Using Fourth-Generation Evaluation in Nursing

ABSTRACT The aim of this study was to identify the weaknesses of the mental health ambulatory service from the professionals' perspective. This was a qualitative study, developed by the Fourth Generation Evaluation method. Data were collected during February and March 2013 with the use of non-participant observation, individual opened interviews and group technique for the negotiation session. The informants were 12 working professionals at the ambulatory. The results pointed out weaknesses in the organizational structure of the healthcare network in mental health, especially regarding accessibility, physical structure and the presence of extensive waiting list for care. Regarding human resources, issues included: ignorance of the operation of the mental health network and of the activities performed, medical turnover, deficiency in training and continuous education and professional devaluation. It is necessary to reflect on the real role of ambulatories within the mental health network and its effectiveness in providing care.

Download Full-text

Evaluation of elderly care dynamics in an emergency care unit

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2018-0401 ◽

2019 ◽

Vol 72 (suppl 2) ◽

pp. 161-168

Author(s):

Leidyani Karina Rissardo ◽

Luciane Prado Kantorski ◽

Lígia Carreira

Keyword(s):

Emergency Care ◽

Emergency Services ◽

Participant Observation ◽

Elderly Care ◽

The Elderly ◽

Fourth Generation ◽

Social Actors ◽

Study Evaluation ◽

Fourth Generation Evaluation

ABSTRACT Objective: understand elderly care dynamics of an emergency care unit. Method: this is a case study evaluation, using a qualitative approach and the theoretical-methodological reference of a fourth generation evaluation. Data collection was conducted between February and September 2017, through 460 hours of participant observation, interviews with 33 social actors among health professionals, elderly people and their relatives of an emergency care unit located in a municipality in the northwest of Paraná, as well as negotiation meetings with participants. Results: the evaluation showed the elderly care dynamics is mainly influenced by nursing actions that articulate care practices based on priority, frailty, autonomy, independence and family context of the elderly patients. Final considerations: an evaluation of how the emergency care unit operates helps improve elderly care in urgent and emergency services.

Download Full-text

Assessment of components of crack users’ attention network

Revista Brasileira de Enfermagem ◽

10.1590/0034-7167-2017-0835 ◽

2020 ◽

Vol 73 (1) ◽

Author(s):

Leandro Barbosa de Pinho ◽

Christine Wetzel ◽

Jacó Fernando Schneider ◽

Agnes Olschowsky ◽

Marcio Wagner Camatta ◽

...

Keyword(s):

Care Service ◽

Comparative Method ◽

Family Members ◽

Fourth Generation ◽

Attention Network ◽

Constant Comparative Method ◽

The Military ◽

Fourth Generation Evaluation ◽

Crack Users ◽

Crack User

ABSTRACT Objective: Assess components of the Psychosocial Attention Network (RAPS) in crack user care in a Rio Grande do Sul municipality. Method: Qualitative study based on Fourth Generation Evaluation. Data collection occurred in 2014, through participating observation and interviews based on the Hermeneutic-Dialectic Circle. Ten uses, eleven family members, seven managers and eight workers at a Psychosocial Attention Center participated. The Constant Comparative Method was used for data analysis. Results: Difficulties were observed in the network articulation with the general hospital, due to prejudice and the lack of structure of the team. SAMU’s (Mobile Emergency Care Service) dependence on the Military Brigade for the service indicates a frailty of the network. The need to re-think the way therapeutic farms operate in the network is a consensus. Conclusion: RAPS is being implemented and its concretization depends on the involvement of professionals, managers and social control of users and family members.

Download Full-text