Educação permanente e o uso do prontuário eletrônico do cidadão por enfermeiros da atenção básica

Abstract

Technological advances drive the globalization process and reach the different levels of society, producing countless changes. In health, technologies have increasingly stood out, aiming to provide the qualification of information and communication management, through the introduction of electronic medical records in the field of work, which demands from professionals constant updating to work with the technologies inserted in their routine. job. Therefore, Permanent Education (EP) is an effective alternative in this process of updating. Thus, the following hypothesis was raised: the use of official digital tools by nurses in Primary Care signals the need for continuing education actions to improve the operationalization of official data and service qualification. In this perspective, this study aimed to explore how digital technologies have collaborated in the work routine of Primary Care nurses. A crosssectional study was carried out, with a descriptive analytical method and a qualitative approach. The sample consisted of technicians from the Coordination of Primary Care, Center for Permanent Health Education in the municipality of Imperatriz-MA and 14 nurses from Primary Care in that municipality, defined by the technique of theoretical saturation. Data collection took place from July to October 2019, the instruments consisted of a semi-structured questionnaire and a semi-structured interview script. The Content Analysis technique was used for data analysis with the aid of the IRAMUTEQ software through Descending Hierarchical Classification, Similitude Analysis and Word Cloud. The textual corpus of the 14 interviews was grouped into 219 text segments (ST), with 6,094 words and 855 different slogans. The average number of forms per ST was 27.826484. Of the 219 ST analyzed, 81.28% (178 ST) were used in 5 resulting classes. The results allowed to conclude that, there was an improvement in the work process, after the implantation of e-SUS AB / PEC. However, some weaknesses persist, such as connection failures, which interfere with the use of the Electronic Citizen's Record (PEC). There was also a lack of planning for Permanent Education actions that include the use of Digital Technology, especially the PEC. Therefore, there is a need to include in the planning of Permanent Education actions, the use of Digital Technology, in order to strengthen the improvement of the qualification of health care and information management, respecting the autonomy of the subjects as protagonists in this teaching-learning process.