Potencialidades e fragilidades interprofissionais na atenção às pessoas com estomias: estudo de método misto

Antonio  Jorge Silva Correa Júnior; Pedro Emílio Gomes Prates; Mary Elizabeth de Santana; Fernando Conceição de Lima; André Aparecido da Silva Teles; Helena Megumi Sonobe

Authors

Antonio Jorge Silva Correa Júnior Universidade de São Paulo – Ribeirão Preto (SP) https://orcid.org/0000-0003-1665-1521
Pedro Emílio Gomes Prates Universidade de São Paulo – Ribeirão Preto (SP), Brazil. ,https://ror.org/036rp1748 https://orcid.org/0000-0002-4920-7649
Mary Elizabeth de Santana Universidade Federal do Pará – Belém (PA), Brazil. ,https://ror.org/03q9sr818 https://orcid.org/0000-0002-3629-8932
Fernando Conceição de Lima Universidade do Estado do Pará – Belém (PA), Brazil. ,https://ror.org/042r36z33 https://orcid.org/0000-0002-9418-3711
André Aparecido da Silva Teles Universidade de São Paulo – Ribeirão Preto (SP), Brazil. ,https://ror.org/036rp1748 https://orcid.org/0000-0002-0548-9592
Helena Megumi Sonobe Universidade de São Paulo – Ribeirão Preto (SP), Brazil. ,https://ror.org/036rp1748 https://orcid.org/0000-0003-3722-0835

Abstract

Objective: To analyze the activities of a secondary care team specialized in assisting individuals with elimination stomas, interpreting the distances and proximities with interprofessionality. Method: A mixed-method study conducted in a service for people with stomas in northern Brazil, involving 16 professionals. The descriptive qualitative phase was based on Émile Durkheim’s Social Facts, and utilized semi-structured interviews and field notes with reflective thematic analysis. The quantitative phase used a questionnaire survey designed by experts and descriptive percentage analysis. Results: A total of 31 activities were described, with low expressiveness of those that foster interprofessionality, such as reception, checking family dynamics, education in the waiting room, active search for vulnerable patients’ records, scheduling follow-up with social services, reviewing family dynamics, and addressing patients’ rights. Two topics were developed: (1) Operational aspects of (search for) interprofessionality: registration, management, active search, and referrals; and (2) Acquiring autonomy for social reintegration and moving away from self-care: collaborative elements in the journey from beginning to “restart”. Conclusion: Interprofessionality remains a distant work model; however, collaborative practices have begun to emerge through referrals. Emphasis on intersectionality and intersectorality is crucial to support the social reintegration of patients.

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References

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