This paper describes part of a multicenter study sponsored by the Pan American Health Organization to assess health care reforms and their implications for nursing in several countries. The objective of this research was to learn the views of nurses working in philanthropic hospitals in Ribeirão Preto, in the state of São Paulo, Brazil, regarding the changes in nursing practice coming from Brazil's health care reform and implementation of the Unified Health System (UHS). Data were obtained through structured interviews with seven nurses who met the selection criteria, from the three philanthropic hospitals in Ribeirão Preto. The nurses reported a decline in the quality of care and in the number of beds for UHS patients. The nurses reported that UHS implementation initially led to infrastructure improvements in the philanthropic hospitals. However, the reforms eventually shifted toward improving the care of private and privately insured patients. In addition, the nurses emphasized their heavy work loads and low pay. The nurses' reports indicated that Brazil's UHS is going through a crisis. In general, the nurses linked this crisis to problems in funding and allocation of resources.

译文

:本文描述了由泛美卫生组织赞助的一项多中心研究的一部分,该研究旨在评估医疗保健改革及其在几个国家对护理的影响。这项研究的目的是了解在巴西圣保罗州里贝朗·普雷图(RibeirãoPreto)慈善医院工作的护士对巴西医疗改革和统一医疗体系(UHS)实施带来的护理实践的看法)。数据是通过对RibeirãoPreto的三家慈善医院中符合selection选标准的七名护士进行结构化访谈而获得的。护士们报告说,UHS患者的护理质量和床位数下降。护士们报告说,实施UHS最初可以改善慈善医院的基础设施。但是,这些改革最终转向改善私人和私人参保患者的护理。此外,护士们强调他们的繁重工作和低薪水。护士们的报告表明,巴西的UHS正在经历一场危机。通常,护士将这场危机与资金和资源分配问题联系在一起。

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