Ana Maria Nunes da Silva

Visita domiciliária sob o olhar de usuários do programa saúde da família

Through a qualitative study, meanings attributed to the house call by Brazilian families who benefited from the Family Health Program are analyzed, with the objective of recognizing the difficulties and potential accumulated from this practice. From October to December of 2005, thirty women and ten men participated in open interviews, all between 18 and 79 years old as well as more than six-month residents in a health region of Cuiabá, MT, Brazil. Content analysis was used for data interpretation. The house call is conceived as an important method of approaching the Family Health Program and families, favoring greater access to its services, the construction of new relationships between users and the health care team, and the creation of a link between them. It is valued as an alternative to access to clinical care and to health monitoring, reiterating the practice carried out. At the same time, one hopes that it responds to the necessities it faces in the most broadened form possible. RESUMEN: Por medio de un estudio cualitativo son analizados los significados atribuidos por las familias a la visita domiciliaria realizada por el Programa Salud de la Familia, con el objetivo de reconocer las dificultades y los potenciales relacionados con esta práctica. Entre octubre y diciembre de 2005 fueron hechas treinta entrevistas abiertas con las mujeres y diez con los hombres, todos ellos entre 18 y 79 años, residentes por más de seis meses en una regional de salud de Cuiabá MT. La categorización de los datos se hizo por medio del análisis del contenido. Se considera la visita como una importante forma de aproximación entre el Programa Salud de la Família y las familias, favoreciendo el acceso a los servicios, la construcción de nuevas relaciones entre los usuarios y el equipo de salud, y, la formación de un vínculo entre ellos. La visita domiciliaria se presenta como una alternativa importante para el acceso a los cuidados clínicos y de vigilancia a la salud, reiterando la práctica de la visita tal como recibida. Al mismo tiempo, se espera que ella promueva respuestas más amplias a las necesidades vividas. P A L A V R A S C H A V E : Programa Saúde da Família. Visita domiciliar. Atenção primária à saúde.Through a qualitative study, meanings attributed to the house call by Brazilian families who benefited from the Family Health Program are analyzed, with the objective of recognizing the difficulties and potential accumulated from this practice. From October to December of 2005, thirty women and ten men participated in open interviews, all between 18 and 79 years old as well as more than six-month residents in a health region of Cuiaba, MT, Brazil. Content analysis was used for data interpretation. The house call is conceived as an important method of approaching the Family Health Program and families, favoring greater access to its services, the construction of new relationships between users and the health care team, and the creation of a link between them. It is valued as an alternative to access to clinical care and to health monitoring, reiterating the practice carried out. At the same time, one hopes that it responds to the necessities it faces in the most broadened form possible.

Literatura brasileira sobre o trabalho de enfermagem fundamentada em categorias marxianas

This article discusses the Brazilian scientific literature on nursing work based on Marxist categories, with the aim of investigating their contributions and tendencies. The study is a quanti-qualitative review of 97 articles published between 1981 and 2008, indexed in the LILACS. It is discussed: number and periodical distribution; themes; methodological and conceptual approaches. It was identified: a growing body of literature on nursing especially from 2000 onwards; the growth of approaches on the subjects, their perceptions and social interaction; the incorporation recently into the debate on caring and nursing care management; the predominance of qualitative research and, from the 1990s onwards, the incorporation of concepts from other theoretical paths linked to Marxists categories. There was evidence of a search for understanding of the movements, contradictions and dilemmas in nursing as a heterogeneous social practice.Se analiza la produccion cientifica brasilena sobre trabajo de enfermeria basada en categorias marxianas, con el objetivo de conocer sus contribuciones y tendencias. Es una revision quanti-qualitativa de 97 articulos nacionales publicados entre 1981-2008, indexados en LILACS. Se analizan: numero y distribucion periodica; tematica; abordagem metodologica y conceptual. Se muestra: una literatura creciente sobre el trabajo de enfermeria sobretudo a partir de los anos 2000; abordagem creciente de los sujetos, sus percepcoes e interaccion social; incorporacion reciente del debate sobre cuidado y gerenciamento del cuidado de enfermeria; predominio de investigaciones qualitativas y, a partir de los anos 1990, incorporacion de conceptos de otras vertientes teoricas articuladas la categorias marxianas. Se evidencia la busqueda de compreensao de los movimientos, de las contradicciones y de los dilemas de la enfermeria como practica social.

Abordagem de necessidades de saúde no encontro assistencial de trabalhadores e usuários na saúde da família

Estudo qualitativo, descritivo, realizado em Cuiaba, Mato Grosso, Brazil, objetivando analisar como ocorre a abordagem de necessidades de saude de usuarios na pratica assistencial da Saude da Familia. Adotou-se uma leitura socio-historica da pratica e das necessidades de saude, que valoriza a interface com a intersubjetividade. Realizou-se o estudo em uma unidade, atraves de observacao participante, de entrevista semiestruturada com oito trabalhadores e 17 usuarios, e da analise de conteudo tematica do empirico. Em meio ao confronto de logicas distintas que governam a saude da familia, a abordagem de necessidades e caracterizada por um processo seletivo, viabilizado pela aplicacao de diversos contensores, acompanhado de inumeros tensionamentos e conflitos envolvendo a equipe e/ou usuarios, e de estrategias para manter contensoes ou ampliar o acesso a respostas a necessidades. Evidencia-se a importância dos sujeitos na afirmacao, confrontacao e/ou flexibilizacao do estabelecido, moldando possibilidades de uma abordagem abrangente ou reduzida de necessidades de saude.Qualitative and descriptive study held in Cuiaba, Mato Grosso, Brazil, aiming at analyzing the approaching of health needs from users in the assistance practice of the family health. It was adopted a socio-historical reading about health practice and needs that values interface with intersubjectivity. The present study was performed in one unit through participative observation, semistructured interviews with 8 workers and 17 users, and the analysis of the empirical theme content. Amid the clash of different logics governing the family health, the needs approaching is characterized by a selective process, through the application of various retainers, accompanied by countless tensions and conflicts involving the staff and/or users, and strategies to maintain the control or expand the access for needs answer. This study points out the importance of the subjects in assertion, confrontation and/or relaxation of what it was established, shaping possibilities of a comprehensive or reduced approach about health needs. DESCRIPTORS: Family health program. Health services needs and demands. Work.

Abordagem de necessidades de saúde pelo enfermeiro na consulta pré-natal / Approaching health needs by nurse in prenatal consultation

Objetivo: Distinguir as necessidades de saude priorizadas pelo enfermeiro na consulta pre-natal, e caracterizar a especificidade e abrangencia das mesmas. Metodo: Pesquisa descritiva, qualitativa, realizada em quatro unidades da Estrategia Saude da Familia de Cuiaba-MT, mediante observacao participante de 50 consultas de gestantes, analise de 79 registros de enfermagem e analise de conteudo do tipo tematica. Resultados: Nas consultas, os enfermeiros privilegiam a abordagem de necessidades fisico-obstetricas. Eventualmente levantam aspectos sociais e psicoemocionais, mas nao os abordam como necessidades a serem satisfeitas. Entretanto, as gestantes expressam necessidades sociais, psicoemocionais, de informacao, de acesso a tecnologias e de participacao familiar na consulta. Apesar do potencial mobilizador destas ultimas necessidades, elas nao chegam a modificar o que recebe atencao na consulta. Conclusao: E preciso investir na melhoria dos processos de trabalho da atencao basica, na ampliacao de suas acoes, e na formacao e educacao dos enfermeiros, tendo em perspectiva a abordagem de necessidades abrangentes no pre-natal.

Approaching health needs in the assistance encounter of workers and users on family health

Estudo qualitativo, descritivo, realizado em Cuiaba, Mato Grosso, Brazil, objetivando analisar como ocorre a abordagem de necessidades de saude de usuarios na pratica assistencial da Saude da Familia. Adotou-se uma leitura socio-historica da pratica e das necessidades de saude, que valoriza a interface com a intersubjetividade. Realizou-se o estudo em uma unidade, atraves de observacao participante, de entrevista semiestruturada com oito trabalhadores e 17 usuarios, e da analise de conteudo tematica do empirico. Em meio ao confronto de logicas distintas que governam a saude da familia, a abordagem de necessidades e caracterizada por um processo seletivo, viabilizado pela aplicacao de diversos contensores, acompanhado de inumeros tensionamentos e conflitos envolvendo a equipe e/ou usuarios, e de estrategias para manter contensoes ou ampliar o acesso a respostas a necessidades. Evidencia-se a importância dos sujeitos na afirmacao, confrontacao e/ou flexibilizacao do estabelecido, moldando possibilidades de uma abordagem abrangente ou reduzida de necessidades de saude.Qualitative and descriptive study held in Cuiaba, Mato Grosso, Brazil, aiming at analyzing the approaching of health needs from users in the assistance practice of the family health. It was adopted a socio-historical reading about health practice and needs that values interface with intersubjectivity. The present study was performed in one unit through participative observation, semistructured interviews with 8 workers and 17 users, and the analysis of the empirical theme content. Amid the clash of different logics governing the family health, the needs approaching is characterized by a selective process, through the application of various retainers, accompanied by countless tensions and conflicts involving the staff and/or users, and strategies to maintain the control or expand the access for needs answer. This study points out the importance of the subjects in assertion, confrontation and/or relaxation of what it was established, shaping possibilities of a comprehensive or reduced approach about health needs. DESCRIPTORS: Family health program. Health services needs and demands. Work.

Enfoque de las necesidades de salud en el encuentro de asistencia de los trabajadores y usuarios en la salud de la familia

Estudo qualitativo, descritivo, realizado em Cuiaba, Mato Grosso, Brazil, objetivando analisar como ocorre a abordagem de necessidades de saude de usuarios na pratica assistencial da Saude da Familia. Adotou-se uma leitura socio-historica da pratica e das necessidades de saude, que valoriza a interface com a intersubjetividade. Realizou-se o estudo em uma unidade, atraves de observacao participante, de entrevista semiestruturada com oito trabalhadores e 17 usuarios, e da analise de conteudo tematica do empirico. Em meio ao confronto de logicas distintas que governam a saude da familia, a abordagem de necessidades e caracterizada por um processo seletivo, viabilizado pela aplicacao de diversos contensores, acompanhado de inumeros tensionamentos e conflitos envolvendo a equipe e/ou usuarios, e de estrategias para manter contensoes ou ampliar o acesso a respostas a necessidades. Evidencia-se a importância dos sujeitos na afirmacao, confrontacao e/ou flexibilizacao do estabelecido, moldando possibilidades de uma abordagem abrangente ou reduzida de necessidades de saude.Qualitative and descriptive study held in Cuiaba, Mato Grosso, Brazil, aiming at analyzing the approaching of health needs from users in the assistance practice of the family health. It was adopted a socio-historical reading about health practice and needs that values interface with intersubjectivity. The present study was performed in one unit through participative observation, semistructured interviews with 8 workers and 17 users, and the analysis of the empirical theme content. Amid the clash of different logics governing the family health, the needs approaching is characterized by a selective process, through the application of various retainers, accompanied by countless tensions and conflicts involving the staff and/or users, and strategies to maintain the control or expand the access for needs answer. This study points out the importance of the subjects in assertion, confrontation and/or relaxation of what it was established, shaping possibilities of a comprehensive or reduced approach about health needs. DESCRIPTORS: Family health program. Health services needs and demands. Work.

Brazilian literature on nursing work founded on marxist categories

This article discusses the Brazilian scientific literature on nursing work based on Marxist categories, with the aim of investigating their contributions and tendencies. The study is a quanti-qualitative review of 97 articles published between 1981 and 2008, indexed in the LILACS. It is discussed: number and periodical distribution; themes; methodological and conceptual approaches. It was identified: a growing body of literature on nursing especially from 2000 onwards; the growth of approaches on the subjects, their perceptions and social interaction; the incorporation recently into the debate on caring and nursing care management; the predominance of qualitative research and, from the 1990s onwards, the incorporation of concepts from other theoretical paths linked to Marxists categories. There was evidence of a search for understanding of the movements, contradictions and dilemmas in nursing as a heterogeneous social practice.Se analiza la produccion cientifica brasilena sobre trabajo de enfermeria basada en categorias marxianas, con el objetivo de conocer sus contribuciones y tendencias. Es una revision quanti-qualitativa de 97 articulos nacionales publicados entre 1981-2008, indexados en LILACS. Se analizan: numero y distribucion periodica; tematica; abordagem metodologica y conceptual. Se muestra: una literatura creciente sobre el trabajo de enfermeria sobretudo a partir de los anos 2000; abordagem creciente de los sujetos, sus percepcoes e interaccion social; incorporacion reciente del debate sobre cuidado y gerenciamento del cuidado de enfermeria; predominio de investigaciones qualitativas y, a partir de los anos 1990, incorporacion de conceptos de otras vertientes teoricas articuladas la categorias marxianas. Se evidencia la busqueda de compreensao de los movimientos, de las contradicciones y de los dilemas de la enfermeria como practica social.

Literatura brasileña sobre trabajo de enfermería fundamentada en categorías marxianas

This article discusses the Brazilian scientific literature on nursing work based on Marxist categories, with the aim of investigating their contributions and tendencies. The study is a quanti-qualitative review of 97 articles published between 1981 and 2008, indexed in the LILACS. It is discussed: number and periodical distribution; themes; methodological and conceptual approaches. It was identified: a growing body of literature on nursing especially from 2000 onwards; the growth of approaches on the subjects, their perceptions and social interaction; the incorporation recently into the debate on caring and nursing care management; the predominance of qualitative research and, from the 1990s onwards, the incorporation of concepts from other theoretical paths linked to Marxists categories. There was evidence of a search for understanding of the movements, contradictions and dilemmas in nursing as a heterogeneous social practice.Se analiza la produccion cientifica brasilena sobre trabajo de enfermeria basada en categorias marxianas, con el objetivo de conocer sus contribuciones y tendencias. Es una revision quanti-qualitativa de 97 articulos nacionales publicados entre 1981-2008, indexados en LILACS. Se analizan: numero y distribucion periodica; tematica; abordagem metodologica y conceptual. Se muestra: una literatura creciente sobre el trabajo de enfermeria sobretudo a partir de los anos 2000; abordagem creciente de los sujetos, sus percepcoes e interaccion social; incorporacion reciente del debate sobre cuidado y gerenciamento del cuidado de enfermeria; predominio de investigaciones qualitativas y, a partir de los anos 1990, incorporacion de conceptos de otras vertientes teoricas articuladas la categorias marxianas. Se evidencia la busqueda de compreensao de los movimientos, de las contradicciones y de los dilemas de la enfermeria como practica social.

La visita domiciliaria vista por usuarios del programa salud de la familia

Through a qualitative study, meanings attributed to the house call by Brazilian families who benefited from the Family Health Program are analyzed, with the objective of recognizing the difficulties and potential accumulated from this practice. From October to December of 2005, thirty women and ten men participated in open interviews, all between 18 and 79 years old as well as more than six-month residents in a health region of Cuiabá, MT, Brazil. Content analysis was used for data interpretation. The house call is conceived as an important method of approaching the Family Health Program and families, favoring greater access to its services, the construction of new relationships between users and the health care team, and the creation of a link between them. It is valued as an alternative to access to clinical care and to health monitoring, reiterating the practice carried out. At the same time, one hopes that it responds to the necessities it faces in the most broadened form possible. RESUMEN: Por medio de un estudio cualitativo son analizados los significados atribuidos por las familias a la visita domiciliaria realizada por el Programa Salud de la Familia, con el objetivo de reconocer las dificultades y los potenciales relacionados con esta práctica. Entre octubre y diciembre de 2005 fueron hechas treinta entrevistas abiertas con las mujeres y diez con los hombres, todos ellos entre 18 y 79 años, residentes por más de seis meses en una regional de salud de Cuiabá MT. La categorización de los datos se hizo por medio del análisis del contenido. Se considera la visita como una importante forma de aproximación entre el Programa Salud de la Família y las familias, favoreciendo el acceso a los servicios, la construcción de nuevas relaciones entre los usuarios y el equipo de salud, y, la formación de un vínculo entre ellos. La visita domiciliaria se presenta como una alternativa importante para el acceso a los cuidados clínicos y de vigilancia a la salud, reiterando la práctica de la visita tal como recibida. Al mismo tiempo, se espera que ella promueva respuestas más amplias a las necesidades vividas. P A L A V R A S C H A V E : Programa Saúde da Família. Visita domiciliar. Atenção primária à saúde.Through a qualitative study, meanings attributed to the house call by Brazilian families who benefited from the Family Health Program are analyzed, with the objective of recognizing the difficulties and potential accumulated from this practice. From October to December of 2005, thirty women and ten men participated in open interviews, all between 18 and 79 years old as well as more than six-month residents in a health region of Cuiaba, MT, Brazil. Content analysis was used for data interpretation. The house call is conceived as an important method of approaching the Family Health Program and families, favoring greater access to its services, the construction of new relationships between users and the health care team, and the creation of a link between them. It is valued as an alternative to access to clinical care and to health monitoring, reiterating the practice carried out. At the same time, one hopes that it responds to the necessities it faces in the most broadened form possible.