The Idealized Brazilian Health System versus the real one: contributions from the nursing field

Abstract

OBJECTIVE: to identify the perceptions of professionals working in a facility connected with the Brazilian Unified Health System - SUS in regard to what they know, think and talk about public health policy. METHOD: this exploratory-descriptive study with a qualitative nature was conducted with 28 professionals working in a facility connected with the SUS. Data were collected through interviews with guiding questions and analyzed through the thematic content analysis technique. RESULTS: coded and interpreted data resulted in three thematic axes: The SUS - perfect web that does not work in practice; The recurrent habit of complaining about the SUS; The need to rethink the way of thinking about, acting in and managing the SUS. CONCLUSION: the professionals working for the SUS are aware of the principles and guidelines that govern the Brazilian health system, however, they reproduce a dichotomous and linear model of conception and practice strongly linked to the thinking of society in general.

Family health nursing care: weaknesses and strengths in the Unified Health System

“…Nurses are the first professionals who listen to the users and organize their access to the unit. Similar evidence was identified in other studies (6)(7)(8)12) , which addressed the FHS team practices focusing on the role of nurses in programmatic activities, home visits and health promotion.…”

“…Nurses plays a decisive daily role in identifying the population's care needs as well as promoting and protecting the health of individuals in their different dimensions (6) . However, it is still necessary to define their object of work, from the articulation of care management in the Collective Health practices (5) .…”

“…However, it is still necessary to define their object of work, from the articulation of care management in the Collective Health practices (5) . Different studies (6)(7)(8)(9)(10)(11)(12)(13) on the subject address the nursing care in the FHS through practices that value educational activities (8) . However, they reveal an overlapping of duties and fragile autonomy (9)(10)(11) .…”

Atribuições e competências de gerentes de enfermagem: pesquisa descritiva exploratória

“…Nurses perform activities of assistance, leadership, management of human and material resources, care planning, education of the nursing team, coordination of the production of the care, and evaluation of nursing activities (10) . One way to guarantee the quality of care is through in-service education, which is a mechanism that articulates learning needs with work needs (11) . This type of education is intrinsic to the practice of the health professional.…”

Mídia virtual como apoio aos adolescentes com doença crônica que buscam informação em saúde

“…Esse tipo de estudo se desenvolve principalmente no campo da investigação social e da saúde, buscando as dimensões simbólicas, exigindo do pesquisador compreensão, análise da produção de dados e avaliações das repercussões (14). A partir de um convite formal, tornaram-se participantes deste estudo 12 adolescentes: 8 meninas e 4 meninos, com idades entre 14 e 18 anos.…”