PRENATAL NURSING CONSULTATION: NARRATIVES OF PREGNANT WOMEN AND NURSES

Professional Narratives about Older Adults and Health Services Responsive to Fall-Inducing Frailty

The second external cause of death from unintentional injuries is falls in people over 60 and is a worldwide Public Health problem. Associated factors are identified early in Primary Health Care. Thus, we analyze professional narratives about older adults/old age and the organization of services in the presence of fall-inducing frailty. A structured narrative was applied under the following stages: understanding the context, setting/plot/character analysis, and interpretive synthesis. Data were collected from August to November 2022, distributing 21 health professionals in three Narrative Focus Groups. In the analyses, the collective conceptions dialogued with Bourdieu's Epistemology of field, habitus, and capital. Technical and common sense representations of older adults were simultaneously observed among the results, along with the belief of old age as a problematic life stage. Care is centered on the installed disease/ailment. Encouraging autonomy and self-care emerges in integrative health practices, which older adults underestimate. Professionals access the lives of older adults according to their habitus, which, in turn, is structured (structuring) in the disputes for installed capital. Thus, the care provided disregards subjectivities and symbolic systems associated with falls.

Sistema de Enfermagem apoio-educação na promoção do autocuidado a gestante de alto risco

Objetivo: analisar as ações do sistema de Enfermagem apoio-educação proposto pela Teoria dos Sistemas de Enfermagem de Dorothea Orem, na promoção do autocuidado a gestantes de alto risco a partir dos diagnósticos de Enfermagem da taxonomia da NANDA-I. Método: revisão integrativa realizada nas bases de dados CINAHL, Medline/Pubmed, Scopus, Web of Science, Embase, Science Direct, Cochrane Library, biblioteca SciELO e Biblioteca Virtual em Saúde. Resultados: a amostra foi composta por 17 artigos que evidenciaram que as ações ocorrem, principalmente, por meio de orientações sobre o plano de cuidados, a adoção de hábitos saudáveis, a cessação do uso de drogas, o controle de doenças e a manutenção do vínculo com a Atenção Primária à Saúde (APS). Conclusão: as principais ações do sistema de Enfermagem apoio-educação na promoção do autocuidado a gestantes de alto risco foram realizadas por meio da implementação de intervenções de Enfermagem voltadas às orientações sobre a importância da realização do pré-natal e prática de hábitos saudáveis durante a gestação. Essas ações foram benéficas para as gestantes de alto risco e são comuns a maioria dos diagnósticos de Enfermagem identificados na população em estudo.

The nurse's professional identity on the Primary Health Care users perception

OBJECTIVES

to understanding the perception of Primary Health Care users about the professional identity of nurse.

METHODS

this is an exploratory, descriptive, cross-sectional and quantitative study, using the STROBE instrument. The sample included 94 users grouped according to the Family Health Strategy coverage.

RESULTS

the idealized identity of nurses dates back to the past of the profession. The subjects, in 81.9%, associate the female gender to the profession. 63.8% of them believed that the nurse is a subordinate, and from these, 90% believed they were subordinate to physicians. The analysis of the perception of the activities under responsibility of the nurse showed the predominance of assistance activities that are not exclusive to them. Conclusions: the findings indicate partial awareness about the identity and the role of nurses in Primary Health Care. The main deficits are related to the competences of this professional. The understanding of the role of the nurse was higher in the population under the coverage of the Family Health Strategy.