Bases teórico-conceptuales y metodológicas para la adopción de la educación interprofesional: un análisis a partir del PET-Saúde Interprofessionalidade
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2024.234844Palabras clave:
Educación interprofesional, Trabajo, Políticas, Universidad, Currículo, EducaciónResumen
Objetivo: El objetivo de esta investigación fue sistematizar los problemas, las concepciones de Educación Interprofesional (EIP) y las referencias teóricas que justificaron y apoyaron los proyectos del PET-Saúde Interprofissionalidade para la adopción y el fortalecimiento de la interprofesionalidad en la educación y el trabajo en salud. Método: Se trata de una investigación documental basada en los 120 proyectos aprobados en la convocatoria pública del PET-Saúde Interprofissionalidade. Los datos se recogieron utilizando una estructura de codificación previamente elaborada, y se analizaron mediante la técnica de contenido. Resultados: El problema más citado como justificación para reforzar la interprofesionalidad fue la falta de formalización de la educación interprofesional en los currículos. Los profesionales formados por separado, la priorización de competencias específicas y las debilidades en el vínculo docencia-servicio-comunidad también fueron justificaciones. El modelo conceptual de educación interprofesional que sustentó la construcción de la mayoría de los proyectos no está claro, lo que pone en peligro la sostenibilidad de los cambios. Los principios del SUS, con énfasis en la integralidad, las discusiones sobre el trabajo en equipo y el marco de la educación popular/dialógica y de la educación sanitaria permanente fueron los fundamentos teóricos utilizados por los proyectos. Conclusión: El contexto de la formación y el trabajo en el escenario brasileño proporciona una importante justificación para abogar por la reorientación de estos dos campos como una forma de garantizar un sistema de salud más integral, seguro y orientado a las necesidades de salud.
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- Smith, K. B., Stav, W. B., Blaylock, S. E., Aldridge, N. A., & Massad, R. The effect of episodic interprofessional education activities embedded within physical therapy and occupational therapy curricula. J Interprof Care. [Internet]. 2022. [cited 2022 Sep 01];37(4):629-636. Available from: https://doi.org/10.1080/13561820.2022.2113047
- Griggio AP, Silva JAM, Rossit RAS, Mieiro DB, Miranda FM, Mininel VA. Analysis of an interprofessional education activity in the occupational health field. Rev. Latino-Am. Enfermagem. [Internet]. 2020. [cited 2022 Sep 01];28:e3247. Available from: http://dx.doi.org/10.1590/1518-8345.3228.3247.
- World Health Organization. Framework for action on interprofessional education & collaborative practice. [Internet]. Geneva: WHO; 2010. [cited 2022 Feb 08]. Available from: http://whqlibdoc.who.int/hq/2010/ WHO_HRH_HPN_10.3_eng.pdf
- Centre for the Advancement of Interprofessional Education. CAIPE. Centre for the Advancement of Interprofessional Education. 2002. Available from: http:www.caipe.org.uk/about-us/defining-ipe/
- Saragih ID, Arna Uly Tarihoran DET, Sharma S, Chou FH. A systematic review and meta-analysis of outcomes of interprofessional education for healthcare students from seven countries. Nurse Educ Pract. 2023. [cited 2024 May 09] 1;71. Available from: http:www.caipe.org.uk/about-us/defining-ipe/
https://doi.org/10.1016/j.nepr.2023.103683
- Wang Z, Feng F, Gao S, Yang J. A Systematic Meta-Analysis of the Effect of Interprofessional Education on Health Professions Students’ Attitudes. J Dent Educ [Internet]. 2019. [cited 2024 May 09]; 83(12):1361–9. Available from: https://pubmed.ncbi.nlm.nih.gov/31548305/
- Silva FAM, Cassiani SHDB, Filho JRF. The PAHO/WHO Regional Network of Interprofessional Health Education. Rev. Latino-Am. Enfermagem. [Internet]. 2018. [cited 2022 Sep 02];26:e3013. Available from: http:// dx.doi.org/10.1590/1518-8345.0000.3013
- Ministério da Saúde (BR). Edital nº 10, 23 de julho 2018 seleção para o Programa de Educação pelo Trabalho para a Saúde PET-Saúde/ Interprofissionalidade - 2018/2019. Diário Oficial União. Brasília, DF. 2018. Available from: https://www.in.gov.br/materia/-/asset_publisher/Kujrw0TZC2Mb/content/id/38934359/do3-2018-08-30-edital-n-10-de-23-de-julho-2018-selecao-para-o-programa-de-educacao-pelo-trabalho-para-a-saude-pet-saude-interprofissionalidade-2018-2019-38934180
- Almeida RGS, Silva CBG. Interprofessional Education and the advances of Brazil. Rev. Latino-Am. Enfermagem. [Internet]. 2019. [cited 2022 Sep 02];27:e3152. Available from: http://dx.doi.org/10.1590/1518-8345.3148-3152.
- Ministério da Saúde (BR). Secretaria de Gestão do Trabalho e da Educação na Saúde. Departamento de Gestão da Educação na Saúde. As contribuições do PET-Saúde/Interprofissionalidade para a reorientação da formação e do trabalho em saúde no Brasil. [Internet]. 1. ed. rev. – Brasília: Ministério da Saúde, 2021 [cited 2023 Apr 10]. 84p. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/contribuicoes_pet_saude_interprofissionalidade.pdf
- McCulloch D. Documentary Research in Education, History and the Social Sciences. London: Routledge, 2004. Available from: https://doi.org/10.4324/9780203464588
- Flick U. Designing qualitative research. London: SAGE Publications. 2016.
- Health Professions Accreditors Collaborative. Guidance on developing quality interprofessional education for the health professions. [Internet]. Chicago, IL: Health Professions Accreditors Collaborative. 2019. [cited 2022 Sep 09]. Available from: https://healthprofessionsaccreditors.org/wp-content/uploads/2019/02/HPACGuidance02-01-19.pdf
- Bardin L. Análise de conteúdo. Portugal: Edições 70, 2009. 281p.
- Costa MV da, Borges FA. O Pró-PET-Saúde frente aos desafios do processo de formação profissional em saúde. Interface comum. saúde educ. [Internet]. 2015. [cited 2022 Sep 09];19 Supl 1:753–63. Available from: https://doi.org/10.1590/1807-57622014.1057
- Magnago C, França T, Belisário SA, Santos MR. PET-Saúde/GraduaSUS na visão de atores do serviço e do ensino: contribuições, limites e sugestões. Saúde debate. [Internet]. 2019. [cited 2022 Feb 08];43 Supl 1:24–39. Available from: https://doi.org/10.1590/0103-11042019S102
- Costa MV, Azevedo GD, Vilar MJP. Aspectos institucionais para a adoção da Educação Interprofissional na formação em enfermagem e medicina. Saúde debate. 2019. [Internet]. [cited 2022 Feb 08];43 Supl 1:64-76. Available from: https://doi.org/10.1590/0103-11042019S105
- Toassi RFC, Meireles E, Peduzzi M. Interprofessional practices and readiness for interprofessional learning among health students and graduates in Rio Grande do Sul, Brazil: a cross-sectional study. J Interprof Care. 2020. [Internet]. [cited 2022 Sep 09];35(3):391–399. Available from: https://doi.org/10.1080/13561820.2020.1773419
- Conselho Nacional de Saúde. Resolução nº 569, de 8 de dezembro de 2017. Aprova o Parecer Técnico nº 300/2017. Diário Oficial da União. [Internet]. 2018. [Cited 2023 Apr 10] Available from: https://www.conass.org.br/wp-content/uploads/2018/02/anexo_CI_46_18.pdf
- Ogata MN, Silva JAM, Peduzzi M, Costa MV, Fortuna CM, Feliciano AB. Interfaces entre a educação permanente e a educação interprofissional em saúde. Rev. Esc. Enferm. USP. [Internet]. 2021. [cited 2022 Feb 08];55:e03733. Available from: https://doi.org/10.1590/S1980-220X2020018903733
- Xyrichis A. Interprofessional science: an international field of study reaching maturity. J Interprof Care. [Internet]. 2020. [cited 2022 Feb 08];34(1):1–3. Available from: https://doi.org/10.1080/13561820.2020.1707954
- Orchard C, Bainbridge L. Competent for collaborative practice: What does a collaborative practitioner look like and how does the practice context influence interprofessional education? J Taibah Uni Med Sci. 2016. [Internet]. [cited 2022 Sep 09];11(6):526–32. Available from: https://doi.org/10.1016/j.jtumed.2016.11.002
- Khalili H, Orchard C. The effects of an IPS-based IPE program on interprofessional socialization and dual identity development. J Interprof Care. [Internet]. 2020. [cited 2022 Sep 09];4:1–11. Available from: https://doi.org/10.1080/13561820.2019.1709427
- Maddock B, Dārziņš P, Kent F. Realist review of interprofessional education for health care students: What works for whom and why. J Interprof Care. [Internet]. 2023. [cited 2022 Sep 12];37(2):173–186. Available from: https://doi.org/10.1080/13561820.2022.2039105.
- Gough S, Hellaby M, Jones N, MacKinnon R. A review of undergraduate interprofessional simulation-based education (IPSE). colegn. [Internet]. 2012. [cited 2022 Sep 12];19(3):153–70. Available from: https://doi.org/10.1016/j.colegn.2012.04.004
- Oxelmark L, Nordahl Amoroe T, Carlzon L, Rystedt H. Students’ understanding of teamwork and professional roles after interprofessional simulation—a qualitative analysis. Adv Simul. [Internet]. 2017. [cited 2022 Sep 09];2(8). Available from: https://doi.org/10.1186/s41077-017-0041-6
- Oandasan I, Reeves S. Key elements for interprofessional education. Part 1: The learner, the educator and the learning context. J Interprof Care. [Internet]. 2005. [cited Feb 2022 08];19 Suppl 1:21–38. Available from: https://doi.org/10.1080/13561820500083550
- Hall P, Brajtman S, Weaver L, Grassau PA, Varpio L. Learning collaborative teamwork: an argument for incorporating the humanities. J Interprof Care. [Internet]. 2014. [cited 2022 Sep 12];28(6):519–25. Available from: https://doi.org/10.3109/13561820.2014.915513
- Anderson ES, Ford J, Kinnair DJ. Interprofessional Education and Practice Guide No. 6: Developing practice-based interprofessional learning using a short placement model. J Interprof Care. [Internet]. 2016. [cited 2022 Sep 12];30(4):433–40. Available from: https://doi.org/10.3109/13561820.2016.1160040
- Agreli HF, Peduzzi M, Silva MC, Mascarelle RCV, Espinoza P. Effects of interprofessional education on teamwork on knowledge chronic conditions management. Rev. Latino-Am. Enfermagem. [Internet]. 2019. [cited 2022 Feb 08];27:e3203. [Available from: http://dx.doi.org/10.1590/1518-8345.3095.3203
- Barreto LSO, Guimarães Campos VD, Dal Poz MR. Interprofessional education in healthcare and health workforce (HRH) planning in Brazil: experiences and good practices. J Interprof Care. [Internet]. 2019. [cited 2022 Sep 12];33(4):369–381. Available from: https://doi.org/10.1080/13561820.2019.1646230
- Reeves S, Zwarenstein M, Espin S, Lewin S. Interprofessional Teamwork in Health and Social Care. John Wiley & Filhos, 2011.
- Bonello M, Morris J. Institutionalizing interprofessional education in small states: perspectives from faculty and key stakeholders in Malta. J Interprof Care. [Internet]. 2019. [cited 2022 Sep 15];34(1):36–43. Available from: https://doi.org/10.1080/13561820.2019.1612864
- Peduzzi M. O SUS é interprofissional. Interface comum. saúde educ. [Internet]. 2016. [cited 2023 Apr 10];20(56):199-201. Available from: https://doi.org/10.1590/1807-57622015.0383
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Derechos de autor 2024 Andrezza Karine Araújo de Medeiros Pereira, Eudes Euler de Souza Lucena, Jaqueline Alcântara Marcelino da Silva, Maria José Pereira Vilar, Marcelo Viana da Costa

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.