O trabalho gerencial do enfermeiro na Rede Básica de Saúde

Abstract

RESUMO:Este estudo focaliza questões da gerência nos serviços públicos de saúde e têm como objetivo identificar elementos do trabalho gerencial do enfermeiro na Rede Básica de Saúde de Goiânia-GO. Pesquisa exploratória descritiva, de base quantitativa, realizada entre 2006/2007. Para a coleta de dados foi utilizada a entrevista estruturada com 44 enfermeiros gerentes de serviços. Foi construído um banco de dados, utilizando o Software Epi-Info versão 3.3.2. Os dados foram submetidos a um processo de codificação e analisados por medida de frequência simples e nas variáveis que o enfermeiro pode discorrer utilizamos a categorização por semelhança. Os resultados apontam aspectos que fortalecem e tornam mais visíveis as ações gerenciais dos enfermeiros, ao mesmo tempo que mostram as fragilidades do trabalho gerencial na Rede Básica de Saúde. A contribuição dos enfermeiros gerentes foi de grande significado para que a formação seja repensada pelas universidades e pelos gestores. DESCRITORES:Gestão em saúde. Enfermagem em saúde pública. Atenção primária à saúde. Enfermagem. MANAGERIAL WORK OF BRAZILIAN FEDERAL HEALTH CARE SYSTEM NURSESABSTRACT: This study focuses on management issues in public health services and attempts to identify elements of nursing managerial work in the local Public Health Care system of Goiânia-GO, Brazil. This exploratory, descriptive and quantitative study was carried out between 2006 and 2007. A structured interview was used for data collection and was composed of 44 service-manager nurses. A database was built, using the Epi-Info Software 3.3.2. The data was submitted to a coding process and analyzed through measuring simple frequencies similarity categorization. The results point out aspects which strengthen nursing managerial actions and make them more visible, as well as show the fragilities of managerial work in Brazilian Public Health Care. The contribution of these nurse managers meant a great deal in order that formal nursing education may be rethought by universities and managers.DESCRIPTORS: Health management. Public health nursing. Primary health care. Nursing. LA GESTIÓN DEL ENFERMERO EN LA RED DE SALUD BÁSICA RESUMEN:Este estudio se centra en cuestiones de gestión en los servicios salud pública, teniendo como objetivo identificar elementos de la gestión del enfermero en la Red de Salud Básica del municipio de Goiânia-GO. Investigación exploratoria, descriptiva de base cuantitativa, realizada entre 2006 y 2007. Para la recolección de los datos se utilizó la entrevista estructurada con 44 enfermeros gerentes de servicios. Fue construido un banco de datos, utilizando el Software Epi-Info versión 3.3.2. Los datos fueron sometidos a un proceso de codificación y analizados por medida de frecuencia simple y la clasificación por similitud. Los resultados señalan aspectos que fortalecen y hacen más visibles las acciones de gestión de los enfermeros, al mismo tiempo que muestran las fragilidades del trabajo de gestión en la Red Básica de Salud. La contribución de los enfermeros gerentes f...

Coordenação da assistência à tuberculose: registro de dados e a implementação de um sistema informatizado

“…It is also an obstacle in analyzing the care provided, the conduct adopted, and the integration between vigilance, healthcare and information, as the professional becomes the normal source of care and not the record 13,18 . Although it is important to consider that the limited number of nurses available for the various programs of the Healthcare Services makes it harder to plan care, it is essential that they play a role in controlling TB, in terms of the care provided, overseeing the team focused on healthcare practice and vigilance measures, which includes carefully recording the care provided, and managing (individual and collective) care and healthcare services to enable coordination of the various elements involved [19][20][21][22] . This overview of the weaknesses of the nursing professionals is a complex process that starts with their training, which is focused on technical development, to the detriment of management skills 19 .…”

“…Although it is important to consider that the limited number of nurses available for the various programs of the Healthcare Services makes it harder to plan care, it is essential that they play a role in controlling TB, in terms of the care provided, overseeing the team focused on healthcare practice and vigilance measures, which includes carefully recording the care provided, and managing (individual and collective) care and healthcare services to enable coordination of the various elements involved [19][20][21][22] . This overview of the weaknesses of the nursing professionals is a complex process that starts with their training, which is focused on technical development, to the detriment of management skills 19 . Recording TB healthcare actions and vigilance, such as DOT and sputum tests during treatment could help monitor, plan and assess the care provided, especially for disease control 3,[23][24][25][26] .…”

Coordenação de unidades de saúde da família por enfermeiros: desafios e potencialidades

“…As a manager or coordinator, the nurse increases the importance of his or her activities, in relation to the team, since he or she expands his or her own role beyond the core practice, adding more assignments, playing a key role in the development of work processes and attention to healthcare in a USF. A study performed (5) concluded that nurses who are coordinators of family healthcare units, use most of their time, during the workday, performing activities that are essentially managerial. Similar results were found in this study.…”

“…The conducting of essentially administrative and bureaucratic activities by nurses has been a point of discussion, as they make up a whole other set of activities that go beyond healthcare practices. (3)(4)(5) Given these initial reflections and the objective of analyzing the challenges and the potential for coordination of the Family Healthcare Units, done by nurses, and based on the referential analyses of working in healthcare, (6) we ask the following research question: how should the nurse's coordination process in the Family Healthcare Units be configured?…”

Atividades de formação do enfermeiro no âmbito da atenção básica à saúde

“…São consideradas as intersecções entre saúde e educação, com a adequação do ensino para a produção de conhecimentos e serviços com base nas necessidades sociais. 5 Este estudo justifica-se pela importância do reconhecimento e caracterização das atividades proporcionadas para a formação do enfermeiro no contexto da atenção básica. A contribuição pretendida segue no sentido de sustentar discussões sobre acompanhamento e avaliação curricular que busquem relacionar a realidade da formação profissional do enfermeiro com as necessidades do sistema de saúde e as DCNs.…”