Cotidiano dos profissionais de saúde da Atenção Domiciliar em situações de violência

Abstract

This study has the general objective of analyzing the daily work of health professionals in Home Care in the face of situations of violence. It is a unique case study, with a qualitative approach, based on the daily perspective of Michel de Certeau. 42 health professionals (doctors, nurses, social worker, physiotherapists, speech therapists and nursing care) participated in the AD Service in the city of Contagem, Minas Gerais. Data were collected through a questionnaire for demographic data and perception of caregivers, semi-structured interviews, observations and reading of records and notes, from September to December 2018. The interviews were submitted to Thematic Content Analysis and observations enriched the data analysis. The results reveal that there is violence among professionals, from caregivers to professionals and professionals to caregivers, from caregivers to patients and violence in the territory. Violence interferes with daily practices and professionals understand and adopt different behaviors regarding decisions to resolve the situation. The meaning of violence for health professionals in HC was explained by them from their own conceptual elaborations and experiences in care practice, focusing on aggressions, extrapolation of the limits of the other, disrespect, mistreatment, non-compliance with the provision of basic and related care. environment and ways of life of the population. The meaning involves several directions and involved, that is, patients and professionals. The daily practices of professionals have elements of strategy such as policies and guidelines of Home Care in situations of violence and a proper place imposed by the rules. However, in daily life in areas of great social vulnerability, professionals adopt tactics in the face of situations of violence, showing a peculiar area of action. Professional practices are carried out in spaces marked by a context of violence between professionals, from users to professionals and from the territory. The professionals demonstrated difficulties in the face of situations of violence such as fear, sadness and frustration in the face of cases, in addition to reflecting on their daily activities and as a person. It is concluded that situations of violence are a challenge for professionals and can compromise the care of patients in home care. The daily life of health professionals in HC in situations of violence is guided by strategies that regulate and standardize their practice, as well as by the use of tactics that reinvent this space making it a practiced place.