ABSTRACT Objectives: to describe a theoretical model of nursing care for children with obesity in Primary Health Care. Methods: Grounded Theory and the theoretical/philosophical framework of Virginia Henderson were used. The research was conducted in Family Basic Health Units and in Specialized Services in the city of Campina Grande, Paraíba, Brazil. A total of 24 participants composed four sample groups. Data were collected through semi-structured interviews, between April and October 2015, and analyzed by the constant comparison method. The analysis occurred by initial coding, construction of diagrams and memos, axial coding, selective coding and reflection on the paradigm and on the emerging theory. Results: six categories emerged from the data. Nurses worrying about the care of children with obesity as a neglected area in Primary Health Care was the theoretical model. Final Considerations: the phenomenon is related to the individuality of nursing care and the need for shared responsibilities.

The objective of this study was to identify factors related to the place of fi rst choice for the diagnosis and treatment of tuberculosis. A descriptive quantitative study was conducted in Natal/RN, throughout February/September 2012 with 60 individuals diagnosed with pulmonary tuberculosis that responded a questionnaire. Data were analyzed by the Chi-square and Fisher test. The factors associated to the place of fi rst choice were: having had previous contact with the disease (p=0,04); the person's awareness of the disease (p=0,018) and having had previous care at the health service unit of choice (p=0,002). It is concluded that intrinsic and extrinsic factors may infl uence the individual's fi rst choice of a place for care and diagnosis of diseases. It is important that nurses promote actions related to these factors, for the enhancement of early diagnosis of tuberculosis through case fi nding and access to the primary care unit thereby reducing the demand for emergency services. Descriptors: Tuberculosis, pulmonary. Choice behavior. Health services. Patient care. Public health nursing. RESUMOObjetivou-se identifi car os fatores associados à escolha do primeiro local para o atendimento e diagnóstico da tuberculose. Estudo descritivo, quantitativo, realizado em Natal, RN, entre fevereiro e setembro de 2012, com 60 indivíduos diagnosticados com tuberculose pulmonar que responderam a um questionário. Os dados foram analisados através dos testes Qui-Quadrado e Fisher. Os fatores associados à escolha foram: o contato anterior com a doença (p=0,040); alerta das pessoas sobre a doença (p=0,018); e o serviço de saúde ser o geralmente procurado antes da doença (p=0,002). Conclui-se que fatores intrínsecos e extrínsecos ao sujeito com tuberculose podem infl uenciar na escolha do local para o atendimento e diagnóstico. Torna-se necessário que os enfermeiros promovam ações relacionadas a esses fatores, favorecendo o diagnóstico precoce da tuberculose através da intensifi cação da busca ativa, a procura da unidade básica de saúde e a redução do fl uxo de procura pelos serviços de urgência. Descritores: Tuberculose pulmonar. Comportamento de escolha. Serviços de saúde. Assistência ao paciente. Enfermagem em saúde pública. RESUMENEl objetivo fue identifi car los factores asociados con la selección del primer lugar de atención y diagnóstico de la tuberculosis. El estudio descriptivo y cuantitativo se llevó a cabo en Natal entre febrero/septiembre de 2012, con 60 individuos con tuberculosis pulmonar, que respondieron a un cuestionario. Los datos fueron analizados a través de las pruebas Chi-cuadrado y Fisher. Los factores asociados a la selección fueron: el contacto previo con la enfermedad (p=0,040), el aviso de las personas sobre la enfermedad (p=0.018) y el servicio de salud ser local antes utilizado (p=0,002). Se concluye que factores intrínsecos y extrínsecos pueden infl uir en elección del primer lugar de atención y diagnóstico de la tuberculosis, lo que requiere que enfermeros promuevan esos factores para la re...

Objective: to develop a theoretical model about the care of children with Congenital Zika Virus Syndrome in the family context. Method: the Straussian Grounded Theory and the theoretical/philosophical framework of Callista Roy and Leonardo Boff were used. It was carried out in northeastern Brazil, with 19 participants, in four sample groups. The data were collected and analyzed simultaneously, using the constant comparison method. Results: the theoretical model comprising the mother’s care for the child with Congenital Zika Virus Syndrome in the family context is formed by five categories: revealing family care, centered on the mother, to the child with the syndrome; identifying the maternal bond that determines the care for children with the syndrome in the family context; identifying the factors that hinder the mother’s care for the child with the syndrome; recognizing the evolution of the child with the syndrome in the face of early stimulation care; and recognizing harms due to the absence of early stimulus to children with the syndrome. Conclusion: the phenomenon runs through the care of the child with Congenital Zika Virus Syndrome, in the family context and centered on the mother, and is faced with the need for shared responsibility among the family members.

O objetivo do estudo foi analisar as ações do Agente Comunitário de Saúde no diagnóstico da tuberculose pulmonar na Atenção Primária à Saúde. Pesquisa descritiva, quantitativa, realizada com amostra de 110 Agentes Comunitários de Saúde de Natal, entre julho e setembro de 2009 e utilizando um questionário construído a partir do Primary Care Assesment Tool. A análise descritiva dos dados mostrou que 62,7% dos agentes investigavam, nas visitas domiciliares, se as pessoas apresentavam tosse; 57,3% sempre orientavam os Sintomáticos Respiratórios a coletar o escarro; 60% dificilmente encontravam dificuldade de convencer o usuário a colher o escarro e 44,5% das unidades possuíam geladeira ou caixa térmica para acondicionar o escarro. Conclui-se que a maiorias dos agentes nesse município realizavam as ações de diagnóstico. Contudo, estes enfrentam empecilhos no sistema que podem inviabilizar o diagnóstico precoce da doença e portanto o seu controle.