Roseni Rosângela de Sena

A formação do enfermeiro: construindo a integralidade do cuidado

In this study it was aimed to understand the nursing teaching towards the integrality of healthcare. A qualitative approach study with data obtained from interviews with members of the teaching staff, student nurses and nurses of services. The transcribed interviews were submitted to discourse analysis. Intentionalities shown by the research participants regarding the professional training from the perspective of the integrality of healthcare in a movement of overcoming the flexnerian paradigm towards a possibility of critical and reflective education were seen. It was concluded that the nursing training points at reflections on the changing movement on the pedagogical practices and healthcare as fundamental strategy in order to build the integrality of healthcare.

Nursing education: building up the integrality of care

In this study it was aimed to understand the nursing teaching towards the integrality of healthcare. A qualitative approach study with data obtained from interviews with members of the teaching staff, student nurses and nurses of services. The transcribed interviews were submitted to discourse analysis. Intentionalities shown by the research participants regarding the professional training from the perspective of the integrality of healthcare in a movement of overcoming the flexnerian paradigm towards a possibility of critical and reflective education were seen. It was concluded that the nursing training points at reflections on the changing movement on the pedagogical practices and healthcare as fundamental strategy in order to build the integrality of healthcare.

Desafios nos modos de pensar e fazer gestão na atenção domiciliar em Minas Gerais/ Challenges in ways of thinking and doing home care management in Minas Gerais

Este estudo objetivou analisar as potencialidades e os desafios da atencao domiciliar a partir da perspectiva de gestores e coordenadores destes servicos no Sistema Unico de Saude, em municipios do estado de Minas Gerais. Estudo de abordagem qualitativa ancorado no referencial teorico-metodologico da dialetica. As entrevistas foram realizadas com cinco gestores e dezessete coordenadores de dezesseis municipios, apos aprovacao do Comite de Etica em Pesquisa. Apos transcricao, o conteudo do material foi analisado seguindo orientacoes de Bardin (2011). A analise dos dados proporcionou a identificacao de duas categorias tematicas que expoem dois aspectos no que se relacionam as potencialidades e desafios da atencao domiciliar: (1) O reducionismo da gestao da atencao domiciliar a oferta de insumos materiais: desafios do pensar e divergencias no fazer. (2) A atencao domiciliar e sua (des) conexao com a rede de atencao a saude. Os resultados do estudo demonstram que os gestores de saude dos municipios estudados ainda tem superficial conhecimento sobre as potencialidades da atencao domiciliar, embora demonstrarem conhecimento quanto as politicas implementadas pelo Governo Federal.

Promoção da saúde no programa saúde na escola e a inserção da enfermagem

The present study analyses the School Health Programme (PSE) in a city of the state of Minas Gerais, identifying its organization, the performance of the nursing professionals and their contribution to health promotion. It is a qualitative case study using dialectic framework. The researchers conducted interviews with managers, monitors and nurses working in the programme. Results indicate that the PSE is undergoing a consolidation process. The programme faces challenges such as the tendency to consider the school solely responsible for the formation of habits, behaviours and values, for the construction of citizenship and for health care promotion. The integration between health and education services is a challenge to be overcome. The study revealed there is a new polarity among education assistants - a “new professional” in the school, community and health team - and nursing teams responsible for programme development. The role of the nurses is of the upmost importance in health education actions as they are able to answer to the health needs of the pupils. We conclude that technological innovations applied to the PSE activities are needed. Such practices should be able to reframe the school as a space for health promotion, considering its contribution to the construction of citizenship and changes of lifestyle determinants.

La educación de enfermería: construyendo la integralidad del cuidado

In this study it was aimed to understand the nursing teaching towards the integrality of healthcare. A qualitative approach study with data obtained from interviews with members of the teaching staff, student nurses and nurses of services. The transcribed interviews were submitted to discourse analysis. Intentionalities shown by the research participants regarding the professional training from the perspective of the integrality of healthcare in a movement of overcoming the flexnerian paradigm towards a possibility of critical and reflective education were seen. It was concluded that the nursing training points at reflections on the changing movement on the pedagogical practices and healthcare as fundamental strategy in order to build the integrality of healthcare.