Desenvolvendo estratégia de educação permanente em saúde e reconstruindo práticas em unidade de terapia renal substitutiva

Abstract

The aim of this study was to describe and analyze the developing of a health permanent education strategy in renal replacement therapy unit using the problematization methodology.  Qualitative research, of the research-action type, based on the problematization methodology, as proposed in Maguerez’s Arc. In the development of activities, participants defined as a problem the insufficient standardization of multidisciplinary care to patients on renal replacement therapy. The key points to be investigated, such as the experiences of other institutions, organization of care line in light of the legislation and own specific skills of team members professionals, promoted the theory stage. Later were formulated possible solutions as protocols establishments, construction of a free informed consent term and implementation of multidisciplinary meetings to discuss cases and definition of collective care plan. The most viable solution proposals were selected to be applied in practice and help in overcoming the problem. Participants were able to experience the problematization methodology, reflect on their practices, practice the shared collective decision making in the unit based on the feasibility of the proposals, allowing advances in rethinking and rebuilding the reality to improve the services offered through health permanent education.