501 research outputs found
Rede de cuidado em saúde mental: visão dos coordenadores da estratégia saúde da famÃlia
RESUMO Objetivo Objetivou-se analisar a visão de coordenadores da Estratégia Saúde da FamÃlia (ESF) sobre a conformação da rede de saúde mental no municÃpio de Pelotas/RS. Método Estudo descritivo e exploratório, com abordagem qualitativa, realizado com seis coordenadores de ESF no ano de 2012. Para a coleta dos dados, foi utilizada a entrevista semiestruturada, e os resultados foram avaliados por análise temática. Resultados A rede construÃda pelos coordenadores é composta por poucos serviços formais e focada no Centro de Atenção Psicossocial (CAPS), e a rede informal é descrita com maiores pontos de cuidado. As trocas de corresponsabilidade no cuidado em rede ocorrem de forma frágil, sem o diálogo necessário. Conclusão Os coordenadores demonstram pouco conhecimento da rede formal de cuidado e uma atenção focada nos serviços da ESF e no CAPS. Reconhecem a importância de haver polÃticas públicas que valorizem e ampliem os espaços informais de cuidado no território
The view of teachers on bullying and implications for nursing
Objetivo: Compreender o bullying escolar,
na perspectiva dos professores, e refletir
sobre as possÃveis ações da área da saúde
em seu enfrentamento. Para tanto, tomaram-
se por base as diretrizes do Programa
Saúde na Escola, dos Ministérios da Saúde
e da Educação. Método: Estudo de caso
qualitativo, realizado com professores de
uma escola pública de Minas Gerais. Foram
utilizados grupos focais na coleta de dados
e o material empÃrico foi decodificado
a partir de técnica de análise temática de
conteúdo, resultando em uma categoria
analÃtica: concepções e experiências de
professores diante do bullying. Resultados:
Foram identificadas percepções pontuais
sobre o fenômeno e utilização de recursos
de intervenção pouco eficazes. No plano
interpretativo, problematizaram-se as contribuições
da saúde e da enfermagem no
redimensionamento das intervenções e no
processo de formação continuada dos professores.
Conclusão: Os resultados apontam
para a construção de práticas intersetoriais
para o enfrentamento do bullying.To understand school bullying from the perspective of teachers and reflect about the possible actions of the health area when coping with it. The guidelines of the School Health Program of the Ministries of Health and Education were used to reach that purpose. Method: A qualitative study carried out with teachers of a public school in Minas Gerais. Focus groups were used to collect data and the empirical material was decoded from thematic analysis of content, resulting in an analytical category: conceptions and experiences of teachers on bullying. Results: Specific perceptions about the phenomenon and the use of ineffective intervention resources were identified. In the interpretive plan were problematized the health and nursing contributions with resizing the interventions and the continuing training process of teachers. Conclusion: The results point to the construction of intersectoral practices forcoping with bullying.Objetivo: Comprender el bullying escolar
desde la perspectiva de los profesores,
y reflexionar sobre las posibles acciones
del área de salud en su enfrentamiento.
Tomando como base los lineamientos del
Programa de Salud Escolar, de los Ministerios
de Salud y de Educación. Método:
Estudio de caso cualitativo realizado con
los profesores de una escuela pública en
Minas Gerais. Para la recolección de datos
se utilizaron grupos focales y el material
empÃrico fue decodificado a partir de la
técnica de análisis temático de contenido,
dando lugar a una categorÃa analÃtica: concepciones
y experiencias de los profesores
sobre el acoso escolar. Resultados: Se identificaron
percepciones especÃficas sobre el
fenómeno y la utilización de recursos ineficaces
de intervención. En el plano interpretativo,
se problematizaron las contribuciones
de la salud y de la enfermerÃa en el
redimensionamiento de las intervenciones
y en el proceso de formación continua de
los profesores. Conclusión: Los resultados
apuntan a la construcción de prácticas intersectoriales
para el enfrentamiento del
bullying.CIEC - Centro de Investigação em Estudos da Criança, UM (UI 317 da FCT
Ethical problems experienced by oncology nurses
Objective: to know the ethical problems experienced by oncology nurses. Method: descriptive and exploratory study with a qualitative approach, performed in inpatient units and in chemotherapy out-patients units that provide assistance to oncological patients in two capitals in the South region of Brazil. Eighteen nurses participated in this study, selected by snowball sampling type. For data collection, semi-structured interviews were carried out, which were recorded and transcribed, and then analyzed by thematic analysis. Results: two categories were established: when informing or not becomes a dilemma - showing the main difficulties related to oncological treatment information regarding health staff, health system, and infrastructure; to invest or not - dilemmas related to finitude - showing situations of dilemmas related to pain and confrontation with finitude. Conclusion: for the effective confrontation of the ethical problems experienced by oncology nurses to occur, it is important to invest in the training of these professionals, preparing them in an ethical and human way to act as lawyers of the patient with cancer, in a context of dilemmas related mainly to the possibility of finitude
Patients' perception regarding the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment: a qualitative study
Background: Tuberculosis remains an important disease which mainly affects the majority of vulnerable individuals in society, who are subjected to poor living conditions and difficulties to access the services of public health. Under these circumstances, the present study aims to understand patients' perception in relation to the influence of individual and social vulnerabilities on the adherence to tuberculosis treatment. Methods: A qualitative descriptive cross sectional study was conducted in one large municipality at the state of Paraiba, Northeast of Brazil. The study subjects, who were residents of the study site, covered all tuberculosis cases diagnosed between March and June 2015. The sample was defined by the criteria of response saturation. All interviews were audio recorded, and data analysis was developed through the hermeneutic dialectic method and the theory of Generative Route Sense. The project was approved by the Research Ethics Committee of the University of Sao Paulo (USP). Results: A total of 13 individuals were interviewed and the responses were identified into two analytical categories: the difficulties they had and the enabling factors they could mention during their tuberculosis treatment. Patients brought up social exclusion as an obstacle to treatment adherence, which, along with stigmatization, weakened their link with family members and health professionals. Moreover, economic precariousness was a major hindrance to the maintenance of a proper diet and transportation access to health centers. However, social support and directly observed treatment helped to break down barriers of prejudice and to promote individual and family empowerment. Finally, patients also reported that their will to live and faith gave them the strength to continue with the treatment. Conclusions: According to patients in this study, social support and the strengthening of links with family members and health professionals may reduce social exclusion and other difficulties they face, thus encouraging them to the adhere to tuberculosis treatment.Univ Estadual Paraiba, Campina Grande, Paraiba, BrazilUniv Fed Rio Grande do Norte, Natal, RN, BrazilUniv Sao Paulo, Escola Enfermagem, Sao Paulo, SP, BrazilUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, BrazilFac Santa Maria, Cajazeiras, Paraiba, BrazilUniv Fed Sao Paulo, Escola Paulista Enfermagem, Sao Paulo, BrazilWeb of Scienc
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