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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 Regulação da saúde no estado do Pará: um estudo na região metropolitana de Belém(Universidade Federal de Goiás, 2019-03-11) Bastos, Luzia Beatriz Rodrigues; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Duarte, Célia Scapin; Nogueira, Douglas José; Ferreira, Ilma Pastana; Vila, Vanessa da Silva CarvalhoINTRODUCTION. Regulatory structures can become determinants in the organizational process of health management, since it has the possibility of giving more effective responses to the requesting units and, above all, to the user. It would be up to the establishment of flows for the intended service not only implying optimization of expenses. Objective. To analyze the regulation of health services, in the Metropolitan Region I of the state of Pará, in view of complex and regulatory centers, recommended by the Brazilian Unified Health System (SUS). METHODOLOGY. An exploratory descriptive study with a mixed focus developed in the complexes and central regulators of the municipalities of Belém, Ananindeua, Marituba and Benevides, whose sample was composed of eighteen managers and seventy regulators, from September / 2017 to January 2018. It was applied the questionnaire in the first phase of the research and after that 40 semi-structured interviews were carried out. RESULTS. In the process of calculating the quantitative data it was found that the officials of the regulation, are female, with average age of 39 years; salary range of 2 minimum wages; majority of administrative assistants with effective ties. As limiting factors were found: great demand; lack of indication of priority cases and failure to refer to regulatory criteria; unavailability of beds, systemic difficulties in relation to the agreed services and the SISREG; difficult scheduling and execution procedures; increased demand for repressed elective procedures; problems in the flow of information between primary care and regulation, among others. As main potentialities in health regulation, the following stand out: increase of financial resources to health; reorganization of internal regulatory procedures; meeting the needs of users; health training for regulatory professionals, and strengthening of primary health care. CONCLUSION. The study showed that it is difficult to concentrate higher level professionals to perform the tasks of regulators of medium and high complexity procedures of SUS; there are obstacles in operationalizing the regulatory process, because the regulatory structures created coexist with insufficient resources, unconditional agreements with the reality of the municipalities of the north of the country; there is recognition of the need for a strong regulatory component by the State in guaranteeing qualified health access to the population, one of the greatest challenges being to understand the multiplicity of scenarios, subjects and interests, and to implement strategies focused on the user that needs health services.Item Qualidade de vida de cuidadores de crianças e adolescentes asmáticos(Universidade Federal de Goiás, 2014-03-12) Fernandes, Isabela Cristine Ferreira; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Farias, Glaucea Maciel de; Mota, Dálete Delalibera Corrêa de Faria; Pinho, Licia Maria Oliveira; Brasil, Virginia ViscondeINTRODUCTION: chronic diseases, especially asthma, are of complex treatment, requiring adaptation and modification of lifestyle habits of own asthmatic and their caregivers. Thus, it becomes essential to prioritize not only information and clinical care, but also aspects related to the subjectivity involved in the disease process and also its influence on quality of life of this people. OBJECTIVE: to evaluate the quality of life of caregivers of asthmatic children and adolescents accompanied in a specialized outpatient care. METHODS: cross-sectional, descriptive study with a quantitative approach, performed in outpatient clinic for asthmatic childhood in a public teaching hospital in the city of Goiania, Goias, Brasil. Data collection was conducted through a questionnaire containing questions related to social , economic and demographic aspects and the generic quality of life instrument for World Health Organization Quality of Life - Bref (WHOQOL-Bref). Cronbach's alpha ranged from 0,63 to 0,85, implying good instrument reliability. RESULTS: the study population consisted of 89 caregivers, with the youngest aged 23 and the oldest 60 years. Predominantly, mothers (85,4%) who had other children besides the asthmatic (72,9%), with a steady partner (65,2%) residing outside the metropolitan area of Goiania (53,9%), with secondary or higher education (62,9%), monthly personal income up to the minimum wage (57,3%), monthly family income between two and three minimum wages (65,2%) and belonging to Catholicism (47,2%). The majority of caregivers (64,0%) considered to have a good perception of quality of life and expressed satisfaction with their health. The median scores of the WHOQOL-Bref were higher in Psychological (70,83) and Social Relations (66,67) domains and the lower scores were obtained from the Environment (56,25) and Physical domains (60,71). Regarding potential factors associated with quality of life scores, it was concluded that there was a relationship with the following variables: bond caregiver, caregiver's age, number of children and schooling. CONCLUSION: this study allowed identifying the dimensions of life of caregivers that are affected, emphasizing the need to establish new strategies for quality care for these patients. In this context, we highlight the role of health professionals, who need to be able to provide humanized care and collaborate in awareness and autonomy of the care process.Item Análise dos registros de curativos em prontuários de um hospital de ensino do Estado de Goiás(Universidade Federal de Goiás, 2016-06-21) Lemos, Lucimeire Fermino; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Almeida, Alessandra Rodrigues de; Barbosa, Nelson Bezerra; Bezerra, Ana Lúcia Queiroz; Prado, Marinésia Aparecida do; Barreto, Regiane Aparecida dos Santos SoaresHealth records are important for keeping effective communication among all professionals involved in the process of taking care as well as for legitimating the team actions in the face of patients and families. The records must be clear and objective because they are sources of information for judicial, research, teaching, billing and auditing issues. This study has an objective to analyze the records of procedures of Level II Curative in medical records of hospitalized patients, from the nurses’ perspective, before and after the pedagogical intervention, in a Brazilian teaching hospital in the Midwest region. It was a descriptive study with both qualitative and quantitative research and was developed in many stages. The first stage included the nurses’ profiles and the identification of the main reasons why the nursing actions were not recorded. The second stage was the analysis of the records before and after the pedagogical action, which was the third stage. At last, the nurses were interviewed about their perception of the importance of the records for billing. It was observed among the sample of nurses the predominance of women (87,2%), post-graduated (82,1%) and statuary civil servants (80,4%). Even though 53,6% of the nurses said that they do not have double employment relationships, 46,4% said they do. The nurses said that it was not possible to record the procedures due to lack of time (50%), work overload (20%), lack of human resources and access to the records (12,5%), interruptions and lack of guidance (2,5%). The objective of the intervention was to discuss the importance of health records, and specially, in relation to the level II curative. 45,2% of the nurses of this institution took part in this event. In the analysis of the records, before and after the intervention, it was possible to observe the increase of the records of the curatives (82,3%), the detailing of the quantity of curatives per patient (69,9%), the classification of the wounds (63,5%), the description of the materials used in the procedures (67,3%), and also the scheduling (74%) and the checking (71,4%). The data shows that the quantity of material used maintained still. However, there was a rise of curative prescription by the nurses (79,4%) and a fall of curative prescription by the doctors (18,3%). It was also possible to observe that the performed and not prescribed procedures or prescribed and not verified procedures, in both cases, were not billed. Nevertheless, the hospital overturn related to this procedure has an increase, from July 2015. The interviews with the nurses showed that they take the responsibility in the treatment of wounds for themselves. However, it is necessary to standardize the prescriptions and the evolutions of the procedure. The complete record of this intervention is important to safeguard the institution in case of auditing. In conclusion, nurses have an important role in recording the wound treatment. The obligation of recording should be reinforced due to the quality of the service and the profession´s visibility as well as for a better material and input control and billing.Item Absenteísmo entre trabalhadores de enfermagem de um hospital público de Goiânia-Goiás(Universidade Federal de Goiás, 2011-03-31) Lima, Maisa Carolina de Castro; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225Absenteeism is the practice of an employee not being present at work for a period, when the work day has been assigned to him/her. That fact may cause negative effects to health service. There must be shortage of personnel, other workers must be overworked and there will consequently reduce the quality of medical care. We consider as absenteeism both planned and unplanned absences, including unauthorized absence, dental and medical licenses, statement of attendance and work accidents. All of them, considered unexpected absenteeism due to preventable cause, were addressed in this study. Ojective: to investigate the occurrence of unexpected absenteeism due to preventable cause in what concerns nursing staff at public hospitals in Goiânia-GO, from 2005 to 2009. This is a cross-sectional quantitative documentary study. We researched on 549 nursing workers, 86,15% of them have presented at least one episode of absenteeism due to preventable cause. From those, nursing technicians were the great majority. That is also the category with the highest percentage of unexpected absenteeism due to preventable causes (70.19%), while nurses were a small number in that list. We found unexpected absenteeism due to preventable cause was more frequent among workers aged 30 - 39 and 40-49 years old and worked up to seven years at that job. In what concerns workplace, it was more common among workers of Emergency and Surgical Clinic, locations that require large volumes of customer service, diversity and turnover of patients and the high degree of dependence on them. Medical licenses were 82,06% of the reasons for absenteeism due to preventable causes. Among the causes of absenteeism due to illness, there are the diseases of muscular system and connective tissue, followed by mental and behavioral disorder; conditions which influence physical/mental health and the contact in health services and respiratory diseases. Absenteeism rates had increased over the years, and remained, most of the time, above the level recommended by COFEN, demonstrating that the unexpected absenteeism due to preventable causes in the study institution was high. It is noteworthy that rate drop in 2009, which may be the deployment of APH. Through this study we could observe the unexpected absenteeism among workers due to avoidable causes depends on factors intrinsic to the individual: his/her health condition, personal elationships, including family members, his/her contact with the social apparatus, such as the transportation system, among others, but it is largely influenced by the conditions of the workplace: the physical environment itself, the activities performed and the way they have to be performed, relationships with colleagues and supervisors. All of them susceptible to intervention, so as to reduce absenteeism.Item Relação entre risco cardiovascular e qualidade de vida de pacientes hemodialisados(Universidade Federal de Goiás, 2018-03-13) Oliveira, Lorrana Gabriella de; Cordeiro, Jacqueline Andréia Bernardes Leão; http://lattes.cnpq.br/4738270205376611; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Brasil, Virginia Visconde; Freitas, Nara Rúbia deINTRODUCTION: patients with chronic kidney disease have variable increase in the risk of developing cardiovascular events, since both have common risk factors. The numerous changes and adaptations undergone by these patients impose a considerable psychosocial overload on patients and their families, which can be aggravated by the existence of comorbidities and compromise their quality of life. OBJECTIVE: to analyze the relationship between cardiovascular risk and health related quality of life in hemodialysis patients in Goiânia-GO. METHODS: an analytical cross-sectional study performed with 339 patients at eight hemodialysis clinics in the city of Goiânia, state of Goiás, from January to September 2017. For data collection, a questionnaire was used with sociodemographic, clinical and laboratory variables; the Kidney Disease Outcomes Quality Initiative-Short Form (KDQOL-SF), to obtain measures of quality of life and the Framingham Score for cardiovascular risk measurement. To analyze the data, normality tests were applied for parametric and non-parametric variables. RESULTS: population comprised of 60.8% of men, with mean age of 52 years and personal income of a minimum wage. Most of the patients were non-smokers, had Systemic Arterial Hypertension and Diabetes Mellitus as the main comorbidities. The most impaired quality of life dimensions were "professional role" followed by "renal disease overload". The dimensions "cognitive function" and "quality of social interaction" presented better performance. The majority of the studied population (42.3%) had a moderate cardiovascular risk. CONCLUSION: patients with high cardiovascular risk in lower consumption in seven domains of quality of life, in relation to those with medium and low cardiovascular risk, being “physical functioning”, "physical function," "general health," "emotional function," and "kidney disease overload," demonstrating that there was a negative correlation between quality of life and cardiovascular risk.Item A essência do cuidado à criança com asma(Universidade Federal de Goiás, 2014-07-02) Siqueira, Karina Machado; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Teixeira, M. F.; Castral, Thaíla Corrêa; Salge, Ana Karina Marques; Andraus, L. M. S.Among the chronic diseases that affect children's health, asthma deserves special mention because of its high prevalence and the impact it can have on a child's life. Given its complexity, the care of children with asthma should be shared between the family and a team of health professionals trained for this purpose. This study aimed to unveil facets of the essence of this care, according to the perceptions and experiences of children and their families. For value conscious experience of people, the phenomenology was chosen as theoretical and methodological referential. Through this approach, was possible to shed light to what is essential in the care of these children and advance in the elucidation of this phenomenon, from its intentional structure. The care was taken as the centerpiece of discussions and, accordingly, became appropriate appeal to think of Martin Heidegger, in order to enlarge the possibilities of understanding and discuss some issues that converge to the phenomenology of care. Participated in the survey five families of children with moderate or severe asthma, aged between seven and ten years, attending in a outpatient clinic specializing in childhood asthma, located in Goiânia-GO. Data collection occurred during home visits between September 2013 and January 2014. Initially were elaborated genograms and ecomaps representing families and, then, were made interviews with children and family, mentioned as participants in care. Descriptions expressed were analyzed according to the Method of Qualitative Analysis of Situated Phenomenon. The invariant structure of the phenomenon directed to three major themes: Being with a child with asthma; The family care to children with asthma; Be children with asthma: particularities and restrictions. Data analysis aggregated relevant aspects for the understanding of the essence of the care of children with asthma and were presented in the form of articles. The joint construction of genograms and ecomaps favored the approximation with families and facilitated the conduct of interviews according to the phenomenological method. The results enabled us to understand that the established relationships with the child, the members of the family unit, health services and religious institutions stood out as sources of support for care. The school was presented as a space of relevance, which found support, but also experienced situations of embarrassment and exclusion. Family members described their anxieties, fears and difficulties, especially during asthma attacks. Highlighted particularities and restrictions in the lives of children and in family environment, and described attitudes of protection. Emerged the difficulty of children in dealing with some fears, frustrations and constraints related to the disease and treatment, but also became clear their strengths and their families’ strengths to take care of more autonomous and effectively way. The study revealed that knowledge about the experiences of families provides important information for health professionals that work within the context of childhood asthma and may contribute to better understanding of the proposed interventions, promoting new strategies of attention.Item Qualidade de vida de pessoas em situação de rua do Brasil Central(Universidade Federal de Goiás, 2016-04-29) Soares Neto, Alcides Pereira; Matos, Marcos André de; http://lattes.cnpq.br/1492491906180226; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Barbosa, Maria Alves; Brasil, Virgínia Visconde; Vitorino, Priscila Valverde de Oliveira; Chaveiro, Neuma; Oliveira, Lizete Malagoni de Almeida CavalcanteThe objective of this cross-sectional study was to evaluate the quality of life of individuals living in the street, homeless, from August to October 2015. Data collection was conducted through a questionnaire containing questions related to social, economic and demographic aspects and the generic quality of life instrument for World Health Organization Quality of Life - Bref (WHOQOL-Bref). To evaluate factors associated with QoL, were used multiple linear regression. The level of significance was set at ≤ 5 %. Cronbach's alpha ranged from 0,66 to 0,80, implying good instrument reliability. the study population consisted of 150 individuals, with the youngest aged 18 and the oldest 82 years. The mean scores of the WHOQOL-Bref were higher in Physical (68,1) and Psychological (66,6) domains and the lower scores were obtained from the Environment (44,1) and Social Relations domains (56,6). Significant averages in quality of life were demonstrated in association with male homeless, married, age (30 - 40 years), non-users of illicit drugs and without reported toothache and discrimination. This study allowed identifying the dimensions of life of homeless that are affected, emphasizing the need to creation of public policies and social support to effectively reduce the vulnerabilities of these individuals. It also allows us to reflect on the nurses responsibility in promoting health, and therefore, improve their quality of life of people.