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    Publicación
    DOI 10.1590/2177-9465-ean-2019-0350
    Atuação cotidiana no Sistema Único de Saúde em sua terceira década
    2020
    Gontijo, Mariana Delfino
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    Viegas, Selma Maria da Fonseca
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    Freitas, Amanda Tainara Souza
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    Maia, Amanda Ferreira de Faria
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    Nitschke, Rosane Gonçalves
    ;
    RESUMO Objetivo compreender a atuação cotidiana no Sistema Único de Saúde (SUS), em sua terceira década, sob a ótica dos profissionais da Atenção Primária à Saúde (APS). Método pesquisa qualitativa, ancorada na Teoria Fundamentada nos Dados e no Interacionismo Simbólico, com 82 profissionais de saúde que atuam na APS. Teve como fonte de evidências a entrevista aberta individual e memorandos. A coleta de dados ocorreu entre abril de 2017 e março de 2018, em 14 unidades de APS de três municípios pertencentes às regiões sanitárias distintas de Minas Gerais. Resultados a atuação cotidiana no SUS é apresentada pelos profissionais da APS e perpassa pela compreensão que tem do SUS, do trabalho na APS e sua implicação na atuação profissional; pelo impacto da gestão; o contexto atual do SUS e sua influência na assistência (in)segura. Conclusões e implicações para a prática: fatores que ocasionam insegurança ao profissional podem comprometer a qualidade da assistência e as boas práticas, contribuindo para reflexões de profissionais, gestores e usuários sobre a relevância da proatividade na participação popular para que mudanças ocorram frente ao contexto da APS possibilitando ao profissional mais segurança em suas ações e melhorias na qualidade da atenção à saúde.
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    Publicación
    DOI 10.1590/1980-265x-tce-2019-0274
    THE IMAGINARY OF FAMILIES OF SCHOOLCHILDREN ON EVERYDAY HEALTH PROMOTION
    2020
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    Nitschke, Rosane Gonçalves
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    Tafner, Daniela Priscila Oliveira do Vale
    ABSTRACT Objective: to understand the imaginary of families on health promotion, as well as its limits and strengths in the family routine. Method: a qualitative research of the descriptive-exploratory type. It was conducted with 12 families whose children attend a Municipal preschool and elementary educational center. Data collection was conducted between October and November 2018 by means of individual semi-structured interviews. The material was organized by coding the information until reaching the sense nucleus of the text, thus discovering the classes and their connections. Data analysis involved processes of preliminary analysis, ordering, key connections, coding, and categorization. Results; three subcategories emerged: The imaginary of fathers and mothers about health promotion in the family routine; Strengths that can contribute to the promotion of health in the family routine; and Limits of the families to promote health in the family routine. Conclusion: from the perspective of the imaginary, the importance of this research strengthens the possibility of sustaining strategies which favor an improvement in the everyday life of these families, further reinforcing community health to attain a healthy lifestyle.
    Scopus© Citations 3  1
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    Publicación
    DOI 10.1080/17441692.2020.1810297
    The routine of the street outreach office team: Procedures and care for the homeless
    2021-6-3
    Fonseca Viegas, Selma Maria da
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    Nitschke, Rosane Goncalves
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    Tholl, Adriana Dutra
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    Bernardo, Lucas Andreolli
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    Potrich, Tassiana
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    Arcaya Moncada, Maria Josefa
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    This study aims to understand the routine of the street outreach office team regarding the attention paid to the homeless. It is a holistic qualitative multiple case study, based on Michel Maffesoli's Comprehensive and Quotidian Sociology. It was performed using two key informants and 20 professionals of the street outreach office of two capitals in the South of Brazil. For data analysis, we used the Thematic Content Analysis.The itinerancy, the unexpected and the immediacy of homeless people are part of the team's everyday life. The potentialities of the teams are their intra- and intersectoral networks; inter- and transdisciplinarity; and available material/diagnostic resources, whereas the limitations are their inequalities, vulnerabilities and social exclusion, in addition to the specificities of the homeless and the multiple problems that these people live with. Understanding the routine of the street outreach office reveals co-responsibility in unique actions aligned with the needs of the homeless, precisely signalling that health care needs to be integrated into a network so that these individuals can meet the complex challenges of living in unsafe street environments.
    Scopus© Citations 3  2