Integrative and complementary practices in Primary Care: unveiling health promotion.
08 Jun 2020-Revista Latino-americana De Enfermagem (Escola de Enfermagem de Ribeirão Preto / Universidade de São Paulo)-Vol. 28
TL;DR: Integrative and complementary practices constitute a form of health care, with the purpose of understanding the human being in the health-disease process, making it possible to work with the different aspects that involve them and reduce damages resulting from the excessive use of medications.
Abstract: Objective: to understand the use of integrative and complementary practices as a health promotion action. Method: qualitative study, action-participant type, with the application of Paulo Freire’s Research Itinerary, in which 30 Primary Health Care professionals participated. Thematic research was developed with two Primary Care Units, one that used integrative and complementary practices in daily life and another that focused more on allopathic concepts of assistance. To carry out the three stages of the method used, seven Culture Yarning Circles took place. The critical unveiling took place concurrently with the participation of those surveyed. Results: integrative and complementary practices constitute a form of health care, with the purpose of understanding the human being in the health-disease process, making it possible to work with the different aspects that involve them. In this way, they reduce damages resulting from the excessive use of medications, stimulate comprehensiveness and promote health. Conclusion: integrative and complementary practices are resources for health promotion, through comprehensive care and reducing the use of medications.
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TL;DR: In this article, the authors identified nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in primary health care.
Abstract: Objectives to identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care. Method systematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel. Results thirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage. Conclusions nursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.
12 citations
TL;DR: In this paper, Shatzman et al. analyze the significado of a danca circular no imaginario da pessoa idosa em seu quotidiano, and find that it apresenta a sensacao de pertencimento e uniao entre todos, sem perder a individualidade e a do outro que compartilha.
Abstract: Resumo Objetivo compreender o significado da danca circular no imaginario da pessoa idosa em seu quotidiano. Metodo estudo interpretativo, de natureza qualitativa, fundamentado na Sociologia Compreensiva e do Quotidiano de Michel Maffesoli. Os dados foram coletados por meio de entrevista e observacao participante, com 17 idosas praticantes de danca circular em Rodas nas Unidades Primarias de Saude do Sul Brasil. Os dados foram analisados por meio dos preceitos de analise Shatzman e Strauss, fazendo emergir duas categorias tematicas: Atribuindo significado a danca circular e sentindo por meio da danca circular. Resultados Os participantes apontam que a danca circular, no imaginario da pessoa idosa, apresenta-se inclusiva e acolhedora, favorecendo a sensacao de pertencimento e uniao entre todos, sem perder a sua individualidade e a do outro que compartilha. Para participar da danca e necessario estar centrada em si, no momento vivido, buscando nao dispersar do momento vivido. Consideracoes finais: a danca circular como expressao da vida cotidiana e um espaco de trocas, de presenca, do ludico, do viver coletivo ligado por lacos emocionais e pelo afeto que fortalece os lacos e ressignifica positivamente o viver.
3 citations
TL;DR: In this paper, a qualitative approach outlined by the strategy of search of Holistic Multiple Case Study (HMS) was used to understand the construction of the comprehensive health practices in the daily work of the family health teams and the managers of three municipalities in Vale do Jequitinhonha-MG.
Abstract: Resumen This is an excerpt from a PhD thesis of a qualitative approach outlined by the strategy of search of Holistic Multiple Case Study which aims to understand the construction of the comprehensive health practices in the daily work of the family health teams and the managers of three municipalities in Vale do Jequitinhonha-MG. The study subjects were professionals from the Family Health Teams, support staff and municipal secretaries in a total of 48 workers. It is presented one of the categories of analysis that shows the importance given to multiprofessional teamwork and the acknowledgement of the necessity of other’s work, that is, complementarity and interdependence of actions to provide a total and effective assistance. Some teams have disciplinary actions with the use of different skills in identifying and solving problems. Others have individual actions but refer to the need of shared responsibility in actions and decisions of the team to achieve the integrality in health.
3 citations
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Journal Article•
2,327 citations
"Integrative and complementary pract..." refers background or methods in this paper
...Method: qualitative study, action-participant type, with the application of Paulo Freire’s Research Itinerary, in which 30 Primary Health Care professionals participated....
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...The method used(11-12) allowed the adoption of different resources to conduct the third Culture Yarning Circle with the teams, based on the creative profile of each group, as it was noticed that the Orient team has the ability to more intense verbal expression, while the Occident team expresses itself more easily in written and drawn form....
[...]
...This is characterized by a group of people with some common interest, who discuss their problems and life situations, building a deeper perception of reality(11-12)....
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...The highlighted data guided the reflection with the participants of the Culture Yarning Circle sand allowed the re-signification of the theme (new look) and the critical unveiling according to the Paulo Freire’smethodology(11-12) performing the analysis in three significant themes(13): Unveiling concepts and expanding the understanding of PIC; reducing damage to health and promoting comprehensiveness through PICs; and, PIC as a health promotion action in PHAPSC....
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...This methodological framework is organized into three dialectical moments: thematic investigation (data collection); encoding and decoding (data collection/data analysis); and critical unveiling (data analysis), which are outlined in Figure 1 below(11-12)....
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TL;DR: The research revealed that there are limitations to the implementation of health promotion as a key element of participatory action together with the community and highlighted the importance of interdisciplinarity and intersectorality between workers and the city, state and federal manager.
Abstract: The scope of this study is to analyze the implementation of health promotion actions in the working process of the Family Health Teams of a city in the state of Santa Catarina. It involves research adopting a qualitative approach linked to the methodological benchmark of Paulo Freire, consisting of three dialectic moments: thematic investigation; encoding and decoding; critical revelation. Fifteen Culture Circles were conducted, covering five district health units, with the participation of 70 professionals. Each meeting was scheduled to last two hours with an average attendance of thirteen participants of the Family Health teams. The research revealed that there are limitations to the implementation of health promotion as a key element of participatory action together with the community. It also highlighted the importance of interdisciplinarity and intersectorality between workers and the city, state and federal manager. The commitment to the principles of the Unified Health System (SUS) and health promotion also presents itself as a challenge to improve the quality of life of the population.
47 citations
TL;DR: CAM prevention and treatment strategies may contribute to reducing antibiotic use, but more rigorous research is necessary to provide high quality evidence of (cost-)effectiveness.
Abstract: Aim. The aim of this narrative review was to explore the potential contributions of CAM to reduce antibiotic use. Methods. We searched PubMed, Embase, and Cochrane Database of Systematic Reviews with a specific, limited set of search terms and collected input from a group of expert CAM researchers to answer the question: What is known about the contribution of CAM health and health promotion concepts, infection prevention, and infection treatment strategies to reduce antibiotic use? Results. The worldview-related CAM health concepts enable health promotion oriented infection prevention and treatment aimed at strengthening or supporting the self-regulating ability of the human organism to cope with diseases. There is some evidence that the CAM concepts of health (promotion) are in agreement with current conceptualization of health and that doctors who practice both CAM and conventional medicine prescribe less antibiotics, although selection bias of the presented studies cannot be ruled out. There is some evidence that prevention and some treatment strategies are effective and safe. Many CAM treatment strategies are promising but overall lack high quality evidence. Conclusions. CAM prevention and treatment strategies may contribute to reducing antibiotic use, but more rigorous research is necessary to provide high quality evidence of (cost-)effectiveness.
34 citations
TL;DR: It is presented one of the categories of analysis that shows the importance given to multiprofessional teamwork and the acknowledgement of the necessity of other’s work, that is, complementarity and interdependence of actions to provide a total and effective assistance.
Abstract: Resumen This is an excerpt from a PhD thesis of a qualitative approach outlined by the strategy of search of Holistic Multiple Case Study which aims to understand the construction of the comprehensive health practices in the daily work of the family health teams and the managers of three municipalities in Vale do Jequitinhonha-MG. The study subjects were professionals from the Family Health Teams, support staff and municipal secretaries in a total of 48 workers. It is presented one of the categories of analysis that shows the importance given to multiprofessional teamwork and the acknowledgement of the necessity of other’s work, that is, complementarity and interdependence of actions to provide a total and effective assistance. Some teams have disciplinary actions with the use of different skills in identifying and solving problems. Others have individual actions but refer to the need of shared responsibility in actions and decisions of the team to achieve the integrality in health.
33 citations