The role of the Family Health Services Authorities in promoting health

1996 ◽  
pp. 44-53
Author(s):  
Penny Astrop ◽  
Jonathan McWilliam
Author(s):  
Simony Fabíola Lopes Nunes ◽  
Angela Maria Alvarez ◽  
Maria Fernanda Baeta Neves Alonso da Costa ◽  
Rafaela Vivian Valcarenghi

ABSTRACT Objective: to investigate the facilitator and inhibitory factors in the transition of elderly caregivers with Parkinson's disease. Method: a qualitative, exploratory and descriptive study, based on the family transition nursing theory developed with 20 elderly caregivers of elderly people with Parkinson 's disease, enrolled in the Associação Parkinson de Santa Catarina, from March to August 2015. To analyze and interpret the data, we used the thematic analysis of content proposed by Bardin, with the help of the ATLAS.ti software for data organization. Results: some factors were identified and considered as facilitators for the process of transition from the familiar to the exercise of the role of caregiver, such as: previous experiences as caregiver; spirituality and religiosity; family support network and health services. Other factors were identified as inhibiting factors for transition: emotional and physical health conditions; advanced age; personal life activities/commitments; family financial burden; and inadequate family support. It was observed that most family caregivers reported having previous experience in caring, having advanced age, and being able to care for the elderly with the disease. However, he considers his condition of emotional and physical health insufficient, resulting in overload. Lack of access to health services and family and financial support make it difficult to provide care. Conclusion: nurses should seek strategies to direct attention to facilitating factors in the family context in order to help the family to achieve well-being and healthy transition to the role of caregiver.


2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Sonia Silva Marcon ◽  
Ítalo Rodolfo Silva ◽  
Laura Misue Matsuda ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
...  

ABSTRACT Objective: to understand the meanings attributed by the Family Health Strategy (FHS) nurses to the management competencies essential to the performance of their actions. Method: explanatory, qualitative study, whose methodological framework was based on Grounded Theory. A total of 12 Family Health Strategy nurses from a municipality in southern Brazil participated through semi-structured interviews, between December 2018 and February 2019. Results: the experience was understood by the phenomenon “Lapidating management competencies daily to play the role of a nurse in the context of the Family Health Strategy”. As action/interaction strategies, the following categories emerged: “Evidencing the management skills of Family Health Strategy nurses” and “Recognizing the need for strategies to work on specificities in the context of the Family Health Strategy”. Final considerations: according to the meanings attributed by nurses, there are several essential management skills for the work in the Family Health Strategy, but they are still little worked and developed in this context, mainly because it is a complex health care scenario.


2020 ◽  
Vol 29 ◽  
Author(s):  
Kátia Jamile da Silva ◽  
Carine Vendruscolo ◽  
André Lucas Maffissoni ◽  
Michelle Kuntz Durand ◽  
Mônica Ludwig Weber ◽  
...  

ABSTRACT Objective: to know and reflect on the best practices in nursing and their interface with the Expanded Family Health and Basic Healthcare Centers (NASF-AB). Method: this is a participatory research based on Paulo Freire’s methodological framework and developed from thematic investigation, coding, decoding, and critical unveiling. The information was produced and analyzed in four Culture Circles, with an average of five nurses and duration of two hours each, between April and June 2018. The investigation revealed four generating themes, unveiled during the meetings. In this study, the theme “best nursing practices that favor relations with NASF-AB” will be discussed. Results: nurses acknowledge communication as a tool that promotes best practices in nursing. It was possible to deepen the dialogue and knowledge about NASF-AB’s work process and the role of nursing. Nurses act as a link between the support team and the Family Health team, a skill resulting from their training focused on management, having leadership and dialogue as resources for conflict resolution. Conclusion: the present study contributed to improve nurses’ thinking and acting in relation to the proposed theme. The reflections made during Culture Circles boosted transformative attitudes in the practice settings. Nurse approximation with NASF-AB favors autonomy and collaborative practices (understood as best practices), encouraging interprofessional and solve-problem actions within Basic Care.


Author(s):  
Juliana Alexandra Parente Sá Barreto ◽  
Mirna Neyara Alexandre de Sá Barreto Marinho ◽  
Eglídia Carla Figueiredo Vidal ◽  
Emery Ciana Figueiredo Vidal ◽  
Ana Maria Machado Borges ◽  
...  

Author(s):  
Yeni Nur Rahmayanti

There are 90% diabetes mellitus sufferers in the world. Diabetes mellitus (DM) is a degenerative disease that has increased every year in countries. Diabetes Mellitus if not handled properly will lead to complications. Cooperation between patients and families is expected to prevent chronic complications of DM, by providing information through health promotion. In this study using "pre post test non control group design" where a group before a certain treatment (x) is given a pretest, then given treatment and after the treatment is carried out a post test or a measurement to determine the consequences of the treatment. The independent variable is family health promotion, while the dependent variable is the management of patients with Diabetes Mellitus. This study uses "purposive sampling". In this sampling, families that meet the criteria and can represent the characteristics of the population are selected, namely a family with one of the family members suffering from Diabetes Mellitus. Family health promotion significantly provides a change for the better towards improving the role of the family in the management of family members with DM as shown from the pre-test and post-test data which is then tested with the Kendal tau test on all components of the management of family members with DM. There is a significant influence between family health promotion on improving the role of the family in the management of family members with DM at the Kebakramat 1 Health Center where there is an improvement in the role of the family in the management of family members with DM.


2010 ◽  
Vol 4 (2) ◽  
pp. 596
Author(s):  
Geilsa Soraia Cavalcanti Valente ◽  
Virginia Correia Almeida ◽  
Fernanda Da Silva Chagas ◽  
Rosane Abreu Tórnio ◽  
Maíra Muniz Assis ◽  
...  

ABSTRACTObjectives: to describe the role of nurses in the Family Health Strategy (FHE) and identify the facilities and difficulties in developing work-oriented health education. Methodology: this is about an exploratory study, from qualitative approach, performed with eight nurses working of the FHE in Cachoeiras de Macacu city, Rio de Janeiro, Brazil. Research meets the recommended by Resolution 196/96 and was approved by the Ethics Committee of the School of Nursing Anna Nery/UFRJ with protocol number 52/2008. To collect data, we used the structured interview, consisting of closed questions, being employed thematic content analysis to analyze the data. Result: the role of nurses in the PSF is the manager and educator, working for change in behavior of the community, to improve their quality of life. Conclusion: we emphasize the role of manager and educator that is exercised by the nurse. Despite encountering some difficulties in implementing actions to improve the quality of living, nurses use various resources according to their creativity, in view of autonomy that is inherent in the FHE. Descriptors: health education; community health nursing; family health program; management; nursing care; strategies; professional autonomy.RESUMOObjetivos: descrever o papel dos enfermeiros da Estratégia Saúde da Família e identificar as facilidades e dificuldades encontradas ao desenvolverem trabalhos voltados para educação em saúde. Metodologia: estudo exploratório, de abordagem qualitativa, tendo como sujeitos oito enfermeiros que atuam na ESF do Município de Cachoeiras de Macacu. A pesquisa atende ao preconizado pela Res. 196/96 e foi aprovada pelo Comitê de Ética da Escola de Enfermagem Anna Nery/UFRJ registrado sob número de protocolo 52/2008.  Para a coleta de dados, foi utilizada a entrevista estruturada, composta por questões fechadas, sendo empregada a análise temática de conteúdos para análise dos dados. Resultado: o papel do enfermeiro no PSF é o de gerente e educador, trabalhando para a mudança de comportamento da comunidade, no sentido de melhorar sua qualidade de vida. Conclusão: destacou-se o papel de gerente e educador que é exercido pelo enfermeiro. Apesar de deparar-se com algumas dificuldades na implementação das ações para melhorar a qualidade de vida da população, os enfermeiros utilizam diversos recursos de acordo com sua criatividade, tendo em vista a autonomia que é inerente no PSF. Descritores: educação em saúde; enfermagem em saúde comunitária; programa saúde da família; gerência; cuidados de enfermagem; estratégias; autonomia profissional.RESÚMEN              Objetivos: describir el papel de las enfermeras en la Estrategia de Salud de la Familia/ESF e identificar las facilidades y dificultades en el desarrollo de trabajo de educación sanitaria. Metodología: un estudio exploratorio, cualitativo, teniendo como participantes ocho enfermeras que trabajan en la ESF de La ciudad de Cachoeiras de Macacu en Rio de Janeiro, Brasil. La investigación corresponde a las recomendaciones de la Res. 196/96 y fue aprobado por el Comité de Ética de la Escuela de Enfermería Anna Nery/UFRJ con número de protocolo 52/2008. Para recopilar los datos, se utilizó la entrevista estructurada, con preguntas cerradas, se emplean análisis de contenido temático para analizar los datos. Resultado: el papel de las enfermeras en el ESF es el director y educador, trabajar por el cambio en el comportamiento de la comunidad, para mejorar su calidad de vida. Conclusión: fue destacado el papel de gestor y educador que es ejercido por la enfermera. A pesar de encontrarse con algunas dificultades en la aplicación de medidas para mejorar la calidad de vida, las enfermeras utilizan diversos recursos de acuerdo a su creatividad, a la vista de la autonomía que es inherente en el PSF. Descriptores: educación en salud; enfermería en salud comunitaria; programa de salud familiar; gerencia; atención de enfermería; estrategias; autonomía profesional.  


2013 ◽  
Vol 21 (6) ◽  
pp. 1337-1344 ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Silvia Cristina da Silva Lima ◽  
Rogério Dias Renovato

OBJECTIVES: this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. METHODS: this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in the Brazilian state of Mato Grosso do Sul (MS). RESULTS: the results show that most of the medications are used for treating cardiovascular disorders. The elderly men develop strategies considering the prescription of these, adapting in line with their own perceptions and meanings. From these tactics emerge representations on youth and old age, in which old age is associated with illness. In addition, practices were observed which sought to associate the use of medications with medicinal plants, re-signifying the process of being ill. Different perspectives of masculinity permeate the use of medications, sometimes reinforcing hegemonic conceptions, and sometimes revealing alternate models of masculinity. The woman is present in the care with the use of the medications. CONCLUSIONS: in this context, the health team, above all that of nursing, must assist the elderly man in his practices of medication, taking into account his representations, his protagonism, and the role of the woman as a support in the care.


2013 ◽  
Vol 21 (spe) ◽  
pp. 172-179 ◽  
Author(s):  
Ailton de Souza Aragão ◽  
Maria das Graças Carvalho Ferriani ◽  
Telma Sanchez Vendruscollo ◽  
Sinara de Lima Souza ◽  
Romeu Gomes

In Primary Care, the field of nursing comes face-to-face with the complexity of violence, leading these professionals to constantly re-evaluate their habitus. OBJECTIVE: to analyze how cases of violence against children and adolescents are approached by primary care nurses, identifying limits and possibilities for dealing with these cases. METHOD: a qualitative study, undertaken in 2011, through semi-structured interviews with 8 out of 48 nurses in the Family Health teams in the city of Uberaba in the state of Minas Gerais, the analysis of which followed the interpretation of meanings, based in dialectical hermeneutics. RESULTS: the following stand out: non-identification of violence as a problem for the nurses; denunciations and notifications as a role of the nurses; and the limits found in the face of violence. CONCLUSION: it is determined that the habitus of nursing directed at health promotion and prevention of violence must be restructured, overcoming the biomedical paradigm and involving intersectorial and multidisciplinary actions.


2009 ◽  
Vol 25 (5) ◽  
pp. 1153-1167 ◽  
Author(s):  
Maria Guadalupe Medina ◽  
Zulmira Maria de Araújo Hartz

The contribution of primary care to population health and health systems organization has been well documented, but some authors have highlighted that in Third World countries it has gained more ground in discourse than in facts and practices, with different possible configurations. The objectives of the current study were to evaluate and correlate organizational and local contextual characteristics to the degree of implementation of primary care in two municipalities (counties) in the State of Bahia State, Brazil, that had adopted the Family Health Program (FHP) as the system's central thrust. The research was based on two case studies with interwoven levels of analysis, using as the point of departure the underlying goal-image of primary care in the definition of criteria and standards for degree of implementation. The total scores for Municipalities A and B were 66 and 81, respectively (maximum total score = 100), while differences were observed between the urban and rural teams. The political and institutional contexts helped explain differences in the degree of implementation of primary care, but regardless of the municipal context, the study showed the emergence of organizational innovations closely related to the FHP.


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