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Colaço AD, Meirelles BHS, Heidemann ITSB, Villarinho MV. CARE FOR THE PERSON WHO LIVES WITH HIV/AIDS IN PRIMARY HEALTH CARE. TEXTO & CONTEXTO ENFERMAGEM 2019. [DOI: 10.1590/1980-265x-tce-2017-0339] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT Objective: to understand the process of caring for the person with HIV/AIDS in the Primary Health Care of a capital in southern Brazil. Method: qualitative, exploratory and descriptive research, carried out in the Health Centers of this city, from March to August 2015. Sixteen nurses participated through semi-structured interviews, which were organized and codified with the help of the software QSR Nvivo®, version 10. Afterwards, the data were analyzed through comparative analysis. Results: results were described in two categories: “The inter-subjective encounter given the vulnerability to HIV/AIDS”, and, “Accepting needs and formulating actions given the reality”. Potentialities and weaknesses were evidenced through these categories, such as: reception, long-term care, active search, home visits, and, in return, lacking a formal flow of care for people living with HIV/ AIDS, lack of HIV/AIDS line of care and medical/centered care. Conclusion: the need to implement HIV/AIDS management in primary care was verified, as well as to overcome the fragilities in this care with the aid of implementing a formal care flow, establishing managerial processes and permanent education for the professionals. Then, expanding and qualifying care in HIV/AIDS, with important contributions of the nurse in the perspective of integral care in the process of living with HIV/AIDS.
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Lanzoni GMDM, Koerich C, Meirelles BHS, Erdmann AL, Baggio MA, Higashi GDC. REVASCULARIZAÇÃO MIOCÁRDICA: REFERÊNCIA E CONTRARREFERÊNCIA DO PACIENTE EM UMA INSTITUIÇÃO HOSPITALAR. TEXTO & CONTEXTO ENFERMAGEM 2018. [DOI: 10.1590/0104-07072018004730016] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: compreender o processo de referência e contrarreferência vivenciado pelo paciente com coronariopatia submetido à cirurgia de revascularização do miocárdio. Métodos: pesquisa qualitativa, ancorada na Teoria Fundamentada nos Dados. O cenário da pesquisa foi uma instituição hospitalar pública, referência em atendimento cardiovascular no Estado de Santa Catarina (Brasil). A coleta de dados ocorreu entre março de 2013 a junho de 2014, por meio de entrevista semiestruturada envolvendo 21 participantes, distribuídos em três grupos amostrais (pacientes, profissionais de saúde e profissionais gestores). Resultados: o processo de referência e contrarreferência aponta o fenômeno “Emergindo a alta complexidade como referência para a pessoa submetida à revascularização miocárdica diante da fragilidade da Atenção Primária à Saúde no acompanhamento e articulação com os demais níveis de atenção no Sistema Único de Saúde”, sustentado por cinco categorias. Conclusão: para que a referência aconteça há necessidade de consolidar o vínculo do paciente com coronariopatia com a atenção primária à saúde, uma vez que este encontra dificuldades no acompanhamento da sua condição na rede pública. Na contrarreferência evidenciou-se a desarticulação entre os serviços de atenção à saúde, a qual afeta o cuidado à pessoa submetida à revascularização miocárdica na manutenção da sua qualidade de vida.
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Meirelles BHS, Koerich MHADL, Costa VT, Lanzoni GMDM. Satisfação dos usuários com um serviço de referência no cuidado do HIV. AVANCES EN ENFERMERÍA 2018. [DOI: 10.15446/av.enferm.v36n3.66509] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Objetivos: caracterizar a los usuarios con VIH que utilizan un servicio de referencia en el Estado de Santa Catarina, Brasil, y comparar la satisfacción entre los usuarios del ambulatorioe internación. Metodología: estudio cuantitativo transversal, realizado con 106 personas con VIH asistidas en un servicio de infectología en la ciudad de Florianópolis (Santa Catarina). La recolección de datos ocurrió de julio a diciembre de 2013 por medio de un formulario compuesto por cuestiones sociodemográficas y satisfacción. Para análisis de datos se utilizó el test chi-cuadrado y el software SPSS®.Resultados: la mayoría de los usuarios demostró satisfacción con el servicio en todos los aspectos: disponibilidad de los cuidados (80,2 %),oportunidad/libertad para dar sugerencias (94,3 %), satisfacción con las relaciones personales (94,3 %), acceso al servicio (87,7 %) y cuidado recibido (90 %). No hubo diferencia entre los grupos (ambulatorio e internación) en la comparación entre los aspectos relacionados con la satisfacción.Conclusión: la satisfacción de las personas viviendo con VIH se mostró positiva para los usuarios del servicio en ambulatorio y para los de la internación.
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Cunha KSD, Kahl C, Koerich C, Lanzoni GMDM, Erdmann AL, Meirelles BHS. Myocardial revascularization: factors intervening in the reference and counter-reference in the hospital setting. Rev Bras Enferm 2018; 71:1817-1824. [PMID: 30156665 DOI: 10.1590/0034-7167-2017-0218] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2017] [Accepted: 07/03/2017] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE To understand the intervening factors in the process of reference and counter-reference of the individual with heart disease in the scenario of high complexity in the health care network. METHOD Research anchored in the Grounded Theory (Teoria Fundamentada nos Dados). It totaled 21 participants. The data collection scenario was a cardiovascular reference hospital in the south of Brazil and occurred between March and June 2014. RESULTS The intervening factors in the reference process were the difficulty to access the points of the network and telemedicine and the central to manage the flow of patients in the network. In the counter-reference, there was a link with the hospital and the lack of communication among network professionals. CONCLUSION It reveals the need to reorganize the service flow in HCN, enhancing PHC, expanding the performance of medium complexity and increasing the capacity of high complexity in order to carry out the process of reference and counter-reference.
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Salci MA, Meirelles BHS, Silva DMVGD. Prevention of chronic complications of diabetes mellitus according to complexity. Rev Bras Enferm 2018; 70:996-1003. [PMID: 28977226 DOI: 10.1590/0034-7167-2016-0080] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/29/2016] [Accepted: 03/09/2017] [Indexed: 11/21/2022] Open
Abstract
Objective: To assess the prevention by primary health care providers of chronic complications of diabetes mellitus according to the complex thinking theoretical approach. Method: Evaluative research based on the complex thinking theoretical approach. The following techniques for data collection were used: interviews with 38 participants; observation in collective and individual appointments; and analysis of medical records of people with diabetes. The triangulation applied for data analysis was the ATLAS.ti software. Results: The prevention and management of chronic complications of diabetes did not meet the requirements set forth by ministerial public policies aimed at this population. Systematic monitoring to prevention of chronic complications showed significant gaps. Final considerations: Primary health care did not consider preventive actions for diabetes mellitus complications. This context was marked by disjunctive, fragmented, and dissociated practices types of care targeted to the totality of the assisted people. Objetivo: Avaliar a prevenção de complicações crônicas do diabetes mellitus a luz do referencial teórico do Pensamento Complexo por integrantes da atenção primária à saúde. Método: Pesquisa avaliativa, que teve como referencial teórico o Pensamento Complexo. Como técnicas de coleta de dados foram utilizadas: entrevista com 38 participantes; observação nos atendimentos coletivos e individuais;e análise em 25 prontuários de pessoas com diabetes. A triangulação subsidiou a análise de dados que teve auxílio do software ATLAS.ti. Resultados: A prevenção e o manejo das complicações crônicas do diabetes não atendiam ao estabelecido nas políticas públicas ministeriais destinadas a esse público. O acompanhamento sistematizado para controle da prevenção das complicações crônicas apresentou importantes lacunas. Considerações finais: A assistência na atenção primária não contemplava ações de prevenção de complicação do diabetes mellitus. Esse contexto era por marcado por práticas disjuntivas, fragmentadas e dissociadas de uma assistência que visa a totalidade das pessoas assistidas.
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Kahl C, Meirelles BHS, Lanzoni GMDM, Koerich C, Cunha KSD. Actions and interactions in clinical nursing practice in Primary Health Care. Rev Esc Enferm USP 2018; 52:e03327. [PMID: 29846488 DOI: 10.1590/s1980-220x2017025503327] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/27/2017] [Accepted: 12/19/2017] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Understanding the actions and interactions required for developing clinical nursing practice in Primary Health Care. METHOD A qualitative study anchored in the Grounded Theory. Data was collected between April and October 2016 with nurses divided into two sample groups. RESULTS Eighteen (18) nurses participated in the study. The category "Recognizing the Systematization of Nursing Care as an essential element for clinical nursing practice" supports the "actions-interactions" component and it is composed of two subcategories: "Accomplishing clinical practice in nursing consultations", which presents the challenges encountered in performing clinical practice; and "Highlighting management tools for evidence-based clinical practice", which operates through strategies in response to the studied phenomenon. CONCLUSION Care actions developed in clinical nursing practice are highlighted by the systematization of care in nursing consultations, a moment of direct interaction with the individual, thus contributing to improvement in the quality of care provided.
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Salci MA, Meirelles BHS, Silva DMVGD. UM OLHAR PARA A PREVENÇÃO DAS COMPLICAÇÕES CRÔNICAS DO DIABETES SOB AS LENTES DA COMPLEXIDADE. TEXTO & CONTEXTO ENFERMAGEM 2018. [DOI: 10.1590/0104-07072018002370016] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: avaliar como os profissionais da Atenção Primária à Saúde desenvolvem atividades preventivas para evitar as complicações crônicas nas pessoas com Diabetes Mellitus atendidas nesse nível da atenção. Método: foi utilizado como referencial teórico o Pensamento Complexo e como referencial metodológico a pesquisa avaliativa. O estudo foi realizado em um município de médio porte localizado no Sul do Brasil. Participaram da pesquisa 35 profissionais de saúde e três gestores. Como técnicas de coleta de dados adotou-se: entrevista, observação e análise de prontuários. Para a análise dos dados obteve-se auxílio do software ATLAS.ti e empregou-se a triangulação de dados. Resultados: a prevenção foi compreendida como uma atividade dissociada da prática assistencial; o conceito atribuído não era claro e nem diferenciado de outros conceitos da área da saúde; a assistência priorizava ações curativas em detrimento das preventivas; e a prevenção mencionada era mais voltada para o cumprimento de metas e de campanhas estabelecidas pelas instâncias reguladoras. Conclusão: a prevenção na atenção às pessoas com Diabetes Mellitus na Atenção Primária à Saúde encontrava-se fragmentada e disjuntiva de uma assistência que contemplasse a integralidade e a totalidade necessária nesse processo e que fosse capaz de trabalhar nos níveis de prevenção em saúde.
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Salci MA, Meirelles BHS, Silva DMGVD. Health education to prevent chronic diabetes mellitus complications in primary care. ESCOLA ANNA NERY 2018. [DOI: 10.1590/2177-9465-ean-2017-0262] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: Understand how Family Health Strategy members organize themselves for health education, on the management and prevention of chronic complications of diabetes mellitus in primary health care. Method: Qualitative study that used complex thought as the theoretical framework and evaluative research as the methodological framework. Thirty-eight healthcare professionals took part in the study. Data was gathered using the following techniques: interview, observation, and analysis of medical records. The data analysis, which was supported by triangulation, used ATLAS.ti software. Results: Shortcomings in health education were identified, such as insufficient infrastructure, poor interpersonal relationships among health professionals, and lack of planning for carrying out this activity. However, there is room for potential improvement in this situation. Conclusion: Health education for people with diabetes mellitus in primary health care is set within a multifaceted context, with multiple barriers to its implementation.
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Goulart S, Meirelles BHS, Costa VT, Pfleger G, Silva LMD. ADHERENCE TO ANTIRETROVIRAL THERAPY IN ADULTS WITH HIV/AIDS TREATED AT A REFERENCE SERVICE. REME: REVISTA MINEIRA DE ENFERMAGEM 2018. [DOI: 10.5935/1415-2762.20180050] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Koerich C, Lanzoni GMDM, Higashi GDC, Erdmann AL, Meirelles BHS, Baggio MA. Cirurgia de revascularização do miocárdio: características da internação e alterações relacionadas ao tempo de internação. REVISTA ELETRÔNICA DE ENFERMAGEM 2017. [DOI: 10.5216/ree.v19.42870] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
Abstract
O estudo teve como objetivo identificar as características da internação e alterações apresentadas por indivíduos submetidos à Cirurgia de Revascularização do Miocárdio e sua associação com tempo de internação para cirurgia. Estudo epidemiológico observacional e transversal, realizado entre março de 2013 a março de 2014, com 99 indivíduos submetidos à Cirurgia de Revascularização do Miocárdio. Verificou-se que dor no peito e angina/dor torácica identificados no pré-operatório e insuficiência respiratória, hipertermia, Hipertensão Arterial Sistêmica e arritmias apresentadas no pós-operatório foram preditores para maior tempo de internação. A associação entre as características da internação e as alterações clínicas com o tempo de Internação de indivíduos submetidos à Cirurgia de Revascularização do Miocárdio fornecem subsídios para atuação do enfermeiro e demais profissionais de saúde e gestores, a fim de criar estratégias para detecção precoce de intercorrências relacionadas à Cirurgia de Revascularização do Miocárdio.
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Koerich C, Lanzoni GMDM, Meirelles BHS, Baggio MA, Higashi GDC, Erdmann AL. PERFIL EPIDEMIOLÓGICO DA POPULAÇÃO SUBMETIDA À REVASCULARIZAÇÃO CARDÍACA E ACESSO AO SISTEMA ÚNICO DE SAÚDE. COGITARE ENFERMAGEM 2017. [DOI: 10.5380/ce.v22i3.50836] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
O objetivo deste estudo foi descrever o perfil epidemiológico de uma população submetida à revascularização cardíaca e compreender como esta população acessa os serviços de saúde para promoção, prevenção, tratamento e reabilitação. Estudo descritivo, transversal, amostra de 99 participantes, entre março de 2013 e fevereiro de 2014. Em relação ao perfil, 70 (70,7%) homens, 61 (61,6%) casados, 53 (53,5%) aposentados, 86 (86,9%) procedentes da região metropolitana, com idade média de 61,3 (±8,5) e média de anos de estudos de seis (±3,4), as comorbidades prevalentes foram Hipertensão Arterial Sistêmica 84 (84,8%) e Diabetes Mellitus 42 (42,4%). Referente ao Acesso aos serviços de saúde, 49 (49,4%) acessaram o hospital e 31 (31,3%) a Unidade Básica de Saúde. Observa-se a necessidade de ações estratégicas que facilitem o acesso e acompanhamento desta população aos serviços de saúde, em especial na Atenção primária à saúde, antes e após a revascularização cardíaca.
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Tonnera LCJ, Meirelles BHS. Potentialities and weaknesses in the care network of people with HIV/AIDS. Rev Bras Enferm 2017; 68:379-85, 438-44. [PMID: 26312514 DOI: 10.1590/0034-7167.2015680309i] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/04/2014] [Accepted: 03/19/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to understand the strengths and weaknesses in the care network of people with HIV/AIDS in a referral center in the state of Santa Catarina-SC. METHOD participants were eight subjects and their care network, totaling 18 participants. Data were collected through interviews and examined by content analysis, theoretically supported by symbolic interaction. RESULTS the analysis resulted in the following categories: The network offering care to people with acquired immunodeficiency syndrome, and Facing Barriers in care, which reflect the strengths and weaknesses in the care network. The fi rst depicts the provision of emotional and humanized care, and the second a restricted network formed by health professionals and a family member. CONCLUSION the professional care network is important, despite the increased number of assistances in a physical structure and amount of professionals who no longer meet the growing demand.
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Salci MA, Meirelles BHS, Silva DMGVD. Primary care for diabetes mellitus patients from the perspective of the care model for chronic conditions. Rev Lat Am Enfermagem 2017; 25:e2882. [PMID: 28301037 PMCID: PMC5363333 DOI: 10.1590/1518-8345.1474.2882] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/03/2016] [Accepted: 10/28/2016] [Indexed: 11/28/2022] Open
Abstract
Objective to assess the health care Primary Health Care professionals provide to diabetes mellitus patients from the perspective of the Modelo de Atenção às Condições Crônicas. Method qualitative study, using the theoretical framework of Complex Thinking and the Modelo de Atenção às Condições Crônicas and the methodological framework of assessment research. To collect the data, 38 interviews were held with health professionals and managers; observation of the activities by the health teams; and analysis of 25 files of people who received this care. The data analysis was supported by the software ATLAS.ti, using the directed content analysis technique. Results at the micro level, care was distant from the integrality of the actions needed to assist people with chronic conditions and was centered on the biomedical model. At the meso level, there was disarticulation among the professionals of the Family Health Strategy, between them and the users, family and community. At the macro level, there was a lack of guiding strategies to implement public policies for diabetes in care practice. Conclusion the implementation of the Modelo de Atenção às Condições Crônicas represents a great challenge, mainly needing professionals and managers who are prepared to work with chronic conditions are who are open to break with the traditional model.
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Cunha KSD, Higashi GDC, Erdmann AL, Kahl C, Koerich C, Meirelles BHS. Myocardial revascularization: factors intervening in the reference and counter-reference in Primary Health Care. Rev Esc Enferm USP 2017; 50:965-972. [PMID: 28198962 DOI: 10.1590/s0080-623420160000700013] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/11/2016] [Accepted: 11/22/2016] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVE Understanding the factors that influence the reference and counter-reference process of people indicated/submitted to Myocardial Revascularization surgery in the Primary Health Care scenario. METHOD A qualitative research anchored in the Grounded Theory, totaling 41 participants subdivided into three groups (patients, health professionals and managers) in the Metropolitan and West Region of Santa Catarina. RESULTS Two categories elucidate the intervening factors found, contrasting the potentialities and obstacles in (creating) the bond between people affected by cardiovascular diseases and primary health care for the reference process, highlighting weaknesses in the primary health care services provided, with failures in the counter-reference for people submitted to myocardial revascularization surgery. CONCLUSION Strengthening the potentialities presented in this study is essential for the reference process of people affected by Cardiovascular Disease, as well as strategic actions focused on solving the evidenced obstacles which contribute to deficiencies in the referral and counter-referral process, thus impeding integral care in the health care network. OBJETIVO Compreender os fatores que influenciam o processo de referência e contrarreferência da pessoa com indicação/submetida à Cirurgia de Revascularização Miocárdica no cenário da Atenção Primária à Saúde. MÉTODO Pesquisa qualitativa ancorada na Teoria Fundamentada nos Dados, totalizando 41 participantes subdivididos em três grupos (pacientes, profissionais de saúde e gestores) na Região Metropolitana e Região Oeste de Santa Catarina. RESULTADOS Duas categorias elucidam os fatores interventores encontrados, Contrastando as potencialidades e entraves no vínculo da pessoa acometida por doenças cardiovasculares com a atenção primária à saúde para o processo de referência e Destacando fragilidades nos serviços disponibilizados na atenção primária à saúde, com insucessos da contrarreferência da pessoa submetida à cirurgia de revascularização miocárdica. CONCLUSÃO Torna-se essencial o fortalecimento das potencialidades apresentadas neste estudo para o processo de referência da pessoa acometida por Doença Cardiovascular, assim como ações estratégicas com foco na resolução dos entraves apontados e que contribuem para a deficiência do processo de referência e contrarreferência, dificultando a integralidade do cuidado na rede de atenção à saúde.
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Santos JLGD, Erdmann AL, Meirelles BHS, Lanzoni GMDM, Cunha VPD, Ross R. INTEGRAÇÃO ENTRE DADOS QUANTITATIVOS E QUALITATIVOS EM UMA PESQUISA DE MÉTODOS MISTOS. TEXTO & CONTEXTO ENFERMAGEM 2017. [DOI: 10.1590/0104-07072017001590016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: descrever a experiência da integração entre dados quantitativos e qualitativos, por meio de uma pesquisa de métodos mistos. Método: trata-se de um relato de experiência da utilização dessa abordagem metodológica em um estudo de tese de doutorado em enfermagem sobre a governança da prática profissional de enfermagem no ambiente hospitalar. Resultados: o texto apresenta três tópicos principais: fundamentação teórica sobre as características e tipologias dos estudos de métodos mistos; procedimentos de coleta, análise e combinação dos dados; e benefícios e desafios da realização desse tipo de estudo. Conclusão: sustenta-se que a realização de uma pesquisa de métodos mistos permitiu a identificação de convergências e divergências entre os dados qualitativos e quantitativos, contribuindo para a produção de resultados que se complementam entre si.
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Chirinos NEC, Meirelles BHS, Bousfield ABS. RELATIONSHIP BETWEEN THE SOCIAL REPRESENTATIONS OF HEALTH PROFESSIONALS AND PEOPLE WITH TUBERCULOSIS AND TREATMENT ABANDONMENT. TEXTO & CONTEXTO ENFERMAGEM 2017. [DOI: 10.1590/0104-07072017005650015] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
ABSTRACT Objective: to relate the social representations of health professionals and people with tuberculosis with treatment abandonment. Method: a descriptive and exploratory study with qualitative approach. Twelve health professionals and eight patients participated from Health Centers in Lima, Peru. Data were collected, between June and July 2012, through semi-structured interviews, analyzed according to content analysis technique. Results: similar content emerged from the analysis of the categories representations of both actors. They present similar aspects such as the treatment of tuberculosis generates suffering, tuberculosis is contagious and causes distancing and isolation, and the lack of knowledge generates treatment abandonment. These representations interfere with the conduct of care and adherence of tuberculosis treatment. Conclusion: there is need for education strategies in a psychosocial approach, considering the multidimensionality of treatment adherence, contributing to the reduction of treatment abandonment rates and the tuberculosis transmission chain.
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Aruto GC, Lanzoni GMDM, Meirelles BHS. MELHORES PRÁTICAS NO CUIDADO À PESSOA COM DOENÇA CARDIOVASCULAR: INTERFACE ENTRE LIDERANÇA E SEGURANÇA DO PACIENTE. COGITARE ENFERMAGEM 2016. [DOI: 10.5380/ce.v21i5.45648] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022] Open
Abstract
Estudo descritivo, com abordagem qualitativa, que objetivou conhecer as melhores práticas do enfermeiro, bem como propor aprimoramentos no cuidado seguro à pessoa com doença cardiovascular atendida em instituição hospitalar privada especializada em cardiologia no Sul do Brasil. Desenvolvido entre agosto e outubro de 2015, nas três Unidades de Clínica Cirúrgica, com participação de 14 enfermeiros. Coleta de dados realizada através de entrevista semiestruturada e utilizou-se como referencial a Análise de Conteúdo. Foram identificadas melhores práticas nas ações de cuidado ao paciente, melhores práticas de liderança do enfermeiro, e por fim, proposições para o aprimoramento das melhores práticas para o cuidado seguro à pessoa com doença cardiovascular. Há necessidade de investir na cultura de segurança, no aperfeiçoamento da equipe de enfermagem, na utilização de melhores práticas e melhoria dos ambientes de trabalho para o alcance da segurança do paciente.
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da Luz KR, Vargas MADO, Barlem ELD, Schmitt PH, Ramos FRS, Meirelles BHS. Coping strategies for oncology nurses in high complexity. Rev Bras Enferm 2016; 69:59-63. [PMID: 26871217 DOI: 10.1590/0034-7167.2016690109i] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2014] [Accepted: 09/22/2015] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to identify the coping strategies of oncology services of nurses in highly complex hospital care before the person with cancer. METHOD it is a qualitative research, with 18 nurses in inpatient oncology units and/or outpatient chemotherapy in two cities in southern Brazil, sampled by a snowball and carrying out semi-structured interviews. Data were submitted to thematic analysis. RESULTS three categories emerged that show strategies such as denial and resignation in care, for support in the health team and the plurality and multiplicity of perspectives on the care, including the patient and his family and the search for personal and professional improvement. CONCLUSION coping strategies are expressed in the cultural understanding of what it means to have cancer or not and management of health institutions for nurses to work with satisfaction. The service in education is a major factor in the development of ethical competence.
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Lanzoni GMDM, Meirelles BHS, Cummings G. NURSE LEADERSHIP PRACTICES IN PRIMARY HEALTH CARE: A GROUNDED THEORY. TEXTO & CONTEXTO ENFERMAGEM 2016. [DOI: 10.1590/0104-07072016004190015] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
ABSTRACT This is a qualitative study and its aim was to understand the meaning of nurse leadership exercised in the services of Primary Health Care in a municipality located in Southern Region of Brazil. Grounded Theory was used as methodological framework. Data collection was carried out with semi-structured interviews applied to 30 nurses who worked in Primary Health Care and nursing professors, divided into four groups, between 2011 and 2012. After the analysis process, nine categories emerged and sustained the phenomenon 'Revealing the nursing leadership practices in the complex context of Primary Health Care'. Leadership was understood as a resource in the process of caring/managing people and developing a team of leaders, intending the organization and qualification of health work. It is important to rescue the clinical work of nurses, in order to keep their investment in the health team and to strengthen the binomial leader/caregiver.
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Lanzoni GMDM, Meirelles BHS, Erdmann AL, Thofehrn MB, Dall'Agnol CM. ACTIONS/INTERACTIONS MOTIVATING NURSING LEADERSHIP IN THE CONTEXT OF PRIMARY HEALTH CARE. TEXTO & CONTEXTO ENFERMAGEM 2015. [DOI: 10.1590/0104-0707201500003740013] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
The aim of this qualitative study is to understand the actions/interactions identified as motivating leadership for nurses working at Primary Health Care services in a city in the South of Brazil. The Grounded Theory was used as the methodological framework. Data collection occurred through semi-structured interviews with twenty-three nurses working in the municipal health network and seven Nursing professors with expertise on the theme, distributed in four sample groups. The analysis revealed the category Composing the profile of nurses for leadership and its importance in health organizations, supported by three subcategories. The nurse exercises leadership driven by personality, vocational training stimulus, characteristics of the profession and influence of the environment. Nurses are influenced and influence the health service, acting in compliance with health policies, helping to foster the participation and integration of other workers in the health services.
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Lanzoni GMDM, Magalhães ALP, Costa VT, Erdmann AL, Andrade SRD, Meirelles BHS. Tornando-se gerente de enfermagem na imbricada e complexa fronteira das dimensões assistencial e gerencial. REVISTA ELETRÔNICA DE ENFERMAGEM 2015. [DOI: 10.5216/ree.v17i2.29570] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Chirinos NEC, Meirelles BHS, Bousfield ABS. Representações sociais das pessoas com tuberculose sobre o abandono do tratamento. Rev Gaucha Enferm 2015; 36 Spec No:207-14. [DOI: 10.1590/1983-1447.2015.esp.56723] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/16/2015] [Accepted: 11/24/2015] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo Compreender as representações sociais das pessoas com tuberculose sobre o abandono do tratamento em um Programa de Controle da Tuberculose. Método Estudo descritivo, de abordagem qualitativa, realizado num município de Lima, Peru. Os dados foram coletados de outubro a novembro de 2012, através de entrevistas semiestruturadas, com oito pessoas, e analisados conforme a técnica de análise temática de conteúdo. Resultados As categorias levaram à construção da representação social de que a doença e o tratamento trazem sofrimento. Esta representação influencia na não adesão ao tratamento, podendo gerar um incremento de casos de abandono. Conclusão São necessárias estratégias educativas ligadas a processos de interação social, à subjetividade e ao contexto do paciente, direcionadas a diminuir o abandono do tratamento da tuberculose, as recidivas, a multirresistência. Novos desafios são apontados diante das avaliações frente ao alcance dos Objetivos de Desenvolvimento do Milênio.
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Koerich C, Santos FCD, Meirelles BHS, Erdmann AL. Management of nursing care of the adolescent living with HIV/AIDS. ESCOLA ANNA NERY 2015. [DOI: 10.5935/1414-8145.20150016] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022] Open
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Oliveira LPBAD, Medeiros LMDF, Meirelles BHS, Santos SMAD. Satisfaction of the elderly population attended in the family health strategy in Santa Cruz, Rio Grande do Norte, Brazil. TEXTO & CONTEXTO ENFERMAGEM 2014. [DOI: 10.1590/0104-07072014000320013] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
This study aimed to identify the satisfaction of the elderly population in relation to the health care received in the Family Health Strategy, in Santa Cruz, in the State of Rio Grande do Norte, Brazil. It is a descriptive quantitative study, with a sample of 101 older adults registered in the municipality's family health system. The data were collected between May and September 2011, using a structured questionnaire, and were analyzed using descriptive statistics. It was observed that 67.3% of the interviewees were satisfied with the assistance received, and 72.3% were satisfied with the advice received. In relation to scheduling, waiting times and time spent in the consultations, many were dissatisfied (62.4%, 54.5% and 70.3% dissatisfaction, respectively). We conclude that, in spite of the majority of older adults being satisfied with this care, it is necessary to improve the attendance, particularly in the flow of requests for consultations in the units studied.
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Costa VT, Meirelles BHS, Erdmann AL. Best practice of nurse managers in risk management. Rev Lat Am Enfermagem 2014; 21:1165-71. [PMID: 24142227 DOI: 10.1590/s0104-11692013000500021] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/24/2012] [Accepted: 07/17/2013] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To identify the actions, undertaken by nurse managers in a risk management program, considered as best practice. METHOD A case study undertaken in a private hospital in the south of Brazil. A risk manager and nurse managers working in a risk management program participated in this study. The data was collected between May and September 2011 through analysis of documents, semi-structured interviews and non-participant observation. Based on the triangulation, the data was analyzed through practical measures. RESULTS Educational actions, the critical analysis of the context, and the multiple dimensions of the management were evidenced as best practice. CONCLUSIONS The broadening of understanding regarding risk management best practice offers further support for nurse managers to achieve excellence in their actions and thus provide safe and quality care.
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