No abstract

Objective: to identify the profi le of the counter-referred patients by the "nurse liaison" and to describe the experience of the professionals who participated in the project. Method: intervention research, with twelve nursing nurses from a hospital and an Emergency Care Unit, and 26 nurses from Primary Health Care. Data were obtained through questionnaires and counter-referral forms. Results: Out of 43 counter-referred individuals, 62.8% are over sixty years, 53.5% are men with multi-pathologies. Among the positive aspects, the nurses highlighted the dialogue between health care services, agility in the acquisition of inputs for the continuity of care in primary care, benefi ting patients after hospital discharge. The greatest challenge was the lack of time and the defi cit of nurses to perform the function. Final considerations: the presence of the "nurse liaison" has proved to be an important strategy to improve integration between services and to promote continuity of care.

Pesquisa de caráter histórico, com fundamentos da História social, desenvolvida em 2008, que objetivou identificar a legislação federal de saúde mental de 1935-2001 e analisar os modos de tratamento preconizados ao portador de transtorno mental. Foram obtidos 36 aparatos legais. No período de 1935-1990, a legislação tratava de questões administrativas da saúde mental com referência a termos como psicopatas, alienação mental e reações psicopáticas, atualmente considerados expressões pejorativas e preconceituosas. Os resultados dos aparatos legais demonstram que nos últimos anos a assistência em saúde mental sofreu amplas transformações e, no período de 1991-2001, os modos de tratamento têm o foco no modelo assistencial que visa à ruptura do modo hospitalocêntrico, ênfase na humanização, reinserção social, preservação e resgate da cidadania das pessoas com transtorno mental e avaliação dos serviços para a garantia dos direitos desse grupo.

A terminologia de enfermagem, apesar de utilizada como instrumento no processo de trabalho de enfermeiros em Saúde Coletiva, necessita de capacitação para ser reconhecida como sistema classificatório. Ao mesmo tempo, políticas institucionais devem ser empregadas no intuito de garantir a efetiva utilização destes instrumentos.

Qualitative, exploratory and interventionist case study at a teaching hospital of Paraná, with the objective of proposing a Tuberculosis Healthcare Management model focused on the hospital discharge, with a view to comprehensive care for patients with tuberculosis. Interviews were conducted with key informants (17 subjects), using the Theory of Nursing Praxis Intervention in Collective Health as the theoretical and methodological framework, with its three interdependent dimensions used as analytical categories. Weakness was revealed in the protocols for hospitalized patient care, insufficient integration between levels of care and the need for direct communication between the hospital and primary care nurses. In view of this result, a Healthcare Management Model, expressed as a flow of care with matrix support, nursing consultation and phone contact between nurses. The implementation of this model will lead to greater integration between the levels of care, permitting improvements in patient monitoring with greater probability of treatment compliance.