A integralidade no ensino de enfermagem na saúde da mulher: concepções e práticas de docentes

Abstract

This study aimed at analyzing the nursing teachers theoretical and practical concepts from the idea of comprehensiveness, as well as discussing the strategies used by teachers to insert comprehensiveness content in the nursing teaching process, both of which regarding women s health. The current policy of integral attention to women s health proposes the incorporation of comprehensiveness as a guiding principle to articulate the teaching world to the working and social reality levels. In this context, many meanings combine to, and conflict against each other in the formation of the comprehensiveness idea in the women s health care. The methodology involved the qualitative approach carried out in Public Higher Education Institutions in the State of Rio de Janeiro that offer Undergraduate Nursing Courses. The data collection technique comprised an interview with seventeen nursing teachers from the women s health area, according to the inclusion criteria selected by the research. Four categories arose out of the analysis of the material produced, namely: Comprehensiveness concepts in the women s health care; Comprehensiveness of the care in women s health teaching process; Strategies used to include comprehensiveness in women s health nursing teaching process; Difficulties to implement comprehensiveness in women s health care. Many breakthroughs were identified in the Brazilian Unified Health System (SUS) in the last decade. However, as regards its consolidation as public health system, great challenges are yet to be responded to, with emphasis to the effective incorporation of SUS principles and values in the work processes, as well as in the nursing training process in the women s health area. Therefore, it is necessary to build new ways to better work the assistance and perceive the public policies in the women s health area as effective, considering the local-regional needs and demands in the country. The difficulty in following the principles defended here is quite clear, but comprehensiveness in women s health care will only become possible where there is ethical commitment with the actions and relationships necessary for its execution.