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Desvendando os processos de trabalho do agente comunitário de saúde nos cenários revelados na Estratégia Saúde da Família no município de Vitória (ES, Brasil)Disclosing the work processes of the community health agents on the Family Health Strategy in Vitória (ES, Brazil)

ReSUmOEste artigo descreve as competências gerais dos profissionais de saúde e aponta possíveis articulações com o estágio supervisionado. O objetivo é chamar a atenção dos enfermeiros e futuros profissionais da área, sobre a importância de se vivenciar o estágio supervisionado, durante a formação, para a aquisição e aprimoramento das competências gerais dos profissionais de saúde, além das competências e habilidades específicas da Enfermagem. Nos serviços de saúde, tanto na esfera pública quanto na privada, existe a necessidade de se contar com um profissional enfermeiro competente na sua prática profissional. Dessa forma, como é observado nas Diretrizes Curriculares Nacionais para os Cursos de Graduação em Enfermagem, o estágio supervisionado é considerado o melhor espaço para o graduando adquirir um perfil que vá ao encontro do perfil de um profissional competente com conhecimentos e habilidades adequadas ao exercício da profissão. descritores: Enfermagem; Educação baseada em competências; Estágio clínico. aBStRaCt This article describes the general competence of health care professionals and points possible articulations with the practicum. The goal is to draw the attention of nurses and future professionals, about the importance of experiencing the practicum, during training for the acquisition and improvement of general competence of health care professionals, in addition to the specific skills and competencies of nursing. In the health services, both in public and in private, there is the need to count on a competent nurse professional in your professional practice. In this way, as is noted in the National curriculum guidelines for undergraduate courses in nursing, the practicum is considered the best place for the graduating acquire a profile that meets the profile of a competent professional with knowledge and skills appropriate to the exercise of the profession. Key words: Nursing; Competence Based Education, Clinical stage. ReSUmeNEste artículo describe las competencias generales de los profesionales de salud e indica las posibles articulaciones con las prácticas. El objetivo es llamar la atención de los enfermeros y futuros profesionales del área, sobre la importancia de experimentar la práctica de Enfermería durante la formación, para adquirir y mejorar las competencias generales de los profesionales de salud, además de las competencias y habilidades específicas de Enfermería. En los servicios de salud, tanto en el sector público como en el privado, existe la necesidad de contar con un profesional enfermero competente en su práctica profesional. De esta manera, como es descrito en las directrices del plan nacional de estudios para cursos de pregrado en enfermería, las prácticas profesionales son consideradas el mejor lugar para el alumno graduando adquirir un perfil que se asemeje al de un profesional competente con conocimientos y habilidades adecuadas para el ejercicio de la profesión.

OBJECTIVE To examine whether demographic and socioeconomic variables and the variables of the organization of services are associated with the quality of cervical cancer screening.METHODS This is a survey carried out in the health services of the five Brazilian regions in 2012. The sample consisted of users of basic health units participating in the Program for Improving Access and Quality of the Primary Care. The independent variables analyzed were: socioeconomic characteristics (municipal context), demographic characteristics (user profile), and two domains related to the organization of basic services (work structure and process). The low quality of the screening was assessed from the lack of access, late examination, and lack of guidance. Crude and adjusted analyses by Poisson regression assessed the association between outcomes and independent variables.RESULTS The values of lack of access, late examination, and lack of guidance were 6.7%, 11.2%, and 19.2%, respectively. Problems of quality were lower according to the increase in Municipal Human Development Index and per capita household income, increasing with population size and municipal coverage of the Family Health Strategy. The Midwest region of the country presented the highest occurrences of low quality outcomes. Indigenous and yellow women had the highest prevalence of outcomes. Women with partner, who received the Bolsa Família Program, and who had paid work had less chances of having lack of access, late examination, and lack of guidance. The appropriate work process in health services decreased the likelihood of low quality in all indicators.CONCLUSIONS Investments in the work process of health teams, social cash transfer programs, and social conditions of the population are essential to improve the quality of the program of cervical cancer screening in Brazil.