O enfermeiro e a estratégia saúde da família: desafios em coordenar a equipe multiprofissional

Spagnuolo, Regina Stella; Juliani, Carmen Maria Casquel Monti; Spiri, Wilza Carla; Bocchi, Sílvia Cristina Mangini; Martins, Sueli Terezinha Ferreira

doi:10.4025/cienccuidsaude.v11i2.10445

Cited by 21 publications

(29 citation statements)

References 12 publications

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“…This situation certainly affects the planning of care and quality of care that reaches the users of the service [26].…”

Section: Topic Category 3 Faced Challengesmentioning

confidence: 99%

“…It is seen that the management work in the FHS demand nurses committed to the transformation of health, presenting open to knowledge and knowledge sharing; however, there are several difficulties in day-to-day of this professional, you see between technical and care demands [26,27].…”

Section: Topic Category 3 Faced Challengesmentioning

confidence: 99%

“…In this context, the technical and scientific knowledge are indispensable, arising from the academic and continuing throughout professional practice, also highlighting the administrative knowledge and ethics as the basis of all actions; all these use the act of nurses of primary care in their daily work [23,26,15].…”

Section: Topic Category 2 Nursing Skills and Abilitiesmentioning

confidence: 99%

“…Among other skills and outstanding skills is leadership and unit management, resilience, professional autonomy to accomplish tasks and practice of extended clinic, consisting of soft and hard technologies, against the better targeting of actions and services of process work to care centered on the individual and not the disease [2,26,23,27].…”

Section: Topic Category 2 Nursing Skills and Abilitiesmentioning

confidence: 99%

“…In this sense, there is a clear need to build a more focused nursing management qualification of care and transformation of health, which requires, among others, the construction of quality indicators to be pursued by the team work, the greater democratization of behavior organizational and desired goals; the systematization of care, based on ratings of diagnoses and nursing interventions, allowing for better organization of time and resources, and recognition of nurses' work; continuing education aimed at managing the FHS, for the seizure of instruments necessary for the best level of care will individuals and families; academic training to enable the professional preparation with assistance not only skills but also managerial and interpersonal; and the expansion of nurses discussion spaces on the coordination of USF, their experiences and challenges in order to allow the continued development of this to health care model [15,23,26].…”

Section: Topic Category 3 Faced Challengesmentioning

confidence: 99%

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Manages and Management of Nursing Care in Primary Attention: an Integrative Review of the Literature

et al. 2016

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Objective: This is an integrative review of the literature that aimed to characterize the scientific production of the last ten years of management and management of nursing care in primary care and describe the practice of this management. The search of the material took place in May and June 2014 in the databases SCIE-LO, LACHC and MEDLINE NDB considering the terms: Management; care management; Health Management; Nursing and Primary Health Care, so that 16 articles were included in the sample selected. The characterization of the studies pointed out the year 2010 with the largest quantity of sample publications; the Cuban Journal of Enfermería was the one that got more than one publication; 10 studies are presented in Portuguese, three in English and three in Spanish. Three themes were highlighted for discussion: management practice and management of nursing care in Primary Care; Skills and nursing skills; and Challenges faced. We emphasize the importance of managerial activities of the nursing organization and qualification of care and transformation of health in primary care, demonstrating is necessary to build quality indicators; democratization of organizational behavior; systematization of assistance; best training and continuing education of professionals.

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“…This situation certainly affects the planning of care and quality of care that reaches the users of the service [26].…”

Section: Topic Category 3 Faced Challengesmentioning

confidence: 99%

Section: Topic Category 3 Faced Challengesmentioning

confidence: 99%

Section: Topic Category 2 Nursing Skills and Abilitiesmentioning

confidence: 99%

Section: Topic Category 2 Nursing Skills and Abilitiesmentioning

confidence: 99%

Section: Topic Category 3 Faced Challengesmentioning

confidence: 99%

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Manages and Management of Nursing Care in Primary Attention: an Integrative Review of the Literature

et al. 2016

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O acolhimento nas escritas das equipes de Estratégia Saúde da Família em um contexto de avaliação

Oliveira¹

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Avaliação de desempenho do programa de controle da tuberculose em municípios paulistas (2010)

Arakawa¹

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The implementation of TB control programs (TCP) in the municipal context demands the recognition of its many peculiarities, which may help to understand the factors involved in achieving the goals set by TB policies. This is an ecological study, descriptive and exploratory, whose objectives were to evaluate the performance of TCPs in cities of São Paulo state (SP) in 2010. We included in the study municipalities with more than 20,000 inhabitants and minimum 5 confirmed TB cases, out of the prison system, residents and reported in the year of study. Data analysis was carried out in three stages, namely: verification of the data completeness obtained in the local reporting TB system (TBWEB), calculation of operational indicators from data which presented regular to satisfactory completeness and application of multivariate analysis techniques. We used cluster analysis (CA) to identify municipalities with similar profiles regarding the TB control performance according to the operational indicators, and, from the identified groups, multiple correspondence analysis (MCA) was used to verify their association with demographic characteristics, issues related to health systems and epidemiological situation of TB and AIDS. The database used for the study presented a good completeness evaluation in most of the variables considered. Regarding the formation of groups and their association with epidemiological, demographic and health services characteristics, we identified 3 groups: a poor performance group composed of 63 municipalities (32.3%), with the lowest cure rate and a highest dropout rate, a lower proportion of patients referred to DOT followed by a lower proportion of supervision, and lower performance of HIV testing and few examined contacts among those identified. MCA identified an association between this group and high coinfection TBHIV, low to medium TB incidence and located in the countryside, with higher coverage of health family-based strategies. The satisfactory group composed of 89 municipalities (45.6%) had the highest proportion of patients DOT indication and completion, with the best outcome indicators and the highest HIV testing proportions and contacts evaluation. The regular performance group was composed of 43 municipalities (22.1%) and was identified by a lower DOT indication and completion, however, with outcome indicators and HIV testing and contacts evaluation closer to the satisfactory group. These two groups were associated with cities with high TB incidence and medium AIDS incidence and a moderate TBHIV co-infection, located in the metropolitan area and the coast, with lower coverage of health family-based strategies.. The TCP coordinators need to use technical, administrative, and political abilities, in order to negotiate with the macro-management and provide the best resources for micro-management implement the planned activities. La implementación de programas de control de TB (PCT) en el contexto municipal implica el reconocimiento de sus peculiaridades, que pueden ayudar a comprender los...

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O enfermeiro e a estratégia saúde da família: desafios em coordenar a equipe multiprofissional

Cited by 21 publications

References 12 publications

Manages and Management of Nursing Care in Primary Attention: an Integrative Review of the Literature

Manages and Management of Nursing Care in Primary Attention: an Integrative Review of the Literature

O acolhimento nas escritas das equipes de Estratégia Saúde da Família em um contexto de avaliação

Avaliação de desempenho do programa de controle da tuberculose em municípios paulistas (2010)

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