Leitura dialógica da visita multiprofissional numa residência multiprofissional em saúde

Abstract

This dissertation has multidisciplinary visits as its topic field. Visits emerge as a practice, in the health context, based on the logic of multi-professional work and multi-professionality, which is based on principles of Permanent Health Education. This work aims to understand and discuss multi-professional visits, in health, starting from the articulation between texts from specific health literature and concepts linked to Bakhtin's dialogue, and thus producing shifts in discussions about multidisciplinary practices in the construction of health care processes. To do this, we start from the understanding of science as a human practice, socially and historically situated, assuming Social Constructionism and Discursive Practices and Production of Meanings as theoretical-methodological foundations. We also discussed with authors such as Bottega and Castro (2018), Ceccim and Ferla (2008), Ceccim and Feuerwerker (2004), Dallegrave and Kruse (2009), Tesser (2008) and many others who helped us think about health in Brazil, health residencies and the complex, intricate network of points that we encounter when we work in the SUS. The Conversation Circles were the methodological tools, which are based on dialogue inspired by the Bakhtinian tradition. They are spaces for the free circulation of words, sharing of experiences, negotiations and collective production of meanings. Three rounds of conversations were held with residents of the Multiprofessional Residency in Adult and Elderly Health, at the Federal University of Alagoas. It was identified that the practices of multidisciplinary visits are complex, dynamic, still under construction, permeated by different affects, sensations, contradictions, conceptions, mistakes, positions, disputes and power games. The conversations highlighted how visits are influenced by the different forms of dialogue and relationships that the actors at the residence and the hospital establish among themselves, withusers and with the visit itself; the different routines and operating logics already established in the sectors in which the visits are carried out; and the training of professionals who participateor interact in some way with the visits. Other conversations stated how multidisciplinary visits helped to create diverse bonds, between users, their caregivers and residents, meeting not only physical but also emotional demands. It also helps with the link between teams of residents, helping to build multidisciplinary work. The following effects of carrying out daily multidisciplinary visits are highlighted: recognition of the health team's performance, strengthening of the SUS, greater openness to dialogue between those who participate in the visit, and influence on the way in which the residents themselves understand their processes ofwork and their own performance in health.