The care of nurses in the Family Health Strategy: practices and theoretical foundation

Abstract

Objective: To analyze the practices of nurses working in the Family Health Strategy (FHS) in a city of Rio de Janeiro (RJ) and the theoretical foundations that guide them. Method: Qualitative research through semi-structured interviews with twelve nurses working in eleven FHS units between August and December 2014. Data were organized by hermeneutic-dialectical analysis. Results: The nurse is inserted in the municipal FHS as care coordinator and political agent; has practices aimed at welcoming, mobilizing social groups, making technical and monitoring of users through health programs. The practices remain in the confrontation of problems and are guided by technical manuals and coordination of health programs. Final considerations: Studies are needed to recognize the nurse's therapeutic objective at the FHS and to propose theoretical foundations, specific to Nursing or Collective Health that will instrumentalize their daily practice.

Adaptive problems arising out of the progenitor’s abandonment after Zika Congenital Syndrome

“…Malformation diagnosis shock and limitations of children with CZS increased the difficulties in breastfeeding, similar to what is found in the literature (36) . Being able to breastfeed children with malformation may be an indication that the child shows improvement in his condition, reducing feelings of insecurity and anxiety of mothers (37)(38) . However, in the present research, difficulties were mentioned for the practice of breastfeeding.…”

“…Based on the vulnerability factors of women abandoned by their child's parent after CZS, nurses will be able to identify gaps and weaknesses and, thus, improve the planning of health interventions and appropriate educational strategies. Stimulating the empowerment of these women, so that they can properly care for their child, demand their rights as citizens, dialogue with the social support network and mobilize resources appropriate to their child's demands (29,(37)(38) .…”

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“…4 Destacam-se como atividades gerenciais do Enfermeiro na ESF: a participação na elaboração, coordenação e articulação do planejamento da Unidade de Saúde (US); promoção da integração e do bom relacionamento das equipes de saúde sob sua supervisão; investimento nas relações interpessoais (valorizando o desempenho dos profissionais); identificação dos recursos físicos e do perfil demográfico e epidemiológico da população adscrita. 1 Assim, os profissionais de saúde, dentro de suas competências multiprofissionais, precisam estar aptos a desenvolver ações de prevenção, promoção, proteção e reabilitação da saúde, tanto em nível individual quanto coletivo.…”

“…Saúde (APS) é um nível organizacional do atendimento de saúde que possibilita atender a maior parte das necessidades de uma população de maneira regionalizada, contínua e sistematizada 1. A Estratégia Saúde da Família (ESF) viabiliza o acesso do usuário ao Sistema Único de Saúde (SUS), consolida as propostas de ações da Atenção Básica e estimula mudanças nas relações de trabalho estabelecidas entre os profissionais da saúde e os usuários.…”

Analysis of the correlation of socioeconomic, sanitary, and demographic factors with homicide deaths - Bahia, Brazil, 2013-2015

“…Therefore, this study revolves around proposals to develop local, regional, and national health policies, without ignoring the relevance of ad hoc and individual care (27) . This research furthers nursing and public health knowledge (epidemiology) and uses this knowledge in a novel way, to develop work that is targeted at indexes, health programs and policies, economy, and at the social sphere, in the scope of the population.…”