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Diaz PDS, Barth PO, Silva MPD, Ferreira DS, Brehmer LCDF, Brito MJM, Dalmolin GDL, Ramos FRS. Gestão e ambientes de trabalho na atenção primária à saúde. REME: REVISTA MINEIRA DE ENFERMAGEM 2022. [DOI: 10.35699/2316-9389.2022.40472] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/12/2023] Open
Abstract
Objetivo: identificar subsídios teóricos e empíricos sobre ambientes de trabalho na APS em sua relação a saúde do trabalhador (questão preliminar) que indiquem elementos relativos à gestão (questão específica). Métodos: Scoping Review de seis etapas com consulta aos sujeitos, busca na literatura no período de 2010 a 2019 em seis bases de dados e bibliotecas virtuais com seleção de 21 artigos. A etapa complementar, de consulta, operacionalizou grupo focal com 14 trabalhadores da Atenção Primária à Saúde em um município do Sul do Brasil. Resultados: organizados em três categorias temáticas: Aspectos administrativos no ambiente de trabalho: dificuldades relacionadas à gestão; Percepções sobre as relações de trabalho: barreiras entre equipe e gestão; Conflitos no ambiente de trabalho: estratégias de enfrentamento. Considerações finais: questões de ordem burocrática e de rotina da APS influenciam as relações interpessoais e os resultados alcançados, sendo fundamentais para o alcance de ambientes saudáveis de trabalho dos atores em cena. O suporte institucional, o diálogo e a possibilidade em exercer um trabalho pleno de sentido e valor é direito do trabalhador, reafirmando a promoção de ambientes de trabalho saudáveis na APS como prioridade ético-política.
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Schoeller SD, Lima DKS, Martins MM, Ramos FRS, Zuchetto MA, Bampi LNDS, Roos CM, Tholl AD, Tonnera LCJ, Machado WCA, Vargas CP. Protocol for a scoping review on nursing care and the autonomy of disabled persons. BMJ Open 2018; 8:e022106. [PMID: 30297347 PMCID: PMC6194472 DOI: 10.1136/bmjopen-2018-022106] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
Abstract
INTRODUCTION Considering the limitations that disabled persons experience, our understanding of caring for these people has evolved over time worldwide. Because nursing care is dependent on the choices made by patients, nurses can play an emancipatory role by empowering patients with disabilities to become the primary agent in their rehabilitation. Objective was to conduct a range analysis protocol proposing the mapping of conceptual elements for a nursing care model based on the autonomy of disabled persons. METHODS AND ANALYSIS A protocol was developed in corporating insights from recent innovations and applying the scope review method of Arksey and O'Malley as a reference using their scoping review methodology as a guide. For the construction of research guiding question, the patient, intervention, comparison and outcomes strategy was adapted. Considerable research in online databases (14) from 2000 to 2018 will be integrated by bibliographical research. Proceed a consult in the Annals of the Brazilian Congress of Nursing, Brazilian Nursing Association and Portuguese Rehabilitation Nursing Association, as well as professional Portuguese and Brazilian nursing legislation. The entire reference list of the covered studies searched manually to detect considerable additional studies. In addition to these searches, stakeholders, including nurse experts in the rehabilitation field and disabled persons, will be requested and included. ETHICS AND DISSEMINATION This study does not require ethical approval because it is a review and collection of data on publicly available materials. The results of this research will be published in a relevant journal on the subject of rehabilitation and presented at international scientific events in the area of rehabilitation nursing. Thus, the elaboration of this protocol further maps the gaps and strengthens the concepts capable of presenting strong evidence which assists and supports safer, smarter and more objective care for those living with permanent daily care obligations.
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Affiliation(s)
- Soraia Dornelles Schoeller
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Daniella Karine Souza Lima
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | | | - Flávia Regina Souza Ramos
- Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Milena Amorim Zuchetto
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Luciana Neves da Silva Bampi
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Cristine Moraes Roos
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Adriana Dutra Tholl
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Liliam Cristiana Julio Tonnera
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
| | - Wiliam Cesar Alves Machado
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Caroline Porcelis Vargas
- Rehabilitation Research Group, Nursing Department, Health Sciences Centre, Federal University of Santa Catarina, Florianopolis, Santa Catarina, Brazil
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