Ana Lúcia Abrahão da Silva

Agente Comunitário de Saúde: um novo ator no cenário da saúde do Brasil

O Programa de Agentes Comunitarios de Saude (PACS) foi introduzido no Brasil em 1991 como uma tatica para o desenvolvimento de atividades relacionadas a prevencao de doencas e educacao em saude. Em 1994, o Ministerio da Saude propos o Programa de Saude da Familia (PSF) como estrategia de reestruturacao da atencao a saude. Essas propostas introduzem, no cenario da saude, um novo ator, o Agente Comunitario de Saude (ACS), desempenhando importante papel na atencao basica, ao agir como um elo entre familias, usuarios e servico de saude. O estudo toma como objeto o trabalho desenvolvido pelos ACS em uma unidade do PSF do municipio de Volta Redonda-RJ. Tem como objetivo discutir os aspectos facilitadores e limitantes das atividades designadas aos ACS. Trata-se de uma pesquisa do tipo descritiva, com abordagem qualitativa. A analise de dados se deu por categorias analiticas, que emergiram a partir dos dados encontrados nas entrevistas. Apos a apreciacao dos dados, pode-se constatar que os ACS do PSF de Volta Redonda ainda nao recebem formacao destinada a execucao de suas atividades e que consideram a experiencia pratica como o principal motor para o desempenho delas. O trabalho em equipe e reconhecido como espaco de circulacao de saberes cientificos e o saber popular como mediador entre a equipe e a populacao. Os ACS tem como eixo de trabalho a visita domiciliar, focada principalmente na doenca.

Continuing education in daily new practices in mental health: intervention research

Objetivo: analisar o processo de institucionalizacao da educacao permanente em hospital psiquiatrico, a partir da dinâmica do trabalho da equipe de enfermagem em encontros de reflexao sobre o trabalho. Metodo: pesquisa descritiva, qualitativa, do tipo intervencao, realizada em Niteroi-RJ, entre outubro de 2012 e abril de 2013. Tecnicas de coleta de dados: observacao, diario de campo e grupo de discussao. Amostra: 27 profissionais de enfermagem. Os dados foram submetidos a analise de conteudo tematica, com base na Analise Institucional. Resultados: identificaram-se como categorias: (i) Ser ouvido; (ii) A dinâmica processual do trabalho em saude.

Nursing care provided to blood donors - from the perspective of integral healthcare

Objective: To analyze the operative rationale in the field of nursing care provided to blood donors. Method: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. Results: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. Conclusion: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices. 1 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 2 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 3 Universidade Federal de Niteroi. Niteroi RJ, Brazil. 4 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 5 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. RESEARCH PESQUISA INVESTIGACION O cuidado de enfermagem aos doadores de sangue a perspectiva da integralidade Esc Anna Nery (print)2013 Sep-Dec; 17 (4):661 667 Nereida Lucia Palko dos Santos1, Marluci Andrade Conceicao Stipp2, Ana Lucia Abrahao da Silva3, Marlea Chagas Moreira4, Josete Luzia Leite5 Atencion de enfermeria a los donantes de sangre perspectiva integral de la salud Nursing; Blood Donors; Comprehensive Health Care; Blood Banks.OBJECTIVE: To analyze the operative rationale in the field of nursing care provided to blood donors. METHOD: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. RESULTS: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. CONCLUSION: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices.

O cuidado de enfermagem aos doadores de sangue - a perspectiva da integralidade

Objective: To analyze the operative rationale in the field of nursing care provided to blood donors. Method: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. Results: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. Conclusion: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices. 1 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 2 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 3 Universidade Federal de Niteroi. Niteroi RJ, Brazil. 4 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 5 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. RESEARCH PESQUISA INVESTIGACION O cuidado de enfermagem aos doadores de sangue a perspectiva da integralidade Esc Anna Nery (print)2013 Sep-Dec; 17 (4):661 667 Nereida Lucia Palko dos Santos1, Marluci Andrade Conceicao Stipp2, Ana Lucia Abrahao da Silva3, Marlea Chagas Moreira4, Josete Luzia Leite5 Atencion de enfermeria a los donantes de sangre perspectiva integral de la salud Nursing; Blood Donors; Comprehensive Health Care; Blood Banks.OBJECTIVE: To analyze the operative rationale in the field of nursing care provided to blood donors. METHOD: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. RESULTS: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. CONCLUSION: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices.

Atención de enfermería a los donantes de sangre - perspectiva integral de la salud

Objective: To analyze the operative rationale in the field of nursing care provided to blood donors. Method: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. Results: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. Conclusion: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices. 1 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 2 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 3 Universidade Federal de Niteroi. Niteroi RJ, Brazil. 4 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. 5 Universidade Federal do Rio de Janeiro. Rio de Janeiro RJ, Brazil. RESEARCH PESQUISA INVESTIGACION O cuidado de enfermagem aos doadores de sangue a perspectiva da integralidade Esc Anna Nery (print)2013 Sep-Dec; 17 (4):661 667 Nereida Lucia Palko dos Santos1, Marluci Andrade Conceicao Stipp2, Ana Lucia Abrahao da Silva3, Marlea Chagas Moreira4, Josete Luzia Leite5 Atencion de enfermeria a los donantes de sangre perspectiva integral de la salud Nursing; Blood Donors; Comprehensive Health Care; Blood Banks.OBJECTIVE: To analyze the operative rationale in the field of nursing care provided to blood donors. METHOD: This is a descriptive, qualitative study, with an ethnomethodological approach. The study was approved by the Institutional Review Board at HUCFF (protocol No. 138/07). A total of 26 blood donors aged between 18 and 65 years old, both genders, were interviewed. RESULTS: Present the operative rationale in the field of nursing care provided to blood donors, highlighting the biomedical model existing in the local micro-politics with a tense relationship with the proposition of integrality as a guiding axis of care in health macro-politics. CONCLUSION: This is a possible scenario for transitioning between health technologies, without intending to impose a new way to model the demand for healthcare, but proposing what is possible within the micro-political space, where nurses encompass the SUS assumptions with integrality as the guiding axis of daily relationships and care practices.

The working process in health: the case of Family Health Strategy of Barra Mansa-RJ, Brazil - preview note

Case study, exploratory and descriptive with qualitative approach in order to characterize the working process in health of Family Health Strategy in Barra Mansa-RJ, Brazil, to reflect about the strategies used for the teams, in their work routine, for approach of the guiding principles of Family Health Strategy and to discuss the technologies used by the teams in the process of work. As nurse of Family Health Strategy of Barra Mansa-RJ, Brazil, in 2009, it was possible to verify that teams still have a difficulty to understand the proposal of this strategy. To investigate the way that the process of work in health is being developed by the multiprofessional team of Family Health Strategy in Barra Mansa-RJ, Brazil and if this process is taking in consideration the principles of this strategy must be interesting for all the professionals of this area. The ethical aspects are respected according to resolution 196/96.