A prática do auxiliar de enfermagem do programa saúde da família

Abstract

This study aims to evaluate the practice of nursing auxiliaries in the Family Health Program, identifying their daily activities, as well as factors that facilitate or hinder their work. A qualitative approach was chosen, using the focal group technique, with the participation of 34 nursing auxiliaries from the Federal District, Brazil. It was found that the nursing auxiliaries carry out a variety of activities, both of individual and collective nature, heavily influenced by the clinical model and with different degrees of complexity, such as: family registration, brief clinical evaluation, group activities, technical procedures, home visits, sanitary and epidemiological vigilance in day care centers. The participants related that they found it easy to bond with the clientele, but complained of the shortage of continuing education courses and imprecision as to their true assignments and lack of local coordination. The authors conclude that the program must reassess the role of this professional, reemphasizing his educational function in the community.

Time standards of nursing in Primary Health Care: an observational study

“…We observed that a quarter of their working time was spent on direct care and, even though there were no studies available for comparison, we believe that the proportion observed must be reviewed given the work dynamics of these professionals, whose potential is underexplored. Their practices should be re-organized in the direction of care comprehensiveness (13)(14) . In Brazil, immunization/vaccination control and the administration of medication are conducted mostly by nursing technicians/assistants.…”

“…In particular, nursing assistants complain of the scarcity of courses, which are offered only sporadically. Furthermore, when they are offered, such programs address themes that do not correspond to the real needs of their routine work processes and are considered a hindrance to the quality development of their activities (13)(14)20) . The small participation of nursing technicians/aids in multidisciplinary care assessment meetings portrays the absence of these professionals when planning and discussing care, reinforcing their institutionalized technical role.…”

O vínculo na atenção à saúde: revisão sistematizada na literatura, Brasil (1998-2007)

“…Nota-se, em alguns estudos, uma valorização dos profissionais da área de enfermagem, incluindo-se enfermeiros, auxiliares e técnicos de enfermagem, no estabelecimento do vínculo, seja ele, com o usuário diretamente, a família do mesmo ou a comunidade. Os usuários percebem nestes profissionais um comprometimento e uma proximidade maior, confiando a estes informações muito além dos problemas bioló-gicos, mas sim de foro íntimo (9)(10)(11)(12)(13) . Entende-se que o vínculo está pautado em relações de confiança, fato que demanda um longo tempo e não se estabelece de forma imediata, além disso, para que este aspecto seja garantido, é necessário que o usuário e a família tenham tempo suficiente para expor suas angústias e preocupações e de outro lado, o profissional deve estar disponível para escutá-lo, dar a devida atenção e propor soluções para os problemas e fatos expostos (6-14-16) .…”

Atuação do auxiliar de enfermagem na Estratégia Saúde da Família

“…In quantitative terms and considering their relevance in the work process, they constitute the most expressive contingent among the nursing team workers and in the entire health are (8) , but in practice, it is seen that their role and participation in the team are still organized in the hegemonic model and too little has been done to motivate and direct the performance of these professionals into the care integrality (9) .…”