Nursing work in an indigenous support institution

Ribeiro, Aridiane Alves; Fortuna, Cinira Magali; Arantes, Cássia Irene Spinelli

doi:10.1590/0104-07072015002480013

Cited by 3 publications

(7 citation statements)

References 5 publications

(6 reference statements)

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“…The CASAI provided no training program for the nursing professionals, which contradicts the ideas advocated by researchers in the field [5][6][7][8]21 and the recommendations of the Brazilian Indigenous Healthcare Policy. This policy states that care provided by health professionals should incorporate the practices of indigenous medicine.…”

Section: Discussionmentioning

confidence: 85%

“…[5][6][7][8]21 This issue was not a high priority in the teaching and learning processes of the study participants.…”

Section: Discussionmentioning

confidence: 99%

“…The insecurity related to the employment contracts contributes to a high turnover, which is a problem in terms of guaranteeing the quality of healthcare, 26,27 especially indigenous healthcare. 5,11 The feeling of professional instability is a manifestation and/or consequence of the breakdown of the social protection in the workplace, which reflects the deregulation and insecurity of the work in this field. 26,27 The work process at the CASAI studied in this research reflects greater flexibility of employment, maximized by the recruitment method under these care/work production conditions.…”

Section: Discussionmentioning

confidence: 99%

“…8 Some investigations have, however, pointed out that the indigenous healthcare knowledge and their traditional healing practices are not included in the professional care provided in the villages. 4,5,8 Since the inception of the National Indigenous Healthcare Policy, the various forms of indigenous care in Brazil have not been evaluated by governmental agencies. 11,12 The National Indigenous Healthcare Policy established 34 Special Indigenous Health Districts covering all Brazilian indigenous territory.…”

Section: Literature Review Indigenous Healthcare In Brazilmentioning

confidence: 99%

“…Health workers involved in indigenous healthcare constantly face perspectives that differ from the classic biomedical model prevalent in Western societies. [5][6][7][8] Additionally, at healthcare centers, the quality of the provision of care is affected by the organization of the work process, such as the technological material and non-material instruments, the type of work contract, the professional training, the flexibility of work rights, and the technical division of the labor. 9,10 Since aspects of the work organization greatly influence care production, 9,10 we asked how the aspects of work organization influence the provision of nursing care in an indigenous health center, which is also shaped by cultural, social, and historical factors?…”

Section: Introductionmentioning

confidence: 99%

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The work process and care production in a Brazilian indigenous health service

et al. 2017

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Processo de trabalho e produção do cuidado em um serviço de saúde indígena no BrasilProceso de trabajo y producción de la atención en una institución brasileña de salud indígena AbstrActObjective: To understand the constitutive elements of the work process and care production in an Indigenous Health Support Service. Methods: Case study. Systematic observation and semi-structured interviews were conducted in January and February of 2012. The participants were 10 nursing professionals of an Indigenous Health Support Center, located in Mato Grosso do Sul state, Brazil. The work process was used as a conceptual and analytical category. Results: Through interpretative analysis, the data were organized into three categories. The results showed that care production was focused on procedures and guided by rigid institutional rules and bureaucracy. The prioritization of institutional rules and procedures was detrimental to the provision of person-centered care. Conclusion: The temporary employment contracts and rigid bureaucratic organization generated a tense work environment. These aspects do not maximize the efforts of the nursing staff to provide person-centered care. resumen Objetivo: Comprender los elementos constitutivos del proceso de trabajo y la producción de la atención en una institución de apoyo a la salud indígena. Métodos: Estudio de caso realizado en una casa de apoyo de salud indígena, en Mato Grosso do Sul, Brasil. Fueron realizadas entrevistas semiestructuradas y la observación sistemática con 10 profesionales de enfermería. Se realizó el análisis temático, utilizando el proceso de trabajo como referencial teórico. Resultados: Emergieron tres categorías: la atención se centra en procedimientos técnicos y es guiada por burocracia y normas institucionales; hay una priorización de las normas; y procedimientos institucionales a expensas de la atención centrada en el sujeto. Conclusiones: El contrato de trabajo temporal y la organización burocrática producen un ambiente tenso en el trabajo, lo que no potencializa los esfuerzos del personal de enfermería en prestar una atención centrada al indígena.

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Section: Discussionmentioning

confidence: 85%

“…[5][6][7][8]21 This issue was not a high priority in the teaching and learning processes of the study participants.…”

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Literature Review Indigenous Healthcare In Brazilmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The work process and care production in a Brazilian indigenous health service

et al. 2017

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The Logistics of medical devices for indigenous health care attending in remote sites at Brazilian Amazon Rain Forest

Ferreira

Andrade²,

Bernardes³

et al. 2020

GlobalCE

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BACKGROUND AND OBJECTIVE: There are in Brazil 896.917 indigenous and 47% of them dwell in the Amazon rainforest region. In order to avoid expensive displacement for this population, especially for surgeries such as hernias and cataracts, the Expedicionários da Saúde NGO attends this specific population three times a year since 2003 organized as a work party regime. This attending is done through a Field Hospital (FH) and is supported by Clinical Engineering (CE). This article presents the characteristics of logistics as well as operation of medical and hospital devices in remote sites of Amazon region. The object of this paper is to describe the transportation processes, installation, operation and maintenance used to ensure safe use of medical devices in one FH in the Amazon forest and to present solutions to proposed adverse conditions throughout the course of several expeditions. MATERIAL AND METHODS: It was Initially done a survey of the processes of transportation, installation, operation and maintenance of medical devices collected from 24 expeditions to the Amazon forest in a period of 8 years, since the implementation of CE team. A Task Analysis processes was performed to systematically identifying the process used for plan, prepare, transport and operate the medical devices in those past expeditions. Understanding the complexity and the specificities of each expedition a evolutive planning process based on Software Development Spiral Model was used to describes a continuous activity flow, prone to implement and test improvements in each new expedition. Besides the continuous improvement the model also takes in consideration budget solutions once all the work done by the ONG is voluntary. The efficacy of the method was evaluated from indicators of use of medical equipment, the assessment of reported adverse events and the interviews with the professionals of the EC team, users of the medical devices and opinion of the responsible for the managing of the expedition. RESULTS: Several improvements were observed speciality in the transporting and installation processes, mainly through the adoption of customized packages and manuals for assembly and disassembly of the parts of the medial equipment. Further enhancements were obtained through customizations and adaptations of the devices to the hostile characteristics of the environment. Both physicians and nurses were satisfied with the performance of the devices, and few procedures for repair and calibrate were required after the equipments were installed. CONCLUSION: The CE team is crucial to the implementation of FHs, being essential in the management of medical technology and in the planning and operation of this type of health structure. The spiral planning method were shown to be very satisfactory mainly because it takes into account the experiences and needs of the past expeditions and for allowing the continuous improvement of the already used processes. Given the great complexity of the RainForest environment in which the technologies will be used and the unpredictability of the risks and challenges to be faced by the EC team the evolutionary work approach presents itself as an applicable solution to planning of future expeditions.

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Logística de implementação de bloco cirúrgico na floresta: atuação do enfermeiro

Sales¹,

Sabongi²,

Reis³

et al. 2016

Rev SOBECC

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Objetivo: Relatar a experiência de enfermeiros voluntários na Organização da Sociedade Civil de Interesse Público Expedicionários da Saúde noprocesso de implementação de centro cirúrgico e centro de material e esterilização de hospital de campanha em aldeia indígena na região norte do Brasil.Método: Pesquisa descritiva, narrativa, com abordagem qualitativa, do tipo relato de experiência, realizada entre os meses de setembro e novembro de2015. Resultados: O processo de estruturação e implementação de um centro cirúrgico e centro de material e esterilização em áreas isoladas contevecinco etapas e contou com a participação e o envolvimento de enfermeiros desde o planejamento e gerenciamento das atividades até a etapa de execução.Conclusão: O engajamento e o compromisso dos profissionais enfermeiros em todas as etapas contribuem para a garantia da segurança e da qualidadedas cirurgias realizadas no paciente indígena, por meio de um trabalho que prima pela organização, sistematização e cientificidade dos processos.

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Nursing work in an indigenous support institution

Cited by 3 publications

References 5 publications

The work process and care production in a Brazilian indigenous health service

The work process and care production in a Brazilian indigenous health service

The Logistics of medical devices for indigenous health care attending in remote sites at Brazilian Amazon Rain Forest

Logística de implementação de bloco cirúrgico na floresta: atuação do enfermeiro

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