Roseni Rosangela de Sena

Promoção da saúde como decisão política para a formação do enfermeiro

It is a descriptive-exploratory study with a qualitative approach that has the objective of analyzing the health promotion in training nurses. The setting of the research was two nursing undergraduate courses in the State of Minas Gerais, Brazil. The results show that both schools used settings favorable to a health promotion approach in this training. They anchor this approach in the need to provide students experiences of learning from an immersion in the reality of professional life. It is prevalent on formation a tension between good educational pratices for health promotion were revealed those become into the daily of the service and practices that arrest the subjects on their ways of thinking. It is concluded that health promotion is recognized as a political decision in nursing education, although this is yet incipient and has a mixed theoretical formulation, indicating the need to increase opportunities for conceptual and operational discussion.It is a descriptive-exploratory study with a qualitative approach that has the objective of analyzing the health promotion in training nurses. The setting of the research was two nursing undergraduate courses in the State of Minas Gerais, Brazil. The results show that both schools used settings favorable to a health promotion approach in this training. They anchor this approach in the need to provide students experiences of learning from an immersion in the reality of professional life. It is prevalent on formation a tension between good educational pratices for health promotion were revealed those become into the daily of the service and practices that arrest the subjects on their ways of thinking. It is concluded that health promotion is recognized as a political decision in nursing education, although this is yet incipient and has a mixed theoretical formulation, indicating the need to increase opportunities for conceptual and operational discussion.

Expansion of undergraduate courses in nursing: dilemmas and contradictions facing the labor market

We sought to analyze, from the perspective of professors and students, the reasons and consequences of the expansion of undergraduate courses in nursing, discussing the dilemmas and the contradictions confronting the labor market. It was a qualitative study with data obtained from focus groups, conducted in 18 undergraduate nursing courses in the state of Minas Gerais, during the period of February to October of 2011. The narratives were submitted to critical discourse analysis. The results indicated that the education of the nurse was permeated by insecurity as to the future integration into the labor market. The insecurity translates into dilemmas that referred to employability and the precariousness of the working conditions. In this context, employment in the family health strategy emerges as a mirage. One glimpses the need for a political agenda with the purpose of discussion about education, the labor market and the determinants of these processes.

Serviços de atenção domiciliar na saúde suplementar e a inserção da enfermagem em Belo Horizonte/MG

Objective: To evaluate modalities of home care services, discussing the inclusion of nursing. Methods: A qualitative case study conducted with four health plan providers in the city of Belo Horizonte / Minas Gerais (Brazil). Data were obtained from interviews and case management. Results: The home care services are grouped into three modalities: long-term care at home; temporary care at home; and, use of intensive technologies and care. In these modalities, nurses assume care actions, management of the care, and qualifying the care through the appropriate use of soft technologies. There is a trend towards outsourcing of nursing services to home care. Conclusion: The inclusion of the work of nurses in home care modalities represents both a component of cost reduction and contributes to the technological transition by establishing new forms of care at home.ReSuMo Objetivo: Analisar modalidades de servico de atencao domiciliar discutindo a insercao da enfermagem. Metodos: Estudo de caso qualitativo realizado em quatro operadoras de planos de saude no municipio de Belo Horizonte/Minas Gerais. Os dados foram obtidos de entrevistas e acompanhamento de casos. Resultados: Os servicos de atencao domiciliar sao agrupados em tres Modalidades: Cuidados prolongados no domicilio; Atencao provisoria no domicilio e Uso intenso de tecnologias e de cuidados. Nas modalidades, a enfermagem assume acoes assistenciais e de gestao do cuidado e qualifica a atencao por meio do uso apropriado das tecnologias leves. Ha uma tendencia a terceirizacao do servico de enfermagem na atencao domiciliar. Conclusao: A inclusao do trabalho do enfermeiro nas modalidades de atencao domiciliar representa ao mesmo tempo um componente de reducao de custos e contribui para a transicao tecnologica pelo estabelecimento de novas formas de cuidado no domicilio. Descritores: Servicos de assistencia domiciliar; Cuidados de enfermagem; Reducao de custos

Expansao dos cursos de graduacao em enfermagem: dilemas e contradicoes frente ao mercado de trabalho

We sought to analyze, from the perspective of professors and students, the reasons and consequences of the expansion of undergraduate courses in nursing, discussing the dilemmas and the contradictions confronting the labor market. It was a qualitative study with data obtained from focus groups, conducted in 18 undergraduate nursing courses in the state of Minas Gerais, during the period of February to October of 2011. The narratives were submitted to critical discourse analysis. The results indicated that the education of the nurse was permeated by insecurity as to the future integration into the labor market. The insecurity translates into dilemmas that referred to employability and the precariousness of the working conditions. In this context, employment in the family health strategy emerges as a mirage. One glimpses the need for a political agenda with the purpose of discussion about education, the labor market and the determinants of these processes.

Supplementary home health care services and the inclusion of nursing in Belo Horizonte / Minas Gerais (Brazil)*

Objective: To evaluate modalities of home care services, discussing the inclusion of nursing. Methods: A qualitative case study conducted with four health plan providers in the city of Belo Horizonte / Minas Gerais (Brazil). Data were obtained from interviews and case management. Results: The home care services are grouped into three modalities: long-term care at home; temporary care at home; and, use of intensive technologies and care. In these modalities, nurses assume care actions, management of the care, and qualifying the care through the appropriate use of soft technologies. There is a trend towards outsourcing of nursing services to home care. Conclusion: The inclusion of the work of nurses in home care modalities represents both a component of cost reduction and contributes to the technological transition by establishing new forms of care at home.ReSuMo Objetivo: Analisar modalidades de servico de atencao domiciliar discutindo a insercao da enfermagem. Metodos: Estudo de caso qualitativo realizado em quatro operadoras de planos de saude no municipio de Belo Horizonte/Minas Gerais. Os dados foram obtidos de entrevistas e acompanhamento de casos. Resultados: Os servicos de atencao domiciliar sao agrupados em tres Modalidades: Cuidados prolongados no domicilio; Atencao provisoria no domicilio e Uso intenso de tecnologias e de cuidados. Nas modalidades, a enfermagem assume acoes assistenciais e de gestao do cuidado e qualifica a atencao por meio do uso apropriado das tecnologias leves. Ha uma tendencia a terceirizacao do servico de enfermagem na atencao domiciliar. Conclusao: A inclusao do trabalho do enfermeiro nas modalidades de atencao domiciliar representa ao mesmo tempo um componente de reducao de custos e contribui para a transicao tecnologica pelo estabelecimento de novas formas de cuidado no domicilio. Descritores: Servicos de assistencia domiciliar; Cuidados de enfermagem; Reducao de custos

Oferta dos cursos de graduação em enfermagem no estado de Minas Gerais

The aim of this study is to analyze the distribution of undergraduate nursing programs in the state of Minas Gerais, Brazil, and make associations between them and public education policy. It is a descriptive cross-sectional study whose source was the e-MEC database from the Brazilian Ministry of Culture and Education, accessed in February of 2010, using the universe of undergraduate nursing programs. Data indicates that there are 126 courses with the traditional in-class modality which have presented expansion since 2000, concentrating in the state’s more developed regions. Course offerings have increased mainly in private institutions and in night shifts. The expansion of nursing courses is related to public education policy. Educational, administrative, and the financial management autonomy of educational institutions favor the increased number of institutions. DESCRIPTORS: Education, nursing. Education, higher. Higher education institutions. Public Policies. OFERTA DE CURSOS DE ENFERMERIA EN EL ESTADO DE MINAS GERAIS RESUMEN: Este estudio tuvo como objetivo analizar la distribucion de la oferta de cursos de enfermeria en el Estado de Minas Gerais y establecer los vinculos con las politicas publicas de educacion. Estudio descriptivo y transversal cuya fuente fue la base de datos e-MEC del Ministerio de Educacion y Cultura, consultada en febrero de 2010. Se utilizo el universo de los cursos de enfermeria. Los datos indican que hay 126 cursos en el Estado en la modalidad presencial, se expandieron a partir del 2.000 y se concentran en las regiones mas desarrolladas del Estado. El aumento del numero de cursos se produjo sobre todo en las instituciones privadas y en los turnos nocturnos. La expansion de los cursos de enfermeria esta relacionada con las politicas publicas de educacion. La autonomia pedagogica, administrativa y de gestion financiera de los institutos de ensenanza ayudan a aumentar el numero de instituciones. DESCRIPTORES: Educacion en enfermeria. Educacion superior. Instituciones de ensenanza superior. Politicas publicas.Este estudio tuvo como objetivo analizar la distribucion de la oferta de cursos de enfermeria en el Estado de Minas Gerais y establecer los vinculos con las politicas publicas de educacion. Estudio descriptivo y transversal cuya fuente fue la base de datos e-MEC del Ministerio de Educacion y Cultura, consultada en febrero de 2010. Se utilizo el universo de los cursos de enfermeria. Los datos indican que hay 126 cursos en el Estado en la modalidad presencial, se expandieron a partir del 2.000 y se concentran en las regiones mas desarrolladas del Estado. El aumento del numero de cursos se produjo sobre todo en las instituciones privadas y en los turnos nocturnos. La expansion de los cursos de enfermeria esta relacionada con las politicas publicas de educacion. La autonomia pedagogica, administrativa y de gestion financiera de los institutos de ensenanza ayudan a aumentar el numero de instituciones

Programas de promoción de la salud en la salud suplementaria en Belo Horizonte, Minas Gerais, Brasil: concepciones y prácticas

(a) Prefeitura Municipal de Belo Horizonte, Hospital Municipal Odilon Bherens. Rua Formiga, no 50, Lagoinha. Belo Horizonte, MG, Brasil. 31210-780. andrezatrevenzoli@yahoo.com.br (b,c) Departamento de Enfermagem Aplicada, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. kenialara17@ gmail.com; rosenisena@uol.com.br This study aimed to analyze health promotion programs developed by healthcare plan operators. This was a multiple case study with a qualitative approach. The data were obtained from interviews with forty participants, comprising managers, professionals and beneficiaries of six healthcare plan operators in Belo Horizonte, Minas Gerais, Brazil. Observations were made among participants in health promotion programs. The analysis showed that a behavioral approach towards health promotion is prevalent. The characteristics of the programs made it possible to differentiate them as traditional, transitional or innovative. The findings suggest that there have been changes in the logic of healthcare production, but with reduced potential to initiate transformation. It was concluded that there is a need to support operators regarding the concepts and models of health promotion so as to induce changes and innovations. Keywords: Health promotion. Supplemental health. Qualitative research.O trabalho analisou programas de promocao da saude desenvolvidos por operadoras de planos de saude. Trata-se de estudo de casos multiplos de abordagem qualitativa. Os dados foram obtidos de entrevistas com quarenta participantes, entre gestores, profissionais e beneficiarios de seis operadoras de planos de saude em Belo Horizonte/MG, Brasil. Foram realizadas observacoes junto aos participantes dos programas de promocao da saude. A analise explicitou que a abordagem comportamental de promocao da saude e prevalente. Os programas apresentam caracteristicas que permitem diferencia-los como: tradicionais, em transicao e inovadores. Os achados sinalizam para mudancas na logica de producao da saude, mas com reduzido potencial para disparar transformacao. Conclui-se pela necessidade de apoio as operadoras sobre as concepcoes e modelos de promocao da saude para induzir mudancas e inovacoes.

Programas de promoção da saúde na saúde suplementar em Belo Horizonte, MG, Brasil: concepções e práticas

(a) Prefeitura Municipal de Belo Horizonte, Hospital Municipal Odilon Bherens. Rua Formiga, no 50, Lagoinha. Belo Horizonte, MG, Brasil. 31210-780. andrezatrevenzoli@yahoo.com.br (b,c) Departamento de Enfermagem Aplicada, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. kenialara17@ gmail.com; rosenisena@uol.com.br This study aimed to analyze health promotion programs developed by healthcare plan operators. This was a multiple case study with a qualitative approach. The data were obtained from interviews with forty participants, comprising managers, professionals and beneficiaries of six healthcare plan operators in Belo Horizonte, Minas Gerais, Brazil. Observations were made among participants in health promotion programs. The analysis showed that a behavioral approach towards health promotion is prevalent. The characteristics of the programs made it possible to differentiate them as traditional, transitional or innovative. The findings suggest that there have been changes in the logic of healthcare production, but with reduced potential to initiate transformation. It was concluded that there is a need to support operators regarding the concepts and models of health promotion so as to induce changes and innovations. Keywords: Health promotion. Supplemental health. Qualitative research.O trabalho analisou programas de promocao da saude desenvolvidos por operadoras de planos de saude. Trata-se de estudo de casos multiplos de abordagem qualitativa. Os dados foram obtidos de entrevistas com quarenta participantes, entre gestores, profissionais e beneficiarios de seis operadoras de planos de saude em Belo Horizonte/MG, Brasil. Foram realizadas observacoes junto aos participantes dos programas de promocao da saude. A analise explicitou que a abordagem comportamental de promocao da saude e prevalente. Os programas apresentam caracteristicas que permitem diferencia-los como: tradicionais, em transicao e inovadores. Os achados sinalizam para mudancas na logica de producao da saude, mas com reduzido potencial para disparar transformacao. Conclui-se pela necessidade de apoio as operadoras sobre as concepcoes e modelos de promocao da saude para induzir mudancas e inovacoes.

Health promotion programs within supplementary healthcare in Belo Horizonte, MG, Brazil: concepts and practices

(a) Prefeitura Municipal de Belo Horizonte, Hospital Municipal Odilon Bherens. Rua Formiga, no 50, Lagoinha. Belo Horizonte, MG, Brasil. 31210-780. andrezatrevenzoli@yahoo.com.br (b,c) Departamento de Enfermagem Aplicada, Escola de Enfermagem, Universidade Federal de Minas Gerais. Belo Horizonte, MG, Brasil. kenialara17@ gmail.com; rosenisena@uol.com.br This study aimed to analyze health promotion programs developed by healthcare plan operators. This was a multiple case study with a qualitative approach. The data were obtained from interviews with forty participants, comprising managers, professionals and beneficiaries of six healthcare plan operators in Belo Horizonte, Minas Gerais, Brazil. Observations were made among participants in health promotion programs. The analysis showed that a behavioral approach towards health promotion is prevalent. The characteristics of the programs made it possible to differentiate them as traditional, transitional or innovative. The findings suggest that there have been changes in the logic of healthcare production, but with reduced potential to initiate transformation. It was concluded that there is a need to support operators regarding the concepts and models of health promotion so as to induce changes and innovations. Keywords: Health promotion. Supplemental health. Qualitative research.O trabalho analisou programas de promocao da saude desenvolvidos por operadoras de planos de saude. Trata-se de estudo de casos multiplos de abordagem qualitativa. Os dados foram obtidos de entrevistas com quarenta participantes, entre gestores, profissionais e beneficiarios de seis operadoras de planos de saude em Belo Horizonte/MG, Brasil. Foram realizadas observacoes junto aos participantes dos programas de promocao da saude. A analise explicitou que a abordagem comportamental de promocao da saude e prevalente. Os programas apresentam caracteristicas que permitem diferencia-los como: tradicionais, em transicao e inovadores. Os achados sinalizam para mudancas na logica de producao da saude, mas com reduzido potencial para disparar transformacao. Conclui-se pela necessidade de apoio as operadoras sobre as concepcoes e modelos de promocao da saude para induzir mudancas e inovacoes.

La expansion de los cursos de pre-grado en enfermeria: dilemas y contradicciones sobre el mercado laboral

We sought to analyze, from the perspective of professors and students, the reasons and consequences of the expansion of undergraduate courses in nursing, discussing the dilemmas and the contradictions confronting the labor market. It was a qualitative study with data obtained from focus groups, conducted in 18 undergraduate nursing courses in the state of Minas Gerais, during the period of February to October of 2011. The narratives were submitted to critical discourse analysis. The results indicated that the education of the nurse was permeated by insecurity as to the future integration into the labor market. The insecurity translates into dilemmas that referred to employability and the precariousness of the working conditions. In this context, employment in the family health strategy emerges as a mirage. One glimpses the need for a political agenda with the purpose of discussion about education, the labor market and the determinants of these processes.