Construção de estratégias para qualificação do cuidado ao recém-nascido prematuro na estratégia de saúde da família: um estudo convergente-assistencial

Abstract

It is a work that used Convergent Care Research, which advocates changes and innovations in care practice alongside scientific research, maintaining a constant dialogue between participants through moments of approximation, distancing and convergence between care practices and of research. In line with this method, the investigative objective of the study was to identify the factors that interfere in the care of premature newborns in a family health unit in a municipality in the reconcavo region of Bahia, while the care objective consisted of building, in a way that convergent, strategies aimed at qualifying care for premature newborns with workers. The study territory was a Family Health Unit in a municipality in the Recôncavo Baiano, with the health workers of that unit as participants. Data were produced from March to October 2022, based on individual interviews, three convergence groups, guided by Paulo Freire pedagogy, and a field diary. The analysis of the interviews revealed three categories related to the fragility of care for premature newborns in this context: lack of a flowchart for care and referral, lack of knowledge about care and management of care during care. Convergence groups were planned and executed in light of the analysis of previous steps. This process resulted in the development of the following products: the construction of in-service training spaces; the agreement and preparation of a flowchart for care and referral of premature newborns; creation of a Link Tree; holding a workshop on skills in breastfeeding and choking of premature newborns; creation of the Premature Baby Care E-book - Guidelines for Primary Health Care Workers; construction of a website, initially, to host the manual and expand its publication. This work revealed the power of the convergent care methodology to build, in a collaborative way, investigative and training processes simultaneously, above all, in contexts of professional master's degrees; contributed to the qualification of care for premature newborns in the studied context; as well as, it is possible to admit that some products generated have potential for application in other contexts of Primary Health Care.