Nursing challenges for universal health coverage: a systematic review

Authors

  • Mariana Cabral Schveitzer Universidade de São Paulo; Escola de Enfermagem
  • Elma Lourdes Campos Pavone Zoboli Universidade de São Paulo; Escola de Enfermagem
  • Margarida Maria da Silva Vieira Universidade Católica Portuguesa; Instituto de Ciências da Saúde

DOI:

https://doi.org/10.1590/1518-8345.0933.2676

Abstract

Objectives to identify nursing challenges for universal health coverage, based on the findings of a systematic review focused on the health workforce' understanding of the role of humanization practices in Primary Health Care. Method systematic review and meta-synthesis, from the following information sources: PubMed, CINAHL, Scielo, Web of Science, PsycInfo, SCOPUS, DEDALUS and Proquest, using the keyword Primary Health Care associated, separately, with the following keywords: humanization of assistance, holistic care/health, patient centred care, user embracement, personal autonomy, holism, attitude of health personnel. Results thirty studies between 1999-2011. Primary Health Care work processes are complex and present difficulties for conducting integrative care, especially for nursing, but humanizing practices have showed an important role towards the development of positive work environments, quality of care and people-centered care by promoting access and universal health coverage. Conclusions nursing challenges for universal health coverage are related to education and training, to better working conditions and clear definition of nursing role in primary health care. It is necessary to overcome difficulties such as fragmented concepts of health and care and invest in multidisciplinary teamwork, community empowerment, professional-patient bond, user embracement, soft technologies, to promote quality of life, holistic care and universal health coverage.

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Published

2016-01-01

Issue

Vol. 24 (2016)

Section

Review Articles

License

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How to Cite

Nursing challenges for universal health coverage: a systematic review . (2016). Revista Latino-Americana De Enfermagem, 24, e2676-. https://doi.org/10.1590/1518-8345.0933.2676