RESUMO
BACKGROUND: The surge in individuals facing functional impairments has heightened the demand for rehabilitation services. Understanding the distribution of the rehabilitation workforce is pivotal for effective health system planning to address the population's health needs. OBJECTIVE: To investigate the spatial and temporal dispersion of physical therapists, speech therapists, psychologists and occupational therapists across various tiers of care within Brazil's Unified Health System and its regions. METHOD: This is an ecological time series study on the supply of rehabilitation professionals. Data were obtained from the National Register of Health Establishments from 2007 to 2020. The density of professionals was calculated per 10,000 inhabitants annually for Brazil and its five regions. The Joinpoint regression model was used to analyze the temporal trends of the density of professionals, considering a 95% confidence interval. RESULTS: In 2020, the most notable concentrations of psychologists, speech therapists, and occupational therapists in Brazil were observed in the domain of Specialized Health Care, with densities of 0.60, 0.20, and 0.16 professionals per 10,000 inhabitants, respectively. Conversely, the highest density of physical therapists was found within Hospital Health Care, with a density of 1.19 professionals per 10,000 inhabitants. Notably, variations in professional dispersion across different regions were apparent. Primary Health Care exhibited the highest density of professionals in the Northeast region, while the Southern region accounted for the highest densities in all professional categories within Specialized Health Care. The southeast region exhibited the largest workforce within Hospital Health Care. A marked upsurge in professional availability was noted across all categories, notably in the occupational therapy sector within hospital care (AAPC: 30.8), despite its initial low density. CONCLUSION: The implementation of public health policies played a significant role in the expansion of the rehabilitation workforce at all three levels of care in Brazil and its various regions from 2007 to 2020. Consequently, regional disparities and densities of professionals have emerged, mirroring patterns observed in low-income countries.
RESUMO
Objective: to reflect on the importance of palliative care provided by nurses to children with terminal cancer. Method: a descriptive-exploratory study conducted in the databases: LILACS, BDENF and SciELO, in the period of 2000 to 2010, where there were selected 10 potential bibliographies. Results: the categories were: "The nurse and the difficulties of acceptance of the terminally ill child", "Communication as a liaison between the nursing staff, children with cancer and their family" and "The importance of nursing care to children with cancer in palliative care". Conclusion: the results of this study validate the importance of nurses' performance, where the closeness of ties will allow a more effective and conscious nursing practice among all stakeholders.
Objetivo: refletir sobre a importância dos cuidados paliativos prestados pelo enfermeiro à criança com câncer em estágio terminal. Método: estudo de caráter descritivo-exploratória, realizado nas bases de dados: LILACS, BDENF e SCIELO no período de 2000 a 2010, onde selecionou 10 bibliografias potenciais. Resultados: as categorias emergentes foram: O enfermeiro e as dificuldades de aceitação da criança em fase terminal, "A comunicação como elo entre a equipe de enfermagem, criança com câncer e sua família" e "A importância da assistência de enfermagem à criança com câncer em cuidados paliativos". Conclusão: os resultados deste estudo ratificam a importância da atuação do enfermeiro, onde a proximidade de vínculos permitirá uma prática de enfermagem mais efetiva e consciente entre todos os envolvidos.
Objetivo: reflexionar sobre la importancia de los cuidados paliativos prestados por parte del enfermero a niños con cáncer terminal. Método: estudio descriptivo-exploratorio, realizado en las bases de datos: LILACS, BDENF y SCIELO, en el período de 2000 a 2010, donde fue seleccionado 10 bibliografías potenciales. Resultados: las categorías fueron: "La enfermera y las dificultades de la aceptación de los niños con enfermedades terminales", "La comunicación como un enlace entre el personal de enfermería, los niños con cáncer y sus familiares" y "La importancia de los cuidados de enfermería de los niños con cáncer en cuidados paliativos". Conclusión: los resultados de este estudio validan la importancia del desempeño de las enfermeras, donde la cercanía del enlace permitirá la práctica de enfermería más eficaz y consciente de todos los involucrados.