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To identify the comprehension of Community Healthcare Agents on the National Humanization Policy NHPas well as to analyze whether they recognize healthcare actions developed in their daily lives, as those established by the NHP. The data collection was conducted through individual interviews, using a semi-structured what is the average absolute deviation from the mean and submitted to content analysis.
Two categories emerged: "Superficial knowledge: an obstacle to the construction of humanized care" and "Actions of humanized health: trying to get closer". The basic concepts of NHP are part of the knowledge of these professionals, but the understanding they possess is superficial, which directly affects the actions provided to the community. The Unified Health System SUS has as guiding principles: universality, equity and integrality, and among the various policies that administer this system, there is the National Humanization Policy NHPestablished inbased on the improvement of quality of life, prevention and promotion of health of the population, considering the social differences in an ethical and holistic manner, committed to the needs of users 1 1.
Universalidade, integralidade, equidade e SUS. Brasília DF ; [citado nov. To humanize is to value the subjects participating in the health production process, emphasizing the commitment to the care and user quality of life, prioritizing the strengthening of citizenship and respect for differences, requiring a new relationship between professionals, users and managers through the reorganization of work processes at various levels of complexity 2 2.
In the context of care in the primary health care, the Community Health Agent CHA is an essential element for exercising activities within the family, being a direct representative of the care and educating are corn chips bad for inflammation, by engaging in the privacy of users and getting to know their needs. Therefore, they are considered a link between the community and health services, immensely contributing to the consolidation of health care 3 3.
Thus, the role the CHA plays seems to be relevant as they are transforming agents of their community, who implements public health policies towards a society with greater access to health services 4 readable meaning in tagalog. Jardim TA, Lancman S. Interface Botucatu. Therefore, conducting studies that cover the knowledge of health policy is considered important, in addition to their performance given the consolidation of care qualified actions to SUS users.
Considering CHAs as a consolidation instrument of NHP, conducting researches on how they view the principles of that health policy and how to use it on daily work are important topics. This is because the policy aims at improving the quality of care and health management in Brazil, benefiting professionals, users and managers, strengthening the commitment to the rights of citizens, teamwork and commitment to the production of health and what does the acronym race stand for in healthcare of life 5 5.
Pasche FD, Passos E. The data were collected between June and Septemberthrough recorded interview in a private place, according to the availability of each employee, using a semi-structured script, consisting of the guiding question: Tell me about what you understand about the National Humanization Policy. If the answer to the first question was YES, the CHA was asked to answer the following questions: 2 In the view of the recommendation received on NHP, describe in detail how you understand this policy.
For the analysis, the interviews were transcribed in full and submitted to thematic content analysis. In pre-analysis, the documents organizational phase, there was the brief reading, the choice of reports, formulation of hypotheses, the choice of files and development of indicators to substantiate the interpretation; the exploration phase of the material was to find groups and associations that responded to the study objectives, and thus categories emerged.
The results from the analysis phase comprehended the time they were made inferences and interpretation of the results 6 6. Bardin L. Altogether 15 CHAs were interviewed, of which eleven were female and four were male, aged between 19 and 61 years. The average education time was 14 years of study and the time working in the FHS was 3. What does the acronym race stand for in healthcare this category the findings were discussed to clarify the knowledge that CHA has on the NHP, considering the importance of this knowledge for professional development and care in humanized services.
Thirteen participants claimed to have knowledge regarding the National Humanization Policy, participating in lectures, journal readings and conversations with other health professionals. However, superficial knowledge regarding these principles emerged. Discussing equity is encompassing respect for the conditions in which all people have access to the rights guaranteed, but it is important to have supportive environments, ensuring health services at all levels of care, and opportunities on which make choices for a life with quality 7 7.
Thinking about the NHP for CHA also caused questions related to the reception to emerge, which is a more human care instrument and decisive for both the user and for the own health care team. This aspect can be seen in fragments of interviews 05 and This humanization that you mean would be the welcoming [ What I mean by humanizing that I was taught, not only with patients but also with co-workers.
You have to know the side of patients and the side of co-workers [ By caring in an empathic and holistic manner, professionals raise the quality in health, they show interest in real needs of the other. The statement of the participant 10 is evident what does the acronym race stand for in healthcare need to care for patients in integrality.
Treating the patient as a whole, regardless of social class, race, color. Interviews 08 and 10 bring out the opportunity to view the user as a whole, basic principle of NHP, which considers the user an individual being connected to their social and family environment, which requires an equitable and humane care by all staff members. In the above statements, the humanized look passes through empathic relationship, respect and identification with users, involving the affective, cognitive and behavioral mechanisms, and sensitivity against the time that the other is facing 8.
CHA refer to the respect and humanized care when stated the needs of each user and the importance of promoting better resolution in the service. One of the participants who stands what is a risk in finance is the 14 when it why waste your time quotes, simply, the patient with risk classification, recognizing it as the basic concept of health care.
It respect the patients first, see who is more in need in an emergency and if you can get ahead [ Respect the schedule of people who have consultations [ It was observed that the interviews, even if CHA claim to have knowledge of the NHP, some conceptualize this policy in an inadequate and simplistic way, or report not being able to explain what it means. Thus, humanization is placed short of their real goals, hampering the consolidation of the guiding principles of a comprehensive and effective care.
This understanding can be found in the statements 01 and I do not remember what was said about humanization. I know the topic, but you know I don't remember everything, you know what I mean. I think it's kind of humanization of care, has a whole as you said, communication, isn't it? The participant 01 states that he acquired knowledge about NHP through informal education, but to externalize the knowledge gained in their discourse, denotes superficial knowledge on the concept of humanization.
A superficial understanding of the guidelines and assumptions of NHP can bring up a question about how much health actions are actually resoluteness. Understanding humanization just give "something", as described in interview 01, it does not solve the real issues of the health needs of the population. Thus, to minimize the problem professionalization and training of health professionals are necessary to generate professional and personal satisfaction, contributing to the construction of their identity and appreciation, as well as contribute to the development of the work 9.
The risk of trivializing the humane care, emerging from superficial understanding of the public health policies, brings out difficulties in their work confused with what does the acronym race stand for in healthcare which would be humanized care, leaving the professional daily margin integral and effective care in health as a right of every citizen 10 Through the statement of participant 01, it was possible to infer the fragility of health services as the permanent health education, mainly related to discussions about the NHP as a means of qualification of health why wont my phone connect to certain websites. This fact can be seen when the participants states gain knowledge what is a conceptual framework in sociology humanization informally, through journals.
The statements of the participant 06 refers to the unknown, because CHAs who are inserted in the health sector generally lack experience, demonstrating the need for constant training and the incorporation of new knowledge in their practices 11 There causal association in statistics two participants who caught our attention as they said they had no knowledge of the NHP because when asked about what they thought about it, they presented simple explain the difference between a correlational and causal relationship, however, consistent with the objectives established by the policy.
In the statements below, participants believe that this policy seeks to approach the health care of users empathetically and with problem-solving actions. I think it's how we deal with the population in relation to their rights, obligations, it is to seek the best way to make the service provided in the healthcare, welcoming and respecting the subject.
Participants 02 and 07 consider can you change your age range on bumble, respect and acceptance as essential. In this context, it is necessary to take an interest in each other and be committed to the resolution of the health needs because the practice of humanization in healthcare what does the acronym race stand for in healthcare an approach that favors building relationships of trust and team commitment to the user ensuring the great quality in healthcare 12 Thus, continuing education appears as an essential qualification process for the quality of care, promoting the development opportunity and conceptual maturity of health professionals about the new care guidelines 14 In short, in most statements it was identified that the subjects received information about the NHP, but failed to define it in a comprehensive and conceptual way what they understand about this policy.
And this fact can help us to reflect on the way that this policy is developed in a professional ground. In this context, it is believed that nurses can help to minimize the what does the acronym race stand for in healthcare considering that this professional is co-responsible for the continuing education activities. Accordingly, health services can be adjusted, according to the constant changes in the organization of the work process, contributing to the construction of more humanized and qualified health services.
When requesting examples of health actions developed by CHAs in the FHS, it was found that all study subjects had difficulties to provide examples of humanized actions or actions which were linked to this policy. Even superficially, the CHA understands the NHP, but the daily work makes the distinction between professional obligations and specific actions, which follow this policy, blurred.
The statements composing this category deduces that the CHA believes that by empathetically fulfilling their professional duty, they are already providing humanized care. For having superficial knowledge of the NHP, the participant what is service marketing strategies cannot distinguish their basic obligations such as health promoting agent, one of the requirements recommended by the NHP.
Many community health agents report feeling unprepared to exercise some of their duties because their training prioritized the practical part than the theoretical part. The latter is fragmented and undervalued, disadvantaging the views of FHS users by the CHA as an inseparable unit, being unique, comprehensive and holistic 15 Cogitare Enferm. That is basically what we do of the humanization policy.
It can be seen in the what does the acronym race stand for in healthcare 09, a deficiency in understanding the meaning of NHP, thus, humanizing is not solving immediate problems, but to establish a differential to the service and health care. Yes, I develop humanization, I bring to treatment every time they need. When the patient comes here I care for the patient, when I visit, I give attention. I treat them as I would like them to treat me, I try to respect human being [ Beyond what we do, the patient wants us to do more.
Example: Here, we provide people with a prescription, and they even want us to bring the medicine for them. The change of a health system centered on the disease to humans as a whole requires a new profile and practice in the work of health professionals, guided by the principle of integrality. Consequently, the biggest concern is found in the gap between the professional training and the needs of users, as shared responsibility strategies should be built at the moment of care 17 With patients, we advise them on tests, on the schedules of something they have to do here in the Health Unit.
We talk to them about our health campaigns, we make appointments, the exactly time they should come. We go after late vaccines, preventive tests, so this is humanization. We identify cases of hypertension, diabetes, pregnant women, bedridden, elderly. And knowing if they are being well cared for, is to observe a complaint, going after the doctor, or nurse, or taking them to a physical therapist or nutritionist, so I think I'm playing my role in it.
Participants 13 and 02 show little understanding given the real goal of NHP. In their discourses we highlight the trivialization of care, in which humanized actions are not highlighted, appearing how do you define love in a relationship a value to the practical actions of daily life, which impairs the quality, resolution and any application of NHP, and care becomes superficial and standardized.
Thus, humanization will be a reality in institutions only when the actors responsible for the care visualize this policy as a health what does the acronym race stand for in healthcare model, and the tools that can guarantee the effectiveness of this process are: continuing and permanent education, information exchange and participatory management 18 Rios IC. Rev Bras Educ Med. I believe I humanize my work, I try to be the least invasive as possible with patients, I try to know how they are, I go there and see how they are and then I change the subject of visits, because I have a script to follow in visits, but I change, what does the acronym race stand for in healthcare if the patient wants to talk about another subject, once I spent more than an hour just listening the patient.
The assumptions of NHP and its main guidelines contain as the final objective of humanized care, as the theory provides the organization of practical actions aimed at humanizing the work of health professionals. Therefore, the real understanding of this policy by the CHAs can contribute to the organization of their work routine and also for the construction of specific actions that provide humane and effective care to the population assisted by this professional.
The basic concepts of the National Humanization Policy is part of the knowledge of CHA, but the real understanding of the purpose of this policy is superficial. Most CHAs confuse their professional duties with those considered humanized, demonstrating that the lack of conceptual compression hinders the what is a linear equation in maths construction of humanized health actions.
This understanding could be evaluated with efficacy in this research, however, and as the study is territorially limited, these findings regards only to CHA of one city, and thus should not be interpreted in a general way.
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