
1st STUDENT SCIENTIFIC CONFERENCE OF THE BRAZILIAN ASSOCIATION FOR RESEARCH AND POSTGRADUATE IN PHYSIOTHERAPY (ABRAPG-FT)
More infoThe physiotherapist's care practices for People with Disabilities (PwD), over time, have been undergoing transformations in the search for the provision of comprehensive care centered on the ideas of the biopsychosocial approach, being produced not only by the normative prescriptive act, but also from establishing a connection between the broader context of the internal and external network of services aimed at PwD and, in the interaction with professionals and with the community to which the service is offered. The Specialized Rehabilitation Centers (CER) are points of the care network and propose to offer comprehensive care services to (PwD). Integral care takes place from the attribution of health care considering the human being in its entirety and, as a result, the services also need to see and formulate their provision of care in an expanded and comprehensive way.
ObjectiveTo know, through the set of individual experiences of physiotherapists, the meanings attributed to the physiotherapist's relationships with his own work, with other colleagues and with the institution.
MethodsThis is a qualitative, descriptive, and exploratory study, theoretically and methodologically supported by the content analysis proposed by Bardin and the phenomenological theory of Alfred Schutz and Munhall. For this research, participant observation and interviews were adopted as fieldwork techniques, guided by a previously defined script. The locator context of the research was a CER in the state of Paraíba - PB. Thirteen physiotherapists from a Rehabilitation sector were interviewed.
ResultsThe study shows that there are still difficulties in offering comprehensive care to users in the CER. CER physiotherapists have problems with internal communication and with the care network, in addition to difficulties in operationalizing interprofessional work; and that the physiotherapeutic practice in the CER is still very dependent on equipment and technologies.
ConclusionThe knowledge of the particular contexts contained in the physiotherapists' experiences allowed us to identify that there are still barriers to providing expanded and comprehensive care focused on the biopsychosocial model for PwD.
ImplicationsGenerating discussions with themes provided from the individual experiences of physiotherapists provides greater understanding of the nuances of institutional disputes, thus extending greater possibilities to subsidize the process of permanent education in health, fostering discussions about the guise of practices of health, improvements in decision-making to improve the organization and work process of CER physiotherapists and provide professionals to reflect on their work process to produce better care in the biopsychosocial perspective of People with Disabilities.
Conflict of interest: The authors declare no conflict of interest.
Acknowledgment: To the supervisor who guided this research, to FAPESQ/CNPq for funding scientific research through PPSUS 05/2020, to the LEPASC group and UFPB.
Ethics committee approval: Research Ethics Committee of the Federal University of Paraíba, CAAE: 37347020.3.0000.5188).