The objective of this study was to understand the interpersonal process of embracement between nurses and family members in an adult ICU. It is exploratory, descriptive and observational study, with a qualitative approach, conducted among ten nurses working in an adult ICU, selected using non-probabilistic sampling and established by data saturation, based on three data collection techniques: theme-drawing-text, semistructured interviews and non-participant observation. The analysis, based on Peplau's Theory of Interpersonal Relations and from a tridimensional focus, identified: reason, emotion and volition, that the embracement provided to families manifested certain shortcomings related to the communication process, the development of autonomy for discharge and the interpersonal relationship between nurses and the family. The nurses' concepts in relation to user embracement were positive, demonstrating their willingness to provide it, although they encounter formational and experiential difficulties in putting this nursing theory into practice, insofar as interpersonal relationships and, consequently, in the embracement of families.
Background Primary health care-oriented systems provide better healthcare, especially for chronic diseases. This study analyzed the perspectives of physicians and nurses performing care for patients with chronic diseases in Primary Health Care in a Brazilian city. Methods A qualitative study was conducted in Vitória da Conquista, Bahia, Brazil, using semi-structured interviews with five physicians and 18 nurses. The interview included questions from an analytical matrix based on three dimensions of healthcare practices: organizational, technical care, and biopsychosocial, following a deductive approach. The interviews were fully transcribed and analyzed using a thematic categorical approach. Results The results indicated that the provision of chronic care occurs in a comprehensive way. Potentialities were identified in the diversification of access, offer of care actions and technologies, integration of teamwork, and bringing together social networks to foster autonomy and self-care. Weaknesses were mostly related to the high number of people in the teams, follow-up of several cases, high turnover of support teams, low integration of Primary Health Care with other levels, difficulties in intersectoral articulation and family participation in care. Conclusion The multidimensional assessment of health care practices aimed at individuals with chronic noncommunicable diseases was useful to portray the strengths and weaknesses of the services. It also ratifies the need to consider the importance of and investment in primary health care by offering the necessary technical, political, logistical and financial support to the units, to ensure the sustainability of the actions by nurses, doctors and entire team.
Objetivo: realizar uma reflexão crítica e analítica acerca das práticas de cuidado em saúde no Brasil voltadas para as doenças não transmissíveis no contexto da Estratégia Saúde da Família. Síntese do conteúdo: as reflexões sobre as práticas de cuidado revelaram importantes avanços materializados pela instituição de referências legais no âmbito político-normativo e assistencial, refletindo em melhor controle das doenças crônicas por longo período. Contudo, o cenário de crise global impôs sérias restrições orçamentárias com implicações político-econômicas e técnico-assistenciais, constituindo, portanto, uma ameaça ao controle das doenças crônicas e um prejuízo para a qualidade de vida da população brasileira. Conclusões: maior sinergia de esforços entre distintos atores sociais será necessária para garantir a defesa da universalidade, a resolutividade, a equidade e a gratuidade das práticas de cuidado em saúde na Estratégia Saúde da Família com foco nas doenças crônicas.
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