[Theoretical, conceptual and methodological incorporation of the educator Paulo Freire in research]. / Incorporação teórico-conceitual e metodológica do educador Paulo Freire na pesquisa.

This study aims to present the application of the Method of Paulo Freire in a research with professionals of family health teams, users and community leaders about the use of the notion of health promotion. It describes how to obtain and analyze data in the Culture Circles performed in three phases: thematic research, coding /decoding and unveiling critical. This methodology contributed reflections of health practices of participants, allowing alternatives to transform them. The theoretical limits for their payment, among them the difficulty of deconstruction of the authoritarian conferred by the power of professional knowledge.

The routine of families with nursing infants.

This descriptive study investigates the routine of families with nursing infants ages between six months and two years old, involving working mothers users of a Basic Health Unit in a city in the South of Brazil. The theoretical discussion is based on the families' routine approach. A total of 25 mothers were interviewed through a semi-structured questionnaire. The qualitative data analysis followed the phases of organization, codification, categorization and interpretation. The findings suggest that childcare routines vary according to the periodicity, schedule and occupation of the mother. Different alternatives to childcare were identified, and although most of the women interviewed reported to be married, they almost did not mention the husband's participation in the routine. The investigation based on family routines allows the identification of family roles, the social relations and the health care organization.

[Families in the overnight stay unit of the hospital: between informal and instituted]. / A familia na unidade de internação hospitalar: entre o informal e o instituído.

This study uses a comparative approach, as well as two already concluded ethnographies, to achieve its objective of identifying how families perceive their insertion into the overnight stay unit in a hospital and how they are perceived by the health care team, considering the rules and regulations of the institutional culture. The results obtained show that teams and families get closer or more distant depending on whether there's agreement or disagreement regarding the hospital's governing rules. Although families, in many situations, subject themselves to the regulations imposed by the hospital and the health care team, they also use individual and collective resistances in order to confront the regulatory mechanisms. The results contribute to increase the comprehension of this theme, both for the health care team and for the practice of family nursing, especially in the sense of recognizing the family as an active, responsible, and co-participatory unit within intra-hospital care.

Rural families' interpretations of experiencing unexpected transition in the wake of a natural disaster.

Natural disasters affect populations in various parts of the world. The impacts of disasters can cause many problems to the health of people and disruption to family life, potentially leading to an unexpected transition. The objective of this paper is to present the unexpected transitional experiences of rural families following a natural disaster. A multiple case study of six families was conducted with children and adolescents in a rural area affected by a 2008 disaster in southern Brazil. For data collection, we used participant observation, narrative interviews, genograms, ecomaps and an instrument called calendar routine. The analysis of the data resulted in different family interpretations about the changes resulting from the storm and compared life before and after the disaster. The loss of homes and loved ones, migration, unemployment, and losses from the farm were the main changes associated with new development tasks. The experiences of family transition after the disaster revealed that losses influenced social lives, daily routines and the preservation of cultural values.

[Analysis of the negotiation/accommodation concepts of M. Leininger's theory]. / Análise dos conceitos de negociação/acomodação da teoria de M. Leininger.

This work aims at clarifying the method of implementation of the negotiation/accommodation care preconized by Madeleine Leininger's theory concerning the Universality and Diversity of Care. The conceptual analysis technique is used as a tool to analyze the literature. It was verified that the concept of accommodation defines the idea of adaptation, of something passive, whilst in negotiation, each party commands resources and needs to be fulfilled. Among the different works which were analyzed and used Leininger's theory, only one showed to approach negotiation. As a conclusion, accommodation is considered to be different from negotiation, the former being more commonly seen in practice than the latter.

[Inter-organizational relationship in the integration teaching-nursing service at the primary health care]. / Relacionamento interorganizacional na integração ensino-serviço de enfermagem na atenção primária à saúde.

This study aimed to characterize the stages of the inter-organizational relationships between educational and caring aspects of Nursing, operating in the context of primary health care in a municipality of Santa Catarina, Brazil. The qualitative approach of the case study was used by deliberately selecting the cooperation between two organizations. Eight teaching nurses and eight assistant nurses were interviewed. The data were submitted to content analysis, and the results demonstrated a number of elements in the phases of interaction (negotiation, commitment and execution of activities), as well as the variability of their content over time. It was concluded that the interaction, at an operational level, is characterized by dynamics that happen during relationship cycles, usually spanning through the school-semester, producing new negotiations and commitments for the following semester.

[Health promotion in primary care: study based on the Paulo Freire method]. / Promoção da Saúde na Atenção Básica: estudo baseado no método de Paulo Freire.

The scope of this study is to analyze the implementation of health promotion actions in the working process of the Family Health Teams of a city in the state of Santa Catarina. It involves research adopting a qualitative approach linked to the methodological benchmark of Paulo Freire, consisting of three dialectic moments: thematic investigation; encoding and decoding; critical revelation. Fifteen Culture Circles were conducted, covering five district health units, with the participation of 70 professionals. Each meeting was scheduled to last two hours with an average attendance of thirteen participants of the Family Health teams. The research revealed that there are limitations to the implementation of health promotion as a key element of participatory action together with the community. It also highlighted the importance of interdisciplinarity and intersectorality between workers and the city, state and federal manager. The commitment to the principles of the Unified Health System (SUS) and health promotion also presents itself as a challenge to improve the quality of life of the population.

The principle of integrality of care in the political-pedagogical projects of nursing programs.

OBJECTIVE: to identify the political-pedagogical projects of the undergraduate nursing programs in Santa Catarina, Brazil according to the guidelines of the Ministries of Health and Education, considering the education of professionals under the principle of integrality. METHOD: documentary study with a qualitative approach. Nine projects were analyzed. RESULTS: the colleges from the Southern region of Brazil are gradually incorporating the theoretical framework of the Brazilian health system and curricular guidelines, which includes the principle of integrality of care, into their political-pedagogical projects of undergraduate nursing programs. Some institutions strictly follow the curricular guidelines, while others make their own interpretation. CONCLUSION: most teaching institutions do not provide pedagogical support to students.

[The practical applicability of empowerment in health promotion strategies]. / Aplicabilidade prática do empowerment nas estratégias de promoção da saúde.

The scope of this study is to identify what empowerment strategies were addressed for the promotion of health in health research, characterizing them from a socio-critical and post-structuralist standpoint. It involved an Integrative Review conducted in May 2011 of the Medline, Lilacs and SciELO databases. The inclusion criteria were complete research articles, case reports or experience reports, published between 2002 and 2011 in Portuguese, Spanish and English. The research criteria included the key words "empowerment" and "health promotion" (DeCS/BIREME). Twenty articles, which presented strategies of individual and/or social empowerment that were characterized by a socio-critical perspective, were selected. It is considered that some activities, mainly those that included thematic discussion groups, represented a mobilization and empowerment strategy. These included theater, culture circles, community therapy, therapeutic learning workshops, home visits, university extension and social action projects. It is considered that all empowerment strategies are inherently health promotion strategies, but not all health promotion strategies effectively result in empowerment.

Routine healthcare for families in transition after a natural disaster.

OBJECTIVE: to present the healthcare routines of families in transition after natural disasters based on the Family Routines and Rituals theoretical framework. METHOD: this qualitative study of multiple cases was developed based on six rural families in southern Brazil, 2 years after a natural disaster. The data were collected through participant observation, interviews, narratives, genograms, ecomaps, and routine calendars, and a narrative analysis was conducted. RESULTS: families showed notable episodes of illness that required professional assistance during post-disaster care, daily routine care, and other routines associated with healthcare services. CONCLUSION: these results reinforce the need for nurses to attend to family experiences during transitions after natural disasters and to prepare for the changes and needs with regard to healthcare and its promotion.

[Rituals of care performed by families in preparing for the experience of planned home birth]. / Rituais de cuidado realizados pelas famílias na preparação para a vivência do parto domiciliar planejado.

This ethnographic study aimed to understand the rituals of care performed by families, while preparing for the experience of planned home birth. 25 families participated in the period September 2010 to April 2011. The techniques of data collection were participant observation and interview. Through the processes of apprehension, synthesis, theorization and re-contexture, two categories emerged: The house to be born in and Preparing baby's arrival. Homebirth is an experience built within the pregnant couple. The house is considered the sacred place to experience childbirth, aggregating existential values to the physiological act of giving birth. Understanding these rituals contributes to offer a nursing care of quality in order to respect the cultural aspects involved in this assistance.

Processo de busca de famílias para a coleta de dados em pesquisa qualitativa / Proceso de búsqueda de familias para la recolección de datos en la investigación cualitativa / Process of searching families for data collection in qualitative research

RESUMO Objetivo: refletir o processo de busca de famílias para pesquisa na área rural. Método: reflexão sobre o processo de busca realizado em duas pesquisas (A e B) a partir de quatro fatores: o tema, os critérios de seleção, o papel do mediador e a posição do pesquisador em relação ao gênero, idade, profissão e filiação. Resultados: a análise destes quatro fatores no processo de busca dos participantes mostra que o auxilio dos mediadores foi fundamental para selecionar e acessar as famílias em seus domicílios. Houve dificuldade em ouvir diferentes membros das famílias. Na pesquisa A, houve maior participação dos homens adultos, e na pesquisa B, das mulheres adultas, o que coincidiu com o gênero dos entrevistadores e mediadores de cada pesquisa. Reflete-se que há necessidade da reflexividade dos pesquisadores sobre suas posições, escolha do tema, critérios de seleção dos participantes, papel do mediador para avaliar as razões das dificuldades no recrutamento dos participantes e impactos nos resultados das pesquisas em área rural. Conclusão: o processo de recrutamento dos participantes deve ser melhor considerado pelos pesquisadores para a maior qualidade das pesquisas qualitativas.

RESUMEN Objetivo: reflexionar sobre el proceso de búsqueda de familias para la investigación en el área rural. Método: reflexión sobre el proceso de búsqueda realizado en dos investigaciones (A y B) a partir de cuatro factores: el tema, los criterios de selección, el papel del mediador y la posición del investigador en relación al género, edad, profesión y filiación. Resultados: el análisis de estos cuatro factores en el proceso de búsqueda de los participantes muestra que el auxilio de los mediadores fue fundamental para seleccionar y tener acceso a las familias en sus domicilios. Hubo dificultad para oír a los diferentes miembros de las mismas. En la investigación A hubo una mayor participación de los hombres adultos, y en la investigación B de las mujeres adultas, lo que coincidió con el género de los entrevistadores y mediadores de cada investigación. Existe la necesidad de reflexivilidad de los investigadores sobre sus posiciones, la elección del tema, los criterios de selección de los participantes, la función del mediador para evaluar las razones de las dificultades en el reclutamiento de los participantes y los impactos en los resultados de las investigaciones en el área rural. Conclusión: el proceso de reclutamiento de los participantes debe ser mejor considerado por los investigadores para una mejor cualidad de las investigaciones cualitativas.

ABSTRACT Objective: to reflect on the process of searching families in the rural area to participate in research. Method: reflection on the search process undertaken in two studies (A and B) based on four factors: theme, selection criteria, role of the mediator and researcher's position concerning gender, age, profession and affiliation. Results: the analysis of these four factors in the search process for the participants shows that the mediators' help was fundamental to select and get access to the families at their homes. Difficulty was observed to hear different family members. In study A, adult men were the main participants and, in study B, adult women, in accordance with the interviewers and mediators' gender in each research. The researchers need to reflect on their positions, choice of the theme, participant selection criteria, role of the mediator to assess the difficulties in recruiting the participants and impacts in the results of research in the rural area. Conclusion: the researchers should better consider the recruitment process of the participants in order to enhance the quality of qualitative research.

Rural families' interpretations of experiencing unexpected transition in the wake of a natural disaster / As interpretações de famílias rurais sobre a experiência de uma transição inesperada depois de um desastre natural / Las interpretaciones de familias rurales sobre la experiencia de una transición inesperada después de un desastre natural

Abstract: Natural disasters affect populations in various parts of the world. The impacts of disasters can cause many problems to the health of people and disruption to family life, potentially leading to an unexpected transition. The objective of this paper is to present the unexpected transitional experiences of rural families following a natural disaster. A multiple case study of six families was conducted with children and adolescents in a rural area affected by a 2008 disaster in southern Brazil. For data collection, we used participant observation, narrative interviews, genograms, ecomaps and an instrument called calendar routine. The analysis of the data resulted in different family interpretations about the changes resulting from the storm and compared life before and after the disaster. The loss of homes and loved ones, migration, unemployment, and losses from the farm were the main changes associated with new development tasks. The experiences of family transition after the disaster revealed that losses influenced social lives, daily routines and the preservation of cultural values.

Resumo: Os desastres naturais afetam populações em diversas regiões do mundo. Os impactos dos desastres podem incluir problemas de saúde e transtornos da vida familiar, levando potencialmente a uma transição inesperada. O objetivo do artigo é apresentar a experiência com transições inesperadas, entre famílias rurais que sobreviveram a um desastre natural. Realizou-se um estudo de caso com seis famílias com crianças e adolescentes numa área rural no Sul do Brasil, afetada por um desastre em 2008. Para a coleta de dados, utilizamos a observação participante, entrevistas narrativas, genogramas, eco-mapas e um instrumento chamado rotina de calendário. A análise dos dados revelou diferentes interpretações das famílias sobre as mudanças que resultaram do temporal, comparando a vida antes e depois do desastre. A perda do lar e de entes queridos, a migração, o desemprego e perdas agrícolas foram as principais mudanças associadas ao desenvolvimento de novas tarefas. As experiências de transição familiar depois do desastre revelaram que as perdas influenciaram a vida social, a rotina diária e a preservação dos valores culturais.

Resumen: Los desastres naturales afectan a poblaciones en diversas regiones del mundo. Los impactos de los desastres pueden incluir problemas de salud y trastornos de la vida familiar, llevando potencialmente a una transición inesperada. El objetivo del artículo es presentar la experiencia con transiciones inesperadas, entre familias rurales que sobrevivieron a un desastre natural. Se realizó un estudio de caso con seis familias con niños y adolescentes en un área rural en el sur de Brasil, afectada por un desastre en 2008. Para la recogida de datos, utilizamos la observación participante, entrevistas narrativas, genogramas, eco-mapas y un instrumento llamado rutina de calendario. El análisis de los datos reveló diferentes interpretaciones de las familias sobre los cambios que resultaron del temporal, comparando la vida antes y después del desastre. La pérdida del hogar y de los seres queridos, la migración, el desempleo y pérdidas agrícolas fueron los principales cambios asociados al desarrollo de nuevas tareas. Las experiencias de transición familiar después del desastre revelaron que las pérdidas influenciaron la vida social, la rutina diaria y la preservación de los valores culturales.

Fritz Schütze's autobiographical narrative analysis applied to Nursing research / Análisis de las narrativas autobiográficas de Fritz Schütze aplicadas a la investigación en Enfermería / Análise de narrativas autobiográficas de Fritz Schütze aplicada à pesquisa em Enfermagem

ABSTRACT Objective: an experience report with families after natural disasters to present the adapted application of autobiographical narrative analysis in nursing research, proposed by Fritz Schütze. Method: to describe the process of obtaining narratives followed by the adaptations steps of method application. Results: six cases of families from a rural area of southern Brazil were surveyed one year after the disaster which resulted in deaths and material losses. The first step was the formal text analysis. The second, was the accurate analysis of each narrative segment. The third phase consisted of the analytic abstraction with the reconstruction of the families' stories. The fourth step recaptured the discussion segments of narratives and theoretical explanations developed by the informants about the disaster. The fifth step summarized the comparison among different cases. Conclusion: the method offers support for interviews and in-depth analysis of health and disease narratives and their social context. Its potential for application to nursing research highlights attitudes and life changes in the face of crisis and suffering, based on experiences of individuals in groups such as families and communities.

RESUMEN Objetivo: relatar experiencias para presentar la aplicación adaptada del análisis de narrativas autobiográficas propuesta por Fritz Schütze con las familias en el post-desastre natural, en la investigación en enfermería. Método: primeramente, se describe el proceso de obtención de las narrativas, seguido por las adaptaciones de los pasos de aplicación del método. Resultados: se investigaron seis casos de familias de un área rural del sul del Brasil después de un año del desastre en el que ocurrieron muertes y pérdidas materiales. El primer paso fue el análisis formal del texto. El segundo paso fue el análisis minucioso de cada segmento de la narrativa y el tercero consistió en la abstracción analítica con la reconstrucción de las historias de las familias. El cuarto paso rescató los segmentos argumentativos de las narrativas y las explicaciones teóricas desarrolladas por los propios informantes sobre el desastre. El quinto paso se resumió a la comparación entre los diferentes casos. Conclusion: este método ofrece subsidios para la entrevista y el análisis profundo de las narrativas de salud, enfermedad y su contexto social. Su potencial de aplicación en la investigación de la enfermería destaca las actitudes y los cambios de la vida frente a la crisis y al sufrimiento, a partir de las vivencias de los individuos en grupos como familias y comunidad.

RESUMO Objetivo: relato de experiência com o objetivo de apresentar a aplicação adaptada da análise de narrativas autobiográficas proposta por Fritz Schütze com famílias no pós-desastre natural na pesquisa em enfermagem. Método: descreve-se primeiramente o processo de obtenção das narrativas, seguido das adaptações dos passos de aplicação do método. Resultados: foram pesquisados seis casos de famílias de uma área rural do sul do Brasil, um ano após o desastre no qual houve mortes e perdas materiais. O primeiro passo foi a análise formal do texto. O segundo, a análise minuciosa de cada segmento de narrativa. O terceiro consistiu na abstração analítica com a reconstrução das histórias das famílias. O quarto passo resgatou os segmentos argumentativos das narrativas e as explicações teóricas desenvolvidas pelos próprios informantes sobre o desastre. O quinto passo resumiu-se na comparação entre os diferentes casos. Conclusão: este método oferece subsídios para a entrevista e análise aprofundada das narrativas da saúde e da doença e seu contexto social. O seu potencial de aplicação na pesquisa de enfermagem destaca o desvelar das atitudes e das mudanças de vida frente à crise e ao sofrimento, a partir de vivências de indivíduos em grupos como famílias e comunidade.

Perceptions of academic and practitioner nurses regarding the teaching-care partnership in primary healthcare units / Percepções de enfermeiros docentes e assistenciais sobre a parceria ensino-serviço em unidades básicas de saúde / Percepciones de enfermeros docentes y asistenciales sobre la alianza enseñanza-servicio en unidades básicas de salud

This study aimed to present the perceptions of academic and practitioner nurses regarding the expectations, objectives and difficulties of teaching-care partnerships. This was a case study with a qualitative approach case study, among 16 academic and practitioner nurses who were working together in primary healthcare units. Semi-structured interviews were conducted, followed by use of the content analysis technique and interpretation based on a model for interorganizational relationships. There was a positive perception of the partnership, with regard to the training and continuing education objectives. The practitioner nurses viewed the students’ assessments as a problem and were concerned about users. It was concluded that balanced formalization and mutual understanding between the parties is needed, in order to reduce the inherent differences between education and care, while seeking to put users in a central position.

Este estudo objetiva apresentar a percepção dos enfermeiros da docência e da assistência sobre as expectativas, objetivos e dificuldades na parceria ensino-serviço. Estudo de caso de abordagem qualitativa, com 16 enfermeiros docentes e assistenciais, que atuam junto a unidades básicas de saúde. Realizaram-se entrevistas semiestruturadas, analisadas com técnica de conteúdo e interpretadas à luz do modelo de relações interorganizacionais. Houve avaliação positiva da parceria, a respeito dos objetivos da formação e da educação permanente. Os enfermeiros assistenciais veem a avaliação dos alunos como um problema e se preocupam com os usuários. Conclui-se que deve haver formalização equilibrada e entendimento mútuo entre as partes, visando diminuir as diferenças inerentes entre o ensino e o cuidado e buscando a centralidade no usuário.

El objetivo de este estudio es presentar la percepción de los enfermeros de la docencia y de la asistencia sobre las expectativas, objetivos y dificultades en la alianza enseñanza-servicio. Estudio de caso de abordaje cualitativo, con 16 enfermeros docentes y asistenciales que actúan en unidades básicas de salud. Se realizaron entrevistas semi-estructuradas, analizadas con técnica de contenido e interpretadas a la luz del modelo de relaciones inter-organizacionales. Hubo una evaluación positiva de la alianza en relación a los objetivos de la formación y de la educación permanente. Los enfermeros asistenciales ven la evaluación de los alumnos como un problema y se preocupan por los usuarios. Se concluye que debe haber una formalización equilibrada y un entendimiento mutuo entre las partes con el objetivo de disminuir las diferencias inherentes entre la enseñanza y el cuidado y buscando la centralidad en el usuario.

Control mechanisms for the integration of teaching and service in the Pró-Saúde nursing programme / Mecanismos de control de la integración entre enseñanza y servicio de salud em el projecto Pro-Salud Enfermería / Mecanismos de controle da integração ensino-serviço no Pró-Saúde Enfermagem

Objective: To characterize and analyze the control mechanisms of institutional relations for the integration of health education and services linked to the Pro-Saúde programme, according to the professors and nurses of health centres in Florianópolis.Method: A qualitative approach based on a single case study. Sixteen semi-structured interviews were conducted in the second semester of 2012 at eight health centres where nursing students carry out practical activities and internships in primary health care. The data were subjected to content analysis with the comparison of responses from both segments.Results: Three categories were created: Characterization of control mechanisms; Influences of control mechanisms; and, Suggestions for the improvement of control mechanisms for the integration of teaching and services.Conclusion: A greater understanding of the control mechanisms for the integration of teaching and services proportionally leads to better management of inter-organizational cooperation and the subsequent improvement of the care provided to users.

Objetivo: caracterizar y analizar los mecanismos de control y sus influencias en la integración entre la enseñanza y el servicio de salud, vinculado al Programa Pro Salud, junto a los docentes y enfermeros asistenciales de los centros de salud de Florianópolis.Método: abordaje cualitativo, de caso único. Se realizaron 16 entrevistas semiestructuradas en el segundo semestre de 2012, en ocho Centros de Salud, en los cuales se realizan actividades prácticas y pasantías en enfermería en la atención primaria. El análisis fue de contenido, comparándose las respuestas de los dos segmentos.Resultados: tres categorías: Caracterización de los mecanismos de control; Influencias de los mecanismos de control; y Sugerencias para la mejora de los mecanismos de control sobre la integración de la enseñanza y el servicio.Conclusión: Cuánto mayor sea la comprensión sobre el control de esa integración, mejor será la gestión de la cooperación entre las organizaciones y la repercusión en la asistencia al usuario.

Objetivo: caracterizar e analisar os mecanismos de controle em relações interorganizacionais na integração entre o ensino e o serviço de saúde, vinculado ao Programa Pró-Saúde, junto aos docentes e enfermeiros assistenciais de Centros de Saúde de Florianópolis.Método: abordagem qualitativa, estudo de caso único. Foram feitas 16 entrevistas semiestruturadas no segundo semestre de 2012, em oito Centros de Saúde, nos quais alunos de enfermagem realizam atividades práticas e estágios em atenção primária. A análise foi de conteúdo, comparando-se as respostas dos dois segmentos.Resultados: identificadas três categorias: Caracterização dos mecanismos de controle; Influências dos mecanismos de controle; e Sugestões de aperfeiçoamento dos mecanismos de controle na integração ensino-serviço de saúde.Conclusão: quanto maior for o entendimento sobre o controle da integração ensino e serviço, melhor será a gestão da cooperação interorganizacional e maior será a repercussão na assistência destinada ao usuário.

Promoção da Saúde na Atenção Básica: estudo baseado no método de Paulo Freire / Health promotion in primary care: study based on the Paulo Freire method

Analisa a incorporação das ações de Promoção da Saúde no processo de trabalho das Equipes de Saúde da Família de um município catarinense. Pesquisa de abordagem qualitativa articulada com o referencial metodológico de Paulo Freire, consistindo de três momentos dialéticos: Investigação temática; Codificação e decodificação; Desvelamento crítico. Foram realizados quinze Círculos de Cultura, abrangendo cinco unidades distritais de saúde, com a participação de 70 profissionais. Cada encontro previa duas horas de duração e teve a média de treze participantes das equipes de Saúde da Família. A pesquisa desvelou que existem limitações à incorporação da promoção da saúde como elemento fundamental da prática participativa com a comunidade. Destacou também a importância da interdisciplinaridade e intersetorialidade articulada entre trabalhador e gestor municipal, estadual e federal. O comprometimento com os princípios do SUS e da promoção da saúde apresenta-se, ainda, como desafio para a melhoria da qualidade de vida da população.

The scope of this study is to analyze the implementation of health promotion actions in the working process of the Family Health Teams of a city in the state of Santa Catarina. It involves research adopting a qualitative approach linked to the methodological benchmark of Paulo Freire, consisting of three dialectic moments: thematic investigation; encoding and decoding; critical revelation. Fifteen Culture Circles were conducted, covering five district health units, with the participation of 70 professionals. Each meeting was scheduled to last two hours with an average attendance of thirteen participants of the Family Health teams. The research revealed that there are limitations to the implementation of health promotion as a key element of participatory action together with the community. It also highlighted the importance of interdisciplinarity and intersectorality between workers and the city, state and federal manager. The commitment to the principles of the Unified Health System (SUS) and health promotion also presents itself as a challenge to improve the quality of life of the population.

Cooperation and the relationship between education and healthcare institutions: the Nursing Pró-Saúde Project / Cooperación y relacionamiento entre instituciones de enseñanza y servicio de salud: el Pro Salud Enfermería / Cooperação e relacionamento entre instituições de ensino e serviço de saúde: o Pró-Saúde Enfermagem

This qualitative study used a case study approach with the aim of analyzing the cooperation between the Nursing Course of the Federal University of Santa Catarina and the Municipal Health Secretariat of Florianópolis, from the Pró-Saúde I Project. The data, from documentary sources and interviews, were analyzed using the directed content analysis technique, and interpreted considering the Cooperative Interorganizational Relationships Model. The results show commitment to formalize the project between both institutions, at a strategic level, followed by negotiations and commitments, culminating with a modified project and a new agreement regulating the partnership. For its implementation, the Management Committee was responsible for making effective, in a cyclic way, the relationship for the proposed activities. It is concluded that there was approximation between the institutions at different levels, reflected in the cooperation within the healthcare units for education-service integration, with the aim of redirecting the nursing training.

Investigación cualitativa, con abordaje de estudio de caso, con el objetivo de analizar la cooperación entre el Curso de Enfermería de la Universidad Federal de Santa Catarina y la Secretaría de Salud Municipal de Florianópolis, a partir del Proyecto Pro Salud I. Los datos, de fuentes documentales y entrevistas, fueron analizados por la técnica de análisis de contenido dirigida, interpretados a la luz del Modelo de Relaciones Interorganizacionales Cooperativas. Los resultados muestran compromiso para formalizar el proyecto entre ambas instituciones, a nivel estratégico, seguido de negociaciones, culminando con el proyecto modificado y un nuevo convenio regulador. Para su ejecución, el Comité Gestor fue responsable por efectuar, de forma cíclica, las relaciones para las actividades propuestas. Se concluye que hubo una aproximación de las instituciones en diferentes niveles, reflejando la cooperación en las unidades de salud para la integración enseñanza-servicio, para la reorientación de la formación en Enfermería.

Pesquisa qualitativa, com abordagem de estudo de caso, e o objetivo de analisar a cooperação entre o Curso de Enfermagem da Universidade Federal de Santa Catarina e a Secretaria de Saúde Municipal de Florianópolis, a partir do Projeto Pró-Saúde I. Os dados, de fontes documentais e entrevistas, foram analisados pela técnica de análise de conteúdo dirigida, interpretados à luz do modelo de relações interorganizacionais cooperativas. Os resultados mostram comprometimento para formalizar o projeto entre as duas instituições, em nível estratégico, seguido de negociações e compromissos, culminando com projeto modificado e um novo convênio regulando a parceria. Para sua execução, o Comitê Gestor foi responsável pela efetivação, de forma cíclica, das relações para as atividades propostas. Conclui-se que houve aproximação das duas instituições nos diferentes níveis, refletindo na cooperação dentro das unidades de saúde para a integração ensino-serviço, com vista à reorientação da formação em enfermagem.

Relacionamento interorganizacional na integração ensino-serviço de enfermagem na atenção primária à saúde / Inter-organizational relationship in the integration teaching-nursing service at the primary health care / Relaciones interinstitucionales en la integración enseñanza-servicio de enfermería en la atención primaria de salud

O estudo objetivou caracterizar as fases do relacionamento interorganizacional na integração ensino-serviço do exercício da Enfermagem, no âmbito operacional da atenção primária à saúde em um município catarinense. Adotou-se a abordagem qualitativa em um estudo de caso da cooperação entre duas organizações. Foram entrevistados oito enfermeiros docentes e oito enfermeiros assistenciais. Realizou-se análise de conteúdo com os resultados demonstrando uma série de elementos quanto às fases da interação (negociação, compromisso e execução de atividades), bem como à variabilidade de seu conteúdo ao longo do tempo. Conclui-se que a interação no nível operacional caracteriza-se por dinâmicas ao longo dos ciclos de relacionamento que abrangem usualmente o semestre letivo, com produção de novas negociações e compromissos para o seguinte.

This study aimed to characterize the stages of the inter-organizational relationships between educational and caring aspects of Nursing, operating in the context of primary health care in a municipality of Santa Catarina, Brazil. The qualitative approach of the case study was used by deliberately selecting the cooperation between two organizations. Eight teaching nurses and eight assistant nurses were interviewed. The data were submitted to content analysis, and the results demonstrated a number of elements in the phases of interaction (negotiation, commitment and execution of activities), as well as the variability of their content over time. It was concluded that the interaction, at an operational level, is characterized by dynamics that happen during relationship cycles, usually spanning through the school-semester, producing new negotiations and commitments for the following semester.

El estudio tuvo como objetivo caracterizar las fases de las relaciones inter-organizacionales en el ejercicio de la integración docente-asistencial de Enfermería, que operan en el contexto de la atención primaria de salud en un municipio de Santa Catarina. Adoptó-se un enfoque cualitativo, de estudio de caso de la cooperación entre ambas organizaciones. Se entrevistó a ocho profesores de enfermería y ocho enfermeros asistenciales. El análisis de contenido de los datos recogidos ha demostrado una serie de elementos como las fases de interacción (negociación, el compromiso y la ejecución de actividades), así como la variabilidad de su contenido en el tiempo. Se concluye que la interacción, en nivel operativo, se caracteriza por la dinámica al largo de los ciclos de la relación, que por lo general cubren el semestre, con la producción de nuevas negociaciones y compromisos para el siguiente.

The principle of integrality of care in the political-pedagogical projects of nursing programs / Princípio da integralidade do cuidado nos projetos político-pedagógicos dos cursos de Enfermagem / Principio de la integralidad del cuidado en los proyectos político-pedagógicos de los cursos de enfermería

Objective: to identify the political-pedagogical projects of the undergraduate nursing programs in Santa Catarina, Brazil according to the guidelines of the Ministries of Health and Education, considering the education of professionals under the principle of integrality. Method: documentary study with a qualitative approach. Nine projects were analyzed. Results: the colleges from the Southern region of Brazil are gradually incorporating the theoretical framework of the Brazilian health system and curricular guidelines, which includes the principle of integrality of care, into their political-pedagogical projects of undergraduate nursing programs. Some institutions strictly follow the curricular guidelines, while others make their own interpretation. Conclusion: most teaching institutions do not provide pedagogical support to students. .

Objetivo: o objetivo desta investigação foi conhecer os projetos político-pedagógicos dos cursos de graduação em Enfermagem de Santa Catarina, de acordo com as propostas norteadoras do Ministério da Saúde e do Ministério da Educação, na perspectiva de formação dos profissionais, sob o eixo da integralidade. Método: pesquisa documental, de natureza qualitativa. Foram analisados nove projetos. Resultados: as escolas da Região Sul do Brasil estão gradativamente incorporando em seus projetos político-pedagógicos o arcabouço teórico-filosófico do Sistema Único de Saúde e das diretrizes curriculares para o curso de Enfermagem, na perspectiva do princípio da integralidade do cuidado. Algumas escolas seguem rigorosamente as diretrizes curriculares, outras conseguiram esboçar em seus projetos suas próprias leituras. Conclusão: percebe-se a carência do apoio pedagógico aos discentes na maioria das instituições de ensino. .

Objetivo: esta investigación tuvo por objetivo conocer los proyectos político-pedagógicos de los cursos de graduación en enfermería de Santa Catarina de acuerdo con las propuestas orientadoras del Ministerio de la Salud y Ministerio de la Educación, en la perspectiva de formación de profesionales bajo el eje de la integralidad. Método: investigación documental, de naturaleza cualitativa; fueron analizados nueve proyectos. Resultados: las Escuelas de la Región Sur de Brasil están gradualmente incorporando en sus proyectos político-pedagógicos el esquema teórico filosófico del Sistema Único de Salud y las directrices curriculares para el curso de enfermería, en la perspectiva del principio de la integralidad del cuidado. Algunas siguen rigurosamente las directrices curriculares, otras consiguieron esbozar en sus proyectos sus propias lecturas. Conclusión: se percibe la carencia de apoyo pedagógico a los estudiantes en la mayoría de las instituciones de enseñanza. .