Mestrado Profissional em Ensino na Saúde (FM)
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Item Formação acadêmica e atuação profissional de nutricionistas de núcleos de apoio à saúde da família de Goiás(Universidade Federal de Goiás, 2013-11-22) Aguiar, Camilla Botêga; Costa, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047; Costa, Nilce Maria da Silva Campos; Menezes, Ida Helena Carvalho; Mortoza, Andrea SugaiThe current model of Health Care in Brazil prioritizes health promotion, prevention, control and treatment of health problems of individuals and families with integrity and continues. These actions are directly or indirectly related to food , requiring the insertion of a nutritionist in Primary Health The aim of this study was to analyze the academic performance and nutritionists professionals of the Centers of Support for Family Health of the State of Goiás, from the perspective of the researched, with a descriptive, exploratory, cross-sectional. For data collection we used a self-administered questionnaire with open and closed questions to characterize and study the academic and professional performance of the nutritionists. The data was tabulated in Excel and made a descriptive analysis of variables. The participants were 22 nutritionists , female , representing 88 % of the nutritionists from Centers of Support for Family Health of the State of Goiás. From these , 59.1 % had less than three years of graduation; 13.6 % had made a specialization in Health Family , 27.3 % felt qualified to work professionally with reflection on the socioeconomic , political and cultural territory. Regarding performance, 80 % are hired temporarily, 36.4 % worked for less than a year, 18.2 % were trained before the start of activities and 59.1 % felt somewhat qualified for working on the Centers of Support for Family Health. On the professional practice, (9.1%) nutritionists argued over a matrix model meetings and references used on the tool. Teamwork was appointed as facilitator of actions performed (40.9 %), and no knowledge of the role of Centers of Support for Family Health as a factor that hinders (31.8 %). The nutritionists from Centers of Support for Family Health of the State of Goiás have little professional experience and qualifications to work in family health. Have difficulties to understand the local reality. The form of entrance affects the bond between the professionals and the public. The matrix model was just highlighted in meetings and theoretical support. There is need for more studies on the Centers of Support for Family Health.Item A prática docente do enfermeiro à luz da teoria histórico-cultural(Universidade Federal de Goiás, 2016-06-16) Alves, Angela Gilda; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Costa , Nilce Maria da Silva Campos; Barbosa , Maria AlvesThis study investigated the focus of teaching practice during the practice of nursing teachers in higher education institutions, according to the assumptions Vygotsky's theory. The objective of analyzing the aspects of historical-cultural theory and possible contributions to the teaching of nursing practice. Data for the study descriptive qualitative approach, guided by Grounded Theory Data were collected through semi-structured interviews, applied to Twenty Two teachers of six institutions of higher education. In the period from August to December 2015. Data analysis resulted in four subcategories: teaching nursing education; teaching process learning; methodologies and teaching strategies and interfaces trends progressive - social critic of the contents. Emerged as core category 'The field of pedagogical practice of distant nursing teaching process and the contributions of Vygotsky'. As a result, the first article 'The theory of Vygotsky: contribution to the education of health professionals in Brazil 'shows that the work selected, most were unsatisfactory as the presentation of strategies used to assess the Vygotsky's contributions to training health; The second article, 'The teaching of nursing practice in the Stork Network the Theory Historical-Cultural 'reflects discussions not only of academic level, but also the concerns of the services and to the community, showing that the educational aspect of nursing is not dissociated from care practice; New the third article 'Treat and the hardships of being a teacher of nursing' resulted in the enchantment of being a teacher, to teach I learn, go over, I welcome, educate; Tripod: affectivity, responsibility and quality; The counterpoint of teaching enchantment. It is concluded that the Vygotsky's theory in educational practice in health has emerged valuable contributions and oxygenate the practice through various optics, such as progressive tendencies. However, the exercise of cultural-historical theory is empirical and the field of teaching practice shown far the teaching process, and Vygotsky contributions.Item Sistematização da assistência de enfermagem: perspectiva para autonomia profissional(Universidade Federal de Goiás, 2014-07-11) Ferreira, Eric Benchimol; Taleb, Alexandre Chater; http://lattes.cnpq.br/3191620401627150; Pereira, Milca Severino; http://lattes.cnpq.br/9304767101674108; Taleb, Alexandre Chater; Souza, Adenícia Custódio Silva e; Martins, Cleusa AlvesStudies on theories of nursing, since the days of Florence, have presented ideas about the development of tools for professionals in nursing to develop clinical reasoning and deepen scientific knowledge, increasing their ability to provide quality service. The use of systematic processes in nursing is a relevant factor for excellence of care. The objective of this study was to analyze the perception of nurses about the systematization of nursing care from the perspective of professional autonomy. This is a descriptive, exploratory, cross-sectional study, which was conducted in five inpatient clinics of a large, public teaching hospital, located in the Midwestern region of Brazil, in the period August-September 2013, involving 24 nurses. Data collection was conducted using a questionnaire previously evaluated by five experts in the field of research and the data were analyzed using analytical and descriptive statistics, quantitative approach and applied the technique of Bardin’s content analysis, for qualitative data analysis. The results were divided into two thematic groups, one positive and one negative. The positive core theme was divided into categories: a) Steps of the nursing process that nurses find easier to develop; b) Professional aspects that favor the use of systematic processes in nursing care; c) Institutional factors that favor the use of systematic processes in nursing care; d) Credibility of the systematization of nursing care to promote the autonomy of nurses. The negative core theme has categories: a) Steps of the nursing process that nurses have difficulties developing; b) professional aspects that do not favor the application of systematic processes in nursing care; c) Institutional Factors that do not favor the application of systematic processes in nursing care. It was noted that the Systematization of Nursing promotes professional autonomy of nurses from their perspective. This study highlights a strong professional effort to turn systematic nursing practice, in its essence, into daily nursing care activity. The results support a deeper study of this topic in order to contribute expand the professional body of knowledge.Item A graduação médica e a prática profissional na perspectiva de discentes do internato de medicina(Universidade Federal de Goiás, 2013-08-30) Filisbino, Marcos Augusto; Moraes, Vardeli Alves de; http://lattes.cnpq.br/2078225868415338This research was conducted in medical school of Federal University of Goiás. OBJECTIVES: The aim of this research is to identify the ideal, in terms of professional practice, of the internship students in the Medical School of the Federal University of Goiás – UFG − and to observe possible dissonances with the profile of the graduates, as advocated by the National Curriculum Guidelines and by the Political Pedagogic Project of this institution. METHODS: In 2012, two hundred and twenty-two medical internship students of the institution received a survey questionnaire. The sample of this research consisted of one hundred and ninety research subjects, representing 85% of the sample universe. The statistical significance was calculated using a non-parametric test (Sign Test). RESULTS: The sociodemographic profile characterizes the students with an average age of 23,8 years old, unmarried, 65,8% of whom belong to social classes A and B. The ideal of the profile of professional practice shows that 83,7% want to become specialists, whereas 96,3% want medical residency, which is statistically significant (p=0,0001), and 71,6% do not intend to work with Family Health Strategy Programs (p=0,005). CONCLUSION: This study shows that students with high socio-economic profile, who want to become specialists, undergo a medical residency program and do not see the Family Health Strategy as a professional goal.Item O PET-Saúde e a formação dos estudantes na visão dos tutores(Universidade Federal de Goiás, 2016-01-28) Galli, Cibelle Moraes Leite; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Costa, Nilce Maria da Silva Campos; Mendonça, Reginaldo Teixeira; Martins, Cleusa Alves; Freire, Maria do Carmo MatiasGovernment initiatives have been proposed since 2005 aimed at reversing the inadequacy of training models still fragmented and strongly hegemonic to face the current challenges of health care and the needs of the Unified Health System (SUS). The Education Program for Working for Health (PETHealth) is one of these initiatives has as main concept the formation of tutorial groups that will contribute to the development of human resources with adequate profile to the training needs expressed in the country's health policies and to face the different realities of life and health of the population. Because of the development of this program at the Federal University of Goiás (UFG) since its inception in 2008 without there being an evaluation of its results gave rise to the research project "Impact Assessment of PROHealth Programs and PET-Health in courses Graduation healthcare UFG". This study aimed to describe the PET-Health contribution to the training of professionals of the health courses at the Federal University of Goiás, in the view of the tutors. Research with descriptive approach, using an electronic form for data collection, containing ten essay questions. Form was answered by 16 tutors who acted in the PET-Health 2008-2013 (response rate 57%). Data analysis was performed using content analysis which yielded a total of four axes, twelve categories and thirty-five subcategories. It was found that PET-Health positively influenced in building a more complete training, bringing innovation to work in multidisciplinary groups in graduation through coexistence, interdisciplinary with students from other courses in comprehensive of attention care, innovation of educational strategies in the SUS understanding of change and amplitude the concept of health. It also brought some negatives especially in relation to the amount of bags for preceptors and the hours available for scholarship students to carry out their activities. It was concluded that it is a challenge to implement all the ideals of PET-Health but it is possible. The program proposals have openness to dialogue spaces where students develop the perception of daily life and the complexities of the service. For tutors, PET-Health leverages the work so that the pedagogical perspective and integrative motivation actions of teaching - service - community expand to other students from various courses and periodicity levels, continuously, regular, full and nice.Item Percepções discentes sobre a Estratégia de Saúde da Família e a escolha pela especialidade de Medicina de Família e Comunidade(Universidade Federal de Goiás, 2014-02-21) Issa, Afonso Henrique Teixeira Magalhaes; Silva, Marcos Wesley da; http://lattes.cnpq.br/8744505825685805; Lima, Fátima Maria Lindoso da Silva; http://lattes.cnpq.br/5289890813807831; Pereira, Edsaura Maria; http://lattes.cnpq.br/8820722314388248; Marques, Solomar Martins; http://lattes.cnpq.br/5168936259198176Objective: To analyze the perceptions of undergraduates in medicine in relation to the work of the Family Health Strategy (FHS) and the influencing factors in choosing the specialty of Family Medicine and Community (FM). Materials and Methods: An exploratory and qualitative study of a cross-sectional nature involving undergraduates in the 11th period of the medical school of the University Center of Anápolis (UniEVANGÉLICA) which is located in the Central-West region of Brazil. The study involved the examination of data collected from the body of students involved in a course of study who have been selected after approval by the Ethics and Research Committee. In the research, two instruments for collecting data and information were used: Firstly a questionnaire and secondly a roadmap for semi-structured interviews. This approach was taken in order to Identify Socioeconomic Characterization along with the Identification of Occupational Aspirations and analysis of factors that influence their choice of FM by using the technique of content analysis. Results and Discussion: None of the interviewed graduates opted to specialize in FM. The low social status, low wages, lack of labor rights, the experience of little contact with medical specialists during the course, the poor solutions in FHS, with poor working conditions and limited opportunity for professional growth showed up as negative influences in their choice. FM have previously examined the social relevance, comprehensive clinical work, bond with patients, as well as greater contact with medical experts in FM for new graduates to present themselves as positive influences on the perception of choices. Final Thoughts: The most effective actions that can ensure the recovery of the FHS as a more inclusive and positive workplace and one that offers a more recognized appreciation of family medicine as a medical specialty is as outlined. Better wages and greater social recognition of the work of the FM are factors that should be considered in policy actions. A further major factor would be ensuring labor rights and conditions for personal accomplishment in the FHS expert in FM. The inclusion of experts in FM graduation may assist in identifying students with this specialty. Further studies should be conducted to broaden the understanding of the subject and deeper questioning of this important theme for consolidation of the Unified Health System (SUS).Item Educação permanente na gestão de resíduos em hospital universitário(Universidade Federal de Goiás, 2016-07-27) Meira, S. R. C.; Moraes, V. A.; http://lattes.cnpq.br/2078225868415338; Moraes, V. A.; http://lattes.cnpq.br/2078225868415338; Martins, Cleusa Alves; Barbosa, Maria Alves; Pereira, Edna Regina Silva; Queiroz, Maria da Conceição de C. A. M. deIntroduction: The Healthcare Services Waste is a source of risk to the human health and the environment, specially, by the lack of technical knowledge adequate to the management of waste, such as biological materials, sharp objects, toxic and radioactive substances. Due to the increase of health problems regarding human beings, the issue of hospital waste in the world, has become alarming, and the problem is a major threat to the environment and occupational safety. The hospital waste, if disposed without proper treatment or without compliance with the current legislation, is dangerous to the people, health professionals and all those workers involved in the waste management process. Continuing education here is understood in a health context, involving the teaching throughout the service, in which the nursing staff must have skills and competencies related to the management of hospital waste. Objective: To discuss the relation of continuing education as a tool for the management of hospital waste. We sought to assess the knowledge of the nursing staff regarding hospital waste. Methodology: Exploratory, descriptive study, with qualitative, transversal approach. Data collection among 31 healthcare professionals, 11 nurses and 20 nursing technicians, held in a teaching hospital in the Midwest region of Brazil, through semi-structured interviews with open and closed questions. The collect of data took place from June to September 2015, after approval by the Research Ethics Committee in Human Beings UFG No. 1.093.310 of 05/29/2015, meeting the requirements of ethical and legal aspects of the Resolution No. 466/12, of the National Health Council. The interviews were inserted in the software database Atlas Ti7.0, which generated frequency data, percentage in the analyzed categories and subcategories and the semantic network. Results: The participants of this research were categorized regarding general aspects - gender, occupation, schooling degree – and specific aspects – major degree, period he/she has worked in that hospital. Regarding schooling degree, six finished High School and, besides the nurses, 14 graduated from college. Regarding major degree, 22.58% are post-graduated (28.57% of nursing technicians and 71.42% of nurses), 16.12% has Master’s degree (40% of nursing technicians and 60% of nurses) and 3.22% holds a PhD (one nurse). From the analysis of the contents obtained from interviews, emerged the following categories: waste training, knowledge of nursing professionals about the management of hospital waste, sharp objects accidents and the importance of waste management for the institution. Among the participants, 54.84% did not receive any training related to waste management, 38.71% were nursing technicians, and 16.13% were nurses. 51.6% of respondents believe they do not discardcorrectly the waste produced in their workplace, and 77.42% have witnessed an accident with waste management in the hospital under study. 93.55% of respondents consider important the GRSS (Management of Hospital Waste Program) for the institution. Conclusion: Major obstacles to the proper handling of hospital waste were the lack of information of respondents and the lack of adequate material resources for disposal. Thus, it is essential that continuing education and specific training should be offered to all health professionals, employees of the cleaning service and collection, to ensure the inherent understanding of the proper handling of waste.Item Práticas de educação em saúde de nutricionistas da Secretaria Municipal de Saúde de Goiânia(Universidade Federal de Goiás, 2014-10-17) Nunes, Mariana de Sousa; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; Matias, Karolina Kellen; Menezes, Ida Helena Carvalho F.The Ministry of Health defines health education as a community empowerment process in order to work to achieve a better life and health, including public participation in the process. The objective was to evaluate the education practices in health nutritionists in Goiânia Health Department. This is a qualitative research, and opted for the theory derived inductively data. Interviews were conducted with nutritionists and observation of educational activities activities. Participated nine nutritionists, all female, carried out in the city. The public with the highest prevalence in the care consists of adults and the elderly and the most common diseases among users are hypertension and diabetes. It is observed in speech and actions of nutritionists use of various educational materials in the practices that they develop, and the attempt to involve users in the activities. Were defined by means of the analysis, five categories: Limitations in professional activities; Approach techniques in educational activities; Order of educational practices; Evaluation of the results; Expansion possibilities of educational actions in health. The intent of awareness and changes in population habits highlights the concern of the professional to develop coordinated and coherent actions to the context in which you are working. The issue of valuation of productivity, professional training failure and lack of infrastructure for educational activities were raised by respondents as limitations on professional performance. It was found that most of the respondents does not perform evaluation of their results, therefore, possibly, the lack of planning. Most respondents emphasized the importance of multidisciplinary work, reinforcing the idea of strengthening actions and we note that there is a caution to put into practice the principles of SUS, completeness and fairness. It was noted in the reports that education nutritionist is very technicality, making it difficult to expand the skills involved in the process of education. You can not establish a direct relationship of the practice of nutritionists with the design of health education expressed in the interviews, but realizes that the majority supports the idea of knowledge sharing need, a liberating process, changing the reality of the human being , corroborating with the dialogic model.Item Palhaço no hospital: percepção da influência do pronto sorriso como instrumento de aprendizagem no ensino da graduação em medicina(Universidade Federal de Goiás, 2014-07-31) Oliveira, Arlene de Sousa Barcelos; Pereira, Milca Severino; Lima, Fátima Maria Lindoso da Silva; http://lattes.cnpq.br/5289890813807831; Lima, Fátima Maria Lindoso da Silva; Moraes, Vardeli Alves de; Costa Neto, Sebastião Benício da“Pronto Sorriso” is an open core course of the medical school at Federal University of Goias, with the mission of holistic training of academics through entertainment and performing arts, prompting the creation of the hospital clown, and other recreational activities. Objective: To analyze the influence of “Pronto Sorriso” as a tool for humanistic training of academic medicine in the hospital environment. Materials and Methods: A qualitative, exploratory, cross imprint study involving graduate students of the Faculty of Medicine of the Federal University of Goias who participated in “Pronto Sorriso” in 2012/2013. Data were collected through recorded interviews, using a questionnaire as a tool and a roadmap for a semi-structured interview, which was conducted with the participants of the course and healthcare professionals of the university hospital, seeking to identify the perceived influence of “Pronto Sorriso” in academic training. To analyze results, Bardin’s content analysis technique was used. Results: The sample consisted of 30 participants, 20 being medical students, and ten health professionals in a pediatric unit of Hospital das Clinicas of UFG, who signed the consent form. The average age of students was 19 years, with a predominance of single and female. For healthcare professionals, the average age was 42 years and with over 10 years experience in the research institution. We chose to analyze the interviews in two separate groups: interviews of medical students and interviews with health professionals active in the pediatric unit of the teaching hospital. Conclusion: The study concludes that “Pronto Sorriso” is an instrument of humor providing humanistic training in medicine as well as transformation of the hospital, and provides knowledge and development of skills related to medical clowns.Item Contribuições do Pronto Sorriso na formação do profissional de saúde(Universidade Federal de Goiás, 2013-12-18) Paiva, Maria Luiza de Faria; Lima, Fátima Maria Lindoso da Silva; http://lattes.cnpq.br/5289890813807831; Lima, Fátima Maria Lindoso da Silva; Moraes, Vardeli Alves de; Neves, Denise Carmem de AndradeThe research aimed to analyze the participants' perception of discipline Pronto Sorriso, FMUFG (Faculdade de Medicina da Universidade Federal de Goiás) regarding the contribution of this project in the professional training, describe the individual characteristics of the participants, identify through interviews major changes in the lives of the professional result of their participation in the project, analyze the contributions and impact on their training and identify the motivation for participation in Pronto Sorriso. This is a qualitative, cross-sectional, exploratory research. This project subjects twenty ( 20 ) professionals in the health fields, Pronto Sorriso discipline participants in 2006 and 2007. After signing TCLE the informed began data collecting through individual interviews, using as a tool to search a roadmap that consists of seven semi-structured questions, as well as a biographical questionnaire containing seven socio items. This research allowed us to trace the profile of the respondents: the majority were students of medicine, female, aged between twenty and thirty years and completed the graduation between the years 2008 and 2011 . It was found that the majority of professionals reported as positive: the contribution in teaching and learning for academic training , changes and their effects on personal and professional life and changes in attitudes and attitude towards patients, colleagues and the team work. This author also improves the communication performance in multi coexistence , making a difference in their lives. We concluded that the Projeto Pronto Sorriso has provided new knowledge and experiences, and added values brought about the development of skills related to professional practice extremely important in building good health practices .Item Estresse, personalidade e habilidades sociais de estudantes de medicina no internato(Universidade Federal de Goiás, 2014-12-23) Querido, Izabela Almeida; Orsini, Mara Rúbia de Camargo Alves; Naghettini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Pereira, Edna Regina Silva; Pereira, Maria Amélia DiasIntroduction: Medicine has always been seen as a difficult and stressful course. The occurrence of anxiety disorders, depression and bad emotional adjustment among medical students has been higher compared to the general population. Some factors can be considered as a source of stress in medical school and the experiences during that are prepared differently. There relation on several factors like individual characteristics, frequency and intensity of the situation arise in the course of graduation, and the availability or not of institutional resources and network of family and social support. This study aimed to identify the occurrence of stress, personality traits and social skills of two medical schools medical students in Tocantins in the boarding phase. Methodology: In a sample of 50 internal medicine were applied a questionnaire to biographical data and the boarding and three psychological tests: Symptoms Inventory Lipp Stress, Factor Battery Personality and Social Skills Inventory. Results: It was found that most of the study population had stress (52%), with predominance of psychological symptoms and a potentially sickness stage but rarely seen as such (resistance phase). Also noted up personality characteristics such as low openness to ideas and low communication and high commitment and instability. Beside to this, we identified a repertoire of low social skills in the skills necessary for selfassertion in the expression of positive feelings. It was seen also that some students needed expert help (psychologist and psychiatrist) during the same course as with complaints not directed to that. Conclusion: The correlational analyzes suggest that neuroticism factor and facet level of communication and trust in people are different in people with stress. This aspect by the difficulty expressing positive emotions indicate one direction as predisposing factors to the development of stress in medical student. Joins personality characteristics that indicate a tendency of behavior, with one of the most tense phases of the study (internship).Item Percepção do discente de medicina sobre o exame clínico objetivo estruturado na formação acadêmica(Universidade Federal de Goiás, 2014-10-13) Sampaio, Arabela Maria Barbosa; Pereira, Edna Regina Silva; Naghetttini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Lima, Dione Marçal; Martins, Vaneila Moraes FerreiraThe Objective clinical Structural Examination (objective Structured Clinical Examination OSCE-) is a methodology for assessing clinical competence, which has been used worldwide since 1975 after being described by Harden while in Brazil, its use is more recent. However, studies evaluating the efficacy and acceptability among students are scarce. This research has the scope to collaborate in the production of data that can substantiate the efficiency of the model in question by describing and analyzing qualitative and quantitative aspects. To achieve such results, is outlined as a general goal, to investigate the perception of medical students over the course of the OSCE in the academic education pediatrics. With a quantitative and qualitative approach, assessing statistically describes and analyzes the data according to the method advocated by Bardin, bipolarizando subcategories under positive and negative aspects and sometimes neutral. We used an online semi-structured via Google Drive questionnaire to 330 students and gave a return of 123 respondents. Responses were categorized and frequenciada, so it came to the main results: 89.4% of students the OSCE assessed the clinical skills appropriately; 87.7% considered organized examination and 82.1% were satisfied with the scenery and staging. On the time available to perform the tasks 91.1% believed that was enough. When asked about the feedback given 87% agreed that learning opportunity offered, 88.6% agreed that feedback contributed to the academic and 75.6% thought that the evaluators were well prepared to give feedback. The qualitative categories of the OSCE environment was negative in 75.9%; 54.7% of the responses related to vocational training were positive; 60.4% recognized that feedback has positive aspects; OSCE model evaluation was positive in 90.6%; while the evaluation of the OSCE Pediatrics was negative for 52.2% of the respondents. We conclude that the OSCE is the accepted practice of evaluation, and that contributes to academic and learning, mainly because the feedback.Item O olhar do docente sobre a formação do cirurgião-dentista para atuar na saúde da familia(Universidade Federal de Goiás, 2014-11-19) Santana, Raquel Reis Queiroz; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; Lima, Dione Marçal; Mohn Neto, Carlos RodolfoIn attempting to understand the formation of Dental Surgeons graduation to work in the Unified Health System (SUS), several studies have been conducted. In this studie, we analyzed necessary skills that students need to work in Family Health Program, under perspective of teachers from a Dentistry University, in the city of Goiania. We conducted an exploratory, quantitative and qualitative approach, through a questionnaire, it was sent to 54 teachers of the Dentistry university and we obtained a rate of 76% (n = 35) of useful answers. Emerged from the analysis of discourses four categories: Profile of Egress, Egress Limitations Profile, Limitations of institution Curriculum Difficulties Operationalizing the Proposal Guidelines. In the analysis of the first category - Graduates' profile - obtained three subcategories: Adaptation to Reality, General Training and Specific Training. These identified characteristics of the student according to guided by CNCP, we observed that the profile should not be completely generalistic, in order to realize a minimum and primary care without the need for a subsequent specialization. In analyzing the second category - Limitations Profile Graduates - obtained two subcategories: the amplitude profile and clinical competence. In These occurred the challenge of prepare the students to reality and there was teachers' dissatisfaction with the results of practice due to loss in clinical competence of students. In the analysis of the third category - Limitations of Curriculum Institution - was obtained three subcategories: strengths and weaknesses of the curriculum, distribution of workload and student evaluation. These occurred dissatisfaction of teachers with excessive workload of one discipline and a lack of understanding the purposes of the guidelines by teachers, deficiency in the seizure of the contents. In analyzing the fourth category - Difficulties Operationalizing the Proposal Guidelines - obtained six subcategories: interdisciplinarity, knowledge of SF, limitations of the health service, use of educational resources, knowledge of the CNCP and problems in the administrative structure of the course. In these, the teachers worked with diverse active methodologies, creating opportunities for critical intervention, ensuring an innovative training for the student, identified problems in care and consumn materials caused by disability in clinical content and clinical workload. Teachers defend comprehensive education through skills, with the predominance of competence "Health Care" in the syllabus and of "Decision taking" in the disciplines worked. Seeking to ensure proper implementation of the curriculum and quality of education of the student, it was concluded that: the Guidelines by itself are not sufficient to approximate curriculum of the School of Dentistry to reality and social demands; There is need to achieve interdisciplinarity, overcome the deficiencies of the public health service's (SUS) and seek a greater understanding of the purposes of the Guidelines by teachers.Item Segurança do paciente em unidades não hospitalares de atendimento às urgências e emergências: análise de riscos(Universidade Federal de Goiás, 2015-07-30) Santos, Alessandra Nogueira de Sousa; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Moraes, Vardeli Alves de; Almeida, Nilza Alves MarquesPatient safety in health services is a priority issue at the World Health Organization. Understanding the importance of this approach, this study aimed to analyze the risks in the health care of patients seen in non-hospital units of emergency and urgency. It is a descriptive research with a qualitative approach. Fieldwork was carried out with the nursing team through semi-structured individual interviews and opted for the content analysis. Respondents reported several factors that endanger the patients like human resources, material and physical assistance and operational processes. On human resources, the nursing team mentioned: unpreparedness of the medical and nursing team in responding to emergencies and emergencies related to insufficient training and lack of Continuing Education in services; shortage of doctors, and nursing staff and work overload. They reported the need for team downsizing and continuing education, to minimize risks related to work overload and lack of technical and scientific preparation. The material and physical resources were considered inadequate and insufficient in all units. However, half of the units assessed showed better working conditions in relation to physical resources. As for the operational processes, it stands out the scarce filing within the emergency block; improper operation of Material and Sterilization Center and how to identify patients were listed as insufficient for safe care. They reported errors and incidents with patients in the labor process, with emphasis on: medication administration errors, damage without incident (falls) and the occurrence of adverse events such as death, aspiration, member of mutilation and traumatic brain injury. It was found that these are related to insufficient and inadequate human, material and physical and interaction between the entire systems. The results pointed to the need for risk management in the units, according to the current legislation, with a view to patient safety.Item Avaliação dos residentes de ortopedia e traumatologia utilizando o mini-cex com foco no exame físico(Universidade Federal de Goiás, 2017-02-22) Silva, Bruno Air Machado da; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Pereira , Edna Regina Silva; Lima , Dione Marçal; Fernandes , Marcos RassiIntroduction: The ability to perform physical exam is essential in clinical practice in any medicine field. Observation, teaching and performing the physical examination is often poorly emphasized during the residency of Orthopedics and Traumatology. In order to promote staff’s observation American Boar of Internal Medicine proposed the Mini-Clinical Evaluation Exercise (mini-CEX). Our goal is assess Orthopaedic and Traumatology’s resident, using min-CEx, focusing on physical exam performance. Methods: It is study quantitative, transversal, descriptive and exploratory. The data were obtained using questionnaire and mini-Cex from March to June 2016, in four meetings. 21 residents were evaluated, totalizing 84 assessments. The evolution of the residents (R1, R2 and R3) evaluated by the Mini Cex was performed based on the Friedman test, followed by the analysis of multiple PosHoc comparisons. The comparative analysis of the assessments according to the resident's year at each meeting was performed using the Kruskal-Wallis test followed by the analysis of multiple PosHoc comparisons. Results: Through the Beran questionnaire, 81% of residents reported never / rarely or occasionally having been observed and criticized when performing the clinical examination. It was found that the residents presented a satisfactory result in the assessment of their clinical competences, in a scale ranging from 1 to 9. The scores obtained in the physical examination in mean ± standard deviation were 4,00 ± 1.89 for R1 (first year resident), 5.00 ± 1.82 for R2 (second year resident) and 5.09 ± 1.84 for R3 (third year resident). In the clinical history the scores were; 3.96 ± 2.08 for R1, 5.29 ± 1.63 for R2 and 5.56 ± 1.78 for R3. In the clinical reasoning we had 4.82 ± 1.63 for the R1, 6,13 ± 1,48 for the R2 and 6,31 ± 1,47 for the R3. It was observed a high satisfaction of the evaluated residents (R1 - 8.79 ± 0.63, R2 - 8.71 ± 0.46 and R3 - 8.78 ± 0.49), staffs were also satisfied (R1 - 8,15 ± 0,99; R2 - 8,21 ± 0,98; R3 - 8,38 ± 0,75). Despite satisfactory performance, there were some gaps in physical examination learning. In 75% of the evaluations performed, the residents had trouble in special orthopedic tests, 65.5% were not able to identify specific signs of physical examination that could assist in the diagnosis, and 91.7% did not follow a logical and effective order. Conclusion: The evaluation of the resident of Orthopedics and Traumatology through the mini-CEX was satisfactory, however learning gaps were identified especially in the physical examination. Educational intervention is suggestedItem Preceptoria em saúde bucal na atenção básica no município de Goiânia sob a perspectiva do preceptor(Universidade Federal de Goiás, 2013-12-16) Sousa, Débora Péclat de; Nunes, Maria de Fátima; http://lattes.cnpq.br/1073613293336515; Nunes, Maria de Fátima; Freire, Maria do Carmo Matias; Queiroz, Maria GorettiThe undergraduate process in the health field is associated with intersectoral activity between the Sistema Único de Saúde and the institutions of higher education, seeking to approach the future professional to the brazilian health social reality and the public service. The preceptor is an important actor in this process because he/she is responsible for mediating the formation of the labor world. The aim of this study was to assess the oral health preceptorship developed in primary care units in the city of Goiânia, Goiás, from the perspective of the preceptor. It has been developed an exploratory qualitative study using the focus group technique. Have participated in the research preceptors dentists PET-Saúde and / or institutional placements between the Dentistry College, Federal University of Goiás and the Municipal Health Agency of Goiânia. The preceptors dentists have been divided into three focus groups: focus group 1 - composed of dentists working in primary care, specifically in the Estratégia de Saúde da Família, and that were preceptors in the subjects Estágio em Odontologia Coletiva I e Estágio em Odontologia Coletiva II, in 2012; focus group 2 - composed of preceptors dentists from primary care clinic of the subject Stage IV in Public Dentistry, Dentistry College, Federal University of Goiás, in 2011; and Focus group 3 - composed of dentists, in 2011/2012 and 2013/2014 in PET-Saúde of the Federal University of Goiás. The script that guided the discussions contained aspects concerning to knowledge of the new National Curriculum Guidelines and the practices of teaching and assessment; the changes brought by the preceptorship for vocational training and academic tutor, and also to the environmental work; problems found in preceptorship and suggestions for solutions. It was also requested that the focus group participants complete a self-administered questionnaire to characterize the preceptor. The focus group discussions were recorded in audio and later transcribed. Then, the content analysis was done according to Bardin and at that time was used WebQda software. Three main categories related to the proposed objectives have risen up: education, training and preceptorship. Preceptors recognize their role in education, but are unaware of the National Curriculum Guidelines; they realize some changes that occurred in the undergraduate course in dentistry, but do not associate them with curriculum changes, expressing the need to know what is in the curriculum guidelines. They also claim that unaware teaching practices, declare that traditional teaching methods are no longer used, but do not demonstrate knowledge of active teaching methodologies, despite claiming to use them as teaching strategies. About assessment methodologies they also deny having knowledge, although all preceptors perform this function; they report having difficulties to evaluate, but recognize the importance of this role as a tutor. According to the preceptors, among the factors that facilitate the activities of preceptorship are the relationships with students, with team work and coordination of disciplines Internship in Public Dentistry, among the factors that hinder the activities of preceptorship are relations with students, to the staff, with infrastructure, with social facilities with the community and the subject which coordinates the internship. Preceptors recognize that there are differences between the preceptorship of Internship in Public Dentistry preceptorship subjects with PET-Saúde ones, and point out how difficult the difference between the types of preceptorship in relation to remuneration and training for the exercise of preceptorship. They recognize the how changes caused by the existence of preceptorship for students, the approach to the reality of Public Health System, the approach to public health practice, the demystification of poor oral health care, and to the preceptor, the possibilities for exchange of knowledge and experiences with the students. They also suggested changes to the work environment and the community. They recognize the need and importance of training for the exercise of preceptorship and demanding, especially for the activities of teaching and assessment. They also recognize additional forms to the skills, as moments of sharing experiences. We conclude that the preceptors do not demonstrate knowledge about the National Curriculum Guidelines, apply teaching practices and assessment, but they don’t know their principles; PET-Health preceptors have more skills as they need them more than others; there are changes in the workplace and in academic training and preceptor arising from preceptorship and there advantages and difficulties in the implementation of preceptorship.