Cuidado integral em saúde: dilemas e desafios da Enfermagem

Assis, Marluce Maria Araújo; Nascimento, Maria Ângela Alves do; Pereira, Maria José Bistafa; Cerqueira, Erenilde Marques de

doi:10.1590/0034-7167.2015680221i

Cited by 24 publications

(38 citation statements)

References 12 publications

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“…There is a perceptible need for development and organization of nursing work in order to overcome obsolete management models, which were created to supply the demand of a particular era but are still practiced today (1)(2) .…”

Section: Theme Contextmentioning

confidence: 99%

“…These situations imply underrating of general practitioners in the healthcare area, in addition to privileging the inclusion of high-technological density that results in high costs in the production of health care. The above-mentioned model of care is connected to the function-based way of organizing work, whose approach is piecemeal and task-centered (1)(2) .…”

Section: Theme Contextmentioning

confidence: 99%

“…Such practices are not only consistent with the Comprehensive Health System (CHS) and its principles, but are also aligned with current Healthcare Networks (HN) policies. This is reflected in care and management issues and more dynamic and participative arrangements for organizing work in health services (2) .…”

Section: Theme Contextmentioning

confidence: 99%

“…Healthcare Networks policies consist of a strategy to overcome fragmentation of care in the CHS, with systemic integration of action, services, and care management qualification of current sanitary challenges, which reveal the insufficiency of the hegemonic care model (2) . This requires a change in the current pervading logic, having care comprehensiveness as its object with resulting horizontal professional relations and actions, implementation of collaborative inter-professional practice within legal and technical abilities, and focus on care that is targeted to user healthcare needs.…”

Section: Theme Contextmentioning

confidence: 99%

“…The polysemic concept of completeness encompasses meanings related to the production of care centered on user needs, aspects of structuring and managing healthcare services, and professional knowledge within a central and extended vision of human beings (2) .…”

Section: Theme Contextmentioning

confidence: 99%

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Nursing supervision for care comprehensiveness

et al. 2017

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Objective: To refl ect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. Method: A refl ective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Results: Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Final considerations: Nursing supervision may help enhance care comprehensiveness by implying continuous refl ection on including the dynamics of the healthcare work process and user needs in care networks. Descriptors: Nursing Supervisory; Organization and Administration; Nursing; Nursing Team; Nursing Services. RESUMO Objetivo: refl etir a supervisão de enfermagem como instrumento gerencial do enfermeiro para integralidade do cuidado, considerando suas potencialidades e limitações no cenário atual. Método: estudo refl exivo baseado na formulação discursiva sobre a supervisão de enfermagem, apresentando conceitos e enfoques teóricos e/ou práticos. Resultados: limitações no exercício da supervisão estão relacionadas à organização dos serviços de saúde embasada no modelo funcional e clínico de atenção, assim como possíveis lacunas no processo de formação do enfermeiro e sobrecarga de trabalho. Quanto às potencialidades, destaca-se a supervisão como instrumento de articulação de ações assistenciais e gerenciais, que pode favorecer integralidade da atenção, estimular atitudes de cooperação e colaboração em equipe, além da corresponsabilização e promoção da educação no trabalho. Considerações fi nais: supervisão de enfermagem pode contribuir para fortalecimento da integralidade do cuidado, pressupondo refl exão contínua, para contemplar a dinamicidade do processo de trabalho em saúde e necessidades dos usuários nas redes de atenção. Descritores: Supervisão de Enfermagem; Organização e Administração; Enfermagem; Equipe de Enfermagem; Serviços de Enfermagem. RESUMENObjetivo: Refl exionar sobre supervisión de enfermería como instrumento gerencial del enfermero para integralidad del cuidando, considerando sus potencialidades y limitaciones del escenario actual. Método: Estudio refl exivo basado en formulación discursiva sobre supervisión de enfermería, presentando conceptos y enfoques teóricos y/o prácticos. Resultados: Las limitaciones del ejercicio supervisional están relacionadas a organización de servicios de salud fundamentada en modelo funcional y clínico de atención, en posibles carencias del proceso formativo del enfermero y sobrecarga laboral. Respecto a potencialidades, se destaca la...

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Section: Theme Contextmentioning

confidence: 99%

Section: Theme Contextmentioning

confidence: 99%

Section: Theme Contextmentioning

confidence: 99%

Section: Theme Contextmentioning

confidence: 99%

Section: Theme Contextmentioning

confidence: 99%

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Nursing supervision for care comprehensiveness

et al. 2017

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Perceived challenges in delivering comprehensive care for patients following stroke: a qualitative study of stroke care providers in Guangdong Province, China

Zou

Chen

et al. 2020

Disability and Rehabilitation

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To understand the challenges in delivering comprehensive care for patients recovering from stroke.Methods: A qualitative study was conducted in two tertiary hospitals with different socio-economic characteristics in Guangdong Province, Southern China.Interviews were conducted with 16 stroke care providers including doctors, nurses, rehabilitation therapists and care workers. The interviews were audiotaped, transcribed and translated from Mandarin Chinese to English.Thematic analysis was used to draw out descriptive and analytical themes relating to care providers' experiences of existing routine stroke care services and the perceptions of challenges in delivering comprehensive stroke care.Results: The interviews with stroke care providers highlighted three key themes that hinder the capacity of the two hospitals to deliver comprehensive stroke care.First, expertise and knowledge regarding stroke and stroke care is lacking among both providers and patients; second, stroke care systems are not fully integrated, with inadequate coordination of the stroke team and inconsistency in care following discharge of stroke patients; third, stroke patients have insufficient social support. Conclusion:While comprehensive stroke care has become a priority in China, our study highlights some important gaps in the current provision of stroke care.

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Avaliação regional da rede de atenção aos agravos cardiovasculares

Balderrama¹

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Ao meu pai, MANOEL OTÁVIO, que sempre acreditou na importância da educação, apoiou e esteve ao meu lado em todas as fases da minha vida. Por querer o meu melhor e lutar por isso. Muito obrigada! À minha mãe, CLARICE, pelo apoio incondicional, por reiteradamente abdicar dos seus projetos para investir nos meus... Por me orientar, me estimular e me ajudar em todos os momentos da minha vida e, principalmente, nos mais difíceis... Por ser a melhor mãe que eu poderia ter! Muito obrigada! Ao meu irmão CAIO, pela amizade, apoio e disponibilidade. Muito obrigada! Ao meu marido, CLESNER, companheiro de muitos anos, com quem dividi os momentos mais bonitos e mais difíceis. Pelo amor que se transforma, pelo carinho e amizade, pelo Pedro, pela vida... Muito obrigada! Aos demais FAMILIARES, presentes ou em memória, pelo apoio, pelo carinho, pela presteza e disponibilidade... Por serem tão presentes e tão queridos! Muito obrigada! Aos professores da banca de qualificação JANISE FERREIRA e OSWALDO TANAKA, pela enorme contribuição. Obrigada! A professora SILVIA CAMELO, pelas sugestões e pelas risadas. Muito obrigada! A todos os FUNCIONÁRIOS DA EERP/USP que, direta ou indiretamente, contribuíram para a elaboração desse trabalho, em especial VELMARA, MIYEKO, RICARDO e EDILAINE. Muito obrigada! Aos colegas da Pós-Graduação, em especial a LARISSA ROBERTA ALVES, pelas contribuições.

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Cuidado integral em saúde: dilemas e desafios da Enfermagem

Cited by 24 publications

References 12 publications

Nursing supervision for care comprehensiveness

Nursing supervision for care comprehensiveness

Perceived challenges in delivering comprehensive care for patients following stroke: a qualitative study of stroke care providers in Guangdong Province, China

Avaliação regional da rede de atenção aos agravos cardiovasculares

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