Managerial nursing competencies in the expansion of the Family Health Strategy

Abstract OBJECTIVE To relate the managerial competencies required of nurses with the process of change experienced in the expansion of the Family Health Strategy (FHS). METHOD A qualitative research conducted in primary health care in a southern Brazilian city, through interviews with 32 managerial and clinical nurses. The interviews were processed by IRAMUTEQ software. The resulting classes were examined under five managerial competencies to promote change. RESULTS The four classes obtained from data were: the Family Health Strategy expansion process; confrontations and potentialities; mobilization for the change; innovations in medical and nursing consultations. The classes were related to one or more competencies. CONCLUSION The expansion of the Family Health Strategy requires managerial competencies of implementing and sustaining change, negotiating agreements and commitments, using power and influence ethically and effectively, sponsoring and selling new ideas, and encouraging and promoting innovation

Frequency of anti- Toxoplasma gondii IgA, IgM, and IgG antibodies in high-risk pregnancies, in Brazil

Introduction: Toxoplasmosis during pregnancy can be severe; thus, it is essential to diagnose the disease via serological tests. Methods: An enzyme-linked immunosorbent assay (ELISA) was used to investigate anti-Toxoplasma gondii immunoglobulin A (IgA), M (IgM) and G (IgG) antibodies in 62 high-risk pregnant women. Results: Forty-three (69.4%) women were positive for IgA, 31 (50%) for IgG, and 57 (91.9%) for IgM; 4 (6,5%) were positive for IgA but negative for IgM; 10 (16.1%) were negative for IgA and IgM but positive for IgG. Conclusions: Testing for these antibodies can help diagnose infection in pregnant women, thereby contributing to clinical management.Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)Brazilian Ministry of Science, Technology and Innovation - Fundacao de Apoio a Pesquisa e Extensao de Sao Jose do Rio Preto (FAPERP)Bolsa Auxilio a Pesquisa (BAP-FAMERP)Fac Med Sao Jose do Rio Preto, Dept Biol Mol, Lab Imunogenet, Sao Jose Do Rio Preto, SP, BrazilFac Med Sao Jose do Rio Preto, Grp Pesquisa Toxoplasmose, Sao Jose Do Rio Preto, SP, BrazilUniv Estadual Paulista, Inst Biociencias Letras & Ciencia Exatas, Sao Jose Do Rio Preto, SP, BrazilHosp Crianca & Maternidade, Sao Jose Do Rio Preto, SP, BrazilFundacao Fac Reg Med S Jose Rio Preto, Ambulatorio Gestacao Alto Risco & Med Fetal, Sao Jose Do Rio Preto, SP, BrazilAdolfo Lutz Inst, Ctr Parasitol & Micol, Lab Biol Mol Parasitas & Fungos, Sao Paulo, SP, BrazilUniv Estadual Paulista, Inst Biociencias Letras & Ciencia Exatas, Sao Jose Do Rio Preto, SP, BrazilFAPESP: 2012/07716-9FAPESP: 2013/15879-8FAPESP: 2014/01706-7FAPESP: 2014/09496-1CNPq: 135144/2014-0CNPq: 135229/2014-6Brazilian Ministry of Science, Technology and Innovation - Fundacao de Apoio a Pesquisa e Extensao de Sao Jose do Rio Preto (FAPERP): 175/2015Brazilian Ministry of Science, Technology and Innovation - Fundacao de Apoio a Pesquisa e Extensao de Sao Jose do Rio Preto (FAPERP): 129/201

Características da utilização de serviços de atenção básica à saúde nas regiões Sul e Nordeste do Brasil: diferenças por modelo de atenção

In view of the emphasis on primary care for the health system and the consolidation of Family Healthcare Strategy, it is important that information on attended demand be updated to assist in administration of the Unified Health System (UHS). The study compared the profile of attended demand in basic healthcare units (BHU) of two care models (traditional and family health) in 240 BHU of seven states of the South and the Northeast. Collected on a prepared form, all patients attended in a single day were processed with the PACOTAPS application. 26,019 patients were attended, 52% in the South and 48% in the Northeast; one third in Traditional BHU and 67% in BHU of FHP. The highest proportion of patients attended was females aged between 15 and 49 (36%), with significant differences between the models, being higher in BHU of FHP. The second highest proportion was people aged 50 or older(30%), significantly higher in Traditional BHU. The most commonly registered procedures were basic nursing cases (33%), with higher proportion in Traditional BHCU. The proportion of medical appointments was 22%, double in Traditional BHCU. The profile of the demand reflected the differences between the ongoing care models in the country and may provide the organization of work processes in basic care.Considerando o destaque da atenção básica para o sistema de saúde e a consolidação da Estratégia da Saúde da Família, é importante que as informações sobre a demanda atendida sejam atualizadas para apoiar a gestão do SUS. O estudo comparou o perfil da demanda atendida em unidades básicas de saúde (UBS) de dois modelos de atenção (tradicional e saúde da família [PSF]) em 240 UBS de sete estados do Sul e Nordeste. Coletados em formulário próprio, todos os atendimentos de um dia de trabalho foram processados com o aplicativo PACOTAPS. Foram registrados 26.019 atendimentos, 52% no Sul e 48% no Nordeste; um terço em UBS Tradicionais e 67% em UBS do PSF. A maior proporção de atendimentos foi para mulheres entre 15 e 49 anos (36%), com diferenças significativas entre os modelos, sendo maior nas UBS do PSF. A segunda maior proporção foi de pessoas com 50 anos ou mais de idade (30%), significativamente maior nas UBS Tradicionais. Os procedimentos mais registrados foram os atendimentos básicos de enfermagem (33%), com maior proporção nas UBS Tradicionais. A proporção de consultas médicas foi de 22%, sendo duas vezes maior nas UBS Tradicionais. O perfil da demanda refletiu as diferenças entre os modelos de atenção no país e pode subsidiar a organização dos processos de trabalho em atenção básica