Biomedical subjects
Publications and source records attributed to T C Villa.
This study is a theoretical approach on international health with the purpose to point out some aspects which can enhance the understanding of the International Health field and its operational and conceptual elements in the socio-economic process of integration of neighboring countries.
This study presents case management as a care delivery model which is used in a variety of settings in the United States health care system. It basically designates a specific professional or health care team which is responsible for the care of an individual patient in the whole clinical process by coordinating care throughout services and institutions in the system. In nursing, the model has been accepted to increase the nurse's commitment in the standardization of practice. Central concepts include analysis, clinical decision-making and resolution of problems.
The purpose of this study was to analyze the research objects of the theses produced in the Master Program on Public Health offered by the Department of Maternal-Infant Nursing and Public Health--University of São Paulo at Ribeirão Preto College of Nursing and their relationship with the problems originated from health care practice. These practices were classified within six major areas: Health Care Organization, Health Promotion, Health-Disease Process, Nutrition-Feeding, Professional Practice and Immunology. The contribution of works focussing on the crisis of health paradigms, gender relations and Social Movements in Health were emphasized. Authors concluded that the themes are closely related to the students' professional context, enabling them to present suggestions regarding interventions in health practices.
The purpose of this article is to describe nursing in the Brazilian health system and to analyze the characteristics of nursing personnel in Brazil. This description includes types of health institutions, services rendered, and the distribution of nursing personnel by professional categories in 1956, 1982, and 1995. Discussion of the challenges facing Brazilian nurses is presented using data from the Brazilian Institute of Geography and Statistics (IBGE), Federal Nursing Board (COFEn), Regional Nursing Board (COREn), and the Brazilian Nursing Association (ABEn). An increase in the number of outpatient units and in diagnostic and therapeutic examinations has led to an increased the demand for nurses. Public health nurses participate in planning, management, sanitary education, health promotion, and supervision of nursing care provided by nursing technicians, assistants, and other helpers.
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This paper presents the use of Brazilian literature in public health nursing courses at the University of São Paulo at Ribeirão Preto College of Nursing. The goal is a preliminary report about experiences that intend to keep the students in touch in order to wide their view of reality, in which relationships between the men and health-illness process are established in the complexity and singularity of human being (ill and life) in each place and time. In the first stage, this experience is based on New History conceptual framework (Ecolle des Annale), in the complexity's paradigm (MORIN) and circularity concept and sign's paradigm (GINZBURG).
The present study aims at reporting the experience of construction of an interinstitutional relationship: university and health services, pointing out the possibilities and difficulties of the process.
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The historical roots of the nursing profession in public health in the state of São Paulo from 1900-1980 have been identified. Nurses have effectively participated to implement a new public health program--"Programação em Saúde", having the assignment to train, coordinate, supervise/manage other nurses who lacked specialized training. The nurse's understanding of her role in the health process was limited to individual performance with emphasis on technical ability, without understanding the purpose of her actions in the overall model.
This study is aimed at characterizing the administrative activities performed by nurses at health institutions engaged in a process of restructuring the sanitary system. The instrument consisted of a questionnaire and concentrated on the formulation of a theoretical frame for the administrative practice of a nurse. The collected data showed that nurses are performing the administrative activity following random and non-scientific patterns. There are differences concerning the management carried out by nurses according to the nature of the institution, public or private, and the level of health assistance. As far as the steps in an administrative process go, most nurses don't plan or evaluate carefully the type of health care to be taken. They supervise the application of a plan conceived by other departments in which they may or may not have participated.
This study was conducted in five health centers of the Secretariat of Health of the State of São Paulo, in the city of Ribeirão Preto, during July 1983. In order to ascertain feeding practices, interviews were given to 389 mothers at the time of their children's enrollment in the food supplement program. Contradictions were observed between the objectives and implementation of the breast-feeding promotion program in view of the high number of children enrolled in the milk supplement program prior to reaching six months of age, and the number of those under three months who were partially or completely breast-fed and were also being enrolled in the supplement program. The major reasons given by mothers for early weaning were that they had insufficient milk or their "milk had dried up", followed by the mother's need to work outside the home, and mammary causes. Maintaining breast-feeding up to the time of enrollment of the child in the milk supplement program was associated with mothers who were multiparous and had had previous experience with breast-feeding.