scholarly journals Primary Health Care in Evora, Portugal: knowledge of people with venous ulcers and evaluation of assistance

2011 ◽  
Vol 5 (2) ◽  
pp. 360
Author(s):  
Gilson de Vasconcelos Torres ◽  
Felismina Rosa Parreira Mendes ◽  
André Filipe Real Fernandes Mendes ◽  
Sandra Maria da Solidade Gomes Simões de Oliveira Torres ◽  
Dalyanna Mildred de Oliveira Viana ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Signs And Symptoms ◽  
Multidisciplinary Teams ◽  
Microsoft Excel ◽  
Health Care Evaluation Mechanisms ◽  
Self Evaluation ◽  
Venous Ulcers ◽  
Primary Health ◽  
Health Care Evaluation

ABSTRACT Objective: to identify the knowledge of nurses working in primary health care (Evora, Portugal) about the basic aspects of venous ulcers and identify which self-evaluation of nursing care provided to injured users. Method: this was a descriptive study, was conducted with 20 nurses who work in assisting people with venous ulcers in primary health care in Evora, Portugal. It was obtained a favorable opinion of the Ethics Committee (n. 100208). Data collection was performed in two months, with a structured questionnaire. Categorized data in Microsoft Excel and analyzed with SPSS 15.0. Results: the nurses had an excellent level of knowledge in the aspects of the pathophysiology (90,0%), signs and symptoms (95,5%), therapeutic (90.0%), criteria in the choice of bandage (95,0%), user orientation in the treatment and care (85,0%) and good knowledge of the criteria in the evaluation of ulcer (70,0%). The main suggestions were better coordination of multidisciplinary teams and training for nurses. Conclusion: the respondents have good technical and scientific preparation and excellent knowledge in the basics of care people with venous ulcers and assessed positively the assistance. Descriptors: primary health care; nursing; organization & administration; health care evaluation mechanisms; venous ulcer.RESUMOObjetivo: identificar o conhecimento dos enfermeiros que atuam nos cuidados de saúde primários (Évora-Portugal) a respeito dos aspectos básicos das úlceras venosas e identificar qual a auto-avaliação dos enfermeiros da assistência prestada aos usuários lesionados. Método: trata-se um estudo descritivo, realizado com 20 enfermeiros que atuam na assistência às pessoas com úlceras venosas nos cuidados de saúde primários em Évora, Portugal. Obteve-se parecer favorável do Comitê de Ética (n. 100208). A coleta de dados foi realizada em dois meses, com aplicação de questionário estruturado. Os dados foram categorizados no Microsoft Excel e analisados no SPSS 15.0. Resultados: os enfermeiros apresentaram excelente nível de conhecimento nos aspectos da fisiopatologia (90,0%), sinais e sintomas (95,5%), conduta terapêutica (90,0%), critérios na escolha de curativo (95,0%), orientação do usuário no tratamento e cuidados (85,0%) e bom conhecimento dos critérios na avaliação da úlcera (70,0%). As principais sugestões foram melhor articulação da equipe multidisciplinar e formação aos enfermeiros. Conclusão: os pesquisados apresentam bom preparo técnico científico e excelente conhecimento nos aspectos básicos da assistência às pessoas com úlceras venosas e avaliaram de forma positiva a assistência. Descritores: atenção primária à saúde; enfermagem; mecanismos de avaliação da assistência à saúde; úlcera venosa.RESUMEN Objetivo: identificar los conocimientos de las enfermeras que trabajan en la atención primaria de salud (Évora, Portugal) sobre los aspectos básicos de las úlceras venosas e identificar que auto-evaluación de los enfermería de cuidados prestado a los usuarios heridos. Método: se realizó un estudio descriptivo, se realizó con 20 enfermeras que trabajan en la asistencia a las personas con úlceras venosas en la atención primaria de salud en Evora, Portugal. Obtenido el dictamen favorable del Comité de Ética (n. 100208). La recolección de datos se realizó en dos meses, con un cuestionario estructurado. Los datos fueran clasificados en Microsoft Excel y analizados con SPSS 15.0. Resultados: las enfermeras fueron excelente nivel de conocimientos en los aspectos de la fisiopatología (90,0%), los signos y síntomas (95,5%), terapéuticos (90,0%), los criterios en la elección de apósitos (95,0%), la orientación del usuario en el conocimiento tratamiento y la atención (85,0%) y bueno de los criterios en la evaluación de la úlcera (70,0%). Las principales sugerencias fueron una mejor coordinación de equipos multidisciplinares y la formación para las enfermeras. Conclusión: los encuestados tienen una buena preparación técnico y científico y un excelente conocimiento en los aspectos básicos de la asistencia a las personas con las úlceras venosas e evaluaron positivamente la asistencia. Descriptores: atención primaria de salud; enfermería; organización & administración; mecanismos de evaluación de la atención de salud, úlcera venosa.

scholarly journals Nurses’ evaluation about primary health care of users with venous ulcers: study in Évora, Portugal

2011 ◽  
Vol 5 (2) ◽  
pp. 388 ◽  
Author(s):  
Gilson de Vasconcelos Torres ◽  
Felismina Rosa Parreira Mendes ◽  
André Filipe Real Fernandes Mendes ◽  
Antônia Oliveira Silva ◽  
Sandra Maria da Solidade Gomes Simões de Oliveira Torres ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Signs And Symptoms ◽  
Multidisciplinary Teams ◽  
Microsoft Excel ◽  
Health Care Evaluation Mechanisms ◽  
Self Evaluation ◽  
Venous Ulcers ◽  
Primary Health ◽  
Health Care Evaluation

ABSTRACTObjective: to identify the nurses’ knowledge that work in primary health care (Évora, Portugal) about the basic aspects of venous ulcers and identify which self-evaluation of nursing care provided to injured users. Method: this was a descriptive study, was conducted with 20 nurses who work in assisting people with venous ulcers in primary health care in Evora, Portugal. It was obtained the favorable allow of the Ethics Committee (n. 100208). Data collection was performed in two months, with a structured questionnaire. Categorized data in Microsoft Excel and analyzed with SPSS 15.0. Results: the nurses had an excellent level of knowledge in the aspects of the pathophysiology (90.0%), signs and symptoms (95,5%), therapeutic (90,0%), criteria in the choice of bandage (95,0%), user orientation in the treatment and care (85,0%) and good knowledge of the criteria in the evaluation of ulcer (70,0%). The main suggestions were better coordination of multidisciplinary teams and training for nurses. Conclusion: the respondents have good technical and scientific preparation and excellent knowledge in the basics of care people with venous ulcers and assessed positively the assistance. Descriptors: primary health care; nursing; organization & administration; health care evaluation mechanisms; venous ulcer.RESUMOObjetivo: identificar o conhecimento dos enfermeiros que atuam nos cuidados de saúde primários (Évora-Portugal) a respeito dos aspectos básicos das úlceras venosas e identificar qual a auto-avaliação dos enfermeiros da assistência prestada aos usuários lesionados. Método: trata-se um estudo descritivo, realizado com 20 enfermeiros que atuam na assistência às pessoas com úlceras venosas nos cuidados de saúde primários em Évora, Portugal. Obteve-se parecer favorável do Comitê de Ética (parecer n. 100208). A coleta de dados foi realizada em dois meses, com aplicação de questionário estruturado. Os dados foram categorizados no Microsoft Excel e analisados no SPSS 15.0. Resultados: os enfermeiros apresentaram excelente nível de conhecimento nos aspectos da fisiopatologia (90,0%), sinais e sintomas (95,5%), conduta terapêutica (90,0%), critérios na escolha de curativo (95,0%), orientação do usuário no tratamento e cuidados (85,0%) e bom conhecimento dos critérios na avaliação da úlcera (70,0%). As principais sugestões foram melhor articulação da equipe multidisciplinar e formação aos enfermeiros. Conclusão: os pesquisados apresentam bom preparo técnico científico e excelente conhecimento nos aspectos básicos da assistência às pessoas com úlceras venosas e avaliaram de forma positiva a assistência. Descritores: atenção primária à saúde; enfermagem; mecanismos de avaliação da assistência à saúde; úlcera venosa.RESUMEN Objetivo: identificar los conocimientos de las enfermeras que trabajan en la atención primaria de salud (Évora, Portugal) sobre los aspectos básicos de las úlceras venosas e identificar que auto-evaluación de los enfermería de cuidados prestado a los usuarios heridos. Método: se realizó un estudio descriptivo, se realizó con 20 enfermeras que trabajan en la asistencia a las personas con úlceras venosas en la atención primaria de salud en Evora, Portugal. Obtenido el dictamen favorable del Comité de Ética (protocolo n. 100208). La recolección de datos se realizó en dos meses, con un cuestionario estructurado. Los datos fueran clasificados en Microsoft Excel y analizados con SPSS 15.0. Resultados: las enfermeras fueron excelente nivel de conocimientos en los aspectos de la fisiopatología (90,0%), los signos y síntomas (95,5%), terapéuticos (90,0%), los criterios en la elección de apósitos (95,0%) , la orientación del usuario en el conocimiento tratamiento y la atención (85,0%) y bueno de los criterios en la evaluación de la úlcera (70,0%). Las principales sugerencias fueron una mejor coordinación de equipos multidisciplinares y la formación para las enfermeras. Conclusión: los encuestados tienen una buena preparación técnico y científico y un excelente conocimiento en los aspectos básicos de la asistencia a las personas con las úlceras venosas e evaluaron positivamente la asistencia. Descriptores: atención primaria de salud; enfermería; organización & administración; mecanismos de evaluación de la atención de salud, úlcera venosa.

scholarly journals Work Process of Primary Health care Teams in Brazil from Rural/Urban Municipal Typology: A National Evaluation Study

2021 ◽  
Author(s):  
Messias Lemos ◽  
Carlos Leonardo Figueiredo Cunha ◽  
Helder Henrique Costa Pinheiro ◽  
Maria do Socorro Castelo Branco de Oliveira Bastos ◽  
Luciano Garcia Lourenção ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Descriptive Analysis ◽  
Action Planning ◽  
Reference Population ◽  
Multidisciplinary Teams ◽  
Health Care Teams ◽  
Work Process ◽  
Self Evaluation ◽  
Primary Health

Abstract Background: In Brazil, primary health care assumes the challenge of organizing and articulating health care networks, based on the performance of multidisciplinary teams linked to basic health units. Given that there are limited studies on the organization of the work process of primary health care teams in Brazilian municipalities that consider the rural-urban typology proposed by the Brazilian Institute of Geography and Statistics, this study aims to analyze the work process of primary health care teams in Brazilian municipalities.Methods: Quantitative evaluation was conducted using secondary data from the third cycle of the National Program for Improving Access and Quality of Primary Care (PMAQ-AB) and the Rural/Urban Classification of the Brazilian Institute of Geography and Statistics. Overall, 37,350 teams that participated in all levels of the PMAQ-AB external evaluation were included. The descriptive analysis considered three axes: 1) territorialization, 2) action planning, and 3) monitoring and self-evaluation. Multiple correspondence analyses were used to verify the relationships between the variables and municipal classifications.Results: Teams from adjacent rural municipalities had the lowest percentage of uncovered population in the territory (21.0%), while those from urban municipalities had the highest percentage with reference population >3,500 people/team (43.0%). It was found that 5,446 (15.1%) teams did not carry out planning, and the highest percentage of teams that executed planning was in the urban strata (85.7%). Monitoring performance was observed in 87.9% of the teams, with approximation of the values among the municipal strata with similar characteristics of location; self-evaluation showed the highest percentage in the adjacent intermediate stratum (90.4%). It was possible to identify three groups of teams with distinct characteristics of territorialization and two groups in relation to planning, monitoring, and self-evaluation.Conclusion: The results suggest important differences in the work process of primary health care teams, which vary according to the characteristics of the municipalities in which they are located.

scholarly journals Instrumentos para la evaluación de la atención primaria de salud: una revisión narrativa

2015 ◽  
Vol 14 (3) ◽  
pp. 328
Author(s):  
Consuelo Vélez Álvarez ◽  
Alexandra Giraldo Osorio
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Validation Study ◽  
Health Care Evaluation Mechanisms ◽  
Primary Health ◽  
Salud Mental ◽  
Care Health ◽  
Health Care Evaluation ◽  
Care Evaluation

Objetivo: Realizar una revisión narrativa sobre artículos que presentan instrumentos utilizados para la evaluación de la atención primaria de salud a nivel mundial.<br />Materiales y métodos: La búsqueda se realizó en Pubmed, Embase, Cochrane y Lilacs de artículos publicados entre 2008 y 2013. Los descriptores utilizados fueron: primary health care, health care evaluation mechanisms, questionnaires and validation study. Como criterios de elegibilidad de los artículos se incluyeron tres idiomas y estudios de validación. Se construyó una matriz de análisis por base de datos con las características de cada artículo, luego se consolidó una matriz final con los artículos que cumplieron con los criterios de inclusión y se analizaron los instrumentos encontrados. El análisis de la información se llevó a cabo por las dos autoras de forma independiente, para una mayor objetividad.<br />Resultados: Se obtuvieron 128 artículos que cumplieron con los criterios de inclusión establecidos en el estudio. El porcentaje de instrumentos identificados por categorías de análisis fueron: Estilos de vida y enfermedades crónicas 20,3%, Estrategia de APS – Administración 5,4%, Estrategia de APS - Relación Equipo de salud Usuario 23,4%, Salud Mental 28,9% y otras áreas temáticas 21,9%.<br />Conclusiones: Existe una amplia y variada disponibilidad de instrumentos genéricos y específicos que han sido validados en el contexto mundial para evaluar la estrategia de atención primaria de salud, sobre los cuales es posible reconstruir la mejor evidencia como herramienta de trabajo.

scholarly journals Continuing Education in Health: interprofessional practices in the field of Collective Health

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
A P N Fornereto ◽  
M N Ogata ◽  
T A Santos ◽  
A B C Franceschini ◽  
MCRLR Pinto ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Continuing Education ◽  
Technical Assistance ◽  
Health Management ◽  
Multidisciplinary Teams ◽  
Target Area ◽  
Clinic Management ◽  
Primary Health ◽  
Health Support

Abstract Family Health Support Centres (NASFs, in Portuguese) aim to develop interprofessional practices anchored in the assumptions of Primary Health Care, guided by the criteria of shared care specific professional interventions, management processes, interdisciplinarity, intersectoriality, Continuing Education in Health and health promotion. This health management methodology (Matrix Support) still represents a challenge to workers and managers, as it switches the logic of clinical thought from individual-centred, ambulatory and disciplinary care to collective, territory and interdisciplinary care. This study might illustrate and allow sharing of experiences about a work management format for multidisciplinary teams in Primary Health Care. A partnership between the University and the state health department was established in order to elaborate a collaborative, educational and supportive action. We formed a group of workers in the target area (24 municipalities and 18 teams) who had a focus on Continuing Education in Health using Institutional Analysis as theoretical reference. The main goal of the action was to provide spaces to share experiences and learning in the perspective of Continuing Education in Health. How does Continuing Education in Health support interprofessional practices in the field of Collective Health? Among the main results, we list: reflection about organisation practices of multiprofessional work, reflection about care practices and clinic management in the technical-assistance and pedagogic perspectives of Matrix Support; encouragement to improve the services offered in this level of care and their relationship with other points of the network. This experience showed us the importance of three main aspects: Continuing Education in Health, as a strategy of critical analysis about work and workers; the partnership and integration between teaching and service; and interprofessional formation processes (necessary to NASF and Collective Health). Key messages Continuing Education in Health is a strategy to deal with challenges and possibilities of interprofessional practices in the field of Collective Health. Enabling experiences and providing spaces for health professionals to share experience and learning.

scholarly journals Comprehensiveness and programmatic vulnerability to stds/hiv/aids in primary care

2014 ◽  
Vol 48 (spe) ◽  
pp. 145-151 ◽  
Author(s):  
Luciane Ferreira do Val ◽  
Lucia Yasuko Izumi Nichiata
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Prenatal Care ◽  
Online Survey ◽  
Health Centers ◽  
Multidisciplinary Teams ◽  
Primary Health ◽  
The City ◽  
Hiv Aids




This study aimed to identify programmatic vulnerability to STDs/HIV/AIDS in primary health centers (PHCs). This is a descrip - tive and quantitative study carried out in the city of São Paulo. An online survey was applied (FormSUS platform), involving administrators from 442 PHCs in the city, with responses received from 328 of them (74.2%), of which 53.6% were nurses. At - tention was raised in relation to program - matic vulnerability in the PHCs regarding certain items of infrastructure, prevention, treatment, prenatal care and integration among services on STDs/HIV/AIDS care. It was concluded that in order to reach comprehensiveness of actions for HIV/ AIDS in primary health care, it is necessary to consider programmatic vulnerability, in addition to more investment and reor - ganization of services in a dialogue with the stakeholders (users, multidisciplinary teams, and managers, among others).




Knowledge of Malaria and Management Practices of Primary Health Care Workers Treating Children with Malaria in Ibadan, Nigeria

2003 ◽  
Vol 22 (1) ◽  
pp. 95-109 ◽  
Author(s):  
O. I. Fawole ◽  
M. O. Onadeko ◽  
C. O. Oyejide
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Management Practices ◽  
Health Workers ◽  
Clinical Skills ◽  
Signs And Symptoms ◽  
Health Care Facilities ◽  
Treatment Practices ◽  
Primary Health ◽  
Physical Examinations

A survey of the knowledge and management practices of 61 health workers in five primary health care facilities in Ibadan 30 health workers observed as they managed children with fever and the parasite status of 92 children diagnosed to have malaria was conducted. Sixty-seven percent of children had the malaria parasite. Knowledge on some basic concepts was fairly adequate as the majority (75.4%) knew the cause of malaria, and 95.1% correctly recognized its key signs and symptoms. Treatment practices were poor as only 55.7% and 63.9% of health workers, respectively, prescribed chloroquine and paracetamol correctly; most gave underdosage. Observation revealed that history taking and physical examinations were rudimentary. Scores out of 100 on correct prescriptions of chloroquine and paracetamol were 60.1 and 76.8, respectively. There is an urgent need for periodic education programs, especially for health workers with many years of experience to help them maintain clinical skills and refresh their knowledge.

scholarly journals Primary health care policy and vision for community pharmacy and pharmacists in Australia

2020 ◽  
Vol 18 (2) ◽  
pp. 1967 ◽  
Author(s):  
Sarah Dineen-Griffin ◽  
Shalom I. Benrimoj ◽  
Victoria Garcia-Cardenas
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Primary Health Care ◽  
Community Pharmacy ◽  
Community Pharmacists ◽  
Residential Aged Care ◽  
Multidisciplinary Teams ◽  
Care Providers ◽  
Australian Government ◽  
Primary Health

There is evidence that the Australian Government is embracing a more integrated approach to health, with implementation of initiatives like primary health networks (PHNs) and the Government’s Health Care Homes program. However, integration of community pharmacy into primary health care faces challenges, including the lack of realistic integration in PHNs, and in service and remuneration models from government. Ideally, coordinated multidisciplinary teams working collaboratively in the community setting are needed, where expanding skills are embraced rather than resisted. It appears that community pharmacy is not sufficiently represented at a local level. Current service remuneration models encourage a volume approach. While more complex services and clinical roles, with associated remuneration structures (such as, accredited pharmacists, pharmacists embedded in general practice and residential aged care facilities) promote follow up, collaboration and integration into primary health care, they potentially marginalize community pharmacies. Community pharmacists’ roles have evolved and are being recognized as the medication management experts of the health care team at a less complex level with the delivery of MedChecks, clinical interventions and medication adherence services. More recently, vaccination services have greatly expanded through community pharmacy. Policy documents from professional bodies highlight the need to extend pharmacy services and enhance integration within primary care. The Pharmaceutical Society of Australia’s Pharmacists in 2023 report envisages pharmacists practising to full scope, driving greater efficiencies in the health system. The Pharmacy Guild of Australia’s future vision identifies community pharmacy as health hubs facilitating the provision of cost-effective and integrated health care services to patients. In 2019, the Australian Government announced the development of a Primary Health Care 10-Year Plan which will guide resource allocation for primary health care in Australia. At the same time, the Government has committed to conclude negotiations on the 7th Community Pharmacy Agreement (7CPA) with a focus on allowing pharmacists to practice to full scope and pledges to strengthen the role of primary care by better supporting pharmacists as primary health care providers. The 7CPA and the Government’s 10-year plan will largely shape the practice and viability of community pharmacy. It is essential that both provide a philosophical direction and prioritize integration, remuneration and resources which recognize the professional contribution and competencies of community pharmacy and community pharmacists, the financial implications of service roles and the retention of medicines-supply roles.

Hip Fractures in Primary Health Care: Evaluation of a rehabilitation programme

1990 ◽  
Vol 8 (3) ◽  
pp. 139-144 ◽  
Author(s):  
Lars Borgquist ◽  
Eva Nordell ◽  
Gun-Britt Jarnlo ◽  
Björn Strömqvist ◽  
Hans Wingstrand ◽  
...  
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Hip Fractures ◽  
Rehabilitation Programme ◽  
Primary Health ◽  
Health Care Evaluation ◽  
Care Evaluation

scholarly journals Maternal knowledge related to anemia during pregnancy among a sample of mothers attending Primary Health Care centers. Baghdad.

2019 ◽  
Vol 13 (2) ◽  
pp. 72-77
Author(s):  
Maral F Thabit
Keyword(s):  
Health Care ◽  
Primary Health Care ◽  
Signs And Symptoms ◽  
Cross Sectional Study ◽  
Reproductive Age ◽  
Health Concern ◽  
Maternal Knowledge ◽  
Cross Sectional ◽  
Primary Health ◽  
Primary Health Care Centers

Background: Anaemia is a major public health concern and is one of the most prevalent health issue in women within reproductive age group. Objective: to assess maternal knowledge related to anaemia during pregnancy. Type of the study: A cross –sectional study. Method: The study including 200 mothers who attended selected primary health care centres, Baghdad during November and December 2015, they completed a previously prepared questionnaire coveringsocio-demographic characteristics and knowledge regarding anaemia in 4 main domains. The responses were analysed by using frequency, percentage and percent score for each statement and overall percent score for each domain and mean overallpercent score for all the four domains. Results: the main source of information of the participated mothers was health personal (59.5%).The overall percent score for the main domains was good 71% for aetiology of disease, excellent 91% for signs and symptoms of anaemia, good 75% for complications of anaemia and very good 75% regarding ways of prevention and treatment. Conclusion: Satisfactory knowledge level of mothers regarding anaemia during pregnancy.

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