Equipe multiprofissional e relações interprofissionais em UTI: estratégias para melhoria do processo de trabalho em um Hospital Público

Abstract

The intensive care unit (ICU) is a place where technology is used to save a patient's life or improve functional status. In this unit, the multidisciplinary team lives with several stress triggering factors, such as: the difficulty of accepting death, the scarcity of material (beds and equipment) and human resources, in addition to making conflicting decisions related to the selection of patients who will be attended to. These situations create tension between professionals and negatively influence the quality of care provided. Thus, understanding the reality experienced by the multidisciplinary team and its interprofessional relationships, which works in intensive care, requires, among other things, the identification of factors that hinder their performance and shared practice, which may be contributing to the depersonalization of the care for patients and their families, generating distancing, stress and suffering for the team, in addition to breaking the health construction of that care. The intervention will be held at Hospital Getúlio Vargas (HGV), Recife - PE, belonging to the State Health Department of Pernambuco, which has an average of 40 professionals working together, divided between the 4 ICUs of the hospital, totaling 120 people who do part of the constant intensive support provided to patients who demand continuous and incisive care. Research has shown that the misuse of technological resources and the lack of commitment of some professionals have made the work process in the ICU mechanistic and focused on care, that is, they have removed the user and family from the multidisciplinary team, depriving humanized care. The project was developed based on the situational strategic planning model that resulted in the creation of a permanent education plan focused on humanization and interprofessionality involving workers of an ICU, to dialogue and problematize daily life and collaboratively define strategies to improve the work process, contributing to strengthening interprofessional relationships, overcoming critical knots and applying protocols recommended in the national humanization policy. There is a need to discuss with the team which factors interfere in the work process, which hinder or facilitate communication between team members and between them and users and families, and consequently define strategies for the multidisciplinary work process to evolve into an interprofessional approach, aiming the humanization and integrality of assistance to users, reflecting on the characteristics of the care provided to them and their families, as well as on the interpersonal relationships of the team. The execution of the project is scheduled for 4 months, and it is expected that at the end of this period, the strategy of dialoguing about work processes will be incorporated into the team and the content on humanized care and interprofessional, collaborative work will begin to be experienced and evaluated as routine that promotes benefits to health care. The main beneficiary of the elaboration and execution of the project will be the patients assisted by the Getúlio Vargas Hospital Unit. Then, care professionals, with benefits for personal and professional growth, bringing benefits to team relationships and the health system.