Articles - Revista Brasileira de Enfermagem

ABSTRACT

Objective:

to understand how health service professionals involved in the care of users in psychic distress perceive the organization of the Psychosocial Care Network (RAPS – Rede de Atenção Psicossocial) in the western region of the city of São Paulo.

Method:

qualitative approach study conducted with 123 professionals with higher education who work in the care points of the network. A semi-structured interview was performed and data were submitted to the Alceste program for lexical analysis.

Results:

the network is in process of alignment with the mental health policy and the psychosocial rehabilitation strategy. However, the weaknesses in the work process of teams are related to deficits in human resources, structure, and communication, and to the limited appropriation of their guidelines.

Final considerations:

there are intense efforts of workers to weave the network, and barriers need to be overcome to support successful actions in mental health care in the territory.

ABSTRACT

Objective:

To identify the predominant chronotype in nursing workers who work in surgical clinics of university hospitals and to verify the association with work shift.

Method:

Cross-sectional study, performed in surgical clinics of university hospitals in the Southern region of Brazil. The sample of 270 nursing workers answered questions of socio-occupational characterization, of health and the Morningness-Eveningness Questionnaire of Horne and Östberg. We performed a descriptive and bivariate analysis with the help of the SPSS software and confidence interval of 95%.

Results:

The indifferent chronotype predominated (45.2%). There were significant differences between occupational categories and variables “age” (p<0.001), “use of medication” (p=0.035) and “choice of work shift” (p=0.001). There was an association between the chronotype and the variables “work leave due to illness” (p=0.021), “children” (p=0.025), “use of medication” (p=0.018) and “work shift” (p=0.001).

Conclusion:

The chronotype remained indifferent, and the results confirmed association between chronotype and work shift.

ABSTRACT

Introduction:

Nutritional counseling and growth follow-up are priorities when providing care to children; however, these have not been completely incorporated into primary health care.

Objective:

To know the difficulties for providing nutritional counseling and child growth follow-up, from a professional healthcare perspective.

Method:

Qualitative study, using Donabedian as theoretical framework, developed by 53 professionals in the field of primary health care. Data was obtained from focal groups and submitted to content analysis.

Results:

The main difficulties for nutritional counseling were clustered in the category of ‘perceptions and beliefs related to child feeding’. The ‘problems of infrastructure and healthcare’ and ‘maintenance of the hegemonic medical model’ are the main difficulties for following-up growth.

Final considerations:

Besides investments in infrastructure, healthcare training is indispensable considering beliefs and professional experiences, so in fact, nutritional counseling and child growth follow-up are incorporated in primary health care.

ABSTRACT

Objective:

to analyze the management of mental health needs in primary care as perceived by Family Health Strategy professionals.

Method:

this was a qualitative descriptive exploratory study developed within the coverage area of five family health teams. The data were collected using observation, group interviews, individual semi-structured interviews, and focus groups. Content analysis was conducted using text analysis software and interpretation was based on the corresponding analytical structures.

Results:

numerous and challenging mental health demands occur in this setting, for which the teams identified care resources; however, they also indicated difficulties, especially related to the operationalization and integration of such resources.

Conclusion:

there is a need for a care network sensitive to mental health demands that are better coordinated and more effectively managed.