Nurses’ work at Family Health Strategy: possibilities to operate health needs

Abstract

Objectives: to identify and analyze possibilities for recognizing health needs in the nurses’ work at Family Health Strategy. Methods: a qualitative study with interviews and observation of the nurses’ work in the countryside of São Paulo. The empirical material was subjected to thematic content analysis and interpreted in the light of the health work process. Results: two themes emerged: Possibilities utilized and Possibilities neglected to recognize health needs. Careful observation, welcoming, attention, listening, bonding and dialogue developed by nurses, in live work in action with users, touched on the possibilities, which, taken advantage of, were evidenced in care in spontaneous demand, scheduled consultation, examination gynecological and group activities. Final Considerations: nurses are able to recognize health needs, which can expand their clinical practice and interprofessionality in Family Health.

How do nurses support chronically ill clients’ participation and self-management in primary care? A cross-country qualitative study

“…They socialize closely in the lifeworlds and communities of their clients [ 43 ]. Other studies conducted in Brazil have also revealed that bonding with patients forms part of a professional strategy of nurses in family health teams [ 55 , 56 ]. Our interview partners in Germany emphasize the duty of nurses to provide individualized support for clients dealing with chronic illness.…”

“…They socialize closely in the lifeworlds and communities of their clients [ 43 ]. Other studies conducted in Brazil have also revealed that bonding with patients forms part of a professional strategy of nurses in family health teams [ 55 , 56 ].…”

Atendimento de saúde à pessoas hipertensas e diabéticas: percepção de enfermeiros/ Health care for hypertensive and diabetic people: nurses’ perception

“…Os usuários com condições crônicas necessitam de adequado manejo da doença de base, o que por sua vez, depende da articulação de diversas atividades, como: ações educativas, a fim de empoderar o usuário em relação à sua condição de saúde (diagnóstico) e respectivo tratamento, bem como realização da estratificação de risco para a doença de base e suas comorbidades, atendimentos multiprofissionais e articulação da APS com as Redes de Atenção à Saúde (6,7) .…”

“…Para a adequada articulação destas ações, os profissionais precisam de qualificação constante por meio de ações de educação continuada e permanente em saúde, de forma a aproximar os diferentes níveis de assistência e a compreensão ampla do fluxo e do cuidado às especificidades das pessoas com condições crônicas (6,7) .…”

Unsatisfactory completeness of nurses’ records in the medical records of users with tuberculosis

“…The nurses' role in the Family Health Strategy (FHS) has been gaining prominence in the commitment to activities and practices of education, health promotion, and disease prevention (7)(8) . As an example, is cited its performance in the operationalization of the Tuberculosis Control Program, through managerial activity related to planning, organization, service evaluation, and implementation of actions like identifying respiratory symptoms, conducting nursing consultations, notifying confirmed cases, requesting tests, among other activities, collaborating to articulate beside other PHC professionals to reduce weaknesses that permeate the tuberculosis care(TB) (9) .…”