Mandala de avaliação: pistas para avaliação, integração e produção de diálogo no cotidiano do trabalho

Abstract

The Institutional Support, methodological strategy for co-management, emerges as an innovation for the expansion of institutional democracy in the Unified Health System being experienced at the municipal, state and federal level. For practicing the Support, Campos (2007b), PNH (BRAZIL, 2008); Bertussi (2010) and Oliveira (2011) recommend a capacity of negotiation, facilitation of processes, action from the everyday, Collective Spaces activation and ability to do together with the people instead of doing for them. Whereas there are several meanings to those recommendations and diversity in its operation, it is a challenge the professional development of the supporters. The aim of this methodological development study was to elaborate and validate an instrument in order to assess the work process of supporters and teams of support from a semantic and content point of view. The literature review pointed out the lack of scientific papers related to job evaluation process in Support. The documentary research (2008-2011) of the competency records of institutional supporter discussed by the employees of the Primary Care Directorate of Health Department of Bahia State and the methodological theoretical deepening enabled the defining attributes: Observation and Listening; Porosity; Ability of Trading; Proposition of Offers; Activation of the Collective Spaces and Teamwork. The process of development and validation of content and semantics was based according to the procedures of the European project DISABKIDS. The content validation done by five judges, from the percentage of agreement, assessed the relevance of the attributes of the study in question. The semantic validation, by 27 institutional supporters linked to federal, state or municipal organizations verified the understanding that each supporter had in each one of the attributes. The Mandala Assessment, a tool based on the Permanent Education in Health, Appreciative evaluation and participatory management, consists of a radar chart, six attributes, answer scale, score standardization based on quartiles and typology for the development of the Function Support, practical guidelines for the use, and intends to propose clues to the assessment process, orientation and permanent education of institutional supporters