Power relations in the family health team: focus on nursing

Silva, Iramildes Souza; Arantes, Cássia Irene Spinelli

doi:10.1590/0034-7167-2015-0171

Cited by 11 publications

(20 citation statements)

References 12 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…This demonstrates that one of the main barriers to interprofessional practice resides in the disputes between corporations, especially in the defense of segmented interests of each professional category, at the expense of the common interest of professionals, managers, users and the population, regarding ensuring universal access to high-quality health services (27) . This shows that the proposal and search for teamwork and collaborative practices coexist with corporate practices and conflicts in power relations (28) .…”

Section: Discussionmentioning

confidence: 94%

See 1 more Smart Citation

Expansion of the interprofessional clinical practice of Primary Care nurses

et al. 2019

View full text Add to dashboard Cite

Objective: To analyze the clinical practice of nurses in the interprofessional context of the Family Health Strategy. Method: Case study in a basic health unit of the city of São Paulo with a professional team of the Family Health Strategy and of the Family Health Support Center. Direct observation and interviews with thematic analysis and triangulation were conducted. Results: Four empirical categories were identified: interprofessional actions guided by the logic of the user's health needs; interprofessional actions guided by the logic of expediting service; interprofessional actions with a biomedical approach and interprofessional actions with an integral/holistic approach. Six interprofessional actions that indicated the expansion of the clinical practice of the Family Health Strategy's nurses were also identified. Conclusion: The results express the world trend of interprofessional practice and expansion of the scope of practice of different professions, particularly that of nurses, which requires consolidation based on the population's health needs.

show abstract

Section: Discussionmentioning

confidence: 94%

“…Power relations, their conflicts and the possible relationships of command and subservience, which relate to the social interactions of health teams, occur both between professionals from different categories, as in the group of nursing workers itself, between nurses and nursing assistants/technicians, and also with ESF's ACS (28) .…”

Section: Discussionmentioning

confidence: 99%

Expansion of the interprofessional clinical practice of Primary Care nurses

et al. 2019

View full text Add to dashboard Cite

show abstract

“…Demonstrou, ainda, a importância de adequar o serviço de saúde para atender às demandas dos usuários, aumentando a eficiência do atendimento fornecido. Neste sentido, aponta-se a relevância de investigar o processo de trabalho para verificar como se desenvolve o trabalho em equipe, base para a organização dos serviços, o que pode minimizar a divisão do processo de trabalho e superar a inércia e a burocracia existentes (16,21,22) .…”

Section: Resultsunclassified

Análise do percurso terapêutico de doentes crônicos na Saúde da Família

Santos

2019

Rev. Enf. UFJF

View full text Add to dashboard Cite

RESUMO Objetivo: analisar o percurso assistencial de usuários portadores de doenças crônicas, na busca por cuidado em uma Unidade Básica de Saúde (UBS) com a Estratégia de Saúde da Família no município do Rio de Janeiro. Metodologia: estudo descritivo, exploratório, de abordagem qualitativa, que teve como participantes 11 profissionais da equipe de saúde da família e quatro usuários, sendo utilizado o fluxograma descritor para apresentar o percurso assistencial dos doentes crônicos. Resultados: a análise do percurso assistencial de usuários demonstrou pontos de tensão na demanda espontânea, na oferta de consulta médica e de enfermagem, na visita domiciliar e na regulação. Considerações finais: as tensões reveladas expressam as dificuldades encontradas pelos usuários ao ingressar na UBS, situação contraditória ao atributo de primeiro contato na atenção básica. Os problemas no fluxo dos usuários apresentam um reflexo dos problemas encontrados no serviço de saúde, configurando dificuldades em proporcionar equilíbrio entre demanda, acesso e recursos. Descritores: Doença crônica; Fluxo de trabalho; Saúde da família; Continuidade da assistência ao paciente. ABSTRACTObjective: analyze the care pathway of users with chronic diseases in the search for care in a Basic Health Unit with Family Health Strategy in the city of Rio de Janeiro. Methodology: a descriptive, exploratory, qualitative study, involving 11 professionals from the family health

show abstract

“…Thus, spaces for expressing individual freedoms are opened up as an essay of horizontal relations between workers. This is the power placed in the conflict, being of progressively deconstructing vertical relations of power (3) and collectively building autonomies through the FH team based on new ways of relating, and involving the multiprofessional team. The interdependence between those involved is also highlighted, and it is expected that this will have an important consequence in the dynamics between them.…”

Section: Discussionmentioning

confidence: 99%

“…In this article we consider that the work process of the teams in action is crossed by different noises, among them the inequality existing among the hierarchical professional categories (3) , despite there being a discourse of horizontality.…”

Section: Introductionmentioning

confidence: 99%

Conflict as a possible catalyst for democratic relations in the work of the Family Health team

Silva

Arantes

Fortuna

2019

Rev. esc. enferm. USP

Self Cite

View full text Add to dashboard Cite

Objective: To analyze conflict situations in the basic care team as possible catalysts of democratic relations at work, favoring team performance. Method: A qualitative study with a family health team from a municipality in the interior of São Paulo State. The data collected included systematic observation and interviews with workers who were organized and analyzed from the confrontation with the theoretical reference of the health work process. Thematic content analysis was used. Results: 16 workers participated. The data are organized into two thematic categories: the reception of unity as a place where conflicts become more explicit, and the conflict as an opening for building democratic relationships in teamwork. Conclusion: Receiving users at the reception and who will or will not work in this space reveals different values and conceptions about the care each professional provides, and constitutes a situation that generates conflict. However, opposing ideas in the conflict are fruitful because they are able to complement each other and provide a qualitative leap in team relations, with a tendency to influence a reduction in the vulnerabilities of the relations between the subjects. This is a pressing and current need in the discussion involving the reorganization of health practices.

show abstract

Power relations in the family health team: focus on nursing

Cited by 11 publications

References 12 publications

Expansion of the interprofessional clinical practice of Primary Care nurses

Expansion of the interprofessional clinical practice of Primary Care nurses

Análise do percurso terapêutico de doentes crônicos na Saúde da Família

Conflict as a possible catalyst for democratic relations in the work of the Family Health team

Contact Info

Product

Resources

About