[The acting in Family Health: the existing and necessary conditions for the interaction and knowledge exchange among the professionals]. / O agir em Saúde da Família: as condições existentes e necessárias para a interação e a troca de conhecimentos na prática profissional.

This paper describes the main conclusions of a research developed from 2005 to 2007 in the Family Health Unit Jardim Pinheiro, in the Sanitary District of Santa Felicidade, Curitiba (PR, Brazil). It was investigated the existing and necessary conditions for the interaction and the knowledge exchange among the professionals of the Family's Health Program (PSF) teams. A descriptive qualitative study has been accomplished, using a half structuralized interview and direct observation as methods of data collection. It has become clear that the investigated PSF's establishment was spread by collective discussion between the directly involved professionals, an evident fact in statements that reveal doubt and insecurity to the introduction of the proposal. It has been verified a distance between what is rank in official regulations and documents about the PSF conception and the reality perceivable organization. Considering this program's conception and practice, it has been verified the importance of thinking and acting on the work processes, operating devices in order to modify technical and social relations in daily team's works, recognizing the different human areas included in the health professional's formation: social, procedural, affectiveness, knowledge, behavior and expression of willingness.

O agir em Saúde da Família: as condições existentes e necessárias para a interação e a troca de conhecimentos na prática profissional / The acting in Family Health: the existing and necessary conditions for the interaction and knowledge exchange among the professionals

Este texto relata parte dos resultados de pesquisa realizada no período de 2005 a 2007 na Unidade de Saúde da Família Jardim Pinheiro, no Distrito Sanitário de Santa Felicidade, em Curitiba (PR). Investigaram-se as condições existentes e necessárias para a interação e troca de conhecimentos entre profissionais das equipes do Programa Saúde da Família (PSF). Realizou-se um estudo qualitativo descritivo, utilizando a entrevista semiestruturada e a observação direta para coleta de dados. Constatou-se que a implantação do PSF investigado deu-se dissociada de uma discussão coletiva com os profissionais diretamente implicados, fato justificado em discursos que manifestam incertezas e inseguranças quanto à implantação da proposta. Verificou-se um distanciamento entre o que está posto nas regulamentações e documentações oficiais da concepção do PSF e a organização perceptível da realidade. Considerando a concepção e a prática deste programa, verificou-se a necessidade de pensar e agir sobre os processos de trabalho, acionando dispositivos para alterar relações técnicas e sociais presentes no cotidiano do trabalho das equipes, reconhecendo que a formação de profissionais em saúde abrange distintas esferas humanas: social, procedimental, afetiva, do conhecimento, de conduta e de manifestação da vontade.

This paper describes the main conclusions of a research developed from 2005 to 2007 in the Family Health Unit Jardim Pinheiro, in the Sanitary District of Santa Felicidade, Curitiba (PR, Brazil). It was investigated the existing and necessary conditions for the interaction and the knowledge exchange among the professionals of the Family's Health Program (PSF) teams. A descriptive qualitative study has been accomplished, using a half structuralized interview and direct observation as methods of data collection. It has become clear that the investigated PSF's establishment was spread by collective discussion between the directly involved professionals, an evident fact in statements that reveal doubt and insecurity to the introduction of the proposal. It has been verified a distance between what is rank in official regulations and documents about the PSF conception and the reality perceivable organization. Considering this program's conception and practice, it has been verified the importance of thinking and acting on the work processes, operating devices in order to modify technical and social relations in daily team's works, recognizing the different human areas included in the health professional's formation: social, procedural, affectiveness, knowledge, behavior and expression of willingness.

Resiliência: nova perspectiva na promoção da saúde da família? / Resilience: a new perspective in health promotion?

O estudo é descritivo a respeito de alguns conceitos sobre resiliência, buscando um entendimento, considerando os pressupostos da promoção da saúde no contexto do Programa Saúde da Família (PSF). A resiliência apresenta-se na área das ciências humanas e da saúde como um tema novo. Nas ciências humanas, a resiliência representa a capacidade de um indivíduo construir-se positivamente frente às adversidades, procura abranger outras dimensões mais atentas às condições sociais. Observou-se que não há consenso sobre o tema, mas que este apresenta aspectos concernentes com a promoção da saúde. Destacou-se o entendimento moderno de promoção da saúde de modo a ilustrar aspectos que se relacionam à resiliência, como a ampliação da capacidade dos indivíduos de apropriarem-se dos determinantes das condições de saúde. Considerando que a promoção da saúde é uma das atribuições do PSF, contextualizou-se esse programa, enfatizando a atuação dos profissionais dessa área e sua relação com o tema, buscando a promoção da saúde e trabalhando com a resiliência. A equipe multiprofissional de Saúde da Família é fator de proteção junto às famílias, identificando possíveis fatores de risco e, ao mesmo tempo, se mostrando como uma rede de apoio e de proteção. A ênfase na promoção da resiliência não deve substituir as políticas de combate à desigualdade social e condições de vida precárias de alguns sujeitos.

This descriptive study deals with some concepts of resilience seeking to understand the concept from the viewpoint of health promotion, one of the basic principles of the Brazilian Family Health Program (FHP). Resilience appeared as a new subject in human sciences and in the health area. In human sciences, resilience means the positive capacity of an individual to construct itself coping with adversities, a dimension more attentive to social conditions. Although there is no consensus with regard to this subject, there seem to be some aspects related with Health Promotion. We emphasize the modern understanding of Health Promotion in order to illustrate some aspects associated with resilience such as the greater capacity of Man to decide about the determinants of his health condition. Given that Health Promotion is one of the attributions of the Family Health Program, we contextualized the program emphasizing the action of the health professionals in this area in relation to the subject, seeking to promote health working with resilience. The multi-professional teams of the Family Health Program represent at the same time a network of support and protection for the families, identifying possible risk factors. The emphasis given to the promotion of resilience however should not substitute the public policies for fighting the social inequality and precarious life conditions of part of the population.

[Resilience: a new perspective in health promotion?]. / Resiliência: nova perspectiva na promoção da saúde da família?

This descriptive study deals with some concepts of resilience seeking to understand the concept from the viewpoint of health promotion, one of the basic principles of the Brazilian Family Health Program (FHP). Resilience appeared as a new subject in human sciences and in the health area. In human sciences, resilience means the positive capacity of an individual to construct itself coping with adversities, a dimension more attentive to social conditions. Although there is no consensus with regard to this subject, there seem to be some aspects related with Health Promotion. We emphasize the modern understanding of Health Promotion in order to illustrate some aspects associated with resilience such as the greater capacity of Man to decide about the determinants of his health condition. Given that Health Promotion is one of the attributions of the Family Health Program, we contextualized the program emphasizing the action of the health professionals in this area in relation to the subject, seeking to promote health working with resilience. The multi-professional teams of the Family Health Program represent at the same time a network of support and protection for the families, identifying possible risk factors. The emphasis given to the promotion of resilience however should not substitute the public policies for fighting the social inequality and precarious life conditions of part of the population.