Diagnostic aspects and in-service training in the decentralization of care to people living with HIV

Abstract

Objective: To analyze the perception of nurses on the decentralization of care to people living with HIV. Method: Exploratory, descriptive, qualitative study conducted with primary health care nurses based on Imogene King’s Open Systems Theory (personal, interpersonal, and social). The data were obtained through interviews; a sociodemographic/professional questionnaire and a semi-structured script were employed, processed by the IRAMUTEQ software and analyzed through Descending Hierarchical Classification. Results: Study participants amounted to 32 nurses. Five classes emerged from the analysis: “diagnostic revelation process”; “professional training”; “preventive measures”; “barriers and potentials in the process of decentralization”; and “stigma and prejudice”. Conclusion: In the process of reorganization of the healthcare model for people living with HIV in primary health care, an important contribution by nurses in strengthening the local healthcare decentralization was identified.

Development and validation of an instrument for the evaluation of HIV care in Primary Health Care

“…A national study carried out with nurses who worked in PHC revealed the existence of barriers related to the flow of the healthcare system, the precarious and inadequate physical condition of the health centers, and shortage of materials and supplies. Also, there was a lack of human resources, leading to work overload and lack of training ( 11 ) . It should be noted that, many times, nurses are the only professionals who get the training and who apply the rapid test, which can lead to increased work demand and interruption of this activity in the service, impairing care ( 2 , 11 ) .…”

“…Also, there was a lack of human resources, leading to work overload and lack of training ( 11 ) . It should be noted that, many times, nurses are the only professionals who get the training and who apply the rapid test, which can lead to increased work demand and interruption of this activity in the service, impairing care ( 2 , 11 ) .…”

Aspects related to health literacy, self-care and compliance with treatment of people living with HIV

“…Bearing in mind that PHC is a health space that is closest to people's lives, guaranteeing the therapeutic bond, it provides comprehensive and longitudinal care, transcending the moment of HIV diagnosis. Holistic follow-up of cases through home visits allows nurses to intervene, to adopt preventive measures and develop health promotion activities (27) . All these measures are essential for the development of critical HL.…”

Aspectos relacionados ao letramento em saúde, autocuidado e adesão ao tratamento de pessoas vivendo com HIV

“…Tendo em vista que a APS é um espaço de saúde que há mais próximo da vida das pessoas, garantindo o vínculo terapêutico, proporciona um cuidado integral e longitudinal, transcendendo o momento do diagnóstico do HIV. O acompanhamento holístico dos casos por meio de visitas domiciliares possibilita ao enfermeiro intervir, para adoção de medidas preventivas e desenvolvimento de atividades de promoção à saúde (27) . Todas essas medidas são primordiais para o desenvolvimento do LS crítico.…”