Prática da enfermeira no Programa de Saúde da Família: a interface da vigilância da saúde versus as ações programáticas em saúde

Abstract

This study analyzes the nurse's practice in the Program of Family Health (PSF) in the municipal district of Jequié (BA), comprising the conceptions attributed to it, identifing activities and pointing out limits, progress and perspectives. A qualitative research, where techniques and data collection have been semi-structured interview and observation, and analysis of documents. Data analysis has been hermeneutic dialectics. The results made evident that the PSF is a strategy of (re)orientation of the model of attention to the health and a means of consolidation of the Unique System of Health. The nurse's practice are aid, management, instruction. Throughout its performance it uses a given technological organization of achievement in health, adjusted by pronounced experience of promotion, prevention and offence of illnesses, recovery and rehabilitation of health of population groups, and intervention upon the family, that has results in the recombination of basic aid and reorganization of the local health system. As limits appear difficulties to assure the user's access to services of semi-and high complexity and to set up the system of references and counter-reference; as improvements, stands out introductive training and there are prospects of increase in covering of the PSF in the hierarchizing of the local system. Key wordsNurse's practice, Model of attention, Program of Family Health

O processo de trabalho em hanseníase: tecnologias e atuação da equipe de saúde da família

“…Mesmo tendo o profissional médico como membro da equipe, o profissional enfermeiro detém sozinho a supervisão da equipe de auxiliares de enfermagem e ACSs, realização das ações de vigilância epidemiológica e programação local. 8,22 Nos municípios mais engajados com a hanseníase, os ACSs participam ativamente das atividades de controle da hanseníase: fazem suspeita diagnóstica durante a visita domiciliar, encaminham o paciente em caso de reações, realizam orientações sobre prevenção de incapacidades, buscam os contatos e os faltosos, e, em situações especiais, supervisionam o tratamento. [ 9 ).…”

Primary health care in municipalities at high risk for malaria

“…In Brazil, the literature points to failures in coordination between PHC services and more complex services (18) .…”

“…The problem detected was in relation to the referred patients, who did not have consultations at this other care level, which suggests the presence of access barriers to the secondary and tertiary care levels and a repressed demand for PHC (18) .…”

Comunidade: objeto coletivo do trabalho das enfermeiras da Estratégia Saúde da Família

“…The interaction between nurses and the community is developed in an immediate manner, working with local collective entities, which enables the transformation of social subjects into political subjects in the planning of local actions (11) . These subjects are local residents and constitute, based on the instances of representations of the community collective, the collective connectors in the interaction of the ascribed community to the work of nurses.…”