Evaluation of healthcare networks by nurses in the Family Health Strategy

Abstract

Objective: To evaluate the capacity of Primary Healthcare to coordinate healthcare networks. Method: A cross-sectional, population-based and descriptive study developed in the State of Minas Gerais through interviews with nurses working in the Family Health Strategy Sector (FHS) of the Unified Health System, using the Network Coordination Assessment Tool for Primary Healthcare. A descriptive statistical analysis was applied by implementing Fisher’s exact test, Spearman’s correlation coefficient and cluster analysis. Type I error was fixed at 5% for statistical significance. Results: There were 49 nurses interviewed, evaluating the population and primary healthcare dimensions as excellent. Support, logistical, governance and overall assessment systems were classified as having good condition in the network coordination for Primary Healthcare. The dendograms showed that the work process has similarities between Nurses, as well as the structure between the municipalities. Conclusion: Primary Healthcare has the ability to coordinate networks, constituting a process in which nurses have a central role. There were similarities in the work processes between evaluated municipalities and a deficit in information and pharmaceutical assistance systems.

Weaknesses in the continuity of care for preterm infants discharged from the neonatal unit

“…It is understood that the managing role of the nurse is an important part in articulating with other levels of the health care network and in the internal management of care for the population described. For positive communication to occur in PHC, it is essential that there is adequate communication between levels of care so that referrals can be made and users can return to the FHS with the clinical information necessary for continuity of care ( 23 ) .…”

Fragilidades para a continuidade do cuidado ao pré-termo egressoda unidade neonatal

“…Compreende-se que o papel gerenciador do profissional enfermeiro é uma peça importante na articulação com os demais níveis da rede de atenção a saúde e no gerenciamento interno dos cuidados à população adscrita. Para que ocorra uma comunicação positiva na APS é imprescindível que haja comunicação adequada entre os níveis de atenção para que possam ser realizados os encaminhamentos e os usuários retornem à ESF com as informações clínicas necessárias para a continuidade do cuidado (23) .…”

Coordinación del cuidado: un análisis desde la perspectiva del enfermero de atención primaria

“…Es necesario que estos profesionales reconozcan los elementos que constituyen la coordinación del cuidado para asegurar la atención integral y la funcionalidad de la RAS. [12][13] Considerando el contexto citado y la necesidad de consolidar acciones de salud que desarrollen una atención integral centrada en la persona, la pregunta es: ¿Cómo caracterizan los enfermeros la coordinación del cuidado de la APS en la RAS? Por lo tanto, el objetivo de este estudio fue analizar la coordinación del cuidado en los servicios de Atención Primaria de la Salud de la red de atención de la salud desde la perspectiva de los enfermeros de los equipos de Salud de la Familia.…”