Nursing challenges for universal health coverage: a systematic review

Abstract

Objectivesto identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care. Methodsystematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel. Resultsthirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage. Conclusionsnursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.

Humanized Embracement in Public Health Services in Brazil

“…However, users' opinion about humanization politics, according to Oliveira, 2017, is still negative, indicating problems such as the lack of professional preparation. In this sense, the main challenge in the adoption of the humanized model is the break of the biomedical model, which prevents the recognition of other "truths" about the health care, opposed to the reductionism of clinical pathology and mechanical physiology (Schveitzer;Zoboli;Vieira, 2016).…”

Dupla titulação em enfermagem: potencialidades e desafios de uma experiência de internacionalização acadêmica discente

“…Among the activities developed during the double degree program stand out: participating in examining boards, congresses, seminars, courses, meetings, lectures, colloquium, classes, research groups and technical visits to health services; as well as the completion of the objectives set out in the student's study plan, and the publication of articles in highly qualified scientific journals with a high impact factor (9)(10)(11) .…”

“…Moral suffering: risk assessment among nurses, with the objective to analyze the phenomenon of moral suffering in Brazilian and Portuguese nurses (10) ; 3. Health conceptions and care of integrative/ complementary and humanizing practices in Primary Care: a systematic review, which sought to build (based on the systematic review) what are the conceptions of health and care underlying the integrative/complementary and humanizing practices for care in Primary Care (11) . Thesis 1 and 2 have the ICS/UCP as main institution, being part of the research line "history and philosophy of Nursing".…”

A Prática Do Enfermeiro Na Consulta De Puericultura Na Estratégia Saúde Da Família

“…This is justified because a study demonstrated that professionals working in PHC are not well prepared in undergraduate school, and continuing education not is part of this context. 36 The main limitation of this study is the generalizability of the research, as it was restricted to a SD of the municipality. However, it is believed that the number of consultations observed is representative for evaluating the care offered to the child, and the instrument contemplates all the actions necessary for this purpose, as determined by the guidelines of the national policies on child health care.…”