As práticas humanizadoras desenvolvidas em resposta às demandas da estratégias Saúde da Família de Sobral

Abstract

Humanization in healthcare is not a recent agenda. In the Brazilian Unified Health System (SUS), the discussion about a humanized care gave birth to the National Humanization Policy (PNH), back in 2003, when significant advances in our public health system competed with a wide range of problems. PNH valorizes innovative attitudes considering dialogue between patients, professionals and health managers. Nonetheless, its operationalization is still challenging. In this study, our objective was to know how National Humanization Policy has been performed in Family Health Strategy in Sobral – CE, as well as to understand the knowledge of professionals about this politics, identifying which humanized practices are performed as well as what difficulties are found concerning humanization. For our purposes, we developed an exploratory qualitative study. The scenario consisted of the urban Family Health Centers (CSFs) of Sobral, and the target public was composed by nurses and community health agents. Data collection occurred in September and octuber, 2018. Data were collected using a semi-structured interview along with observation and field diary, with posterior Content Analysis. Results showed that the Health Centers have weak structures that challenge assistance confidentiality and do not allow group activities; however, the centers allow patients access and contribute to people‟s well-being. Regarding PNH text, most of the professionals do not know it. The practices performed in the CSFs that are clearly related to the PNH are: Reception, Group Activities, the Quarter Circle, and the Local Health Councils. The main defying difficulties laid involved weak sense of teamwork, flow disruption and the absence of joint responsibility by users. We concluded that the Family Health Strategy in Sobral has actions that favor humanization of health care, but the National Humanization Policy still needs to be implemented effectively, so that the challenges can be overwhelmed and the team work can be reinforced, along with social bonds and joint responsibility.