Health advocacy and primary health care: evidence for nursing

ABSTRACT Objectives: to analyze nursing actions involving health advocacy in the context of primary health care and the consolidation of this right to health. Methods: this is an integrative literature review with content analysis of the results on health advocacy and its relationship with nursing in the context of primary health care. Results: the content analysis of the seven selected studies resulted in two thematic categories: “Right to health - a complex and progressive consolidation movement in Brazil” and “Advocacy in health and nursing”. Conclusions: despite the difficulties in defining the concept of health advocacy, nurses, in their practice, act with innovative alternatives to daily conflicts, exercising the users’ right to health in their relationships with health team members and the community.

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Ethical problems experienced by nurses in primary health care: integrative literature review

Revista Gaúcha de Enfermagem ◽

10.1590/1983-1447.2015.01.48809 ◽

2015 ◽

Vol 36 (1) ◽

pp. 112-121 ◽

Cited By ~ 6

Author(s):

Carlise Rigon Dalla Nora ◽

Elma Lourdes Campos Pavone Zoboli ◽

Margarida Vieira

Keyword(s):

Health Care ◽

Primary Health Care ◽

Literature Review ◽

Ethics Education ◽

Ethical Problems ◽

Team Members ◽

Problem Resolution ◽

Primary Health ◽

The Relationship ◽

Education Process

The aim of this study is to identify ethical problems experienced by nurses in primary health care and resources for coping based on publications on the subject. An integrative literature review was performed between the months of October and November 2013, using the databases: BDTD, CINAHL, LILACS, MEDLINE, Biblioteca Cochrane, PubMed, RCAAP and SciELO. Articles, dissertations and theses published in Portuguese, English and Spanish were included, totalling 31 studies published from 1992 to 2013. This analysis resulted in four categories: ethical problems in the relationship between team members, ethical problems in the relationship with the user, ethical problems in health services management and resources for coping with ethical problems. Results showed that nurses need to be prepared to face ethical problems, emphasizing the importance of ethics education during the education process before and during professional practice to enhance the development of ethical sensitivity and competence for problem resolution.

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The effect of preceptorship on nurses' training and preparation with implications for Qatar: A literature review

Journal of Nursing Education and Practice ◽

10.5430/jnep.v8n7p44 ◽

2018 ◽

Vol 8 (7) ◽

pp. 44 ◽

Cited By ~ 1

Author(s):

Hajer Arbabi ◽

Jessie Johnson ◽

Daniel Forgrave

Keyword(s):

Health Care ◽

Primary Health Care ◽

Literature Review ◽

Organizational Support ◽

Care Delivery ◽

Health Centers ◽

Primary Health ◽

Newly Graduated Nurses ◽

Level Of Training ◽

High Level

Background and objective: The Primary Health Care Corporation in Qatar was established in 2012 and is comprised of 23 Health Centers. One of its goals is to create excellence in its workforce. A preceptorship program needs to be initiated at the Primary Health Care Corporation to ensure a high level of training for its nurses. The purpose of these preceptorship programs is to ensure nurses are equipped to carry out Qatar’s National Health Strategy and in doing so the Primary Health Care Corporation has this as its goal. This study amis to assess the effectiveness of preceptorship program models that can eventually be used for adoption as training programs for nurses in Health Centers in Qatar.Methods: A literature review of twenty articles published between 2006 and 2017 that focused on different models of preceptorship programs was conducted. The Mixed Methods Appraisal Tool was used to assess the quality of these studies. The data was analyzed by categorizing the included articles in a matrix sheet based on study design.Results and conclusions: Preceptorship programs are effective in four key areas: increasing nursing knowledge, supporting effective and safe care delivery by newly graduated nurses, increasing organizational support, and decreasing turnover rate and cost.

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Pharmaceutical care in Brazil’s primary health care

Revista de Saúde Pública ◽

10.11606/s1518-8787.2017051007109 ◽

2017 ◽

Vol 51 (suppl.2) ◽

Author(s):

Patricia Sodré Araújo ◽

Ediná Alves Costa ◽

Augusto Afonso Guerra Junior ◽

Francisco de Assis Acurcio ◽

Ione Aquemi Guibu ◽

...

Keyword(s):

Health Care ◽

Health Promotion ◽

Primary Health Care ◽

Pharmaceutical Care ◽

Health Care Services ◽

Cross Sectional ◽

Educational Activities ◽

Health Team ◽

Care Services ◽

Primary Health

OBJECTIVE: To characterize the activities of clinical nature developed by pharmacists in basic health units and their participation in educational activities aiming at health promotion. METHODS: This article is part of the Pesquisa Nacional sobre Acesso, Utilização e Promoção do Uso Racional de Medicamentos – Serviços, 2015 (PNAUM – National Survey on Access, Use and Promotion of Rational Use of Medicines – Services, 2015), a cross-sectional and exploratory study, of evaluative nature, consisting of a survey of information in a representative sample of cities, stratified by the Brazilian regions that constitute domains of study, and a subsample of primary health care services. The interviewed pharmacists (n=285) were responsible for the delivery of medicines and were interviewed in person with the use of a script. The characterization of the activities of clinical nature was based on information from pharmacists who declared to perform them, and on participation in educational activities aiming at health promotion, according to information from all pharmacists. The results are presented in frequency and their 95% confidence intervals. RESULTS: From the interviewed subjects, 21.3% said they perform activities of clinical nature. Of these, more than 80% considered them very important; the majority does not dispose of specific places to perform them, which hinders privacy and confidentiality in these activities. The main denominations were “pharmaceutical guidance” and “pharmaceutical care.” The registration of activities is mainly made in the users’ medical records, computerized system, and in a specific document filed at the pharmacy, impairing the circulation of information among professionals. Most pharmacists performed these activities mainly along with physicians and nurses; 24.7% rarely participated in meetings with the health team, and 19.7% have never participated. CONCLUSIONS: Activities of clinical nature performed by pharmacists in Brazil are still incipient. The difficulties found point out to the professionals’ improvisation and effort. The small participation in educational activities of health promotion indicates little integration of pharmacists with the health team and of pharmaceutical services with other health actions

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Kendala Organisasi Berbasis Komunitas dalam Program Pencegahan dan Penanggulangan HIV/AIDS: Studi Kasus pada Dua LSM Peduli AIDS di Jakarta

Jurnal Penelitian dan Pengembangan Pelayanan Kesehatan ◽

10.22435/jpppk.v2i3.761 ◽

2019 ◽

pp. 163-174

Author(s):

Ranti Suciati ◽

Mujiati Mujiati ◽

Novianti Novianti

Keyword(s):

Social Support ◽

Health Care ◽

Content Analysis ◽

Primary Health Care ◽

Community Based ◽

Purposive Sampling ◽

Community Based Organizations ◽

Primary Health ◽

The Government ◽

Hiv Aids

Abstrak Semakin meningkatnya jumlah kasus HIV/AIDS di Indonesia, berdampak tidak hanya pada masalah kesehatan, memacu pemerintah untuk melibatkan masyarakat sipil dalam Organisasi Berbasis Komunitas (OBK) untuk ikut berperan dalam upaya pencegahan dan penanggulangan HIV/AIDS. Pentingnya identifikasi kendala atau hambatan yang dihadapi oleh OBK memunculkan strategi atau alternatif solusi untuk mengatasi kendala, serta memberikan gambaran model intervensi yang lebih sinkron antara pemerintah dan masyarakat. Desain penelitian adalah kualitatif dengan melakukan studi kasus di dua LSM Peduli AIDS di Jakarta. Informan dipilih secara purposive sampling yaitu pengurus, anggota/petugas, dan dampingan dari dua OBK. Pengumpulan informasi dengan wawancara mendalam berdasarkan pedoman wawancara dan diolah menggunakan metode content analysis. Kendala yang dihadapi OBK yaitu alur rujukan BPJS yang mengikuti domisili sehingga memberatkan pasien, kurang optimalnya koordinasi dan kerjasama antara OBK dengan Puskesmas, belum meratanya kualitas dan kapasitas SDM anggota OBK, persoalan administratif organisasi, sumber dana yang tidak selalu kontinu, adanya perbedaan kepentingan antara OBK dengan pihak kepolisian, serta masih tingginya stigma masyarakat terhadap penderita HIV/AIDS. Solusi mengatasi kendala OBK dilakukan dengan peningkatan efektifitas pelaksanaan program pemerintah melalui OBK, antara lain dengan penerapan fleksibilitas pengelolaan dana berdasarkan kinerja OBK, peningkatan kapasitas SDM, pemantapan sistem manajerial, pemahaman alur layanan kesehatan di Puskesmas, serta social support bagi penderita HIV/AIDS. Kata kunci: organisasi berbasis komunitas, LSM, HIV/AIDS Abstract The increasing number of HIV/AIDS cases in Indonesia that impact not only on health issues, spur the Government to involve civil society in community-based organizations (OBK) to play a role in HIV/AIDS prevention program. Identification of constraints or obstacles faced by OBK do as they can generate alternative strategies or solutions to overcome these constraints, and provide a more synchronous model of intervention between the government and the community. This type of research is a case study at two AIDS Awareness NGOs in Jakarta. The informants were chosen by purposive sampling ie the board, members/officers, and assistants from the two NGOs. Information collection with by in-depth interview based on interview guideline and processed using content analysis method. Constraints faced by the OBK is the issue of referral flow pathways that follow the domicile so burdensome patients, less optimal coordination and cooperation between OBK with primary health care, uneven quality and capacity of human resources of NGO members, organizational administrative issues, sources of funds that are not always continuous, different interests between the OBK with the police department, and the stigma. Reduction of obstacles faced by OBK can be done by increasing the effectiveness of government program implementation through OBK, among others by applying flexibility of fund management based on OBK performance, human resource capacity building, managerial system strengthening, understanding of health service flow in primary health care, and social support for patient HIV/AIDS. Keywords: community-based organizations, NGOs, HIV/AIDS

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Literature review to identify standardized scales of assessment of suicidal risk in adults seen in primary health care

Medwave ◽

10.5867/medwave.2018.05.7246 ◽

2018 ◽

Vol 18 (05) ◽

pp. e7246-e7246

Author(s):

Carolina Abarca ◽

Cecilia Gheza ◽

Constanza Coda ◽

Bernardita Elicer

Keyword(s):

Health Care ◽

Primary Health Care ◽

Literature Review ◽

Suicidal Risk ◽

Primary Health

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Integrating Mental Health Services into the Primary Health Care System: The Need for Reform in Iran

Iranian Journal of Psychiatry ◽

10.18502/ijps.v16i3.6258 ◽

2021 ◽

Author(s):

Ahmad Hajebi ◽

Vandad Sharifi ◽

Maryam Abbasinejad ◽

Ali Asadi ◽

Nahid Jafari ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Primary Health Care ◽

Mental Health Services ◽

Health Services ◽

Literature Review ◽

Financial Resources ◽

Primary Health Care System ◽

Primary Health ◽

Integrated Mental Health

Objective: The main objective of this study was to review aspects of the current situation and structure of the integrated mental health care services for planning a reform. Aspects of the newly designed infrastructure, along with specification of duties of the various human resources, and its relation with Iran’s Comprehensive Mental and Social Health Services (the SERAJ Program), will also be presented Method: This is a study on service design and three methods of literature review, deep interview with stakeholders, and focused group discussions. In the literature review, national and international official documents, including official reports of the World Health Organization (WHO) and consultant field visits, were reviewed. Deep semi-structured interviews with 9 stakeholders were performed and results were gathered and categorized into 3 main questions were analyzed using the responsibility and effectiveness matrix method. The Final results were discussed with experts, during which the main five-domain questions were asked and the experts’ opinions were observed. Results: In this study, the main gaps of the public mental health care (PHC) services in Iran were identified, which included reduction of risk factors for mental disorders, training the general population, early recognition and treatment of patients with mental disorders, educating patients and their families, and rehabilitation services. The new model was then proposed to fill these gaps focusing on increasing access, continuity of care, coordination in service delivery, and comprehensiveness of care. A mental health worker was placed besides general healthcare workers and general practitioners (GPs). Services were prioritized and the master flowchart for mental health service delivery was designed. Conclusion: A reform was indeed necessary in the integrated mental health services in Iran, but regarding the infrastructure needed for this reform, including human and financial resources, support of the senior authorities of the Ministry of Health (MOH) is necessary for the continuity and enhancement of services. In this model, attention has been given to the principles of integrating mental health services into primary health care. Current experience shows that the primary health care system has been facing many executive challenges, and mental health services are not exclusion to this issue. Monitoring and evaluation of this model of service and efforts for maintaining sustainable financial resources is recommended to make a reform in this system and to stabilize it.

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PRESERVING REPRODUCTIVE HEALTH OF PATIENTS AFFECTED BY CERVICAL CANCER AS REFLECTION OF QUALITY OF RENDERING PRIMARY HEALTH CARE (LITERATURE REVIEW)

Journal of the Grodno State Medical University ◽

10.25298/2221-8785-2018-16-4-401-407 ◽

2018 ◽

Vol 16 (4) ◽

pp. 401-407

Author(s):

T. M. Harelik ◽

◽

I. A. Naumau ◽

Keyword(s):

Health Care ◽

Cervical Cancer ◽

Primary Health Care ◽

Reproductive Health ◽

Literature Review ◽

Primary Health

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Vulnerability and Primary Health Care: An Integrative Literature Review

Journal of Primary Care & Community Health ◽

10.1177/21501327211049705 ◽

2021 ◽

Vol 12 ◽

pp. 215013272110497

Author(s):

Janise Braga Barros Ferreira ◽

Luciane Loures dos Santos ◽

Luciana Cisoto Ribeiro ◽

Belkiss Rolim Rodrigues Fracon ◽

Sabrina Wong

Keyword(s):

Health Care ◽

Primary Health Care ◽

Literature Review ◽

Scientific Literature ◽

Inclusion Criteria ◽

Primary Health ◽

Theoretical Perspectives ◽

Final Sample ◽

Theoretical Foundations

The objective was to analyze the evidence available in the scientific literature on the concept of vulnerability, in theoretical perspectives and its use, in Primary Health Care. An integrative literature review was carried out with the inclusion criteria: articles in English, full text, peerreviewed, related to vulnerability and primary health care, with the explicit concept of vulnerability, and published until July 31, 2020. The electronic databases accessed were by crossing the descriptors “vulnerability,” “vulnerabilities,” “primary health care,” “primary healthcare,” and “primary care.” The final sample consisted of 19 articles. The thematic analysis produced 2 themes: “Theoretical foundations of the concept of vulnerability” and “The use of the concept of vulnerability in PHC.” In the second theme, 2 sub-themes emerged: Evaluation of health policies, programs, and services and Classification of individuals, groups, and families. There was a plurality of theoretical foundations for the concept of vulnerability and a smaller scope of its use in Primary Health Care. It is expected that the study will subsidize public policymakers and health teams in the design of services and actions aimed at vulnerable populations and in situations of vulnerability.

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