Necessidades em Saúde do Trabalhador da Atenção Básica: relato de experiência de articulação entre pesquisadores, gestores e trabalhadores no Município de São Paulo / Health needs of primary care workers: an experience report of articulation between researchers, managers and workers in the city of São Paulo

Resumo A Tradução do Conhecimento (TC) disponibiliza tecnologias que podem ser empregadas na operacionalização da integração entre universidade e sociedade, para a formulação de políticas informadas por evidências, em resposta a necessidades em saúde. A partir da formação de um grupo de trabalho - uma das tecnologias de TC disponíveis - e para compreender as necessidades em saúde dos trabalhadores inseridos na Atenção Básica (AB), este estudo objetivou relatar a experiência de problematização e instrumentalização realizada com pesquisadores, gestores e trabalhadores da AB no município de São Paulo. O referencial do Materialismo Histórico e Dialético conduziu o processo de realização de oficinas emancipatórias com os participantes. Dessa forma, foram levantados problemas enfrentados pelos trabalhadores, e realizados workshops e seminários de instrumentalização, de acordo com as necessidades do grupo de participantes. No processo de compreensão das necessidades em saúde dos trabalhadores da AB, os participantes relacionaram as formas de organização do trabalho aos desgastes dos trabalhadores, o que foi enfatizado pelo grupo. A formação do grupo foi estratégica para alcançar o objetivo, bem como direcionar a pesquisa sobre as respostas às necessidades em saúde dos trabalhadores na área, etapa seguinte da TC.

Abstract Knowledge Translation (KT) provides technologies that can be used to operationalize the collaboration between university and society for evidence-informed policy-making in response to health needs. Based on the formation of a working group (one of the available KT technologies) and to understand the health needs of Primary Health Care (PHC) workers in the city of São Paulo, this study aimed to report the experience of problematization and instrumentalization carried out with researchers, managers and PHC workers of the city of São Paulo. The Historical and Dialectical Materialism oriented the process of emancipatory workshops with the participants. The problems faced by the workers were raised and workshops and seminars were held to provide knowledge according to the needs of the group of participants. In the process of understanding the health needs of PHC workers the participants related the forms of work organization to the workers' wear out, which was emphasized by the group. The formation of the group was strategic to reach the objective and also to direct the research on the answers to the health needs of workers in the area, the next stage of the KT.

Workers' occupational health surveillance systems in low- and middle-income countries: a scoping review protocol.

OBJECTIVE: The aim of this scoping review is to describe the characteristics of occupational surveillance systems available in low- and middle-income countries. INTRODUCTION: Well-established workers' health surveillance systems provide important data to guide public health decision-making. A previous review on occupational health surveillance systems in developed countries found that insufficient collection of information and resources affects the work of policymakers and researchers. Identifying the characteristics of existing systems in low- and middle-income countries can assist in decision-making in these countries. INCLUSION CRITERIA: This review will consider studies on occupational health surveillance systems used in both public and private health services in low- and middle-income countries, which describe, implement, analyze, or evaluate surveillance systems on workers' health and working conditions. METHODS: Primary studies, government documents, and other records focusing on information systems of occupational and work-related diseases, occupational accidents, or injuries, published in English, Portuguese, Spanish, or Italian will be retrieved from seven databases, including LILACS, Scopus, PubMed, CINAHL, and Embase, among others. Various sources of gray literature, such as low- and middle-income countries' government websites, will also be searched. After title and abstract screening, relevant articles will be analyzed in full. Data extracted will be presented in tables and narrative form to provide comprehensive information.

Inclusive and emancipatory approaches to occupational therapy practice in substance-use contexts.

BACKGROUND.: Occupational therapy practice is enhanced through clear understanding of its epistemological foundations. In the area of substance use, practices are strongly functionalist. PURPOSE.: This study unearths epistemologies through analyzing practices addressing the social needs of clients with problematic substance use. METHOD.: This study used an exploratory qualitative approach and was based on Marxist philosophies. Qualitative interviews were conducted with nine occupational therapists experienced in working with substance users. Data were analyzed through a dialectic approach to content analysis based on the Marxist theory of labour process. FINDINGS.: The occupational therapy practices were found to follow common principles: clients are agents of transformation in health processes; creativity is a strong element of practice and underlies the whole therapeutic process; and conditions of social reproduction compose the object of occupational therapy (i.e., what is transformed through occupational therapy practices). Two different approaches using these principles were uncovered according to the labour-process purposes: inclusive and emancipatory. IMPLICATIONS.: Systematization of practices based on epistemological foundations strengthens occupational therapists' ability to link actions to theories.

Oficinas emancipatórias como intervenção em saúde do(a) trabalhador(a) / Emancipatory workshops as a worker's health intervention

Resumo Este ensaio apresenta as oficinas emancipatórias como proposta de intervenção em saúde do(a) trabalhador(a), voltada para trabalhadores(as) da saúde. As oficinas têm como referencial teórico-metodológico o Materialismo Histórico e Dialético. Estão ancoradas particularmente no conceito de trabalho como categoria central de análise das relações sociais e nas teorias da determinação social do processo de saúde e da educação emancipatória. A oficina emancipatória é estratégica para promover a análise crítica dos processos de trabalho e a proposição da superação de práticas reiterativas que caracterizam o processo de produção em saúde. Coerentemente ao referencial teórico, a oficina consiste em processo educativo que se vale de estratégias dialógicas, que permitem a exposição clara da essência para a formulação de novas sínteses dos fenômenos em discussão. Novos conhecimentos e práticas só podem ser alcançados pela crítica radical ao processo de produção em saúde e ao capitalismo em última instância.

Abstract This essay presents emancipatory workshops as a proposal for worker's health intervention aimed at health personnel. The workshops have Historical and Dialectical Materialism as a theoretical methodological reference. They are based on the concept of work as a central category of social relations analysis, and on the theories of social determination of health and of emancipatory education. The emancipatory workshop is strategic to promote a critical analysis of work processes and the proposition to overcome repetitive practices that characterize the health production process. Coherently to the theoretical reference, the workshop consists of an educational process that adopts dialogic strategies, which allow the clear exposition of the essence for the formulation of new syntheses of the phenomena under discussion. New knowledge and practices can only be achieved by radical criticism to the health production process and, ultimately, to capitalism.