Integrality of actions among professionals and services: a necessity for child's right to health

Andrade, Raquel Dully; Santos, Jaqueline Silva; Pina, Juliana Coelho; Furtado, Maria Cândida de Carvalho; Mello, Débora Falleiros de

doi:10.5935/1414-8145.20130023

Cited by 9 publications

(14 citation statements)

References 12 publications

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“…Therefore, intersectoriality allows the expansion of health care actions and management strategies which are fundamental in the consolidation of the integrality of preventive actions and services, especially in relation to the set of laws and programs aimed at achieving safe care for children 32 who are exposed to the risk of falls, considering that having contact with an environment that is not familiar, arouses attention and curiosity, and can motivate the occurrence of such falls. Therefore, it is essential that partnership is strengthened between professionals and the family while preserving the integrity of the child.…”

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confidence: 99%

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Gurgel

Ferreira²,

Sandoval³

et al. 2017

Texto contexto - enferm.

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Objective: to analyze nurses' abilities regarding the prevention of falls in hospitalized children in light of the Galway Consensus.Method: a cross-sectional study was conducted with 40 nurses who worked in the open hospitalization units of a pediatric hospital. Data collection was performed through the application of a questionnaire with validated content. The actions performed by the nurses, according to the fall prevention protocol, were related to the eight domains of the Galway health promotion competency model. Statistical analysis and professional performance analysis were performed.Result: the domain of competence leadership was present in all actions (15). The other areas of competence were presented in the following frequencies: advocacy (9 actions), catalyzing changes (6 actions), implementation (6 actions), planning (3 actions), partnerships (3 actions), needs assessment (2 actions) and impact assessment (2 actions).Conclusion: the competence domains were considered in at least two fall prevention actions. The importance of the identification of nurses' competences in the prevention of falls of hospitalized children is highlighted, aiming to improve the quality of care and, consequently, to reduce unsafe actions. COMPETÊNCIAS DO ENFERMEIRO NA PREVENÇÃO DE QUEDAS EM CRIANÇAS À LUZ DO CONSENSO DE GALWAY RESUMOObjetivo: analisar as competências do enfermeiro na prevenção de quedas de crianças hospitalizadas, à luz do Consenso de Galway.Método: estudo transversal, realizado com 40 enfermeiras que atuavam nas unidades abertas de internação de um hospital pediátrico. Coleta dos dados realizada mediante aplicação de um questionário com conteúdo validado. Foram relacionadas as ações executadas pelas enfermeiras, segundo o protocolo de prevenção de quedas, com os oito domínios do modelo de competências para promoção da saúde de Galway. Procedeu-se à análise estatística e análise do desempenho dos profissionais.Resultado: o domínio de competência liderança esteve presente em todas as ações (15). Os demais domínios de competência apresentaramse na nas seguintes frequências: defesa (9 ações), catalisar mudanças (6 ações), implementação (6 ações), planejamento (3 ações), parcerias (3 ações), avaliação das necessidades (2 ações) e avaliação do impacto (2 ações).Conclusão: os domínios de competência foram contemplados em pelo menos duas ações de prevenção de quedas. Destaca-se a importância da identificação das competências de enfermeiros na prevenção de quedas de crianças hospitalizadas, visando melhoria da qualidade assistencial e, consequentemente, redução de atos inseguros. DESCRITORES: COMPETENCIAS DEL ENFERMERO EN LA PREVENCIÓN DE CAÍDAS EN NIÑOS A LA LUZ DEL CONSENSO DE GALWAY RESUMENObjetivo: analizar las competencias del enfermero en la prevención de caídas de niños hospitalizados, a la luz del Consenso de Galway.Método: estudio transversal, realizado con 40 enfermeras que actuaban en las unidades abiertas de internación de un hospital pediátrico. La recolección de los datos realizada mediante la...

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confidence: 99%

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Gurgel

Ferreira²,

Sandoval³

et al. 2017

Texto contexto - enferm.

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“…However, the results show that there is still fragmentation in care services and professional relationships that expose the child to vulnerabilities because their needs are no longer met in full (20) , and mothers feel abandoned by professionals and services. In light of these issues, and in order to achieve full attention and exercise the right to health, the practices need strengthening through the construction of accountability plans among the different social actors involved in child care (15,26) .…”

Section: Discussionmentioning

confidence: 96%

“…However, as the mothers of this research point out, there are still gaps in assistance that limit the effectiveness of integrated actions in healthcare and the integral protection of children (20)(21) .…”

Section: Discussionmentioning

confidence: 99%

“…In children's health, care provided by health services should consider the various actors who play an essential role in child health protection, meaning parents, family, community and other caregivers who attend this clientele, including professionals of diverse areas (20) . However, as the mothers of this research point out, there are still gaps in assistance that limit the effectiveness of integrated actions in healthcare and the integral protection of children (20)(21) .…”

Section: Discussionmentioning

confidence: 99%

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Child care and health rights: perspectives of adolescent mothers

Santos

Andrade

Pina

et al. 2015

Rev. esc. enferm. USP

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OBJECTIVETo analyze child health care and the defense of their rights from the perspective of adolescent mothers.METHODSAn exploratory study with qualitative thematic analysis of data, based on conceptual aspects of care and the right to health, from semi-structured interviews with 20 adolescent mothers ascribed by Family Health teams.RESULTSMaternal reports indicate that child health care requires responsibility and protection, with health practices that promote child advocacy. Gaps in assistance which preclude the full guarantee of the right to child health care were also highlighted.CONCLUSIONThe right to health care assumed different meanings, and the forms to guarantee them were linked to individual behavior in detriment to broader actions that consider health as a social product, connected to the guarantee of other fundamental rights.

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“…The duty to respect confidentiality implies that children have the right to speak and be heard in the healthcare setting according to their developmental capacities. Studies show that children indicate their capacity for discernment, or their ability to distinguish, understand, and interpret concepts involving definitions of right and wrong, just and unjust, good and bad (13)(14)(15) . Despite the evidence and the fact that Brazilian health professionals are aware of the rights of children, in practice children are still kept at the margins of healthcare processes involving their own health, and are passive in the hospital setting.…”

Section: Discussionmentioning

confidence: 99%

Análise normativa sobre a voz da criança na legislação brasileira de proteção à infância

Bubadué

Cabral

Carnevale

et al. 2016

Rev. Gaúcha Enferm.

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Normative analysis of the voice of children inBrazilian child protection legislation Results:The legislation acknowledges and stresses the voice of children in the decision-making process in research and healthcare. Any recognition of the right to dignity, liberty, information, and protection depends on what the adult decision-maker (with parental authority) believes is the child's capacity for discernment and whether the situation will cause self-harm.Conclusions: the normative child protection discourse grants children a voice, although with restrictions and under the authority of the adult with parental authority. Keywords:Child. Child advocacy. Patient participation. Decision making. RESUMO Objetivo: identificar e analisar, no discurso normativo de proteção à infância no Brasil, marcas das vozes da criança na tomada de decisão sobre seus cuidados em saúde.Método: análise normativa da legislação de proteção à infância no Brasil (1988Brasil ( -2012, operacionalizada pela análise de conteúdo de nove textos, no ano de 2015.Resultados: A legislação destaca a voz da criança no processo decisório, tanto na pesquisa como nos cuidados em saúde. O reconhecimento do direito a dignidade e liberdade, informação e proteção depende do julgamento do adulto sobre a capacidade de discernimento da criança e se a situação a isenta de danos para si mesma.Conclusões: o discurso normativo de proteção à infância confere voz à criança, mas com restrição e sob a tutela do adulto. Palavras-chave: Criança. Defesa da criança e do adolescente. Participação do paciente. Tomada de decisões. RESÚMEN Objetivo: identificar y analizar en el discurso normativo de protección a la infancia en Brasil, marcas de voces del niño en la toma de decisiones sobre su atención en salud.Método: Análisis normativo de la legislación de protección a la infancia en Brasil (1988Brasil ( -2012, operacionalizado por el análisis de contenido de nueve textos, en año 2015.Resultados: La legislación destaca la voz del niño en él proceso de toma de decisiones, tanto en la investigación como en el cuidado de la salud. El reconocimiento del derecho a la dignidad a la libertad, a la información y a la protección depende del juicio del adulto sobre la capacidad de un niño para el discernimiento y si la situación es libre de daño a sí misma.Conclusiones: el discurso normativo de protección a infancia le brinda voz al niño, pero con restricción y bajo la tutela de un adulto. Palabras clave: Niño. Defesa del niño. Participación del paciente. Toma de decisiones.

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Integrality of actions among professionals and services: a necessity for child's right to health

Cited by 9 publications

References 12 publications

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Competências Do Enfermeiro Na Prevenção De Quedas Em Crianças À Luz Do Consenso De Galway

Child care and health rights: perspectives of adolescent mothers

Análise normativa sobre a voz da criança na legislação brasileira de proteção à infância

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