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Item Competências de enfermeiros recém-graduados para gestão: desafios para a formação profissional(Universidade Federal de Goiás, 2023-03-17) Almeida, Daniel Ribeiro de; Santos, Patrícia Tavares dos; http://lattes.cnpq.br/8052298165888796; Ribeiro, Luana Cássia Miranda; http://lattes.cnpq.br/1727326201446926; Ribeiro, Luana Cássia Miranda; Medeiros, Marcelo; Pascon, Daniela MioriHistóricamente, las enfermeras han asumido cargos de gestión en las unidades de salud, pues desde su origen, la enfermería, a través de las damas enfermeras de la época de Florence Nightingale, ha tenido la preocupación de asegurar la organización y administración de los servicios de salud. En consonancia con esto, la formación de enfermeros incorpora en su estructura curricular horas específicas para disciplinas relacionadas con la gestión, siendo una de las pocas graduaciones en el área de la salud con esta especificidad. Por lo tanto, existe la necesidad de una mayor inversión en la formación de enfermeras gestoras, respondiendo a las demandas del mercado laboral y evidenciando las lagunas existentes en el desarrollo de habilidades directivas desde la graduación hasta la práctica profesional. OBJETIVO: Describir las percepciones de las enfermeras en sus primeros cuatro años de trabajo sobre las competencias para el ejercicio de la gestión sanitaria. METODOLOGÍA: Estudio descriptivo-exploratorio con abordaje cualitativo, realizado con 14 enfermeros recién graduados de una universidad pública de Goiás. A coleta foi realizada nos meses de agosto e setembro de 2022 utilizando um roteiro semiestruturado composto por sete perguntas abertas para descrição da percepção desses enfermeiros sobre as competências para a gestão. El análisis se realizó mediante el método de análisis de contenido de Bardin y, posteriormente, mediante la clasificación jerárquica descendente, el análisis de similitud, el análisis fatorial de correlación y el muestreo de palabras mediante el software IRaMuTeQ. RESULTADOS: La mayoría de las enfermeras ocupaban puestos asistenciales, con más de dos años de formación y un tiempo de desempeño equivalente al de su formación. Enumeraron las competencias directivas adquiridas durante la graduación: comunicación, gestión de conflictos, liderazgo, trabajo en equipo, relaciones interpersonales, gestión de flujos asistenciales, gestión de recursos humanos, financieros y materiales, toma de decisiones, gestión del tiempo, formación continuada y asistencia, de acuerdo con las Directrices Curriculares Nacionales de Enfermería (DCN/ENF). Durante su desempeño profesional adquirieron las competencias de gestión de conflictos, toma de decisiones, delegación de funciones y negociación, que se sumaron a las adquiridas antes de acceder al mercado laboral. Estas competencias fueron adquiridas durante el curso de graduación, que tuvo como diferencial una estructura curricular con asignaturas específicamente centradas en cuestiones de gestión de enfermería, con una gran carga de trabajo práctico que, según ellas, desencadenó una mayor adquisición de estas competencias, la participación en actividades extracurriculares, además de que la estructura del curso fue percibida como un ejemplo en términos de formación de enfermeras gestoras. Los participantes sugirieron puntos de mejora en la matriz curricular como la inserción de nuevas materias obligatorias como seguridad del paciente, inserción de simulación realista como estrategia para el desarrollo de competencias actitudinales y aproximación con campos de pasantía en el sector privado. CONSIDERACIONES FINALES: Los participantes de este estudio relataron un conjunto de competencias de gestión desarrolladas durante la graduación que van más allá de las exigidas en la ENF-DCN y señalaron contribuciones para la mejora de las matrices curriculares de los cursos de pregrado en enfermería. Se espera que otros estudios puedan ser desarrollados en otros contextos, como instituciones de enseñanza privada.Item Violência contra o docente na prática pedagógica em saúde: uma abordagem intercultural(Universidade Federal de Goiás, 2021-09-17) Alves, Angela Gilda; Rodriguéz Martín, Dolores Dolores; http://lattes.cnpq.br/6242953215193998; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Guix Comelles, Eva Maria; Pereira, Edna Regina Silva; Santos, José Luis Guedes dos; Martins, Cleusa AlvesIntroduction. Operationalizing the concept of violence, especially against higher education teachers, is difficult. In addition to the various concepts, the violence is presented in expressions of hatred, anger, revenge, acts contrary to social norms of coexistence, prejudice against those that are different, and mistreatment directed toward the teachers, which can lead to consequences and cause harm even in the pedagogical sphere. Intercultural differences enable different spaces, which represent hermeneutical, epistemological and methodological resources. All of this contributes to a dialogic process with other contexts and thoughts that range from the acquisition of information to the emergence of new theories capable of rethinking and transforming learning. Objective. To analyze violence against teachers in the Health pedagogical practice through an intercultural approach. Methodology. This was a multimethod study developed at a University in the Central Region of Brazil, in which the phenomenon of violence was analyzed from different angles, supported by literature reviews (integrative and scoping), the Delphi method, and a qualitative study with the analysis partially using the Constructivist Grounded Theory (CGT). The target population consisted of all teachers at the Faculty of Nursing of the Federal University of Goiás. Data collection took place through recorded and transcribed interviews and, with the use of the NVivo software, analysis categories were created. The analysis used a step of the Grounded Theory. Results. The theoretical contributions of the study were presented, including the concepts of violence and its relationship with the teaching practice in health education. The discussion of knowledge in Higher Education in Health considering Vygotskian theory evidenced convergent terminologies. Violence against teachers can be defined as a set of actions and situations provoked by students in an insidious or chronic way in the workplace and/or through digital media, mediated by the perception of violence, the teacher's coping mechanism and the organizational management of violence. Indicators of violence against the teacher were defined as any threat, attempt, or actual aggressive act, as well as ignoring or disrespecting the teacher through speech, engaging in sexual harassment, homophobia, receiving coercion from the student's family, as well as using information and communication technologies to perform such acts. The factors that lead teachers to suffer violence in Higher Education in Brazil are characterized by the institutional culture, gender, the perception of violence by the teacher and the triggers that lead students to practice violence. Conclusion. Violence by students against teachers deserves pedagogically important reflections. Social origin converted into inequalities triggers positions of domination and, consequently, creates a fertile ground for violence. Teachers will be able to develop actions that blossom into the construction of skills and attitudes for coping with violence, recognize it and intervening in order to prevent aggressive behavior from spreading, causing mutual illness and weakening interpersonal relationships.Item Qualidade de vida de agentes de segurança prisional de uma capital brasileira(Universidade Federal de Goiás, 2019-03-27) Araújo, Cristiane Soares da Costa; Matos, Marcos André de; http://lattes.cnpq.br/1492491906180226; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Martin, Dolores Rodriguez; Vitorino, Priscila Valverde de OliveiraINTRODUCTION: Given their working circumstances prison officers (POs) are regarded a vulnerable group, which impairs the sustainability or achievement of satisfactory levels of health and overall quality of life (QOL). AIMS: To assess the QOL of POs of a Brazilian capital and compare in accordance with socio-demographic and working condition factors. METHODS: A cross-sectional descriptive study carried out with 269 officers from five prisons, from November 2017 to July 2018.To gather data we used a questionnaire with socio-demographic and working condition variables and WHOQOL-Bref (World Health Organization Quality of Life Bref). To analyze QOL domains, we calculated mean, median and standard deviation with confidence interval (CI95%). We used t-Student test to analyze the mean differences of QOL domains between each investigated stratification variable, with p< 0.05 values being considered significant. RESULTS: This is a male-dominated population (75.1%) made up of 30-year-olds or over (62.1%), college graduates (70.5%), married (54.6%) and childless individuals (55%). Most (83.3%) of the interviewed officers have been in the job less than 5 years doing shift work (75.8%). History of violence and harassment at work was reported in 19.3% and 16.5%, respectively. QOL perception was higher (73.2%; SD=17.7) whereas satisfaction towards health was negatively perceived (68.8; SD=20.4). Women presented lower scores in the physical (p=0.001), psychological (p=0.004), social relations (p=0.01) and environment (p=0.02) domains. In the physical domain, those with a work harassment history presented lower scores (p=0.02). Regarding the psychological domain, individuals under 30 (p=0.04) and unmarried (p=0.01) presented lower scores in comparison to the others. The social relations domain presented the worst perception by those with higher education (p=0.006), who had no health insurance (p=0.04) and had been assaulted (p=0.04) and harassed at work (p=0.01). Lastly, regarding the environment domain, the uninsured officers (p=0.000), under 5 years in the job (p=0.01) and with a history of reported harassment (p=0.01) presented the lowest scores. CONCLUSION: The officers presented a good overall perception of their QOL despite having reported dissatisfaction towards their health status as well as work liability, which highlights the need for public policies that consider the specificities of their lifestyle and work environment. Our results suggest changes be made to devise feasible health-oriented strategies for this work segment in association with occupational health nursing.Item Tendência temporal da taxa de hospitalização por tromboembolismo venoso em idosos brasileiros de 2010-2020(Universidade Federal de Goiás, 2021-12-15) Barp, Milara; Malaquias, Suelen Gomes; http://lattes.cnpq.br/7700996339438497; Pagotto, Valéria; http://lattes.cnpq.br/9865313041988933; Pagotto, Valéria; Cordeiro, Jacqueline Andréia Bernardes Leão; Nunes, Daniella PiresINTRODUCTION: Venous thromboembolism (VTE) is a clinical condition that includes deep vein thrombosis (DVT) and pulmonary thromboembolism (PE). Approximately 60% of VTE cases worldwide affect people aged 65 years or older. In addition to the higher incidence of the disease, the older people have more frequent hospitalizations and mortality from this disease. Thus, in the older people, the disease is more challenging to health systems. Changes in the treatment of VTE in recent years, require analysis of its distribution to assess the impact on health services, considering that studies on the distribution and trend of hospitalizations in the older people are limited in Brazil. OBJECTIVE: To analyze the temporal trend of hospitalizations for venous thromboembolism (VTE) in the older people Brazilians from 2010 to 2020. METHODOLOGY: This is an ecological time series study, using secondary information from the Hospital Information System (SIH) of the Unified Health System (SUS). Hospital admission records of elderly people aged 60 years or over available at the SIH/SUS for the period 2010-2020, with a main diagnosis of VTE, were included. Prais-Winsten regression was used for trend analysis. RESULTS: There is a trend towards a decline in hospitalizations for VTE, with an annual percentage change of -40.71 (95%CI-50.46;-29.04). The decline in hospitalizations for VTE was seen in all regions, with the exception of the Northeast region, which showed a stationary trend. Reduction in hospitalizations for DVT, with an annual percentage change of -43.14 (95%CI -51.36; -33.54). There was a downward trend in hospitalizations for DVT in all regions, with the exception of the Northeast region. On the other hand, the trend of hospitalizations for PTE was ascending, with an annual percentage change of 4.33 (95%CI 1.26; 7.48). The upward trend in the country for hospitalizations for PTE was also verified in the Northeast region, however, it was stationary in the other regions. CONCLUSION : The results show a declining trend in hospitalization rates for DVT and VTE, but there was an upward trend for PTE. The study also points out differences in rates and trends between Brazilian regions.Item Qualidade da assistência especializada a pessoas com diabetes mellitus e hipertensão arterial segundo o Chronic Care Model(Universidade Federal de Goiás, 2022-04-27) Borges, Dalma Alves Pereira; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Brasil, Virginia Visconde; Vila, Vanessa da Silva Carvalho; Vitorino, Priscila Valverde de Oliveira; Zanini, Claudia Regina de Oliveira; Rezende, Marina Aleixo DinizINTRODUCTION: Support for self-management of chronic conditions and health literacy are essential elements in the development of person-centered services. The use of integrated care models that focus on the person, and not just on the specific disease, represent a viable solution for effective care. The Chronic Care Model is a model that is based on the relationship between motivated and informed users and the proactive and prepared health team. However, there is evidence of gaps in the attention and care that should be provided in the care of chronic conditions, especially in hypertension and diabetes. OBJECTIVE: To characterize the quality of care provided and the health literacy conditions reported by people with arterial hypertension and diabetes mellitus in a secondary care service. METHODS: Crosssectional study, carried out in an outpatient clinic that is a reference in the care of arterial hypertension, in a large Brazilian center, where diabetes is prevalent morbidity. Eighty-two people with diabetes mellitus and arterial hypertension were evaluated, with a follow-up of at least five years and ten consultations. Sociodemographic and clinical data were obtained through a nursing consultation. The Patient Assessment of Care for Chronic Conditions - PACIC questionnaire was applied, with 20 questions and five scales. Higher scores (> 3.0) indicate a perception of greater involvement in self-management and support. Three scales from the Brazilian version of the Health Literacy Questionnaire - HLQ-Br were also used. The score of each scale indicates the person's strengths and weaknesses in relation to their health literacy. Internal consistency was evaluated; Mann-Whitney test, Spearman test and significance of 5% were applied. RESULTS: The mean age of the participants was 68.98±8.79 years, female (82.93%), with a median of 4 years of study (IQR 3 - 8). Most parents (70.73%) did not study. Less than half of the users had controlled values of glycated hemoglobin - HbA1c (34.15%) and blood pressure (36.59%). The Cronbach alpha of PACIC was 0.85 and that of HLQ-Br was 0.75. There was a positive correlation between the time of diagnosis of diabetes and HbA1c. The overall PACIC score was 3.4 (IQR 2.8-3.8) out of a high of 5.0. The highest score was evidenced on the scale of care/decision-making model (4.3) and the lowest on the scale of coordination of care/follow-up (2.8). Support for selfmanagement is assessed by the treatment adherence scores (3.0), problem-solving / follow-up contextualization (3.0), and goal setting (3.8). Those with ≥ 4 years of schooling had higher scores for Attention Coordination / Follow-up (p=0.039). Participants whose parents had some schooling had higher scores for Adherence to treatment (p=0.038), Coordination of care / Follow-up (p=0.042) and general PACIC (p=0.026). Lower scores were identified among participants who did not have HbA1c control, on the Goal Setting scale (p=0.003). Health literacy showed mean scores of 4.07 ± 0.87 on the Ability to interact with the team scale; 3.02±1.31 in Understanding the information and 2.84±1.25 in Finding good information. Male users had higher scores for interacting with professionals, finding information and understanding information (p=0.039, p=0.00 and p=0.003). Those with ≥ to 4 years of schooling had higher scores for Finding and Understanding information (p=0.002 and p< 0.001), as well as those whose parents had some schooling (p=0.036 and p=0.037). Those who were overweight had a higher score for Understanding the information (p= 0.040). There was a positive correlation between the time of diagnosis of diabetes and HbA1c and no correlation was identified between the general value of PACIC and the HLQ-Br scales. CONCLUSIONS: The quality of care was considered high according to the general PACIC, and moderate in terms of the person's participation in decision-making and the contextualization of the treatment plan. Weakness was identified in the dependence on other people to be able to access and understand written information, but the ease of involvement with professionals can favor the use of communication strategies to improve health self-management.Item Conchas mamárias e educação em saúde no pré-natal com demonstração clínica para a prevenção da dor e do trauma mamilar em lactantes: estudo quase-experimental(Universidade Federal de Goiás, 2021-03-04) Cecilio, Jessica Oliveira; Guimarães, Janaina Valadares; http://lattes.cnpq.br/0986934969522024; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Vieira, Flaviana Vely Mendonça; Aredes, Natalia Del’ Angelo; Evangelista, Danielle RosaINTRODUCTION: Although the benefits of breastfeeding are well documented in the scientific literature, many mothers still discontinue it earlier than recommended, especially due to the occurrence of nipple pain and trauma. There is a gap in clinical studies that compare health education with clinical demonstration, and the use of some ointment or device during prenatal care, to prevent nipple soreness. OBJECTIVE: To analyze the effectiveness of breast shells for the prevention of nipple pain and trauma in lactating women. METHODOLOGY: Quasi-experimental, with 62 pregnant women undergoing prenatal care in Goiânia-GO. The women were divided into a Control Group (n = 33), which received health education with clinical demonstration, and an Experimental Group (n = 29), which received the same education protocol, plus a pair of breast shells for use during prenatal and continued in the postpartum period. The study occurred in three meetings: first meeting was a section of health education during prenatal consultations; the second was a phone call to reinforce the orientation, and the third, was a visit in the first 14 days of postpartum to evaluate the occurrence of nipple pain and trauma. RESULTS: There was nipple trauma (50.0%) and nipple pain (68.0%). Regarding sociodemographic variables, primiparity was associated with nipple pain (p = 0.036), while lower education level was a protective factor for nipple trauma (p = 0.001). In breastfeeding technique observed by the breastfeeding assessment form, the parameter for "unfavorable breast condition" was associated with pain (p <0.001) and nipple trauma (p = 0.006). Furthermore, the presence of pathological breast engorgement was associated with nipple pain (p = 0.019) and started on the third day for the CG and was postponed until the fifth day for the EG, with a significant difference between the groups (p = 0.001). Health education has contributed significantly to the adoption of breast and nipple care and increased the frequency of favorable breastfeeding patterns. The women in the study were satisfied with the use of the breast shell. CONCLUSION: The educational intervention in prenatal care combined with the use of the breast shell was not effective in preventing nipple pain or trauma, although it has delayed the onset of breast engorgement by up to five days.Item Incidentes em sessões de hemodiálise à beira leito em unidades de terapia intensiva(Universidade Federal de Goiás, 2019-03-29) Costa, Natália Nunes; Barreto, Regiane Aparecida dos Santos Soares; http://lattes.cnpq.br/4032250808062336; Barreto, Regiane Aparecida dos Santos Soares; Freitas, Nara Rúbia de; Cavalcante, Agueda Maria Ruiz ZimmerOBJECTIVE: Analyzing the incidents that occurred during the hemodialysis sessions at bedside in the Intensive Care Unit. INTODUCTION: the Intensive Care Unit are highly complex assistance environments that are conductive to the occurrence of incidents. A complex treatment realized in the hemodialysis service at bedside, indicated by the nephrologist to the severer patient aiming, to keep it metabolically stable. The hemodialysis at bedside is adapted to the environment of Intensive Care Unit, although the legislation is still incipient. Hemodialysis sessions can bring on incidental that compromise patient safety. These circumstances have potential to cause damage such as injuries, disabilities and even death. Therefore, it is necessary to understand the etiology, the contributing factors and the possible consequences of such incidents, with subsidies for strategies to promote patient safety, involving professionals that perform hemodialysis assistance, in the search for a continuous improvement culture. METODOLOGY: Cross-sectional, analytical and retrospective study, developed in 10 (ten) Intensive Care Units of Goiânia-GO, during hemodialysis sessions performed by a specialized outsourced clinic. The data collection was performed through the analysis of incidents reports, performed by the nursing team in the hemodialysis prescription at the bedside, from march to april of 2018, using a structured instrument elaborated for this purpose. Descriptive analysis was performed for categorical data, presented in absolute (n) and relative (%) frequencies and for continuous data in mean and standard deviation of the mean. To test the homogeneity of the groups in relation to the proportions, it was used the Two-Tale Fisher's Exact Test. The research has ethical approval, under CAEE nº61669016.2.0000.5078. RESULTS: During the data collection period, 873 hemodialysis sessions were performed and 563 incidents were recorded. Incidents were prevalent in male patients over 60 years old, who had diabetes mellitus and underwent hemodialysis in the SLED modality, using a central catheter for hemodialysis and without heparin. Among the reported incidents, 46.00% (259) were considered to be inherent to the treatment, with hypotension predominating, 28.06% (158) incidents with health technology, with a predominant report of leakage of the water treatment system (portable osmosis), 20.43% (115) care incidents, with emphasis on incompatibility of access to the prescribed flow, and 0.35% (02) incidents involving health products. In general, these incidents were identified by the nursing technician, who attended the hemodialysis session, prior to the patient's injury, although they requested vigilance, delayed the start of the session and did not obtain support from the unit's multiprofessional team at the time of the incident. In 56.12% (132) of the intimate circumstances, the professional worked for more than 12 uninterrupted hours. CONCLUSION: The most recorded were avoidable incidents that generated delay to start treatment and required patient monitoring, despite the non-predominance of damages. Visionary actions are necessary to mitigate incidents and promote safe care during bedside hemodialysis sessions.Item Gravidez na adolescência e sua prevenção: sentidos atribuídos por um grupo de adolescentes escolares de Porto Velho – Rondônia(Universidade Federal de Goiás, 2019-12-11) Fernandes, Daiana Evangelista Rodrigues; Medeiros, Marcelo; http://lattes.cnpq.br/3009722217245952; Medeiros, Marcelo; Silva, Joana Aparecida Fernandes da; Reis, Mary Lopes; Santos, Walterlânia Silva; Barbosa, Maria AlvesRecent World Health Organization data show that approximately 16 million girls aged 15-19 each year and 1 million girls under 15 annually become mothers worldwide. Teenage pregnancy is an important public health problem that can affect the mother-child binomial in social, biological and psychological aspects. The aim of this study is to identify and analyze the meanings attributed by school adolescents to teenage pregnancy and its prevention. Qualitative study, approaching the principles of ethnography, conducted in a public school in the city of Porto Velho - RO, from October 2017 to November 2018. Participants were 20 adolescents of both sexes, aged 16 or 17 years. who had sexually active lives or not and were in the first or second year of high school. Data were obtained during the fieldwork, through participant observation and individual interviews, following a semi-structured script. The interviews were analyzed by the meanings interpretation method. From the process of analysis of the qualitative material obtained two themes emerged. The first, “Information for the prevention of teenage pregnancy”, shows that mothers are the people who talk and report the most about aspects related to their children's sexual health. Participants also reported as sources of information, leaflets, lectures, classes at school, advertisements and television programs. Regarding contraceptive methods, they reported mainly condom use and oral contraception. The theme “Repercussions of teenage pregnancy” shows that, in general, adolescents consider pregnancy at this stage of life something wrong, which undermines their studies and imposes the need to work. In addition, they evidenced the desire to complete their studies and develop in various professions in order to obtain financial stability and material goods so that only then can they have children. The study showed that participants referred more about their plans and dreams for development as people and future professionals than the desire for a teenage pregnancy. In contrast, the process of sexual and reproductive health education for these adolescents was weakened. Information is fragmented and there is no necessary dialogue between family, school and health service, and others who could participate in this continuum of actions for health promotion. Similarly, the use of contraceptive methods was not stable. However, participants demonstrated the use of the information to which they had access and adopted contraceptive measures motivated by future desires and dreams.Item Adaptação transcultural e validação para uso no Brasil do instrumento Quality and Safety Education for Nurses Student Evaluation Survey(Universidade Federal de Goiás, 2019-05-22) Freitas, Juliana Santana de; Dolansky, Mary; Silva, Ana Elisa Bauer de Camargo; http://lattes.cnpq.br/8388407861788466; Silva, Ana Elisa Bauer de Camargo; Bezerra, Ana Lucia Queiroz; Brasil, Virginia Visconde; Vila, Vanessa da Silva Carvalho; Alves, Sergiane BisinotoINTRODUCTION: The development of quality and patient safety competencies in health education has been the object of study and focus of recommendations built and published in recent decades in several countries. The evaluation of the achievement of these competencies by the students is necessary, however, in Brazil there are no tools published for this purpose. The Quality and Safety Education for Nurses Student Evaluation Survey (QSEN SES) evaluates, through three scales, the knowledge, skills and attitudes of Nursing students related to the following competencies: Patient-centered care; Evidence-based practice; Teamwork and collaboration; Quality Improvement; Safety and Informatics. OBJECTIVES: To perform the cross-cultural adaptation of the QSEN SES for use in Brazil and to evaluate its initial psychometric properties. METHOD: Methodological study, developed in two phases. The first consisted of the cross-cultural adaptation of the QSEN SES instrument into Brazilian Portuguese and followed six stages: translation, synthesis, back translation, expert committee review, pre-test with 30 undergraduate Nursing students from a public university and validation by the author of the original instrument. In the second phase, the Brazilian version of the QSEN SES was applied to 130 undergraduate Nursing students from three public universities, who had already completed at least 50% of the total course workload. The construct validity and reliability of the instrument were analyzed through confirmatory factor analysis and internal consistency. The Mann-Whitney and Kruskall-Wallis tests were used to verify the possible relationship between the sociodemographic variables and the quality and safety skills and attitudes. RESULTS: The QSEN SES was cross-culturally adapted for use in Brazil, presenting good reliability (Skills scale: 0,70≥ α ≤0,94; Attitudes sale: 0,86≥ α ≤0,97). The confirmatory analysis had insufficient adjustment indices for the skills model (χ2 = 352.46, SRMR = 0.075, RMSEA = 0.084, CFI = 0.868) and for the attitudes model (χ2 = 981.02, SRMR = 0.112, RMSEA = 0.193, CFI = 0.608). There was evidence of association between skills and university and sex variables. The results of the application of the QSEN SES Br in Nursing undergraduate courses in Brazil pointed out that, in a general way, the students reported the exposure to the contents related to the quality and safety in their formation, they recognize the actions as very important, however, feel unprepared to execute them. CONCLUSION: The Brazilian version of the QSEN SES is equivalent to the original version, it is reliable, however, it is suggested new studies with a larger population sample, to confirm the validity of the construct. The application of QSEN SES in Nursing schools will allow a situational analysis of education, producing information that is fundamental for educators and managers to plan curricular reforms, innovations and changes, aligned with identified needs, sustainable, with greater potential for success and longevity.Item A efetividade de escovas descartáveis e submetidas à desinfecção para a higiene bucal em pacientes ventilados mecanicamente: ensaio clínico(Universidade Federal de Goiás, 2019-04-30) Gonçalves, Fernanda Alves Ferreira; Torres, Ieda Maria Sapateiro; http://lattes.cnpq.br/0836649494981715; Campos, Cerise de Castro; http://lattes.cnpq.br/9109822142576433; Brasil, Virginia Visconde; http://lattes.cnpq.br/1940761888797180; Brasil, Virginia Visconde; Souza, Adenícia Custódia Silva e; Roriz, Virgílio Moreira; Melo, Dulcelene de Sousa; Tipple, Anaclara Ferreira VeigaINTRODUCTION: Invasive ventilatory and intubated patients are dependent on the nursing team. The mechanical removal of the biofilm with toothbrush is the first option, but after single use it can be contaminated by microorganisms from the oral cavity, as well as from the external environment. The use of the brush should be associated with chemical control of chlorhexidine digluconate, which is semi-critical and requires high level disinfection or be discarded. Peracetic acid is a high-level disinfectant, but has not been tested for use on toothbrushes. AIM: To compare the effectiveness of the use of disposable toothbrushes and disinfection with peracetic acid used for oral hygiene (OH) of patients under mechanical ventilation. MATERIALS AND METHODS: Randomized-controlled clinical trial performed at an intensive care unit of a public hospital in Goiânia / GO. Data were collected from 31 patients, intubated and under mechanical ventilation, between June 2017 and August 2018. The patients were divided into Control Group (OH with disinfected brushes) and Intervention Group (HB with brushes discarded). A dental evaluation was performed on day 1. Saliva collection was performed on day 1, day 3 and day 5 for counting of colony forming units (CFU). HB was performed twice a day, for up to five days, with 0.12% CHX gel and disinfected or discarded brushes. RESULTS: At admission, patients presented poor oral hygiene, periodontal disease, periodontitis and gingivitis. Most of the participants were male, with a mean age of 59.0 ± 14.4 years and mean of 19 teeth. Throughout the days of HB there was a decreasing tendency of buccal and lingual biofilms, however, there was no significant reduction of UFC, with no difference between the groups that used disposable brushes and disinfected brushes. In relation to the bacteria isolated on the fifth day, there was homogeneity in both groups, with predominance of Pseudomonas aeruginosa, Enterococcus faecium, Klebsiella pneumoniae and Staphylococcus haemolyticus. CONCLUSIONS: There was no difference in tooth and tongue brushing, performed with single use brushes, discarded or disinfected at each use. The important thing is to brush properly, following established protocols.Item Estudo da perda e dos fatores associados à densidade mineral óssea de idosos(Universidade Federal de Goiás, 2021-03-16) Lima, Brunna Rodrigues de; Pagotto, Valéria; http://lattes.cnpq.br/9865313041988933; Pagotto, Valéria; Menezes, Ruth Losada de; Rezende, Marina Aleixo DinizThe decrease in bone mineral density (BMD) is associated with complex outcomes such as fractures, which compromise the functionality and quality of life of the elderly The role of some factors such as vitamins D and B12, and bio-chemical tests is not conclusive between genders in the elderly aged 70 years or ol-der, whose decline in BMD may be even greater. Still, in Brazil, there is no evidence from longitudinal studies on the loss of BMD over time. OBJECTIVE: The objecti-ves of this study were: (i) to analyze the profile and factors associated with BMD in elderly over 70 years old, according to sex; (ii) to analyze the loss of BMD in the el-derly in ten years, and the factors that increase its reduction. METHODOLOGY: Prospective cut epidemiological study, with a ten-year follow-up period, carried out in central Brazil. The baseline started in 2008 was composed of 418 elderly people. In 2009, 132 baseline participants were invited to review the DMO. In 2018/2019, all the elderly in the sample being followed up underwent BMD analysis. Thus, for the analysis of the first objective, 175 elderly people were included and for the second objective 79 elderly people with BMD results in two evaluations (2009 and 2018/2019). A home interview was conducted, using a standardized questionnaire by trained researchers. The dependent variable was the BMD analyzed from the dual energy X-ray absorptiometry (DXA) exam, estimated in the spine and femur in g / cm2. The exposure variables were sociodemographic and health conditions. The data were analyzed using the STATA program, version 15.0. To analyze the factors asso-ciated with BMD and loss of BMD, bivariate and multiple analyzes stratified by sex were performed. In the bivariate analysis, a generalized linear model (MLG) of the linear family was used to verify the association between the dependent variable and each independent variable. Variables with p-value <0.20 were included in a final MLG to adjust for potential confounding variables. The magnitude of the association was presented as a regression coefficient (beta) and a 95% confidence interval (95% CI). Variables with p-value <0.05 were considered statistically significant. RE-SULTS: Of the 175 elderly people in the cross-sectional study, 65% were female and 59.4% were between 70 and 79 years old (mean 78.8 years). The overall mean BMD of the spine was 1.064 g / cm2 (± 0.01), with 0.998 g / cm2 in women and 1.186 g / cm2 in men (p <0.001). The general mean BMD of the femur was 0.825 g / cm2 (± 0.12), with 0.774 g / cm2 in women and 0.916 g / cm2 in men (p <0.001). In men, factors associated with appendicular muscle mass, education level, handgrip strength, triglycerides, vitamin D, vitamin B12 and creatinine. In women, appendicular muscle mass, glycated hemoglobin, vitamin B12 were associated with BMD. Of the 79 parti-cipants eligible for BMD loss analysis (cohort study), the overall mean BMD at base-line was 1.147 g / cm2 and after 10 years of follow-up was 0.815 g / cm2. The ave-rage loss of BMD between 2009 and 2019 was -0.341 g / cm2, reflecting a loss of around -29.38%. The loss of BMD was greater in men with a statistically significant difference (p <0.001). CONCLUSION: The present study confirmed that there is a difference in BMD between the sexes and that the factors associated with BMD in the spine and femur may be different. The components of sarcopenia have been positi-vely associated with BMD. Positive association between BMD and glycated hemo-globin, triglycerides and creatinine were controversial with the current literature. The loss of BMD in 10 years was more expressive in men, which suggests that it can oc-cur in this group in later periods. To study the factors related to BMD and how bone mass loss can be prevented by assisting public health policies to avoid outcomes such as fractures, loss of functionality, increased demands for care and costs for the health system.Item Cobertura vacinal em crianças assentadas, quilombolas e ribeirinhas do estado de Goiás, nascidas entre 2010 e 2017(Universidade Federal de Goiás, 2021-08-05) Lima, Juliana de Oliveira Roque e; Rosso, Claci Fátima Weirich; http://lattes.cnpq.br/1137218060736306; Caetano, Karlla Antonieta Amorim; http://lattes.cnpq.br/0112036159794570; Caetano, Karlla Antonieta Amorim; Pagotto, Valéria; Minamisava, Ruth; Pessoni, Grécia Carolina; Junqueira, Ana Luiza NetoVaccination is considered one of the most cost-effective and most effective measures in healthcare services. On the other hand, some population groups that live in geographic and cultural isolation have been showing low rates of vaccination. In Brazil, there are no data evaluating adherence to vaccines recommended by the National Program for the Immunization of Unified Health System, better known by the acronym SUS considering children from rural and traditional communities. Therefore, this study aimed to evaluate vaccination coverage according to the national calendar of vaccination of children for the first year of life, and their distributions in space and trends in time in children living in rural settlements, communities of quilombolas, and riverside dwellers in the state of Goiás, born from 2010 to 2017. This is an epidemiological, retrospective cohort study, carried out in 40 municipalities of Goiás, followed by an ecological study. The sample consisted of 616 children born between 2010 and 2017, residents of a settled, quilombolas or riverside dwellers community in Goiás. To calculate the vaccination coverage, the percentage of children with a complete general vaccination schedule or by the vaccine was considered, with a 95% confidence interval. In the time-series, trend analysis was estimated for communities according to mesoregions of Goiás, and for this purpose, the Prais-Winsten linear regression was used, with robust variance. Trends were classified as increasing, decreasing, or stationary, according to the p-value and regression coefficient. The spatial distribution of vaccination coverage, according to the mesoregions of Goiás, was carried out along the time-series. In total, 616 children had their vaccine data evaluated, most were male (53.7%) and belonging to the quilombolas community (54.7%). The overall vaccination coverage for the recommended vaccines during the first year of life at 12 months and at 18 months was 52.4% (CI95%: 48.5% - 56.3%) and 57.8% (CI95%: 53.9% - 61.6%), respectively. For children born in 2017, just the yellow fever vaccine and measles/mumps/rubella vaccine had vaccination coverage > 90%. According to the birth cohort from 2010 to 2017, in Goiás, of the ten vaccines evaluated, six showed an increasing trend in vaccination coverage (POLIO, 10-valent pneumococcal, human rotavirus, meningococcal, yellow fever, and measles/mumps/rubella). Considering the spatial and temporal distribution, according to the mesoregions where the communities are located, a decreasing trend for vaccination coverage was only observed in the Center Goiano mesoregion for the hepatitis B vaccine. In the North Goiano mesoregion, increasing temporal trends were observed for most vaccine coverage, the exception was for BCG and measles/mumps/rubella vaccines. Despite this, the North Goiano mesoregion was the only one in which no vaccine achieved 90% coverage in the period of birth cohort 2016/2017. The results present an unequal scenario in the access to vaccination services for rural populations and traditional Brazilians and point to the need for urgent strategies to achieve and ensure equity in health for a group with distinct traditions and characteristics of the urban population of Brazil.Item A lanolina anidra combinada à educação em saúde no pré-natal para prevenção da dor e trauma mamilar em lactantes: ensaio clínico randomizado(Universidade Federal de Goiás, 2019-12-06) Oliveira, Flávia Silva e; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Viera, Flaviana Vely Mendonça; Guimarães, Janaína Valadares; Aredes, Natalia Del' Angelo; Almeida, Nilza Alves Marques de; Siqueira, Karina MachadoINTRODUCTION: Nipple pain and trauma are multifactorial breast complications with higher incidence at the beginning of breastfeeding. They are considered predictive factors for early weaning. There is still not enough evidence in the literature to recommend a method as the best in preventing nipple pain and trauma. OBJECTIVE: To compare the effect of anhydrous lanolin combined with health education on prevention of nipple pain and trauma with health education on breastfeeding in lactating women. METHODOLOGY: A randomized, controlled, open clinical trial with 82 women undergoing prenatal care in the public health care system, with a gestational age of 35 weeks or more. Data collection took place between May 2018 and February 2019. Women were randomized using computer-generated numbers (1: 1) in control group (41) and experimental group (41). In the experimental group, the women received the anhydrous lanolin ointment for immediate use, health education through an illustrated serial album and didactic breast demonstration; in the control group, the women were oriented according to the breastfeeding health education protocol. Women were evaluated on the 8th postpartum day for the occurrence of pain in the nipple and areola region determined by numerical pain scale, nipple trauma verified by clinical breast examination and breastfeeding technique observed by the breastfeeding assessment form. RESULTS: There was no significant difference between the groups. Pain affected 60.6% of women, of these 60.0% reported pain in both nipples, with predominant onset on the second postpartum day (p = 0.614). For the experimental group there was pain of low intensity, and for the control group moderate intensity (p = 0.276). Less than half of women (40.9%) had nipple trauma (p = 0.211), of these 74.0% had bilateral nipple trauma, beginning on the second postpartum day (p = 0.127). Lanolin associated with breastfeeding health education increases the prevention of nipple pain (RAR 6.1; NTT 21) by 6% and the prevention of nipple trauma (RAR 15.2%; NTT 6) by 15%. In breastfeeding evaluation, all parameters favorable to breastfeeding were observed, except for the condition of the breasts (p = 0.215). CONCLUSION: Anhydrous lanolin combined with health education has positive effects on the prevention of pain and nipple trauma; however, it was not significantly superior to health education on breastfeeding alone.Item Fatores associados à qualidade de vida de idosos com dor crônica atendidos em ambulatórios de especialidades(Universidade Federal de Goiás, 2020-04-20) Paz, Maressa Gonçalves da; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Pereira, Lilian Varanda; http://lattes.cnpq.br/6953643275046028; Barbosa, Maria Alves; Vitorino, Priscila Valverde de Oliveira; Pagotto, ValériaINTRODUCTION: The quality of life (QOL) of the elderly can be affected by chronic pain. Among the domains of multidimensional instruments that evaluate this construct, the most frequently harmed are the physical and the psychological. However, there is a lack of evidence about the factors associated with domains and facets of QOL in elderly people with conical pain. Research on this topic can assist health professionals and in making decisions that contribute to the QOL of this population. OBJECTIVES: To analyze the quality of life and the associated factors by domains of the World Health Organization Quality of Life - Bref and facets of the World Health Organization Quality of Life - Old in elderly people with chronic pain treated in specialized clinics. METHODOLOGY: Cross-sectional study, conducted with a sample of 239 selected elderly. Participants assessed pain intensity using the Brief Pain Inventory (BPI) and QOL by WHOQOL-Bref and WHOQOL-Old. Sociodemographic (gender, age, education, income, marital status, religion) and clinical variables (time spent with pain, intensity, places of pain and morbidities) were investigated as potential factors associated with the domains / facets. Statistical analysis was performed using simple and multiple linear regression. Values of p <0.05 were considered. RESULTS: The total QOL score by WHOQOL-Old was (66.5 ± 12.0). The Physical (51.3 ± 17.2) and Environmental (57.6 ± 14.4) domains and the Autonomy (61.8 ± 17.8) and Social Participation (63.5 ± 18.4) facets by WHOQOL -Bref and WHOQOL-Old, respectively, had the lowest mean scores. Depression was associated with Physical (β = -8.12), Psychological (β = -10.84) and Environment (β = -6.52) domains and Autonomy (β = -5.99), Past Activities Present and Future (β = -6.94), Social Participation (β = 11.53), Intimacy (β = -5.99), and total QOL score (β = -6.03). Diabetes mellitus was associated with the Physical domain (β = -5.14) and the Social Participation facet (β = -8.15). Pain intensity was associated with the Physical (β = -2.69), Psychological (β = -1.14), Social Relations (β = -1.42) domains and the Sensory Skills facets (β = - 1.70), Social Participation (β = -1.43) and total QOL (β = -0.75). Another factor associated with the Psychological domain (β = -5.12) and with the Social Participation facet (β = -5.94) was pain located in the lower limbs; chest pain was associated with the Autonomy facet (β = -6.12); localized pain in the head with the Intimacy facet (β = -3.19) and with the total QOL score (β = -4.89). Education was associated with the Social Relations domain (β = -0.80) and with the Social Participation facet (β = -0.64). Female gender and family income were associated with the Environment domain (β = 4.71; β = 1.39) respectively. Age and time of living with pain were associated with the Sensory Skills facet (β = -0.52; β = -14.53; β = -17.86; β = -15.53) and Systemic Arterial Hypertension with the Death and Die facet (β = -8.40). CONCLUSION: Intensity and location of chronic pain and symptoms of depression were the factors that were associated with a greater number of domains and facets of the WHOQOL, increasing the chances of elderly people with chronic pain presenting impairment of quality of life. The results of this study can assist in decision-making for the provision of qualified and individualized assistance to elderly people with chronic pain in outpatient careItem Gestão autônoma da medicação para promoção do cuidado seguro em atenção psicossocial(Universidade Federal de Goiás, 2023-06-06) Pinho, Eurides Santos; Silva, Nathália dos Santos; http://lattes.cnpq.br/9837208542154956; Bezerra, Ana Lúcia Queiroz Bezerra; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Caixeta, Camila Cardoso; Sousa, Girliani Silva de; Cardozo, Elizabeth Esperidião; Nunes, Fernanda CostaINTRODUCTION: Autonomous Medication Management (GAM) enables the co-management of drug treatment by users of mental health services and influences quality and safe care. In Psychosocial Care, the prescription of psychotropic drugs is a care action that focuses on the biological, on the biochemical alterations of psychiatric illnesses without considering the biopsychosocial context of the users. The consumption of psychotropic drugs sometimes disregards the user's participation in conducting the treatment itself. There is evidence of improvements in the context of psychosocial care through investment in the co-management of drug therapy with user involvement in decision-making processes. OBJECTIVE: To analyze, from the perspective of mental health team professionals, the practices of Autonomous Medication Management to promote user involvement in safe care, in psychosocial care. METHOD: This is an intervention-research with a qualitative approach, conducted in four Psychosocial Care Centers in a municipality in the central west region of Brazil, which had the participation of 56 professionals from the teams and health. Data were collected in two stages, the first between May and June 2021 through a questionnaire and semi-structured interview, and the second in August 2022 from the offer of a training process on the autonomous management of medication associated with the perspective of promoting user involvement in safe care. The emerging data were organized using the ATLAS.ti.6.0 software and submitted to content analysis, thematic modality. RESULTS: The GAM is an educational process that encompasses users and professionals. The results of this research were summarized in three categories: Perceptions of professionals about the co-management of drug therapy; Harmless medication in the context of mental health care; Autonomous Medication Management: perspectives for safe care. It was evidenced that the professionals' perception of the demand to involve the user in the decision of drug therapy transits between views based on the hegemony of the biomedical model, which reinforces adherence to the use of psychotropic drugs, between the challenges and existing actions for user involvement and the reformist ideals based on the model of psychosocial care. As actions and challenges to promote co-management, the indiscriminate and inappropriate use of psychotropic drugs and access to information about medications were perceived as intervening in harmless medication and safe care. Autonomous Medication Management was pointed out by professionals with the potential to provide safe care, given the possibilities of carrying out psychoeducational approaches on psychotropic drugs, valuing the participation of family members/caregivers and overcoming obstacles to the involvement of users in medication co-management. FINAL CONSIDERATIONS: The GAM is based on the psychosocial care model, encourages the development of actions that promote co-management through the user's involvement in their treatment and, consequently, provides reflection on their autonomy and protagonism in the face of drug therapy to achieve safe care , in the context of psychosocial care and, more broadly, in mental health.Item Análise do aleitamento materno durante a pandemia do SARS-CoV-2: estudo de coorte(Universidade Federal de Goiás, 2022-06-13) Silva, Aline Gabriele Ribeiro da; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Vieira, Flaviana Vely Mendonça; Aredes, Natalia Del’ Angelo; Evangelista, Danielle RosaINTRODUCTION: COVID-19 is a new disease, and at first there was not much information about its vertical transmission. Subsequently, molecular studies have indicated that breast milk and placenta are not means of transmission of the disease (KARIMI-ZARCHI et al., 2020). Thus, the safety of breastfeeding was confirmed, and its continuity was encouraged (RCOG, 2021). The emergence of this new virus has brought several uncertainties about the repercussions on maternal and child health, as well as challenges for institutions to adapt to new care protocols and health professionals to adapt to new demands. OBJECTIVE: To analyze breastfeeding from birth to hospital discharge of newborns of women exposed to the pandemic by SARSCoV-2. METHODS: This is a prospective cohort study, in a secondary database, patient records and indicator records. The sample consisted of 225 binomials (mother and NB) who had their delivery/birth between April 1, 2020, and August 30, 2021, within the hospital institution. 67 had a delivery under suspicion or confirmation for COVID19 and 158 without suspicion. The continuous variables were described from position and dispersion measurements as mean, standard deviation and quartiles. Categorical variables were described by means of absolute frequencies and percentages. For the analysis of the factors associated with AM in the first hour of life, during hospitalization and hospital discharge, a generalized linear model (Poisson family) was performed. The results of the regression model were presented Adjusted Relative Risk (RRaj), 95% CI. The analyses were performed using the Software SPSS version 28, being considered a significance level of 5%. RESULTS: The participants had a mean age of 25 years (± 6.4), and the mean number of prenatal consultations was 6.5 (±2.9). Referring to neonatal characteristics, 91.6% were born at term. Newborns born to women without suspicion for COVID-19 are twice as likely to breastfeed in the first hour of life (RR: 2.04; CI95%: 1.05 to 3.94; p= 0.035). The NB who made skin-to-skin contact with their mother at birth have twice the opportunity of breastfeeding in the first hour of life (RR: 1.92; CI95%:1.07 to 3.43; p=0.028). From the bivariate regression, we performed multivariate regression for the following variables: full-term gestational age of the NB, women without suspicion or confirmation for COVID-19 at hospitalization, type of vaginal delivery and complications with NB during hospitalization. Newborns who exclusively breastfeed during hospitalization have 1.6 times more opportunity to be exclusively breastfed at hospital discharge (RR: 1.62; CI95%:1.11 to 2.35; p=0.012). CONCLUSION: Women without suspicion for COVID-19 are more likely to breastfeed in the first hour of life and maintain exclusive breastfeeding during hospitalization. Exclusive breastfeeding at hospital discharge is influenced by breastfeeding during hospitalization.Item Hepatite A em população imigrante e refugiada residente na região do centro goiano, Goiás: conhecer para intervir(Universidade Federal de Goiás, 2021-03-08) Silva, Grazielle Rosa da Costa e; Teles, Sheila Araujo; http://lattes.cnpq.br/4975298732179917; Teles, Sheila Araujo; Caetano, Karlla Antonieta Amorim; Carneiro, Megmar Aparecida dos SantosBrazil has become an important destination country for immigrants and refugees. This migrant population represents a group at potential risk group for the acquisition and spread of enteral diseases such as infection with the Hepatitis A virus (HAV), as a consequence of the migratory process. The aim of this study was to investigate the epidemiological profile of Hepatitis A in foreign immigrants and refugees living in the region of Centro Goiano, Goiás. This is a crosssectional, analytical study, carried out from July 2019 to January 2020 in the cities of Goiânia, Aparecida de Goiânia, Senador Canedo and Anápolis, Goiás, Brazil. For this, 383 participants identified themselves as immigrants or refugees. All were interviewed and tested for detection of total anti-HAV antibody (IgM and IgG), as positive in participants under five years of age were retested for anti-HAV IgM and previous history of vaccination for Hepatitis A was investigated. From the total of participants, most were from Haiti (50.1%) and Venezuela (39.4%), male (56.1%), aged 20 years or over (79.9%), self-declared color black (63.0%), single (51.1%), evangelical religion (73.3%), education equal to or greater than 13 years of study (36.9%) and monthly income greater than a minimum wage (61.5%). Of the total owners, 68.7% were immigrants and 30% refugees. The language was the greatest difficulty (63.0%) found in Brazil, although a significant portion already speak (71.4%) and write (53.2%) the Portuguese language. Church related associations (32.9%) were the main support they received. The prevalence of total anti-HAV was estimated of 87.3% (95% CI :83.4-90.4), with 79.1% in South American countries and 93.5% in Central American countries. Regarding vaccination as a preventive measure, only 2.9% of them were a historical source of vaccination against Hepatitis A, and their ages ranged from 2 to 47 years, the majority being female (6/11) and coming from Venezuela (7/11). The total of 21 children were eligible for vaccination against HAV when they arrived in Brazil, but only 7 (33.3%) were immunized. The results of this study confirm the importance for health managers to knowing the state of the migrant population for the development of public policies at national and regional levels that qualify tItem Análise da acurácia do conjunto de indicadores clínicos do diagnóstico de enfermagem controle ineficaz da saúde em pessoas com hipertensão arterial(Universidade Federal de Goiás, 2021-03-04) Silva, Ricardo Costa da; Silva, Viviane Martins da; http://lattes.cnpq.br/9132675598786936; Cavalcante, Agueda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Cavalcante, Agueda Maria Ruiz Zimmer; Jensen, Rodrigo; Santos, Vinicius BatistaThe advanced nursing process early identifies the behavior of clinical practice phenomena, with self-care practices carried out by people with chronic heart diseases being one of the care pillars, especially for Arterial Hypertension (AH). To analyze the accuracy of the set of clinical indicators (CI) of the nursing diagnosis (DE) Ineffective Health Management (IHM) in people with AH undergoing outpatient treatment. In the first stage, a systematic review with meta-analysis was carried out to identify the clinical - population validity of the DE CIS. The PRISMA and STARD protocols were used to retrieve studies from databases MEDLINE via PubMed, Web of Science, SciELO, CINAHL, SCOPUS and EMBASE. For quality analysis, the modified QUADAS-2 protocol was applied. Statistical analysis was performed using software R to calculate sensitivity, specificity and Odds Ratio Diagnostic (ORD) measures with 95% confidence intervals. Heterogeneity was verified by calculating Higgins' I2 and Cochran's Q, using measures of fixed and random effect according to the obtained value. In the second stage, a clinical study of diagnostic accuracy was conducted at the Hypertension League of HC/UFG with a probabilistic sampling of 120 people by telephone consultation between September and November 2020. Cross mapping was used between the items of the Hipertension Self-Care Scale Brazilian version and the CI of the DE IHM for the definition of conceptual and operational definitions, in addition to clinical and sociodemographic instruments developed by the author. The Rasch model was used to analyze the unidimensionality of the clinical construct and the accuracy measures of the model based on the measures of efficiency, sensitivity, specificity and area under the Operator-Receiver Curve (ORC). Stage I: 11 studies were included. The four CI analyses showed ORD statistically higher than the unit value, with emphasizing on “failure to include treatment regimen in daily life” (ORD = 45). Stage II: median of 60 years of age, more frequent female (70%), brown color (55%), married (60%) and retired (36%). The main source of purchase of medicines was the popular pharmacy (66%) and 83% reported some comorbidity, with dyslipidemia being more frequent (38%). The median time of diagnosis of AH was ten years. The CI “failure to include treatment regimen in daily life” was the most frequent in the sample (70%), being more sensitive. The CI “failure to act to reduce risk factors” presented better levels of specificity. There was a frequency of 45 subjects supposedly identified with CIS in the sample (37,5; IC95%: 29,0 – 46,8). The most sensitive CI results from the incongruity of the lifestyle habits necessary for adequate control of AH. The most specific CI is the result of the initial phase of the chronic condition, being present in situations of greater severity of ND. Sociodemographic and clinical variables were similar to other clinical contexts. Nurses can use the summary measures of diagnostic accuracy obtained for early and valid identification of behaviors that predispose to the occurrence of DE IHM.Item Modelo andragógico de formação para o cuidado centrado na pessoa na atenção psicossocial(Universidade Federal de Goiás, 2024-02-19) Sousa, Johnatan Martins; Nunes, Fernanda Costa; http://lattes.cnpq.br/1676457578129598; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Lucchese, Roselma; Paranaguá, Thatianny Tanferri de Brito ; Farinha, Marciana GonçalvesINTRODUCTION:In the Brazilian scenario, in relation to community psychosocial care service teams, there is still criticism of the hegemony of the biomedical model leading their practices. One possibility of breaking this hegemonic power is the adoption of the Person-Centered Clinical Method, which aims to promote the protagonism and activation of health service users in the care process to reverse this situation through the application of four related components: a) Exploring health, illness and the experience of illness; b) Understanding the person as a whole; c) Drawing up a joint problem management plan; d) Strengthening the relationship between the person and the doctor/health professional, as evidence indicates that in the mental health scenario it is still necessary to increase the participation of users in the decision-making process about their care. OBJECTIVE: Understand the health team's training process on person-centered care in psychosocial care. METHODOLOGY: Intervention research with a qualitative approach carried out in two stages. In the first, 17 professionals from two Psychosocial Care Centers in a municipality in the central region of Brazil participated between the months of June and August 2021, using a sociodemographic and professional profile questionnaire, in addition to a semi-structured script for an individual online interview and notes. in a field diary to survey situational diagnosis on person-centered care. The second phase of data collection consisted of a training intervention guided by the Experiential Learning Cycle on person-centered care, carried out in four meetings to equip multidisciplinary teams and took place between the months of October and December 2022 with the participation of 30 professionals of the services included in the first stage of the study. The emerging data was organized with the help of the ATLAS.ti software and subjected to content analysis, thematic modality. RESULTS: From the analytical process of the situational diagnosis on person-centered care in psychosocial care, 7 thematic categories emerged: 1. Health/illness process in the light of person-centered care; 2. Practice of welcoming for person-centered care; 3. Assistance planning; 4. Enhancer aspects of the therapeutic relationship; 5. Repercussions of the therapeutic relationship; 6. Challenges for the therapeutic relationship; 7. Training process. The results highlighted potential related to person-centered care in the context of psychosocial care, however, it also highlighted some challenges that need to be overcome for the full implementation of the Person-Centered Clinical Method, especially issues related to interpersonal and relational competence. These findings made it possible to construct the second phase of the research to qualify the teams' professional practice in relation to person -centered care. FINAL CONSIDERATIONS: The investigation showed that even in a non systematized way, the teams at the Psychosocial Care Centers put into practice some aspects of the Person-Centered Clinical Method and demonstrate the importance of training processes for combining practice with the theoretical foundation for the strengthening the psychosocial care modelItem Adaptação transcultural e validação do instrumento Patient Engagement in Patient Safety within Canadian Healthcare Organizations para uso no Brasil(Universidade Federal de Goiás, 2022-05-25) Sousa, Maiana Regina Gomes de; Pomey, Marie-Pascale; Silva, Ana Elisa Bauer de Camargo; http://lattes.cnpq.br/8388407861788466; Silva, Ana Elisa Bauer de Camargo; Bezerra, Ana Lúcia Queiroz; Sousa, Fernanda Raphael Escobar Gimenes de; Vila, Vanessa da Silva Carvalho; Freitas, Juliana Santana deINTRODUCTION: for more than two decades, patient safety has been highlighted as a global health challenge, requiring changes and implementation of initiatives to minimize risks, prevent care failures and prevent harm to patients. Patient engagement in patient safety has been one of the strategies used in the main international recommendations to improve the quality and safety of care, making relevant the existence of instruments to evaluate this practice. OBJECTIVE: to produce the Brazilian version of the instrument Patient Engagement in Patient Safety within Canadian Healthcare Organizations. METHOD: methodological study involving cross-cultural adaptation and validation of the instrument Patient Engagement in Patient Safety within Canadian Healthcare Organizations for use in Brazil, developed in two phases. The first phase, held between January 2020 and June 2021, consisted of the cross-cultural adaptation of the instrument for the Portuguese Brazilian and followed six steps: preparation, translation, back translation, pretest with nine health organizations, review, and documentation. The second phase, held between August and November 2021, was to validate of the content of the instrument using the Delphi technique, through the evaluation of a committee of experts in two sequential rounds. The semantic, conceptual, and normative equivalence of the items of the instrument were analyzed using the Coefficient of Agreement between evaluators, being considered satisfactory values greater than or equal to 90.0%. To analyze the content validity was used the Content Validity Index (CVI) and Inter-Rater Agreement (IRA), being considered approved values greater than 0.8, for both CVI and IRA. The analyses were performed using the Software R version 4.1.2. RESULTS: in cross-cultural adaptation, 97.9% of the items of the instrument were considered equivalent by 100% of the evaluators. For the items that presented agreement less than 90%, the best solutions were discussed, until a consensus was reached. The modifications made were approved by the authors of the original instrument. In content validation, most items had CVI approved in all three aspects, with 99.3% for coverage, 95.8% for clarity and 96.1% for relevance. About the IRA, 99.0% of the items presented satisfactory values for coverage, clarity, and relevance. Items with unsatisfactory values were changed and evaluated again by the expert committee and after approval by all the instrument was concluded, available for use in Brazil with the title “Engajamento do Pacientes na Segurança do Paciente em Organizações de Saúde”. CONCLUSION: the instrument is a reliable and valid tool to investigate patient engagement strategies in patient safety implemented in Brazilian health organizations, at different levels of governance.