A policy analysis of teamwork as a proposal for healthcare humanization: implications for nursing.

AIM: To analyse the implications of the political devices of the Brazilian National Humanization Policy, Singular Therapeutic Project and Reference Team and Matrix Support, for nursing as a professional discipline. BACKGROUND: The Brazilian Unified Health System, SUS-Brazil, has as its principles regarding health care: universal access at all levels of care; equality and non-discrimination; integrality; community participation; and political and administrative decentralization, regionalization, and hierarchization. The National Humanization Policy is a public health policy that serves as the methodological apparatus for the application of the SUS-Brazil principles. Reference Teams refers to inter- and transdisciplinary/professional teams. These team approaches are associated with increased quality of care. METHODS: Qualitative lexical content policy analysis of the official documents for the Brazilian National Humanization Policy. FINDINGS: The Reference Team model that is used to carry out Singular Therapeutic Projects leads to discussion of disciplinary boundaries in the context of health care. CONCLUSION AND IMPLICATIONS FOR NURSING AND HEALTH POLICY: The Brazilian National Humanization Policy demands inclusion of various kinds of knowledge and networking. Research is needed to elucidate the nature of nursing care and its distinctive character in relation to the work objectives of other professional disciplines.

[Expression of sexuality of the hospitalized patient and the nurses' strategy in care]. / Expressão da sexualidade do cliente hospitalizado e estratégias para o cuidado de enfermagem.

Nursing is the science and the art of caring of the human being and it has to consider that this human being, in an integrated way, has psychological, social, biological and spiritual needs. We understand sexuality as an important dimension of the human being which requires attention considering a holistic assistance. From these principles, we have attempted to research next to a Rio de Janeiro city school hospital nurses, how these professionals deal with the sexual body and the hospitalized client sexuality expression in the context of the daily care provided for him. We have performed 10 non-structured interviews and proceeded to the analysis of their speeches contents. The analysis showed that the nurses when providing direct care to clients, regarding his sexuality, they experience difficulties that must be overdrawn so they can perform care. During the results follow-up, the nurses refer to make use of 'strategies' that hide the client's sexuality expression and demonstrate to be fully unprepared to deal with such situations. Such 'strategies' show that in the disciplined hospital space, there is no overture for the understanding of a body with historical, social and cultural scars; there is no room to deal with questions which take to emotion and human subjectiveness realms. We do believe that there is a need of treating the hospitalized client sexuality in critical and contextualized discussions linked to social and cultural fields. These discussions must be done both in care praxis to client and professional degree.