THE WORK PROCESS AND PLANNING OF HEALTH

Objective: to analyze the work process based on the planning of health actions and the impact in the scope of basic health care. Method: this is a quantitative, exploratory and descriptive study with 25 professionals from the Family Health Team, based on a questionnaire. The data was organized in SPSS, version 21, and analyzed using bivariate descriptive and inferential statistics. Results: Teamwork, together with educational actions, focusing on health promotion and prevention, favors the integrality of health care in its expanded dimension. The actions of promotion and prevention developed in the scenario of basic health care are still punctual, directed and related to care. Conclusion: the integrality of care must comprehend the notion of expansion of knowledge with a view to the community reality, the multiprofessional teamwork, with an interdisciplinary approach. Descriptors: Primary Health Care; Process Evaluation; Interdisciplinary Health Team; Health Promotion; Family Health; Comprehensive Health. RESUMO Objetivo: analisar o processo de trabalho com base no planejamento das ações de saúde e o impacto no âmbito da atenção básica de saúde. Método: trata-se de um estudo quantitativo, exploratório e descritivo com 25 profissionais da Equipe Saúde da Família, a partir de um questionário. Os dados foram organizados no SPSS, versão 21, e analisados por meio de estatística descritiva e inferencial bivariada. Resultados: o trabalho em equipe, aliado às ações educativas, com foco na promoção e prevenção da saúde, favorece a integralidade da atenção à saúde em sua dimensão ampliada. As ações de promoção e prevenção desenvolvidas no cenário da atenção básica de saúde ainda são pontuais, dirigidas e assistenciais. Conclusão: a integralidade da atenção deve compreender a noção de ampliação do conhecimento com vistas sobre a realidade comunitária, o trabalho em equipe multiprofissional, com abordagem interdisciplinar. Descritores: Atenção Primária à Saúde; Avaliação de Processos; Equipe Interdisciplinar de Saúde; Promoção da Saúde; Saúde da Família; Saúde Integral. RESUMEN Objetivo: analizar el proceso de trabajo con base en la planificación de las acciones de salud y el impacto en el ámbito de la atención básica de salud. Método: se trata de un estudio cuantitativo, exploratorio y descriptivo con 25 profesionales del Equipo Salud de la Familia, a partir de un cuestionario. Los datos fueron organizados en el SPSS, versión 21, y analizados por medio de estadística descriptiva e inferencial bivariante. Resultados: el trabajo en equipo, aliado a las acciones educativas, con foco en la promoción y prevención de la salud, favorece la integralidad de la atención a la salud en su dimensión ampliada. Las acciones de promoción y prevención desarrolladas en el escenario de la atención básica de salud todavía son puntuales, dirigidas y asistenciales. Conclusión: la integralidad de la atención debe comprender la noción de ampliación del conocimiento con vistas a la realidad comunitaria, el trabajo en equipo multiprofesional, con enfoque interdisciplinario. Descriptores: Atención Primaria a la Salud; Evaluación de Procesos; Equipo Interdisciplinario de Salud; Promoción de la salud; Salud de la Familia; Salud Integral. 1Master, Federal University of the São Francisco Valley (UNIVASF). Petrolina (PE), Brazil. E-mail: wilksam@hotmail.com ORCID iD: https://orcid.org/0000-0002-3323-4650; Master, Santa Maria College / FSM. Cajazeiras (PB), Brazil. E-mail: julianecarlam@gmail.com ORCID iD: https://orcid.org/0000-0002-1454-424X; 3Master, Santa Maria College / FSM. Cajazeiras (PB), Brazil. E-mail: renataliviamoreira@hotmail.com ORCID iD: https://orcid.org/0000-0002-9913-4863; Master, Federal University of Campina Grande / UFCG. Cajazeiras (PB), Brazil. E-mail: edineidens@hotmail.com ORCID iD: https://orcid.org/0000-0001-8756-9360; Master student, Federal University of the São Francisco Valley / UNIVASF. Petrolina (PE), Brazil. E-mail: izabebelle@hotmail.com ORCID iD: https://orcid.org/0000-0001-7588-286X; PhD, Federal University of the São Francisco Valley / UNIVASF. Petrolina (PE), Brazil. E-mail: ferdinando.carvalho@univasf.edu.br ORCID iD: https://orcid.org/0000-0003-0306-5910; PhD, Santa Maria College / FSM. Cajazeiras (PB), Brazil. E-mail: ely.vilar@hotmail.com ORCID iD: https://orcid.org/0000-0002-8223-1878; PhD, ABC / FMABC Medical School. Cajazeiras (PB), Brazil. E-mail: ankilmar@hotmail.com ORCID iD: https://orcid.org/0000-0002-4751-2404 ORIGINAL ARTICLE Araújo WA de, Sousa JCM de, Medeiros RLSFM de et al. The work process and planning of health... English/Portuguese J Nurs UFPE online., Recife, 12(10):2564-72, Oct., 2018 2565 ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v12i10a237485p2564-2572-2018 The Family Health Strategy (FHS) is characterized as an important instrument of basic care in the Unified Health System (UHS), driven by the decentralization process and supported by innovative programs for the restructuring of the health system and the care model. In this way, it seeks to offer universal access to health services with a level of comprehensive care, as well as to implement community-led promotion and prevention actions. The human resource that acts in the FHS is organized based on multi-professional teamwork, considered an essential factor for the proper functioning of the organizational process in health units. The teams are composed of a physician, a nurse, a nursing technician and community health agents (CHA) and, since 2004, has begun to include oral health teams. The teams are responsible for monitoring a defined number of families ascribed to the delimited territory and develop actions of integral attention to the individual and his or her community. It is known that the practical activities to stimulate prevention and self-care, developed with the community, make it possible to sensitize the population as an integral part of the health-disease process, strengthening autonomy and instigating critical reflection through relevant themes on the socioenvironmental changes needed and considering the local life context. However, administrative capacity at the municipal level is still deficient, as is national regulation, and highlights the fact that strategies such as family health are processes under construction. In this context, the importance of health education as an instrument for health care in the community, as well as the need to overcome barriers and the existence of organizational conflicts, is observed. Above all, the active participation of the population must always be stimulated by making it responsible for health care. Thus, it is necessary to analyze the work process of the multidisciplinary team and the planning of health education actions in the FHS. It is hoped that this research contributes to the guiding of workers and managers in the planning and development of health education actions that satisfy the wishes of the service, professionals and, mainly, UHS users, as well as stimulate the construction of new studies. ● To analyze the work process based on health action planning and the impact on basic health care. This is a quantitative, exploratory and descriptive study with professionals of the family health team of the municipality of Cajazeiras / PB, Brazil. It is reported that the population of this study was composed of the number of active upper-level professionals enrolled in the multidisciplinary family health team of the municipality of Cajazeiras / PB. Up to the year 2016, 24 teams were distributed in 24