Programa de Pós-graduação em Saúde Coletiva

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Navegando Programa de Pós-graduação em Saúde Coletiva por Por Orientador "Bezerra, Ana Lúcia Queiroz"

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    Análise da percepção do paciente com a segurança no atendimento em unidade de urgência e emergência
    (Universidade Federal de Goiás, 2016-12-19) Arruda, Nara Lília Oliveira; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Silva, Ana Elisa Bauer de Camargo; Prado, Marinésia Aparecida; Paranaguá, Thatianny Tanferri de Brito; Rosso, Claci Fátima Weirich
    This study aimed at analyzing users' perception due to safeness of health care offered by professionals in an emergency and urgency unit of a university hospital in Midwest of Brazil. The population was composed of 100 patients who met pre – established criteria for research. This is a cross-sectional, descriptive, quanti-qualitative study. The data were collected from May 31 to August 30, 2015 through interviews, guided by a semi-structured adapted and tested tool. The quantitative data were entered in the Statistical Package for The Social Science (SPSS) version 20.0 and analyzed, descriptively, by means of simple and absolute frequencies. For qualitative analysis, Bardin content analysis was used. The results showed that 53.0% of the patients were females from 19 to 84 years, an average of 50.6 years. Regarding the care, 100% were of urgency for clinical treatment. 99% of the patients were satisfied with the care received, and 99% felt safe with professionals care; 96% had no problems during the period they remained in the emergency and urgency unit. As a safe conduit, they pointed out that 99% of the professionals confirmed the name before any procedure and 89% clearly explained the procedures; 86% were advised on possible complications; 93% reported that professionals showed skill in performing procedures; 69% that professionals always consulted the prescription before the procedure. Regarding the occurrence of errors, 97% would like to be informed about the occurrence of errors during the treatment, even if, it did not cause damage; 80% relied on the team and judged they were unable to anticipate the possible error in care. Patients' satisfaction with the care and rehabilitation of the emergency and urgency services was considered an important indicator of assistance quality in emergency and urgency units in the hospital. It is expected that this study contributes to the formulation and enhancement of educational actions as a strategic way to reach and / or strengthen patient satisfaction with care security, as well as, for the policies elaboration that subsidize the formation of a culture decreasing the risks of hospitalization and ensuring improvements in care quality in emergency and urgency units in local and national context.
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    Incidentes em unidades de atenção primária em saúde: percepção da equipe de enfermagem
    (Universidade Federal de Goiás, 2018-10-26) Braga, Quéren de Pádua; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Souza, Marta Rovery de; Alves, Sergiane Bisinoto
    Introduction: Primary Health Care is the gateway and the first point of contact between the patient and the health system. Investigations focused on patient safety at this level of care are scarce but essential for diagnosing care processes for that preventive measures are taken to improve the quality of care and minimize possible incidents. There is a need for more nursing commitment to involve patients and professionals in the prevention of incidents in this context. Objective: To analyze the perception of professionals of the nursing team regarding the occurrence of incidents in patients attending primary healthcare units. Methodology: A cross-sectional descriptive study with a mixed approach, developed in 24 Basic Health Units of a municipality in the Central South Region of Goiás, with a population of 97 professionals from the nursing team. The data were collected in March 2018 through an interview with the PCISME (Primary Care International Study of Medical Errors) questionnaire to register incidents in APS, adapted and validated for the Brazilian reality. Descriptive analysis of quantitative data and content analysis of qualitative data were performed with the help of ATLAS.ti 7.5.4. Results / Discussion: We identified 88 incidents, divided into care: the most frequent were the vaccination, with 26 reports, followed by medication and fall; and administrative: being 11 related to administrative service and seven organizational structure and material resources. Among the incidents, 52 were considered adverse events, as they caused damage to the patient, two of which were permanent damage and two deaths. The professional category involved in the highest number of incidents were the nursing technicians in 45 reports, followed by doctors, administrative staff and nurses. The results presented the need to deepen this theme in other primary care services in order to improve the quality of care provided by qualified professionals and improve the quality of the organization of services and consequently the safety of patient care. Conclusions: The perception of nursing team's evidenced the need to sensitize managers and health professionals in order to expand strategies of permanent education, the use of instruments of notification of the incidents, since these actions contribute in the diagnosis of the health situation and professionals to promote improvements through safe and quality care. It should be emphasized that encouraging the production of research related to the subject in PHC is a way forward.
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    Notificação de eventos adversos: o saber e o fazer de enfermeiros
    (Universidade Federal de Goiás, 2018-07-09) Moreira, Isadora Alves; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Souza, Marta Rovery de; Alves, Sergiane Bisinoto; Junqueira, Ana Luiza Neto
    Introduction: Patient safety has been a topic of discussion in health institutions and the reporting of adverse events is one of the main indicators used to assess the quality of care provided. The nurse, supervisor of the nursing team, has a prominent role in risk management and through the systematic notification of these events should implement preventive strategies for improvements in the quality of care and patient safety. Objective: To analyze nurses' knowledge and performance through the process of reporting adverse events in hospitalized patients. Method: A descriptive, mixed-type cross-sectional study developed at a teaching hospital in the Center-West region of Brazil, with the participation of 60 nurses from the various Clinical Units. Quantitative data were obtained through VIGIHOSP reports, online hospital notification systems, for 2016 and 2017 and analyzed statistically by absolute and relative frequencies. Qualitative data were obtained through interviews with nurses through a structured instrument, in March 2018. The contents of the ATLAS.ti 8.0 software were analyzed and three contents were analyzed: The Nurse's Knowledge; The Making of the Nurse; Intervening factors for the reporting of adverse events. Results and Discussion: In VIGIHOSP, 2495 incidents were reported, the main ones related to surgeries (60.6%) and medications (23.3%). As for surgeries, 98.6% were cancellation of the surgical procedure, being 23.1% due to patient non-attendance, 18.4% due to lack of organizational structure and 15% due to lack of patient's clinical conditions. Of the drug-related incidents, 61.8% were prescription errors and 27.6% dispensing errors. As for the profile of the participants, 46.6% work at night or mixed shift, have more than one employment relationship, working for more than 40 hours a week. It was evidenced underreporting of incidents, since most nurses do not notify the events in the system. Although they reveal knowledge of the institution's event notification system, they do not know its flow, especially regarding the return to the notifier. Factors related to underreporting of incidents were lack of time, lack of professionals / human resources, unavailability of computers for notification and low qualification of some professionals to use the online program. Conclusions: The need for greater investment in nurses' training on the dynamics and flow of the hospital's notification system is evident through continuing education programsinvolving the communication of events as an educational strategy to achieve improvements in the quality of practice care and patient safety.
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    Eventos adversos na utilização do cateter venoso central de inserção periférica em um hospital público infantil
    (Universidade Federal de Goiás, 2013-11-08) Sá, Jaciane Soares de; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Castral, Thaíla Corrêa; Silva, Ana Elisa Bauer de Camargo
    The Catheter Peripherally Inserted Central is a device used in intravenous therapy in neonatal intensive care units and pediatric and in neonatal intermediate care units, which promotes venous access safe for a long time and with a low rate of infection, however, the use of this technology by being a complex process, may be subject to adverse events. The aim of the study was to analyze the use of central venous catheter peripherally inserted into a child public hospital from the perspective of nurses, identify and classify the events in the stages of the process of insertion, maintenance and removal of PICC and verify the procedures adopted in these events and the consequences for patients. Descriptive analysis was performed of the results, with minimum and maximum for continuous variables and absolute and relative frequencies for categorical variables. Qualitative data were grouped and categorized by approaching answers. Results The results showed a predominance of females with an average age between 24-58 years and 5 or more years of professional performance, function and institution. The working day was 30 hours per week and 53.8% were specialists with training course for handling PICC. 84.6% witnessed some kind of adverse event, 57.7% in the insertion, highlighting the difficulty of progression / closing valve / capillary fragility; 84.6% in keeping with an obstruction of the catheter 61.5% EA as mentioned, caused by the blood reflux, drug incompatibility, poor permeabilization and lack of washing (flushing) of the catheter; and 15.4% in recession, caused by rupture / breakage of the catheter. The adopted clinical management were the exchange of venous access, monitoring, traction of the catheter and pressure dressing in case of bleeding. The consequences for patients were prolonged length of stay in the service, need to complement therapy and new IV line installation. The results signaled the size of adverse event occurrences in the safe use of PICC, the safety measures and quality of patient care, requiring the training of nursing professionals, combined with a policy of promoting continuing education activities and formulation strategies to minimize flaws and building a professional and institutional culture of safety.
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    Prevalência e fatores associados à incapacidade funcional para atividades básicas da vida diária entre idosos de um centro de saúde da família do município de Goiânia-Go
    (Universidade Federal de Goiás, 2013-10-11) Santos, Weslane Souza de Almeida; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Pagotto, Valéria; Silva, Ana Elisa Bauer Camargo; Varanda, Lilian Pereira; Rosso, Claci de Fátima Weirich
    NTRODUCTION: The loss of function of the body is one of the major problems of the human aging process and it can make an elderly person totally or partially dependent on others. Also it may affect their independence and quality of life. The evaluation of capacity for Basic Activities of Daily Living can straight health care for the elderly. OBJECTIVE: To investigate the prevalence and factors associated with functional disability on the basic activities of daily life of elderly. METHODS: An epidemiological analytical cross-sectional study, conducted with 252 elderly from the Family Health Strategy at the Health Family Center of Vila Mutirão in Goiânia-Go, casually selected through a random selection. All the information was taken by structured instrument having socioeconomic and demographic facts, conditions and health perception, and functional assessment scale for ADL / Katz adapted by the Department of Health. To identify the issues associated with the loss of the body function, a varied analysis was made and chi-square test was used, and when appropriated, Fisher's exact test, with Odds Ratio as an associate measure. We conducted multivariate logistic regression with the variables: sex, age, and those with p < 0.10 in the varied analysis. Pauses of 95% assurance were calculated and considered statistically significant the associations that had p < 0.05. RESULTS: 64.3% of the elderly people were female , 53.4% aged between 60 and 69 years old, 40.9% were married, 59.1% had low financial family income, 69.5% were retired, 82,9% did not have remunerated jobs . 48.0% considered their health regular, 44.0% reported having better health than other seniors of the same age, 73% reported having hypertension and 73.4 % reported visual weakening. 88.1% of the elderly people show preserved functional capacity to the development of ADL revealing autonomy and independence in the development of these activities. The occurrence of disability was 11.9% in which 7.9 % were dependent continence, 6.4% for bathing and 6 % to dress up. The factors related to disability in basic activities of daily living between older adults were: being 71 years old or more (22.2 %); being male (17.7%); having chronic disease (12.2%); be illiterate or to know how to read or write without having attended school (14.7 %); not having a paid job ( 14.4 % ); receiving more than minimum salary ( 20 % ); not living alone (9.1% ); hearing deficit ( 18.4 % ) and vision ( 12.8%) and state to having poor or very poor health (32 %). The variables that remained significant for the result of functional disability in basic activities were: being 71 years old or more; higher income than the minimum salary and supposed poor / very poor health. CONCLUSION: The study identified the ability of seniors to ADL and will allow the development of multidisciplinary care planning, especially regarding the actions for improvements in quality of life of the elderly and their family caregivers.