Processo de trabalho e educação permanente do CIEVS: aprendendo no e para o trabalho

Abstract

Introduction: The growing movement of people and goods in the context of globalization has intensified the occurrence of health emergencies, such as epidemics and pandemics. In view of this, health surveillance services now require greater response capacity and interinstitutional coordination. The Strategic Information Center for Health Surveillance (CIEVS), linked to the Unified Health System, has emerged as a strategic space for addressing public health emergencies and situations. In this scenario, Continuing Education in Health is an essential tool for training workers, promoting critical reflection on practice and strengthening networked care. Objectives: to analyze the daily work and Continuing Education processes at CIEVS NRS/CL, Bahia. The specific objectives are to analyze the continuing education processes at CIEVS with a focus on knowledge, identity, flows, and relationships in the daily routine of its practices, promote the qualification of workers, strengthen its institutional identity, integrate health surveillance practices, and improve the timely strategic response to events of interest in public health. Methodology: The study is qualitative and exploratory in nature. It was conducted at CIEVS in the Central East Macroregion, Bahia. The participants were workers who have been working at CIEVS NRS/CL for at least six months. Twelve interviews were conducted to produce the data. Semi-structured interviews were used, and data analysis was based on thematic analysis. The study was approved by the Ethics Committee of the State University of Bahia. It is important to note that, in addition to the scientific production, a technical product was developed consisting of a proposal for the qualification of CIEVS NRS/CL workers, based on needs detected during the study. Results: The study revealed that CIEVS NRS/CL, although recognized by workers as a strategic unit in health surveillance, still has an institutional identity under construction. Limitations were identified in the understanding of the functions of the service and the International Health Regulations, as well as weaknesses in the professional qualification processes. It was observed that, although there is an organization by areas of activity, workflows need greater clarity and standardization. Interpersonal relationships, which are generally positive, and the sense of belonging to the team are highlighted as positive points in the service. Improvements were suggested, such as greater integration with team members and other sectors of the NRS/CL, reinforcing the importance of continuing education as a strategy for training workers and improving the performance of the CIEVS, contributing to more effective and coordinated responses to public health emergencies. Conclusion: Continuing education was shown in this study to be an essential strategy for transforming practices and strengthening the actions developed by CIEVS. The qualification proposal developed as a technical product directly responds to the needs identified during the research. Despite methodological limitations and territorial constraints, the study contributes to the improvement of health surveillance, highlighting that the strengthening of CIEVS depends on continuous processes of education, communication, and integration for assertive and timely actions within Public Health Emergencies.