Atenção Integrada às Doenças Prevalentes na Infância (AIDPI) na prática de enfermeiros egressos da USP

Higuchi, Cinthia Hiroko; Fujimori, Elizabeth; Cursino, Emília Gallindo; Chiesa, Anna Maria; Veríssimo, Maria De Lá Ó Ramallo; Mello, Débora Falleiros de

doi:10.1590/s1983-14472011000200005

Cited by 18 publications

(23 citation statements)

References 8 publications

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“…The assessment of the incorporation of the AIDPI strategy into the professional practice of students who had completed the nursing course confirmed the lack of integration among disciplines, causing the students not to connect important points toward a holistic understanding of the whole picture (22) . The dissemination of fragmented knowledges centered on contents, even in undergraduate courses with integrating disciplines, was also pointed out by nursing students as being a hindrance to the application of the comprehensiveness principle in nurses' academic development (16) .…”

Section: Discussionmentioning

confidence: 98%

Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers

Cursino

Fujimori

Gaíva

2014

Rev. esc. enferm. USP

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RESUmoEstudo qualitativo que analisou, na perspectiva de docentes, se o ensino da saúde da criança incorpora o princípio da integralidade na formação de enfermeiros. Participaram do estudo 16 docentes envolvidos no ensino da saúde da criança em oito cursos de graduação. Coletou-se dados por entrevistas submetidas à análise de conteúdo do tipo temática. Na teoria, o ensino incorpora a integralidade, pois tem como base o perfil epidemiológico infantil, polí-ticas e programas de atenção à criança e inclui ações de promoção/prevenção/reabilitação na atenção básica, hospitalar, creches e pré-escolas. Apesar da concepção ampliada do processo saúde-doença, que possibilita compreender a criança inserida em família e comunidade, há contradição entre o que se propõe e o que se efetiva na prática, pois o ensino é fragmentado, sem integração entre disciplinas, teoria dissociada da prática e ensino prático pontual que comprometem a incorporação da integralidade no ensino da saúde da criança. RESUmEnEstudio cualitativo que analizó si la enseñanza de la salud infantil incorpora el principio de la integralidad en la formación en enfermería, desde la perspectiva de docentes. Participaron en el estudio 16 docentes involucrados en la enseñan-za de la salud infantil en ocho cursos de pregrado. Los datos fueron recolectados por medio de entrevistas y sometidos a análisis de contenido temático. En teoría, la enseñanza incorpora la integralidad, pues tiene como base el perfil epidemiológico infantil, las políticas y los programas de atención al niño e incluye acciones de promoción/prevención/rehabilitación en atención primaria, hospitales, guarderías y centros preescolares. A pesar de la concepción ampliada del proceso saludenfermedad, que permite comprender al niño inserto en su familia y comunidad, hay contradicción entre lo que se propone y lo que efectivamente se realiza en la práctica, pues se evidenció una enseñanza fragmentada, sin integración entre las disciplinas, con la teoría disociada de la prác-tica y una enseñanza práctica puntual que comprometen la incorporación del principio de la integralidad.

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Section: Discussionmentioning

confidence: 98%

Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers

Cursino

Fujimori

Gaíva

2014

Rev. esc. enferm. USP

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“…But, even with restrictions, it does not exempt the nurse from developing integrated child care. 4 The presente study identified that the greatest difficulties encountered by nurses in the practice of IMCI is that it has not yet been implemented in all places, and there are complex barriers to be faced so that the practice of the IMCI Handbook is universally used. There are also difficulties as aspects detected by nurses, given that most of the time users are low-income families, which contributes to the deficiency of efficient team monitoring of the children, when the mothers or guardians do not take them to the consultations and due to the lack of means of transportation for routine home visits where there is no access to health.…”

Section: Resultsmentioning

confidence: 92%

Atenção integrada às doenças prevalentes na infância: prática do enfermeiro

Simião

Sousa

Silva

et al. 2017

Rev enferm UFPE on line.

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Simião CKS, Sousa DLB de, Silva AST da et al.Integrated management of childhood illness... English/Portuguese J Nurs UFPE on line., Recife, 11(Suppl. 12):5382-90, Dec., 2017 5382 ISSN: 1981-8963 ISSN: 1981-8963 https://doi.org/10.5205/1981-8963-v11i12a230448p5382-5390-2017 INTEGRATED MANAGEMENT OF CHILDHOOD ILLNESS: NURSES' PRACTICE ABSTRACTObjective: to identify in the national literature difficulties faced by nurses in putting in practice the Integrated Management of Childhood Illness. Method: integrative review. Data were collected from the Lilacs, Medline, SciELO Virtual Library databases; 13 articles met the inclusion criteria; and the Descriptors to guide the research were: Family Health Strategy, Nursing, Child Health, Growth and Development; Child mortality; Mortality Indicators. Results: the research found difficulties encountered by Family Health Strategy nurses in the application of Integrated Management of Childhood Illness, either on the structural aspect of the primary care network or due to the lack of knowledge in protocol development. Conclusion: it was relevant to focus nurses' practice on the Handbook of Integrated Management of Childhood Illness in favor of the care and development of child health, indicating that the application of this practice has not been practiced yet by all professionals in view of factors such as barriers in their work sector and lack of professional training. Descriptors: Family Health Strategy; Nursing; Child Health; Growth and Development; Child Mortality; Morbidity and Mortality Indicators. RESUMOObjetivo: identificar na literatura nacional dificuldades enfrentadas pelo enfermeiro na prática do manual Atenção Integrada às Doenças Prevalentes na Infância. Método: revisão integrativa, com dados coletados nas bases de dados Lilacs, Medline e Biblioteca Virtual SciELO. 13 artigos atenderam aos critérios de inclusão e os Descritores para nortear a pesquisa foram: Estratégia Saúde da Família; Enfermagem; Saúde da Criança; Crescimento e Desenvolvimento; Mortalidade Infantil; Indicadores de Mortalidade. Resultados: a pesquisa constatou dificuldades encontradas pelos enfermeiros mediante sua prática na Estratégia Saúde da Família na aplicação à Atenção Integrada às Doenças Prevalentes na Infância, seja no aspecto de estrutura da rede de atenção primária, seja por parte da falta de conhecimento no desenvolvimento do protocolo. Conclusão: foi de relevância enfocar a prática do enfermeiro ao manual da Atenção Integrada às Doenças Prevalentes na Infância para favorecer cuidados e desenvolvimento à saúde da criança, indicando que a aplicação desta prática ainda não é exercida por todos os profissionais, tendo em vista fatores que envolvem desde barreiras no setor de trabalho até falta de capacitação profissional. Descritores: Estratégia Saúde da Família; Enfermagem; Saúde da Criança; Crescimento e Desenvolvimento; Mortalidade Infantil; Indicadores de Mortalidade. RESUMENObjetivo: identificar en la literatura nacional dificultades enfrentadas por el enfermero en la práctica d...

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“…Although administration of the first dose of antibiotics in the SUS is 76% higher compared with children served by private health care or health plan, its prevalence of 15% can be considered very low, since there is an incentive program to that end. Some hypotheses may be propounded for this situation, such as the non-availability of the medication in the BHU, since more than 50% of the individuals with prescription originating from the SUS are not provided all medications 27 , and problems in the flow of care service and in the adherence to clinical protocols.…”

Section: Discussionmentioning

confidence: 99%

“…Access to the first dose of antibiotic in the health care unit was associated with skin color, maternal education, family income and hospitalization in the last year, showing that access to this drug in the heath care unit is affecting the most vulnerable population, which rely mostly on the SUS 27 .…”

Section: Discussionmentioning

confidence: 99%

Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort

et al. 2019

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OBJECTIVE:To estimate the use of the first dose of antibiotics in the health care unit in children from the 2015 Pelotas Birth Cohort at 24 months. METHODS:A total of 4,014 children were monitored. We used descriptive statistics and Poisson regression to analyze the association between socioeconomic and demographic variables, participation in daycare units, in the activities of the Pastoral da Criança and in the Primeira Infância Melhor program, low birth weight, hospitalization between 12 and 24 months, place of medical appointment, prevalence of medical appointment in the last 30 days, prescription of antibiotics, and administration of the first dose in the health care unit. RESULTS:A total of 1,044 children had medical appointments in the last 30 days, of which 45% were prescribed antibiotics and only 10.5% were administered the first dose of this medication in the health care unit. Children with brown, yellow or indigenous skin color were administered 2.5 times more antibiotics than white children. Children whose mothers had 12 years or more of education were administered 83.0% fewer antibiotics than those whose mothers had up to 4 years of education. Among those who were hospitalized for 12 to 24 months, the use of antibiotics was almost four times higher than among those who were not. Among the children served by the Brazilian Unified Health System (SUS), only 15.3% were administered the first dose of antibiotic in the health care unit. When compared with children served by private health care or health plan, administration of the first dose in the SUS was 76.0% higher. CONCLUSIONS:Despite the efforts related to the Pastoral da Criança campaign "Antibiotic: first dose immediately," adherence to the provision of antibiotics in the health care unit is still low. Strategies are necessary and urgent so children have access to the first dose of antibiotics in the health care unit.

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Atenção Integrada às Doenças Prevalentes na Infância (AIDPI) na prática de enfermeiros egressos da USP

Cited by 18 publications

References 8 publications

Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers

Comprehensiveness in child healthcare teaching in Undergraduate Nursing: perspective of teachers

Atenção integrada às doenças prevalentes na infância: prática do enfermeiro

Use of antibiotics in the health care unit: 2015 Pelotas Birth Cohort

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