SciELO - Scientific Electronic Library Online

vol.17 issue4Interaction between the nursing staff and family from the family's perspective author indexsubject indexarticles search
Home Pagealphabetic serial listing  

Services on Demand




Related links


Escola Anna Nery

Print version ISSN 1414-8145


SCHIMITH, Maria Denise et al. Colonialism in the relationship between workers and service users during care practices: implications for comprehensive care. Esc. Anna Nery [online]. 2013, vol.17, n.4, pp.788-795. ISSN 1414-8145.


To report on the relationships between the workers and service users and the implications of these for continuity of care.


Qualitative research, undertaken based on a case study, between February and July 2012. The subjects were health workers and the users of a Family Health Unit(FHU). Participant observation, interviews and document and record searches were made.


Instances were evidenced in which the team generalizes the service users, which disregards their uniqueness; this dismisses the service user, revealing the fragility of the comprehensiveness of the care.


There are implications of colonialist relationships which consider the service users as objects, affecting the continuity of the care. The nurses' participation in the processwas revealed, emphasizing the need to deepen reflection in regard to professional practice.

Keywords : Patient Participation; Continuity of Patient Care; Unified Health System; Nursing; Comprehensive Health Care.

        · abstract in Portuguese | Spanish     · text in English | Portuguese     · English ( pdf ) | Portuguese ( pdf )