Nunca pensei nisso como problema: estudo sobre gênero e uso de benzodiazepínicos na estratégia saúde da família

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

A influência da demanda espontânia na (des)caracterização do processo de trabalho na estratégia saúde da família

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Avaliação da assistência ao paciente e/ou diabético na Estratégia Saúde da Família

Pós-graduação em Enfermagem (mestrado profissional) - FMB

Acolhimento na estratégia saúde da família:revisão integrativa

Objective. To review the literature regarding the application of the notion of user embracement and to identify the contributions of this concept for primary health care practices in Brazil.Method. We carried out an integrative review of the literature regarding primary health care. The following databases were searched: LILACS, SciELO, and MEDLINE, covering the period from 2006 to 2010. The following search terms were used in LILACS and SciELO: acolhimento and programa saude da familia and saude. For MEDLINE, the terms user embracement and family health program and health were used. The review was performed in November 2010.Results. We identified 21 articles meeting the inclusion criteria, all of which described studies carried out in Brazil. The articles were divided into three empirical categories: integration and embracement; primary care work process; and evaluation of services. These are complementary categories that converge to two main views of embracement: the first sees embracement as a means of reorganizing the primary health care environment, and the second sees embracement as an attitude towards users. The review also shows that embracement may be a management tool that supports the Unified Health System and is associated with the principles of comprehensiveness and universality.Conclusions. Embracement is able to create a bond between health care workers and users. It promotes self-care, a better understanding of disease, as well as user co-responsibility for treatment. In addition, it facilitates universal access, strengthens multiprofessional and intersectoral work, qualifies care, humanizes practices, and encourages actions to combat prejudice. Nevertheless, the perspective of health care users regarding embracement deserves more attention and should be the focus of future studies.

O transtorno mental na percepção de agentes comunitários de saúde na estratégia saúde da família

The Family Health Strategy facilitates user access to mental health actions. This study aimed to verify the community health agents’ perceptions of the Family Health Strategy about mental disorder. A qualitative study was conducted with 26 randomly selected community health agents, among the professionals of 13 units, which constitute the Family Health Strategy of Itapeva (SP). The community health agents responded to a personal information questionnaire and a semi-structured interview. Data were checked through content analysis. Stigmatizing perception of the mentally disturbed persons, lack of knowledge about the process of falling ill and the mental disorder evolution, and the unpreparedness to act in this population were observed. Capacitating agents enable them to contribute in a positive way to the effective functioning of a care net in mental health in the city.

Avaliação do acesso e da segurança dos medicamentos disponíveis nos domicílios dos usuários cadastrados numa estratégia saúde da família de um município do Estado de São Paulo

Identificar as famílias que apresentem estoque e que façam uso de medicamentos, bem como avaliar as condições de armazenamento, segurança e uso desses produtos pelos usuários. O estudo foi conduzido em um município do estado de São Paulo e realizado com usuários cadastrados na Estratégia Saúde da Família (ESF) localizada no bairro Jardim das Hortências (uma das dez unidades de ESF que o município possui), que conta com 1132 domicílios cadastrados. Para a seleção da amostra foi realizado sorteio aleatório estratificado (134 domicílios, IC 95%). Para a coleta, realizada durante o primeiro semestre de 2011, os usuários dos domicílios selecionados foram entrevistados aplicando-se um formulário semi-estruturado. Participaram do estudo 118 (88,0%) domicílios, dos quais 112 (95,0%) possuíam medicamentos, que eram estocados em lugares inseguros ou inadequados em 75,4% destes. A automedicação – tanto com Medicamentos Isentos de Prescrição (MIP), quanto com Medicamentos Sujeitos a Prescrição (MSP) e aqueles Sujeitos a Controle Especial (SCE) – era prática comum em 46 (47,4%) domicílios. Falta de identificação e segurança nos medicamentos armazenados foi observada em 60 (53,6%) domicílios. A maioria dos domicílios possui estoque de medicamentos (feito de forma inadequada ou insegura) e/ou apresenta especialidades com falta de identificação e segurança, o que pode levar a intoxicações ou inefetividade terapêutica. A Assistência Farmacêutica, no âmbito do Sistema Único de Saúde (SUS), carece de iniciativas sociais com ações voltadas ao usuário de medicamentos, deficiência que pode ser sanada pela presença do farmacêutico, essencial para a promoção do Uso Racional de Medicamentos (URM), nas unidades da ESF, que, por meio da Atenção Farmacêutica, pode: identificar, corrigir e prevenir problemas (reais e potenciais) relacionados a medicamentos, os quais podem estar associados com agravos a saúde

Estratégia Saúde da Família: implantação de uma rede em Presidente Prudente - SP

This project was developed with the aim of contributing to the construction of a system of Unidades de Saúde da Família (USFs) to Presidente Prudente, a city located in the western region of São Paulo state. It was tried to bring to the architectural space the existing guidelines for the public service with the intention of create welcoming and functional environments and a net identity. Given these characteristics it was developed a modular construction system that allows the creation of new units in an agile manner and with a minimum quality standard. Since many of Presidente Prudente’s features are present in other Brazilian cities, the guidelines presented in this proposal will be useful to the work of managers in other cities of the country

Vigilância à saúde da criança na perspectiva dos enfermeiros da estratégia saúde da família

This qualitative study aimed at apprehending conceptualizations and at describing experiences of nurses working in the Family Health Strategy in a medium-sized city in São Paulo state in relation to Children’s Health Surveillance, with a special focus on nursing consultation. Data were collected from 12 nurses by means of recorded semi-structured interviews that were analyzed according to the Thematic Content Analysis Method. Results were systematized into four themes: Conceptualizations about Children’s Health Surveillance; Children’s Health Surveillance in the practice of the Family Health Strategy; Nursing consultation and Children’s Health Surveillance; Proposals to qualify Children’s Health Surveillance in the realm of the Family Health Strategy. It was possible to apprehend amplified and actual conceptualizations of Children’s Health Surveillance as well as to describe experiences surrounded by difficulties to incorporate the premises of this form of Children’s Health Care in the Family Health Strategy. Nursing consultation was noteworthy as a privileged moment, but not unique, to develop such practice. Finally, based on nurses’ proposals, the importance of triggering permanent education processes targeted at these themes in family-health services was considered

Perfil do gestor municipal da saúde e a percepção da Estratégia Saúde da Família-DRS IX-Marília-SP

Pós-graduação em Saúde Coletiva - FMB

A NR-32 para os profissionais da estratégia saúde da família

Pós-graduação em Saúde Coletiva - FMB

Procura espontânea de atendimento por idosos da Estratégia Saúde da Família: análise não linear do comportamento temporal das morbidades

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Estratégia saúde da família e adolescência: as necessidades de cuidados e recursos utilizados em saúde mental

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

Relação entre a presença da equipe de saúde bucal na estratégia saúde da família com o nível de conhecimento dos agentes comunitários de saúde

Objective: to identify the relation between the level of knowledge of community health workers on oral health and the presence of the Oral Health Team in the Family Health Strategy. Methods: we performed a survey with 173 community health workers allocated in public health services of five municipalities in the northwest of São Paulo, Brazil, through a self-administered and structured instrument. The survey instrument contemplated questions related to the presence of the Oral Health Team in the Family Health Strategy and questions regarding oral health. Results: the majority of community health workers was inserted in strategies with the presence of Oral Health Teams (60.1%). We found that the oral health knowledge of most participants was good (48%). Conclusion: there is relation between the level of knowledge of community health workers and the presence of the Oral Health Team in the Family Health Strategy.

Atenção farmacêutica em idosos com hipertensão participantes da estratégia saúde da família

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)

O enfermeiro e a estratégia saúde da família: desafios em coordenar a equipe multiprofissional

This study aimed at understanding the role played by nurses in managing a team in the Family Health Strategy (ESF) in relation to competences and skills practiced and developed in their everyday work and the difficulties found to perform their duties based on these professionals’ perceptions. Data were collected by means of focus groups with seven nurses in 2006 and then submitted to content analysis, which disclosed five themes: The context of the coordination of multidisciplinary teams in the Family Health Strategy, factors involved in the daily work in the ESF, conflicts experienced in the interface between teamwork and central coordination in the ESF, difficulties of the population towards the new model of care coordinated by the nurse, the perceived competence to exercise leadership in coordinating multidisciplinary teams. Results showed work overload, overlapping of tasks and lack of training. These professionals have been evaluated according to the logic of their work organization by productivity and not by the quality of their actions. Hence, they feel devalued professionally. They pointed out technical and scientific knowledge as an important competence attached to relational practices. There is a need to create formal opportunities to discuss the major difficulties found by the nurses managing multiprofessional teams when experiencing such management.