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1.
Rev Gaucha Enferm ; 33(1): 157-68, 2012 Mar.
Artigo em Português | MEDLINE | ID: mdl-22737809

RESUMO

This is an integrative review with the aim of tracing the scientific production concerning the influence of technological innovation in health care professionals' workloads. Fifty-seven (57) publications presented from 2004 to 2009 were selected from the LILACS and PubMed databases. In the selected studies field research using qualitative approaches and carried out in hospitals predominated. No study had the purpose to analyze the relationship between technological innovation and workloads. In studies involving technological innovation, publications concerning information and communication technologies and new forms of work organizations were highlighted studies concerning conditions which promote stress and Burnout predominated in the workloads theme. Results show an ambiguous relationship between technological innovation and workloads, which are either increased or diminished by innovations.


Assuntos
Invenções , Carga de Trabalho , Atenção à Saúde , Pessoal de Saúde , Humanos , Pesquisa Qualitativa
2.
Rev Gaucha Enferm ; 32(2): 368-77, 2011 Jun.
Artigo em Português | MEDLINE | ID: mdl-21988000

RESUMO

This study reviews theoretical production concerning workloads and working conditions for nurses. For that, an integrative review was carried out using scientific articles, theses and dissertations indexed in two Brazilian databases, Virtual Health Care Library (Biblioteca Virtual de Saúde) and Digital Database of Dissertations (Banco Digital de Teses), over the last ten years. From 132 identified studies, 27 were selected. Results indicate workloads as responsible for professional weariness, affecting the occurrence of work accidents and health problems. In order to adequate workloads studies indicate some strategies, such as having an adequate numbers of employees, continuing education, and better working conditions. The challenge is to continue research that reveal more precisely the relationships between workloads, working conditions, and health of the nursing team.


Assuntos
Enfermagem , Carga de Trabalho , Local de Trabalho , Dissertações Acadêmicas como Assunto , Acidentes de Trabalho/estatística & dados numéricos , Bibliometria , Brasil/epidemiologia , Esgotamento Profissional/epidemiologia , Bases de Dados Bibliográficas/estatística & dados numéricos , Educação Continuada em Enfermagem , Humanos , Doenças Profissionais/epidemiologia , Publicações Periódicas como Assunto/estatística & dados numéricos
3.
Rev Bras Enferm ; 63(5): 775-81, 2010.
Artigo em Português | MEDLINE | ID: mdl-21103771

RESUMO

This is a qualitative study developed with the interdisciplinary health care teams of two public hospitals in Brazil. One team gave palliative care to cancer patients and the other gave care to the elderly. The study contributes to thinking about work relationships in the health care sector upon analyzing the contribution of these experiences for the constitution of new forms of health care work organization. The results reveal that the interdisciplinary perspective of performance in health care makes better work relationships possible among professionals and between professionals and patients/family, as well as approximates the professionals to the needs of the patient, beyond contributing to better quality care. We conclude that interdisciplinary practice approximates new forms of work organization and, upon favoring these links, reception, and access, contributes to the greater efficiency of the Brazilian National Health Care System.


Assuntos
Relações Interprofissionais , Equipe de Assistência ao Paciente/organização & administração
4.
Rev Bras Enferm ; 62(6): 863-9, 2009.
Artigo em Português | MEDLINE | ID: mdl-20098878

RESUMO

This is a qualitative study developed with the interdisciplinary health care teams of two public hospitals in Brazil. One team provides palliative care to cancer patients and the other provides care to the elderly. The study contributes to thinking about work relationships in the health care sector upon analyzing the contribution of these experiences for the constitution of new forms of health care work organization. The results reveal that the interdisciplinary perspective of performance in health care makes better work relationships possible among professionals and between professionals and patients/family, as well as approximates the professionals to the needs of the patient, beyond contributing to better quality care. We conclude that interdisciplinary practice approximates new forms of work organization and, upon favoring these links, reception, and access, contributes to the greater efficiency of the Brazilian National Health Care System.


Assuntos
Atenção à Saúde/organização & administração , Relações Interprofissionais , Brasil , Humanos
5.
Rev Lat Am Enfermagem ; 24: e2682, 2016.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-27027679

RESUMO

OBJECTIVE: to identify the workloads of nursing professionals of the Family Health Strategy, considering its implications for the effectiveness of universal access. METHOD: qualitative study with nursing professionals of the Family Health Strategy of the South, Central West and North regions of Brazil, using methodological triangulation. For the analysis, resources of the Atlas.ti software and Thematic Content Analysis were associated; and the data were interpreted based on the labor process and workloads as theorical approaches. RESULTS: the way of working in the Family Health Strategy has predominantly resulted in an increase in the workloads of the nursing professionals, with emphasis on the work overload, excess of demand, problems in the physical infrastructure of the units and failures in the care network, which hinders its effectiveness as a preferred strategy to achieve universal access to health. On the other hand, teamwork, affinity for the work performed, bond with the user, and effectiveness of the assistance contributed to reduce their workloads. CONCLUSIONS: investments on elements that reduce the nursing workloads, such as changes in working conditions and management, can contribute to the effectiveness of the Family Health Strategy and achieving the goal of universal access to health.


Assuntos
Saúde da Família , Acessibilidade aos Serviços de Saúde , Recursos Humanos de Enfermagem , Carga de Trabalho , Brasil , Humanos , Pesquisa Qualitativa
6.
Cien Saude Colet ; 20(6): 1869-78, 2015 Jun.
Artigo em Inglês, Português | MEDLINE | ID: mdl-26060965

RESUMO

This is a theoretical reflection aiming to highlight the conceptual debate about the health care model and the challenges for primay health care in Brazil. The study characterizes different concepts and terminologies relating to the expression 'care model' and shows that the Family Health Strategy has improved access to health care, and also including user reception and humanization perspectives in health practices. However, one still sees: a centralizing attitude in the treatment of pathologies, and care focused on the biological body; difficulties in implementing comprehensive care; and deficits in training of teams, and in working conditions and relations. The study concludes that the term 'care model' is interpreted as polysemic and that, although there are structuring proposals and policies for a model that can make progress in relation to the biomedical paradigm, the difficulties for its implementation are significant.


Assuntos
Modelos Teóricos , Atenção Primária à Saúde/organização & administração , Brasil , Humanos
7.
Cad Saude Publica ; 20(3): 753-60, 2004.
Artigo em Português | MEDLINE | ID: mdl-15263986

RESUMO

This study focuses on changes and breaks in contemporary society relating to the right to healthcare as a universal value, in conformity with the guidelines provided by multilateral agencies and disseminated particularly since the 1990s. From the genesis of social rights and by tracing the interdependence between social and economic aspects of social citizenship in democratic capitalist countries, the study presents the two paradigms informing the approach to healthcare in the early 21st century: the full citizenship paradigm, according to which the right to healthcare is a universal value, and the paradigm of restricted social citizenship, according to which the right to healthcare is guided by the criterion of efficiency and economic rationalization. These propositions align with the health economy paradigm, which (i) defends focused resource allocation to attenuate poverty conditions, (ii) reduces the role of the state, (iii) recommends resource allocation to healthcare in association with social protection, and (iv) defines the market as the privileged regulator of healthcare actions.


Assuntos
Atenção à Saúde , Direitos Humanos , Participação da Comunidade , Ética , Humanos , Política Pública
8.
Rev Bras Enferm ; 62(5): 659-61, 2009.
Artigo em Inglês, Português, Espanhol | MEDLINE | ID: mdl-20552820
9.
Rev Bras Enferm ; 67(6): 994-9, 2014.
Artigo em Português | MEDLINE | ID: mdl-25590892

RESUMO

This experience report describes the application of Creative Sensitive Method in a qualitative exploratory-descriptive research. Its theoretical foundation and the way this method was applied objectively presented through the following stages: introduction, production, presentation, discussion and evaluation. Finally, one can argue that the method, among others pathways, is a good alternative methodology for generating data in collective spaces for application in qualitative research related to nursing or others health contexts.


Assuntos
Pesquisa em Enfermagem/métodos , Pesquisa Qualitativa
10.
Rev Bras Enferm ; 66 Spec: 39-44, 2013 Sep.
Artigo em Português | MEDLINE | ID: mdl-24092308

RESUMO

The article aimed to reflect upon the challenges involved in strengthening Nursing as a caring science. It is founded on the sociological theory, connecting three approaches: the historical-dialectic materialism perspective about the working process in health care and nursing; the sociology of professions from a critical perspective; and the philosophy of science. The discussion is organized considering the aspects of Nursing as a discipline, work and health care profession. It sustains that knowledge production should be driven both by the purpose of Nursing work which is providing care to human beings with health needs and to advocate for the indispensable work conditions to a safe and responsible practice. It concludes that to strengthening Nursing it is necessary to produce knowledge to support nursing care and the political actions defending safe work conditions, the universal right to health as well safe and high quality care.


Assuntos
Enfermagem/normas , Humanos , Ciência
11.
Cien Saude Colet ; 18(11): 3203-12, 2013 Nov.
Artigo em Português | MEDLINE | ID: mdl-24196886

RESUMO

Interdisciplinarity in the work routine of professionals of a Residency Course on Family Health in Southern Brazil was investigated in a qualitative study involving 11 residents and 5 supervisors of seven professions. Through interviews, observations and focal groups the existence of interdisciplinarity in practice was analyzed, duly identifying favorable and unfavorable aspects for its implementation. Interdisciplinarity was expressed as a complex process and concrete action, which occurs in the dramatic implications of its usage, in a dialectical relationship with the political and institutional context. The study revealed that working in family health care renders the work more complex and that the professionals experience difficulties in sharing knowledge and making the transition between multidisciplinarity and interdisciplinarity. The study concludes that interdisciplinarity requires the integrated use of knowledge in the multi-professional practice, the crossing of disciplinary boundaries, the development of competencies to address the challenges of the work environment and personal attitude as a basic component for professional action.


Assuntos
Saúde da Família , Comunicação Interdisciplinar , Equipe de Assistência ao Paciente , Feminino , Humanos , Masculino , Equipe de Assistência ao Paciente/organização & administração
12.
Nurse Educ Today ; 33(10): 1124-9, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23317508

RESUMO

From a scenario of political and technological changes in work and health education, the purpose of this study was to understand the ethics discourse in nurses' education process in Brazilian nursing schools. A research was performed with a qualitative approach, characterized as a case study, involving six schools of a region in the south of Brazil. The data were collected by focal groups involving 50 teachers. The results were organized in three categories: (1) experience and motivation to teach ethics and bioethics, (2) indicators of change identified in global and local contexts and (3) challenges in the education of ethics, values and related themes. The teachers have highlighted complex elements related to scientific, educational and professional contexts, and pointed out the need for a critical perspective on the professional scenario and on their own situations as nurses and educators. The analyzed discourse brings to light the topic of ethics, seen as peculiar to the present day and in intimate connection with the daily routine of clinical, pedagogical and political professional practices. The findings suggest that the reflections on nurses' ethics education should not be limited to discussing content and pedagogical strategies but should be extended to include a commitment to the adoption of values in professional practice and to the process of the construction of a professional identity.


Assuntos
Educação em Enfermagem/organização & administração , Ética em Enfermagem/educação , Docentes de Enfermagem , Brasil , Grupos Focais , Humanos , Motivação , Pesquisa Qualitativa , Escolas de Enfermagem
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