Consulta de enfermagem ampliada: possibilidades de formação para a prática da integralidade em saúde

Abstract

The objective was to analyze an intervention in the traditional way of teaching nursing consultation and its potential for nurses' education aiming for the practice of integrality in health. This is a participative research carried out from August to November 2011 with eight students attending the School of Nursing in a public university from the south of Brazil. The study context comprised outpatient consultations and daily life experiences of the patients. Data were collected through focus group and submitted to thematic analysis, in which two categories emerged: "The interactivity between the traditional and the extended scenario: possibilities for the integrality in education" and "The extended nursing consultation: knowledge from experience". The analysis evidenced that the experience produced knowledge coherent with the integrality in education. We conclude that the diversification of learning scenarios may configure a pedagogical strategy with potential to foster changes in the existing health care and education model. Descriptors:Education, nursing. Health education. Learning. RESUMO Objetivou-se analisar uma intervenção no modo tradicional de ensinar a consulta de enfermagem e seu potencial para a formação de enfermeiros para a prática da integralidade em saúde. Pesquisa participante, desenvolvida com oito alunos do

Avaliação do atributo integralidade na atenção à saúde da criança

“…This problem was observed in a study regarding nursing consultations and the practice of comprehensiveness (6) , where the traditional consultation mainly comprised normative, informative and investigative communication that limited the autonomy of the subjects of care and the possibility of establishing a dialogue.…”

Referral and counter-referral: repercussions of coronary artery bypass graft in the perspective of Primary Care

“…The need for a thorough evaluation that articulates the technical knowledge of the profession to the knowledge generated in the experience to evaluate the clinical information and to trace the plans and to perform the appropriate care interventions (13) reflect in the care to the patient with indication/submitted to the CABGS transit through the different points of RAS, especially when it is necessary to interface with SISREG.…”

Attitudes of nursing students towards substance users and perceptions about religious/spiritual care

“…Such challenges permeate the knot identified in this study: even with the improvement of the knowledge about the comprehensive care and of the attitudes towards working with drug users, after applying the educational intervention, the religious and spiritual care, which is admittedly essential in facing the problems stemming from substance use (25) , is seen as something neglected in the services according to the perception of future nurses. It is worth noting that the learning environments are models of the students' attention and attitude forming (31) .…”

“…A possible path to overcome this Gordian knot would be to avoid reproducing the work process based on the positivist model, which separates the individual from their subjectivity, a model that prevails in Nursing education. The change requires more investment in training that overcomes the predominance of technical knowledge over the care and values more the aspects that go beyond the physical body, ensuring the minimum time required to really put comprehensive care into practice (31) . In the case of the assistance to psychoactive substance users, this may be fundamental since the motivation for changing their behavior and disposition for adhering to treatment are related to the relational practices, including the religious and spiritual dimensions in the care (26) .…”