2018
DOI: 10.1590/0034-7167-2016-0119
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Abstract: Objective: Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. Method: Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. Results: Two categories emerged, one about the lack of organization at the workplace, bureaucrac… Show more

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Cited by 4 publications
(6 citation statements)
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References 19 publications
(24 reference statements)
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“…The identification of the presence of some factors, including insufficient human and material resources, low capacity to serve the teams and weakness in carrying out the counter-referral, is in line with the results of a study carried out in southern Brazil, with 15 nurses from the FHS, which pointed out these same aspects as harmful to the execution of comprehensive care (12) . Another similar study, carried out in a municipality in the Metropolitan Region of Belo Horizonte, also pointed out that the low coverage of the FHS related to limited resources and organizational problems collaborates to weaken the assistance offered by the PHC (13) .…”
Section: Discussionsupporting
confidence: 77%
See 1 more Smart Citation
“…The identification of the presence of some factors, including insufficient human and material resources, low capacity to serve the teams and weakness in carrying out the counter-referral, is in line with the results of a study carried out in southern Brazil, with 15 nurses from the FHS, which pointed out these same aspects as harmful to the execution of comprehensive care (12) . Another similar study, carried out in a municipality in the Metropolitan Region of Belo Horizonte, also pointed out that the low coverage of the FHS related to limited resources and organizational problems collaborates to weaken the assistance offered by the PHC (13) .…”
Section: Discussionsupporting
confidence: 77%
“…Other aspects to be highlighted in the present study are the lack of frequency established for the general meeting between the PHC teams, aiming at the organization and work planning, the difficulty of carrying out the joint discussion of cases under follow-up, which weaken communication between the different HCN points and are characterized as Rev Gaúcha Enferm. 2021;42:e20200410 barriers that impact comprehensive and shared care (12) . In this sense, the opportunity to discuss cases, especially complex ones, from the perspective of different teams, can favor the development of a more effective care plan and guide the division of responsibilities, according to the specificities of the different points of the HCN.…”
Section: Discussionmentioning
confidence: 99%
“…At the clinical level, the nurse’s performance results in the recognition and improvement of structures and processes that affect the rights and safety of the patient. In contrast to the challenges, Figueira et al 45 propose aspects that help overcome barriers related to interaction of the multidisciplinary team, user adherence, professional commitment, establishment of the patient–caregiver bond, welcoming, and user co-responsibility.…”
Section: Resultsmentioning
confidence: 99%
“…Figueira et al 45 point out barriers to the practice of nursing advocacy involving inefficient organization of work, that is, disorganization, as well as excessive bureaucracy and limitations in the work environment such as: lack of resources, inadequate facilities, work overload and bureaucracy, lack of autonomy and continuity of care, low political participation by patients, low community adherence, lack of personal commitment, and inadequate professional profile. Nurses are well aware of their roles as patient advocates, but lack of time, hospital policy, and fear of losing their job pose challenges to the practice of nursing with the role of patient advocate.…”
Section: Resultsmentioning
confidence: 99%
“…It is considered that the patient's nurse advocate, supported by clinical economics, has similar ideas to that discussed in health advocacy for users of public services, whose propositions consider technical, scientific and relationship knowledge among other professionals and patients for the development of nurses 'autonomy, still incipient (17,13) , with a view to also strengthening citizenship and patients' rights (17) .…”
Section: Discussionmentioning
confidence: 99%