0204/2021 - O trabalho dos Agentes Comunitários de Saúde à luz da Teoria Comunidades de Prática The work of Community Health Agents in the light of the Theory Communities of Practice
Analisou-se o trabalho dos Agentes Comunitários de Saúde (ACS), à luz da teoria das Comunidades de Prática (CdP). Estudo qualitativo transversal, realizado em quatro municípios do Ceará. Realizaram-se seis grupos focais e seis entrevistas com 45 ACS, respeitando os aspectos éticos. O corpus de dados foi analisado pela técnica de análise de conteúdo. Os resultados apontaram que a participação dos ACS na ESF é marcada pela vivência na comunidade, sendo o foco principal o acompanhamento dos grupos prioritários. As práticas os colocam diante das diversas complexidades sociais e familiares, gerando reflexões e construções de novos significados para si e o processo de trabalho. As CdP dos ACS se engajam e compartilham desafios e aprendizados singulares do trabalho, caracterizado pelo contato e relacionamento íntimo com as famílias do território, que revelam necessidades pouco percebidas pelos demais profissionais da ESF. Quanto aos processos de reificação, evidenciou-se o significado de ser ACS como aquele que escuta e acolhe, além do que, percebe as necessidades das famílias invisíveis aos serviços. Os ACS exercem melhor o papel de articulador da ESF nos territórios, quanto maior forem os espaços de diálogo entre eles, os demais membros da equipe e a gestão.
Palavras-chave:
Agentes Comunitários de Saúde, Estratégia Saúde da Família, Comunidades de Prática, Atenção Primária à Saúde.
Abstract:
The work of Community Health Agents (CHA) was analyzed in the light of the theory of Communities of Practice (CdC). A qualitative cross-sectional study, carried out in four municipalities in Ceará. Six focus groups and six interviews were carried out with a total of 45 CHA, respecting ethical aspects. The data corpus was analyzed using the content analysis technique. The results show that the participation of CHA in the FHS is marked by experience in the community, with the main focus being the monitoring of priority groups. The practices put them in front of the diverse social and family complexities, generating reflections and the construction of new meanings for themselves and for their work process. The ACS CdP engages and shares challenges and unique learningwork, characterized by close contact and relationships with the families of the territory, which reveal needs little perceived by other FHS professionals. As for the processes of reification, the meaning of being CHAs as one who listens and welcomes, in addition to being one who perceives the needs of families invisible to services, is evident. The CHA better exercises their role as articulator of the ESF in the territories, the greater the spaces for dialogue between them, the other team members and the management.
Keywords:
Community Health Agent, Family Health Strategy, Communities of Practice, Primary Health Care
The work of Community Health Agents in the light of the Theory Communities of Practice
Resumo (abstract):
The work of Community Health Agents (CHA) was analyzed in the light of the theory of Communities of Practice (CdC). A qualitative cross-sectional study, carried out in four municipalities in Ceará. Six focus groups and six interviews were carried out with a total of 45 CHA, respecting ethical aspects. The data corpus was analyzed using the content analysis technique. The results show that the participation of CHA in the FHS is marked by experience in the community, with the main focus being the monitoring of priority groups. The practices put them in front of the diverse social and family complexities, generating reflections and the construction of new meanings for themselves and for their work process. The ACS CdP engages and shares challenges and unique learningwork, characterized by close contact and relationships with the families of the territory, which reveal needs little perceived by other FHS professionals. As for the processes of reification, the meaning of being CHAs as one who listens and welcomes, in addition to being one who perceives the needs of families invisible to services, is evident. The CHA better exercises their role as articulator of the ESF in the territories, the greater the spaces for dialogue between them, the other team members and the management.
Palavras-chave (keywords):
Community Health Agent, Family Health Strategy, Communities of Practice, Primary Health Care
Nepomuceno, R. de C. A., Barreto, Ivana Cristina de Holanda Cunha, Frota, A. C., Ribeiro, K. G., Ellery, A. E. L., Loiola, F. A., Andrade, L.O.M. O trabalho dos Agentes Comunitários de Saúde à luz da Teoria Comunidades de Prática. Cien Saude Colet [periódico na internet] (2021/jun). [Citado em 23/12/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/o-trabalho-dos-agentes-comunitarios-de-saude-a-luz-da-teoria-comunidades-de-pratica/18103?id=18103
