Your browser doesn't support javascript.
loading
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 114
Filtrar
1.
Rev Gaucha Enferm ; 41(spe): e20190113, 2020.
Artigo em Inglês, Português | MEDLINE | ID: mdl-32294684

RESUMO

OBJECTIVE: To evaluate child's mental health care in the context of the Family Health Strategy, from the professionals' perspective. METHODS: A qualitative case study type, using the Fourth Generation Assessment as a methodological reference. Fourteen professionals from two teams of the Family Health Strategy of Porto Alegre/RS were the participants. Data collection extended from May to August 2018, and consisted of observations and interviews through the dialectical hermeneutic circle, and of analysis through the Constant Comparative Method. RESULTS: The analytical category emerged of Mental Health Care for Children related to home visit, care network, advice, team meeting and space in the medical agenda. CONCLUSIONS: The results show that the FHS is an important psychosocial care space and that, at the same time, presents weaknesses in cross-sectorial work and needs support from the mental health services network to accompanying children and families.


Assuntos
Saúde da Criança , Assistência à Saúde/métodos , Saúde da Família , Saúde Mental , Adolescente , Criança , Saúde da Criança/normas , Assistência à Saúde/normas , Saúde da Família/normas , Feminino , Humanos , Masculino , Saúde Mental/normas , Pesquisa Qualitativa , Instituições Acadêmicas
2.
Rev. gaúch. enferm ; 41(spe): e20190113, 2020.
Artigo em Inglês | LILACS | ID: biblio-1093865

RESUMO

ABSTRACT Objective: To evaluate child's mental health care in the context of the Family Health Strategy, from the professionals' perspective. Methods: A qualitative case study type, using the Fourth Generation Assessment as a methodological reference. Fourteen professionals from two teams of the Family Health Strategy of Porto Alegre/RS were the participants. Data collection extended from May to August 2018, and consisted of observations and interviews through the dialectical hermeneutic circle, and of analysis through the Constant Comparative Method. Results: The analytical category emerged of Mental Health Care for Children related to home visit, care network, advice, team meeting and space in the medical agenda. Conclusions: The results show that the FHS is an important psychosocial care space and that, at the same time, presents weaknesses in cross-sectorial work and needs support from the mental health services network to accompanying children and families.


RESUMEN Objetivo: Evaluar la atención de salud mental a niños en el contexto de la Estrategia de Salud de la Familia (ESF), desde la perspectiva de los profesionales. Métodos: Estudio cualitativo, del tipo estudio de casos, en el que se utilizó la Evaluación de Cuarta Generación como referencial metodológico. Catorce profesionales de dos equipos de la Estrategia de Salud de la Familia de Porto Alegre/RS participaron en el estudio. La recolección de datos se registró entre mayo y agosto de 2018, consistió en observaciones y entrevistas a través del círculo hermenéutico dialéctico, y en análisis a través del Método Comparativo Constante. Resultados: Surgió la categoría analítica de Atención de salud mental a niños en relación con: visita domiciliaria, red de atención, asesoramiento, reunión de equipo y espacio en la agenda médica. Conclusiones: Los resultados demuestran que la ESF es un importante espacio de atención psicosocial, al mismo tiempo que presenta debilidades en el trabajo intersectorial y necesita el apoyo de la red de servicios de salud mental para acompañar a los niños y a las familias.


RESUMO Objetivo: Avaliar o cuidado em saúde mental à criança no contexto da Estratégia de Saúde da Família - ESF, a partir da perspectiva dos profissionais. Métodos: Estudo qualitativo, tipo estudo de caso, utilizou-se a Avaliação de Quarta Geração como referencial metodológico. Participaram 14 profissionais de duas equipes da Estratégia de Saúde da Família do município de Porto Alegre/RS. A coleta de dados ocorreu entre maio e agosto de 2018, consistiu em observação e entrevista através do círculo hermenêutico dialético, e análise através do Método Comparativo Constante. Resultados: Emergiu a categoria analítica Cuidado de Saúde Mental destinado à Criança relacionada visita domiciliar, rede de cuidados, matriciamento, reunião de equipe e espaço na agenda médica. Conclusões: Os resultados demonstram que a ESF se constitui em um importante espaço de cuidado psicossocial, ao mesmo tempo encontra fragilidades no trabalho intersetorial e necessita de apoio da rede de serviços de saúde mental para o acompanhamento de crianças e famílias.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Saúde Mental/normas , Saúde da Criança/normas , Saúde da Família/normas , Assistência à Saúde/métodos , Instituições Acadêmicas , Assistência à Saúde/normas , Pesquisa Qualitativa
3.
Rev Med Chil ; 147(5): 589-601, 2019 May.
Artigo em Espanhol | MEDLINE | ID: mdl-31859891

RESUMO

BACKGROUND: The Family and Community Health Model (MAIS) establishes the continuity of care as an essential principle. The Family Study, as a clinical strategy, allows to have sufficient and timely information and knowledge about users of health care services, facilitates their accompaniment and is a source of information to improve the quality of care and the management of health centers. AIM: To develop a tool to conduct family studies, devised by experts in Primary Health Care. MATERIAL AND METHODS: Using a qualitative method, an electronic Delphi was conducted on 24 experts on primary health care. Afterwards, the content validation was carried out with the participation of judges. RESULTS: The resulting tool considers two levels of family assessment. It allows to distinguish those families that would benefit from interventions of greater complexity than those derived from the usual care of health centers. CONCLUSIONS: The tool to perform family studies responds to the informational and continuity component of Continuity of Patient Care principle. It may be a proposal for the continuous improvement of Chilean primary care.


Assuntos
Técnica Delfos , Saúde da Família/normas , Atenção Primária à Saúde/normas , Inquéritos e Questionários/normas , Adulto , Chile , Continuidade da Assistência ao Paciente/normas , Feminino , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Pesquisa Qualitativa , Qualidade da Assistência à Saúde/normas , Reprodutibilidade dos Testes , Fatores Socioeconômicos
4.
Health Psychol ; 38(12): 1137-1149, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31556657

RESUMO

OBJECTIVE: A greater frequency of family meals is associated with better diet quality and lower body mass index (BMI) in children. However, the effect sizes are small, and it remains unclear which qualitative components of family meals contribute to these positive health outcomes. This meta-analysis synthesizes studies on social, environmental, and behavioral attributes of family meals and identifies components of family meals that are related to better nutritional health in children. METHOD: A systematic literature search (50 studies; 49,137 participants; 61 reported effect sizes) identified 6 different components of healthy family mealtimes. Separate meta-analyses examined the association between each component and children's nutritional health. Age (children vs. adolescents), outcome type (BMI vs. diet quality), and socioeconomic status (SES; controlled vs. not controlled for SES) were examined as potential moderators. RESULTS: Positive associations consistently emerged between 5 components and children's nutritional health: turning the TV off during meals (r = .09), parental modeling of healthy eating (r = .12), higher food quality (r = .12), positive atmosphere (r = .13), children's involvement in meal preparation (r = .08), and longer meal duration (r = .20). No moderating effects were found. CONCLUSIONS: How a family eats together shows significant associations with nutritional health in children. Randomized control trials are needed to further verify these findings. The generalizability of the identified mealtime components to other contexts of social eating is also discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Dieta Saudável/psicologia , Dieta/psicologia , Saúde da Família/normas , Comportamento Alimentar/psicologia , Refeições/psicologia , Adolescente , Índice de Massa Corporal , Criança , Pré-Escolar , Feminino , Humanos , Masculino
5.
Fam Syst Health ; 37(1): 93-94, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30920269

RESUMO

Article provides the nomination of John S. Rolland, MD, MPH for the 2018 CFHA Don Bloch Award. John Rolland is the author of 70 journal articles and book chapters, and three books, translated into multiple languages, all focused on understanding the intersection of family function, illness, and health care. Google Scholar shows that his publications have been cited several thousand times, placing his intellectual contributions above 95% of all academic health care authors. John brought us an understanding of the psychosocial aspects of various diseases, their developmental course, and the potential for skew in relationships because of illness. He is a strong theoretician who brings his ideas to life through sharing his clinical experience as well as his own profound family experience to illustrate his points. John has supported service, training, and research through participation in grants focused on support for victims of ethnic cleansing, families and substance abuse, genetic testing and family involvement, and the impact of chronic and terminal illness on families. He is on the editorial board of three journals, all focused on families and health, and reviews submissions for many other journals. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Distinções e Prêmios , Saúde da Família/normas , Saúde da Família/tendências , Humanos , Editoração/tendências
6.
Nurs Ethics ; 26(7-8): 2494-2510, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30832534

RESUMO

BACKGROUND: Frequent exposure to ethical conflict and a perceived lack of organizational support to address ethical conflict may negatively influence nursing family care in the intensive care unit. RESEARCH AIMS: The specific aims of this study were to determine: (1) if intensive care unit climate of care variables (ethical conflict, organizational resources for ethical conflict, and nurse burnout) were predictive of nursing family care and family wellbeing and (2) direct and indirect effects of the climate of care on the quality of nursing family care and family wellbeing. RESEARCH DESIGN: A cross-sectional, correlational design was used. PARTICIPANTS AND RESEARCH CONTEXT: Convenience sample of 111 nurses and 44 family members from five intensive care units at a Midwest hospital in the United States. INSTRUMENTS: The Ethical Conflict Questionnaire-Critical Care Version, Maslach Burnout Inventory-Human Services Survey and Hospital Ethical Climate Scale were used to measure climate of care. The Family-Centered Care-Adult Version and Nurse Provided Family Social Support Scale were family measures of the quality of nursing family care. The Family Wellbeing Index was used to measure family wellbeing. DATA ANALYSIS: Hierarchical regression and mediation analysis were used to answer the study aims. ETHICAL CONSIDERATIONS: The study was approved by the Institutional Review Board at the study site. FINDINGS: In separate regression models, organizational resources for ethical conflict (ß = .401, p = .006) and depersonalization (ß = -.511, p = .006), a component of burnout, were significant predictors of family-centered care. In simple mediation analysis the relationship between organizational resources for ethical conflict and family-centered care was mediated by depersonalization (ß = .341, 95% confidence interval (.015, .707)). DISCUSSION: Inadequate organizational resources and depersonalization may be related to family care delivery, and present obstacles to family-centered care in the intensive care unit. CONCLUSION: Further research to explicate the relationships among organizational resources, ethical conflict, burnout, and family-centered care is needed to guide the development of effective interventions that enhance the quality of nursing family care in the intensive care unit.


Assuntos
Saúde da Família/normas , Cuidados de Enfermagem/normas , Cultura Organizacional , Adulto , Atitude do Pessoal de Saúde , Estudos Transversais , Saúde da Família/estatística & dados numéricos , Relações Familiares/psicologia , Feminino , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Cuidados de Enfermagem/psicologia , Cuidados de Enfermagem/estatística & dados numéricos , Inquéritos e Questionários , Wisconsin
7.
Rev Bras Enferm ; 71(suppl 6): 2659-2665, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30540041

RESUMO

OBJECTIVE: To identify the factors interfering in the production of care in the daily work of health professionals from the Primary Health Care. METHOD: Qualitative research carried out with Family Health Strategy (FHS) teams, in the health units of Rocinha (Rocinha is a favela located in the South Zone of the city of Rio de Janeiro, Brazil). To analyze the data, the thematic network proposed by Attride-Stirling was used. RESULTS: The routine of Teams in the Production of Care was the denomination of the network formed by the following themes: scales of services of the teams; structural problems of Family Health Units; standardization of protocols; challenges for the production of care; and collections of micro and macro management. FINAL CONSIDERATIONS: The production of care by Family Health Teams is challenged when they take care beyond what is imposed in the organizational protocols of the FHS, reflecting the complexity of working and caring in territories with social disparities.


Assuntos
Saúde da Família/normas , Cuidados de Enfermagem/métodos , Equipe de Assistência ao Paciente , Brasil , Grupos Focais , Humanos , Cuidados de Enfermagem/normas , Pesquisa Qualitativa
8.
BMC Health Serv Res ; 18(1): 968, 2018 Dec 14.
Artigo em Inglês | MEDLINE | ID: mdl-30547797

RESUMO

BACKGROUND: Family-centered care has been receiving increased attention during the last decades and health professionals recognize family satisfaction with care as an important health indicator. The Empowerment of Parents in The Intensive Care-Neonatology (EMPATHIC-N) is a newly developed, yet empirically reliable and valid measure for the assessment of parental satisfaction with the care provided by Neonatal Intensive Care Units (NICU). The present study aims to present the Greek version of the EMPATHIC-N and to confirm its factorial structure. METHODS: The EMPATHIC-N was translated in Greek using a forward-backward translation and was piloted before use. A sample of 256 families receiving intensive care at the NICU of Archbishop Makarios III Public Hospital in Cyprus which is the only NICU in Cyprus, participated in the validation study of the EMPATHIC-N. Confirmatory factor analyses were performed using SPSS and AMOS 24.0. RESULTS: The Greek version of the EMPATHIC-N had good psychometric characteristics (Cronbach's alpha = .87). The CFAs for the separate subscales of professionalism, organization, information, parental involvement and intervention for the EMPATHIC-N showed that all five subscales represented five distinct components of parental satisfaction with care. The CFA of the general instrument supported that a second-order model with a higher-order factor reflecting the organizational structure (professionalism, intervention and organization loaded on this factor) fitted the data best [χ2 (259) = 405.332, p < .001, ΤLI = .887, CFI = .903, RMSEA = .065 (90% CI .058, .073), SRMR = .0597]. CONCLUSIONS: EMPATHIC-N is a valid and reliable measure for the assessment of parental satisfaction with neonatal care in a Greek-Cypriot context. The organizational dimension of the NICUs is an important component with specific research and clinical implications for the enhancement of parental satisfaction with care.


Assuntos
Terapia Intensiva Neonatal/normas , Satisfação Pessoal , Poder Psicológico , Inquéritos e Questionários/normas , Chipre/etnologia , Análise Fatorial , Saúde da Família/normas , Feminino , Grécia/etnologia , Humanos , Recém-Nascido , Unidades de Terapia Intensiva Neonatal/organização & administração , Unidades de Terapia Intensiva Neonatal/normas , Masculino , Neonatologia/normas , Pais/psicologia , Psicometria , Traduções
9.
Rev Bras Enferm ; 71(6): 2945-2952, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30517397

RESUMO

OBJECTIVE: To analyze the diffusion of e-SUS Primary Care innovation in Family Health Teams. METHOD: A qualitative approach case study, based on Innovation Diffusion Theory and Technology Acceptance Model. We conducted 62 interviews and observation of professionals from Family Health Teams in six municipalities of Minas Gerais State, between March 2016 and January 2017. The data were treated through Categorical Thematic Content Analysis and, systematized, with Atlas.ti software . RESULTS: It was verified that although the e-SUS Primary Care strategy is recognized as a technological innovation, situations predominate that weaken its acceptance as: incompatibilities with the work process; sudden deployment, poor training; work overload; resistance; and negative impacts on health care. CONCLUSION: The diffusion of the e-SUS Primary Care strategy as a technological innovation has presented potential situations of its rejection, conforming as challenges to be overcome.


Assuntos
Eficiência Organizacional/normas , Inovação Organizacional , Equipe de Assistência ao Paciente/tendências , Atenção Primária à Saúde/normas , Brasil , Eficiência Organizacional/tendências , Saúde da Família/normas , Sistemas de Informação em Saúde/tendências , Humanos , Atenção Primária à Saúde/métodos , Pesquisa Qualitativa
11.
Rev Bras Enferm ; 71(5): 2398-2403, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-30304168

RESUMO

OBJECTIVE: To report the development of a nursing consultation software for hypertensive users of the Family Health Strategy. METHOD: Applied methodological research based on Roger Pressman's Software Engineering, developed in three cycles: planning, composed of the definition of the database prototyping and modelling; development of the navigation interface; and development of functional expressions and programming. RESULT: The software consists of administrative and nursing consultation screens. In the history, there is the option of undertaking the first and next consultation; nursing diagnoses are suggested by the system after entering information and can be selected by nurses. Interventions for diagnoses are suggested and can be chosen by nurses after structuring the medical plan. CONCLUSION: It is believed that the introduction of computer technology for nursing consultation brings several contributions, such as standardization, integration with different information systems, and continuous update.


Assuntos
Hipertensão/enfermagem , Encaminhamento e Consulta/tendências , Design de Software , Brasil , Saúde da Família/normas , Humanos , Interface Usuário-Computador
13.
Child Care Health Dev ; 44(4): 545-551, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29913052

RESUMO

BACKGROUND: The measure of processes of care (MPOC) is a widely used instrument to assess parents' perception of the extent to which healthcare services they and their child receive are family centred. The purpose of this study was to examine the reliability and validity of the Korean translation of the MPOC (Korean MPOC). METHODS: The Korean MPOC was completed by 198 parents of children receiving rehabilitation services in five provinces in South Korea. According to the Canadian validation procedures, analyses for internal consistency, construct and concurrent validity, and test-retest reliability were performed. RESULTS: The Korean MPOC demonstrated adequate internal consistency, with Cronbach's alpha ranging from .85 to .98. Confirmative analyses of the scale structure support the construct validity of the Korean MPOC. The Pearson correlations r between the MPOC scale scores and Client Satisfaction Inventory score ranged from .60 to .83, supporting the concurrent validity of the Korean MPOC. The intraclass correlation coefficients were greater than .80 for all five scales, demonstrating good test-retest reliability. CONCLUSIONS: The Korean MPOC has good psychological properties and can be recommended for evaluation of processes of paediatric rehabilitation in Korea.


Assuntos
Lesões Encefálicas/reabilitação , Serviços de Saúde da Criança , Doença Crônica/reabilitação , Deficiências do Desenvolvimento/reabilitação , Saúde da Família/normas , Pais/psicologia , Assistência Centrada no Paciente/normas , Traduções , Adulto , Criança , Serviços de Saúde da Criança/normas , Pré-Escolar , Feminino , Humanos , Masculino , Satisfação do Paciente/estatística & dados numéricos , Avaliação de Processos em Cuidados de Saúde , Relações Profissional-Família , Reprodutibilidade dos Testes , República da Coreia
14.
Fam Syst Health ; 36(2): 182-197, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29902035

RESUMO

INTRODUCTION: Youth in low- and middle-income countries (LMICs) are at increased risk for poor mental health due to economic and social disadvantage. Interventions that strengthen families may equip children and adolescents with the supports and resources to fulfill their potential and buffer them from future stressors and adversity. Due to human resource constraints, task-sharing-delivery of interventions by nonspecialists-may be an effective strategy to facilitate the dissemination of mental health interventions in low resource contexts. To this end, we conducted a systematic review of the literature on family-based interventions delivered in LMICs by nonspecialist providers (NSPs) targeting youth mental health and family related outcomes. METHOD: Cochrane and PRISMA procedures guided this review. Searches were conducted in PsychInfo, PubMed, and Web of Science, with additional articles pulled from reference lists. RESULTS: This search yielded 10 studies. Four studies were developed specifically for the delivery context using formative qualitative research; the remaining interventions underwent adaptation for use in the context. All interventions employed a period of structured training; nine studies additionally provided ongoing supervision to counselors. Interventions noted widespread acceptance of program material and delivery by NSPs. They also noted the need for ongoing supervision of NSPs to increase treatment fidelity. DISCUSSION: Usage of NSPs is quite consistently proving feasible, acceptable, and efficacious and is almost certainly a valuable component within approaches to scaling up mental health programs. A clear next step is to establish and evaluate sustainable models of training and supervision to further inform scalability. (PsycINFO Database Record


Assuntos
Saúde da Família/normas , Serviços de Saúde Mental/normas , Países em Desenvolvimento , Humanos
15.
Rev Bras Enferm ; 71(3): 1072-1078, 2018 May.
Artigo em Português, Inglês | MEDLINE | ID: mdl-29924181

RESUMO

OBJECTIVE: To create competencies for the educational actions of nurses in the care and management work processes at the Family Health Strategy. METHOD: This is an exploratory, descriptive research, with a qualitative approach, on nurses of the Family Health Strategy (FHS) from a municipality in the Greater São Paulo. It was performed through semi-structured interviews and workshops. RESULTS: There is a set of specific competencies for the educational actions of the nurse in care work, geared towards meeting the health needs of users/community; and for educational actions in management work, focused on work organization of the health team, indicating the importance of this work to FHS. Final considerations: Creating competencies proved to be significant to reflect on the educational actions of the FHS nurses and can be used as a strategy in permanent education processes.


Assuntos
Saúde da Família , Enfermeiras e Enfermeiros/normas , Educação de Pacientes como Assunto/normas , Brasil , Competência Clínica/normas , Saúde da Família/normas , Humanos , Entrevistas como Assunto/métodos , Educação de Pacientes como Assunto/métodos
16.
BMC Health Serv Res ; 18(1): 357, 2018 05 11.
Artigo em Inglês | MEDLINE | ID: mdl-29747635

RESUMO

BACKGROUND: There are many descriptive studies regarding the needs of the family, as well as those regarding nursing care aimed directly at family members. However, there is no widespread application of such evidence in clinical practice. There has also been no analysis made of the evolution of patterns of knowing during the act of improving clinical practice. Therefore, the purpose of the study is to understand the change process aimed at improving care to critical patient's families, and to explore the evolution of patterns of knowing that nurses use in this process. METHODS: Qualitative study with a Participatory Action Research method, in accordance with the Kemmis and McTaggart model. In this model, nurses can observe their practice, reflect upon it and compare it with scientific evidence, as well as define, deploy and evaluate improvement strategies adapted to the context. Simultaneously, the process of empowerment derived from the Participatory Action Research allows for the identification of patterns of knowing and their development over time. The research will take place in the Intensive Care Units of a tertiary hospital. The participants will be nurses who are part of the regular workforce of these units, with more than five years of experience in critical patients, and who are motivated to consider and critique their practice. Data collection will take place through participant observation, multi-level discussion group meetings and documentary analysis. A content analysis will be carried out, following a process of codification and categorisation, with the help of Nvivo10. The approval date and the beginning of the funding were December 2012 and 2013, respectively. DISCUSSION: The definition, introduction and evaluation of care strategies for family members will allow for their real and immediate implementation in practice. The study of the patterns of knowing in the Participatory Action Research will be part of the theoretical and practical feedback process of a professional discipline. Also, the identification of the construction and evolution of knowledge will provide decision elements to managers and academics when choosing strategies for increased quality.


Assuntos
Estado Terminal/enfermagem , Saúde da Família/normas , Cuidados de Enfermagem/normas , Enfermagem de Cuidados Críticos/normas , Família , Conhecimentos, Atitudes e Prática em Saúde , Pesquisa sobre Serviços de Saúde , Humanos , Relações Profissional-Família , Pesquisa Qualitativa , Melhoria de Qualidade , Projetos de Pesquisa , Espanha , Centros de Atenção Terciária
17.
BMC Pulm Med ; 18(1): 66, 2018 May 03.
Artigo em Inglês | MEDLINE | ID: mdl-29724218

RESUMO

BACKGROUND: Tuberculosis (TB) has been a major health problem globally since ages, and even today, it is a major cause of morbidity in millions of people each year. In 2015 alone, TB accounted for about 1.4 million deaths globally, with India carrying the biggest burden of the disease. The physical environment of the household, an individual living in, has a significant influence on the incidence of TB. Thus, an understanding of the socio-economic, demographic and environmental factors that individuals are exposed to is of importance. The objective of present study is to examine the association of household environment with the prevalence of Tuberculosis in India. METHODS: The study utilizes data from the fourth round of National Family Health Survey (NFHS-4), 2015-16, which was collected from self-reported information pertaining to Tuberculosis in the household questionnaire. The specific question was, "Does any usual resident of your household suffer from tuberculosis?" the response to which helped in the detection of Tuberculosis. Binary Logistic regression was performed from which appropriate inferences are drawn on the association of household environment with Tuberculosis. RESULTS: Prevalence of TB was found to be the highest among elderly people (0.9%), no education (0.4%) and people belonging to the poorest wealth quintile (0.53%). Family members who were regularly (daily) exposed to smoke (second-hand smoke) inside the house were more prone to getting tuberculosis (OR = 1.49; CI = 1.39-1.61) as compared with households where people do not smoke inside the house. Further, households having a finished wall (OR = 0.7; CI = 0.6-0.8) are less likely to get TB than the households with mud walls. Households that shared their toilets with other households are more likely to get hold of Tuberculosis (OR = 1.2; CI = 1.1-1.4). CONCLUSIONS: Results strongly suggest that a contaminated household environment increases the risk of tuberculosis in India. There are multiple risk factors that are strongly associated with Tuberculosis: smoke inside house, type of cooking fuel, separate kitchen, floor, roofing and wall material, number of persons sleeping in a room, sharing toilet and potable water with other households; and individual characteristics such as age, sex, educational attainment, marital status, place of residence and wealth index.


Assuntos
Exposição Ambiental , Características da Família , Saúde da Família , Tuberculose , Adulto , Idoso , Criança , Estudos Transversais , Demografia , Meio Ambiente , Exposição Ambiental/efeitos adversos , Exposição Ambiental/prevenção & controle , Saúde da Família/normas , Saúde da Família/estatística & dados numéricos , Feminino , Humanos , Índia/epidemiologia , Masculino , Determinação de Necessidades de Cuidados de Saúde , Prevalência , Fatores de Risco , Fatores Socioeconômicos , Tuberculose/diagnóstico , Tuberculose/epidemiologia , Tuberculose/prevenção & controle , Tuberculose/transmissão
19.
Rev Bras Enferm ; 71(1): 57-64, 2018.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29324945

RESUMO

OBJECTIVE: Identify the barriers and facilitators of health advocacy to users delivered by nurses from the Family Health Strategy. METHOD: Qualitative study carried out with nurses from the Family Health Strategy of a city in the south of Brazil. Study participants were 15 nurses, who were interviewed. The content of the interviews was recorded, transcribed and analyzed in the light of the discursive text analysis. RESULTS: Two categories emerged, one about the lack of organization at the workplace, bureaucracy and limitations to professional work in health environments, and another about the facilitating aspects to exercise advocacy both individually and collectively. CONCLUSION: When nurses, provided with technical, scientific and relational knowledge, are empowered to make decisions, they are not only supported by other professionals at work but also develop actions of health advocacy to users, thus qualifying the care delivered.


Assuntos
Saúde da Família/normas , Enfermeiras e Enfermeiros/psicologia , Defesa do Paciente/psicologia , Adulto , Brasil , Feminino , Humanos , Pessoa de Meia-Idade , Pesquisa Qualitativa , Local de Trabalho/psicologia , Local de Trabalho/normas
20.
Mil Med ; 182(5): 1572-1580, 2017 05.
Artigo em Inglês | MEDLINE | ID: mdl-29087897

RESUMO

INTRODUCTION: As former U.S. Army Surgeon General Horoho points out, a large fraction of what determines the health and readiness of our military families does not occur during appointments with professionals, but rather within the "Lifespace-where health really happens...." Indeed, when children of military families experience psychosocial difficulties, such stress impacts the service members' personal well-being and ability to focus at work, impairing their capacity to attend to the mission. As such, the Department of Defense (DoD) has instituted a family readiness system to bolster resiliency within military families, including children, e.g., by linking families with support networks. Bolstering military family resiliency, including the prevention of and effective intervention for child psychosocial problems, is an important issue at all levels of the DoD. Service members, leaders, and policy makers have a vested interest in promoting mission readiness and a healthy force. Research can play an important role in shaping decision-making by consolidating what is currently known and not known about a particular expertise area. To date, there has been no consolidation of research regarding outcomes associated with military community support and the programs that currently exist to bolster child and family resiliency. Given the importance of military families to mission readiness, a review of the relevant research is warranted. METHODS: This commentary article reviews the literature on community support for military children, provides an overview of currently available resources, discusses concerns with the current provision of support services to military families, and offers recommendations for future research, policy, and implementation of military community support programs. CONCLUSION: Although there is a dearth of research on available support programs, there appears to be no lack of services available to military families. However, several steps could be taken to make these resources into a more supportive system. Family members must be able to identify what support services exist, distinguish which service is most suitable for their needs, and be able to readily access these services in a resource-conserving manner. Considerable overlap in support services seems to suggest limited coordination between organizations and service providers, particularly in regard to the government/civilian interface, which inherently lies outside of DoD control. This overlap suggests a redundancy, which may not be efficient economically or in regard to accessing support. There also may be some confusion over which support service is most suitable for the consumer's need. Although some overlap is useful, such as the provision of different services to different populations (e.g., having separate programs for the Army, Navy, Air Force, and Marine subcultures), limited organization and parsimonious provision of services makes it particularly difficult for spouses and family members to navigate resources. Initial attempts are being made to organize and consolidate resources in both the government and civilian sectors. However, it is clear that these initiatives have not completely solved problems related to resource access, redundancy, and lack of research-supported efficacy.


Assuntos
Desenvolvimento Infantil , Saúde da Família/normas , Instalações Militares , Políticas , Características de Residência , Criança , Pré-Escolar , Humanos , Instalações Militares/tendências , Estados Unidos , Recursos Humanos
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA