Professional training in physiotherapy: primary care practices

Abstract Introduction: Professional training in physiotherapy still focuses primarily on rehabilitation; however, there is a need to ensure that these professionals are also equipped to work in primary care (PC), since it is the gateway to the healthcare system. Objective: Identify practices carried out in PC by undergraduate physiotherapy courses in Santa Catarina state, Brazil, from the perspective of professors. Method: Qualitative study with a multiple-case design. All eight undergraduate physiotherapy courses available in the state were included as cases in this study. Five physiotherapy professors also took part as key informants (KIs) Data were collected by document analysis of course pedagogical projects (CPPs) and a semi-structured interview regarding training practices conducted in primary care (PC) settings. Data were analyzed using thematic analysis. Results: Based on content analysis of the interviews, practices carried out in PC by the different courses include territorialization; specific group activities; home health care/home visits; postural education in school settings; interdisciplinary and multiprofessional experiences; interviews; waiting room activities; combined consultations and singular therapeutic projects. Conclusion: practices performed in primary care facilities by undergraduate physiotherapy courses in Santa Catarina state (SC), Brazil, are aimed at meeting primary care needs; however, teaching-service-community integration is essential in order to diversify these PC experiences throughout the training process and expand interdisciplinary and multiprofessional activities.

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PRACTICES OF HOSPITAL NURSES FOR CONTINUITY OF CARE IN PRIMARY CARE: AN EXPLORATORY STUDY

Texto & Contexto - Enfermagem ◽

10.1590/1980-265x-tce-2020-0401 ◽

2021 ◽

Vol 30 ◽

Author(s):

Maria Fernanda Baeta Neves Alonso da Costa ◽

Esperanza I. Ballesteros Perez ◽

Suely Itsuko Ciosak

Keyword(s):

Primary Care ◽

Continuity Of Care ◽

Structured Interview ◽

Hospital Nurses ◽

Management Service ◽

University Hospitals ◽

Care Needs ◽

Post Discharge ◽

Discharge Care ◽

Director Of Nursing

ABSTRACT Objective: to know the practices developed by hospital nurses for continuity of care for Primary Care. Method: this is an exploratory, qualitative research conducted in university hospitals in São Paulo and Curitiba, Brazil. For data collection, a semi-structured interview was conducted with the Director of Nursing and an online questionnaire through open-ended and closed-ended questions, with nurses between August 2018 and July 2019. The analyzes of the interviews were carried out as proposed by Minayo based on in the theoretical framework of continuity of care. Results: the research was conducted at three university hospitals, and one Director of Nursing and 48 nurses participated. From analysis of nurses’ answers, two categories of analysis emerged: identification of post-discharge patients’ care needs and the necessary competencies for continuity of care. Where it was perceived since patients’ admission, nurses’ concern for continuity of post-hospital discharge care, establishing flows together with nurses of the Internal Center for Regulation/Discharge Management Service for the Health Department of the municipality, which forwards to patients’ reference health unit. Conclusion: although nurses are professionals who actively participates in care at various points in the health care network and recognizes the importance of continuing post-discharge care, they remain a fragile point in the care chain, and it is necessary to strengthen this mechanism with Primary Care, optimize home care and avoid hospitalizations.

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CHANGING CARE NEEDS OF STROKE SURVIVORS IN PRIMARY CARE

10.26226/morressier.58e389aed462b8029238598a ◽

2017 ◽

Author(s):

Caroline Moore

Keyword(s):

Primary Care ◽

Stroke Survivors ◽

Care Needs

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CLIMATOLOGY OF EXTREME RAINFALL EVENTS IN EASTERN AND NORTHERN SANTA CATARINA STATE, BRAZIL: PRESENT AND FUTURE CLIMATE

Brazilian Journal of Geophysics ◽

10.22564/rbgf.v31i3.314 ◽

2013 ◽

Vol 31 (3) ◽

pp. 413 ◽

Cited By ~ 3

Author(s):

André Becker Nunes ◽

Gilson Carlos Da Silva

Keyword(s):

Climate Model ◽

Climate Modeling ◽

Linear Trend ◽

Extreme Rainfall ◽

Eastern Region ◽

Santa Catarina ◽

Extreme Rainfall Events ◽

Rainfall Events ◽

History Of ◽

Santa Catarina State

ABSTRACT. The eastern region of Santa Catarina State (Brazil) has an important history of natural disasters due to extreme rainfall events. Floods and landslides are enhancedby local features such as orography and urbanization: the replacement of natural surface coverage causing more surface runoff and, hence, ﬂooding. Thus, studies of this type of events – which directly inﬂuence life in the towns – take on increasing importance. This work makes a quantitative analysis of occurrences of extreme rainfall events in the eastern and northern regions of Santa Catarina State in the last 60 years, through individual analysis, considering the history of ﬂoods ineach selected town, as well as an estimate through to the end of century following regional climate modeling. A positive linear trend, in most of the towns studied, was observed in the results, indicating greater frequency of these events in recent decades, and the HadRM3P climate model shows a heterogeneous increase of events for all towns in the period from 2071 to 2100.Keywords: ﬂoods, climate modeling, linear trend. RESUMO. A região leste do Estado de Santa Catarina tem um importante histórico de desastres naturais ocasionados por eventos extremos de precipitação. Inundações e deslizamentos de terra são potencializados pelo relevo acidentado e pela urbanização das cidades da região: a vegetação nativa vem sendo removida acarretando um maior escoamento superﬁcial e, consequentemente, em inundações. Desta forma, torna-se de suma importância os estudos acerca deste tipo de evento que inﬂuencia diretamente a sociedade em geral. Neste trabalho é realizada uma análise quantitativa do número de eventos severos de precipitação ocorridos nas regiões leste e norte de Santa Catarina dos últimos 60 anos, por meio de uma análise pontual, considerandoo histórico de inundações de cada cidade selecionada, além de uma projeção para o ﬁm do século de acordo com modelagem climática regional. Na análise dos resultados observou-se uma tendência linear positiva na maioria das cidades, indicando uma maior frequência deste tipo de evento nas últimas décadas, e o modelo climático HadRM3P mostra um aumento heterogêneo no número de eventos para todas as cidades no período de 2071 a 2100.Palavras-chave: inundações, modelagem climática, tendência linear.

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Re-engineering Survivorship Care Plans to Support Primary Care Needs and Workflow: Results From an Engineering, Primary Care and Oncology Collaborative for Survivorship Health (EPOCH)

Journal of Cancer Education ◽

10.1007/s13187-021-02008-z ◽

2021 ◽

Author(s):

Amye J. Tevaarwerk ◽

Xiao Zhang ◽

James Haine ◽

Kirsten Norslien ◽

Mary F. Henningfield ◽

...

Keyword(s):

Primary Care ◽

Survivorship Care Plans ◽

Survivorship Care ◽

Care Needs ◽

Care Plans

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Understanding the clinical reasoning processes involved in the management of multimorbidity in an ambulatory setting: study protocol of a stimulated recall research

BMC Medical Education ◽

10.1186/s12909-020-02459-w ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

M.-C. Audétat ◽

S. Cairo Notari ◽

J. Sader ◽

C. Ritz ◽

T. Fassier ◽

...

Keyword(s):

Primary Care ◽

Clinical Reasoning ◽

Primary Care Physicians ◽

Video Sequence ◽

Structured Interview ◽

Ambulatory Setting ◽

Structured Interviews ◽

Stimulated Recall ◽

Study Results

Abstract Background Primary care physicians are at the very heart of managing patients suffering from multimorbidity. However, several studies have highlighted that some physicians feel ill-equipped to manage these kinds of complex clinical situations. Few studies are available on the clinical reasoning processes at play during the long-term management and follow-up of patients suffering from multimorbidity. This study aims to contribute to a better understanding on how the clinical reasoning of primary care physicians is affected during follow-up consultations with these patients. Methods A qualitative research project based on semi-structured interviews with primary care physicians in an ambulatory setting will be carried out, using the video stimulated recall interview method. Participants will be filmed in their work environment during a standard consultation with a patient suffering from multimorbidity using a “button camera” (small camera) which will be pinned to their white coat. The recording will be used in a following semi-structured interview with physicians and the research team to instigate a stimulated recall. Stimulated recall is a research method that allows the investigation of cognitive processes by inviting participants to recall their concurrent thinking during an event when prompted by a video sequence recall. During this interview, participants will be prompted by different video sequence and asked to discuss them; the aim will be to encourage them to make their clinical reasoning processes explicit. Fifteen to twenty interviews are planned to reach data saturation. The interviews will be transcribed verbatim and data will be analysed according to a standard content analysis, using deductive and inductive approaches. Conclusion Study results will contribute to the scientific community’s overall understanding of clinical reasoning. This will subsequently allow future generation of primary care physicians to have access to more adequate trainings to manage patients suffering from multimorbidity in their practice. As a result, this will improve the quality of the patient’s care and treatments.

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