Family Health Strategy Professionals Research Articles

Social representations of Family Health Strategy professionals regarding palliative care for older adults

Social representations of Family Health Strategy professionals regarding palliative care for older adults

Armed violence and repercussions on the daily work of Family Health Strategy professionals

Resumo Em algumas regiões brasileiras, o cotidiano de profissionais de saúde é muitas vezes atravessado por episódios de violência armada e traz consequências para a organização do trabalho. Objetivo: analisar as repercussões da violência armada (VA) no cotidiano de trabalho de profissionais da ESF e suas percepções sobre a estratégia institucional do Acesso Mais Seguro (AMS). Método: Pesquisa qualitativa com entrevistas (roteiro semiestruturado) com quinze profissionais de uma unidade de saúde da ESF no Rio de Janeiro, que ocorreram no período de outubro de 2019 a janeiro de 2020. Por meio da história oral, indagamos sobre o cotidiano de trabalho, as dificuldades e percepções sobre a VA e a implantação do MAS. Resultados: Interrupções das atividades de cuidado em saúde, como a visita domiciliar e outras externas; o fechamento da unidade; a procura dos usuários por outros serviços de saúde; aumento do número de atendimentos da população com problemas de saúde relativos às repercussões da VA. Como estratégias de proteção dos profissionais, encontramos a implantação do AMS, que foi avaliado positivamente e o uso de redes sociais (WhatsApp) para a comunicação entre os profissionais sobre o território no qual trabalham. Conclusão: Salientamos a necessidade de ações de políticas públicas que efetivamente garantam a segurança à população e aos profissionais de saúde.

Knowledge of Family Health Strategy professionals about biological neonatal screening

Knowledge of Family Health Strategy professionals about biological neonatal screening

Health communication and health promotion: contributions and challenges, from the perspective of Family Health Strategy professionals

Resumo Com o objetivo de identificar o papel da comunicação em saúde e da promoção da saúde na Estratégia Saúde da Família, desenvolveu-se este trabalho, ancorado na abordagem qualitativa, com desenho de múltiplos casos. Empregou-se a técnica do grupo focal, norteada por um roteiro semiestruturado, contendo três perguntas norteadoras. Para análise dos dados, utilizou-se a técnica do Discurso do Sujeito Coletivo. Ao todo, foram realizados dez grupos focais, em cinco municípios brasileiros de grande porte. Participaram cinquenta e cinco profissionais da Estratégia de Saúde da Família, de 21 equipes de Saúde da Família, lotados em 15 Unidades Básicas de Saúde. Dentre as contribuições, os profissionais destacaram a promoção da saúde para garantia do bem-estar e a comunicação em saúde favorecendo o planejamento das ações e a troca de experiências, sendo por eles considerada como uma ferramenta para trabalhar práticas promotoras da saúde. Ressaltou-se ainda, que além de primordiais, esses campos se complementam e, juntos, contribuem para melhoria da qualidade de vida. Como principais desafios, relataram a necessidade de maior envolvimento dos profissionais para trabalhar a educação para a promoção, superar a visão saúde-doença ainda presente na comunidade e a escassez de tempo para trabalhar mais a comunicação em saúde.

Investigation of Contacts for Latent Mycobacterium Tuberculosis Infection: Application Software Development

Introduction: Tuberculosis is a pathology that continues to be worthy of special attention from health professionals and society due to its high prevalence, proving to be a crucial public health problem. Objectives: To describe the development of an application for family health strategy professionals’ investigation of tuberculosis contacts for Latent Mycobacterium tuberculosis Infection. Methods: This study is applied research on an application software developed according to three of the five phases described by Falkembach for developing digital educational materials, which include analysis and planning, modeling, and implementation. Results: The application is dynamic; that is, it guides health professionals through sequenced screens according to professionals’ self-informed answers. This functionality helps them deciding whether to proceed to the treatment of the patient with Latent Mycobacterium tuberculosis Infection or returning to the initial stage of a tuberculosis contact. The screens of the application follow the flowchart presented in the Ministry of Health’s Manual of recommendations for tuberculosis control in Brazil of 2018. Conclusion: The application developed to guide Family Health Strategy professionals regarding Latent Infection by Mycobacterium Tuberculosis can prevent human errors and increase the care quality when assessing tuberculosis contacts.

Quality of life of Family Health Strategy professionals: a systematic review.

Individuals' quality of working life and motivation are directly related to their satisfaction and wellbeing. Although studies on the quality of life of family health workers have been conducted, there are none correlating these professionals' wellbeing with this work model. To review the scientific literature in order to identify the levels of quality of life, in their dimensions, of Family Health Strategy workers. Systematic review of observational studies developed through a partnership between two postgraduate schools (Piracicaba and Uberlândia). The review followed the PRISMA recommendations and was registered in the PROSPERO database. Ten databases were used, including the "grey literature". Two evaluators selected the eligible studies, collected the data and assessed the risk of biases, independently. The JBI tool was used to assess the risk of bias. A complementary statistical analysis was conducted on the means and standard deviations of the results from the WHOQOL-100 and WHOQOL-bref questionnaires. The initial search presented 1,744 results, from which eight were included in the qualitative analysis. The studies were published between 2007 and 2018. The total sample included 1,358 answered questionnaires. All the studies presented low risk of bias. The complementary analysis showed that the environmental factor (mean score 56.12 ± 2.33) had the most influence on the quality of life of community health workers, while physical health (mean score 14.29 ± 0.21) had the most influence on graduate professionals. Professionals working within the Family Health Strategy had dimensions of quality of life that varied according to their professional category.

Participatory Research on Environmental Health: Exploring the perceptions of family health strategy professionals

The increasing environmental degradation and the diversity of environmental issues affecting public health in Brazil have required changing the routines and norms of primary healthcare services. The aim of the current study was to explore the perceptions of family health strategy professionals about priority environmental issues associated with risks to the health of local communities. Participatory action research based on the photovoice and focal group techniques and conducted with 28 professionals from two family health strategies in the Casimiro de Abreu County, Rio de Janeiro State, Brazil. Although participants were sensitive to health risk situations associated with inadequate environmental sanitation conditions, they showed limited perception about these risks and about possible actions to be taken in order to change local issues. Professionals of the two localities did not perceive themselves as co-responsible actors for improving the environmental conditions of the territory. There is need of taking contextualized environmental education actions focused on empowering and engaging health professionals, and the investigated community, to reduce health risk conditions through the equal access to sanitation services.

Mental Health in Primary Care: perspectives of professionals of the Family Health Strategy in Northeastern Brazil

The Family Health Strategy (FHS) of the Unified Health System (SUS) is the revised model that governs health care and the work processes adopted in Brazil. This article analyzes the perceptions of FHS professionals regarding mental health and the care provided in a health center in a Basic Care Unit in the Brazilian Northeast. It involved qualitative research aligned with a critical interpretative approach conducted through interviews, straightforward observation and documentary analysis that led to a series of considerations organized into two main groups: a) "Mental Health" from the perspective of professionals of the FHS; and b) Care in "Mental Health" in the context of practices of primary care. The results of the study reveal conceptions about mental health limited to a view aligned with a project of institutionalization and medicalization. With respect to the dimension of care, gaps are revealed in relation to shared experiences in mental health, through the incipient partnership between professionals of the FHS and the Nucleus of Support in Family Health (NSFH). The challenge remains to reconstruct a vision aligned with the precepts of Brazilian psychiatric reform, teamwork and the creation of spaces that enable discussion and agreements in the daily routine of the FHS.

Moral sensitivity in the practice of Family Health Strategy professionals

Objective: to understand the development of moral sensitivity in the practice of Family Health Strategy professionals. Methods: a unique case study, of qualitative approach, conducted with thirty-five professionals from the family health teams. Data collection occurred through interviews guided by semi-structured script and observation. The data was analyzed through Thematic Content Analysis. Results: the analysis revealed that factors related to work organization, interpersonal relationships and personal values influence the development of the moral sensitivity of professionals in family health teams. Conclusion: the development of the moral sensitivity of Family Health Strategy professionals is influenced by enabling and hindering factors that present themselves in daily work.

Community health workers caring for dependent elderly people.

Community Health Workers (CHWs) are a link between Family Health Strategy (FHS) professionals and the community. This study aims to analyze health care professionals' perceptions and health management about CHWs' role in caring for dependent elderly people. A qualitative study was carried out, from a hermeneutic-dialectic perspective, with 38 professionals working in elderly people's health in cities in the five regions of Brazil. The results identified CHWs as facilitators of access to elderly people dependent on the health care network, gaps in continuing education and the reduced number of these professionals to meet the demand in primary care. Respondents attributed great importance to CHW's performance, valued their participation in FHS, but pointed out a lack of knowledge and difficulties to supply the adequate amount in health care services and in assistance of elderly people with dependence and family. It is concluded that health professionals and managers consider CHWs to be a great workforce and essential to the dependent elderly people and their caregivers. The number of CHWs is insufficient in relation to FHS, and there is a lack of training to deal with various types of dependence.

Dialogic educational practices in the context of child intoxication: an approach based on Paulo Freire

To analyze the knowledge and practices of education of Family Health Strategy professionals regarding child intoxication for the autonomy and empowering of the families. Qualitative research, carried out through semistructured interviews with 50 professionals from the Family Health Strategy of a city in the Northwest of Paraná. Data was problematized using Paulo Freire's sociocultural approach and its concepts of dialogism and autonomy. The statements showed the many ways in which the care for child intoxication is perceived and their relations with educational action, but these were traditional educational practices, with elements focused on the dissemination of information about health-disease, probably because the dialogic approach is still abstract and has no interface with the concrete practices. The education knowledge and practices of the professionals for the autonomy and empowering of families suggested that there is a transition stage between the biomedical model, focused on a cure, and the dialogical one.

Fatigue levels among Family Health Strategy professionals in the Brazilian countryside

Introduction: This research addresses fatigue within the team of nursing professionals of the Family Health Strategy (FHS). Objectives: To describe the fatigue levels of FHS nursing professionals. Identify the presence of fatigue among nursing professionals. Method: The research has a descriptive-analytical, quantitative character. Questionnaires were applied to a sample of 112 professionals at basic family health units in the city of Uberlândia, Brasil. Simple and applied statistics were used in order to collect the data. Results: The study showed that the sample had a greater predominance of females, aged between 30 and 49 years, with a greater number of nurses and who have only one job. It was identified with the DUFS questionnaire that 20, 8% say that they always need extra energy to handle their daily tasks and that 36.9% of professionals have had the need to rest more. Thus, this research shows the presence of fatigue in 70.8% of professionals. Conclusion: Evaluating the projections of fatigue on the body, this research shows self-reported signs that are already present signs, which can be recognized as symptoms and that translate signs of compromise, at some level, of the well-being of the workers in question, certainly reflecting on daily life, which may also compromise the health of these workers and their performance.

Educational actions: an action research with Family Health Strategy professionals and users.

to identify the factors that influence educational actions, and building with professionals and users proposed educational strategies that encourage popular participation. an action research, in which individual interviews, participant observation and Focus Group were conducted. Sixteen professionals and ten users from 2 Family Health Strategy from Rio Branco, Acre, Brazil participated. The results were organized by using the Thematic Analysis technique. the thematic units emerged: Health education as a strategy that encourages changes in the lives of Family Health Strategyusers; Critical reflection on diagnosis of the causes that interfere in educational actions in the Family Health Strategy and proposition of new strategies; Potentialities that encourage the development of educational practices at Family Heath Units; Proposals for improving educational practices focused on soft health education technology in the dialogue dimension. the analysis showed a lack of community ties and traditional educational strategies. In the action phase, the actors agreed to participatory changes.

WORK PROCESS AND MENTAL HEALTH CARE FLOW IN PRIMARY HEALTH CARE

ABSTRACT Objective: to know the work process and mental health care flow in Primary Health Care from the perspective of Family Health Strategy professionals. Method: a descriptive and qualitative study developed in six of the 34 Basic Health Units in a city in northwestern Paraná. Twenty-nine Family Health Strategy professionals participated in the study. Data were collected from February to June 2018 through an open, single, individual and recorded interview. The statements were transcribed in full, and the resulting material was organized in the IRaMuTeQ® software and subjected to thematic content analysis. Results: from participants’ reports, it was possible to create a service flowchart, and after the data processing steps in the software, together with content analysis, three categories emerged. The importance of community health workers’ work, family presence, referring patients to therapeutic groups and a specialized network, assistance provided to individuals in times of acute disorder and patient referral to the unit stood out. Conclusion: it can be understood that the mental health care network in Primary Health Care is complex and there is a need for communicability between services, as disarticulation generates ambiguities in continuity of care.

EDUCATIONAL AND CARE-RELATED DIALOGICAL PATHWAY ON ACTIVE AGING WITH FAMILY HEALTH STRATEGY PROFESSIONALS

ABSTRACT Objective: to disclose knowledge and practices related to active aging based on the educational and care-related dialogical proposal with professionals from the Family Health Strategy. Method: a convergent care research developed with professionals from the Family Health Strategy, in a municipality in the Central North area of Paraná-Brazil. Data was collected through interviews with 14 professionals with an average duration of 12 minutes followed by a Culture Circle with four professionals and a duration of 59 minutes, following the educational stages of the same, namely: investigation, thematization and disclosure. The premises of Freire's dialogicity were used as a theoretical framework. Results: the data show that professionals have different conceptions about aging, distinct ways of conceptualizing active aging, and scarcity of systematization for the care of the robust elderly. These findings were the basis for the dialogical educational design that allowed to transform and build new knowledge on the theme. Conclusion: the educational and care-related dialogical pathway allowed the collective definition of aging and the understanding of active aging, thus making it possible to advance towards the promotion of comprehensive care for the elderly. The convergent care research approach is shown to be effective for studies of an educational dialogic nature due to its insertion in the context of study and collective construction based on reality.

Family Health Support Center in the perspective of physicians and nurses

ABSTRACT Objective: To analyze the physician’s and nurse’s perceptions about the actions developed by the Family Health Support Center (FHSC). Method: A qualitative study, conducted with 16 physicians and 23 nurses. Data was collected through interviews and submitted to thematic analysis. Results: Three categories emerged: The actions developed by the Family Health Support Center were positively perceived by Family Health Strategy (FHS) professionals; Tools that favor the integrality of the actions of the FHSC with the FHS; Obstacles perceived by the professionals of the Family Health Strategy for the development of the actions of the Family Health Support Center. Conclusions and implications for practice: The participant’s perceptions are positive. They perceive the strength of the FHSC in its multi-professional character effected by teamwork and effective communication. However, they also point out the restriction of time and transportation as obstacles for the viability of actions.

Social iniquities in Primary Healthcare and intersectoral action: a descriptive study.

To analyze Primary Healthcare with regards to dealing with social inequities through actions targeted at Social Determinants of Health, from the perspective of Family Health Strategy Professionals. Descriptive study with a qualitative approach. Data were collected through focus groups and analyzed using Habermas's communicative action theory. There were few intersectoral and assistance organization actions with clinical emphasis; municipal management for intersectoral actions shows a lack of planning and faces challenges; and there is little communication and articulation between the sectors. Final considerations: There are many challenges to be overcome by Primary Health Care to contemplate intersectoral actions targeted at Social Health Determinants, a demand inherent to the possibilities of advancing in the reduction of social and health-related inequalities.

The quality of life of family health professionals: a systematic review and meta-synthesis.

to perform a systematic review and meta-synthesis of qualitative studies about the work-related quality of life of Family Health Strategy professionals. this systematic review was developed to answer the following PVO question: "Which factors (variables) are associated with the work-related quality of life (outcome) of Family Health Strategy professionals (population)?" The PubMed, Scopus, Embase, SciELO, Web of Science, LILACS, Science Direct, OpenThesis, OpenGrey, and OATD databases were selected. The meta-synthesis analyzed the main codes and secondary codes of all included studies. the database search resulted in 1,744 reports; six were considered eligible for the meta-synthesis. Four factors were considered for the quality of work life: working conditions; work processes; interpersonal relationships; and personal aspects. although this study confirms the adequacy of aspects commonly related to the quality of work life, other factors are important in the case of FHS professionals, especially work context.

Contexts of vulnerabilities experienced by adolescents: challenges to public policies.

to understand the context of vulnerability experienced by adolescents from the perspective of health professionals from the Family Health Strategy. a descriptive-exploratory qualitative study developed with 80 Family Health Strategy professionals in the Midwest region of Brazil. Data collection was developed from July to September 2018 through a focus group, and submitted to Thematic Analysis. it was understood that the vulnerability experienced by adolescents is not an exposure to something isolated, but is linked to risk and protection factors, socioeconomic and cultural contexts, public and health policies. there are still gaps in public policies for this population, which impacts on the access and development of promotion actions by health professionals.

THEORIZING DEMAND BY FAMILY HEALTH STRATEGY PROFESSIONALS AND USERS: SPONTANEOUS, SCHEDULED, SUPPRESSED

ABSTRACT Objective: to understand spontaneous, scheduled and suppressed demands in the face of health needs and accessibility, from the perspective of Family Health Strategy professionals and users. Method: a qualitative study using Grounded Theory and Symbolic Interactionism, with 34 participants, 16 of whom are health professionals and 18 are users. The sources of evidence were open, intensive and individual interviews and memos. Data collection occurred between October/2016 to May/2017. Data analysis took place in interdependent steps: open, axial, selective coding, for the process. Results: thirty-two in vivo codes were indicated that represent the statement and meanings of the research participants regarding demand at Family Health Strategy, compiled in three theoretical codes that originated the central category “The Theory of Demand at Family Health Strategy: spontaneous, scheduled or suppressed?”. Spontaneous demand turns to complaints and illness, in daily appointments without previous scheduling, with restricted hours and as a means of accessing the health service. Scheduled demand is established in scheduling medical appointments for specific groups. Suppressed demand, more and more frequent in the daily routine of health services, is associated with the lack of access and resolution. Conclusion: health demands are configured in a space of lack of access and accessibility, denoting the main problem experienced by FHS users and professionals.