Resumo Introdução Os cuidados primários à saúde são discutidos internacionalmente desde 1978 com a Declaração de Alma-Ata. Quinze anos depois, nasceu no Brasil a Saúde da Família, em que se destaca o enfermeiro como um dos principais profissionais com atribuições no processo de trabalho que garante a prestação qualificada da assistência. Objetivo Analisar as dificuldades e as facilidades do processo de trabalho dos enfermeiros das Unidades Básicas de Estratégia Saúde da Família. Método Trata-se de um estudo de natureza descritiva, transversal e abordagem qualitativa, cujos dados foram obtidos a partir de entrevista semiestruturada. Os dados coletados em um período de três meses foram analisados por meio da análise temática. Resultados A análise revelou quatro núcleos de sentido relacionados à dificuldade: alta demanda espontânea, recursos humanos escassos, sobrecarga de atividades e educação permanente reduzida. Para as facilidades, foram identificados dois núcleos de sentido: formação holística e campo rico para pesquisas. Conclusão Os resultados forneceram subsídios para que os gestores de saúde implementem estratégias em prol do processo de trabalho dos enfermeiros, o que, consequentemente, refletirá em benefícios ao indivíduo, à família, à comunidade e a toda equipe de saúde.
The present research takes a different approach to acupuncture. While most researches have studied aspects related to the treatments and effects of acupuncture use, which undoubtedly are of great importance, we are dedicated to studying aspects related to health policies 1. Therefore, we take Primary Health Care as a research field for acupuncture and other alternative and complementary medicines, which are denominated in Brazil, of Integrative and Complementary Practices.Acupuncture is the fastest growing therapy in the world, including encouragement and recommendations from the World Health Organization for its inclusion in public health systems. In order for acupuncture to be offered in public health systems it is essential to have acupuncturists in sufficient quality and quantity, another aspect that is also discussed by WHO.Given the relevance of these considerations, in this research, we seeked to map and identify the professionals specialized in acupuncture and who are interested in exercising the offer of this therapeutic practice in Primary Health Care. For this, we seeked to identify the number of acupuncturists; Describe socio-demographic profile of acupuncturists; Identify the different formations in acupuncture; to identify the interest and availability of acupuncturist professionals in acupuncture in primary health care services.In order to collect data, we prepared a questionnaire and submitted it to a process for validating the appearance and semantics of the content, carried out by five judges with higher education in the health area, specialization in acupuncture and experience in Primary Health Care, which favored the accuracy of the instrument. Only after the validation by the judges the questionnaire was applied to the participants of the research in the online and printed format.
Objective: To analyze the use of the Institutional Analysis theoretical-methodological framework and of the central concept of institution in its three moments - instituted, instituting and institutionalizing in health studies. Method: Integrative review conducted in databases of PubMed/Medline, LILACS, Scopus, and CINAHL including original research articles published between 2012 and 2017. Results: Analysis of 26 publications. A plurality of study objects was found, and the most common were related to collective health, namely: mental health, violence, family-team relationship, family health, primary care, health of women, children and adolescents, oral health, continuing education, micropolitics of health work, health surveillance, HIV, law, pedagogical practices, school education and Autism. Nursing and psychology were the areas that most opted for Institutional Analysis. The polysemy of the institution concept was confirmed in the findings, indicating the richness of modes and uses of the concepts. Conclusion: Institutional Analysis presents tool-concepts to perform analyzes of health practices consistent with the Unified Health System.
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