[家庭健康战略中社区卫生工作者的监督：护士的视角]
[Supervision of Community Health Agents in the Family Health Strategy: the perspective of nurses].
作者信息
Silva Juliana Sterci da, Fortuna Cinira Magal, Pereira Maria José Bistafa, Matumoto Silvia, Santana Fabiana Ribeiro, Marciano Franciele Maia, Silva Jael Bernardes, Ferreira Marianna, Mishima Silvana Martins
机构信息
School of Nursing of Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.
School of Nursing of Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil,
出版信息
Rev Esc Enferm USP. 2014 Oct;48(5):899-906. doi: 10.1590/s0080-6234201400005000017.
OBJECTIVE
Analyzing the conceptions of supervision of nurses in the Family Health Strategy (ESF - Estratégia Saúde da Família) in relation to community health workers (ACS - Agente Comunitário de Saúde), taking for reference the work process and the power relations.
METHOD
A qualitative study, in which 18 interviews were carried out with nurses from the ESF in the countryside of the state of Goiás. Following transcription, the data were subjected to thematic content analysis and the following categories were identified: Supervision with that sees it all and Supervision is participating and working together.
RESULTS
Among the findings, it is clear the character of control and monitoring that is carried out primarily through printed instruments and home visits, which constitute vertical and impositive relations, and suffer influence of the local health management. Another finding is the supervision as acting together and with the educational perspective.
CONCLUSION
The supervision carried out does not provide the changes intended by the ESF.
目的
参照工作流程和权力关系，分析家庭健康战略（ESF - Estratégia Saúde da Família）中护士对社区卫生工作者（ACS - Agente Comunitário de Saúde）的监督观念。
方法
一项定性研究，对戈亚斯州农村地区家庭健康战略的护士进行了18次访谈。转录后，对数据进行主题内容分析，并确定了以下类别：全面监督和参与式共同监督。
结果
在研究结果中，很明显监督具有控制和监测的性质，主要通过书面工具和家访进行，这构成了垂直和强制的关系，并受到当地卫生管理的影响。另一个发现是监督具有共同行动和教育视角的特点。
结论
所开展的监督并未带来家庭健康战略预期的变革。
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