scholarly journals Suffering and defense mechanisms: an analysis of the work of Primary Health Care nurses

2022 ◽  
Vol 75 (suppl 3) ◽  
Author(s):  
Grizielle Sandrine de Araujo Rocha ◽  
Darine Marie Rodrigues da Silva ◽  
Maria Sandra Andrade ◽  
Bárbara Bruna Fernandes de Andrade ◽  
Sílvia Elizabeth Gomes de Medeiros ◽  
...  

ABSTRACT Objective: To analyze the suffering and coping strategies of nurses working in Primary Health Care considering the psychodynamics of their work. Methods: Descriptive study with a qualitative approach, carried out with 11 nurses working in Primary Health Care. Data were collected through semi-structured interviews, systematized, and interpreted using Bardin’s content analysis method applied to recurrent themes. Results: The suffering factors related to work in Primary Health Care are difficulties with management, the fragile structure of the health support network, and conflicts with the users. Defensive strategies to minimize these difficulties are the support of hierarchical superiors, the empowerment of the community and users, and communication between team members. Final considerations: It is important that there be changes in the organization of this line of work to improve the workers’ health.

2020 ◽  
Vol 73 (suppl 3) ◽  
Author(s):  
Rutielle Ferreira Silva ◽  
Maria do Livramento Fortes Figueiredo ◽  
Juan José Tirado Darder ◽  
Ana Maria Ribeiro dos Santos ◽  
Maria Antonieta Rubio Tyrrell

ABSTRACT Objective: Describe the knowledge and practices of the Primary Health Care nurse on sarcopenia screening in the elderly. Methods: Qualitative study conducted with 24 Primary Health Care nurses. The data was collected through semi-structured interviews, recorded and later transcribed. The speeches were grouped in thematic categories, later analyzed, supported by Paulo Freire’s reference. Results: The findings showed that the primary care nurses’ knowledge of sarcopenia screening in the elderly was incipient and fragile. This reality is reflected in a gap in practice, although some instruments already require the registration of characteristics indicative of sarcopenia, such as the evaluation of the calf circumference. Final Considerations: The need to train nurses to perform sarcopenia screening and to implement a promotional and preventive care plan, which will result in improving the quality of life of the elderly assisted in Primary Care, was highlighted.


2018 ◽  
Vol 12 (2) ◽  
pp. 407
Author(s):  
Dionasson Altivo Marques ◽  
Graziela Lonardoni De Paula ◽  
Carolina Lambert De Souza ◽  
Cristina Arreguy-Sena ◽  
Marcelo Da Silva Alves ◽  
...  

RESUMOObjetivo: compreender como as equipes multiprofissionais de uma Unidade de Atenção Primária à Saúde de um município da Zona da Mata Mineira percebem as suas contribuições na assistência aos indivíduos que sofrem psiquicamente e quais concepções as alicerçam. Método: estudo qualitativo, descritivo e exploratório, com seis profissionais, em que os dados foram produzidos por meio de entrevistas semiestruturadas e analisados seguindo-se o referencial de Peplau e de rede de apoio. Utilizou-se o software NVivo®Pro, versão 11, para a compilação dos dados, com a Análise de Conteúdo Temática. Resultados: os significados das narrativas resultaram em duas categorias temáticas <<Processo de ressocialização e <<Indivíduos em sofrimento psíquico>>. Conclusão: constataram-se a presença de traços de discriminação e as potentes normas sociais as quais os indivíduos com transtornos mentais estão permanentemente submetidos, demonstrando a necessidade de reflexão e reordenação das ações profissionais nesse contexto assistencial. Descritores: Saúde Mental; Estresse Psicológico; Atenção Primária à Saúde; Socialização; Padrão de Cuidado; Avaliação em Saúde.    ABSTRACT Objective: to understand how the multiprofessional teams of a Primary Health Care Unit of a municipality in the Zona da Mata Mineira perceive their contributions in assisting individuals who suffer psychically and which conceptions support them. Method: a qualitative, descriptive and exploratory study with six professionals, in which the data was produced through semi-structured interviews and analyzed according to the Peplau reference and support network. The software NVivo®Pro, version 11, was used to compile the data with thematic content analysis. Results: the meanings of the narratives resulted in two thematic categories << Process of resocialization and << Individuals in psychic suffering >>. Conclusion: the presence of traits of discrimination and the powerful social norms to which the individuals with mental disorders are permanently submitted, demonstrated the necessity of reflection and reordering of the professional actions in this assistance context. Descriptors: Mental Health; Psychological Stress; Primary Health Care; Socialization; Standard of Care; Health Evaluation.RESUMEN Objetivo: comprender cómo los equipos multiprofesionales de una Unidad de Atención Primaria a la Salud de un municipio de la Zona de Mata Minera perciben sus contribuciones en la asistencia a los individuos que sufren psíquicamente y cuáles concepciones las cimientan. Método: estudio cualitativo, descriptivo y exploratorio, con seis profesionales, en que los datos fueron producidos por medio de entrevistas semiestructuradas y analizadas siguiendo el referencial de Peplau y de red de apoyo. Se utilizó el software NVivo®Pro, versión 11, para la compilación de los datos, con la Análisis de Contenido Temático. Resultados: los significados de las narrativas resultaron en dos categorías temáticas << Proceso de resocialización y << Individuos en sufrimiento psíquico >>. Conclusión: se constataron la presencia de rasgos de discriminación y las potentes normas sociales a las cuales los individuos con trastornos mentales están permanentemente sometidos, demostrando la necesidad de reflexión y reordenación de las acciones profesionales en ese contexto asistencial. Descriptores: Salud Mental; Estrés Psicológico; Atención Primaria a la Salud; Socialización; Padrón de Cuidado; Avaliación en Salud.1,2,3Mestres, Universidade Federal de Juiz de Fora/UFJF. Juiz de Fora


2018 ◽  
Vol 71 (1) ◽  
pp. 142-147 ◽  
Author(s):  
Marcelo Costa Fernandes ◽  
Lucilane Maria Sales da Silva ◽  
Maria Rocineide Ferreira da Silva ◽  
Raimundo Augusto Martins Torres ◽  
Maria Socorro de Araújo Dias ◽  
...  

ABSTRACT Objective: To analyze, in the speeches of nurses, the habitus that conforms their professional identity in the primary health care area. Method: Qualitative study, carried out from March to October 2015, with nurses of primary healthcare units in the cities of Cajazeiras, in the state of Paraíba, and Maracanaú, in the state of Ceará. Data were collected by means of semi-structured interviews, and analyzed through discourse analysis. Results: Nurses, in their practice and perception, perceive that professional identity is linked to the meaning that involves the word "everything". This situation constitutes a habitus that directs the range of daily actions, often distant from the profession's core of knowledge. Final considerations: Trying to be and do everything in primary health care involves negative repercussions in the professional identity of nurses. Strategic guidance is necessary in order to achieve and embrace elements that reflect the essence of this category.


2019 ◽  
Vol 13 ◽  
Author(s):  
Luma Guida Menezes ◽  
Lia Leão Ciuffo ◽  
Aline Pereira Gonçalves ◽  
Juliana Rezende Montenegro Medeiros de Moraes ◽  
Tania Vignuda de Souza ◽  
...  

Objetivo: analisar a atuação do enfermeiro da atenção primária em saúde na assistência à criança e sua família. Método: trata-se de estudo qualitativo, descritivo, com quinze enfermeiros. Realizou-se a coleta de dados por meio de entrevistas semiestruturadas guiadas por um roteiro com a seguinte questão << Qual a função do enfermeiro na assistência à criança na atenção primária em saúde? >>. Utilizou-se, para a análise das falas, a técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: emergiram-se duas categorias: Acompanhamento da criança por meio da consulta de Puericultura e Consultas em grupo como estratégia de orientação da criança e suas famílias. Conclusão: perpassa-se a atuação do enfermeiro pelo contexto biopsicossocial e familiar da criança na identificação de problemas de saúde, na detecção de situações de risco e vulnerabilidades e nas orientações pertinentes a cada caso. Descritores: Enfermagem; Consulta de Enfermagem; Atenção Primária à Saúde; Saúde da Criança; Criança; Família. Abstract Objective: to analyze the role of primary health care nurses in the care of children and their families. Method: this is a qualitative, descriptive study with fifteen nurses. Data were collected through semi-structured interviews guided by a script with the following question << What is the role of nurses in child care in primary health care? >>. For the analysis of the speeches, the technique of Content Analysis in the Categorical Analysis modality was used. Results: two categories emerged: Child follow-up through the Childcare consultation and Group consultations as a strategy for guiding the child and their families. Conclusion: the role of the nurse is analyzed by the child's biopsychosocial and family context in the identification of health problems, in the detection of risk situations and vulnerabilities, and in the guidance relevant to each case. Descriptors: Nursing; Nursing Consultation; Primary health Care; Child Health; Child; Family.Resumen Objetivo: analizar el papel del enfermero de atención primaria de salud en el cuidado de los niños y sus familias. Método: se trata de un estudio cualitativo, descriptivo con quince enfermeros. Los datos fueron recolectados a través de entrevistas semiestructuradas guiadas por un guión con la siguiente pregunta << ¿Cuál es el papel del enfermero en el cuidado infantil en la atención primaria de salud? >>. Para el análisis de los discursos, se utilizó la técnica de Análisis de Contenido en la modalidad de Análisis Categórico. Resultados: surgieron dos categorías: Seguimiento del niño a través de la consulta de Puericultura y Consultas grupales como una estrategia para guiar al niño y sus familias. Conclusión: el papel del enfermero está impregnado por el contexto biopsicosocial y familiar del niño en la identificación de problemas de salud, en la detección de situaciones de riesgo y vulnerabilidades, y en las orientaciones relevantes para cada caso. Descriptores: Enfermeira; Consulta de Enfermeira; Atención Primaria a la Salud; Salud del Niño; Niño; Família.


2014 ◽  
Vol 106 (2) ◽  
pp. 212-220 ◽  
Author(s):  
Barbara Daly ◽  
Timothy Kenealy ◽  
Bruce Arroll ◽  
Nicolette Sheridan ◽  
Robert Scragg

Author(s):  
Elizabeth Halcomb ◽  
Christine Ashley ◽  
Sharon James ◽  
Elizabeth Smyth

Curationis ◽  
2004 ◽  
Vol 27 (2) ◽  
Author(s):  
J. Bornman ◽  
E. Alant ◽  
L.L. Lloyd

This article focuses on the importance of primary health care nurses’ involvement in the identification of children with severe disabilities, early and appropriate intervention that includes referral, as well as the provision of support to the children’s caregivers. The use of multiskilling as a strategy to train nurses to fulfil this role is described. The traditional roles of community nurses are explored within the disability paradigm, with specific reference to multi-skilling. Finally, research results following the implementation of the Beginning Communication Intervention Protocol (BCIP), which uses multiskilling as a training strategy, are described. Recommendations for further research are then provided.


2017 ◽  
Vol 30 (1) ◽  
pp. 109-126 ◽  
Author(s):  
Santuzza Arreguy Silva VITORINO ◽  
Marly Marques da CRUZ ◽  
Denise Cavalcante de BARROS

ABSTRACT Objective: To describe the modeling stages of food and nutrition surveillance in the Primary Health Care of the Unified Health Care System, considering its activities, objectives, and goals Methods: Document analysis and semi-structured interviews were used for identifying the components, describe the intervention, and identify potential assessment users. Results: The results include identification of the objectives and goals of the intervention, the required inputs, activities, and expected effects. The intervention was then modeled based on these data. The use of the theoretical logic model optimizes times, resources, definition of the indicators that require monitoring, and the aspects that require assessment, identifying more clearly the contribution of the intervention to the results Conclusion: Modeling enabled the description of food and nutrition surveillance based on its components and may guide the development of viable plans to monitor food and nutrition surveillance actions so that modeling can be established as a local intersectoral planning instrument.


1995 ◽  
Vol 54 (2) ◽  
pp. 226-240 ◽  
Author(s):  
Cora Shiroyama ◽  
Lorna McKee ◽  
Linda McKie

The evaluation of health promotion in primary health care has been brought to the forefront of debates in Scotland with the introduction of an evaluation component in every project funded under the Development of Health Care Fund scheme. The level of skills and empathy with evaluation approaches and research methods varies considerably between primary health care team members, and consequently academic researchers are increasingly being drawn into NHS debates on evaluation and health promotion in primary health care. In this article the authors draw upon their respective experiences as evaluators to highlight specific issues and concerns in the evaluation of health promotion in a primary health care setting.


Sign in / Sign up

Export Citation Format

Share Document