VIRTUAL TABLETOP ROLE-PLAYING GAME AS A GAMIFICATION TOOL FOR LEARNING THE NURSE HOME VISITS IN PRIMARY HEALTH CARE

Aims:This preliminary study describe the experience of mental health consultation-liaison activities delivered by a psychiatric community nurse and a psychiatrist with Primary Health Care (PHC) teams in a university community health center in city of Ribeirao Preto, State of Sao Paulo, Brazil.Method:This is a descriptive exploratory study, carried out from March to May 2008, from the record of the activities in weekly consultation meetings with four PHC teams.Results:The activities developed including discussions of issues and cases, joint consultations and home visits with PHC teams. Fifty-one joint consultations/home visits and twenty-six discussions of cases/issues were made. The clients were predominantly female and aged over 18 years; diagnoses of major depressive episode, generalized anxiety disorder and alcohol unhealthy use was common. Psychotic and bipolar disorders were also discussed and evaluated. The main complaints were related to: changes in sleep, appetite and energy; difficulty in relationships (including family and work); aggression and violence (including physical and sexual abuse); difficulty of adherence to treatment, and other psychiatric symptoms. The referrals were made mostly for ambulatory psychotherapy and ambulatory adult and child mental health specialized care.Conclusion:The joint activities between the specialized and PHC teams to enable full attention to health of patients and the development of interdisciplinary work. This work is challenging because it put on the agenda of health the borders between the levels of assistance, knowledge, practices and goals of different professional groups.

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Postpartum period: the importance of home visits given by the nurse in Primary Health Care

Rev Rene ◽

10.15253/2175-6783.2016000100015 ◽

2016 ◽

Vol 17 (1) ◽

pp. 112

Author(s):

Leticia dos Santos Medeiros ◽

Ana Carla Marques da Costa

Keyword(s):

Health Care ◽

Qualitative Research ◽

Primary Health Care ◽

Home Visit ◽

Home Visits ◽

Structured Interview ◽

Health Unit ◽

Thematic Content Analysis ◽

Primary Health ◽

Analysis Technique

to understand the importance given by nurses working in primary health care for the realization of home visits in the puerperal period. Methods: qualitative research held with 38 nurses by applying a semi-structured interview, in which the thematic content analysis technique was used under Bardin’s theoretical light. Results: the majority of interviewees considered the home visit a tool that brings the health unit to the reality experienced by the mother, however, there are still many professionals who omit some precautions when dealing with this population. Conclusion: the home visit is considered essential for contributing to the reduction of morbidity and mortality of the postpartum and newborn, increasing the bond between unit and family, and reducing the risk of postpartum complications, however, the attention turned to these women is still covered with big challenges to achieve a real satisfactory assistance.

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Home visits of the nurse and its relationship with hospitalization by diseases sensitive to primary health care

Escola Anna Nery ◽

10.1590/2177-9465-ean-2018-0285 ◽

2019 ◽

Vol 23 (2) ◽

Author(s):

Mayra Romélia Leite Garcia ◽

Daniel Souza Sacramento ◽

Hadelândia Milon de Oliveira ◽

Maria Jacirema Ferreira Gonçalves

Keyword(s):

Health Care ◽

Primary Health Care ◽

Family Health ◽

Home Visits ◽

Population Coverage ◽

High Coverage ◽

Primary Health ◽

Health Strategy ◽

The Family ◽

Family Health Strategy

Abstract Objective: To identify if nurses' home visits recorded by the family health strategy are proportional to the registered population and the population covered by the family health team, and its relationship with the rate of hospitalization for conditions sensitive to primary health care. Method: Secondary data were gathered from the Information Systems of Primary Care and Hospitalization regarding potential population coverage, number of visits done, hospitalizations for diseases sensitive to primary health care. An exploratory analysis was performed with data grouping for triennium (2010-2012 and 2013-2015) and assignment of scores for each variable, creating the classification strata in: low, medium and high. Results: It was identified that the number of registered home visits does not meet the estimated population coverage as well as does not impact on the admissions sensitive to primary health care. Conclusion and implications for practice: Even with high coverage of the family health strategy, home visits are not the main focus of nurses yet. Home visits should be used as a tool for disease prevention and health promotion, which may explain the non-reduction of hospitalizations sensitive to primary health care.

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Using Virtual Patient Simulations to Prepare Primary Health Care Professionals to Conduct Substance Use and Mental Health Screening and Brief Intervention

Journal of the American Psychiatric Nurses Association ◽

10.1177/1078390317719321 ◽

2017 ◽

Vol 24 (3) ◽

pp. 247-259 ◽

Cited By ~ 10

Author(s):

Glenn Albright ◽

Craig Bryan ◽

Cyrille Adam ◽

Jeremiah McMillan ◽

Kristen Shockley

Keyword(s):

Mental Health ◽

Health Care ◽

Substance Use ◽

Primary Health Care ◽

Brief Intervention ◽

Health Care Professionals ◽

Role Playing ◽

Brief Interventions ◽

Screening And Brief Intervention ◽

Primary Health

BACKGROUND: Primary health care professionals are in an excellent position to identify, screen, and conduct brief interventions for patients with mental health and substance use disorders. However, discomfort in initiating conversations about behavioral health, time concerns, lack of knowledge about screening tools, and treatment resources are barriers. OBJECTIVE: This study examines the impact of an online simulation where users practice role-playing with emotionally responsive virtual patients to learn motivational interviewing strategies to better manage screening, brief interventions, and referral conversations. DESIGN: Baseline data were collected from 227 participants who were then randomly assigned into the treatment or wait-list control groups. Treatment group participants then completed the simulation, postsimulation survey, and 3-month follow-up survey. RESULTS: Results showed significant increases in knowledge/skill to identify and engage in collaborative decision making with patients. CONCLUSIONS: Results strongly suggest that role-play simulation experiences can be an effective means of teaching screening and brief intervention.

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Skin diseases in children in rural Kenya: long-term results of a dermatology project within the primary health care system

British Journal of Dermatology ◽

10.1046/j.1365-2133.2001.03962.x ◽

2001 ◽

Vol 144 (1) ◽

pp. 118 ◽

Cited By ~ 6

Author(s):

W. Schmeller

Keyword(s):

Health Care ◽

Primary Health Care ◽

Health Care System ◽

Skin Diseases ◽

Long Term Results ◽

Primary Health Care System ◽

Primary Health ◽

Rural Kenya ◽

Care System

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Non-Fatal Deliberate Self-Harm in Three Remote Indigenous Communities in Far North Queensland, Australia

Crisis ◽

10.1027/0227-5910/a000589 ◽

2019 ◽

Vol 40 (6) ◽

pp. 422-428 ◽

Cited By ~ 1

Author(s):

Chris Rouen ◽

Alan R. Clough ◽

Caryn West

Keyword(s):

Health Care ◽

Primary Health Care ◽

Care Center ◽

Indigenous Communities ◽

Indigenous Australians ◽

Deliberate Self Harm ◽

Health Care Center ◽

Far North ◽

Primary Health ◽

Self Harm

Abstract. Background: Indigenous Australians experience a suicide rate over twice that of the general population. With nonfatal deliberate self-harm (DSH) being the single most important risk factor for suicide, characterizing the incidence and repetition of DSH in this population is essential. Aims: To investigate the incidence and repetition of DSH in three remote Indigenous communities in Far North Queensland, Australia. Method: DSH presentation data at a primary health-care center in each community were analyzed over a 6-year period from January 1, 2006 to December 31, 2011. Results: A DSH presentation rate of 1,638 per 100,000 population was found within the communities. Rates were higher in age groups 15–24 and 25–34, varied between communities, and were not significantly different between genders; 60% of DSH repetitions occurred within 6 months of an earlier episode. Of the 227 DSH presentations, 32% involved hanging. Limitations: This study was based on a subset of a larger dataset not specifically designed for DSH data collection and assesses the subset of the communities that presented to the primary health-care centers. Conclusion: A dedicated DSH monitoring study is required to provide a better understanding of DSH in these communities and to inform early intervention strategies.

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