scholarly journals Training of nurses in primary health of women

2014 ◽  
Vol 5 (6) ◽  
pp. 45-54
Author(s):  
Márcia Sousa Santos ◽  
Maria Eliete Batista Moura ◽  
Inez Sampaio Nery ◽  
Eliana Campêlo Lago ◽  
Benevina Maria Vilar Teixeira Nunes

Objectives: To evaluate the influence of the nursing education process in primary care related to women's health. In addition, to analyze nursing training in primary care for women's health and as a National Policy for Comprehensive Care of Women's Health. Method: An exploratory study with 30 nurses from the Family Health Strategy. Data were generated through interviews, processed and analyzed in Alceste4.8 by Descending Hierarchical Classification. Results: The data were presented as dendrogram classes: training at the graduate level to work in the area of women's health; the work of nurses in primary care to women's health; the Program for Integral Attention to Women's Health in primary care and continuing education of nurses in primary health care of women. Final considerations: Permanent education of nurses is necessary for the promotion healthcare and public policy on care for women.

2019 ◽  
Vol 72 (1) ◽  
pp. 19-26 ◽  
Author(s):  
Leonardo Barbosa Rolim ◽  
Janássia Gondim Monteiro ◽  
Anya Pimentel Gomes Fernandes Vieira Meyer ◽  
Sharmênia de Araújo Soares Nuto ◽  
Márcio Flávio Moura de Araújo ◽  
...  

ABSTRACT Objective: To evaluate the Primary Health Care attributes of Fortaleza city, Ceará State. Method: Evaluative study carried out at 97 Primary Health Care Units, from August 2015 to June 2016. 451 professionals from the Family Health Strategy participated in the study. We used the Primary Care Assessment Tool - Brazil, which evaluates the attributes, assigning scores on a scale of zero to ten. We adopted as a cut-off point, to consider high Primary Care score, attributes with a value of 6.60 or higher. Results: Among the eight attributes evaluated the First Contact Access and the Coordination - Information System were the ones that obtained the lowest and highest scores, (2.98) and (7.82), respectively. The Overall Score, calculated by means of a mean of the attributes, was 6.34. Conclusion: The Primary Care evaluated had a low score, showing the need to discuss mechanisms to boost the attributes that obtained low scores.


Bionorte ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 134-142
Author(s):  
Ludmila Cotrim Fagundes ◽  
Caio Fagundes Quadros Lima ◽  
Luciana Cristine Dias ◽  
Maria Alice Miranda Fortes ◽  
André Augusto Dias Silveira ◽  
...  

Objective:to evaluate the essential attributes of primary care in a Family Health Strategy in the city of Montes Claros -MG from the perspective of the assisted population. Materials and Methods:this is a quantitative and descriptive study, with a sample of 130 patients. The Sociodemographic Questionnaire and the Questionnaire for the Evaluation of the Attributes of Primary Care were applied between the months of September and October 2018. The results were tabulated in an Excel spreadsheet. Results:the four Essential Attributes of Primary Care were mostly answered with a reasonable level of satisfaction or above. Overall average satisfaction was 6.8 points. Conclusion:the reduction of waiting time for appointments with general practitioners and the absence of specialists in the FHS were the main demands. However, in the eyes of users, it was evident that the four Essential Attributes of Primary Health Care, in general, are well exerted.


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

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.


2020 ◽  
Vol 54 ◽  
pp. 9 ◽  
Author(s):  
Alessandra Cristina Pupin Silvério ◽  
Isarita Martins ◽  
Denismar Alves Nogueira ◽  
Marco Antônio Santos Mello ◽  
Edilaine Assunção Caetano de Loyola ◽  
...  

OBJECTIVE: To evaluate the attributes of Primary Health Care (PHC) for rural workers; to analyze sociodemographic conditions, history of poisoning and hospitalizations for pesticides and use of personal protective equipment; and to verify exposure to pesticides by determining bioindicators. METHODS: Cross-sectional, descriptive-analytical study with a sample of 1,027 rural workers living in municipalities belonging to a regional health department in Southern Minas Gerais, whose PHC is governed by the Family Health Strategy model. We used the adult version of the Primary Care Assessment Tool (PCATool Brazil) and a structured questionnaire to collect socioeconomic data, history of poisoning and hospitalization for pesticides and use of personal protective equipment. Blood samples were collected to measure biomarkers of pesticide exposure and signs of renal and hepatic sequelae. RESULTS: Low education was prevalent, as well as the intense contact of workers with pesticides. Frequent use of personal protective equipment was higher among men, as was the history of poisoning and hospitalizations for pesticides. Rates of 20% poisoning, 15% liver disease and 2% nephropathy were detected. Signs of hepatotoxicity were more frequent in men. Gender differences were all statistically significant. Regarding PHC, only the attribute “degree of affiliation” had a high score. None of the poisoning cases detected in the study were previously diagnosed. CONCLUSIONS: Despite the high coverage of the Family Health Strategy, occupational risk and its consequences have not been detected by health services, which do not seem oriented to primary care, even lacking their essential attributes. There is a need for immediate and effective adaptation of public policies regarding the health of rural workers, with adequate training of teams and review of the portfolio of PHC services offered.


2014 ◽  
Vol 48 (5) ◽  
pp. 837-844 ◽  
Author(s):  
Luiz Roberto Ramos ◽  
Deborah Carvalho Malta ◽  
Grace Angélica de Oliveira Gomes ◽  
Mário M Bracco ◽  
Alex Antonio Florindo ◽  
...  

OBJECTIVE Assessment of prevalence of health promotion programs in primary health care units within Brazil’s health system. METHODS We conducted a cross-sectional descriptive study based on telephone interviews with managers of primary care units. Of a total 42,486 primary health care units listed in the Brazilian Unified Health System directory, 1,600 were randomly selected. Care units from all five Brazilian macroregions were selected proportionally to the number of units in each region. We examined whether any of the following five different types of health promotion programs was available: physical activity; smoking cessation; cessation of alcohol and illicit drug use; healthy eating; and healthy environment. Information was collected on the kinds of activities offered and the status of implementation of the Family Health Strategy at the units. RESULTS Most units (62.0%) reported having in place three health promotion programs or more and only 3.0% reported having none. Healthy environment (77.0%) and healthy eating (72.0%) programs were the most widely available; smoking and alcohol use cessation were reported in 54.0% and 42.0% of the units. Physical activity programs were offered in less than 40.0% of the units and their availability varied greatly nationwide, from 51.0% in the Southeast to as low as 21.0% in the North. The Family Health Strategy was implemented in most units (61.0%); however, they did not offer more health promotion programs than others did. CONCLUSIONS Our study showed that most primary care units have in place health promotion programs. Public policies are needed to strengthen primary care services and improve training of health providers to meet the goals of the agenda for health promotion in Brazil.


Author(s):  
Leticia do Nascimento ◽  
Cristiane Cardoso de Paula ◽  
Tania Solange Bosi de Souza Magnago ◽  
Stela Maris de Mello Padoin ◽  
Erno Harzheim ◽  
...  

Abstract Objective: to evaluate the quality of health care for children and adolescents living with HIV, among the different types of Primary Health Care services of Santa Maria, Rio Grande do Sul. Method: cross-sectional study, developed with 118 Primary Health Care professionals. The Primary Care Evaluation Instrument, Professional version, was used. For verification of the variables associated with the high score, Poisson Regression was used. Results: the professionals of the Family Health Strategy, when compared to those of the Primary Health Units, obtained a greater degree of orientation to primary care, both for the overall score and for the derived attributes score, as well as for the integrality and community orientation attributes. A specialization in Primary Health Care, other employment and a statutory work contract were associated with quality of care. Conclusion: the Family Health Strategy was shown to provide higher quality health care for children and adolescents living with HIV, however, the coverage is still low. The need was highlighted to expand this coverage and invest in vocational training directed toward Primary Care and making the professionals effective, through public selection procedure, as well as an improvement program that recognizes the care requirements, in these settings, of children and adolescents infected with HIV.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kelly Cristina Gomes Alves ◽  
Rafael Alves Guimarães ◽  
Marta Rovery de Souza ◽  
Otaliba Libânio de Morais Neto

Abstract Background This cross-sectional study evaluated the adequacy of the Family Health Strategy for the primary care model for chronic noncommunicable diseases and the changes that occurred between the two cycles of external evaluations of the National Program for Improving Access and Quality of Primary Care, which took place in 2012 and 2014, in the higher coverage context of the Family Health Strategy of Brazil, in the state of Tocantins, Brazil. Methods The data source contained information on the infrastructure of the 233 Primary Health Units and on the work process of 266 health teams. The Principal Component Analysis for Categorical Data technique and the McNemar chi-squared statistical test for comparing paired samples were used, and a significance level of 5% with a 95% Confidence Interval was used. Results The analysis identified a low proportion of dispensing of medications for the treatment of chronic disease in both cycles. There was a significant increase in seasonal influenza vaccination, in the number of sterilization, procedure, dressings and inhalation rooms. There was a small but significant reduction in the materials for cervical cancer screening, although they are available in almost 90.0% of the PHUs. More than 70.0% of the health teams carried out additional health education activities, encouraged physical activity, registered schoolchildren with health needs for monitoring, evaluated user satisfaction and user referral. Conclusions The findings of this study highlighted the improvement of the structure of the Primary Health Units, but identified a low provision of medicines to treat chronic diseases. The health promotion was performed as the main work process tool of family health teams, but it was little focused on intersectoral actions and on actions with the population in the area or on the empowerment of users through self-management support for chronic diseases. Furthermore, it is critical that the Family Health Strategy in Tocantins be organized and focused on the care of chronic diseases to improve and adapt itself to a primary chronic care model.


2014 ◽  
Vol 5 (6) ◽  
pp. 64-73
Author(s):  
Rossandra Ribeiro Marreiros de Araújo ◽  
Maria Eliete Batista Moura ◽  
Benevina Maria Vilar Teixeira Nunes ◽  
Eliana Campelo Lago ◽  
Inez Sampaio Nery

Objective: to analyze the permanent education process of Nurses in the Family Health Strategy and its relationship with the quality of the care provided. Methodology: This is a qualitative research, carried out with 26 Nurses of Primary Healthcare Units. The data were collected from April to June 2012, by means of semi-structured interview, processed in Alcest 4.8 and analyzed by descending hierarchical classification. Results: They were presented in four classes, namely: the availability of nurses for trainings; the permanent education policy; the quality of nursing work and vocational training through the introductory course and specialization. Conclusion: The permanent education process of nurses in the Family Health Strategy depends on the Permanent Education Policy adopted in the municipality, with the training of nurses. The permanent education is directly related to the quality of care.


2018 ◽  
Vol 71 (3) ◽  
pp. 1063-1071 ◽  
Author(s):  
Marciane Kessler ◽  
Suzinara Beatriz Soares de Lima ◽  
Teresinha Heck Weiller ◽  
Luís Felipe Dias Lopes ◽  
Lucimare Ferraz ◽  
...  

ABSTRACT Objective: to evaluate the attribute longitudinality in different models of assistance in Primary Health Care and observe its association with demographic, socioeconomic and health care characteristics. Method: a cross-sectional study, carried out in 2015 with 1076 adult users of primary care services in the 32 cities of the 4th Regional Health Care Core of Rio Grande do Sul State. The Primary Care Assessment Tool was used with definition of low (<6.6) or high (≥6.6) score for longitudinality. The association with independent variables was observed through the Poisson regression. Results: the attribute was better assessed in the Family Health Strategy and associate with age, housing health region and care model. Conclusion: the study points out the Family Health Strategy as a promoter of longitudinal care, and so, it suggests the expansion of this assistance model coverage for quality improvement in health care.


2015 ◽  
Vol 23 (4) ◽  
pp. 611-619 ◽  
Author(s):  
Maicon Henrique Lentsck ◽  
Thais Aidar de Freitas Mathias

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.


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