Primary care nursing activities with patients affected by physical chronic disease and common mental disorders: a qualitative descriptive study

2017 ◽  
Vol 26 (9-10) ◽  
pp. 1385-1394 ◽  
Author(s):  
Ariane Girard ◽  
Catherine Hudon ◽  
Marie-Eve Poitras ◽  
Pasquale Roberge ◽  
Maud-Christine Chouinard
2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Luciana Regina Ferreira Da Mata ◽  
Alexandre Ernesto Silva ◽  
Monike Tathe Vieira Pedrosa ◽  
Danielle Brandão Ferreira ◽  
Patrícia Silva De Oliveira ◽  
...  

Objetivo: identificar os questionamentos mais frequentes respondidos por meio eletrônico e parecer técnico em três áreas temáticas de atuação da câmara técnica. Metodologia: estudo descritivo que utilizou como fontes de informação e-mails respondidos e pareceres técnicos publicados no período de agosto de 2015 a agosto de 2016. Perguntas recebidas por e-mail que ainda não haviam sido respondidas aos consulentes foram excluídas. Resultados: Foram levantadas 695 consultas recebidas por e-mail e 22 recebidas por ofício, sendo 691 respondidas por via eletrônica, 19 via ofício e 07 via parecer técnico. Considerando as áreas temáticas, 436 eram referentes à área gerencial e assistencial, 267 à atenção primária e 14 à sistematização da assistência de enfermagem. Conclusão: Os resultados refletem que os pontos mais questionados referem-se a questões técnicas do exercício profissional e instigam a reflexão sobre possíveis posicionamentos técnicos a serem defendidos pelos Conselhos de Enfermagem.Descritores: Legislação de Enfermagem; Cuidados de Enfermagem; Enfermagem Atenção Primária; Processo de Enfermagem.FREQUENT QUERIES ANSWERED BY THE REGIONAL NURSING COUNCIL OF MINAS GERAIS: WORK OF THE TECHNICAL CHAMBERObjective: to identify the most frequent questions answered by electronic means and technical opinion in three thematic areasof action of the technical chamber. Methodology: descriptive study that used as sources of information e-mails answered andtechnical opinions published from August 2015 to August 2016. Questions received by e-mail that had not yet been answered tothe querents were excluded. Results: 695 queries were received by e-mail and 22 received by printed office, of which 691 wereanswered electronically, 19 by means letter and 07 by technical advice. Considering the thematic areas, 436 were related to theManagement and Assistance area, 267 to Primary Care and 14 to the Systematization of Nursing Care. Conclusion: The resultsreflect that the most questioned points refer to technical questions of the professional practice and instigate the reflection onpossible technical positions to be defended by the Nursing Councils.Descriptors: Legislation Nursing, Nursing Care, Primary Care Nursing, Nursing Process.CONSULTAS MÁS FRECUENTES RESPONDIDAS POR EL CONSEJO REGIONAL DE ENFERMERÍA DE MINAS GERAIS: ACTUACIÓN DE LA CÁMARA TÉCNICAObjetivo: identificar los cuestionamientos más frecuentes respondidos por medio electrónico y parecer técnico en tres áreas temáticas de actuación de la cámara técnica. Metodología: estudio descriptivo que utilizó como fuentes de información e-mails contestados y opiniones técnicas publicadas en el período de agosto de 2015 a agosto de 2016. Las preguntas recibidas por e-mail que aún no habían sido respondidas a los consultores fueron excluidas. Resultados: Se levantaron 695 consultas recibidas por e-mail y 22 recibidas por carta impresa, siendo 691 respondidas por vía electrónica, 19 vía carta y 07 a través del dictamen técnico. Considerando las áreas temáticas, 436 eran referentes al área gerencial y asistencial, 267 a la atención primaria y 14 a la sistematización de la asistencia de enfermería. Conclusión: Los resultados reflejan que los puntos más cuestionados se refieren a cuestiones técnicas del ejercicio profesional e instigan la reflexión sobre posibles posicionamientos técnicos a ser defendidos por los Consejos de Enfermería.Descriptores: Legislación de Enfermería, Atención de Enfermería, Enfermería de Atención Primaria, Proceso de Enfermería.


2016 ◽  
Vol 22 (2) ◽  
pp. 113 ◽  
Author(s):  
Christine M. Hallinan ◽  
Kelsey L. Hegarty

The aims of the present study were to understand enablers to participation in postgraduate education for primary care nurses (PCNs), and to explore how postgraduate education has advanced their nursing practice. Cross-sectional questionnaires were mailed out in April 2012 to current and past students undertaking postgraduate studies in primary care nursing at The University of Melbourne, Victoria, Australia. Questionnaires were returned by 100 out of 243 nurses (response rate 41%). Ninety-one per cent (91/100) of the respondents were first registered as nurses in Australia. Fifty-seven per cent were hospital trained and 43% were university educated to attain their initial nurse qualification. The respondents reported opportunities to expand scope of practice (99%; 97/98), improve clinical practice (98%; 97/99), increase work satisfaction (93%; 91/98) and increase practice autonomy (92%; 89/97) as factors that most influenced participation in postgraduate education in primary care nursing. Major enablers for postgraduate studies were scholarship access (75%; 71/95) and access to distance education (74%; 72/98). Many respondents reported an increased scope of practice (98%; 95/97) and increased job satisfaction (71%; 70/98) as an education outcome. Only 29% (28/97) cited an increase in pay-rate as an outcome. Of the 73 PCNs currently working in general practice, many anticipated an increase in time spent on the preparation of chronic disease management plans (63%; 45/72), multidisciplinary care plans (56%; 40/72) and adult health checks (56%; 40/72) in the preceding 12 months. Recommendations emerging from findings include: (1) increased access to scholarships for nurses undertaking postgraduate education in primary care nursing is imperative; (2) alternative modes of course delivery need to be embedded in primary care nursing education; (3) the development of Australian primary care policy, including policy on funding models, needs to more accurately reflect the educational level of PCNs, PCN role expansion and the extent of interprofessional collaboration that is evident from research undertaken to date. Nurses with postgraduate education have the potential to increase their scope of practice, take on a greater teaching role and provide more preventive and chronic disease services in primary care. Policies aimed at increasing access to education for nurses working in primary care would strengthen the primary care nursing profession, and enhance the delivery of primary health care services in Australia.


2020 ◽  
Vol 35 (1) ◽  
pp. 63-69
Author(s):  
Émilie Dufour ◽  
Arnaud Duhoux ◽  
Damien Contandriopoulos

2007 ◽  
Vol 38 (2) ◽  
pp. 221-228 ◽  
Author(s):  
V. Patel ◽  
R. Araya ◽  
N. Chowdhary ◽  
M. King ◽  
B. Kirkwood ◽  
...  

BackgroundScreening of patients for common mental disorders (CMDs) is needed in primary-care management programmes. This study aimed to compare the screening properties of five widely used questionnaires.MethodAdult attenders in five primary-care settings in India were recruited through systematic sampling. Four questionnaires were administered, in pairs, in random order to participants: the General Health Questionnaire (GHQ, 12 items); the Primary Health Questionnaire (PHQ, nine items); the Kessler Psychological Distress Scale (K10, 10 items), and from which we could extract the score of the shorter 6-item K6; and the Self-Reporting Questionnaire (SRQ, 20 items). All participants were interviewed with a structured lay diagnostic interview, the Revised Clinical Interview Schedule (CIS-R).ResultsComplete data were available for 598 participants (participation rate 99.3%). All five questionnaires showed moderate to high discriminating ability; the GHQ and SRQ showed the best results. All five showed moderate to high degrees of correlation with one another, the poorest being between the two shortest questionnaires, K6 and PHQ. All five had relatively good internal consistency. However, the positive predictive value (PPV) of the questionnaires compared with the diagnostic interview ranged from 51% to 77% at the optimal cut-off scores.ConclusionsThere is little difference in the ability of these questionnaires to identify cases accurately, but none showed high PPVs without a considerable compromise on sensitivity. Hence, the choice of an optimum cut-off score that yields the best balance between sensitivity and PPV may need to be tailored to individual settings, with a higher cut-off being recommended in resource-limited primary-care settings.


2004 ◽  
Vol 9 (9) ◽  
pp. 372-372
Author(s):  
Christine Smith ◽  
Ann Williams

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