Representações sociais de enfermeiros sobre a educação permanente de agentes comunitários de saúde em ações do tabagismo

Abstract

The objective was to understand the social representations of nurses about permanent education directed to community health agents in actions to combat smoking. Research with a qualitative approach, descriptive and exploratory, supported by the Theory of Social Representations in the procedural view of Denise Jodelet. The research scenario was 14 basic health units in the city of Juiz de Fora / MG, with the participation of 21 nurses. Data collection took place from February to June 2019, after approval of the project by the Human Research Ethics Committee of the Federal University of Juiz de Fora. A semi-structured script and a field diary were used to obtain the data. For the analysis, the resources of Word® 2010 were used, as a database of the transcribed interviews, which, later, were submitted to the OpenLogos® software in version 2.1 for the textual edition of the data. Four categories emerged: learning about the nurses' routine in Primary Health Care (PHC); representations of nurses about the work process of the community health agent (CHA); permanent education in the representation of nurses and continuing education by the CHA for actions to combat smoking: representations of nurses. Data analysis was carried out concurrently with fieldwork, following the precepts of Bardin's Content Analysis. The evidences shown showed that nurses understand that it is important to carry out permanent education for CHWs, but they do not perform them specifically for the topic of smoking. The results point to a distance between assistance services and administrative management with the actions advocated by the National Policy to Combat Tobacco, revealing that this is one of the difficulties when it comes to the complexity and harm that tobacco use can bring . The opportunity to discuss and reinforce actions in basic health units is lost. The social impact of the study was to assist in strengthening the actions advocated by the National Policy to combat smoking, highlighting the relevance of subsidizing the development of health education to managers and health professionals in order to redirect the daily lives of these professionals.