scholarly journals Power relations in the family health team: focus on nursing

2017 ◽  
Vol 70 (3) ◽  
pp. 580-587 ◽  
Author(s):  
Iramildes Souza Silva ◽  
Cássia Irene Spinelli Arantes

ABSTRACT Objective: to analyze the power relations that permeate the work of the family health team, and to discuss perspectives of emancipation of these subjects, focusing on nursing and community health agents. Method: a qualitative study with a family health team from a municipality in the countryside of the state of São Paulo. Data were collected through systematic observation and interview with workers. A thematic content analysis was performed. Results: three categories were identified: the work of the family health team and power relations; power relations between the nurse and the healthcare team; and the relations among the nursing team and between community agents and the nurse. The team produces relations of power moved by hierarchical knowledge that move in the search for the reordering of powers. Final considerations: it is necessary to review the contradictions present in the performance scenario of the family health teams, with a view toward making power relations more flexible.

2014 ◽  
Vol 23 (4) ◽  
pp. 1077-1086 ◽  
Author(s):  
Anne Caroline Coelho Leal Árias Amorim ◽  
Marluce Maria Araújo Assis ◽  
Adriano Maia dos Santos ◽  
Maria Salete Bessa Jorge ◽  
Maria Lúcia Silva Servo

The study aimed to analyze the practices of the team in the Family Health Strategy, and how these guide the access to the health services. This was undertaken through qualitative research with systematic observation of the practice in three Family Health Centers as the data collection technique. The analyzing flowchart guided the analysis of the data. The results revealed that the access occurs, preferentially, through the family registration and the program actions directed towards specific groups. The procedure-centered practice guides the care in the Family Health Strategy, prioritizing the Emergency Room, depicted in emergency care. Some activities undertaken by the nurse were shown to be more susceptible to new therapeutic positions, shown by the service users' satisfaction. The study points to the need to advance in the re-signification of the practices, so as to strengthen improvement of access in the system's "gateway".


2014 ◽  
Vol 48 (5) ◽  
pp. 874-882 ◽  
Author(s):  
Káren Mendes Jorge de Souza ◽  
Lenilde Duarte de Sá ◽  
Laís Mara Caetano da Silva ◽  
Pedro Fredemir Palha

Objective Analyzing the policy transfer of directly observed treatment of tuberculosis from the perspective of nursing. Method This is a descriptive study with qualitative approach, which had 10 nurses of the Family Health Strategy in São Paulo as subjects. The interviews were carried out between May and June 2013, and were adopted the technique of thematic content analysis and the referential of policy transfer. Results On the signification of this treatment, are related the senses of disciplinary monitoring, the bond and approximation to the context of patients’ lives. Operationally, nurses, community health agents and nursing technicians stand out as agents of implementation of this policy, developing multiple actions of user embracement. The nurse is evidenced as an educator in health, leader in the family health team, and capable of creating emotional bond with users. Conclusion It was found that the innovations proposed in the treatment are incipient in the daily work of nurses.


Author(s):  
Iramildes Souza Silva ◽  
Cássia Irene Spinelli Arantes ◽  
Cinira Magali Fortuna

ABSTRACT Objective: To analyze conflict situations in the basic care team as possible catalysts of democratic relations at work, favoring team performance. Method: A qualitative study with a family health team from a municipality in the interior of São Paulo State. The data collected included systematic observation and interviews with workers who were organized and analyzed from the confrontation with the theoretical reference of the health work process. Thematic content analysis was used. Results: 16 workers participated. The data are organized into two thematic categories: the reception of unity as a place where conflicts become more explicit, and the conflict as an opening for building democratic relationships in teamwork. Conclusion: Receiving users at the reception and who will or will not work in this space reveals different values and conceptions about the care each professional provides, and constitutes a situation that generates conflict. However, opposing ideas in the conflict are fruitful because they are able to complement each other and provide a qualitative leap in team relations, with a tendency to influence a reduction in the vulnerabilities of the relations between the subjects. This is a pressing and current need in the discussion involving the reorganization of health practices.


2013 ◽  
Vol 22 (1) ◽  
pp. 89-96 ◽  
Author(s):  
Jacks Soratto ◽  
Regina Rigatto Witt

This is a qualitative, exploratory-descriptive study that aimed at analyzing the perceptions of a family health team regarding participation and social control in health. The study was developed with workers of a Family Health Team in southern Santa Catarina. Data were collected using the Sensitive Creative Method and analyzed through the process of thematic content analysis. Regarding participation in health, two empirical categories were identified: passive participant in health; and dialogical process as participation in the Family Health Team. As for social control in health, the categories identified were: institutionalized space as a social control in health; and disease monitoring as social control in health. The results showed perceptions related to the reflections on the health model and others that indicate the possibility of advancements in the discussions with local contribution for participation and social control in health.


2013 ◽  
Vol 5 (2) ◽  
pp. 3549-3557 ◽  
Author(s):  
João Andrade ◽  
Carlos Rodrigues ◽  
Adson Carvalho ◽  
Danilo Mendes ◽  
Maísa Leite

Rev Rene ◽  
2014 ◽  
Vol 15 (4) ◽  
Author(s):  
Monika Wernet ◽  
Márcia Regina Cangiani Fabbro ◽  
Karina Rumi de Moura ◽  
Daniela Aparecida Salgado Targino ◽  
Viviane Pompeu ◽  
...  

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.


2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Flávia Corrêa Porto de Abreu-D’Agostini ◽  
Julia Baldi Vieira ◽  
Beatriz Castanheira Facio ◽  
Lislaine Aparecida Fracolli ◽  
Márcia Regina Cangiani Fabbro ◽  
...  

ABSTRACT Objective: to unveil the interrelation of childhood colic management by mothers and Family Health Strategy professional. Methods: a qualitative, exploratory and descriptive research carried out with 4 Family Health Strategy teams and 31 mothers who experienced childhood colic. Data collection included, respectively, focus group and individual unstructured interview. Symbolic Interactionism was adopted as the theoretical framework, and Narrative Research as methodological. Results: two themes emerged: “Colic approach” and “Social support and care”. Professional childhood colic management is based on diagnosis and drug interventions. For mothers, the child’s suffering and impotence in the face of the disease stand out. Final considerations: childhood colic is socially widespread because it is a physiological and self-limiting event. Mothers felt helpless in the face of childhood colic. Professionals felt the need to expand their care, with a view to achieving maternal suffering and alleviating it.


2013 ◽  
Vol 21 (4) ◽  
pp. 990-997 ◽  
Author(s):  
Cinira Magali Fortuna ◽  
Silvia Matumoto ◽  
Maria José Bistafa Pereira ◽  
Celiane Camargo-Borges ◽  
Lauren Suemi Kawata ◽  
...  

OBJECTIVE: to analyze the experience of the family health team in resignifying the way to develop educational groups. METHOD: groups of discussion, with twenty-six biweekly group meetings conducted, with an average of fifteen professionals from the family health team, during the year 2009. The empirical material consisted of the transcription of the groups, on which thematic analysis was performed. RESULTS: two themes were developed and explored from the collective discussions with the team: "The experience and coordination of the groups" and "The work process and educational groups in a service-school". CONCLUSIONS: continuing Education in Health developed with the team, not only permitted learning about the educational groups that comprised the population, but also contributed to the team's analysis of its own relationships and its work process that is traversed by institutions. This study contributed to the advancement of scientific knowledge about the process of continuing health education as well as educational groups with the population. Also noteworthy is the research design used, providing reflexivity and critical analysis on the part of the team about the group process experienced in the meetings, appropriating knowledge in a meaningful and transformative manner.


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