Nurses assessment competence to acknowledge and cope with family health needs / Competência avaliativa do enfermeiro para o reconhecimento e enfrentamento das necessidades em saúde das famílias

AUTOR(ES)
DATA DE PUBLICAÇÃO

2010

RESUMO

Descriptive exploratory study with a qualitative approach on nurses assessment competence to acknowledge and cope with family health needs. It is grounded on the Theory of Praxis Intervention in Collective Health Nursing (TIPESC in portuguese). It aimed to identify nurses assessment competence in order to acknowledge and cope with family health needs in a given coverage area; to list nursesactions on primary care for acknowledgement and coping with health needs; to evidence the thematic of situations where family health needs described by nurses are acknowledged and coped; to describe the set of tools used by nurses in situations of acknowledgement and coping with health needs according to dialectic contradictions in empirical and analytical accounts for the acknowledgement and coping with family health needs in a given coverage area; to identify, according to the evidenced thematic, nursesassessment knowledge on primary care in order to acknowledge and cope with family health needs. The study venue was Boa Vista Sanitary District in Curitiba/ Parana State, Brazil. Data collection was carried out through primary and secondary sources. Research subjects were twenty-five nurses who worked atHealth Units and agreed to participate in the interview. In the results on Curitiba featuring, the processes to determine health needs in the population livingconditions are verified; health intervention proposals approved in the Conference were based on the health-risk conception focused on healing interventions to reverse epidemiological rates related to conditions identified in the studies; protocols and programs in effect are grounded on risk epidemiology and guide interventions to prevent diseases by means of changes in lifestyle as well as self-care, being patients recovery related to treatment compliance along with professionalsco-responsibility in the processes; nursesunderstanding on acknowledged and coped health needs as well as the used intervention resources converge with the current norms by the Municipal Health Service and the intervention proposals approved by the Municipal Health Conference. Result discussion enabled to identify nursesnecessary assessment knowledge on primary care in order to acknowledge and intervene according to family health needs in a given coverage area. Finalconsiderations point out that nurses recognized determinant processes on health needs and health-disease process in the different realms of reality, singular, particular and structural although they do not relate them during intervention and guide their actions towards the singular dimension. Nursing intervention resources conformed to individual and biological conception of the health-disease process while the programs were ac knowledged as potential-ridden to the access to the necessary supplies and materials. This conception conforms to the implementation of the municipal Integrated Health System once it went forth the implementation of an integrated, hierarchic, regionalized and problem-solving system to the issues related to conditions identified in the epidemiological rates. The pointed challenges objectify to educate professionals who can acknowledge determinants to health needs perceived by families and users living in the coverage area of local health services and, thus, reverse the current intervention model.

ASSUNTO(S)

competência profissional enfermeiros health needs necessidades em saúde primary health care professional competence saúde coletiva atenção básica em saúde collective health nurses

ACESSO AO ARTIGO

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