Supervision of Community Health Agents in the Family Health Strategy: the perspective of nurses

Silva, Juliana Sterci da; Fortuna, Cinira Magali; Pereira, Maria José Bistafa; Matumoto, Sílvia; Santana, Fabiana Ribeiro; Marciano, Franciele Maia; Silva, Jael Bernardes da; Ferreira, Marianna; Mishima, Silvana Martins

doi:10.1590/s0080-6234201400005000017

Cited by 9 publications

(18 citation statements)

References 15 publications

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“…The scientific production on supervision points to three main directions for its development: control, education, and political articulation (6,8) . It is essential to underscore the importance of overcoming the negative connotations of the term 'control,' which must be understood as the possibility of monitoring and following up on the work process, emphasizing the instrumental actions of nursing teams in order to favor the adjustment of technical and scientific rules to clinical practice.…”

Section: Nursing Supervision In the Context Of Care Comprehensivenessmentioning

confidence: 99%

“…It is essential to underscore the importance of overcoming the negative connotations of the term 'control,' which must be understood as the possibility of monitoring and following up on the work process, emphasizing the instrumental actions of nursing teams in order to favor the adjustment of technical and scientific rules to clinical practice. Thus, supervision has the potential of being a tool to rethink work and facilitate management and care performance that is related to developing the abilities of nursing teams (8) .…”

Section: Nursing Supervision In the Context Of Care Comprehensivenessmentioning

confidence: 99%

“…After all, the educational process places more emphasis on controlling and regulating actions, giving less importance to investment in the possibilities of collective construction of work interventions through continuous education of workers (8) . It is worth asking why nursing faces difficulties and limits in incorporating this educational vision of the tool of supervision, because beginning in the 1980s, the Brazilian Ministry of Health was already issuing publications pointing to the educational and guiding nature of nursing supervision.…”

Section: Nursing Supervision In the Context Of Care Comprehensivenessmentioning

confidence: 99%

“…This context creates teams that must live with problems related to the quantitative and qualitative aspects of staff, low motivation, conflicts, and flaws in professional cooperation and collaboration. All of this makes it more difficult to carry out more dynamic and educational supervision practices (8) .…”

Section: Reflections On the Limits And Potential Of Nursing Supervisionmentioning

confidence: 99%

“…This can limit the focus of supervision, restricting it to monitoring and controlling work without going any further in terms of educational aspects and ethical and political articulation, which can help improve care and working conditions (5,8) .…”

Section: Reflections On the Limits And Potential Of Nursing Supervisionmentioning

confidence: 99%

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Nursing supervision for care comprehensiveness

et al. 2017

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Objective: To refl ect on nursing supervision as a management tool for care comprehensiveness by nurses, considering its potential and limits in the current scenario. Method: A refl ective study based on discourse about nursing supervision, presenting theoretical and practical concepts and approaches. Results: Limits on the exercise of supervision are related to the organization of healthcare services based on the functional and clinical model of care, in addition to possible gaps in the nurse training process and work overload. Regarding the potential, researchers emphasize that supervision is a tool for coordinating care and management actions, which may favor care comprehensiveness, and stimulate positive attitudes toward cooperation and contribution within teams, co-responsibility, and educational development at work. Final considerations: Nursing supervision may help enhance care comprehensiveness by implying continuous refl ection on including the dynamics of the healthcare work process and user needs in care networks. Descriptors: Nursing Supervisory; Organization and Administration; Nursing; Nursing Team; Nursing Services. RESUMO Objetivo: refl etir a supervisão de enfermagem como instrumento gerencial do enfermeiro para integralidade do cuidado, considerando suas potencialidades e limitações no cenário atual. Método: estudo refl exivo baseado na formulação discursiva sobre a supervisão de enfermagem, apresentando conceitos e enfoques teóricos e/ou práticos. Resultados: limitações no exercício da supervisão estão relacionadas à organização dos serviços de saúde embasada no modelo funcional e clínico de atenção, assim como possíveis lacunas no processo de formação do enfermeiro e sobrecarga de trabalho. Quanto às potencialidades, destaca-se a supervisão como instrumento de articulação de ações assistenciais e gerenciais, que pode favorecer integralidade da atenção, estimular atitudes de cooperação e colaboração em equipe, além da corresponsabilização e promoção da educação no trabalho. Considerações fi nais: supervisão de enfermagem pode contribuir para fortalecimento da integralidade do cuidado, pressupondo refl exão contínua, para contemplar a dinamicidade do processo de trabalho em saúde e necessidades dos usuários nas redes de atenção. Descritores: Supervisão de Enfermagem; Organização e Administração; Enfermagem; Equipe de Enfermagem; Serviços de Enfermagem. RESUMENObjetivo: Refl exionar sobre supervisión de enfermería como instrumento gerencial del enfermero para integralidad del cuidando, considerando sus potencialidades y limitaciones del escenario actual. Método: Estudio refl exivo basado en formulación discursiva sobre supervisión de enfermería, presentando conceptos y enfoques teóricos y/o prácticos. Resultados: Las limitaciones del ejercicio supervisional están relacionadas a organización de servicios de salud fundamentada en modelo funcional y clínico de atención, en posibles carencias del proceso formativo del enfermero y sobrecarga laboral. Respecto a potencialidades, se destaca la...

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Section: Nursing Supervision In the Context Of Care Comprehensivenessmentioning

confidence: 99%

Section: Nursing Supervision In the Context Of Care Comprehensivenessmentioning

confidence: 99%

Section: Nursing Supervision In the Context Of Care Comprehensivenessmentioning

confidence: 99%

Section: Reflections On the Limits And Potential Of Nursing Supervisionmentioning

confidence: 99%

Section: Reflections On the Limits And Potential Of Nursing Supervisionmentioning

confidence: 99%

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Nursing supervision for care comprehensiveness

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Effectiveness of family involvement in newly diagnosed type 2 diabetes patients: a follow-up study

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Liu

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Patient Education and Counseling

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How do community health workers institutionalise: An analysis of Brazil’s CHW programme

Krieger

Wenham²,

Pimenta

et al. 2021

Global Public Health

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Community health workers (CHWs) are framed as the link between communities and the formal health system. CHWs must establish trusting relationships with the community and with the broader health service. How to find the optimal balance between the various strands of work for CHWs, and how to formalise this, has been the focus of different studies. We performed an extensive documentary analysis of federal legislation in Brazil to understand the institutionalisation of the CHW workforce in Brazil over the last 3 decades. The paper offers three contributions to the literature: the development and application of an analytical framework to consider the institutionalisation process of CHWs; a historical analysis of the professional institutionalisation of CHW in Brazil; and the identification of the paradoxes that such institutionalisation faces: firstly, institutionalisation focused on improving CHW remuneration created difficulties in hiring and paying these professionals; when CHW are incorporated within state bureaucracy they start to lose their autonomy as community agents; and that the effectiveness of CHW programmes depends on the improvement of clinical services in the most deprived areas.

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Supervision of Community Health Agents in the Family Health Strategy: the perspective of nurses

Abstract: The supervision carried out does not provide the changes intended by the ESF.

Cited by 9 publications

References 15 publications

Nursing supervision for care comprehensiveness

Nursing supervision for care comprehensiveness

Effectiveness of family involvement in newly diagnosed type 2 diabetes patients: a follow-up study

How do community health workers institutionalise: An analysis of Brazil’s CHW programme

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