ABSTRACT
O acesso é considerado atributo essencial para Atenção Primária à Saúde (APS). Objetivos: caracterizar o perfil sociodemográfico e profissional dos enfermeiros de Unidades Básicas de Saúde (UBS) tradicionais e avaliar o acesso de primeiro contato dos usuários. Método: pesquisa de campo, transversal, descritiva, conduzida por entrevista e aplicação de questionário estruturado e instrumento PCATool, versão profissionais. Resultados: 100% (n= 08) eram do sexo feminino, idade média de 37,7 anos. 62,5% (n=05) atendem à demanda espontânea, com agendamentos subsequentes, 12,5% (n=01) atendem à demanda exclusivamente programada. 87,5% (n=07) não apontaram dificuldades no acesso dos usuários. Acolhimento e atendimento às demandas espontâneas com atendimentos no dia e/ou agendamentos são as principais ações dos enfermeiros nas UBS. Os enfermeiros avaliaram o acesso de primeiro contato insuficiente, com barreiras importantes. Conclusão: entraves no acesso de primeiro contato aos serviços da APS dificultam a organização dos atendimentos de demanda programada e espontânea (Au).
The access is considered an essential attribute to Primary Health Care (HPA). Objectives: to characterize the sociodemographic and professional profile of nurses in traditional Health Care Unities (HCU) and to evaluate the first contact access of users. Method: field research, transversal, descriptive, carried out by interview and application of a structured and instrumented PCATool survey, professional version. Results: 100% (n=08) were female, average age of 37,7 years old. 62,5% (n=05) attend spontaneous demand, with subsequent scheduling, 12,5% (n=01) attend exclusively programmed demand. 87,5% (n=07) do not point out difficulties in the users access. Reception and assistance of the spontaneous demands with daily service and/or scheduling are the main actions of nurses in the HCU. The nurses evaluated as insufficient the first contact access, with important barriers. Conclusion: obstacles in the first contact access to the HPA services hamper the organization of the services of spontaneous and programmed demand (Au).
El acceso se considera un atributo esencial de la Atención Primaria de la Salud (APS). Objetivos: caracterizar el perfil sociodemográfico y profesional de los enfermeros de las Unidades Básicas de Salud (UBS) tradicionales y evaluar el acceso al primer contacto de los usuarios. Método: investigación de campo, transversal, descriptiva, realizada mediante entrevista y aplicación de cuestionario estructurado e instrumento PCATool, versión profesional. Resultados: 100% (n = 08) era del sexo femenino, edad media 37,7 años. El 62,5% (n = 05) satisface la demanda espontánea, con programación posterior, el 12,5% (n = 01) satisface solamente la demanda programada. El 87,5% (n = 07) no indicó dificultades en el acceso de los usuarios. Las principales acciones de los enfermeros en la UBS son recibir a los usuarios y satisfacer las demandas espontáneas con atención durante el día y/o programación. Los enfermeros evaluaron el acceso al primer contacto como insuficiente, con barreras importantes. Conclusión: las barreras para el acceso al primer contacto a los servicios de la APS obstaculizan la organización de la atención de la demanda programada y espontánea (Au).
Subject(s)
Humans , Female , Adult , Primary Health Care , Process Assessment, Health Care , Primary Care Nursing , Health Services AccessibilityABSTRACT
Background The biofield is a controversial concept among the scientific community. Some aspects of this phenomenon relate to measurable factors of mainstream science such as electromagnetics, while others, involving nonlocal interventions, intention, and consciousness, seem to produce physical changes through mechanisms that are still unknown, making the outcomes of many studies not fully explained by our current state of scientific understanding. This study explored the hypothetical effects of intention on the conditioning of a pH system with continuous data acquisition for real-time measurements. As a follow-up study, those effects were related to changes in the physicochemical properties of water samples chosen as a target in a previous large-scale intervention of focused intention. Methods The intention experiments were conducted under controlled conditions from the 8th to September 11, 2015. During this period, 286 qualified biofield therapy practitioners meditated at a distance with the intention of changing the vibrational state of the water molecules contained in specific flasks. Several variables were evaluated, including the magnetic field and ultraviolet-visible (UV-VIS) radiation from 175 to 954ânm near the experimental spot, as well as Raman spectra, pH, and electrical conductivity of all the water samples. After this period, real-time pH measurements of water samples were taken with the same equipment and under the same experimental conditions, except for the practitioners' awareness of those experiments, and without their focused intention. Real-time pH, electrical conductivity and the concentration of cations and anions measured by ion chromatography in the water samples were used to test the proposed hypothesis. Results Real-time pH was responsive during the intention experiments and after this period. Further continuous measurements performed after the 11th September showed that the pH variations overtime kept a systematic and consistent tendency similar to the one observed during the experimental activities involving focused intention. After the replacement of the electrode internal electrolyte, this behavior was no longer verified, and the pH was stable as the initial tests to evaluate the equipment sensitivity. Conclusions After the experimental period involving focused intention, the pH system maintained a systematic and consistent behavior while measuring the pH of new water samples. An eventual intention-mediated conditioning of the pH measurement system occurred because of changes in the properties of the electrode internal electrolyte.
Subject(s)
Humans , Male , Female , Primary Health Care , Burnout, Professional , Family Practice , Internship and ResidencyABSTRACT
The main goal of this work was the assessment of measurable interactions induced by focused intention, frequently used in biofield practices such as Healing Touch and Reiki. Water, as the main component of the human body, was chosen as a model. Intention experiments were performed over 4 different days at a scheduled interval, during which 286 trained biofield practitioners from several countries were instructed to meditate with the intention to change the molecular vibrational state of water samples selected by a blinded operator. The experimental protocol was randomized, blinded, and controlled; the measured variables included Raman spectra and the pH and electrical conductance of the water, as well as the magnetic field and UV-VIS (ultraviolet-visible) radiation near the experimental spot. Although a direct causal relationship cannot be established, some measurements of the water samples, as well as the magnetic field and radiation near the experimental spot, were responsive during the experimental period.
