Nurses' practices in Family Health: continuity of care for users with chronic conditions
DOI:
https://doi.org/10.12957/reuerj.2024.82615Keywords:
National Health Strategies, Nurses, Chronic Disease, Nursing CareAbstract
Objective: to identify nurses' practices in the Family Health Strategy (FHS) aimed at ensuring continuity of care for users with chronic conditions. Method: analytical, exploratory study with a qualitative approach, conducted with nurses from a Family Health Strategy unit in Rio de Janeiro, following approval by the Research Ethics Committee. Data were analyzed using Bardin's content analysis method. Results: three categories were identified: Challenges in Achieving Comprehensive Care in the Family Health Strategy, Promoting Continuity of Care: Nurses' Practices, and Enhancing Longitudinality: Essential Actions and Services. Final considerations: the practices highlighted focused on territorial needs, strengthening bonds, individual empowerment, multi-professional work, active management participation, intersectoral articulation, active listening, and support networks.
References
Ministério da Saúde (Br). Portaria GM/MS nº. 4.279, de 30 de dezembro de 2010. Estabelece diretrizes para a organização da Rede de Atenção à Saúde no âmbito do Sistema Único de Saúde (SUS). DBtrasília: iário Oficial da União; 2010. [cited 2024 Feb 18]. Available from: http://conselho.saude.gov.br/ultimas_noticias/2011/img/07_jan_portaria4279_301210.pdf.
Mendes EV. O cuidado das condições crônicas na atenção primária à saúde: o imperativo da consolidação da estratégia da saúde da família. Brasília: Organização Pan-Americana da Saúde; 2012 [cited 2024 Feb 18]. Available from: https://bvsms.saude.gov.br/bvs/publicacoes/cuidado_condicoes_atencao_primaria_saude.pdf.
Ribas EN, Bernardino E, Larocca LM, Poli Neto P, Aued GK, Silva CPC. Nurse liaison: a strategy for counter-referral. Rev Bras Enferm. 2018 [cited 2024 Feb 18]; 71:546–53. DOI: https://doi.org/10.1590/0034-7167-2017-0490.
Ribeiro SP, Cavalcanti MLT. Primary Health Care and Coordination of Care: device to increase access and improve quality. Ciênc. saúde coletiva. 2020 [cited 2024 Feb 18]; 25(5):1799–808. DOI: https://doi.org/10.1590/1413-81232020255.34122019.
Aued GK, Bernardino E, Lapierre J, Dallaire C. Liaison nurse activities at hospital discharge: a strategy for continuity of care. Rev Latino-Am Enfermagem. 2019 [cited 2024 Feb 18]; 27:e3162. DOI: https://doi.org/10.1590/1518-8345.3069.3162.
Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2011.
Oliveira DC. Theme/category-based content analysis: a proposal for systematization. Rev. enferm. UERJ. 2008 [cited 2024 Feb 20]; 16(4):569-76. Available from: http://files.bvs.br/upload/S/0104-3552/2008/v16n4/a569-576.pdf.
Lopes OCA, Henriques SH, Soares MI, Celestino LC, Leal LA. Competences of nurses in the Family health Strategy. Esc Anna Nery. 2020 [cited 2024 Feb 26]; 24(2):e20190145. DOI: https://doi.org/10.1590/2177-9465-EAN-2019-0145.
Favaro LC, Marcon SS, Nass EMA, Reis P, Ichisato SMT, Bega AG, et al. Nurse's perception on assistance to children with special health needs in primary care. REME – Rev Min Enferm. 2020 [cited 2024 Feb 26]; 24:e-1277. DOI: http://dx.doi.org/10.5935/1415-2762.20200006.
Oliveira LGF, Fracolli LA, Pina-Oliveira AA, Gryschek ALFPL, Campos DS, Silva LA, et al. RAZÕES DA rotatividade das equipes da ESF e seus impactos para a longitudinalidade do cuidado. Rev. Interfaces. 2024 [cited 2024 nov 19]; 12(3):4441-9. DOI: https://doi.org/10.16891/2317-434X.v12.e3.a2024.pp4441-4449.
Schimith MD, Cezar-Vaz MR, Xavier DM, Cardoso LS. Communication in health and inter-professional collaboration in the care for children with chronic conditions. Rev Latino-Am Enfermagem. 2021 [cited 2024 Feb 27]; 29:e3390. DOI: https://doi.org/10.1590/1518-8345.4044.3390.
Soares DA, Kochergin CN, Mistro S, Macedo JCL, Carvalho VCHS. Atenção Primária à Saúde abrangente: análise a partir do trabalho das equipes de Saúde da Família frente às doenças crônicas. Physis. 2024 [cited 2024 nov 19]; 34:e34015. DOI: http://dx.doi.org/10.1590/S0103-7331202434015pt.
Silva CTS, Assis MMA, Espíndola MMM, Nascimento MAAN, Santos AM. Desafios para a produção do cuidado na Atenção Primária à Saúde. Rev. Enferm. UFSM. 2021 [cited 2024 nov 18]; 11:e30. DOI: https://doi.org/10.5902/2179769246850.
Figueiredo DCMM, Shimizu HE, Ramalho WM. Primary Health Care accessibility in Brazil: User’s evaluation. Cad. saúde colet. 2020 [cited 2024 Mar 02]; 28(2):288–301. DOI: https://doi.org/10.1590/1414-462X202000020288.
Schenker M, Costa DH. Advances and challenges of health care of the elderly population with chronic diseases in Primary Health Care. Ciênc saúde coletiva. 2019 [cited 2024 Mar 02]; 24(4):1369–80. DOI: https://doi.org/10.1590/1413-81232018244.01222019.
Marinho MNASB, Alencar OM, Castro Júnior AR, Silva MRF. Educação em saúde na estratégia saúde da família: saberes e práticas de enfermeiros – revisão integrativa. Saúde Redes. 2022 [cited 2024 Mar 02]; 8(1):233-47 DOI: https://doi.org/10.18310/2446-4813.2022v8n1p233-247.
Fittipaldi ALM, O’Dwyer G, Henriques P. Health education in primary care: a look under the perspective of users of the healthcare system. Saúde Soc. 2023 [cited 2024 nov 18]; 32(4):e211009en. DOI: https://doi.org/10.1590/S0104-12902023211009en.
Almeida MS, Melo RHV, Vilar RLA, Silva AB, Melo ML, Júnior AM. A Educação Popular em Saúde com grupos de idosos diabéticos na Estratégia Saúde da Família: uma pesquisa-ação. Rev. Ciênc. Plural. 2019 [cited 2024 nov 18]; 5(2):68-93. DOI: https://doi.org/10.21680/2446-7286.2019v5n2ID16954.
Ministério da Saúde (Br). Portaria nº 2.436, de 21 de setembro de 2017. Aprova a Política Nacional de Atenção Básica, estabelecendo a revisão de diretrizes para a organização da Atenção Básica, no âmbito do Sistema Único de Saúde (SUS). Brasília, DF: Ministério da Saúde, 2017 [cited 2024 Mar 03]. Available from: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2017/prt2436_22_09_2017.html.
Barbosa FES, Guimarães MBL, Santos CR, Bezerra AFB, Tesser CD, Sousa IMC. Supply of Integrative and Complementary Health Practices in the Family Health Strategy in Brazil. Cad. Saúde Pública. 2020 [cited 2024 Mar 03]; 36(1):e00208818. DOI: https://doi.org/10.1590/0102-311X00208818.
Fernandes BCG, Silva Júnior JNB, Guedes HCS, Macedo DBG, Nogueira MF, Barrêto AJR. Use of technologies by nurses in the management of primary health care. Rev Gaúcha Enferm. 2021 [cited 2024 Mar 03]; 42(spe):e20200197. DOI: https://doi.org/10.1590/1983-1447.2021.20200197.
Pedebos LA, Rocha DK, Tomasi Y. Surveillance of the territory in health in primary care: the contribution of the Community Health Worker in the continuity of care. Saúde debate. 2018 [cited 2024 Mar 03]; 42(119):940–51. DOI: https://doi.org/10.1590/0103-1104201811912.
Dias JR. A Política Nacional de Atenção Básica 2017: repercussões nas práticas de saúde de enfermeiros e agentes comunitários de saúde [Tese de Doutorado]. Rio de Janeiro: Universidade do Estado do Rio de Janeiro; 2021 [cited 2024 Mar 03]; Available from: http://www.bdtd.uerj.br/handle/1/18637.
Lima LAR, Santos BB, Barros CL, Santos AL. Concept and implementation of the person-centered care in medical perspective of family health strategy. Braz. J. Develop. 2020 [cited 2024 Mar 07]; 16(9):73786-99. DOI: https://doi.org/10.34117/bjdv6n9-728.
Prado NMBL, Aquino R, Hartz ZMA, Santos HLPC, Medina MG. Revisiting definitions and natures of intersectoriality: a theoretical essay. Ciênc. saúde coletiva 2022 [cited 2024 Mar 04]; 27(2):593–602. DOI: https://doi.org/10.1590/1413-81232022272.47042020.
Peduzzi M, Agreli HLF, Silva JAM, Souza HS. Teamwork: revisiting the concept and its developments in inter-professional work. Trab educ saúde. 2020 [cited 2024 Mar 04]; 18:e0024678. DOI: https://doi.org/10.1590/1981-7746-sol00246.
Albuquerque IMN, Cunha ICKO, Ribeiro MA, Silveira NC, Nascimento ABO. Management in Family Health Strategy: validity process for assessing competences. Acta paul enferm. 2023 [cited 2024 Mar 04]; 36:eAPE00532. DOI: https://doi.org/10.37689/acta-ape/2023AO00532.
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