Mestrado em Enfermagem e Saúde (FEN)

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Navegando Mestrado em Enfermagem e Saúde (FEN) por Por Unidade Acadêmica "Faculdade de Enfermagem - FEN (RMG)"

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    Competências de enfermeiros recém-graduados para gestão: desafios para a formação profissional
    (Universidade Federal de Goiás, 2023-03-17) Almeida, Daniel Ribeiro de; Santos, Patrícia Tavares dos; http://lattes.cnpq.br/8052298165888796; Ribeiro, Luana Cássia Miranda; http://lattes.cnpq.br/1727326201446926; Ribeiro, Luana Cássia Miranda; Medeiros, Marcelo; Pascon, Daniela Miori
    Históricamente, las enfermeras han asumido cargos de gestión en las unidades de salud, pues desde su origen, la enfermería, a través de las damas enfermeras de la época de Florence Nightingale, ha tenido la preocupación de asegurar la organización y administración de los servicios de salud. En consonancia con esto, la formación de enfermeros incorpora en su estructura curricular horas específicas para disciplinas relacionadas con la gestión, siendo una de las pocas graduaciones en el área de la salud con esta especificidad. Por lo tanto, existe la necesidad de una mayor inversión en la formación de enfermeras gestoras, respondiendo a las demandas del mercado laboral y evidenciando las lagunas existentes en el desarrollo de habilidades directivas desde la graduación hasta la práctica profesional. OBJETIVO: Describir las percepciones de las enfermeras en sus primeros cuatro años de trabajo sobre las competencias para el ejercicio de la gestión sanitaria. METODOLOGÍA: Estudio descriptivo-exploratorio con abordaje cualitativo, realizado con 14 enfermeros recién graduados de una universidad pública de Goiás. A coleta foi realizada nos meses de agosto e setembro de 2022 utilizando um roteiro semiestruturado composto por sete perguntas abertas para descrição da percepção desses enfermeiros sobre as competências para a gestão. El análisis se realizó mediante el método de análisis de contenido de Bardin y, posteriormente, mediante la clasificación jerárquica descendente, el análisis de similitud, el análisis fatorial de correlación y el muestreo de palabras mediante el software IRaMuTeQ. RESULTADOS: La mayoría de las enfermeras ocupaban puestos asistenciales, con más de dos años de formación y un tiempo de desempeño equivalente al de su formación. Enumeraron las competencias directivas adquiridas durante la graduación: comunicación, gestión de conflictos, liderazgo, trabajo en equipo, relaciones interpersonales, gestión de flujos asistenciales, gestión de recursos humanos, financieros y materiales, toma de decisiones, gestión del tiempo, formación continuada y asistencia, de acuerdo con las Directrices Curriculares Nacionales de Enfermería (DCN/ENF). Durante su desempeño profesional adquirieron las competencias de gestión de conflictos, toma de decisiones, delegación de funciones y negociación, que se sumaron a las adquiridas antes de acceder al mercado laboral. Estas competencias fueron adquiridas durante el curso de graduación, que tuvo como diferencial una estructura curricular con asignaturas específicamente centradas en cuestiones de gestión de enfermería, con una gran carga de trabajo práctico que, según ellas, desencadenó una mayor adquisición de estas competencias, la participación en actividades extracurriculares, además de que la estructura del curso fue percibida como un ejemplo en términos de formación de enfermeras gestoras. Los participantes sugirieron puntos de mejora en la matriz curricular como la inserción de nuevas materias obligatorias como seguridad del paciente, inserción de simulación realista como estrategia para el desarrollo de competencias actitudinales y aproximación con campos de pasantía en el sector privado. CONSIDERACIONES FINALES: Los participantes de este estudio relataron un conjunto de competencias de gestión desarrolladas durante la graduación que van más allá de las exigidas en la ENF-DCN y señalaron contribuciones para la mejora de las matrices curriculares de los cursos de pregrado en enfermería. Se espera que otros estudios puedan ser desarrollados en otros contextos, como instituciones de enseñanza privada.
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    Prevalência e fatores associados à sífilis em populações vulneráveis em tempos de pandemia Covid-19
    (Universidade Federal de Goiás, 2024-03-12) Silva Filho, Gabriel Francisco da; Teles, Sheila Araújo; http://lattes.cnpq.br/4975298732179917; Teles, Sheila Araújo; Cardoso, Juliana Lamaro; Caetano , Karlla Antonieta Amorim
    During the COVID-19 pandemic, programs and services for the diagnosis, treatment, and prevention of sexually transmitted infections (STIs) were interrupted or slowed down to redirect material and human resources to control the health crisis, thus compromising the global strategy to eliminate syphilis as a public health problem. Our study addressed this gap during the pandemic and tracked syphilis in vulnerable populations. The aim of this study was to evaluate the prevalence and risk factors associated with syphilis in socially and economically vulnerable population groups in Goiânia, Goiás. The studied population consisted of 635 individuals living in Goiânia, Goiás: LGBTQIAP+ people, immigrants and refugees, homeless people, and recyclable waste collectors. All participants were interviewed about sociodemographic data and risk behaviors for STIs. Subsequently, blood samples were collected and tested for anti-T. pallidum using a rapid test (RT), and positive samples were subjected to the VDRL test, using commercial kits. Syphilis was considered for those who tested positive in the RT and active syphilis for those with VDRL titers ≥ 1/8. Non-parametric tests were used for data analysis, as appropriate. Poisson regression analysis was used to identify variables associated with syphilis. The analysis was conducted by subgroups, specifying the differences existing in each population. P-values < 0.05 were considered statistically significant. Most individuals were male (53.2%), single (58.8%), and black or brown (75.9%). The median age, years of schooling, and monthly income were 33 years, 10 years of study, and R$ 1,200.00, respectively. The overall prevalence of syphilis was 17%, ranging from 7.6% in immigrants/refugees to 36.7% in LGBTQIA+ people. The prevalence of active syphilis was 5%, ranging from 1.8% in recyclable waste collectors to 15.2% in LGBTQIA+ people. The analysis of factors associated with syphilis revealed a higher prevalence of STIs in all studied subgroups. For recyclable waste collectors, older age, female gender, and illicit drug use were variables associated with syphilis, while for homeless people, education was a protective factor and transactional sex was a predictor of syphilis. The results of this study confirm the high prevalence of syphilis in socioeconomically vulnerable populations. However, the specificities of each subgroup should be considered in the planning and implementation of STI prevention strategies.
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    Análise do aleitamento materno durante a pandemia do SARS-CoV-2: estudo de coorte
    (Universidade Federal de Goiás, 2022-06-13) Silva, Aline Gabriele Ribeiro da; Guimarães, Janaína Valadares; http://lattes.cnpq.br/0986934969522024; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Vieira, Flaviana Vely Mendonça; Aredes, Natalia Del’ Angelo; Evangelista, Danielle Rosa
    INTRODUCTION: COVID-19 is a new disease, and at first there was not much information about its vertical transmission. Subsequently, molecular studies have indicated that breast milk and placenta are not means of transmission of the disease (KARIMI-ZARCHI et al., 2020). Thus, the safety of breastfeeding was confirmed, and its continuity was encouraged (RCOG, 2021). The emergence of this new virus has brought several uncertainties about the repercussions on maternal and child health, as well as challenges for institutions to adapt to new care protocols and health professionals to adapt to new demands. OBJECTIVE: To analyze breastfeeding from birth to hospital discharge of newborns of women exposed to the pandemic by SARSCoV-2. METHODS: This is a prospective cohort study, in a secondary database, patient records and indicator records. The sample consisted of 225 binomials (mother and NB) who had their delivery/birth between April 1, 2020, and August 30, 2021, within the hospital institution. 67 had a delivery under suspicion or confirmation for COVID19 and 158 without suspicion. The continuous variables were described from position and dispersion measurements as mean, standard deviation and quartiles. Categorical variables were described by means of absolute frequencies and percentages. For the analysis of the factors associated with AM in the first hour of life, during hospitalization and hospital discharge, a generalized linear model (Poisson family) was performed. The results of the regression model were presented Adjusted Relative Risk (RRaj), 95% CI. The analyses were performed using the Software SPSS version 28, being considered a significance level of 5%. RESULTS: The participants had a mean age of 25 years (± 6.4), and the mean number of prenatal consultations was 6.5 (±2.9). Referring to neonatal characteristics, 91.6% were born at term. Newborns born to women without suspicion for COVID-19 are twice as likely to breastfeed in the first hour of life (RR: 2.04; CI95%: 1.05 to 3.94; p= 0.035). The NB who made skin-to-skin contact with their mother at birth have twice the opportunity of breastfeeding in the first hour of life (RR: 1.92; CI95%:1.07 to 3.43; p=0.028). From the bivariate regression, we performed multivariate regression for the following variables: full-term gestational age of the NB, women without suspicion or confirmation for COVID-19 at hospitalization, type of vaginal delivery and complications with NB during hospitalization. Newborns who exclusively breastfeed during hospitalization have 1.6 times more opportunity to be exclusively breastfed at hospital discharge (RR: 1.62; CI95%:1.11 to 2.35; p=0.012). CONCLUSION: Women without suspicion for COVID-19 are more likely to breastfeed in the first hour of life and maintain exclusive breastfeeding during hospitalization. Exclusive breastfeeding at hospital discharge is influenced by breastfeeding during hospitalization.