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[初级卫生保健中的综合性概念与实践:护士的认知]

[The concept and practice of comprehensiveness in Primary Health Care: nurses' perception].

作者信息

Fracolli Lislaine Aparecida, Zoboli Elma Lourdes Pavone, Granja Gabriela Ferreira, Ermel Regina Célia

机构信息

Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brasil.

出版信息

Rev Esc Enferm USP. 2011 Oct;45(5):1135-41. doi: 10.1590/s0080-62342011000500015.

Abstract

The objective of this study is to debate on the nurses' discourse on the concept of health comprehensiveness and how to implement it in primary health care practice. Considering that comprehensiveness is one of the pillars of the Brazilian public health system (SUS) and taking nursing work force as a considerable commission of people to work for the construction of the SUS, the authors considered important to identify the conceptual bases and practices that guide nurses' work towards in the construction of health comprehensiveness. In this qualitative, exploratory study interviews were performed with 10 nurses working in primary health care centers in three cities in the interior state of São Paulo. Data collection was performed through semi-structured interviews and analyzed according to the collective subject discourse technique. Results showed that the nurses' conceptions on comprehensiveness are directly relates with providing care, and that these professionals put comprehensiveness into practice through their everyday work.

摘要

本研究的目的是探讨护士关于健康全面性概念的论述,以及如何在初级卫生保健实践中加以实施。鉴于全面性是巴西公共卫生系统(SUS)的支柱之一,且护士队伍是致力于SUS建设的庞大群体,作者认为确定指导护士在构建健康全面性方面工作的概念基础和实践非常重要。在这项定性探索性研究中,对圣保罗州内陆三个城市的初级卫生保健中心工作的10名护士进行了访谈。通过半结构化访谈收集数据,并根据集体主体话语技术进行分析。结果表明,护士对全面性的概念直接与提供护理相关,并且这些专业人员通过日常工作将全面性付诸实践。

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