Mestrado Profissional em Ensino na Saúde (FM)
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Item Adaptação e validação da versão brasileira da Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional: um estudo em profissionais da atenção básica(Universidade Federal de Goiás, 2015-10-23) Abed, Marcelo Musa; Grosseman, Suely; http://lattes.cnpq.br/0370187050750881; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Pereira, Edna Regina Silva; Menezes, Ida Helena Carvalho F.; Rocha, Bárbara SouzaInterprofessional collaboration is in the focal point of the transformation of the working process between professionals from various categories, in the quest to provide complete care to patients. Interprofessional education can ensure the cooperative practice in health services. That`s why tools are necessary to assess how this collaboration occurs. Hojat et al. drew up a scale for evaluating interprofessional collaboration. The aim of this study is the crosscultural adaptation and validation of the Jefferson Scale Of Attitudes Toward Trade Collaboration (JeffSATIC) on primary health care in Brazil. The final version, in Portuguese, of the Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional (EJARCI), followed all the steps for its adaptation, ending with the evaluation by four experts of the translated content: cultural and conceptual equivalence in relation to its purpose and use in a sample of 30 primary health care professionals. One hundred and twenty-eight professionals of the health family team members participated in the validation process responding the translated scale. In the content validation the content validation index (CVI) was 0.99, which demonstrates that the scale is able to measure what it intend to. To appraise the internal consistency was used the Cronbach's alpha Coefficient, α value of 0.71, being acceptable to set their reliability. It is concluded that the cross-cultural adaptation has been properly performed and their application is valid in primary care.Item Humanização em gestão - percepção da equipe de enfermagem em uma maternidade escola(Universidade Federal de Goiás, 2014-02-28) Adorno, Alexandrina Maria Nogueira Guerra; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Lima, Jacqueline Rodrigues de; Costa Neto, Sebastião Benício; Costa, Nilce Maria da Silva Campos; Queiroz, Ana Lucia BezerraThe humanization policy in the context of health constitutes a relevant actions sedimentary health care of the population direction and determines the reflection on the formative processes in human resources for health. Qualitative study, aimed at analyzing the humanization management of human resources, the perception of nursing staff in a public maternity hospital. Collecting data through semi-structured interviews with 29 respondents recorded, with 06 nurses and 23 nursing technique, the period February to May 2013 collection The material was literally transcribed and subjected to content analysis technique developed by five thematic categories: Humanization Policy of the SUS; Assistance and Processes promoters humanization of nursing services; Skills and managerial skills of the nurse; Quality of nursing care. It is understood that, in the view of the interviewed nurses to fit the humanization of nursing services, the development of managerial skills of staff. Humanizing nursing service in maternity is a complex process that requires professional expertise in health management, the institution must carry continuing education discussing actions based practices and clinical evidence hinged to technological advances, promote host environments for nursing staff, enable workers to suitable conditions for quality care to women during pregnancy and puerperal period.Item Formação acadêmica e atuação profissional de nutricionistas de núcleos de apoio à saúde da família de Goiás(Universidade Federal de Goiás, 2013-11-22) Aguiar, Camilla Botêga; Costa, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047; Costa, Nilce Maria da Silva Campos; Menezes, Ida Helena Carvalho; Mortoza, Andrea SugaiThe current model of Health Care in Brazil prioritizes health promotion, prevention, control and treatment of health problems of individuals and families with integrity and continues. These actions are directly or indirectly related to food , requiring the insertion of a nutritionist in Primary Health The aim of this study was to analyze the academic performance and nutritionists professionals of the Centers of Support for Family Health of the State of Goiás, from the perspective of the researched, with a descriptive, exploratory, cross-sectional. For data collection we used a self-administered questionnaire with open and closed questions to characterize and study the academic and professional performance of the nutritionists. The data was tabulated in Excel and made a descriptive analysis of variables. The participants were 22 nutritionists , female , representing 88 % of the nutritionists from Centers of Support for Family Health of the State of Goiás. From these , 59.1 % had less than three years of graduation; 13.6 % had made a specialization in Health Family , 27.3 % felt qualified to work professionally with reflection on the socioeconomic , political and cultural territory. Regarding performance, 80 % are hired temporarily, 36.4 % worked for less than a year, 18.2 % were trained before the start of activities and 59.1 % felt somewhat qualified for working on the Centers of Support for Family Health. On the professional practice, (9.1%) nutritionists argued over a matrix model meetings and references used on the tool. Teamwork was appointed as facilitator of actions performed (40.9 %), and no knowledge of the role of Centers of Support for Family Health as a factor that hinders (31.8 %). The nutritionists from Centers of Support for Family Health of the State of Goiás have little professional experience and qualifications to work in family health. Have difficulties to understand the local reality. The form of entrance affects the bond between the professionals and the public. The matrix model was just highlighted in meetings and theoretical support. There is need for more studies on the Centers of Support for Family Health.Item A prática docente do enfermeiro à luz da teoria histórico-cultural(Universidade Federal de Goiás, 2016-06-16) Alves, Angela Gilda; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Costa , Nilce Maria da Silva Campos; Barbosa , Maria AlvesThis study investigated the focus of teaching practice during the practice of nursing teachers in higher education institutions, according to the assumptions Vygotsky's theory. The objective of analyzing the aspects of historical-cultural theory and possible contributions to the teaching of nursing practice. Data for the study descriptive qualitative approach, guided by Grounded Theory Data were collected through semi-structured interviews, applied to Twenty Two teachers of six institutions of higher education. In the period from August to December 2015. Data analysis resulted in four subcategories: teaching nursing education; teaching process learning; methodologies and teaching strategies and interfaces trends progressive - social critic of the contents. Emerged as core category 'The field of pedagogical practice of distant nursing teaching process and the contributions of Vygotsky'. As a result, the first article 'The theory of Vygotsky: contribution to the education of health professionals in Brazil 'shows that the work selected, most were unsatisfactory as the presentation of strategies used to assess the Vygotsky's contributions to training health; The second article, 'The teaching of nursing practice in the Stork Network the Theory Historical-Cultural 'reflects discussions not only of academic level, but also the concerns of the services and to the community, showing that the educational aspect of nursing is not dissociated from care practice; New the third article 'Treat and the hardships of being a teacher of nursing' resulted in the enchantment of being a teacher, to teach I learn, go over, I welcome, educate; Tripod: affectivity, responsibility and quality; The counterpoint of teaching enchantment. It is concluded that the Vygotsky's theory in educational practice in health has emerged valuable contributions and oxygenate the practice through various optics, such as progressive tendencies. However, the exercise of cultural-historical theory is empirical and the field of teaching practice shown far the teaching process, and Vygotsky contributions.Item Ensino no curso técnico em enfermagem: metodologias problematizadora e tradicional(Universidade Federal de Goiás, 2014-09-18) Araújo, Reila Campos Guimarães de; Nunes, Maria de Fátima; Nunes, Maria de Fátima; Mohn Neto, Carlos Rodolfo; Martins, Cleusa AlvesThis study aims to demonstrate the features and the importance of questioning the methodology and the traditional methodology in the training of the nursing technician of the National Commercial Training Service (Senac) Rio Verde, Goias. We used a qualitative-quantitative research approach in a convenience sample composed of two classes of students attending the course Cancer Treatment in twelve meetings (classes) for each class, under the analysis of two external observers. To evaluate the characteristics of the teaching methodologies, we used the method of formal assessment of learning; to analyze the perceptions of students regarding the teaching methodologies applied, we used three instruments: script dail y observation, analysis instrument of observers, containing range of values from zero to ten, analyzing five aspects (participation, the syllabus, satisfaction, critical thinking and learning disability), and an anonymous, self -administered at the end of the course to analyze the same aspects. The data were entered into Excel software for further analysis in SPSS 17.0 statistical software. Descriptive analysis (absolute and relative frequency) and comparison tests between groups was performed to detect po ssible differences between the methodologies used. For analysis Chi-square and T tests, the variables were dichotomized. For analyzing qualitative data content analysis was used. Study participants were 53 (98.15%) students. In formal evaluation, there were no differences between the methodologies of questioning and traditional; was no statistically significant difference (p <0.041) for the item "participation" in the questionnaire to students, and the participation was higher in questioning. Scales of values applied by the two observers, was no statistical difference between the two methods (p <0.001). In analyzing the reports of observers, there were differences between the methodologies in all observed items. It is concluded that in this study, with students from technical nursing program Senac- Rio Verde / Goiás that learning occurs similarly in both methodologies; perception of students both methodologies are similar with the exception of the item 'participation', which is larger in the methodology of questioning; the perception of observers to questionable methodology overlaps in several aspects to traditional methodology.Item Problemas detectados na estratégia Saúde da Família por alunos de odontologia(Universidade Federal de Goiás, 2014-12-15) Barbosa, Sandra de Cássia Oliveira; Nunes, Maria de Fátima; http://lattes.cnpq.br/1073613293336515; Nunes, Maria de Fátima; Mohn Neto, Carlos Rodolfo; Moraes, Vardeli Alves deService-learning partnership is essential in the training of future professionals, as well as continuing education for professionals already working in health services. This partnership is important for better resolution of problems aimed at comprehensive care, constitutional principle guiding the Unified Health System (SUS). The SUS has the responsibility to participate in the formation of human resources, and to facilitate this participation , contributes to various strategies, one of the Family Health Strategy (FHS). The objective of this study was to understand the problems diagnosed in the units of the Family Health Strategy (FHS) of Goiânia by undergraduate students in Dentistry, Federal University of Goiás (FO/UFG). Therefore, we carried out a retrospective documentary research. Were objects of study the existing problems in the projects developed by academics for intervention in UABSF/GO, from 2006 to 2013. These students were enrolled in seventh period Graduation FO/UFG, in Stage Collective Dentistry I (EOC I). Reported problems in academic projects, occurred in 16 UABSF the city of Goiania-Go. All projects prepared by students of EOC I were examined and presented a total of 950 problems diagnosed by academics. The listed problems varied according to the region where the stage happened and a group of students to another. These prioritized problems and suffered interventions by students, were those who had local solutions. In the categorization, there were seven categories and 15 subcategories. Among the categories, the most cited were 'management' and 'social' and the subcategories were 'public administration', 'management of health services' and 'organization of work processes'. The categories were cited less' teamwork 'and social control'. It was concluded that the categories are interconnected to each other, demonstrating that health problems often have different causes and require shared solutions. Several of these problems have no solution at the local level, relate to the social determinants of health and deserve special attention from the management of services. The categorization of problems demonstrated the extent of the difficulties experienced by health staff, and the need for inclusion in the dental students early health services, to experiencing the practical reality in the search for a formation that brings the professional future of dentistry, the real needs of the population. The participation of dentists in stages contributes to the continuing education of these health professionals.Item Estágio supervisionado em nutrição clínica: qual o olhar do preceptor?(Universidade Federal de Goiás, 2018-12-14) Carvalho, Nayanne Duarte Madeira; Mortoza, Andrea Sugai; http://lattes.cnpq.br/4896920176590532; Menezes, Ida Helena Carvalho Francescantonio; http://lattes.cnpq.br/8722459243487573; Menezes, Ida Helena Carvalho Francescantonio; Queiroz, Maria Goretti; Corgosinho, Flávia CamposThe supervised internship is a compulsory item for higher education. In this context, we highlight the figure of the preceptor, an important and indispensable actor for the development of the stage. The preceptory is a relatively new exercise that must be accompanied by a pedagogical training that offers training to professionals for the development of this function. Studies that address the preceptory in health areas such are common in the literature, but few studies that address this issue in the area of nutrition, so it becomes relevant to collect, systematize and analyze topics related to this issue. The objective was to analyze the preceptor in Clinical Nutrition of the nutrition course of the Federal University of Goiás, in teaching hospitals in the ambit of the preceptor. Research of exploratory nature using the qualitative approach. A questionnaire was applied to preceptors of the clinical nutrition in two teaching hospitals where the internship were carried out, where three dimensions were evaluated: teaching-learning process, general competences for student training and interpersonal relationship of the trainees team. After tabulation of the data, two focus groups were performed with the preceptors of each site. For the application of the questionnaire and the realization of the focus groups, the term of free and informed consent was applied. Qualitative data analysis was performed using the Bardin content analysis technique. The results showed a lack of clarity in the conceptualization and delegation of the functions of the preceptor and the teacher. The relationship and the dialogue between them were evaluated in a negative way, because this relation was closely linked to the presence of the teacher in the place of the internship, considered insufficient by some preceptors. The lack of preceptor training was pointed out as a limiting factor in the performance of the preceptor at the stage. The presence of the trainee in the work environment was considered an agent of positive changes. Actions aimed at joint action between preceptors and teachers are important for the proper development of the internship. The university has the role of developing continuing education and training for preceptory professionals in order to clarify the roles and importance of each actor.Item A prática dos estágios em Saúde Coletiva e Pet-Saúde/RAS na formação em odontologia no Sistema Único de Saúde(Universidade Federal de Goiás, 2016-01-27) Cassiano, Cenise Cristina Zago; Costa, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047; Costa, Nilce Maria da Silva Campos; Nunes, Maria de Fátima; Pessoni, Grécia Carolina; Naghettini, Alessandra Vitorino; Ribeiro Filho, Sebastião AlvesThis research analyses the developed experiences at internships and curricular practices, in the perspective of the Pró and PET-Saúde programs, on the graduation of health professionals coursing Odontology at the Universidade Federal de Goiás (UFG), in the city of Goiânia. It was analysed the following discipline: Collective Odontology Internship II (EOC) and Not Curricular PET- Saúde/RAS (Education for Health Work Program/Attention to Health Net) Intership, throughout the description of the professional formation processes, on the preceptor and academic perspective, in their own graduation experience in the and for the Sistema Único de Saúde (SUS). Furthermore, it was identified the focus of the course and it was described the conceptual attributes developed in the curricular matrix, in light of the National Curriculum Guidelines (DCN's). Also, it was analysed the incorporation of the principles and guidelines of the Sistema Único de Saúde (SUS) in the process of higher education formation. To fulfil this objectives, a descriptive study was conducted with a qualitative approach. It was used as data analysis techniques 1) documental analyseis of the political pedagogical of the course and of the disciplinary menu internship, 2) Observations on the intership shield, 3) interview with preceptors of the Collective Odontology Internship II (EOC) and PET-Saúde/RAS (Education for Health Work Program/ Attention to Health Net). The results showed that there is predominance of the guided formation by the National Curriculum Guidelines; the support of the Pró-PET- Saúde contributed to the integration teaching-service- community, favouring the implementation of the DCN's for the course of Odontology from UFG in the practice field. it wasn't identified the interdisciplinary work on the field observations, neither in the interviews, therefore, the inter professional remains a critical point in SUS, where there is a lacky of clarification and disposition to develop it. The execution of public policies in the education field and health graduation favours the implementation of the DCN's in the Odontology course of UFG and transforms the health practices. In this way, the research indicates that the making of both intership brought the students some learning opportunities, reflexion and comprehension of SUS, being clear its limits and challenges.Item O aperfeiçoamento dos assistentes sociais no Programa de Residência Multiprofissional em Saúde de um hospital universitário(Universidade Federal de Goiás, 2014-12-09) Dias, Heloísa Helena Rodrigues; Moraes, Vardeli Alves de; http://lattes.cnpq.br/2078225868415338; Moraes, Vardeli Alves de; Costa, Nilce Maria da Silva Campos; Costa Neto, Sebastião Benício daINTRODUCTION: This study is about knowing the perception of former students and preceptors relative to the Multidisciplinary Residency in Health at the Federal University of Goiás Public Hospital during the period of 2010 to 2012. OBJECTIVES: To analyze the perception of social workers (preceptors and former students) with respect to their performance, as well as understand the deployment and implementation process of the Multidisciplinary Residency in Health Program (PRMS as the portuguese acronym); identify the necessary skills to labor in the SUS and describe the difficulties encountered in the field of action. METHODS: A descriptive and exploratory study with qualitative approach. The instrument was a semi-structured interview with open questions recorded from five preceptors and twelve former social workers students. The transcribed interviews were submitted to content analysis proposed by Bardin and using the software ATLAS TI. The analyzes were performed taking into account the formation and the professional performance in residence and presented the factors that affect the field of action. RESULTS: It’s necessary to: acquire new knowledges to work in multidisciplinary teams; to develop specific competencies for preceptorship and for work in the SUS; to enhance inter-branch, multi-professional and interpersonal relationships. CONCLUSION: The analysis of the content of the interviews showed that the goals of the health multi-professional residence, specifically in Social Work, have been achieved, though, it is necessary to consider specific actions to improve skills that contribute to the exercise of the preceptor role and to work in the SUS focused on interdisciplinarity and integrality of health care.Item Sistematização da assistência de enfermagem: perspectiva para autonomia profissional(Universidade Federal de Goiás, 2014-07-11) Ferreira, Eric Benchimol; Taleb, Alexandre Chater; http://lattes.cnpq.br/3191620401627150; Pereira, Milca Severino; http://lattes.cnpq.br/9304767101674108; Taleb, Alexandre Chater; Souza, Adenícia Custódio Silva e; Martins, Cleusa AlvesStudies on theories of nursing, since the days of Florence, have presented ideas about the development of tools for professionals in nursing to develop clinical reasoning and deepen scientific knowledge, increasing their ability to provide quality service. The use of systematic processes in nursing is a relevant factor for excellence of care. The objective of this study was to analyze the perception of nurses about the systematization of nursing care from the perspective of professional autonomy. This is a descriptive, exploratory, cross-sectional study, which was conducted in five inpatient clinics of a large, public teaching hospital, located in the Midwestern region of Brazil, in the period August-September 2013, involving 24 nurses. Data collection was conducted using a questionnaire previously evaluated by five experts in the field of research and the data were analyzed using analytical and descriptive statistics, quantitative approach and applied the technique of Bardin’s content analysis, for qualitative data analysis. The results were divided into two thematic groups, one positive and one negative. The positive core theme was divided into categories: a) Steps of the nursing process that nurses find easier to develop; b) Professional aspects that favor the use of systematic processes in nursing care; c) Institutional factors that favor the use of systematic processes in nursing care; d) Credibility of the systematization of nursing care to promote the autonomy of nurses. The negative core theme has categories: a) Steps of the nursing process that nurses have difficulties developing; b) professional aspects that do not favor the application of systematic processes in nursing care; c) Institutional Factors that do not favor the application of systematic processes in nursing care. It was noted that the Systematization of Nursing promotes professional autonomy of nurses from their perspective. This study highlights a strong professional effort to turn systematic nursing practice, in its essence, into daily nursing care activity. The results support a deeper study of this topic in order to contribute expand the professional body of knowledge.Item O PET-Saúde e a formação dos estudantes na visão dos tutores(Universidade Federal de Goiás, 2016-01-28) Galli, Cibelle Moraes Leite; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Costa, Nilce Maria da Silva Campos; Mendonça, Reginaldo Teixeira; Martins, Cleusa Alves; Freire, Maria do Carmo MatiasGovernment initiatives have been proposed since 2005 aimed at reversing the inadequacy of training models still fragmented and strongly hegemonic to face the current challenges of health care and the needs of the Unified Health System (SUS). The Education Program for Working for Health (PETHealth) is one of these initiatives has as main concept the formation of tutorial groups that will contribute to the development of human resources with adequate profile to the training needs expressed in the country's health policies and to face the different realities of life and health of the population. Because of the development of this program at the Federal University of Goiás (UFG) since its inception in 2008 without there being an evaluation of its results gave rise to the research project "Impact Assessment of PROHealth Programs and PET-Health in courses Graduation healthcare UFG". This study aimed to describe the PET-Health contribution to the training of professionals of the health courses at the Federal University of Goiás, in the view of the tutors. Research with descriptive approach, using an electronic form for data collection, containing ten essay questions. Form was answered by 16 tutors who acted in the PET-Health 2008-2013 (response rate 57%). Data analysis was performed using content analysis which yielded a total of four axes, twelve categories and thirty-five subcategories. It was found that PET-Health positively influenced in building a more complete training, bringing innovation to work in multidisciplinary groups in graduation through coexistence, interdisciplinary with students from other courses in comprehensive of attention care, innovation of educational strategies in the SUS understanding of change and amplitude the concept of health. It also brought some negatives especially in relation to the amount of bags for preceptors and the hours available for scholarship students to carry out their activities. It was concluded that it is a challenge to implement all the ideals of PET-Health but it is possible. The program proposals have openness to dialogue spaces where students develop the perception of daily life and the complexities of the service. For tutors, PET-Health leverages the work so that the pedagogical perspective and integrative motivation actions of teaching - service - community expand to other students from various courses and periodicity levels, continuously, regular, full and nice.Item Práticas integrativas e complementares: conhecimentos. concepções, percepções e atitudes dos profissionais do Serviço Público de Saúde(Universidade Federal de Goiás, 2014-11-14) Gontijo, Mouzer Barbosa Alves; Nunes, Maria de Fátima; http://lattes.cnpq.br/1073613293336515; Nunes, Maria de Fátima; Campos, Cerise de Castro; Moraes, Vardeli Alves deThe present study sought to identify knowledge and attitudes towards Integrative and Complementary Practices (PIC) among health professionals of the public service in three Brazilian municipalities. We conducted an exploratory cross-sectional study with professionals from top-level health of the municipalities of Araporã - Minas Gerais; Itumbiara - Goiás and Panamá -Goiás. For data collection was used a questionnaire with open and closed questions. The data were processed using SPSS version 17. Descriptive analysis was performed of data and cluster analysis (two-step cluster). The response rate was n = 118 participants (78.7%). The age of the respondents ranged from 23 to 66 years, with a mean of 33.6 years (± 9.6). The majority of respondents were nurses and doctor n = 24, followed by psychologists n = 15 and physiotherapists n = 13. Among the 117 who claim to know the PIC, the best known are: acupuncture n = 115, herbal medicine n = 104 and homeopathy n = 93. The lesser known are: anthroposophy n = 7, hydrotherapy n = 15 and Ayurvedicn = 20. Among the professionals who know these practices, n = 114 believe in acupuncture, n = 100 and only n = 24 believe in homeopathy. As the experience with the Integrative and Complementary Practices, n = 24 professionals have read or have had experience through the family. Among the respondents n = 109 considered the PIC efficient, n = 102 that they are important to the profession, n = 112 that they are important for the SUS and only n = 36 felt that their concerns are related to what was taught during graduation. As for the inclusion of PIC in the curriculum matrices, n = 113 responded that they should be included in undergraduate as compulsory or optional courses. Only n = 19 professionals knew the National Policy on Integrative and Complementary Practices. The analysis in clusters allowed us to find two groups with different profiles. It is concluded in this study that the majority of respondents are doctor and nurse; partially meets the PIC and were considered more efficient acupuncture and herbal medicine; unaware of the National Integrative and Complementary Practices Policy (PNPIC); asserts that the knowledge was obtained by reading and family experience, however, few consider that graduation was important to obtain this knowledge; considers that the PIC should be inserted at graduation; experienced the PIC through herbal medicine, acupuncture and homeopathy; considers the efficient PIC and that these are important to the Abstract xv profession and the SUS. The cluster analysis identified two groups that differ as to the PIC and the PNPIC by knowledge, beliefs, perceptions, conceptions and skills.Item Percepções discentes sobre a Estratégia de Saúde da Família e a escolha pela especialidade de Medicina de Família e Comunidade(Universidade Federal de Goiás, 2014-02-21) Issa, Afonso Henrique Teixeira Magalhaes; Silva, Marcos Wesley da; http://lattes.cnpq.br/8744505825685805; Lima, Fátima Maria Lindoso da Silva; http://lattes.cnpq.br/5289890813807831; Pereira, Edsaura Maria; http://lattes.cnpq.br/8820722314388248; Marques, Solomar Martins; http://lattes.cnpq.br/5168936259198176Objective: To analyze the perceptions of undergraduates in medicine in relation to the work of the Family Health Strategy (FHS) and the influencing factors in choosing the specialty of Family Medicine and Community (FM). Materials and Methods: An exploratory and qualitative study of a cross-sectional nature involving undergraduates in the 11th period of the medical school of the University Center of Anápolis (UniEVANGÉLICA) which is located in the Central-West region of Brazil. The study involved the examination of data collected from the body of students involved in a course of study who have been selected after approval by the Ethics and Research Committee. In the research, two instruments for collecting data and information were used: Firstly a questionnaire and secondly a roadmap for semi-structured interviews. This approach was taken in order to Identify Socioeconomic Characterization along with the Identification of Occupational Aspirations and analysis of factors that influence their choice of FM by using the technique of content analysis. Results and Discussion: None of the interviewed graduates opted to specialize in FM. The low social status, low wages, lack of labor rights, the experience of little contact with medical specialists during the course, the poor solutions in FHS, with poor working conditions and limited opportunity for professional growth showed up as negative influences in their choice. FM have previously examined the social relevance, comprehensive clinical work, bond with patients, as well as greater contact with medical experts in FM for new graduates to present themselves as positive influences on the perception of choices. Final Thoughts: The most effective actions that can ensure the recovery of the FHS as a more inclusive and positive workplace and one that offers a more recognized appreciation of family medicine as a medical specialty is as outlined. Better wages and greater social recognition of the work of the FM are factors that should be considered in policy actions. A further major factor would be ensuring labor rights and conditions for personal accomplishment in the FHS expert in FM. The inclusion of experts in FM graduation may assist in identifying students with this specialty. Further studies should be conducted to broaden the understanding of the subject and deeper questioning of this important theme for consolidation of the Unified Health System (SUS).Item Atividades educativas na rede de saúde na perspectiva da política nacional de educação permanente(Universidade Federal de Goiás, 2014-07-30) Maia, Ludmila Grego; Sousa, Lucilene Maria de; Menezes, Ida Helena Carvalho Francescantonio; http://lattes.cnpq.br/8722459243487573; Menezes, Ida Helena Carvalho Francescantônio; Costa, Nilce Maria da Silva Campos; Silva, Luiz Almeida da; Naghettini, Alessandra Vitorino; Souza, Sandra Maria Brunini deThe normative processes of formal organizations for the training of the human resources in the Brazilian Unified Health System (SUS) indicate that there are different conceptions of healthcare education, where terminologies such as continuing education and permanent healthcare education have coexisted in the same space of time as educative processes, sometimes being a confusing factor in the imaginary of the professionals. The implementation of the National Policy of Permanent Healthcare Education (NPPHE) defined these processes as learningwork and by occurring in the people’s everyday lifeand organizations. The goal of this work was to analyze the records of the educational activities performed by the healthcare units of the municipality of Jataí from the perspective of NPPHE. It was decided for a descriptive study, retrospective with documental analysis of the activities described in 2012. The results pointed out that the educative activities in the municipality have been mostly related to the healthcare education, focused on community, with demand and internal events to the unity, followed by the continuing education activities for specific groups. The number of activities focused on the worker was of 8,4% in relation to the universe of study. The justifications for them to happen departed from two categories: administrative issues and health care. Therefore, the effective implementation of the permanent healthcare education is a challenge for the healthcare services, by considering the pedagogical-political complexity in which falls the context of the public health in Brazil. Moreover, to manage the change of educative practices which are significant at work for work, one requires a continuous professional training.Item O estágio supervisionado na formação do profissional enfermeiro(Universidade Federal de Goiás, 2015-07-16) Marcilio, Wanda Rodrigues da Silva; Moraes, Vardeli Alves de; Costa, Nilce Maria da Silva Campos; Martins, Cleusa Alves; Costa, Zelma BernardesCurricular Supervised Training (CST) is a fundamental tool in nursing education. At this time, the professionals-to-be are given the opportunity to get in contact with the reality in which they are about to be immersed. This study aims at identifying perceptions of the nursing graduate student regarding CST in nursing professional education. This is a qualitative, descriptive, cross-sectional and exploratory study. Data was collected through questionnaire and semi-structured interviews with 20 nursing graduate students, from 2012 to 2013, transferred to Atlas Ti Software. After initial analysis of the interviews with the graduate students, we created a table with categories and sub-categories. Categories: Supervised Training; Perceptions regarding the integration between theory and practice; Disturbing factors for the supervised training; Contributions of the supervised training in nursing education; Relationship between Curricular Supervised Training and National Curricular Guidelines (NCG) and the sub-categories: positive and negative points; general knowledge, competence; insufficient hours; inadequate supervised training field; patient safety; learning opportunities; teaching-learning and guiding tool. The outcomes show that the factors which disturb the development of training were the hours considered insufficient and the training field which was considered inadequate for various practices. The graduate students considered supervised training a guiding tool, which gives them opportunities and confidence to deal with patients, providing them with technical and scientific experience, it prepares professionals-to-be to perform their functions with responsibilities, ethics, leadership, communication and decision-making skills. We conclude that the development of professional competences requires a deeper knowledge of concepts, methods, and goals to be reached. Discussions regarding nursing education are necessary, due to the fact that such courses have spread throughout this country, thus the amount of graduate nurses has increased each new term, and it is necessary an increased quality in the education of these professionals through educators’ reflections. We hope this study could contribute to improve proposals of curricular training to become more integrated with graduation curricula and with more education-labour interaction.Item Educação permanente na gestão de resíduos em hospital universitário(Universidade Federal de Goiás, 2016-07-27) Meira, S. R. C.; Moraes, V. A.; http://lattes.cnpq.br/2078225868415338; Moraes, V. A.; http://lattes.cnpq.br/2078225868415338; Martins, Cleusa Alves; Barbosa, Maria Alves; Pereira, Edna Regina Silva; Queiroz, Maria da Conceição de C. A. M. deIntroduction: The Healthcare Services Waste is a source of risk to the human health and the environment, specially, by the lack of technical knowledge adequate to the management of waste, such as biological materials, sharp objects, toxic and radioactive substances. Due to the increase of health problems regarding human beings, the issue of hospital waste in the world, has become alarming, and the problem is a major threat to the environment and occupational safety. The hospital waste, if disposed without proper treatment or without compliance with the current legislation, is dangerous to the people, health professionals and all those workers involved in the waste management process. Continuing education here is understood in a health context, involving the teaching throughout the service, in which the nursing staff must have skills and competencies related to the management of hospital waste. Objective: To discuss the relation of continuing education as a tool for the management of hospital waste. We sought to assess the knowledge of the nursing staff regarding hospital waste. Methodology: Exploratory, descriptive study, with qualitative, transversal approach. Data collection among 31 healthcare professionals, 11 nurses and 20 nursing technicians, held in a teaching hospital in the Midwest region of Brazil, through semi-structured interviews with open and closed questions. The collect of data took place from June to September 2015, after approval by the Research Ethics Committee in Human Beings UFG No. 1.093.310 of 05/29/2015, meeting the requirements of ethical and legal aspects of the Resolution No. 466/12, of the National Health Council. The interviews were inserted in the software database Atlas Ti7.0, which generated frequency data, percentage in the analyzed categories and subcategories and the semantic network. Results: The participants of this research were categorized regarding general aspects - gender, occupation, schooling degree – and specific aspects – major degree, period he/she has worked in that hospital. Regarding schooling degree, six finished High School and, besides the nurses, 14 graduated from college. Regarding major degree, 22.58% are post-graduated (28.57% of nursing technicians and 71.42% of nurses), 16.12% has Master’s degree (40% of nursing technicians and 60% of nurses) and 3.22% holds a PhD (one nurse). From the analysis of the contents obtained from interviews, emerged the following categories: waste training, knowledge of nursing professionals about the management of hospital waste, sharp objects accidents and the importance of waste management for the institution. Among the participants, 54.84% did not receive any training related to waste management, 38.71% were nursing technicians, and 16.13% were nurses. 51.6% of respondents believe they do not discardcorrectly the waste produced in their workplace, and 77.42% have witnessed an accident with waste management in the hospital under study. 93.55% of respondents consider important the GRSS (Management of Hospital Waste Program) for the institution. Conclusion: Major obstacles to the proper handling of hospital waste were the lack of information of respondents and the lack of adequate material resources for disposal. Thus, it is essential that continuing education and specific training should be offered to all health professionals, employees of the cleaning service and collection, to ensure the inherent understanding of the proper handling of waste.Item Análise da autonomia da gestante na escolha do tipo de parto(Universidade Federal de Goiás, 2016-03-15) Melo, Gleydson Ferreira de; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Pereira, Denise Gonçalves; Almeida, Nilza Alves MarquesThe pregnant woman's autonomy of analysis in choosing the type of delivery and the guidelines on prenatal care, the woman as an active agent in the parturition process. Objective: To analyze the autonomy of pregnant women face the choice of the type of delivery. It is a descriptive research field with a qualitative approach. The data were collected through semi-structured interviews were interviewed 80 pregnant women in a public unit of public health Goiania, Goiás, from August to September 2015. In the analysis and interpretation of data emerged the theme: autonomy pregnant women in choosing the type of delivery was drawn up three thematic categories: the pregnant woman's autonomy in choosing the type of delivery; Partner opinion and family and the influence of professionals in the puerperal gravid period. The study found that during the health unit prenatal did not favor dialogue with the pregnant woman in the types of delivery. It was identified break in the empowerment of women, the decisions of pregnant women are motivated by family experiences and or close pairs, but the doctor's professional statement directly influences the decision of pregnant women. The level of women's education directly influence the choice of the type of delivery; it was found that the previous experience of strengthen the type of delivery of the decision in subsequent pregnancies. Thus, the discussion of the results confirms the need to review and improvement of care programs pregnant women, especially in the public service, where there were great achievements in government policies, which advanced to ratify a quality and efficient service for women who seek comprehensive care at birth and childbirth.Item Reações adversas a medicamentos e a farmacovigilância: conhecimentos e condutas de profissionais de saúde de um hospital da rede sentinela(Universidade Federal de Goiás, 2014-07-09) Modesto, Ana Carolina Figueiredo; Lima, Dione Marçal; http://lattes.cnpq.br/4310011929664114; Lima, Dione Marçal; Menezes, Ida Helena Carvalho F.; Amaral, Rita Goreti; Martins, Karine Anusca; Nunes, Maria de FátimaBackground: The use of drugs isn’t harmless, and require greater attention by health professionals to assist in identifying and preventing adverse drug reactions. These, and other problems related to drug use are the subject of study of pharmacovigilance. It becomes necessary knowledge by health professionals to improve patient safety. Objective: To measure the knowledge and attitudes among healthcare professionals in a teaching hospital towards adverse drugs reactions and a pharmacovigilance program. Methodology: Cross-sectional study conducted from October 2013 to January 2014 with 54 health professionals in a medical unit and in the pharmacy of a sentinel hospital. Data were collected through a questionnaire divided into three sessions: the first is the profissiographic and demographic characteristics of health professionals, and the subsequent identification of knowledge on adverse drug reactions and Pharmacovigilance hospital program. Results: There was a predominance of technical professionals in nursing (35.2%), female (79.6%), aged between 26 and 30 years (33.4%). Almost half of the participants (46.2%) had knowledge about adverse drug reactions, likewise 35.8% did towards pharmacovigilance. The probability of having knowledge about adverse drug reactions increases with longer professional training and activities at the institution, and the same does not occur with the knowledge of pharmacovigilance. Regarding the institutional knowledge, only 11.1% of participants stated that they know the site that has operations across the suspected adverse drug reactions and 38.9% reported the knowledge about the inclusion of the institution on a pharmacovigilance program. Conclusion: There was a predominance of female professionals, the technical area in nursing and training time and work at less than or equal to five years institution. It was observed that doctors have more knowledge about the concept of adverse drug reaction, and nurse technician, the lowest. Health professionals had little knowledge about the location of the institution that has operations across the adverse drug reactions and inserting the same in any program pharmacovigilance.Item Irregularidades sanitárias nas drogarias de Goiânia e aplicação com avaliação de uma ação educativa(Universidade Federal de Goiás, 2014-02-27) Moraes, Luciana Calil Samora de; Provin, Mércia Pandolfo; Lima, Dione Marçal; http://lattes.cnpq.br/4310011929664114; Lima, Dione Marçal; Menezes, Ida Helena Carvalho F.; Martins, Karine AnuscaThe Drugstores are places of great relevance because of services and products they make available to the community. The non-following of the sanitary laws and regulations which the drugstores are subject to can compromise the quality of services and products offered and harm the overall community health in which they are placed. It is responsibility of the Normative Institutions which oversight and regulate the sector to promote information and knowledge of the rules all the sector must abide to. The objective of this Study was to survey the drugstores in order to have a clear understanding of the main non-conformities and their causes. This way educational campaigns can be prepared to promote a better understanding and following of the legislation, and serve as a model for future actions of the Health Surveillance. The method of the Study consisted in analyzing 71 Intervention Cases related to Drugstores in the city of Goiania-GO that occurred between October of 2012 and October of 2013 analyzing the Before and After of these interventions. The Study was developed in three phases. 1º- check up of the level of obedience to the Sanitary Legislation by the Drugstores in Goiania. In order to raise information of the main irregularities, the demographics and social aspect, as well as the professional qualification of the Technician legally responsible for the Drugstore. 2º- promotion of Educational Workshops destined for the legally Responsible Technicians of the Drugstores participating in the study. 3º- overall evaluation of the Educational Initiative. The main non-conformities encountered were: lack of individual protection equipment(IPE´s) in 70,4% of the places and lack of Standard Operational Procedures(SOP) for discharge and use of IPE´s in 60,6%. Of the establishments that worked with prescription medicines of special control 37,3% were not sending the files to the ANVISA(National Oversight Sanitary Regulations Agency) accordingly. There were found erasures or lack of filling in 37,3% of the Drugstores surveyed in the study, and about 50% of the blanks on the forms, where filling was mandatory, were not properly filled , specially in regarding to antimicrobial medicine. The Educational Initiative was considered satisfactory when judging the reaction to the trainings and also the post training job performance. In regarding to learning, the right answers in the pre-test(before the training) were 271(61,18%) out of 450 questions, and in the post-test (after the training) were 368(81,78%) out of 450 questions evaluated. The study revealed the Drugstores in Goiania show many nonconformities in regarding to the sanitary legislation some of them of great sanitary risk to the community. The educational initiative in this study had a satisfactory reaction and there was a positive reaction to the application of what was learned. Also positive was the skills improvement of the technicians who participated in the Educational Initiative which shows the importance of such actions in order to promote knowledge on the nation´s Sanitary Regulations.Item Doenças ocupacionais – percepção de médicos e enfermeiros da estratégia saúde da família(Universidade Federal de Goiás, 2013-12-18) Mori, Érika Chediak; Naghettini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Martins, Cleusa Alves; Marques, Solomar MartinsThe worker's health stands out as one of the tasks of the Unified Health System. In this sense, the Primary Health Care and the Family Health Strategy take an important role in the development of actions in the health field-work, mainly in Brazil by the large number of informal workers and domiciled. The aim of this study was to identify the concept of doctors and nurses of the Family Health Strategy of Aparecida de Goiânia on occupational diseases. This is a qualitative descriptive study sampling was defined by saturation and the analysis of the data was performed by the technique of content analysis with the aid of the software Atlas TI – 5.0. The study was conducted in units of FHS in the municipality of Aparecida de Goiânia, Goiás. Eight Basic Health Units were selected and and 16 health professionals were interviewed. The data were collected in their respective workplaces of the participants of the interview, in the months of February to April 2013, after approval by the Ethics and Research Committee. The interviews were recorded and subsequently transcribed for your analysis. In assessing the academic formation it is possible to observe the inadequacy of the load time of discipline regarding workers ' health, where the professionals have reported about a short experience with this theme. The professionals have reported on the lack of knowledge in the area of workers ' health, observed how the area is still undervalued and little explored in academia and professional. Of the 16 professionals interviewed, three have gone through professional training in occupational health at the workplace. It is concluded that the Family Health Strategy professionals recognize the importance of actions geared toward workers health in Basic Health Units, but underscores the difficulty to understand the work-health-disease relationships. It is suggested the investment in professional training and technical support to carry out these actions, aimed at the better service to the employee.
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