Indicators of Good Nursing Practices for Vulnerable Groups in Primary Health Care: A Scoping Review

Abstract

Objective: to map the indicators of Good Nursing Practices in Primary Health Care, from the perspective of Collective Health, reported to the vulnerable social groups. Method: this is a scoping review according to the PRISMA Extension for Scoping Reviews. The searches were carried out in2020 in six databases and in a virtual library. Independent reviewers performed the reading of the full texts, as well as treatment, analysis and synthesis of the content. Results: a total of 13 articles were found, the first from 2007 and the last from 2020. The data were classified according to the following empirical categories: assessment and control of health conditions(3 indicators); assessment of knowledge about health(3 indicators); use of sociodemographic characteristics to estimate risks or vulnerabilities(3 indicators); assessment and monitoring of health needs(5 indicators); promotion of safety and trust in health services(6 indicators); and assessment of the care process(4 indicators). Conclusion: the articles showed a variety of indicators that assess the interventions carried out in the context of Nursing in Primary Care with vulnerable social groups. These indicators are related to health conditions, especially those of the biopsychological body, reported to vulnerable populations, especially women, children, adolescents and older adults.

Adolescent pregnancies and adherence to puerperal consultation

“…It is emphasized that the autonomy of nurses in providing care in the pregnancy-puerperium cycle should be based on technical and scientific training (44) ; however, care in adolescent pregnancy and puerperium combines particular knowledge and skills stemming from the experience of adolescence, when finalist academics show technical-scientific and psychological unpreparedness to work with adolescents (46) . Adolescence still represents a challenge for the profession, since it consists in a group with high social vulnerability and requires qualified and specific care (47) . Thus, the subject of adolescence and pregnancies in this phase need to be expanded in better informed and to be heard and respected as to her rights, without any kind of restriction for the simple fact of being an adolescent (25) .…”

Implantação de práticas avançadas de enfermagem na Atenção Primária à Saúde brasileira: percurso metodológico

“…Outro ponto a ser destacado se refere à dificuldade de obtenção de dados e identificação de indicadores nas fontes utilizadas que representassem desfechos e resultados da prática de enfermagem e não apenas marcadores de produção. A literatura retrata que a busca por indicadores de efetividade e avaliação dos resultados das intervenções de enfermagem ainda é uma lacuna a ser superada (28) . Diante disso, advoga-se que gestores e profissionais de saúde desenvolvam e utilizem ferramentas de gestão da clínica que fortaleçam, consolidem e ampliem a visibilidade das boas práticas de enfermagem.…”

Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path

“…Another point to be highlighted refers to the difficulty in obtaining data and identifying indicators in the sources used that represent outcomes and results of nursing practice and not just production markers. The literature portrays that the search for indicators of effectiveness and evaluation of nursing intervention outcomes is still a gap to be overcome (28) . In view of this, it is advocated that managers and health professionals develop and use clinical management tools that strengthen, consolidate and expand the visibility of good nursing practices.…”