Entre o trabalho real e o prescrito : a invisibilidade dos coordenadores das Estratégias de Saúde da Família (ESF) do Sistema Único de Saúde (SUS).

Abstract

This study presents an intervention research that aimed to understand, in greater depth, the work organization of the Service Coordinators of the Family Health Strategies (FHS). It envisioned providing greater knowledge relevant to the factors, present in that context, that unfolded in the direction of suffering and psychic illness. In addition to the harmful and sickening aspects, we also sought to understand the strategies used by those workers to elaborate on the discomfort caused by the organization of work. The qualitative research-intervention had the participation of 11 ESF Service Coordinators from a municipality located in the interior of Rio Grande do Sul. To obtain the data, individual, semi-structured interviews were carried out. The analysis of the data obtained is based on the theory of Psychodynamics of Work (PdW), by Christophe Dejours. The methodological precepts guiding this research were also inspired by the PdW, however an adaptation was necessary to account for the context of the study, which was crossed by the COVID-19 pandemic throughout the entire research. As a result, all planned collective interventions were replaced by individual interventions. The results point to an expressive distance between the prescribed work and the real work performed by these professionals, and in this gap, what we list as "unknown factor of the work", the "invisibility of the coordination position" and the "excessive charge for work" emerges. goals” as the main mobilizing factors of malaise and suffering. As it is a professional master's degree, it has in its assumptions the elaboration of a technical product and intervention, whose foundation is linked to the problem identified in the course of the research. In this research, the intervention did not take place in a single step, it was developed throughout the research process, through individual interviews, meetings with professionals for the elaboration of the technical product and, finally, the delivery of the built product to the subjects who participated. of the search. As a way of contributing to the problem identified in the research, the technical product entitled “Guide for work guidance for service coordinators” was prepared. This guidance guide aims to gather and organize information about the activities and responsibilities of these professionals, providing greater clarity regarding the duties of the position of coordinator, as well as being a facilitating instrument in the management of people and work processes