Longitudinalidade no trabalho do enfermeiro: identificando dificuldades e perspectivas de transformação

Baratieri, Tatiane; Marcon, Sônia Silva

doi:10.1590/s0104-07072012000300009

Cited by 18 publications

(22 citation statements)

References 11 publications

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“…However, they may have to deal with impairments imposed by other professionals, healthcare discontinuity regarding referral/counter-referral and the resulting lack of autonomy and moral suffering. However, as health advocators on behalf of users, nurses bear the moral and professional responsibility of challenging, thinking over, defending the user and, whenever required, reporting practices by other professionals that could have negative effects on the patients' healthcare (7,22) . These barriers impair nurses from being politically active in relation to users' healthcare and to the FHS team interactions, preventing them from advocating health issues.…”

Section: Discussionmentioning

confidence: 99%

“…The facts presented herein bring the FHS environment closer to the traditional biomedical model adopted by most hospital institutions, where poor relations are translated into fragmented and one-time health actions that effectively disregard the users' uniqueness. It is worth mentioning that the nurses' political action, regarded as a crosscutting knowledge, contributes to provide professionals with a broader view, strong responsibility and commitment as agents of the organizational, social and political change (3,20,22) . As the last challenge posed to the exercise of health advocacy by nurses, care fragmentation should be noted.…”

Section: Discussionmentioning

confidence: 99%

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Health advocacy by nurses in the Family Health Strategy: barriers and facilitators

et al. 2018

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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, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively. Conclusion: When nurses, provided with technical, scientifi c and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered. Descriptors: Health Advocacy; Primary Health Care; Nursing; Integrality in Health; Power. RESUMO Objetivo: Identifi car as barreiras e facilitadores da advocacia em saúde dos usuários por enfermeiros da Estratégia Saúde da Família. Método: Estudo qualitativo realizado com enfermeiros da Estratégia Saúde da Família em uma cidade no sul do Brasil. Participaram 15 enfermeiros mediante uso de entrevistas gravadas, transcritas e analisadas à luz da análise textual discursiva. Resultados: Emergiram duas categorias, uma discorrendo sobre a falta de organização do trabalho, da burocracia e das limitações para atuação profi ssional nos ambientes de saúde e outra sobre os aspectos facilitadores para o exercício da advocacia de forma individual e coletivamente. Conclusão: Quando o enfermeiro, imbuído dos saberes técnicos, científi cos e de relacionamento, desenvolve sua autonomia na tomada de decisões, além de contar com o apoio de outros profi ssionais no trabalho, consegue desenvolver ações de advocacia em saúde aos usuários e, assim, qualifi ca o cuidado prestado. Descritores: Advocacia em Saúde; Atenção Básica a Saúde; Enfermagem; Integralidade em Saúde; Poder. RESUMEN Objetivo: Identifi car las barreras y facilitadores de la acción política en salud de los usuarios por parte de enfermeros de Estrategia Salud de la Familia. Método: Estudio cualitativo realizado con enfermeros de Estrategia Salud de la Familia en ciudad del Sur de Brasil. Participaron 15 enfermeros mediante entrevistas grabadas, transcriptas y analizadas por análisis textual discursivo. Resultados: Surgieron dos categorías, una discurriendo sobre falta de organización del trabajo, la burocracia y las limitaciones de actuación profesional en ámbitos sanitarios, y otra sobre aspectos facilitadores para el ejercicio de la acción política de modo colectivo e individual. Conclusión: Cuando el enfermero, poseedor de conocimientos técnicos, científi cos y de relación, desarrolla su autonomía para toma de decisiones, contando con el apoyo de otros colegas profesionales. Consigue desarrollar acciones políticas en salud para...

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Health advocacy by nurses in the Family Health Strategy: barriers and facilitators

et al. 2018

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“…13 The patient with suspected TB requires unique actions which allow for rapid access to diagnosis. Therefore, care for the patient with tuberculosis becomes complex and specific, since it requires a differentiated point of view due to the magnitude of a socially produced disease.…”

Section: 12mentioning

confidence: 99%

“…It is a multiprofessional activity, with the objective of early diagnosis of the cases and interruption of the chain of transmission of the disease. 12 Even though it is a multiprofessional activity, the health team counts on the ACS as the main professional to identify cases in the community, since it is the professional that accompanies the users and is the one who is really aware of the reality of the population, 13 thus facilitating the early detection of cases, which depends on the organization of services. However, the need to prepare these professionals to carry out their work within the programmed actions of the policy is evident.…”

Section: 12mentioning

confidence: 99%

Acesso Ao Diagnóstico De Tuberculose Sob a Ótica Dos Profissionais De Saúde

Cecílio

Teston

Marcon³

2017

Texto contexto - enferm.

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RESUMO Objetivo: conhecer os aspectos que influenciam o acesso ao diagnóstico de tuberculose e na ótica dos profissionais de saúde. Método: estudo descritivo, exploratório, qualitativo. Os dados foram coletados nos meses de junho e julho de 2013, por meio de entrevistas semiestruturadas, com 20 enfermeiros e dez médicos atuantes no controle da tuberculose nos municípios pertencentes a 15ª Regional de Saúde do Paraná e, posteriormente, submetidos à análise de conteúdo, modalidade temática. Resultados: emergiram três categorias que mostram os fatores que influenciam positivamente o acesso ao diagnóstico, as fragilidades neste acesso e as características da organização deste serviço. Aponta ainda que a atuação da Estratégia Saúde da Família favorece o diagnóstico precoce, embora os profissionais relatem dificuldades para identificar os pacientes com sinais e sintomas da doença, seja por despreparo ou por falta de conhecimento da população sobre a doença. Conclusão: considera-se imprescindível informar a comunidade sobre a doença e fortalecer o trabalho multiprofissional.

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“…Por outro lado, a intenção de deixar a profissão foi identificada em função das condições de trabalho (15) . Concomitante outros resultados mostram que o baixo salário dos profissionais de enfermagem é responsável com uma das causas de maior insatisfação no trabalho (16) . A Tabela 2 faz uma descrição das variáveis contínuas de idade, renda e tempo de trabalho.…”

Section: Atenção Primáriaunclassified

Síndrome De Burnout Entre Enfermeiros Da Atenção Primária E Terciária: Um Estudo Comparativo

Barros¹,

Nunes²,

Bezerra³

et al. 2017

ACS

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Conflito de interesses:Não Contribuição dos autores: HRPB coleta, tabulação, delineamento do estudo e redação do manuscrito, EMN, ALDB delineamento do estudo, RCR discussão dos achados, EVLS discussão dos achados, MNAS orientação do projeto, delineamento do estudo e elaboração do manuscrito Contato para correspondência: Elicarlos Marques Nunes E-mail: elicarlosnunes@yahoo.com. Abstract Introduction: Burnout Syndrome is a disorder, which is increasingly affecting professionals, and among many working classes, nursing professionals stood out, because they are more exposed to aggravating factors responsible for the development of this syndrome. Objective: Analyze and compare the prevalence of the Burnout Syndrome in nurses working in primary health care, as well as in tertiary health care. Patients and Method: This is a descriptive study with a quantitative approach. The study was carried out in the municipality of Patos, state of Paraíba, Brazil. The sample used was non-probabilistic for convenience, deter-mined by adequacy to the inclusion and exclusion criteria, with 29 primary care nurses and 49 tertiary nurses participating in the study. Data collection was performed in September 2015, using a questionnaire to identify the sample social and demographic profile and the Maslach Burnout Inventory (MBI) to measure the incidence of the aforementioned complaint. Data were stored and analyzed in the Statistical Package for the Social Sciences and descriptive statistics were used. In addition, the reliability or internal consistency of the factors within the Burnout scale was verified through Cronbach's Alpha. Student's t test and Pearson's correlation were used as inferential tests. We considered p ≤ 0.05 as statistically significant. Results: It was verified that 64.1% of the sample presented low emotional exhaustion, 52.6% presented an average professional accomplishment, and 85.9% low depersonalization. No statistically significant differences were observed in the comparison of nursing professionals affected by Burnout in primary and tertiary health care. It was noticed that primary health care professionals are less professionally fulfilled when compared to tertiary health care professionals. Conclusion: The research results showed relevance, especially when the objective is to pay attention to the professional's health through the search of strategies in the health promotion of these professionals.

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Longitudinalidade no trabalho do enfermeiro: identificando dificuldades e perspectivas de transformação

Cited by 18 publications

References 11 publications

Health advocacy by nurses in the Family Health Strategy: barriers and facilitators

Health advocacy by nurses in the Family Health Strategy: barriers and facilitators

Acesso Ao Diagnóstico De Tuberculose Sob a Ótica Dos Profissionais De Saúde

Síndrome De Burnout Entre Enfermeiros Da Atenção Primária E Terciária: Um Estudo Comparativo

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