Meaning of Home Visits to Brazilian Health Students

Abstract

Background: Home visits have become increasingly widespread in Brazil since the emergence of the Family Health Program. Therefore, it is necessary to develop the professional skills need to conduct these visits during their education.Objective: The aim of this study was to understand the meaning of home visits to Brazilian health students under the light of the principles of Edgar Morin's Complexity Theory. Methodology:The Grounded Theory approach was used in this study. Data collection was performed between December 2014 and July 2016 by interviews with students and health professionals who graduated during the previous year and are working in the Public Health System in the South of Brazil. Results:The students experience an order-disorder-order-(re)organization process. It results from the inter-weaving of three aspects: confrontation with reality, selfreflection and transcending personal limits. Conclusion:The results of this study show that the process of emotional and professional (re)organization takes the course of order, disorder, order, self-reflection and overcoming limits. The study also reveals that persistence, interactions, dialogue and theoretical discussions during the education program are fundamental to overcome the limits of scientific knowledge and changing personal attitudes towards more solidarity.

Home Visitation by Community Health Workers

“…A key component of rPHC is the use of ward-based outreach teams (WBOTS) staffed by generalist CHWs to do home visits and provide care to families and communities [16,17]. CHWs are a core in the community-based PHC model and the complex contextual challenges they face during home visits and the development of skills in community care need specific attention [18]. Health facilities are challenged by limited staffing, resources, infrastructure, and access to PHC clinics is affected by distance, financial constraints, and transport availability.…”

Hemşirelik Öğrencilerinin Halk Sağlığı Hemşireliği Uygulamasına Yönelik Kaygı Durumlarının İncelenmesi

“…Hemşirelik öğrencisi, okul ortamından halk sağlığı uygulamalarına geçişte kabul edilmeme korkusu, iletişim kurmada zorluk, eğitim konusunda yetersiz hissetme, ailenin beklentilerin farklı olması, danışacağı birinin yanında olmaması gibi sorunlar ile karşılaşabilmektedir. 23,24 13 Yine benzer bir çalışmada; klinik uygulama öncesi hemşirelik öğrencilerinin yaklaşık yarısının heyecanlı-telaşlı ve endişeli-sıkıntılı olduğu, bir kısmının duygularının çeşitli olduğu, çok azının ise hiçbir şey hissetmediği belirtilmiştir. 26 Açıksöz ve arkadaşları tarafından yapılan çalışmada araştırmaya katılan hemşirelik öğrencilerin staj ile ilgili düşünceleri sorgulandığında; çoğunun klinik uygulamaya kendilerini hazır hissettiğini, yarısından fazlası teorik bilgisinin yeterli olduğunu ve büyük bir kısmı hastalarla birebir ilgilenmekten korkmadığını bildirmiştir.…”