38 resultados para percepção de justiça de procedimentos - promoção da saúde
Resumo:
Considering education a support to health promotion, care integration and citizenship formation,the purpose of this research was to analyze the perception of the oral surgeons from the Family Health Program of Natal-RN over education in health as well as their performance as educators based on their activities on the program. A qualitative study was accomplished by a semi-structured interview and a Free Association of Words Test with 80 oral surgeons from the Family Health Program of Natal-RN. The instruments were analyzed through the meaning analysis and the Central Nucleus of Vergs Theory. The results showed a lack of planning in health actions so there is no standardization on the educative practices done by the oral surgeons which mostly are focused on scholars. There was an agreement among the group according to the oral surgeons perception about education in health that education is related to its function of recall prevention ideas to the population. Most part of the context units analyzed by the professionals speech show the knowledge of education in health as an inadequate behavior change instrument of the individuals. An interesting point was a quotation cited by some professionals that included actual themes such as citizenship, motivation and life quality, put inside the speech of education in health. To the oral surgeons the biggest difficulties on the development of the educative actions are due to the lack of incentive by the Municipal Health Bureau and to the detachment and lack of valorization of the themes by the population. The oral surgeons consider themselves co-responsible for the formation of a population which is able to request its health. They also mention the knowledge about the need of the community participation on the planning of the Family Health Program actions. Finally, it is notable the need for more encouragement so the oral surgeons can be more capable and have more interest in applying education in health on the perspective of a new model in health, because once capable and stimulated they can awake the population to education importance as a great transformation instrument for people searching for a fair, equalitarian and citizeness society
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Introduo: Na Ateno Primria Saúde, nos contextos internacional e nacional, o trabalho em equipe tem sido reconhecido como estratgia decisiva para a organizao de processos que visam integralidade do cuidado, alm de possibilitar melhorias na satisfao dos usurios com os servios de saúde. Neste sentido, o objetivo, deste estudo, analisar o trabalho em equipe na Ateno Primria Saúde. Mtodo: Trata-se de uma pesquisa em banco de dados secundrios. Realizou-se trs estudos: a) O trabalho em equipe na Ateno Primria Saúde, em Portugal, pesquisa avaliativa, de natureza qualitativa, tipo estudo de caso descritivo, que representou um recorte dos resultados derivados da pesquisa integrada ao projeto Implantao das Unidades de Saúde Familiar em Portugal, que teve como procedimentos entrevistas semiestruturadas, roteiro de coleta de informaes (check list) e anlise documental. Foi realizada a estratgia de triangulao dos dados com anlise de contedo; b) trabalho em equipe, acesso e qualidade na Ateno Primria Saúde, no Brasil, estudo transversal, de abordagem quantitativa, realizado a partir dos dados obtidos da Pesquisa de Avaliao Externa do Programa de Melhoria do Acesso e da Qualidade da Ateno Bsica, no Brasil, em 2013. Amostra composta de 17202 profissionais e 65391 usurios. Utilizou-se entrevista estruturada, com anlise estatstica realizada pelas frequncias absolutas e relativas das variveis atravs do programa Statistical Package for Social Sciences. c) satisfao dos usurios com o trabalho em equipe na Ateno Primria Saúde, no Brasil, estudo transversal, de abordagem quantitativa, realizado a partir dos dados obtidos da Pesquisa de Avaliao Externa do Programa de Melhoria do Acesso e da Qualidade da Ateno Bsica, no Brasil, em 2013. Amostra composta de 65391 usurios. Realizou-se anlise estatstica das frequncias absolutas e relativas das variveis atravs do programa Statistical Package for Social Sciences. Utilizou-se, ainda, o Teste X2 , com nvel de significncia de 5%; anlise de regresso logstica mltipla. O modelo final foi ajustado pelo teste de Hosmer/Lemeshow, o qual indicou um ajuste de 66%. Resultados: Sobre o trabalho em equipe na Ateno Primria Saúde, em Portugal, destacou-se a formao das equipes de forma voluntria, por meio de afinidades pessoais, a existncia de carteira bsica de servios, juntamente com x intervenes de vigilncia, promoção da saúde e preveno de doena, cuidados em situao de doena aguda, acompanhamento clnico de doena crnica e de patologia mltipla, cuidados domiciliares, interligao e colaborao em rede com outros servios (cuidados hospitalares), sistemas informatizados nas unidades de saúde. Os dados revelaram dificuldades quanto ao atendimento domiciliar. No Brasil, foi destaque o processo de trabalho, com avanos relacionados a realizao de planejamento e programao das aes e o apoio da gesto. Existncia de territrio definido e de pronturios familiares. destaque a agenda compartilhada e pactuada entre os profissionais. As equipes realizam acolhimento e reunies, cujos temas, discutidos, giram em torno do processo de trabalho e planejamento. Os desafios, enfrentados, esto relacionados ao agendamento dos usurios; ao nmero de pessoas sob a responsabilidade das equipes; existncia de populao descoberta nas reas adscritas Unidade de Saúde; incipincia na ao intersetorial e ao pouco envolvimento da comunidade pelas equipes. Quanto aos fatores associados satisfao do usurio foi marcante: a faixa etria; a escolaridade; a raa; se a falta de material prejudica o atendimento e se a equipe consegue marcar consulta para outros profissionais. Concluses: Constatou-se o trabalho em equipe como elemento central no processo de mudana na Ateno Primria Saúde, tanto no contexto de Portugal quanto no do Brasil, o qual ampliou o acesso e a qualidade na oferta de servios de saúde e obteve, ainda, o reconhecimento social, mesmo que, em ambas as realidades, no tenha avanado na coordenao do cuidado e no estmulo participao social. Os fatores, associados com a satisfao do usurio, esto relacionados diretamente ao cuidado prestado e refletem a expectativa, por parte do usurio, de resoluo concreta de suas necessidades.
Resumo:
ARAJO, Marluce Oliveira de; ENDERS, Bertha Cruz. A me nas aes de acompanhamento do crescimento e desenvolvimento infantil. Revista Baiana de enfermagem, Salvador, v.19,n.1/2/3,p.93-103, jan./dez. 2004, jann./dez.2005.
Resumo:
Objetivou analisar a atuao dos enfermeiros da Estratgia Saúde da Famlia frente violncia intrafamiliar contra a criana, visando identificar aes de preveno do problema. Pesquisa descritiva e exploratria de cunho qualitativo, cujos dados foram analisados conforme anlise de contedo. Participaram do estudo 14 enfermeiros da Estratgia de Saúde da Famlia do municpio de Mossor-RN. Dados coletados utilizando-se questionrio semiestruturado. As aes de promoção saúde so atividades educativas desenvolvidas aps deteco de casos. O medo de represlias do agente agressor, a sobrecarga de trabalho, a falta de apoio dos gestores e a dificuldade para a materializao da interdisciplinaridade, intersetorialidade e integralidade da ateno foram mencionadas como barreiras ao enfrentamento do problema
Resumo:
A busca por um modelo democrtico de saúde despertou a ateno do governo brasileiro para o estabelecimento de prioridades e estratgias, que impulsionaram a implantao do Programa de Saúde da Famlia (PSF), atualmente denominada Estratgia Saúde da Famlia (ESF), a fim de aproximar a equipe de saúde da comunidade e, assim, implementar aes de promoção da saúde e de preveno do adoecimento. Nessa perspectiva a Terapia Comunitria (TC) emerge como uma tecnologia de cuidado voltada saúde mental na Ateno Bsica de Saúde. Desde 2007, a TC vem sendo desenvolvida no municpio de Joo Pessoa/PB por profissionais da ESF: enfermeiras, agentes comunitrios de saúde, mdicos, odontlogos, fisioterapeutas, nutricionistas, psiclogos, entre outros. O estudo teve como objetivos: avaliar a satisfao dos usurios em relao TC na Ateno Bsica no municpio de Joo Pessoa/PB; medir o nvel de satisfao dos participantes da TC em relao a essa ferramenta do cuidado; identificar elementos importantes para a satisfao em relao TC por parte dos usurios. Trata-se de um estudo avaliativo, transversal e observacional, realizado no perodo de maio a agosto de 2009. Utilizou-se como instrumento de coleta de dados a Escala de Avaliao da Satisfao dos Usurios com os Servios de Saúde Mental Satis-BR, bem como um instrumento de perguntas complementares utilizado pelos terapeutas comunitrios. Os resultados revelaram que dos 198 (100%) entrevistados, 105 (53%) verbalizaram satisfao e 93 (47%) muita satisfao nos encontros de TC, o que evidencia que a totalidade da amostra est satisfeita com a terapia. Os elementos importantes que concorreram para a satisfao dos usurios da TC foram: respeito, dignidade, escuta, compreenso, acolhimento, apoio nas necessidades e boas instalaes dos locais onde ocorre a terapia. A TC vem fortalecendo o cuidado saúde mental, por se constituir como uma tecnologia de preveno e fortalecendo a porta de entrada para a rede de saúde mental e de apoio psicossocial. Conclui-se, portanto, que a TC vem se destacando como instrumento de incluso da saúde mental na Ateno Bsica no atendimento aos usurios do Sistema nico de Saúde
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A aderncia prtica da atividade fsica se constitui na maior dificuldade encontrada pelos profissionais da rea da saúde. importante ter conhecimento de determinantes que podem influenciar na aderncia. Os objetivos do presente estudo foram o de elaborar, desenvolver e validar uma escala para avaliar a Autoestima referenciada na aderncia da prtica da atividade fsica e verificar a associao da Motivao e Autoestima prtica de atividade fsica. A Escala de Autoestima proposta para validao uma escala de auto-resposta com dezesseis itens, cinco dimenses e com respostas com trs nveis de concordncia. Os participantes no estudo de validao so 312 universitrios de ambos os sexos, com idades compreendidas entre 18 e 35 anos. Metade deles praticante regular de atividade fsica. A Anlise Fatorial dos itens mostra cinco dimenses: Introspeco, Imagem Fsica, Satisfao com a vida, Aceitao e Confiana. As propriedades psicomtricas so aceitveis, com Alfa de Cronbach igual a 0,75. O estudo de validao baseado nas correlaes entre esta escala e a de Rosenberg, segundo o teste Qui-quadrado de Pearson, com sig. p < 0, 001 nas classificaes e na correlao sugere que a escala pode ser utilizada em estudos de investigao e programas de promoção da saúde. As escalas de Autoestima e de Motivao (MPAM-R) foram aplicadas a um grupo de 110 universitrios, 65% do sexo feminino e 35% do sexo masculino, com idade mdia compreendida entre 18 e 35 anos. Segmentados em dois grupos de praticantes regulares e no regulares de atividade fsica. Foram controladas as variveis demogrficas, ambientais e antropomtricas. Verificou-se associao significativa entre as variveis Autoestima e Motivao pelo teste Qui-Quadrado, e que denotam que a dimenso da Autoestima Imagem Fsica, quando cruzada com as dimenses da Motivao, mostra-se em alto grau discricionrio e associao direta. Motivao Diverso (sig.p = 0,002), Competncia (sig.p = 0.007) e Social (sig.p = 0.016). Ainda, no cruzamento do Escore Total da dimenso Autoestima e a dimenso Diverso da varivel Motivao, apresenta associao diretas e significativas (sig.p = 0.020). A sntese dos resultados denota aes combinadas de estmulo na melhora da percepção positiva da Imagem Fsica do indivduo, tendo como plano de fundo, ambiente divertido, desafiador (competncia) e social (interao com os pares), traduz em aderncia a prtica da Atividade Fsica
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This qualitative research aimed to understand the educational activities carried out in Family Health Units, of the municipality of Mossor-RN. It was used symbolic cartography to organize and present data from reality. It started on the approach of Health Education and knowledge transformation practice, aiming at the development of autonomy and responsibility of individuals and healthcare, publicized by the appreciation of the interpersonal relations area established in services, such as educational emancipator practices contexts. Individual and collective interviews were realized, conducted with health professionals and users of ESF, about themes, activities, membership, the difficulties, the potential and the design of health education that permeate everyday Family Health Strategy. From what was apprehended, thematic maps were done with the analysis of educational practices of professionals belonging to the Family‟s Health. Links are built with the wires of conceptions of education reflected on themes and activities of family health teams. The storylines are rebinded by voices about the difficulties and the potential of educational processes for emancipator postures. For users, health education means proper care and information on disease prevention. Professionals understand that it is all information that is given to users, about health, social well-being, economic and general condition of human being as a way of preventing and treating disease. Mark printed on voices denote that activities and themes worked don‟t motivate users enough for their participation, being that physicians and dentists also get excluded themselves from educational practices. Elderly groups are those who get most involved with the activities. The size of the contained area and its seclusion from community make harder the access of users, as well as diminishing the quality of educational actions and links users-professionals. Therefore, the searching for medicines, medical consultations and wish to be well served are trademarks of voices from the users that interconnect with enlightening information and guidelines offered by professionals to users. It brings out practices that need to incorporate the social, the subjective and act with practices of prevention and health promotion, on the basis of lifestyles. The dialogical model, which needs to be approached since planning phase of health education actions could arouse interest of involved groups; promoting a relationship of dialogue and listening; discussing the local reality; stimulating practical methodological dialetics; promoting processes of deconstruction of concepts, values and attitudes, as more necessary than construction, using multiple languages. The defended thesis denotes paths to other studies aimed at understanding a dialogical template committed to exchanges of knowledge, and discover strategies that encourage formation of critical consciousness and the discovery of how is the training of new generations of healthcare professionals to belong to the project of society, in its technical, scientific, pedagogical, ethical, political and humanistic dimensions
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Descriptive and quantitative study, with the objective of review the positive and negative aspects experienced by professionals working in the Family Health Strategy (ESF) of Cear-Mirim town, at Rio Grande do Norte state. The population included 190 healthcare professionals that integrate the family healthcare staff and the data-collection occurred in a meeting at their workplace, with the implementation of a questionnaire. Results were organized in Microsoft Excel spreadsheet software, with descriptive statistical analysis in tables, graphs and tables through frequencies, averages values and standard deviations. There is a predominance of females (n = 137) and higher rates in almost all professions, and higher average age (38.9%, SD = 7.8) and income wage (average = 10) in the medical category. Regarding the more developed activities, for physicians and nurses are the healthcare actions in the Unit, the oral hygiene for dentists, the immunization for auxiliary nurses (Aux-N), educational meeting for the dental office assistants (ACD), and home visitations to community-based health workers (ACS). About the easiness of work, 93.2% said to be presence of professionals with a personal profile in public healthcare; about the difficulties, 86.8% of professionals cited the unavailability of material, followed by salary range reported by nurses (80.9% ), dentists (80.0%), physicians (73.3%), ACS (83.1%), and Aux-N (90.5%). In relation to working conditions, the unavailability of materials was the most mentioned, with the exception of dentists who reported improvement in wages. We still identify among these difficulties: the drugs availability regarded as first grade obstacle by ACS and physicians, the type of contracts in second grade cited by the ACD and dentists and, in third grade, the salary range cited by dentists and auxiliary nurses. It is concluded that the difficulties and easiness faced by ESF professionals are divergent among themselves. For physicians and nurses, whose healthcare actions become directed to specific groups, the individual and the family, their difficulties relate to the unavailability of materials. For dentists, whose actions more quoted were topical application of fluoride and supervised toothbrush, their greatest difficulty is the salary range. As to the Aux-N, ACD and ACS, for all of them the unavailability of materials has hindered the implementation of their activities in ESF
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The purpose of this study is to analyze, from the point of view of nurses, changes that took place in the process of providing health services after the introduction of the Family Health Program (FHP). It is na investigation of qualitative nature that uses semi-structured interviews as a main empirical approach tool. Six nurses from the city of Caic, Rio Grande do Norte, who were working with basic care before the introduction of the FHP, within basic care, were: adscription and ties with the community; hospitality and the humanizacion of care-giving; decrease in cases of inpatient treatment; strengthening of the prevention of injuries and health promotion; improvemente of health indicatiors, finally, actions that point towads meeting the principles of wholeness, equity and universality as a declaration of the Brazilian National Health Care System (SUS). Nevertheless, in spite of all recognizable positive aspects, the FHP has some weaknesses, such as: the difficulty posed by colletive work; the mismatch between professional education and the demands of the current health standard; a poor physical infrastructure of the Basic Health Units; a high heath staff turnover and precarious work conditions. In addition to this, some strategies that can be used to help improve the process of providing health services have been pointed out, such as, coordination between sectors, continuous education, making work conditions less precarious and improving the means whereby heathy service management is conveyed,Tthus, finally, we understand that the FHP does bring forward meaningful changes to the process of provinding health services to strengthen the Brasilian National Health Care System (SUS), in spite of the fact that it lies within a scenario of adversities that can be overcome through the collective endeavor of the several social actors
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The family violence against children became visible, in the context of public health, due to the damage and injuries generated in the lives of children and to the growing need of investment in physical and human resources to fill this demand. In this context, it is believed that intervention could prevent such events and are configured as primary strategies to prevent the corollaries generated by the violence. In this perspective, this study aims to analyze the performance of nurses dealing with the Strategy of Family Health viewing to identify actions based on the paradigm of health distribution. This is a descriptive, exploratory and qualitative research. The data were analyzed based on the content analysis about the method proposed by Bardin. The study was conducted in Mossor-RN and the participants were 14 nurses working for the Family Health Strategy in Health Units of this town. The instrument for data collection was a semi-structured questionnaire, with questions answered by the participants themselves. It was evident to the study that the nurses believe that health education are the main tool for dealing with domestic violence against children, being developed, however, in its positivist and vertical way. The actions used to develop health performed by the team on their daily lives are limited to educational activities and are carried exactly when cases of family violence against children are notified. Barriers to the practice emerged from fear of reprisals from the agressor, overwork, lack of management support and difficulty for the realization of interdisciplinary, intersectorality and comprehensive care.
Resumo:
The Community Therapy (CT) is in a practice of therapeutic effect and may also be considered as a technology takes care of the therapeutic procedure group, whose purpose is to promote health, prevent illness, developed within primary care in mental health. In this study we sought to understand the social representations of health professionals who work with the Community Therapy, on use of the Family Health Strategy (FHS) in the city of Joao Pessoa. This is a field research with a qualitative view Moscovician Theory of Social Representations, held with seven professionals of the FHS, therapists of Community Health District II. The empirical data were obtained by carrying out two thematic therapies in April 2009, which were wheeled CT. It was used as a technique for analyzing the collective subject discourse, and the data presented through graphs, charts, maps, pictures and graphics and arranged in three stages: Subjects of the study, characterizing the study participants; Social Representations of Therapist Community presenting and discussing the social representations of therapists community studied on CT, and Consequences of Community Therapy at the Family Health Strategy, discussing the meanings attributed by the study participants about changes in FHS. Meanings were attributed to the CT by the therapists studied originated from the speeches, songs, drawings and constructed, and that presented by schematic illustration show the relation between the representations: life, listening, faith / light, change, transformation. The web, symbol of CT, appeared on the images constructed by the representatives of the study and represents the formation of bonds that allows the construction of social support networks that strengthen relationships among community. In the study, proved by professionals who have the meanings about the changes in the work process from the introduction of CT, and shown that the change took place within a more welcoming attitude on the part of professionals, the relationship between Team members had no significant changes, explained by the low compliance of team members to the CT in relation to the user front, the bond was strengthened, and this involved strengthening the role of the therapist community. It is recognized, thereby transforming the character of CT in building links with users, requiring, however, that the team is viewed as offering therapeutic services, not the professional therapist. Therefore, the CT for being a new phenomenon in health services and community belonging, it fits like a novelty which affects the construction of a representation dispute. Still, can contribute to the reorganization of mental health care in line with the new model of mental health care advocated by the Psychiatric Reform.
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This study aims to analyze and compare the opinion of professionals, managers and users about the mental health care in the Family Health Strategy (FHS). It is characterized as an Operations Research or Health System Research with a cross-sectional design and a descriptive quantitative nature. The study was developed from the application of the Opinion Measurement Scale allied to techniques of observation and structured interview in the city of Parnamirim / RN. The sample consists of 409 subjects, 209 professionals of the Family Health Strategy, 30 of the Oral Health Strategy, 19 of the Family Health Support Center, 24 directors of Basic Health Units, plus 68 users with mental disorders and 59 caregivers, respecting the ethical parameters of Resolution 196/96 of the National Health Council, trial registration number: CAAE 0003.0.051.000-11. Quantitative data were submitted to the Epi-info 3.5.2 for analysis. The network of mental health in Parnamirim involves the flow between the FHS, Psychosocial Care Centers, clinics and hospitals, having as main barriers the fragility of the referral and counter-referral system, of the municipal health conferences, of the FHS teams by the limitations in material and human resources as well as the populations lack of acknowledge about the organization of the mental health network, issues that affect the integral attention. Even though the FHS professionals recognize the importance of their actions, they question their role in mental health care, experiencing difficulties in accessing psychiatric services (76.5%). Although most agree that the mentally ill is best treated in the family than in hospital (65.2%), the community health workers were the predominant category in the partial or total disagreement of this statement (40.8%), who is the professional in greater contact with the family. Nevertheless the caregivers miss the support of the FHS as the main focus of attention is on revenue control. The views of professionals, mental patients and caregivers converged in several statements, showing the main weaknesses to be focused by the mental health network of the city, as the perceptions that: (a) physical strength is needed to take care of mental patients for its tendency to aggression, requiring it to stay in the sanatorium for representing danger to society, (b) only a psychiatrist can help the person with emotional problems, (c) the user of alcohol and drugs does not necessarily develop mental illness, (d) the access barriers and doubts about the quality of psychiatric services, (e) caring of a mental health patient does not bring suffering to professionals. Therefore, the commitment to consensus building, monitoring and evaluation of the network are important mechanisms for an effective management system, reflecting in the importance of strengthening the health conferences and approximating different institutions. The results reinforce the importance of strengthening primary care through programs of continuing education focusing on the actions and functions of professionals in accordance with its competences and duties what contribute to the organization and response of mental health care, favoring users care and the promotion of family health
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According to demographic estimates, by the year 2025 Brazil will be the sixth country in the world in number of elderly. For this reason, it is a purpose of public policies to help people to reach that age being healthier. The current health care model of health surveillance through the Family Health Strategy (EFS, in portuguese) is configured as a gateway into the care of the elderly in the Unified Health System (SUS, in portuguese). It is also an area of development of practices to promote health, prevention and control of chronic nondegenerative diseases. The aim of this study was to analyze the health care of the elderly provided by ESF professionals for the achievement of a full care. The study is descriptive case study with a quantitative approach, performed in the city of Santo Antnio/RN. The population included all health professionals, who are FHS members of the city that agreed to participate of the survey, a total of 80 professionals. Data were collected using a structured questionnaire, having mostly closed questions and divided into two parts: one containing sociodemographic information of health professionals and vocational training and the other, the activities carried on by the professionals in senior care, being analyzed from a database tabulated in a spreadsheet and discussed according to the descriptive statistics in tables, graphs and charts using frequencies, medians and values of central tendency. It was verified a predominance of professionals who finished highschool, mostly female, aged from 30 to 34 years old, with training completed in the last 10 years, without being graduated in the field of geriatrics or gerontology and mostly without training in gerontology. Family members and caregivers were the components of the social support network most identified by the professionals (66.3%).The elderly access to the Family Health Basic Unit was considered by83.8% of professionals as the most important factor that interferes in the activities of health care of the elderly. Considering the inclusion of the family in care: 98.8% of professionals consider the family as one of the goals of care, but 82.5% assist the family to know their role and participate in the care of the elderly, emphasizing that no professional makes use of tools for evaluating the functionality of the family. Regarding the actions taken to assist the elderly, 91.25% have home visits program to the elderly, 88.75% use the host program; 77.5% know the habits of life, cultural, ethical and religious values of the elderly, their families and their community ;51.25% complement the activities through intersectoral actions, 50%participate in groups of living with the elderly; 33.75% keeps track and maintain updated the health information of the elderly; 11.25% of the professionals perform the Single Therapy Planning (PTS, in portuguese) and few implement the actions to promote health according to PTS; there is a deficit in the number of professional categories in the identification and monitoring of the frail older people in their households. It is concluded that the health care of the elderly developed by ESF professionals differs among the professional categories. It was identified weaknesses in the promotion of an active and healthy aging and also in the establishment of an integrated and full care of the elderly. It is recommended the adoption of permanent educational activities by the City Management, initially for ESF professionals in the the perspective of the guidelines of the National Policy of Health Care for the Elderly and later to the other professionals that are part of the health care network of the elderly, at all levels of care in the city for the development of strategies and practices that promote the improvement of the quality of healthcare for the elderly, expecting concrete and effective results in terms of promoting health within Brazilian reality
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Family Health Program (FHP) presents itself as a restructured model on basic cares besides having prevention practices and promotion in health as essential parts. According to that, the purpose of this study is to perceive which prevention practices in oral health are accomplished by the dentists from the FHP of Natal-RN as well as the way they have been developed, the knowledge basis to execute the procedure and the use of evaluation instruments by the dentists and by the Oral Health Co-Ordinator. A list of dentists participating on the FHP of Natal in March, 2006 (n= 91) was obtained so it was possible to formulate a structured interview. After excluding those with less than six months attending to the program, and considering the loss, eighty dentists got to be interviewed. It had questions about individual and group preventive procedures, sources of basement to develop the activities and to verify the impact and evaluation instruments. Besides that, an interview was made with the Oral Health Co-Ordinator about the evaluating process and the existence of a protocol as well as about document analysis in the Ambulatory Informations System Unique Health System (AIS-UHS), Information of Basic Care System and Pact of Recorder. The main individual activities consist on Oral Hygiene Orientation (87,5%) and Fluoridization (95%). Group activities remain at scholar groups acts(91,25%) being fluoridization done by 91,25% and educative activities by 86,25% mainly through speeches (61,25%).Orientations about oral cancer were detached on the aged group (39,96%)and hypertensive and diabetic group (19,51%), as well as integration with the health team was respectively 21,93% and 39,02%. Speeches and talk rounds are the main activities for aged, hypertensive and diabetics, and are also expressive to pregnant women. For pregnant women and babies group predominate hygiene and diet orientation. About the evaluation instruments 73,75% of the dentists do not consider their existence, despite 73,75% consider that actions have impact specially due to a increase of hygiene and decrease of caries index on the children. The main sources of basement are clinical experience (42,5%) and preparative courses (33,75%), only 7,5% mentioned population need and local reality. The Oral Health Co-Ordinator related the Attention Pact Recorder and records from the AIS - UHS as evaluation source but also detached the lack of epidemiologic surveying. She mentioned the increase of supervised brushing as a positive result and detached the hardness of the professional to act inside the family and as a team. The AIS-UHS records showed that fluoridization is more used individually and the supervised brushing is predominant as a group action, besides that educative activities at the Health Establishment predominate due to actions at the community. Facing the results, it was verified the act in different groups, special attention given to scholars, as well as focus the activities on caries giving less emphasis to other oral problems. Despite that, there was no epidemiologic instruments or data of the local reality to guide the actions and to be part of the planning and evaluation process
Resumo:
Primary Health Care, especially in the family health strategy, it is expected that the joint assistance and actions of health promotion. The Ministry of health (BRAZIL, 2007) defines health education as an eyeshadow strategy of prevention and health promotion, based on reflective practices, which allow the user to their condition of historical, social and political subject, under the vision of an expanded clinic on the part of health professionals. In this sense, there are guidelines for it professionals to develop educational activities and that they can interfere in the health/disease process of the population, with a view to the development of autonomy of the subject. This research had as objective to understand in the light of the integrality of the care, as is the production of health education practices, within the framework of the family health strategy from ethnographic study in a family health unit (USF). The location of the research was the unit of USF Felipe Camaro II in West Health District, in the city of Natal, RN, Brazil, selected from preliminary mapping of educational practices deployed in units of health of the family of this municipality, based on criteria such as time-to-deployment of USF and sustainability of existing actions. Immersion in the field consisted of participant observation with journaling, held during the period of August 2012 to January 2013, in which she accompanied team work processes in clinical-welfare actions on the USF, in households and in educational activities of group character. The results presented in ethnographic description were analyzed based on the axes proposed by Ayres (2009) for identification of integrality in health practices:the axis of the needs; the axis of the purposes; the joint axis; and the axis of the interactionsThe evidence described from observation point the presence of each axle up health education practices developed by the teams, even incipient form, namely: articulation and appreciation of knowledge and practices of popular culture with local initiatives (Pastoril do Peixe Boi Encantado, Auto de Natal e Grupo Terapia e Arte); Clinical integration with health promotion actions and coordination of multidisciplinary knowledge, with professional-user link (course for pregnant women). However, a few challenges were identified to be faced in order to move forward in these practices in integral care: the need to break with the fragmentation of actions; strengthening teamwork; need for greater sustainability policy of collective actions; intersectoral work aimed at a better role of the State in the face of the health-disease process, adding to the action of individuals.The analysis produced from observation of the processes experienced indicates the need for a better recognition of local managers that actions similar to those that occur in the USF Felipe Camaro II enable advances in completeness as allows inclusion of actors involved in the processes of health work, and stimulate participation and shared responsibility in the fight for health-disease situations
