As práticas de enfermagem em um ambulatório na perspectiva da integralidade

AIM: to analyze nursing care practices at a Specialized Outpatient Care Center from the perspective of an integrative health care activity. METHOD: Interviews with 24 nursing professionals were undertaken. For data analysis, Thematic Content Analysis as proposed by Bardin was applied, resulting in the following themes: the team size and its commitment to health care; professional practices and activity of the nursing team. RESULTS: The size of the nursing team was considered insufficient, which compromises the quality of care and results in work overload and dissatisfaction of the nursing professionals. On the other hand, they were satisfied with the tasks performed day-to-day and related integrality to individual care, considered it essential and usually practiced it daily. CONCLUSION: It is considered that the nursing team has the potential and commitment to develop their care practice combined with the integrative perspective, and therefore providing quality health care to the population.OBJETIVO: analizar las prácticas de Enfermería en un ambulatorio de especialidades, en la perspectiva de la integralidad de las acciones en salud. MÉTODO: Fueron realizadas entrevistas con 24 profesionales de enfermería. Para análisis de los datos se utilizó el análisis de contenido, llegando a los temas: el dimensionamiento y comprometimiento con el servicio de salud; actividades y las prácticas del equipo de enfermería. RESULTADOS: Con relación a lo dimensionamiento, fue revelado que el equipo es insuficiente, comprometiendo la asistencia de calidad, resultando en sobrecarga y descontentamiento de los profesionales. Sin embargo, las personas se mostraran satisfechas con las tareas practicadas en el cotidiano, relacionando la integralidad al cuidado individual, percibido por los profesionales como esencial y, comúnmente, practicado en su cotidiano. CONCLUSIÓN: se considera que el equipo de enfermería tiene potencialidad y comprometimiento para desarrollar su práctica articulada con el principio de la integralidad, atendiendo las necesidades de salud de la población con calidad de la asistencia.OBJETIVO: analisar as práticas de enfermagem em um Ambulatório de Especialidades, na perspectiva da integralidade das ações em saúde. MÉTODO: foram realizadas entrevistas com 24 profissionais de enfermagem. Para análise dos dados, utilizou-se a Análise de Conteúdo, chegando aos temas: o dimensionamento e comprometimento com o Serviço de Saúde; atividades e as práticas da equipe de enfermagem. RESULTADOS: em relação ao dimensionamento, foi revelado que a equipe é insuficiente, comprometendo a assistência de qualidade, resultando em sobrecarga e descontentamento dos profissionais, contudo, mostraram-se satisfeitos com as tarefas praticadas no cotidiano, relacionando a integralidade ao cuidado individual, percebida pelos profissionais como essencial e, usualmente, praticada no seu cotidiano. CONCLUSÃO: considera-se que a equipe de enfermagem tem potencialidade e comprometimento para desenvolver sua prática articulada ao princípio da integralidade, atendendo as necessidades de saúde da população com qualidade de assistência

(Re)organizando a sala de curativo do Centro de Saúde Escola da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo (Re) organización de la sala de curativo del Centro de Salud Escuela de la Facultad de Medicina de Ribeirão Preto de la Universidad de São Paulo (Re) organizing the wound dressing unit of the Health Care Center/University of São Paulo at Ribeirão Preto School of Medicine

O presente estudo é um relato de experiência da reorganização da assistência de enfermagem na sala de curativos do Centro de Saúde Escola da Faculdade de Medicina de Ribeirão Preto da Universidade de São Paulo. Teve como objetivo geral implantar a sistematização da assistência de enfermagem, segundo o protocolo da Secretaria Municipal de Saúde do município de Ribeirão Preto do Estado de São Paulo. Identificamos a demanda de acordo com os aspectos bio-psico-social e classificação das feridas. Realizamos seleção (teórico-prática) entre os funcionários e o levantamento de recursos físicos e materiais necessários para organização da sala, assim como a formação de equipe multiprofissional para suporte técnico ao cuidado de enfermagem na sala de curativo. (Re) organizar a sala de curativos passa não somente pelo compromisso de implantar medidas de intervenção local e meramente técnicas, mas também por intervenções macro-estruturais do sistema de saúde,buscando, através dos princípios do Sistema Único de Saúde, reorganizar a assistência, objetivando traçar estratégias e metas para melhorar a saúde da população.<br>El presente estudio es un informe de experiencia sobre la reorganización de lo cuidado de enfermería en la sala de curativos del CSE-FMRP-USP y tuvo como objetivo general implantar la sistematización de la asistencia de enfermería según el protocolo de la SMS - RP. Para viabilización de este estudio primeramente la demanda fue identificada de acuerdo con los aspectos bio-psico-sociales y clasificación de las heridas, a seguir fue realizada la selección (teórico-práctica) entre los funcionarios, levantamiento de recursos físicos y materiales necesários para organización de la sala, así como formación del equipo multiprofesional para soporte técnico a asistencia de enfermería de la sala de curativo. Así siendo, (re) organizar la sala de curativos involucra, además del compromiso de implantar medidas de intervención local y meramente técnicas, las intervenciones macro-estruturales del sistema de salud, buscando a través de los princípios del SUS reorganizar la asistencia, objetivando delinear estratégias y metas para mejorar la salud de la población.<br>This study is a report of experience about the reorganize the nursing care provided at the wound dressing unit of the Health Care Center/University of São Paulo at Ribeirão Preto School of Medicine. The general goal of this research was to implement the systematization of nursing care according to the protocol of the Municipal Health Center. Aiming at making the study viable, at first the demand was identified according to the bio-psycho-social aspects and the wound classification. Afterwards, authors selected (a theoretical and practical selection) among the workers, the physical and material resources that were necessary to organize the unit as well as to form a multiprofessional team to provide technical support to the nursing care. Therefore, reorganizing the wound dressing unit involves not only the commitment to implement measures of local and technical interventions but also macro-structural interventions in the health system, finding through the principles of the Unified Health System the elements to reorganize the care, aiming at developing strategies and improving the population's health

DRUG ADDICTION AND ASSOCIATED FACTORS AMONG PEOPLE WHO ATTENDED A VOLUNTARY COUNSELING AND TESTING CENTER IN SOUTHEASTERN BRAZIL

Introduction: Volunteer Counseling and Testing centers (VCTs) are important facilities in the fight against HIV/AIDS in Brazil. Objective: The main objective of this study was to describe the profile of people who attended the VCT of the School Health Center of the Ribeirão Preto School of Medicine of the University of São Paulo (VCT-CSE), highlighting the prevalence of drug use among them. The associations between sociodemographic and behavioral characteristics of the participants and drug use were also studied. Methods: This is a descriptive cross-sectional study using secondary data collected from sheets registered in the VCT-CSE with information about all 424 individuals who have undergone the service from January 1st to December 31st, 2016. Results: Attendees tend to be single (58.5%), white (59.2%), the vast majority (83.9%) had at least 8 years of formal education, and 56.5% were in the age group 25 to 35 years old. Occasional or regular use of alcohol was reported by 56.6% of the attendees. Marijuana is the most used illicit drug, followed by inhaled cocaine. Regular use of alcohol was higher among students, divorced people, and those with many sexual partners in the last 12 months. Marijuana usage was higher among younger individuals (15.4%), those who had 10 or more sexual partners in the last 12 months (33.3%) and alcohol users. Conclusion: Alcohol and marijuana are the most frequently reported drugs used by attendees, and the number of sexual partners is associated with the use of these drugs. Keywords: Health Services. Drug Utilization. Marijuana Use. Alcohol Drinking. Primary Health Care.Abstract Introduction: Volunteer Counseling and Testing centers (VCTs) are important facilities in the fight against HIV/AIDS in Brazil. Objective: The main objective of this study was to describe the profile of people who attended the VCT of the School Health Center of the Ribeirão Preto School of Medicine of the University of São Paulo (VCT-CSE), highlighting the prevalence of drug use among them. The associations between sociodemographic and behavioral characteristics of the participants and drug use were also studied. Methods: This is a descriptive cross-sectional study using secondary data collected from sheets registered in the VCT-CSE with information about all 424 individuals who have undergone the service from January 1st to December 31st, 2016. Results: Attendees tend to be single (58.5%), white (59.2%), the vast majority (83.9%) had at least 8 years of formal education, and 56.5% were in the age group 25 to 35 years old. Occasional or regular use of alcohol was reported by 56.6% of the attendees. Marijuana is the most used illicit drug, followed by inhaled cocaine. Regular use of alcohol was higher among students, divorced people, and those with many sexual partners in the last 12 months. Marijuana usage was higher among younger individuals (15.4%), those who had 10 or more sexual partners in the last 12 months (33.3%) and alcohol users. Conclusion: Alcohol and marijuana are the most frequently reported drugs used by attendees, and the number of sexual partners is associated with the use of these drugs. Keywords: Health Services. Drug Utilization. Marijuana Use. Alcohol Drinking. Primary Health Care