Raquel Gusmão Oliveira

Trabalhar com famílias no Programa de Saúde da Família: a prática do enfermeiro em Maringá-Paraná

The Family Health Program (Programa de Saúde da Familia, PSF) was conceived with the aim of fully assisting families in their social space, which requires a new professional posture. This work had the purpose of investigating the practices with families of the nurses that work in the PSF in the city of Maringá, in the State of Parana. An exploratory descriptive study with qualitative approach was carried out using for data collecting interviews, observation and documental analysis. Data were analyzed according to Bardin theoretical referential. The results revealed three categories in the Nursing practice with families: activities with individuals, activities in the community and activities at family homes. It was concluded that in spite of the fact that nurses consider families in a home context through home visits, data collecting and health education, they still focus on the disease and on the individual. Such approach has not stimulated the participation and autonomy of the families regarding care and the service.The Family Health Program (Programa de Saude da Familia, PSF) was conceived with the aim of fully assisting families in their social space, which requires a new professional posture. This work had the purpose of investigating the practices with families of the nurses that work in the PSF in the city of Maringa, in the State of Parana. An exploratory descriptive study with qualitative approach was carried out using for data collecting interviews, observation and documental analysis. Data were analyzed according to Bardin theoretical referential. The results revealed three categories in the Nursing practice with families: activities with individuals, activities in the community and activities at family homes. It was concluded that in spite of the fact that nurses consider families in a home context through home visits, data collecting and health education, they still focus on the disease and on the individual. Such approach has not stimulated the participation and autonomy of the families regarding care and the service.

The opinion of nurses regarding the work they perform with families in the family health program

3O objetivo deste estudo foi conhecer a opiniao de enfermeiros acerca do que e o trabalho com familia no contexto do Programa Saude da Familia (PSF) e quais as competencias necessarias para esse trabalho. Trata-se de estudo exploratorio-descritivo, de natureza qualitativa, desenvolvido junto a vinte enfermeiros que atuam em um PSF. Utilizou-se para a coleta de dados a entrevista semi-estruturada e para analise do conteudo dos discursos, o referencial de Bardin. Os resultados revelaram que o trabalho com familias e estruturado a partir de acoes e relacoes dos profissionais junto as familias, pois estabelecer e manter relacoes com a familia interfere na qualidade da assistencia. Em relacao as competencias, foram ressaltadas a importância do conhecimento tecnico-cientifico (saber-fazer) e principalmente do saber se relacionar (saber-ser) com as familias e com os membros da equipe, demonstrando comprometimento, envolvimento e postura etica, aspectos esses mais facilmente alcancados quando se gosta do que se faz.

Opinião de enfermeiros acerca do que é trabalhar com famílias no programa saúde da família

3O objetivo deste estudo foi conhecer a opiniao de enfermeiros acerca do que e o trabalho com familia no contexto do Programa Saude da Familia (PSF) e quais as competencias necessarias para esse trabalho. Trata-se de estudo exploratorio-descritivo, de natureza qualitativa, desenvolvido junto a vinte enfermeiros que atuam em um PSF. Utilizou-se para a coleta de dados a entrevista semi-estruturada e para analise do conteudo dos discursos, o referencial de Bardin. Os resultados revelaram que o trabalho com familias e estruturado a partir de acoes e relacoes dos profissionais junto as familias, pois estabelecer e manter relacoes com a familia interfere na qualidade da assistencia. Em relacao as competencias, foram ressaltadas a importância do conhecimento tecnico-cientifico (saber-fazer) e principalmente do saber se relacionar (saber-ser) com as familias e com os membros da equipe, demonstrando comprometimento, envolvimento e postura etica, aspectos esses mais facilmente alcancados quando se gosta do que se faz.

Working with families within the Family Health Program: nurse's practice in Maringá-Paraná

The Family Health Program (Programa de Saúde da Familia, PSF) was conceived with the aim of fully assisting families in their social space, which requires a new professional posture. This work had the purpose of investigating the practices with families of the nurses that work in the PSF in the city of Maringá, in the State of Parana. An exploratory descriptive study with qualitative approach was carried out using for data collecting interviews, observation and documental analysis. Data were analyzed according to Bardin theoretical referential. The results revealed three categories in the Nursing practice with families: activities with individuals, activities in the community and activities at family homes. It was concluded that in spite of the fact that nurses consider families in a home context through home visits, data collecting and health education, they still focus on the disease and on the individual. Such approach has not stimulated the participation and autonomy of the families regarding care and the service.The Family Health Program (Programa de Saude da Familia, PSF) was conceived with the aim of fully assisting families in their social space, which requires a new professional posture. This work had the purpose of investigating the practices with families of the nurses that work in the PSF in the city of Maringa, in the State of Parana. An exploratory descriptive study with qualitative approach was carried out using for data collecting interviews, observation and documental analysis. Data were analyzed according to Bardin theoretical referential. The results revealed three categories in the Nursing practice with families: activities with individuals, activities in the community and activities at family homes. It was concluded that in spite of the fact that nurses consider families in a home context through home visits, data collecting and health education, they still focus on the disease and on the individual. Such approach has not stimulated the participation and autonomy of the families regarding care and the service.

Impact of the compulsory school vaccination against hepatitis B in adolescents: exploratory-descriptive study

Introduction: In adolescence, the risk of sexually transmissible diseases has increased, becoming necessary the implementation of prevention measures. Objective: to investigate the impact of the law of compulsory immunization on the immunization coverage against Hepatitis B in adolescents in the municipal district of Maringa-Pr. Method: This is a descriptive-exploratory study, of retrospective character, regarding the number of doses of the vaccine against Hepatitis B administered in the group of 10-19 years of age, from 2001 to 2008. Data was obtained from the records of the bank “Evaluation of the Immunization Program (EIP) – municipal module” and analyzed by the statistical tests: Analysis of Variance and Tukey. Results: Statistical difference was observed in the immunization coverage against Hepatitis B before and after the compulsory nature of the immunization certificate, and also among the months with greater interest for the vaccine in the period from October to February, which is school registration time. In the 15-19 year old group, an increase on the immunization coverage was observed from 2004 to 2006, with expressive drop in 2007 and 2008 when the two larger high education institutions ceased to ask for updated immunization records in the registration. Implications on Nursing: The results show the importance of health education for the adolescents and, in the mentioned scenario, the need for discussion of the results found together with the directors of high education institutions, in order to make them aware of the importance of including the immunization records among the documents demanded in the registration.

Opinión de enfermeros con relación a lo que significa trabajar con familias dentro del programa salud de la familia

3O objetivo deste estudo foi conhecer a opiniao de enfermeiros acerca do que e o trabalho com familia no contexto do Programa Saude da Familia (PSF) e quais as competencias necessarias para esse trabalho. Trata-se de estudo exploratorio-descritivo, de natureza qualitativa, desenvolvido junto a vinte enfermeiros que atuam em um PSF. Utilizou-se para a coleta de dados a entrevista semi-estruturada e para analise do conteudo dos discursos, o referencial de Bardin. Os resultados revelaram que o trabalho com familias e estruturado a partir de acoes e relacoes dos profissionais junto as familias, pois estabelecer e manter relacoes com a familia interfere na qualidade da assistencia. Em relacao as competencias, foram ressaltadas a importância do conhecimento tecnico-cientifico (saber-fazer) e principalmente do saber se relacionar (saber-ser) com as familias e com os membros da equipe, demonstrando comprometimento, envolvimento e postura etica, aspectos esses mais facilmente alcancados quando se gosta do que se faz.

Trabajar con familias en el Programa de Salud de la Familia: la práctica del enfermero en Maringá-Paraná

The Family Health Program (Programa de Saúde da Familia, PSF) was conceived with the aim of fully assisting families in their social space, which requires a new professional posture. This work had the purpose of investigating the practices with families of the nurses that work in the PSF in the city of Maringá, in the State of Parana. An exploratory descriptive study with qualitative approach was carried out using for data collecting interviews, observation and documental analysis. Data were analyzed according to Bardin theoretical referential. The results revealed three categories in the Nursing practice with families: activities with individuals, activities in the community and activities at family homes. It was concluded that in spite of the fact that nurses consider families in a home context through home visits, data collecting and health education, they still focus on the disease and on the individual. Such approach has not stimulated the participation and autonomy of the families regarding care and the service.The Family Health Program (Programa de Saude da Familia, PSF) was conceived with the aim of fully assisting families in their social space, which requires a new professional posture. This work had the purpose of investigating the practices with families of the nurses that work in the PSF in the city of Maringa, in the State of Parana. An exploratory descriptive study with qualitative approach was carried out using for data collecting interviews, observation and documental analysis. Data were analyzed according to Bardin theoretical referential. The results revealed three categories in the Nursing practice with families: activities with individuals, activities in the community and activities at family homes. It was concluded that in spite of the fact that nurses consider families in a home context through home visits, data collecting and health education, they still focus on the disease and on the individual. Such approach has not stimulated the participation and autonomy of the families regarding care and the service.