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Navegando FEN - Faculdade de Enfermagem por Por Orientador "BEZERRA, Ana Lucia Queiroz"
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Item A Empregabilidade de um Grupo de Egressos do Curso de Graduação da Faculdade de Enfermagem da Universidade Federal de Goiás(Universidade Federal de Goiás, 2006-02-22) CARRIJO, Clarissa Irineu de Sousa; BEZERRA, Ana Lucia Queiroz; http://lattes.cnpq.br/0088227879433410The growth of Nursing Graduation Courses and consequently of egresses makes the nurses to be experiencing a fully and particularly critical period as much in the field of the professional background as in the working market This study had as aims: to analyze the determining factors on the employability of the egresses group of the Nursing school from the Federal University of Goiás (FEN/UFG) from the year 2002; distinguish these professionals; verify the insertion of the group aforesaid in the working market and identify the search for the permanent education of this group to reach its employability Descriptive Research The data were obtained through a semi-structured questionnaire sent to the 44 egresses who concluded the graduation course in the year 2002 and that disposed themselves to participate by the means of the warranty of the ethic principles by the researches part The sample of the study was composed through the acquisition of 41 (93, 2%) questionnaires The answers were examined with the aid of a software that allowed us to identify frequencies and percentiles of the variables The open questions were categorized as the context of the employability of the egresses from the year 2002 and disposed in: group definition; the professional background procedure; the insertion into the working market; the professional s reality and the working market as well The data allowed us to confirm that: it is a young population in their twenties (68,3%); the majority 40 (97,6%) is of females and 28 (68,3%) are single; had concluded the graduation in five years; 61% consider the good background and 39% consider it pretty good; 85,4% had participated in the researches and in the extension projects besides the extracurricular activities and diverse events 63,4% attended a post-graduation course and the introduction on the market happened one to three months after graduated 79,5% work at a municipal public area, in the Family Health Program through indication or public contest with a predominant base income of nine minimal wages As for the preparation for the working market: 80,5% felt themselves prepared due to their academic background and the opportunities of a permanent education; 19,5% felt themselves unprepared imputing their lack to the conflict of realities between either the school world and the working world in addition to the no updating in specific nursing areas As for the contributions they suggest post-graduation courses opportunities of a lasting upbringing and researches as well It was possible to consider that in the opinion of the egresses from the year 2002 the graduation course offered by FEN/UFG contributed in the professional background of such egresses However it needs to converge a little more towards the reality of the working market The survey presented subsidies about the reality of the employability of the nurses in Goiânia to be discussed among the academician and the excellence of the teaching on FEN/UFG as well as in the other universitiesItem Dimensionamento do pessoal de enfermagem da clínica cirúrgica de um hospital universitário da região Centro-Oeste(Universidade Federal de Goiás, 2011-03-17) CUNHA, Claudia Cleinne Barcelos; BEZERRA, Ana Lucia Queiroz; http://lattes.cnpq.br/0088227879433410This descriptive quantitative study aimed to evaluate quantitatively and qualitatively the nurse staff in a surgery clinic unit at a school hospital in Brazilian Center West Region. Search subjects were all the inpatients of a surgery clinic unit in the period of data collecting. The project followed the terms of the Resolution 196/1996 and it was approved under Protocol nr. 032/2008. Data were collected from September to October 2009, during 30 consecutive days. One used the design method used was that proposed by Gaidzinski (1998). It includes an impatient classification stage concerning to nurse care dependence. Fugulin instrument (2002) was used. The parameters of COFEN Resolution 293/2004 were used for establishing assistance hours and percentage distribution of each professional category. Absenteeism rates were determined by Gaidzinski s definitions and equations (1998). The inpatients were daily classified in an amount of 1464 evaluations in that period. From them, 53.7% needed minimal care; 39.3% intermediate, 5.9% high dependence, 9.9% semi-intensive and 0.2% intensive care. The determined technical safety index in this study was 58% for nurses and 68% for middle level professionals. Among previewed absences, weekly holiday ones showed the highest rate, 40%. Among not previewed ones, the higher index was for medical licensees: 0.8% for nurses, 3.0% for technical nurse assistants and 1.5% for trainees. Technical nurse assistant showed the higher index for not planned absences (7.5%). The designed scale had 29 nurses and 62 technical assistants. It was noted that the number of nurses corresponds to 27.6% of the designed ones and the middle level professionals complete the table, which shows a deficit of 30.4% in the staff. The rate of registered nurses found in this study is far below what is recommended by COFEN and this may compromise assistance quality and improve adverse events occurrence as well length and costs of hospital stay. A reduced amount of professionals in the team may have negative consequences on nurse staff health, which could increase absenteeism. This search considered that is no denying the importance of design staff as a management instrument and indicator to consider the amount of nursing human resources. However, it cannot grantee alone attendance quality. One needs also actions concerning to planning and implementation of strategies of Continuing Education as well motivation work processes that may give to nurse team more satisfaction in work environment in order to get a continuum improvement in patient assistance.Item Avaliação da Melhoria da Qualidade na Estratégia Saúde da Família: Visão do Enfermeiro da Administração Regional de Saúde Oeste II Goiás(Universidade Federal de Goiás, 2010-04-30) OLIVEIRA, Wágna Maria de Araújo; BEZERRA, Ana Lucia Queiroz; http://lattes.cnpq.br/0088227879433410The Health Family Strategy (HFS) it is pointed as an institutional policy of health services and assistance model of reguindance, focused in the family. This study has as general objective analyze the context of the Health Family Strategy in thedistricts that compose the Regional Administration of Health of west II of Goiás State (RAH west II), based in aspects of Technical Recommendations of a Project of Ministry of Health about, Quality of the Family Health Improvement Strategy (AMQ). It is a descriptive research, exploratory of quantitative nature, accomplished with all working nurses from the health family team of the 13 districts that compose RAH west II of Goiás. The data collected was accomplished from May to June of 2009, assisted by self applicable questionnaire with affirmatives in form of Likert type scale. The data were codified, inserted in the database produced in the Epi Info Software (CDC) Atlanta, 3.5.1 version, simple descriptive analysis was accomplished and the results presented in tables. Participated in the research 32 nurses that represents 100% of the professionals that act in HFS, mostly young women, with less than five years of graduation and of team working. By the results it was demonstrated that the context of the family health units presents difficulties related to physical structure that doesn't favor the team work, but that its organization still stimulates professionals participation, especially in the health education activities, although, investment is needed in professionals qualification, to enlarge the work with customers. It was evidenced that the implantation of HFS in the researched districts increased customers access to health services and improvements in life quality and in population health. AMQ was considered an important self valuation instrument that shows service quality indicators in HFS, and should be adopted by the managers of all districts with HF teams for allowing a systems vision of Health Family Units (HFU) reality. Those results can subsidize the teachers and professionals that work in public health as to insert services evaluation in HFS. We also from this experience intend to consolidate proposal for service teaching integration with intention of motivating the assess culture, in that context with the purpose of strategies planning that can strengthen the population health service.Item Uso do cateter central de inserção periférica em uma unidade de terapia intensiva neonatal na região Centro-Oeste(Universidade Federal de Goiás, 2010-04-22) SOUSA, Júlia Carneiro Godoy de; BEZERRA, Ana Lucia Queiroz; http://lattes.cnpq.br/0088227879433410The peripherally inserted central catheter (PICC) has been increasingly used in the Neonatal Intensive Care Units (NICU), particularly in the treatment of premature neonates who require prolonged venous access, for security in parenteral therapy and for the quality of care, avoiding the discomfort of repeated punctures. The overall aim was to analyze the use of the PICC in neonates hospitalized in the Neonatal Intensive Care Unit of a university hospital in Goiânia, Goiás. The specific objectives were: to characterize the population of neonates who received PICC during their admissions, to characterize the aspects related to inserting, maintenance and removal of the PICC and describe the complications that arise with the neonates during its use.This is a descriptive exploratory longitudinal study, with a prospective data collection, conducted during the months of May, 2008 to May, 2009. Were included 64 procedures for insertion of PICC in 56 neonates, performed by nurses and doctors of the unit. Data were obtained from medical and nursing records and in proper form accomplished by the nurses of the unit and by the researcher, respecting the ethical principles. The data were processed using Epi-Info, version 3.5.1. and presented as tables with their values absolute, relative and central tendency, dispersion and amplitude measures. For the results, 53.6% of neonates were male, 85.7% premature, gestational age at birth of 32.9 weeks, 37.5% of low birth weight, and average weight at birth of 1814.2 g. The majority (83.9%) received the first PICC still in the first week of life, with 6.5 days of life, on average. Disturbances related to the duration of pregnancy and fetal development were the most commonly diagnosed (175%). The use of vesicant drugs appeared in 100% of the indications for the PICC, mainly the use of antibiotics (98.2%) and total parenteral nutrition (83.9%). Most procedures (39.1%) were preceded by the use of intravenous sedatives and in 73.4% of cases were catheterized peripheral veins of the upper limbs. The central location of the catheter was achieved in 34.4% of procedures, however, there was an incidence of 50% of catheters in intracardiac region, although, most of them (85.9%) has not been pulled. The time of insertion of the PICC was on average 48.7 minutes and the main reason of failure in attempts peripheral venipuncture was the difficulty of visualization of the venous network (48.4%), resulting in an average of four attempts needed by procedure. The majority of catheters had an average of 16.1 days in length of stay, and 35.9% were removed by the end of therapy, followed by 28.1% of cases in which catheters were removed for breaks. In 30% of cases, investigations were carried out on the risk of infection from catheter-related bloodstream; however, none of them, the infection can be confirmed. The main complication during the procedure was the difficulty of progression and blood reflux into catheter (56.3%), whereas during the maintenance of the catheter, was the obstruction (34.4%). There were no complications during the removal of catheters. It is expected that nurses trained to do this procedure seek continuing education to acquire scientific knowledge in this area, wich would support clinical decisions and promote favorable results, improving the quality of intensive care in neonates. It is 21 also believed that this study may provide subsidies to encourage the development of this practice in health services and education institutions.