scholarly journals ATUAÇÃO DO AGENTE COMUNITÁRIO DE SAÚDE NA ESTRATÉGIA SAÚDE DA FAMÍLIA NA ZONA RURAL

2021 ◽  
Vol 58 (1) ◽  
pp. eUJ3394
Author(s):  
Thiago Brito Steckelberg ◽  
◽  
Ana Lídia do Carmo ◽  
Keyword(s):  
Rural Areas ◽  
Health Workers ◽  
Scientific Evidence ◽  
Rural Families ◽  
Family Health ◽  
Health Strategy ◽  
Initial Care ◽  
The Family ◽  
Family Health Strategy

The Community Health Workers (CHW) performs the initial care in households, in order to collect information and interact in a healthy way with the community. It is important to understand the role that these professionals perform in rural areas, as their duties are of fundamental importance within the Family Health Strategy (FHS). Given this, the present study seeks, through a narrative review, to find scientific evidence and information in the available literature regarding the difficulties and challenges of CHW's work in rural areas. After surveying and collecting the results, 15 articles were selected, which showed that the difficulties faced by the CHWs who work in the Family Health Strategy (FHS) in the rural area are mainly related to 1) difficulty of access to rural families, 2) overload of tasks inherent to other professionals of the ESF, 3) low qualification and 4) little recognition. Even with all these difficulties, it was proven that the role of this professional is of extreme significance in promoting health actions and improving the quality of life in the communities in which they act. This study concludes that these professionals have changed the reality of many communities; and that they can optimize their potential in promoting health in rural areas through public policies and initiatives that contribute to minimizing the difficulties related to their work standards.

scholarly journals A assistência pré-natal das trabalhadoras rurais na estratégia saúde da família

2017 ◽  
Vol 11 (12) ◽  
pp. 4970
Author(s):  
Lucimare Ferraz ◽  
Paula Marco Marchiori ◽  
Patricia Pereira Oliveira
Keyword(s):  
Prenatal Care ◽  
Pregnant Women ◽  
Rural Areas ◽  
Family Health ◽  
Medical Professional ◽  
Women Farmers ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

RESUMO Objetivo: conhecer a assistência pré-natal desenvolvida na Estratégia Saúde da Família. Método: estudo descritivo, de abordagem qualitativa, com a participação de gestantes, médicos e enfermeiros do meio rural. A coleta de dados foi por meio de entrevistas semiestruturadas e a análise por meio da técnica de Análise de conteúdo na modalidade Análise Temática. Resultados: constatou-se que as consultas de pré-natal são centradas no profissional médico, que os profissionais de saúde não abordam o ambiente e o processo de trabalho das gestantes agricultoras e, nas orientações, evidenciou-se que o processo de comunicação entre os profissionais e a gestante precisa ser melhorado. Conclusão: a assistência ao pré-natal de baixo risco na Estratégia Saúde da Familia no meio rural é focada no modelo Biomédico, sendo que poucos profissionais (re)conhecem o ambiente e os processos de trabalho das gestantes agricultoras. Descritores: Trabalhadores Rurais; Cuidado Pré-Natal; Estratégia Saúde da Família. ABSTRACTObjective: to know prenatal care developed in the Family Health Strategy. Method: this is a descriptive study with a qualitative approach, with the participation of pregnant women, doctors and nurses from rural areas. The data collection was through semi-structured interviews and the analysis through the technique of Content Analysis in the Thematic Analysis modality. Results: it was verified that the prenatal consultations are focused on the medical professional, that the health professionals do not approach the environment and the work process of pregnant farmers. The guidelines showed that the process of communication between the professionals and the pregnant woman needs to be improved. Conclusion: low-risk prenatal care in the Family Health Strategy in rural areas is focused on the Biomedical model, and few professionals recognize/know the environment and the work processes of pregnant women farmers. Descriptors: Rural Workers; Prenatal Care; Family Health Strategy.RESUMENObjetivo: conocer la asistencia prenatal desarrollada en la Estrategia Salud de la Familia. Método: estudio descriptivo, de enfoque cualitativo, con la participación de gestantes, médicos y enfermeros del área rural. La recolección de datos fue por medio de entrevistas semi-estructuradas y el análisis por medio de la técnica de Análisis de contenido en la modalidad Análisis Temático. Resultados: se constató que las consultas de prenatal son centradas en el profesional médico, que los profesionales de salud no enfocan el ambiente y el proceso de trabajo de las gestantes agricultoras. En las orientaciones se evidenció que el proceso de comunicación entre los profesionales y la gestante precisa ser mejorado. Conclusión: la asistencia al prenatal de bajo riego en la Estrategia Salud de la Familia en el área rural es enfocada en el modelo Biomédico, siendo que pocos profesionales (re) conocen el ambiente y los procesos de trabajo de las gestantes agricultoras. Descriptores: Trabajadores Rurales; Atención Prenatal; Estrategia de Salud Familiar.

scholarly journals Essential management competencies of nurses: actions and interactions in the context of the Family Health Strategy

2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Sonia Silva Marcon ◽  
Ítalo Rodolfo Silva ◽  
Laura Misue Matsuda ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
...  
Keyword(s):  
Family Health ◽  
Methodological Framework ◽  
Southern Brazil ◽  
Management Skills ◽  
Management Competencies ◽  
Structured Interviews ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to understand the meanings attributed by the Family Health Strategy (FHS) nurses to the management competencies essential to the performance of their actions. Method: explanatory, qualitative study, whose methodological framework was based on Grounded Theory. A total of 12 Family Health Strategy nurses from a municipality in southern Brazil participated through semi-structured interviews, between December 2018 and February 2019. Results: the experience was understood by the phenomenon “Lapidating management competencies daily to play the role of a nurse in the context of the Family Health Strategy”. As action/interaction strategies, the following categories emerged: “Evidencing the management skills of Family Health Strategy nurses” and “Recognizing the need for strategies to work on specificities in the context of the Family Health Strategy”. Final considerations: according to the meanings attributed by nurses, there are several essential management skills for the work in the Family Health Strategy, but they are still little worked and developed in this context, mainly because it is a complex health care scenario.

scholarly journals Syphilis In Pregnancy: The Role Of Nurses From The Family Health Strategy

10.3823/1907 ◽  
2016 ◽  
Author(s):  
Juliana Alexandra Parente Sá Barreto ◽  
Mirna Neyara Alexandre de Sá Barreto Marinho ◽  
Eglídia Carla Figueiredo Vidal ◽  
Emery Ciana Figueiredo Vidal ◽  
Ana Maria Machado Borges ◽  
...  
Keyword(s):  
Family Health ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
In Pregnancy

The nurse in the management of health education of the family health strategy

2010 ◽  
Vol 4 (2) ◽  
pp. 596
Author(s):  
Geilsa Soraia Cavalcanti Valente ◽  
Virginia Correia Almeida ◽  
Fernanda Da Silva Chagas ◽  
Rosane Abreu Tórnio ◽  
Maíra Muniz Assis ◽  
...  
Keyword(s):  
Health Education ◽  
Rio De Janeiro ◽  
Family Health ◽  
Family Health Program ◽  
Calidad De Vida ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACTObjectives: to describe the role of nurses in the Family Health Strategy (FHE) and identify the facilities and difficulties in developing work-oriented health education. Methodology: this is about an exploratory study, from qualitative approach, performed with eight nurses working of the FHE in Cachoeiras de Macacu city, Rio de Janeiro, Brazil. Research meets the recommended by Resolution 196/96 and was approved by the Ethics Committee of the School of Nursing Anna Nery/UFRJ with protocol number 52/2008. To collect data, we used the structured interview, consisting of closed questions, being employed thematic content analysis to analyze the data. Result: the role of nurses in the PSF is the manager and educator, working for change in behavior of the community, to improve their quality of life. Conclusion: we emphasize the role of manager and educator that is exercised by the nurse. Despite encountering some difficulties in implementing actions to improve the quality of living, nurses use various resources according to their creativity, in view of autonomy that is inherent in the FHE. Descriptors: health education; community health nursing; family health program; management; nursing care; strategies; professional autonomy.RESUMOObjetivos: descrever o papel dos enfermeiros da Estratégia Saúde da Família e identificar as facilidades e dificuldades encontradas ao desenvolverem trabalhos voltados para educação em saúde. Metodologia: estudo exploratório, de abordagem qualitativa, tendo como sujeitos oito enfermeiros que atuam na ESF do Município de Cachoeiras de Macacu. A pesquisa atende ao preconizado pela Res. 196/96 e foi aprovada pelo Comitê de Ética da Escola de Enfermagem Anna Nery/UFRJ registrado sob número de protocolo 52/2008.  Para a coleta de dados, foi utilizada a entrevista estruturada, composta por questões fechadas, sendo empregada a análise temática de conteúdos para análise dos dados. Resultado: o papel do enfermeiro no PSF é o de gerente e educador, trabalhando para a mudança de comportamento da comunidade, no sentido de melhorar sua qualidade de vida. Conclusão: destacou-se o papel de gerente e educador que é exercido pelo enfermeiro. Apesar de deparar-se com algumas dificuldades na implementação das ações para melhorar a qualidade de vida da população, os enfermeiros utilizam diversos recursos de acordo com sua criatividade, tendo em vista a autonomia que é inerente no PSF. Descritores: educação em saúde; enfermagem em saúde comunitária; programa saúde da família; gerência; cuidados de enfermagem; estratégias; autonomia profissional.RESÚMEN              Objetivos: describir el papel de las enfermeras en la Estrategia de Salud de la Familia/ESF e identificar las facilidades y dificultades en el desarrollo de trabajo de educación sanitaria. Metodología: un estudio exploratorio, cualitativo, teniendo como participantes ocho enfermeras que trabajan en la ESF de La ciudad de Cachoeiras de Macacu en Rio de Janeiro, Brasil. La investigación corresponde a las recomendaciones de la Res. 196/96 y fue aprobado por el Comité de Ética de la Escuela de Enfermería Anna Nery/UFRJ con número de protocolo 52/2008. Para recopilar los datos, se utilizó la entrevista estructurada, con preguntas cerradas, se emplean análisis de contenido temático para analizar los datos. Resultado: el papel de las enfermeras en el ESF es el director y educador, trabajar por el cambio en el comportamiento de la comunidad, para mejorar su calidad de vida. Conclusión: fue destacado el papel de gestor y educador que es ejercido por la enfermera. A pesar de encontrarse con algunas dificultades en la aplicación de medidas para mejorar la calidad de vida, las enfermeras utilizan diversos recursos de acuerdo a su creatividad, a la vista de la autonomía que es inherente en el PSF. Descriptores: educación en salud; enfermería en salud comunitaria; programa de salud familiar; gerencia; atención de enfermería; estrategias; autonomía profesional.  

scholarly journals The experience of the illness and of the treatment for the person with systemic arterial hypertension: an ethnographic study

2013 ◽  
Vol 21 (5) ◽  
pp. 1022-1029
Author(s):  
Silvana Maria Coelho Leite Fava ◽  
Marcia Maria Fontao Zago ◽  
Maria Suely Nogueira ◽  
Eliza Maria Rezende Dazio
Keyword(s):  
Arterial Hypertension ◽  
Health Workers ◽  
Participant Observation ◽  
Family Health ◽  
Well Being ◽  
Ethnographic Study ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Points Of View

OBJECTIVE: to interpret the meanings of the experience of the condition and of the treatment among people with arterial hypertension. METHOD: the authors adopted the frames of reference of interpretive and medical anthropology and of the ethnographic method. 22 people with arterial hypertension, and 10 Family Health Strategy health workers, all from Minas Gerais, participated. The authors used interviews, participant observation, focus groups, field diaries and analysis of medical records. Ethical precepts were respected. RESULTS: two nuclei of meaning emerged: "The condition as an expression of way of living", and "The perspective of the cure of the condition". Nervous problems represent the nosological and symptomatic categories, caused by the urban way of living. The participants are supported by the belief of the curing of the problem. The family, spirituality and religion constitute social support networks. The therapeutic routes interpenetrate for the cure of the problem. The 'folk' health subsystem constitutes an important route because it provides better well-being and remission of the symptoms. CONCLUSION: the gaps evidenced between the points of view of the health professionals and the interviewees allow one to re-think the praxis so as to provide comprehensive, contextualized and humanized care, which encourages the people's potential for living, for empowerment, and for self-care.

scholarly journals The use of medications by elderly men with polypharmacy: representations and practices

2013 ◽  
Vol 21 (6) ◽  
pp. 1337-1344 ◽  
Author(s):  
Guilherme Oliveira de Arruda ◽  
Silvia Cristina da Silva Lima ◽  
Rogério Dias Renovato
Keyword(s):  
Old Age ◽  
Family Health ◽  
The Elderly ◽  
Elderly Men ◽  
Mato Grosso ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
Qualitative Descriptive

OBJECTIVES: this study aimed to investigate and understand the use of medications by elderly men, their representations and the subsequent practices. METHODS: this is a qualitative, descriptive and exploratory study, in which there participated 17 elderly men, with polypharmacy, and assisted under the Family Health Strategy in the Municipality of Dourados in the Brazilian state of Mato Grosso do Sul (MS). RESULTS: the results show that most of the medications are used for treating cardiovascular disorders. The elderly men develop strategies considering the prescription of these, adapting in line with their own perceptions and meanings. From these tactics emerge representations on youth and old age, in which old age is associated with illness. In addition, practices were observed which sought to associate the use of medications with medicinal plants, re-signifying the process of being ill. Different perspectives of masculinity permeate the use of medications, sometimes reinforcing hegemonic conceptions, and sometimes revealing alternate models of masculinity. The woman is present in the care with the use of the medications. CONCLUSIONS: in this context, the health team, above all that of nursing, must assist the elderly man in his practices of medication, taking into account his representations, his protagonism, and the role of the woman as a support in the care.

scholarly journals A atuação do enfermeiro na estratégia saúde da família: com foco em pacientes hipertensos

2017 ◽  
Vol 2 (3) ◽  
pp. 7 ◽  
Author(s):  
Carla Monteiro Santos da Silva ◽  
Doralice De Almeida Nascimento Silva ◽  
Luiz Faustino dos Santos Maia
Keyword(s):  
Arterial Hypertension ◽  
Adult Population ◽  
Family Health ◽  
Multiprofessional Team ◽  
Hypertensive Patients ◽  
Unified Health System ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

A Hipertensão Arterial é uma doença crônica que atinge 20% da população adulta, considerada um dos grandes problemas para o Sistema Único de Saúde, devido à grande incidência e morbimortalidade. Descrever a atuação do enfermeiro na assistência prestada aos pacientes hipertensos na estratégia saúde da família. Utilizou-se o método da revisão da literatura científica de forma integrativa. Foi realizada pesquisa eletrônica nas bases de dados da SCIELO, LILACS, REDALYC, utilizando-se os seguintes descritores:  hipertensão arterial, estratégia saúde da família, enfermeiro, em busca de artigos publicados no período de 2009 a 2016. Apresentação dos artigos incluídos na revisão segundo ano de publicação, periódico, autores e seus principais resultados. O enfermeiro como componente da equipe multiprofissional dentro da estratégia saúde da família, atuando na promoção, orientação e prevenção da saúde junto aos pacientes hipertensos. Através deste estudo enfatizamos aos enfermeiros já atuantes e aos que desejam atuar neste segmento, dando visibilidade sobre a importância fundamental do enfermeiro, suas atuações, competências e dificuldades encontradas no programa estratégia saúde da família.Descritores: Hipertensão Arterial, Estratégia Saúde da Família, Enfermeiro. The role of nurses in family health strategy: focusing on hypertensive patientsAbstract: Hypertension is a chronic disease that affects 20% of the adult population, considered one of the great problems for the Unified Health System, due to the great incidence and morbimortality. To describe the role of nurses in the care provided to hypertensive patients in the family health strategy. The method of reviewing the scientific literature was used in an integrative way. An electronic research was conducted in the databases of SCIELO, LILACS, REDALYC, using the following descriptors: arterial hypertension, family health strategy, nurse, searching for articles published in the period from 2009 to 2016. Presentation of articles included in the review second year of publication, periodicals, authors and their main results. The nurse as part of the multiprofessional team within the family health strategy, acting in the promotion, orientation and prevention of health among hypertensive patients. Through this study, we emphasize nurses already active and those who wish to work in this segment, giving visibility to the nurses' fundamental importance, their actions, competencies and difficulties found in the family health strategy program.Descriptors: Arterial Hypertension, Family Health Strategy, Nurse.La actuación del enfermero en la estrategia salud de la familia: con foco en pacientes hipertensosResumen:La Hipertensión Arterial es una enfermedad crónica que afecta al 20% de la población adulta, considerada uno de los grandes problemas para el Sistema Único de Salud, debido a la gran incidencia y morbimortalidad. Describir la actuación del enfermero en la asistencia prestada a los pacientes hipertensos en la estrategia salud de la familia. Se utilizó el método de la revisión de la literatura científica de forma integrativa. Se realizó una investigación electrónica en las bases de datos de SCIELO, LILACS, REDALYC, utilizando los siguientes descriptores: hipertensión arterial, estrategia salud de la familia, enfermero, en busca de artículos publicados en el período de 2009 a 2016. Presentación de los artículos incluidos en la revisión el segundo año de publicación, periódico, autores y sus principales resultados. El enfermero como componente del equipo multiprofesional dentro de la estrategia salud de la familia, actuando en la promoción, orientación y prevención de la salud junto a los pacientes hipertensos. A través de este estudio enfatizamos a los enfermeros ya actuantes ya los que desean actuar en este segmento, dando visibilidad sobre la importancia fundamental del enfermero, sus actuaciones, competencias y dificultades encontradas en el programa estrategia salud de la familia.Descriptores: Hipertensión Arterial, Estrategia Salud de la Familia, Enfermero.

scholarly journals Falls of elderly people living in rural areas: prevalence and associated factors

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 177-183 ◽  
Author(s):  
Fernanda dos Santos ◽  
Celmira Lange ◽  
Patrícia Mirapalheta Pereira de Llano ◽  
Marcos Aurélio Matos Lemões ◽  
Carla Alberici Pastore ◽  
...  
Keyword(s):  
Rural Areas ◽  
Associated Factors ◽  
Multivariate Logistic Regression Analysis ◽  
Family Health ◽  
The Elderly ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

ABSTRACT Objective: to identify the prevalence and factors associated with falls in the elderly population living in rural areas. Method: this is a cross-sectional study, carried out in 2014, with 820 older adults recorded in the Family Health Strategy (Estratégia Saúde da Família). The association between the reporting of falls in 12 months and their associated factors was verified by the Chi-square and Fischer’s exact tests and by multivariate logistic regression analysis. Results: the majority of the sample was female (56.1%), white (90.2%) and aged 60-69 years (54.9%). The prevalence of falls was 27.9%, and being female, hypertensive and diabetic was associated to falls. Conclusion: it is the responsibility of health professionals to have a closer look at the elderly who have these chronic diseases, especially within the scope of the Family Health Strategy, which works longitudinally with these patients, in addition to improving nursing care aimed at this population.

scholarly journals Agentes Comunitários de Saúde frente à COVID-19: Vivências junto aos profissionais de enfermagem

2020 ◽  
Vol 11 (1.ESP) ◽  
Author(s):  
Rafael Bezerra Duarte ◽  
Lucenir Mendes Furtado Medeiros ◽  
Maria Jacielma Alves de Melo Araújo ◽  
Ana Suelen Pedroza Cavalcante ◽  
Eduardo Carvalho De Souza ◽  
...  
Keyword(s):  
Community Health ◽  
Health Workers ◽  
Family Health ◽  
Risk Groups ◽  
Care Community ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy ◽  
The Face ◽  
Los Grupos

Objetivo: Descrever a experiência vivenciada por enfermeiras em conexão com Agentes comunitários de saúde para enfrentamento local da pandemia COVID-19. Método: Relato de experiência desenvolvido a partir de ações de enfermeiras que atuam na Estratégia Saúde da Família do município de Icó, Estado do Ceará, destacando o importante papel que os Agentes comunitários de saúde desenvolvem junto à população nesse cenário. Resultados: A partir da experiência vivenciada, pode-se observar o importante papel que os Agentes Comunitários de Saúde têm apresentando frente à pandemia da COVD-19, mesmo apresentando medo e insegurança. Evidenciou-se ainda durante esse período que seu papel de educador em saúde é imprescindível nas ações desenvolvidas dentro dos territórios. Além disso, esses profissionais têm sido protagonistas importantes nas atividades realizadas dentro das Estratégias de Saúde da Família, fortalecendo assim o trabalho da equipe bem como o controle e combate da infecção pelo novo Coronavírus. Conclusões: Contar com o trabalho desses profissionais nos territórios tem sido estratégico e representa um diferencial para o cuidado, por auxiliarem no controle da disseminação e no monitoramento de grupos de risco, bem como das pessoas infectadas pela doença.Descritores: Enfermagem; Atenção Primária à Saúde; Agente Comunitário de Saúde; Infecção pelo Coronavírus. COMMUNITY HEALTH AGENTS IN FRONT OF COVID-19: EXPERIENCES WITH NURSING PROFESSIONALSObjective: To describe the experience lived by nurses in connection with community health workers to face the pandemic COVID-19 locally. Method: Experience report developed from the actions of nurses working in the Family Health Strategy in the municipality of Icó, State of Ceará, highlighting the important role that community health agents play with the population in this scenario. Results: Based on the experience, it is possible to observe the important role that Community Health Agents have playing in the face of the COVID-19 pandemic, even with fear and insecurity. It was also evident during this period that his role as a health educator is essential in the actions developed within the territories. In addition, these professionals have been important protagonists in the activities carried out within the Family Health Strategies, thus strengthening the team’s work as well as controlling and fighting infection by the new Coronavirus. Conclusions: Counting on the work of these professionals in the territories has been strategic and represents a differential for care, as they help in controlling the dissemination and monitoring at-risk groups, as well as people infected by the disease.Descriptors: Nursing; Primary Health Care; Community Health Agent; Corona virus infection. AGENTES DE SALUD DE LA COMUNIDAD FRENTE AL COVID-19: EXPERIENCIAS CON PROFESIONALES DE ENFERMERÍAObjetivo: Describir la experiencia vivida por las enfermeras en relación con los trabajadores de salud de la comunidad para enfrentar la pandemia COVID-19. Método: Informe de experiencia desarrollado a partir de las acciones de enfermeras que trabajan en la Estrategia de Salud de la Familia en el municipio de Icó, Estado de Ceará, destacando el importante papel que los trabajadores de salud comunitarios juegan con la población en este escenario. Resultados: En base a la experiencia, es posible observar el importante papel que los agentes de salud comunitarios tienen ante la pandemia da COVID-19, incluso con miedo e inseguridad. También fue evidente durante este período que su papel como educador de salud es esencial en las acciones desarrolladas dentro de los territorios. Además, estos profesionales han sido protagonistas importantes en las actividades llevadas a cabo dentro de las Estrategias de salud familiar, fortaleciendo así el trabajo del equipo y controlando y luchando contra la infección por el nuevo Coronavirus. Conclusiones: contar con el trabajo de estos profesionales en los territorios ha sido estratégico y representa un diferencial para la atención, ya que ayudan a controlar la difusión y el monitoreo de los grupos en riesgo, así como a las personas infectadas por la enfermedad.Descriptores: Enfermería; Primeros auxilios; Agente de salud comunitaria; Infección de coronavirus.

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