The work of a Brazilian nursing team of collective health in the special indigenous health district

ABSTRACT Objective: To identify the potential and the limits of the actions of the nursing team in the Primary Health Care for the Health of the Indigenous. Methods: This is a quantitative study guided by the Theory of Practical Intervention of Nursing and Collective Health. 230 nursing professionals participated, responding to an instrument about the frequency of the actions carried out in assistance, management, teaching, and research. Results: 168 nursing technicians and 62 nurses participated. As strengths, 80% participated in the assistance most of the time. Stand out: 90.3% and 71% of nurses carried out nursing consultations and house visits, respectively. As a limitation, the involvement in education and research is small. Only 2% of the interviewees carried out scientific researches, reflecting the need to broaden and qualify care and improve the use of traditional practices, overcoming the biomedical model. Final considerations: Nursing assistance is essential in the modification and monitoring of the epidemiological profile of indigenous populations, and its results allow for the planning of quality actions.

摘要
研究目的：明确初级卫生保健（Primary Health Care）体系中，护理团队开展原住民（Indigenous）健康照护工作的潜在价值与实践边界。
方法：本研究为定量研究，以护理实践干预理论与集体健康理论为研究指导框架。共纳入230名护理从业人员参与调研，受试者填写针对照护、管理、教学与科研四类工作开展频率的调研问卷完成作答。
结果：本次调研共纳入168名护理技术员与62名护士。数据显示，80%的受访者高频参与临床照护工作；尤为值得关注的是，90.3%的护士开展护理会诊，71%的护士实施居家访视。研究同时揭示了当前实践局限：从业人员在教学与科研领域的参与度极低，仅2%的受访者参与科学研究，这反映出亟需拓展照护服务范畴、提升照护服务质量，并完善传统照护实践的应用，以突破生物医学模式的桎梏。
最终结论：护理照护对于原住民（Indigenous）群体流行病学特征的改善与监测至关重要，本研究结果可为高质量照护行动的规划提供科学依据。