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ORIGINAL ARTICLE
Perceptions of Spanish nurses on economic crisis and the impacts on health care system
- Helena Maria Scherlowski Leal David
, - José Ramón Martínez-Riera ,
- Sonia Acioli ,
- Maria Fernanda de Lima da Costa
04-22-2020
Abstract
ORIGINAL ARTICLEPerceptions of Spanish nurses on economic crisis and the impacts on health care system
Revista Brasileira de Enfermagem. 2020;73(3):e20190283
04-22-2020DOI 10.1590/0034-7167-2019-0283
- Helena Maria Scherlowski Leal David ,
- José Ramón Martínez-Riera ,
- Sonia Acioli ,
- Maria Fernanda de Lima da Costa
Views0See moreABSTRACT
Objective:
to analyze the perceptions of Spanish nurses regarding the country’s economic crisis situation, and its impacts on nursing work, health system and population’s health.
Methods:
qualitative approach, with data collection using an internet-based questionnaire and individual in-depth interviews. Data were analyzed according to Thematic-Categorical Content Analysis, supported by Historical and Dialectical Materialism perspective.
Results:
the categories produced discuss themes as: cutbacks in health care and the consequences of workforce non-replacement and work overload; salary impact; care model changes; negative impacts on population health. The impact on population health and work was discussed, especially regarding vulnerable groups, as well as in assistance model reconfiguration, reinforcing the biomedical and assistance perspective.
Views0
Abstract
ORIGINAL ARTICLEPerceptions of Spanish nurses on economic crisis and the impacts on health care system
Revista Brasileira de Enfermagem. 2020;73(3):e20190283
04-22-2020DOI 10.1590/0034-7167-2019-0283
- Helena Maria Scherlowski Leal David ,
- José Ramón Martínez-Riera ,
- Sonia Acioli ,
- Maria Fernanda de Lima da Costa
Views0See moreABSTRACT
Objective:
to analyze the perceptions of Spanish nurses regarding the country’s economic crisis situation, and its impacts on nursing work, health system and population’s health.
Methods:
qualitative approach, with data collection using an internet-based questionnaire and individual in-depth interviews. Data were analyzed according to Thematic-Categorical Content Analysis, supported by Historical and Dialectical Materialism perspective.
Results:
the categories produced discuss themes as: cutbacks in health care and the consequences of workforce non-replacement and work overload; salary impact; care model changes; negative impacts on population health. The impact on population health and work was discussed, especially regarding vulnerable groups, as well as in assistance model reconfiguration, reinforcing the biomedical and assistance perspective.
- Helena Maria Scherlowski Leal David
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ORIGINAL ARTICLE
The daily routine of nurses in rural areas in the Family Health Strategy
- Arleusson Ricarte de Oliveira ,
- Yanna Gomes de Sousa ,
- Ítalo Vinícius Albuquerque Diniz ,
- Soraya Maria de Medeiros ,
- Cláudia Martiniano , [ ... ],
- Marília Alves
08-19-2019
Abstract
ORIGINAL ARTICLEThe daily routine of nurses in rural areas in the Family Health Strategy
Revista Brasileira de Enfermagem. 2019;72(4):918-925
08-19-2019DOI 10.1590/0034-7167-2018-0243
- Arleusson Ricarte de Oliveira ,
- Yanna Gomes de Sousa ,
- Ítalo Vinícius Albuquerque Diniz ,
- Soraya Maria de Medeiros ,
- Cláudia Martiniano ,
- Marília Alves
Views0ABSTRACT
Objective:
to analyze the daily work of rural Family Health Strategy (FHS) nurses.
Method:
a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis.
Results:
rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management.
Final considerations:
conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.
Keywords:Community Health ServicesNursingPrimary Health CareProfessional PracticeRural Health ServicesSee moreViews0Abstract
ORIGINAL ARTICLEThe daily routine of nurses in rural areas in the Family Health Strategy
Revista Brasileira de Enfermagem. 2019;72(4):918-925
08-19-2019DOI 10.1590/0034-7167-2018-0243
- Arleusson Ricarte de Oliveira ,
- Yanna Gomes de Sousa ,
- Ítalo Vinícius Albuquerque Diniz ,
- Soraya Maria de Medeiros ,
- Cláudia Martiniano ,
- Marília Alves
Views0ABSTRACT
Objective:
to analyze the daily work of rural Family Health Strategy (FHS) nurses.
Method:
a qualitative, descriptive and exploratory research. The data were collected with eleven rural nurses of the city of Campina Grande, Paraíba State, through semi-structured interviews, between January and March of 2017, using Content Analysis.
Results:
rural nurses have a strong relationship with the population. However, they reveal a daily work with various organizational barriers that range from the team displacement to the workplace to the operationalization of health actions, which are mediated by the characteristics of rurality. Some of these barriers can be remedied by a more proactive action from the management.
Final considerations:
conditioned by the characteristics of rurality, the differentiated dynamics work reveal weaknesses in the quality of nursing care and lower effectiveness of the FHS.
Keywords:Community Health ServicesNursingPrimary Health CareProfessional PracticeRural Health ServicesSee more - Arleusson Ricarte de Oliveira
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ORIGINAL ARTICLE
Evaluation of quality of the family health strategy in the Federal District
Revista Brasileira de Enfermagem. 2019;72(2):367-374
04-18-2019
Abstract
ORIGINAL ARTICLEEvaluation of quality of the family health strategy in the Federal District
Revista Brasileira de Enfermagem. 2019;72(2):367-374
04-18-2019DOI 10.1590/0034-7167-2018-0130
Views0ABSTRACT
Aim:
To evaluate quality of the Family Health Strategy (FHS) in the National Program for Improving Access and Quality of Primary Care in the Federal District (FD) from the perspective of users.
Methods:
Evaluative research carried out in 25 basic health units of the Federal District through a validated questionnaire assessing the following dimensions: access, gateway, bond, service range, coordination, family focus, community orientation, and health professionals.
Results:
Service provision, qualification of professionals, quality of professional-user relationship, and continuity of care were the best evaluated dimensions, while family approach, community approach, and access were the worst. Access to the FHS was found to be compromised, besides failing to establish itself as gateway to the FD health system.
Conclusion:
When they can access the local system, FD users do enjoy several services, but access is still a barrier, mainly because the very system is not prepared to meet users’ needs/preferences. The dimensions regarding family focus and community orientation are precarious, which reveals the need for reflection on the care model adopted in the Federal District.
Keywords:Community Health ServicesHealth Services ResearchPrimary Health CarePublic Health Systems ResearchSurveys and QuestionnairesSee moreViews0Abstract
ORIGINAL ARTICLEEvaluation of quality of the family health strategy in the Federal District
Revista Brasileira de Enfermagem. 2019;72(2):367-374
04-18-2019DOI 10.1590/0034-7167-2018-0130
Views0ABSTRACT
Aim:
To evaluate quality of the Family Health Strategy (FHS) in the National Program for Improving Access and Quality of Primary Care in the Federal District (FD) from the perspective of users.
Methods:
Evaluative research carried out in 25 basic health units of the Federal District through a validated questionnaire assessing the following dimensions: access, gateway, bond, service range, coordination, family focus, community orientation, and health professionals.
Results:
Service provision, qualification of professionals, quality of professional-user relationship, and continuity of care were the best evaluated dimensions, while family approach, community approach, and access were the worst. Access to the FHS was found to be compromised, besides failing to establish itself as gateway to the FD health system.
Conclusion:
When they can access the local system, FD users do enjoy several services, but access is still a barrier, mainly because the very system is not prepared to meet users’ needs/preferences. The dimensions regarding family focus and community orientation are precarious, which reveals the need for reflection on the care model adopted in the Federal District.
Keywords:Community Health ServicesHealth Services ResearchPrimary Health CarePublic Health Systems ResearchSurveys and QuestionnairesSee more
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