scholarly journals Práticas de cuidado da equipe da estratégia saúde da família

2018 ◽  
Vol 12 (1) ◽  
pp. 36
Author(s):  
Flavia Pedro dos Anjos Santos ◽  
Sonia Acioli ◽  
Juliana Costa Machado ◽  
Moema Santos Souza ◽  
Vanda Palmarella Rodrigues ◽  
...  

RESUMOObjetivo: descrever as práticas de cuidado das equipes da Estratégia Saúde da Família sob a ótica de usuários. Método: estudo qualitativo, exploratório e descritivo com 34 usuários. Os dados foram coletados por meio de entrevista semiestruturada e organizados pela técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: foram elaboradas duas categorias temáticas. O cuidado produzido pela equipe da Estratégia Saúde da Família em alguns momentos é permeado pela escuta e acolhimento e, em outros, por uma postura tecnicista. Os usuários consideraram que as consultas médicas e de enfermagem, a visita domiciliar e as atividades educativas são as práticas de cuidado desenvolvidas pela equipe. Destacaram o caráter prescritivo-curativo das consultas médicas, a organização programática das consultas e a importância das orientações educativas durante as consultas. Conclusão: as práticas de cuidado da equipe se organizaram por consultas, visitas domiciliares e atividades educativas, havendo a necessidade de sua ressignificação, fato que contribui para o avanço do conhecimento tanto para os profissionais da saúde como para a sua formação. Descritores: Cuidados de Enfermagem; Saúde da Família; Atenção Primária à Saúde; Enfermagem de Atenção Primária; Assistência Integral à Saúde; Sistema Único de Saúde. ABSTRACT Objective: to describe the care practices of Family Health Strategy teams from the perspective of users. Method: qualitative, exploratory and descriptive study with 34 users. The data were collected through a semi-structured interview and organized by the Content Analysis technique in the Categorical Analysis modality. Results: two thematic categories were elaborated. The care produced by the Family Health Strategy team at times is permeated by listening and welcoming and, in others, by a technicist posture. The users considered that the medical and nursing consultations, the home visit and the educational activities are the care practices developed by the team. They emphasized the prescriptive-curative nature of medical consultations, the programmatic organization of consultations and the importance of educational guidelines during consultations. Conclusion: the care practices of the team are organized through consultations, home visits and educational activities, with the need for their re-signification, which contributes to the advancement of knowledge both for health professionals and for their training. Descriptors: Nursing Care; Family Health; Primary Health Care; Primary Care Nursing; Comprehensive Health Care; Unified Health System.RESUMEN Objetivo: describir las prácticas de cuidado de los equipos de la Estrategia Salud de la Familia sobre la óptica de usuarios. Método: estudio cualitativo, exploratorio y descriptivo con34 usuarios. Los datos fueron recogidos por medio de entrevista semi-estructurada y organizados por la técnica de Análisis de Contenido en la modalidad Análisis Categorial. Resultados: fueron elaboradas dos categorías temáticas. El cuidado producido por el equipo de la Estrategia Salud de la Familia en algunos momentos es permeado por la escucha y acogida y en otros, por una postura tecnicista. Los usuarios consideraron que las consultas médicas y de enfermería, la visita domiciliaria y las actividades educativas son las prácticas de cuidado desarrolladas por el equipo. Destacaron el carácter prescriptivo-curativo de las consultas médicas, la organización programática de las consultas y la importancia de las orientaciones educativas durante las consultas. Conclusión: las prácticas de cuidado del equipo se organizaron por consultas, visitas domiciliarias y actividades educativas, teniendo la necesidad de su resignificación, hecho que contribuye para el avance del conocimiento tanto para los profesionales de la salud como para su formación. Descriptores: Atención de Enfermería; Salud de la Familia; Atención Primaria de Salud; Enfermería de Atencíon Primaria; Atención Integral de Salud; Sistema Único de Salud.

2019 ◽  
Vol 13 (2) ◽  
pp. 371
Author(s):  
Mila Cristian Ferreira ◽  
Geovana Brandão Santana Almeida ◽  
Heloisa Campos Paschoalin ◽  
Denicy De Nazaré Pereira Chagas ◽  
Luiza Vieira Ferreira

RESUMOObjetivo: identificar de que forma os agentes comunitários de saúde contribuem para o desenvolvimento das ações de combate ao tabagismo na atenção primária à saúde.  Método: trata-se de um estudo qualitativo, descritivo e exploratório, realizado com 20 agentes comunitários de saúde. Utilizou-se uma entrevista semiestruturada para a obtenção dos depoimentos. Realizou-se a análise de conteúdo temática das entrevistas, identificando as palavras-chave, e discutiram-se os resultados em categorias. Resultados: evidenciaram-se duas categorias de análise: as estratégias utilizadas pelos agentes comunitários de saúde para a divulgação das ações de controle do tabagismo e as ações dos agentes comunitários de saúde voltadas aos usuários que não cessaram com o tabagismo. Conclusão: inferiu-se que o profissional capacitado é capaz de estabelecer um vínculo com o usuário da atenção primária à saúde, o que favorece a resolubilidade das ações, contribuindo para a qualidade de vida dos usuários que procuram por atendimento no serviço de saúde. Descritores: Atenção Primária à Saúde; Estratégia Saúde da Família; Agentes Comunitários de Saúde; Enfermagem; Educação em Saúde; Tabagismo. ABSTRACT Objective: to identify how community health agents contribute to the development of actions to combat smoking in primary health care. Method: this is a qualitative, descriptive and exploratory study carried out with 20 community health agents. A semi-structured interview was used to obtain the testimonies. The thematic content analysis of the interviews was carried out, identifying the keywords, and the results in categories were discussed. Results: two categories of analysis were presented: the strategies used by community health agents to publicize smoking control actions and the actions of community health agents directed at users who did not stop smoking. Conclusion: it was inferred that the trained professional is able to establish a link with the primary health care user, which favors the resolubility of the actions, contributing to the quality of life of users who seek care in the health service. Descritores: Primary Health Care; Family Health Strategy; Community Health Workers; Nursing; Health Education; Tobacco Use Disorder. RESUMEN Objetivo: identificar de qué forma los agentes comunitarios de salud contribuyen al desarrollo de las acciones de combate al tabaquismo en la atención primaria a la salud. Método: se trata de un estudio cualitativo, descriptivo y exploratorio, realizado con 20 agentes comunitarios de salud. Se utilizó una entrevista semiestructurada para la obtención de los testimonios. Se realizó el análisis de contenido temático de las entrevistas, identificando las palabras clave, y se discutieron los resultados en categorías. Resultados: se evidenciaron dos categorías de análisis: las estrategias utilizadas por los agentes comunitarios de salud para la divulgación de las acciones de control del tabaquismo y las acciones de los agentes comunitarios de salud dirigidas a los usuarios que no cesaron con el tabaquismo. Conclusión: se ha inferido que el profesional capacitado es capaz de establecer un vínculo con el usuario de la atención primaria a la salud, lo que favorece la resolución de las acciones, contribuyendo a la calidad de vida de los usuarios que buscan atención en el servicio de salud. Descritores: Atención Primaria de Salud; Estrategia de Salud Familiar; Agentes Comunitarios de Salud; Enfermería; Educación em Salud; Tabaquismo.


10.3823/2463 ◽  
2017 ◽  
Vol 10 ◽  
Author(s):  
Dayse Lôrrane Gonçalves Alves ◽  
Maria Vilani Cavalcante Guedes ◽  
Josualdo Araujo Lima Ribeiro

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.


2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Elisangela Costa de Oliveira ◽  
Ana Tereza de Medeiros ◽  
Flávia Maiele Pedroza Trajano ◽  
Gabriel Chaves Neto ◽  
Sandra Aparecida de Almeida ◽  
...  

ABSTRACT This study aimed to analyze the conceptions that guide the practices of professionals in relation to care provided in mental health. This qualitative study enrolled professionals from a government health clinic in João Pessoa, Paraíba, Brazil. Data collection was conducted through a semi-structured interview during which the testimonies were recorded and subsequently transcribed in full. Analysis of the speech used Fiorin's Critical Theory, which allowed the elaboration of two subcategories: "Knowledge that guides practices in mental health" and "The invisibility of the integrating character of the Family Health Strategy from the Network of Psychosocial Care perspective". The focus of nursing care and health must not be bound only to the sickness, but caring practices should be transformed to promote comprehensive care and the resocialization of the person with psychic suffering.


2019 ◽  
Vol 72 (suppl 1) ◽  
pp. 266-273 ◽  
Author(s):  
Ana Cristina Oliveira Barreto ◽  
Cristiana Brasil de Almeida Rebouças ◽  
Maria Isis Freire de Aguiar ◽  
Rebeca Bandeira Barbosa ◽  
Suzy Ramos Rocha ◽  
...  

ABSTRACT Objective: To understand the perception of the Primary Health Care multiprofessional team on the practices of health education and on the role of nurses in the performance of educational activities. Method: Exploratory and descriptive study with a qualitative approach. Data were collected through a semi-structured interview with the participation of 12 professionals from the Family Health Strategy. To analyze the data, we used the technique of content analysis, with thematic approach, proposed by Bardin. Results: Three categories emerged: Perception of the multiprofessional team on health education; Educational practices in Primary Health Care: everyone's task?; and The role of nurses in health education. Final considerations: It was verified that the multiprofessional team perceives health education as being the responsibility of all the professionals. Some professionals consider the nurse as an important educator, others as executor of management and care actions and, to a lesser extent, of educational actions.


Author(s):  
Marcela Barros Bomfim ◽  
Thiago Da Silva Ribeiro ◽  
Conrado Carvalho Horta Barbosa

Correlacionar a expansão da Estratégia Saúde da Família (ESF) com o índice de internações por condições sensíveis à atenção primária (ICSAP), no DF, entre 2004 a 2019. Estudo ecológico realizado a partir de dados secundários, com análise de correlação de Pearson entre o índice de ICSAP e a área de cobertura da ESF, bem como a regressão linear entre essas variáveis para quantificar a associação. No período de 2004 a 2019, a área de cobertura da ESF no DF aumentou de 5,99% para 40,94%, enquanto o índice de ICSAP reduziu de 183,7 para 122,4/10.000 habitantes. Essas duas variáveis apresentaram correlação negativa e significativa (r = - 0,662), com variação de -1,062 casos/10.000 habitantes para cada aumento percentual na área de cobertura da ESF no DF. A implementação e expansão da ESF refletiu-se em uma redução de 13 condições presentes nas ICSAP.Descritores: Atenção Primária à Saúde, Saúde da Família, Assistência à Saúde, Saúde Pública. Effectiveness of the family health strategy in the Federal DistrictAbstract: To correlate the expansion of the Family Health Strategy with the rate on hospitalizations, for ambulatory care sensitive conditions (ACSC), at DF (Federal District), between the years of 2004 up to 2019. Ecological survey carried out from comprehensive secondary data, with Pearson correlation analyses between the hospitalizations for ACSC index and the FHS coverage field, as well as the linear regression between these variables to quantify the association. In the period of 2004 up to 2019, FHS coverage field at DF (Federal District) increased from 5,99% to 40,94%, while the hospitalizations for ACSC index decreased from 183.7 to 122.4/10.0000 inhabitants. These two variables report negative and significant correlation (r = -0,662) within a variation of - 1062/10.000 inhabitants for each percentage increase at the FHS coverage field in DF (Federal District). The implementation and expansion of the FHS was reflected in a reduction of 13 conditions shown in the hospitalizations for ACSC.Descriptors: Primary Health Care, Family Health, Delivery of Health Care, Public Health. Efectividad de la estrategia de salud de la familia en el Distrito FederalResumen: Correlacionar la expansión de la Estrategia de Salud Familiar (ESF) con la tasa de hospitalizaciones por afecciones sensibles a la atención primária (ICSAP) en Ditrito Federal, entre 2004 a 2019. Estúdio ecológico realizado a partir de datos secundários, con análisi de correlación de Pearson entre el índice ICSAP y el área de cobertura de ESF, así como la regresión lineal entre estas variables para cuantificar lá asociacións. En el período de 2004 a 2019, el área de cobertura de ESF en DF aumento de 5,99% a 40,94%, mientras que el índice ICSAP disminuyó de 183,7 a 122,4/10.000 habitantes. Estas variables mostraron una correlación negativa y significativa (r = -0,662), con una variación de -1,062 casos/ 10.000 habitantes por cada aumento porcentual en el área de cobertura de ESF en DF. La implementacións y expansion del ESF reflejó en una reducción de 13 condiciones presentes en el ICSAP.Descriptores: Atencíon Primaria de Salud, Salud Familiar, Asistencia de Salud, Salud Pública.


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

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.


2011 ◽  
Vol 19 (3) ◽  
pp. 581-588 ◽  
Author(s):  
Cinira Magali Fortuna ◽  
Silvia Matumoto ◽  
Maria José Bistafa Pereira ◽  
Silvana Martins Mishima ◽  
Lauren Suemi Kawata ◽  
...  

This qualitative study identifies and analyzes the practices of nurses regarding collective care interventions in the context of the Family Health Strategy (FHS) and its knowledge development. Semi-structured interviews were held with nurses working in the FHS and thematic analysis was used to analyze data. The theoretical framework was based on the theories of institutional analysis and work processes. The results are arranged into two main themes: Conceptions that support collective care practices and Practices of nurses in collective care. The conclusion is that nurses actively participate both in proposing, coordinating, performing and monitoring these collective actions, though they are still predominantly guided by the traditional approach to health in general and specifically to health education.


2014 ◽  
Vol 48 (5) ◽  
pp. 857-864 ◽  
Author(s):  
Gisele Nepomuceno de Andrade ◽  
Tércia Maria Ribeiro Lima Rezende ◽  
Anézia Moreira Faria Madeira

Objective: Understanding the experiences of health professionals in primary care with the Child Health Booklet in child health care. Method: A qualitative study with a phenomenological approach, in which participated nurses and doctors from six teams of the Family Health Strategy (FHS) in Belo Horizonte, MG. In total, were carried out 12 non-directive interviews, using two guiding questions. Results: A comprehensive analysis of the speeches enabled the construction of three categories that signal the experiences of the professionals with the booklet. The experiments revealed difficulties arising from the limitations of knowledge about the instrument; incomplete filling out of the booklet by many professionals that care for children; the daily confrontations of the process and the organization of work teams; disinterest of families with the instrument. Conclusion: The research points possible and necessary ways to improve the use of booklets as an instrument of full child health surveillance.


2013 ◽  
Vol 47 (2) ◽  
pp. 403-413 ◽  
Author(s):  
Lilian G Perez ◽  
Juliet D Sheridan ◽  
Andrea Y Nicholls ◽  
Katherine E Mues ◽  
Priscila S Saleme ◽  
...  

OBJECTIVE: To analyze the strengths and limitations of the Family Health Strategy from the perspective of health care professionals and the community. METHODS: Between June-August 2009, in the city of Vespasiano, Minas Gerais State, Southeastern Brazil, a questionnaire was used to evaluate the Family Health Strategy (ESF) with 77 healthcare professionals and 293 caregivers of children under five. Health care professional training, community access to health care, communication with patients and delivery of health education and pediatric care were the main points of interest in the evaluation. Logistic regression analysis was used to obtain odds ratios and 95% confidence intervals as well as to assess the statistical significance of the variables studied. RESULTS: The majority of health care professionals reported their program training was insufficient in quantity, content and method of delivery. Caregivers and professionals identified similar weaknesses (services not accessible to the community, lack of healthcare professionals, poor training for professionals) and strengths (community health worker-patient communications, provision of educational information, and pediatric care). Recommendations for improvement included: more doctors and specialists, more and better training, and scheduling improvements. Caregiver satisfaction with the ESF was found to be related to perceived benefits such as community health agent household visits (OR 5.8, 95%CI 2.8;12.1), good professional-patient relationships (OR 4.8, 95%CI 2.5;9.3), and family-focused health (OR 4.1, 95%CI 1.6;10.2); and perceived problems such as lack of personnel (OR 0.3, 95%CI 0.2;0.6), difficulty with access (OR 0.2, 95%CI 0.1;0.4), and poor quality of care (OR 0.3, 95%CI 0.1;0.6). Overall, 62% of caregivers reported being generally satisfied with the ESF services. CONCLUSIONS: Identifying the limitations and strengths of the Family Health Strategy from the healthcare professional and caregiver perspective may serve to advance primary community healthcare in Brazil.


2016 ◽  
Vol 38 (2) ◽  
pp. 153 ◽  
Author(s):  
Sâmia Jamylle Santos de Azevedo ◽  
Flávia Andrea Pereira Soares dos Santos ◽  
Caroline Evelin Nascimento Kluczynik Vieira ◽  
Larissa Soares Mariz ◽  
Aylla Nauanna da Silva ◽  
...  

The male participation in the process of breastfeeding needs to be encouraged as it can contribute significantly to the prevention of early weaning. In this sense, this research aimed to identify a parent's knowledge about breastfeeding. This is an exploratory and descriptive study with a qualitative approach, performed in the Family Health Strategy in Bom Jesus, Rio Grande do Norte State, Brazil. Data were collected through semi-structured interview with the guiding question: what is your understanding of breastfeeding? The population was 15 men with aged over 18 years old and preserved mental faculties, who lived with his wife and the child under one year of age and performed development and growth consultations in the Family Health Strategy. The interviews were conducted in place previously defined parent. The information was organized as content analysis Bardin, giving rise to two categories and analyzed according to the symbolic interacionism. It was observed that parents of participating antenatal clinics have more knowledge about it and recognize the benefits of breastfeeding in this way can encourage their wives in order to exclusive breastfeeding.


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