scholarly journals Silenciamento dos enfermeiros sobre os motivos da não recomendação da amamentação cruzada

2020 ◽  
Vol 11 (2) ◽  
Author(s):  
Cristiane Santos Gomes ◽  
Benedita Maria Rêgo Deusdará Rodrigues ◽  
Patricia Lima Pereira Peres ◽  
Lilian Koifman
Keyword(s):  
Focus Group ◽  
Qualitative Study ◽  
Family Health ◽  
Care Practice ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Breastfeeding Counseling

Objetivo: identificar qual a conduta assistencial do enfermeiro frente à amamentação cruzada. Metodologia: estudo qualitativo, realizado com seis enfermeiras atuantes da Estratégia de saúde da família por meio de um grupo focal em de Duque de Caxias. Resultados: aponta a carência do aconselhamento na conduta assistencial frente à amamentação cruzada e o silenciamento sobre os motivos da não recomendação da mesma. Conclusão: Recomenda-se mudança nos discursos dos enfermeiros para a busca dos motivos que desencadearam a prática da amamentação cruzada para assim poderem intervir, visto que na maioria das vezes é praticada pela não efetividade de seus direitos.Descritores: Aleitamento materno; Aconselhamento; Enfermagem; Bioética. Objective: identify the nurse’s care practice towards cross-breastfeeding.Methodology: a qualitative study carried out with six nurses working in the Family Health Strategy through a focus group in Duque de Caxias. Results: points out the lack of counseling in the care practice regarding cross-breastfeeding and the silencing of the reasons for not recommending it.Conclusion: it is recommended to change the nurses’s discourses to search for the reasons that triggered the practice of cross-breastfeeding in order to intervene, considering that most of the time it is practiced for the non-effectiveness of their rightsKeywords: Breastfeeding; Counseling; Nursing; Bioethics. Objetivo: identificar cuál es la conducta asistencial del enfermero frente a la lactancia cruzada. Metodología: estudio cualitativo, realizado con seis enfermeras actuantes de la Estrategia de salud de la familia por medio de un grupo focal en el Duque de Caxias. Resultados: apunta la carencia del asesoramiento en la conducta asistencial frente a la lactancia cruzada y el silenciamiento sobre los motivos de la no recomendación de la misma. Conclusión: Se recomienda cambiar en los discursos de los enfermeros para la búsqueda de los motivos que desencadenaron la práctica de la lactancia cruzada para así poder intervenir, ya que la mayoría de las veces es practicada por la no efectividad de sus derechos.Descriptores: Lactancia Materna; Consejo; Enfermería; Bioética.

scholarly journals Prevalence and correlates of generalized anxiety disorder among elderly people in primary health care

2020 ◽  
Vol 69 (2) ◽  
pp. 126-130
Author(s):  
Caroline Menta ◽  
Luísa Weber Bisol ◽  
Eduardo Lopes Nogueira ◽  
Paula Engroff ◽  
Alfredo Cataldo Neto
Keyword(s):  
Health Care ◽  
Anxiety Disorder ◽  
Generalized Anxiety Disorder ◽  
Family Health ◽  
Care Practice ◽  
Generalized Anxiety ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
History Of

ABSTRACT Objective To examine the prevalence of generalized anxiety disorder (GAD) and its associations with sociodemographic and health factors. Methods A cross-sectional study with a population-based sample of 578 individuals aged 60 years or older from the Family Health Strategy (FHS) program of Porto Alegre, RS, Brazil. Home visit screening and general data collection were made by trained Community Health Workers (CHWs). Diagnoses of psychiatric disorders were made by board-certified psychiatrists using the Mini International Neuropsychiatric Interview plus (MINIplus) in the Hospital São Lucas of the Pontifical University of Rio Grande do Sul (PUCRS). Results GAD was found in 9% of the sample (n = 52; CI 95% = 6.9-11.6). The main results of the multivariate analysis show associations between GAD and retirement (PR: 0.43, CI: 0.25-0.76), history of falls (PR: 2.52, CI: 1.42-4.49), cohabitation with four or more people (PR: 1.80, CI: 1.04-3.13), having more than one hospitalization in the last year (PR: 2.53, CI: 1.17-5.48) and self-perception of health as regular (PR: 2.75, CI: 1.02-7.47). Retirement in the elderly shows 2.32x less risk of GAD, although confounding factors may have overestimated this finding and underestimated the association with female gender (PR: 1.61, CI: 0.83-3.10). Conclusions We estimate a high prevalence of GAD in this population. Associations were found between GAD and health self-perceived as regular, cohabitation with four or more people, history of falls and more than one hospitalization in the last year. These epidemiological data from the Family Health Strategy are important to develop further strategies for this age group that could improve the health care practice.

scholarly journals Primary care for diabetes mellitus patients from the perspective of the care model for chronic conditions

2017 ◽  
Vol 25 (0) ◽  
Author(s):  
Maria Aparecida Salci ◽  
Betina Hörner Schlindwein Meirelles ◽  
Denise Maria Guerreiro Vieira da Silva
Keyword(s):  
Diabetes Mellitus ◽  
Health Care ◽  
Health Care Professionals ◽  
Chronic Conditions ◽  
Family Health ◽  
Care Practice ◽  
Analysis Technique ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to assess the health care Primary Health Care professionals provide to diabetes mellitus patients from the perspective of the Modelo de Atenção às Condições Crônicas. Method: qualitative study, using the theoretical framework of Complex Thinking and the Modelo de Atenção às Condições Crônicas and the methodological framework of assessment research. To collect the data, 38 interviews were held with health professionals and managers; observation of the activities by the health teams; and analysis of 25 files of people who received this care. The data analysis was supported by the software ATLAS.ti, using the directed content analysis technique. Results: at the micro level, care was distant from the integrality of the actions needed to assist people with chronic conditions and was centered on the biomedical model. At the meso level, there was disarticulation among the professionals of the Family Health Strategy, between them and the users, family and community. At the macro level, there was a lack of guiding strategies to implement public policies for diabetes in care practice. Conclusion: the implementation of the Modelo de Atenção às Condições Crônicas represents a great challenge, mainly needing professionals and managers who are prepared to work with chronic conditions are who are open to break with the traditional model.

scholarly journals Nurse competences in the family health strategy

2018 ◽  
Vol 12 (11) ◽  
pp. 2906
Author(s):  
Juliane Da Silveira Jasmim ◽  
Gisella De Carvalho Queluci ◽  
Amanda Ribeiro Mendonça ◽  
Vinícius Rodrigues de Souza ◽  
Suelem Frian Couto Dias Dias
Keyword(s):  
Diabetes Mellitus ◽  
Health Education ◽  
Family Health ◽  
Care Practice ◽  
Diabetic Patients ◽  
Educational Strategies ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Competency Based

RESUMO Objetivo: analisar as competências necessárias aos enfermeiros na prática assistencial na Estratégia de Saúde da Família, a partir das fragilidades encontradas na assistência deste profissional. Método: trata-se de estudo qualitativo, descritivo e exploratório, com uma nove enfermeiros e três pacientes diabéticos. Utilizou-se a Metodologia da Problematização para coleta de dados. Realizou-se a análise temática das entrevistas, identificando palavras-chave e discutiram-se em categorias os resultados. Resultados: destacaram-se fragilidades como: falta de adesão aos grupos de apoio e tratamento; não aceitação da doença; percepção defasada da doença e suas complicações. Analisaram-se as competências necessárias para a prática do enfermeiro, a partir do referencial teórico de Perrenoud. Conclusão: considerou=se que houve fragilidade na educação em saúde, sendo necessário que o enfermeiro reflita sobre suas estratégias educativas e desenvolva competências, desde a graduação, que gerenciem a assistência. A divulgação do estudo suscitará maior interesse no desenvolvimento de competência do profissional, contribuindo para uma assistência de qualidade, sendo essencial para a promoção do ensino e pesquisa em enfermagem. Descritores: Diabetes Mellitus; Estratégia Saúde da Família; Educação em Saúde; Educação Baseada em Competências; Enfemagem; Enfermeiros e Enfermeiras.ABSTRACT Objective: to analyze the skills required by nurses in the care practice in the Family Health Strategy, based on the weaknesses found in the care of this professional. Method: this is a qualitative, descriptive and exploratory study, with nine nurses and three diabetic patients. We used the Problem-Solving Methodology for data collection. The thematic analysis of the interviews was carried out, identifying keywords and categorizing the results. Results: weaknesses were highlighted: lack of adherence to support and treatment groups; non-acceptance of the disease; delayed perception of the disease and its complications. The competencies necessary for nurses' practice were analyzed, based on Perrenoud's theoretical framework. Conclusion: it was considered that there was fragility in health education, and it is necessary that nurses reflect on their educational strategies and develop competencies, since graduation, that manage the care. The disclosure of the study will raise greater interest in the development of competence of the professional, contributing to a quality assistance, being essential for the promotion of teaching and research in nursing. Descriptors: Diabetes Mellitus; Family Health Strategy; Health Education; Competency-Based Education; Nursing; Nurses.RESUMEN Objetivo: analizar las competencias necesarias a los enfermeros en la práctica asistencial en la Estrategia de Salud de la Familia, a partir de las fragilidades encontradas en la asistencia de este profesional. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, con nueve enfermeras y tres pacientes diabéticos. Se utilizó la Metodología de la Problematización para la recolección de datos. Se realizó el análisis temático de las entrevistas, identificando palabras clave y se discutieron en categorías los resultados. Resultados: se destacaron fragilidades como: falta de adhesión a los grupos de apoyo y tratamiento; no aceptación de la enfermedad; la percepción desfasada de la enfermedad y sus complicaciones. Se analizaron las competencias necesarias para la práctica del enfermero, a partir del referencial teórico de Perrenoud. Conclusión: se consideró que hubo fragilidad en la educación en salud, siendo necesario que el enfermero reflexione sobre sus estrategias educativas y desarrolle competencias, desde la graduación, que gestionen la asistencia. La divulgación del estudio suscitará mayor interés en el desarrollo de competencia del profesional, contribuyendo para una asistencia de calidad, siendo esencial para la promoción de la enseñanza e investigación en enfermería. Descriptores: Diabetes Mellitus; Estrategia de Salud Familiar; Educación en Salud; Educación Basada en Competencias; Enfermería; Enfermeros.

scholarly journals Family and community guidance in adolescence: assessment in the family health strategy

2021 ◽  
Vol 29 ◽  
Author(s):  
Rosimara Oliveira Queiroz ◽  
Márcia Moroskoski ◽  
Bianca Machado Cruz Shibukawa ◽  
Roberta Tognollo Borotta Uema ◽  
Rosana Rosseto de Oliveira ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Family Health ◽  
Communication Process ◽  
Care Practice ◽  
Primary Health ◽  
Health Strategy ◽  
Care Assessment ◽  
The Family ◽  
Family Health Strategy

Objective: to evaluate family and community guidance in adolescence, within the scope of Primary Health Care. Method: an evaluative and descriptive study with a quantitative approach, developed through the application of the Primary Care Assessment Instrument (PCATool), with 70 professionals from the Family Health Strategy and 140 adolescents from the widerange areas. Data collection took place in Basic Health Units and in the adolescents’ homes in a municipality of southern Brazil, from May to September 2019. The data were analyzed using descriptive and inferential statistics using ANOVA and Tukey’s test, performed using the R Studio software. Results: there was divergence in the assessment of the attributes of family and community guidance between users and responsible professionals, showing weaknesses in the communication process and in the formation of the care bond in this reality, with impacts on quality of care. Conclusion: there was a need for continued assessment of the care practice in primary health care, as well as for permanent education with a focus on increasing qualification of care for adolescents.

scholarly journals The teenagers’ idea about the prevention of crack

2014 ◽  
Vol 5 (6) ◽  
pp. 28-35
Author(s):  
Juliana Macêdo Magalhães ◽  
Claudete Ferreira de Souza Monteiro ◽  
Maria do Livramento Fortes Figueiredo
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Research Method ◽  
Family Health ◽  
Lack Of Information ◽  
Health Strategy ◽  
Crack Use ◽  
The Family ◽  
Family Health Strategy ◽  
Prevention Methods

Objectives: To describe and understand ideas of adolescents on the crack use prevention. Methods: A qualitative study with the action research method was conducted, located at the Family Health Strategy, a community located in the state of Maranhao. The subjects were eleven adolescents. The data were collected by means of seminars and analyzed using content analysis. Results: It was observed that adolescents have the conception that the use of crack can be triggered by a lack of information. They feel the need to be more prepared in order to better understand the possible ways of prevention, complications and risks resulting from crack abuse. Conclusion: It is concluded that the professionals of the Family Health Strategy need to be more prepared when it comes to adolescents, so they can actually recognize the real needs of these individuals.

scholarly journals Family Health Support Center in the perspective of physicians and nurses

2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Jaqueline Carvalho e Silva Sales ◽  
Camilla de Oliveira Castelo Branco ◽  
Jordana Fonseca Reis ◽  
Polyana Norberta Mendes ◽  
Fernando José Guedes da Silva Júnior ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Thematic Analysis ◽  
Family Health ◽  
Effective Communication ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Health Support

ABSTRACT Objective: To analyze the physician’s and nurse’s perceptions about the actions developed by the Family Health Support Center (FHSC). Method: A qualitative study, conducted with 16 physicians and 23 nurses. Data was collected through interviews and submitted to thematic analysis. Results: Three categories emerged: The actions developed by the Family Health Support Center were positively perceived by Family Health Strategy (FHS) professionals; Tools that favor the integrality of the actions of the FHSC with the FHS; Obstacles perceived by the professionals of the Family Health Strategy for the development of the actions of the Family Health Support Center. Conclusions and implications for practice: The participant’s perceptions are positive. They perceive the strength of the FHSC in its multi-professional character effected by teamwork and effective communication. However, they also point out the restriction of time and transportation as obstacles for the viability of actions.

Avaliação cognitiva, socioeconômica e demográfica de idosos cadastrados na estratégia saúde da família da cidade de Mossoró

2019 ◽  
Vol 20 (3) ◽  
pp. 40-46
Author(s):  
Edson Batista Dos Santos Júnior ◽  
Richardson Augusto Rosendo da Silva
Keyword(s):  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Cognitive, socioeconomic and demographic evaluation applied to elderly assisted by the family health strategy in Mossoró City, Brazil

Avaliação do Perfil Nutricional dos Funcionários das Equipes Estratégia Saúde da Família e Núcleo de Apoio a Saúde da Família do Município de Pedralva – MG/ Evaluation of the Nutritional Profile of Workers from the Family Health Strategy Team and the Supp

1970 ◽  
Vol 4 (3) ◽  
pp. 12-21
Author(s):  
Ana Isabel da Silva Ferreira ◽  
Edna Slob
Keyword(s):  
High Risk ◽  
Nutritional Status ◽  
Dietary Habits ◽  
Family Health ◽  
Abdominal Circumference ◽  
Nutritional Profile ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The City

Objetivo: Avaliar o perfil nutricional das equipes da Estratégia Saúde da Família e do Núcleo de Apoio a Saúde da Família do município de Pedralva. Materiais e métodos: Estudo descritivo, analítico, transversal, realizado com 42 profissionais que compõem as equipes Estratégias Saúde da Família (ESF) e Núcleo de Apoio a Saúde da Família (NASF) no município de Pedralva/MG. Foram coletados dados antropométricos, como peso, altura e circunferências corporais e aplicado um formulário de frequência do consumo alimentar, para avaliar os hábitos alimentares desses profissionais Resultados: Quanto ao estado nutricional, 40,5% dos funcionários se encontravam eutróficos, 40,5% com sobrepeso e 19% com obesidade. Em relação ao risco de doenças cardiovascular, analisando a circunferência abdominal, 9% não apresentou risco, 24% dos funcionários tinham risco elevado e 67%, risco muito elevado; ao se utilizar a relação cintura quadril, encontrou-se 76% dos funcionários sem risco e 24% com risco. De acordo com o inquérito alimentar, observou frequente consumo de arroz, feijão, salada, salgados e carne, pouco consumo de frutas, legumes e peixes. Conclusão: medidas preventivas devem ser tomadas, a fim de evitar que o quadro atual do perfil antropométrico dessa população se torne ainda mais comprometedor, além de garantir melhoria da qualidade de vida dos mesmos.  Palavras-chave: Avaliação nutricional. Estado nutricional. Inquérito alimentar.  ABSTRACT Objective: To evaluate the nutritional profile of the teams of the Family Health Strategy and Support Center for Family Health in the city of Pedralva. Materials and methods: descriptive, analytical, transversal study performed with 42 professionals that make up the teams of the Family Health Strategy (FHS) and the Support Center for Family Health (NASF) in the city of Pedralva/MG. Anthropometric data such as weight, height and body circumferences were collected and a questionare about the frequency of food consumption was applied to assess the dietary habits of these Professional Results: Regarding nutritional status, 40.5% of employees were normal weight, 40.5% overweight and 19% obese. Regarding the risk of cardiovascular diseases, analyzing abdominal circumference, 9% showed no risk, 24% of employees had high risk and 67%, very high risk; when using the waist-hip ratio, we found 76% of employees with no risk and 24% at risk. According to food survey observed frequent consumption of rice, beans, salad, savory meat and little consumption of fruits, vegetables and fish. Conclusion: Preventive measures should be taken to prevent the current situation of anthropometric profile of this population from becoming even more engaging and also ensure improved quality of life for them.  Keywords: Nutritional evaluation. Nutritional status. Dietary survey. 

Avanços e desafios para a implementação do acolhimento na Estratégia Saúde da Família / Advances and challenges for the implementation of the user embracement in the Family Health Strategy

2021 ◽  
Vol 7 (7) ◽  
pp. 68875-68890
Author(s):  
Filipe Carlos Eudes Pinto Valério ◽  
Gabrielly Maria Mendes De Barros ◽  
José Melquiades Ramalho Neto ◽  
Adla Ferreira Costa ◽  
Thallita Thamara Pereira Vieira ◽  
...  
Keyword(s):  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

scholarly journals Oral health indicators in primary health care: the understanding and the information recorded by dentist-surgeons

2014 ◽  
Vol 62 (1) ◽  
pp. 37-45
Author(s):  
Patrícia Maria Costa de OLIVEIRA ◽  
Léa Maria Bezerra de MENEZES ◽  
Maria Vieira de Lima SAINTRAIN ◽  
Paulo César de ALMEIDA ◽  
Maria Eneide Leitão de ALMEIDA
Keyword(s):  
Health Care ◽  
Oral Health ◽  
Sampling Error ◽  
Family Health ◽  
Health Indicators ◽  
Ministry Of Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Oral Health Indicators

OBJECTIVE: This study aimed to know the understanding of Oral health indicators recommended by the Ministry of Health by dentists in the family health strategy of the state of Ceará in 2008. METHODS: It is a descriptive, cross-sectional study in which it was used a questionnaire to obtain the data concerning the way information on oral health actions performed in Family Health Care Units and other social spaces are registered, as well as investigate their knowledge about oral health indicators. The calculation of the sample of dentist-surgeons adopted an absolute sampling error of 6.8% and a significance level of 5%, resulting in an initial sample of 175 dentists; however, only 159 participated in this study according to the inclusion criteria. For instance, they should have been working in the service in the period from 2001 to 2007. In all, 32 cities participated in the research, distributed in 18 Regional Health Cells selected by drawing lots. The data were processed in the program SPSS version 17.0 and considered statistically significant the inferential analyses with p < 0.05. RESULTS: it was observed that there are differences between the interpretation of the indicators objectives and the data relating to oral health actions recorded by dentist-surgeons from the Family Health Strategy. They also differ from the guidelines of the Ministry of Health. CONCLUSION: The pregnant present some knowledge about oral health that can be improved by means of educational, preventive and healing programs. This group exert big it influences in the family ambit, could act as agents multipliers and avoiding the child's precocious contamination.

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