Nurses' Commitment to the Care of Tuberculosis Patients

Abstract

The objective of this qualitative study that followed the principles of the Grounded Theory was to understand the commitment of nurses in the care provided in primary health care to people with tuberculosis. The setting consisted of eight primary health care units. A theoretical sample was designed with 28 participants, including nurses, doctors, nursing assistants, technical staff, epidemiological surveillance professionals and people with tuberculosis. In-depth interviews were used for data collection. Data were analyzed using the Atlas.ti(r) software, by means of open, axial and selective coding. The singularities of care demanded commitment from the nurses towards tuberculosis patients, and included three components: the ethical-professional, the institutional-political and the social. This commitment was considered to be the driving force of a service that strives to guarantee quality care and access to tuberculosis patients, so that the disease is treated and patients can recover, have a healthy life and attend their social roles satisfactorily.

Caminhos Percorridos Por Crianças E Adolescentes Com Tuberculose Nos Serviços De Saúde

“…This demonstrates the creation of a bond with the person and his family, the direct monitoring and the accountability to the municipal managers for the treatments. 23 In this perspective, training the team on TB in the children's age group is a necessary strategy to reduce the problems the caregivers and the nurses experienced regarding the accomplishment of exams and treatment abandonment, which can compromise the cure and the control of the disease.…”

Atenção à saúde de indivíduos com tuberculose: itinerário terapêutico e proposição de fluxograma

“…Reconhecer, dessa forma, a diversidade da população adstrita das unidades de saúde, por meio da territorialização e estabelecer um vínculo mediante o acesso facilitado ao serviço, disponibilidade de profissionais de referência da unidade de saúde e visitas domiciliares são elementos fundamentais para a adesão e a continuidade do tratamento (Cavalcante & Silva, 2016). A presença do ACS contribui à medida que, nas visitas domiciliares são identificados sinais e sintomas de possíveis doenças, além de orientação de prevenção e promoção à saúde (Ministério da Saúde, 2019).…”

“…Tal realidade pode impactar diretamente no vínculo com o usuário, nas orientações sobre sinais e sintomas da TB, ocasionando, por vezes, situações de preconceito dentro do território, devido ao desconhecimento acerca da patologia. Em estudo que buscou compreender o compromisso do enfermeiro no cuidado ao usuário com TB na atenção primária, os resultados mencionaram que o vínculo entre profissional e usuário era fundamental para o cuidado com excelência e restabelecimento da saúde da pessoa, além da superação dos obstáculos relacionados ao preconceito, estigma, medo e discriminação em relação à doença e ao doente com tuberculose por meio de orientações (Cavalcante & Silva, 2016).…”

Exercise of rights of tuberculosis patients undergoing pharmacological treatment

“…Studies point out the leadership of nurses in care actions, since they are the professionals who most work with TB patients. In addition, they are a transformative, participatory and decisive agents in TB care actions, especially through health education, with guidance and clarifications about ensuring rights (11)(12)(13)(14) .…”