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ORIGINAL ARTICLE
Innovative actions developed by nurses in primary health care
Revista Brasileira de Enfermagem. 2022;75(1):e20200782
08-20-2022
Resumo
ORIGINAL ARTICLEInnovative actions developed by nurses in primary health care
Revista Brasileira de Enfermagem. 2022;75(1):e20200782
08-20-2022DOI 10.1590/0034-7167-2020-0782
Visualizações0ABSTRACT
Objectives:
to understand the work process dimensions related to innovative actions developed by nurses in Primary Health Care.
Methods:
qualitative, descriptive study, developed in Primary Health Care in a city in the Southern Region of Brazil. Seventy-six nurses, who worked in management and assistance, participated in this study through semi-structured interviews. After data processing by IRAMUTEQ software, the textual analysis occurred by descending hierarchical classification.
Results:
forty-two innovative actions, considered by the participants as new ways of working, were identified. There was a predominance of innovative actions related to the Management and Assist dimensions; we noticed the fragility of the actions to contemplate all the nurse’s work process dimensions.
Final Considerations:
the predominance of innovative actions was related to users’ assistance and better conditions in the teamwork process, besides highlighting the role of nurses in the perspective of a new way of working in health services.
Palavras-chave: Knowledge ManagementNursingOrganizational InnovationPrimary Health CareRole of the Nursing ProfessionalVer mais -
ORIGINAL ARTICLE
Planned organizational change to transform care to workers exposed to biological material
Revista Brasileira de Enfermagem. 2020;73(5):e20190314
07-01-2020
Resumo
ORIGINAL ARTICLEPlanned organizational change to transform care to workers exposed to biological material
Revista Brasileira de Enfermagem. 2020;73(5):e20190314
07-01-2020DOI 10.1590/0034-7167-2019-0314
Visualizações0ABSTRACT
Objectives:
to describe the evaluation of the service offered in cases of occupational accidents involving exposure to biological material, from the perspective of the exposed workers, before and after an intervention to obtain planned organizational change.
Methods:
descriptive study with a qualitative approach, carried out with workers exposed to biological material who received care at a reference service that was submitted to an intervention based on planned organizational change. Data were collected by using the critical incident technique and analyzed from the perspective of content analysis.
Results:
twenty exposed workers participated in the study and were split into two groups in the pre- and post-intervention phase. Categories regarding improvement in the guidance they received, reduction in the time they waited once they got to the facility, organization of the process, documentation qualification, and professionalism in carrying out the assistance emerged from the workers’ accounts.
Conclusions:
the present study allowed the exposed workers to visualize the changes that happened in the care management in case of accidents involving biological material. Additionally, there was the recognition of the adopted methodological path, which allowed the active participation of the people involved.
Palavras-chave: EvaluationExposure to Biological AgentsIntervention StudiesNursingOrganizational InnovationVer mais -
EXPERIENCE REPORT
Humanitude in the humanization of elderly care: experience reports in a health service
Revista Brasileira de Enfermagem. 2019;72(3):825-829
06-07-2019
Resumo
EXPERIENCE REPORTHumanitude in the humanization of elderly care: experience reports in a health service
Revista Brasileira de Enfermagem. 2019;72(3):825-829
06-07-2019DOI 10.1590/0034-7167-2017-0363
Visualizações0ABSTRACT
Objective:
To describe the experience in the implementation of the Humanitude Care Methodology (MCH) in the humanization of care for the elderly.
Methodology:
This is an experience report about the implementation of the MCH, in a Health Service in Portugal, with capacity for 30 elderly people, most of them having cognitive alterations.
Results:
The implementation of the MCH has shown positive results in the humanization of care for the elderly, namely in the reduction of agitation behaviors and better acceptance of care. There was a change in organizational culture, more focused on the person and on the humanization of care.
Conclusion:
The results reflect the need to introduce innovative care methodologies in the training of health professionals, with a focus on interaction, for a professionalized relational care that dignifies the person cared for and the care giver.
Palavras-chave: Evidence-based NursingHumanization of CareNeurocognitive DisordersNurse-Patient RelationsOrganizational InnovationPatient-Centered CareVer mais -
RESEARCH
Innovation in nursing health care practice: expansion of access in primary health care
Revista Brasileira de Enfermagem. 2017;70(5):898-903
01-01-2017
Resumo
RESEARCHInnovation in nursing health care practice: expansion of access in primary health care
Revista Brasileira de Enfermagem. 2017;70(5):898-903
01-01-2017DOI 10.1590/0034-7167-2016-0131
Visualizações0ABSTRACT
Objective:
analyze the reorganization of the health care practice of nurses as an innovative strategy for expansion of access in primary care.
Method:
qualitative and quantitative study, which interviewed 32 management and care nurses and collected documentary data from public reports of production of nursing consultations from 2010 to 2014, in a municipality in southern Brazil. Data processing for textual analysis was performed by IRAMUTEQ software; for simple descriptive statistical analysis, the program Excel 2013 was used.
Results:
in the innovative care practice class, associated with awareness of change, related to implementation of the FHS, its challenges and advantages, the following subclasses were identified: reorganization of schedules, nursing consultation, physical restructuring of BHUs, and shared consultation.
Final considerations:
the need to expand access to and valorization of care practice encourages the development of innovative strategies. The protagonism of care needs to be discussed in the various spaces so that each professional carry out the respective role with competence and efficacy.
Palavras-chave: Access to Health ServicesHealth Care Practice ManagementNursingOrganizational InnovationPrimary Health CareVer mais