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REVIEW07-23-2021
Challenges and potentials of the production of comprehensive care in Primary Health Care in Brazil
- Danielly Maia de Queiroz
, - Lucia Conde de Oliveira ,
- Pedro Alves de Araújo Filho ,
- Maria Rocineide Ferreira da Silva
Abstract
REVIEWChallenges and potentials of the production of comprehensive care in Primary Health Care in Brazil
Revista Brasileira de Enfermagem. 2021;74(5):e20210008
DOI 10.1590/0034-7167-2021-0008
- Danielly Maia de Queiroz ,
- Lucia Conde de Oliveira ,
- Pedro Alves de Araújo Filho ,
- Maria Rocineide Ferreira da Silva
Views0ABSTRACT
Objective:
To identify relational and organizational barriers related to the production of care and to map strategies and tools that favor comprehensive care.
Methods:
Scoping review of Brazilian publications from 2008 to 2018, related to the production of care in Primary Health Care. From the 348 studies found in the Virtual Health Library, 30 made up the final sample. Three book chapters were added, totaling 33 documents.
Results:
Three thematic categories were organized: Relational dimension between health professionals and users; Interactive dimension of the teamwork process; Organizational dimension and articulation in networks. Challenges of health practices out of context of the users’ needs; inflexible and bureaucratic work processes; and organizational barriers to the access are highlighted. The potentials of mapped tools involved embracement, interprofessional actions and instituting care networks.
Final considerations:
The overview of challenges and processes that induce good practices facilitate a decision-making that is committed with comprehensive care.
Keywords:Comprehensive Health CarePatient Care TeamPrimary Health CarePublic Health PolicyPublic Health PracticeSee moreViews0
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
REVIEWChallenges and potentials of the production of comprehensive care in Primary Health Care in Brazil
Revista Brasileira de Enfermagem. 2021;74(5):e20210008
DOI 10.1590/0034-7167-2021-0008
- Danielly Maia de Queiroz ,
- Lucia Conde de Oliveira ,
- Pedro Alves de Araújo Filho ,
- Maria Rocineide Ferreira da Silva
Views0ABSTRACT
Objective:
To identify relational and organizational barriers related to the production of care and to map strategies and tools that favor comprehensive care.
Methods:
Scoping review of Brazilian publications from 2008 to 2018, related to the production of care in Primary Health Care. From the 348 studies found in the Virtual Health Library, 30 made up the final sample. Three book chapters were added, totaling 33 documents.
Results:
Three thematic categories were organized: Relational dimension between health professionals and users; Interactive dimension of the teamwork process; Organizational dimension and articulation in networks. Challenges of health practices out of context of the users’ needs; inflexible and bureaucratic work processes; and organizational barriers to the access are highlighted. The potentials of mapped tools involved embracement, interprofessional actions and instituting care networks.
Final considerations:
The overview of challenges and processes that induce good practices facilitate a decision-making that is committed with comprehensive care.
Keywords:Comprehensive Health CarePatient Care TeamPrimary Health CarePublic Health PolicyPublic Health PracticeSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 
- Danielly Maia de Queiroz
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Influence of social determinants of health on skin to skin contact between mother and newborn
- Janaiana Lemos Uchoa ,
- Lorena Pinheiro Barbosa ,
- Larissa Bento de Araújo Mendonça ,
- Francisca Elisângela Teixeira Lima ,
- Paulo César de Almeida , [ ... ],
- Silvana Santiago da Rocha
Abstract
Influence of social determinants of health on skin to skin contact between mother and newborn
Revista Brasileira de Enfermagem. 2021;74:e20200138
DOI 10.1590/0034-7167-2020-0138
- Janaiana Lemos Uchoa ,
- Lorena Pinheiro Barbosa ,
- Larissa Bento de Araújo Mendonça ,
- Francisca Elisângela Teixeira Lima ,
- Paulo César de Almeida ,
- Silvana Santiago da Rocha
Views0ABSTRACT
Objective:
to analyze the association of skin-to-skin contact and social determinants of health.
Methods:
this is a cross-sectional study with 187 medical records of newborns from a reference rooming in in northeastern Brazil. An instrument with maternal and neonatal data was used. Analysis was descriptive and inferential statistics. For the associations, a chi-square test was used to measure strength, an Odds Ratio was calculated, with a 95% confidence interval.
Results:
62% of newborns who made skin-to-skin contact at birth were eutrophic, full-term, Apgar > 7, mothers with prenatal care and without abortion. The determinants associated with non-skin-to-skin contact were preterm (CR=3.2;95%CI: 2.72-18.98); 1st minute Apgar < 7 (CR:2.9;95%CI: 2.38-3.06), cesarean section (CR:8.4;95%CI: 4.29-16.57), and unhealthy NB (CR 12.7;95%CI: 4.9-32.67). We used STROBE guidelines.
Conclusion:
skin-to-skin contact was influenced by gestational age, Apgar, delivery, and newborn health.
Keywords:Breast FeedingMaternal-Child Health ServicesNewbornPublic Health PolicySocial Determinants of HealthSee moreViews0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Influence of social determinants of health on skin to skin contact between mother and newborn
Revista Brasileira de Enfermagem. 2021;74:e20200138
DOI 10.1590/0034-7167-2020-0138
- Janaiana Lemos Uchoa ,
- Lorena Pinheiro Barbosa ,
- Larissa Bento de Araújo Mendonça ,
- Francisca Elisângela Teixeira Lima ,
- Paulo César de Almeida ,
- Silvana Santiago da Rocha
Views0ABSTRACT
Objective:
to analyze the association of skin-to-skin contact and social determinants of health.
Methods:
this is a cross-sectional study with 187 medical records of newborns from a reference rooming in in northeastern Brazil. An instrument with maternal and neonatal data was used. Analysis was descriptive and inferential statistics. For the associations, a chi-square test was used to measure strength, an Odds Ratio was calculated, with a 95% confidence interval.
Results:
62% of newborns who made skin-to-skin contact at birth were eutrophic, full-term, Apgar > 7, mothers with prenatal care and without abortion. The determinants associated with non-skin-to-skin contact were preterm (CR=3.2;95%CI: 2.72-18.98); 1st minute Apgar < 7 (CR:2.9;95%CI: 2.38-3.06), cesarean section (CR:8.4;95%CI: 4.29-16.57), and unhealthy NB (CR 12.7;95%CI: 4.9-32.67). We used STROBE guidelines.
Conclusion:
skin-to-skin contact was influenced by gestational age, Apgar, delivery, and newborn health.
Keywords:Breast FeedingMaternal-Child Health ServicesNewbornPublic Health PolicySocial Determinants of HealthSee moreThis is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. - Janaiana Lemos Uchoa
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Lawsuits in health: an integrative review
- Paula Mestre Ferreira Batistella ,
- Patrícia Aroni ,
- Alex Luís Fagundes ,
- Maria do Carmo Fernandez Lourenço Haddad
Abstract
Lawsuits in health: an integrative review
Revista Brasileira de Enfermagem. 2019;72(3):809-817
DOI 10.1590/0034-7167-2018-0551
- Paula Mestre Ferreira Batistella ,
- Patrícia Aroni ,
- Alex Luís Fagundes ,
- Maria do Carmo Fernandez Lourenço Haddad
Views0See moreABSTRACT
Objective:
To analyze the national and international scientific evidence available in the literature on types of judicialization of health lawsuits.
Method:
Integrative review, which selected primary studies in the PubMed, LILACS, Web of Science and Scopus databases, with the
Descriptors:
judicial decisions, health’s judicialization, Saúde (in Portuguese), Health, and the keyword: Judicial Action.
Results:
30 studies were selected. In Brazil, the majority were legal claims for medicines and the other for medical errors, requests for vaccines, supplies for diabetics, food compounds, surgical procedure, examinations, among others. In international studies, lawsuits were found for medication, benefit coverage and hospitalization for psychiatric treatment.
Conclusion:
It is evident that the most demanded type of lawsuit was access to the medication at an international level. It is still more noticeable the little discussion on this subject, demonstrating that judicialization of medicines can indicate a reality of Brazil.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
Lawsuits in health: an integrative review
Revista Brasileira de Enfermagem. 2019;72(3):809-817
DOI 10.1590/0034-7167-2018-0551
- Paula Mestre Ferreira Batistella ,
- Patrícia Aroni ,
- Alex Luís Fagundes ,
- Maria do Carmo Fernandez Lourenço Haddad
Views0See moreABSTRACT
Objective:
To analyze the national and international scientific evidence available in the literature on types of judicialization of health lawsuits.
Method:
Integrative review, which selected primary studies in the PubMed, LILACS, Web of Science and Scopus databases, with the
Descriptors:
judicial decisions, health’s judicialization, Saúde (in Portuguese), Health, and the keyword: Judicial Action.
Results:
30 studies were selected. In Brazil, the majority were legal claims for medicines and the other for medical errors, requests for vaccines, supplies for diabetics, food compounds, surgical procedure, examinations, among others. In international studies, lawsuits were found for medication, benefit coverage and hospitalization for psychiatric treatment.
Conclusion:
It is evident that the most demanded type of lawsuit was access to the medication at an international level. It is still more noticeable the little discussion on this subject, demonstrating that judicialization of medicines can indicate a reality of Brazil.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. 
- Paula Mestre Ferreira Batistella
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REFLECTION01-01-2018
For a public policy of surveillance of suicidal behavior
Revista Brasileira de Enfermagem. 2018;71:2343-2347
Abstract
REFLECTIONFor a public policy of surveillance of suicidal behavior
Revista Brasileira de Enfermagem. 2018;71:2343-2347
DOI 10.1590/0034-7167-2018-0256
Views0See moreABSTRACT
The object is to reflect on the need for effective implementation of a surveillance program of suicidal behavior and of the causal and intervening factors of suicide, as well as to training and qualification of health professionals about this topic, and the profile of the individual with suicidal behavior. Suicidal behavior is public health serious, global problem and it should be faced in a consensual way by public administrators, professionals and population. Suicide is a real, current catastrophe and a kind of death that can be avoided.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
REFLECTIONFor a public policy of surveillance of suicidal behavior
Revista Brasileira de Enfermagem. 2018;71:2343-2347
DOI 10.1590/0034-7167-2018-0256
Views0See moreABSTRACT
The object is to reflect on the need for effective implementation of a surveillance program of suicidal behavior and of the causal and intervening factors of suicide, as well as to training and qualification of health professionals about this topic, and the profile of the individual with suicidal behavior. Suicidal behavior is public health serious, global problem and it should be faced in a consensual way by public administrators, professionals and population. Suicide is a real, current catastrophe and a kind of death that can be avoided.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. -
REFLECTION01-01-2017
Continuing education in health from the perspective of Augustine of Hippo
Revista Brasileira de Enfermagem. 2017;70(3):656-661
Abstract
REFLECTIONContinuing education in health from the perspective of Augustine of Hippo
Revista Brasileira de Enfermagem. 2017;70(3):656-661
DOI 10.1590/0034-7167-2016-0484
Views0See moreABSTRACT
Objective:
To reflect about continuing education from the perspective of Augustine of Hippo and his theories based on the construction of knowledge and the learning process.
Method:
This is a theoretical reflection study whose aim is to propose dimensions of analysis, emphasizing the history and challenges of continuing education. Such dimensions analyze the production of knowledge in Augustinian pedagogy, its historical aspects and its close relationship with lifelong education in health professions.
Results:
The results show the difficulty of continuing education to reach adequate importance in health services, and that of academia in appropriating the thoughts of renowned philosophers such as Augustine. This is a result of ignorance about the convergence of these principles and their relevance.
Final considerations:
Continuing education and Augustinian pedagogy walk hand in hand in terms of care, meeting the needs that originate from practice and that are reflected in it, challenging isolated knowledge and putting different areas of knowledge to work together.
Views0This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Abstract
REFLECTIONContinuing education in health from the perspective of Augustine of Hippo
Revista Brasileira de Enfermagem. 2017;70(3):656-661
DOI 10.1590/0034-7167-2016-0484
Views0See moreABSTRACT
Objective:
To reflect about continuing education from the perspective of Augustine of Hippo and his theories based on the construction of knowledge and the learning process.
Method:
This is a theoretical reflection study whose aim is to propose dimensions of analysis, emphasizing the history and challenges of continuing education. Such dimensions analyze the production of knowledge in Augustinian pedagogy, its historical aspects and its close relationship with lifelong education in health professions.
Results:
The results show the difficulty of continuing education to reach adequate importance in health services, and that of academia in appropriating the thoughts of renowned philosophers such as Augustine. This is a result of ignorance about the convergence of these principles and their relevance.
Final considerations:
Continuing education and Augustinian pedagogy walk hand in hand in terms of care, meeting the needs that originate from practice and that are reflected in it, challenging isolated knowledge and putting different areas of knowledge to work together.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Public Health Policy Archives - Revista Brasileira de Enfermagem
