RESUMO: Revisão integrativa com o objetivo de identificar na literatura a relação dos erros de medicação com a equipe de enfermagem. A pesquisa foi realizada por duas colaboradoras independentes, em três bases de dados, no período 2011 a 2015, com 32 estudos. Os resultados foram divididos em duas macrocategorias: características dos estudos e as relações diretas e indiretas da enfermagem com os erros de medicação. As relações diretas se referem às questões do âmbito profissional, como a falta de conhecimento e de experiência, falhas na comunicação, estresse e distração dos profissionais. As relações indiretas são compostas por questões de prescrição e dispensação, as condições físicas do paciente e erros na produção dos medicamentos. Conclui-se que, além de a enfermagem atuar na administração de medicamentos com vistas à assistência segura ao paciente, pode atuar como barreira dos erros provenientes de outras fases do processo de medicação. DESCRITORES: Enfermagem; Erros de Medicação; Segurança do Paciente. A RELAÇÃO DA ENFERMAGEM COM OS ERROS DE MEDICAÇÃO: UMA REVISÃO INTEGRATIVA NURSING'S RELATIONSHIP WITH MEDICATION ERRORS: AN INTEGRATIVE REVIEWABSTRACT: This integrative review aimed to identify in the literature the relationship between medication errors and the nursing team. The study was undertaken by two independent collaborators, in three databases, in the period 2011 -2015, with 32 studies. The results were divided in two macrocategories: characteristics of the studies, and the direct and indirect relationships between nursing and the medication errors. The direct relationships refer to issues of the professional ambit, such as lack of knowledge and of experience, failures in communication, stress and the distraction of the professionals. The indirect relationships are made up of issues related to prescribing and dispensing, the patient's physical conditions, and errors in the production of the medications. It is concluded that, besides the nursing staff working in administering medications with a view to safe care for the patient, they can act as a barrier to errors arising from other phases of the medication process. Revisión integrativa cuyo objetivo fue identificar, en la literatura, la relación de los errores de medicación con el equipo de enfermería. Se realizó la investigación por dos colaboradoras independientes, en tres bases de datos, en el periodo de 2011 a 2015, con 32 estudios. Los resultados fueron organizados en dos macrocategorías: características de los estudios y las relaciones directas y indirectas de la enfermería con los errores de medicación. Las relaciones directas se refieren a las cuestiones del ámbito profesional, como la falta de conocimiento y de experiencia, faltas en la comunicación, estrés y distracción de los profesionales. Las relaciones indirectas se constituyen por cuestiones de prescripción y dispensación, las condiciones físicas del paciente y errores en la producción de los medicamentos. Se concluye que, además de la enfermería actuar en la administración de medicam...
RESUMO:Objetivou-se identificar aspectos do trabalho na Estratégia de Saúde da Família que contribuem para aumentar e/ou reduzir as cargas de trabalho dos profissionais. Participaram 11 profissionais de três equipes de Estratégia de Saúde da Família de um estado do Sul do Brasil. Os dados foram coletados, entre dezembro de 2010 e março de 2011, por meio de entrevistas individuais, grupo focal e estudo documental e analisados combinando a Análise Temática com recursos do software ATLAS.ti. As principais fontes de aumento das cargas foram aspectos que impedem a implantação do modelo assistencial como preconizado; e de redução, a afinidade com o modelo assistencial, a autonomia da equipe e a garantia do emprego. Predominaram, no trabalho da Estratégia de Saúde da Família, fragilidades que repercutem negativamente na satisfação e na saúde dos profissionais, mas há possibilidades de intervenção para redução das cargas e qualificação da assistência, especialmente aquelas para melhorias das condições de trabalho. DESCRITORES:Saúde do trabalhador; Carga de trabalho; Saúde da família; Atenção primária à saúde. WORKING IN THE FAMILY HEALTH STRATEGY: IMPLICATIONS IN PROFESSIONALS WORKLOADSABSTRACT: This study aimed to identify aspects of work in the Family Health Strategy that contribute to increase and / or reduce workloads of professionals. Eleven professionals from three teams of the Family Health Strategy from a state of southern Brazil participated in the study. Data were collected between December 2010 and March 2011, through individual interviews, focus groups and documentary study and were analyzed combining thematic analysis with the resources of the software ATLAS.ti. The main sources of increased workloads were aspects that hinder the implementation of the care model as recommended; and of reduced workloads, the affinity with the care model, the autonomy of the team and the guarantee of employment. In the work of the Family Health Strategy, some weaknesses that negatively affect satisfaction and health professionals predominated, but there are possibilities for intervention to reduce workloads and improve quality of care, especially those for better working conditions.
Objective: to identify what is discussed in studies published in Brazilian and international literature in the last ten years on Primary Health Care management. Method: an integrative review with a search carried out from 2006 to 2016, in the SciELO®, LILACS®, Scopus®, PubMed® and CINAHL® databases in the Portuguese, English and Spanish languages. The review followed the steps: formulation of the research question, definition of the inclusion and exclusion criteria, identification and selection of the studies, and summary of the subjects found in the studies. Resources from The Atlas.ti® software was used for data organization and analysis. Results: the corpus include 90 studies which predominantly originated from LILACS® and were performed in Brazil. The themes covered in the publications were: health policy and management in Primary Health Care, material resources management, human resources management, financial management, quality management, planning, characterization of managers, management role/ activities, challenges/difficulties in management, potentialities/facilities in management. There was a prevalence of studies that dealt with Primary Health Care management in the context of reflections on health policies and those dealing with the challenges/difficulties faced in Primary Health Care management. These findings demonstrate that the Primary Health Care model is complex and challenging, both for policymakers and for those managing it. Conclusion: the number of studies on Primary Health Care management is significant in the current literature and the predominance of health policy and difficulties in performing management issues reinforce the recognition of the centrality of the management for effective Primary Health Care.
Objective:To analyze what is being published in the literature regarding workload within the Family Health Strategy in Brazil identifying generator elements and relating them to the types of loads.
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