A atuação da(o) pedagoga(o) no Sistema Único de Saúde: o que pensa e como age a equipe de saúde na perspectiva da interprofissionalidade?

Abstract

The necessity of a professional in Pedagogy in the hospital environment is secured by the Resolution nº 41/1995 of the National Council for the Rights of Children and Adolescents (CONANDA), since the education is a right, its access should receive those who need it. This study has as general objective to investigate, from perspective of a multiprofessional healthcare team, the point of view about the Pedagogy and the Pedagogue in the hospital environment, as well as its implications for the Public Health System (SUS), considering the interprofessionality. Therefore, it is a descriptive, exploratory and qualitative research, using as theoretical-methodological reference the Theory of Social Representations, from Serge Moscovici. Two hospitals from different macroregions of the State of Santa Catarina were selected, with similar characteristics, which should have in its team an Hospital Pedagogue. The participants of the study were 29 professionals. Six (6) physicians, seven (7) nurses, four (4) social assistants, five (5) nutritionists, five (5) psychologists and two (2) pedagogues were interviewed. All the participants of the study were characterized and they answered to the Test of Free Association of Words (TALP), after, all of them answered the questions of the interview, thus all the participants made the three stages of the research instrument. The study was submitted to the ethical evaluation and approved by the Research Ethics Committee with Human Beings (CEP/UFFS), under the number of the approval protocol of the coordinator center 3.578.953 (Chapecó, September 16, 2019), under the Certificate of Presentation for Ethical Consideration (CAAE) number 19939219.7.0000.5564, and also approved by the Research Ethics Committee of the Santo Antônio Hospital, under the number of the approval protocol of the Co-Participant Institution 3.654.543 (Blumenau, October 22, 2019), under the CAAE number 19939219.7.3001.5359, according to the Resolutions Nº 466/2012 and Nº 510/2016. The results showed the structure and the content of the health professionals’ social representations about the pedagogy in the hospital environment, emerging four categories and one subcategory: Education in/ in the/and/for the health, with the subcategory Spaces and educational processes; The Pedagogue and the connection of the users of the Public Health System (SUS); Work aspects of the Pedagogy and the Hospital Pedagogy; and The Interprofessionality and the professionals. The study puts in evidence the necessity of a greater clarity of the role of the pedagogue in the hospital environment, considering the health professionals and also demonstrates that the several possibilities of performance of Pedagogy in health are not restricted to the hospital environment. The study also allowed to observe the representations present in the imaginary of the health professionals, considering the interprofessionality, and based on their hospital experiences, the speeches contradictorily recognize the interprofessional practice as effective and necessary to the Public Health System (SUS), however they do not effectively exercise it in relation to the pedagogue as part of the healthcare team, showing a difficulty in develop a collaborative pratice as decisive for the promotion of health and humanized care.