scholarly journals Atenção Primária à Saúde frente à COVID-19: Relato de experiência de um Centro de Saúde

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Amora Ferreira Menezes Rios ◽  
Laís Santana Santos Pereira Lira ◽  
Ilana Menezes Reis ◽  
Gabriela Andrade Silva

Objetivo: Relatar as estratégias de enfrentamento à COVID-19 de um Centro de Saúde da Atenção Primária à Saúde de um município do sul da Bahia. Método: Relato de experiência Resultados: O resgate da Educação em Saúde e o foco na Educação Permanente facilitaram a adesão ao distanciamento social pela comunidade e capacitou a equipe para lidar com a situação atual. Além disso, a pandemia estimulou nos profissionais de saúde uma reinvenção das formas de atuação, bem como a ressignificação dos processos de autocuidado. Nesse contexto, a utilização das Práticas Integrativas e Complementares e da criatividade no cuidado de si e do outro permitiram o desenvolvimento da empatia, o fortalecimento do vínculo, a harmonia e o controle emocional, mesmo em meio ao pânico criado pela pandemia. Considerações finais: Em todas as ações, percebeu-se que, apesar de inserido em uma equipe multiprofissional, o profissional de Enfermagem é o protagonista da Atenção Primária à Saúde, destacando-se desde o planejamento às execuções e avaliação das ações implementadas.Descritores: COVID-19; Pandemia; Enfermagem; Atenção Primária à Saúde; Saúde Coletiva. PRIMARY HEALTH CARE IN FRONT OF COVID-19: EXPERIENCE REPORT FROM A HEALTH CENTERObjective: Report coping strategies to COVID-19 from a Primary Health Center in a municipality in the south of Bahia, Brazil. Methods: Experience report. Results: The Health Education and the focus on Permanent Education facilitated adherence to social distance by the community and enabled the team to deal with the current situation. In addition, the pandemic has encouraged health professionals to reinvent their ways of acting, as well as to redefine self-care processes. In that context, the use of Integrative and Complementary Practices, and the creative caring for oneself and the other, reinforced the development of empathy, the strengthening of the bonds, harmony and emotional control, evensorrounded by a panic atmosphere created by the pandemic. Conclusion: The experience has shown that besides being part of a multidisciplinary team, the nursing professionals are the protagonist of Primary Health Care, and they are noteworthy in planning, executing and evaluating the actions implemented.Descriptors: COVID-19; Pandemic; Nursing; Primary Health Care; Collective Health. ATENCIÓN PRIMARIA DE SALUD FRENTE AL COVID-19: INFORME DE EXPERIENCIA DE UN CENTRO DE SALUDObjetivo: Informar las estrategias de afrontamiento à COVID-19 desde un Centro de Atención Primaria de Salud en un municipio en el sur de Bahía, Brasil. Método: Informe de experiencia. Resultados: El rescate de la Educación para la Salud y el enfoque en la Educación Permanente facilitaron la adhesión a la distancia social por parte de la comunidad y permitieron al equipo lidiar con la situación actual. Además, la pandemia ha alentado a los profesionales de la salud a reinventar sus formas de actuar, así como a redefinir los procesos de autocuidado. En ese contexto, el uso de prácticas integradoras y complementarias y la creatividad en el cuidado de uno mismo y del otro, permitió el desarrollo de la empatía, el fortalecimiento del vínculo, la armonía y el control emocional, incluso en medio del pánico creado por la pandemia. Conclusión: En todas las acciones, se observó que, a pesar de ser parte de un equipo multidisciplinario, el profesional de enfermería es el protagonista de la Atención Primaria de Salud, destacando, desde la planificación hasta las ejecuciones y la evaluación de las acciones implementadas.Descriptores: COVID-19; Pandemia; Enfermería; Atención primaria de salud; Salud pública.

2012 ◽  
Vol 68 (2) ◽  
Author(s):  
N. Mlenzana ◽  
R. Mwansa

To establish satisfaction level of persons with disabilitiesregarding health services at primary health care centres in Ndola, Zambia.Key stakeholders views on satisfaction of services is an important componentof service rendering thus obtaining information is important in assistingwith the evaluation of health care service delivery. This will assist in improvingeffectiveness and availability of health care services to persons with physicaldisabilities.All persons with disabilities attending both rehabilitation centres andprimary health care centres in Ndola, Zambia, were targeted for this study. Willing participants were convenientlyselected to take part in the study.A cross sectional, descriptive study design using quantitative methods of data collection was used. The GeneralPractice Assessment Questionnaire was adjusted, piloted for Ndola population and used in this study to establishsatisfaction of participants. The study was ethically cleared at the University of the Western Cape and Zambia.Information and consent forms were signed by participants.Quantitative data was analysed descriptively and was reported in percentages.In the current study there were 191 participants of whom 56% were male and 44% were female with age rangefrom 18-65 years. Fifty-two percent of the participants presented with learning disabilities and 38% of persons withphysical disabilities. Majority of clients (54%) were dissatisfied with availability of services and health care servicesat the health care centres. Areas that clients were dissatisfied with were accessibility, consultation with health professionals,waiting times and opening hours of the health care centres.Clients with disabilities who accessed health care services from selected health centres in Ndola were dissatisfiedwith aspects of health services. Accessibility, consultation with health professionals, waiting times and opening hoursof the health care centres were the origin of client dissatisfaction. Other clients were satisfied with thoroughness ofhealth care providers regarding symptoms, feelings, reception and treatment received at the primary health care centre.Understanding the views of the clients is essential in improving health delivery services and could impact on thecompliance of people attending primary health care services.


2020 ◽  
Vol 3 (1) ◽  
Author(s):  
Tatiana Varela Madureira ◽  
Maria Cristina Quintas Antunes

Background: The integration of mental health in primary health care, throughout its various functional units and with effective articulation between primary health care and mental health services, has been considered an essential objective of the legislative documents produced in the last three decades in Portugal, among them the National Health Plan 2011-2016.Goals: This study aimed to inquire health professionals’ perceptions about mental health care provided by public primary health care units, namely their perceptions about the mental health of their patients. It also intended to explore the difficulties perceived by the health professionals in their daily activity about the mental health problems of their patients and about the need of clinical psychologists’ activity in the public primary health care.Methods: This is an observational cross-sectional study with two non-probabilistic samples: health professionals (doctors, nurses and psychologists) and patients from two public health care units. Health professionals were interviewed (individual structured face-to-face interviews) about their perceptions of needs for improving their capacity to provide mental healthcare and about patients’ mental health conditions. Patients responded (by self-administration) to the Depression, Anxiety and Stress Scale (DASS-21), providing a characterization of patients’ stress, anxiety and symptoms of depression.Results: Health professionals in their daily practice often identify in their patients symptoms of stress, anxiety and depression (most particularly in adults),. Several issues were identified as problematic, such as: poor access of the referral system for psychiatric and clinical psychological specialized care, insufficient number of health professionals, particularly of psychologists, and lack of appropriate mental health care specialization. The results also revealed relevant levels of stress, anxiety and depression in primary health care patients (both genders), which seem to increase with age. Discussion: Difficulties identified by health professionals may relate to the centralisation of resources, resistance to change from human resources management, lack of consensus among the various decision groups linked to mental health and, at institutional level, insufficient and inadequate funding. These factors may contribute to a failure in early diagnosis of symptoms of depression, anxiety and stress. It is expected that articulation between primary health services and differentiated health services will improve, with improvement in teamwork among professionals and increase of the quality of life of users, satisfaction with work, from health professionals,  and reduction of health costs.


2019 ◽  
Vol 40 (3) ◽  
pp. 237-239
Author(s):  
Marcos Signorelli ◽  
Angela Taft ◽  
Pedro Paulo Gomes Pereira

In this commentary paper, we highlight the key role that community health workers and family health professionals can perform for the identification and care for women experiencing domestic violence in communities. These workers are part of the primary health-care strategy in the Brazilian public health system, who are available in every municipalities and neighborhoods of the country. Based on our ethnographic research, we argue that identification and care of abused women by these workers and professionals follow a pattern which we described and named “the Chinese whispers model.” We also point gaps in training these workers to deal with complex issues, such as domestic violence, arguing for the need of formal qualification for both community health workers and family health professionals by, for example, incorporating such themes into curricula, further education, and continuing professional development.


2012 ◽  
Vol 18 (2) ◽  
pp. 112 ◽  
Author(s):  
Tracy E. Cheffins ◽  
Julie A. Twomey ◽  
Jane A. Grant ◽  
Sarah L. Larkins

Self-management support (SMS) is an important skill for health professionals providing chronic condition management in the primary health care sector. Training in SMS alone does not always lead to its utilisation. This study aimed to ascertain whether SMS is being used, and to identify barriers and enablers for SMS in practice. Health professionals who underwent SMS training were invited to participate in a semi-structured interview. A response rate of 55% (14 of 24) was achieved. All interviewees rated their understanding of the principles of SMS as moderate or better. In relation to how much they use these principles in their practice, several (5 of 14) said minimally or not at all. The tools they were most likely to use were SMART goals (8 of 14) and decision balance (5 of 14). Core skills that were being used included problem solving (11 of 14), reflective listening (13 of 14), open-ended questions (12 of 14), identifying readiness to change (12 of 14) and goal setting (10 of 14). The most important barriers to implementing SMS were current funding models for health care, lack of space and staff not interested in change. The most highly rated enabling strategies were more training for general practitioners and more training for practice nurses; the lowest rated was more training for receptionists. The increasing prevalence of chronic conditions due to ageing and lifestyle factors must be addressed through new ways of delivering primary health care services. Self-management support is a necessary component of such programs, so identified barriers to SMS must be overcome.


Medicina ◽  
2009 ◽  
Vol 45 (3) ◽  
pp. 238 ◽  
Author(s):  
Giedra Levinienė ◽  
Aušra Petrauskienė ◽  
Eglė Tamulevičienė ◽  
Jolanta Kudzytė ◽  
Liutauras Labanauskas

The objective of this study was to evaluate the knowledge and activities of Kaunas primary health care center professionals in promoting breast-feeding. Material and methods. A total of 84 general practitioners and 52 nurses participated in the survey, which was carried out in Kaunas primary health care centers in 2006. Data were gathered from the anonymous questionnaire. Results. Less than half of general practitioners (45.1%) and 65% of nurses were convinced that baby must be exclusively breast-fed until the age of 6 months, but only 21.6% of general practitioners and 27.5% of nurses knew that breast-feeding with complementary feeding should be continued until the age of 2 years and longer. Still 15.7% of general practitioners and 25% of nurses recommended pacifiers; 7.8% of general practitioners advised to breast-feed according to hours. Half of the health professionals recommended additional drinks between meals; onethird of them – to give complementary food for the babies before the age of 6 months. One-third (29.6%) of the health professionals surveyed recommended mothers to feed their babies more frequently in case the amount of breast milk decreased. Conclusions. The survey showed that knowledge of medical personnel in primary health care centers about the advantages of breast-feeding, prophylaxis of hypogalactia, and duration of breast-feeding was still insufficient.


1997 ◽  
Vol 2 (2) ◽  
pp. 1-9 ◽  
Author(s):  
M. Martin

This article takes the form of a case study of a master's course for health and development professionals working in the field of primary health care. It argues the need for health professionals to critically examine research paradigms and the assumptions that inform them, considering their appropriateness to primary health care, a health strategy based on a recognition of the relationship between inequalities and health status. Conventional training of health professionals does not encourage health workers to reflect critically on their research practice. This can be facilitated through an educational strategy that emphasises issues of inequality as central to health and addresses issues of power and purpose in research activity.


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