Health care networks under the light of the complexity theory

Arruda, Cecília; Lopes, Soraia Geraldo Rozza; Koerich, Micheline Henrique Araújo da Luz; Winck, Daniela Ries; Meirelles, Betina Hörner Schlindwein; Mello, Ana Lúcia Schaefer Ferreira de

doi:10.5935/1414-8145.20150023

Cited by 33 publications

(48 citation statements)

References 5 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…However, professionals still live with extremely bureaucratic routines and rules, which prevents the integrated and complex motion of care. 8 Another element that integrates the complex scenario in health in Brazil is the political-party relations. Many politicians project expected electoral support from the staff of the Family Health Strategy, to gain visibility with the population and for self promotion.…”

Section: Discussionmentioning

confidence: 99%

Nurse Leadership Practices in Primary Health Care: A Grounded Theory

Lanzoni

Meirelles

Cummings

2016

Texto contexto - enferm.

View full text Add to dashboard Cite

This is a qualitative study and its aim was to understand the meaning of nurse leadership exercised in the services of Primary Health Care in a municipality located in Southern Region of Brazil. Grounded Theory was used as methodological framework. Data collection was carried out with semi-structured interviews applied to 30 nurses who worked in Primary Health Care and nursing professors, divided into four groups, between 2011 and 2012. After the analysis process, nine categories emerged and sustained the phenomenon 'Revealing the nursing leadership practices in the complex context of Primary Health Care'. Leadership was understood as a resource in the process of caring/managing people and developing a team of leaders, intending the organization and qualification of health work. It is important to rescue the clinical work of nurses, in order to keep their investment in the health team and to strengthen the binomial leader/caregiver.

show abstract

Section: Discussionmentioning

confidence: 99%

Nurse Leadership Practices in Primary Health Care: A Grounded Theory

Lanzoni

Meirelles

Cummings

2016

Texto contexto - enferm.

View full text Add to dashboard Cite

show abstract

“…These findings negatively affect the network's functionality, since they represent a discontinuous process of healthcare that disconnects the flow of care (9) . The HCN aims at continuous and comprehensive care for the population, establishing horizontal relations between the different network attention points, where each service has defined characteristics and functions according to the different technological densities (6,24) . The complexity diversity of HCN and the variety of specialists can represent difficulties in counter-reference, since these professionals do not see the importance of PHC and the professionals who work there (22) .…”

Section: Discussionmentioning

confidence: 99%

“…Also, it was observed that the patients continued to be attended at the outpatient clinic of the hospital due to disorganization in the PHC (25) . Thus, improving PHC professionals is necessary, considering that low effectiveness in this sector is a factor which increases the number of referrals, increasing the demand in other parts of the network (24) , thus affecting counter-reference. Another factor that interferes with PHC's performance on this demand is the lack of professionals who make up the FHS teams, emphasizing a lack of CHAs (26) .…”

Section: Discussionmentioning

confidence: 99%

Myocardial revascularization: factors intervening in the reference and counter-reference in Primary Health Care

Cunha

Higashi

Erdmann

et al. 2016

Rev. esc. enferm. USP

View full text Add to dashboard Cite

Objective: Understanding the factors that influence the reference and counter-reference process of people indicated/submitted to Myocardial Revascularization surgery in the Primary Health Care scenario. Method: A qualitative research anchored in the Grounded Theory, totaling 41 participants subdivided into three groups (patients, health professionals and managers) in the Metropolitan and West Region of Santa Catarina. Results: Two categories elucidate the intervening factors found, contrasting the potentialities and obstacles in (creating) the bond between people affected by cardiovascular diseases and primary health care for the reference process, highlighting weaknesses in the primary health care services provided, with failures in the counter-reference for people submitted to myocardial revascularization surgery. Conclusion: Strengthening the potentialities presented in this study is essential for the reference process of people affected by Cardiovascular Disease, as well as strategic actions focused on solving the evidenced obstacles which contribute to deficiencies in the referral and counter-referral process, thus impeding integral care in the health care network.

show abstract

“…Os benefícios do exercício do trabalho prescricional medicamentoso pelo enfermeiro vão além da equipe de enfermagem, por estarem alicerçados nos programas de saúde pública tendo como fundamento a Atenção Básica (AB), está por sua vez, está no centro de comunicação das Redes de Atenção à Saúde (RAS), e tem como característica de atendimento o cuidado multiprofissional 20 . A compreensão aponta para um saldo positivo tanto para a equipe quanto para os cidadãos, podendo refletir também em benefício da Gestão na possível economia do erário público, isso, claro, se o serviço obtiver a gerência de acordo com os pré-requisitos legais.…”

Section: Benefícios Da Prática De Prescrição De Medicamentos Pelo Enfunclassified

Prescrição de medicamentos por enfermeiros: legalidade, prática e benefícios

Camboim¹,

Souza

Lima

et al. 2017

Revista Recien

View full text Add to dashboard Cite

Analisar as produções disponíveis na literatura científica sobre a legalidade, reconhecimento e os benefícios da prática de prescrição de medicamentos por enfermeiros. Revisão Integrativa da literatura, realizada no Google Acadêmico, na Biblioteca Virtual em Saúde, abordando qual a legalidade, o reconhecimento e os benefícios da prática de prescrição de medicamentos pelo enfermeiro? Utilizando-se os descritores: prescrições de medicamentos, legislação de enfermagem, e enfermagem, no período de 2007 a 2015. Encontraram-se 183 artigos, desses seis seguiram os critérios de inclusão e exclusão do estudo. A análise temática dos dados possibilitou a construção de duas categorias: Legalidade e reconhecimento da prática de prescrição de medicamentos pelo enfermeiro; Benefícios da prática de prescrição de medicamentos pelo enfermeiro. Enfatiza-se a importância da realização de estudos que enfoquem a prescrição de medicamentos por enfermeiros.Descritores: Prescrição de Medicamentos; Enfermeiros; Legislação de Enfermagem. AbstractPrescription medication by nurses: the legal, practice and benefitsTo analyze the productions available in the scientific literature on the legality, recognition and the benefits of the practice of prescription of medicaments by nurses. Integrative literature review using the question: What is the legality, recognition and benefits from the practice of prescription medications by nurses? Held in the Virtual Health Library, with the descriptors for prescriptions drugs, nursing law and nursing, from 2007 to 2015. 183 articles were found, of these, we selected six, following the criteria of inclusion and exclusion from the study. The thematic analysis of the data enabled the construction of two categories: Legality and recognition of drug prescribing practices by nurses; Benefits of the practice of prescription medications by nurses. We emphasize the importance of conducting studies that focus on prescription medications by nurses.Descriptors: Prescription Medications; Nurses; Nursing Legislation. ResumenLos medicamentos recetados por enfermeras: la legalidad, la práctica y los benefíciosAnalizar las producciones disponibles en la literatura científica sobre la legalidad, el reconocimiento y los beneficios de la práctica de la prescripción de medicamentos por enfermeras. Revisión integradora de la literatura, realizada en el Google Académico, en la Biblioteca Virtual en Salud, planteando cuanto a la legalidad, el reconocimiento y los beneficios de la práctica de la prescripción de medicamentos, por el enfermero. Fueron utilizados los descriptores: prescripción de medicamentos, legislación de enfermería y enfermería en el período de 2007 hasta 2015. Se ha encontrado 183 artículos, de estos seis estaban en los criterios de inclusión y exclusión de la investigación. El análisis de los datos ha posibilitado la construcción de dos categorías: Legalidad y reconocimiento de la práctica de prescripción de medicamentos por el enfermero: Beneficios de la práctica de la prescripción de medicamentos por el enfermero. Se hace hincapié a la importancia de la realización de las investigaciones que enfoque la prescripción de medicamentos por los enfermeros.Descriptores: Prescripción de Medicamentos; Enfermeros; Legislación de Enfermería.

show abstract

Health care networks under the light of the complexity theory

Cited by 33 publications

References 5 publications

Nurse Leadership Practices in Primary Health Care: A Grounded Theory

Nurse Leadership Practices in Primary Health Care: A Grounded Theory

Myocardial revascularization: factors intervening in the reference and counter-reference in Primary Health Care

Prescrição de medicamentos por enfermeiros: legalidade, prática e benefícios

Contact Info

Product

Resources

About