XVIII International AIDS Conference


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Perspectives on limits experienced by health care professionals in the psychosocial care to HIV/AIDS patients

J. Monteiro, L. Souza, M.A. Figueiredo

Universidade de São Paulo, Psicologia e Educação, Ribeirão Preto, Brazil

Background: Health care to seropositive people requires special care strategies from the professionals concerning technical and psychosocial aspects about the contamination and the onset of the disease. However, studies show that health care professionals do not feel adequately prepared to provide the psychosocial demands needed for an integral treatment due to limitations imposed by specialization. Hence, based on the experiences of health care professionals about their work process, the goal of this project is to identify connecting psychosocial and technical competence possibilities needed for an integral approach for the HIV/Aids treatment.
Methods: Based on the qualitative research approach the study was conducted based on individual, semi-structured and audio-recorded interviews. These interviews were performed with ten professionals from a specialized HIV/Aids unit of a general hospital associated to the University of São Paulo, Ribeirão Preto, São Paulo, Brazil. The contents of the interviews were analyzed and grouped by thematic categories.
Results: Even though the professionals favored elements of psychosocial competence in the interviews, the dichotomy between technical ability and psychosocial competence became the determinant aspect in professional performance. This performance was based on knowledge fragmentation, work structure and forms of work control protocols. Work fragmentation besides decreasing the quality of the service seemed to work against the feeling of work identification and also against systemized learning from practice, therefore, inhibiting active participation and the creation of work process by the team.
Conclusions: We conclude that the insertion of psychosocial contents in the qualification process of health care professionals is not enough and it would become another element of technical competence of the health care. However, the implementation of group discussions could encourage the creation of team strategies to overcome the difficulties when dealing with the psychosocial aspects of health care. (CAPES)

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