scholarly journals Community assembly as a promotion of participatory management in healthcare

2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 331-335
Author(s):  
Daiane Mendes de Assis Réus ◽  
Fabiane Ferraz ◽  
Jacks Soratto ◽  
Patrícia Pilatti ◽  
Diego Floriano de Souza ◽  
...  

ABSTRACT Objective: To report the participatory management experience of a Family Health Strategy by means of community assemblies. Methods: Community assemblies were performed with the population of a Family Health Strategy center in the city of Criciúma/SC. The meetings occurred between 2016 and 2017, including health care professionals, managers, members of the organized civil society and the healthcare system clients. Results: The activity enable us to rethink the teamwork process regarding the system of health appointment scheduling and the replication of this process for all the family health teams of the municipality. Final remarks: Participatory management provided opportunities for new collective spaces that facilitate the democratization of healthcare in order to mobilize the role of the health system client in the development of more welcoming, resolute and integral health practices.

2018 ◽  
Vol 31 (1) ◽  
pp. 71-81
Author(s):  
Fernanda Werbicky CARVALHO-GEBRAN ◽  
Kellem Regina Rosendo VINCHA ◽  
Ana Maria CERVATO-MANCUSO

ABSTRACT Objective This study aimed to understand the role of health professionals in educational groups that have food and nutrition as their theme. Methods Qualitative research was conducted in the city of São Paulo, with professionals from the Family Health Strategy. Interviews were conducted to understand the professionals’ perceptions of the roles played in groups. These were analyzed using the Discourse of the Collective Subject technique. The groups’ observations on the performance of the professionals in their mediations were analyzed, based on the following items: meeting organization, communication, support, participation, confirmation of messages, and encouragement to ask questions. Results Twenty-two professionals from different backgrounds were interviewed, and 23 groups of different configurations were observed. The speeches showed that the professionals recognize themselves as organizers, mediators, and evaluators of the groups. Under the topic of organization, teamwork was highlighted. In mediation, there was an assumption of different types of performance that are inserted in conceptions of banking education and dialogical education. In the theme of evaluation, conflict and contradiction arose, pointing out the complexity of approaching a group theme when professionals seek a more horizontal posture with users. Observation of the groups revealed a duality between discourse and professional practice, which is surrounded by contradictions inserted into academic formation and the work process of the teams. Conclusion It was possible to understand the complexity of the practice of professionals when approaching the theme in groups, evidencing the need for spaces of care and for permanent education, especially when regarding professionals who use problematic and active approaches.


1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 


2013 ◽  
Vol 47 (2) ◽  
pp. 403-413 ◽  
Author(s):  
Lilian G Perez ◽  
Juliet D Sheridan ◽  
Andrea Y Nicholls ◽  
Katherine E Mues ◽  
Priscila S Saleme ◽  
...  

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.


2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 114-121 ◽  
Author(s):  
Marina Peduzzi ◽  
Carla Aguiar ◽  
Aline Maciel Vieira Lima ◽  
Patrícia Martins Montanari ◽  
Valéria Marli Leonello ◽  
...  

ABSTRACT Objective: To analyze the clinical practice of nurses in the interprofessional context of the Family Health Strategy. Method: Case study in a basic health unit of the city of São Paulo with a professional team of the Family Health Strategy and of the Family Health Support Center. Direct observation and interviews with thematic analysis and triangulation were conducted. Results: Four empirical categories were identified: interprofessional actions guided by the logic of the user's health needs; interprofessional actions guided by the logic of expediting service; interprofessional actions with a biomedical approach and interprofessional actions with an integral/holistic approach. Six interprofessional actions that indicated the expansion of the clinical practice of the Family Health Strategy's nurses were also identified. Conclusion: The results express the world trend of interprofessional practice and expansion of the scope of practice of different professions, particularly that of nurses, which requires consolidation based on the population's health needs.


2020 ◽  
Vol 10 (31) ◽  
pp. 57-64
Author(s):  
Luciana Valadão Vasconcelos Alves ◽  
Sonia Acioli ◽  
Vanessa De Almeida Ferreira Corrêa ◽  
Juliana Roza Dias

Caracterizar o acesso à visita domiciliar do enfermeiro da Estratégia Saúde da Família, em uma área de planejamento do município do Rio de Janeiro. Estudo descritivo, de abordagem qualitativa, cuja coleta de dados foi realizada por meio de entrevistas semiestruturadas, com 25 enfermeiros. Para análise dos dados utilizou-se a técnica hermenêutica-dialética. O acesso à visita domiciliar ocorre através da demanda de agentes comunitários de saúde, observações na consulta de enfermagem e pelo próprio usuário. São visitas voltadas às principais linhas de cuidado, acamados e com dificuldades de deambulação. O acesso à visita domiciliar do enfermeiro volta-se principalmente a agravos específicos e não às práticas de promoção da saúde. Essas informações podem apoiar a construção de estratégias voltadas à ampliação do acesso dos usuários a visita domiciliar do enfermeiro.Descritores: Saúde da Família, Enfermagem em Saúde Pública, Visita Domiciliar. Analysis of cognitive ergonomics in nursing in hemodialysis clinicAbstract: To characterize the access to home visits by nurses in the Family Health Strategy, in a planning area in the city of Rio de Janeiro. A descriptive study, with a qualitative approach, whose data collection was carried out through semi-structured interviews, with 25 nurses. For data analysis, the hermeneutic-dialectic technique was used. Access to home visits occurs through the demand for community health agents, observations in the nursing consultation and by the user himself. They are visits aimed at the main lines of care, bedridden and with walking difficulties. Access to the nurse's home visit is directed mainly to specific problems and not to health promotion practices. This information can support the construction of strategies aimed at expanding users access to nurses home visits.Descriptors: Family Health, Nurses Public Health, House Calls. Características del acceso a visitas domiciliarias: visión de las enfermeirasResumen: Caracterizar el acceso a las visitas domiciliarias por parte de enfermeras en la Estrategia de Salud Familiar, en un área de planificación en la ciudad de Río de Janeiro. Estudio descriptivo, con enfoque cualitativo, cuya recolección de datos se realizó mediante entrevistas semiestructuradas, con 25 enfermeras. Para el análisis de datos, se utilizó la técnica hermenéutica-dialéctica. El acceso a las visitas domiciliarias se produce a través de la demanda de agentes de salud comunitarios, observaciones en la consulta de enfermería y por el propio usuario. Son visitas dirigidas a las principales líneas de atención, encamadas y con dificultades para caminar. El acceso a la visita domiciliaria de la enfermera se dirige principalmente a problemas específicos y no a prácticas de promoción de la salud. Esta información puede apoyar la construcción de estrategias destinadas a ampliar el acceso de los usuarios a las visitas domiciliarias de las enfermeras.Descriptores: Salud Familiar, Visita Domiciliaria, Enfermería en Salud Pública.


2018 ◽  
Vol 7 (2) ◽  
pp. 249-261
Author(s):  
Daniela Santos ◽  
Pamela Scarlatt Duraes Oliveira ◽  
Adriana Barbosa Rodrigues ◽  
Sérgio Vinícius Cardoso de Miranda

Objetivo: Buscou-se com o presente trabalho conhecer a percepção do enfermeiro acerca das atividades em Educação em Saúde na Estratégia Saúde da Família. Método: Estudo com abordagem qualitativa, com enfermeiros atuantes em Estratégias Saúde da Família localizadas no município de Montes Claros, Minas Gerais, realizado no mês de setembro de 2016, com aplicação de um questionário semi-estruturado com seis perguntas norteadoras. Resultados: A análise de dados possibilitou a construção de três categorias centrais, a saber: Objetivos e prática da educação em saúde, Estratégia Saúde da Família: porta de entrada e Aspectos facilitadores e dificultadores da educação em saúde. Conclusão: Compreende-se que a Educação em Saúde representa ferramenta ímpar e sempre inovadora no campo da saúde para transformar a vida das pessoas e o processo saúde-doença do indivíduo e comunidade.Palavras-chave: Educação em saúde. Estratégia Saúde da Família. Enfermeiro. NURSES' PERCEPTION ABOUT ACTIVITIES IN HEALTH EDUCATION IN FAMILY HEALTH STRATEGY ABSTRACT: Objective: The aim of this work was to know the nurse's perception about the activities in Health Education in the Family Health Strategy. Method: A qualitative study with nurses working in Family Health Strategies located in the city of Montes Claros, Minas Gerais, Brazil, in September 2016, with the application of a semi-structured questionnaire with six guiding questions. Results: The data analysis allowed the construction of three central categories, namely: Objectives and practice of health education, Family Health Strategy: gateway and aspects of facilitating and hindering health education. Conclusion: It is understood that Health Education represents a unique and always innovative tool in the field of health to transform people's lives and the health-disease process of the individual and community.Keywords: Health Education. Family Health Strategy. Nurse.


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.


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 ◽  
...  

2014 ◽  
Vol 48 (5) ◽  
pp. 865-873
Author(s):  
Suelen Brito Azevedo ◽  
Luciana Pedrosa Leal ◽  
Maria Luiza Lopes Timóteo Lima ◽  
Silvana Maria Sobral Griz

Objective Evaluating the practice of nurses of the Family Health Strategy (FHS) in child hearing health care. Method A normative assessment of structure and process, with 37 nurses in the Family Health Units, in the city of Recife, Pernambuco. The data collection instrument originated from the logical model of child hearing health care provided by nurses of the Family Health Strategy, and the matrix of indicators for evaluation of nursing practice. Results All the nurses identified the hearing developmental milestones. At least two risk factors were identified by 94.5% of the nurses, and 21.6% of them carried out educational activities. Conclusion The normative assessment was considered adequate despite existing limitations in the structure and process.



Revista CEFAC ◽  
2018 ◽  
Vol 20 (1) ◽  
pp. 69-78
Author(s):  
Jacks Soratto ◽  
Silvana Cunha Fernandes ◽  
Cyntia Fontanella Martins ◽  
Cristiane Damiani Tomasi ◽  
Maria Teresa Brasil Zanini ◽  
...  

ABSTRACT Objective: to identify aspects that generate satisfaction and dissatisfaction among Family Health Strategy professionals working in the city of Cocal do Sul, SC. Methods: a qualitative study, conducted with 15 health professionals of three Family Health Strategy agencies. Data analysis was performed based on content analysis, supported by Atlas.ti software. Results: the results were structured from two macro categories, composed of five subcategories, which added 194 excerpts from 23 codes. The aspects related to satisfaction of the Family Health Strategy professionals were grouped into three subcategories, namely: satisfaction in the identification with the staff and work; satisfaction based on relationships with patients; and, structural work conditions and satisfaction. Within health professional dissatisfaction, two subcategories were created: dissatisfaction related to aspects of health management and the relationship between staff and patients, as promoters of dissatisfaction. Conclusion: the factors contributing to satisfaction and dissatisfaction are associated with working conditions and the work relationships established in professional practice.


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