Active ageing: social representations of health professionals in Elderly Health Reference Units*

Sciama, Debora Sipukow; Goulart, Rita Maria Monteiro; Villela, Vera Helena Lessa

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Brasil

Revista da Escola de Enfermagem da USP

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Brasil

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Sumário

ORIGINAL ARTICLE • Rev. esc. enferm. USP 54 • 2020 • https://doi.org/10.1590/S1980-220X2018056503605 copy

Active ageing: social representations of health professionals in Elderly Health Reference Units*

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Objective

To identify social representations of health professionals providing elderly care in seven Elderly Health Reference Units in São Paulo city regarding health necessities, their role in care and promotion of active ageing.

Method

Qualitative research, based on directives from the document “Active ageing: a policy framework” by the World Health Organization. The Discourse of the Collective Subject is employed to systematize social representations, whose central ideas were categorized using the QualiQuantiSoft® program. Four reference situations were elaborated and the one related to iatrogenesis and elder vulnerability was selected.

Results

Twenty-nine professionals took part in this study (sixteen physicians, seven nutritionists and six nurses). Seven categories emerged from the central ideas, with higher frequency for medical conduct disagreement on referring the patient to the Basic Health Unit and the polypharmacy issue.

Conclusion

Discourse by professionals point out the necessity of creating care that overcomes the fragmentation of the work process.

Aging; Aged; Public Policies; Health Personnel; Health Services for the Aged

Variable	N	%
Total of professionals	29	100.0
Gender
Female	23	79.3
Male	6	20.7
Age
< 40	11	37.9
≥ 40	18	62.1
Profession
Physician	16	55.2
Nurse	6	20.7
Nutritionist	7	24.1
Time in URSI
< 1 years	8	27.6
1-5 years	14	48.3
> 5 years	7	24.1

Central Idea (CI) Category	Discourse of the Collective Subject (DCS)	Directive	Goal
A – Forwarding the Patient to the Basic Health Unit	DCS 1	1.1	Prevention and efficient treatment
		1.3	Continuum of care throughout life course Fair and equal access Systems of coordinated ethical care
B – Disagreement: the polypharmacy issue	DCS 2	1.2	Medications
		1.3	Iatrogenesis
C – Comorbidities suggest a nutritionist is necessary	DCS 3	1.1	Prevention and efficient treatment
		1.2	Nutrition Healthy food
D – Disagreement on medical conduct: keeping patients in URSI	DCS 4	1.1	Prevention and efficient treatment
		1.3	Continuum of care throughout life course Fair and equal access
E – Patient’s evaluation protocol	DCS 5	1.1	Prevention and efficient treatment
		1.3	Continuum of care throughout life course Fair and equal access Systems of coordinated ethical care
F – Family engagement in the treatment	DCS 6	1.1	Quality of life
		1.4	Informal caregivers
G – Importance of the multidisciplinary team	DCS 7	1.2	Physical exercise Nutrition Healthy food Psychological factors
		1.3	Continuum of care throughout life course

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br

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[1] Corresponding author: Debora Sipukow Sciama Rua Santa Isabel, 181 – Vila Buarque, 4º andar CEP 01221-010 – São Paulo, SP, Brazil sipukow.fnr@terra.com.br