FEN - Faculdade de Enfermagem

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http://200.137.215.59//handle/ri/1028

A FEN - Faculdade de Enfermagem, da Universidade Federal de Goiás, oferece curso de Graduação em: Enfermagem. E os cursos de Especialização (Lato Sensu) em: Multiprofissional em Saúde Mental; e, Multiprofissional em Saúde do Trabalhador.

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A abordagem de adolescentes em grupos: o contexto da educação em saúde e prevenção de DST
(2004) Souza, Márcia Maria de; Borges, Ida Kuroki; Medeiros, Marcelo; Teles, Sheila Araújo; Munari, Denize Bouttelet
Introduction: the sexually transmitted diseases (STD) are among the most often Public Health problems on the whole world. Last decades, many efforts have been done to prevention of these diseases mainly to youth population. Health Education constitutes STD prevention and control possibility and, group activities generally are a good choice to work with youth clients. Objective: with paper we sough to debate about some adolescent group approach characteristics on Health Education activities to STD prevention. Method: review paper developed from a non exhausted literature reviewing comparison to researchers work experiences with adolescents, considering youth vulnerability to STD. Results: as results emerged from discussion three categories focused on adolescence and on vulnerability to STD; on adolescent needs and Health Education; and on group discussion managing through its context. Conclusion: we conclude that group as strategy to approaching adolescents is very appropriate, because its possibilities to offer dynamic conditions close to reality and adolescent way of life characteristics. However, it is necessary to health professionals a basic knowledge about group movements and its dynamics, because planning interventions to the group isn’t enough, but with the members group participation.
Acessibilidade aos serviços de saúde na atenção básica do estado de Goiás
(Marcelo Medeiros, 2015-09-30) Ribeiro, Juliana Pires; Mamed, Samira Nascimento; Souza, Marta Rovery; Souza, Márcia Maria de; Rosso, Claci Fátima Weirich
The objective of this study was to evaluate accessibility to primary health care services in the state of Goiás. A descriptive cross-sectional study was conducted based on secondary data from the National Program to Improve Access to and Quality of Primary Health Care. The study sample was composed of health professionals from 1,216 primary health care units. Results showed that 68.5% of the health units miss a screening room, thus considerably damaging prompt decision-making by professionals. The lack of medical offices in 2% of the sites hinders the primary health care services accessibility in Goiás. As regards opening hours and work shifts, 86% of the units are open five days a week in eighthour shifts, which does not favor accessibility for users. This study confirms the lack of accessibility to health services and the need for additional investments to strengthen primary health care.
Acesso aos serviços de saúde nos municípios do entorno sul do Distrito Federal
(Marcelo Medeiros, 2015-06-30) Tonhá, Ana Cléia Margarida; Souza Júnior, Paulo Roberto Borges de; Bezerra, Ana Lúcia Queiroz; Santos, Thays Angélica de Pinho; Rosso, Claci Fátima Weirich
The aim of this study was to analyze people's perception on the access to health services in the southern outskirts of the Integrated Region for the Development of the Federal District (RIDE/DF, as per its acronym in Portuguese). A descriptive, cross-sectional, epidemiological and population-based study with a household survey design was carried out in 2010 and 2011. A semi-structured questionnaire, previously validated, was applied. A total of 605 individuals who lived in the southern outskirts of the Federal District were interviewed, of which 311 (51.4%) were female, 215 (35.8%) had incomplete primary education, 163 (40.9%) sought health services in Primary Care Units and 166 (45.5%) sought health services in another municipality. Access to health services in the region is influenced by social and economic conditions and by the place of living. These findings allow managers to better study the setting, review care services provided and meet health needs of that population.
Acidente com material biológico entre trabalhadores da área de expurgo em centros de material e esterilização
(2004) Tipple, Anaclara Ferreira Veiga; Souza, Adenícia Custódia Silva; Almeida, André Nunes Gomes de; Sousa, Shellen Bueno de; Siqueira, Karina Machado
The cleaning of odonto-medical-hospital articles made by handy methods increases the risk of accidents with biological material. This article has as purposes: to characterize accidents involving the exposure of expurgation’s workers to biological material; to identify the incidence of accident’s subnotifications and to describe the prevention’s steps chosen. After the approval of an Ethics Committee and the worker’s permission, the data were collected in an interview with 111 workers of Central Supply. These employers work in hospitals with a hundred or more beds, located in Goiânia-GO. The article showed that (33) 29,8% of the workers listened said that they had accidents. Among these accidents, (24) 72,7% were notified and nine woren’t. The majority of the workers, 92,8%, didn´t know the individual protection equipment recommended for the expurgation’s use. Most of the time, the accidents were caused by perforating and cutting objects, hurting upper members. The article concludes that the majority of the workers don’t adopt the prevention’s steps. This attitude exposes them to risk’s situations, which can get worse when the accidents aren’t notified.
Acidente com material biológico no atendimento pré-hospitalar móvel: realidade para trabalhadores da saúde e não saúde
(2013-06) Tipple, Anaclara Ferreira Veiga; Silva, Elisangelo Aparecido Costa; Teles, Sheila Araújo; Mendonça, Katiane Martins; SouzaII, Adenícia Custódia Silva e; Melo, Dulcelene Sousa
Analytical transversal study that was conducted with the objectives of identifying the prevalence and characterizing the accidents with biological material among professionals in pre-hospital service (PHS) and comparing the risk behaviors adopted by healthcare and non-healthcare groups that can affect the occurrence and seriousness of such accidents. Data were obtained by questionnaire applied to all PHS workers in Goiânia-GO. The study revealed a high prevalence of accidents involving biological material which, although higher for the healthcare group, also affected the non-healthcare group. There were signifi cant (p < 0.05) risk behaviors for these accidents in both groups: not using gloves, masks or eye protectors; inappropriate disposal of sharps; inadequate dress; re-capping of needles; and a lack of immunization against hepatitis B. The results underscore the importance of both groups in adhering to preventive measures, and further point to the need to structure and implement vigilance and control system for this type of accident.
Acidentes com material biológico em serviços de urgência e emergência
(2014) Mendonça, Katiane Martins; Tipple, Anaclara Ferreira Veiga; Sousa, Adenícia Custódia Silva e; Pereira, Milca Severino; Rapparini, Cristiane
Objective: To analyse cases of biological material accident among nursing staff in emergency areas. Method: Exploratory research held May and July 2009, with approval by the Ethics Committee (Nº 065/08, 12/08 and 118/08). Two checklist were used for data collection. Results: Eight accidents occurred, and the most involved blood in the hands of healthcare workers and three involved vomiting. The non-use of protective equipment in all the cases shows an underestimation of these barriers by healthcare workers and by managers, since not all were available. No accident was reported. Conclusion: The work process in the emergency areas requires a different look, considering their specificities for planning and implementation of a safe culture against the biological risk.
Acidentes com material biológico entre estudantes de odontologia no estado de Goiás e o papel das instituições de ensino
(2012) Lima, Liwcy Keller de Oliveira Lopes; Tipple, Anaclara Ferreira Veiga; Barros, Dayane Xavier de; Ferreira, Priscilla S.; Paiva, Enilza Maria Mendonça de; Simões, Luciana Leite Pineli
This is an epidemiological, retrospective and descriptive study which the objective was to evaluate the frequency and profile of accidents with biological material among dental students attending a reference hospital and to characterize the pre-and post-exposure behavior and monitoring program recommended for this group. Data collection was conducted from October 2010 to April 2011. Records of the accidents with biological material between dental students attended since the first record of an accident until December 2010. Of the 701 accidents between the dental team assisted, 141 (20.1%) occurred among students, and observed the first record in 2000. Most accidents occurred in Goiânia (134, 95.0%). A percutaneous exposure (133, 95.1%) was the most frequent and lumen needle the object more involved in these accidents (51, 38.1%). Adherence to hepatitis B vaccine and to the clinical-laboratory was considered low. Establishing protocols for occupational accidents, made by the educational institution, and that in addition to notification, prioritize the monitoring and progress of each case, could contribute to greater adherence to post-exposure behaviors among this population.
Acidentes com material biológico ocorridos com profissionais de laboratórios de análises clínicas
(2006) Prado, Marinésia Aparecida do; Canini, Silvia Rita Marin da Silva; Gir, Elucir; Melo, Lílian Lorena; Mata, Daniela H.; Santana, Raide M. T.; Souza, Lorena R.; Souza, Adenícia Custódia Silva e
Introduction: the risk of exposure to biological material in clinical analysis laboratories is high, due to the constant manipulation of organic fluids and blood. Objective: identify the frequency and main causes of occupational accidents with biological material among professionals that work in clinical analysis laboratories. Methods: this descriptive study was conducted in clinical analysis laboratories at two teaching hospitals in Goiânia/GO, Brazil. Results: considering 81 professionals interviewed, 9 (11,1%) had not been vaccinated against hepatitis B; 45 (55,5%) referred accident with biological material; being 36 (80%) exposed to percutaneous injuries and 9 (20%) to mouth and ocular mucosa splashes; 22 (48,9%) subjects did not notify any accidents, and one worker was infected by the hepatitis B virus after the accident. The main causes attributed to accident occurrence included inadequate or lack of personal protective equipment, work overload, self confidence and insufficient piercing and cutting material collectors. Conclusion: the high prevalence of accidents, allied to insufficient notification, can cause serious damage to professionals and institutions. This deserves urgent efforts to implement an accident prevention and health promotion program.
Acidentes ocupacionais com material biológico: a percepção do profissional acidentado
(2006-02) Damasceno, Ariadna Pires; Pereira, Milca Severino; Souza, Adenícia Custódia Silva e; Tipple, Anaclara Ferreira Veiga; Prado, Marinésia Aparecida do
This qualitative research aims at identifying the perception of health care workers of different categories from a specialized institution in emergency health service in the city of Goiânia regarding the context involving biohazard accidents. Firstly, 382 workers were given a questionnaire in order to identify those who had experienced an accident, 39 of which also took part in an interview addressing the general aspects of the accidents. Among the main accident causes to be highlighted are: unattention, non-adherence to preventive measures, patient´s severity and hurry. Among the experienced feelings the main ones are: inconfidence, fear of contamination, rage, and even calmness. Half reported no consequence resulted from the accident. Data points to the need of self-worth concerning the worker´s health and also of programs aiming at occupational safety enhancemnt.
Ações de educação em saúde no combate ao tabagismo: relato de experiência
(2011-06) Ribeiro, Luana Cássia Miranda; Peixoto, Myrian Karla Ayres Veronez; Weirich, Claci Fátima; Ribeiro, Juliana Pires; Marinho, Thaís Augusto
Smoking is a chronic disease caused by addiction to nicotine. It is directly related to high mortality, because it compromises physical and mental health of individuals and communities. This study aimed to report the experience of undergraduate nursing students in developing the campaign against smoking at the discipline supervised training course in Nursing I at the Firminópolis-GO campus. The supervised training is carried out for a month, in the last year of the undergraduate course in the form of multidisciplinary rural internship. In the beginning of the activities an operational planning took place, in which the activities related to smoking were highlighted. The strategies consisted of awareness on prevention and damage caused by tobacco. The activities of health promotion and prevention of injuries and diseases related to smoking consisted of action in health education directed to students from public schools, training of Community Health Agents to fight against tobacco use on May 31 – World No Tobacco Day- and participation of the university students in community radio programs. It is considered that the actions taken were of extreme importance in the care provided in primary care, given that the applied strategies effectively reached different audiences.
Ações de educação permanente no contexto da estratégia saúde da família
(2012-09) Paulino, Valquiria Coelho Pina; Bezerra, Ana Lúcia Queiroz; Branquinho, Nayla Cecília da Silva Silvestre; Paranaguá, Thatianny Tanferri de Brito
In Brazil continuing education has been applied as a human development policy for the Unified Health System. This study aimed to determine the significance and contributions of continuing education in the view of nurses working in the Family Health Strategy. It was an exploratory descriptive study conducted in a health district of Goiânia, Goiás, in February and March 2007, with 12 nurses, using a questionnaire that addressed issues of continuing education and its contributions. From their responses, the following categories could be extracted: trouble shooting and problem solving in work organization; greater integration between team and community; and greater stimulus to gain qualification. The health personnel identified contributions to service organization and operation, and to changes in practices in how users are attended to, in teamwork and in team qualification.
Ações de enfermagem na profilaxia da pneumonia associada à ventilação mecânica
(2012) Gonçalves, Fernanda Alves Ferreira; Brasil, Virginia Visconde; Ribeiro, Luana Cássia Miranda; Tipple, Anaclara Ferreira Veiga
Objective:To identify prevention actions of the nursing team related to ventilator-associated pneumonia (VAP). Method: A cross-sectional, observational study conducted in an Intensive Care Unit of a teaching hospital in Goiania/GO. Results:Hand hygiene occurred, mainly, after the procedures and most of care, such as elevating the head-of-bed, bronchial and oral hygiene, diet administration, also handlingmechanical ventilator circuits were not adequate and if experienced groups such as the one in the present study are not following the recommendations emerging from evidence, it may indicate that, for some reason, the learning is not being significant. Conclusion: Most recommendedmeasures to reduce VAP related to positioning the head-of-bed, bronchial and oral hygiene, administration of diet and handling mechanical ventilator circuit were not followed.
Ações de saúde na estratégia saúde da família no município goiano na perspectiva da integralidade
(Marcelo Medeiros, 2013-06) Santana, Fabiana Ribeiro; Santana, Fernanda Ribeiro Santana; Anjos, Giselle Vieira dos; Campos, Thiago Vieira; Lima, Patrícia Carla Teixeira Lima; Lopes, Mayra Maia; Lima, Rafaela Pereira de; Oliveira, Normalene Sena de; Weirich, Claci Fátima Weirich; Fortuna, Cinira Magali
The objective of this study was to analyze the health activities developed by the family health team (FHT) in a municipality in Southeast Goiás under the light of comprehensiveness. This exploratory descriptive study was performed using a qualitative approach. Data collection was performed by means of interviews and then submitted to content analysis. Three thematic categories were elected: Workers’ activities and the connection between them; the FHT does not work as a Family Health Strategy; and An update of family health teams. Results demonstrate a fragmentation of the activities and a lack of connection between workers, which makes comprehensiveness more difficult. In conclusion, there is a need to make permanent investments in health, strengthen social control, perform participative evaluations in the national health system (SUS) and improve management and health care technologies.
Adesão à higienização das mãos e ao uso de equipamentos de proteção pessoal por profissionais de enfermagem na atenção básica em saúde
(2012-05) Rezende, Keyti Cristine Alves Damas; Tipple, Anaclara Ferreira Veiga; Siqueira, Karina Machado; Alves, Sergiane Bisinoto; Salgado, Thaís de Arvelos; Pereira, Milca Severino
This study aimed to evaluate the adhesion to the Personal Protective Equipment (PPE) and Hand Hygiene (HH) by health professionals who work in Primary Health Care in a District of Goiânia - GO. Data were collected from January to May 2010 through direct and no participant observation, reported in a check list and a questionnaire for the characterization of the professional. An evaluation of 149 procedures performed by 28 professionals in 280 hours of observation was carried out. Data analysis was performed through descriptive statistics, using simple frequency. The data was presented in tables. There was poor adhesion to HH and PPE. The low rates of HH, in addition to non-adhesion to proper technique form a risk behavior that endangers health professionals and users. Failures related to the availability of PPE in the studies services can influence the low adhesion to them. Educational and management actions aimed to consolidate a professional practice, awareness of the potential biological risk and importance of the availability of resources, are necessary for a greater adhesion to this Standard Precautions (SP).
Adesão à prática de higienização das mãos por profissionais de saúde de um Hospital Universitário
(Marcelo Medeiros, 2010-06) Primo, Mariusa Gomes Borges; Ribeiro, Luana Cássia Miranda; Figueiredo, Lany Franciely da Silva; Sirico, Suely Cunha Albernaz; Souza, Marta Antunes de
The hand washing (HW) is the most simple and effective and less costly in the control of infections related to health care. This study aims to evaluate the adhesion of professional health care as the practice of hand hygiene. Quantitative research, descriptive type, conducted through a database of the Department of Infection Control from a teaching hospital in the Midwest region. The analysis was performed using SPSS version 16.0. Were analyzed 1316 opportunities HW, these 951 (72.3%) did not occur to the adhesion of this practice. For the situations that not occurred adhesion, stands before the completion of non-invasive procedure with the patient with 24%. The adhesion to HW in accordance with the standards regulated by the relevant authorities, it not incorporated into the daily practice of health professionals that institution and thus educational in order to guide and motivate these professionals to practice correctly and often must HW be discussed and implemented.
Adesão à vacina contra hepatite B entre recém-formados da área de saúde do município de Goiânia
(2008-09) Souza, Adenícia Custódia Silva e; Alves, Sergiane Bisinoto; Santos, Silvana Lima Vieira; Tipple, Anaclara Ferreira Veiga; Neves, Heliny Carneiro Cunha; Barreto, Regiane Aparecida dos Santos Soares
This is a descriptive study, carried out with newly graduated professionals in the health area of Goiânia, Goias State (Brazil), who took part in a study by Santos (2005) and adhered to the first dose of anti-hepatitis B vaccine offered during data collection. This study aimed at verifying acceptance among newly graduated professionals of health in the municipality of Goiânia to second and third doses of anti-hepatitis B; verifying their vaccinal response; and identifying their reasons for non adherence to the vaccination scheme. Subjects were interviewed by telephone and their authorization provided by free and informed consent was confirmed. Forty-six newly graduated professionals took part in the samples. From these, only 4 (8.7%) completed the vaccinal scheme. The main reason reported was forgetfulness (69.6%). None of those completing vaccinal scheme performed Anti-HBs screening, however when the screening was made available all of them adhered to it. Among these, one did not seroconvert. We concluded that there was low adherence to the anti-hepatitis B vaccinal scheme and those adhering to it have not identified the immunological response. We do consider professional awareness a primary stage towards adherence to such effective protective measure.
Adesão ao uso de um checklist cirúrgico para segurança do paciente
(2015-12) Maziero, Eliane Cristina Sanches; Silva, Ana Elisa Bauer de Camargo; Mantovani, Maria de Fátima; Cruz, Elaine Drehmer de Almeida
Objective: Evaluate adherence to the checklist of the Programa Cirurgias Seguras (safe surgery programme) at a teaching hospital. Methods: Evaluative study conducted at a teaching hospital in the south of Brazil in 2012. Data were collected by means of non- -participant observation in 20 hip and knee replacement surgeries and an instrument that was created for research based on the checklist and used by the institution. Results: In the observed procedures (n = 20) there was signifi cant adhesion (p<0.05) to the instrument in relation to the verifi cation of documentation, fasting, hair removal in the surgical site, absence of nail varnish and accessories, identifi cation of the patient and surgical site on admission to the surgical unit, availability of blood and functionality of materials. However, there was no signifi cant adherence to the checklist in the operating room in relation to patient identifi cation, procedure and laterality, team introduction, surgical break and materials count. Conclusion: The results showed that the items on the checklist were verifi ed nonverbally and there was no signifi cant adherence to the instrument.
Adesão às medidas de prevenção e controle de infecção de acesso vascular periférico pelos profissionais da equipe de enfermagem
(2008-12) Martins, Kelly Araujo; Tipple, Anaclara Ferreira Veiga; Souza, Adenícia Custódia Silva e; Barreto, Regiane Aparecida dos Santos Soares; Siqueira, Karina Machado; Barbosa, Jackeline Maciel
Peripheral vascular catheters are frequent in the patients therapeutic and if it is not installed and handled observing the asepsis principles they can represent infection risk. The objective of this study was to verify the adhesion to the aseptic measures for the vascular access. The study was carried out in six hospitals of Goiânia- GO. The population consists of professionals of the nursing team who work in Surgery Clinics and ICU. Data was collected through observation and registered in a check list. In the 209 observed chances the professionals neglected basic measures for the prevention of infections related to the vascular access. Such measures include the hand hygiene, the use of gloves, the antisepsis of the skin, maintenance of venous infusion in closed system and the adoption of aseptic measures in the medicine preparation. We believe to be essential to invest in the qualification of the professionals and standardization of behaviors, and the implementation of policies of protection to the workers which includes investing in safer equipments.
Adesão às precauções padrão entre os profissionais da equipe de resgate pré-hospitalar do corpo de bombeiros de Goiás
(Joaquim Tomé de Sousa, 2003-06) Florêncio, Valéria Borba; Rodrigues, Carolina de Araujo; Pereira, Milca Severino; Souza, Adenícia Custódia Silva e
This study it had as objective to identify to the understanding of the professionals of the team of Pay-Hospital Rescue of the Body of Firemen of Goiás concerning the exposition risks the biological material and the adhesion to the measures of precautions standard. The data had been collected through questionnaire and systemize comment. The only measure of adopted security if restricts to the use of gloves of procedures, had demonstrated to little knowledge concerning the measures of protection and the risks the one that is displayed. The team presents ability technique for the attendance for the victims and needs preparation for its self-protection.
Adesão de mulheres de 18 a 50 anos ao exame colpocitológico na estratégia saúde da família
(2012-07) Oliveira, Wágna Maria de Araújo; Barbosa, Maria Alves; Mendonça, Brenda de Oliveira Monteiro; Silva, Alzilene Alves da; Santos, Laís Carla Faria; Nascimento, Lara Cristina D. do
A descriptive exploratory study of quantitative nature with the aim of evaluating the adherence of women to the smear test in the Health Family Strategy of Iporá, Goiás, Brazil. The study sample consisted of 114 women from 18 to 50 years old who attended the Family Health Strategy to have a smear test in October and November 2010. The descriptive analysis performed using Epi Info 3.5.1 showed that the higher level of adherence is in the 46 to 50 years age group (24%) and the lower level is at 18 to 20 and 41 to 45 years (10% each). Among the interviewees, 70% had the test every two years or less and 12% had never had it. The Family Health Strategy unit with higher adherence was Jadim Monte Alto with 16%, and the lower was Umuarama district with 8%. It was concluded that prevention is the main reason for women to take the smear test.

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