Eyes Of Health Professionals Research Articles

A qualidade da assistência pré-natal sob olhar multiprofissional

Objetivo: Avaliar a qualidade da assistência pré-natal, sob a ótica dos profissionais de saúde das Estratégias de Saúde da Família (ESF) do município de Santa Maria (RS).Materiais e Métodos: Constitui-se como uma pesquisa de campo, do tipo descritiva e com abordagem qualitativa, realizada em 13 ESF do município, entre junho e julho de 2015. Para a coleta dos dados, foi utilizado uma entrevista semiestruturada e a análise de conteúdo.Resultados: Elencou-se 5 categorias temáticas: Acolhimento e acompanhamento das gestantes nas Estratégias de Saúde da Família; Estratégias de intervenção na atenção à gestante de baixo risco; Rotinas e limites na realização de exames e procedimentos obstétricos; Atuação multiprofissional e seus diferentes papéis no atendimento Pré-Natal; Encaminhamento das gestantes para os serviços de referência e contra referência.Conclusão: Verificou-se a necessidade de qualificar os processos de trabalho na assistência pré-natal, com estratégias eficazes a fim de evitar práticas fragmentadas que provocam distanciamento entre serviços/profissional-gestante, garantindo a integralidade do cuidado em todos os níveis de atenção.

Falls prevention resource for the aboriginal population in Western Australia

BackgroundThis project relates to falls prevention amongst Aboriginal communities. Although not necessarily a priority area in the eyes of health professionals, a number of chronic health conditions faced by this...

Small rural maternity units without caesarean delivery capabilities: is it safe and sustainable in the eyes of health professionals in Tasmania?

In Australia, over 50% of small rural maternity units have been closed in the past two decades. Workforce shortages, safety and quality concerns and cost considerations are the three interrelated reasons that have led to these closures. Women and families face many challenges when these critical services are absent from their local communities. In an effort to continue to provide maternity services in rural areas, small maternity units without caesarean delivery capabilities have been established in a few rural communities in Tasmania. However, they have divided the opinions of Tasmanian health professionals. This article is part of a larger study which focused on maternity services for rural women and reports the views of the health professionals on this model of care. A qualitative study using semi-structured interviews was conducted with 20 maternity health providers across Tasmania to explore their experiences and views on the model of offering small rural maternity units without obstetric services. The data were analysed in NVivo v9 (<a href='http://www.qsrinternational.com' target='_blank'>www.qsrinternational.com) using grounded theory. Three main themes are grounded from interview data: (1) women's difficulties in rural areas; (2) women's expectations; and (3) maternity units without caesarean delivery capabilities. The results reveal that low-intervention style birthing services in rural areas could reduce women's difficulties that include access issues, disruption, anxiety and travel related issues, and address women's expectations in term of access to local services. However, this model is less likely to meet women's safety expectations, especially in emergency situations. The findings of this study offer insights for policy-makers and state government with regard to the future planning of this model of care. It is recommended that safety and sustainability issues should be considered when this model of care is to be implemented in other rural communities.

The meaning of justice in safety incident reporting

Safety experts contend that to make incident reporting work, healthcare organizations must establish a “just” culture—that is, an organizational context in which health professionals feel assured that they will receive fair treatment when they report safety incidents. Although healthcare leaders have expressed keen interest in establishing a just culture in their institutions, the patient safety literature offers little guidance as to what the term “just culture” really means or how one goes about creating a just culture. Moreover, the safety literature does not indicate what constitutes a just incident reporting process in the eyes of the health professionals who provide direct patient care. This gap is unfortunate, for knowing what constitutes a just incident reporting process in the eyes of front-line health professionals is essential for designing useful information systems to detect, monitor, and correct safety problems. In this article, we seek to clarify the conceptual meaning of just culture and identify the attributes of incident reporting processes that make such systems just in the eyes of health professionals. To accomplish these aims, we draw upon organizational justice theory and research to develop a conceptual model of perceived justice in incident reporting processes. This model could assist those healthcare leaders interested in creating a just culture by clarifying the multiple meanings, antecedents, and consequences of justice.