Dentro da proposta de estruturação da política nacional de saúde as contribuições da integralidade na produção de serviços e ações de saúde de qualidade, resolutivos e satisfatórios ainda têm gerado grandes desafios. Assim, acreditando que a orientação de novas maneiras de entender e de produzir saúde, norteadas pela integralidade emergem de sentidos produzidos sobre esse termo, em contextos relacionais e dialógicos específicos, esse estudo teve por objetivo descrever os sentidos de integralidade produzidos com os trabalhadores de equipes de Saúde da Família (SF), relativos ao cotidiano de suas práticas de atenção à saúde, em uma cidade mineira. Utilizamos o discurso Construcionismo Social como uma ferramenta metodológica para produzirmos e analisarmos as informações. Essa produção ocorreu por meio de registros de diário de campo e três encontros grupais, áudio graváveis. Seguidamente as informações foram transcritas, editadas e analisadas, produzindo duas tematizações, com dois subtemas cada: 1) Quando os participantes recorrem ao discurso vinculado às práticas dos trabalhadores: Pressupõe em o trabalhador se integrar com a vida, às necessidades do paciente lá fora, que não são somente biológicas, para atendê-lo como um todo... integralmente - integralidade: apreensão ampliada dos trabalhadores em relação às pessoas atendidas, enquanto sujeitos integrados e influenciados por diferentes dimensões, contextualizadas ao longo de suas vidas; Trabalhadores e usuários não devem ter uma visão só curativa, só pontual para a doença que o paciente sofre e achar que é o remédio que faz o milagre - integralidade: capacidade dos trabalhadores de escutar e apreender de forma ampliada as necessidades apresentadas pelos usuários e das melhores maneiras possíveis de respondê-las. 2) Quando os participantes recorrem ao discurso associado à organização dos serviços saúde. Esse desdobrou-se em: Colocar o usuário do lado de dentro do serviço, considerando-o enquanto sujeito de necessidades, para organizar serviços de forma a ver suas necessidades e inseri-las dentro das prioridades de atenção dos trabalhadores - integralidade: capacidade dos trabalhadores, gestores e usuários, conjuntamente apreenderem as necessidades da população, elaborarem e implementarem respostas; Envolver todos os serviços de saúde e outros pontos de serviços na comunidade para dar segmento, continuidade no tratamento - integralidade: caracterizada pela articulação entre os vários serviços em uma rede para garantir o acesso às necessidades demandadas pelo usuário. Essas conversações produzidos foram suficientes ora para gerar autoanálise e reflexões das práticas vigentes, visando desconstruir aspectos de um projeto tradicional, vinculado ao homem fragmentado, ora para gerar primeiras aproximações do sentido da integralidade, enquanto uma postura de articulação de diversos tipos de tecnologias para responder às necessidades de várias naturezas dos usuários. / Inside the proposal of structurization of the National Health policy, the contributions for integrality in the production of services and actions for quality health, decisive and satisfactory has still generated great challenges. Believing, thus, that the orientation of new forms of understanding and producing health, led by the integrality arise from the senses produced about this term, in specific relational and dialogical contexts, this study had the objective of describing the integrality senses produced with the health workers of Health Family teams, concerning the everyday practices concerning health, in a town in Minas Gerais. The discourse Social Constructionism was used as a methodological tool to produce and analyze the information. This production occurred through registers in a field diary and three group meetings, recording audio. Following that the data were transcribed, edited, and analyzed, under the focus of two themes, with two sub-themes each: 1) when the participants use the discourse linked to worker practices: It is supposed that the worker integrate with life, the necessities out there, which are not only biological to assist him/her totally ... integrally - integrality produced as wide comprehension of workers concerning the people assisted, while subjects integrated and influenced by different dimensions, contextualized along their lives; workers and users should not have a curative vision, straight to the disease, that the patient suffers and thinks that the medicine brings the miracle - integrality referred to as a worker\'s capacity of listening and comprehending widely the necessity presented by users and the best ways possible to answer them. 2) When the participants use the discourse together with the organization of the health services. This one was divided in: Putting the user within a service, considering him while subject of necessities, to organize services in such a way that he/she can see his/her necessities and insert them in the attention priorities of workers - integrality treated as the worker\'s capacity, administrators and users, together they comprehend the population needs, elaborate, and organize answers; to involve all health services and other service points in the community to give segment, continuity in the treatment - integrality characterized by the articulation among the various services in a net to assure the access to the answers demanded by the user. These dialogues produced were sufficient either to generate selfassessment and reflections on the current practices, aiming to destroy aspects of a traditional project, or to generate the first approaches concerning integrality, while it is an articulation posture of several kinds of technologies to answer the needs of several aspects of the users.

Orientador: Antonio Carlos Pereira / Dissertação (mestrado profissional) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba / Made available in DSpace on 2018-08-23T08:17:19Z (GMT). No. of bitstreams: 1 Palacio_DanielledaCosta_M.pdf: 860697 bytes, checksum: 237162af2da8d924f882265d030f4791 (MD5) Previous issue date: 2013 / Resumo: Este trabalho tem como objetivo a avaliação pós-implantação das 21 Equipes de Saúde Bucal (ESB) da parceria entre a Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein (SBIBAE) e a Secretaria Municipal de Saúde de São Paulo (SMS/SP) na região do Campo Limpo/Vila Andrade que fica na Zona Sul da cidade de São Paulo, através da evolução dos indicadores Rendimento, Acesso, Percentual de faltas e Percentual de urgências, analisados no período de 2009 a 2011. Foram utilizados os dados dos mapas de produção ambulatorial dos profissionais das ESB desta parceira, instrumento oficial utilizado pela SMS/SP para acompanhar o desempenho dos profissionais da saúde bucal. Para os indicadores Percentual de urgência, Rendimento e Acesso houve uma diferença significativa entre os anos analisados. Para o indicador Percentual de faltas não houve diferença estatisticamente significante. Quando feita a analise mensal, destaca-se que no início da implantação do serviço ocorreu oscilação, podendo indicar que o trabalho foi consolidado ao longo dos meses, sendo capaz de receber novos profissionais e aumento da população atendida. Ao se comparar os indicadores do período com as metas pactuadas com SMS/SP é possível perceber que as ESB tiveram bom desempenho. Conclui-se que os resultados alcançados junto às metas pactuadas com SMS/SP certamente refletem o aumento do número de profissionais, o amadurecimento dos processos de trabalho dessas ESB e a otimização da mão de obra disponível para realização das atividades. O entendimento destes resultados será importante para nortear as ações das ESB para os anos seguintes e para avaliar o cumprimento das metas / Abstract: This study makes an evolution after inserting 21 Oral Health Teams's (OHT) in partnership between Sociedade Beneficente Israelita Brasileira Hospital Albert Einstein (SBIBAE) and the Local Secretary of Health of São Paulo (SMS/SP) in the Campo Limpo/Vila Andrade region in the South Zone of São Paulo, by the indicators Incomes, Acess to Service, Percentage of Absence and Percentage of Urgencies, analyzed in the period from 2009 to 2011. For this research, it was used the data from the clinical productivity mappings of the OHT professionals in this partnership, data that represents the official instrument used by SMS/SP to keep up with performance of oral health professionals. For the indicators Percentage of Urgency, Incomes and Access to Services, there was a significant difference between the analyzed years. For the Percentage of Absences there was not any significant difference, statistically. When the monthly analysis was made, I highlighted oscillation in the beginning of the implantation of the services, what may indicate that the work was consolidated over months, being capable of receiving new professionals and the targets agreed with SMS/SP, is easy to note that the OHT's had a good performance. It is concluded that the achieve results with the agreed targets surely reflect the rise of the number of professionals, the maturing of the OHT's working processes and the optimization of the available manpower for these activities. The understanding of these results will be substantial for guiding the OHT's actions for the following years and for evaluating the goals accomplishment / Mestrado / Odontologia em Saude Coletiva / Mestra em Odontologia em Saúde Coletiva

M.Cur. / Who am I? What am I doing here? What is the purpose of life? What is real? Individuals are intent on trying to find an answer to their questions about life, yet many may find that they remain in a quagmire of confusion and vacillating inner torment. In their own lives many individuals deal with pain, guilt and death, each having their own share of suffering where they may either withdraw into their own world or attempt to take from it whatever bit of happiness and pleasure they can, which often leaves them with a feeling of emptiness, futility and despair. What is it aU for? What is life about? According to what Waltos and Waltos (2002:16) have termed "a conscious revolution", individuals have entered an age of responsibility and empowerment. In both human life and healthcare this translates to individuals being more willing to take charge of their lives as well as responsibility for their overall health. Frankl (1984:15) posits mental health and stability to be dependent upon an individual's ability to perceive meaning. This quest for meaning is one of the greatest challenges facing individuals, families and nations (Wong & Fry, 1998:406). At certain points in life, everyone has questioned what sustains their being and what makes life worth living. With a focus on the family, the researcher to this study noticed that the first crack in many famUy structures developed during pregnancy, birth and parenthood due to an inability of the parents to communicate their differing views and perspectives of their reality. Consequently, this resulted in self-expression becoming compromised and inhibited, resulting in inner confusion and turmoil. Parenthood also brings about personal challenges of coping and making meaning out of life circumstances. This breakdown in relationships impacts on individuals' and families' ability to develop and grow holistically, with consequent negative ripple effects on family dynamics and structure. Such discord and disharmony further cascades out to include community and the work environment.

Assessing self-efficacy in families of children with hearing concerns through an audiological early intervention training. Abigail Lesley, B.S., Karee Diem, B.S., and Marcy Hite, Au.D., Ph.D., Department of Audiology and Speech Pathology, College of Clinical and Rehabilitative Health Sciences, East Tennessee State University, Johnson City, TN. For children with hearing loss, spoken language outcomes are best when children have optimal auditory access through the consistent use of appropriately fitted hearing devices and are exposed to a rich linguistic environment. Parents can play a large role in facilitating their children’s use of hearing devices and supporting their language development. The purpose of this study was to improve of parent self-efficacy, increase family knowledge on language outcomes, and increase consistent use of amplification by providing an educational workshop to families with children identified with hearing loss and/or hearing concerns. The hypothesis of this study was to see an enhancement of self-efficacy skills within parent participants to empower and grow confidence in their ability to optimize their child’s amplification use and linguistic exposure. Participants were educated on the impact of hearing loss and/or hearing concerns on language development, importance of language exposure, use and care of amplification for families that utilize hearing technology, and empowerment to establish consistent device use. Assessment of self-efficacy skills in parents were measured through a pre- and post-survey distributed to participants. Survey and study were modeled after Ambrose et al., 2020 using the Scale of Parent Involvement and Self-Efficacy-Revised (SPISE-R). It queries parents about their child’s hearing device use and their perceptions of their own beliefs, knowledge, confidence, and actions pertaining to supporting their child’s auditory access and spoken language development. Ambrose et al., 2020 found the SPISE-R to be a promising tool for use in early intervention to better understand parents’ strengths and needs pertaining to supporting their young child’s auditory access and spoken language development. A total of nine parents were in attendance of the educational workshop conducted with only three participants completing both the pre- and post-survey. An analysis using a paired samples t-test revealed no statistically significant difference between the pre- and post-survey across all categories assessed within the SPISE-R apart from one question within the ‘Confidence’ category. Parents were found to have a significantly worse score between pre- and post-survey responses in the ‘Confidence’ category for the following question “If applicable, Put and keep my child’s hearing device(s) on him/her”. The overall mean significantly decreased between the pre- and post-survey, indicating less confidence with this skill. It should be noted, limited parent responses impacted the statistical analysis performed. Although the overall findings were not statistically significant, moving forward, data findings will be used to appropriately adjust the audiological early intervention training to improve self-efficacy skills of parents.

Introduction: Prediabetes is major risk factor for the development of Type 2 Diabetes Mellitus (T2DM). One-third of the population in the United States has prediabetes, but 90% remain undiagnosed because healthcare providers are not performing screenings, making this a public health challenge. The purpose of this process improvement project was to implement prediabetes screening, prediabetes identification, and a referral process to a nutritionist to prevent or delay the onset of T2DM in patients in two Federally Qualified Health Centers. Methods: This was a quality improvement project conducted over a six-week period after receiving exemption from the University’s Internal Review Board. The Knowledge to Action framework was used to guide implementation of screening, prediabetes identification, management, and referral process. The outcomes were to measure the number and percent of screenings performed after provider education on prediabetes screening, those at risk for prediabetes, and the evidence-based interventions providers chose for management. The prediabetes risk assessment tool (PRAT) was the “Are you at risk for Type 2 Diabetes?” It was administered in both English and Spanish to adults who were not pregnant and had no previous diagnosis of Type 1 Diabetes Mellitus or T2DM. The preferred interventions included referral to a nutritionist, encourage 5%-7% total body weight loss, and/or 150 minutes of exercise per week. The PRAT and interventions data were coded, extracted into SPSS Version 25, and analyzed. Descriptive statistics were used to report patient characteristics, quantity of screenings performed, evidence-based recommendations offered, and patient risk factors for prediabetes. Results: In both clinics, 41% (n=269) of patients screened were found to be at risk for prediabetes. The most self-reported risk factor for prediabetes was family history of T2DM. Healthcare providers mostly provided education on weight loss and exercise, and recommended/referred less than 20% (n=49) of patients for nutritional education. The screening rates in the clinics were 52% (n=92) at site A and 72% (n=177) in site B, falling below the goal of 100%. Conclusions: There remains a gap in provider knowledge and use of evidence-based recommendations to decrease patients’ risk for prediabetes. The authors project that implementation of the PRAT and evidence-based interventions in the electronic health record would positively impact future screening results. This project set the benchmark for future efforts to educate, encourage, and measure providers successes.

The overall purpose of this study was to examine the relevance of policy factors identified by Mulvale and Bourgeault (2007) on interprofessional collaboration in PHC, by soliciting stakeholders’ perspectives. / ABSTRACT Background: Interprofessional team-based approaches to primary health care (PHC) delivery have gained support in the literature. Interprofessional primary health care (IPC) models of service delivery allow for different professionals to work together to address patients’ needs. Family Health Teams (FHTs) are a newly introduced model of IPC delivery in Ontario. A variety of factors can influence collaboration between professionals in IPC teams. Purpose/Research Objectives: The purpose of this study was to examine stakeholders’ perspectives about policy factors that influence IPC team collaboration, using the example of FHTs in Ontario. Methods: This descriptive study employs semi-structured interviews with key informants from select Ontario FHTs. Directed content analysis was used to examine the Mulvale and Bourgeault (2007) framework. Interviews were conducted with FHT professionals to describe their perspectives on the influence of policy factors in shaping collaboration within their teams and whether identified policy factors acted to enhance or hinder collaboration. Findings: Key informants cited, with highest agreement, economic and regulatory factors as influencing collaboration. Factors agreed upon unanimously by all key informants included funding, provider payment/remuneration, and practice scope. Key informants identified a range of policy factors that hinder collaboration. These included provider payment/remuneration, legal accountability, and the existence of multiple governing bodies. Implications/Conclusion: A number of policy factors were reported to influence collaboration in FHTs in Ontario. Although the findings suggest that incremental reform is possible, widespread policy reform of physician incentives, a key barrier to collaboration, is unlikely. Prospects for reform of this factor may be more promising at an organizational level. / Thesis / Master of Science (MSc)

Resilience is one of the most important biopsychosocial concepts in contemporary social science. It may mediate the impact of adversity on family health, and be a potential location for intervention. There is a need for conceiving of the mechanisms within families that impact their health throughout the life cycle, including the investigation of how they handle illness. One framework that may assist in this is Walsh's family resilience framework. Previous attempts to create an empirical measure of this framework have serious issues with validity. The purpose of this study is to create a reliable and valid instrument that investigates Walsh's framework from the view of women who have been diagnosed with breast cancer. The study uses feminist theory to emphasize a pluralistic application of family systems theory in the understanding and promotion of the experience of women, the promotion of all families over one family type, and the concept of intersectionality. A non-experimental quantitative design is used to develop a reliable and valid instrument that investigates Walsh's framework. A pilot study addressed the creation and revision of the Family Resilience Assessment (FRA), and a main study tested the revised FRA for emergent factors and model fit. Results indicate excellent reliability and beginning content, construct, and convergent validity. Analyses produced a better fitting model that replaces three latent variables with one and correlates two of the nine framework indicators. These preliminary analyses demonstrate that the FRA may be a valuable instrument with replication with larger samples and further revisions needed. Results further indicate that Walsh's framework is a sound method for conceiving of and better understanding family resilience. The framework may also be one way to study the mediating impact of family resilience on family health. / Ph. D.

Introdução: O Núcleo de Apoio à Saúde da Família (NASF), criado em 2008, tem como objetivo ampliar a oferta de serviços, a resolutividade e a abrangência das ações no âmbito da Atenção Primária à Saúde (APS), por meio de uma equipe multiprofissional que presta apoio para as equipes de Saúde da Família. Para orientar as ações do NASF, foram publicados dois Cadernos de Atenção Básica (CAB) – nº 27 e nº 39, em 2010 e 2014, respectivamente. Neles são apresentadas propostas de atuação por meio dez diferentes ferramentas tecnológicas: Apoio Matricial, Pactuação de Apoio, Clínica Ampliada, Projeto Terapêutico Singular, Projeto de Saúde no Território, Grupos, Genograma, Ecomapa, Atendimento Domiciliar Compartilhado e Atendimento Compartilhado. Um instrumento que permite conhecer as atividades desenvolvidas pelos trabalhadores do NASF é a Comunidade de Práticas (CdP), um site do Departamento de Atenção Básica do Ministério da Saúde, criado em 2013. A CdP possui um espaço em que disponibiliza relatos de experiências escritos por trabalhadores, gestores e outros atores que atuam na APS. Objetivo: Identificar quais têm sido as ações desenvolvidas pelos profissionais do NASF e se elas estão articuladas com as preconizações descritas nos documentos oficiais do Ministério da Saúde. Metodologia: Este estudo utilizou a técnica documental em Portarias, CABs, Manuais e Boletim, todos do Ministério da Saúde diretamente relacionado ao NASF. Além disso, foram coletados relatos de experiência da CdP que possuíssem o termo “NASF” no título e/ou corpo do texto, publicados entre 2013 e 30 de abril de 2015. Todos os relatos foram submetidos à leitura criteriosa e selecionados apenas os referentes ao NASF, escrito por trabalhadores e que descrevessem ações desenvolvidas por eles. Foram excluídos aqueles considerados incompletos. As publicações também foram analisadas de acordo com o conceito de experiência proposto por Larrosa (2002), ou seja, não apenas uma descrição do processo de trabalho ou ação desenvolvida, mas sim, associado a reflexão e os afetos gerados pelas tarefas realizadas. Resultado: Baseado nos documentos oficiais do Ministério da Saúde, foi possível descrever a trajetória histórica do NASF, apresentando os marcos legais e as transições que ocorreram nesta estratégia de apoio. Posteriormente, foram identificados 361 relatos de experiência com o termo NASF. Destes, 230 serviram como base para o trabalho. Os relatos foram submetidos a análise quantitativa descritiva, identificando que 43,2% dos autores dos relatos desenvolvem ações diferentes das descritas nos CABs, como rodas de conversa, fóruns, oficinas e gincanas, seguidos de 37,2% que utilizam a ferramenta Grupos em seus cotidianos. Para análise qualitativa, utilizando o conceito de experiência de Larrosa (2002), foram analisados dez relatos de experiência, que resultaram em quatro conceitos-chave: Equipe e vínculos; O que é o NASF e a relação com a Equipe de Saúde da Família; Os desafios do território; o NASF e a Gestão. Observou-se que a realidade dos territórios descrita pelos profissionais do NASF não cabe nas proposições dos CABs, e que a formação para atuar no NASF tem ocorrido nos mais variados contextos e, principalmente, na prática. Conclusão: Diante de um contexto onde as atividades do NASF não caminham paralelamente com a construção e disponibilização de materiais teóricos como CABs e Portarias, a utilização da CdP permite uma aproximação com a realidade dos profissionais. A não-utilização das ferramentas tecnológicas indicadas para o NASF não significa que as atividades não têm sido realizadas no território, e sim que os trabalhadores têm desenvolvido novas ferramentas e possibilidades que se adequem a realidade onde estão inseridos. / Introduction: Support Center for Family Health (NASF), created in 2008, aims to expand the supply of services, the resolution and the scope of actions in the context of Primary Health Care (APS), by a multidisciplinary team that provides support to the Family Health teams. To guide the actions of NASF were published two Primary Care books (CAB) – No. 27 and No. 39, in 2010 and 2014, respectively. In these, action proposals are presented through different technological tools: Matrix Support, Support Pact, Amplified Clinic, Singular Therapeutic Project, Territorial Health Project, Groups, Genogram, Ecomap, Shared Home Care and Shared Service. An instrument that allows learning about the developed activities by NASF workers is the Community of Practices (CdP), a website of the Department of Primary Care of the Ministry of Health, created in 2013. The CdP has a space that provides reports of experiences written by workers, managers and other members working in APS. Goals: Identifying which have been the actions developed by NASF professionals and if they are articulated with the recommendations described in Ministry of Health’s official documents. Methodology: This study used the documentary technique in Directives, CABs, manuals and Bulletin, all from the Ministry of Health directly related to NASF. In addition, we have collected CdP experience reports possessing the term "NASF" in the title and/or the text, published between 2013 and April 30, 2015. All reports were submitted to careful reading and selected only the ones concerning NASF, written by workers and that described actions carried out by them. The ones considered incomplete were excluded. The publications were also analyzed according to the concept of experience proposed by Larrosa (2002), that is, not only a description of the work process or action developed, but rather, associated with reflection and affections generated by the tasks performed. Results: Based on official documents of the Ministry of Health, it was possible to describe the history of NASF, with the legal framework and the transitions that occurred in this support strategy. Later, 361 reports of experience with the term NASF were identified. Of these, 230 served as the basis for the work. The reports were submitted to descriptive quantitative analysis, identifying that 43.2% of the authors of the reports develop different actions described in the CABs, as conversation circles, forums, workshops and competitions, followed by 37.2% who use the Groups tool in their daily lives. For qualitative analysis, using Larrosa’s (2002)concept of experience, were analyzed ten experience reports, which resulted in four key concepts: Team and bonds; What NASF is and the relationship with the Family Health Team; The challenges of the territory; NASF and Management. It was observed that the reality of the territories described by NASF professionals do not fit in the propositions of CABs, and that training to work in NASF has taken place in various contexts, and especially in practice. Conclusion: Facing a context where NASF activities do not move in parallel with the construction and delivery of theoretical material as CABs and Directives, the use of CdP allows an approach to the reality of the professionals. The non-use of technological tools suitable for NASF does not mean that the activities have not been carried out in the territory, but that workers have developed new tools and possibilities that fit the reality in which they live.

A proposta da implantação das Estratégias de Saúde da Família (ESF) para organização da assistência em saúde faz com que o processo de trabalho da AB se reestruture com a finalidade de substituir as práticas educativas convencionais. Para que as organizações de saúde se tornem eficazes é necessário que se estabeleçam relações educativas entre as pessoas, tecnologias, recursos e administração. Para tanto, a função de coordenação é de suma importância nas instituições de saúde. O objetivo desse estudo é compreender o processo educativo no trabalho do Coordenador da Estratégia de Saúde da Família do Distrito Glória/Cruzeiro/Cristal – GCC do município de Porto Alegre (RS), com vistas a sugerir a implementação de ações de educação interprofissional em saúde para os Coordenadores. Trata-se de pesquisa qualitativa de caráter exploratório, iniciado com um questionário on-line (Google Forms) para caracterização dos 21 sujeitos da pesquisa, com perguntas abertas e fechadas. Após, foram realizadas duas sessões de grupo focal, com 14 coordenadores das Unidades de Saúde da Família GCC. Na análise dos dados emergiram 4 categorias: De programa a política de saúde: estratégia de saúde da família e os desafios da gestão; A coordenação da Atenção Básica – Gestão em saúde: “O calcanhar e o garrão”, Processo de trabalho e a saúde do trabalhador na AB – Saúde do trabalhador: do profissional da saúde à própria saúde; Utopia trabalhar transdiciplinaridade e ensino interprofissional na AB? Trabalho multi / inter / transdisciplinar – Ubuntu – “Sou quem sou, porque somos todos nós”. Por conseguinte, a pesquisa apresentada reúne informações relevantes para a compreensão do cotidiano do trabalho da coordenação. Sugere-se estratégias de EIP e a normatização de carga horária para esse cargo gerencial. / The proposal of the implantation of the Family Health Strategies for the organization of health care causes that the work process of Primary Care is restructured in order to replace conventional educational practices. For health organizations to become effective it is necessary to establish educational relationships between people, technologies, resources and administration. The purpose of this study is to understand the educational process in the work of the District Family Health Strategy Coordinator Glória/Cruzeiro/Cristal – GCC of the municipality of Porto Alegre with a view to suggesting the implementation of interprofessional health education actions for the Coordinators. This is a qualitative research of an exploratory nature, started with a questionnaire on line (Google Forms) to characterize the 21 subjects of the research, with open and closed questions. After that, two focal group sessions were held, with 14 coordinators of the Family Health Units GCC. In the analysis of the data emerged 4 categories: From Program health politic: family health strategy and management challenges; The coordination of Basic Attention – Health management: "The heel and the garron", Work process and worker health in AB – Worker's health: from the health professional to the health itself; Utopia work transdisciplinary and interprofessional teaching in AB? Multi / inter / transdisciplinary work – Ubuntu – " I'm who I am, because we are all of us". Therefore, the presented research gathers information relevant to the understanding of the daily work of the coordination. We suggest EIP strategies and the standardization of workload for this managerial position.

A proposta da implantação das Estratégias de Saúde da Família (ESF) para organização da assistência em saúde faz com que o processo de trabalho da AB se reestruture com a finalidade de substituir as práticas educativas convencionais. Para que as organizações de saúde se tornem eficazes é necessário que se estabeleçam relações educativas entre as pessoas, tecnologias, recursos e administração. Para tanto, a função de coordenação é de suma importância nas instituições de saúde. O objetivo desse estudo é compreender o processo educativo no trabalho do Coordenador da Estratégia de Saúde da Família do Distrito Glória/Cruzeiro/Cristal – GCC do município de Porto Alegre (RS), com vistas a sugerir a implementação de ações de educação interprofissional em saúde para os Coordenadores. Trata-se de pesquisa qualitativa de caráter exploratório, iniciado com um questionário on-line (Google Forms) para caracterização dos 21 sujeitos da pesquisa, com perguntas abertas e fechadas. Após, foram realizadas duas sessões de grupo focal, com 14 coordenadores das Unidades de Saúde da Família GCC. Na análise dos dados emergiram 4 categorias: De programa a política de saúde: estratégia de saúde da família e os desafios da gestão; A coordenação da Atenção Básica – Gestão em saúde: “O calcanhar e o garrão”, Processo de trabalho e a saúde do trabalhador na AB – Saúde do trabalhador: do profissional da saúde à própria saúde; Utopia trabalhar transdiciplinaridade e ensino interprofissional na AB? Trabalho multi / inter / transdisciplinar – Ubuntu – “Sou quem sou, porque somos todos nós”. Por conseguinte, a pesquisa apresentada reúne informações relevantes para a compreensão do cotidiano do trabalho da coordenação. Sugere-se estratégias de EIP e a normatização de carga horária para esse cargo gerencial. / The proposal of the implantation of the Family Health Strategies for the organization of health care causes that the work process of Primary Care is restructured in order to replace conventional educational practices. For health organizations to become effective it is necessary to establish educational relationships between people, technologies, resources and administration. The purpose of this study is to understand the educational process in the work of the District Family Health Strategy Coordinator Glória/Cruzeiro/Cristal – GCC of the municipality of Porto Alegre with a view to suggesting the implementation of interprofessional health education actions for the Coordinators. This is a qualitative research of an exploratory nature, started with a questionnaire on line (Google Forms) to characterize the 21 subjects of the research, with open and closed questions. After that, two focal group sessions were held, with 14 coordinators of the Family Health Units GCC. In the analysis of the data emerged 4 categories: From Program health politic: family health strategy and management challenges; The coordination of Basic Attention – Health management: "The heel and the garron", Work process and worker health in AB – Worker's health: from the health professional to the health itself; Utopia work transdisciplinary and interprofessional teaching in AB? Multi / inter / transdisciplinary work – Ubuntu – " I'm who I am, because we are all of us". Therefore, the presented research gathers information relevant to the understanding of the daily work of the coordination. We suggest EIP strategies and the standardization of workload for this managerial position.