scholarly journals Challenges Faced by Nurses in the Provision of Health Care to Men in Primary Care, Brazil

2021 ◽  
Vol 15 (1) ◽  
pp. 326-334
Author(s):  
Anderson Reis de Sousa ◽  
Cléa Conceição Leal Borges ◽  
Isabella Félix Meira Araújo ◽  
Éric Santos Almeida ◽  
Edson de Andrade Nhamuave ◽  
...  
Keyword(s):  
Primary Care ◽  
Family Health ◽  
Northeastern Brazil ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Qualitative Descriptive ◽  
Provision Of Care ◽  
Depth Interviews ◽  
Specific Health

Introduction: The provision of primary care to men by nurses has been relevant, but there are challenges to be overcome. Objective: To analyze the challenges faced by Brazilian nurses in the provision of primary care to men. Methods: This was a qualitative descriptive study carried out by including 40 nurses working in the Family Health Strategy of a Basic Health Unit in Northeastern Brazil. Individual in-depth interviews were carried out and analyzed using the Discourse of the Collective Subject (CSD) method, supported by the Praxis Intervention Theory for Nursing in Collective Health – Tipesc. Results: The challenges faced by nurses in the provision of care to men originate in the academy and are transposed into professional practice, manifesting as limitations in the work process, lack of a specific health agenda, difficulties in raising male adherence, and professional demotivation. Conclusion: These challenges significantly affect the development and promotion of men’s health, resulting in the maintenance of the indicators of male morbidity and mortality in Brazil.

scholarly journals MEANINGS ATTRIBUTED BY NURSES TO COMBAT HOMOPHOBIA AND PREVENTION OF HOMOSEXUAL SUICIDE

2019 ◽  
Vol 5 ◽  
Author(s):  
Ellen Thallita Hill Araujo ◽  
Jnhessica Talita Da Silva Rodrigues ◽  
José Arnaldo Moreira de Carvalho Júnior ◽  
Geovani Ferreira de Sousa ◽  
Francisco Gaunié de Sousa Pessôa
Keyword(s):  
Primary Care ◽  
Qualitative Research ◽  
Suicide Prevention ◽  
Hierarchical Classification ◽  
Family Health ◽  
Northeastern Brazil ◽  
Health Strategy ◽  
The Family ◽  
Primary Care Nurses ◽  
Family Health Strategy

Objective: to analyze the meanings attributed by primary care nurses about the fight against homophobia and suicide prevention among homosexuals. Method: descriptive and qualitative research performed with nurses who work in the Family Health Strategy of a city in Northeastern Brazil. A semi-structured script was used for interviews conducted in September and October 2018. The transcribed statements were processed in the IRaMuTeQ software and analyzed by the Descending Hierarchical Classification. Results: four classes were identified, named "Prevention of suicide among homosexuals in primary care", "Public policies focused on the homosexual population", "Reception of the homosexual population in primary care" and "Fighting homophobia in primary care" respectively. The meanings attributed by nurses were anchored in improving the reception of the lesbian, gay, bisexual, transvestite and transsexual population (LGBT). Conclusion: It is necessary to recognize the need to invest in studies that reinforce the expansion of humanized care and free of prejudice.

scholarly journals Hospitalizations for cardiovascular diseases and the coverage by the family health strategy

2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias
Keyword(s):  
Primary Care ◽  
Cardiovascular Diseases ◽  
Family Health ◽  
The State ◽  
Regional Health ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Spearman’S Correlation

AbstractObjective: to verify the correlation between the rates of hospitalization for primary care-sensitive cardiovascular diseases and the coverage by the Family Health Strategy of residents of the State of Paraná, by regional health divisions, from 2000 to 2011.Method: ecological study developed from data of the Hospital Information System of the Brazilian Unified Health System (SUS) and the Department of Primary Care of the Ministry of Health. The rates of hospitalization for cardiovascular diseases were correlated with the annual coverage by the Family Health Strategy using Pearson's and Spearman's correlation coefficients.Result: there was a strong and negative correlation in the State of Paraná (r=-0.91; p <0.001) and in most regional health divisions, with the highest correlations observed in the Metropolitan and Toledo (r =-0.93; p<0.001) and Paranaguá (r=-0.92, p<0.001) regional health divisions.Conclusion: the results suggest that the increase in the coverage by the Family Health Strategy was an important factor for decrease in the hospitalizations for cardiovascular conditions among residents of the State of Paraná and in most regional health divisions. Other studies should be performed to analyze the factors and causes in regional health divisions where there was no correlation with increase in the Family Health Strategy.

scholarly journals Family risk as adjunct for organizing the demand for oral health service in the Family Health Strategy

2015 ◽  
Vol 44 (2) ◽  
pp. 85-91 ◽  
Author(s):  
Henri Menezes Kobayashi ◽  
Antonio Carlos Pereira ◽  
Marcelo de Castro Meneghim ◽  
Rívea Inês Ferreira ◽  
Glaucia Maria Bovi Ambrosano
Keyword(s):  
Primary Care ◽  
Oral Health ◽  
Multinomial Logistic Regression ◽  
Family Health ◽  
Health Conditions ◽  
Family Risk ◽  
Treatment Needs ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Introduction One of the main problems of the public health services, in which the family oral health team is included, is access by users to dental treatment in primary care, with particular reference to caries disease. Objective The aim of this study was to evaluate the relationship between family risk, for prioritization of home visits and oral health conditions, with a view to providing evidence about the first indicator for organizing the demand for oral health in the Family Health Strategy (FHS). Method The application of family health is based on Form A of the primary care information database SIAB ("Sistema de Informação de Atenção Básica"), used for registering families with the FHS. Eleven dentists examined the oral health conditions of 1165 persons (608 from 12 to 19 years; and 557 from 35 to 44 years of age), classifying them into six codes from A to F. Multinomial logistic regression was used (α=0.05) to analyze the association between family risk variables and oral health situation. Result There was significant association between family risk and presence of caries disease with treatment needs (OR: 2.08, p<0.0001). Conclusion Persons who have family risk would have twice as much chance of presenting caries disease in comparison with those without risk, corroborating the relevance of this element in organizing the demand for oral health.

scholarly journals Mental Health In Primary Care

10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Health Care ◽  
Mental Health Care ◽  
Prescription Drugs ◽  
Family Health ◽  
Structured Interview ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

Objective: To understand how the professionals of the Family Health Strategy (FHS) develop their actions with people who need mental health care. Methods and results: This is an observational and descriptive research, which predominantly had a qualitative approach. The participants of this research were the professionals of the Reference Teams of the Family Health Strategy of a municipality in the interior of Ceará, in this case, doctors, nurses and dental surgeons. The sample was of twenty participants, which was given by theoretical saturation about the object of study. For the data collection, two techniques were used: semi-structured interview and simple observation. This project was submitted and approved by the Research Ethics Committee of the State University of Ceará (CAAE: 44321015.4.0000.55.34 - Report No.: 1,082,101 / 2015). The data were organized through the technique of the Discourse of the Collective Subject. The results showed that health professionals are not yet ready to promote mental health care in primary care, since they still conceive mental health care from the asylum paradigm and, therefore, act based on the prevalence of diagnosis Psychiatric care, individual care, prescription drugs and renewal of prescriptions. Conclusion: In this regard, we emphasize the need to invest in continuing education for professionals in order to train them for the mental health act. Keywords: Mental Health; Primary Health Care; Family Health Strategy.

scholarly journals Articulated Actions of the Family Health Strategy Teams and their Centres of Support in the State of Piauí, Brazil

10.3823/2275 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Izaias Almeida Belas ◽  
Jorge Henrique Alves da Rocha ◽  
Filipe Melo da Silva ◽  
João Victor Batista Lustosa ◽  
Wendell Soares Carneiro ◽  
...  
Keyword(s):  
Primary Care ◽  
Clinical Care ◽  
Family Health ◽  
The State ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
The Matrix ◽  
Family Health Strategy ◽  
Care Support

Objective: From the perspective of professionals acting in the Family Health Strategy (FHS) in the state of Piauí, Brazil, the aim of this study was to asses the articulated actions of technical-pedagogical and clinical-care support offered by the Family Health Support Centres (FHSC) to the FHS’s professionals. Methodology: This is an analytical census retrospective study, with a cross sectional design developed in a quantitative approach with a descriptive and exploratory nature. The research data was collected through the Program of Improvement in Quality of Access in Primary Care (PIAQ-PC) in Brazil, on its second cycle in 2013, and were analysed by using descriptive statistics. Results: The actions of clinical-care support has been further developed by FHSC, all with frequency greater than 85%. In Piauí, the fields where FHSC has showed to be the nutritional care, rehabilitation and maternal and child care and also non-communicative diseases NCD that showed frequency higher than 85%. Conclusion: The FHSC initiative contributes significantly with their services to the FHS to achieve its goals. However, to make the work of these teams more effective there must be ownership of Primary Care Services by its user and appreciation of it by the managers. The developed actions are being supported and agreed on among the matrix support teams.  Keywords: Primary Health Care; Health  Promotion; Family Health.

scholarly journals Oral Health in Primary Care through the Family Health Strategy

2019 ◽  
Vol 21 (2) ◽  
pp. 139
Author(s):  
Aline Claudia Ribeiro Medeiros Silva ◽  
Mário Molari
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Oral Health ◽  
Health System ◽  
Family Health ◽  
Health Indicators ◽  
Family Health Program ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

AbstractThe purpose of this article is to carry out a literature review on oral health team in primary care with their inclusion in the Family Health Strategy (FHS). The publications were consulted in national papers, official documents and other publications of Health Ministry (MS). In the literature it is observed that with the creation of the Unified Health System (SUS) a process of health restructuring services in Brazil began. The Primary Care National Policy (PNAB) is the result of several historical facts involved with the development and consolidation of SUS. The Family Health Program (PSF), now called the Family Health Strategy (ESF) was created in 1994 aimed at reorienting health care with new bases, centering family focus and attempting to achieve improvement in quality of life of Brazilians. In 2000, oral health teams were included in the PSF to extend access  of the Brazilian population to health promotion actions, prevention and recovery of oral health, improve health indicators and encourage the reorganization of dentistry in primary care. ESF is a unique strategy in the reorganization of the Brazilian health system and the inclusion of the ESB an important complement in primary care, aiming an integral dental practice. Keywords: Primary Health Care. Family Health Strategy. Oral Health. ResumoO presente artigo tem o objetivo de realizar uma revisão de literatura sobre a equipe de saúde bucal na atenção básica, através da sua inserção na Estratégia Saúde da Família (ESF). As publicações consultadas foram artigos científicos nacionais, documentos oficiais (leis e portarias) e outras publicações do Ministério da Saúde (MS).  Na literatura observa-se que com a criação do Sistema Único de Saúde (SUS) iniciou no Brasil um processo de reestruturação dos serviços de saúde. A Política Nacional de Atenção Básica (PNAB) é resultado da experiência acumulada de vários atores envolvidos historicamente com o desenvolvimento e a consolidação do SUS. O Programa Saúde da Família (PSF), atualmente denominado Estratégia Saúde da Família (ESF), foi implantado em 1994 visando a reorientação da prática da atenção à saúde sob novas bases, centrando o foco na família, na tentativa de alcançar uma melhoria na qualidade de vida dos brasileiros. Em 2000, as equipes de saúde bucal foram inseridas no PSF com o objetivo de ampliar o acesso da população brasileira às ações de promoção, prevenção e recuperação da saúde bucal, melhorar os indicadores de saúde, além de incentivar a reorganização da odontologia na atenção básica. A ESF consiste em uma estratégia ímpar na reorganização do sistema de saúde brasileiro e a inclusão da ESB um importante complemento na atenção básica, visando uma prática odontológica integral. Palavras-chave: Atenção Primária à Saúde. Estratégia Saúde da Família. Saúde Bucal.

scholarly journals MONITORING OF CERVICAL CANCER CONTROL ACTIONS AND ASSOCIATED FACTORS

2021 ◽  
Vol 30 ◽  
Author(s):  
Eduarda Ferreira dos Anjos ◽  
Poliana Cardoso Martins ◽  
Nília Maria Brito de Lima Prado ◽  
Vanessa Moraes Bezerra ◽  
Patty Fidelis de Almeida ◽  
...  
Keyword(s):  
Cervical Cancer ◽  
Family Health ◽  
Cancer Control ◽  
Northeastern Brazil ◽  
High Grade ◽  
Cross Sectional ◽  
Health Region ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to analyze factors associated with the monitoring of actions to control cervical cancer in the Family Health Strategy, in a health region of northeastern Brazil. Method: a cross-sectional study conducted from January to March 2019 by means of interviews with 241 physicians and nurses from the Family Health Teams of the Vitória da Conquista health region, Bahia, Brazil. Adequate monitoring was assessed by the degree of actions taken to promote, prevent and actively seek to control cervical cancer. Three blocks of variables were tested as explanatory: professional characterization and training; organization of the unit and access to cytopathological exam; and care coordination and integration. Poisson regression with robust variance was employed, adopting hierarchical entry of variables. Results: 51.9% (95% CI: 45.5-58.2) of the professionals performed adequate monitoring for the control of cervical cancer. Being a nurse, working in the municipality’s primary care network (≥2 years), disclosure of results collection through posters and other communication means, existence of a high-grade lesion, time to perform the biopsy ≤1 month, and agility in the release of the reports were elements associated to the outcome. Conclusion: even with the extended coverage of the Family Health Strategy, small municipalities in the Northeast have characteristics that impose obstacles to comprehensiveness, favoring the incidence of high-grade lesions and greater difficulty in the control of cervical cancer. Assessing the assistance quality in this level revealed challenges in the regionalized network.

scholarly journals Mental health in the Family Health Strategy as perceived by health professionals

2017 ◽  
Vol 70 (5) ◽  
pp. 935-941 ◽  
Author(s):  
Jacqueline de Souza ◽  
Letícia Yamawaka de Almeida ◽  
Margarita Antonia Villar Luis ◽  
Andreia Fernanda Nievas ◽  
Tatiana Maria Coelho Veloso ◽  
...  
Keyword(s):  
Mental Health ◽  
Family Health ◽  
Structured Interviews ◽  
Coverage Area ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Qualitative Descriptive ◽  
Health Demands ◽  
Group Interviews

ABSTRACT Objective: to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals. Method: this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures. Results: numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources. Conclusion: there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.

scholarly journals The use of medications by elderly men with polypharmacy: representations and practices

2013 ◽  
Vol 21 (6) ◽  
pp. 1337-1344 ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Silvia Cristina da Silva Lima ◽  
Rogério Dias Renovato
Keyword(s):  
Old Age ◽  
Family Health ◽  
The Elderly ◽  
Elderly Men ◽  
Mato Grosso ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Qualitative Descriptive

OBJECTIVES: this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. METHODS: this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in the Brazilian state of Mato Grosso do Sul (MS). RESULTS: the results show that most of the medications are used for treating cardiovascular disorders. The elderly men develop strategies considering the prescription of these, adapting in line with their own perceptions and meanings. From these tactics emerge representations on youth and old age, in which old age is associated with illness. In addition, practices were observed which sought to associate the use of medications with medicinal plants, re-signifying the process of being ill. Different perspectives of masculinity permeate the use of medications, sometimes reinforcing hegemonic conceptions, and sometimes revealing alternate models of masculinity. The woman is present in the care with the use of the medications. CONCLUSIONS: in this context, the health team, above all that of nursing, must assist the elderly man in his practices of medication, taking into account his representations, his protagonism, and the role of the woman as a support in the care.

scholarly journals Hospitalizations for conditions susceptible to primary care among children and adolescents in Minas Gerais, Brazil, 1999-2007

2016 ◽  
Vol 16 (2) ◽  
pp. 169-178 ◽  
Author(s):  
Lílian Amaral Santos ◽  
Veneza Berenice de Oliveira ◽  
Antônio Prates Caldeira
Keyword(s):  
Primary Care ◽  
Children And Adolescents ◽  
Age Groups ◽  
Family Health ◽  
Minas Gerais ◽  
Infectious Gastroenteritis ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Level Of Significance

Abstract Objectives: to describe the evolution of rates of Hospitalizations for Conditions Susceptible to Primary Care (HCSPCs) in children and adolescents in Minas Gerais, testing the correlation with population coverage of the Family Health Strategy (FHS). Methods: an ecological study analyzing the evolution over time and correlation with rates of coverage of the FHS between 1999 and 2007. Analyses were carried out for three age groups: 0 - 4 years, 5 - 9 years and 10 - 19 years. Pearson's correlation coefficient was used with a level of significance of 5%. Results: the rates of HCSPAs were found to decline during the period studied. In the population aged 0 - 4 years, a decrease of 19.1% was observed. For the 5 - 9 and 10 - 19 year age groups, the rates fell by 0.6% and 18.5% respectively. There was no significant correlation between the decline in rates and increased FHS coverage. The main causes of hospitalization for all age groups were infectious gastroenteritis, bacterial pneumonia and asthma. Conclusions: despite the decrease observed, the lack of correlation between coverage and rates of HCSPA draws attention to the need for improvement in access to and better professional qualification for child and adolescent healthcare.

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