Abstract

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.

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Objetivo: identificar as evidências científicas sobre a atuação de enfermagem na qualidade de vida de crianças e adultos em uso do cateterismo urinário e seus cuidadores no contexto de reabilitação. Método: revisão integrativa de literatura, através de questão norteadora “Qual a produção de conhecimento sobre a atuação de enfermagem na Qualidade de Vida de crianças e adultos em uso do cateterismo urinário e seus cuidadores no contexto de reabilitação?”, em três bases de dados com os descritores cateterismo urinário, qualidade de vida e enfermagem. Foram incluídos 23 estudos, publicados no período de 2011 a 2020, realizados em mais de um país, em especial na população brasileira. Resultados: as principais atuações da enfermagem foram: educação em saúde, atividades de orientação em grupo, uso de simuladores e teleatendimentos. Conclusão: as contribuições do enfermeiro em reabilitação estão direcionadas ao cuidado integral e eficaz para promoção de melhores terapêuticas e uma maior qualidade de vida.

Objective: to analyze university teaching in nursing from an institutional dialectic approach. Method: a qualitative research based on Institutional Socioclinics. Eighteen nursing professors from four regions of Brazil and from six public institutions of higher education participated. For data production, interviews, observations, documentary analyses, individual and collective restitution and use of the research diary were performed. Data was organized for analysis by transcription/translation, recomposition/rearrangement, and final reconstruction/narration. Data analysis was produced from analyzers, based on Socioclinics, Institutional Analysis current of thought, and on the qualitative mode of analysis by questioning and writing. Results: two main analyzers made the institution ‘teaching in higher education and the nursing professor’ emerge: time-money relation and resistance. Teaching time, increasingly associated with money, in managerialist logic, has formatted the nursing professors as passive subjects in the production of knowledge, induced by the evaluation model of the Coordination for the Improvement of Higher Level Personnel and its link to the progression in the university career. In this model, the nursing professor is driven to devote more to research than to teaching. This interferes with teaching conceptions and practices, which are more influenced by managerialism and less grounded in pedagogical theories. Resistance against this model has not yet encountered coping mechanisms. Conclusion: from the analysis produced with the participants, the choices of the nursing professor are so much more grounded in managerialism and so much less based on pedagogical references, especially those arising from dialectical theories. In this sense, resistance is transformed into a movement of adaptation.

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.

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