Best practices in primary healthcare and the meanings of integrality

Ações E Articulações Do Enfermeiro No Cuidado Da Criança Na Atenção Básica

“…32 Therefore, we consider that teamwork favors comprehensive care. The professional's commitment to the service and the search to meet user demands constitute tools for the consolidation of comprehensive practices and the construction of a beneficial relationship, 18,32 in this case for mother and child. The health professionals and services' practice, however, may or may not allow for completeness, and further understanding is needed of how both consider the care they offer.…”

“…8,20,33,35 Comprehensiveness also needs to permeate the way in which practices are organized (from fragmentation to the whole). [17][18] From this perspective, services need to assume a posture that enables extended care, with the user serving as the protagonist of this process. On the other hand, the health professional needs to be open, in a comprehensive posture, to assimilate the needs that will arise and offer problem solving, 33 with improved access and integration of the service with other social networks.…”

“…On the other hand, the health professional needs to be open, in a comprehensive posture, to assimilate the needs that will arise and offer problem solving, 33 with improved access and integration of the service with other social networks. 18,20 In some studies, the absence/difficulty of access to secondary services emerges as an obstacle to comprehensiveness. 18,25,36 This, however, differs from the findings of the present study, as the nurses interviewed recognize facilities to trigger services and sectors for child care when they find this necessary.…”

“…2,16 In this sense, comprehensiveness can be conceived as the integration of actions of promotion, prevention, healing and rehabilitation, through the work process; as a professional practice, in which the individuals are considered in the biological and psychological entirety, adding the environment they live in. [17][18] It can also be conceived as the organization of services, in order to provide continuity of care, access to technological devices that enable the resolution of health problems, and articulation of policies that allow for shared intersectoral and management actions. [17][18] Despite the different conceptions, it is important to point out that studies have indicated fragilities in the aspects that involve comprehensive care, whether in the availability of health care services and sectors when the child presents needs, or through the care that remains based on the biological model, not understanding that children are influenced by their family and the context they live in.…”

“…[17][18] It can also be conceived as the organization of services, in order to provide continuity of care, access to technological devices that enable the resolution of health problems, and articulation of policies that allow for shared intersectoral and management actions. [17][18] Despite the different conceptions, it is important to point out that studies have indicated fragilities in the aspects that involve comprehensive care, whether in the availability of health care services and sectors when the child presents needs, or through the care that remains based on the biological model, not understanding that children are influenced by their family and the context they live in. [19][20][21][22] This care is often fragmented, without interlocution between sectors and services, 23 and with little interaction and communication between professionals and family.…”