Programa de Pós-graduação em Ensino na Saúde

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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.
Aleitamento materno – efeito de intervenção educativa com equipe de enfermagem na orientação à nutrizes
(Universidade Federal de Goiás, 2014-07-08) Ramos, Lilia Cardoso de; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Costa, Nilce Maria da Silva Campos; Minamisava, Ruth; Lima, Dione Marçal; Almeida, Nilza Alves Marques
Breastfeeding is a biological and natural act, but it is not instinctive, so educational activities promoted by health professionals to nursing mothers during the postpartum hospitalization, may prevent weaning. The study aims to verify the knowledge of the nursing staff about the management of breast-feeding before and after the educational activity, to evaluate the application of the active methodology and the effects of the guidelines of nursing mothers. A quantitative study of pre and post intervention and educational activity, shows a convenience sample of participants from the nursing staff and 48 nursing mothers at a maternity ward of a university hospital. Data was collected from January to March of 2014. The nursing staff, 76.7% were nursing technicians and 23.3% were nurses; 96.7% were female; 46.7% were between 41-50 years of age and length of service, 43.3% were between 11-20 years old. From the 43.3% who did training, 50.0% had an up to date course on breastfeeding before 2000 and 50% before 2013. In the educational activity, the active methodology that favored knowledge with significant increase of the average pretest and posttest of 56.2% to 87.4%, p <0.001 was used. The nursing mothers were in the age group between 20 and 30 years; with up to three living children and 100% with prior history in nursing. There was a decrease from 43% to 16% of nursing mothers who breastfed their newborn within thefirst hour of life. However, there has been progress in guidance on the importance ofbreastfeeding from 5.6% to 44%; as the proper position of the newborn increased by 73.9% to 100%; support of nursing breastfeeding increased from 28.6% to 60%. The effects of guidelines for nursing mothers, the data showed that after training the nursing staff showed a slight increase in this performance in developed educational activities with 48 postpartum lactating nursing mothers. However, it was also identified the need to expand the monitoring of the nursing staff to measure the effectiveness of the guidelines. The study found that the institution has partial adherence to government programs on breastfeeding. Recently, there was a pact with the Stork Network that requires team conducts on health and evidence-based practices, so it is necessary to continue the education, to develop protocols to assist mothers and newborns and the adoption of routines already recommended by the humanization of childbirth program and the birth- in the delivery room, to encourage breastfeeding in the first hour of life and create groups of lactating women, in order to achieve the goals set by Incentive Friendly Hospital program.
Análise da autonomia da gestante na escolha do tipo de parto
(Universidade Federal de Goiás, 2016-03-15) Melo, Gleydson Ferreira de; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Pereira, Denise Gonçalves; Almeida, Nilza Alves Marques
The pregnant woman's autonomy of analysis in choosing the type of delivery and the guidelines on prenatal care, the woman as an active agent in the parturition process. Objective: To analyze the autonomy of pregnant women face the choice of the type of delivery. It is a descriptive research field with a qualitative approach. The data were collected through semi-structured interviews were interviewed 80 pregnant women in a public unit of public health Goiania, Goiás, from August to September 2015. In the analysis and interpretation of data emerged the theme: autonomy pregnant women in choosing the type of delivery was drawn up three thematic categories: the pregnant woman's autonomy in choosing the type of delivery; Partner opinion and family and the influence of professionals in the puerperal gravid period. The study found that during the health unit prenatal did not favor dialogue with the pregnant woman in the types of delivery. It was identified break in the empowerment of women, the decisions of pregnant women are motivated by family experiences and or close pairs, but the doctor's professional statement directly influences the decision of pregnant women. The level of women's education directly influence the choice of the type of delivery; it was found that the previous experience of strengthen the type of delivery of the decision in subsequent pregnancies. Thus, the discussion of the results confirms the need to review and improvement of care programs pregnant women, especially in the public service, where there were great achievements in government policies, which advanced to ratify a quality and efficient service for women who seek comprehensive care at birth and childbirth.
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.
Aplicativo BIM: promoção do autocuidado na doença renal crônica infantojuvenil
(Universidade Federal de Goiás, 2017-12-11) Santana, Cristina Célia de Almeida Pereira; Costa, Renata Mazaro e; http://lattes.cnpq.br/5625298314637434; Naghettini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Martins, Cleusa Alves; Barreto, Gilson Oliveira; Costa , Renata Mazaro e; Costa, Nilce Maria da Silva Campos
This work describes the development and use of a serious game aimed at children and adolescents with Chronic Kidney Disease (CKD). It aimed to contribute to the promotion of self-care in this population. This is a descriptive and exploratory field research, with a qualitative approach, associated with a mode of technological production of an experimental nature. It comprised two phases: the development of the app and its use. The using process was performed in two units, for child and youth dialysis, located in Goiânia-Goiás. The sample had eight patients, their relatives and a care team. The collection of data was in three steps and were used as instruments: document analysis, interview and observation. In the intervention stage, the game was made available to patients for sixty days, forty minutes a day, during their hemodialysis sessions. For analysis of the data, it was opted for the method of Content Analysis through the modality thematic analysis with the aid the software ATLAS. 7.5.1. The data allowed defining the following categories: Motivation, Perception of the clinical condition of the character, Perception of care, Potentiality for the learning and Impact of the game on self-care. The analysis indicated that the game generated motivation due to its simple interface and easy operation. The self-identification with the clinical condition of the character allowed children to exercise care and reflect about inherent conditioning of the CKD, but has no proof on the impact of the game in the promotion of self-care. Factors such as age and family habits were considered difficulties. Although the study has demonstrated that the app is a feasible tool for the teaching process, it is believed that it is necessary to develop new resources in the game and to carry out new interventions, with the participation of the family and the assistance team, to strengthen self-care actions in this population.
Atenção à mulher no climatério realizada por profissionais da estratégia da saúde da família
(Universidade Federal de Goiás, 2014-07-11) Pereira, Angela Bete Severino; Pereira, Milca Severino; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Martins, Cleusa Alves; Lima, Jacqueline Rodrigues de; Almeida, Nilza Alves Marques
Introduction: The climacteric period is the transitional period between reproductive and non-reproductive life in women. Clinical evaluation of women during the climacteric period should be dictated by their health situation and possible difficulties endemic to this time, and involve a cross functional team. Healthcare includes both promotion of health and disease prevention. Objective: To evaluate the care provided to women during the climacteric period by health professionals using the Family Health Strategy. Methods: A descriptive, cross-sectional, exploratory study conducted among university educated health professionals using the Family Health Strategy (FHS) in the East Healthcare District of Goiania, Goias, Brazil. Data were collected through a questionnaire. This data collection instrument was previously assessed by experts and underwent pilot testing. All stages of the study were developed in accordance with the guidelines and regulations of Brazilian National Council on Health Resolution no. 466/2012. Data were processed using the Statistical Package for the Social Sciences using descriptive statistics and presented in tables and figures. Results: Participants included 57 (75.0%) university educated health professionals who work in the FHS. Many of the healthcare professionals reported that there are differences between the climacteric period and menopause, 57.9% could define these two phases accurately. The main reason that leads women in the climacteric period to seek care in the FHS is related to difficulties with understanding the signs and symptoms of the climacteric period, followed by questions related to new forms of hormone therapy. Concern with physical appearance presents itself as a common complaint during the climacteric period. Deficiencies and limitations in the qualifications of healthcare professionals related to knowledge of the topic of the climacteric period was the greatest difficulty. Cultural interference in the treatment of women during this phase featured prominently in reports. Conclusions: It is essential to create normative procedures and guidance for healthcare related activities for women in climacteric, especially when it comes to differences in the implementation of hormone replacement therapy. This will bring benefit to the professionals in terms of greater autonomy and safety in prescribing these and other types of treatment, ensuring completeness in service, with resolutions in a shorter timeframe.
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.
Atendimento na Rede de Atenção à Saúde: a percepção de usuárias em Goiânia-GO
(Universidade Federal de Goiás, 2015-07-31) Silva, Julio Cesar Souza; Martins, Cleusa Alves; http://lattes.cnpq.br/3673049551991956; Alves, Cleusa Martins; Lima, Jacqueline Rodrigues; Almeida, Nilza Alves Marques
This work aims to analyze the care in the Health Care Network in the light of the principles of the Unified Health System - SUS, under the perception of users in Goiânia, Goiás. This is a qualitative, exploratory and descriptive research. The survey sample consisted of 20 participants: hypertensive women attending SUS health units in Goiania, Go. Data collection occurred between December 2013 and December 2014. Research approved by the Ethics Research Committee at the Maternal Child Hospital. CEP-HMI, Opinion 29/2013 and meets regulatory guidelines and research involving human subjects standards, according to the 466/12 Resolution of the National Health Council. Results: The perception of hypertensive users in Goiania, Go, was inadequate in seven categories studied: the service does not occur Universal and integral manner, with emphasis on gaps in access to care; in relation to Equity, the singularities of each user are not observed leading him to turn to, in some cases to the judiciary for service to their health claims; the phone appointment of consultations (0800) at public health services frontally violates the principle of regionalization promoting the discontinuation of Clinical Follow-up and the principle of territoriality; the hierarchy has hardened approach which further limits access by users; social participation, in Goiania, lacks physical spaces and more stimuli, through the media; the scenario is unfavorable for good quality clinical practice, and for this reason it is necessary to strengthen pedagogical approaches in medical school, which reiterate the importance of care centered on the person, adopting humane attitude, ethics, based on high standards of excellence - empowerment Medical Education. The information enables managers reflect about actions to be developed and work out a plan to minimize the bottlenecks that hinder the quality of care. From this perspective, health professionals, multi-mode can plan simple actions of health education in the various spheres of primary health care aimed at health promotion.
Atividades educativas na rede de saúde na perspectiva da política nacional de educação permanente
(Universidade Federal de Goiás, 2014-07-30) Maia, Ludmila Grego; Sousa, Lucilene Maria de; Menezes, Ida Helena Carvalho Francescantonio; http://lattes.cnpq.br/8722459243487573; Menezes, Ida Helena Carvalho Francescantônio; Costa, Nilce Maria da Silva Campos; Silva, Luiz Almeida da; Naghettini, Alessandra Vitorino; Souza, Sandra Maria Brunini de
The normative processes of formal organizations for the training of the human resources in the Brazilian Unified Health System (SUS) indicate that there are different conceptions of healthcare education, where terminologies such as continuing education and permanent healthcare education have coexisted in the same space of time as educative processes, sometimes being a confusing factor in the imaginary of the professionals. The implementation of the National Policy of Permanent Healthcare Education (NPPHE) defined these processes as learningwork and by occurring in the people’s everyday lifeand organizations. The goal of this work was to analyze the records of the educational activities performed by the healthcare units of the municipality of Jataí from the perspective of NPPHE. It was decided for a descriptive study, retrospective with documental analysis of the activities described in 2012. The results pointed out that the educative activities in the municipality have been mostly related to the healthcare education, focused on community, with demand and internal events to the unity, followed by the continuing education activities for specific groups. The number of activities focused on the worker was of 8,4% in relation to the universe of study. The justifications for them to happen departed from two categories: administrative issues and health care. Therefore, the effective implementation of the permanent healthcare education is a challenge for the healthcare services, by considering the pedagogical-political complexity in which falls the context of the public health in Brazil. Moreover, to manage the change of educative practices which are significant at work for work, one requires a continuous professional training.
Avaliação de tendências de mudanças em escolas médicas goianas
(Universidade Federal de Goiás, 2021-03-03) Rabelo, Eliane Consuelo Alves; Costa, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047; Costa, Nilce Maria da Silva Campos; Lampert, Jadete Barbosa; Menezes, Ida Helena Carvalho Francescantonio
The present study sought to identify the typology of trend of changes in which two medical schools from Goiás (one public and one private), comparing these results to those obtained by the Comissão de Avaliação de Escolas da Área da Saúde / Associação Brasileira de Educação Médica in 2008 and 2013. This is a descriptive and exploratory study, qualitative and quantitative, along the lines of the Comissão de Avaliação de Escolas da Área da Saúde / Associação Brasileira de Educação Médica Medical Schools Evaluation Program, which proposes the use of the Método da Roda, through the realization of a focus group and the application of a self-assessment questionnaire course for data collection. The self-assessment was carried out in 2019, by institutional actors representing the two schools who answered the 17 questions related to the 5 conceptual axes present in the instrument: world of work, pedagogical project, pedagogical approach, practice scenarios and teacher development. The objective answers allowed identifying the school's typology (Traditional, Innovative with Traditional Tendency, Innovative with Advanced, Advanced Tendency). The justifications and evidence enabled the qualitative analysis of content according to Bardin. School 1 presented Innovative typology with an Advanced trend in 2008, Innovative with a Traditional trend in 2013 and, again, Innovative with an Advanced trend in 2019. It highlighted as strength the Pedagogical Project and Practice Scenarios axes and fragility the axes Teacher Development and Pedagogical Approach. School 2, on the other hand, showed advanced typology in 2013 and 2019, with the axes of Practice Scenarios and Pedagogical Approach with a greater advanced tendency, and the fragile World of Work and Teacher Development axes. Institutional self-assessment allowed us to identify a movement towards compliance with the National Curriculum Guidelines, with changes based on Pedagogical Project innovations and the regular use of varied practice scenarios, however, the lack of adequate teacher training persists as an obstacle to the movement of changes, even after the incisive guidelines of the new National Curriculum Guidelines.
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 Rassi
Introduction: 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 suggested
Burnout em residentes multiprofissionais em saúde e as estratégias de enfrentamento
(Universidade Federal de Goiás, 2019-06-24) Oliveira, Rosângela Fernandes de; Pereira, Maria Amélia Dias; http://lattes.cnpq.br/4438222479604887; Neghettini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Barbosa, Maria Alves; Queiroz, Maria Goretti; Martins, Cleusa Alves; Costa Neto, Sebastião Benício da
Burnout Syndrome among health care workers can be due to emotional and interpersonal reactions caused by the high levels of stress they deal with on a daily basis. This study aimed at identifying the presence of Burnout Syndrome among multiprofessional health residents. This is a descriptive research study, with quantitative and qualitative approach, carried out with multiprofessional health residents in public hospitals located in the city of Goiânia-Goiás. The following instruments were used: The Burnout Syndrome Inventory ISB (Benevindes-Pereira, 2015) with 6 dimensions (positive and negative organizational conditions, emotional exhaustion, emotional detachment, dehumanization and professional achievement), associated with the evaluation of sociodemographic characteristics such as: Gender, Marital Status, Profession, Previous Job, Moving Home, Living Alone, Number of Children, Studying, Enjoying Leisure Activities, Physical Activity, Having a Religion, Therapy, Undergoing a Medical Treatment. Following the quantitative outcomes, the focus group was carried out: work-related stress issues regarding residency. The logistic regression method was used in order to verify the association between these characteristics and the diagnosis of Burnout Syndrome. Outcomes: 134 residents participated in this research. Data was collected from September to December 2017. Outcomes: the survey showed that Emotional Exhaustion is present in 91% of the participants, Emotional Detachment in 89.6%, Dehumanization, 61.9%, Professional Achievement in 11.2%, Positive Organizational Conditions in 85.1% (114), and Adverse Organizational conditions in 82.1%. Association was observed with concurrent courses, male, living alone. After analysis of the focus group the following categories were evident: power, working conditions, difficulty in recognizing and coping strategies. Conclusion: a high prevalence of Burnout Syndrome was found in the group with stress response defined by the presence of exhaustion, detatchment, dehumanizing. The perception of professional achievement remains independent on stress.
Competência em saúde mental sob a perspectiva de profissionais de saúde que atuam em CAPS
(Universidade Federal de Goiás, 2017-12-13) Soares, Juliana Paula Balestra; Lima, Jacqueline Rodrigues de; CV: http://lattes.cnpq.br/4506057454261027; Pereira, Edna Regina Silva; CV: http://lattes.cnpq.br/4503589425013098; Pereira, Edna Regina Silva; Caixeta, Camila Cardoso; Ribeiro, Tadeu João Batista; Menezes, Ida Helena Carvalho Francescantonio; Lima, Dione Marçal
The Psychiatric Reform began in the mid-1970s as a complex political and social process presenting challenges that need to be debated in the network and territory plans, care, clinic, policy, human resources training in relation to treatment and care of people with mental disorders. The Psychosocial Care Centers are strategic devices to strengthen the Psychiatric Reform, with a more humane look and new forms of care that enable the construction of new knowledge and practices in relation to mental health. Within this construction of knowledge and practices are the skills that can be developed in the process of training or work. This research aims to investigate the conception of competence of mental health professionals working in the Centers for Psychosocial Care in the city of Goiânia-GO. This is a qualitative research with an exploratory approach. The subjects of the research consisted of sixteen health professionals from different categories, among them: psychiatrist, psychologist, social worker, pharmacist, music therapist, art therapist, Physical Education teacher, speech therapist and occupational therapist working at CAPS in the city of Goiânia. For the data collection, a profile profile was used. The data show that the profile of the professionals is relatively juvenile (average of forty years), most of them female, all of them being taken on by the Municipal Health Department of the municipality, with a stay in the CAPS for approximately nine years and only 25 % have postgraduate / specialization in mental health. In addition, two focus groups were carried out. For the analysis of data, we used the interpretative analysis. As a result of this study, two articles are presented: article 01 reveals the integrative review on the concept of professional competence, showing that there is no single concept of competence, however pointing to the influence of the main conceptions about competence, from the country or the region of origin, being: French, American, English, Australian and South American. The French concept is the one that presented the most articles revealing the concept of competence as synonymous with articulation, integration and mobilization of multiple knowledges (knowledge, know-how, knowing to be, knowing to engage, knowing to communicate, knowing to live) helpers to solve complex situations and / or decision-making. Article 02 is the study of two focus groups and presents four categories: Training and Permanent Education; Worker (personal characteristics and satisfaction of the CAPS worker); Institutionalization of the CAPS and Work Process, revealing the institutionalization of CAPS competences and that the professional, regardless of the training, has to adapt to them when it will act in that space.
Construção e validação de ferramenta virtual em tratamento racional de Diabetes mellitus
(Universidade Federal de Goiás, 2014-02-10) Silva, Eldeci Cardoso da; Taleb, Alexandre Chater; http://lattes.cnpq.br/3191620401627150; Costa, Nilce Maria da Silva Campos; http://lattes.cnpq.br/6977373149115047; Taleb, Alexandre Chater; Affiune Neto, Abrahão; Pereira, Edna Regina Silva
Virtual Clinical cases are effective interactive tools for assessing clinical skills, simulating various aspects of doctor patient interaction. The aims of this study were to develop and psychometrically validate a virtual tool to assess knowledge about the diagnosis and rational treatment of diabetes mellitus, based on its pathophysiology, in a computer graphical user interface, and to propose a model of support for teaching, in order to promote Telecare and Tele-education. This was a methodological development study with a quantitative approach. The virtual clinical cases were applied to a group of 14 doctors from a universe of 60 Endocrinologists (experts) and to another group of 72 third-year medical school students. The process followed the guidelines for the evaluation of psychometric properties with descriptive and inferential analyses. For reliability analysis, Cronbach's alpha was applied to expert, student and all-group questionnaires (,890: ,606: ,770). The difference in scores between experts and students was highly significant by Friedman (p > 0.01) and Wilcoxon (p > 0.001) tests. From the analysis of the scores, a manual for regulation of VCC and a graphical interface in virtual clinical case format (simulation) were created, linked to a database hosted on the Telehealth system – Goiás Federal University of Goias platform. The instrument is easy to understand and to use by subjects. When applied to students and medical professionals, the instrument also fulfills a function of process evaluation parallel to the formative process and can also be useful in continuing education in the FHS. In summary, the VCC resulted in an instrument with proven psychometric properties and features, and can therefore be considered a valid and reliable instrument to measure knowledge about the diagnosis and rational treatment of DM based on its pathophysiology. The project has pioneered, since there was not an online tool, developed and previously validated for reviewing of clinical cases. We intend to continue this project expanding its use for formative assessment and continuing education in other specialties of internal medicine.
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 .
Definição de protocolo para triagem nutricional: estratégia no cuidado do paciente com Esclerose Lateral Amiotrófica (ELA)
(Universidade Federal de Goiás, 2019-08-30) Ribeiro, Camila Silva Manso; Peixoto, Maria do Rosario Gondim; http://lattes.cnpq.br/6813295858384008; Menezes, Ida Helena Carvalho Francescantonio; http://lattes.cnpq.br/8722459243487573; Menezes, Ida Helena Carvalho Francescantonio; Freitas, Ana Tereza Vaz de Souza; Nunes, Maria de Fátima
The quality of health care is a major factor for patient safety and a major challenge for the multiprofessional team in health services. The importance of institutional changes in the service provided and the incorporation of the educational process in the learning environment is fundamental for solving existing daily problems. Among the various problems that affect the patient with ALS, malnutrition stands out. The health care team should be aware of its onset as early as possible. Thus, it is necessary to identify a better nutritional screening method to predict the nutritional risk of these patients. The aim of the study was to compare two nutritional screening instruments for predictive capacity of malnutrition and functional capacity in ALS patients, aiming at a better performance of the multidisciplinary team of an outpatient rehabilitation service. Cross-sectional study, carried out at the outpatient clinic of a referral center for rehabilitation and readaptation of Goiás, from February to June 2018, with a total sample of 57 patients with ALS. Sociodemographic, economic, weight, height, triceps skinfolds, arm circumference, 24-hour recall in three days were collected. Handgrip strength, bioimpedance and albumin, hemoglobin and lymphocytes were also collected. Two methods of nutritional screening were applied: Nutritional Risk Screening (NRS 2002) and Universal Malnutrition Screening Tool (MUST). The Global Subjective Assessment (SGA) was considered the reference method to evaluate the performance of other nutritional assessment techniques. The comparison between the methods was performed by the Kappa test. Sensitivity and specificity analysis was performed using Receiver Operating Characteristics (ROC) curves. Of the total sample, most were female (57.89%), with more than eight years of schooling (70.18%), white (68.42%), socioeconomic status with class A and B (57 90 %). The type of non-bulbar ALS was the most prevalent (73.68%). 68.42% of the patients were on an oral diet and walked (56.14%). The prevalence of malnutrition, according to the Body Mass Index (BMI), was higher in females (39.39%). Most patients had low functional capacity (70.18%), assessed by handgrip strength and low cell integrity (82.45%), assessed by phase angle. The nutritional risk was present in 54.39% and 64.91% of the patients, according to the NRS and MUST classifications, respectively. The frequency of malnutrition according to SGA was present in 36.84% of patients. There was good agreement between NRS and ASG (kappa = 0.409) in females and between MUST and ASG moderate agreement (kappa = 0.440) in males. NRS and MUST had high sensitivity (85.71% and 90.48%, respectively) to identify nutritional risk, but specificity was reasonable for NRS (63.89%) and weak for MUST (50%). It is concluded that for the evaluated sample there is a high prevalence of malnutrition and low functional capacity, being the nutritional screening tool NRS 2002 the best predictive ability to identify the nutritional risk in patients with ALS. The multidisciplinary team was offered a nutritional screening protocol for patients with outpatient ALS.
Desenvolvendo uma estratégia de educação permanente em saúde em unidade de terapia renal substitutiva
(Universidade Federal de Goiás, 2019-02-26) Lima, Ana Paula Freitas; Menezes, Ida Helena Carvalho Francescantonio; http://lattes.cnpq.br/8722459243487573; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Pereira, Edna Regina Silva; Mortoza, Andrea Sugai; Rocha, Bárbara Souza; Queiroz, Maria Goretti; Assis, Thais Rocha
The Health Permanent Education, considered also as a pedagogical concept, has been understood as a significant learning at work through problematization of reality and possibility of transformation of practices. Moreover, must be guaranteed by the establishments of care of patients with chronic kidney disease. This study aimed analyze the perceptions and practice of Health Permanent Education, between professionals from a unit of renal replacement therapy. This is a qualitative study, of the research-action type, based on the problematization methodology, as proposed in Maguerez’s Arc. The data were collected through focus groups and participant observation with notes in field diary during the implementation of a strategy of health permanent education with graduate professionals who provide care in a reference service of hemodialysis and peritoneal dialysis, and analyzed according to content analysis, proposed by Bardin. The results showed persistence of a model of education action in the institution as a discontinuous training resource, focused on uniprofissionais categories and the need for institutionalization of the Health Permanent Education with the support of management. In addition to recognizing the motivation to work with problems inherent to the service work process, the implementation of a strategy with the use of problematization methodology led participants to develop the sense of responsibility for their learning and the possibility of change in the service reality in which they are inserted. The persistence of care practices in a fragmented way, besides represent a challenge, reinforces the need for implementation of Health Permanent Education Policy. Discuss problems and situations of the service actually led the participants to reflect on their practices and need to participate in all the health education process in the service.
Doenças ocupacionais – percepção de médicos e enfermeiros da estratégia saúde da família
(Universidade Federal de Goiás, 2013-12-18) Mori, Érika Chediak; Naghettini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Martins, Cleusa Alves; Marques, Solomar Martins
The worker's health stands out as one of the tasks of the Unified Health System. In this sense, the Primary Health Care and the Family Health Strategy take an important role in the development of actions in the health field-work, mainly in Brazil by the large number of informal workers and domiciled. The aim of this study was to identify the concept of doctors and nurses of the Family Health Strategy of Aparecida de Goiânia on occupational diseases. This is a qualitative descriptive study sampling was defined by saturation and the analysis of the data was performed by the technique of content analysis with the aid of the software Atlas TI – 5.0. The study was conducted in units of FHS in the municipality of Aparecida de Goiânia, Goiás. Eight Basic Health Units were selected and and 16 health professionals were interviewed. The data were collected in their respective workplaces of the participants of the interview, in the months of February to April 2013, after approval by the Ethics and Research Committee. The interviews were recorded and subsequently transcribed for your analysis. In assessing the academic formation it is possible to observe the inadequacy of the load time of discipline regarding workers ' health, where the professionals have reported about a short experience with this theme. The professionals have reported on the lack of knowledge in the area of workers ' health, observed how the area is still undervalued and little explored in academia and professional. Of the 16 professionals interviewed, three have gone through professional training in occupational health at the workplace. It is concluded that the Family Health Strategy professionals recognize the importance of actions geared toward workers health in Basic Health Units, but underscores the difficulty to understand the work-health-disease relationships. It is suggested the investment in professional training and technical support to carry out these actions, aimed at the better service to the employee.
Educação continuada do enfermeiro na atenção à pessoa com lesão medular
(Universidade Federal de Goiás, 2015-12-14) Oliveira, Fernanda Miranda de; Naghettini, Alessandra Vitorino; http://lattes.cnpq.br/2496399309339551; Naghettini, Alessandra Vitorino; Martins, Cleusa Alves; Barbosa, Maria Alves
Continuing education is an important factor that aims at excellence of care. The aim of this study is to analyze the continuing education for nurses in urological care of people with spinal cord injury. Specific objectives: 1) to discuss the nurses' perception on Continuing Education in urological care of people with spinal cord injury; 2) identify the factors that facilitate and hinder the Continuing Education of accession-related urologic care of people with spinal cord injury. It is a qualitative, descriptive and exploratory research guided by the analysis of Bardin, 2013. Survey participants were nurses from the inpatient unit for rehabilitation. The sample was constituted by 9 nurses. Data collection took place between January and February 2015. This study was approved by the Ethics Committee in Research of the UFG Opinion Research Center and 880,053 diretreizes meets the standards and regulatory standards for research involving human beings, according to Resulação 466 / 12 of the National Health Council. The results were described in three categories, using the speeches of the participants identified impersonally with the numbering E1 to E9. The perception of nurses about the Continuing Education of rehabilitation unit revealed that favors the professional autonomy of the nurse. There is evidence of a strong professional effort to make Continuing Education, at its core, in the daily nursing care. It was shown that nurses do not participate in Congress in the urological area; nurses have not had the opportunity to study on rehabilitation and urologic care of people with spinal cord injury in the academic period. The information enable managers and nursing course Coordinators about actions to be developed and work out a plan to minimize the gaps that hinder the accession of Continuing Education and the knowledge and experience of nurses on the urological care in academic life. This perspectiva, professional multi-mode nurses can plan educational activities aimed at rehabilitation in health.
Educação permanente em saúde como estratégia para redução da mortalidade materna
(Universidade Federal de Goiás, 2017-08-29) Silva, Juliete Teresinha; Villela, Edlaine Faria de Moura; http://lattes.cnpq.br/8767578610764666; Lima, Fatima Maria Lindoso da Silva; http://lattes.cnpq.br/5289890813807831; Lima, Fátima Maria Lindoso Silva; Rosso, Claci Fátima Weirich; Meneses, Ida Helena Carvalho Francescantonio; Costa, Lusmaia Damaceno Camargo; Moraes, Vaderli Alves de
Maternal mortality is still a problem of public health in all the world, mainly when we take a look at the developing countries. The reason for maternal mortality (RMM) enables the visualization of the place that women occupy in a society and how the health system takes care of their specific need based on the principle of equity. During the pre-natal a careful attention can identity pregnant women that have a bigger risk making it possible that we make a planned approach that will avoid occurrences of emergency situations that are always accompanied by bigger chances of maternal and neonatal morbimortality. Evaluate the perception of the professionals in the health field, their practice in the care of pregnancy in the primary assistance for the elaboration of a proposal of a permanent education program in health, as a strategy to reduce the maternal mortality in the county of Jataí in the state of Goiás. It was done a descriptive, exploratory, transversal study, of a qualitative approach in the health education. The secondary data referring maternal mortality in Brazil in these five years (2011 to 2015) were extracted from information of the ministry of health (SIM – System of Information of Mortality). The collecting of data referring the perception of professionals about permanent health education was obtained through a focal group. The analysis of the data was done through content analysis. The RMM in the county of Jataí in the year of 2015 was 142 deaths/100,000 born alive, similar to the year of 1990 when it was established as a goal of the 5th ODM that this indicator reached the level of 35 deaths / 100,000 born alive in 2015. The pre natal is done by a multiprofessional team that knows their role in the care of pregnancy in APS, however fragile points were pointed concerning the quality of this assistance, the team work and the knowledge and practice of EPS. The professionals involved in the research do not know the PNEPS, and there is not a practice of EPS in the work place considering that the knowledge of the health education limits itself to the education destined to SUS users. Acting at APS by the practice of a permanent education in health is the proposal strategy to contribute for the changing of the scenary of maternal mortality in the place of the studies.

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