Pesquisa-ação e práticas pedagógicas emancipadoras: caminhos que se cruzam para a reorganização do processo de trabalho das equipes de saúde da família de um município de pequeno porte em MG

Abstract

This study aimed to support the reorganization of the work process within the Family Health Strategy (FHS) teams in the municipality of Vale das Flores/MG, considering the principles of autonomy and protagonism of individuals in dialogical and participatory construction, focusing on the care of users with hypertension. The chosen methodology was action research, as it is an intervention capable of generating knowledge. Data collection involved two Focus Groups and one Workshop, supported by participant observation and a field diary. Focus Group I included 10 Community Health Workers (CHWs), while Focus Group II comprised three doctors, three nurses, and the Primary Health Care (PHC) manager. Among the 17 participants in the Focus Groups, 14 also attended the Workshop. The study revealed significant aspects of the work process within FHS teams, highlighting the impact of interpersonal and interprofessional relationships, as well as partisan political power, on team autonomy. Additionally, the study identified that the knowledge applied to the care of users with hypertension is predominantly based on daily practice, with gaps in theoretical foundations. Thus, to improve the work process within FHS teams, it is essential to strengthen interpersonal relationships among users, teams, and political representatives. Continuing education emerges as a key strategy in this process, prioritizing spaces for dialogue and reflection while fostering an environment of respect and cooperation. This strengthening will contribute to a more democratic and emancipatory health practice, overcoming external interferences and enhancing team autonomy.