaire to the research subjects. Data were subjected to descriptive statistical analysis and the appropriate validation tests, chi-square and ANOVA were used. The research was approved by the Ethics and Research Committee of the Federal University of Paraíba. RESULTS: The results are presented in the form of two original articles, the first: WORKING IN THE FAMILY HEALTH STRATEGY IN A NORTHEAST BRAZILIAN CAPITAL deals with the professional profile and characteristics of teamwork, with a population mostly female, young man with a high degree of fixation on the FHS and professional satisfaction and with a predominance of individual and disjointed practices. In the second: TEAM WORK CLIMATE AND ITS ASSOCIATED FACTORS IN PRIMARY HEALTH CARE, the team climate was addressed through the ECE results, giving rise to a hierarchical block model on the factors that relate to the analyzed variables and ECE, pointing out that in the studied reality there is a satisfactory team atmosphere, but that elements related to the work process, satisfaction and professional achievement interfere positively and/or negatively with collaborative work. FINAL CONSIDERATIONS AND RECOMMENDATIONS: In the PHC of João Pessoa/PB, there are advances and challenges that permeate the team climate and consequently the interprofessional collaboration, which are involved in the professional profile and work process of the teams, requiring investments in strategies that qualify the work and strengthen collaborative practices.