Análise da atividade de residentes em saúde da família

Abstract

The Multiprofessional Health Residencies are located in the teaching-service training modality, associating practice in the territory with the theoretical knowledge acquired during the training process. There are different types of programs, but most are concentrated in Primary Care, indicating the relevance of this level of care for ensuring access to health services and an appropriate field for expanding professional qualification. In Primary Care, the Family Health Strategy was established as a proposal to reorganize health practices, integrating professionals from different categories to plan actions beyond assistance, but also at prevention and health promotion. Thus, the insertion of residents in the context of Family Health generates changes in their daily lives and in the dynamics of service. The residents' activities are based on the reality of the territory and the work process of the health teams. Therefore, the work performed at the residence is crossed by different factors, which may imply the autonomy of the professionals in training. The theory of Psychodynamics of Work was used to understand the cooperative relationships between residents in the face of the adversities of teamwork in their work context, and how the experiences, being generators of pleasure or suffering, affect subjectivity in the practice of activities. For this, individual interviews were conducted with ten Family Health residents, and for the analysis of the data, the Core of Sense Analysis was used, inspired by the Content Analysis created by Bardin. It was possible to see that the model proposed is a powerful tool in the training of workers to work in Primary Care, but it is still necessary to expand the proposal in health services, so that the insertion of residents occurs more effectively. In addition, the organization of work in the daily lives of residents focuses on subjectivity, generating experiences of pleasure and suffering in face of the activities performed. As a conclusion, the role of residents needs to be better defined within health services, contributing to the elaboration of work activities that are significant for training and that are effective in the daily work, implying subjective engagement and favoring the autonomy of residents in services.