scholarly journals Mapping the implementation of the rapid HIV test in the Family Health Strategy: the nurses' perspective

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Ilisdayne Thallita Soares da Silva ◽  
Cecília Nogueira Valença ◽  
Richardson Augusto Rosendo da Silva

Abstract Objective: To analyze the implementation of the rapid HIV test in the Family Health Strategy (FHS) from the perspective of nurses. Method: A qualitative study was performed with 13 FHS nurses between March and June 2015 using a semi-structured interview. The data were analyzed by symbolic cartography and Bardin's thematic analysis. Results: The nurses projected to the center of the map: lack of test kits, insufficient time for training, speed of the test result and excessive activities. In the periphery, they placed aspects related to the physical space, the lack of participation of other professionals in the training, the ease of performing the test and breaking the news of positive HIV diagnoses. Conclusion and implications for practice: An adequate supply of test kits, tests more widely available to the entire population and training of other members of the FHS team are required. This study supports improvements in the nursing practice of rapid HIV testing.

Author(s):  
Ilisdayne Thallita Soares da Silva ◽  
Dhyanine Morais de Lima ◽  
Wenysson Noleto dos Santos ◽  
Rebecca Stefany da Costa Santos ◽  
Harlon França de Menezes ◽  
...  

O estudo objetivou analisar os modos de operacionalização da testagem rápida para o HIV realizada pelo Enfermeiro na Estratégia Saúde da Família. Trata-se de estudo qualitativo com 13 Enfermeiros da Estratégia Saúde da Família da Paraíba. Os dados foram coletados de abril a junho de 2017 por meio de entrevista semiestruturada e analisados pela análise temática de Bardin e o fluxograma descritor. As categorias que emergiram a partir das entrevistas e agrupadas em etapas no fluxograma descritor foram: oferta do teste rápido anti-HIV; entrega do resultado e aconselhamento pré-teste; execução do teste rápido anti-HIV; aconselhamento pós-teste; e encaminhamento do paciente. Conclui-se que a necessidade da identificação do fornecimento adequado de kits de testagem, da ampliação da oferta do teste para a população em geral, e da interação entre as unidades e Rede de referência no Estado.Descritores: Enfermagem, Testes Sorológicos, Síndrome de Imunodeficiência Adquirida. Analysis of the operationalization of the rapid test for HIV carried out by the nurseAbstract: The aim of this study was to analyze the ways in which the nurse performed rapid testing for HIV in the Family Health Strategy. This is a qualitative study with 13 Nurses of the Paraíba Family Health Strategy. The data were collected from April to June 2017 through a semi-structured interview and analyzed by the thematic analysis of Bardin and the flowchart descriptor. The categories that emerged from the interviews and were grouped in stages in the flowchart descriptor were: rapid HIV test offer, delivery of the result and pre-test counseling; implementation of the rapid HIV test; post-test counseling; and patient referral. It is concluded that the need to identify the adequate supply of test kits, the expansion of the test offer to the general population, and the interaction between the units and reference network in the State.Descriptors: Nursing, Serologic Tests, Acquired Immunodeficiency Syndrome. Análisis de la operacionalización de la prueba rápida para el HIV realizado por el enfermeroResumen: El estudio objetivó analizar las formas de operacionalización de las pruebas rápidas para el HIV realizada por el enfermero en la Estrategia de Salud Familiar. Este es un estudio cualitativo con 13 enfermeras de la Estrategia de Salud Familiar de Paraíba. Los datos se recopilaron de abril a junio de 2017 a través de una entrevista semiestructurada y se analizaron mediante el análisis temático de Bardin y el flujograma descriptor. Las categorías que surgieron de las entrevistas y se agruparon en etapas en el flujograma descriptor fueron: oferta de prueba rápida de anti-HIV, entrega del resultado y asesoramiento previo a la prueba; ejecución de la prueba rápida de HIV; asesoramiento posterior a la prueba; y encaminamiento del paciente. Se concluye que la necesidad de identificar el suministro adecuado de kits de prueba, la expansión de la oferta de prueba a la población general y la interacción entre las unidades y la Red de referencia en el Estado.Descriptores: Enfermería, Pruebas Serológicas, Síndrome de Inmunodeficiencia Adquirida.


2016 ◽  
Vol 38 (2) ◽  
pp. 153 ◽  
Author(s):  
Sâmia Jamylle Santos de Azevedo ◽  
Flávia Andrea Pereira Soares dos Santos ◽  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
Larissa Soares Mariz ◽  
Aylla Nauanna da Silva ◽  
...  

The male participation in the process of breastfeeding needs to be encouraged as it can contribute significantly to the prevention of early weaning. In this sense, this research aimed to identify a parent's knowledge about breastfeeding. This is an exploratory and descriptive study with a qualitative approach, performed in the Family Health Strategy in Bom Jesus, Rio Grande do Norte State, Brazil. Data were collected through semi-structured interview with the guiding question: what is your understanding of breastfeeding? The population was 15 men with aged over 18 years old and preserved mental faculties, who lived with his wife and the child under one year of age and performed development and growth consultations in the Family Health Strategy. The interviews were conducted in place previously defined parent. The information was organized as content analysis Bardin, giving rise to two categories and analyzed according to the symbolic interacionism. It was observed that parents of participating antenatal clinics have more knowledge about it and recognize the benefits of breastfeeding in this way can encourage their wives in order to exclusive breastfeeding.


10.3823/2331 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Rosângela Alves Almeida Bastos ◽  
Georgiana De Sousa Garrido ◽  
Francisca Das Chagas Alves de Almeida ◽  
Gutenberg Alves Pequeno ◽  
Joberto De Carvalho Farias ◽  
...  

Objective: The study aimed to identify the occupational hazards to which workers are exposed in nursing working in immunization room of the family health strategy of the municipality of Conde-Paraíba. Methods: this was an exploratory study, descriptive and qualitative. The survey was conducted in basic health units of the municipality of Conde-PB, using a semi-structured interview script, as a tool for data collection, with objective and subjective questions that addressed the topic. Have been followed all ethical and legal precepts of research involving humans. Results and discussion: Nursing workers working in immunization of the said rooms municipality do not have enough knowledge about the occupational hazards to which they are exposed in their work environment, use the individual protection equipment making them vulnerable to a variety of risk situations and contributing to the increase in the number of occupational accidents. Conclusion: The present research demonstrated through the lines of the participants that they are exposed to various occupational hazards to act in vaccine, and that the recognition of these risks is necessary to the development of action for prevention, elimination or control of them. Permanent education is the primary tool for nursing workers acquire knowledge about occupational accidents, their causes and ways to avoid them, thus minimizing the risks that may exist in the workplace. Keywords: Nursing; Occupational Hazards; Immunization.


2018 ◽  
Vol 21 (2) ◽  
pp. 155-163
Author(s):  
Ana Paula Ribeiro de Castro ◽  
Eglídia Carla Figueirêdo Vidal ◽  
Ana Raquel Bezerra Saraiva ◽  
Sofia de Moraes Arnaldo ◽  
Ana Maria Machado Borges ◽  
...  

Abstract Objective: To identify health promotion actions carried out by professionals in the Family Health Strategy in relation to elderly people. Method: An exploratory study with a qualitative approach was performed in Juazeiro do Norte, Ceará, Brazil, with 19 professionals. A recorded, fully transcribed semi-structured interview was used after authorization by the ethics committee under number 501 675. The discussions were analyzed using Content Analysis, organized into thematic categories. Results: Actions of a collective nature were identified, such as activities in groups, meetings, conversation circles, lectures and guidance in the waiting room. Other directed actions were used, such as guidelines during individual consultations and referral to specialized services. Conclusion: The need for the discussion of health promotion and actions in relation to old age was highlighted, with debate and reflection on this theme required locally, along with the need to build a network of support for the health of the elderly in a shared manner among professionals, managers and the community.


2017 ◽  
Vol 70 (5) ◽  
pp. 981-987 ◽  
Author(s):  
Tatiana Fernandes Kerches de Abreu ◽  
Fernanda Amendola ◽  
Monica Martins Trovo

ABSTRACT Objective: This article aims to identify the relational technologies used by Family Health Strategy nurses in their daily work when treating patients. Method: Descriptive and cross-sectional study with qualitative approach; conducted between May and July 2015, in three Basic Health Units of the Southern Region of the Municipality of São Paulo, with 19 nurses of the Family Health Strategy. Data were collected through a semi-structured interview, and the speeches were fully transcribed and analyzed according to the technique of content analysis. Results: From the speeches of the participants, three categories emerged, showing the unawareness of the concept, but the valorization of its use; which are the relational technologies used by the participating nurses (communication, listening, empathy and welcoming reception), as well as the report of barriers to the use of relational technologies. Final consideration: Although the nurses value the use of relational technologies, the participants denoted unawareness of the nomenclature and its associated concepts, suggesting superficiality in the understanding and use of these instruments in the context of care in the Family Health Strategy.


10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.


2010 ◽  
Vol 4 (4) ◽  
pp. 1975
Author(s):  
Dulcian Medeiros de Azevedo ◽  
Danielle Souza Silva

ABSTRACTObjective: to investigate the knowledge and applicability of medicinal plants and phitotherapics by doctors and nurses at the Family Health Strategy (FHS) in the city of Caicó-RN. Method: this is a descriptive study from qualitative approach, that will be developed in the Basic Family Health (UBSF) from Caicó city. The study subjects include 10 doctors and 10 nurses working at least three months in the ESF, which represents 62.5% of the population. The data will be obtained through semi-structured interview divided into four stages. Parts I and II will be worked in the Microsoft Excel software, and III and IV on digital MP4 audio recorded for later transcription, and assessment according to Content Analysis. Expected results: It is expected that the Health Secretariat of the municipality may discuss and strengthen the use of this therapy in health services, especially in the ESF, in order to expand the treatment options offered to the community. In relation to teaching /extension, seeks to instill in the university debates on this issue, involving education activities with the population and health training courses / update for health professionals. Descriptors: plants, medicinal; community health nursing; family health program; single health system.RESUMOObjetivo: investigar o conhecimento e aplicabilidade das plantas medicinais e fitoterápicos pelos profissionais Médicos e Enfermeiros na Estratégia Saúde da Família (ESF) do Município de Caicó-RN. Método: pesquisa descritiva com abordagem qualitativa, a ser desenvolvida nas Unidades Básicas de Saúde da Família (UBSF) de Caicó. Os sujeitos de pesquisa compreenderá 10 médicos e 10 enfermeiros atuantes há pelo menos três meses na ESF, o que corresponde a 62,5% da população. Os dados serão obtidos através da entrevista semi-estruturada dividida em quatro etapas. As partes I e II serão trabalhadas no Software Microsoft Excel, e III e IV gravadas em áudio digital MP4, para posterior transcrição, e apreciação segundo a Análise de Conteúdo. Resultados esperados: Espera-se que a Secretaria de Saúde do município possa discutir e fortalecer o emprego desta terapêutica nos serviços de saúde, principalmente na ESF, a fim de ampliar as opções de tratamento ofertadas à comunidade. Em relação ao ensino/extensão, pretende-se instigar na universidade o debate sobre esta problemática, envolvendo atividades de educação em saúde com a população e cursos de capacitação/atualização para os profissionais de saúde. Descritores: plantas medicinais; enfermagem em saúde comunitária; programa saúde da família; sistema único de saúde.RESUMENObjetivo: investigar el conocimiento y la aplicabilidad de plantas medicinales y las hierbas medicinales por los médicos y enfermeras en la Estrategia de Salud de la Familia (ESF) en el municipio de Caicó-RN. Método: estudio descriptivo con enfoque cualitativo, que se desarrollará en las Unidades Básicas de Salud Familiar (UBSF) de Caico. Los sujetos de estudio incluyen 10 médicos y 10 enfermeros que trabajan hace al menos tres meses en el ESF, lo que representa el 62,5% de la población. Los datos serán obtenidos a través de entrevista semi-estructurada en cuatro etapas. Las partes I y II se trabajó en el software de Microsoft Excel, y III y IV fueran grabadas en audio digital MP4, para su posterior transcripción, y la evaluación según el Análisis de Contenido. Resultados esperados: Se espera que el Departamento de Salud del municipio pueda discutir y fortalecer el uso de esta terapia en los servicios de salud, especialmente en el ESF, con el fin de ampliar las opciones de tratamiento ofrecidas a la comunidad. En relación con la enseñanza y extensión, trata de infundir en las universidades el debate sobre este tema que incluyan actividades de educación en salud para la población y cursos de capacitación y actualización para profesionales de la salud. Descriptores: plantas medicinales; enfermería en salud comunitaria; programa de salud familiar; sistema único de salud. 


2018 ◽  
Vol 12 (6) ◽  
pp. 1640 ◽  
Author(s):  
Vanusa Thaine Lubini ◽  
Janaina Quinzen Willrich ◽  
Guilherme Emanuel Weiss Pinheiro ◽  
Luciane Prado Kantorski ◽  
Mirela Farias Pickersgill

RESUMOObjetivo: discutir as potencialidades e fragilidades identificadas por enfermeiros da Estratégia de Saúde da Família no desenvolvimento de ações de educação em saúde e o impacto nos indicadores de saúde. Método: estudo qualitativo, descritivo, exploratório, com enfermeiros de uma Unidade de Saúde da Família. A coleta de dados ocorreu a partir de entrevista semiestruturada e observação participante. A análise dos dados foi pela técnica de Análise de Conteúdo na modalidade Análise temática. Resultados: apresentam as potencialidades e as fragilidades vivenciadas pelos enfermeiros, além da percepção acerca das transformações nos indicadores de saúde como melhoria da cobertura vacinal, dos exames citopatológicos e na atenção ao pré-natal. Conclusão: o conhecimento acerca das potencialidades e fragilidades do processo educativo facilita o trabalho em saúde e, por consequência, favorece a melhoria dos indicadores de saúde que são reflexos da dedicação das equipes de saúde da família, pautados na educação em saúde. Descritores: Educação em Saúde; Enfermagem; Atenção Primária à Saúde; Indicadores de Saúde; Estratégia Saúde da Família. ABSTRACT Objective: to discuss the potentialities and fragilities identified by nurses of the Family Health Strategy in the development of health education actions and the impact on health indicators. Method: this is a qualitative, descriptive, exploratory study with nurses from a Family Health Unit. Data collection was done through a semi-structured interview and participant observation. Data analysis was based on the Content Analysis technique in the Thematic Analysis modality. Results: there are potentialities and fragilities experienced by nurses, as well as the perception about changes in health indicators such as improved vaccination coverage, cytopathological exams, and prenatal care. Conclusion: knowledge about the potentialities and fragilities of the educational process facilitates health work and, consequently, favors the improvement of health indicators that are a reflection of the dedication of the family health teams, based on health education. Descriptors: Health Education; Nursing; Primary Health Care; Health Status Indicators; Family Health Strategy. RESUMEN Objetivo: discutir las potencialidades y fragilidades identificadas por enfermeros de la Estrategia de Salud de la Familia en el desarrollo de acciones de educación en salud y el impacto en los indicadores de salud. Método: estudio cualitativo, descriptivo, exploratorio, con enfermeros de una Unidad de Salud de la Familia, La recolección de datos ocurrió a partir de entrevista semi-estructurada y observación participante, el análisis de los datos fue por la técnica de Análisis de Contenido en la modalidad Análisis temático. Resultados: presentan las potencialidades y las fragilidades vividas por los enfermeros, además de la percepción acerca de las transformaciones en los indicadores de salud como mejoría de la cobertura de vacunas, de los exámenes de citopatología y en la atención al prenatal. Conclusión: el conocimiento acerca de las potencialidades y fragilidades del proceso educativo facilita el trabajo en salud y, por consecuencia, favorece la mejoría de los indicadores de salud que son reflejos de la dedicación de los equipos de salud de la familia, pautado en la educación en salud. Descriptores: Educación en Salud; Enfermería; Atención Primaria de Salud; Indicadores de Salud; Estrategia de Salud Familiar.


2011 ◽  
Vol 5 (5) ◽  
pp. 1267
Author(s):  
Fabiana Santos Silva ◽  
Cibelly Aliny Siqueira Lima Freitas ◽  
Dayse Paixão E Vasconcelos ◽  
Regina Célia Carvalho Da Silva ◽  
Denise Lima Nogueira ◽  
...  

ABSTRACTObjective: to reveal the perception of women with epilepsy facing the acquaintance with the disease and investigate the knowledge of the carriers on it. Methodology: case study with qualitative approach, carried out from April to June 2005, through the technique of focus group, semi-structured interview, and participant observation with four epileptic women assisted by the Family Health Strategy in Sinha Saboia de Sobral neighborhood, Ceara, Brazil, approved by the Committee of Ethics in Research Involving Human Subjects of Universidade Estadual Vale do Acarau in Sobral city, Ceará, Brazil, under the Recommendation 250/2005. Results: the information obtained favored the emergence of four categories: Women conceptualizing epilepsy; Response facing the diagnosis of epilepsy; Changes in the family after the diagnosis of epilepsy; The importance of family in the treatment of epilepsy, from the perspective of women. Conclusion: it was found that women lacked knowledge about epilepsy, sometimes they were involved with feelings of sadness, sometimes with resignation, and they expressed, after the diagnosis, feelings of concern and non-acceptance of the disease, stating that the family plays a key role in the treatment of this disease. It was felt, then, that there is a need to finally break free from the social stigma attached to the patients, who often hide from themselves. Descriptors: epilepsy; women; prejudice.RESUMOObjetivo: desvelar a percepção de mulheres portadoras de epilepsia diante da convivência com a doença e investigar o conhecimento das portadoras sobre ela. Metodologia: estudo de caso de abordagem qualitativa, realizado durante os meses de abril e junho de 2005, por meio da técnica de grupo focal, entrevista semiestruturada e observação participante com quatro epilépticas atendidas na Estratégia Saúde da Família do bairro Sinhá Sabóia de Sobral/CE, aprovado Comitê de Ética em Pesquisa Envolvendo Seres Humanos da Universidade Estadual Vale do Acaraú em Sobral/CE, com Parecer n. 250/2005. Resultados: as informações obtidas favoreceram o surgimento de quatro categorias: Mulheres conceituando epilepsia; Resposta diante do diagnóstico de epilepsia; Mudanças na família após o diagnóstico de epilepsia; A importância da família no tratamento da epilepsia, sob a óptica das mulheres. Conclusão: verificou-se que as mulheres apresentavam desconhecimento sobre a epilepsia, estavam envolvidas ora com sentimentos de tristeza, ora de conformação, expressaram, após o diagnóstico, sentimentos de preocupação e não aceitação da doença, afirmando a família ter papel fundamental no tratamento da doença. Percebeu-se, então, que se faz necessário romper definitivamente com o estigma social que acompanha os pacientes, que geralmente se escondem de si mesmos. Descritores: epilepsia; mulheres; preconceito.RESUMENObjetivo: poner de manifiesto la percepción de las mujeres con epilepsia delante de la convivencia con la enfermedady investigar el conocimiento de las portadoras sobre ella. Metodología: estudio de caso de abordaje cualitativa, realizado durante los meses de abril a junio de 2005, a través de la técnica de grupo focal, entrevista semi-estructurada y observación participante con cuatro epilépticas en la Estrategia de Salud de la Familia en el barrio de Sinhá Sabóia de Sobral, Ceará, Brasil, aprobado por el Comité de Ética en Investigación en Seres Humanos de la Universidade Estadual Vale do Acaraú en Sobral, Ceará, Brasil, con el Dictamen 250/2005. Resultados: las informaciones obtenidas favorecieron la aparición de cuatro categorías: Mujeres conceptualizando la epilepsia; Respuesta frente al diagnóstico de la epilepsia; Cambios en la familia después del diagnóstico de la epilepsia; La importancia de la familia en el tratamiento de la epilepsia, desde la perspectiva de las mujeres. Conclusión: se encontró que las mujeres presentaban desconocimiento sobre la epilepsia, estaban enredadas a veces con sentimientos de tristeza, a veces de resignacíon, expresaron, después del diagnóstico, los sentimientos de preocupación y no aceptación de la enfermedad, diciendo que la familia juega un papel clave en el tratamiento de la enfermedad. Se consideró, entonces, que es necesario romper finalmente con el estigma social asociado a los pacientes, que a menudo se esconden de si mismos. Descriptores: epilepsia; mujeres; prejuicio.


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