This review included 21 research studies, representing various countries and healthcare settings. There were 223 findings, which were aggregated into 15 categories, and three synthesized findings: CONCLUSIONS: This review shows that health professionals experience teamwork and interprofessional collaboration as a process in primary health care settings; its conditions, consequences (benefits and barriers), and finally shows its determinants. Health providers face enormous ideological, organizational, structural and relational challenges while promoting teamwork and interprofessional collaboration in primary health care settings. This review has identified possible actions that could improve implementation of teamwork and interprofessional collaboration in primary health care.

OBJECTIVE: To estimate the proportion and total number of the general adult population who may be at higher risk of severe Covid-19 in Brazil. METHODS: We included 51,770 participants from a nationally representative, household-based health survey (PNS) conducted in Brazil. We estimated the proportion and number of adults (≥ 18 years) at risk of severe Covid-19 by sex, educational level, race/ethnicity, and state based on the presence of one or more of the following risk factors: age ≥ 65 years or medical diagnosis of cardiovascular disease, diabetes, hypertension, chronic respiratory disease, cancer, stroke, chronic kidney disease and moderate to severe asthma, smoking status, and obesity. RESULTS: Adults at risk of severe Covid-19 in Brazil varied from 34.0% (53 million) to 54.5% (86 million) nationwide. Less-educated adults present a 2-fold higher prevalence of risk factors compared to university graduated. We found no differences by sex and race/ethnicity. São Paulo, Rio de Janeiro, Minas Gerais, and Rio Grande do Sul were the most vulnerable states in absolute and relative terms of adults at risk. CONCLUSIONS: Proportion and total number of adults at risk of severe Covid-19 are high in Brazil, with wide variation across states and adult subgroups. These findings should be considered while designing and implementing prevention measures in Brazil. We argue that these results support broad social isolation measures, particularly when testing capacity for SARS-CoV-2 is limited.

Palliative Care (PC) is presented as a public health problem, due to the substantial increase in the number of elderly and the prevalence of non-communicable chronic degenerative diseases. The importance of the reorganization of Primary Health Care Services (PHCS) to ensure the provision of this care has become evident. The objective was to identify cases of users, in order to inventory the ethical problems that the team experienced. This is a case study based on a Qualitative approach, using thematic analysis. Two cases were identified, that revealed, as ethical problems, the "responsibility of the PHCS towards the caregivers and families" and the "difficulty of frank and honest communication between the team and the family". The results indicate that the training of human resources with technical competence and the continuity of assistance in the transition from curative to palliative treatment are factors favorable to the integrality and the obtention of more adequate responses to the ethical challenges that the teams experienced. Keywords: Palliative care. Primary health care. Ethics, clinical. Resumo Cuidados paliativos na atenção primária à saúde: considerações éticasOs cuidados paliativos (CP) apresentam-se como problema de saúde pública, devido ao substancial aumento do número de idosos e da prevalência de doenças crônico-degenerativas não transmissíveis. Evidencia-se a importância da reorganização dos serviços da atenção primária à saúde (APS) para assegurar a oferta desses cuidados. O objetivo foi identificar casos de usuários, a fim de inventariar os problemas éticos que a equipe vivencia. Estudo de caso de abordagem qualitativa, através da análise temática. Identificaram-se dois casos que revelaram, como problemas éticos, a "responsabilidade da APS para com os cuidadores e famílias" e a "dificuldade de comunicação franca e honesta entre a equipe e a família". Os resultados indicam que a formação de recursos humanos com competência técnica e que a continuidade da assistência na transição do tratamento curativo para o paliativo são fatores propícios à integralidade e à obtenção de respostas mais adequadas aos desafios éticos que as equipes vivenciam. Palavras-chave: Cuidados paliativos. Atenção primária à saúde. Ética clínica. Resumen Cuidados paliativos en atención primaria de salud: consideraciones éticasLos cuidados paliativos (CP) se presentan como un problema de salud pública, debido al sustancial aumento del número de ancianos y de la prevalencia de enfermedades crónico-degenerativas no transmisibles. Se evidencia la importancia de la reorganización de los servicios de la atención primaria de la salud (APS) para asegurar la oferta de estos cuidados. El objetivo fue identificar casos de usuarios, a fin de enumerar los problemas éticos que el equipo vivencia. Estudio de caso con abordaje cualitativo, a través del análisis temático. Se identificaron dos casos que revelaron, como problemas éticos, la "responsabilidad de la APS para con los cuidadores y familias" y la "dificultad de comunicaci...

these values are articulated through the prism of ordering so as to care well. Their recognition contributed to a better understanding of the process of health care and nursing care.

Objectivesto 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. Methodsystematic 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. Resultsthirty 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. Conclusionsnursing 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.

RESUMO:Estudo transversal e exploratório teve por objetivo caracterizar o perfil socioeconômico, demográfico e de trabalho dos Agentes Comunitários de Saúde de Florianópolis -Santa Catarina. Participou do estudo a população de 470 agentes, cujos dados foram coletados por instrumento estruturado e auto-aplicável. Identificou-se que os sujeitos possuem as seguintes características majoritariamente: mulher, branca, adulta jovem, casada, católica, com ensino médio completo, cuja ocupação prévia era exercida no comércio, natural e moradora da capital, mãe de um a dois filhos, cuja renda familiar mensal per capita média é de três salários mínimos e que atua na mesma equipe de saúde há cinco anos. Conclui-se que é possível vislumbrar as fortalezas e fragilidades deste grupo de trabalhadores para o melhor aproveitamento de seu potencial e melhorias no processo de trabalho, em busca da permanente qualificação das ações do Sistema Único de Saúde. PALAVRAS-CHAVE: Atenção primária à saúde; Programa saúde da família; Enfermagem. SOCIOECONOMIC, DEMOGRAPHIC AND WORK PROFILE OF COMMUNITY HEALTHCARE ASSISTANTSABSTRACT: This transversal and exploratory study aimed to characterize the socioeconomic, demographic and work profile of the community healthcare assistants in the city of Florianópolis in the state of Santa Catarina. 470 staff participated in the study, their details being collected by a structured, self-applied questionnaire. It was ascertained that the majority of the subjects had the following characteristics: female, Caucasian, young adult, married, Roman Catholic, educated to senior high school level, with previous work experience in commerce, both resident and born in the city, mother of one or two children, with an average per capita family income of three minimum salaries, and with five years' experience in the same healthcare team. It is concluded that it is possible to see the strengths and weaknesses of this group of workers, such that their potential may be maximized and the work processes improved, so as to continuously improve the standards of care given by the Brazilian National Health Service (Sistema Único de Saúde). KEYWORDS: Primary healthcare; Family health program; Nursing. PERFIL SOCIOECONÓMICO, DEMOGRÁFICO Y DE TRABAJO DE LOS AGENTES COMUNITARIOS DE SALUDRESUMEN: Estudio transversal y exploratorio que tuvo por objetivo caracterizar el perfil socioeconómico, demográfico y de trabajo de los Agentes Comunitarios de salud de Florianópolis -Santa Catarina. Un total de 470 agentes participó del estudio, siendo sus datos recogidos por instrumento estructurado y autoaplicable. Se identificó que los sujetos poseen las siguientes características en su mayoría: mujer, blanca, adulta joven, casada, católica, con nivel medio completo, cuya ocupación previa era ejercida en el comercio, natural y viviendo en la capital, madre de un a dos hijos, cuya renta familiar mensal per capita media es de tres sueldos mínimos y que actua en el mismo equipo de salud por cinco años. Se concluye que es posible vislumbrar las fu...

Background Due to the pandemic, there is a significant interest in the therapeutic resources linked to TCIM to support potentially therapeutic research and intervention in the management of Coronavirus - 19 (COVID-19). At the date of this evidence map´s publication, there is no evidence of specific treatments for COVID-19. This map organizes information about symptoms management (especially on dimensions related to mental health and mild viral respiratory infections, as well as immune system strengthening and antiviral activity). Method This evidence map applies methodology developed by Latin American and Caribbean Center on Health Sciences Information based on the 3iE evidence gap map. A search was performed in the Traditional, Complementary and Integrative Medicine Virtual Health Library and PubMed, using the MeSH and DeCS terms for respiratory viral diseases associated with epidemics, COVID-19 symptoms, relevant mental health topics, pharmacological and non-pharmacological interventions related to TCIM. Results For the map, 126 systematic reviews and controlled clinical studies were characterized, distributed in a matrix with 62 interventions (18 phytotherapy, 9 mind-body therapies, 11 traditional Chinese medicine, 7 homeopathic and anthroposophic dynamized medicines and 17 supplements), and 67 outcomes (14 immunological response, 23 mental health, 25 complementary clinical management of the infection and 5 other). Conclusion The map presents an overview of possible TCIM contributions to various dimensions of the COVID-19 pandemic, especially in the field of mental health, and it is directed to researchers and health professionals specialized in TCIM. Most of the antiviral activity outcomes described in this map refers to respiratory viruses in general, and not specifically to SARS-CoV-2 (Severe Acute Respiratory Syndrome CoronaVirus 2). This information may be useful to guide new research, but not necessarily to support a therapeutic recommendation. Finally, any suspicion of COVID-19 infection should follow the protocols recommended by the health authorities of each country/region.

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