Doutorado em Enfermagem e Saúde (FEN)
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Navegando Doutorado em Enfermagem e Saúde (FEN) por Por Orientador "Bezerra, Ana Lúcia Queiroz"
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Item Segurança do paciente na atenção primária: conhecimento dos profissionais de saúde(Universidade Federal de Goiás, 2015-02-18) Paranaguá, Thatianny Tanferri de Brito; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Rosso, Claci Fátima Weirich; Minavisava, Ruth; Vieira, Maria Aparecida Da Silva; Coelho, Maria AliceThe general objective was to analyze the effect of an educational program on patient safety, developed by Tele-education, in the knowledge of professionals working in primary care. Study type intervention before and after, conducted with registered health professionals in Telehealth Network of Goiás. Were used self-report instruments, via web and carried out a descriptive statistical analysis. The results showed weaknesses in the knowledge of health professionals on patient safety, in the context of the practice, which subsidized the construction of an educational program which proved satisfactory to the expansion of knowledge about the studied subject. The reports of the incidents revealed the importance of acquiring knowledge on patient safety, to identify occurrences of the various incidents in primary care and highlighted the need to work conceptual aspects with greater depth in order to increase the accuracy of these professionals for the identification and monitoring of incidents arising from care. The study can be used globally, contributing to the diagnosis of knowledge about patient safety, to identify gaps that need to be worked for the management of health services, and the elaboration of educational policies that support the formation of a safety culture and quality in health services, in order to reduce the occurrence of incidents and prevent harm to patients who weeks care in primary care.Item Qualificação dos registros de procedimentos em centros de atenção psicossocial: educação permanente em saúde como estratégia de gestão(Universidade Federal de Goiás, 2018-01-25) Silva, Nathália dos Santos; Cardozo, Elizabeth Esperidião; http://lattes.cnpq.br/1143743711641872; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Lucchese, Roselma; Medeiros, Marcelo; Caixeta, Camila Cardoso; Dallegrave, DanielaThe Psychosocial Care Centers (CAPS) are strategic services of the Psychosocial Care Network to promote the social reintegration of people with mental disorders and or problems related to the use of alcohol and other drugs. Thus, it is imperative that the actions in the CAPS be monitored and evidenced to support the superiority of this proposal. However, this will only be possible if there are data recorded by the professionals working in the CAPS to enable the evaluation for the management of the quality of the services. This study aimed to analyze the quality of records of procedures using the Permanent Education in Health as a strategy for the management of the work process of the health professionals of the CAPS. This is an intervention research of a qualitative nature, carried out with 58 professionals from seven CAPS from three municipalities of the State of Goiás. Data collection occurred from March to October 2016. The Permanent Health Education was procedural and occurred in three stages: focus groups, seminars and workshops on CAPS procedures and elaboration of a Unique Therapeutic Project (PTS). With the data obtained through the reflection of the subjects, the thematic content analysis was performed. The thematic categories and subcategories that emerged from the content analysis were: Process of registration of the CAPS procedures, the Unique Therapeutic Project in quotation marks and Qualification of the PTS through the understanding of the records and and the opposite also. The results showed that the professionals did not know the instruments of records of CAPS procedures, the meaning of the names of the procedures, the management and purposes of the records and the importance of the data as the driver of information for work and service management. Two situations on the quality of records were evidenced that the data were underreported or reflected the inexistence of psychosocial actions. It was perceived the need of investment in the training of the professionals with focus on the records management and through the systematization of PTS. The Permanent Health Education strategy expanded the repertoire of information about CAPS procedures and was evaluated positively by enabling a better understanding of the records, deconstruction of the idea of association of registration for financial transfer, use of the list of procedures as a care line for elaboration of more robust PTS and revision of Institutional Therapeutic Projects. The incompleteness and underreporting of the data do not depict what the teams in the CAPS are developing and, therefore, the conclusion that the analysis of the data generated through them does not coincide with the reality of the services. It is important to emphasize the importance of the process of permanent education as a way of giving priority to more meaningful learning practices involving the participants in the process of change and thus highlighting the psychosocial practices by recording the actions developed in the CAPS or other devices in the territory. This evidence is fundamental for the technical and political defense of the model of psychosocial care in force in the country.Item Incidentes com pacientes atendidos nos centros de atenção psicossociais: vivências da equipe de saúde(Universidade Federal de Goiás, 2019-04-29) Souza, Adrielle Cristina Silva; Caixeta, Camila Cardoso; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4282188T6; Bezerra, Ana Lúcia Queiroz; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4767942Z2; Bezerra, Ana Lúcia Queiroz; Lucchese, Roselma; Alves, Sergiane Bisinoto; Cardoso, Elizabeth Esperidião; Medeiros, MarceloOBJECTIVE: To analyze the security context of the users served at the Psychosocial Care Centers, based on the experiences of the multiprofessional team. METHODOLOGY: Qualitative study, intervention, mediated by the Cycle of Experiential Learning. 31 professionals from two service units - Psychosocial Care Center - Adult CAPS III from the metropolitan region of Goiânia participated. The data collection took place through group meetings, in which the professionals developed activities proposed by the researcher that led to reflection and learning about patient safety. The data were submitted to content analysis, using qualitative analysis software. RESULTS: The thematic content analysis was performed with the data obtained through participants' experiential techniques. The thematic categories that emerged from the content analysis were: 1 - Knowledge of professionals about patient safety; 2 - Incidents and situations of risks experienced by professionals of the multiprofessional team 3 - Strategies and evaluation of the educational process to promote safety in care. The data revealed low knowledge in the area of patient safety, which further heightened the interest of the team's professionals in understanding the issue. Understanding that the theory is currently more focused on the hospital environment, its focus on psychosocial care is something innovative. Incidents and situations of risks to the patient's safety were revealed in the physical aspects of the unit; in the work process in the services and low communication of the service network; in the lack and professional qualification; inadequate care; low family involvement; deficiency of records and mechanism from prescription to drug administration. The Permanent Health Education strategy in a problematic and participatory manner developed the team's understanding of safe care, which enabled professionals to outline strategies for incident prevention and promotion of safe care in CAPS. The process was evaluated as positive because it allows rethinking and instigating better attitudes in the work, in a dynamic and involving way, being possible to align theory and practice, besides being able to demystify that the clinic does not fit in the unit of mental health respecting the psychosocial attention. FINAL CONSIDERATIONS: Continuous efforts are required in practice, from senior management to direct assistance professionals, with the aim of promoting physical, human and organizational structure that guarantees the promotion of the safety culture in the CAPS. The experiential method favored the reflection of the service dynamics revealing the risk situations in the assistance to the users. The legitimacy of EPS as spaces for the exchange of practices and knowledge in the reflexion-action-reflection process, for the production of knowledge that improves patient safety in mental health is perceived, which will help both the improvement of the quality of services and in the training of professionals.