Universidade Federal do Paraná, Programa de Pós-Graduação em Enfermagem, Curitiba, PR, Brasil.
Université Laval, Faculte des Sciences infirmieres, Quebec, QC, Canadá.
Rev Esc Enferm USP. 2020 Sep 18;54:e03608. doi: 10.1590/S1980-220X2018054903608. eCollection 2020.
To identify management strategies used by the Family Health Strategy teams of a Basic Health Unit in organizing work in socially vulnerable territories exposed to violence.
A single case study with a qualitative approach in a family health unit located in the southern region of Brazil. Data collection was conducted through individual interviews with 27 health professionals from August to September 2017 and a focus group with 18 participants in April 2018. Data organization and processing was performed with the support of the IRAMUTEQ software program and subsequently the content analysis technique.
The five classes characterized strategies used by professionals to provide care to the population considering their experience in facing violent situations. A guideline was developed and validated in the focus group to guide the management and organization of work in these services.
It was evidenced that professionals develop strategies which include strengthening the team as a form of collective protection, welcoming focused on comprehensive care and bonding, even without the support of specific public policies for these situations. The population is allied to facilitate access to care for vulnerable people and alerts professionals to critical situations in the territory.
确定基本卫生单位的家庭健康战略团队在组织社会弱势地区暴力暴露工作时所采用的管理策略。
在巴西南部地区的一个家庭健康单位进行了一项单案例研究,采用定性方法。数据收集于 2017 年 8 月至 9 月期间通过对 27 名卫生专业人员进行个人访谈和 2018 年 4 月对 18 名参与者进行焦点小组进行。在 IRAMUTEQ 软件程序的支持下进行数据组织和处理,随后采用内容分析技术。
五个类别描述了专业人员为考虑到其在面对暴力情况方面的经验而向人口提供护理所采用的策略。在焦点小组中制定并验证了一项准则,以指导这些服务的管理和组织工作。
事实证明,专业人员制定了一些策略,包括加强团队作为集体保护的一种形式,欢迎以全面关怀和联系为重点,即使在没有针对这些情况的具体公共政策的支持下也是如此。该人群与专业人员结盟,为弱势群体提供便利,并提醒他们注意该地区的危急情况。