Communication in the dialogical perspective of collaborative interprofessional practice in Primary Health Care

Previato, Giselle Fernanda; Baldissera, Vanessa Denardi Antoniassi

doi:10.1590/1807-57622017.0647

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Articles • Interface (Botucatu) 22 (Suppl 2) • 2018 • https://doi.org/10.1590/1807-57622017.0647 copy

Communication in the dialogical perspective of collaborative interprofessional practice in Primary Health Care

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

The objective of this study was to analyze communication as a collaborative interprofessional health practice domain in the workflow of primary healthcare teams. It was a qualitative study with a descriptive and interpretative approach, and its data constitute part of a master’s thesis. It was conducted in in Primay Health Care Units (UBS) of a Brazilian city in the northwestern part of the state of Paraná, with 84 professionals of primary healthcare teams. Data was collected by focus groups and organized in hierarchical descending order using software IRaMuTeQ®. They were submitted to lexical analysis and discussed based on the Theory of Dialogic Action. Five lexical classes were obtained. When grouped together, they revealed how communication among primary healthcare teams occurs. Collaborative interprofessional communication is still a challenge for health teams when leading a joint transformative and dialogical work process.

Keywords:
Communication; Interprofessional relationships; Collaborative behavior; Health staff; Primary healthcare

Class number	Class terminology	% of the class in decreasing order	Lexicographical analysis
Class number	Class terminology	% of the class in decreasing order	Words (p < 0.001)*	X²	%
2	Interprofessional communication is focused on care provided to health service users	22.1	Patient Medical record User Community health agent Contact Care Service Look	45.63 26.19 25.48 25.18 17.47 17.47 13.76 10.86	87.5 100.0 65.8 88.89 100.0 100.0 83.33 100.0
5	Informal communication among teams is conducted via communicative technologies	20.5	WhatsApp Information Technology Send Informal Message Telephone E-mail Cell phone	103.37 71.82 61.12 60.51 56.53 41.26 32.23 28.78 24.46	100.0 83.33 100.0 74.07 80.95 91.67 90.0 100.0 100.0
1	There are difficulties of an effective dialog among professionals, but its importance is acknowledged	20.5	Exist Dialog Hinder A lot Solve Freedom Subject	33.17 24.6 23.56 17.38 16.04 16.04 15.28	100.0 100.0 87.5 55.5 100.0 100.0 83.33
4	Permanent education and matrix-based strategies provided by home visits and collective work are interprofessional communication strategies	18.9	Home-based Matrix-based Interprofessional Opportunity Visit Permanent Education Group Appointment Difficulty Opportunity	50.92 46.58 46.1 44.06 40.75 34.22 31.82 27.03 17.72 17.72 41.57	92.31 100.0 65.38 66.67 100.0 100.0 70.59 100.0 92.03 100.0 100.0
3	Meetings to discuss cases and plan actions among teams are formal moments of interprofessional communication	18.1	Meeting Discussion Formal Moment Action Plan Exchange	13.89 49.21 49.21 24.32 18.68 13.89 13.44	100.0 84.62 84.62 62.5 100.0 100.0 80.0

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[1] Authors’ contributions

All authors actively participated in the discussion of the work’s results and in the review and approval of its final version.