Rosana Lúcia Alves de Vilar

Acesso e acolhimento na atenção básica: uma análise da percepção dos usuários e profissionais de saúde

This article is part of the evaluation study on the Project for Expansion and Consolidation of the Family Health Strategy, conducted by the Center for Public Health Research at the Federal University in Rio Grande do Norte, Brazil, from March to December 2005. The study presents an assessment of primary health care access and receptivity from the perspective of patients and health professionals, comparing traditional primary care units and family health units in three State capitals in Northeast Brazil. The methodology included focus groups with content analysis. The results identified increased access, but there is still a disproportion between potential supply, capacity to meet the demand, and difficulties with referral in both the family health units and traditional primary care units. As an operational technology, receptivity is still under construction in the family health units, with varying levels of adherence to both the concept and the strategies for reorganizing daily work practices. Meanwhile, receptivity is totally absent from the traditional primary care units. The study suggests that qualitative analyses be included in health assessment in order to better explain the subjective aspects of the various actors.

Abordagem da dependencia de substancias psicoativas na adolescencia: reflexao etica para a enfermagem

El uso indiscriminado de drogas entre los jovenes aumenta progresivamente en Brasil y en el mundo. Este estudio tuvo como objetivo reflejar sobre el abordaje etico de la enfermeria en la atencion a adolescentes usuarios de drogas licitas e ilicitas. Se trata de un estudio teorico de caracter reflexivo, basado en una revision bibliografica de tipo narrativa, utilizandose de libros y articulos cientificos. Emergieron reflexiones sobre la dependencia de sustancias psicoactivas en expansion en la adolescencia, que culminaron en la discusion sobre el abordaje etico de la enfermeria junto al adolescente usuario de drogas. El enfermero puede priorizar una asistencia direccionada a la promocion de la salud del adolescente en una perspectiva emancipadora del joven en la prevencion del consumo de drogas. Se concluyo que las enfermeras deben realizar un enfoque etico a los adolescentes dependientes, considerando su contexto y su subjetividad.

O acolhimento na Atenção Básica em saúde: relações de reciprocidade entre trabalhadores e usuários

Esta pesquisa aborda a pratica do acolhimento analisando as relacoes de reciprocidade entre trabalhadores e usuarios, na Estrategia Saude da Familia. Trata-se de uma investigacao descritiva, explicativa e qualitativa, com coleta de dados atraves de entrevistas semiestruturadas e analise pela tecnica do discurso do sujeito coletivo. Os resultados evidenciaram que a normatizacao repercute nas relacoes de reciprocidade. O acolhimento favoreceu a troca de dadivas. Entretanto, aspectos referentes a estrutura fisica deficiente, a demanda excessiva, a precariedade da rede de referencia, a visao medico-centrada, a vulnerabilidade da populacao, dificultaram as relacoes mutuas entre os sujeitos.

Avaliação de um programa de assistência primária de saúde na área periurbana

A primary health care program was developed and implemented in two peri-urban communities of Natal, RN. The principal objective of this program was to improve the level of health of the community and the key mechanism was community participation principally through the work of the health promotors. Program development will be detailed along with an evaluation based on measurable changes in health pratices and health service utilization as observed in these two communities during a period of two years.

Approach to adolescents' addiction to psychoactive substances: ethical reflection for professional nursing practice

El uso indiscriminado de drogas entre los jovenes aumenta progresivamente en Brasil y en el mundo. Este estudio tuvo como objetivo reflejar sobre el abordaje etico de la enfermeria en la atencion a adolescentes usuarios de drogas licitas e ilicitas. Se trata de un estudio teorico de caracter reflexivo, basado en una revision bibliografica de tipo narrativa, utilizandose de libros y articulos cientificos. Emergieron reflexiones sobre la dependencia de sustancias psicoactivas en expansion en la adolescencia, que culminaron en la discusion sobre el abordaje etico de la enfermeria junto al adolescente usuario de drogas. El enfermero puede priorizar una asistencia direccionada a la promocion de la salud del adolescente en una perspectiva emancipadora del joven en la prevencion del consumo de drogas. Se concluyo que las enfermeras deben realizar un enfoque etico a los adolescentes dependientes, considerando su contexto y su subjetividad.

A Look at Professional Education in Health with Emphasis on Aging

This article purpose is to analyze the insertion of the population aging theme in the training of professionals working in the Family Health Strategy and in the Family Health Support Center. This is a study with a qualitative approach and documentary type, carried out in the state of Rio Grande do Norte, located in the Northeastern region of Brazil. To reach the objective, the pedagogical projects of the courses for the professions that work in the Family Health Strategy and in the Family Health Support Unit were searched. The documents analysis was based on the content analysis method, using the thematic analysis technique in three pre-established registration units: (i) skills and abilities; (ii) professional profile; and (iii) curricular structure. From the analysis of the pedagogical projects, two analytical categories emerged: discussion about aging and training for health care of the elderly. The research result was that the discussion about the thematic of the aging in the process of formation of human resources in health is still insipient. There is a clear necessity to prepare people to provide adequate attention to the elderly population, as well as to formulate and manage public policies for the mentioned population that benefits from Health Unic System (SUS) Keywords: Aging; Health of the Elderly; Human Resources in Health; Health education; Primary Health Care.

Changes in the Quality of Life of an Elderly Group of the Family Health Strategy

Background: To analyze the quality of life of a group of elderly people enrolled in the Family Health Strategy of the Igapo neighborhood, in the city of Natal, Rio Grande do Norte, Brazil. Methods: This is a longitudinal study with a quantitative approach. The process of data collection occurred in two different moments. The instruments used to collect data were: “Questionnaire on socio-demographic data” and the “Brazilian Version of the Short Form-36 Quality of Life Questionnaire (SF-36).” Results: It was verified that most of them were women, with low purchasing power and low education level. There was a predominance of unmarried elderly individuals who did not perform work activities. Higher scores were identified for the emotional, physical and mental domains. In the first collection, lower scores regarding the general state of health and pain were observed. There were better percentages of improvement in the areas of General Health Status, Body Pain and Social Function and Physical Health dimension. The activities developed in the coexistence group together with the elderly were classified as educational, physical/functional and commemorative. Conclusion: This study showed higher scores in the physical, functional and mental aspects, where the autonomy of the elderly is directly related, reflecting an active aging favoring a better quality of life. Keywords: Elderly; Quality of life; Health of the Elderly.

Education, ethics, and solidarity in international cooperation

The article analyzes an experience in technical cooperation between Brazil and Andean countries in the form of the International Course in the Management of Human Resource Policies in Health. This exploratory documental study encompassed a number of Latin American countries whose institutions of higher education had partnerships with the Federal University of Rio Grande do Norte, mediated by the Pan American Health Organization Representation in Brazil. The course experience shows that fundamental values like ethics and solidarity are determinant to the success of technical cooperation processes.

Enfoque de la dependencia de sustancias psicoactivas en la adolescencia: reflexion etica para enfermeria

El uso indiscriminado de drogas entre los jovenes aumenta progresivamente en Brasil y en el mundo. Este estudio tuvo como objetivo reflejar sobre el abordaje etico de la enfermeria en la atencion a adolescentes usuarios de drogas licitas e ilicitas. Se trata de un estudio teorico de caracter reflexivo, basado en una revision bibliografica de tipo narrativa, utilizandose de libros y articulos cientificos. Emergieron reflexiones sobre la dependencia de sustancias psicoactivas en expansion en la adolescencia, que culminaron en la discusion sobre el abordaje etico de la enfermeria junto al adolescente usuario de drogas. El enfermero puede priorizar una asistencia direccionada a la promocion de la salud del adolescente en una perspectiva emancipadora del joven en la prevencion del consumo de drogas. Se concluyo que las enfermeras deben realizar un enfoque etico a los adolescentes dependientes, considerando su contexto y su subjetividad.