Movements of adaptation of the activities of the Education through Work for Health Program in the context of the covid-19 pandemic
DOI:
https://doi.org/10.33448/rsd-v10i6.16029Keywords:
Teaching Care Integration Services; Coronavirus Infections; Pandemics; Interprofessional Education; Education, Higher.Abstract
The Education through Work for Health Program (PET-Saúde) aims to reorient professional training in health based on the inclusion of students in health services. The activities of the tutorial groups needed to be rethought due to the interruption of classroom activities because the covid-19 pandemic. This case study aimed to learn about the adaptation process of the tutorial groups for the development of activities in the context of the covid-19 pandemic. 32 members of PET-Saúde projects in the state of Rio de Janeiro were interviewed. Six adaptation movements were identified: redesigning actions, adapting to the use of digital technologies, intensifying intra-group activities, setting up support groups, supporting health departments, and health education through social media. Adaptation movements are flexible to adjustments, allowing groups to reflect and incorporate the complexity of the pandemic context and the needs of the community in the development of actions. The actions performed, planned, and structured collectively, respecting the limitations and vulnerabilities of students, preceptors, and tutors, demonstrate that it is possible to support the coping covid-19 pandemic, and to teach and learn from the everyday reality of health services, even if not in the front line.
References
Almeida, R. G. S., Teston, E. F., & Medeiros, A. A. (2019). A interface entre o PET-Saúde/Interprofissionalidade e a Política Nacional de Educação Permanente em Saúde. Saúde em Debate, 43(spe1), 97-105. 10.1590/0103-11042019s108
Appenzeller, S., Menezes, F. H., Santos, G. G., Padilha, R. F., Graça, H. S., & Bragança, J. F. (2020). Novos tempos, novos desafios: estratégias para equidade de acesso ao ensino remoto emergencial. Revista Brasileira de Educação Médica, 44(supl. 1), e155. 10.1590/1981-5271v44.supl.1-20200420
Bardin, L. (2011). Análise de conteúdo. São Paulo: Edições 70.
Barr, H. (1998). Competent to collaborate: towards a competency-based model for interprofessional education. Journal of Interprofessional Care, 12(2), 181-187. 10.3109/13561829809014104
Boggan, J. C., Shoup, J. P., Whited, J. D., Voorhees, E. V., Gordon, A. M., Rushton, S., …Gierisch, J. M. (2020) Effectiveness of acute care remote triage systems: a systematic review. Journal of General International Medicine, 35(7), 2136-2145. 10.1007/s11606-019-05585-4
Bohlken, J., Schömig, F., Lemke, M. R., Pumberger, M., & Riedel-Heller, S. G. (2020). COVID-19-Pandemie: Belastungen des medizinischen Personals [COVID-19 Pandemic: Stress Experience of Healthcare Workers - A Short Current Review]. Psychiatrische Praxis, 47(4), 190-197. 10.1055/a-1159-5551
Bourgeault, I. L., Maier, C. B., Dieleman, M, Ball, J., MacKenzie, A., Nancarrow, S., … Sidat, M. (2020). The COVID-19 pandemic presents an opportunity to develop more sustainable health workforces. Human Resources for Health, London, 18, 83. 10.1186/s12960-020-00529-0
Brasil (2020a). Ministério da Educação. Portaria nº 343, de 17 de março de 2020. Diário Oficial da República Federativa do Brasil. Seção 1, 39.
Brasil (2020b). Ministério da Educação. Portaria nº 356, de 20 de março de 2020. Diário Oficial da República Federativa do Brasil, Seção 1, 1.
Brasil (2020c) Ministério da Educação. Portaria nº 383 de 09 de abril de 2020. Diário Oficial da República Federativa do Brasil, Seção 1, 24
Brasil (2021). Ministério da Saúde. Secretaria de Vigilância em Saúde. Boletim Epidemiológico Especial: doença pelo coronavírus - COVID-19, (57). Brasília: Ministério da Saúde. <https://www.gov.br/saude/pt-br/media/pdf/2021/abril/08/boletim_epidemiologico_covid_57.pdf>.
Breslau, J., Finucane, M. L., Locker, A. R., Baird, M. D., Roth, E. A., & Collins, R. L. (2021). A longitudinal study of psychological distress in the United States before and during the COVID-19 pandemic. Preventive Medicine, 143, 106362. 10.1016/j.ypmed.2020.106362
Carneiro, L. A., Rodrigues, W., França, G., Prata, D. N. (2020). Uso de tecnologias no ensino superior público brasileiro em tempos de pandemia COVID-19. Research, Society and Development, 9(8), e267985485. 10.33448/rsd-v9i8.5485
Conselho Federal de Enfermagem (2021). Observatório da Enfermagem. <http://observatoriodaenfermagem.cofen.gov.br/>.
Conselho Federal de Medicina (2021). Memorial aos médicos que se foram durante o combate à COVID-19. <https://memorial.cfm.org.br/>.
Conselho Nacional de Secretários de Saúde. Painel Conass Covid-19. <https://www.conass.org.br/painelconasscovid19/>.
Cook, T. M. (2020). Personal protective equipment during the coronavirus disease (COVID) 2019 pandemic - a narrative review. Anaesthesia, 75(7), 920-927. 10.1111/anae.15071
Curran, V., Matthews, L., Fleet, L., Simmons, K., Gustafson, D. L., & Wetsch, L. (2017). A Review of Digital, Social, and Mobile Technologies in Health Professional Education. The Journal of Continuing Education in the Health Professions, 37(3), 195-206. 10.1097/CEH.0000000000000168
Duarte, M. Q., Santo, M. A. S., Lima, C. P., Giordani, J. P., & Trentini, C. M. (2020). Covid-19 and the impacts on mental health: a sample from Rio Grande do Sul, Brazil. Ciência & Saúde Coletiva, 25(9), 3401-3411. 10.1590/1413-81232020259.16472020
Dyer, O. (2020). Covid-19: Bolsonaro under fire as Brazil hides figures. The BMJ, 369, m2296. 10.1136/bmj.m2296
Eisman, A. B., Stoddard, S. A., Heinze, J., Caldwell, C. H., & Zimmerman, M. A. (2015). Depressive symptoms, social support, and violence exposure among urban youth: A longitudinal study of resilience. Developmental psychology, 51(9), 1307-1316. 10.1037/a0039501
Ettman, C. K., Abdalla, S. M., Cohen, G. H., Sampson, L., Vivier, P. M., & Galea, S. (2020). Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic. JAMA Network Open, 3(9), e2019686. 10.1001/jamanetworkopen.2020.19686
Feuerwerker, L. C. M. (2014). Micropolítica e saúde: produção do cuidado, gestão e formação. Porto Alegre: Rede UNIDA.
França, T., Magnago, C., Santos, M. R., Belisário, S. A., & Silva, C. B. G. (2018). PET-Saúde/GraduaSUS: retrospectiva, diferenciais e panorama de distribuição dos projetos. Saúde em Debate, 42(spe2), 286-301. 10.1590/0103-11042018s220
França, T., Rabello, E. T., & Magnago, C. (2019). Digital media and platforms in the Permanent Health Education field: debates and proposals. Saúde em Debate, 43(spe1), 106-115. https://doi.org/10.1590/0103-11042019s109
Francisco O., & Michael, O. (2020). Governing COVID-19 without government in Brazil: Ignorance, neoliberal authoritarianism, and the collapse of public health leadership. Global Public Health, 15(9):1257-1277. 10.1080/17441692.2020.1795223
Franzoi, M. A. H., & Cauduro, F. L. F. (2020). Participation of nursing students in the COVID-19 pandemic. Cogitare Enfermagem, 25, e73491. 10.5380/ce.v25i0.73491
Galhardi, C. P., Freire, N. P., Minayo, M. C. S., & Fagundes, M. C. M. (2020). Fact or Fake? An analysis of disinformation regarding the Covid-19 pandemic in Brazil. Ciência & Saúde Coletiva, 25(suppl 2), 4201-4210. 10.1590/1413-812320202510.2.28922020
Garcia, L. P., & Duarte, E. (2020). Intervenções não farmacológicas para o enfrentamento à epidemia da Covid-19 no Brasil. Epidemiologia e Serviços de Saúde, 29, e2020222. 10.5123/s1679-49742020000200009
Hayter, M., & Jackson, D. (2020). Pre-registration undergraduate nurses and the COVID-19 pandemic: Students or workers? Journal of Clinical Nursing, 29(17/18), 3115-3116. 10.1111/jocn.15317
Kawachi, I,.L., & Berkman, L. F. (2001). Social ties and mental health. Journal of Urban Health, 78, 458-467. 10.1093/jurban/78.3.458
Khan, A., & Husain, A. (2010). Social support as a moderator of positive psychological strengths and subjective well-being. Psychological Reports, 106, 34-38. 10.2466/PR0.106.2.534-538
Kubrusly, M., Coelho, R. A., Augusto, K. L., Peixoto Junior, A. A., Santos, D. C. O., & Oliveira, C. M. C. (2021). Percepção docente sobre a aprendizagem baseada em problemas no ensino remoto durante a pandemia de COVID-19. Research, Society and Development, 10(5), e53510515280. 10.33448/rsd-v10i5.15280
Ladaga, F. M., Andrade, G., Sartori, A. C., & Yamaguchi, M. (2018). WhatsApp, uma ferramenta emergente para a promoção da saúde. Enciclopédia Biosfera, 15(28), 1370-1384.
Lai, J., Ma, S., Wang, Y., Cai, Z., Hu, J., Wei, N., ... Hu, S. (2020). Factors Associated with Mental Health Outcomes Among Health Care Workers Exposed to Coronavirus Disease 2019. JAMA Network Open, 3(3), e203976. 10.1001/jamanetworkopen.2020.3976
Leonel, F. (2021). Pesquisa analisa o impacto da pandemia entre profissionais de saúde. Fundação Oswaldo Cruz, 22 mar. 2021. <https://portal.fiocruz.br/noticia/pesquisa-analisa-o-impacto-da-pandemia-entre-profissionais-de-saude>. Recuperado em: 20 abr. 2021.
Lévy, P. (1999). Cibercultura. São Paulo: Editora 34.
Li, F., Luo, S., Mu, W., Li, Y., Ye, L., Zheng, X., ... Chen, X. (2021). Effects of sources of social support and resilience on the mental health of different age groups during the COVID-19 pandemic. BMC Psychiatry, 21(1), 16. 10.1186/s12888-020-03012-1
Macebo, D. (2020). Trabalho remoto na Educação Superior brasileira: efeitos e possibilidades no contexto da pandemia. Revista USP, 127, 105-116. 10.11606/issn.2316-9036.i127p105-116
Maia, B. R., & Dias, P. C. (2020). Ansiedade, depressão e estresse em estudantes universitários: o impacto da COVID-19. Estudos de Psicologia, 37, e200067. 10.1590/1982-0275202037e200067
Markham, M. J., Gentile, D., & Graham, D. L. (2017). Social Media for Networking, Professional Development, and Patient Engagement. American Society of Clinical Oncology Educational Book, 37, 782-787. 10.14694/EDBK_180077
Mazza, C., Ricci, E., Biondi, S., Colasanti, M., Ferracuti, S., Napoli, C., & Roma, P. (2020). A Nationwide Survey of Psychological Distress among Italian People during the COVID-19 Pandemic: Immediate Psychological Responses and Associated Factors International Journal of Environmental Research and Public Health, 17(9), 3165. 10.3390/ijerph17093165
McGinty, E. E., Presskreischer, R., Han, H., & Barry, C. L. (2020). Psychological distress and loneliness reported by US adults in 2018 and April 2020. JAMA Network Open, 324(1), 93-94. 10.1001/jama.2020.9740
Menezes, T., Freitas, A. V. S., Pedreira, L. C., & Amaral, J. B. (2020). Telemonitoring of Brazilian Nursing homes before Coronavirus and COVID-19 Infections. Revista Brasileira de Enfermagem, 73(suppl 2), e20200350. 10.1590/0034-7167-2020-0350
Menon, A., Klein, E. J., Kollars, K., & Kleinhenz, A. L. W. (2020). Medical Students Are Not Essential Workers: Examining Institutional Responsibility During the COVID-19 Pandemic. Academic Medicine, 95(8):1149-1151. 10.1097/ACM.0000000000003478
Núcleo de Informação e Coordenação do Ponto Br (2020). Pesquisa sobre o uso das tecnologias de informação e comunicação nos domicílios brasileiros: TIC Domicílios 2019. São Paulo: Comitê Gestor da Internet no Brasil. <https://www.cetic.br/media/docs/publicacoes/2/20201123121817/tic_dom_2019_livro_eletronico.pdf>.
Rasmussen, S., Sperling, P., Poulsen, M. S., Emmersen, J., & Andersen, S. (2020). Medical students for health-care staff shortages during the COVID-19 pandemic. Lancet, 395(10234), e79-e80. 10.1016/S0140-6736(20)30923-5
Reeves, S. (2016). Why we need interprofessional education to improve the delivery of safe and effective care. Interface – Comunicação, Saúde, Educação, 20(56), 185-197. 10.1590/1807-57622014.0092
Rodrigues, A. P., Felipe, C. R., Lima, D. B., Costa, L. R. O., Fernandes, P. F., Silva, R. P. P., ... Lazarini, W. S. (2020). Telemonitoramento como estratégia de cuidado longitudinal a grupos prioritários em tempos da COVID-19: uma experiência na atenção primária à saúde do município de Vitória-ES. APS em Revista, 2(2), 189-196. 10.14295/aps.v2i2.100
Silva, L. L. S., Lima, A. F. R., Polli, D. A., Razia, P. F. S., Pavão, L. F. A., Cavalcanti, M. A. F. H., & Toscano, C. M. (2020). Social distancing measures in the fight against COVID-19 in Brazil: description and epidemiological analysis by state. Cadernos de Saúde Pública, 36(9), e00185020. 10.1590/0102-311x00185020
Silveira, R. P., Costa, J. M., França, S. S., Pereira, R. C. R., Lomonaco, L. A., & Leal Junior, O. S. (2021). Projeto de ensino como apoio ao telemonitoramento dos casos de Covid-19. Revista Brasileira de Educação Médica, 45(1), e050. 10.1590/1981-5271v45.1-20200319
Silven, A. V., Petrus, A., Villalobos-Quesada, M., Dirikgil, E., Oerlemans, C. R., Landstra, C. P., … Teng, Y. (2020). Telemonitoring for Patients with COVID-19: Recommendations for Design and Implementation. Journal of Medical Internet Research, 22(9), e20953. 10.2196/20953
Ventura, D. F. L., & Reis, R. (2021). A linha do tempo da estratégia federal de disseminação da covid-19. Boletim Direitos na Pandemia: mapeamento e análise das normas jurídicas de resposta à covid-19 no Brasil, (10), p. 6-31. Disponível em: <https://static.poder360.com.br/2021/01/boletim-direitos-na-pandemia.pdf>. Acesso em: 9 abr. 2021.
World Health Organization (2020). Critical preparedness, readiness and response actions for COVID-19: interim guidance. Geneva: World Health Organization.
Zarocostas, J. (2020). How to fight an infodemic. Lancet, 395(10225), 676. 10.1016/S0140-6736(20)30461-X
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2021 Rachel Brinco de Souza; Carinne Magnago; Tania França
This work is licensed under a Creative Commons Attribution 4.0 International License.
Authors who publish with this journal agree to the following terms:
1) Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
2) Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
3) Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work.