Critical Requirements for Nursing Practice in Rural Disasters Caused by Floods

ABSTRACT Objective: To identify critical requirements for nursing practice when responding to hydrological disasters in the rural area. Method: A descriptive, exploratory and qualitative study was developed. The Critical Incidents Technique was adopted. Twenty public health nurses who worked during the flood season in the years of 2014 and 2015 in a rural area in Southern Brazil were interviewed. Content analysis of the data was developed. Results: Critical requirements for nurses’ practice were derived from the situations (n=78), critical behaviors (n=98) and consequences to the population (n=43) and to the nurses (n=38) identified. Conclusion / Final considerations: Although the requirements could be related to the established international referential for nurses’ practice in disasters, some were described only in this study. They can contribute to the education and practice of nurses in primary health care, strengthening its capacity to face disaster situations by flood in the rural area.

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The Experiences and Perceptions of Health-Care Workers During the COVID-19 Pandemic in Muscat, Oman: A Qualitative Study

Journal of Primary Care & Community Health ◽

10.1177/2150132720967514 ◽

2020 ◽

Vol 11 ◽

pp. 215013272096751

Author(s):

Thamra Al Ghafri ◽

Fatma Al Ajmi ◽

Huda Anwar ◽

Lamya Al Balushi ◽

Zainab Al Balushi ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Primary Health Care ◽

Qualitative Study ◽

Health Care Workers ◽

Lessons Learned ◽

Group Discussions ◽

Medical Response ◽

Primary Health ◽

Care Workers

Introduction Predominantly, studies on COVID-19 report quantitative data that often miss the social implications and other determinants of health. The objective of this study was to explore the experiences and perceptions of health care workers (HCWs) in primary health care in the management of COVID-19 with respect to medical response experiences, socio-cultural and religious reforms, psychological impressions, and lessons learned. Methods This was a qualitative study using an empirical phenomenological approach. Six focus group discussions were conducted across various stakeholders working frontline in the management of COVID-19 (managerial, public health/field/community and primary care health centers). They participated in semi-structured, in-depth group discussions from 11th to 20th May 2020. All discussions were audio-recorded, transcribed verbatim and analyzed using thematic analysis. Results Forty participants were involved in this study. Three themes emerged related to the medical response experiences, including the rapid re-structuring of the PHC services, use of technology and challenges of working on COVID-19. Perceptions on the socio-cultural and religious reforms included changes in social and religious norms, and anticipated gaps in accessing health care among the vulnerable groups (elderly, expatriates, and individuals with low economic status). Perceptions on psychological disturbances were themed as consequences of social distancing, management of dead bodies, exhaustion among the health care workers, and risk of exposure. Finally, lessons learned were centered around building on the existing epidemiological and public health capacities, improving access to health care and overcoming resistance to change. Most participants labelled their experience in COVID-19 as an “experience of wisdom” in which learning was a continuous process. Conclusion This qualitative study amongst primary HCWs revealed certain aspects of response to COVID-19 in Muscat, Oman. Results has unfolded various aspects of COVID-19. The situation was perceived by primary HCWs as a new experience that challenged the primary health care; enforced the utilization of public health/epidemiological skills, and linked to unfavorable socio-religious and psychological events.

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Primary Health Care from the perception of women living in a rural area

Revista da Escola de Enfermagem da USP ◽

10.1590/s0080-623420150000500003 ◽

2015 ◽

Vol 49 (5) ◽

pp. 726-732 ◽

Cited By ~ 1

Author(s):

Érica de Brito Pitilin ◽

Maicon Henrique Lentsck

Keyword(s):

Health Care ◽

Primary Health Care ◽

Rural Area ◽

Descriptive Study ◽

Southern Brazil ◽

Care Model ◽

Unequal Treatment ◽

Primary Health ◽

Rural Context

AbstractOBJECTIVEUnderstanding the perception of women living in a rural area about the actions and services of Primary Health Care (PHC) in a municipality of southern Brazil, which is the only one regarded as predominantly rural.METHODA descriptive study of qualitative approach, carried out with women who lived in the countryside and required health services in the 15 days prior to collection.RESULTSThe results registered low fidelity to PHC attributes, focusing its functional axis on sickness, transforming the unit into small points of emergency care and a bureaucratic place where patients are referred to other types of services. The quality of service offered is compromised to offering quick, fragmented and unequal treatment in the rural context.CONCLUSIONThe findings of this study highlight the need for greater efforts in order to adequate the new care model in the development of appropriate actions as designated by PHC in the rural context studied.

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Challenges in the care of patients with Chagas disease in the Brazilian public health system: A qualitative study with primary health care doctors

PLoS Neglected Tropical Diseases ◽

10.1371/journal.pntd.0008782 ◽

2020 ◽

Vol 14 (11) ◽

pp. e0008782

Author(s):

Renata Fiúza Damasceno ◽

Ester Cerdeira Sabino ◽

Ariela Mota Ferreira ◽

Antonio Luiz Pinho Ribeiro ◽

Hugo Fonseca Moreira ◽

...

Keyword(s):

Public Health ◽

Health Care ◽

Primary Health Care ◽

Qualitative Study ◽

Clinical Management ◽

Public Health System ◽

Endemic Region ◽

High Coverage ◽

Family Doctors ◽

Primary Health

Background Care to patients with Chagas disease (CD) is still a challenge for health systems in endemic and non-endemic countries. In the Brazilian public health system, the expansion of Primary Health Care (PHC) services to remote and disadvantaged areas has facilitated the access of patients with CD to medical care, however this is in a context where care gaps remain, with insufficient public funding and inadequate distribution of services. Considering the need for studies on care to patients with CD in different settings, this study explored the challenges of family doctors to provide care to patients with CD in an endemic region in Brazil with high coverage of public PHC services. Methods and findings This is a qualitative study. A focus group with 15 family doctors was conducted in a municipality participating in a multicenter cohort that monitors almost two thousand patients with CD in an endemic region in Brazil. The data were analyzed using a thematic content analysis technique. The family doctors pointed out the following challenges for care to patients with CD: unsatisfactory medical training (academic education not suitable for the clinical management of the disease, and lack of training on CD in PHC); uncertainties regarding antiparasitic treatment in the chronic phase of the disease; difficulty in patients’ access to specialized care when necessary, especially to the cardiologist; and trivialization of the disease by patients as a barrier to seeking care. Conclusion The access of CD patients to adequate medical care, even in regions with high coverage of public PHC services, still represents an important challenge for health systems. The results of this study may contribute to the development of strategies to improve the clinical management of CD in PHC.

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