THE ORGANIZATION OF THE WORK OF PHYSIOTHERAPISTS IN A CENTER SPECIALIZED IN REHABILITATION

• Published in: Revista brasileira de fisioterapia (São Carlos (São Paulo, Brazil)) Brazil)), 2024-04, Vol.28, p.100943, Article 100943
• Main Authors: da Silva, Natasha Felipe, Júnior, José Erivonaldo Ferreira Paiva, Maciel, Mayza Leite Felix, Souza, Letícia Mylena Guedes, Moreira, Iara Fialho, Neves, Robson da Fonseca
• Format: Article
• Language: English
• Subjects: Physiotherapy. Work. Rehabilitation Centers
• ISSN: 1413-3555; 1809-9246
• DOI: 10.1016/j.bjpt.2024.100943

Physiotherapy in a specialized rehabilitation center (CER) has an important role in the care of Persons with Disabilities (PwD), it can be a fundamental part of adopting the biopsychosocial approach that is sought in these centers, provided that the organization of work is also aligned providing comprehensive care to PwD. to know facilitators and obstacles related to the organization of the physiotherapist's work in the Center specialized in rehabilitation and its relationship with the care practices provided to Persons with Disabilities. This is a qualitative and descriptive study, taking the case study as a guiding model, developed from ethnographic analysis resources. The study was developed with the association of three data collection strategies: document analysis, direct observation with conversational approaches and interviews with CER physiotherapists in the state of Paraíba-PB, data analysis was performed through the reconstruction of scenes, articulating the elements captured in the data production process. The study reveals that there are weaknesses in the organization of the work of physiotherapists in the CER in question, and that these have an impact on the way work is conducted and provided to people with disabilities, noting that improvements and adjustments are needed in the organization of work in issues such as: promoting strategies that bring the physiotherapist closer to practices such as welcoming, favoring moments between the physiotherapist and the multidisciplinary team for assessments in an integrated manner and articulation with other points of the care network for people with disabilities, stimulating and organizing strategies to strengthen and include shared care in the sector, and implement strategies such as team meetings and the execution of the Singular Therapeutic Project. Knowledge of the facilitators and obstacles in the organization of the physiotherapists' work allowed identifying the weaknesses present in the service, which distances these professionals from providing assistance from the perspective of the biopsychosocial approach to CER users, and verifying the aspects that contribute to the distance between work prescribed by the Rehabilitation Instruction, and how the work is performed at the study site. Understanding the organization of the work of physiotherapists in health services is still a scarce task in the field of research, so this work raises this debate in the field of physiotherapy. In addition, its res