scholarly journals Knowledge of primary health care professionals on health policies for the riverside population

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Leandro Barreto da Silva ◽  
Ivaneide Leal Ataíde Rodrigues ◽  
Laura Maria Vidal Nogueira ◽  
Ingrid Fabiane Santos da Silva ◽  
Felipe Valino dos Santos

ABSTRACT Objectives: to analyze the knowledge of health professionals on the health policies for the riverside population; identify how health practices with this group are developed; and discuss facilitators and barriers for the implementation of these policies. Methods: qualitative and descriptive study with 24 professionals from the Riverside Family Health Strategy Teams in the city of Belém-Pará. Data were collected in individual interviews and analyzed by Content Analysis. Results: although professionals demonstrate knowledge about public health policies, there is a need to expand and strengthen knowledge about health policies for the riverside population. The activities directed to the communities took place in the Unit itself, and some did not occur due to insufficient material and human resources. Final Considerations: the greatest barrier for the organization of health care is the lack of material and human resources, and the most prominent facilitator was the union and cohesion of the health team.

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Gislaine Desani da Costa ◽  
Odineide Gomes dos Santos ◽  
Maria Amélia de Campos Oliveira

ABSTRACT Objective: To identify the knowledge and attitudes of doctors and nurses in tracking, diagnosing, treating, and monitoring dementias and their educational needs in this area. Method: Cross-sectional study, carried out among 195 doctors and 274 nurses working in teams of the Family Health Strategy (FHS) in the city of São Paulo. The instrument used was Health Care for Dementia: the Primary Care perspective. The data were submitted for descriptive statistics. Results: Among physicians, 64.1% reported routinely diagnosing dementia, but only 23.1% in the mild phase; 89.2% mentioned difficulties in identifying cases of the disease; 94.9%, difficulties in the treatment and monitoring of patients, including the needs to support the caregiver (28.2%); 84.6% of doctors and 79.2% of nurses reported difficulties in monitoring severe cases of the disease. Conclusion: Gaps in knowledge were identified regarding the tracking and diagnosis of dementia, patient monitoring, diagnostic information, and support for the caregiver.


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.


Bionorte ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 134-142
Author(s):  
Ludmila Cotrim Fagundes ◽  
Caio Fagundes Quadros Lima ◽  
Luciana Cristine Dias ◽  
Maria Alice Miranda Fortes ◽  
André Augusto Dias Silveira ◽  
...  

Objective:to evaluate the essential attributes of primary care in a Family Health Strategy in the city of Montes Claros -MG from the perspective of the assisted population. Materials and Methods:this is a quantitative and descriptive study, with a sample of 130 patients. The Sociodemographic Questionnaire and the Questionnaire for the Evaluation of the Attributes of Primary Care were applied between the months of September and October 2018. The results were tabulated in an Excel spreadsheet. Results:the four Essential Attributes of Primary Care were mostly answered with a reasonable level of satisfaction or above. Overall average satisfaction was 6.8 points. Conclusion:the reduction of waiting time for appointments with general practitioners and the absence of specialists in the FHS were the main demands. However, in the eyes of users, it was evident that the four Essential Attributes of Primary Health Care, in general, are well exerted.


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.



10.3823/2509 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rafael Rodolfo Tomaz de Lima ◽  
Natanael De Freitas Neto ◽  
Thais Paulo Teixeira Costa ◽  
Rosana Lúcia Alves de Vilar ◽  
Janete Lima de Castro ◽  
...  

This article purpose is to analyze the insertion of the population aging theme in the training of professionals working in the Family Health Strategy and in the Family Health Support Center. This is a study with a qualitative approach and documentary type, carried out in the state of Rio Grande do Norte, located in the Northeastern region of Brazil. To reach the objective, the pedagogical projects of the courses for the professions that work in the Family Health Strategy and in the Family Health Support Unit were searched. The documents analysis was based on the content analysis method, using the thematic analysis technique in three pre-established registration units: (i) skills and abilities; (ii) professional profile; and (iii) curricular structure. From the analysis of the pedagogical projects, two analytical categories emerged: discussion about aging and training for health care of the elderly. The research result was that the discussion about the thematic of the aging in the process of formation of human resources in health is still insipient. There is a clear necessity to prepare people to provide adequate attention to the elderly population, as well as to formulate and manage public policies for the mentioned population that benefits from Health Unic System (SUS) Keywords: Aging; Health of the Elderly; Human Resources in Health; Health education; Primary Health Care.


2014 ◽  
Vol 22 (3) ◽  
pp. 448-453 ◽  
Author(s):  
Dora Mariela Salcedo-Barrientos ◽  
Paula Orchiucci Miura ◽  
Vanessa Dias Macedo ◽  
Emiko Yoshikawa Egry

OBJECTIVES: to determine how Family Health Strategy professionals recognize and deal with domestic violence in pregnant women.METHOD: qualitative study based on the Theory of Praxis Intervention in Collective Health Nursing (TIPESC). Fourteen professionals at a Basic Health Unit in the east side of Sao Paulo/Brazil were interviewed. Empirical data were categorized and discussed in thematic groups. For data analysis was used the technique of Discourse Analysis.RESULTS: we identified low number of reported cases of domestic violence; lack of education and training of health care professionals; failure in the identification and intervention process due to bias on their personal problems, moral attitudes and prejudice against these women. In addition, the study showed that their labor process was based entirely on the biological aspects of the women and to overcome this, they need of proper rapport between health care professionals and pregnant women to deal with of domestic violence.CONCLUSION: professionals should develop skills to intervene in violence against pregnant women and also modify labor processes considering women in their totality and part of society.


Author(s):  
Maria Aparecida Salci ◽  
Betina Hörner Schlindwein Meirelles ◽  
Denise Maria Guerreiro Vieira da Silva

ABSTRACT Objective: to assess the health care Primary Health Care professionals provide to diabetes mellitus patients from the perspective of the Modelo de Atenção às Condições Crônicas. Method: qualitative study, using the theoretical framework of Complex Thinking and the Modelo de Atenção às Condições Crônicas and the methodological framework of assessment research. To collect the data, 38 interviews were held with health professionals and managers; observation of the activities by the health teams; and analysis of 25 files of people who received this care. The data analysis was supported by the software ATLAS.ti, using the directed content analysis technique. Results: at the micro level, care was distant from the integrality of the actions needed to assist people with chronic conditions and was centered on the biomedical model. At the meso level, there was disarticulation among the professionals of the Family Health Strategy, between them and the users, family and community. At the macro level, there was a lack of guiding strategies to implement public policies for diabetes in care practice. Conclusion: the implementation of the Modelo de Atenção às Condições Crônicas represents a great challenge, mainly needing professionals and managers who are prepared to work with chronic conditions are who are open to break with the traditional model.


2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Elisangela Costa de Oliveira ◽  
Ana Tereza de Medeiros ◽  
Flávia Maiele Pedroza Trajano ◽  
Gabriel Chaves Neto ◽  
Sandra Aparecida de Almeida ◽  
...  

ABSTRACT This study aimed to analyze the conceptions that guide the practices of professionals in relation to care provided in mental health. This qualitative study enrolled professionals from a government health clinic in João Pessoa, Paraíba, Brazil. Data collection was conducted through a semi-structured interview during which the testimonies were recorded and subsequently transcribed in full. Analysis of the speech used Fiorin's Critical Theory, which allowed the elaboration of two subcategories: "Knowledge that guides practices in mental health" and "The invisibility of the integrating character of the Family Health Strategy from the Network of Psychosocial Care perspective". The focus of nursing care and health must not be bound only to the sickness, but caring practices should be transformed to promote comprehensive care and the resocialization of the person with psychic suffering.


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.


2012 ◽  
Vol 6 (2) ◽  
pp. 370
Author(s):  
Sarah Gonçalves Soares ◽  
Ivea Rayane Mendes Nicácio Viana ◽  
Anne Laura Costa Ferreira ◽  
Regina Célia Sales Santos Veríssimo ◽  
Cátia Barros Lisboa

ABSTRACTObjective: to characterize the performance of nurses in the health care of children in the Family Health Strategy (FHS). Method: an exploratory and descriptive study with a quantitative approach carried out in the Family Health Care Units (FHU) in the city of Maceio, involving 40 nurses in the period from July to October 2010. The data were collected through structured forms, stored in spreadsheets, and presented in tables and figures. The descriptive analysis was performed using the statistical resources from the Epi-info software version 3.4.1. through relative and absolute frequency, using 95% as the confidence interval for each estimated point. The study was approved by the Ethics Committee of the Federal University of Alagoas (UFAL) through the memorandum number 027685/2009-29. Results: the nurses’ assistance have shown weaknesses as evidenced by 14 (35%) nurses feeling partially prepared to carry out the activities in this area and 21 (61.8%) restricting the activities to monitoring child’s growth and development (CD) between the ages of 0 to 2 years. Conclusion: the study suggests that the nurse’s assistance to children presents barriers stemming from difficulties encountered in the service and/or insufficient professional training. Descriptors: nurses, child’s health, family health strategy.RESUMOObjetivo: caracterizar a assistência à saúde da criança realizada pelo enfermeiro na Estratégia Saúde da Família (ESF). Método: estudo exploratório e descritivo, com abordagem quantitativa, realizado nas Unidades de Saúde da Família (USF) de Maceió (AL), com 40 enfermeiros, no período de julho a outubro de 2010. Os dados foram coletados por meio de formulário e, posteriormente, armazenados em planilha eletrônica e apresentados em tabelas e figuras. A análise descritiva foi realizada com recursos estatísticos do sistema operacional Epi-info 3.4.1., por meio de frequência relativa e absoluta, tendo como Intervalo de Confiança (IC) 95% para cada ponto estimado. O estudo foi aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal de Alagoas/UFAL sob parecer de número 027685/2009-29. Resultados: a assistência tem apresentado fragilidades, evidenciadas por 14 (35%) enfermeiros sentirem-se parcialmente preparados para exercer atividades nessa área, e 21 (61,8%) restringirem o acompanhamento do crescimento e desenvolvimento infantil (CD) à idade de 0 a 2 anos. Conclusão: a assistência do enfermeiro à criança apresenta entraves advindos de dificuldades no serviço e/ou na formação. Descritores: enfermeiros; saúde da criança; programa saúde da família.RESUMENObjetivo: el propósito del estudio es determinar el cuidado de la salud de los niños que están bajo la asistencia de las enfermeras en la Estrategia de Salud de la Familia (ESF). Método: estudio exploratorio y descriptivo, con enfoque cuantitativo, realizado en las Unidades de Salud Familiar (USF) de Maceió (AL), con 40 enfermeras durante el período de julio a octubre del 2010. Los datos fueron recolectados por medio de un cuestionario y posteriormente transferidos a una hoja de cálculo para ser interpretados y presentados en tablas y graficas. El análisis descriptivo se realizó con datos estadísticos del sistema operativo Epi-Info 3.4.1, por medio de la frecuencia absoluta y relativa, con un intervalo de confianza (IC) del 95% para cada punto estimado. El estudio fue aprobado por el Comité de Ética en Investigación de la Universidad Federal de Alagoas / UFAL bajo el número 027685/2009-29. Resultados: se presento que hay una inconsistencia en la asistencia, el 14 (35%) de las enfermeras se sienten parcialmente preparados para llevar a cabo actividades en este campo, y 21 (61,8%) se sienten limitadas en el monitoreo del crecimiento y el desarrollo infantil (CD) entre las edades de 0 - 2 años. Conclusión: la asistencia de la enfermera en el cuidado de un niño presenta obstáculos derivados de las dificultades en el servicio y/o la capacitación. Descriptores: las enfermeras, la salud infantil, programa de salud familiar.


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