Background:Despite far reaching support for integrated care, conceptualizing and measuring integrated care remains challenging. This knowledge synthesis aimed to identify indicator domains and tools to measure progress towards integrated care.Methods:We used an established framework and a Delphi survey with integration experts to identify relevant measurement domains. For each domain, we searched and reviewed the literature for relevant tools.Findings:From 7,133 abstracts, we retrieved 114 unique tools. We found many quality tools to measure care coordination, patient engagement and team effectiveness/performance. In contrast, there were few tools in the domains of performance measurement and information systems, alignment of organizational goals and resource allocation. The search yielded 12 tools that measure overall integration or three or more indicator domains.Discussion:Our findings highlight a continued gap in tools to measure foundational components that support integrated care. In the absence of such targeted tools, “overall integration” tools may be useful for a broad assessment of the overall state of a system.Conclusions:Continued progress towards integrated care depends on our ability to evaluate the success of strategies across different levels and context. This study has identified 114 tools that measure integrated care across 16 domains, supporting efforts towards a unified measurement framework.
Building nurses' resilience to complex and stressful practice environments is necessary to keep skilled nurses in the workplace and ensuring safe patient care. A unified theoretical framework titled Health Services Workplace Environmental Resilience Model (HSWERM), is presented to explain the environmental factors in the workplace that promote nurses' resilience. The framework builds on a previously-published theoretical model of individual resilience, which identified the key constructs of psychological resilience as self-efficacy, coping and mindfulness, but did not examine environmental factors in the workplace that promote nurses' resilience. This unified theoretical framework was developed using a literary synthesis drawing on data from international studies and literature reviews on the nursing workforce in hospitals. The most frequent workplace environmental factors were identified, extracted and clustered in alignment with key constructs for psychological resilience. Six major organizational concepts emerged that related to a positive resilience-building workplace and formed the foundation of the theoretical model. Three concepts related to nursing staff support (professional, practice, personal) and three related to nursing staff development (professional, practice, personal) within the workplace environment. The unified theoretical model incorporates these concepts within the workplace context, linking to the nurse, and then impacting on personal resilience and workplace outcomes, and its use has the potential to increase staff retention and quality of patient care.
These competencies reflect Brazilian health policy and constitute a reference for health professional practice and education.
O controle social em saúde no Brasil tem em sua trajetória um processo de luta da sociedade, especialmente a partir dos movimentos sociais organizados. Este artigo trata de um estudo de pesquisa-ação com uma abordagem qualitativa, que teve como objetivo construir um processo de participação popular e controle social em saúde, no território de uma Estratégia Saúde da Família, na região sul do Estado de Santa Catarina. Participaram do estudo a população, usuária do serviço de saúde inserida ou não nos movimentos sociais organizados, juntamente com os trabalhadores de saúde. A coleta de dados consistiu na observação participante e entrevistas. A construção do processo de participação popular e controle social se deu em três momentos: conhecimento situacional, diálogo emancipador e momento "D". Constatou-se que a institucionalização de espaços participativos não garante a participação popular e o controle social em saúde. O estudo apresenta alternativas para a construção deste processo. Neste caso, o diálogo foi o instrumento essencial para a fomentação e busca de outros caminhos para o Sistema Único de Saúde.
Atualmente, no Brasil, considerar a família como foco do cuidado de Enfermagem parece ser consenso, ao mesmo tempo que realizar tal cuidado tem constituído um desafio para prática profissional. Segundo O'Espiney (1997), pelo caráter prático da profissão, a formação profissional tem uma forte ligação com o contexto de trabalho, assim, formar enfermeiros para o cuidado ao grupo familiar, também, constitui outro desafio, que está relacionado a fatores oriundos do contexto político e social brasileiro. Entre tais fatores, destaca-se que a Educação de Enfermagem incorporou, por muito tempo, a política vigente no país, enfatizando o ensino de especialidades oriundas do modelo biomédico, priorizando, dessa forma, os aspectos
RESUMO O presente relato de experiência trata da aplicação do Método Criativo Sensível em uma pesquisa qualitativa do tipo exploratória, descritiva. O alicerce teórico e a maneira como o método foi aplicado estão objetivamente descritos por meio das etapas: introdução, produção, apresentação, discussão e avaliação. Por fim, pode-se sustentar que o método é um entre muitos caminhos metodológicos alternativos de produção de dados em espaços coletivos para uso em investigações qualitativas envolvendo a Enfermagem ou outros contextos em saúde. Descritores: Pesquisa Qualitativa; Pesquisa em Enfermagem; Enfermagem; Metodologia. ABSTRACT This experience report describes the application of Creative Sensitive Method in a qualitative exploratory-descriptive research. Its theoretical foundation and the way this method was applied objectively presented through the following stages: introduction, production, presentation, discussion and evaluation. Finally, one can argue that the method, among others pathways, is a good alternative methodology for generating data in collective spaces for application in qualitative research related to nursing or others health contexts. Key words: Qualitative Research; Nursing Research; Nursing; Methodology. RESUMEN Trata-se de un relato de experiencia en la aplicación del método creativo y sensible en un estudio cualitativo exploratoriodescriptivo. Su fundamento teórico y la forma en que se aplicó este método objetivamente es descrito por las siguientes etapas: introducción, producción, presentación, discusión y evaluación. Por último, se puede argumentar que el método, entre muchos otros caminos, es una buena alternativa de metodología con el fin de producir datos en espacios colectivos para la investigaciones cualitativas, que incluyen la enfermería o otros contextos de la salud.
RESUMENObjetivo: Identificar y analizar las competencias profesionales necesarias para la atención de ancianos en cuidados primarios de salud. Método: Estudio exploratorio descriptivo cuali-cuantitativo. Fue utilizada la Técnica Delphi en tres rondas, con la participación de profesionales de la red básica y un grupo multidisciplinario de expertos. El primer cuestionario solicitó que los participantes indicasen competencias necesarias para la atención de ancianos en cuidados primarios. Estas fueron compiladas en un listado que, añadido de una Escala de Likert (de 1 a 5), compuso el segundo y tercer cuestionarios. El criterio de consenso adoptado fue el 70%. Resultados: Veintiocho competencias alcanzaron el consenso, habiéndose clasificado en 12 áreas de dominio. Conclusión: Las competencias reflejan las políticas brasileñas de salud y constituyen una referencia para la práctica y la formación de los profesionales de salud para la atención al añoso en la atención primaria a la salud. DESCRIPTORES ABSTRACTObjective: to identify and analyze the necessary competencies in primary health care for attending to older adults. Methods: An exploratory, descriptive, and quali-quantitative study was developed. Three rounds of the Delphi Technique were conducted with participants from primary health care services and a multidisciplinary committee. The first questionnaire asked participants to indicate the competencies needed for attending to older adults in primary health care. They were compiled into a list and added to a Likert Scale (from 1 to 5) for the second and third questionnaires. A consensus criterion of 70% was adopted. Results: Twenty eight competencies were reached by consensus and were classified into twelve domains. Conclusions: the competencies reflect Brazilian health care policy and constitute a reference for professional health practice and education when caring for the older adult in primary health care.
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