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Celuppi IC, Meirelles BHS, Costa VT, Pires DEPD. Practical Approach to Care Kit: inovação para a clínica do enfermeiro no manejo do HIV. Rev Lat Am Enfermagem 2023. [DOI: 10.1590/1518-8345.5998.3721] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Resumo Objetivo: analisar a utilização do Practical Approach to Care Kit como uma tecnologia adotada na prática clínica dos enfermeiros no manejo do HIV na Atenção Primária à Saúde. Método: pesquisa exploratória e descritiva, ancorada no referencial metodológico da Teoria Fundamentada nos Dados Construtivista. A definição dos participantes foi realizada por amostragem inicial, com 12 enfermeiros, e amostragem teórica, com cinco gestores, totalizando 17 participantes. Os dados foram coletados por entrevistas intensivas e análise documental, e foram analisados em duas etapas: 1) codificação inicial; e 2) codificação focalizada. Resultados: os profissionais identificaram o Practical Approach to Care Kit como uma inovação tecnológica que contribuiu para a ampliação da prática clínica e empoderamento do enfermeiro no manejo clínico da infecção por HIV. Também destacaram sua importância como ferramenta para orientação das diferentes responsabilidades e atribuições no compartilhamento do cuidado, contribuindo para a prestação de práticas baseadas em evidências. Conclusão: o Practical Approach to Care Kit é uma inovação tecnológica que transformou a prática clínica do enfermeiro no manejo do HIV, ampliando seu escopo de atividades na realização do diagnóstico, avaliação da condição de saúde e aconselhamento, avaliação da adesão ao tratamento, efeitos adversos e prescrição de exames, medicamentos e imunobiológicos.
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Affiliation(s)
- Ianka Cristina Celuppi
- Universidade Federal de Santa Catarina, Brazil; Universidade Federal de Santa Catarina, Brazil; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brazil
| | | | | | - Denise Elvira Pires de Pires
- Universidade Federal de Santa Catarina, Brazil; Conselho Nacional de Desenvolvimento Científico e Tecnológico, Brazil
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Celuppi IC, Meirelles BHS, Costa VT, Pires DEPD. Practical Approach to Care Kit: innovación para la clínica de enfermería en el manejo del VIH. Rev Lat Am Enfermagem 2023. [DOI: 10.1590/1518-8345.5998.3719] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023] Open
Abstract
Resumen Objetivo: analizar el uso del Practical Approach to Care Kit como tecnología adoptada en la práctica clínica de los enfermeros en el manejo del VIH en la Atención Primaria de la Salud. Método: investigación exploratoria y descriptiva, basada en el marco metodológico de la Teoría Fundamentada en los Datos Constructivistas. La definición de los participantes fue realizada por muestreo inicial, con 12 enfermeros, y muestreo teórico, con cinco gestores, fueron 17 participantes en total. Los datos fueron recolectados a través de entrevistas intensivas y análisis de documentos, y fueron analizados en dos etapas: 1) codificación inicial; y 2) codificación enfocada. Resultados: los profesionales identificaron el Practical Approach to Care Kit como una innovación tecnológica que contribuyó a la expansión de la práctica clínica y al empoderamiento de los enfermeros en el manejo clínico de la infección por VIH. También destacaron su importancia como herramienta para orientar las diferentes responsabilidades y obligaciones en la distribución de la atención de los pacientes, contribuyendo a la prestación de prácticas basadas en evidencia. Conclusión: el Practical Approach to Care Kit es una innovación tecnológica que ha transformado la práctica clínica de los enfermeros en el manejo del VIH, ampliando su radio de acción para la realización del diagnóstico, evaluación del estado de salud y asesoramiento, evaluación de la adherencia al tratamiento, efectos adversos y prescripción de exámenes, medicamentos e inmunobiológicos.
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Affiliation(s)
- Ianka Cristina Celuppi
- Universidade Federal de Santa Catarina, Brazil; Universidade Federal de Santa Catarina, Brazil; Coordenação de Aperfeiçoamento de Pessoal de Nível Superior, Brazil
| | | | | | - Denise Elvira Pires de Pires
- Universidade Federal de Santa Catarina, Brazil; Conselho Nacional de Desenvolvimento Científico e Tecnológico, Brazil
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Celuppi IC, Meirelles BHS, Costa VT, de Pires DEP. Practical Approach to Care Kit: Innovation for nurses' clinical practice in HIV management. Rev Lat Am Enfermagem 2023; 31:e3720. [PMID: 36722631 PMCID: PMC9886083 DOI: 10.1590/1518-8345.5998.3720] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2022] [Accepted: 07/07/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE to analyze the use of the Practical Approach to Care Kit as a technology adopted in nurses' clinical practice for HIV management in Primary Health Care. METHOD an exploratory and descriptive research study anchored in the methodological framework of the Constructivist Grounded Theory. The participants were defined through initial sampling, with 12 nurses, and theoretical sampling, with five managers, totaling 17 participants. The data were collected by means of intensive interviews and documentary analysis, and they were analyzed in two stages: 1) Initial coding; and 2) Focused coding. RESULTS the professionals identified the Practical Approach to Care Kit as a technological innovation that contributed to expanding the clinical practice and to empowering nurses in the clinical management of HIV infection. They also highlighted its importance as a tool for guiding the different responsibilities and duties while sharing care, contributing to the provision of evidence-based practices. CONCLUSION The Practical Approach to Care Kit is a technological innovation that has transformed nurses' clinical practice in HIV management, expanding their scope of activities in carrying out the diagnosis, assessing the health condition and counseling, evaluating adherence to the treatment, adverse effects and prescription of exams, medications, and immunobiological.
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Affiliation(s)
- Ianka Cristina Celuppi
- Universidade Federal de Santa Catarina, Florianópolis, SC, Brazil., Universidade Federal de Santa Catarina, Laboratório Bridge - CTC, Florianópolis, SC, Brazil., Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil., Ianka Cristina Celuppi E-mail:
| | | | - Veridiana Tavares Costa
- Diretoria de Atenção Primária a Saúde, Secretaria de Saúde do Estado de Santa Catarina (DAPS/SES), Florianópolis, SC, Brazil
| | - Denise Elvira Pires de Pires
- Universidade Federal de Santa Catarina, Departamento de Enfermagem, Florianópolis, SC, Brazil., Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
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Silva E Lima SG, Spagnuolo RS, Juliani CMCM, Colichi RMB. Nursing consultation in the Family Health Strategy and the nurse's perception: Grounded Theory. Rev Bras Enferm 2022; 75:e20201105. [PMID: 35352778 DOI: 10.1590/0034-7167-2020-1105] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/13/2020] [Accepted: 11/03/2021] [Indexed: 11/21/2022] Open
Abstract
OBJECTIVES to understand the experience of nurses with nursing consultations in the context of the Family Health Strategy and propose a representative model. METHODS qualitative research using Grounded Theory, with 14 nurses working through non-directive interviews. For data analysis, three stages were used: open, axial and selective coding, which originated phenomena, themes, categories and subcategories, which supported the construction of the central category and, consequently, the theoretical model. RESULTS the interrelation of phenomena emerged from the essence of the nurse's experience, revealing the central category: From nursing education to the practice of Nursing Consultation, unveiling learning, challenges and autonomy as intervening components. Final Considerations: the nurse's experience is positive and, despite numerous challenges in daily life, the nurse has been performing it based on comprehensive care. New studies may add new understandings that enable the expansion of working conditions, valuing the nursing consultation.
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Magnago C, Pierantoni CR. Situational analysis and reflections on the introduction of advanced practice nurses in Brazilian primary healthcare. HUMAN RESOURCES FOR HEALTH 2021; 19:90. [PMID: 34294088 PMCID: PMC8296671 DOI: 10.1186/s12960-021-00632-w] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 05/04/2021] [Accepted: 07/09/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND The shortage of doctors and their unequal distribution serve as challenges to advancing primary healthcare (PHC) and achieving effective universal healthcare coverage in Brazil. In an effort to use nurses' potential more efficiently, the country is investigating the introduction of the advanced practice nurse (APN) into PHC. This paper presents a situational analysis of the practices of Brazilian nurses based on the following components: regulation, practice, and education. METHODS This is a national multi-method study with triangulated data from a documentary study, a scoping review, and an exploratory study. The regulation component involved the analysis of official normative documents on the regulation of nursing education and nurses' scope of practice. The practice component aimed to identify the practices performed by nurses in Brazilian PHC based on primary studies. The education component intended to identify the practices taught in nursing training based on a survey and interviews with directors of undergraduate nursing programs. RESULTS Federal legislation in Brazil authorizes nursing graduates to perform a set of advanced practices as part of the PHC nurse's daily routine. They can request and interpret complementary tests and prescribe medication. However, in the local context, municipalities define the scope of this assistance based on technical norms or nursing protocols. Furthermore, this study indicates that undergraduate nursing programs do not fully prepare students to adequately execute these tasks. CONCLUSIONS In the context of Brazilian PHC, advanced practices have already been implemented and respond to main healthcare demands. Therefore, it is unnecessary to introduce the APN as a new professional category. Upon detecting deficiencies in the training process, the current education model should undergo reforms that seek to incorporate the skills compatible with the regulated advanced practices and in-service training for practicing nurses. Regarding the introduction of APN along international lines, this article presents recommendations that may support the operationalization of a Brazilian APN model.
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Affiliation(s)
- Carinne Magnago
- Department of Policy, Management and Health, School of Public Health, University of São Paulo (FSP/USP), Av. Dr. Arnaldo, 715, São Paulo, SP, 01246-904, Brazil.
| | - Celia Regina Pierantoni
- Institute of Social Medicine, Rio de Janeiro State University (IMS/Uerj), Rio de Janeiro, Brazil
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Ferreira DS, Ramos FRS, Teixeira E, Monteiro WF, Aguiar APD. Obstacles to the educational praxis of nurses in the Family Health Strategy. Rev Gaucha Enferm 2021; 42:e20190521. [PMID: 33566946 DOI: 10.1590/1983-1447.2021.20190521] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2020] [Accepted: 06/19/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE To analyze the obstacles to the educational praxis of nurses in the Family Health Strategy of the Eastern Health District, Manaus, Amazonas, Brazil. METHOD Qualitative, exploratory, and descriptive study that used the Word Café technique for data production, with 26 nurses, between June and August 2018. The data were organized in the Atlas.ti8 software, and the analysis was categorical-thematic. RESULTS The units of analysis "Organizational Obstacles for Educational Praxis in the Family Health Strategy" and "Operational Obstacles for Educational Praxis in the Family Health Strategy" reveal difficulties, tensions, resistances and the impossibilities to adhere to emerging models of work organization, in general, and in particular, in educational work. CONCLUSION What presents itself in reality as an obstacle is, at the same time, indicative of the possibility of overcoming and potentiality for co-creation of educational work as a strategy to rescue professional motivation, and an alternative on the agenda for the permanent qualification of workers and institutions.
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Affiliation(s)
- Darlisom Sousa Ferreira
- Universidade do Estado do Amazonas (UEA), Programa de Pós-Graduação em Enfermagem em Saúde Pública. Manaus, Amazonas, Brasil.,Universidade Federal de Santa Catarina (UFSC), Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
| | - Flávia Regina Souza Ramos
- Universidade do Estado do Amazonas (UEA), Programa de Pós-Graduação em Enfermagem em Saúde Pública. Manaus, Amazonas, Brasil.,Universidade Federal de Santa Catarina (UFSC), Programa de Pós-Graduação em Enfermagem. Florianópolis, Santa Catarina, Brasil
| | - Elizabeth Teixeira
- Universidade do Estado do Amazonas (UEA), Programa de Pós-Graduação em Enfermagem em Saúde Pública. Manaus, Amazonas, Brasil
| | - Wagner Ferreira Monteiro
- Universidade do Estado do Amazonas (UEA). Programa de Pós-Graduação em Medicina Tropical. Manaus, Amazonas, Brasil
| | - Aldalice Pinto de Aguiar
- Universidade do Estado do Amazonas (UEA). Programa de Residência em Enfermagem. Manaus, Amazonas, Brasil
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Rezende LC, Caram CDS, Caçador BS, Brito MJM. Nurses' practice in quilombola communities: an interface between cultural and political competence. Rev Bras Enferm 2020; 73:e20190433. [PMID: 32667404 DOI: 10.1590/0034-7167-2019-0433] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/13/2019] [Accepted: 12/17/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVES to understand Family Health Strategy nurses' practices in the context of quilombola communities with an interface for cultural and political competences. METHODS a single integrated, qualitative case study carried out on seven Family Health Strategies located in the Metropolitan Region of Belo Horizonte, state of Minas Gerais. Seven nurses and 59 quilombolas participated. Data were collected through individual interviews with nurses, collective interviews with quilombolas and observation. For analysis, the thematic content analysis was adopted. RESULTS the results revealed structural and territorial problems, which are configured as barriers for professional-user encounter as well as for professional practice performance. Final Considerations: it is necessary that Family Health Strategy nurses, based on political and cultural competences, create strategies that minimize the difficulties found in the implementation of health actions directed to quilombolas. Such strategies anchored in inclusive public policies.
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