{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,7,30]],"date-time":"2025-07-30T15:12:43Z","timestamp":1753888363801,"version":"3.41.2"},"reference-count":32,"publisher":"FapUNIFESP (SciELO)","issue":"3","license":[{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"am","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"},{"start":{"date-parts":[[2020,1,1]],"date-time":"2020-01-01T00:00:00Z","timestamp":1577836800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Esc. Anna Nery"],"abstract":"<jats:p>RESUMO  Objetivo Analisar como a educa\u00e7\u00e3o permanente insere-se nas a\u00e7\u00f5es dos N\u00facleos Ampliados de Sa\u00fade da Fam\u00edlia.  M\u00e9todo Pesquisa quanti-qualitativa. Na etapa quantitativa, 359 profissionais de nove macrorregi\u00f5es de Santa Catarina responderam um Survey; na qualitativa, cinco equipes desses N\u00facleos participaram de grupos focais. Os dados quantitativos foram analisados com Statistical Package for the Social Sciences e os qualitativos, com aux\u00edlio do Atlas.ti 8.0.  Resultados As profissionais s\u00e3o, majoritariamente, mulheres, p\u00f3s-graduadas e que atuam nos N\u00facleos h\u00e1 mais de tr\u00eas anos. Aproximadamente 50% recebeu qualifica\u00e7\u00e3o espec\u00edfica e, destas, 46,1% via Telessa\u00fade. A\u00e7\u00f5es t\u00edpicas de apoio matricial destacaram-se como atividades frequentes nas duas etapas do estudo. Os grupos revelaram que o Minist\u00e9rio da Sa\u00fade e o Estado s\u00e3o apoiadores das qualifica\u00e7\u00f5es; entretanto, falta apoio dos gestores.  Conclus\u00e3o e Implica\u00e7\u00f5es para a pr\u00e1tica A\u00e7\u00f5es educativas ocorrem durante as pr\u00e1ticas. Os profissionais demonstram iniciativa para se fortalecerem em termos formativos, seja por meio da p\u00f3s-gradua\u00e7\u00e3o ou busca de outros dispositivos, com destaque para o Telessa\u00fade e a integra\u00e7\u00e3o com Universidades. Os espa\u00e7os de di\u00e1logo entre os profissionais e o apoio da gest\u00e3o s\u00e3o importantes estrat\u00e9gias para a educa\u00e7\u00e3o permanente.<\/jats:p>","DOI":"10.1590\/2177-9465-ean-2019-0273","type":"journal-article","created":{"date-parts":[[2020,3,23]],"date-time":"2020-03-23T16:53:07Z","timestamp":1584982387000},"source":"Crossref","is-referenced-by-count":1,"title":["Contribui\u00e7\u00f5es da educa\u00e7\u00e3o permanente aos n\u00facleos ampliados de sa\u00fade da fam\u00edlia"],"prefix":"10.1590","volume":"24","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5163-4789","authenticated-orcid":false,"given":"Carine","family":"Vendruscolo","sequence":"first","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil; Universidade do Estado de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7119-0230","authenticated-orcid":false,"given":"Let\u00edcia de Lima","family":"Trindade","sequence":"additional","affiliation":[{"name":"Universidade do Estado de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7833-0438","authenticated-orcid":false,"given":"Fernanda Karla","family":"Metelski","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil; Universidade do Estado de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1389-7932","authenticated-orcid":false,"given":"Lara","family":"Vandresen","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil; Universidade do Estado de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1754-0922","authenticated-orcid":false,"given":"Denise Elvira Pires de","family":"Pires","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0650-8289","authenticated-orcid":false,"given":"Charles Dalcanale","family":"Tesser","sequence":"additional","affiliation":[{"name":"Universidade Federal de Santa Catarina,  Brasil"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5530-3891","authenticated-orcid":false,"given":"Maria Manuela Ferreira Pereira da Silva","family":"Martins","sequence":"additional","affiliation":[{"name":"Universidade do Porto,  Portugal; Escola Superior de Enfermagem do Porto,  Portugal"}]}],"member":"530","published-online":{"date-parts":[[2020]]},"reference":[{"issue":"4","key":"ref1","article-title":"Practicing health promotion in primary care \u2013 a reflective enquiry","volume":"58","author":"Pati S","year":"2017","journal-title":"J Prev Med Hyg"},{"issue":"494","key":"ref2","first-page":"723","article-title":"William Pickles Lecture: primary and specialty care interfaces: the imperative of disease continuity","volume":"53","author":"Starfield B","year":"2003","journal-title":"Br J Gen Pract"},{"year":"2017","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o","article-title":"Portaria n\u00ba 2.436, de 21 de setembro de 2017","key":"ref3"},{"year":"2014","series-title":"N\u00facleo de Apoio \u00e0 Sa\u00fade da Fam\u00edlia Ferramentas para a gest\u00e3o e para o trabalho cotidiano","key":"ref4"},{"issue":"1","key":"ref5","first-page":"983","article-title":"Application of Paideia methodology to institutional support, matrix support and expanded clinical practice","volume":"18","author":"Campos GWS","year":"2014","journal-title":"Interface."},{"issue":"62","key":"ref6","doi-asserted-by":"crossref","first-page":"565","DOI":"10.1590\/1807-57622015.0939","article-title":"N\u00facleos de Apoio \u00e0 Sa\u00fade da Fam\u00edlia, seus potenciais e entraves: uma interpreta\u00e7\u00e3o a partir da aten\u00e7\u00e3o prim\u00e1ria \u00e0 sa\u00fade","volume":"21","author":"Tesser CD","year":"2016","journal-title":"Interface."},{"issue":"30","key":"ref7","first-page":"194","article-title":"An\u00e1lisis del proceso de trabajo en centro de apoyo a la salud de la familia ciudad del noreste de Brasil","volume":"15","author":"Macedo MAV","year":"2016","journal-title":"Rev Gerenc Pol\u00edt Salud"},{"issue":"spe","key":"ref8","doi-asserted-by":"crossref","first-page":"221","DOI":"10.5935\/0103-1104.2015S005418","article-title":"N\u00facleo de Apoio \u00e0 Sa\u00fade da Fam\u00edlia: potencialidades como dispositivo de mudan\u00e7a na Aten\u00e7\u00e3o B\u00e1sica em Sa\u00fade","volume":"39","author":"Volponi PRR","year":"2015","journal-title":"Sa\u00fade Debate"},{"issue":"0","key":"ref9","article-title":"Interprofessional Health Education in the Region of the Americas","volume":"26","author":"Silva FAM","year":"2018","journal-title":"Rev Lat Am Enfermagem"},{"issue":"1","key":"ref10","doi-asserted-by":"crossref","first-page":"188","DOI":"10.1186\/1472-6963-8-188","article-title":"A model and typology of collaboration between professionals in healthcare organizations","volume":"8","author":"D\u2019Amour D","year":"2008","journal-title":"BMC Health Serv Res"},{"year":"2007","journal-title":"Di\u00e1rio Oficial da Uni\u00e3o","article-title":"Portaria n\u00ba 1996, de 20 de agosto de 2007","key":"ref11"},{"key":"ref12","first-page":"1353","article-title":"Intersectorial instances of management: movements for the reorientation in Health education","volume":"22","author":"Vendruscolo C","year":"2018","journal-title":"Interface"},{"issue":"4","key":"ref13","doi-asserted-by":"crossref","first-page":"53","DOI":"10.18310\/2446-4813.2015v1n4p53-64","article-title":"Educa\u00e7\u00e3o permanente e o cuidado em sa\u00fade: ensaio sobre o trabalho como produ\u00e7\u00e3o inventiva","volume":"1","author":"Collar JM","year":"2015","journal-title":"Sa\u00fade em Redes."},{"year":"2009","author":"Barbour R","series-title":"Grupos focais","key":"ref14"},{"key":"ref15","series-title":"O desafio do conhecimento: pesquisa qualitativa em sa\u00fade","author":"Minayo MCS","year":"2014","edition":"14\u00aa"},{"issue":"1","key":"ref16","doi-asserted-by":"crossref","first-page":"931","DOI":"10.1590\/1807-57622013.0323","article-title":"O apoio Paideia como metodologia para processos de forma\u00e7\u00e3o em sa\u00fade","volume":"18","author":"Figueiredo MD","year":"2014","journal-title":"Interface."},{"issue":"5","key":"ref17","first-page":"1461","article-title":"Training of professionals in post-graduation courses in public health and primary healthcare in the municipality of Rio de Janeiro, Brazil","volume":"21","author":"Engstrom EM","year":"2016","journal-title":"Cien Saude Colet"},{"issue":"62","key":"ref18","doi-asserted-by":"crossref","first-page":"601","DOI":"10.1590\/1807-57622016.0295","article-title":"Multiprofissionalidade e interprofissionalidade em uma resid\u00eancia hospitalar: o olhar de residentes e preceptores","volume":"21","author":"Ara\u00fajo TAM","year":"2017","journal-title":"Interface."},{"issue":"5","key":"ref19","doi-asserted-by":"crossref","first-page":"327","DOI":"10.1097\/MEJ.0b013e328358bf5a","article-title":"A telephone-based case-management intervention reduces health-care utilization for frequent emergency department visitors","volume":"20","author":"Reinius P","year":"2013","journal-title":"Eur J Emerg Med"},{"issue":"1","key":"ref20","first-page":"33","article-title":"Telessa\u00fade: da implanta\u00e7\u00e3o ao entendimento como tecnologia social","volume":"5","author":"Nilson LG","year":"2018","journal-title":"RBTS"},{"issue":"1","key":"ref21","doi-asserted-by":"crossref","first-page":"31","DOI":"10.36311\/1519-0110.2010.v11n1.468","article-title":"M\u00e9todo Paideia para cogest\u00e3o de coletivos organizados para o trabalho","volume":"11","author":"Cunha GT","year":"2010","journal-title":"Org & Demo"},{"issue":"1","key":"ref22","first-page":"229","article-title":"Apoios matricial e institucional: analisando suas constru\u00e7\u00f5es","volume":"20","author":"Oliveira MM","year":"2015","journal-title":"Cien Saude Colet"},{"key":"ref23","doi-asserted-by":"crossref","DOI":"10.1590\/1980-265x-tce-2017-0560","article-title":"Family Health Support Center: an intersection between primary and secondary health care","volume":"28","author":"Vendruscolo C","year":"2019","journal-title":"Texto Contexto Enferm"},{"issue":"2","key":"ref24","first-page":"1739","article-title":"Connections and boundaries of interprofessionality: form and formation","volume":"22","author":"Ceccim RB","year":"2018","journal-title":"Interface."},{"issue":"2","key":"ref25","first-page":"417","article-title":"Gest\u00e3o em sa\u00fade no Brasil: di\u00e1logo com gestores p\u00fablicos e privados","volume":"23","author":"Lorenzetti J","year":"2014","journal-title":"Texto Contexto Enferm"},{"issue":"1","key":"ref26","doi-asserted-by":"crossref","first-page":"945","DOI":"10.1590\/1807-57622013.0518","article-title":"Apoio territorial e equipe multirreferencial: cartografias do encontro entre o apoio institucional e a redu\u00e7\u00e3o de danos nas ruas e redes de Campinas, SP, Brasil","volume":"18","author":"Souza TP","year":"2014","journal-title":"Interface."},{"issue":"118","key":"ref27","first-page":"656","article-title":"Matrix Support in mental health: the perspective of the experts on the work process","volume":"42","author":"Hirdes A","year":"2018","journal-title":"Sa\u00fade Debate"},{"issue":"59","key":"ref28","first-page":"905","article-title":"Patient centred care in interprofessional collaborative practice","volume":"20","author":"Agreli HF","year":"2017","journal-title":"Interface."},{"issue":"2","key":"ref29","doi-asserted-by":"crossref","first-page":"145","DOI":"10.1590\/0103-11042018s210","article-title":"Nasf: Fragmenta\u00e7\u00e3o ou integra\u00e7\u00e3o do trabalho em sa\u00fade na APS?","volume":"42","author":"Souza TS","year":"2018","journal-title":"Sa\u00fade Debate"},{"key":"ref30","doi-asserted-by":"crossref","first-page":"41","DOI":"10.11606\/S1518-8787.2018052000122","article-title":"Avaliabilidade dos N\u00facleos de Apoio \u00e0 Sa\u00fade da Fam\u00edlia com foco na integra\u00e7\u00e3o \u00e0s equipes apoiadas","volume":"52","author":"Souza TT","year":"2018","journal-title":"Rev Saude Publica"},{"key":"ref31","series-title":"Educa\u00e7\u00e3o e mudan\u00e7a","author":"Freire P","year":"2011","edition":"34\u00aa"},{"issue":"1","key":"ref32","doi-asserted-by":"crossref","first-page":"123","DOI":"10.1590\/1981-7746-sip00026","article-title":"Parceria ensino e servi\u00e7o em Unidade B\u00e1sica de Sa\u00fade como cen\u00e1rio de ensino-aprendizagem","volume":"13","author":"Carvalho SOB","year":"2015","journal-title":"Trab Educ Sa\u00fade"}],"container-title":["Escola Anna Nery"],"original-title":[],"link":[{"URL":"http:\/\/www.scielo.br\/pdf\/ean\/v24n3\/1414-8145-ean-24-3-e20190273.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,26]],"date-time":"2023-05-26T11:04:35Z","timestamp":1685099075000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.scielo.br\/scielo.php?script=sci_arttext&pid=S1414-81452020000300202&tlng=pt"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020]]},"references-count":32,"journal-issue":{"issue":"3","published-online":{"date-parts":[[2020]]}},"alternative-id":["S1414-81452020000300202"],"URL":"https:\/\/doi.org\/10.1590\/2177-9465-ean-2019-0273","relation":{},"ISSN":["2177-9465","1414-8145"],"issn-type":[{"type":"electronic","value":"2177-9465"},{"type":"print","value":"1414-8145"}],"subject":[],"published":{"date-parts":[[2020]]},"article-number":"e20190273"}}