Luzes sobre um protagonismo invisível: a singularidade do processo de trabalho do apoiador institucional da escola do SUS Bahia.

Abstract

Institutional Support is an innovative management device in the field of Public Health. It is realized through the work of technicians called institutional supporters, who collaborate with projects and policies, while strengthening collectives through co-management. This study aims to analyze the work process of the institutional supporter of Escola do SUS Bahia, who works in the development of human resources in health through the decentralized management strategy. The study is exploratory, has an investigative and descriptive character and was developed using a qualitative approach. It is based on the theoretical framework of Mendes-Gonçalves about the work process in health. As a method for data production, documentary research was carried out, with exploration of institutional documents and current legislation, and field research, for which interviews were conducted using a semi-structured script. The 12 research participants are professionals who have worked or are working in the function, selected based on 03 categories, according to inclusion and exclusion criteria, such as length of experience. The analysis categories were defined based on the elements of the work process and specific objectives. Resolution CNS/CONEP nº 466/2012 was complied with with regard to ethical aspects. The analysis process considered Bardin's content theme. The results revealed that this agent acts guided by the Policy of Continuing Education in Health and by the Institutional Political Pedagogical Project. Through support and co management strategies, it collaborates to democratize the access of health professionals to knowledge, qualify practices and services from the perspective of strengthening the SUS and comprehensive health care, while encouraging the autonomy and emancipation of subjects. In productive action, it articulates material instruments with specific knowledge, skills and attitudes to develop work that has a managerial and technical-pedagogical character and is oriented on the basis of multiple dimensions (ethical, political, pedagogical, technical, administrative, anthropological and human), weaving a synergistic movement of interaction and collective learning, these being some of the specificities that show its uniqueness. It is concluded that despite the relevance of this work process, challenges are imposed, demanding investments in actions to strengthen the team and work qualification, such as: institutionalization of the function and its ordering guidelines, permanent education plan, offer of technologies and structuring of support network.