Objective: To describe and analyze the relationships between adherence to tuberculosis treatment and health technologies in the context of nursing action in Primary Care. Method: Contextual reflection, using the theoretical reference of Hinds, Chaves and Cypress. Results: They were categorized according to the conceptual perspective of each context, in an immediate, specific, general and metacontext, respectively: nursing actions in Primary Care and adherence to treatment of tuberculosis; nurses' performance through personal and environmental factors, health technologies and adherence to treatment; influence of nurses' beliefs about adherence to treatment and overall health status, and use of health technologies and shared views of patients and nurses on adherence to treatment as a responsibility for preventive action. Conclusion and Implications for practice: Adherence to the treatment of tuberculosis is directly linked to the substantial performance of the nurse, which presents potentialities to contribute to greater articulation between actions necessary to the success of the treatment, reducing the weaknesses in its operationalization. The technologies in the context of nursing action can favor praxis, especially in the incentive to join, and can subsidize new strategies appropriate to the reality of services.
Objective: to analyze the daily work of rural Family Health Strategy (FHS) nurses. Method: a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semistructured interviews, between January and March of 2017, using Content Analysis. Results: rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management. Final considerations: conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS. RESUMOObjetivo: analisar o cotidiano de trabalho de enfermeiros da Estratégia Saúde da Família (ESF) que atuam em áreas rurais. Método: pesquisa qualitativa, descritiva-exploratória. Os dados foram coletados com onze enfermeiros da área rural do município de Campina Grande-PB, por meio de entrevistas semiestruturadas, entre janeiro e março de 2017, com análise a partir da técnica de Análise de Conteúdo. Resultados: os enfermeiros das áreas rurais têm relação de vínculo intensa com a população, no entanto, revelam um cotidiano de trabalho com várias barreiras organizacionais que vão desde o deslocamento da equipe ao local de trabalho à operacionalização das ações de saúde, sendo essas mediadas pelas características da ruralidade. Algumas dessas barreiras podem ser sanadas pela ação mais propositiva da gestão. Considerações finais: a dinâmica de trabalho diferenciada, condicionada pelas características próprias da ruralidade, revelam fragilidades na qualidade da assistência de enfermagem e menor efetividade da ESF. RESUMENObjetivo: analizar el cotidiano de trabajo de enfermeros de la Estrategia Salud de la Familia (ESF) que actúan en áreas rurales. Método: investigación cualitativa, descriptivaexploratoria. Los datos fueron recolectados con once enfermeros del área rural del municipio de Campina Grande-PB, a través de entrevistas semiestructuradas, entre enero y marzo de 2017, con análisis a partir del Análisis de Contenido. Resultados: los enfermeros de las áreas rurales tienen relación de vínculo intensa con la población. Sin embargo, revelan un cotidiano de trabajo con varias barreras organizacionales que van desde el desplazamiento del equipo al lugar de trabajo a la operacionalización de las acciones de salud, siendo estas mediadas por las características de la ruralidad. Algunas de esas barreras pueden ser sanadas por la acción más propositiva de la gestión. Consideraciones finales: la dinámica de trabajo diferenciada, condicionada por las características propias de la ruralidad, revelan fragilidades en la calidad de la asistencia de enfermería y menor efectividad de la ESF. Descriptores:O cotidiano de enfermeiros em áreas...
Introduction:The health workforce is crucial to reduce inequalities in health and health care in rural areas, and nurses, although there are few professionals and these are poorly distributed compared to other professionals. There are few studies addressing nurses' work in the rural context. This study aimed to investigate the satisfaction and difficulties of the work of primary health care (PHC) nurses in rural areas.Method: This is a case study with a qualitative approach, whose subject was the health units in the rural area of a large city in the state of Paraíba, Brazil, with Family Health Strategy teams. Eleven nurses working in rural areas participated in the study. Data were collected through interviews with semi-structured scripts and submitted to content analysis. Results:The study revealed that nurses working in rural areas have experienced job satisfaction with the recognition and gratitude of families, one of the major motivations for professionals interviewed. The nurses are committed and have adequate training in their area of activity. The working conditions, infrastructure, forms of access to the workplace and distance from the decision center are factors that stand out as difficulties of work. Conclusions: The nurses appreciate each other in their work, establish good relations with the population and work as a team despite the difficulties. The study reveals that nurses and the population experience isolation in the rural area as well as difficulty in accessing the workplace, in the case of practitioners, and in consolidating policies maintained in the urban area. It evidences the nurse as an essential element for PHC in the rural setting, which can make the difference in the care of populations often in the sideline of health services.
Objectives: to analyze the normative bases that guide the nurse technician’s practice, clarifying how the performance of this category happens. Methods: this is a qualitative study of exploratory and descriptive nature and of documentary type, held on the basis of the resolutions of the Brazilian Federal Nursing Council (Cofen). From a total of 364 resolutions published from 1975 to 2018, 15 accounted for the objective of the study and were therefore selected. Results: this study systematized two analytical categories: areas of practice of the nurse technician, according to Cofen resolutions; and description of the professional’s activities based on the resolutions. Final Considerations: the analysis of the normative bases that guide the nurse technician’s practice leads to the conclusion of a possible frailty of theoretical and normative content to justify the practice of these professionals.
Objective: To evaluate the Work ability index for nurses in primary health care considering the sociodemographic factors and health conditions of workers. Methods:A Cross-sectional study, of a quantitative approach involving 70 nurses of the Family Health Strategies of a municipality in northeastern Brazil. Data collection occurred during the months of May and June 2015 and used the Brazilian version of a standardized questionnaire to calculate Work Ability Index. For data analysis, the Statistical Package for the Social Sciences (SPSS) was used for descriptive analysis, from the distribution of absolute and relative frequencies of the sociodemographic and labor variables.Results: As a result, it is highlighted that 51.5% of nurses reported "good" current work ability. However, the disease diagnosed more frequently in the last 12 months were musculoskeletal diseases, remaining the endocrine, gastrointestinal and respiratory diseases at the same level. Conclusion:It is concluded that the high percentage of workers with a good ability to work. However, there is a need to restore the physical and physiological state of nurses working in primary health care. The mentioned strategies aim to maintain a safe and adequate working environment and encourage healthy lifestyle habits and provide permanent training.
The importance of knowing the technologies used in mental health services and the urgency of their recognition for the development of psychiatric nursing care is highlighted in the scientific literature on care technologies. Objetive:To know the types of technologies that nurses have developed or used in mental health care services.Method: Literature integrative review carried out in the databases BDENF, LILACS, SciELO, PubMed, and MEDLINE, using the nursing keywords, health technology, and psychiatric nursing. There were 16 articles selected, included in the period 2000 to 2015.Results: It was identified that in psychiatric nursing care, there are two types of technologies used: soft and soft-hard with emphasis on the soft technology. As soft technologies, there is health education of the patient, bond, care, therapeutic groups and qualified listening. As the soft-hard technologies, there are home visits, medical care, nursing process, nursing care management and nursing process. Conclusion:It was concluded that the care technologies are a reality in nursing care practice, experiencing the challenge to keep up with the technological development without neglecting the ethical and humanitarian aspects intrinsic to the profession. It was realized the care improvement in the area of psychiatric nursing provided by the technology care.
Objective: To analyze the view of nurses from the Family Health Strategy on the health care of rural populations. Method: A qualitative and exploratory research conducted with eleven nurses working in rural areas, conducted from January to March 2017, in Campina Grande-PB. Data was collected through semi-structured interviews and analyzed by the Content Analysis technique. Results: Nurses associate the health context of the rural population with the living conditions of the community, with the lack of access to health services, and with the peculiarities of work resulting from this context. The satisfaction of rural PHC nurses is associated with professional identification and bond with the population. Conclusions: Nurses perceive the particularities that involve the rural context requiring differentiated health care that positively impacts their work.
Objective: To identify the available evidence in the literature on the workloads that nursing professionals are exposed in hospital mental health services and their impact on the safety of patients in mental distress.Method: This is an integrative literature review in the databases LILACS, CINAHL, SCOPUS (Elsevier), PUBMED, ScienceDirect (Elsevier), Web of Science (Main Collection -Thomson Reuters Scientific), available in full in electronic media between January and March 2016 using the descriptors "nursing staff", "health worker", "workloads" and "mental health services" reaching the final sample of 08 articles. Results:The following workloads in mental health services were identified: biological, physical, physiological, mechanical and psychological burden, such causing emotional distress of professionals, accidents and health problems directly on the quality of care and safety of psychiatric patients. Conclusion:The development of this study found that nursing professionals involved in mental health services had various types of workloads in their work process, being psychic as the most present. From this study, it is observed the need of a better attention to the existing working conditions in mental health services, searching for solutions that provide occupational health and safety for workers.
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