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Professional relations in health teams: constructionist relational alternative  [cached]
Laura Vilela e Souza,Fabio Scorsolini-Comin
Saúde & Transforma??o Social , 2011,
Abstract: The aim of this paper is to offer relational constructionist conceptual and theoretical resources to think relationships among health professionals from a perspective that understands the relational sphere as the locus of realities production. It is believed that providing an alternative vocabulary for the understanding of professional relationships within this field can provide interpretative repertoires and discourses for the co-creation of new realities in health care that do not meet a single tradition, a single model, and do not favor the adoption of practices already crystallized. The following conceptual resources are presented with its articulation with a relational constructionist practice in health care: multivocality, reflexivity, discursive practices and relational responsibility. To facilitate the development of this conversation, fictitious examples inspired by the everyday practice of health professionals are presented as triggers for the reflection of these resources as ways of thinking about the relationships among professionals. The understanding of people as embedded in multiple relationships invites to the use of this multiplicity in situations where the person’s idea about the other has been crystallized in negative ways. When professionals move from these stereotypical descriptions produced both by common sense and from the more individualistic tradition of scientific discourse, they are invited to see their team as carrying and embodying different selves, and different voices. This does not imply considering the professionals as unique or permanents, but as co-responsible of the performantory process of the group and its re-creation along the time.
Percep o da equipe de enfermagem no acompanhamento do processo de trabalho no Programa Saúde da Família Percepción del equipo de enfermería sobre el acompa amiento en el proceso de trabajo en el programa Salud de la Familia Nursing team perception in the accompanying of the work process in the Family Health program  [cached]
Leticia Silveira Cardoso,Marta Regina Cezar-Vaz,Valdecir Zavarese da Costa,Jorgana Fernanda de Souza Soares
Investigación y Educación en Enfermería , 2011,
Abstract: Objetivo. Descrever as percep es da equipe de enfermagem com respeito à importancia, a es e propósitos do acompanhamento realizado no processo de trabalho no programa de Saúde da Família (SF). Metodologia. Estudo descritivo qualitativo no participaram 185 pessoas da equipe de enfermagem que laboram em 12 municípios que possuem unidades de SF inscritos à Terceira Coordena o Regional de Saúde de Rio Grande do Sul, Brasil. Fizeram-se entrevistas semi-estruturadas que foram gravadas, cuja informa o foi posteriormente analisada com o software NVivo 7.0. Resultados. Destacam-se as a es de investiga o das necessidades em saúde. A assistência, a administra o e os procedimentos curativos têm um fluxo normativo trabalhista. A finalidade do acompanhamento é a cria o de um vínculo entre enfermeiros e agentes comunitários de saúde, o qual facilita o alcance das metas da estratégia de saúde familiar e que também permite a organiza o do trabalho nas unidades. Conclus o. O acompanhamento ao pessoal de enfermagem que trabalham em SF é um processo contínuo que deve ser apoiado pela comunidade. Objetivo. Describir las percepciones del equipo de enfermería con respecto a la importancia, acciones y propósitos del acompa amiento realizado en el proceso de trabajo en Salud de la Familia (SF). Metodología. Estudio descriptivo cualitativo en el que participaron 185 personas del equipo de enfermería que laboran en 12 municipios que poseen unidades de SF adscritos a la Tercera Coordinación Regional de Salud de Rio Grande do Sul, Brasil. Se hicieron entrevistas semiestructuradas que fueron grabadas, cuya información fue posteriormente analizada con el software NVivo 7.0. Resultados. Se destacan las acciones de investigación de las necesidades en salud. La asistencia, la administración y los procedimientos curativos tienen un flujo normativo laboral. La finalidad del acompa amiento es la creación de un vínculo entre enfermeros y agentes comunitarios de salud, el cual facilita el alcance de las metas de la Estrategia de SF y, también, facilita la organización del trabajo en las unidades. Conclusión. El acompa amiento al personal de enfermería que trabaja en SF es un proceso continuo que debe ser apoyado por la comunidad. Objective. To describe the nursing team perceptions regarding the importance, actions and purposes of accompanying the work process in the Family Health program (FH). Methodology. Descriptive study, where 185 people from nursing teams that work in 12 cities that have FH units subscribed to the Third Regional Health Coordination of Rio Grande do sul, Brazil,
Percep??o da equipe de enfermagem no acompanhamento do processo de trabalho no Programa Saúde da Família
Silveira Cardoso,Leticia; Cezar-Vaz,Marta Regina; Zavarese da Costa,Valdecir; de Souza Soares,Jorgana Fernanda; Santos da Silva,Mara Regina;
Investigación y Educación en Enfermería , 2011,
Abstract: objective. to describe the nursing team perceptions regarding the importance, actions and purposes of accompanying the work process in the family health program (fh). methodology. descriptive study, where 185 people from nursing teams that work in 12 cities that have fh units subscribed to the third regional health coordination of rio grande do sul, brazil, participated. semi-structured interviews were recorded; collected data was analyzed using the nvivo 7.0 software. results. research actions of the health necessities are highlighted. attendance, management, and healing procedures have workflow regulations. the purpose of accompanying is the creation of links between sick people and health communitarian agents, which facilitate reaching the goals of the family health strategy and also allow work organization in the units. conclusion. accompanying for the nursing personnel who work in the fh is a continuous process that should be supported by the community.
Necessidades de capacita??o e aperfei?oamento dos profissionais de equipes de saúde da família da 4a Coordenadoria Regional de Saúde do Estado do Rio Grande do Sul
Ferreira,Maria Evanir Vicente; Schimith,Maria Denise; Cáceres,Nilton Carlos;
Ciência & Saúde Coletiva , 2010, DOI: 10.1590/S1413-81232010000500035
Abstract: this study had the aim to verify the necessities of training and improvement of the 4th regional coordination in health of rio grande do sul state family health teams. the data collection was carried out through the application of questionnaires with objective questions, composed by two parts: field and competence nucleus. for data analyses, normality, chi-square and g tests were used as statistical procedures for easy and difficult attributions indicated by the professionals. professionals have shown less difficulty with generic attributions, related with basic methods and techniques of each health area. however, they have revealed a lot of difficulties with attributions relating to the search of new partners in health inside communities, stimulation of the people participation in the discussion of health rights, and completion of the sia/siab forms, and others. even after 12 years of the foundation of the family health program (psf), several difficulties are still observed concerning the way to work with this new health strategy in brazil. proposals are made for the complete understanding and improvement of the psf strategy.
The Family Health Program: perceptions of physicians and nurses about their darly work  [cached]
Carmem Regina Dalziovo
Saúde & Transforma??o Social , 2011,
Abstract: This study was carried out using qualitative interviews with physicians and nurses working in the Family Health Program in the northwest region of Rio Grande do Sul State. It aimed to comprehend the perception of these professionals regarding their daily work with the FHP, in relation to their role, their performance, and especially, whether this strategy is reorganizing the quotidian practice of health care. The study is based on comprehensive sociology. After transcribing the interviews verbatim and their analysis the categories of study were described: The Need for Change and to Rethink in Health; The Changes in the quotidian of the Family Health Teams; Limits which are Imposed; and The Feelings of the Professionals in Relation to the FHP. The analysis conducted from the discourses about the comprehension of the physicians and nurses regarding the FHP and its performance revealed, in this study, that the changes initiated with the implementation of this healthcare model are creating small but important changes in the implementation of the SUS
Organiza??o de um servi?o de assistência ao paciente com diabetes melito tipo 1
Tschiedel, Balduino;Cé, Gislaine Vissoky;Geremia, César;Mondadori, Paula;Speggiorin, Silvana;Pu?ales, Marcia K. C.;
Arquivos Brasileiros de Endocrinologia & Metabologia , 2008, DOI: 10.1590/S0004-27302008000200009
Abstract: this article will provide the necessary information to establish a childhood and adolescence management center that would promote the integration and coordination of interdisciplinary members as healthcare teams. it will also show how instituto da crian?a com diabetes from rio grande do sul (icd) was built, structured and how it works. the aim of this program is to decrease the frequency of hospitalization in acute cases, to decrease chronic complications and to qualify human resources. so far 1315 outpatients and day-care hospital patients, mostly type 1 diabetes, have been seeing free of chargein public health service (phs), in a partnership with grupo hospitalar concei??o (ghc) and the ministry of health. among other activities an educational program (consisting of 45-minute daily classes) is given to the patient and his family. from 2004 to 2007 it could be seen a decrease from 7,5% to 2,7% in the diabetes related hospitalization concerning these patients. clinical guidelines followed by the interdisciplinary icd team will also be presented in this essay.
Promoting coordination in Norwegian health care
Tor I. Rom?ren,Dag Olaf Torjesen,Brynjar Landmark
International Journal of Integrated Care , 2011,
Abstract: Introduction: The Norwegian health care system is well organized within its two main sectors - primary health and long term care on the one hand, and hospitals and specialist services on the other. However, the relation between them lacks mediating structures. Policy practice: Enhancing coordination between primary and secondary health care has been central in Norwegian health care policy the last decade. In 2003 a committee was appointed to identify coordination problems and proposed a lot of practical and organisational recommendations. It relied on an approach challenging primary and secondary health care in shared geographical regions to take action. However, these proposals were not implemented. In 2008 a new Minister of Health and Care worked out plans under the key term "Coordination Reform". These reform plans superseded and expanded the previous policy initiatives concerning cooperation, but represented also a shift in focus to a regulative and centralised strategy, including new health legislation, structural reforms and use of economic incentives that are now about to be implemented. Discussion: The article analyses the perspectives and proposals of the previous and the recent reform initiatives in Norway and discusses them in relation to integrated care measures implemented in Denmark and Sweden.
Research on Coordination Strategy of New Product Development Teams Based on Task Overlapping  [PDF]
Ting Lu
Open Journal of Business and Management (OJBM) , 2019, DOI: 10.4236/ojbm.2019.72059
Abstract: The paper took the most upstream and downstream task in enterprise new product development as the most typical scenario. Then deeply analyzed the task characteristics and theoretically refined the causes and processes of task overlap and coordination. On this basis, this paper proposed the upstream and downstream ability level functions. The down stream’s rework function was given based on the influence of the random modify of the upstream. Furthermore, a coordination model is constructed in order to minimize the total development time. Correspondingly, the optimal start time, coordination times and coordination time interval are calculated. The effectiveness of the model is verified by an enterprise example. The paper found that coordination can effectively reduce downstream rework. The characteristics of development tasks and downstream task interdependence have important effects on the optimal coordination strategy.
Terminology used to describe health care teams: an integrative review of the literature  [cached]
Chamberlain-Salaun J,Mills J,Usher K
Journal of Multidisciplinary Healthcare , 2013,
Abstract: Jennifer Chamberlain-Salaun, Jane Mills, Kim Usher School of Nursing, Midwifery and Nutrition, James Cook University, Cairns, Queensland, Australia Purpose: Health systems around the world are struggling to meet the needs of aging populations and increasing numbers of clients with complex health conditions. Faced with multiple health system challenges, governments are advocating for team-based approaches to health care. Key descriptors used to describe health care teams include “interprofessional,” “multiprofessional,” “interdisciplinary,” and “multidisciplinary.” Until now there has been no review of the use of terminology relating to health care teams. The purpose of this integrative review is to provide a descriptive analysis of terminology used to describe health care teams. Methods: An integrative review of the literature was conducted because it allows for the inclusion of literature related to studies using diverse methodologies. The authors searched the literature using the terms interprofessional, multiprofessional, interdisciplinary, and multidisciplinary combined with “health teams” and “health care teams.” Refining strategies included a requirement that journal articles define the term used to describe health care teams and include a list of health care team members. The literature selection process resulted in the inclusion of 17 journal articles in this review. Results: Multidisciplinary is more frequently used than other terminology to describe health care teams. The findings in this review relate to frequency of terminology usage, justifications for use of specific terminology, commonalities and patterns related to country of origin of research studies and health care areas, ways in which terminology is used, structure of team membership, and perspectives of definitions used. Conclusion: Stakeholders across the health care continuum share responsibility for developing and consistently using terminology that is both common and meaningful. Notwithstanding some congruence in terminology usage, this review highlights inconsistencies in the literature and suggests that broad debate among policy makers, clinicians, educators, researchers, and consumers is still required to reach useful consensus. Keywords: descriptors, interprofessional, multiprofessional, interdisciplinary, multidisciplinary
Intervention in health care teams and working relationships
Laurenson M, Heath T, Gribbin S
Journal of Healthcare Leadership , 2012, DOI: http://dx.doi.org/10.2147/JHL.S28748
Abstract: tervention in health care teams and working relationships Original Research (2086) Total Article Views Authors: Laurenson M, Heath T, Gribbin S Published Date September 2012 Volume 2012:4 Pages 117 - 126 DOI: http://dx.doi.org/10.2147/JHL.S28748 Received: 13 June 2012 Accepted: 13 August 2012 Published: 21 September 2012 Mary Laurenson, Tracey Heath, Sarah Gribbin University of Hull, Faculty of Health and Social Care, Department of Health Professional Studies, Cottingham, Hull, United Kingdom Introduction: Communication is an intrinsic part of collaborative working but can be problematic when the complexities of professional and personal identities inhibit quality care provision. This paper investigates these complexities and recommends interventions to facilitate collaborative working. Methods: A qualitative comparative approach examined data collected from participants using purposive non-probability sampling. Perspectives were obtained from four professional groups (nurses, social workers, care managers, and police), from different organizations with different theoretical and practice frameworks, and from a fifth group (informal carers). Results: Curriculum change and leadership initiatives are required to address the complexities inhibiting collaborative working relationships. Integrating complexity theory, personality typology, and problem-based learning into the curriculum to understand behavioral actions will enable interventions to effect change and promote the centrality of those being cared for.
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