Navegando por Palavras-chave "Primary Healthcare"
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- ItemAcesso aberto (Open Access)Actions of nurses in early detection of breast cancer(Assoc Brasileira Enfermagem, 2017) Barreto Melo, Fabiana Barbosa [UNIFESP]; Vilanova Marques, Carla Andreia [UNIFESP]; Rosa, Anderson da Silva [UNIFESP]; de Figueiredo, Elisabeth Niglio [UNIFESP]; Rivero de Gutierrez, Maria Gaby [UNIFESP]Objective: Identify the actions for early detection of breast cancer performed by nurses from basic health units; compare the compliance of these actions with the recommendations from the Ministry of Health; analyze the availability of documents to check these recommendations and analyze the association of variables "training," "lato sensu training," and "years of activity" of these professionals with the actions performed. Method: A cross-sectional study conducted with 133 nurses from 38 basic health units in the Southeast region of the municipality of Sao Paulo, interviewed with a validated questionnaire. Result: Most nurses reported actions to detect this neoplasm. Guidance on the first mammogram age was significantly associated with training, years of activity and availability of Basic Attention Book n degrees 13. Conclusion: This study observed a positive influence of training and years of activity on the actions for early detection of breast cancer and the need for adjustments in national guidelines.
- ItemAcesso aberto (Open Access)Concepções de gênero, masculinidade e cuidados em saúde: estudo com profissionais de saúde da atenção primária(ABRASCO - Associação Brasileira de Saúde Coletiva, 2011-11-01) Machin, Rosana [UNIFESP]; Couto, Márcia Thereza [UNIFESP]; Silva, Geórgia Sibele Nogueira Da; Schraiber, Lilia Blima; Gomes, Romeu; Santos Figueiredo, Wagner Dos; Valença, Otávio Augusto; Pinheiro, Thiago Félix; Universidade Federal de São Paulo (UNIFESP); Universidade de São Paulo (USP)This paper analyzes concepts of gender and masculinity among Primary Healthcare professionals in four Brazilian States (Pernambuco, Rio de Janeiro, Rio Grande do Norte, São Paulo). It is based on two perspectives: the meanings associated with being a man and the relations between masculinity and healthcare. This qualitative study is part of a multicentric investigation, which used triangulation methods as a benchmark. Sixty-nine in-depth interviews carried out among health professionals with higher education were analyzed. The discourses (re)produce the notion that health facilities are feminized spaces. Within the daily routine, this notion is translated as reinforcing the idea that the male body is not a locus of this care, as opposed to the female body which is considered a locus of care. The presence of a hegemonic pattern of masculinity is prominent among professionals' representations of men and seems to influence the latter, in their lack of commitment with healthcare. The existence of a stereotyped gender model (re)produces disparities between men and women in healthcare and compromises the visibility of other meanings and expressions of gender identities.
- ItemSomente MetadadadosSegurança do paciente na atenção primária à saúde: análise de incidentes near miss em unidades de Estratégia de Saúde da Família(Universidade Federal de São Paulo (UNIFESP), 2019-05-30) Amaro, Meire Augusta Celestino [UNIFESP]; Bohomol, Elena [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objectives: To analyze the reported near miss incidents in primary health care. Methods: This is a documental, retrospective, descriptive research of quantitative nature. The study analyzed the reported incidents reports to a database, with reports of 13 Basic Health Units with Family Health Strategy in the city of São Paulo, from 2014 to 2016. For the analysis of the types of incidents notified, the Chi-square Test was used with a confidence interval of 95%. The categorization of incidents was based on the International Classification for Patient Safety, proposed by the World Health Organization. The Kappa Test was used to evaluate the level of agreement between the evaluators. The Research Ethics Committee of the Municipal Health Secretariat of São Paulo approved the study. Results: Two evaluators performed a reading and classification of 3204 incident notifications independently, presenting Kappa between 0.36 and 0.42, indicating low concordance. The convergences value between the first two evaluators was 1759 (55%) of the total notifications analyzed, after the inclusion of the third evaluator, the convergences value was 2344 (73%). 1093 near miss were identified, the most frequent types were: medications, 687 (62.8%), with prescription problems, 629 (92%), documentation, 312 (28.5%), errors with requests 128 (41%), problems with medical records, 67 (21%); clinical administration 66 (6%), the admission errors of the patient, 17 (26%), scheduling errors, 14 (21%) and routing errors 11 (17%). Conclusions: The most frequently reported near miss incidents were medication, highlighting prescribing errors, documentation pointing to errors with requests and medical records. Incidents of clinical administration, however, lead to patient admission errors, scheduling errors, and referral errors.