O trabalho interprofissional na configuração da rede atenção materno-infantil: uma revisão integrativa de literatura.

Abstract

Maternal and child care is permeated by intersections of different subjects, constituted by a multiplicity of values that involve women, family, social movements, gender, church, state and others. Assistance to women and children within the scope of the Unified Health System is still a process under construction, with a view to changing the paradigm from the disease-centered model to a model focused on networks. In this sense, the advancement towards interprofessional collaborative action is central to addressing the complexity of care. Given this scenario, this study's general objective is to analyze the contributions of interprofessional work in the configuration of the maternal and child care network, in the Brazilian context. This study is an integrative literature review. The research had as its data source studies selected from the Scientific Electronic Library Online (Scielo Brasil), Virtual Health Library (VHL) and Periodicals Portal of the Coordination for the Improvement of Higher Education Personnel (CAPES) of the Ministry of Education. The data was analyzed in two stages: the first, bibliometric analysis and the second stage, where a qualitative analysis of the studies was carried out. The results were organized into three categories: contributions of interprofessional work to the maternal and child care network; challenges experienced by professionals and services in carrying out interprofessional and collaborative work and finally, the identification of the main strategies that enhance interprofessional work in the care network. It is concluded that, in general, interprofessional work and collaborative practices make the care provided to women included in the care network more effective and global. The studies revealed challenges for collaborative professional performance, such as the predominance of the medical-centered model in professional training, the emphasis on procedures mediated by hard technologies, the medicalization of processes related to life cycles, team turnover and fragility in processes communication, in addition to institutional challenges. In addition to the challenges, the studies also highlighted strategies that enhance collaborative work, such as teaching-service articulation, the actions of strategic actors, health education groups, team meetings and management bodies, as well as integration tools between services. such as electronic medical records. Finally, interprofessional collaboration proved to be a fundamental resource in the construction of collective actions, through humanized, horizontal and reflective approaches, especially in such significant moments of life, such as pregnancy, childbirth and the postpartum period.