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儿童保健实践中的极限情况:对护士赋权的挑战。

Limit-situations in child health care practices: challenges to the empowerment of nurses.

机构信息

Universidade do Estado do Amazonas, Escola Superior de Ciências da Saúde, Manaus, AM, Brasil.

Universidade Federal de Santa Catarina, Programa de Pós-Graduação em Enfermagem, Florianópolis, SC, Brasil.

出版信息

Rev Esc Enferm USP. 2020 Dec 11;54:e03652. doi: 10.1590/S1980-220X2019019303652. eCollection 2020.

Abstract

OBJECTIVE

To analyze the limit-situations experienced by nurses in child health care practices, from the perspective of empowerment in health promotion.

METHOD

This is a qualitative approach Participatory Action Research, supported by Paulo Freire's Research Itinerary, developed through Culture Circles, consisting of three stages: thematic investigation, coding and decoding and critical unveiling. 13 Culture Circles were held with nurses from the Family Health Strategy of five Basic Health Units in the city of Manaus, Amazonas.

RESULTS

A total of 16 nurses participated and 20 generating themes emerged from the Culture Circles, six of which were considered limit-situations by the participants: accumulation of activities; difficulty monitoring and following-up children; work focused on productivity; lack of training; limited human resources; difficulty in reception.

CONCLUSION

The study contributed to strengthening nurses through reflective dialogues on the realities experienced, increasing awareness and enabling interventions to transform their practices in child health care.

摘要

目的

从健康促进赋权的角度分析儿童保健实践中护士所经历的极限情况。

方法

这是一项定性的参与式行动研究方法,得到了 Paulo Freire 的研究路线的支持,通过文化圈发展,包括三个阶段:主题调查、编码和解码以及批判性揭示。与马瑙斯市五个基本卫生单位的家庭健康战略的 16 名护士进行了 13 次文化圈会议。

结果

共有 16 名护士参与,文化圈产生了 20 个主题,其中 6 个被参与者认为是极限情况:活动积累;难以监测和随访儿童;工作侧重于生产力;缺乏培训;人力资源有限;接待困难。

结论

该研究通过对所经历现实的反思性对话,加强了护士的能力,提高了他们的认识,并使他们能够干预,改变他们在儿童保健方面的实践。

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