Karen Namie Sakata

Concepções da equipe de saúde da família sobre as visitas domiciliares

Connsidering home visits as a technology for interaction in family health care, this study aimed to understand how the Family Health team conceives these visits. A qualitative approach was used and data were collected through semistructured interviews. We interviewed nineteen professionals who belonged to two Family Health teams from an interior city in São Paulo. Results showed that visits are potential activities for more human and welcoming family care, with a view to bonding, confidence relations and getting to know users in the family environment. Visits are sometimes understood as health follow-up and sometimes as surveillance. Difficulties included reduced time availability and the teams impotence to act on problems.Entendendo as visitas domiciliares enquanto tecnologia de interacao no cuidado a saude da familia, o objetivo foi compreender as concepcoes da equipe de Saude da Familia sobre as visitas. Utilizou-se abordagem qualitativa e a entrevista semi-estruturada foi o instrumento de coleta de dados. Foram entrevistados dezenove profissionais de duas equipes de Saude de Familia de um municipio do interior paulista. Os resultados mostraram que as visitas sao atividades potenciais para o cuidado a familia, mais humano e acolhedor, permitindo o vinculo, lacos de confianca e conhecer o usuario no seu ambiente familiar. Apreende-se que as visitas ora sao compreendidas como acompanhamento da saude, ora como fiscalizacao. Dificuldades existiram como pouco tempo disponivel e impotencia da equipe frente aos problemas.

Articulação das ações e interação dos Agentes Comunitários de Saúde na equipe de Saúde da Família

This qualitative study examines the social relationships between the Community Health Agents (CHAs) and the Family Health team (FH), highlighting cooperative interventions and interactions among workers. A total of 23 participant observations and 11 semi-structured interviews were conducted with an FH team in a city in the interior of São Paulo, Brazil. The results revealed that CHAs function as a link in the development of operational actions to expedite teamwork. These professionals, while creating bonds, articulate connections of teamwork and interact with other workers, developing common care plans and bringing the team and community together, as well as adapting care interventions to meet the real needs of people. In communication practice, when talking about themselves they talk about the community itself because they are the communitys representatives and spokespersons on the team. The conclusion is that the CHA may be a strategic worker if his/her actions include more political and social dimensions of work in healthcare.O estudo de abordagem qualitativa teve como objetivo compreender as relacoes sociais entre o Agente Comunitario de Saude (ACS) e a equipe de Saude da Familia (SF), nesse sentido, destaca-se a articulacao das acoes e a interacao entre trabalhadores. Foram realizadas 23 observacoes participantes e 11 entrevistas semiestruturadas com uma equipe de SF em um municipio do interior de Sao Paulo, Brasil. Identificou-se que o ACS, como elo, desenvolve acoes operacionais para agilizar o trabalho da equipe. Como lacos de ligacao, desempenham acoes articuladas ao trabalho da equipe, interagindo com os trabalhadores, construindo planos assistenciais em comum, aproximando equipe e comunidade, adequando acoes de cuidado as necessidades das pessoas. Na pratica comunicativa, ao falarem de si, falam da propria comunidade, pois e seu representante e porta-voz na equipe. Concluiu-se que o Agente Comunitario de Saude pode ser um trabalhador estrategico se suas acoes compreenderem uma dimensao mais politica e social do trabalho em saude.

Cooperative interventions and the Interaction of Community Health agents within the family health team

This qualitative study examines the social relationships between the Community Health Agents (CHAs) and the Family Health team (FH), highlighting cooperative interventions and interactions among workers. A total of 23 participant observations and 11 semi-structured interviews were conducted with an FH team in a city in the interior of São Paulo, Brazil. The results revealed that CHAs function as a link in the development of operational actions to expedite teamwork. These professionals, while creating bonds, articulate connections of teamwork and interact with other workers, developing common care plans and bringing the team and community together, as well as adapting care interventions to meet the real needs of people. In communication practice, when talking about themselves they talk about the community itself because they are the communitys representatives and spokespersons on the team. The conclusion is that the CHA may be a strategic worker if his/her actions include more political and social dimensions of work in healthcare.O estudo de abordagem qualitativa teve como objetivo compreender as relacoes sociais entre o Agente Comunitario de Saude (ACS) e a equipe de Saude da Familia (SF), nesse sentido, destaca-se a articulacao das acoes e a interacao entre trabalhadores. Foram realizadas 23 observacoes participantes e 11 entrevistas semiestruturadas com uma equipe de SF em um municipio do interior de Sao Paulo, Brasil. Identificou-se que o ACS, como elo, desenvolve acoes operacionais para agilizar o trabalho da equipe. Como lacos de ligacao, desempenham acoes articuladas ao trabalho da equipe, interagindo com os trabalhadores, construindo planos assistenciais em comum, aproximando equipe e comunidade, adequando acoes de cuidado as necessidades das pessoas. Na pratica comunicativa, ao falarem de si, falam da propria comunidade, pois e seu representante e porta-voz na equipe. Concluiu-se que o Agente Comunitario de Saude pode ser um trabalhador estrategico se suas acoes compreenderem uma dimensao mais politica e social do trabalho em saude.

A educação em saúde no cuidado de usuários do Programa Automonitoramento Glicêmico

This article reports, in a systemized and analytical way, the experience of an Outreach Program in the period between 2010 and 2011. The study focused on health education interventions as strategies to improve the adherence of individuals with insulin- dependent diabetes mellitus (IDDM), clients of a blood glucose self-Monitoring program. In addition, we intended to contribute to the reorganization of the programs working processes in the unit. Health education strategies were used in both educational groups and home visits, thus permitting the provision of care that was more individualized. Data regarding the clients were organized on a spreadsheet and in files for the Family Health teams, which made it easier to identify the patients, including those who were absent, helping to decentralize the care. By using health education strategies, we intended to contribute to a more comprehensive and emancipatory care of the clients, aimed at a continuous reflection of the workers regarding their practices.This article reports, in a systemized and analytical way, the experience of an Outreach Program in the period between 2010 and 2011. The study focused on health education interventions as strategies to improve the adherence of individuals with insulin- dependent diabetes mellitus (IDDM), clients of a blood glucose self-Monitoring program. In addition, we intended to contribute to the reorganization of the programs working processes in the unit. Health education strategies were used in both educational groups and home visits, thus permitting the provision of care that was more individualized. Data regarding the clients were organized on a spreadsheet and in files for the Family Health teams, which made it easier to identify the patients, including those who were absent, helping to decentralize the care. By using health education strategies, we intended to contribute to a more comprehensive and emancipatory care of the clients, aimed at a continuous reflection of the workers regarding their practices.

Terminologia da Enfermagem caracterizadora da violência doméstica contra crianças e adolescentes

OBJECTIVE Identification of terminology relating to nursing practices aimed at children and adolescents at risk of domestic violence. METHODS bibliographic descriptive research which selected 40 articles from the Virtual Health Library on domestic violence against children and adolescents, its manifestations, causes, and consequences, in association with nursing procedures for its confrontation and prevention, and which also identified terminology via computer tools. RESULTS 17,365 terms that, after standardization and uniformity procedures, resulted in a listing of 915 terms. CONCLUSION The terminology selected focused on the individual biopsychic nexus and the historic manifestation of this phenomenon was partially identified in terms that appear less frequently in these articles, thereby explaining the contradiction between the formal identification logic of such terminology and the dialectic logic that recognizes the historic reasons for, and dynamicity of, such phenomena.

[Health education in the care to clients of the blood glucose self-monitoring program].

This article reports, in a systemized and analytical way, the experience of an Outreach Program in the period between 2010 and 2011. The study focused on health education interventions as strategies to improve the adherence of individuals with insulin- dependent diabetes mellitus (IDDM), clients of a blood glucose self-Monitoring program. In addition, we intended to contribute to the reorganization of the programs working processes in the unit. Health education strategies were used in both educational groups and home visits, thus permitting the provision of care that was more individualized. Data regarding the clients were organized on a spreadsheet and in files for the Family Health teams, which made it easier to identify the patients, including those who were absent, helping to decentralize the care. By using health education strategies, we intended to contribute to a more comprehensive and emancipatory care of the clients, aimed at a continuous reflection of the workers regarding their practices.This article reports, in a systemized and analytical way, the experience of an Outreach Program in the period between 2010 and 2011. The study focused on health education interventions as strategies to improve the adherence of individuals with insulin- dependent diabetes mellitus (IDDM), clients of a blood glucose self-Monitoring program. In addition, we intended to contribute to the reorganization of the programs working processes in the unit. Health education strategies were used in both educational groups and home visits, thus permitting the provision of care that was more individualized. Data regarding the clients were organized on a spreadsheet and in files for the Family Health teams, which made it easier to identify the patients, including those who were absent, helping to decentralize the care. By using health education strategies, we intended to contribute to a more comprehensive and emancipatory care of the clients, aimed at a continuous reflection of the workers regarding their practices.

Concepciones del equipo de salud de la familia sobre das visitas domiciliarias

Connsidering home visits as a technology for interaction in family health care, this study aimed to understand how the Family Health team conceives these visits. A qualitative approach was used and data were collected through semistructured interviews. We interviewed nineteen professionals who belonged to two Family Health teams from an interior city in São Paulo. Results showed that visits are potential activities for more human and welcoming family care, with a view to bonding, confidence relations and getting to know users in the family environment. Visits are sometimes understood as health follow-up and sometimes as surveillance. Difficulties included reduced time availability and the teams impotence to act on problems.Entendendo as visitas domiciliares enquanto tecnologia de interacao no cuidado a saude da familia, o objetivo foi compreender as concepcoes da equipe de Saude da Familia sobre as visitas. Utilizou-se abordagem qualitativa e a entrevista semi-estruturada foi o instrumento de coleta de dados. Foram entrevistados dezenove profissionais de duas equipes de Saude de Familia de um municipio do interior paulista. Os resultados mostraram que as visitas sao atividades potenciais para o cuidado a familia, mais humano e acolhedor, permitindo o vinculo, lacos de confianca e conhecer o usuario no seu ambiente familiar. Apreende-se que as visitas ora sao compreendidas como acompanhamento da saude, ora como fiscalizacao. Dificuldades existiram como pouco tempo disponivel e impotencia da equipe frente aos problemas.

Terminología de enfermería caracterizadora de la violencia doméstica contra los niños, niñas y adolescentes

OBJECTIVE Identification of terminology relating to nursing practices aimed at children and adolescents at risk of domestic violence. METHODS bibliographic descriptive research which selected 40 articles from the Virtual Health Library on domestic violence against children and adolescents, its manifestations, causes, and consequences, in association with nursing procedures for its confrontation and prevention, and which also identified terminology via computer tools. RESULTS 17,365 terms that, after standardization and uniformity procedures, resulted in a listing of 915 terms. CONCLUSION The terminology selected focused on the individual biopsychic nexus and the historic manifestation of this phenomenon was partially identified in terms that appear less frequently in these articles, thereby explaining the contradiction between the formal identification logic of such terminology and the dialectic logic that recognizes the historic reasons for, and dynamicity of, such phenomena.

Nursing Terminology defines domestic violence against children and adolescents

OBJECTIVE Identification of terminology relating to nursing practices aimed at children and adolescents at risk of domestic violence. METHODS bibliographic descriptive research which selected 40 articles from the Virtual Health Library on domestic violence against children and adolescents, its manifestations, causes, and consequences, in association with nursing procedures for its confrontation and prevention, and which also identified terminology via computer tools. RESULTS 17,365 terms that, after standardization and uniformity procedures, resulted in a listing of 915 terms. CONCLUSION The terminology selected focused on the individual biopsychic nexus and the historic manifestation of this phenomenon was partially identified in terms that appear less frequently in these articles, thereby explaining the contradiction between the formal identification logic of such terminology and the dialectic logic that recognizes the historic reasons for, and dynamicity of, such phenomena.

Articulación de acciones e interacción de los Agentes Comunitarios de Salud en el equipo de Salud de la Familia

This qualitative study examines the social relationships between the Community Health Agents (CHAs) and the Family Health team (FH), highlighting cooperative interventions and interactions among workers. A total of 23 participant observations and 11 semi-structured interviews were conducted with an FH team in a city in the interior of São Paulo, Brazil. The results revealed that CHAs function as a link in the development of operational actions to expedite teamwork. These professionals, while creating bonds, articulate connections of teamwork and interact with other workers, developing common care plans and bringing the team and community together, as well as adapting care interventions to meet the real needs of people. In communication practice, when talking about themselves they talk about the community itself because they are the communitys representatives and spokespersons on the team. The conclusion is that the CHA may be a strategic worker if his/her actions include more political and social dimensions of work in healthcare.O estudo de abordagem qualitativa teve como objetivo compreender as relacoes sociais entre o Agente Comunitario de Saude (ACS) e a equipe de Saude da Familia (SF), nesse sentido, destaca-se a articulacao das acoes e a interacao entre trabalhadores. Foram realizadas 23 observacoes participantes e 11 entrevistas semiestruturadas com uma equipe de SF em um municipio do interior de Sao Paulo, Brasil. Identificou-se que o ACS, como elo, desenvolve acoes operacionais para agilizar o trabalho da equipe. Como lacos de ligacao, desempenham acoes articuladas ao trabalho da equipe, interagindo com os trabalhadores, construindo planos assistenciais em comum, aproximando equipe e comunidade, adequando acoes de cuidado as necessidades das pessoas. Na pratica comunicativa, ao falarem de si, falam da propria comunidade, pois e seu representante e porta-voz na equipe. Concluiu-se que o Agente Comunitario de Saude pode ser um trabalhador estrategico se suas acoes compreenderem uma dimensao mais politica e social do trabalho em saude.