Public humanization policies: integrative literature review

Moreira, Márcia Adriana Dias Meirelles; Lustosa, Abdon Moreira; Dutra, Fernando; Barros, Eveline de Oliveira; Batista, Jaqueline Brito Vidal; Duarte, Marcella Costa Souto

doi:10.1590/1413-812320152010.10462014

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Review • Ciênc. saúde colet. 20 (10) • Oct 2015 • https://doi.org/10.1590/1413-812320152010.10462014 copy

Public humanization policies: integrative literature review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

The study aimed to investigate the scientific literature on Public Humanization Policies, available in online periodicals, from 2009 to 2012, in the health field. This is an integrative literature review conducted in the Virtual Health Library databases: Latin-America and Caribbean Health Sciences (Lilacs) and the Scientific Electronic Library Online (SciELO) and Portal Capes. Data were collected in July 2013. To this end, the following Health Sciences Descriptors (DeCS) were used: "Humanization of Care," "Public Policies," "National Humanization Policy". The sample consisted of 27 articles about the investigated theme. From the publications selected for the research, three categories emerged according to their respective approaches: National Human-ization Policy: history and processes involved in its implementation; National Humanization Policy: health professionals contribution; Humanization and in the care process. The study showed that the National Humanization Policy is an important benchmark in the development of health practices. For this reason, there is a pressing multiplication of related reflections on ways to promote human-ization in health services.

Key words
Humanization of care; Public policies; National Humanization Policy

Category I - National Humanization Policy: history and processes related to its implementation
Title	Year	Type	Area of expertise	Objectives
The National Humanization Policy as a policy built in the health work process	2009	Reflection	Psychology	To conduct an analytical exercise in the way of actualize the National Humanization Policy (PNH) on the institutional support, based on different devices, guidelines and principles
The pedagogical practice in the forming process of the National Humanization Policy (PNH)	2009	Reflection	Psychology	Formation of institutional supporters able to understand the dynamics of production of the health-disease-care process and to intervene on management issues and work processes with creative solutions[…]
The network as a methodological strategy for the National Humanization Policy: the experience of a university hospital	2009	Reflection	Nursing	To describe the formation of networking as a strategy created by the Humanization Working Group (GTH) for the implementation of other provisions of the National Humanization Policy in the Hospital de Clinicas de Porto Alegre
The formation processes in the National Humanization Policy: the experience of a course for managers and workers in primary health care	2009	Reflection	Psychology	To report the experience of a training course of the National Humanization Policy aimed at managers and workers of primary care in a municipality in the state of Rio de Janeiro
What life do we want to affirm in constructing a humanization policy in the health practices of the Unified Health System (SUS)?	2009	Debate	Psychology	To expand and increase network talks about the SUS constitution processes reactivating its constituent power and asserting its strength as an open work in facing the challenges today
An instrumental seminar: the humanization of the Unified Health System (SUS) under discussion	2009	Review	Psychology	To discuss the construction process of the seminar "SUS Humanization under Discussion" and to demonstrate its connection with current SUS challenges and the propositions of the National Humanization Policy (PNH)
Psychosomatic medicine and the SUS humanization policy: discomfort in contemporaneity	2010	Review	Psychology	To bring the contribution of psychosomatic medicine, through its theoretical concepts, for discussion and therapeutic performance in the relationship between professionals and users in the health system
Institutional support as analysis-intervention method in the context of public health policies: the experience in a general hospital	2011	Original	Psychology	To show that through the institutional support it is possible to stage the forces involved in the production of health and thereby summon groups to an analysis of its implications
Five years of the National Humanization Policy: the story of a public policy	2011	Reflection	Psychology	To present the emergency scenario and the history of the National Humanization Policy […]
History of Hospital Humanization in Manaus: workers in focus	2012	Original	Social Service	To raise self-esteem and motivation of staff of the institution, triggering the integration among professionals and to awaken the teams to a new attitude toward users
Hospital class: the articulation between health and education as an expression of SUS humanization policy	2012	Review	Medicine	To establish an interpretive reflection on the SUS principles and show their interface with the hospital class proposal
Institutional support in the National Humanization Policy: an experience of transformation of health production practices in the primary care network	2012	Original	Psychology	To bring an institutional support experience in primary care network of a city in the state of Rio de Janeiro, based on the guidelines of the National Humanization Policy of the Ministry of Health

Category II - National Humanization Policy: health professionals’ contribution
Title	Year	Type	Area of expertise	Objectives
Social responsibility of nursing in face of the health humanization policy	2011	Reflection	Nursing	To reflect on humanization policy as part of health promotion with emphasis on nursing care
Nurses’ speeches on humanization in the Intensive Care Unit	2012	Original	Nursing	To identify practical elements of intensive care nurses that hinder the implementation of the care humanization […]
Humanization of health professional practices - some thoughts	2010	Review	Speech Therapy	To contribute for the reflection of contemporary clinical performance under the perspective of humanization of health care from literature review […]
Humanization of the nursing work process: a reflection	2010	Reflection	Nursing	To reflect on the humanization of healthcare work process, focusing on nursing workers, considering that the National Humanization Policy encourages autonomy and the roles of health care producers
The psychologist in the intervention process of the National Humanization Policy	2011	Reflection	Psychology	This paper aims to discuss the role of the psychologist in the management of a public hospital in Brasilia
Social service and personnel management field: mediations in line with the National Humanization Policy at the Hospital Giselda Trigueiro	2011	Review	Social Service	To socialize concrete possibilities of performance of the Social Service in work processes in the personnel management field in public health, from experience in the Hospital Giselda Trigueiro, Natal, Rio Grande do Norte
Appreciation and motivation of nurses from the perspective of labor humanization in hospitals	2012	Original	Nursing	To identify the perception of nurses about the appreciation of work and professional motivation

Category III - Humanization in the care process
Title	Year	Type	Area of expertise	Objectives
Motherhood in humanization policy of care to the premature and/or low birth weight baby - Kangaroo Program	2010	Original	Psychology	To develop a reflection on the maternity and family models implicit in the official document of the Ministry of Health on the Kangaroo Program
Process indicators performance of the Program for Humanization of Prenatal and Childbirth in Brazil: a systematic review	2011	Review	Medicine	To compile national data on the prenatal care according to PHPN goals using the information system SISPRENATAL itself or other sources as methods of data collection
Humanization in Adult Intensive Care Unit (ICU): comprehensions from the nursing staff	2009	Original	Nursing	To understand how nursing professionals perceive the humanization policy within the scenario of a UTI and their importance in the process
Humanization of care to childbirths: pondering on public policies	2009	Refection	Medicine	This report aims to document the institutional history of humanization in the care of childbirths (NeP)[…]
Humanization in Health Care of the Elderly	2010	Reflection	Dentistry	To discuss care practices, policies, strategies and formalized government actions for the health of the elderly
The Brazilian context of inclusion of nurses to humanized delivery	2012	Review	Nursing	To discuss in which political and economic context the nurse occupied spaces in the delivery care
Humanized birth in teenagers: health workers’ perspective	2011	Original	Nursing	To analyze differences and similarities in the design of what an ideal assistance to adolescents in an obstetric center is[…]
National Humanization Policy as a resource for collective production of changes in management and care	2009	Reflection	Nursing	To find the role and action of SUS Humanization Policy (PNH), verifying the strategic reasons for its formulation and its importance in the construction of SUS as an inclusive and resolute policy

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[1] Collaborations

MADM Moreira and AM Lustosa collaborated in the development and supervision of the project, in the data collection and analysis, in the preparation and final review of the article. F Dutra collaborated in the preparation and supervision of the design, drafting and critical revision of the article. EO Barros and MCS Duarte collaborated in data collection and analysis, in the drafting and final review of the article. JBV Batista collaborated in analyzing the data, in the writing and critical review of the article.