Assistência domiciliar na estratégia saúde da família: os desafios enfrentados pela equipe na realização de visitas domiciliares

Abstract

INTRODUCTION: One of the pillars of the Family Health Strategy is a family assistance, which should be understood in its entirety and insert in its socioeconomic and cultural context, considering their interactions and conflicts. Among the ways to handle this situation is the systematic practice of home visits that instrumentalize professionals to the knowledge of the living conditions of the population, strengthening the bond that must be created between users and health professionals. OBJECTIVE: To identify the literature on this topic, the challenges faced by the Family Health Strategy team in conducting home visits. METHODOLOGY: This is an integrative review. The literature survey was conducted between September and October 2013, we selected 08 articles published from 2007 to 2013, found in the databases SciELO and LILACS. RESULTS AND DISCUSSION: The qualitative approach had articles published primarily by nurses, with the vision of the professional staff of Family Health Strategy and also the users of health services. It was possible to identify themes related to home visit, passing by the potential as a means of facilitating access to services and health actions; instrument creating a bond and knowledge of the user and his environment; and the weaknesses of this family approach strategy as practice still focused on individual care/curative; reduced conception of the meaning of home care; supervisory actions and negative control of users' lives. Even the identified potentials were considered challenging due to the complexity of achieving them. CONCLUSION: We observed the great difficulty of working in such a complex practice, still many challenges to be faced. However, the Family Health Strategy professionals must prepare and qualify increasingly to the realization of home visits because it is a significant strategy to provide health care to the population under the domicile, closer to its reality and the possibilities care about your health.