/pdf/uma-agenda-para-a-saude-ipvpr2hhqm.pdf

Uma Agenda para a Saúde

Nurses play an important role in promoting public health. Traditionally, the focus of health promotion by nurses has been on disease prevention and changing the behaviour of individuals with respect to their health. However, their role as promoters of health is more complex, since they have multi-disciplinary knowledge and experience of health promotion in their nursing practice. This paper presents an integrative review aimed at examining the findings of existing research studies (1998-2011) of health promotion practice by nurses. Systematic computer searches were conducted of the Cochrane databases, Cinahl, PubMed, Web of Science, PsycINFO and Scopus databases, covering the period January 1998 to December 2011. Data were analysed and the results are presented using the concept map method of Novak and Gowin. The review found information on the theoretical basis of health promotion practice by nurses, the range of their expertise, health promotion competencies and the organizational culture associated with health promotion practice. Nurses consider health promotion important but a number of obstacles associated with organizational culture prevent effective delivery.

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Nurses' roles in health promotion practice: an integrative review

We did not find strong evidence that education reduced all cause mortality, cardiac morbidity, revascularisation or hospitalisation compared to control. There was some evidence to suggest that education may improve HRQofL and reduce overall healthcare costs. Whilst our findings are generally supportive of current guidelines that CR should include not only exercise and psychological interventions, further research into education is needed.

/pdf/patient-education-in-the-management-of-coronary-heart-4fafcg7fgg.pdf

Patient education in the management of coronary heart disease

Teamwork is one of the main pillars of Family Health Care projects, although it is not a strategy exclusively applied to such programs. It is not frequently discussed in current collective health research studies, but the perspective resulting from the full range of its action favors interdisciplinary and transdisciplinary actions. Thus, when building a Family Health Project, teamwork should be guided by a common health care purpose and the players involved should develop an interaction movement within the team itself as well as in relation to the community. It is therefore critical to establish communication practices for mutual understanding. This paper presents some preliminary considerations on the teamwork strategy in Family Health Care actions, indicating barriers and potentials in the construction of this health care model.

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Trabalho em equipe: um desafio para a consolidação da estratégia de saúde da família

As politicas de educacao por meio das Diretrizes Curriculares Nacionais visam direcionar as instituicoes de ensino superior para a formacao das seguintes competencias e habilidades gerais dos profissionais de saude: atencao a saude, tomada de decisoes, comunicacao, lideranca, administracao e gerenciamento, educacao permanente. Como a maioria das competencias apontadas podem ser caracterizadas como competencias gerenciais, o presente artigo busca descreve-las e relacionar os conhecimentos necessarios para a formacao dessas competencias. Essa classificacao trouxe algumas reflexoes conceituais que permitem analisar o trabalho do enfermeiro e as relacoes entre gerencia e assistencia.

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Gerência e competências gerais do enfermeiro

/pdf/o-desafio-do-trabalho-em-equipe-na-atencao-a-saude-da-57x87m5ah1.pdf

O desafio do trabalho em equipe na atenção à Saúde da Família: construindo "novas autonomias" no trabalho

Objective: This investigation aimed to identify and analyze the general and specific competencies of nurses in the primary health care practice of Brazil.



Design: The Delphi Technique was used as the method of study.



Sample: 2 groups of participants were selected: One contained primary health care nurses (n=52) and the other specialists (n=57), including public health nurses and public or community health faculty.



Measurements: 3 questionnaires were developed for the study. The first asked participants to indicate general and specific competencies, which were compiled into a list for each group. A Likert scale of 1–5 was added to these 2 lists in the second and third questionnaires. A consensus criterion of 75% for score 4 or 5 was adopted.



Results: In the nurses' group, 17 general and 8 specific competencies reached the consensus criterion; 19 general and 9 specific competencies reached the criterion in the specialists' group. These competencies were classified into 10 domains: professional values, communication, teamwork, management, community-oriented, health promotion, problem solving, health care, and education and basic public health sciences.



Conclusions: These competencies reflect Brazilian health policy and constitute a reference for health professional practice and education.

Identification of nurses' competencies in primary health care through a Delphi study in southern Brazil.

Entendendo as visitas domiciliares enquanto tecnologia de interacao no cuidado a saude da familia, o objetivo foi compreender as concepcoes da equipe de Saude da Familia sobre as visitas. Utilizou-se abordagem qualitativa e a entrevista semi-estruturada foi o instrumento de coleta de dados. Foram entrevistados dezenove profissionais de duas equipes de Saude de Familia de um municipio do interior paulista. Os resultados mostraram que as visitas sao atividades potenciais para o cuidado a familia, mais humano e acolhedor, permitindo o vinculo, lacos de confianca e conhecer o usuario no seu ambiente familiar. Apreende-se que as visitas ora sao compreendidas como acompanhamento da saude, ora como fiscalizacao. Dificuldades existiram como pouco tempo disponivel e impotencia da equipe frente aos problemas.

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Concepciones del equipo de salud de la familia sobre das visitas domiciliarias

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Concepções da equipe de saúde da família sobre as visitas domiciliares

O objetivo desta investigacao foi avaliar a qualidade da assistencia prestada em um nucleo de saude da familia (NSF), enfocando a satisfacao dos usuarios, com base nas tecnologias leves, bem como analisar aspectos dessa assistencia, produtores de satisfacao e de insatisfacao, no que diz respeito ao vinculo, a responsabilizacao, a resolubilidade, as expectativas, aos relacionamentos, ao conforto e acesso, e identificar recomendacoes para intervencoes locais. Apos realizarmos uma caracterizacao geral da populacao atendida no servico em estudo, selecionamos os sujeitos participantes da pesquisa. A coleta de dados deu-se por meio da entrevista semi-estruturada. A abordagem foi de natureza qualitativa, e os dados foram ordenados pelo metodo do Discurso do Sujeito Coletivo (DSC). A analise revela a importância atribuida, pelos usuarios do servico, as tecnologias leves, mas tambem a necessidade de diminuir o tempo de espera para as consultas e os encaminhamentos e obter o acesso a medicamentos e a atencao odontologica no proprio servico, fatores que levam a grande insatisfacao por parte dos usuarios.

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Maria Cecília Puntel de Almeida

Papers

O desafio do trabalho em equipe na atenção à Saúde da Família: construindo "novas autonomias" no trabalho

Identification of nurses' competencies in primary health care through a Delphi study in southern Brazil.

Concepciones del equipo de salud de la familia sobre das visitas domiciliarias

Concepções da equipe de saúde da família sobre as visitas domiciliares

As tecnologias leves como geradoras de satisfação em usuários de uma unidade de saúde da família