Integrality from the perspective of nurses in the Family Health Strategy

The aim of the present study was to understand the perception of nurses regarding the integrality of human beings in the practice of nursing care provided through the Family Health Strategy. An exploratory and descriptive study with a qualitative approach based on the Theory of Social Representation was carried out. A convenience sample of 29 nurses from a Regional Family Health Strategy was interviewed between June and September 2015. The transcript content was coded and analyzed based on the Collective Subject Discourse technique. The respondents revealed a clear perception of the importance of integrality in nursing care and understood that attending to and viewing people based on their individual characteristics will translate this perception. In order to achieve integral care within the therapeutic plan, certain external conditions are required, involving the synchronized performance of a multidisciplinary team acting within the macrostructure of the system, which translates into Health Care Networks.

Integrality in health; Comprehensive health care; Nursing care; Health promotion

Authorship

Fabiana da Penha Colimoide

. Mestre fabianacolimoide@gmail.com – Centro Universitário Adventista de São Paulo (Unasp). Mestre fabianacolimoide@gmail.com – Centro Universitário Adventista de São Paulo (Unasp)BrasilBrasil. Mestre fabianacolimoide@gmail.com – Centro Universitário Adventista de São Paulo (Unasp)

Maria Dyrce Dias Meira

. Doutora dyrcem@yahoo.com – Unasp. Doutora dyrcem@yahoo.com – UnaspBrasilBrasil. Doutora dyrcem@yahoo.com – Unasp

Gina Andrade Abdala

. Doutora ginabdala@gmail.com – Unasp. Doutora ginabdala@gmail.com – UnaspBrasilBrasil. Doutora ginabdala@gmail.com – Unasp

Sarah Lidiane Santos da Silva Oliveira

. Mestranda sarah.oliveira@ucb.org.br – Unasp, São Paulo/SP, Brasil.. Mestranda sarah.oliveira@ucb.org.br – Unasp, São Paulo/SP, Brasil.BrasilSão Paulo, SP, Brasil. Mestranda sarah.oliveira@ucb.org.br – Unasp, São Paulo/SP, Brasil.

Correspondência. Fabiana da Penha Colimoide – Rua Galvão Bueno, 875, apt. 206, Liberdade CEP 01506-000. São Paulo/SP, Brasil.

Aprovação CEP-SMS CAAE 28905914.3.0000.5377

Declaram não haver conflito de interesse.

Participation of the authors

Fabiana da Penha Colimoide participated in the planning of the study, the analysis and interpretation of data, the writing and the formatting of the manuscript. Maria Dyrce Dias Meira and Gina Andrade Abdala contributed to the planning, analysis and interpretation of data and critical review. Sarah Lidiane Santos da Silva Oliveira collaborated in the formatting and critical revision of the manuscript. All the authors cooperated in the approval of the final wording.

SCIMAGO INSTITUTIONS RANKINGS

. Doutora dyrcem@yahoo.com – Unasp. Doutora dyrcem@yahoo.com – UnaspBrasilBrasil. Doutora dyrcem@yahoo.com – Unasp

. Doutora ginabdala@gmail.com – Unasp. Doutora ginabdala@gmail.com – UnaspBrasilBrasil. Doutora ginabdala@gmail.com – Unasp

Figures | Tables

Figures (1)
Tables (4)

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Graph 1
Absolute frequency of central ideas, according to key-expressions, in reference to the question “what do you understand by integrality in health care?”

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DCS – “Integrality in health care is to understand the individual as a whole, in their various dimensions, not only the health problem they are suffering from, but also seeing it fully, in terms of mental, spiritual and physical health. That’s what I understand. We look at the patient as a whole. We do not look at only the disease they have, but what makes up the individual.” “Integrality is seeing the patient, the person, the user as a whole, in all aspects of their lives, not only the physical, but also the mental, the way of dealing with life. It is a vision of the person as a whole, being a composition of mental, spiritual and physical well-being”; “The way you look at it differs from the way you provide care, because the individual is not merely a disease or an extra statistic in the health environment. They will be considered in a non-fragmented way, but in the integrality of receiving care”.

Thumbnail

DCS – “It is providing care to individuals in their totality, which is integral care, and not just seeing the specific disease, but providing all the necessary means for the health of the person in the community, with physical, spiritual and moral well-being, the whole approach of and to the patient”; “It is the care of the patient as a whole, with prevention and health promotion, evaluating every aspect of the person, every aspect of them, including the psychological, providing the service is appropriate to the user’s need in an integral way. Do for them what they require, promoting complete care, in everything that the patient needs, in all aspects”.

Thumbnail

DCS – “It is group work involving the entire multiprofessional team. The patient enters primary care requesting help or needing something. Then, in the health service, from the moment he enters, at the first conversation the process of integrality begins. He will need the care and monitoring of a teame”.

Thumbnail

DCS – “It means having a structured service in which the therapeutic plan, which I can offer him [the patient], is within the possibilities that the service provides me with, so that I can help with all aspects of his needs - physical, mental and spiritual.”

Graph 1 Absolute frequency of central ideas, according to key-expressions, in reference to the question “what do you understand by integrality in health care?”

DCS – “Integrality in health care is to understand the individual as a whole, in their various dimensions, not only the health problem they are suffering from, but also seeing it fully, in terms of mental, spiritual and physical health. That’s what I understand. We look at the patient as a whole. We do not look at only the disease they have, but what makes up the individual.” “Integrality is seeing the patient, the person, the user as a whole, in all aspects of their lives, not only the physical, but also the mental, the way of dealing with life. It is a vision of the person as a whole, being a composition of mental, spiritual and physical well-being”; “The way you look at it differs from the way you provide care, because the individual is not merely a disease or an extra statistic in the health environment. They will be considered in a non-fragmented way, but in the integrality of receiving care”.

DCS – “It is providing care to individuals in their totality, which is integral care, and not just seeing the specific disease, but providing all the necessary means for the health of the person in the community, with physical, spiritual and moral well-being, the whole approach of and to the patient”;

“It is the care of the patient as a whole, with prevention and health promotion, evaluating every aspect of the person, every aspect of them, including the psychological, providing the service is appropriate to the user’s need in an integral way. Do for them what they require, promoting complete care, in everything that the patient needs, in all aspects”.

DCS – “It is group work involving the entire multiprofessional team. The patient enters primary care requesting help or needing something. Then, in the health service, from the moment he enters, at the first conversation the process of integrality begins. He will need the care and monitoring of a teame”.

DCS – “It means having a structured service in which the therapeutic plan, which I can offer him [the patient], is within the possibilities that the service provides me with, so that I can help with all aspects of his needs - physical, mental and spiritual.”

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Integrality from the perspective of nurses in the Family Health Strategy

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[1] Correspondência. Fabiana da Penha Colimoide – Rua Galvão Bueno, 875, apt. 206, Liberdade CEP 01506-000. São Paulo/SP, Brasil.