Objective:To compare the health assistance models of Basic Traditional Units (UBS) with the Family Health Strategy (ESF) units for presence and extent of attributes of Primary Health Care (APS), specifically in the care of children. Method: A crosssectional study of a quantitative approach with families of children attended by the Public Health Service of Colombo, Paraná. The Primary Care Assessment Tool (PCA-Tool) was applied to parents of 482 children, 235 ESF units and 247 UBS units covering all primary care units of the municipality, between June and July 2012. The results were analyzed according to the PCA-Tool manual. Results: ESF units reached a borderline overall score for primary health care standards. However, they fared better in their attributes of Affiliation, Integration of care coordination, Comprehensiveness, Family Centeredness and Accessibility of use, while the attributes of Community Guidance/Orientation, Coordination of Information Systems, Longitudinality and Access attributes were rated as insufficient for APS. UBS units had low scores on all attributes. Conclusion: The ESF units are closer to the principles of APS (Primary Health Care), but there is need to review actions of child care aimed at the attributes of APS in both care models, corroborating similar studies from other regions of Brazil. DESCRIPTORS INTRODUCTIONAfter more than thirty years since the Alma Ata Conference, Primary Health Care (APS) has consolidated as one of the most equitable and efficient ways to organize a health system (1) by advocating equitable care with quality to the population, among other benefits. The Pan American Health Organization (PAHO) defines Primary Health Care as a "strategy for organizing health care systems in order to enable universal access to services and comprehensive and integrated care over time" (1)(2) .At the national level, the Ministry of Health adopted the Family Health Strategy (ESF) in 1994 to reorganize the Unified Health System (SUS) and expand the APS. According to the Ministry of Health in Brazil (3) , the number of family health teams deployed and funding for the expansion of the ESF have both increased, reaching/covering 52.1% of the Brazilian population.The scientific literature provides evidence of the association between greater APS orientation and increasing the effectiveness of health systems, promotion of fairness, user satisfaction and efficiency (4) . It is noteworthy that most of the studies are centered on the health systems of developed countries (4) . However, there is evidence of the positive impact of APS on the health systems of developing countries, primarily those which are located in Latin America.On the international scene, it has been observed (5-6) that increasing ESF coverage is linked to reducing infant mortality and promoting greater equity. Such evidence is present in the national results (7)(8) , studies which also indicate a higher quality of prenatal care, child care, offering use of health services, although in a low effectiveness context ...

Oliveira VBCA. Evaluation of the primary care of the child's health in the city of Colombo-PR [dissertation]. São Paulo: Nursing School, University of São Paulo; 2012 This study is placed in the health caring field and its thematic refers to the evaluation of child's health care in the city of Colombo-Paraná. Its object of study is the performance of Basic Health Units (UBS) and the Strategy Units of Family Health (USF). The study aims: to evaluate both the presence and extention of the essential attributes and derivates relative to the APS regarding the care given at the primary care of the children at their family perspective, and to compare the UBS and USF attributes performance. This research subjects were responsible for 17-22 month-old children, registered and assiduous to the city health units activities, in a random sample of 482 people: 247 from the Basic Units and 235 from the ESF units. Data was collected at their houses and the Primary Care Assessment Tool (PCATool), children's version, was used. PCATool was validated in 2008 and used by the Brazilian Health Ministry as reference. Interviews were held between June and July 2012. The samples, using the software Statistica 10.1, included the t student test to compare the quantitative variants and the qui-square test, for qualitative variants; Crombach's Alfa was obtained in order to verify the intern consistency of instrument items for each one of the attributes and total instrument. A pilot study has been performed as to guarantee both the instrument and interview efficacy. This study followed Resolution 196-96 from Research Ethics National Council. The research revealed that the ESF units obtained scores higher than the minimum required in Affiliation, Coordination, Integrality, Familiar Orientation and Accessibility, half the studied attributes, indicating that the ones responsible for the children who attend those units refer to having more frequent access to health services, use more often the health unit as an entrance door to the health system, establish more constantly an integrated service and recognize the professional valorization regarding the bond with the family. Regarding the UBS, all the scores were below ideal for the APS, indicating that those units seem to struggle to bond with its users and recognizing them as part of a community. It has been observed that assessment works play a fundamental role in perfecting the intervention axis aiming at joining the Health Ministry focus, which is to transform health services into Primary Care. In that city it has been concluded that the ESF units are closer to APS directress than UBS, however it is necessary to revise the child assistance related actions in order to reach consonance with the APS attributes at both units.

Objetivo: conhecer o processo de integração ensino-serviço na percepção dos docentes, estudantes e profissionais de saúde. Método: pesquisa descritiva, qualitativa. Os dados foram coletados por meio de entrevistas com 31 protagonistas, entre os meses de outubro e dezembro de 2015 e, analisados a partir do referencial teórico de Donald Schön. Resultados: emergiram duas categorias: construção do processo de integração ensino-serviço: o aprender por meio do fazer; limites do processo de integração ensino-serviço: uma política instituída pela escola e pelo serviço? Considerações finais: a integração ensino-serviço é percebida como um processo fundamental para a formação de enfermeiros e necessita resgatar, periodicamente, seus objetivos, dentre eles, aproximar os estudantes do cenário da prática. A dimensão política do processo precisa ser retomada pelos cursos de graduação em enfermagem e pelos serviços para a efetivação de uma formação voltada para Sistema Único de Saúde.

Os imunobiológicos são termolábeis, mantidos sob refrigeração desde o laboratório produtor até a suaadministração. Este estudo teve como objetivos levantar o número e identificar as causas de perdas evitáveis deimunobiológicos no estado do Paraná, no período de 2009 a 2012. É um estudo exploratório retrospectivo quantitativo,cujos dados foram obtidos na base de dados do Sistema de Informação de Apuração de Imunobiológicos Utilizadosdo Paraná. O total das perdas de imunobiológicos por causas evitáveis foram de 3.437.552 doses, sendo que 95% dasperdas foram vacinas do calendário básico de vacinação. Pode-se identificar que ocorreram falhas na organizaçãodo serviço e/ou no processo de trabalho da enfermagem, por se tratar de perdas consideradas como evitáveis. Oenfermeiro é o gerenciador das atividades de imunização, sendo imprescindível a atualização deste profissional,através de capacitações e educação continuada para um serviço eficaz no controle das doenças imunopreveníveis.

RESUMO: Estudo descritivo qualitativo que objetivou conhecer as representações sociais dos profissionais da estratégia saúde da família sobre família, utilizando como suporte metodológico de análise a Teoria das Representações Sociais. Os participantes da pesquisa foram 58 profissionais atuantes em unidades de saúde com ESF, do município de Curitiba, Paraná em 2010. Os dados foram coletados por meio de entrevista semiestruturada, gravada, realizada a análise de conteúdo categorial da transcrição dos depoimentos, da qual emergiram três categorias: Família, meu porto seguro; Família, minha base; e Família, laços cuidadores. As representações sociais sobre família referiram-se à proteção social e emocional que ela oferece aos seus membros, ao conjunto de pessoas significativas que a compõem e à heterogeneidade dos laços que as unem. A representação da família expressa o contexto social e ideológico que norteia as práticas de cuidado que permitem a reconstrução ou manutenção destas, com vistas a estimular sua autonomia e desenvolvimento. Palavras-Chave: Família; representação social; saúde; atenção primária à saúde. ABSTRACT: Qualitative descriptive study aimed at identifying the social representations of health professionals on family health strategy program (FHS). Methodological analysis support was framed in the theory of social representations. Survey participants were 58 professionals from primary health units, conducting the FHP, in the municipality of Curitiba, PR, Brazil, in 2010. Data were collected through a recorded semi-structured interview. Categorical content analysis of the transcripts was made out of which three categories emeerged: Family, my safe harbor; Family, my background; and Family, caring ties. Social representation of family referred to the social and emotional protection that it offers to its members, the group of significant people integrating it and the heterogeneous ties they have. The representation of the family translates the social and ideological context guiding the care practices that allow for their reconstruction or maintenance, with a view to encourage their autonomy and development.

Objective: To identify the competencies listed by nurses for the care of patients with hypertensive crisis and analyze the performance described by the nurse before the patient with hypertensive crisis. Method: an exploratory study with descriptive and quantitative approach, conducted in three hospitals in CuritibaPR, where 16 nurses participated. Results: among the skills listed, there is the decision making with 81,25%; leadership and continuing education with 68,75% each. Al nurses of emergency prioritized service. Forward to the actions of emergency interventions in 93,75%, prioritized assessment of vital signs and cardiac monitoring in the initial care. Conclusion: helped identify the competencies listed for the care of hypertensive crisis. The nurse has technical/scientific so that they can put into action values, knowledge, skills and attitudes necessary for a care within the scientific, ethical and moral principles knowledge

Conhecimento dos enfermeiros que atuam na atenção básica de saúde sobre as atribuições e diretrizes do programa saúde na escolaKnowledge of nurses who working in basic health care on attributions and guidelines of the health program in the school Conocimiento de los enfermeros que actúan en la atención básica de salud sobre las atribuciones y directrices del programa salud en la escuela

O objetivo do estudo foi identificar as principais orientações de alta pela enfermagem nos serviços de urgência e emergência do trauma. Trata-se de uma revisão integrativa realizada nas bases de dados: Biblioteca Virtual em Saúde (BVS), Biblioteca de Medicina Americana (PubMed), Scientific Electronic Library Online (SciELO), Scopus e Google Acadêmico, publicados durante o período de 2015 a 2020. A partir dos resultados encontrados, emergiram seis categorias de orientações: cuidados com a pele; uso de medidas não farmacológicas para alívio da dor; orientações com enfoque na integralidade e multidisciplinaridade do cuidado; participação da família e do paciente no processo de alta; acompanhamento no pós alta. Os pacientes que frequentam os serviços de urgência e emergência, sobretudo do trauma, necessitam de uma vasta gama de cuidados e de profissionais para garantir sua melhor recuperação no pós alta. O enfermeiro, como parte da equipe multiprofissional, se mostra protagonista no planejamento e execução de orientações de alta.