Use of and access to health services by the elderly: visibility of nurses' work
DOI:
https://doi.org/10.26694/reufpi.v14i1.5918Keywords:
Aged, Nurse's Role, Geriatric Nursing, Adolescent Pregnancy. Nursing. Primary Health Care., Health Services AccessibilityAbstract
Objective: to associate the visibility of nurses, from the perspective of the elderly, with the use of and access to health services by this age group. Methods: This was a cross-sectional, analytical study conducted at home between March 2017 and June 2018 with 1,635 elderly people living in Uberaba, Minas Gerais. The data was collected at home using a structured questionnaire prepared by the researchers and based on publications on the subject, as well as questions from the National Household Sample Survey. A chi-square test was used (p<0.05), and the project was approved by the Human Research Ethics Committee (no. 2.053.520). Results: Most elderly people went to the same place, with the prevalence of health centers. Also, a higher percentage recognized the nurse and were assisted by him/her when seeking care in these places. [...]. However, a higher proportion of elderly people who sought the same place of healthcare were identified among those who knew the nurse compared to those who did not (p=0.011). Conclusion: Elderly people who knew the nurse sought care in the same place, indicating that recognizing the professional can lead to continuity of care. [...].
References
Pires RCC, Lucena AD, Mantesso JBO. Atuação do enfermeiro na atenção primária à saúde (APS): uma revisão integrativa da literatura. São Paulo: Rev Recien. [Internet]. 2022; 12(37):107-14. DOI: https://doi.org/10.24276/rrecien2022.12.37.107-114
Sampaio SN, Esteves AVF, Oliveira APP, Franco PC, De Lima ES. Visão da pessoa idosa sobre o atendimento do enfermeiro da atenção básica. Rev. baiana enferm. [Internet]. 2018; 32:1-9. DOI: http://dx.doi.org/10.18471/rbe.v32.27618
Caçador BS, Lopes FN, Pacheco LC, Alves MS, Salimena AMO. O enfermeiro na estratégia de saúde da família: percepção dos usuários. HU Revista. [Internet]. 2012; 37(3):331-8. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/1513
Busca E, Savatteri A, Calafato TL, Mazzoleni B, Barisone M, Dal Molin A. Barriers and facilitators to the implementation of nurse's role in primary care settings: an integrative review. BMC Nurs. [Internet].2021; 20(1):171. DOI: https://doi.org/10.1186/s12912-021-00696-y
Stopa SR, Malta DC, Monteiro CN, Szwarcwald CL, Goldbaum M, Cesar CLG. Acesso e uso de serviços de saúde pela população brasileira, Pesquisa Nacional de Saúde 2013. Rev. Saúde Pública. [Internet]. 2017; 51(Suppl 1): 3s. DOI: https://doi.org/10.1590/S1518-8787.2017051000074
Bertolucci PHF, Brucki SMD, Campacci SR, Juliano Y. O Mini-Exame do Estado Mental em uma população geral: impacto da escolaridade. Arq. Neuro-Psiquiatr. [Internet]. 1994; 52(1): 01-07. DOI: https://doi.org/10.1590/S0004-282X1994000100001
Instituto Brasileiro de Geografia e Estatística (IBGE). Diretoria de Pesquisas. Pesquisa Nacional por Amostra de Domicílios, 2008. [Internet]. Available from: http://www.ibge.gov.br/home/estatistica/populacao/trabalhoerendimento/pnad2008/questpnad2008.pdf
Vasconcelos AC, Moura ERF. Percepção do papel desempenhado pela enfermeira de um PSF segundo a ótica do usuário. Rev RENE. [Internet]. 2003; 4(1):9-16. Available from: http://www.periodicos.ufc.br/rene/article/view/5635
Medeiros CB, Alves MSCF, Moura LKB, Souza RK, Silva EM. A perspectiva do usuário na atenção básica sobre o acolhimento ao idoso. Rev Cienc Plural. [Internet]. 2018; 4(3): 43-56. Available from: https://periodicos.ufrn.br/rcp/article/view/17290
Ma S, Zhou X, Jiang M, Li Q, Gao C, Cao W, et al. Comparison of access to health services among urban-to-urban and rural-to-urban older migrants, and urban and rural older permanent residents in Zhejiang Province, China: a cross-sectional survey. BMC Geriatr. [Internet]. 2018;18(1):174. DOI: https://doi.org/10.1186/s12877-018-0866-4
Silva NBQ, Fernandes ACL, Nascimento EGC, Oliveira LC. Condições de Saúde e Utilização da Atenção Básica pelos Idosos: Revisão Integrativa. Saúde Redes [Internet]. 2022;8(sup1):305-20. DOI:
https://doi.org/10.18310/2446-4813.2022v8nsup1p305-320
Hoebel J, Rommel A, Schröder SL, Fuchs J, Nowossadeck E, Lampert T. Socioeconomic Inequalities in Health and Perceived Unmet Needs for Healthcare among the Elderly in Germany. Int J Environ Res Public Health. [Internet]. 2017;14(10):1127. DOI: https://doi.org/10.3390/ijerph14101127
Nymberg VM, Bolmsjö BB, Wolff M, Calling S, Gerward S, Sandberg M. 'Having to learn this so late in our lives…' Swedish elderly patients' beliefs, experiences, attitudes and expectations of e-health in primary health care. Scand J Prim Health Care. [Internet]. 2019;37(1):41-52. DOI: https://doi.org/10.1080/02813432.2019.1570612
Macedo ER, Basílio ACM, Silva BJR, Santos BDV, Andrade CR, Souza G, Pardini RD. Fatores que dificultam a aplicação do processo de enfermagem pelos enfermeiros da atenção primária à saúde. REAS [Internet]. 2022;15(2):e9584. DOI: https://doi.org/10.25248/reas.e9584.2022
Karimi-Shahanjarini A, Shakibazadeh E, Rashidian A, Hajimiri K, Glenton C, Noyes J et al. Barriers and facilitators to the implementation of doctor-nurse substitution strategies in primary care: a qualitative evidence synthesis. Cochrane Database Syst Rev. [Internet]. 2019;4(4):CD010412. DOI: https://doi.org/10.1002/14651858.CD010412.pub2
Schönenberger N, Sottas B, Merlo C, et al. Patients’ experiences with the advanced practice nurse role in Swiss family practices: a qualitative study. BMC Nurs. [Internet]. 2020;19: 90. DOI: https://doi.org/10.1186/s12912-020-00482-2
Leal ES, Aires IDO, Pessoa ALS, Macedo CB, Souza CMA, Lima BDS. Papel do enfermeiro na Atenção Primária à Saúde na abordagem ao idoso vulnerável: uma revisão integrativa. Research, Society and Development. [Internet]. 2022:11(11): e168111132315. DOI: http://dx.doi.org/10.33448/rsd-v11i11.32315
Prajankett O, Markaki A. Integrated older people care and advanced practice nursing: an evidence-based review. Int Nurs Rev. [Internet]. 2021;68(1):67-77. DOI:
https://doi.org/10.1111/inr.12606
Ataíde IS da C, de Souza PRFB. A assistência do enfermeiro em saúde do idoso nas Unidades Básicas de Saúde: uma revisão da literatura. Braz. J. Hea. Rev. [Internet]. 2023;6(4):14380-91. DOI: https://doi.org/10.34119/bjhrv6n4-033
Lima LEM, Ferraz CMLC. Desafios da assistência ao idoso na atenção primária a saúde na perspectiva do enfermeiro. Caderno Saberes. [Internet]. 2020:6;38-43. Available from: https://revista.unifemm.edu.br/index.php/Saberes/article/view/34/26
Officer TN, McBride-Henry K. Perceptions of underlying practice hierarchies: Who is managing my care? BMC Health Serv Res. [Internet]. 2021;21(1):911. DOI: https://doi.org/10.1186/s12913-021-06931-1
Marcinowicz L, Wojnar D, Terlikowski SJ. Work activities of primary health care nurses in Poland: National Survey Results. BMC Nurs. [Internet]. 2021;20(1):22. DOI: https://doi.org/10.1186/s12912-021-00541-2
Sousa PHSF, Souza RF, Costa MRSDS, Azevedo MVC, Torres RC, Nascimento GC, Silva MML, Vieira JB. Protagonismo do enfermeiro na atenção básica de saúde. Braz. J. Develop. [Internet]. 2020;6(10):76157-70. DOI: https://doi.org/10.34117/bjdv6n10-151
Borgès Da Silva R, Brault I, Pineault R, Chouinard MC, Prud'homme A, D'Amour D. Nursing Practice in Primary Care and Patients' Experience of Care. J Prim Care Community Health. [Internet]. 2018;9(1):1-7. DOI: https://doi.org/10.1177/215013191774718
Laurant M, Van der Biezen M, Wijers N, Watananirun K, Kontopantelis E, Van Vught AJ. Nurses as substitutes for doctors in primary care. Cochrane Database Syst Rev. [Internet]. 2018;7(7):CD001271. DOI: https://doi.org/10.1002/14651858.CD001271.pub3
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Rev Enferm UFPI

This work is licensed under a Creative Commons Attribution 4.0 International License.
Autores mantém os direitos autorais e concedem à REUFPI o direito de primeira publicação, com o trabalho licenciado sob a Licença Creative Commons Attibution BY 4.0 que permite o compartilhamento do trabalho com reconhecimento da autoria e publicação inicial nesta revista.