Jaqueline Silva Santos

Integrality of actions among professionals and services: a necessity for child's right to health

Objective: To analyze the testimonies of nurses concerning the integrality of actions within child- and family-centered care, grasping strengths and weaknesses in a search for the defense of childrens right to health. Methods: Exploratory study using qualitative thematic analysis based on care and the right to health. Semi-structured interviews were conducted with 14 nurses working within the Family Health Strategy in Passos (MG), Brazil. Results: The testimonies show aspects related to communication between professionals and services, gaps in partnerships and limitations in terms of integrality and inter-sector actions. Positive and negative partnerships were reported, while the joint work between professionals and services was acknowledged. Conclusion: Broadened approaches designed to provide integral care and to construct a practice that avoids gaps in partnerships and that increase integrality and inter-sector cooperation among health actions are important, especially in the face of a set of laws and programs designed to provide integral protection to children.Este estudo teve como objetivo analisar narrativas de enfermeiros sobre a integralidade das acoes voltadas as criancas e suas familias, apreendendo fortalezas e fragilidades em busca da defesa do direito a saude. METODOS: Estudo exploratorio com analise qualitativa tematica dos dados, fundamentado no cuidado e direito a saude. Foram realizadas entrevistas semiestruturadas com 14 enfermeiros que atuam na Estrategia Saude da Familia de Passos-MG. RESULTADOS: As narrativas mostram aspectos relacionados a comunicacao entre os profissionais e os servicos, lacunas nas relacoes de parcerias e limites na integralidade e intersetorialidade das acoes. Parcerias positivadas e nao positivadas foram mencionadas, sendo valorizado o trabalho conjunto entre profissionais e servicos. CONCLUSAO: Abordagens ampliadas para um cuidado integral sao importantes para construir perspectivas de trabalho que evitem lacunas nas relacoes de parceria e ampliem a integralidade e intersetorialidade das acoes em rede, especialmente diante do conjunto de leis e programas que visam a protecao integral das criancas.

HOME VISIT: CARE TECHNOLOGY USED BY NURSES TO ADVOCATE FOR CHILD'S HEALTH

This study aimed to identify elements of care designed to protect children during home visits, from narratives of nurses, from the perspective of care and advocacy for the right to health of children. This is an exploratory study using qualitative thematic analysis, based on conceptual aspects of care and the right to health, from interviews with 14 nurses working in the Family Health Strategy. The narratives about the actions of nurses in home visits show protective measures of child health, organized into themes: observation and intervention for child care at home; arrest of situations of rights violation; child vulnerabilities with parental users of alcohol and other drugs. The home visit proved to be a fundamental tool for clinical practice in primary health care, constituting a privileged space for the nursing care of the child, and a family context for child health advocacy.

Integralidade das ações entre profissionais e serviços: prerrogativa ao direito à saúde da criança

Objective: To analyze the testimonies of nurses concerning the integrality of actions within child- and family-centered care, grasping strengths and weaknesses in a search for the defense of childrens right to health. Methods: Exploratory study using qualitative thematic analysis based on care and the right to health. Semi-structured interviews were conducted with 14 nurses working within the Family Health Strategy in Passos (MG), Brazil. Results: The testimonies show aspects related to communication between professionals and services, gaps in partnerships and limitations in terms of integrality and inter-sector actions. Positive and negative partnerships were reported, while the joint work between professionals and services was acknowledged. Conclusion: Broadened approaches designed to provide integral care and to construct a practice that avoids gaps in partnerships and that increase integrality and inter-sector cooperation among health actions are important, especially in the face of a set of laws and programs designed to provide integral protection to children.Este estudo teve como objetivo analisar narrativas de enfermeiros sobre a integralidade das acoes voltadas as criancas e suas familias, apreendendo fortalezas e fragilidades em busca da defesa do direito a saude. METODOS: Estudo exploratorio com analise qualitativa tematica dos dados, fundamentado no cuidado e direito a saude. Foram realizadas entrevistas semiestruturadas com 14 enfermeiros que atuam na Estrategia Saude da Familia de Passos-MG. RESULTADOS: As narrativas mostram aspectos relacionados a comunicacao entre os profissionais e os servicos, lacunas nas relacoes de parcerias e limites na integralidade e intersetorialidade das acoes. Parcerias positivadas e nao positivadas foram mencionadas, sendo valorizado o trabalho conjunto entre profissionais e servicos. CONCLUSAO: Abordagens ampliadas para um cuidado integral sao importantes para construir perspectivas de trabalho que evitem lacunas nas relacoes de parceria e ampliem a integralidade e intersetorialidade das acoes em rede, especialmente diante do conjunto de leis e programas que visam a protecao integral das criancas.

Fatores relacionados à saúde da mulher no puerpério e repercussões na saúde da criança

Objective: To present a reflection about the influence of some factors related to the womens health in the puerperium and its effects on child health. Metho...Objetivo: Presentar una reflexion sobre la influencia de factores relacionados a la salud de la mujer en el puerperio y su impacto en la salud del nino. Metodos: Estudio teorico y reflexivo, basado en la literatura y en la percepcion de las autoras, buscando discutir la atencion a la salud materno-infantil en el puerperio. Resultados: Se resaltaron aspectos relacionados con los temas: La inseparabilidad de la atencion a la madre y al nino en el puerperio; Desafios de la lactancia materna; Importancia de la planificacion familiar; y Morbimortalidad materna e infantil. Estos aspectos son especialmente relevantes en el periodo del puerperio, en la perspectiva de promocion de la salud y calidad de vida de la mujer-madre, pareja, recien-nacido, hijos y familia. Conclusion: Los ninos, seres mas vulnerables, son los mas beneficiados por un contexto saludable de vida en familia.

DERECHO A LA INMUNIZACIÓN EN LA INFANCIA Y LA ADOLESCENCIA: UNA REVISIÓN NARRATIVA

Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.

Assessment of Primary Healthcare attributes in one Municipality of Minas Gerais State

Objective: To assess the extent of the Primary Health Care (PHC) attributes from the perspective of nurses of the Family Health Strategy (FHS) and conventional Primary Health Units (PHUs) of the municipality of Passos, MG. Methods: This evaluative, quantitative study included 27 nurses, with the data collected using the PCATool-Brazil, professional version, and tabulated in a spreadsheet. Results: The FHS nurses provided higher scores in all attributes except for First Contact Accessibility. Only Community Orientation and Information System showed large differences between the sources. The Care Integration attribute had the lowest difference between the PHU and FHS respondents, while Community Orientation showed the largest difference between the units. Conclusion: The FHS achieved better results regarding PHC attributes compared to the PHUs, however, the there is need for improvements in the work process of the teams.Objective: To assess the extent of the Primary Health Care (PHC) attributes from the perspective of nurses of the Family Health Strategy (FHS) and conventional Primary Health Units (PHUs) of the municipality of Passos, MG. Methods: This evaluative, quantitative study included 27 nurses, with the data collected using the PCATool-Brazil, professional version, and tabulated in a spreadsheet. Results: The FHS nurses provided higher scores in all attributes except for First Contact Accessibility. Only Community Orientation and Information System showed large differences between the sources. The Care Integration attribute had the lowest difference between the PHU and FHS respondents, while Community Orientation showed the largest difference between the units. Conclusion: The FHS achieved better results regarding PHC attributes compared to the PHUs, however, the there is need for improvements in the work process of the teams.Objetivo: Evaluar el alcance de los atributos de la Atencion Primaria a la Salud (APS) desde la perspectiva de las enfermeras de la Estrategia Salud de la Familia (ESF) y Unidades Basicas de Salud convencionales (UBS) de Passos, MG. Metodos: Investigacion de evaluacion, cuantitativa. Participaron 27 enfermeros a partir de la coleccion de los datos recogidos por PCATool-Brasil, version profesional, y tabulado electronicamente. Resultados: ESF tuvo puntuaciones mas altas en todos los atributos, excepto en Acceso de Primer Contacto. Solo para Orientacion Comunitaria y Sistema de Informacion son grandes las diferencias entre las fuentes. El atributo Integracion de Cuidados tenia la menor diferencia entre UBS y ESF, mientras la orientacion comunitaria recibio la mayor diferencia entre las unidades. Conclusion: ESF ha logrado mejores resultados en los atributos de APS comparado con UBS, todavia se necesita mejoras en el proceso de trabajo de los equipos.

Avaliação dos atributos da Atenção Primária à Saúde em um Município Mineiro

Objective: To assess the extent of the Primary Health Care (PHC) attributes from the perspective of nurses of the Family Health Strategy (FHS) and conventional Primary Health Units (PHUs) of the municipality of Passos, MG. Methods: This evaluative, quantitative study included 27 nurses, with the data collected using the PCATool-Brazil, professional version, and tabulated in a spreadsheet. Results: The FHS nurses provided higher scores in all attributes except for First Contact Accessibility. Only Community Orientation and Information System showed large differences between the sources. The Care Integration attribute had the lowest difference between the PHU and FHS respondents, while Community Orientation showed the largest difference between the units. Conclusion: The FHS achieved better results regarding PHC attributes compared to the PHUs, however, the there is need for improvements in the work process of the teams.Objective: To assess the extent of the Primary Health Care (PHC) attributes from the perspective of nurses of the Family Health Strategy (FHS) and conventional Primary Health Units (PHUs) of the municipality of Passos, MG. Methods: This evaluative, quantitative study included 27 nurses, with the data collected using the PCATool-Brazil, professional version, and tabulated in a spreadsheet. Results: The FHS nurses provided higher scores in all attributes except for First Contact Accessibility. Only Community Orientation and Information System showed large differences between the sources. The Care Integration attribute had the lowest difference between the PHU and FHS respondents, while Community Orientation showed the largest difference between the units. Conclusion: The FHS achieved better results regarding PHC attributes compared to the PHUs, however, the there is need for improvements in the work process of the teams.Objetivo: Evaluar el alcance de los atributos de la Atencion Primaria a la Salud (APS) desde la perspectiva de las enfermeras de la Estrategia Salud de la Familia (ESF) y Unidades Basicas de Salud convencionales (UBS) de Passos, MG. Metodos: Investigacion de evaluacion, cuantitativa. Participaron 27 enfermeros a partir de la coleccion de los datos recogidos por PCATool-Brasil, version profesional, y tabulado electronicamente. Resultados: ESF tuvo puntuaciones mas altas en todos los atributos, excepto en Acceso de Primer Contacto. Solo para Orientacion Comunitaria y Sistema de Informacion son grandes las diferencias entre las fuentes. El atributo Integracion de Cuidados tenia la menor diferencia entre UBS y ESF, mientras la orientacion comunitaria recibio la mayor diferencia entre las unidades. Conclusion: ESF ha logrado mejores resultados en los atributos de APS comparado con UBS, todavia se necesita mejoras en el proceso de trabajo de los equipos.

Evaluación de los atributos de la Atención Primaria a la Salud en una ciudad en Minas Gerais

Objective: To assess the extent of the Primary Health Care (PHC) attributes from the perspective of nurses of the Family Health Strategy (FHS) and conventional Primary Health Units (PHUs) of the municipality of Passos, MG. Methods: This evaluative, quantitative study included 27 nurses, with the data collected using the PCATool-Brazil, professional version, and tabulated in a spreadsheet. Results: The FHS nurses provided higher scores in all attributes except for First Contact Accessibility. Only Community Orientation and Information System showed large differences between the sources. The Care Integration attribute had the lowest difference between the PHU and FHS respondents, while Community Orientation showed the largest difference between the units. Conclusion: The FHS achieved better results regarding PHC attributes compared to the PHUs, however, the there is need for improvements in the work process of the teams.Objective: To assess the extent of the Primary Health Care (PHC) attributes from the perspective of nurses of the Family Health Strategy (FHS) and conventional Primary Health Units (PHUs) of the municipality of Passos, MG. Methods: This evaluative, quantitative study included 27 nurses, with the data collected using the PCATool-Brazil, professional version, and tabulated in a spreadsheet. Results: The FHS nurses provided higher scores in all attributes except for First Contact Accessibility. Only Community Orientation and Information System showed large differences between the sources. The Care Integration attribute had the lowest difference between the PHU and FHS respondents, while Community Orientation showed the largest difference between the units. Conclusion: The FHS achieved better results regarding PHC attributes compared to the PHUs, however, the there is need for improvements in the work process of the teams.Objetivo: Evaluar el alcance de los atributos de la Atencion Primaria a la Salud (APS) desde la perspectiva de las enfermeras de la Estrategia Salud de la Familia (ESF) y Unidades Basicas de Salud convencionales (UBS) de Passos, MG. Metodos: Investigacion de evaluacion, cuantitativa. Participaron 27 enfermeros a partir de la coleccion de los datos recogidos por PCATool-Brasil, version profesional, y tabulado electronicamente. Resultados: ESF tuvo puntuaciones mas altas en todos los atributos, excepto en Acceso de Primer Contacto. Solo para Orientacion Comunitaria y Sistema de Informacion son grandes las diferencias entre las fuentes. El atributo Integracion de Cuidados tenia la menor diferencia entre UBS y ESF, mientras la orientacion comunitaria recibio la mayor diferencia entre las unidades. Conclusion: ESF ha logrado mejores resultados en los atributos de APS comparado con UBS, todavia se necesita mejoras en el proceso de trabajo de los equipos.

O DIREITO À IMUNIZAÇÃO NA INFÂNCIA E ADOLESCÊNCIA: UMA REVISÃO NARRATIVA

Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.

THE RIGHT TO IMMUNIZATION IN CHILDHOOD AND ADOLESCENCE: A NARRATIVE REVIEW

Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.Objective: To identify the factors limiting a guaranteed right to immunization in childhood and adolescence. Methods: This is a narrative literature review aiming to answer the following question: what is the state of the art of immunization rights for children and adolescents? All articles were collected from the databases of PubMed, BDENF, LILACS and the virtual library SciELO by searching the key words: immunization, child, adolescent and human rights both in English and Spanish. Fifteen articles were selected and analyzed. Results: The factors limiting a guaranteed right to immunization in children and adolescents were identified, as well as ethical issues involving vaccination; such as compulsoriness, consent and rights conflicts, all of which pose challenges that require an up-to-date health professional knowledge, openness to dialogue and good health education practices to protect these rights. Conclusion: Professional commitment is vital to maintain high levels of vaccination and contributes to promote and protect the health of children and adolescents.