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ORIGINAL ARTICLE
Implementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
- Manoel Vieira de Miranda Neto
, - Letícia Yamawaka de Almeida ,
- Daiana Bonfim ,
- Talita Rewa ,
- Maria Amélia de Campos Oliveira
07-22-2022
Resumo
ORIGINAL ARTICLEImplementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
07-22-2022DOI 10.1590/0034-7167-2021-0614
- Manoel Vieira de Miranda Neto ,
- Letícia Yamawaka de Almeida ,
- Daiana Bonfim ,
- Talita Rewa ,
- Maria Amélia de Campos Oliveira
Visualizações0ABSTRACT
Objectives:
to describe the operationalization of the steps of a model proposed by the Pan American Health Organization for implementing advanced practice nursing in Primary Health Care services.
Methods:
a methodological study, with a qualitative approach, carried out in a local health system located in southern São Paulo. The first six steps of the model were followed: 1) improve health outcomes; 2) identify stakeholders; 3) determine unmet health needs; 4) identify priorities and goals to introduce advanced nursing practices in primary health care; 5) define advanced practice nursing in primary health care; 6) plan implementation strategies.
Results:
in each step, the objectives, methodological strategies and operationalization were described.
Final Considerations:
the model proved to be effective to support the process of development and implementation of advanced practice nursing in the local system studied.
Palavras-chave: Advanced Practice NursingHealth WorkforceNurse PractitionersNursing StaffPrimary Health CareVer maisVisualizações0
Resumo
ORIGINAL ARTICLEImplementation of advanced practice nursing in Brazilian Primary Health Care: methodological path
Revista Brasileira de Enfermagem. 2022;75(5):e20210614
07-22-2022DOI 10.1590/0034-7167-2021-0614
- Manoel Vieira de Miranda Neto ,
- Letícia Yamawaka de Almeida ,
- Daiana Bonfim ,
- Talita Rewa ,
- Maria Amélia de Campos Oliveira
Visualizações0ABSTRACT
Objectives:
to describe the operationalization of the steps of a model proposed by the Pan American Health Organization for implementing advanced practice nursing in Primary Health Care services.
Methods:
a methodological study, with a qualitative approach, carried out in a local health system located in southern São Paulo. The first six steps of the model were followed: 1) improve health outcomes; 2) identify stakeholders; 3) determine unmet health needs; 4) identify priorities and goals to introduce advanced nursing practices in primary health care; 5) define advanced practice nursing in primary health care; 6) plan implementation strategies.
Results:
in each step, the objectives, methodological strategies and operationalization were described.
Final Considerations:
the model proved to be effective to support the process of development and implementation of advanced practice nursing in the local system studied.
Palavras-chave: Advanced Practice NursingHealth WorkforceNurse PractitionersNursing StaffPrimary Health CareVer mais
- Manoel Vieira de Miranda Neto
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ORIGINAL ARTICLE
Social, health, and working conditions among hospital workers
- Márcia Regina Alves Rocha ,
- Maria José Sanches Marin ,
- Juana Macias Seda ,
- Maria Helena Borgato ,
- Carlos Alberto Lazarini
06-11-2021
Resumo
ORIGINAL ARTICLESocial, health, and working conditions among hospital workers
Revista Brasileira de Enfermagem. 2021;74(2):e20200321
06-11-2021DOI 10.1590/0034-7167-2020-0321
- Márcia Regina Alves Rocha ,
- Maria José Sanches Marin ,
- Juana Macias Seda ,
- Maria Helena Borgato ,
- Carlos Alberto Lazarini
Visualizações0Ver maisABSTRACT
Objectives:
to compare social, health and working conditions among nursing, nutrition and hospital cleaning service workers.
Methods:
a quantitative cross-sectional, descriptive and correlational study carried out in a public hospital in the countryside of São Paulo, including workers from nutrition, cleaning and nursing services. Data collection occurred during working hours. Validated questionnaires and Karasek's Demand-Control model were used to assess psychosocial dimensions and the Self-Reporting Questionnaire-20 to measure the common mental disorder. As dependent variable, the groups professionals and chi-square test were used for associations with p≥ 0.05.
Results:
227 workers participated. Positive associations were found between professional groups and socioeconomic, health and work characteristics.
Conclusions:
social, health, and working conditions differ between the professional groups studied.
Visualizações0Resumo
ORIGINAL ARTICLESocial, health, and working conditions among hospital workers
Revista Brasileira de Enfermagem. 2021;74(2):e20200321
06-11-2021DOI 10.1590/0034-7167-2020-0321
- Márcia Regina Alves Rocha ,
- Maria José Sanches Marin ,
- Juana Macias Seda ,
- Maria Helena Borgato ,
- Carlos Alberto Lazarini
Visualizações0Ver maisABSTRACT
Objectives:
to compare social, health and working conditions among nursing, nutrition and hospital cleaning service workers.
Methods:
a quantitative cross-sectional, descriptive and correlational study carried out in a public hospital in the countryside of São Paulo, including workers from nutrition, cleaning and nursing services. Data collection occurred during working hours. Validated questionnaires and Karasek's Demand-Control model were used to assess psychosocial dimensions and the Self-Reporting Questionnaire-20 to measure the common mental disorder. As dependent variable, the groups professionals and chi-square test were used for associations with p≥ 0.05.
Results:
227 workers participated. Positive associations were found between professional groups and socioeconomic, health and work characteristics.
Conclusions:
social, health, and working conditions differ between the professional groups studied.
- Márcia Regina Alves Rocha
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ORIGINAL ARTICLE
Structure of services and material health resources associated with the School Health Program
- Eliabe Rodrigues de Medeiros ,
- Lígia Maria da Silva Lira de Holanda ,
- Erika Simone Galvão Pinto ,
- Alany Carla de Sousa Paiva ,
- Hilza Isauene Brilhante de Medeiros , [ ... ],
- Sandy Yasmine Bezerra e Silva
09-21-2020
Resumo
ORIGINAL ARTICLEStructure of services and material health resources associated with the School Health Program
Revista Brasileira de Enfermagem. 2020;73(6):e20190073
09-21-2020DOI 10.1590/0034-7167-2019-0073
- Eliabe Rodrigues de Medeiros ,
- Lígia Maria da Silva Lira de Holanda ,
- Erika Simone Galvão Pinto ,
- Alany Carla de Sousa Paiva ,
- Hilza Isauene Brilhante de Medeiros ,
- Sandy Yasmine Bezerra e Silva
Visualizações0ABSTRACT
Objectives:
to describe the structure used in the School Health Program and analyze the association between its material resources and the actions carried out.
Methods:
cross-sectional, quantitative, analytical, and normative study. A normative instrument of the program was applied to collect data from May to July 2017 with 105 Family Health Strategy professionals. Data were organized and analyzed using descriptive and inferential statistics on IBM SPSS Statistics 22.0 software.
Results:
financial resources were made available with low periodicity; the most used human resources were dentists; the most frequent infrastructure resource was the school; the most frequently used materials were those related to administrative support (legal-size paper and pen) and clinical resources (fluoride, toothbrush, and toothpaste). An association was identified between resources and anthropometric assessment activities and vaccination status.
Conclusions:
the program structure showed reduced financial resources and priority participation of human resources from the health sector, and the actions were carried out by using the school infrastructure and administrative and clinical materials.
Palavras-chave: Financial Resources in HealthHealth WorkforceMaterial Resources in HealthSchool Health ServicesStructure of ServicesVer maisVisualizações0Resumo
ORIGINAL ARTICLEStructure of services and material health resources associated with the School Health Program
Revista Brasileira de Enfermagem. 2020;73(6):e20190073
09-21-2020DOI 10.1590/0034-7167-2019-0073
- Eliabe Rodrigues de Medeiros ,
- Lígia Maria da Silva Lira de Holanda ,
- Erika Simone Galvão Pinto ,
- Alany Carla de Sousa Paiva ,
- Hilza Isauene Brilhante de Medeiros ,
- Sandy Yasmine Bezerra e Silva
Visualizações0ABSTRACT
Objectives:
to describe the structure used in the School Health Program and analyze the association between its material resources and the actions carried out.
Methods:
cross-sectional, quantitative, analytical, and normative study. A normative instrument of the program was applied to collect data from May to July 2017 with 105 Family Health Strategy professionals. Data were organized and analyzed using descriptive and inferential statistics on IBM SPSS Statistics 22.0 software.
Results:
financial resources were made available with low periodicity; the most used human resources were dentists; the most frequent infrastructure resource was the school; the most frequently used materials were those related to administrative support (legal-size paper and pen) and clinical resources (fluoride, toothbrush, and toothpaste). An association was identified between resources and anthropometric assessment activities and vaccination status.
Conclusions:
the program structure showed reduced financial resources and priority participation of human resources from the health sector, and the actions were carried out by using the school infrastructure and administrative and clinical materials.
Palavras-chave: Financial Resources in HealthHealth WorkforceMaterial Resources in HealthSchool Health ServicesStructure of ServicesVer mais - Eliabe Rodrigues de Medeiros
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ORIGINAL ARTICLE
Knowledge of managers on the National Mental Health Policy
- Rafaella Leite Fernandes ,
- Francisco Arnoldo Nunes de Miranda ,
- Kalyane Kelly Duarte de Oliveira ,
- Clara Tavares Rangel ,
- Danyella Augusto Rosendo da Silva Costa , [ ... ],
- Izabella Bezerra de Lima Moura
02-10-2020
Resumo
ORIGINAL ARTICLEKnowledge of managers on the National Mental Health Policy
Revista Brasileira de Enfermagem. 2020;73(1):e20180198
02-10-2020DOI 10.1590/0034-7167-2018-0198
- Rafaella Leite Fernandes ,
- Francisco Arnoldo Nunes de Miranda ,
- Kalyane Kelly Duarte de Oliveira ,
- Clara Tavares Rangel ,
- Danyella Augusto Rosendo da Silva Costa ,
- Izabella Bezerra de Lima Moura
Visualizações0Ver maisABSTRACT
Objective:
Identify the knowledge of mental health service managers about the national mental health policy.
Method:
This is a qualitative study conducted with 20 coordinators, who were submitted to a structured interview. Data were categorized in a thematic analysis using ALCESTE software.
Results:
The results produced the following categories: Back to society: protagonism and autonomy of patients; Interprofessional team: assignments and activities; Structuring of a psychosocial care network; Challenges affecting the service; Distance between policy and practice.
Final Considerations:
Public managers demonstrated they are aware of the key concepts for effective structuring of a psychosocial care network based on patient protagonism and autonomy, the assignments and activities performed by interprofessional teams, and the challenges found while structuring a psychosocial care network.
Visualizações0Resumo
ORIGINAL ARTICLEKnowledge of managers on the National Mental Health Policy
Revista Brasileira de Enfermagem. 2020;73(1):e20180198
02-10-2020DOI 10.1590/0034-7167-2018-0198
- Rafaella Leite Fernandes ,
- Francisco Arnoldo Nunes de Miranda ,
- Kalyane Kelly Duarte de Oliveira ,
- Clara Tavares Rangel ,
- Danyella Augusto Rosendo da Silva Costa ,
- Izabella Bezerra de Lima Moura
Visualizações0Ver maisABSTRACT
Objective:
Identify the knowledge of mental health service managers about the national mental health policy.
Method:
This is a qualitative study conducted with 20 coordinators, who were submitted to a structured interview. Data were categorized in a thematic analysis using ALCESTE software.
Results:
The results produced the following categories: Back to society: protagonism and autonomy of patients; Interprofessional team: assignments and activities; Structuring of a psychosocial care network; Challenges affecting the service; Distance between policy and practice.
Final Considerations:
Public managers demonstrated they are aware of the key concepts for effective structuring of a psychosocial care network based on patient protagonism and autonomy, the assignments and activities performed by interprofessional teams, and the challenges found while structuring a psychosocial care network.
- Rafaella Leite Fernandes
Health Workforce Archives - Revista Brasileira de Enfermagem
