Integralidade, formação de saúde, educação em saúde e as propostas do SUS: uma revisão conceitual
01 Mar 2007-Ciencia & Saude Coletiva (ABRASCO - Associação Brasileira de Saúde Coletiva)-Vol. 12, Iss: 2, pp 335-342
TL;DR: In this article, the importance of education actions in health is highlighted as an integrating strategy of a collective knowledge that translates in the individual his autonomy and emancipation, based on this comprehension the study aims to reflect on the principle of the integrality as an axis director of the education actions.
Abstract: We understand the integrality in people's care, groups and collectivity having the client as a historical, social and political subject, integrated to his family context, to the environment and the society in which he is inserted. In this scenery the importance of education actions in health is highlighted as an integrating strategy of a collective knowledge that translates in the individual his autonomy and emancipation. Based on this comprehension the study aims to reflect on the principle of the integrality as an axis director of the education actions in health. The education in health as a pedagogical and political process requests the development of a critical and reflexive thinking, allowing to reveal the reality and to propose transforming actions, while historical and social subject able to propose and to give opinions in the decisions of health for his own care, of his family and of the collectivity.
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TL;DR: The scope of this paper is to analyze the key concepts and expressions related to health education and education in the health system and their interfaces in the field of Public Health.
Abstract: The scope of this paper is to analyze the key concepts and expressions related to health education and education in the health system and their interfaces in the field of Public Health. Since there are various interpretations among health professionals regarding such terminologies and their variants in daily practice, it is necessary to establish the difference between them. Consequently, an attempt is also made to establish the difference between the variants of the first, such as sanitary education, education for health and popular health education, which represent a series of practices that involve social participation to increase the autonomy of individuals and the community in order to make choices and to pursue a healthy lifestyle. The variants of the second include ongoing education and in-service education, namely the education provided to health professionals to improve their knowledge in the field of health, in order to improve the health care afforded to the population.
168 citations
TL;DR: This estudo podera contribuir para uma reflexao a respeito do tema na pratica, podendo assim possibilitar a construcao de um novo olhar sobre a educacao em saude, pautado em relacoes dialogicas e na valorizacao do saber popular.
Abstract: Health education is a powerful tool that enhances social, economic and cultural contexts of the community, allied to the process of health promotion. The purpose of this study was to find the perception of nurses, related to the Family Health Strategy, on health education, in Uberaba, Minas Gerais State. It was a descriptive study, with a qualitative approach, using the method of thematic analysis. Semi-structured interviews were held with 20 nurses from Family Health Strategy (FHS) of that council. From the obtained information, five themes were abstracted: concepts; posture; bank education, professional growth; and occasional action. It was possible to identify that the subjects, in everyday life, have a wide perspective of health education, with a close relationship of professionals to this practice. However, workers still perceive this strategy in a vertical way, institutionalized, with a single-user sense of training. It is believed that this study could contribute to a discussion about the issue in practice, and thus enable the construction of a new look on health education, based on dialogical relations and the enhancement of popular knowledge.
106 citations
TL;DR: The physiotherapist is destining its attention almost exclusively on the cure of patients and their rehabilitation, but the new epidemic profile and the new logic of organization of the health system suggest the restructuring of this professional practices and the re-definition of the field of the physiotherapy professional performance.
Abstract: The physiotherapist is destining its attention almost exclusively on the cure of patients and their rehabilitation However, the new epidemic profile and the new logic of organization of the health system suggest the restructuring of this professional practices and the re-definition of the field of the physiotherapist's performance In this sense, this article aims to discuss the reorientation of the field of the physiotherapy professional performance and the new possibilities of acting at the Unified Health System (SUS) The article starts with a debate about the demographic, epidemiological and nutrition transitions and the new professional demands before the new attendance models Taking as reference the model of health surveillance and the primary attention as a restructuring axis of the health system, it is highlighted the overcome of the rehabilitation as only level of professional performance and showed the collective model of the physiotherapy as an instrument of reorientation of the physiotherapist's performance Finally, it is presented some possibilities of the physiotherapist's performance in the basic attention and in the collective ambit
105 citations
01 Jan 2012
TL;DR: JESUS et al. as discussed by the authors conducted a cross-sectional, descriptive, and quantitative study in which all nurses of the Emergency Unit of the Hospital das Clínicas of the University of São Paulo at Ribeirão Preto Medical School were invited to participate, obtaining a sample of 126 participants who were given an envelope containing a free consent form, the General Questionnaire, and the Spiritual Religious Coping Scale (SRCOPE Scale), which were completely filled out by the participants out of the workplace and then returned to the researcher.
Abstract: JESUS, L.C. Religious and spiritual coping among nursing professionals who work in emergency units. 2011. 83p. Dissertation (MA) – Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, 2011. Researches published in the area of spiritual/religious coping (SRC) still not addressed this issue related to nursing professionals who are submitted to different stress factors arising not only from their work practice, but also from their everyday life outside the workplace. This study aimed to verify if nursing staff (assistants, technicians and nurses) uses the spiritual/religious coping to deal with the stress factors experienced both at work and in private life. It is a cross-sectional, descriptive, and quantitative study in which all nurses of the Emergency Unit of the Hospital das Clínicas of the University of São Paulo at Ribeirão Preto Medical School were invited to participate, obtaining a sample of 126 participants who were given an envelope containing a free consent form, the General Questionnaire, and the Spiritual Religious Coping Scale (SRCOPE Scale), which were completely filled out by the participants out of the workplace and then returned to the researcher. The results showed that the SRC average was 3.66, the positive SRC average was 3.11, the negative SRC average was 1.78, and that women make more use of positive spiritual/religious coping than men. Regarding the situation of stress mentioned by the participants, it was found that the majority reported having experienced a stressful situation in the family setting (61.1%); 25.4% reported having experienced a stressful situation in the workplace; 2.4% reported having experienced stressful situations in both environments; and 10.3% reported not having experienced any stressful situation during the period of the study. Only 0.8% of the participants did not answer the questions. The results obtained through the index of the SRC Scale were expected in view of the religiosity of the Brazilian people, especially the religiosity of Brazilian women, however, it was not seen the impact of the use of spiritual/religious coping for the health of this professional category, which warrants further studies, particularly with respect to the impact of the use of negative dimension of the SRC, which, although it was rarely used by the participants in this study, it is an important information that can affect the health of those who make its use, leaving it to future researchers in this area also investigate possible ways to work to achieve the promotion of the spiritual dimension of nursing professionals.
75 citations
TL;DR: This is a qualitative study developed and carried out in a Basic Health Care Unit located in Belo Horizonte, Brazil to understand female users' perceptions about the Line ofCare offered to pregnant women, puerpera, and newborn children.
Abstract: This is a qualitative study developed and carried out in a Basic Health Care Unit located in Belo Horizonte, Brazil. It aimedtobetterunderstandfemaleusers'�perceptionsabouttheLineofCareofferedtoPregnantWomen,�puerpera,�andNewborn� Children.�Thesubjectswere�12�womenuserscaredforinthisserviceanddatawerecollectedthroughinterviews.�Datawereanalyzed� using the content analysis technique. From this process, four thematic categories emerged. One of these categories gave origin to this articleanddealswithheathcareeducationasaformofcare.�ItrepresentsoneoftheprincipleelementsofpromotingHealthCarewhich� contributestopeople'semancipationandaplacetoexchangeexperiencesandknowledge,�asshownbythewomenwhoparticipated� inthisstudy.�Thisleadstoadoubleroletobeexercisedfromhealthcareprofessionals,�whoarealsoeducatorsbyexcellence.�� DESCRIPTORS: Health education. Patient-centered care. Maternal and child health. Health promotion. Family nursing.
70 citations
References
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TL;DR: The author reviews the emergency and development of health promotion by focusing his analysis on the above strategies, which according to the health sector's propositions would be the most promising strategies to improve the quality of life, especially in social formations where social-public health inequities are so many.
Abstract: Several scientific evidences show the contribution of health to the quality of life of either individuals or populations. Similarly, many of the social life components that contribute to quality in life are also essential for individuals and populations to attain an adequate health standard. For individuals and populations to achieve appropriate health standards it is necessary not only access to quality medical-health services. Health determinants must be considered widely, thus requiring healthy public policies (concerned with its impacts on health), an effective intersectoral articulation, and the population's engagement. In this paper, the author reviews the emergency and development of health promotion by focusing his analysis on the above strategies, which according to the health sector's propositions would be the most promising strategies to improve the quality of life, especially in social formations where social-public health inequities are so many, as in Brazil. These strategies are materialized in the bases and practices of the healthy towns movement, which are strictly associated with public management innovations for the integral and sustainable local development, as well as with the local Agenda 21.
750 citations
TL;DR: Tomando-se como referencia o principio constitucional da integralidade da atencao a saude e os desafios de sua implementacao, analisam-se as formulacoes teoricas relacionadas ao conceito de Vigilância da Saude e as mudancas implementadas pelo Ministerio da Saudes no campo da Atencao Basica e a Saude da Familia.
Abstract: Multiplos aspectos relacionados a formulacao de politicas, a construcao do conhecimento e a implementacao das praticas no setor saude interagem mutuamente e tem como produto a maneira como se prestam os servicos de saude em determinado contexto historico ou ainda resultam na disponibilidade ou na escassez de um determinado conjunto de acoes e servicos de saude. Compreender essas relacoes e fundamental para se avaliar a trajetoria da politica de saude no pais. Tomando-se como referencia o principio constitucional da integralidade da atencao a saude e os desafios de sua implementacao, analisam-se as formulacoes teoricas relacionadas ao conceito de Vigilância da Saude e as mudancas implementadas pelo Ministerio da Saude no campo da Atencao Basica e da Saude da Familia. Busca-se ainda analisar em que medida essas proposicoes contribuem atualmente para o desenvolvimento do Sistema Unico de Saude.
137 citations
TL;DR: This paper analyzes how clients of the public health system in Natal, Rio Grande do Norte, Brazil, "give meaning" to their situation as "patients", basically focusing on three aspects: evaluation of care, awareness of their rights as citizens and role in improvement of the service, and expectations regarding the encounter with health professionals.
Abstract: This paper analyzes how clients of the public health system in Natal, Rio Grande do Norte, Brazil, "give meaning" to their situation as "patients", basically focusing on three aspects: (1) evaluation of care, (2) awareness of their rights as citizens and role in improvement of the service, and (3) expectations regarding the encounter with health professionals. The results point to many deficiencies in the health system, besides demonstrating the population's passivity and resignation towards the present situation. The need to consider clients' subjectivity is important, as is the health professional-client relationship, with their encounter considered a prime moment for establishing a humanizing process in health practice, besides fostering the development of a critical awareness among clients concerning their rights and their role as agents of change in the health system.
90 citations
TL;DR: Esse mecanismo visaria assegurar a qualidade da assistencia prestada deveria ser acompanhado segundo determinado projeto terapeutico instituido, comandado por um processo de trabalho cuidador, e nao por uma logica "indutora de consumo".
Abstract: O atual trabalho discute os avancos e limites da regulacao publica da saude suplementar e propoe mapear a integralidade da assistencia pelo acompanhamento da linha do cuidado. Discute um modelo no qual o usuario deveria ser acompanhado segundo determinado projeto terapeutico instituido, comandado por um processo de trabalho cuidador, e nao por uma logica "indutora de consumo". Esse mecanismo visaria assegurar a qualidade da assistencia prestada.
84 citations
TL;DR: Uma educação em saúde ampliada inclui políticas públicas, ambientes apro p ri a d o s mais integradas e part i c i p a t i va s.
Abstract: igualdade social e com a pre s e rvação da natureza). En t re t a n t o, a par dessa noção amplia-da de saúde, observando-se a prática, ve rifica-se que atualmente persistem diversos mo-delos ou diferentes paradigmas de educação em saúde, os quais condicionam difere n t e s p r á t i c a s, muitas das quais re d u c i o n i s t a s, o que requer questionamentos e o alcance de p e r s p e c t i vas mais integradas e part i c i p a t i va s. Uma educação em saúde ampliada inclui políticas públicas, ambientes apro p ri a d o s
69 citations