Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários
Ano de defesa: | 2023 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal da Paraíba
Brasil Enfermagem Programa de Pós-Graduação em Enfermagem UFPB |
Programa de Pós-Graduação: |
Não Informado pela instituição
|
Departamento: |
Não Informado pela instituição
|
País: |
Não Informado pela instituição
|
Palavras-chave em Português: | |
Link de acesso: | https://repositorio.ufpb.br/jspui/handle/123456789/28104 |
Resumo: | Introduction: Nursing care management involves tools such as records and critical thinking that leads to the idea of “doing nursing” different from reductionist and fragmented thinking. The nurse's record is an important organizational arrangement that supports the organization of health actions, essential to aid in decision-making, legal registration of elaborated care, source of clinical data, shared interprofessional communication, in addition to supporting research. Thus, understanding the experiences regarding the records of nurses in the care of people with tuberculosis in Primary Health Care is paramount, as it will contribute to the production of health indicators, with a view to achieving the goals established by the World Health Organization in search of of tuberculosis eradication. Objective: To analyze the discourses of nurses on aspects related to records in medical records for the management of care for people with tuberculosis in Primary Health Care. Method: Study with a qualitative approach, with theoretical and methodological support of Discourse Analysis, of French origin. The study was carried out with nurses from the Family Health Units, in the city of João Pessoa, Paraíba, Brazil. Data collection was carried out from June to September 2022 with 31 nurses. The organization of the empirical material took place in the Atlas.ti 9 software and based on the theoreticalmethodological contribution of French Discourse Analysis. The project was approved under opinion number 5,382,492, with CAAE nº 56532822200005188. Results: In total, 31 nurses were interviewed, whose predominant age group for these professionals was between 31 and 40 years, of which 28 were female, where 16 have been working in Primary Care for more than 10 years and 24 claimed to be service providers, with only 4 having other employment relationships for the final analysis. From the corpus, discursive blocks related to the records of clinical aspects in the care of people with tuberculosis in primary care were identified: records and follow-up of treatment of clinical and therapeutic tuberculosis cases, focus on treatment, hospital-centered model, active search for contacts ; in addition to discursive blocks related to the records of social aspects related to the treatment of people with tuberculosis in primary care: monitoring of directly observed treatment, recording of food, social incentive, stigmatization and prejudice, and treatment abandonment. Conclusion: The findings showed through the nurses' speeches that the records happen proactively in the TB book, medical records and compulsory notification, therefore these records happen in an unsatisfactory way, with difficulties in filling them out, providing a reflection regarding the importance of the completeness of records, in a reliable, complete, coherent and adequate manner, aiming at the quality of these documents for continuity of care, better decision-making, teaching and research. |
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Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuáriosEnfermagemGestão em saúdeRegistros de enfermagemTuberculoseAtenção primária à saúdeHealth ManagementNursingNursing recordsTuberculosisPrimary Health CareGestión en saludEnfermeríaRegistros de EnfermeríaTuberculosisAtención Primaria de SaludCNPQ::CIENCIAS DA SAUDE::ENFERMAGEMIntroduction: Nursing care management involves tools such as records and critical thinking that leads to the idea of “doing nursing” different from reductionist and fragmented thinking. The nurse's record is an important organizational arrangement that supports the organization of health actions, essential to aid in decision-making, legal registration of elaborated care, source of clinical data, shared interprofessional communication, in addition to supporting research. Thus, understanding the experiences regarding the records of nurses in the care of people with tuberculosis in Primary Health Care is paramount, as it will contribute to the production of health indicators, with a view to achieving the goals established by the World Health Organization in search of of tuberculosis eradication. Objective: To analyze the discourses of nurses on aspects related to records in medical records for the management of care for people with tuberculosis in Primary Health Care. Method: Study with a qualitative approach, with theoretical and methodological support of Discourse Analysis, of French origin. The study was carried out with nurses from the Family Health Units, in the city of João Pessoa, Paraíba, Brazil. Data collection was carried out from June to September 2022 with 31 nurses. The organization of the empirical material took place in the Atlas.ti 9 software and based on the theoreticalmethodological contribution of French Discourse Analysis. The project was approved under opinion number 5,382,492, with CAAE nº 56532822200005188. Results: In total, 31 nurses were interviewed, whose predominant age group for these professionals was between 31 and 40 years, of which 28 were female, where 16 have been working in Primary Care for more than 10 years and 24 claimed to be service providers, with only 4 having other employment relationships for the final analysis. From the corpus, discursive blocks related to the records of clinical aspects in the care of people with tuberculosis in primary care were identified: records and follow-up of treatment of clinical and therapeutic tuberculosis cases, focus on treatment, hospital-centered model, active search for contacts ; in addition to discursive blocks related to the records of social aspects related to the treatment of people with tuberculosis in primary care: monitoring of directly observed treatment, recording of food, social incentive, stigmatization and prejudice, and treatment abandonment. Conclusion: The findings showed through the nurses' speeches that the records happen proactively in the TB book, medical records and compulsory notification, therefore these records happen in an unsatisfactory way, with difficulties in filling them out, providing a reflection regarding the importance of the completeness of records, in a reliable, complete, coherent and adequate manner, aiming at the quality of these documents for continuity of care, better decision-making, teaching and research.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPESIntrodução: A gestão do cuidado de enfermagem envolve ferramentas como os registros, e o raciocínio crítico que induz à ideia do “fazer enfermagem” diferente do pensamento reducionista e fragmentado. O registro do enfermeiro é um arranjo organizacional importante que ampara a organização das ações de saúde, essencial para o auxílio na tomada de decisão, registro legal dos cuidados elaborados, fonte de dados clínicos, comunicação interprofissional compartilhada, além de apoiar a pesquisa. Destarte, compreender as experiências a respeito dos registros dos enfermeiros no cuidado à pessoa com tuberculose na Atenção Primária à Saúde é primordial, pois irá contribuir para a produção de indicadores de saúde, na perspectiva de concretizar as metas elaboradas pela Organização Mundial da Saúde em busca da erradicação da tuberculose. Objetivo: Analisar os discursos dos enfermeiros sobre os aspectos relacionados aos registros nos prontuários para gestão do cuidado à pessoa com tuberculose na Atenção Primária à Saúde. Método: Estudo com abordagem qualitativa, com aporte teórico metodológico da Análise do Discurso, de matriz francesa. O estudo foi realizado com os enfermeiros(as) das Unidades de Saúde da Família, no município de João Pessoa, Paraíba, Brasil. A coleta de dados foi realizada de junho a setembro de 2022 com 31 enfermeiros. A organização do material empírico aconteceu no software Atlas.ti 9 e fundamentado pelo aporte teórico-metodológico da Análise do Discurso de linha francesa. O projeto foi aprovado sob parecer de número 5.382.492, com CAAE nº 56532822200005188. Resultados: No total, foram entrevistados 31 enfermeiros, cuja a faixa etária prevalente destes profissionais, foi entre 31 a 40 anos, destes 28 são do sexo femino, onde 16 atuam a mais de 10 anos na Atenção Primária e 24 afirmaram ser prestadores de serviço, tendo apenas 4 com outros vínculos empregatícios para análise final. A partir do corpus, identificou-se blocos discursivos relacionados aos registros de aspectos clínicos no cuidado à pessoa com tuberculose na atenção primária: registros e acompanhamento de tratamento dos casos de tuberculose clínico e terapêutico, foco no tratamento, modelo hospitalocêntrico, busca ativa de comunicantes; além de blocos discursivo relacionados aos registros de aspectos sociais relacionados ao tratamento da pessoa com tuberculose na atenção primária: monitoramento do tratamendo diretamente observado, registro da alimentação, incentivo social, estigmatização e preconceito e abandono de tratamento. Conclusão: Os achados evidenciaram através dos discursos dos enfermeiros que os registros acontecem de maneira proativa no livro de TB, prontuário e notificação compulsória, portanto esses registros acontecem de forma não satisfatória, existindo dificuldades para o preenchimento propiciando uma reflexão no que tange a importância da completude dos registros, sendo ele de maneira fidedigna, completa, coerente e adequada, objetivando a qualidade destes documentos para continuidade da assistência, melhor tomada de decisão, ensino e pesquisa.Universidade Federal da ParaíbaBrasilEnfermagemPrograma de Pós-Graduação em EnfermagemUFPBBarrêto, Anne Jaquelyne Roquehttp://lattes.cnpq.br/5563384535809994Januário, Dilyane Cabral2023-08-29T14:29:20Z2023-05-022023-08-29T14:29:20Z2023-02-28info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesishttps://repositorio.ufpb.br/jspui/handle/123456789/28104porAttribution-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nd/3.0/br/info:eu-repo/semantics/openAccessreponame:Biblioteca Digital de Teses e Dissertações da UFPBinstname:Universidade Federal da Paraíba (UFPB)instacron:UFPB2023-08-30T06:23:23Zoai:repositorio.ufpb.br:123456789/28104Biblioteca Digital de Teses e Dissertaçõeshttps://repositorio.ufpb.br/PUBhttp://tede.biblioteca.ufpb.br:8080/oai/requestdiretoria@ufpb.br|| diretoria@ufpb.bropendoar:2023-08-30T06:23:23Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB)false |
dc.title.none.fl_str_mv |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
title |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
spellingShingle |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários Januário, Dilyane Cabral Enfermagem Gestão em saúde Registros de enfermagem Tuberculose Atenção primária à saúde Health Management Nursing Nursing records Tuberculosis Primary Health Care Gestión en salud Enfermería Registros de Enfermería Tuberculosis Atención Primaria de Salud CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
title_short |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
title_full |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
title_fullStr |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
title_full_unstemmed |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
title_sort |
Gestão do cuidado na atenção primária frente à tuberculose: discurso de enfermeiros sobre registros emprontuários |
author |
Januário, Dilyane Cabral |
author_facet |
Januário, Dilyane Cabral |
author_role |
author |
dc.contributor.none.fl_str_mv |
Barrêto, Anne Jaquelyne Roque http://lattes.cnpq.br/5563384535809994 |
dc.contributor.author.fl_str_mv |
Januário, Dilyane Cabral |
dc.subject.por.fl_str_mv |
Enfermagem Gestão em saúde Registros de enfermagem Tuberculose Atenção primária à saúde Health Management Nursing Nursing records Tuberculosis Primary Health Care Gestión en salud Enfermería Registros de Enfermería Tuberculosis Atención Primaria de Salud CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
topic |
Enfermagem Gestão em saúde Registros de enfermagem Tuberculose Atenção primária à saúde Health Management Nursing Nursing records Tuberculosis Primary Health Care Gestión en salud Enfermería Registros de Enfermería Tuberculosis Atención Primaria de Salud CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM |
description |
Introduction: Nursing care management involves tools such as records and critical thinking that leads to the idea of “doing nursing” different from reductionist and fragmented thinking. The nurse's record is an important organizational arrangement that supports the organization of health actions, essential to aid in decision-making, legal registration of elaborated care, source of clinical data, shared interprofessional communication, in addition to supporting research. Thus, understanding the experiences regarding the records of nurses in the care of people with tuberculosis in Primary Health Care is paramount, as it will contribute to the production of health indicators, with a view to achieving the goals established by the World Health Organization in search of of tuberculosis eradication. Objective: To analyze the discourses of nurses on aspects related to records in medical records for the management of care for people with tuberculosis in Primary Health Care. Method: Study with a qualitative approach, with theoretical and methodological support of Discourse Analysis, of French origin. The study was carried out with nurses from the Family Health Units, in the city of João Pessoa, Paraíba, Brazil. Data collection was carried out from June to September 2022 with 31 nurses. The organization of the empirical material took place in the Atlas.ti 9 software and based on the theoreticalmethodological contribution of French Discourse Analysis. The project was approved under opinion number 5,382,492, with CAAE nº 56532822200005188. Results: In total, 31 nurses were interviewed, whose predominant age group for these professionals was between 31 and 40 years, of which 28 were female, where 16 have been working in Primary Care for more than 10 years and 24 claimed to be service providers, with only 4 having other employment relationships for the final analysis. From the corpus, discursive blocks related to the records of clinical aspects in the care of people with tuberculosis in primary care were identified: records and follow-up of treatment of clinical and therapeutic tuberculosis cases, focus on treatment, hospital-centered model, active search for contacts ; in addition to discursive blocks related to the records of social aspects related to the treatment of people with tuberculosis in primary care: monitoring of directly observed treatment, recording of food, social incentive, stigmatization and prejudice, and treatment abandonment. Conclusion: The findings showed through the nurses' speeches that the records happen proactively in the TB book, medical records and compulsory notification, therefore these records happen in an unsatisfactory way, with difficulties in filling them out, providing a reflection regarding the importance of the completeness of records, in a reliable, complete, coherent and adequate manner, aiming at the quality of these documents for continuity of care, better decision-making, teaching and research. |
publishDate |
2023 |
dc.date.none.fl_str_mv |
2023-08-29T14:29:20Z 2023-05-02 2023-08-29T14:29:20Z 2023-02-28 |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
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info:eu-repo/semantics/masterThesis |
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masterThesis |
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publishedVersion |
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https://repositorio.ufpb.br/jspui/handle/123456789/28104 |
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https://repositorio.ufpb.br/jspui/handle/123456789/28104 |
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por |
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por |
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Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ info:eu-repo/semantics/openAccess |
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Attribution-NoDerivs 3.0 Brazil http://creativecommons.org/licenses/by-nd/3.0/br/ |
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openAccess |
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Universidade Federal da Paraíba Brasil Enfermagem Programa de Pós-Graduação em Enfermagem UFPB |
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Universidade Federal da Paraíba Brasil Enfermagem Programa de Pós-Graduação em Enfermagem UFPB |
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Universidade Federal da Paraíba (UFPB) |
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Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB |
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Biblioteca Digital de Teses e Dissertações da UFPB - Universidade Federal da Paraíba (UFPB) |
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