NURSIN PARTICIPATION IN THE PROJECT EXPERIENCE AND TRAINING IN THE REALITY OF UNIFIED HEALTH SYSTEM/VER-SUS 1

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1 NURSIN PARTICIPATION IN THE PROJECT EXPERIENCE AND TRAINING IN THE REALITY OF UNIFIED HEALTH SYSTEM/VER-SUS 1 PESERICO, Anahlú 2 ; COLOMÉ, Juliana Silveira 3 ABSTRACT This paper aims to socialize the academic participation of the Centro Universitario Franciscano's Nursing Course in the VER-SUS project, which had been developed in the Partenon and Lomba do Pinheiro Regions of Porto Alegre - RS. It is a description of experiences obtained in the VER-SUS project, during the month of February During the project, were developed health services management in primary and secondary care, as well as local community participation. Were performed reflections, discussion groups, workshops and seminars to integrate the experiences, focusing on a critical and reflective evaluation of the current configuration of the Brazilian health system. It is considered that this project gives to the participants a better understanding of the organization of health services and public politics of the Unified Health System (SUS), enabling the exchange of knowledge between the different areas of knowledge, strengthening the need for an interdisciplinary/multiprofessional work in health areas. Keywords: Sistema Único de Saude; Nursing Education; Human Resources for Healthcare. 1. INTRODUCTION The Projeto Vivências e Estágios na Realidade do Sistema Único de Saúde (VER- SUS) is a proposal of the Ministry of Health in partnership with student movements in the health field, having as main objective to provide students from diverse areas of health experiences and experimentation of reality the SUS, according to its principles and guidelines. Also, it contributes to formation of professionals sensitive to the needs of the 1 Relato de experiência no projeto VER-SUS: Vivências e Estágios na Realidade do Sistema Único de Saúde. 2 Apresentador. Curso de Enfermagem do Centro Universitário Franciscano (UNIFRA), Santa Maria, RS, Brasil. anahlupeserico@hotmail.com 3 Docente do Curso de Enfermagem do Centro Universitário Franciscano (UNIFRA), Santa Maria, RS, Brasil. Doutoranda da Universidade Federal do Rio Grande. julianancolome@yahoo.com.br 1

2 population and to strengthen the SUS, seeking the creation of new relationships, commitment and cooperation among students, health administrators, universities and social movements, allowing the effective teaching of the future professionals. The VER-SUS main axis are to provide opportunity for participants to experience achievements and challenges of the SUS and further discussions about teamwork, management, health care, education and social control. Also, it provides reflections on the importance of social movements, such as students movement. The project provides participants with an immersion of ten to fifteen days in the various scenarios of SUS, occurring throughout the country. Allows students to learn and rediscover the SUS, and gives the possibility for reflection and exchange of experiences between the various courses in the area of health, with an interdisciplinary/multiprofessional approach. Besides the interaction of students with each other, still promotes the interaction between managers, health workers and users. It is considered that initiatives of this kind underline the responsibility of universities and training centers with the preparation of health professionals committed to social needs, with the strengthening of the SUS and education projects contextualized to the region s reality. To make this work, it is necessary to invest in the training of professional, giving them the ability to reflect on their social, political, cultural reality and making them able to create breakthroughs in practices. From this perspective, this paper aims to socialize the academic participation of the Centro Universitario Franciscano's Nursing Course in the VER-SUS project, which occurred in the Parthenon and Lomba do Pinheiro regions in the city of Porto Alegre - RS. 2. METODOLOGY This is an experience report related to experiences in project VER-SUS, developed in February 2012, during the holiday period of undergraduate courses. It was held at Gerência Distrital de Saúde Partenon e Lomba do Pinheiro in Porto Alegre - RS. The workgroup was formed by ten participants, two facilitators students, seven students of undergraduate courses in Nursing, Physical Education, Pharmacy, Dentistry, Public Health and Social Services and a psychologist, District Manager. 2

3 The region Partenon and Lomba do Pinheiro has a population of approximately 183,000 inhabitants. The region of the Parthenon is characterized by having local densely populated, with a significant number of elderly. The region Lomba do Pinheiro is characterized by a region of low population density, which can boost the construction industry and the illegal occupations of land, with a larger number of children. Historically, it was an enclosed area to receive outcasts of society as criminals, tuberculosis and mental health patients. It is located in that area institutions such as the São Pedro Psychiatric Hospital, Central Prison, Sanitarium Partenon and the Forensic Psychiatric Institute. These regions have low economic development and high unemployment. 3. SOCIALIZING THE VIVENCES ON THE VER-SUS PROJECT The ten-day immersion in the project began on February 6, 2012, with a reception and accommodation of participants in the Federal University of Rio Grande do Sul (UFRGS) Nursing School. At this location, there was the presentation of the draft stage and the division of groups by district health management, as well as the realization of the schedule of activities of each group. In the following days, there was the recognition of the Management District Parthenon and Lomba do Pinheiro, presentation of the territory, population and health services, such as the Murialdo Health Center, Family Health Units (USF) Morro da Cruz, Santa Helena, Pitoresca and Basic Health Units (BHU) Panorama and Bananeiras. In these locations, we followed the nurse, the community health workers, the psychologists and social assistan on home visits. Aside from those visits, orientations about tuberculosis were given in waiting rooms, walking groups and discussions on the organization of work in these services. In these places, were also made reflections on the organization of services, management / health management, pharmaceutical care, among other topics. At the end of each day those activities resulted in the socialization of daily experiences. Regarding to some social organizations, was conducted visit to the Centro de Promoção da Criança e Adolescente São Francisco (CPCA), which offers cooking, crafts and informatics courses for children and adolescents. The Quilombo dos Alpes was also a stage for the recognition of local reality and way of life of quilombola families. 3

4 There was the construction of an account of the experiences that would be presented to all participants in the project during the weekend. For the socialization experiences, there was the movement of all project participants for the accommodation of CETAF. During the weekend there were cultural activities and integration of all the participants, workshops, lectures and presentation of reports, enabling the exchange of experiences between the groups. The evaluation of the experiences was conducted by the staff of Gerência Distrital Partenon and Lomba do Pinheiro in a group discussion. The tenth day was for the closure of the project s experiences at the UFRGS School of Nursing, where the groups performed the final evaluation reports for the large group of all participants of the project. In summary, during the experience, we went through the health services of primary and secondary attention as UBS, ESF and UPA, Pharmacy District, Health Center, Matrix Support, and local community participation, as the Municipal Council of Health and spaces of quilombola culture (Quilombo dos Alpes). The approximation of certain health services has enabled us to know not only the multidisciplinary health teams, as well as the organization of health services as a whole, its difficulties and challenges in the progress of the Brazilian health system. Were problematized questions about social control, the struggle and the difficulties faced by local and district councilors in search of community rights, the organization of the Integrated Network for Attention to Emergencies, devices of primary care such as Matriciamento team, and deployment of NASF in addition to the therapies carried out in the community health services, the implementation of rapid HIV testing in health facilities, vulnerable environments, living conditions, as well as the set of health policies that support the actions undertaken in these health services. 4. FINAL CONSIDERATIONS This project represented a watershed between theory and practice experienced in the many areas of SUS, giving participants a better understanding of the organization of health services and public politics. It also resulted in the exchange of knowledge between the various areas of knowledge, strengthening the need for an interdisciplinary / multidisciplinary health services. It can be argued that this experience changed the critical view of the participants to a self-reflexive vision in order to understand the context in which the situations 4

5 are set. Thus, the Project VER-SUS reaffirms health as a social right, strengthen ethical and political consciousness of the participants. 5. REFERENCES Brasil. Ministério da Saúde. Secretaria de Gestão do Trabalho e da Educação na Saúde. Departamento de Gestão da Educação na Saúde. VER-SUS/BRASIL: Caderno de Textos. Brasília: Ministério da Saúde, 2004 p.07. Canônico RP, Brêtas ACP. Significado do Programa Vivência e Estágios na realidade do Sistema Único de Saúde para formação profissional na área da saúde. Acta Paul Enferm 2008;21(2): Colomé JS, Oliveira DLLC. Educação em saúde: por quem e para quem? A visão de estudantes de graduação em enfermagem. Texto Contexto Enferm, Florianópolis, 2012 Jan- Mar; 21(1):