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Visita interprofissional da cardiologia: uma estrat?gia de educa??o interprofissional na ?rea da sa?de na Universidade Federal do Rio Grande do NortePaula, Carla Suely Souza de 30 April 2015 (has links)
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Previous issue date: 2015-04-30 / A educa??o interprofissional ainda representa um grande desafio para a
educa??o em sa?de. O objetivo deste estudo foi implementar a Visita
Interprofissional da Cardiologia (VIC) como estrat?gia de ensino da educa??o
interprofissional na gradua??o e p?s-gradua??o da Universidade Federal do
Rio grande do Norte (UFRN). Trata-se de um estudo tipo pesquisa-a??o,
explorat?rio, prospectivo realizado de mar?o de 2013 a novembro de 2014, no
Servi?o de Cardiologia do Hospital Universit?rio Onofre Lopes (HUOL),
envolvendo profissionais da ?rea da sa?de (m?dicos, psic?logos,
fisioterapeutas, odont?loga, assistentes sociais, farmac?uticos, enfermeiros e
nutricionistas) e estudantes de gradua??o e p?s-gradua??o dos cursos de
sa?de da UFRN. O estudo ocorreu em tr?s etapas: Planejamento da atividade
interprofissional, Implementa??o da atividade ?Visita Interprofissional de
Cardiologia (VIC)? e Avalia??o da atividade, sendo a ?ltima realizada atrav?s
de grupos focais. Ap?s dois meses de planejamento, iniciamos a etapa de
implementa??o onde foram realizadas 60 reuni?es, envolvendo 1324
participantes, sendo discutido um caso cl?nico por sess?o. Ap?s apresenta??o
de cada caso, houve discuss?o interprofissional, ressaltando a especificidade
de cada profissional para melhoria do cuidado integral com paciente em
quest?o. Os grupos focais foram avaliados pela An?lise Categorial de Bardin
onde emergiram cinco categorias: Reconhecimento da participa??o em
atividades interprofissionais pr?vias, Vis?o conceitual de atividades
interprofissionais, Impactos da VIC na assist?ncia, Contribui??es da VIC na
forma??o e Desafios da manuten??o da VIC. O processo de planejamento e
implementa??o da VIC atingiu os objetivos, embora a participa??o de alguns
profissionais da sa?de ainda n?o tenha sido sistem?tica em fun??o da
sobrecarga de atividades de alguns profissionais, como os da enfermagem,
bem como dificuldades na concilia??o de hor?rios. A VIC foi considerada uma
experi?ncia exitosa, sendo bastante elogiada e reconhecida como iniciativa
positiva para a melhoria da assist?ncia prestada ao paciente cardiopata. Foi
observado, pela an?lise dos grupos focais, que a VIC ? uma estrat?gia que
impacta positivamente tanto a assist?ncia quanto o ensino, contudo,
permanecem algumas dificuldades importantes, como a falta de recursos
humanos e a dificuldade de alguns profissionais para se integrarem
sistematicamente. / The interprofessional education still represents a great challenge for the health
education. This paper aims at implementing the Interprofessional Cardiology
Visit (VIC, acronym in Portuguese) as a teaching strategy for the
interprofessional education in the undergraduate and graduate courses of
UFRN (Federal University of Rio Grande do Norte, acronym in Portuguese). It is
a prospective and exploratory study held from March 2013 to November 2014,
in the cardiology department of HUOL (Portuguese acronym for Onofre Lopes
University Hospital), including health professionals from the mentioned hospital
(doctor, psycologist, physiotherapist, dentist, social assistant, nutritionist,
pharmacist and nurse), undergraduate and graduate students from the health
courses of UFRN. The study happened in three parts: interprofessional activity
planning; Implementation of the activity ?Interprofessional Cardiology Visit
(VIC)?; and Activity evaluation, this last one was made through focus groups.
The process of planning and implementation of the VIC was described during
the implementation phase: 60 meetings in which 1324 participants discussed
one specific patient per meeting. After each case presentation, an
interprofessional discussion was held, pointing out each professional?s specific
point of view towards improving the overall care of that discussed patient. From
the focus group analysis, five categories emerged: Recognition of previous
participations in interprofessional activities; Conceptual vision of
interprofessional activities; Impacts of the VIC to the patient?s care;
Contributions of VIC to the professional training; and Challenges of VIC
continuation. The making and planning of VIC process has reached its goals,
despite of some health professional?s participation not being systematic due to
work overload, such as the nurses? case, as well as schedule difficulties. The
VIC was praised as a successful experience and considered an initiative with
positive impact for improving the care of patients with heart diseases. It is clear,
from analyzing the discourses, that the VIC is a strategy which positively
impacts both the care and the teaching. However, some difficulties remain, such
as the lack of human resources and the challenge of making it systematic.
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