PROGRAMA NACIONAL DE MELHORIA DO ACESSO E DA QUALIDADE DA ATENÇÃO BÁSICA: VISÃO DE ENFERMEIROS

Objetivo: compreender os reflexos da implementação do Programa Nacional de Melhoria doAcesso e da Qualidade da Atenção Básica no processo de trabalho de equipes da Estratégia Saúdeda Família, a partir da visão de enfermeiros.Método: pesquisa qualitativa, descritiva e exploratória, desenvolvida com nove enfermeiros nointerior do Rio Grande do Sul. As entrevistas foram realizadas entre janeiro e abril de 2017 esubmetidas à análise temática.Resultados: os padrões de qualidade requeridos pelo Programa contribuem para a superação daslacunas da organização e assistência dos serviços de saúde. A pactuação de metas e indicadoresincitam a mobilização dos atores envolvidos, intermediando ações, manejos e recursos, suprindoas necessidades das equipes.Conclusão: a implementação do Programa nas equipes trouxe melhorias no acesso e na qualidadeno contexto estrutural, equipamentos e insumos, refletindo diretamente no processo de trabalhodas equipes.

GROUNDED THEORY: USE IN SCIENTIFIC ARTICLES PUBLISHED IN BRAZILIAN NURSING JOURNALS WITH QUALIS A CLASSIFICATION

ABSTRACT Objective: to analyze the use of Grounded Theory as a methodological framework in scientific articles published in Brazilian Nursing journals with Qualis Capes A1 and A2. Method: descriptive, documentary study with a quantitative approach. Five Brazilian nursing journals with Qualis A1 and A2 in the 2016 assessment were used as sources. Data were collected on the website of each journal through the Scientific Electronic Library Online (SciELO), by consulting the numbers published in the 2013-2016 quadrennium. Data were analyzed using descriptive statistics. Results: 49 articles were selected, most of them published by the Texto & Contexto Enfermagem journal (34.6%). Regarding the methodological aspect, the use of the Straussian perspective predominated (79,6). Regarding the methodological characteristics, most articles used theoretical sampling (63.3%), theoretical saturation (53.1%), comparative analysis (69.4%), and presented the development of a theoretical model or central category in the results (75.6%). However, only seven (14.3%) studies specified the use of memos, 22 (44.9%) mentioned the use of diagrams and 16 (32.7%) described the theory validation step. Conclusion: the need for consensus among Brazilian nursing researchers on the methodological characteristics to be described in studies using the Grounded Theory is highlighted.

Healthcare networks: trends of knowledge development in Brazil

ABSTRACT Objective: To analyze the trend of scientific production about Healthcare Networks in thesis and dissertations in Brazil. Methods: documental, descriptive and exploratory study, with a quantitative approach, on the published between 2013 and 2016. The data collection was based on the catalog of theses and dissertations of Brazilian Personnel Improvement Coordination of Superior Level, during January 2018. Results: The 190 papers founded were distributed in four main classes: Integrated Healthcare Networks Management; Thematic health networks; Primary Healthcare as network Ordinator; and Professional education in healthcare networks. Conclusion: It is trend in the scientific knowledge production the study of Primary Healthcare as the ordinator of network and its interface with the other levels, the professional education in healthcare networks, the continuing education in health, focused on the healthcare networks management.

Good practices for patient safety in the operating room: nurses' recommendations

OBJECTIVE

To describe nurses' recommendations for good patient safety practices in the operating room.

METHOD

Quantitative, descriptive and exploratory research developed from an online survey of 220 operating room nurses from different regions of Brazil. The data processing for textual analysis was performed by the software IRAMUTEQ.

RESULTS

There were eight recommendations: (1) Involvement of the multiprofessional team and the managers of the institution; (2) Establishment of a patient safety culture; (3) Use of the safe surgery checklist; (4) Improvement of interpersonal communication; (5) Expansion of nurses' performance; (6) Adequate availability of physical, material and human resources; (7) Individual search for professional updating; and (8) Development of continuing education actions.

CONCLUSION

These recommendations can be used as care management strategies by nurses for patient safety in the operating room.

Brazilian research groups in nursing: comparison of 2006 and 2016 profiles

Objective

To compare the profile of nursing research groups registered at the CNPq Research Groups Directory in 2006 and 2016.

Method

Descriptive and documentary analysis, The data has been collected in 2006 and in 2016, with parameterized search with the term "nursing" at the CNPq Research Groups Directory. The selected variables have been organized in a Microsoft Office Exce spreadsheetl.

Results

The research groups have increased from 251 in 2006 to 617 in 2016, with important increase of the number of participants, among students and researchers. There was a decrease of the number of groups without students. However, 22% remain without undergraduate students' participation.

Conclusions

It has been observed an important increase regarding the interest on research activities, when comparing both scenarios. The nursing research groups reflect structural and political advances in generation of science, technology and innovation, however, the undergraduate students' and the foreign researchers' participation should still be encouraged.

INTERFACE ENTRE REGULAÇÃO EM SAÚDE E EQUIDADE: REVISÃO INTEGRATIVA DA LITERATURA

Este artigo tem por objetivo apresentar a interface entre a Regulação em Saúde e o princípio da equidade segundo a literatura científica da área de saúde, de 2008 a 2015. Trata-se de uma revisão integrativa da literatura, a partir de duas bases de dados, realizada em junho de 2016. Foram analisados 15 estudos que atenderam aos critérios de inclusão. A síntese do conhecimento foi feita por duas categorias de análise: 1) “Equidade e Acesso” e 2) “Reforma de sistemas de saúde”. A Regulação em Saúde é compreendida como importante ferramenta para promoção da equidade. Os serviços de saúde devem priorizar o atendimento de usuários com maiores riscos, permitindo que todos tenham adequados níveis de saúde, a partir de ofertas de serviços distintos, segundo as necessidades individuais. Temas como equidade, acesso e financiamento foram pontos fortes considerados nos processos de reforma dos sistemas de saúde.

Comparison between the working environment of nurse managers and nursing assistants in the hospital context

Objective Comparing the working environment of nurse managers and nursing assistants in the hospital context. Method A mixed methods research with concomitant triangulation of data developed in a university hospital in the South of Brazil. Participants in the quantitative study were 94 nursing assistants and 12 nurse managers. The data were collected using the Brazilian Nursing Work Index - Revised (B-NWI-R) and analyzed through descriptive and inferential statistics. Eight (8) nurse managers and 18 nursing assistants were interviewed for the qualitative study. The data were analyzed through thematic analysis. Results The total B-NWI-R mean score for nurse managers was 2.15±0.39, and for nursing assistants it was 2.22±0.39. No statistical significance was identified in the comparison between the groups (p=0.508). The qualitative results show the existence of collaborative relationships between nurse managers and nursing assistants. Conclusion The working environment was similarly evaluated by nurse managers and nursing assistants in the hospital context.

Regulação em saúde e promoção da equidade: o Sistema Nacional de Regulação e o acesso à assistência em um município de grande porte

RESUMO O objetivo deste estudo foi evidenciar a interface entre o serviço de regulação em saúde municipal e a efetivação prática do princípio da equidade, a partir da vivência dos profissionais envolvidos nesse setor. A metodologia foi o estudo de caso, com técnicas de grupo focal, observação participante e análise documental, no período de setembro a novembro de 2013. Foram evidenciados os desafios da regulação em saúde para efetivação do princípio da equidade. O Sistema Nacional de Regulação foi identificado como ferramenta para gerenciamento da oferta e da demanda. Assim, a influência da regulação sobre a oferta e a disposição dos serviços tem o potencial de garantir o acesso aos usuários e promover a equidade.