Educational Offer for Initial Emergency and Urgent Care in Rural Areas: Health Needs, Culture, and Life Experiences as Formative Principles
Medical Education; Rural Health Services; Emergencies.
Introduction: Rural and remote municipalities in Brazil present particularities regarding population characteristics, territorial specificities, and access to health services. About emergency and urgent care, rural populations face severe structural barriers to accessing immediate care, the consequences of which impact the morbidity and mortality profile of this population. Objective: To systematize an educational offering focused on basic life support for initial emergency and urgent care in rural areas, based on the health needs, culture, and experiences of users in rural communities. Methodology: This is an applied research study with a qualitative approach, carried out in two stages: the first stage was to identify the problems related to addressing emergencies and urgent care in rural contexts, and the second was to develop strategies for training professionals and users on initial emergency and urgent care in these territories. The development of the educational offering was guided by the Per-Earl Guide for Developing Educational Materials (PEARL), which seeks greater engagement and cultural adherence within the communities. The research was conducted in rural areas of the municipality of Caicó, in the Seridó region of the state of Rio Grande do Norte. Study participants were health professionals from the Family Health Strategy in the communities and users of health services – residents of the respective communities. Data collection procedures included semi-structured interviews and focus groups. Data were analyzed using categorical thematic analysis. Results: Data analysis allowed for the development of four categories: difficulty of access and dependence on urban areas; changes in morbidity and mortality profiles; popular knowledge in emergencies; and the qualification of professionals and users for emergencies. Based on the data obtained in the first phase of the research and with guidance from PEARL, two technical-educational products were developed: an educational offering for primary health care professionals focusing on initial care for emergencies, and informative videos aimed at users in the rural population. The proposed educational offering for health professionals adopts active, interactive, and learner-centered methodologies, where the topics covered are related to the events that most frequently occur in the rural context. The videos adopted accessible language suitable for distribution through communication apps as a strategy to reach people with information about first aid in life-threatening situations. The educational materials took into account the culture, life and health context, and experiences of rural communities. Final considerations: In the Brazilian rural context, specific training for Primary Health Care (PHC) in rural settings, combined with clear protocols for action and effective integration with regulatory centers and sanitary transport, can strengthen the territorial capacity to respond to critical events, as well as strengthen PHC and its role in improving access and protecting people's lives.