Produção de um vídeo educativo como estratégia de educação permanente sobre referência e contrarreferência com foco na atenção terciária

Abstract

Reference and counter-reference function as organizational tools that guide the practice of healthcare teams. These tools enable the structured referral of users between the various service points of the Healthcare Network (RAS), facilitating access to services according to the complexity of each situation and ensuring continuity and comprehensiveness of care. This study aimed to develop a video as an intervention strategy for continuing health education in tertiary care, focusing on the reference and counter-reference process for nurses and physicians. It consisted of a multimethod research approach, developed in three stages: identifying the needs and perceptions of nurses and physicians regarding reference and counter-reference in their professional routines, combined with an integrative review of the scientific literature; designing and validating the script and storyboard for an educational video on reference and counter-reference; and producing the video as an intervention strategy for continuing health education in tertiary care. A total of 45 professionals (33 nurses and 12 physicians) were interviewed. The characterization of participants revealed a predominance of women (73.3%), with ages ranging from 30 to 49 years (75.7%). The most prevalent professional experience was 21 years or more (37%), and 51.1% of participants held a specialization. Regarding work experience, 33.3% of professionals had between 6 and 10 years of experience. The qualitative results were presented through evidence extracted using the Collective Subject Discourse (CSD) method, highlighting central ideas related to the need for changes in reference and counter-reference actions and the importance of continuing education activities on these processes. The perceptions and suggestions provided by professionals included continuous training to enhance the understanding of reference and counter-reference flows and concepts, the implementation of continuing education programs incorporating clinical case simulations, and practical training through lectures, educational videos, and short courses. Ensuring continuity of care requires an improvement process involving trained, empowered, confident, and motivated professionals, along with active and committed management. Therefore, the development of a video as an educational strategy is relevant, as it serves as a technological resource capable of enhancing professionals' knowledge with a focus on transforming healthcare practices.