scholarly journals Contributions of the nurse’s clinical practice to Primary Care

2019 ◽  
Vol 72 (2) ◽  
pp. 354-359 ◽  
Author(s):  
Carolina Kahl ◽  
Betina Horner Schlindwein Meirelles ◽  
Kamylla Santos da Cunha ◽  
Mariana da Silva Bernardo ◽  
Alacoque Lorenzini Erdmann
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Qualitative Research ◽  
Primary Health Care ◽  
Clinical Practice ◽  
Problem Solving ◽  
Nursing Practice ◽  
Care Service ◽  
Clinical Nursing ◽  
Primary Health

ABSTRACT Objective: To understand the repercussions of the nurse’s clinical practice on Primary Health Care. Method: Qualitative research with the theoretical and methodological contribution of Grounded Theory. Data collection took place between May and October 2016 in Florianópolis’ Primary Care service. The theoretical sample was comprised of 18 nurses divided into two groups. Results: nurses’ clinical practice has repercussions on the consolidation of the trust bond between individuals, families and communities, by amplifying the problem-solving efficacy of the Primary Health Care professional’s clinical practice. This is due to the implementation of clinical nursing protocols, and also the use of the International Classification for Nursing Practice. Final considerations: Nurses’ clinical practice has positive repercussions on the health of Primary Health Care users.

scholarly journals Cross-cultural adaptation of the primary health care satisfaction questionnaire

2014 ◽  
Vol 27 (5) ◽  
pp. 419-426 ◽  
Author(s):  
Elisabete Pimenta Araujo Paz ◽  
Pedro Miguel Santos Dinis Parreira ◽  
Alexandrina de Jesus Serra Lobo ◽  
Rosilene Rocha Palasson ◽  
Sheila Nascimento Pereira de Farias
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Psychometric Properties ◽  
Internal Consistency ◽  
Cultural Adaptation ◽  
Care Service ◽  
Cross Cultural ◽  
Care Services ◽  
Primary Health

Objective To develop the cross-cultural validation and assessment of the psychometric properties of the Questionnaire about the quality and satisfaction dimensions of patients with primary health care. Methods Methodological cultural adaptation and assessment study of the psychometric properties, involving 398 users from a primary care service. The construct validity was verified through principal components factor analysis and internal consistency assessment as determined by Cronbach’s alpha, using SPSS. Results A factorial structure was identified that is equivalent to the original instrument, showing six factors that explain 70.81% of the total variance. All internal consistency coefficients were higher than 0.84, indicating appropriate psychometric properties. Conclusion The results show that the Brazilian Portuguese version of the instrument is culturally and linguistically appropriate to assess the satisfaction of users attended in primary care services.

Trust in Relationships Between Primary Health Care Organisations

2001 ◽  
Vol 7 (1) ◽  
pp. 56 ◽  
Author(s):  
Jenny Adam ◽  
Rae Walker
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Service Providers ◽  
Care Service ◽  
Local Population ◽  
Partnership Development ◽  
Health And Wellbeing ◽  
Primary Health ◽  
Primary Care Sector

In Victoria the primary health care sector is in a period of change intended to strengthen the integration of a complex service system through a process of partnership development based on collaboration. The partnerships are voluntary alliances of the primary care service providers, usually within a locality of two to three local government areas. Their purpose is to improve the health and wellbeing of the local population by strengthening inter-agency coordination in the areas of needs identification, planning and service delivery. Trust is a key issue in this process. This paper is a report of the first stage of a study to explore trust in the context of relationships between organisations in the primary care sector.

scholarly journals Subset of nursing diagnoses for the elderly in Primary Health Care

2016 ◽  
Vol 50 (2) ◽  
pp. 272-278 ◽  
Author(s):  
Jorge Wilker Bezerra Clares ◽  
Maria Vilaní Cavalcante Guedes ◽  
Lúcia de Fátima da Silva ◽  
Maria Miriam Lima da Nóbrega ◽  
Maria Célia de Freitas
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Nursing Care ◽  
Nursing Practice ◽  
The Elderly ◽  
Human Needs ◽  
Clinical Nursing ◽  
Primary Health ◽  
Basic Human Needs ◽  
Nursing Diagnoses

Abstract OBJECTIVE To develop a subset of nursing diagnoses for the elderly followed in primary health care based on the bank of terms for clinical nursing practice with the elderly, in the International Classification for Nursing Practice (ICNP(r)) version 2013, and on the Model of Nursing Care. METHOD Descriptive study developed in sequential steps of construction and validation of the bank of terms, elaboration of the nursing diagnoses based on the guidelines of the International Council of Nurses and the bank of terms, and categorization of diagnostics according to the Care Model. RESULTS The total of 127 nursing diagnoses were elaborated from 359 validated terms, distributed according to the basic human needs. CONCLUSION It is expected that these diagnoses will form the basis for the planning of nursing care and use of a unified language for documentation of clinical nursing practice with the elderly in primary care.

scholarly journals Empanelment: A foundational component of primary health care

2019 ◽  
Vol 3 ◽  
pp. 1654 ◽  
Author(s):  
Trudy Bearden ◽  
Hannah L. Ratcliffe ◽  
Jonathan R. Sugarman ◽  
Asaf Bitton ◽  
Leonard Abbam Anaman ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Universal Health Coverage ◽  
Care Service ◽  
Target Population ◽  
Health Coverage ◽  
Critical Pathway ◽  
Primary Health ◽  
Universal Health

Empanelment is a foundational strategy for building or improving primary health care systems and a critical pathway for achieving effective universal health coverage. However, there is little international guidance for defining empanelment or understanding how to implement empanelment systems in low- and middle-income countries. To fill this gap, a multi-country collaborative within the Joint Learning Network for Universal Health Coverage developed this empanelment overview, proposing a people-centered definition of empanelment that reflects the responsibility to proactively deliver primary care services to all individuals in a target population. This document, building on existing literature on empanelment and representing input from 10 countries, establishes standard concepts of empanelment and describes why and how empanelment is used. Finally, it identifies key domains that may influence effective empanelment and that must be considered in deciding how empanelment can be implemented. This document is designed to be a useful resource for health policymakers, planners and decision-makers in ministries of health, as well as front line providers of primary care service delivery who are working to ensure quality people-centered primary care to everyone everywhere.

scholarly journals Práticas de enfermagem em cuidados de saúde primários com base num referencial de competências

2019 ◽  
Vol 9 (27) ◽  
pp. 23
Author(s):  
Virgínia Maria Sousa Guedes ◽  
Maria Henriqueta Jesus Silva Figueiredo ◽  
João Luís Alves Apóstolo ◽  
Marlene Lebreiro Silva ◽  
Palmira Conceição Martins Oliveira ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Nursing Practice ◽  
Care Plan ◽  
Care Nurse ◽  
Primary Health ◽  
General Care

O objetivo deste estudo é identificar ações desenvolvidas por enfermeiros nos cuidados primários, com base no referencial de competências do enfermeiro de cuidados gerais da Ordem dos Enfermeiros Portuguesa. Estudo exploratório descritivo, em uma amostra de 46 enfermeiros de cuidados gerais, que trabalham em cuidados de saúde primários. As ações mais realizadas pelo enfermeiro de cuidados gerais mais comuns em CSP são: proteger o direito do cliente, atuar de acordo com linhas de orientação, solicitar colaboração de serviços de saúde, documentar processamento de informação, avaliar plano de cuidados em grupo, colaborar com serviços de saúde e estabelecer a confiança. Os princípios éticos profissionais parecem estar claramente presentes na prática do enfermeiro de cuidados gerais em cuidados primários. O conhecimento sobre as ações de enfermagem desenvolvidas em determinado contexto permitirá uma melhor avaliação de competências, dos planos formativos e da qualidade dos cuidados.Descritores: Cuidados de Saúde Primários, Prática de Enfermagem, Competências. Nursing practice in primary health care based on a competency frameworkAbstract: This study aims to identify actions developed by nurses in primary care which translate competencies of the general care nurse based on the Portuguese Order of Nurses competency framework. Descriptive exploratory study in a sample of 46 general care nurses, who exercise their functions in primary care. The most common actions performed by participants are: to protect the client's right, to act according to the guidelines, to request collaboration from health services, to document information processing, to evaluate a group care plan, to collaborate with health services. The professional values and guiding principles seem to be clearly present in the practice of general nurses in primary care. The knowledge about the actions that nurses use in a given context of their practice may allow for a better monitoring of competencies, an improvement in the training plans as well as a consequent continuous improvement of the quality of care services.Descriptors: Primary Health Care, Nursing Practice, Competencies. Práctica de enfermería en atención primaria de salud basada en un marco de competenciasResumen: Este estudio tiene como objetivo identificar las acciones desarrolladas por las enfermeras en atención primaria que traducen las competencias de la enfermera de atención general según el marco de competencias de la Orden de Enfermeras de Portugal. Estudio descriptivo exploratorio en una muestra de 46 enfermeras de cuidados generales, que trabajan en atención primaria. Las acciones más comunes son: proteger el derecho del cliente, actuar de acuerdo con las pautas, solicitar la colaboración de los servicios de salud, documentar el procesamiento de la información, evaluar un plan de atención grupal, colaborar con los servicios de salud. Los valores profesionales y los principios rectores parecen estar claramente presentes en la práctica de las enfermeras generales en atención primaria. El conocimiento sobre las acciones que las enfermeras utilizan en un contexto dado de su práctica puede permitir un mejor monitoreo de las competencias, una mejora en los planes de capacitación y una mejora continua en la calidad de los servicios de atención.Descriptores: Atención Primaria de Salud, Enfermería Práctica, Competencia.

scholarly journals Práticas de enfermagem em cuidados de saúde primários com base num referencial de competências

2019 ◽  
Vol 9 (27) ◽  
pp. 23-32
Author(s):  
Virgínia Maria Sousa Guedes ◽  
Maria Henriqueta Jesus Silva Figueiredo ◽  
João Luís Alves Apóstolo ◽  
Marlene Lebreiro Silva ◽  
Palmira Conceição Martins Oliveira ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Health Services ◽  
Nursing Practice ◽  
Care Plan ◽  
Care Nurse ◽  
Primary Health ◽  
General Care

O objetivo deste estudo é identificar ações desenvolvidas por enfermeiros nos cuidados primários, com base no referencial de competências do enfermeiro de cuidados gerais da Ordem dos Enfermeiros Portuguesa. Estudo exploratório descritivo, em uma amostra de 46 enfermeiros de cuidados gerais, que trabalham em cuidados de saúde primários. As ações mais realizadas pelo enfermeiro de cuidados gerais mais comuns em CSP são: proteger o direito do cliente, atuar de acordo com linhas de orientação, solicitar colaboração de serviços de saúde, documentar processamento de informação, avaliar plano de cuidados em grupo, colaborar com serviços de saúde e estabelecer a confiança. Os princípios éticos profissionais parecem estar claramente presentes na prática do enfermeiro de cuidados gerais em cuidados primários. O conhecimento sobre as ações de enfermagem desenvolvidas em determinado contexto permitirá uma melhor avaliação de competências, dos planos formativos e da qualidade dos cuidados.Descritores: Cuidados de Saúde Primários, Prática de Enfermagem, Competências. Nursing practice in primary health care based on a competency frameworkAbstract: This study aims to identify actions developed by nurses in primary care which translate competencies of the general care nurse based on the Portuguese Order of Nurses competency framework. Descriptive exploratory study in a sample of 46 general care nurses, who exercise their functions in primary care. The most common actions performed by participants are: to protect the client's right, to act according to the guidelines, to request collaboration from health services, to document information processing, to evaluate a group care plan, to collaborate with health services. The professional values and guiding principles seem to be clearly present in the practice of general nurses in primary care. The knowledge about the actions that nurses use in a given context of their practice may allow for a better monitoring of competencies, an improvement in the training plans as well as a consequent continuous improvement of the quality of care services.Descriptors: Primary Health Care, Nursing Practice, Competencies. Práctica de enfermería en atención primaria de salud basada en un marco de competenciasResumen: Este estudio tiene como objetivo identificar las acciones desarrolladas por las enfermeras en atención primaria que traducen las competencias de la enfermera de atención general según el marco de competencias de la Orden de Enfermeras de Portugal. Estudio descriptivo exploratorio en una muestra de 46 enfermeras de cuidados generales, que trabajan en atención primaria. Las acciones más comunes son: proteger el derecho del cliente, actuar de acuerdo con las pautas, solicitar la colaboración de los servicios de salud, documentar el procesamiento de la información, evaluar un plan de atención grupal, colaborar con los servicios de salud. Los valores profesionales y los principios rectores parecen estar claramente presentes en la práctica de las enfermeras generales en atención primaria. El conocimiento sobre las acciones que las enfermeras utilizan en un contexto dado de su práctica puede permitir un mejor monitoreo de las competencias, una mejora en los planes de capacitación y una mejora continua en la calidad de los servicios de atención.Descriptores: Atención Primaria de Salud, Enfermería Práctica, Competencia.

scholarly journals Clinical Practice Models for the Use of E-Mental Health Resources in Primary Health Care by Health Professionals and Peer Workers: A Conceptual Framework

2015 ◽  
Vol 2 (1) ◽  
pp. e6 ◽  
Author(s):  
Julia Reynolds ◽  
Kathleen M Griffiths ◽  
John A Cunningham ◽  
Kylie Bennett ◽  
Anthony Bennett
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Clinical Practice ◽  
Conceptual Framework ◽  
Service Providers ◽  
Health Resources ◽  
Primary Health ◽  
Practice Models

Background Research into e-mental health technologies has developed rapidly in the last 15 years. Applications such as Internet-delivered cognitive behavioral therapy interventions have accumulated considerable evidence of efficacy and some evidence of effectiveness. These programs have achieved similar outcomes to face-to-face therapy, while requiring much less clinician time. There is now burgeoning interest in integrating e-mental health resources with the broader mental health delivery system, particularly in primary care. The Australian government has supported the development and deployment of e-mental health resources, including websites that provide information, peer-to-peer support, automated self-help, and guided interventions. An ambitious national project has been commissioned to promote key resources to clinicians, to provide training in their use, and to evaluate the impact of promotion and training upon clinical practice. Previous initiatives have trained clinicians to use a single e-mental health program or a suite of related programs. In contrast, the current initiative will support community-based service providers to access a diverse array of resources developed and provided by many different groups. Objective The objective of this paper was to develop a conceptual framework to support the use of e-mental health resources in routine primary health care. In particular, models of clinical practice are required to guide the use of the resources by diverse service providers and to inform professional training, promotional, and evaluation activities. Methods Information about service providers’ use of e-mental health resources was synthesized from a nonsystematic overview of published literature and the authors’ experience of training primary care service providers. Results Five emerging clinical practice models are proposed: (1) promotion; (2) case management; (3) coaching; (4) symptom-focused treatment; and (5) comprehensive therapy. We also consider the service provider skills required for each model and the ways that e-mental health resources might be used by general practice doctors and nurses, pharmacists, psychologists, social workers, occupational therapists, counselors, and peer workers Conclusions The models proposed in the current paper provide a conceptual framework for policy-makers, researchers and clinicians interested in integrating e-mental health resources into primary care. Research is needed to establish the safety and effectiveness of the models in routine care and the best ways to support their implementation.

scholarly journals The Swedish National Diabetes Register in clinical practice and evaluation in primary health care

2016 ◽  
Vol 17 (06) ◽  
pp. 549-558 ◽  
Author(s):  
Ing-Marie Hallgren Elfgren ◽  
Ewa Grodzinsky ◽  
Eva Törnvall
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Clinical Practice ◽  
Older Patients ◽  
Special Focus ◽  
Nurse Specialist ◽  
Primary Health ◽  
Target Values ◽  
Diabetes Register

AimThe purpose of this project is to describe the use of the Swedish National Diabetes Register (NDR) in clinical practice in a Swedish county and to specifically monitor the diabetes care routines at two separate primary health-care centres (PHCC) with a special focus on older patients.BackgroundAccording to Swedish law, all health-care units have to maintain a system for quality evaluation and improvement. As the NDR holds the most important quality indicators, implementation of the NDR in primary care was carried out by an implementation project in 2002–2005.MethodsInitially, a digital questionnaire about NDR routines was sent to all PHCC. Statistics about hemoglobin adult 1c (HbA1c) and blood pressure (BP) was presented for the diabetes teams at two centres who were also interviewed. The responses became the basis for a focus group interview with both teams together, with data subject to content analysis.FindingsThe study showed that reporting to the NDR has become a compulsory routine in primary care. The diabetes nurse specialist was responsible for the practical management of the register and used the NDR for continuous monitoring of the patients. Most centres used the NDR’s statistics for evaluation and analyses annually. The diabetes nurse adapted the visits to the patient’s wishes and general condition. Only in terms of target values for HbA1c and BP did they accept slightly higher values for the older patients. Since the NDR was implemented, the registration rate has remained at 75% and has not increased. The reason given was that patients with diabetes living in nursing homes are checked up by the municipal nurse who does not use the NDR. However, the risk of omitting older patients in the NDR could be considerably decreased if data could be transferred from the electronic patient record.

Impulse Control Disorders in Medical Settings

2012 ◽  
Author(s):  
Sean G. Sullivan
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Impulse Control ◽  
Care Service ◽  
Health Care Service ◽  
Impulse Control Disorders ◽  
Short Supply ◽  
Medical Settings ◽  
Primary Care Settings ◽  
Primary Health

Impulse control disorders (ICDs) and conditions with impulse control features provide a challenge in terms of identification, treatment, and follow-up when mental health specialists are in short supply. Medical settings, in particular the largest, primary health care, provide an opportunity to address many impulse-affected conditions currently poorly assessed and treated in health care settings. Barriers to intervention for ICDs in primary health care are time constraints; understanding of the etiology, symptoms, and appropriate interventions; the health and social costs; and prioritizing of training in and treatment of conditions perceived as more serious or appropriate to a primary health care service. These barriers may possibly be overcome in primary care settings, and in this chapter, a model to address problem gambling is described.

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