Mestrado Profissional em Ensino na Saúde (FM)

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Adaptação e validação da versão brasileira da Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional: um estudo em profissionais da atenção básica
(Universidade Federal de Goiás, 2015-10-23) Abed, Marcelo Musa; Grosseman, Suely; http://lattes.cnpq.br/0370187050750881; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Pereira, Edna Regina Silva; Menezes, Ida Helena Carvalho F.; Rocha, Bárbara Souza
Interprofessional collaboration is in the focal point of the transformation of the working process between professionals from various categories, in the quest to provide complete care to patients. Interprofessional education can ensure the cooperative practice in health services. That`s why tools are necessary to assess how this collaboration occurs. Hojat et al. drew up a scale for evaluating interprofessional collaboration. The aim of this study is the crosscultural adaptation and validation of the Jefferson Scale Of Attitudes Toward Trade Collaboration (JeffSATIC) on primary health care in Brazil. The final version, in Portuguese, of the Escala Jefferson de Atitudes Relacionadas à Colaboração Interprofissional (EJARCI), followed all the steps for its adaptation, ending with the evaluation by four experts of the translated content: cultural and conceptual equivalence in relation to its purpose and use in a sample of 30 primary health care professionals. One hundred and twenty-eight professionals of the health family team members participated in the validation process responding the translated scale. In the content validation the content validation index (CVI) was 0.99, which demonstrates that the scale is able to measure what it intend to. To appraise the internal consistency was used the Cronbach's alpha Coefficient, α value of 0.71, being acceptable to set their reliability. It is concluded that the cross-cultural adaptation has been properly performed and their application is valid in primary care.
Humanização em gestão - percepção da equipe de enfermagem em uma maternidade escola
(Universidade Federal de Goiás, 2014-02-28) Adorno, Alexandrina Maria Nogueira Guerra; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Lima, Jacqueline Rodrigues de; Costa Neto, Sebastião Benício; Costa, Nilce Maria da Silva Campos; Queiroz, Ana Lucia Bezerra
The humanization policy in the context of health constitutes a relevant actions sedimentary health care of the population direction and determines the reflection on the formative processes in human resources for health. Qualitative study, aimed at analyzing the humanization management of human resources, the perception of nursing staff in a public maternity hospital. Collecting data through semi-structured interviews with 29 respondents recorded, with 06 nurses and 23 nursing technique, the period February to May 2013 collection The material was literally transcribed and subjected to content analysis technique developed by five thematic categories: Humanization Policy of the SUS; Assistance and Processes promoters humanization of nursing services; Skills and managerial skills of the nurse; Quality of nursing care. It is understood that, in the view of the interviewed nurses to fit the humanization of nursing services, the development of managerial skills of staff. Humanizing nursing service in maternity is a complex process that requires professional expertise in health management, the institution must carry continuing education discussing actions based practices and clinical evidence hinged to technological advances, promote host environments for nursing staff, enable workers to suitable conditions for quality care to women during pregnancy and puerperal period.
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 Sugai
The 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.
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 Alves
This 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.
O aperfeiçoamento dos assistentes sociais no Programa de Residência Multiprofissional em Saúde de um hospital universitário
(Universidade Federal de Goiás, 2014-12-09) Dias, Heloísa Helena Rodrigues; Moraes, Vardeli Alves de; http://lattes.cnpq.br/2078225868415338; Moraes, Vardeli Alves de; Costa, Nilce Maria da Silva Campos; Costa Neto, Sebastião Benício da
INTRODUCTION: This study is about knowing the perception of former students and preceptors relative to the Multidisciplinary Residency in Health at the Federal University of Goiás Public Hospital during the period of 2010 to 2012. OBJECTIVES: To analyze the perception of social workers (preceptors and former students) with respect to their performance, as well as understand the deployment and implementation process of the Multidisciplinary Residency in Health Program (PRMS as the portuguese acronym); identify the necessary skills to labor in the SUS and describe the difficulties encountered in the field of action. METHODS: A descriptive and exploratory study with qualitative approach. The instrument was a semi-structured interview with open questions recorded from five preceptors and twelve former social workers students. The transcribed interviews were submitted to content analysis proposed by Bardin and using the software ATLAS TI. The analyzes were performed taking into account the formation and the professional performance in residence and presented the factors that affect the field of action. RESULTS: It’s necessary to: acquire new knowledges to work in multidisciplinary teams; to develop specific competencies for preceptorship and for work in the SUS; to enhance inter-branch, multi-professional and interpersonal relationships. CONCLUSION: The analysis of the content of the interviews showed that the goals of the health multi-professional residence, specifically in Social Work, have been achieved, though, it is necessary to consider specific actions to improve skills that contribute to the exercise of the preceptor role and to work in the SUS focused on interdisciplinarity and integrality of health care.
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 Alves
Studies 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.
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/2078225868415338
This 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.
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 Matias
Government 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.
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/5168936259198176
Objective: 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).
O estágio supervisionado na formação do profissional enfermeiro
(Universidade Federal de Goiás, 2015-07-16) Marcilio, Wanda Rodrigues da Silva; Moraes, Vardeli Alves de; Costa, Nilce Maria da Silva Campos; Martins, Cleusa Alves; Costa, Zelma Bernardes
Curricular Supervised Training (CST) is a fundamental tool in nursing education. At this time, the professionals-to-be are given the opportunity to get in contact with the reality in which they are about to be immersed. This study aims at identifying perceptions of the nursing graduate student regarding CST in nursing professional education. This is a qualitative, descriptive, cross-sectional and exploratory study. Data was collected through questionnaire and semi-structured interviews with 20 nursing graduate students, from 2012 to 2013, transferred to Atlas Ti Software. After initial analysis of the interviews with the graduate students, we created a table with categories and sub-categories. Categories: Supervised Training; Perceptions regarding the integration between theory and practice; Disturbing factors for the supervised training; Contributions of the supervised training in nursing education; Relationship between Curricular Supervised Training and National Curricular Guidelines (NCG) and the sub-categories: positive and negative points; general knowledge, competence; insufficient hours; inadequate supervised training field; patient safety; learning opportunities; teaching-learning and guiding tool. The outcomes show that the factors which disturb the development of training were the hours considered insufficient and the training field which was considered inadequate for various practices. The graduate students considered supervised training a guiding tool, which gives them opportunities and confidence to deal with patients, providing them with technical and scientific experience, it prepares professionals-to-be to perform their functions with responsibilities, ethics, leadership, communication and decision-making skills. We conclude that the development of professional competences requires a deeper knowledge of concepts, methods, and goals to be reached. Discussions regarding nursing education are necessary, due to the fact that such courses have spread throughout this country, thus the amount of graduate nurses has increased each new term, and it is necessary an increased quality in the education of these professionals through educators’ reflections. We hope this study could contribute to improve proposals of curricular training to become more integrated with graduation curricula and with more education-labour interaction.
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. de
Introduction: 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.
Irregularidades sanitárias nas drogarias de Goiânia e aplicação com avaliação de uma ação educativa
(Universidade Federal de Goiás, 2014-02-27) Moraes, Luciana Calil Samora de; Provin, Mércia Pandolfo; Lima, Dione Marçal; http://lattes.cnpq.br/4310011929664114; Lima, Dione Marçal; Menezes, Ida Helena Carvalho F.; Martins, Karine Anusca
The Drugstores are places of great relevance because of services and products they make available to the community. The non-following of the sanitary laws and regulations which the drugstores are subject to can compromise the quality of services and products offered and harm the overall community health in which they are placed. It is responsibility of the Normative Institutions which oversight and regulate the sector to promote information and knowledge of the rules all the sector must abide to. The objective of this Study was to survey the drugstores in order to have a clear understanding of the main non-conformities and their causes. This way educational campaigns can be prepared to promote a better understanding and following of the legislation, and serve as a model for future actions of the Health Surveillance. The method of the Study consisted in analyzing 71 Intervention Cases related to Drugstores in the city of Goiania-GO that occurred between October of 2012 and October of 2013 analyzing the Before and After of these interventions. The Study was developed in three phases. 1º- check up of the level of obedience to the Sanitary Legislation by the Drugstores in Goiania. In order to raise information of the main irregularities, the demographics and social aspect, as well as the professional qualification of the Technician legally responsible for the Drugstore. 2º- promotion of Educational Workshops destined for the legally Responsible Technicians of the Drugstores participating in the study. 3º- overall evaluation of the Educational Initiative. The main non-conformities encountered were: lack of individual protection equipment(IPE´s) in 70,4% of the places and lack of Standard Operational Procedures(SOP) for discharge and use of IPE´s in 60,6%. Of the establishments that worked with prescription medicines of special control 37,3% were not sending the files to the ANVISA(National Oversight Sanitary Regulations Agency) accordingly. There were found erasures or lack of filling in 37,3% of the Drugstores surveyed in the study, and about 50% of the blanks on the forms, where filling was mandatory, were not properly filled , specially in regarding to antimicrobial medicine. The Educational Initiative was considered satisfactory when judging the reaction to the trainings and also the post training job performance. In regarding to learning, the right answers in the pre-test(before the training) were 271(61,18%) out of 450 questions, and in the post-test (after the training) were 368(81,78%) out of 450 questions evaluated. The study revealed the Drugstores in Goiania show many nonconformities in regarding to the sanitary legislation some of them of great sanitary risk to the community. The educational initiative in this study had a satisfactory reaction and there was a positive reaction to the application of what was learned. Also positive was the skills improvement of the technicians who participated in the Educational Initiative which shows the importance of such actions in order to promote knowledge on the nation´s Sanitary Regulations.
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.
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.
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 Andrade
The 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 .
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 Dias
Introduction: 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).
Atenção às urgências odontológicas em unidades de pronto-atendimento do sistema único de saúde
(Universidade Federal de Goiás, 2013-11-27) Rios, Leonardo Essado; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; Marcelo, Vânia Cristina; Nunes, Maria de Fátima
The pain of dental origin has high prevalence, presents itself as a public health problem and cause negative impact on quality of life of people. Because of that, attention to dental emergencies has particular importance in the health care of the population, however there is little research on this topic. In the present study it was aimed to analyze dental care in Emergency Care Units of the Unified Health System (SUS) in optics of dentists workers in this service. It was a study of mixed methods and data were collected through a questionnaire with assertions of polar agreement and disagreement (Likert scale). Participated as subjects dentists (N = 44) workers in the emergency dental service of the Emergency Care Units of SUS from Goiânia, GO. There was a tendency to full concordance (average percentage of agreement above 76%) about this type of service answering to a spontaneous demand with complaints of pain and trauma and also about the affirmation that basic procedures of urgency such as dental extractions, alveolitis and bleeding treatments, drainage of intraoral abscesses and medicalization must be performed there. Tendency to concordance (average percentage between 26% and 75%) was verified in relation to the statement that the service aims to relief the suffering of the population with pain of dental origin. Propensity to indifference (average percentage among -25% and 25%) occurred on the host with risk classification while service feature, and still about patients that should be referred to more complex units for emergency care. Tendency to disagreement (average percentage among -26% and -75%) was verified in relation to the attendance of non-urgent patients and the performance of dental restorative procedures. There was no tendency to full disagreement (average percentage above -75%) about any of the items. In the view of respondents the emergency dental care in emergency units of SUS are intended for the relief of typically urgent situations, in cases where there is no risk of advanced infections, by performance of procedures characteristically related to situations of urgency and that require basic technical fitness from the professional. There’s a lack on the policy of humanization and teamwork at the service. As a product of the study, it was designed a proposal for an update course of dental care to the professionals in the Emergency Care Units.
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 Ferreira
The 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.
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 Rodolfo
In 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.
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 Marques
Patient 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.

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