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Nursing challenges for universal health coverage: a systematic review.
Mariana Cabral Schveitzer1, Elma Lourdes Campos Pavone Zoboli1, Margarida Maria da Silva Vieira2
1Escola de Enfermagem, Universidade de São Paulo, São Paulo, SP, Brazil.
Revista Latino-Americana De Enfermagem
|May 5, 2016
Summary
Nursing faces challenges in achieving universal health coverage, particularly in Primary Health Care. Humanizing practices are crucial for improving care quality and promoting equitable access.
Area of Science:
- Health Services Research
- Nursing Science
- Public Health Policy
Background:
- Primary Health Care (PHC) is central to achieving Universal Health Coverage (UHC).
- Understanding the nursing workforce's perspective on humanization in PHC is vital for effective service delivery.
- The integration of humanistic principles into healthcare is increasingly recognized as essential for quality care.
Purpose of the Study:
- To identify nursing challenges in attaining universal health coverage.
- To analyze the role of humanization practices in Primary Health Care from the health workforce's viewpoint.
- To synthesize findings from a systematic review on humanization and its impact on PHC.
Main Methods:
- A systematic review and meta-synthesis approach was employed.
- Searched multiple databases (PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS, Proquest).
- Keywords included 'Primary Health Care' combined with terms related to humanization, patient-centered care, and holistic health.
Main Results:
- Thirty studies published between 1999 and 2011 were analyzed.
- PHC work processes present complexities that challenge integrative care, especially for nursing.
- Humanizing practices significantly contribute to positive work environments, enhanced care quality, and people-centered care, facilitating UHC.
Conclusions:
- Nursing challenges for UHC stem from inadequate education, poor working conditions, and an unclear role definition in PHC.
- Overcoming fragmented concepts of health and care is necessary.
- Investing in teamwork, community empowerment, patient relationships, and soft technologies is essential for holistic care and UHC.
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