Brazilian Nurses' Perception of the Role of Community Health Agents in Preventive Care

By Tsombanos, Harriet; Nielsen, Elizabeth et al. | Nursing Economics, January/February 2018 | Go to article overview

Brazilian Nurses' Perception of the Role of Community Health Agents in Preventive Care


Tsombanos, Harriet, Nielsen, Elizabeth, Breda, Karen, David, Helena Maria Scherlowski Leal, Padilha, Maria Itayra, Nursing Economics


The adoption of the Affordable Care Act (ACA) in 2010 placed great emphasis on developing and providing effective preventive care to healthcare consumers. Regardless of future changes to the ACA, this new emphasis on disease prevention and illness management will remain as a cost savings element of U.S. healthcare delivery. The present and future role of nursing in how preventive care is delivered to patients is of utmost concern. According to Cogan (2011), perhaps the ACA's most important public health feature is the preventive service mandate. This mandate continues to change the way evidence-based preventive care is provided and paid for by private health insurances as well as Medicare and Medicaid. By mandating evidence-based preventive care with little out-ofpocket costs to consumers, the ACA dramatically changed the way health care is provided in the United States. During the last 50 years, separate goals, methods, and resources have divided public health and healthcare services. This development has created an expensive and poorly performing healthcare system that privileges curative medicine and lacks meaningful preventive healthcare measures (Cogan, 2011). With the implementation of the ACA preventive services mandate, the U.S. healthcare system moved away from a strictly curative healthcare model and adopted a comprehensive model that embraces preventive, as well as curative healthcare services. Even with the Trump Administration's promise to "repeal and replace" the ACA, little evidence exists to support the reversal of the cost-effective and outcomes-driven preventive services mandate.

Among other things, the ACA preventive services mandate increased the demand for community health and community-based nursing care. The Bureau of Labor Statistics estimates registered nurses (RN) employment in home health care alone will increase by 55% between 2010 and 2020 and account for about 230,000 of the 3.5 million RN jobs by the year 2020 (Spetz, 2014). Community health and community-based nurses will be responsible for coordinating care and supervising lowskilled healthcare workers. Consequently, it is important to conduct research on new and existing roles and to increase knowledge and understanding concerning the role of ancillary healthcare workers (such as the Brazilian agente comunitário de saúde - community health agent). In doing so, evidence helps develop programs and policies to provide evidence-based health care to populations. Looking to other countries and other systems of healthcare delivery is one way of expanding our knowledge base in new and different models of providing preventive healthcare services.

During an academic study partnership exchange with Brazilian nurses in late 2014, members of the nursing program from the University of Hartford (West Hartford, CT) visited academic nursing programs and healthcare facilities connected to the Federal University of Santa Catarina (Universidade Federal de Santa Catarina) in Florianópolis, Brazil, and the Rio de Janeiro State University (Universidade do Estado do Rio de Janeiro) in Rio de Janiero, Brazil. During the visit, the nursing group was impressed with the figure of the community health agent (CHA) (agente comunitário de saúde) and the inclusion of this figure into the Family Health Program (Programa de Saúde da Família) of the Brazilian National Unified Health System (Sistema Único de Saúde). The inclusion of the CHA was perceived to be a positive factor in providing preventive care to the community and more information was desired about the role.

CHAs are lay healthcare workers who are members of an interprofessional healthcare team of nurses, physicians, and other healthcare professionals. CHAs live in the community or neighborhood where they work, and they are the liaison or link between the community and healthcare professionals in the Family Health Program. As integral members of the healthcare team, CHAs promote preventive health care in neighborhoods and strengthen links between the community and the unified health services. …

The rest of this article is only available to active members of Questia

Already a member? Log in now.

Notes for this article

Add a new note
If you are trying to select text to create highlights or citations, remember that you must now click or tap on the first word, and then click or tap on the last word.
One moment ...
Default project is now your active project.
Project items
Notes
Cite this article

Cited article

Style
Citations are available only to our active members.
Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

(Einhorn, 1992, p. 25)

(Einhorn 25)

(Einhorn 25)

1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

Note: primary sources have slightly different requirements for citation. Please see these guidelines for more information.

Cited article

Brazilian Nurses' Perception of the Role of Community Health Agents in Preventive Care
Settings

Settings

Typeface
Text size Smaller Larger Reset View mode
Search within

Search within this article

Look up

Look up a word

  • Dictionary
  • Thesaurus
Please submit a word or phrase above.
Print this page

Print this page

Why can't I print more than one page at a time?

Help
Full screen
Items saved from this article
  • Highlights & Notes
  • Citations
Some of your highlights are legacy items.

Highlights saved before July 30, 2012 will not be displayed on their respective source pages.

You can easily re-create the highlights by opening the book page or article, selecting the text, and clicking “Highlight.”

matching results for page

    Questia reader help

    How to highlight and cite specific passages

    1. Click or tap the first word you want to select.
    2. Click or tap the last word you want to select, and you’ll see everything in between get selected.
    3. You’ll then get a menu of options like creating a highlight or a citation from that passage of text.

    OK, got it!

    Cited passage

    Style
    Citations are available only to our active members.
    Buy instant access to cite pages or passages in MLA 8, MLA 7, APA and Chicago citation styles.

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn, 1992, p. 25).

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences." (Einhorn 25)

    "Portraying himself as an honest, ordinary person helped Lincoln identify with his audiences."1

    1. Lois J. Einhorn, Abraham Lincoln, the Orator: Penetrating the Lincoln Legend (Westport, CT: Greenwood Press, 1992), 25, http://www.questia.com/read/27419298.

    Cited passage

    Thanks for trying Questia!

    Please continue trying out our research tools, but please note, full functionality is available only to our active members.

    Your work will be lost once you leave this Web page.

    Buy instant access to save your work.

    Already a member? Log in now.

    Search by... Author
    Show... All Results Primary Sources Peer-reviewed

    Oops!

    An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.