Proposta de gestão de desempenho nos Programas de Residência Multiprofissionais do Hospital Universitário da UFJF: desenvolvimento de competências e construção de novos percursos

Abstract

This thesis was developed during the Professional Master’s Degree on Management and Evaluation of Public Education (PPGP) of the Center for Public Policies and Education Evaluation of the Federal University of Juiz de Fora (CAEd/UFJF). This study analyzes the challenges and the perspectives referring to the performance evaluation of the professional residents from the Programs of Multiprofessional Residency and in the Professional Health Area of the HU-UFJF. The chosen objectives for this study were: to describe how the performance evaluation of the multiprofessional residents is made; to analyze the adequacy of the performance evaluation towards the needs of the Multiprofessional Residency Committee and in the Professional Health Area (COREMU) and the applicable theories; and to propose a model of performance evaluation that allows us to have a complete diagnosis of the professional development of the residents. Therefore, the hypotheses that the performance evaluation could be more effective was assumed, once there are information incompatibilities in relation the attributed scores, on the attitude scale of the professional residents’ performance evaluation and on their real behavior/posture during their education on a daily basis; lack of feedback about the performance evaluation results; predominance of high scores on almost 100% of the evaluations, indicating, possibly, complacency of the evaluators and an absence of definition for the concepts of cognitive, attitudinal and psychomotor competences on the legislation of the Internal Regulations of COREMU, requiring, therefore, studies about the themes. Based on the identified problems regarding the lack of performance management, as well as the lack of tools capable of multidimensionally evaluating the knowledge, skills and attitudes that are necessary for a good professional performance, we sought to gather, from the studied theoretical framework bring the main contributions of the authors with regard to an effective practice of performance management and competencies management. To achieve the purpose, the research used an exploratory qualitative methodology, utilizing the case study as the method. The used techniques were bibliographic and documental researches, semi-structured interviews with the professional residents and application of a questionnaire to the preceptors, tutors of professional areas and program coordinators. The research results pointed to the confirmation of the raised evidences, as well as to other factors, such as absence of some tutors during the performance evaluation and on the monitoring of activities, lack of guidance for the preceptors on how to conduct the performance evaluation, lack of indicators related to the knowledges, skills and attitudes necessary for the professional education, absence of criteria and pre-established parameters and several distortions. In this sense, the action plan presented at the end aimed to 8 minimize the faults detected on the performance evaluation and to offer strategic actions that contribute for the implementation of performance management in the multiprofessional residency programs.