Expansion of the interprofessional clinical practice of Primary Care nurses

Peduzzi, Marina; Aguiar, Carla; Lima, Aline Maciel Vieira; Montanari, Patrícia Martins; Leonello, Valéria Marli; Oliveira, Mariangela Rosa de

doi:10.1590/0034-7167-2017-0759

Cited by 25 publications

(29 citation statements)

References 17 publications

(30 reference statements)

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“…Regarding the difficulties to create and innovate, the discursive content reveals the impossibilities of creation and innovation hampered by work overload. Nursing is the health profession with an increasing and excessive workload and impaired physical and mental integrity (21)(22) . For the improvement of practices (by the institution and the collective) it is necessary to balance the loads and the institution of policies and practices that propose a continuous questioning of the praxis and point out new ways of dealing with the ongoing transformations, under the risk of the services repeating the exclusion (and illness) of care agents (23) .…”

Section: Discussionmentioning

confidence: 99%

Obstacles to the educational praxis of nurses in the Family Health Strategy

Ferreira

Ramos

Teixeira

et al. 2021

Rev. Gaúcha Enferm.

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Objective: To analyze the obstacles to the educational praxis of nurses in the Family Health Strategy of the Eastern Health District, Manaus, Amazonas, Brazil. Method: Qualitative, exploratory, and descriptive study that used the Word Café technique for data production, with 26 nurses, between June and August 2018. The data were organized in the Atlas.ti8 software, and the analysis was categorical-thematic. Results: The units of analysis “Organizational Obstacles for Educational Praxis in the Family Health Strategy” and “Operational Obstacles for Educational Praxis in the Family Health Strategy” reveal difficulties, tensions, resistances and the impossibilities to adhere to emerging models of work organization, in general, and in particular, in educational work. Conclusion: What presents itself in reality as an obstacle is, at the same time, indicative of the possibility of overcoming and potentiality for co-creation of educational work as a strategy to rescue professional motivation, and an alternative on the agenda for the permanent qualification of workers and institutions.

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Section: Discussionmentioning

confidence: 99%

Obstacles to the educational praxis of nurses in the Family Health Strategy

Ferreira

Ramos

Teixeira

et al. 2021

Rev. Gaúcha Enferm.

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“…It is understood, therefore, that in this movement of detecting and taking advantage of possibilities at work to advance the demands towards health needs, it is possible to expand the clinical practice of nurses in user care; provide and articulate new actions with the team in building interprofessional practice; and manage care in PC, with a view to access and quality of care (23)(24)(25) .…”

Section: Discussionmentioning

confidence: 99%

Nurses’ work at Family Health Strategy: possibilities to operate health needs

et al. 2020

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Objectives: to identify and analyze possibilities for recognizing health needs in the nurses’ work at Family Health Strategy. Methods: a qualitative study with interviews and observation of the nurses’ work in the countryside of São Paulo. The empirical material was subjected to thematic content analysis and interpreted in the light of the health work process. Results: two themes emerged: Possibilities utilized and Possibilities neglected to recognize health needs. Careful observation, welcoming, attention, listening, bonding and dialogue developed by nurses, in live work in action with users, touched on the possibilities, which, taken advantage of, were evidenced in care in spontaneous demand, scheduled consultation, examination gynecological and group activities. Final Considerations: nurses are able to recognize health needs, which can expand their clinical practice and interprofessionality in Family Health.

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“…Nursing consultations constitute a strategy that favors performing the actions prescribed in programs that integrate PHC. Moreover, these actions are the main reasons why nurses provide care, such as management of chronic non-communicable diseases, sexual and reproductive health, women's health, and prenatal care [25][26][27][28][29][30][31][32][33][34][35][36][37][38][39][40][41][42][43][44]. In this dimension, the most common technical procedures include the administration of vaccines and medications, the collection of oncotic colpocytology (Pap smear) and test materials, and the application of dressings and glucose tests.…”

Section: Practicementioning

confidence: 99%

Situational analysis and reflections on the introduction of advanced practice nurses in Brazilian primary healthcare

Magnago

Pierantoni

2021

Hum Resour Health

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Background The shortage of doctors and their unequal distribution serve as challenges to advancing primary healthcare (PHC) and achieving effective universal healthcare coverage in Brazil. In an effort to use nurses’ potential more efficiently, the country is investigating the introduction of the advanced practice nurse (APN) into PHC. This paper presents a situational analysis of the practices of Brazilian nurses based on the following components: regulation, practice, and education. Methods This is a national multi-method study with triangulated data from a documentary study, a scoping review, and an exploratory study. The regulation component involved the analysis of official normative documents on the regulation of nursing education and nurses’ scope of practice. The practice component aimed to identify the practices performed by nurses in Brazilian PHC based on primary studies. The education component intended to identify the practices taught in nursing training based on a survey and interviews with directors of undergraduate nursing programs. Results Federal legislation in Brazil authorizes nursing graduates to perform a set of advanced practices as part of the PHC nurse's daily routine. They can request and interpret complementary tests and prescribe medication. However, in the local context, municipalities define the scope of this assistance based on technical norms or nursing protocols. Furthermore, this study indicates that undergraduate nursing programs do not fully prepare students to adequately execute these tasks. Conclusions In the context of Brazilian PHC, advanced practices have already been implemented and respond to main healthcare demands. Therefore, it is unnecessary to introduce the APN as a new professional category. Upon detecting deficiencies in the training process, the current education model should undergo reforms that seek to incorporate the skills compatible with the regulated advanced practices and in-service training for practicing nurses. Regarding the introduction of APN along international lines, this article presents recommendations that may support the operationalization of a Brazilian APN model.

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Expansion of the interprofessional clinical practice of Primary Care nurses

Cited by 25 publications

References 17 publications

Obstacles to the educational praxis of nurses in the Family Health Strategy

Obstacles to the educational praxis of nurses in the Family Health Strategy

Nurses’ work at Family Health Strategy: possibilities to operate health needs

Situational analysis and reflections on the introduction of advanced practice nurses in Brazilian primary healthcare

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