scholarly journals Health care for women in situations of violence: discoordination of network professionals

2017 ◽  
Vol 51 (0) ◽  
Author(s):  
Jaqueline Arboit ◽  
Stela Maris de Mello Padoin ◽  
Letícia Becker Vieira ◽  
Cristiane Cardoso de Paula ◽  
Marta Cocco da Costa ◽  
...  
Keyword(s):  
Health Care ◽  
Violence Against Women ◽  
Health Professionals ◽  
Exploratory Study ◽  
Rio Grande Do Sul ◽  
Health Care Teams ◽  
Structured Interviews ◽  
Care Network ◽  
Primary Health ◽  
Qualitative Descriptive

Abstract OBJECTIVE To learn the conceptions and actions of health professionals on the care network for women in situations of violence. METHOD A qualitative, descriptive, exploratory study was conducted between April and July 2015 with the participation of 21 health professionals from four primary health care teams in a city of the central region of the state of Rio Grande do Sul. Data were collected by means of individual semi-structured interviews. Content analysis was used for data systematization. RESULTS Health professionals recognized the importance of the health care network for coping with the problem of violence against women. However, their conceptions and actions were limited by the discoordination or absence of integration among professionals and services of the care network. CONCLUSION The conceptions and actions of health professionals contribute to the discoordination among the services. It is necessary to reflect on the daily practices of care for women in situations of violence.

scholarly journals Common Mental Disorders: socio-demographic and pharmacotherapy profile

2013 ◽  
Vol 21 (6) ◽  
pp. 1203-1211 ◽  
Author(s):  
Viviane Ferrari Gomes ◽  
Tatiana Longo Borges Miguel ◽  
Adriana Inocenti Miasso
Keyword(s):  
Health Care ◽  
Mental Disorders ◽  
Health Professionals ◽  
Exploratory Study ◽  
Family Income ◽  
Common Mental Disorders ◽  
Structured Interviews ◽  
Cross Sectional ◽  
Primary Health ◽  
Health Care Unit

OBJECTIVE: this study reports an association between Common Mental Disorders and the socio-demographic and pharmacotherapy profiles of 106 patients cared for by a Primary Health Care unit in the interior of São Paulo, Brazil. METHOD: this is a cross-sectional descriptive exploratory study with a quantitative approach. Structured interviews and validated instruments were used to collect data. The Statistical Package for Social Science was used for analysis. RESULTS: The prevalence of Common Mental Disorders was 50%. An association was found between Common Mental Disorders and the variables occupation, family income, number of prescribed medications and number of pills taken a day. Greater therapy non-adherence was observed among those who tested positive for Common Mental Disorders. CONCLUSION: this study's results show the importance of health professionals working in PHC to be able to detect needs of a psychological nature among their patients and to support the implementation of actions to prevent the worsening of Common Mental Disorders.

scholarly journals Accessibility of children with special health needs to the health care network

2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 65-71
Author(s):  
Eliane Tatsch Neves ◽  
Aline Cristiane Cavicchioli Okido ◽  
Fernanda Luisa Buboltz ◽  
Raíssa Passos dos Santos ◽  
Regina Aparecida Garcia de Lima
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Health Care Services ◽  
Health Needs ◽  
Structured Interviews ◽  
Care Network ◽  
Her Family ◽  
Primary Health ◽  
Health Care Network ◽  
Special Health

ABSTRACT Objective: To know how children with special health needs access the health care network. Method: This is a qualitative research of descriptive-exploratory type, developed using semi-structured interviews mediated by the Talking Map design. Participants were 19 family caregivers of these children in two Brazilian municipalities. Data were submitted to inductive thematic analysis. Results: Difficulties were mentioned from the diagnosis moment to the specialized follow-up, something represented by the itinerary of the c hild and his/her family in the search for the definition of the medical diagnosis and the access to a specialized professional; a gap between the children’s needs and the care offered was observed in primary health care. Conclusion: The access of children with special health needs is filled with obstacles such as slowness in the process of defining the child’s diagnosis and referral to a specialist. Primary health care services were replaced by care in emergency care units.

scholarly journals Use of the child health record by families: perceptions of professionals

2015 ◽  
Vol 24 (2) ◽  
pp. 407-414 ◽  
Author(s):  
Fabiane Blanco e Silva ◽  
Maria Aparecida Munhoz Gaíva ◽  
Débora Falleiros de Mello
Keyword(s):  
Child Health ◽  
Health Professionals ◽  
Exploratory Study ◽  
Health Record ◽  
Structured Interviews ◽  
Health Records ◽  
Thematic Content Analysis ◽  
Health Care Data ◽  
Primary Health ◽  
The Right

Qualitative and exploratory study performed in Cuiabá with 20 health professionals with the objective of analyzing the use of child health records by families, from the viewpoint of professionals working in primary health care. Data were collected by semi-structured interviews with thematic content analysis. The results showed that professionals believed that it is the duty of families to take care of child health records and to take them every time they seek health services for their children. However, despite the guidance provided, families seldom use this instrument. Participants also recognized that families have the right to demand the proper completion of data in the records, since this shows that families are interested in their children's health and also helps in the work of professionals. Child health records are an instrument for monitoring and promoting child health; therefore, their use should be known and valued by professionals and by families.

scholarly journals Innovative actions developed by nurses in primary health care

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Iria Barbara de Oliveira ◽  
Aida Maris Peres ◽  
Maria Manuela Martins ◽  
Elisabeth Bernardino ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hierarchical Classification ◽  
Descriptive Study ◽  
Structured Interviews ◽  
Work Process ◽  
New Ways Of Working ◽  
Primary Health ◽  
Qualitative Descriptive

ABSTRACT Objectives: to understand the work process dimensions related to innovative actions developed by nurses in Primary Health Care. Methods: qualitative, descriptive study, developed in Primary Health Care in a city in the Southern Region of Brazil. Seventy-six nurses, who worked in management and assistance, participated in this study through semi-structured interviews. After data processing by IRAMUTEQ software, the textual analysis occurred by descending hierarchical classification. Results: forty-two innovative actions, considered by the participants as new ways of working, were identified. There was a predominance of innovative actions related to the Management and Assist dimensions; we noticed the fragility of the actions to contemplate all the nurse’s work process dimensions. Final Considerations: the predominance of innovative actions was related to users’ assistance and better conditions in the teamwork process, besides highlighting the role of nurses in the perspective of a new way of working in health services.

scholarly journals Detection of tuberculosis: respiratory symptoms flow and results achieved

2018 ◽  
Vol 71 (5) ◽  
pp. 2543-2551 ◽  
Author(s):  
Lílian Moura de Lima Spagnolo ◽  
Jéssica Oliveira Tomberg ◽  
Dagoberta Alves Vieira ◽  
Roxana Isabel Cardozo Gonzales
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Respiratory Symptoms ◽  
Secondary Data ◽  
Health Care Teams ◽  
Structured Interviews ◽  
Primary Health ◽  
Municipal Management ◽  
Descriptive Statistical Analysis

ABSTRACT Objective: to analyze the flow of care to the person with symptoms of tuberculosis and the results achieved in the detection of cases in Primary Health Care units of two municipalities of Rio Grande do Sul. Method: descriptive of mixed methods, developed between 2013 and 2016. We used secondary data of 69 units and semi-structured interviews with 10 professionals. Descriptive statistical analysis and content analysis were used. Results: it was observed that the fragmented flow of attention to the respiratory symptoms in Pelotas resulted in low detection of cases by Primary Care, 8.8% of the diagnoses of the municipality. The Sapucaia do Sul flow presents continuity of care, and Primary Care performed 50% of the diagnoses of the municipality. Conclusion: the organization of flows by municipal management was instrumental in promoting or limiting the commitment of Primary Health Care teams in coordinating care and consequently in achieving the goals of disease control.

scholarly journals Assistência ao indivíduo em sofrimento psíquico: percepção das equipes multiprofissionais

2018 ◽  
Vol 12 (2) ◽  
pp. 407
Author(s):  
Dionasson Altivo Marques ◽  
Graziela Lonardoni De Paula ◽  
Carolina Lambert De Souza ◽  
Cristina Arreguy-Sena ◽  
Marcelo Da Silva Alves ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Standard Of Care ◽  
Support Network ◽  
Structured Interviews ◽  
Primary Health ◽  
Health Care Unit ◽  
Salud Mental ◽  
Qualitative Descriptive ◽  
Care Health

RESUMOObjetivo: compreender como as equipes multiprofissionais de uma Unidade de Atenção Primária à Saúde de um município da Zona da Mata Mineira percebem as suas contribuições na assistência aos indivíduos que sofrem psiquicamente e quais concepções as alicerçam. Método: estudo qualitativo, descritivo e exploratório, com seis profissionais, em que os dados foram produzidos por meio de entrevistas semiestruturadas e analisados seguindo-se o referencial de Peplau e de rede de apoio. Utilizou-se o software NVivo®Pro, versão 11, para a compilação dos dados, com a Análise de Conteúdo Temática. Resultados: os significados das narrativas resultaram em duas categorias temáticas <<Processo de ressocialização e <<Indivíduos em sofrimento psíquico>>. Conclusão: constataram-se a presença de traços de discriminação e as potentes normas sociais as quais os indivíduos com transtornos mentais estão permanentemente submetidos, demonstrando a necessidade de reflexão e reordenação das ações profissionais nesse contexto assistencial. Descritores: Saúde Mental; Estresse Psicológico; Atenção Primária à Saúde; Socialização; Padrão de Cuidado; Avaliação em Saúde.    ABSTRACT Objective: to understand how the multiprofessional teams of a Primary Health Care Unit of a municipality in the Zona da Mata Mineira perceive their contributions in assisting individuals who suffer psychically and which conceptions support them. Method: a qualitative, descriptive and exploratory study with six professionals, in which the data was produced through semi-structured interviews and analyzed according to the Peplau reference and support network. The software NVivo®Pro, version 11, was used to compile the data with thematic content analysis. Results: the meanings of the narratives resulted in two thematic categories << Process of resocialization and << Individuals in psychic suffering >>. Conclusion: the presence of traits of discrimination and the powerful social norms to which the individuals with mental disorders are permanently submitted, demonstrated the necessity of reflection and reordering of the professional actions in this assistance context. Descriptors: Mental Health; Psychological Stress; Primary Health Care; Socialization; Standard of Care; Health Evaluation.RESUMEN Objetivo: comprender cómo los equipos multiprofesionales de una Unidad de Atención Primaria a la Salud de un municipio de la Zona de Mata Minera perciben sus contribuciones en la asistencia a los individuos que sufren psíquicamente y cuáles concepciones las cimientan. Método: estudio cualitativo, descriptivo y exploratorio, con seis profesionales, en que los datos fueron producidos por medio de entrevistas semiestructuradas y analizadas siguiendo el referencial de Peplau y de red de apoyo. Se utilizó el software NVivo®Pro, versión 11, para la compilación de los datos, con la Análisis de Contenido Temático. Resultados: los significados de las narrativas resultaron en dos categorías temáticas << Proceso de resocialización y << Individuos en sufrimiento psíquico >>. Conclusión: se constataron la presencia de rasgos de discriminación y las potentes normas sociales a las cuales los individuos con trastornos mentales están permanentemente sometidos, demostrando la necesidad de reflexión y reordenación de las acciones profesionales en ese contexto asistencial. Descriptores: Salud Mental; Estrés Psicológico; Atención Primaria a la Salud; Socialización; Padrón de Cuidado; Avaliación en Salud.1,2,3Mestres, Universidade Federal de Juiz de Fora/UFJF. Juiz de Fora

scholarly journals Features assistance provided by team health children hospitalized in view of parents and companions

2010 ◽  
Vol 4 (4) ◽  
pp. 1909
Author(s):  
Sinéia Dos Santos Machado ◽  
Fátima Helena Cecchetto ◽  
Eveline Franco Silva ◽  
Fernando Riegel
Keyword(s):  
Health Care ◽  
Child Health ◽  
Health Professionals ◽  
Exploratory Study ◽  
Rio Grande ◽  
Ethics Committee ◽  
Parental Satisfaction ◽  
Hospitalized Children ◽  
Rio Grande Do Sul ◽  
Pediatric Center

ABSTRACTObjective: to identify the satisfaction of hospitalized children´s companion concerning the attendance provided by the health professionals. Methodology: this is about a descriptive-exploratory study from quantitative approach, developed in the pediatric center of a philanthropic hospital from the Serra Gaúcha/RS. The population was constituted of 35 children´s companion interned in the pediatric center. The data were collected through a questionnaire with structured issues and analyzed with the software Epi Info 2002. The research only had the beginning after approval of the Ethics Committee in Research of Nossa Senhora de Fatima University under protocol number 043/09. Results: the majority (82.85%) respondents reported no complaints regarding the care of the child; 17.15% escorts have any complaints about the care. Conclusion: the apparent satisfaction suggests the requirement of the humanization process. Information from the study can be used by nursing staff of the institutions, as proposed adequacy, or intensification of the promotion of health in relation to parental satisfaction during hospitalization of children. Descriptors: child health; health care; pediatric nursing.RESUMOObjetivo: identificar a satisfação dos pais de crianças hospitalizadas acerca da assistência prestada pelos profissionais de saúde. Metodologia: estudo descritivo-exploratório com abordagem quantitativa, desenvolvido no setor de internação pediátrica de um hospital filantrópico da Serra Gaúcha. A população constituiu-se de 35 sujeitos. Os dados foram coletados opor meio de questionário estruturado, analisados a partir do banco de dados do software Epi Info 2002. A investigação teve início somente após aprovação do Comitê de Ética da Faculdade Nossa Senhora de Fátima, sob parecer nº 043/09. Resultados: a maioria (82,85%) dos entrevistados referiu não ter reclamações quanto aos cuidados prestados à criança; 17,15% acompanhantes têm alguma queixa quanto aos cuidados. Conclusão: a satisfação evidenciada sugere a exigência do processo de humanização da assistência. As informações provenientes do estudo podem ser utilizadas pela equipe de enfermagem das instituições, como proposta de adequação, ou intensificação das ações de promoção da saúde, no que se refere à satisfação dos pais, durante internação de filho. Descritores: saúde da criança; assistência integral à saúde; enfermagem pediátrica.RESUMENObjetivo: identificar la satisfacción de los que acompañan a niños hospitalizados con respecto a la asistencia dado por los profesionales de la salud. Metodología: estudio descriptivo-exploratorio con un enfoque cuantitativo, que se desarrolló en la sección de internamiento pediátrico de un hospital filantrópico de la provincia de Rio Grande do Sul. La población fue constituida de 35 compañeros de niños ingresados en la sección pediátrica. Los datos fueron colectados a través de un cuestionario con los temas estructurados y analizados a partir del software Epi Info 2002. La investigación solamente empezó después de la aprobación del comité de ética en pesquisas de la facultad “Nossa Senhora de Fatima” de n º 043/09. Resultados: la mayoría (82,85%) de los encuestados no reportaron quejas con respecto a cuidado de niños; 17,15% de los compañeros tiene alguna queja sobre cuidado. Conclusión: la satisfacción sugiere el requisito del proceso de humanización. Este estudio puede ser utilizado por equipo enfermería de las instituciones, como la adecuación propuesta, o la intensificación de la promoción de la salud en relación con la satisfacción de los padres durante la hospitalización de los niños. Descriptores: salud del niño; atención integral de salud; enfermaría pediátrica.

scholarly journals Desafios enfrentados pelos enfermeiros frente à criança com osteogênese imperfeita

2020 ◽  
Vol 14 ◽  
Author(s):  
Camila Cruz de Souza ◽  
Rayanne Kelly Pinheiro Kropf ◽  
Érika Sousa Domingues ◽  
Zorahyde Ribeiro Pires ◽  
Ana Cristina Silva Pinto
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Child Care ◽  
Osteogenesis Imperfecta ◽  
Nursing Care ◽  
Health Professionals ◽  
Exploratory Study ◽  
Bone Fragility ◽  
Questionnaire Data ◽  
Qualitative Descriptive

Objetivo: identificar os desafios dos enfermeiros na assistência à criança com osteogênese imperfeita. Método: trata-se de um estudo qualitativo, descritivo e exploratório, com 14 enfermeiras plantonistas do complexo pediátrico, que responderam a um questionário. Analisaram-se os dados pela Análise de Conteúdo. Resultados: entendeu-se que o cuidado dessas crianças se torna um desafio, visto que qualquer intervenção inapropriada relacionada à mobilização poderá desencadear complicações devido à fragilidade óssea. Conclusão: aponta-se que o estudo serviu como aprendizado para uma doença não muito conhecida, a qual instiga alguns profissionais de saúde em relação ao seu manejo. Torna-se indispensável, nesse contexto, a sistematização da assistência de Enfermagem aos portadores de OI, já que necessitam de cuidados diferenciados. Descritores: Enfermagem; Ortopedia; Assistência à Saúde; Cuidado da Criança; Enfermeiras Pediátricas; Osteogênese Imperfeita. AbstractObjective: to identify nurses' challenges in the care of children with osteogenesis imperfecta. Method: this is a qualitative, descriptive and exploratory study with 14 on duty nurses in the pediatric complex, who answered a questionnaire. Data was analyzed by Content Analysis. Results: it was understood that the care of these children becomes a challenge, since any inappropriate intervention related to mobilization may trigger complications due to bone fragility. Conclusion: it is pointed out that the study served as learning for a disease that is not well known, which instigates some health professionals regarding its management. In this context, the systematization of nursing care for patients with OI becomes indispensable, as they require special care. Descriptors: Nursing; Orthopedics; Delivery of Health Care; Child Care; Nurses Pediatric; Osteogenesis.ResumenObjetivo: identificar los desafíos de los enfermeros en el cuidado de niños con osteogénesis imperfecta. Método: este es un estudio cualitativo, descriptivo y exploratorio con 14 enfermeras pediátricas en el complejo pediátrico, que respondieron un cuestionario. Los datos fueron analizados por el Análisis de Contenido. Resultados: se entendió que el cuidado de estos niños se convierte en un desafío, ya que cualquier intervención inapropiada relacionada con la movilización puede desencadenar complicaciones debido a la fragilidad ósea. Conclusión: se señala que el estudio sirvió como aprendizaje para una enfermedad no conocida, lo que instiga a algunos profesionales de la salud a tratarla. En este contexto, la sistematización de la atención de enfermería para pacientes con OI se vuelve indispensable, ya que requieren atención diferenciada. Descriptores: Enfermería; Ortopedia; Prestación de Atención de Salud; Cuidado del Niño; Enfermeras Pediátricas; Osteogénesis. 

scholarly journals Educação permanente como apoio ao PMAQ-AB

2019 ◽  
Vol 13 ◽  
Author(s):  
Thiala Maria Carneiro de Almeida ◽  
Rose Manuela Marta Santos ◽  
Daniela Márcia Neri Sampaio ◽  
Alba Benemérita Alves Vilela
Keyword(s):  
Thematic Analysis ◽  
Exploratory Study ◽  
Family Health ◽  
Structured Interviews ◽  
Small Municipality ◽  
Primary Health ◽  
Quality Of Primary Care ◽  
Qualitative Descriptive ◽  
Access And Quality

Objetivo: analisar a educação permanente como apoio para o Programa de Melhoria do Acesso e Qualidade da Atenção Básica em um município de pequeno porte. Método: trata-se de um estudo qualitativo, descritivo e exploratório em que os dados foram provenientes de entrevistas semiestruturadas com 11 profissionais de nível superior, analisados a partir da técnica de Análise de Conteúdo na modalidade Análise Temática Transversal. Resultados: identificaram-se, a partir da análise, como núcleos relevantes: (1) Conhecimento dos profissionais sobre educação permanente; (2) O desenvolvimento do PMAQ no município de pequeno porte e (3) Ações de educação permanente e suas contribuições para o PMAQ. Revela-se que os profissionais percebem a potencialidade da educação permanente para a indução de mudanças no processo de trabalho das equipes e das práticas de saúde, todavia, enfrentam dificuldades de vislumbrar dispositivos que poderiam ser utilizados como instrumento de educação permanente e com o desenvolvimento das ações no PMAQ no município. Conclusão: a educação permanente não tem contribuído de forma idealizada pelo PMAQ. Descritores: Educação Continuada; Avaliação em Saúde; Políticas de Saúde; Saúde da Família; Atenção Primária à Saúde; Sistema Único de Saúde.AbstractObjective: to analyze permanent education in support of the Program for Improving Access and Quality of Primary Care in a small municipality. Method: this is a qualitative, descriptive and exploratory study in which the data came from semi-structured interviews with 11 higher level professionals, analyzed using the technique of Content Analysis in the Cross-Thematic Analysis modality. Results: from the analysis, were identified as relevant nuclei: (1) Knowledge of professionals about permanent education; (2) The development of PMAQ in the small municipality; and (3) Permanent education actions and their contributions to PMAQ. It is revealed that professionals realize the potential of permanent education to induce changes in the work process of teams and health practices, however, face difficulties to envision devices that could be used as a permanent education instrument and with the development of actions in the PMAQ in the municipality. Conclusion: permanent education has not contributed in an ideal way by the PMAQ. Descriptors: Permanent Education; Health Evaluation; Health Policy; Family Health; Primary Health Care; Unified Health System.ResumenObjetivo: analizar la educación permanente en apoyo del Programa para Mejorar el Acceso y la Calidad de la Atención Primaria en un pequeño municipio. Método: este es un estudio cualitativo, descriptivo y exploratorio en el que los datos provienen de entrevistas semiestructuradas con 11 profesionales de nivel superior, analizados utilizando la técnica de Análisis de Contenido en la modalidad de Análisis Temático Cruzado. Resultados: a partir del análisis, identificamos como núcleos relevantes: (1) Conocimiento de profesionales sobre educación permanente; (2) El desarrollo de PMAQ en el pequeño municipio, y (3) Acciones de educación permanente y sus contribuciones a PMAQ. Se revela que los profesionales se dan cuenta del potencial de la educación permanente para inducir cambios en el proceso de trabajo de los equipos y las prácticas de salud, sin embargo, enfrentan dificultades para visualizar dispositivos que podrían usarse como un instrumento de educación permanente y con el desarrollo de acciones en el PMAQ en el municipio. Conclusión: la educación permanente no ha contribuido de manera ideal por el PMAQ. Descriptores: Educación Continua; Evaluación en Salud; Política de Salud; Salud de la Familia; Atención Primaria de Salud; Sistema Único de Saúde; Sistema Único de Salud.

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