Autonomia e necessidades de saúde na sistematização da assistência de Enfermagem no olhar da saúde coletiva

Abstract

RESUMENFrente a los cambios en la organización de la atención básica, se torna necesario reflexionar sobre las contribuciones de enfermería en el ámbito asistencial. Este artí-culo tiene como objetivo revisar los conceptos de autonomía e necesidades de salud, y revisar sus aplicaciones en las diferentes propuestas para sistematización de la asistencia de enfermería. Se realizó una revisión bibliográfica sobre: sistematización de la asistencia de enfermería, autonomía y necesidades de salud, en las bases LILACS y BDENF. Los resultados indican que la autonomía contempla las vertientes profesionales y del paciente. Con respecto al tema necesidades, se verifican las vertientes necesidades biológicas y sociales, que se interceptan con la psicológica para abarcar las necesidades biopsicosociales. Se comprobó que la aplicación de los conceptos analizados, no están presentes en todos los sistemas de clasificación de enfermería, sin embargo, los que más se aproximan son los proyectos de CIPE y CIPESC. DESCRIPTORES

Instrumentos de avaliação de necessidades em saúde aplicáveis na estratégia de Saúde da Família

“…Despite different conceptions of needs, the professionals do not hesitate to ptomote CHA as important for their ability to recognize health needs. This confirms the findings of a bibliographic review that found a higher frequency of studies reducing the object of care to exclusively biological needs (13) .…”

Programa de Educacao pelo Trabalho para Saude: experiencia de transformacao do ensino e pratica de enfermagem

“…With regard to service workers, the tutorial groups aimed to the instrumentalization of FHS nurses in the use of the NCS/ICNP in Primary Care (16)(17)(18) , not only as a tool to guide professional practice, but also as a motivator of reflection about the working process itself, leading to an empowered practice.…”

Limites e possibilidades do trabalho do enfermeiro na estratégia saúde da família: em busca da autonomia

“…In the context of the policy, it can be seen that the heterogeneity of scenarios complicates any linear evaluation, without taking into account the context of the practices and the reality of each healthcare service. For nursing, the scenario of low production of consultations can mean a retreat from the clinical in the work of the profession, necessary for the autonomy that is sought (10,(18)(19) . Other studies show that the precarious conditions of work of the FHS, the quotidian stress, the risk of illness through the work, and the conflictual relationships in the healthcare team accentuate the difficulties to be overcome (20)(21) .…”

“…Although the production of nursing consultations is an indicator to gauge the situation of autonomy of the nurse, it is insufficient to express the potentiality of their work in the FHS. The list of practices cataloged in the International Classification of Public Health Practices (CIPESC), in the dimensions of management, care, education and research, highlights the breadth of the actions of this professional (18)(19) . Therefore, it was sought to reveal the autonomy of the nurse from the socio-historical context, of the characteristics of the work in the PHU and of the political meanings produced by their discourses.…”