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

Authors

  • R.N. da Silva RN, MN,

    Doctoral Student
    1. National Council for Scientific and Technological Development/Brazilian Ministry of Science, Technology, and Innovation – Level 1C, Rio de Janeiro, Brazil
    2. Department of Nursing Fundamentals, Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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  • F.D. da S. de Freitas RN, MN,

    Doctoral Student
    1. National Council for Scientific and Technological Development/Brazilian Ministry of Science, Technology, and Innovation – Level 1C, Rio de Janeiro, Brazil
    2. Department of Nursing Fundamentals, Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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  • F.P. de Araújo RN, PhD,

    Adjunct Professor
    1. National Council for Scientific and Technological Development/Brazilian Ministry of Science, Technology, and Innovation – Level 1C, Rio de Janeiro, Brazil
    2. Department of Nursing Fundamentals, Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
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  • M. de A. Ferreira RN, MEd, PhD

    Full Professor, Researcher, Adjunct Coordinator, Corresponding author
    1. National Council for Scientific and Technological Development/Brazilian Ministry of Science, Technology, and Innovation – Level 1C, Rio de Janeiro, Brazil
    2. Nursing Area on Higher Education Personnel Improvement Coordination/Brazilian Ministry of Education, Rio de Janeiro, Brazil
    3. Department of Nursing Fundamentals, Anna Nery School of Nursing, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil
    • Correspondence address: Dr Márcia de Assunção Ferreira, Department of Nursing Fundamentals, Federal University of Rio de Janeiro, Anna Nery School of Nursing, 275, Afonso Cavalcanti St, Cidade Nova, Rio de Janeiro, Rio de Janeiro 20.211-110, Brazil; Tel: +55-21-2293-8148; Fax: +55-21-2293-8148; E-mail: marcia.eean@gmail.com.

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  • Funding

    This work was supported by the Higher Education Personnel Improvement Coordination/Brazilian Ministry of Education under the Social Demand Scholarship Program (Doctoral Degree) and by the National Council for Scientific and Technological Development/Brazilian Ministry of Science, Technology, and Innovation under the Scholarship for Research Productivity.

  • Conflict of interest

    No conflicts of interest have been declared by the authors.

Abstract

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.

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