Doutorado em Enfermagem e Saúde (FEN)
URI Permanente para esta coleção
Navegar
Navegando Doutorado em Enfermagem e Saúde (FEN) por Por Orientador "Munari, Denize Bouttelet"
Agora exibindo 1 - 4 de 4
Resultados por página
Opções de Ordenação
Item Estratégias de atenção aos cuidadores informais de idosos: pesquisa participante baseada na comunidade(Universidade Federal de Goiás, 2017-03-27) Borges, Cristiane José; Munari, Denize Bouttelet; http://lattes.cnpq.br/8409035360598716; Munari, Denize Bouttelet; Stacciarini, Jeanne Marie Rodrigues; Medeiros, Marcelo; Santana, Rosimere Ferreira; Pagotto, ValériaINTRODUCTION: The process of population aging is a worldwide phenomenon and, simultaneously, a new social role emerges - the informal caregiver-, seen as an essential component to promote elderly’s quality of life in some dependency situation at home. OBJECTIVE: To describe the construction and implementation of care and support strategies for elderlies’ informal caregivers through the Community Based Participatory Research. METHOD: A descriptive study guided by Community Based Participatory Research (CBPR) principles and carried out through the organization of a Community Advisory Committee (CAC), which involved academic and community participants. The study was attended by 384 people, nine community partners, 255 professionals working in family health strategies and 120 elderlies’ informal caregivers. The research was divided into the following phases: 1 - establishment of the community partnership; 2 - identification of problems related to elderly’s informal caregiver; 3 - prioritization of problems related to elderly’s informal caregiver; 4 - capacity survey of community strengths, dynamics and resources; 5 – arrangement of strategies, method, support and care interventions to elderly’s informal caregiver; 6 - implementation of strategies, method, support and care interventions to elderly’s informal caregiver; 7 - data analysis by CAC members; 8- dissemination of results obtained with CAC partnership; 9 - maintenance, CAC sustainability and partnerships evaluation. For the results’ analytical process, the content analysis proposed by Bardin was used for qualitative data and the descriptive statistical analysis was used for quantitative data. The Bioecological Theory of Human Development was adopted as a complementary basis for data analysis. RESULTS: Through the CAC constitution, there were identified, in a collective way, 17 problems faced in the elderly’s informal caregiver daily life. The use of the Severity, Urgency and Trend matrix allowed these problems prioritization for decision making. This process mobilized the construction of an action plan composed by five strategies: 1 - teaching of CAC members about the concepts recommended to define the caregiver role; 2 -raising the knowledge of Family Health Strategy professionals about the importance of including the informal caregiver as a care focus; 3 - performance of the 1st Multiprofessional Care Meeting for Elderly and Informal Caregiver; 4 - recording of the city’s informal caregivers of elderly people; 5 - qualification of the elderlies’ informal caregivers. CONCLUSION: The use of Community Based Participatory Research enabled the community partners’ empowerment, that mobilized themselves in support of elderlies’ informal caregivers, developing actions that included the mapping of the city’s informal caregivers of elderly people, mobilization and qualification of the Family Health Strategy professionals, and the organization of care spaces. In this process, it was verified that this research approach strengthens health democratization by promoting greater involvement and social protagonism of community partners, creating ideas and concrete actions for the establishment of care strategies for the elderlies’ informal caregivers.Item Planejamento de sucessão: uma ferramenta para potencializar a liderança em enfermagem(Universidade Federal de Goiás, 2018-04-26) Nogueira, Alyne Leite Gomes; Ribeiro, Luana Cássia Miranda; http://lattes.cnpq.br/1727326201446926; Munari, Denize Bouttelet; http://lattes.cnpq.br/8409035360598716; Bezerra, Ana Lucia Queiroz; Munari, Denize Bouttelet; Siqueira, Karina Machado; Coelho, Maria Alice; Haddad, Maria do Carmo Fernandez LourencoSuccession planning (SP) for nursing leadership allows leaders to prepare new professionals to carry on or improve care quality in institutions. It is an innovative tool in the management of people. The objective of this study was to create a succession planning model for nursing leaderships at a hospital institution, based on an appreciative reflection of nurses. A descriptive exploratory study, using a qualitative approach and grounded on appreciative inquiry (AI), was developed at a public federal hospital in the Center-West region of Brazil. The study took place in two stages. In the first stage, the participants were 36 nurses with different hierarchical positions, from managers to care staff. The authors investigated the experience of the participants on leadership and their perspectives as regards leadership succession in nursing by means of individual interviews with application of the snowball technique. The second stage consisted of a group intervention with 22 nurses who participated in the first stage, using the AI methodology. The collected data were submitted to thematic content analysis and organized using the WebQDA 2016 software. Two categories emerged from the first stage: Current leadership: foundation for a succession planning; and Succession planning: a necessary tool for leadership in the institution. The second category included the creation of the Leadership Succession Planning, according to the 4D cycle methodological structure, which comprises four phases (Discovery, Dream, Design, and Destiny). At Discovery, positive points of the institution regarding leadership succession were presented and, at the Dream phase, nine desirable dreams for an ideal future in terms of leadership succession, the institution’s internal policy, and shared management and leadership development. At the Design phase, five goals were defined, along with their respective deadlines, whereas at the Destiny, there was the creation of one or more plans for each of the goals, including what had to be done in order to achieve them, with the definition of actions and those responsible for carrying them out. At the end of the 4D cycle, the group developed the Succession Planning for Nursing Leadership for the institution, which contributed to organize and strengthen this process. The use of the AI was a powerful tool in the development of collective work with the group of nurses and an important ally in the generation of changes. Considering that the subject of nursing leadership is not addressed systematically in Brazilian healthcare institutions, this study proposes a new way of thinking over the subject in the different institutional settings and, therefore, presents an innovative character for the field of management in health and nursing. Hence, this study can inspire nurses and researchers who are committed to offering quality care to their patients.Item Mudança organizacional planejada para gestão do atendimento ao acidentado com material biológico(Universidade Federal de Goiás, 2016-03-29) Ribeiro, Luana Cássia Miranda; Munari, Denize Bouttelet; http://lattes.cnpq.br/8409035360598716; Munari, Denize Bouttelet; Souza , Adenicia Custodia Silva e; Mendonça , Katiane Martins; Chaves , Lucieli Dias Pedreschi; Bezerra , Ana Lucia QueirozIntroduction: Accidents with biological material represent an important issue for workers because of the consequences involved. Therefore, qualified care of these workers is required, despite representing a management challenge for institutions and professionals involved in its monitoring and development. Several variables should be analyzed and provided so that care occurs in a qualified and effective way, according to the current regulations. Objective: To demonstrate the development and implementation process of the organizational change planned for managing the care of victims of accidents with biological material. Methodology: An intervention study was developed based on action research, organized in three stages. The first stage consisted of a pre-intervention evaluation of the care provided to victims of accidents with biological material conducted with patients, based on the clinical incident technique (CIT). The second was the intervention itself, by means of the action research and planned organizational change (POC), conducted with workers involved in the care. The third stage was a post-intervention evaluation with patients based on the CIT as described in the first stage. Data analysis was conducted based on the principles of content analysis. Results: The main changes verified were associated with the drawing of a flowchart of care provided to victims of accidents with biological material, focused on the reality and adapted to the institution, made by the professionals involved, as well as its use during practice, the development of a guideline form regarding the issue and its implementation in service, changes in standardized printed materials for the organization of care, development of systematized guidelines and in line with regulations, commitment of the whole team regarding the issue and organizational matters associated with the delivery of exams and other aspects that made care difficult. The evaluation of patients conducted in the pre- and post-intervention stages after five months showed improvements in care regarding the guidelines received, organization and agility for medical appointments, as well as changes in professionals’ attitude in the whole care process, identified as becoming more suitable and human. The changes regarding the management of care provided to victims of accidents with biological material in a sentinel healthcare unit based on the intervention developed, by means of the POC, were possible because of the adopted method and theoretical perspective based on participatory management. Because of the participants’ involvement since its conception, the POC encouraged a collective and cooperative learning environment, which is the reason it proved to be effective for the desired consolidation of changes. Final Considerations: This coordination favored not only the institution, for promoting desired organizational changes, but also those involved, by fostering awareness and shared knowledge and for encouraging a cultural change, providing the development of characteristics that make organizations evolve. The improvement of quality in the care offered to victims of accidents with biological material in sentinel care, reported by those involved, strengthen and legitimize the success of the intervention.Item Desenvolvimento de liderança para enfermeiros da saúde da família com o uso da estratégia coaching em grupo(Universidade Federal de Goiás, 2014-12-02) Rocha, Bárbara Souza; Munari, Denize Bouttelet; http://lattes.cnpq.br/8409035360598716; Munari, Denize Bouttelet; Fortuna, Cinira Magali; Bezerra, Ana Lúcia Queiroz; Medeiros, Marcelo; Motta, Kátya Alexandrina Matos BarretoThe Family Health Strategy, reorienting considered practices in health care model, in its complexity brings an action that emphasizes teamwork, participation and social mobilization, professional autonomy and complementarity of practice and care management. In this context, the nurse has been recognized as a professional who works in leadership at all levels of management. Aware of the presence of weaknesses in academic training to develop skills essential to this task and the lack of investment in improvement programs that emphasize this theme, we aimed to analyze and implement a process of leadership development for nurses using the Family Health coaching group as a guiding tool. Action research was methodological option in the conduct of research by enabling the interaction between researcher and participants at the time of production of the survey results and focus on the change of the reality. We opted for the intervention group by enabling the exchange and learning through living with others, and the use of coaching, for goals to give the change process, defining steps. Following phases of coaching, nurses experienced the stage of the evaluation, which built a picture of the current situation experienced in leadership, pointing out difficulties in professional identity and occupation of spaces in this sphere of activity. In the grounds of personal issues and how these characteristics influence the leadership and in the formulation, the group was led to develop their leadership skills, particularly communication, feedback, and the act of delegating were discussed. Implementation concept, skills and attitudes for good leadership practices, as well as potential resources for their development have been deepened. The phase transformation nurses pointed out the changes made after the intervention and consolidation, there was strengthening of experienced change and identifying the effects of the intervention. We conclude that the qualification should focus more meaningful learning practices involving participants in the change process. Likewise, it is necessary to use innovative tools to deepen their understanding of themselves and the situation through experimentation and experience, aiming to change attitudes and behaviors in managerial practice.