Comprehensiveness in the perspective of public health: pathways for the training of the nurse

Abstract

Objective: to present an academic practice experienced by professors in a curricular unit of the public health field entitled “Comprehensive health care”, offered in the undergraduate nursing course of a public university. Methods: experience report of dialogic activities between professors and undergraduates. Results: it was possible to discuss nursing care from the perspective of comprehensiveness, which allowed the understanding of the need to broaden the scope regarding the practices conducted in primary care and enabled the attribution of new meanings to the actions experienced by undergraduate students in their curricular internships; thus, contributing to the training of a professional with critical and creative capacity. Final Considerations: the students were able to understand that quality care should go beyond complaint-behavior, providing care based on a networked health service structure aligned with SUS policies and programs.

The nursing process in postpartum consultations at Primary Health Care Units

“…In data analysis, aspects considered important for NC during the postpartum period were explored, such as data of pregnancy and postpartum. Regarding the NP, aspects such as the registered steps, the sequence of register of the steps which are presented in frequency and percentage, and, finally, the contents of psychosocial issues which comprise the concept of integrality of care were examined (14) .…”

“…Although health professionals recognize the importance of integral care, its actions are still not articulated to practice, mainly in situations in which the biological aspect stands out more than the other aspects (28) . Integral care is thus a challenge to nursing and an important tool to break with the biological paradigm and rebuild health practices, strengthening the welcoming practices of the extended clinic, with interdisciplinary and integrated actions in the care network (14) . This study's results show how the NP is registered in the NC during the postpartum in the context of PHC.…”

Receiving spontaneous demand in Primary Care: nurses’ learning needs

“…In the clinical training of nurse, the ACCR in PHC should occupy a central position (30)(31) so that care, in fact, fully meets the health-disease needs of the individual (32)(33) . This reception has its scientific foundation in the nursing consultation, first stage of the Nursing Process (PE), the moment when the professional approaches the individual, listen to his demands, evaluate health, biopsychosocial and spiritual conditions and, lastly, plans the necessary care (34) .…”

“…However, when the respondents indicate the main signs of alert that generate difficulties in the moment of the classification, showed clinical unpreparedness in a decision-making. These limitations may entail several losses in the reception, as there is a risk of the professional only express the complaint behavior, without due reflection of the clinic for comprehensive care, valuing the work of the multidisciplinary and interdisciplinary team supported by the RAS (34) .…”

“…Therefore, it is crucial the use of the protocol to perform a qualified listening in order to avoid complaints and abbreviation of the user's autonomy (35) . The anamneses with physical exam in PE are also critical, essential in the nurse's work process, for the implementation of the ACCR, as they seek: identify signs and symptoms, checking abnormalities that may suggest problems in the health and disease process; and plan not only curative, but also preventive (34) .…”