scholarly journals Record of the circumstances of falls in the community: perspective in the Iberian Peninsula

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Maria de Fátima Araújo ◽  
Nilza Nogueira Caldevilla ◽  
Candida Maciel ◽  
Felicidade Malheiro ◽  
María Aurora Rodríguez-Borrego ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Health Professionals ◽  
Assessment Instruments ◽  
Structured Interviews ◽  
Basic Health ◽  
Risk Of Falls ◽  
Quantitative Descriptive ◽  
One Year ◽  
Two Stages ◽  
Basic Health Units

ABSTRACT Objective: to determine the diagnosis of the situation regarding documentation of falls and risk of falls in people older than 75 years in basic health units in Spain and Portugal. Method: mixed exploratory study in two stages: (i) quantitative descriptive of randomly selected fall records produced in one year (597 records; 197 Spanish and 400 Portuguese); and (ii) qualitative, with the purpose of knowing the perception of health professionals employing semi-structured interviews (72 professionals, 16 Spanish and 56 Portuguese). The study areas were two basic health units in southern Spain and northern Portugal. Results: in the fall records, the number of women was higher. The presence of fall was associated with the variables age, presence of dementia, osteoarticular disease, previous falls and consumption of antivertiginous medication. Health professionals perceived an absence of risk assessment instruments, as well as lack of prevention programs and lack of awareness of this event. Conclusion: falls are perceived as an area of priority attention for health professionals. Nonetheless, there is a lack of adherence to the registration of falls and risk assessment, due to organizational, logistical and motivational problems.

scholarly journals Acesso de crianças em condição crônica na atenção primária: estudo exploratório descritivo

2016 ◽  
Vol 15 ◽  
pp. 549
Author(s):  
Daisy Cristina Rodrigues ◽  
Eliane Tatsch Neves ◽  
Leonardo Bigolin Jantsch ◽  
Andressa Da Silveira
Keyword(s):  
Health Professionals ◽  
Chronic Conditions ◽  
Family Health ◽  
Coordination Of Care ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
South Of Brazil ◽  
Basic Health Units

Aim:  to  describe  the  access  of  children  in  chronic  conditions  toprimary  health  care  from  the  perspective  of  health  professionals.  Method:  this  is  an exploratory  and  descriptive  study,  using  a  qualitative  approach.  For  the  collection  of data,  semi-structured  interviews  will  be  carried  out  with  health  professionals  that integrate the teams of Basic Health Units and the Family Health Strategy in the South of Brazil.  The  data  will  be  treated  through  the  thematic  inductive  analysis.  Expected results:  the  expectation  is  to  contribute  with  resources  for  the  planning  of  the assistance,  allowing  access  for  the  coordination  of  care.  In  addition  to  encouraging moments and spaces for reflection for the health professionals participating in the study, who can rethink their daily practices.

The family planning’s health policy from the nurse’s perspective

2010 ◽  
Vol 4 (2) ◽  
pp. 568 ◽  
Author(s):  
Maria Madelena Costa ◽  
Zeile Mota Crispim
Keyword(s):  
Health Policy ◽  
Family Planning ◽  
Professional Training ◽  
Data Gathering ◽  
Contraceptive Methods ◽  
Structured Interviews ◽  
Basic Health ◽  
The Family ◽  
Las Mujeres ◽  
Basic Health Units

ABSTRACT        Objective: to investigate obstacles faced by nurses for implementation of the Family Planning’s Health Policy. Method: phenomenological research with qualitative approach. The sample consisted of twelve nurses who work in assistance at Basic Health Units/GO. Data gathering occurred in recorded semi-structured interviews after approval of the Ethics Committee in Research of UniEVANGÉLICA (number protocol 204/2007), according to the determination 196/96 of the National Health Counsel. The content analysis systematized data into two categories: a) the nurse’s role and its appreciation in assistance to the family planning at Basic Health Units; b) obstacles faced during assistance to this family planning. Results: they were verified institutional and professional obstacles; nurses help excited to the family planning what makes connection with community they are working with easier; difficulties to offer integral assistance due to the lack of adherence of women to the program; lack to offer contraceptive methods, lack of autonomy to prescribe nursing cares and scarcity of professional training. Conclusion: it is suggested creation of protocol of assistance, ongoing trainings; participation of doctor in regular assistance to women; offering on quantity and diversity contraceptive methods to soften difficulties of returning of users and insertion of men to the program. Descriptors: health policy; family planning; nursing care; women’s health; reproductive rights; contraception; nursing.RESUMOObjetivo: investigar as dificuldades enfrentadas pelos enfermeiros para efetivação da Política de Saúde do Planejamento Familiar. Método: pesquisa fenomenológica com abordagem qualitativa. A amostra constou de doze enfermeiras atuantes na assistência em Unidades Básicas de Saúde/GO. A coleta de dados aconteceu em entrevistas semi-estruturadas gravadas, após aprovação do Comitê de Ética em Pesquisa da  UniEVANGÉLICA (protocolo n. 204/2007), conforme a Resolução 196/96 do Conselho Nacional de Saúde.  A análise de conteúdo sistematizou os dados em duas categorias: a) o papel do enfermeiro e sua valorização na assistência ao planejamento familiar nas Unidades Básicas de Saúde; b) Dificuldades enfrentadas na assistência ao planejamento familiar. Resultados: verificaram-se obstáculos institucionais e profissionais; os enfermeiros assistem com satisfação ao planejamento familiar facilitando o vínculo com a comunidade; dificuldades em oferecer assistência integral pela falta de adesão das mulheres ao programa; restrição na oferta dos métodos contraceptivos; limitação da autonomia para prescrição de enfermagem e escassez de capacitações profissionais. Conclusão: sugere-se a criação de protocolo assistencial, capacitações continuadas, participação do médico na assistência regular às mulheres, oferta em quantidade e diversidade dos métodos contraceptivos para amenizar as dificuldades de retorno das usuárias e inserção do homem ao programa. Descritores: política de saúde; planejamento familiar; cuidados de enfermagem; saúde da mulher; direitos reprodutivos; anticoncepção; enfermagem.RESUMENObjetivo: investigar las dificultades enfrentadas por los enfermeros para la efectuación de la Política de Salud del Planeamiento Familiar. Método: investigación fenomenológica con abordaje cualitativo. La muestra constó de doce enfermeras actuantes en la asistencia en Unidades Básicas de Salud/GO. La colecta de datos ocurrió en encuestas semi-estructuradas grabadas, tras la aprobación del Comité de Ética en Investigación de la UniEVANGÉLICA (número de registro 204/2007), cumpliendo la Resolución 196/96 del Consejo Nacional de Salud. El análisis del contenido sistematizó los datos en dos categorías: a) el papel del enfermero y su valoración en la asistencia al planeamiento familiar en las Unidades Básicas de Salud; b) dificultades enfrentadas en la asistencia al planeamiento familiar. Resultados: se comprobó dificultades institucionales y profesionales; los enfermeros ayudan con satisfacción al planeamiento familiar facilitando el vínculo con la comunidad; dificultades en ofrecer asistencia integral por la falta de adhesión de las mujeres al programa; restricción en la oferta de los métodos contraceptivos; limitación de la autonomía para prescripción de enfermería y escasez de capacitaciones profesionales. Conclusión: se sugiere la creación de protocolo asistencial; capacitaciones continuadas; participación del médico en la asistencia regular a las mujeres; oferta en cuantidad y diversidad de métodos contraceptivos para la disminuir las dificultades de retorno de las usuarias e inserción del hombre al programa. Descriptores: política de salud; planeamiento familiar; atención de enfermería; salud de la mujer; derechos reproductivos; anticoncepción; enfermeria. 

scholarly journals Situação constrangedora envolvendo profissionais das Unidades Básicas de Saúde do município de Porto Velho/Rondônia

2011 ◽  
Vol 2 (SUP) ◽  
pp. 94-97
Author(s):  
Flávio Salomão Miranda ◽  
Daniele Ferreira Garcia ◽  
Maria Rita Soares do Nascimento Barreto
Keyword(s):  
Primary Care ◽  
Health Promotion ◽  
Health Professionals ◽  
Basic Health ◽  
Education And Health ◽  
The City ◽  
Transversal Study ◽  
Porto Velho ◽  
Basic Health Units

Este estudo tem por objetivo estimar as situações constrangedoras envolvendo profissionais das Unidades Básicas de Saúde do município de Porto Velho/Rondônia, caracterizar o fenômeno da violência contra os profissionais de saúde no local de trabalho, abordar aspectos relativos à violência e suas implicações na área de saúde e conhecer os fatores considerados importantes no que tange à violência contra profissionais de saúde. Os dados coletados com médicos, enfermeiros e dentistas, mediante estudo transversal, apontaram que há relevância de aproximação das áreas de educação e de saúde, eixos fundamentais para uma melhor possibilidade de enfrentamento da problemática da violência.Descritores: Violência, Promoção de Saúde, Prevenção.Embarrassing involving professional Basic Health Units of the city of Old Port/RondôniaThis study aims to estimate the embarrassing situations involving professionals from primary care units in the city of Porto Velho, Rondônia, to characterize the phenomenon of violence against health professionals in the workplace, addressing issues related to violence and its implications on health and determining the factors considered important when it comes to violence against health professionals. The data collected by health professionals, doctors, nurses and dentists, by means of transversal study showed that there is relevance to approximate the areas of education and health, the cornerstones for a better chance of coping with problems of violence.Descriptors: Violence, Health Promotion, Prevention.Situación embarazosa con profesionales de las Unidades Básicas de Salud del município de Puerto Viejo/RondôniaEsse estúdio tiene como objetivo estimar las situaciones embarazosas de profesionales de unidades de atención primaria en la ciudad de Porto Velho, Rondônia, para caracterizar el fenómeno de la violencia contra los profesionales de la salud en el lugar de trabajo, abordando temas relacionados con la violencia y sus consecuencias en la salud y la determinación de los factores considerados importantes cuando se trata de la violencia contra los profesionales de la salud. Los datos recogidos por esses profesionales como médicos, enfermeras y dentistas, por medio de estudio transversal mostró que es pertinente la aproximación de las áreas de educación y salud, factores fundamentales para una mejor oportunidad de hacer frente a los problemas de la violencia.Descriptores: Violencia, Promoción de la Salud, Prevención.

scholarly journals Accuracy of clinical-functional tools to identify risk of falls among community-dwelling older adults

2019 ◽  
Vol 32 ◽  
Author(s):  
Raphaela Xavier Sampaio ◽  
Amanda Maria Santos Abreu ◽  
Cristiane Almeida Nagata ◽  
Patrícia Azevedo Garcia
Keyword(s):  
Older Adults ◽  
Risk Assessment ◽  
Predictive Value ◽  
Fall Risk ◽  
Community Dwelling ◽  
Methodological Study ◽  
Risk Of Falls ◽  
One Year ◽  
Sensitivity Specificity ◽  
Community Dwelling Older Adults

Abstract Introduction: The identification of older adults who present greater chances of falling is the first step in the prevention of falls. Clinical instruments have been shown to be able to differentiate fallers from non-fallers, but their predictive validity remains controversial. Objective: To investigate the accuracy of the Short Physical Performance Battery (SPPB) and Quick Screen Clinical Fall Risk Assessment (QuickScreen) instruments to identify risk of falls in community-dwelling older adults. Method: This is a prospective methodological study with 81 older adults (≥ 60 years), assessed at baseline by SPPB and QuickScreen and monitored after one year to identify the occurrence of falls. Sensitivity, specificity, positive predictive value (PPV), negative predictive value (NPV) and area under the ROC curve (AUC) were calculated. Results: 28.4% of the sample reported falls. QuickScreen presented 52.2% sensitivity, 74.1% specificity, 44.4% PPV, 79.6% NPV and 0.656 AUC. The AUC for SPPB was not significant (p = 0.087). Conclusion: QuickScreen presented poor accuracy when predicting falls and SPPB was unable to identify community-dwelling older adults at risk of falls. The QuickScreen instrument stood out for its high potential to identify true negatives.

Knowledge and practice of women attended in primary health care about Papanicolau test / Conhecimento e prática de mulheres atendidas na atenção primária a saúde sobre o exame Papanicolau

2021 ◽  
Vol 13 ◽  
pp. 1013-1019
Author(s):  
Leticia Almeida Silva ◽  
Ananda Santos Freitas ◽  
Bruna Carolynne Tôrres Müller ◽  
Magnólia de Jesus Sousa Magalhães
Keyword(s):  
Pap Smear ◽  
Cross Sectional ◽  
Basic Health ◽  
Inadequate Knowledge ◽  
Level Of Knowledge ◽  
Knowledge And Practice ◽  
Cross Sectional Design ◽  
Quantitative Descriptive ◽  
Almost All ◽  
Basic Health Units

Objective: to evaluate the knowledge and practice of women assisted in Basic Health Units in relation to the Pap smear. Method: this is a quantitative, descriptive study with a cross-sectional design. 320 women living in the area covered by three Basic Health Units in the city of Caxias-MA were interviewed. Results: although almost all of the women interviewed heard about the Pap smear exam 311 (97.2%), more than half of them had inadequate knowledge 233 (72.8%). It was also noticed that despite the fact that more than half were classified as having inadequate knowledge, most women had an adequate practice 187 (58.44%). Conclusion: thus, this study showed that there was no association between the level of knowledge and the practice of women. Therefore, there is a precarious knowledge of the majority of women about the cervical cancer preventive exam, resulting in an erroneous attribution about its purposes.

Attitude towards Utilization of e-Resources of Medical Images among Health Care Professionals

2021 ◽  
Vol 15 (9) ◽  
pp. 2361-2363
Author(s):  
Ghulam Farid ◽  
Attaullah Khan Niazi ◽  
Muhammad Muneeb ◽  
Sadaf Iftikhar
Keyword(s):  
Health Professionals ◽  
Health Care Professionals ◽  
Medical Images ◽  
Health Science ◽  
Medical Professionals ◽  
Image Search ◽  
Clinical Decisions ◽  
Structured Interviews ◽  
Early Recovery ◽  
Basic Health

Aim: Medicine is deeply depending on medical images. Medical professionals used medical images particularly digital medical images for education, research and clinical decisions. The aim of this study is to investigate the utilization of medical image e-resources among the medical professionals of Lahore. Methods: The study is based on qualitative research design and in-depth semi-structured interviews of twenty medical professionals (Professor, Associate, Assistant professor, and Consultants) were conducted. The interviewees were purposely selected from various basic health and clinical health science departments of Shalamar Medical & Dental College and Shalamar Hospital, Lahore. Data were collected by using interviews schedule. Validity of interview guide was ensured by expert review of interview schedule by field experts. Results: A large number of participants were used both formats of resources (print and electronic). Hundred percept of medical professionals were used Google image search for seeks of digital image and this is favorite source. Most of the clinical medical professionals were used up-to-date application, they searched quickly and easily for wards round, clinical decisions, early recovery of the patient, training and research purpose in contrast most of the basic health professionals used the college library, print collections, personal collections and Google images for their teaching, research and education. Similar the large number of the clinical sides they were used details images for their clinical decisions, patient recovery, teaching and research on opposite basic medical professionals were used the general images and a small group were used detailed and specialized images for teaching the students. Conclusion: The research is unique in this regard as there is a dearth of literature on the research area particularly in Pakistani context. Keywords: Medical faculty, health professionals, image search, Pakistan,

scholarly journals Clinicians’ management of patients potentially exposed to rabies in high-risk areas in Bhutan: A cross-sectional study

2018 ◽  
Author(s):  
Kinley Penjor ◽  
Nelly Marquetoux ◽  
Chendu Dorji ◽  
Kinley Penjor ◽  
Sithar Dorjee ◽  
...  
Keyword(s):  
Risk Assessment ◽  
Decision Making ◽  
Clinical Practice ◽  
Cross Sectional ◽  
Basic Health ◽  
Dog Bites ◽  
Number Of Patients ◽  
Risk Areas ◽  
Rabies Exposure ◽  
Basic Health Units

AbstractBackgroundRabies is endemic in southern Bhutan, associated with 1–2 human deaths annually and accounting for about 6% of annual national expenditure on essential medicines. A WHO-adapted National Rabies Management Guidelines (NRMG) is available to aid clinicians in PEP prescription. An understanding of clinical practice in the evaluation of rabies risk in endemic areas could contribute to improve clinicians’ PEP decision-making.MethodsA cross-sectional survey of clinicians was conducted in 13 health centers in high-rabies-risk areas of Bhutan during February–March 2016. Data were collected from 273 patients examined by 50 clinicians.ResultsThe majority (69%) of exposure was through dog bites. Half the patients were children under 18 years of age. Consultations were conducted by health assistants or clinical officers (55%), or by medical doctors (45%), with a median age of clinicians of 31 years. Rabies vaccines were prescribed in 91% of exposure cases. The overall agreement between clinician’s rabies risk assessment and the NRMG for the corresponding exposure was low (kappa =0.203, p<0.001). Clinicians were more likely to underestimate the risk of exposure than overestimate it. Male health assistants were the most likely to make an accurate risk assessment and female health assistants were the least likely. Clinicians from district or regional hospitals were more likely to conduct accurate risk assessments compared to clinicians in Basic Health Units (Odds Ratios of 7.8 and 17.6, respectively).ConclusionsThis study highlighted significant discrepancies between clinical practice and guideline recommendations for rabies risk evaluation. Regular training about rabies risk assessment and PEP prescription should target all categories of clinicians. An update of the NRMG with more specific criterions for the prescription of RIG might contribute to increase the compliance, along with a regular review of decision-making criteria to monitor adherence to the NRMG.Author summaryHuman rabies remains an important public health threat in Bhutan, especially in southern regions where canine rabies is endemic. The steady increase in number of patients reporting to hospitals following dog bites means escalating costs of post-exposure prophylaxis for the country. We investigated attitudes and practices of clinicians who manage patients with potential rabies exposure, in the endemic area. The risk of rabies exposure in the study area is mostly associated with dog bites, involving children half the time. Rabies vaccines were prescribed in 9 out of 10 exposure cases, while immuno-globulins were rarely prescribed. The study confirmed the perceived lack of compliance of clinicians with guideline recommendations for assessing rabies risk. This results in under-estimating the rabies risk in potentially risky exposures in high-rabies-risk areas. Our work underscore the importance of targeted training of female health assistants, doctors, and clinicians in basic health units to improve the management of rabies exposure. In particular there is need to update the national guidelines regarding indications and use of rabies immune-globulins.

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