scholarly journals Primary Health Care in the rural context: the nurses' view

2020 ◽  
Vol 41 ◽  
Author(s):  
Arleusson Ricarte de Oliveira ◽  
Yanna Gomes de Sousa ◽  
Doane Martins da Silva ◽  
Jairo Porto Alves ◽  
Ítalo Vinícius Albuquerque Diniz ◽  
...  
Keyword(s):  
Health Care ◽  
Rural Areas ◽  
Family Health ◽  
Exploratory Research ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Analysis Technique ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Rural Context

ABSTRACT Objective: To analyze the view of nurses from the Family Health Strategy on the health care of rural populations. Method: A qualitative and exploratory research conducted with eleven nurses working in rural areas, conducted from January to March 2017, in Campina Grande-PB. Data was collected through semi-structured interviews and analyzed by the Content Analysis technique. Results: Nurses associate the health context of the rural population with the living conditions of the community, with the lack of access to health services, and with the peculiarities of work resulting from this context. The satisfaction of rural PHC nurses is associated with professional identification and bond with the population. Conclusions: Nurses perceive the particularities that involve the rural context requiring differentiated health care that positively impacts their work.

scholarly journals The daily routine of nurses in rural areas in the Family Health Strategy

2019 ◽  
Vol 72 (4) ◽  
pp. 918-925 ◽  
Author(s):  
Arleusson Ricarte de Oliveira ◽  
Yanna Gomes de Sousa ◽  
Ítalo Vinícius Albuquerque Diniz ◽  
Soraya Maria de Medeiros ◽  
Cláudia Martiniano ◽  
...  
Keyword(s):  
Rural Areas ◽  
Family Health ◽  
Strong Relationship ◽  
Daily Routine ◽  
Exploratory Research ◽  
Structured Interviews ◽  
Daily Work ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Rural Nurses

ABSTRACT Objective: to analyze the daily work of rural Family Health Strategy (FHS) nurses. Method: a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis. Results: rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management. Final considerations: conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.

scholarly journals A assistência pré-natal das trabalhadoras rurais na estratégia saúde da família

2017 ◽  
Vol 11 (12) ◽  
pp. 4970
Author(s):  
Lucimare Ferraz ◽  
Paula Marco Marchiori ◽  
Patricia Pereira Oliveira
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Rural Areas ◽  
Family Health ◽  
Medical Professional ◽  
Women Farmers ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

RESUMO Objetivo: conhecer a assistência pré-natal desenvolvida na Estratégia Saúde da Família. Método: estudo descritivo, de abordagem qualitativa, com a participação de gestantes, médicos e enfermeiros do meio rural. A coleta de dados foi por meio de entrevistas semiestruturadas e a análise por meio da técnica de Análise de conteúdo na modalidade Análise Temática. Resultados: constatou-se que as consultas de pré-natal são centradas no profissional médico, que os profissionais de saúde não abordam o ambiente e o processo de trabalho das gestantes agricultoras e, nas orientações, evidenciou-se que o processo de comunicação entre os profissionais e a gestante precisa ser melhorado. Conclusão: a assistência ao pré-natal de baixo risco na Estratégia Saúde da Familia no meio rural é focada no modelo Biomédico, sendo que poucos profissionais (re)conhecem o ambiente e os processos de trabalho das gestantes agricultoras. Descritores: Trabalhadores Rurais; Cuidado Pré-Natal; Estratégia Saúde da Família. ABSTRACTObjective: to know prenatal care developed in the Family Health Strategy. Method: this is a descriptive study with a qualitative approach, with the participation of pregnant women, doctors and nurses from rural areas. The data collection was through semi-structured interviews and the analysis through the technique of Content Analysis in the Thematic Analysis modality. Results: it was verified that the prenatal consultations are focused on the medical professional, that the health professionals do not approach the environment and the work process of pregnant farmers. The guidelines showed that the process of communication between the professionals and the pregnant woman needs to be improved. Conclusion: low-risk prenatal care in the Family Health Strategy in rural areas is focused on the Biomedical model, and few professionals recognize/know the environment and the work processes of pregnant women farmers. Descriptors: Rural Workers; Prenatal Care; Family Health Strategy.RESUMENObjetivo: conocer la asistencia prenatal desarrollada en la Estrategia Salud de la Familia. Método: estudio descriptivo, de enfoque cualitativo, con la participación de gestantes, médicos y enfermeros del área rural. La recolección de datos fue por medio de entrevistas semi-estructuradas y el análisis por medio de la técnica de Análisis de contenido en la modalidad Análisis Temático. Resultados: se constató que las consultas de prenatal son centradas en el profesional médico, que los profesionales de salud no enfocan el ambiente y el proceso de trabajo de las gestantes agricultoras. En las orientaciones se evidenció que el proceso de comunicación entre los profesionales y la gestante precisa ser mejorado. Conclusión: la asistencia al prenatal de bajo riego en la Estrategia Salud de la Familia en el área rural es enfocada en el modelo Biomédico, siendo que pocos profesionales (re) conocen el ambiente y los procesos de trabajo de las gestantes agricultoras. Descriptores: Trabajadores Rurales; Atención Prenatal; Estrategia de Salud Familiar.

scholarly journals Acondicionamento da insulina no domicílio por diabéticos

2016 ◽  
Vol 6 (16) ◽  
pp. 21
Author(s):  
Elkletícia Carvalho Arrais ◽  
Bruna Fernanda da Silva Oliveira
Keyword(s):  
Diabetes Mellitus ◽  
Content Analysis ◽  
Methodological Approach ◽  
Family Health ◽  
Diabetic Patients ◽  
Structured Interviews ◽  
Analysis Technique ◽  
Health Strategy ◽  
Family Health Strategy

Este estudo objetivou descrever como os diabéticos acondicionam a insulina em seu domicílio e identificar o responsável pela orientação sobre o acondicionamento da insulina. Trata-se de um estudo exploratório-descritivo, que percorreu a trajetória metodológica qualitativa. A análise dos dados foi realizada por meio da técnica de análise de conteúdo temática. Os sujeitos da pesquisa foram 14 pacientes diabéticos assistidos pela Estratégia Saúde da Família. Os dados foram coletados através de um roteiro de entrevista semiestruturada e para sua análise utilizou-se a técnica de análise de conteúdo de Minayo. Frente aos resultados considera-se que os usuários de insulina entrevistados têm um conhecimento superficial do local adequado para o acondicionamento da insulina e como transportá-lo e tem a segurança que o enfermeiro é responsável pelas orientações do acondicionamento da insulina e nos remete a uma reflexão sobre a qualidade das informações prestadas em visto que muitos têm um baixo nível de escolaridade.Descritores: Enfermagem; Diabetes Mellitus, Insulina. Insulin of packaging at home diabeticAbstract: This study aimed to describe the pack diabetic insulin in your home and identify the person responsible for guidance on the packaging of insulin. This is an exploratory-descriptive study, which covered the qualitative methodological approach. Data analysis was performed using thematic content analysis technique. The study subjects were 14 diabetic patients assisted by the Family Health Strategy. Data were collected through a semi-structured interviews and their analysis was used to Minayo content analysis technique. Based on the results it is considered that the respondents insulin users have a superficial knowledge of the appropriate place for the packaging of insulin and how to transport it and have the security that the nurse is responsible for insulin packaging guidelines and leads us to a reflection on the quality of information provided in as many have a low level of education.Descriptors: Nursing. Diabetes Mellitus. Insulin. Insulina de envasado en casa diabetesResumen: Este estudio tuvo como objetivo describir la insulina para diabéticos acondicionar en su casa e identificar a la persona responsable de la orientación en el envase de la insulina. Este es un estudio exploratorio-descriptivo, que cubría el enfoque metodológico cualitativo. Se realizó el análisis de datos utilizando la técnica de análisis de contenido temático. Los sujetos del estudio fueron 14 pacientes diabéticos con la asistencia de la Estrategia Salud de la Familia. Los datos fueron recolectados a través de una entrevista semi-estructurada y se utilizó el análisis de Minayo técnica de análisis de contenido. Con base en los resultados se considera que los usuarios encuestados insulina tienen un conocimiento superficial del lugar apropiado para el envasado de la insulina y cómo transportarlo y tener la seguridad de que la enfermera es responsable de las directrices de embalaje de insulina y nos lleva a una reflexión en la calidad de la información proporcionada en hasta tener un bajo nivel de educación.Descriptores: Enfermería; Diabetes Mellitus; La insulina.

scholarly journals Solvability of mental health care in the Family Health Strategy: social representation of professionals and users

2014 ◽  
Vol 48 (6) ◽  
pp. 1060-1066 ◽  
Author(s):  
Maria Salete Bessa Jorge ◽  
Mardênia Gomes Ferreira Vasconcelos ◽  
Euton Freitas de Castro Junior ◽  
Levi Alves Barreto ◽  
Lianna Ramalho de Sena Rosa ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Mental Health Care ◽  
Psychosocial Care ◽  
Family Health ◽  
Social Representation ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective To aprehend the social representations about the solvability in mental health care with users of the Family Health Strategy and professionals of family health teams and of the Center for Psychosocial Care. Method A qualitative study using semi-structured interviews for data collection, and the Alceste software for analysis. This software uses the Hierarchical Descending Classification based on the examination of lexical roots, considering the words as units and providing context in the corpus. Results The representations emerge in two opposing poles: the users require satisfaction with care and the professionals realize the need for improvement of health actions. Although the matricial support in mental health and the home visits are developed, the barriers related to investment in health, continuing education and organization of care persist. Conclusion The different representations enable improvements in customer service, solvability of care and aggregate knowledge and practices in the expanded perspective of health needs in the family, social and therapeutic context.


Professionals’ knowledge of the family health program on the actions taken by the sector of control, evaluation, regulation and audit

2011 ◽  
Vol 5 (3) ◽  
pp. 741
Author(s):  
Adna De Araújo Silva ◽  
Lucilane Maria Sales da Silva ◽  
Maria Verônica Sales da Silva ◽  
Marcelo Costa Fernandes
Keyword(s):  
Health Services ◽  
Family Health ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Family Health Program ◽  
Health Strategy ◽  
Access To Health ◽  
The Family ◽  
Family Health Strategy ◽  
Control Evaluation

ABSTRACTObjective: to check the knowledge of professionals in the Family Health Strategy on activities undertaken by the sector of control, evaluation, regulation and audit. Methodology: this is about a descriptive study from qualitative approach. It was applied a semi-structured interviews with three doctors and 16 nurses who are part of the team from Family Health Strategy in the municipality of Morada Nova/CE, in October 2007. This study was approved by the ethics committee of the Federal University of Ceara with the protocol number COMEP No. 208/07. Results: according to the statements, the study subjects understand the actions performed in the industry as a set of control actions, evaluating and monitoring the work of health professionals, but also to regulate users' access to health services. Most professionals are unaware of the current team that makes up the CARA of the municipality, however agree that the team should be composed of a multidisciplinary team, preferably with specialization in the area. Conclusion: let us consider how the actions performed by CARA may contribute to the improvement of the SUS, aiming at improving the care provided by health services to its users. Descriptors: clinical audit, family health, single health system. RESUMOObjetivo: verificar o conhecimento dos profissionais da Estratégia Saúde da Família sobre as atividades realizadas pelo setor de controle, avaliação, regulação e auditoria. Metodologia: estudo descritivo com abordagem qualitativa. Foi aplicado uma entrevista semi-estruturada com três médicos e 16 enfermeiros que fazem parte da equipe da Estratégia Saúde da Família no município de Morada Nova/CE, em outubro de 2007. Estudo aprovado pelo Comitê de Ética da Universidade Federal do Ceará com o número de protocolo Comepe nº 208/07. Resultados: de acordo com as falas, os sujeitos do estudo entendem as ações realizadas no setor como sendo um conjunto de ações de controle, avaliação e fiscalização do trabalho dos profissionais de saúde, como também de regulação do acesso dos usuários aos serviços de saúde. A maioria dos profissionais não tem conhecimento da atual equipe que compõe a CARA do município, entretanto concordam que a equipe deveria ser composta de uma equipe multidisciplinar, preferencialmente com especialização na área. Conclusão: considere-se o quanto as ações desempenhadas pela CARA podem contribuir para o aperfeiçoamento do SUS, visando à melhoria da assistência prestada pelos serviços de saúde aos seus usuários. Descritores:  auditoria clínica; saúde da família; sistema único de saúde.RESUMENObjetivo: verificar los conocimientos de los profesionales de la Estrategia de Salud de la Familia sobre las actividades realizadas por el sector de control, evaluación, regulación y fiscalización. Metodología: estudio descriptivo con enfoque cualitativo. Se aplicó una entrevista semi-estructurada con 03 médicos y 16 enfermeras que forman parte del Estrategia Salud de la Familia en el municipio de Morada Nova - CE, en octubre de 2007. Este estudio fue aprobado por el comité de ética de la Universidade Federal de Ceará con el número de protocolo Comepe N º 208/07. Resultados: de acuerdo con las declaraciones, los sujetos del estudio entienden las acciones realizadas en la industria como un conjunto de medidas de control, evaluación y seguimiento de la labor de los profesionales de la salud, sino también para regular el acceso de los usuarios a los servicios de salud. La mayoría de profesionales no son conscientes de que el equipo actual que hace que el rostro del municipio, sin embargo de acuerdo en que el equipo debe estar compuesto por un equipo multidisciplinario, preferentemente con especialización en el área. Conclusión: vamos a considerar cómo las acciones realizadas por CARA puede contribuir a la mejora del SUS, con el objetivo de mejorar la atención recibida por los servicios de salud a sus usuarios. Descriptores: auditoría clínica; salud de la família; sistema único de salud.

scholarly journals Primary care for diabetes mellitus patients from the perspective of the care model for chronic conditions

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Maria Aparecida Salci ◽  
Betina Hörner Schlindwein Meirelles ◽  
Denise Maria Guerreiro Vieira da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Professionals ◽  
Chronic Conditions ◽  
Family Health ◽  
Care Practice ◽  
Analysis Technique ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

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.

scholarly journals Práticas de enfermeiros para a prevenção do hiv/aids na adolescência: análise representacional

2017 ◽  
Vol 11 (12) ◽  
pp. 4805
Author(s):  
Priscila Oliveira Da Conceição ◽  
Tadeu Lessa Da Costa
Keyword(s):  
Nursing Education ◽  
Social Representations ◽  
Family Health ◽  
Structured Interviews ◽  
Prevención Del Vih ◽  
Analysis Technique ◽  
Health Strategy ◽  
The Social ◽  
Family Health Strategy ◽  
Hiv Aids

RESUMOObjetivo: analisar as práticas de Enfermagem em contexto de Estratégia de Saúde da Família (ESF) presentes nas Representações Sociais (RS) de enfermeiros acerca da prevenção do HIV/Aids na adolescência. Método: estudo qualitativo, do tipo exploratório, apoiado na Teoria das Representações Sociais. Foram participantes 20 enfermeiros de ESF, por meio de entrevistas semiestruturadas, submetidas à técnica de Análise de Conteúdo do tipo Temático-Categorial. Resultados: obtiveram-se três categorias empíricas, abarcando enfermeiros na ESF e suas funções diante da sexualidade e prevenção do HIV/Aids na adolescência; práticas nas representações dos enfermeiros sobre tais questões e fatores intervenientes no processo de trabalho dos enfermeiros na ESF. Conclusão: ações educativas de Enfermagem mostram-se relevantes na ESF quanto à temática do estudo, porém, há a necessidade de maior investimento no equacionamento de aspectos organizativos e infraestruturais na ESF, bem como em práticas que produzam marcação simbólica e discursiva relacionadas na articulação com as escolas, na formação de grupos de adolescentes nas unidades e na tecnologia da escuta. Descritores: Adolescente; Enfermagem; Saúde da Família; HIV; Promoção da Saúde; Sexualidade.ABSTRACTObjective: to analyze Nursing practices in the context of Family Health Strategy (FHS) present in the Social Representations (RS) of nurses about the prevention of HIV / AIDS in adolescence. Method: qualitative study, exploratory type, supported by Theory of Social Representations. Participants were 20 FHS nurses, through semi-structured interviews, submitted to the Thematic-Categorical Content Analysis technique. Results: three empirical categories were obtained, including: nurses in the FHS and their functions in relation to sexuality and HIV / AIDS prevention in adolescence; practices in nurses' representations on such issues; and factors that intervene in the nurses' work process in the FHS. Conclusion: Nursing education actions are relevant in the FHS regarding the study theme, but there is a need for greater investment in the equation of organizational and infrastructural aspects in the FHS, as well as practices that produce symbolic and discursive marking related to the articulation with schools , in the formation of groups of adolescents in the units and in the technology of listening. Descriptors: Adolescent; Nursing; Family Health; HIV; Health Promotion; Sexuality.RESUMENObjetivo: analizar las prácticas de Enfermería en contexto de Estrategias de Salud de la Familia (ESF) presentes en las Representaciones Sociales (RS) de enfermeros acerca de la prevención del VIH / SIDA en la adolescencia. Método: estudio cualitativo, del tipo exploratorio, apoyado en la Teoría de las Representaciones Sociales. Fueron participantes 20 enfermeros de ESF, por medio de entrevistas semiestructuradas, sometidas a la técnica de Análisis de Contenido del tipo Temático-Categorial. Resultados: se obtuvieron tres categorías empíricas, abarcando: enfermeros en la ESF y sus funciones ante la sexualidad y prevención del VIH / SIDA en la adolescencia; prácticas en las representaciones de los enfermeros sobre tales cuestiones; y factores intervinientes en el proceso de trabajo de los enfermeros en la ESF. Conclusión: acciones educativas de Enfermería se muestran relevantes en la ESF en cuanto a la temática del estudio, pero hay la necesidad de mayor inversión en la ecuación de aspectos organizativos e infraestructurales en la ESF, así como en prácticas que produzcan marcación simbólica y discursiva relacionadas con la articulación con las escuelas, en la formación de grupos de adolescentes en las unidades y en la tecnología de la escucha. Descriptores: Adolescente; Enfermería; Salud de la Familia; VIH; Promoción de la Salud; Sexualidad.

scholarly journals Acondicionamento da insulina no domicílio por diabéticos

2016 ◽  
pp. 21
Author(s):  
Elkletícia Carvalho Arrais ◽  
Bruna Fernanda da Silva Oliveira
Keyword(s):  
Diabetes Mellitus ◽  
Content Analysis ◽  
Methodological Approach ◽  
Family Health ◽  
Diabetic Patients ◽  
Structured Interviews ◽  
Analysis Technique ◽  
Health Strategy ◽  
Family Health Strategy

Este estudo objetivou descrever como os diabéticos acondicionam a insulina em seu domicílio e identificar o responsável pela orientação sobre o acondicionamento da insulina. Trata-se de um estudo exploratório-descritivo, que percorreu a trajetória metodológica qualitativa. A análise dos dados foi realizada por meio da técnica de análise de conteúdo temática. Os sujeitos da pesquisa foram 14 pacientes diabéticos assistidos pela Estratégia Saúde da Família. Os dados foram coletados através de um roteiro de entrevista semiestruturada e para sua análise utilizou-se a técnica de análise de conteúdo de Minayo. Frente aos resultados considera-se que os usuários de insulina entrevistados têm um conhecimento superficial do local adequado para o acondicionamento da insulina e como transportá-lo e tem a segurança que o enfermeiro é responsável pelas orientações do acondicionamento da insulina e nos remete a uma reflexão sobre a qualidade das informações prestadas em visto que muitos têm um baixo nível de escolaridade.Descritores: Enfermagem; Diabetes Mellitus, Insulina. Insulin of packaging at home diabeticAbstract: This study aimed to describe the pack diabetic insulin in your home and identify the person responsible for guidance on the packaging of insulin. This is an exploratory-descriptive study, which covered the qualitative methodological approach. Data analysis was performed using thematic content analysis technique. The study subjects were 14 diabetic patients assisted by the Family Health Strategy. Data were collected through a semi-structured interviews and their analysis was used to Minayo content analysis technique. Based on the results it is considered that the respondents insulin users have a superficial knowledge of the appropriate place for the packaging of insulin and how to transport it and have the security that the nurse is responsible for insulin packaging guidelines and leads us to a reflection on the quality of information provided in as many have a low level of education.Descriptors: Nursing. Diabetes Mellitus. Insulin. Insulina de envasado en casa diabetesResumen: Este estudio tuvo como objetivo describir la insulina para diabéticos acondicionar en su casa e identificar a la persona responsable de la orientación en el envase de la insulina. Este es un estudio exploratorio-descriptivo, que cubría el enfoque metodológico cualitativo. Se realizó el análisis de datos utilizando la técnica de análisis de contenido temático. Los sujetos del estudio fueron 14 pacientes diabéticos con la asistencia de la Estrategia Salud de la Familia. Los datos fueron recolectados a través de una entrevista semi-estructurada y se utilizó el análisis de Minayo técnica de análisis de contenido. Con base en los resultados se considera que los usuarios encuestados insulina tienen un conocimiento superficial del lugar apropiado para el envasado de la insulina y cómo transportarlo y tener la seguridad de que la enfermera es responsable de las directrices de embalaje de insulina y nos lleva a una reflexión en la calidad de la información proporcionada en hasta tener un bajo nivel de educación.Descriptores: Enfermería; Diabetes Mellitus; La insulina.

Accessibility and satisfaction of the elderly living in rural areas in relation to the health services.

2020 ◽  
Vol 42 ◽  
pp. e48896
Author(s):  
Pamela Kaezynski Maciel ◽  
Carla Weber Peters ◽  
Celmira Lange ◽  
Denise Somavila Przylynski Castro ◽  
Jessica Noema da Rosa Braga ◽  
...  
Keyword(s):  
Health Services ◽  
Rural Areas ◽  
Health Management ◽  
Family Health ◽  
The Elderly ◽  
Exploratory Research ◽  
Access To Health Services ◽  
Structured Interviews ◽  
Unified Health System ◽  
Access To Health

 This study aimed to learn about the conditions of access to health services that seniors living in rural areas have, as well as their satisfaction. This is a qualitative, descriptive and exploratory research conducted in a municipality located in the southern region of Rio Grande do Sul, Brazil. It included 19 elderly individuals registered in three Basic Health Units organized in the form of Family Health Strategy. Data were collected between July and August 2018 through semi-structured interviews, which were analyzed based on Minayo's operational proposal. Afterwards, two categories were defined: "Access to health services used by elderly residents of rural areas" and "Satisfaction with health services used by elderly residents of rural areas". Concerning access, many are the difficulties faced, such as long distances to be traveled until arriving at a health service, poor road conditions, limitations related to public transport days, timetables and itineraries, lack of human and material resources, and long waiting time to make appointments with specialists and schedule exams through the Brazilian Unified Health System. As for satisfaction, the main complaint of the elderly participants refers to issues involving, above all, health management and work process, such as delay in making health care appointments, although most participants reported being satisfied with the care provided by health professionals. It is worth noting that learning about the conditions of access to health services used by elderly people living in rural areas and their satisfaction contributes to the planning, implementation, development and evaluation of public health actions, programs and policies.

scholarly journals Perception about the Medical Internship at Federal University of Rio de Janeiro by the Service’s Preceptors in Primary Health Care: a Case Study

2017 ◽  
Vol 41 (2) ◽  
pp. 320-326 ◽  
Author(s):  
Salesia Felipe de Oliveira ◽  
Antônio José Ledo Alves da Cunha ◽  
Anete Trajman ◽  
Clotilde Teixeira ◽  
Maria Kátia Gomes ◽  
...  
Keyword(s):  
Health Care ◽  
Rio De Janeiro ◽  
Family Health ◽  
Practical Experience ◽  
Structured Interviews ◽  
Good Relationship ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Student Interns

ABSTRACT Introduction A preceptor is understood as a health care professional with an important role in introducing students and recently graduated doctors into professional practice. However, studies into medical teaching in the Family Health Strategy (FHS) have shown inadequacies in the quality, training and time spent by the tutors with students. In the municipality of Rio de Janeiro (RJ), the expansion of the FHS was belated, resulting in a vacuum of medical students being inserted into the network. Objective To understand the perception of Family Health Strategy physician preceptors regarding their performance with medical student interns from the Federal University of Rio de Janeiro (UFRJ). Methods This is a case study which employed a qualitative method and took place in the city of Rio de Janeiro (RJ). Semi-structured interviews were conducted between September 2011 and March 2012, with 15 preceptors from six Family Clinics receiving UFRJ medical interns. Interviews were recorded, transcribed, read and subjected to thematic content analysis, resulting in the establishment of five categories: encouragement and motivation; appreciation; training; real world versus academic world; teaching-service integration. Results The preceptors report that they feel recognized and encouraged by the students, but do not feel appreciated by the service coordinators, who fail to allocate adequate space and time to their preceptorship activities. A good relationship is established with both tutors and students. The preceptors would like to be trained in preceptorship and to strengthen their ties to UFRJ. They view their time with the students as both precious and challenging, because it stimulates them to rethink their care practices. They recognize in the internship the opportunity for students to gain practical experience of what has been learned in theory. Conclusion The preceptors’ work is supported by the good relationship established between preceptors, tutors and students but efforts are needed to value the professionals who perform this practice.

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