scholarly journals Nursing performance in the policy transfer of directly observed treatment of tuberculosis

2014 ◽  
Vol 48 (5) ◽  
pp. 874-882 ◽  
Author(s):  
Káren Mendes Jorge de Souza ◽  
Lenilde Duarte de Sá ◽  
Laís Mara Caetano da Silva ◽  
Pedro Fredemir Palha

Objective Analyzing the policy transfer of directly observed treatment of tuberculosis from the perspective of nursing. Method This is a descriptive study with qualitative approach, which had 10 nurses of the Family Health Strategy in São Paulo as subjects. The interviews were carried out between May and June 2013, and were adopted the technique of thematic content analysis and the referential of policy transfer. Results On the signification of this treatment, are related the senses of disciplinary monitoring, the bond and approximation to the context of patients’ lives. Operationally, nurses, community health agents and nursing technicians stand out as agents of implementation of this policy, developing multiple actions of user embracement. The nurse is evidenced as an educator in health, leader in the family health team, and capable of creating emotional bond with users. Conclusion It was found that the innovations proposed in the treatment are incipient in the daily work of nurses.

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Flávia Corrêa Porto de Abreu-D’Agostini ◽  
Julia Baldi Vieira ◽  
Beatriz Castanheira Facio ◽  
Lislaine Aparecida Fracolli ◽  
Márcia Regina Cangiani Fabbro ◽  
...  

ABSTRACT Objective: to unveil the interrelation of childhood colic management by mothers and Family Health Strategy professional. Methods: a qualitative, exploratory and descriptive research carried out with 4 Family Health Strategy teams and 31 mothers who experienced childhood colic. Data collection included, respectively, focus group and individual unstructured interview. Symbolic Interactionism was adopted as the theoretical framework, and Narrative Research as methodological. Results: two themes emerged: “Colic approach” and “Social support and care”. Professional childhood colic management is based on diagnosis and drug interventions. For mothers, the child’s suffering and impotence in the face of the disease stand out. Final considerations: childhood colic is socially widespread because it is a physiological and self-limiting event. Mothers felt helpless in the face of childhood colic. Professionals felt the need to expand their care, with a view to achieving maternal suffering and alleviating it.


2013 ◽  
Vol 21 (4) ◽  
pp. 990-997 ◽  
Author(s):  
Cinira Magali Fortuna ◽  
Silvia Matumoto ◽  
Maria José Bistafa Pereira ◽  
Celiane Camargo-Borges ◽  
Lauren Suemi Kawata ◽  
...  

OBJECTIVE: to analyze the experience of the family health team in resignifying the way to develop educational groups. METHOD: groups of discussion, with twenty-six biweekly group meetings conducted, with an average of fifteen professionals from the family health team, during the year 2009. The empirical material consisted of the transcription of the groups, on which thematic analysis was performed. RESULTS: two themes were developed and explored from the collective discussions with the team: "The experience and coordination of the groups" and "The work process and educational groups in a service-school". CONCLUSIONS: continuing Education in Health developed with the team, not only permitted learning about the educational groups that comprised the population, but also contributed to the team's analysis of its own relationships and its work process that is traversed by institutions. This study contributed to the advancement of scientific knowledge about the process of continuing health education as well as educational groups with the population. Also noteworthy is the research design used, providing reflexivity and critical analysis on the part of the team about the group process experienced in the meetings, appropriating knowledge in a meaningful and transformative manner.


2014 ◽  
Vol 23 (4) ◽  
pp. 1077-1086 ◽  
Author(s):  
Anne Caroline Coelho Leal Árias Amorim ◽  
Marluce Maria Araújo Assis ◽  
Adriano Maia dos Santos ◽  
Maria Salete Bessa Jorge ◽  
Maria Lúcia Silva Servo

The study aimed to analyze the practices of the team in the Family Health Strategy, and how these guide the access to the health services. This was undertaken through qualitative research with systematic observation of the practice in three Family Health Centers as the data collection technique. The analyzing flowchart guided the analysis of the data. The results revealed that the access occurs, preferentially, through the family registration and the program actions directed towards specific groups. The procedure-centered practice guides the care in the Family Health Strategy, prioritizing the Emergency Room, depicted in emergency care. Some activities undertaken by the nurse were shown to be more susceptible to new therapeutic positions, shown by the service users' satisfaction. The study points to the need to advance in the re-signification of the practices, so as to strengthen improvement of access in the system's "gateway".


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.


2018 ◽  
Vol 7 (1) ◽  
pp. 234-248
Author(s):  
Juliana Sangaletti ◽  
Luciane Bisognin Ceretta ◽  
Maria Tereza Soratto

Estudo com objetivo de identificar os fatores associados à Ansiedade do Enfermeiro da Estratégia Saúde da Família (ESF). Pesquisa de abordagem quali-quantitativa, descritiva, exploratória e de campo. O estudo foi desenvolvido com 07 enfermeiros que trabalham em uma Estratégia Saúde da Família de Santa Catarina. Aplicou-se a Escala de Avaliação de Ansiedade de Hamilton e questionário semi-estruturado sobre os fatores relacionados à ansiedade dos Enfermeiros. A análise e interpretação dos dados qualitativos foram organizadas a partir da análise de conteúdo com a categorização dos dados, através da ordenação, classificação e análise final dos dados pesquisados. Na fase de análise de dados quantitativos, as informações foram quantificadas através do Microsoft Office Excel e apresentados por meio de análise quantitativa. Os resultados da pesquisa realizada identificaram que 85,72% dos enfermeiros apresentaram nível de ansiedade leve e 14,28% nível moderado. Os fatores associados à ocorrência de ansiedade nos enfermeiros da ESF vincularam-se principalmente ao excesso de trabalho, seguido da falta de valorização profissional; pressão exercida no processo de trabalho; preocupação e agitação no cotidiano do trabalho. Sendo assim, sugere-se um aprofundamento da pesquisa em relação aos fatores determinantes da ansiedade e as formas de melhor combatê-la no cotidiano do exercício da profissão.Palavras-chave: Ansiedade. Enfermeiro. Saúde do Trabalhador. Estratégia Saúde da Família. ABSTRACT: Study aiming to identify the factors associated with the Anxiety of nurses of the family health strategy. Research of qualitative and quantitative approach, descriptive, exploratory and of field. The study was carried out with 07 nurses who work in a family health Strategy. Applied to anxiety rating scale of Hamilton and semi-structured questionnaire on related factors to anxiety of nurses. The analysis and interpretation of qualitative data were organized from the content analysis with the categorization of the data, by ordering, sorting, and final analysis of the data searched. In the analysis phase of quantitative data, the information was quantified through the Microsoft Office Excel and presented by means of quantitative analysis. The results of the survey have identified that 85.72% of nurses showed mild anxiety level and 14.28% moderate level. The factors associated with the occurrence of anxiety in nurses of  the family health strategy linked mainly to overwork, followed by lack of professional valuation; pressure in the process of work; concern and agitation in the daily work. Therefore, it is suggested a deepening of research in relation to determining factors of anxiety and ways to better combat it in the everyday life of the practice of the profession.Keywords: Anxiety. Nurses. Occupational Health. Family Health Strategy.


2017 ◽  
Vol 70 (3) ◽  
pp. 580-587 ◽  
Author(s):  
Iramildes Souza Silva ◽  
Cássia Irene Spinelli Arantes

ABSTRACT Objective: to analyze the power relations that permeate the work of the family health team, and to discuss perspectives of emancipation of these subjects, focusing on nursing and community health agents. Method: a qualitative study with a family health team from a municipality in the countryside of the state of São Paulo. Data were collected through systematic observation and interview with workers. A thematic content analysis was performed. Results: three categories were identified: the work of the family health team and power relations; power relations between the nurse and the healthcare team; and the relations among the nursing team and between community agents and the nurse. The team produces relations of power moved by hierarchical knowledge that move in the search for the reordering of powers. Final considerations: it is necessary to review the contradictions present in the performance scenario of the family health teams, with a view toward making power relations more flexible.


2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Rosilande Dos Santos Silva ◽  
Patricia Nascimento Rotondano ◽  
Márcia Maria de Sousa ◽  
Emanuelle Rocha da Purificação ◽  
Mariana Pereira Dos Santos ◽  
...  

Objetivo: Descrever as experiências de residentes multiprofissionais na Estratégia Saúde da Família acerca da aplicação de ações interdisciplinares no enfrentamento do novo Coronavírus. Método: Estudo descritivo, do tipo relato de experiência realizado por residentes multiprofissionais do núcleo Saúde da Família em uma Estratégia Saúde da Família. O estudo foi desenvolvido em três fases: levantamento das problemáticas enfrentadas pela equipe; formulação do plano de contingência local com base a teoria da interdisciplinaridade e implementação das ações. Resultados: Evidenciou-se uma maior adesão da população as recomendações da equipe de saúde, observados na demarcação do fluxo de indivíduos que mostrou bons resultados, reduzindo o risco da transmissão viral entre pacientes e os profissionais da saúde, bem como possibilitou uma diminuição significativa da permanência dos usuários na unidade de modo que a população continuasse a ser assistida, garantindo a segurança de todos os atores envolvidos. Considerações finais: As práticas interdisciplinares têm se destacado nos mais diversos serviços de saúde como método de ascensão essencial para gestores, profissionais de saúde e estudantes na produção de relações mais atuantes de forma integrada no campo da saúde como um todo, principalmente no enfrentamento da pandemia.Descritores: Educação em Saúde; Pandemias; Infecções por Coronavirus; Práticas Interdisciplinares.Interdisciplinary practices in coping with covid-19 in the family health strategyObjective: To describe the experiences of multiprofessional residents in the Family Health Strategy regarding the application of interdisciplinary actions for coping with the new Coronavirus. Method: This is an experience report by multiprofessional Family Health residents. The descriptive study was developed in three phases: the first, the survey of the problems faced by the team; the second stage was the formulation of a local contingency plan based on the theory of interdisciplinarity and the third was the implementation of these actions. Results: The population adherence to the recommendations from the health team was observed in the demarcation of the flow of individuals. Which showed good results, reducing the risk of viral transmission among patients and health professionals, as consequence of a significant decreased in permanence of users in the unit. Additionally, the population continues to be assisted, ensuring the safety of all actors involved. Conclusion: Interdisciplinary practices have stood out in the most diverse health services as an essential ascension method for managers, health professionals and students in the production of more active relationship in an integrated manner in the field of health as a whole, especially of coping with the pandemic.Descriptors: Health Education; Pandemics; Coronavirus Infections; Interdisciplinary practices.Prácticas interdisciplinarias al enfrentar covid-19 en la estrategia de salud familiarObjetivo: Describir las experiencias del equipo de profesionales multidisciplinario en la Estrategia de Salud Familiar con respecto a la aplicación de acciones interdisciplinarias para enfrentar el nuevo Coronavirus. Método: Un estudio descriptivo, un informe de experiencia realizado por profesionales de la Unidad de Salud de la Familia. El estudio fue desarrollado en tres fases: la primera, la encuesta de los problemas que enfrenta el equipo; la segunda etapa fue la formulación del plan de contingencia local basado en la teoría de la interdisciplinariedad y la tercera fue la implementación de acciones. Resultados: Se observó una mayor adherencia de la población a las recomendaciones del equipo de salud, observada en la demarcación del flujo de individuos que mostró buenos resultados, reduciendo el riesgo de transmisión viral entre pacientes y profesionales de la salud, así como permitiendo una disminución significativa en permanencia de los usuarios en la unidad para que la población continúe siendo asistida, garantizando la seguridad de todos los actores involucrados. Conclusión: Las prácticas interdisciplinarias se han destacado en los servicios de salud más diversos como un método esencial para los gerentes, profesionales de la salud y estudiantes en la producción de relaciones más activas de manera integrada en el campo de la salud en general, y especialmente en este contexto para enfrentar la pandemia.Descriptores: Educação em Saúde; Pandemias; Infecções por Coronavirus; Prácticas interdisciplinarias.


Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e60281
Author(s):  
Cecília Maria Lima Cardoso Ferraz ◽  
Gláucia de Souza Vilela ◽  
Danielle de Araújo Moreira ◽  
Maria José Menezes Brito

Objective: to understand the development of moral sensitivity in the practice of Family Health Strategy professionals. Methods: a unique case study, of qualitative approach, conducted with thirty-five professionals from the family health teams. Data collection occurred through interviews guided by semi-structured script and observation. The data was analyzed through Thematic Content Analysis. Results: the analysis revealed that factors related to work organization, interpersonal relationships and personal values influence the development of the moral sensitivity of professionals in family health teams. Conclusion: the development of the moral sensitivity of Family Health Strategy professionals is influenced by enabling and hindering factors that present themselves in daily work.


2020 ◽  
Vol 29 ◽  
Author(s):  
Helena Guimarães Flórido ◽  
Sabrina da Costa Machado Duarte ◽  
Waleska Menengat Corrêa Floresta ◽  
Aline Miranda da Fonseca Marins ◽  
Priscilla Valladares Broca ◽  
...  

ABSTRACT Objectives: to identify situations of violence in the daily work of the health professionals of the Family Health Strategy and to describe the conducts adopted by these professionals in relation to the situations of violence identified. Method: a qualitative, descriptive and exploratory study whose scenario was a Family Clinic of the city of Rio de Janeiro. Eighteen health professionals participated. Data was collected through semi-structured interviews and subjected to content analysis. Results: three thematic categories emerged: Situations of workplace violence in the Family Health Strategy; Consequences of workplace violence on the Family Health Strategy; The nurse's role as leader of the Family Health Team and the strategies adopted in the face of workplace violence. Conclusions: situations of interpersonal violence and collective violence were identified, exemplified by the contact with armed violence in the territory, racial discrimination, peer violence and violence suffered by the user, such as domestic violence, directly affecting the professional. The importance is highlighted of the nurse's role as leader of the Family Health Strategy team, envisioning the management of violence situations, often neglected.


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