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1.
J Nurs Adm ; 50(2): 59-60, 2020 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-31977941

RESUMO

The evolving healthcare environment has put a new emphasis on population health. Healthcare organizations, and the nurses who work in them, are in a unique position to reach beyond hospital walls to address unmet needs and improve the health and lives of the community they serve. This month's Magnet Perspectives column examines nurses' growing impact on population health through the lens of the 2019 Magnet Prize winner, OSF HealthCare Saint Francis Medical Center. Learn how OSF Saint Francis nurses developed an innovative program to address food insecurity among their community's most vulnerable residents and improve health outcomes. The column also explores how American Nurses Credentialing Center Magnet-recognized organizations promote strong external partnerships that extend nurses' influence from the traditional one-patient-at-a-time approach to broader, population-based outreach.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Papel do Profissional de Enfermagem , Enfermeiras de Saúde Comunitária , Saúde da População , Melhoria de Qualidade/organização & administração , Adulto , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Estudos de Casos Organizacionais , Estados Unidos
2.
Enferm. clín. (Ed. impr.) ; 29(6): 352-356, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184655

RESUMO

Desde que en 1987 se publicase el primer real decreto que regulaba las especialidades de enfermería hasta hoy mismo han transcurrido más de 30 años. Es el real decreto publicado en 2005 el que realmente permitió el desarrollo formativo de parte de las especialidades reconocidas en el mismo (enfermería familiar y comunitaria, enfermería pediátrica, enfermería geriátrica y enfermería del trabajo) ya que las enfermeras especialistas obstétrico-ginecológicas (matronas) y las especialistas de salud mental ya habían iniciado sus procesos formativos por vía de enfermero interno residente desde tiempo atrás. Hoy día, la formación de la especialidad de enfermería familiar y comunitaria ha logrado implementarse en todas las comunidades autónomas, pero no ha tenido idéntico desarrollo en cuanto a la incorporación de las especialistas en las instituciones sanitarias de los respectivos servicios de salud de las comunidades autónomas. Esta circunstancia está generando una gran desmotivación entre las enfermeras comunitarias, tanto las especialistas como quienes esperan poder obtener el título a través de la prueba excepcional. Muchos de los objetivos alcanzados hasta la fecha han sido posibles gracias al trabajo de las sociedades científicas de enfermería comunitaria (Asociación de Enfermería Comunitaria [AEC] y Federación de Asociaciones de Enfermería Comunitaria y Atención Primaria [FAECAP]), que han permitido avanzar y que el proceso no se paralizase, aunque aún son muchos los logros por alcanzar en los que las citadas sociedades científicas siguen trabajando. En una sociedad en la que el cuidado enfermero es cada vez más necesario y demandado, este debe tener una mayor consideración y posición en las políticas sanitarias, ya que ha demostrado su eficacia, y puede ser el modelo que permita hacer sostenible el sistema sanitario y, por tanto, las enfermeras especialistas en enfermería familiar y comunitaria deben dejar de ser una oportunidad para pasar a ser una realidad


More the 30 years have passed since the first Royal Decree that regulated nursing specialties was published in 1987. It is the Royal Decree published in 2005 that really allowed the training development of part of the specialties recognized in it (family and community nursing, paediatric nursing, geriatric nursing and occupational health nursing) since the obstetric-gynaecological specialist nurses (midwives) and mental health specialists had long since already started their training processes through the resident internal nurse model, today, training in the specialty of family and community nursing has been implemented in all the autonomous communities, but has not had the same development in terms of the incorporation of specialists in the health institutions of the respective health services of the autonomous communities. This circumstance is generating a great lack of motivation among community nurses, both specialists and those who hope to obtain the qualification through a specialty exam. Many of the objectives achieved to date have been made possible thanks to the work of the scientific societies of community nursing (Association of Community Nursing [AEC] and Federation of Associations of Community Nursing and Primary Care [FAECAP]), which have allowed progress to be made and the process not to be halted, although there are still many achievements to be made on which the aforementioned scientific societies continue to work. In a society in which nursing care is increasingly necessary and demanded, it must have greater consideration and position in health policies, since it has demonstrated its effectiveness and can be the model that allows the health system to be sustainable. Therefore, nurses who specialize in family and community nursing must cease constituting an opportunity and become a reality


Assuntos
Humanos , Enfermagem em Saúde Comunitária/organização & administração , Enfermeiras de Saúde Comunitária/organização & administração , Enfermagem em Saúde Comunitária/estatística & dados numéricos , Enfermeiras de Saúde Comunitária/estatística & dados numéricos
3.
Enferm. clín. (Ed. impr.) ; 29(6): 370-375, nov.-dic. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-184658

RESUMO

Los sistemas sanitarios tienen la responsabilidad de dar respuesta a las nuevas necesidades de salud de la población, que se caracterizan por factores como el envejecimiento, la cronicidad y/o las situaciones de dependencia y que requieren de cuidados de calidad, especializados y adaptados a diferentes ámbitos donde la atención se presta, cuidados ofertados por profesionales formados y cada vez más cualificados para mejorar los resultados en salud de las personas que cuidan. En el año 2016, en Andalucía se publica el marco normativo por el que se crea la categoría profesional estatutaria de enfermero/a especialista, entre las que se incluye la especialidad de Enfermería de Salud Mental en el Servicio Andaluz de Salud. En el ámbito de la Salud Mental, el desarrollo de este marco normativo y la definición y ocupación de puestos permitirá al sistema sanitario conjugar el papel de las enfermeras especialistas con el de las enfermeras que prestan cuidados generales, enfermeras de Grado, en pro de avanzar en la mejor respuesta a las necesidades de salud de la ciudadanía en este ámbito de atención. El desarrollo de la especialidad podrá suponer un valor añadido tanto para la mejora de los resultados en salud de las personas con problemas de salud mental como para mejorar la calidad asistencial, la eficiencia y la sostenibilidad de los sistemas sanitarios


Health systems have a responsibility to respond to the new health needs of the population, which are characterized by factors such as aging, chronicity and/or dependency situations and which requires quality and specialized care adapted to different areas where care is provided, care offered by trained and increasingly qualified professionals to improve the health outcomes of the caregivers. In 2016, in Andalusia the regulatory framework by which is created the statutory professional category of nurse/specialists is published, including the specialty of Mental Health Nursing in the Andalusian Health Service. In the field of Mental Health, the development of this normative framework and the definition and occupation of positions, will allow the health system to combine the role of nurse specialist nurses with that of nurses who provide general care, registered nurses, in order to advance in the best response to the health needs of citizens in this area of care. The development of the specialty will be an added value both to improve the health outcomes of people with mental health problems, and to improve the quality of care, efficiency and sustainability of health systems


Assuntos
Humanos , Especialidades de Enfermagem , Enfermagem Psiquiátrica/métodos , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Saúde Mental , Sistemas de Saúde/organização & administração
5.
J Clin Nurs ; 28(21-22): 3957-3965, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31410891

RESUMO

AIMS AND OBJECTIVES: To identify the situation of organisational justice, organisational support, work engagement and turnover intention among community nurses and clarify the relationship among them. BACKGROUND: Nurse shortage has become a worldwide issue, and the shortage of community nurses is more serious. Nurse turnover is one important factor for this situation. While previous studies about turnover intention mostly focused on hospital nurses, few involved community nurses. DESIGN: A descriptive, cross-sectional design was adopted. METHODS: Questionnaire investigation was implemented among 410 community nurses to collect data about organisational justice, organisational support, work engagement and turnover intention. Structural equation modelling was applied to test the hypothesised model. The STROBE statement for observational studies was followed. RESULTS: Results showed the average score of turnover intention was 2.50 ± 0.75. The final model indicated: (a) work engagement had a direct negative effect on turnover intention; (b) organisational support had both direct and indirect effects on turnover intention, and the indirect effect was mediated by work engagement; and (c) organisational justice had an indirect effect on turnover intention mediated by organisational support. CONCLUSION: Turnover intention could be reduced directly or indirectly by improving work engagement, organisational support and organisational justice. RELEVANCE TO CLINICAL PRACTICE: This study provides evidence for community health centre managers and policymakers to improve the level of nurses' engagement and to retain more nurses in primary healthcare service.


Assuntos
Satisfação no Emprego , Enfermeiras de Saúde Comunitária/psicologia , Reorganização de Recursos Humanos/estatística & dados numéricos , Adulto , Enfermagem em Saúde Comunitária/organização & administração , Enfermagem em Saúde Comunitária/estatística & dados numéricos , Estudos Transversais , Feminino , Humanos , Intenção , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários
6.
J Community Health Nurs ; 36(3): 139-146, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31291772

RESUMO

Patients that cannot come to their family medicine practice (i.e. who have difficulties with access) do not receive the same preventive screening activities and management of their chronic diseases as those who can. Community nurses who provide healthcare to patients in their homes were trained in additional competencies, including screening for risk factors for selected diseases and the management of patients with selected chronic diseases. The presented model enables equal management of all registered patients, regardless of accessibility. It also fosters exchange of information within the team members and thus improves the quality of the team management of patients.


Assuntos
Enfermagem em Saúde Comunitária/métodos , Assistência Integral à Saúde/organização & administração , Acesso aos Serviços de Saúde/organização & administração , Adulto , Asma/terapia , Enfermagem em Saúde Comunitária/educação , Enfermagem em Saúde Comunitária/organização & administração , Assistência Integral à Saúde/métodos , Disparidades em Assistência à Saúde , Humanos , Pessoa de Meia-Idade , Modelos Organizacionais , Doença Pulmonar Obstrutiva Crônica/terapia , Eslovênia
7.
Br J Community Nurs ; 24(6): 274-277, 2019 Jun 02.
Artigo em Inglês | MEDLINE | ID: mdl-31166772

RESUMO

There is a growing number of people who need access to high-quality endof-life care in the home setting. This requires timely assessments of needs, ensuring good symptom management and recognising the roles undertaken by carers. For some patients, a range of medications may need to be put in place to relieve end-of-life symptoms, using 'anticipatory prescribing'. District nurses must ensure that they acknowledge the patient's voiced preferences and be mindful of the safety issues that arise with the supply of controlled drugs in the home. This article highlights the challenges faced by district nurses providing or dealing with anticipatory prescribing during end-of-life care.


Assuntos
Enfermagem em Saúde Comunitária/métodos , Náusea/tratamento farmacológico , Dor/tratamento farmacológico , Padrões de Prática em Enfermagem , Agitação Psicomotora/tratamento farmacológico , Assistência Terminal/métodos , Vômito/tratamento farmacológico , Plantão Médico , Enfermagem em Saúde Comunitária/organização & administração , Acesso aos Serviços de Saúde , Humanos , Manejo da Dor , Cuidados Paliativos , Medicina Estatal , Assistência Terminal/organização & administração , Reino Unido
8.
Gerokomos (Madr., Ed. impr.) ; 30(2): 61-66, jun. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183943

RESUMO

Introducción: Las personas mayores representan uno de los segmentos poblacionales con mayor proyección de crecimiento a nivel mundial y nacional. El conocimiento del concepto de fragilidad permite que los trabajadores de la salud que están en contacto con estas personas puedan identificarlas y establecer intervenciones para evitar el exceso de declive funcional de estas, evitando resultados adversos en salud. Objetivo: Caracterizar a la población de mayores frágiles que viven en la comunidad y que son atendidos en la atención primaria de salud (APS). Métodos: Estudio observacional, descriptivo, transversal; muestra de 538 personas mayores que viven en la comunidad, usuarias de APS de las comunas de La Pintana y Puente Alto, Chile. Resultados: El perfil clínico de la población de personas mayores frágiles que viven en la comunidad corresponde a mujeres de edad avanzada, baja escolaridad, con peores resultados en su evaluación funcional, cognitiva y afectiva, que toman más medicamentos, tienen más enfermedades crónicas y han sido más veces hospitalizadas en el último año respecto a las personas mayores clasificadas como no frágiles. Conclusiones: Las características sociodemográficas, de salud y la valoración geriátrica integral de las personas mayores frágiles son aspectos necesarios que se han de evaluar para poder detectar a aquellos mayores susceptibles de intervenir y evitar una posterior discapacidad. La fragilidad puede ser modificada, razón por la cual se sugiere considerar el perfil establecido con el fin de poner énfasis en dichas personas y evitar así los resultados adversos asociados a la condición de fragilidad


Introduction: Elderly represent one of the population segments with the greatest growth projection at the global and national levels. Knowledge of the concept of fragility allows health care workers who are in contact with the elderly to identify and establish interventions to avoid excessive functional decline and adverse health outcomes. Objective: To characterize the population of fragile elderly living in the community who are treated in primary health care. Methods: Observational, descriptive, cross-sectional study of 538 elderly living in the community, users of primary health center of La Pintana and Puente Alto in Chile. Results: The clinical profile of the elderly population living in the community corresponds to older people, low schooling, women, with functional, cognitive and affective results, take more medication, have more chronic diseases, and have Been hospitalized in the past year with respect to elderly classified as non-fragile. Conclusions: The clinical profile reported in this study will be useful in the clinical setting in order to prevent discapacity. Fragility can be modified, avoiding functional decline, institutionalization and PM death. It is suggested to consider the established profile in order to emphasize people and thus avoid the adverse results associated with the fragility condition


Assuntos
Humanos , Idoso Fragilizado , Atenção Primária à Saúde , Assistência Integral à Saúde/métodos , Envelhecimento Cognitivo/fisiologia , Serviços de Saúde para Idosos , Assistência Integral à Saúde/organização & administração , Análise de Dados , Enfermagem em Saúde Comunitária/organização & administração , Assistência à Saúde/organização & administração
9.
Br J Community Nurs ; 24(4): 165-172, 2019 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-30969851

RESUMO

This literature review aimed to answer the focus question: are district nurses well placed to provide equitable end of life care (EOL) for homeless individuals? It focused on 10 primary research studies, from which two themes emerged and subsequently formed the basis of the discussion: (1) the difficulty in predicting disease trajectory in people who are homeless and (2) the gaps in existing systems. The main findings from these themes were a lack of education on the recognition of the dying and a general lack of knowledge of the complex challenges faced by and health needs of homeless people, which cause stigma from both the general public and health professionals towards these marginalised individuals. Further, there is certainly a lack of suitable places to deliver palliative and EOL care for people who are homeless. Available services are inflexible and have no tolerance for substance misuse, which creates an access barrier for homeless people in need of EOL care.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Pessoas em Situação de Rua , Padrões de Prática em Enfermagem , Assistência Terminal , Humanos , Medicina Estatal , Reino Unido
10.
Br J Community Nurs ; 24(4): 186-190, 2019 Apr 02.
Artigo em Inglês | MEDLINE | ID: mdl-30969854

RESUMO

The district nurse is accountable for the standard of nursing care that is delivered by the team they lead. One of the key challenges in ensuring the provision of a high standard of care is effective caseload management, and caseload management is a core component of the district nursing role. This article highlights the strategic drivers behind community care, outlines the challenges that impact effective caseload management and discusses why effective caseload management is significant in the delivery of community care. It also explores the delegation of workload, triaging referrals, caseload analysis and clinical supervision as methods that the district nurse can use to overcome and manage the challenges that caseload management can present.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Padrões de Prática em Enfermagem , Carga de Trabalho , Humanos , Encaminhamento e Consulta , Medicina Estatal , Reino Unido
12.
J Clin Nurs ; 28(9-10): 1999-2008, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30706557

RESUMO

AIMS AND OBJECTIVES: To explore how the hospital and home care nurses talk about and experience cross-sectoral collaboration related to the transitional care of frail older patients. BACKGROUND: Effective communication and collaboration between nurses involved in care transition are crucial for a safe patient handover. Organisational systems to support cross-sectoral collaboration have been developed but do not always promote the intended dialogue and precise and useful exchange of information. Other factors may also be of importance to an effective and constructive cross-sectoral nurse collaboration. DESIGN: A qualitative design using thematic analysis. METHODS: Data were extracted from 24 focus group interviews conducted with registered nurses from eight hospital wards and six municipalities and a total of 165 hr of observations conducted in three hospital wards and three municipalities. The study was reported according to the COREQ guidelines. RESULTS: The perception of nursing and care differed across sectors. The nurses expressed having shared goals for the patients-however, these goals derived from different values, the perception of nursing and approach to the patients. The lack of knowledge of each other's working conditions created assumptions and preconceptions, which affected communication and collaboration related to planning and executing care transition negatively. CONCLUSIONS: The nurses perceived the hospital and home care as" two worlds". The collaboration between the nurses was characterised by insufficient communication and preconceptions rather than concrete knowledge and different cultures and professional identities. It can be questioned whether cross-sectoral collaboration between nurses should be characterised as interprofessional rather than intraprofessional collaboration as the features of the nurses' collaboration. RELEVANCE TO CLINICAL PRACTICE: Organisational and political systems should recognise that nurses in different sectors are taking care of various aspects of nursing when planning on policies to support cross-sectoral collaboration. More possibilities for nurses across sectors to meet should be made available.


Assuntos
Comportamento Cooperativo , Relações Interprofissionais , Transferência da Responsabilidade pelo Paciente/organização & administração , Cuidado Transicional/organização & administração , Enfermagem em Saúde Comunitária/organização & administração , Feminino , Grupos Focais , Humanos , Recursos Humanos de Enfermagem no Hospital/organização & administração , Pesquisa Qualitativa
13.
J Pediatr Nurs ; 44: 107-114, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30683275

RESUMO

PROBLEM: Asthma is one of the most prevalent chronic diseases in the world. Lack of asthma knowledge can lead to asthma exacerbations, more emergency room visits, school absences, and decreased quality of life. This systematic review examines the effectiveness of educational intervention programs on asthma management for school-aged children and their parents beyond inpatient clinic settings. ELIGIBILITY CRITERIA: Educational asthma interventions for school-aged children and their parents with comparison with usual asthma care and the outcome related to asthma management. Studies included were peer-reviewed and published in English within the last five years. SAMPLE: The eight study articles were identified in ProQuest, Medline, CINAHL, and PubMed databases. RESULTS: The review demonstrated that educational asthma interventions for children and their parents significantly improved knowledge and skills related to asthma self-management. CONCLUSIONS: School and community-based asthma educational intervention programs are key components for good management of asthma condition. Well-planned asthma education programs are valuable and should go beyond inpatient clinic settings for promoting and maintaining health for children with asthma and their parents. IMPLICATIONS: School nurses are well-positioned to assume a more prominent role in asthma care to improve child health and academic outcomes. School nurses have an opportunity to establish a trusting relationship that is foundational for collaborating with parents and students for better asthma management.


Assuntos
Asma/diagnóstico , Asma/enfermagem , Saúde da Criança , Enfermagem em Saúde Comunitária/organização & administração , Pais/educação , Serviços de Enfermagem Escolar/organização & administração , Adulto , Asma/terapia , Criança , Educação em Saúde/métodos , Humanos , Masculino , Papel do Profissional de Enfermagem , Serviços de Saúde Escolar/organização & administração , Estados Unidos
14.
Nurs Forum ; 54(2): 270-279, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30690745

RESUMO

Environmental justice (EJ) is the concept that all people and communities, regardless of their race and socioeconomic status, are entitled to enjoy an equally clean environment and resources. Communities where residents face environmental injustice and a higher risk of being exposed to environmental hazards due to their race, ethnicity, and socioeconomic status are called EJ communities. The purpose of this manuscript is to provide an example of nurses' involvement in observation, assessment, and intervention of an EJ community using a community-based participatory research (CBPR) model. Utilizing a multistage CBPR approach along with a mixed methods design, the project was carried out in three stages. Within the three stages, we conducted a thorough observation of the community, identified possible environmental issues, and collected health data and drinking water samples. Citizens' complaints included coal ash, failed sewer system, health issues, including kidney disorders and neuropathy. Drinking water samples (n = 59) showed lead levels higher than the health limits in 10.4% of samples. We intervened based on our short-term goal, reducing citizens' exposure to lead by education, and our long-term goal, reducing disparities, and exposures. We recommend that nurses increase their knowledge about EJ communities and environmental exposures and their health effects and be advocates for EJ communities.


Assuntos
Enfermagem em Saúde Comunitária/organização & administração , Exposição Ambiental/análise , Saúde Ambiental , Disparidades nos Níveis de Saúde , Justiça Social , Adulto , Alabama , Pesquisa Participativa Baseada na Comunidade , Água Potável/análise , Feminino , Humanos , Chumbo/efeitos adversos , Masculino , Pessoa de Meia-Idade , Pobreza , Medição de Risco , Inquéritos e Questionários
15.
Issues Ment Health Nurs ; 40(1): 28-32, 2019 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-30388928

RESUMO

BACKGROUND: In Portugal's capital, Lisbon, there are 19 public showers (PS) attended by a vulnerable population. AIM: To describe the assessment and interventions performed during nursing consultations. METHOD: This is a quantitative, observational, and cross-sectional study. FINDINGS: In a convenience sample of 77 users, 52% are females, 43% are single, 52% do not possess any economic resources, 87% have mental health issues, and 32% are homeless. The main nursing focuses found were: arterial hypertension, disease management skills, and emotional suffering. The most used nursing intervention is listening, followed by the expression of feelings, valuing the individual and his/her story, analyzing causes, providing support, and comforting. CONCLUSIONS: This study shows that the main focus of the nursing care in these facilities is the human being. The respect for individuality and dignity was the primary concern, in an attempt to empower the individual to better manage his/her health and illness processes.


Assuntos
Banhos , Enfermagem em Saúde Comunitária/organização & administração , Serviços de Enfermagem/organização & administração , Logradouros Públicos , Populações Vulneráveis , Adulto , Idoso , Idoso de 80 Anos ou mais , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Portugal , Fatores Socioeconômicos , Adulto Jovem
16.
Rev. Rol enferm ; 41(11/12,supl): 94-98, nov.-dic. 2018.
Artigo em Inglês | IBECS | ID: ibc-179947

RESUMO

An integrated health perspective emphasizes the importance of assessing mental health literacy in different population groups. The level of literacy in Mental Health indicates individual educational needs for maintaining mental balance. Risk and protective factors for mental health are identified, and there is an urgent need to increase community literacy. The article refers to the study that will be carried out to determine and compare mental health literacy in the young and adult popula-tion of the Region. It will have two stages: pilot study and main study. In this paper, we will use the Questionnaire for Evaluation of Literacy in Mental Health - QuALIS-Mental, developed by Jorm et al. in 1997, in the version adapted for Portugal of the National Survey of Mental Literacy in Young People - Interview version by Loureiro et al. in 2012 and the Inventory of Beliefs on Mental Illness - short version, also by Loureiro in 2008. The results will be representative of the population in study, resi-dent in the Region ́s municipalities. The pilot study will cover four groups residing in two municipalities, two aged between 14 and 18 years and two between 19 and 64. It will be a transversal, exploratory and quantitative study, with the collabora-tion of Health Centres nurses. After analysis, the results will be disseminated in the municipal communities, the population and the local entities. It will be considered useful to identify gaps in mental health literacy and to combine synergies using the knowledge gained to improve community mental health planning


No disponible


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Saúde Mental/tendências , Transtornos Mentais/epidemiologia , Comportamentos Relacionados com a Saúde , Centros Comunitários de Saúde Mental/organização & administração , Psiquiatria Comunitária/organização & administração , Transtornos Mentais/terapia , Assistência Integral à Saúde/tendências , Enfermagem em Saúde Comunitária/organização & administração , Planejamento em Saúde Comunitária/organização & administração , Conhecimentos, Atitudes e Prática em Saúde
17.
Br J Community Nurs ; 23(11): 544-549, 2018 Nov 02.
Artigo em Inglês | MEDLINE | ID: mdl-30398917

RESUMO

This systematic literature review aims to identify and appraise current evidence to establish if caseload profiling (CP) provides a strategy to support district nurses to evidence and manage increasingly complex caseloads. A total of 17 studies where thematically synthesised and recurrent themes were identified and summarised under the headings of: defining caseload profiling; caseload profiling in the context of caseload management; workload analysis and its relationship to caseload profiling; potential impact of caseload profiling; and potential barriers to caseload profiling. The literature review showed CP is a robust method of articulating the complexity of care and practitioners could use it to help manage their own caseloads. However, the literature is mainly founded on expert opinion and further research is needed to strengthen the validity of the evidence.


Assuntos
Administração de Caso/organização & administração , Enfermagem em Saúde Comunitária/organização & administração , Carga de Trabalho , Humanos , Regionalização , Medicina Estatal , Reino Unido
18.
Rev Esc Enferm USP ; 52: e03351, 2018 Oct 11.
Artigo em Espanhol, Inglês | MEDLINE | ID: mdl-30328980

RESUMO

OBJECTIVE: To identify caregivers' level of burden and analyze the factors associated with family care in mental health. METHOD: A cross-sectional descriptive study was conducted between January and July 2016. A sample of caregivers from seven public institutions and an association of relatives and patients was evaluated by identifying their burden and the contributing factors for reduction of these levels through the Zarit Burden Inventory instrument. The study was conducted according to recommendations of the ethics committees of the participating institutions. RESULTS: Participation of 107 caregivers. The main contributions refer that caregivers' active participation in associative dynamics, their attendance at psychoeducational activities and territorial connection to metropolitan areas with community resources decrease their level of burden. CONCLUSION: Community nursing is highly important and responsible for preventing levels of burden and increasing health levels. In addition, many proposals are formulated in order to favor social support networks by combining treatments and increasing public health programs in contact with the community.


Assuntos
Cuidadores/psicologia , Família/psicologia , Transtornos Mentais/terapia , Apoio Social , Adolescente , Adulto , Idoso , Idoso de 80 Anos ou mais , Enfermagem em Saúde Comunitária/organização & administração , Efeitos Psicossociais da Doença , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Saúde Pública , Adulto Jovem
19.
Int J Health Plann Manage ; 33(4): e1147-e1159, 2018 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-30091477

RESUMO

Community health workforce plays a vital role in providing primary health care services as per the needs of residents; however, few studies have examined how nurses work within commune health centers (CHCs). Using qualitative methods including interviews and focus group discussions with key stakeholders, this study explores the roles, activities, and competencies required of community nursing services in rural districts within Vietnam. Two primary roles were identified: CHC nursing and family nursing. For the latter, in addition to providing people with general health care and health communication, they were expected to also deliver psychological care. CHC nursing fulfilled more roles and required four specific competencies: clinical care, communication, management, and planning/coordination activities. Despite these various roles serving people within a community, few ongoing efforts at either the local or national level are aimed at supporting these nurses. The study highlights the need for policy decisions via either developing a new job position policy or adapting the existing policy by integrating new roles into the existing positions of CHC nurses in Vietnam.


Assuntos
Competência Clínica , Enfermagem em Saúde Comunitária , Papel do Profissional de Enfermagem , Formulação de Políticas , Adulto , Centros Comunitários de Saúde/organização & administração , Enfermagem em Saúde Comunitária/métodos , Enfermagem em Saúde Comunitária/organização & administração , Enfermagem em Saúde Comunitária/normas , Enfermagem em Saúde Comunitária/estatística & dados numéricos , Enfermagem Familiar , Feminino , Grupos Focais , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Serviços de Saúde Rural/organização & administração , Serviços de Saúde Rural/normas , Serviços de Saúde Rural/estatística & dados numéricos , Vietnã
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