Daniel Ignacio da Silva

Vulnerability of children in adverse situations to their development: proposed analytical matrix

This theoretical study presents a conceptual matrix built to analyze the vulnerability of children in adverse situations to their development. It proposes that the vulnerability of children is analyzed by means of the following dimensions: individual , which is related to ongoing nurturing relationships, physical protection and security; social , which concerns the social insertion of family and access to rights of social protection and promotion; and programmatic , which involves the political-programmatic scenario and the guidelines and political-programmatic implementation. The practical application of this matrix allows apprehending the health-disease process beyond the individual dimension, enabling the articulation of public policies and actions of professionals to achieve effectiveness in meeting the needs of children. The use of this conceptual matrix can provide to health teams a specific understanding of the adverse situations to child development as well as subsidizing intervention plans based on the analytical dimensions of vulnerability.

Teoria do cuidado transpessoal de jean watson no cuidado domiciliar de enfermagem a crianca: uma reflexao

Resumen This is a reflexive essay on the potential use of Jean Watson’s Theory of Transpersonal Caring in the delivery of child-oriented nursing home care, in the light of the 10 elements of the Clinical Caritas Process. This theoretical background permits the development of transpersonal home care to children, the moment when nurses need to develop self-knowledge, have theoretical-philosophical suppor t, and use this knowledge to overcome the paradigm of objectivity and biological care.This is a reflexive essay on the potential use of Jean Watsons Theory of Transpersonal Caring in the delivery of child-oriented nursing home care, in the light of the 10 elements of the Clinical Caritas Process. This theoretical background permits the development of transpersonal home care to children, the moment when nurses need to develop self-knowledge, have theoreticalphilosophical support, and use this knowledge to overcome the paradigm of objectivity and biological care.

Jean watson's theory of transpersonal caring in nursing home care to children: a reflection

Resumen This is a reflexive essay on the potential use of Jean Watson’s Theory of Transpersonal Caring in the delivery of child-oriented nursing home care, in the light of the 10 elements of the Clinical Caritas Process. This theoretical background permits the development of transpersonal home care to children, the moment when nurses need to develop self-knowledge, have theoretical-philosophical suppor t, and use this knowledge to overcome the paradigm of objectivity and biological care.This is a reflexive essay on the potential use of Jean Watsons Theory of Transpersonal Caring in the delivery of child-oriented nursing home care, in the light of the 10 elements of the Clinical Caritas Process. This theoretical background permits the development of transpersonal home care to children, the moment when nurses need to develop self-knowledge, have theoreticalphilosophical support, and use this knowledge to overcome the paradigm of objectivity and biological care.

Children's vulnerability to health damages: elements, applicability and perspectives

Aim and design: This is a reflexive study that aims to present the elements of children’s vulnerability to health damage. This discussion is focused on the conceptual framework of vulnerability and its potential contributions for children’s health promotion. Discussion: Children are vulnerable to suffer health damages due to the influence of elements from their individual characteristics and environment. The analysis of vulnerable situations in child health and the impairments arising from them should consider familiar, affective, social, economic, political and programmatic elements. Final considerations and recommendations for future research: The applicability of this set of elements in the perspective of care, assessment and planning of public policies allows a new foresight about child care, as well as it may help delineate new theoretical and observational studies in the child health area. Investigations in this area are necessary because vulnerability is an incipient theme in health sciences, which demands improvement to apply this concept in the field of child health care. These future research studies may allow the reorientation of care model, stimulate the overcoming of the biological and fragmented concept of health diagnosis and promote social responses that foster child health and its development.

Vulnerabilidade no desenvolvimento infantil: influência das políticas públicas e programas de saúde

INTRODUCAO: vulnerabilidade no desenvolvimento da crianca pode ser definida como a chance ou oportunidade de a crianca sofrer prejuizos ou atrasos em seu desenvolvimento devido a influencia de fatores de ordem individual, social e programatica, os quais se constituem em situacoes adversasOBJETIVO: Caracterizar a dimensao programatica da vulnerabilidade no desenvolvimento da crianca, segundo o enfermeiro da Estrategia Saude da FamiliaMETODO: pesquisa exploratoria qualitativa, realizada com enfermeiros de Unidades com Estrategia Saude da Familia, em municipio da regiao sul do Brasil. Dados coletados por entrevista semiestruturada e analisados segundo a hermeneutica dialetica e a matriz analitica da vulnerabilidade da crianca diante de situacoes adversas ao seu desenvolvimentoRESULTADOS: participaram 39 enfermeiros, um de cada unidade de saude, os quais descreveram fatores orcamentarios, institucionais, administrativos e assistenciais que influenciam o processo de cuidado em saude e se relacionam a promocao do desenvolvimento infantil. Mesmo reconhecendo melhorias no cenario atual da assistencia,eles classificaram tais fatores como insuficientes. Assim, as categorias Fragilidades no cenario politico-programatico e Lacunas na implementacao programatico-assistencial explicam a vulnerabilidade da atencao a saude da crianca na dimensao programatica, o que caracteriza uma situacao potencial de prejuizo a seu desenvolvimentoCONCLUSAO: os enfermeiros compreendem que a dimensao programatica da atencao a saude mostra-se uma relevante causa da vulnerabilidade no desenvolvimento da crianca. INTRODUCTION: vulnerability in child development can defined as the chance or opportunity to the child to suffer losses or delays in their development due to the influence of individual, social, and programmatic factors, which constitute adverse situations OBJECTIVE: to characterize the programmatic dimension of vulnerability in child development, according to the nurse at the Family Health Strategy Program METHODS: a qualitative exploratory study, conducted with nurses from units with the Family Health Strategy, in a city of the southern region of Brazil. Data collected by semi-structured interviews and analyzed according to the dialect hermeneutic and analytic matrix of the vulnerability of children in adverse situations for their development RESULTS: participants were 39 nurses, one from each health unit, who described budgetary, institutional, administrative and care factors that influence the process of health care and relate to the promotion of child development. Even acknowledging improvements in the current scenario of healthcare, they classified such factors as insufficient. Thus, the categories Fragilities in political-programmatic scenario and Gaps in the programmatic-assistance implementation, explain the vulnerability of the child health care in programmatic dimension, which characterizes a potentially injurious situation to the development CONCLUSION: The nurses understand that the programmatic dimension of health care shows up as a significant cause of vulnerability in the development of the child.

Teoria del cuidado transpersonal de Jean Watson en el cuidado domiciliario de enfermeria infantil: una reflexion

Resumen This is a reflexive essay on the potential use of Jean Watson’s Theory of Transpersonal Caring in the delivery of child-oriented nursing home care, in the light of the 10 elements of the Clinical Caritas Process. This theoretical background permits the development of transpersonal home care to children, the moment when nurses need to develop self-knowledge, have theoretical-philosophical suppor t, and use this knowledge to overcome the paradigm of objectivity and biological care.This is a reflexive essay on the potential use of Jean Watsons Theory of Transpersonal Caring in the delivery of child-oriented nursing home care, in the light of the 10 elements of the Clinical Caritas Process. This theoretical background permits the development of transpersonal home care to children, the moment when nurses need to develop self-knowledge, have theoreticalphilosophical support, and use this knowledge to overcome the paradigm of objectivity and biological care.