Working conditions of nursing professionals in the context of COVID-19 / Condições de trabalho dos profissionais de enfermagem no contexto da COVID-19

Introduction: the COVID-19 pandemic has increased the number of hospitalizations and is responsible for increasing the workload of nursing professionals with a deficiency in human resources and personal protective equipment.Objective: to analyze aspects related to the working conditions of Nursing professionals in the context of COVID-19.Methods: documentary research recorded under narratives in the databases of the Federal Nursing Council, the Regional Nursing Councils of Espírito Santo and Pernambuco, the Federal Public University and Social Media.Results: are presented and analyzed according to the categories: a) nursing work conditions, threatening the worker's health and life; b) the autonomy of nurses in the full exercise of their profession and the cultural aspect of the dominant ideology; c) the Federal Nursing Council and the Regional Nursing Councils of Espírito Santo and Pernambuco as disciplining, normalizing, managing and controlling bodies for the professional practice of nursing.Conclusion: the narratives found in this study demonstrate the precarious working conditions, exacerbated by the pandemic, and the role of nursing in coping with COVID-19

Introdução: a pandemia pela COVID-19 tem elevado o número de internações hospitalares sendo responsável pelo aumento da carga de trabalho dos profissionais de enfermagem com deficiência de recursos humanos e de equipamentos de proteção individual. Objetivo: analisar aspectos relativos às condições de trabalho dos profissionais da Enfermagem no contexto da COVID-19. Método: pesquisa documental registrada sob narrativas nas bases de dados do Conselho Federal de Enfermagem, dos Conselhos Regionais de Enfermagem do Espírito Santo e de Pernambuco, de Universidade Pública Federal e das Mídias Sociais. Resultados: são apresentados e analisados mediante as categorias: a) as condições de trabalho da enfermagem, ameaçando a saúde e vida do trabalhador; b) a autonomia do enfermeiro/a no exercício pleno de sua profissão e aspecto cultural da ideologia dominante; c) o Conselho Federal de Enfermagem e os Conselhos Regionais de Enfermagem do Espírito Santo e de Pernambuco como órgãos disciplinadores, normalizadores, gestores e de controle do exercício profissional da enfermagem. Conclusão: as narrativas encontradas nesse estudo demonstraram as precárias condições de trabalho, agudizadas pela pandemia, e o protagonismo da enfermagem no enfrentamento da COVID-19.

Local action plan to promote access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus, Brazil: Analysis of the plan´s development, experiences, and impact through a mixed-methods study (2020).

BACKGROUND: The provision of care and monitoring of health are essential for indigenous Venezuelans from the Warao ethnic group, who are at risk of decimation. OBJECTIVE: Analyze a Local Action Plan (LAP) to promote access to the health system of indigenous Venezuelans from the Warao ethnic group (IVWEG) in Manaus, Brazil. METHOD: A mixed-methods study was performed. Quantitative data were collected to assess the provision of care and monitoring of health conditions in IVWEG through a survey that was self-completed by healthcare providers. Qualitative narrative data were collected to gain insight into IVWEG that seek care. We applied descriptive statistics, grouping analysis (GA) by hierarchical levels, and multiple correspondence analysis (MCA). Content analysis was applied to qualitative data. RESULTS: 106 healthcare providers participated in the study, with the following characteristics: 94 (88.7%) females, 67 (63.2%) pardo race/color, 40 (37.7%) working in primary healthcare, and 49 (46.2%) nurses. In addition, 43 (40.6%) of the healthcare providers reported providing care to IVWEG. Among the providers, 89 (84%) had received training for assisting IVWEG. Additionally, 30 IVWEG were enrolled for interviews in the qualitative phase. The barriers to seeking care were language, distance to health units, and lack of money for transportation. The LAP proved to facilitate access to the health system by indigenous Venezuelans from the Warao ethnic group in Manaus. The study contributed to knowledge on a LAP addressed to IVWEG and helped improved their access to the health system, providing appropriate training for healthcare providers and other relevant actors by implementing a coherent and consistent public health policy at the local level.