Systematization of nursing care: an instrument in the occupational health work process.

The environment where workers perform their activities and the way the work is accomplished can harm workers' health. This study aimed to discuss the systematization of nursing care in occupational health by means of a theoretical, reflective essay on this topic. The discussion was supported by three guiding points: occupational health nursing; the role of occupational health nurses; and the applicability of the systematization of nursing care in occupational health. Occupational health nurses should have adequate technical-scientific knowledge and use the systematization of nursing care as an instrument in their work processes.

O ambiente no qual o trabalhador desenvolve suas atividades e a maneira como o trabalho é realizado podem trazer prejuízos à saúde do trabalhador. Objetivou-se discutir sobre a sistematização da assistência em enfermagem na saúde ocupacional, por meio de um ensaio teórico e reflexivo sobre essa abordagem. Apoiou-se em três pontos norteadores: a enfermagem do trabalho e a saúde ocupacional; a atuação do enfermeiro do trabalho; e a aplicabilidade da sistematização da assistência em enfermagem na saúde ocupacional. É necessário que o enfermeiro do trabalho tenha conhecimento técnico-científico adequado e utilize da sistematização da assistência em enfermagem como um instrumento em seu processo de trabalho.

Evaluating child care in the Family Health Strategy.

OBJECTIVE: to evaluate the healthcare provided to children under two years old by the Family Health Strategy. METHOD: evaluative, quantitative, cross-sectional study that used the Primary Care Assessment Tool - Child Version for measuring the access, longitudinality, coordination, integrality, family orientation and community orientation. RESULTS: a total of 586 adults responsible for children under two years old and linked to 33 health units in eleven municipalities of the state of Minas Gerais, Brazil, were interviewed. The evaluation was positive for the attributes longitudinality and coordination, and negative for access, integrality, Family orientation and community orientation. CONCLUSION: there are discrepancies between health needs of children and what is offered by the service; organizational barriers to access; absence of counter-reference; predominance of curative and long-standing and individual preventive practices; verticalization in organization of actions; and lack of good communication between professionals and users.

O "ser homem" nos serviços oferecidos pela Estratégia Saúde da Família: olhar do usuário / "Being a man" in the services offered by the family health strategy: the user's perspective

O trabalho buscou identificar o conhecimento do usuário e suas propostas acerca da oferta de serviços específicos à saúde do homem na Atenção Básica, tema de poucos estudos publicados. Foram entrevistados 101 homens nas 14 equipes da Estratégia Saúde da Família da zona urbana de um município do Estado de Minas Gerais. Utilizou-se a técnica de Análise Temática. Identificou-se insatisfação com o tempo de espera para o atendimento, marcação de consultas; falta de empatia dos profissionais de saúde; criticou-se a ausência de ações de promoção à saúde, divulgação de campanhas, falhas na administração pública e busca ativa para serviços em saúde do homem; a questão de gênero refletiu o contexto social do "ser homem", sendo o serviço de saúde tradicionalmente organizado na perspectiva materno-infantil, o que marginaliza o público-alvo e não contempla as dimensões da masculinidade.

This study aims to identify the user's knowledge and proposals about providing specific services towards men's health in Primary Care, the subject of few published studies. One hundred one men were interviewed in the 14 Family Health Strategy teams in an urban area of a municipality located in the state of Minas Gerais. The Thematic Analysis technique has been employed. Dissatisfaction concerning extended waiting periods for assistance, scheduling appointments, lack of empathy of health professionals, criticism about the absence of actions to promote health, dissemination campaigns, flaws in public administration, and active search for men's health services were identified; the gender issue reflected the social context of "being a man", with the health service traditionally organized from a maternal and child perspective, marginalizing the target audience and not including the masculinity dimensions.

Primary Health Care Evaluation: the view of clients and professionals about the Family Health Strategy.

OBJECTIVE: to evaluate the attributes of primary health care as for access; longitudinality; comprehensiveness; coordination; family counseling and community counseling in the Family Health Strategy, triangulating and comparing the views of stakeholders involved in the care process. METHOD: evaluative research with a quantitative approach and cross-sectional design. Data collected using the Primary Care Assessment Tool for interviews with 527 adult clients, 34 health professionals, and 330 parents of children up to two years old, related to 33 family health teams, in eleven municipalities. Analysis conducted in the Statistical Package for Social Sciences software, with a confidence interval of 95% and error of 0.1. RESULTS: the three groups assessed the first contact access - accessibility with low scores. Professionals evaluated with a high score the other attributes. Clients assigned low score evaluations for the attributes: community counseling; family counseling; comprehensiveness - services rendered; comprehensiveness - available services. CONCLUSIONS: the quality of performance self-reported by the professionals of the Family Health Strategy is not perceived or valued by clients, and the actions and services may have been developed inappropriately or insufficiently to be apprehended by the experience of clients.