# Nursing tutors’ perspectives in a vocational training course for Community Health Workers

**Authors:** Lucas Cardoso dos Santos, Érica Gomes Pereira, Lucas Cardoso dos Santos, Érica Gomes Pereira

PMC · DOI: 10.1590/0034-7167-2025-0056 · 2026-01-26

## TL;DR

This paper explores the challenges faced by nursing tutors in a distance learning vocational course for health workers in Brazil.

## Contribution

It highlights the specific challenges of digital literacy, institutional support, and pedagogical model tensions in vocational training.

## Key findings

- Low digital literacy and limited understanding of tutors' roles hindered the training process.
- Weak institutional support and asynchronous communication compromised learning outcomes.
- Tensions between pedagogical models and health education principles suggest policy reassessment.

## Abstract

to describe nursing tutors’ perspectives on the training process for Community Health Workers in a vocational course offered through distance learning.

this experience report is based on the work of two nursing tutors in a free vocational course offered by a federal professional training program within and for the Brazilian Health System, between 2022 and 2023.

challenges related to students’ low digital literacy, limited understanding of the tutor’s role, and weak institutional support were highlighted. Asynchronous communication, heterogeneity of territories, and lack of study time compromised the training process.

tensions between the adopted pedagogical model and the principles of continuing education in health indicate the need to reassess vocational training policies in and for the Brazilian Health System based on an ethical-political positioning, appreciation of workers, critical digital inclusion and articulation between education and work.

descrever as perspectivas de tutores enfermeiros sobre o processo formativo de Agentes Comunitários de Saúde em um curso técnico ofertado na modalidade de educação a distância.

relato de experiência, baseado na atuação de dois tutores enfermeiros em um curso técnico gratuito de um programa federal de formação profissional no e para o Sistema Único de Saúde, entre 2022 e 2023.

destacaram-se desafios relacionados à baixa literacia digital dos estudantes, compreensão limitada do papel do tutor e fragilidade no apoio institucional. A comunicação assíncrona, heterogeneidade dos territórios e ausência de tempo para estudo comprometeram o processo formativo.

tensões entre o modelo pedagógico adotado e os princípios da educação permanente em saúde indicam a necessidade de reavaliar políticas de formação técnica no e para o Sistema Único de Saúde com base em um posicionamento ético-político, valorização dos trabalhadores, inclusão digital crítica e articulação entre educação e trabalho.

## Full-text entities

- **Genes:** ACCS (1-aminocyclopropane-1-carboxylate synthase homolog (inactive)) [NCBI Gene 84680] {aka ACS, PHACS}, SH2B2 (SH2B adaptor protein 2) [NCBI Gene 10603] {aka APS}
- **Diseases:** zoonoses (MESH:D015047), anxiety (MESH:D001007), DL (MESH:D007859), Endemic Disease (MESH:D006043), Health (OMIM:603663), DEVELOPMENT (MESH:D002658)
- **Chemicals:** EaD (-)
- **Species:** Homo sapiens (human, species) [taxon 9606]

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Source: https://tomesphere.com/paper/PMC12854263