Production of nursing care in primary health care services

Abstract

This descriptive and quantitative study aimed to characterize the production of nursing care in primary health care services in a region of the city of Ribeirão Preto, state of São Paulo, Brazil.The study sample comprised care actions delivered by nurses and registered in the HygiaWeb Information System, from 2006 to 2009. Statistical analysis was performed. Results showed that nursing care delivered by nurses accounted for 9.5 to 14.6% of total professional care provided by professionals. Eventual care actions were the most frequent. The concentration of programmatic care was higher for children, women, pregnant and postpartum women. In conclusion, the predominance of eventual care demonstrated that the health system has been focused on acute conditions. Little of nursing work has been directed at the achievement of comprehensiveness, considering the inexpressive share of longitudinal follow up in total care delivery. The expansion of nursing staff represents potential for care delivery to the population, but further qualification of nursing actions is needed. Producción de atención prestada por enfermeros de la red primaria de saludEste estudio cuantitativo y descriptivo objetivó caracterizar la producción de atención prestada por enfermeros en servicios de la red primaria de salud de un distrito de Ribeirão Preto, provincia de São Paulo, Brasil. La muestra del estudio fue la atención de enfermeros registrada en el Sistema de Información HygiaWeb, en el período de 2006 a 2009. Se realizó análisis estadístico. Los resultados mostraron que la atención realizada por los enfermeros representó del 9,5 al 14,6% del total de atención realizada por los profesionales. La atención del tipo eventual fue la más realizada. La atención programática tuvo mayor concentración para niños, mujeres, embarazadas y puérperas.Se concluye que el predominio de la atención eventual demostró que el sistema de salud estuvo enfocado en las condiciones agudas. Los enfermeros tienen direccionado poco su trabajo para lograr la integralidad tiendo en vista inexpresivas asistencias que caracterizan la atención longitudinal. La expansión del personal de enfermería representó potencial de mayor prestación de atención a la población, pero se observó la necesidad de la calificación de acciones de enfermería.

Common Mental Disorders: socio-demographic and pharmacotherapy profile

“…However, such actions are absent in most of these services, despite the high prevalence of CMDs reported in the literature (4)(5) and in this study. The professionals' lack of training is an obstacle because, in addition to many professionals being incapable of detecting signs of mental disorders, they do not believe that mental health is a responsibility of PHC (18)(19) . In this context, PHC nurses play an important role in adapting mental health actions to patients who present social disadvantage since these professionals know the realities of patients and can facilitate the supply of integral care.…”

“…If, however, we consider the number of patients who tested positive for CMDs, we can infer that a large number of them do not receive mental health treatment, even though they need such treatment. These aspects show the need to devise new strategies to approach this issue in the health services, considering the representations of the disease in specific groups, which may be different from those that ground the knowledge of modern physicians, which is focused on the mind and body dichotomy, and value both attentive listening and properly receiving patients within the health system (1,19,21) .…”

Indicators and Information in Local Health Planning: The Perspective of the Family Health Strategy Nurses

“…It is estimated that 100% of its population is covered by the ESF, with 125 ESF teams functioning in the municipality. 13 Recently, the municipality received the title of the Brazilian state capital with the best Primary Care, with more than 90% of its ESF teams assessed as above or highly above the national average by the Brazilian Ministry of Health's (MS) National Program for Access and Quality Improvement in Primary Care (PMAQ).…”

“…Taking into account the work of the nurse in this context, and bearing in mind her condition as coordinator both of the nursing team and of the actions of the Community Health Workers (ACS), it becomes important to understand the perspective of this professional regarding the use of health indicators and the SIAB in the routine of the ESF's activities. 1,[12][13] Taking into consideration that undertaking reliable planning for the population's health problems requires quality information, and that this is based in real and up-to-date data and indicators, one can infer that the ESF teams receive better results in assessing performance in PHC, that they produce and use this information for situational analysis, and that consequently they use it for planning and scheduling local health actions.…”

Home Visit: Care Technology Used by Nurses to Advocate for Child's Health

“…8,11 It is important for nurses to focus their work on the principles of primary health care, covering the comprehensiveness and the bond with the enrolled population, conducting longitudinal follow-up, integrating the development of care, and sharing accountability between users and professionals to solve problems. 25 From the analysis of the narratives of the nurses, we noted different aspects of children's rights, with approaches centered on the protection of life, right to family and community, citizenship and freedom.…”