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Item Fortalecimento da ouvidoria do SUS a partir da Comissão Intergestores Regional – experiência na região de saúde Rio Vermelho-Goiás(Universidade Federal de Goiás, 2014-11-27) Alarcao, Jonas Carlos Berquo; Lima, Alessandra Rodrigues de Almeida; http://lattes.cnpq.br/6164678486856191; Lima, Alessandra Rodrigues de Almeida; Soares, Meire Incarnação Ribeiro; Lemos, Cristiane Lopes Simão; Baptista, Tadeu João Ribeiro; Oliveira, Ellen Synthia Fernandes deThe SUS Ombudsman is a channel of qualified citizens hearing, capable of guaranteeing them the fundamental right to health, insofar as it presents to the system management instances, the needs or weaknesses identified by citizens or users. For the perfect operation of the SUS Ombudsman, it must be configured on network with software deployment demands management : SUS Ombudsman system. In Goiás state , till the beginning of 2014, the number of municipalities with the implanted system was extremely low. The state network is organized to the level of Regional Health, located in the municipalities of each region headquarters, with the existence of Ombudsman regional dialogues . In Rio Vermelho Health Region , we observed a number of issues regarding the Ombudsman work that were impeding the advance of the network to the municipal level. This study intended to raise awareness of the local health managers in the region, under the Inter-Regional Commission - CIR, on the role of the SUS Ombudsman and its importance and thereby to get achieving maximum response time to citizens, to institute the responsible staff for the Municipal Ombudsman Health and to deploy SUS Ombudman System in 100% of the municipalities in the region. For this, we used an Intervention Project, based on the assumptions of action research. The intervention was structured in the form of an action plan and implemented through strategies developed by the Department of Rio Vermelho Goiás Health Region in partnership with the Management of the Ombudsman, both organs of the State Office of Health. As results, we have obtained: a. pact of maximum response to ombudsman demands directed to municipalities, the setting of the responsible ones by Municipal Ombudsman in 16 municipalities in Rio Vermelho Region and the expansion of the network state Ombudsman with the implementation of SUS Ombudsman system in 15 municipalities. We have noted that in a Health Region, it is fundamental the integration of Regional Health with municipalities under their geographical jurisdiction, in particular, within the CIR space, since this integration when directed to building or strengthening the process regionalization of health always results in advances in the Regional System. Using the space of CIR to discuss the strengthening of the Ombudsman allowed us to comprehend the need for it in a network structure and to include municipalities on network. As the new structure and workflow established in the region, it will be possible to achieve new breakthroughs in the management of the Ombudsman demands such as: to reduce further the response time, to decrease the number of unanswered demands and to use the information in the management system, both in regional and municipal levelsItem Prevalência e fatores associados à hipertensão arterial sistêmica autorreferida entre trabalhadores da prefeitura de Goiânia(Universidade Federal de Goiás, 2015-03-08) Aleixo, Lidia Morais Santos Barreira; Turchi, Marília Dalva; http://lattes.cnpq.br/3769826743537934; Turchi, Marília Dalva; Souza, Ana Luiza Lima; Pereira, Edsaura MariaPrevalence and factors associated with self-reported high blood pressure among public workers of Goiania Municipality Worldwide, high blood pressure (HBP) is considered the most prevalent chronic disease and is associated with high cardiovascular and brain morbidity. Prevention, early diagnosis and proper treatment are essential to reduce the damage from HBP. The objective of this study is to estimate the prevalence and factors associated with high blood pressure, hypertension (HBP) among municipal public service workers. A cross-sectional study was conducted with data of the survey administered to all public workers of Goiania municipality in 2009. The survey was conducted electronically by the Human Resources of the municipality. The workers answered a structured questionnaire covering administrative, personal and health data. Logistic regression was used to investigate the association between HBP and sociodemographic and occupational variables, lifestyle and co morbidities. We calculated crude and adjusted Odds Ratio (OR). A value of p ≤ 0.05 was used for the analysis. We analyzed data from 30,566 workers who responded to the survey hypertension issues. The workers age ranged from 18 to 74 years, with a median of 41 years; 48.8% had a university degree; 34.8% were blue-collar workers; family income up to 3 minimum wage (50.4%) and 64.6% were women. The prevalence of self-reported HBP was 13.0% (95% CI 12.7 to 13.4). In multivariate analysis, hypertension was associated with female gender, age, middle education attainment, income above three minimum wages, occupation, self-report diabetes, fatigue report after working hours and emotional disorders history. These findings demonstrate the importance of psychosocial and occupational factors in the prevalence of hypertension in the civil service. The results may support HBP prevention programs aimed at improving the quality of life in the workplace, prioritizing the most vulnerable groups.Item Avaliação da satisfação profissional de enfermeiros de um Hospital Universitário da Região Centro-Oeste do Brasil(Universidade Federal de Goiás, 2015-03-11) Alvarenga, Giane Cristina; Barbosa, Maria Alves; http://lattes.cnpq.br/5025797873585225; Oliveira, Ellen Synthia Fernandes de; http://lattes.cnpq.br/3128365764211694; Oliveira, Ellen Synthia Fernandes de; Almeida , Nilza Alves Marques; Siqueira, Karina MachadoTransversal, descriptive, exploratory study with a quantitative approach, performed in a university hospital in the Midwest region of Brazil, involving 91 nurses gazetted by the institution. We sought to evaluate job satisfaction of these and to describe the demographic profile and professional partner thereof and to identify factors that influence job satisfaction. Two instruments for data collection were used: being a questionnaire for sociodemographic data and other professionals and to assess job satisfaction, the S20 / 23. The collection occurred during the months of November and December 2013. The study nurses are in most cases, female (90.1%); mean age, 47 years; 60.4% were married or in a stable relationship; have an average of two children; have a family income of 10 minimum wages and more (71.4%); are experts (59.3%), teachers (30.8%) and doctors (4.4%). Just over half have other employment; working on average 60 hours a week. As for job satisfaction, there is a mixture of satisfaction and professional dissatisfaction among nurses in the research institution. We conclude that nurses are fully satisfied with the opportunities to perform activities that stand out and also about the objectives and goals to achieve. A partial job satisfaction related to the act of doing things they enjoy, as well as the possibilities of decision and autonomy. Though fully satisfied with relations with positions of power, nurses are partially satisfied with the possibilities of decision and autonomy. More than half of the professionals are dissatisfied with the work environment. The variables: time of graduation, family income and other employment relations do not appear to interfere with the satisfaction of nurses in this study. With this research, there were simple interventions measures that can enhance job satisfaction, aiming to better quality of care delivered to customers, reflecting the characteristics of the institution, which is part of the Unified Health System (SUS), and strengthening the Legitimizing humanization of service to the community, extended to individuals that do so.Item Análise de tendência da mortalidade prematura por doenças crônicas não transmissíveis nas unidades federadas - Brasil 2000 a 2011(Universidade Federal de Goiás, 2014-05-14) Alves, Carla Guimarães; Morais Neto, Otaliba Libânio de; http://lattes.cnpq.br/4030124246791320; Morais Neto, Otaliba Libânio de; Malta, Deborah Carvalho; Oliveira, Ellen Synthia Fernandes de; Siqueira Junior, João Bosco; Minamisava, RuthChronic non-communicable diseases (NCDs) have the highest mortality rate worldwide, with an increase in middle-income and low-income countries. The main groups are circulatory diseases (CAD), chronic respiratory diseases (CRD), cancer and diabetes. In Brazil, the first two groups are showing a decrease trend in the last decade and the others remain stable. The strategic action plan for dealing with chronic non-communicable diseases in Brazil, from 2011-2022, sets a target to reduce premature mortality by 2% per year until 2022. Therefore the purpose of this article is to identify the trend in mortality rates and the scenarios of meeting the goals for reducing premature mortality rates by 2% per year by the states. It was performed a time series analysis of the standardized mortality rates for NCDs, corrected for underreporting deaths and ill defined causes of death in each of the four causes groups in the period from 2000 to 2011 in males and females. The autoregressive linear regression of the Prais-Winsten was the model of choice. There were estimated the average annual increment rates of mortality and the confidence intervals in 95%. The states was defined with favorable and unfavorable scenarios for achieving the goal of the plan from the states that showed significant average annual of increment rate of reduction (p <0.05) and upper limit of 95% CI <= -2.0%. For the CAD group, both genders, the states have showed that a favorable scenario were: Distrito Federal, Santa Catarina, Mato Grosso, Rio Grande do Sul, Minas Gerais, Bahia, Espírito Santo, and Paraná. For the DRC group the states were Amazonas, Distrito Federal, e Paraná. For groups of cancer and Diabetes Mellitus all the states had unfavorable scenarios upper limit of 95% of the annual average increment rate greater than two. The conclusion was that the states, with the support of the Ministry of Health in conjunction with other Federal Agencies, together with state and municipal governments should strengthen interventions focused on modifiable risk factors for NCDs and ensure comprehensive integrated care to diagnosed users to reduce premature mortality in the four groups of causes.Item Vias institucionalizadas de acesso a medicamentos em um município brasileiro(Universidade Federal de Goiás, 2015-10-21) Aragão, Samia Cristina Rodrigues Borges; Provin , Mércia Pandolfo; http://lattes.cnpq.br/1809891256443044; Provin , Mércia Pandolfo; Barbosa , Nelson Bezerra; Amaral, Rita GoretiMedications readily available for the Brazilian population in the Unified Health System (SUS) is one of the health policies and programmes that meet the constitutional right of every Brazilian citizen. Lots of regulations have been created for medication distribution through Pharmaceutical Assistance (PA), however the user of the medication sometimes is confused and how obtain it. Describe the pathway and regulations for medication distribution through the public health policies in a city. Qualitative research held from December 2014 to January 2015, which focused on normative and explanatory documents for the public health system in Brazil in the city of Goiania in Goias state. An extensive bibliographic research has been carried out on this topic to fundament the analysis of the documents. The medication right is defined in the Brazilian’s constitution, legislation and regulatory acts for the private labour sector and public through co-payment as a means for medication access. In Goiania establishes the Pharmaceutical Assistance (PA) as it is for the Pharmacy and Therapeutics Committee (CFT), SMS Pharmacies, publicizing information related to drugs, health programmes such as “Farmácia Popular“ and the administrative access road through the Division of Assets Evaluation and non-Standardized Services (DABSNP) as a way to meet the demands of those users who have failed treatment through public policies. The medications available through the public policies are organized by REMUNE and the list of medications with high costs of Juarez Barbosa. The public health programmes “Farmácia Popular” and “Saúde Não Tem Preço“ are the ways of co-payment and free of charge. Medications not listed on REMUNE or unavailable to the user are available via administrative process to prevent lawsuit. Conclusion: The medication right is defined in the Brazilian’s constitution, and public policies with little or no influence of local city government. However, how to obtain it, the list of available medication, and the requirements is a local governmental duty. Therefore, the policies defined for such programmes can facilitate the understanding of the network comprising the Pharmaceutical Assistance (PA) in the Brazil’s Unified Health System (SUS).Item Hipodermóclise: uma proposta de protocolo de segurança do paciente em uso de infusão subcutânea(Universidade Federal de Goiás, 2017-05-19) Araújo, Camila Pinheiro; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Junqueira, Ana Luiza Neto; http://lattes.cnpq.br/5630152521626068; Queiroz, Ana Lúcia Bezerra de; Galdino Junior, HélioObjective: Make an administration of drugs/infusion fluids protocol by subcutaneous path, to nursing professionals of an federal school hospital in the city of Goiânia_GO. Methodology: Elaboration of an intervention protocol which will be realized a bibliographic literature rewiew, between the months of march and august of 2016 ,with national and international publications preferentially on the last five years, that treats about drug/fluids administration by subcutaneous path. Results: The literature range used to compose this protocol shows that subcutaneous therapy back to discussion in several landscape practices. Final Considerations : This work postivly contributtes to nursing professinals , by presenting na hipodermoclysis protocol, based on pacient security , wth a large range technic to acadhemic , cienthific and professional centre.Item Atuação do agente comunitário de saúde durante a visita domiciliar na perspectiva do usuário(Universidade Federal de Goiás, 2017-11-07) Araújo, Kárita Silva; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; Souza, Marta Rovery de; Rocha, Barbara SouzaThe action of the Community Health Agent (ACS) with the population attached is an essential condition for the organization of public health services. However, it is necessary to know how this work is developed and the users' satisfaction with these activities. Within this perspective, this study aimed to understand the performance of the ACS during home visits from the perspective of the population served by the Family Health Strategy (ESF) in a medium-sized municipality in Goiás. This study was carried out in a municipality located in the state of Goiás, with medium size, with a sample composed of 400 families attended by the ACS of the municipality. The data collection instrument was composed of a structured questionnaire, whose questions sought to collect data that allowed to understand the work of the ACS in the community served. It was tried to verify if the scope of work defined by the National Basic Attention Policy (BANP) for the ACS is being fulfilled, in addition to the establishment of a link, in the user's perception, since these assignments should be performed by the ACS during the visit household (VD). The questionnaire was submitted to the Cronbach Alpha Test, whose value was 0.83. Data were submitted to associations test, Student's t-test and chi-square test. Regarding the work of the ACS during the VD, it was observed that the population understands that the RV is important, that the ACS are prepared to perform them and that the number of visits made to the family and the time dedicated to each of these visits are satisfactory. The satisfaction with the RV for families with people with disabilities obtained lower indexes. Regarding the relationship between the ACS and the population, it was identified that the families consider the work of the ACS and the VD to be important, in addition to declaring that they trust this professional. However, this confidence does not turn into a demand for ACS in case of illness in the family. Women up to 59 years of age do not seek ACS in case of illness in the family. Regarding the fulfillment of the assignments provided for in the PNAB, it was observed that approximately half of the participants are satisfied with the followup of the ACS in case of illness. Regarding the guidelines for healthy food and eating disorders, less than half of the participants expressed satisfaction with the ACS 'performance, as well as with the demand for adolescents involved in drugs and sex and with the conference on the criteria of the Bolsa Família program. The need to improve the performance of ACS was identified, but it was not possible to indicate which aspects should be improved. The services available at the Basic Health Unit (UBS) had a higher rate of user satisfaction (72.1%). These results demonstrate that the population knows the ACS and recognizes the importance of their work and the RV, but these feelings are not turning into action, such as the search for ACS in case of illness in the families. The population surveyed does not understand that the ACS is performing all its duties, as provided in the PNAB. Thus, it is observed that there is a wide field of actions, which can be developed by the ACS, aiming to contribute to the fulfillment of its actions, as foreseen in the PNAB.Item Análise da percepção do paciente com a segurança no atendimento em unidade de urgência e emergência(Universidade Federal de Goiás, 2016-12-19) Arruda, Nara Lília Oliveira; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Silva, Ana Elisa Bauer de Camargo; Prado, Marinésia Aparecida; Paranaguá, Thatianny Tanferri de Brito; Rosso, Claci Fátima WeirichThis study aimed at analyzing users' perception due to safeness of health care offered by professionals in an emergency and urgency unit of a university hospital in Midwest of Brazil. The population was composed of 100 patients who met pre – established criteria for research. This is a cross-sectional, descriptive, quanti-qualitative study. The data were collected from May 31 to August 30, 2015 through interviews, guided by a semi-structured adapted and tested tool. The quantitative data were entered in the Statistical Package for The Social Science (SPSS) version 20.0 and analyzed, descriptively, by means of simple and absolute frequencies. For qualitative analysis, Bardin content analysis was used. The results showed that 53.0% of the patients were females from 19 to 84 years, an average of 50.6 years. Regarding the care, 100% were of urgency for clinical treatment. 99% of the patients were satisfied with the care received, and 99% felt safe with professionals care; 96% had no problems during the period they remained in the emergency and urgency unit. As a safe conduit, they pointed out that 99% of the professionals confirmed the name before any procedure and 89% clearly explained the procedures; 86% were advised on possible complications; 93% reported that professionals showed skill in performing procedures; 69% that professionals always consulted the prescription before the procedure. Regarding the occurrence of errors, 97% would like to be informed about the occurrence of errors during the treatment, even if, it did not cause damage; 80% relied on the team and judged they were unable to anticipate the possible error in care. Patients' satisfaction with the care and rehabilitation of the emergency and urgency services was considered an important indicator of assistance quality in emergency and urgency units in the hospital. It is expected that this study contributes to the formulation and enhancement of educational actions as a strategic way to reach and / or strengthen patient satisfaction with care security, as well as, for the policies elaboration that subsidize the formation of a culture decreasing the risks of hospitalization and ensuring improvements in care quality in emergency and urgency units in local and national context.Item Manejo do uso abusivo de álcool e outras drogas na perspectiva da entrevista motivacional(Universidade Federal de Goiás, 2015-03-13) Azevedo, Cássia Fernanda de; Esperidião, Elizabeth; http://buscatextual.cnpq.br/buscatextual/visualizacv.do?id=K4706360T2; Luchesse, Roselma; Teixeira, Ricardo Antônio GonçalvesProblems involving the consumption of alcohol and other drugs are of a major social and public health problem and its coping requires specialized and assertive actions by the actors involved in these issues. The Motivational Interview is a Brief Intervention strategy, considered effective for the diagnosis and prevention of damages arising. These substances are in agreement with public policy on drugs in Brazil. This is an intervention study, which originated from the project of extension of Federal University of Goias, type descriptive-exploratory, qualitative approach. It had aims to empower students of nursing and Psychology about the handling of the abuse of alcohol and other drugs, in perspective The Motivational Interview. 31, students participated in a course into twenty hours, structured into four theoretical encounters, as well as practical activity a community service for people with the abuse of alcohol and other drugs, located in a small city in the State of Goias. The results show that participants have minimal knowledge about the National policy on drugs and conceive the chemical dependency as an illness, multiple causes, not demonstrating prejudice or stigma with respect to alcohol and other drugs The analysis of the results indicates the need of strengthening this theme in the curriculum of the graduations of the health area, the need for continuous training of professionals In addition to the importance of the integration of University-community-service.Item Gravidez na adolescência: perfil epidemiológico, fatores predisponentes e repercussões perinatais em uma maternidade pública de Goiânia – GO(Universidade Federal de Goiás, 2015-02-09) Barbosa, Jony Rodrigues; Barros, Patrícia de Sá; http://lattes.cnpq.br/4072686126990699; Barros, Patricia de Sá; Moraes, Alexandre Vieira Santos; Souza, Márcia Maria de; Assis, Thaís Rocha; Oliveira, Ellen Synthia Fernandes deThe teenage pregnancy brings biological implications, family, psychological and economic, limiting or delaying social development opportunities for those young people. It also associates the probability of maternal and fetal complications, being seen as a public health problem. The aim of the study was to analyze the epidemiology, associated factors and perinatal outcomes of pregnant adolescents. It is a transversal and descriptive study consisted of a sample of 170 adolescents hospitalized for childbirth or conducting clinical abortion, during the period from August / 2013 to May / 2014 in a municipal public hospital in Goiânia, Goiás . The adolescents were interviewed during hospitalization for collecting data on the sociodemographic profile; gynecological and sexual history; knowledge about contraceptives; family and obstetric history; data from the current pregnancy and the newborn. The average age was 17.3 years, brown, live in own home with partners 3- 4 people in residence, household income 01-03 minimum wages, with a higher percentage of income among adolescents> 16 years. 30% (> 16 years) have formal or informal employment compared to 4% ( 16 years). 45.3% of teens have not completed high school. 91 (53.5%) were studying when they became pregnant and 59 (64.8%) dropped out of school during pregnancy. The menarche occurred between 11 and 13 years and the first sexual intercourse between 14-15 years (general group and> 16 years), respectively. The group 16 years, first sexual intercourse was 13-14 years (p = 0.009). The main reason for the first sexual act was the feeling by the partner. The amount of partners showed scattered data, ranging from 1 to 5. 99.4% know a contraceptive and 75.9% reported having first-degree relatives who have had children before age 20. The teenagers received support from family (85.9%), baby's father (82.4%) and paternal family (75.3%) from the beginning of pregnancy. 75.9% are still loving relationship with the baby's father. 69.4% of pregnancies were unexpected and 30.6% planned. 72.4% adolescents reported being the first pregnancy and reported having done prenatal consultations with 06. 53.6% reported having any complications during the pregnancy period. 61.8% of births were normal, 33.5% and 4.7% cesarean spontaneous abortions. Prevailed pregnancies up to 37 weeks, weighing the appropriate newborn with APGAR rates between 8 and 10. The site of the first feeding was in rooming in 81.9% of cases and about 60% of teens plan to breastfeed 1 year. It is suggested public prevention, through guidance in health and educational unit, to educate teenagers about the implications of pregnancy in their lives.Item As potencialidades e fragilidades do processo de acreditação hospitalar na perspectiva dos enfermeiros(Universidade Federal de Goiás, 2018-07-04) Barbosa, Valquíria Vicente da Cunha; Silva, Ana Elisa Bauer de Camargo; http://lattes.cnpq.br/8388407861788466; Pereira, Edsaura Maria; http://lattes.cnpq.br/8820722314388248; Pereira, Edsaura Maria; Souza, Marta Rovery de; Alves, Sergiane BisnotoHealth facilities have sought to achieve improvements in their services through quality management, aiming at safer patient care. In this context, the accreditation process emerges as a method to evaluate the resources of these establishments, aiming to guarantee the quality of the assistance through pre- established standards. The objective of this research was to analyze nurses' perceptions about the accreditation process in public hospitals of a state in the Midwest region of the country, to verify the meaning of this process for nurses and to identify the potentialities and fragilities arising from this process from the perspective of the nurses. A descriptive, exploratory qualitative approach was carried out. Data were collected through focal groups in March 2018, with nurses from two public hospitals accredited by the National Accreditation Organization (levels I and III). The Bardin content analysis method was used, considering the following steps: pre-analysis, material exploration and treatment and interpretation of results. The following categories were apprehended, with their respective subcategories: meaning of the accreditation process - premises, organization and tools of this process; potentialities of the accreditation process - advantages of the process for the professional, institution and patient; weaknesses of the accreditation process - negative impact on the professional, for institution and deficient knowledge about this process. It was identified that the nurses had knowledge about the accreditation process; that the most outstanding potentialities were professional development, continuous improvement and safety for the patient and professional; and that the most mentioned weaknesses were an increase in the workload, a lack of professionals' insertion in the process, an increase in bureaucracy and a decrease in the quality of patient care due to this process itself. Another important finding was that, although the participants affirmed, on several occasions, that the accreditation process aims to offer patients more safety, more advantages were scored for the professionals and institution than for the patients themselves. It is concluded that the potentialities seized were more prominent than fragilities, evidencing that the accreditation process offers more benefits to the health sector, than harm.Item Política nacional de promoção da saúde: práticas e saberes dos enfermeiros da estratégia saúde da família(Universidade Federal de Goiás, 2017-12-21) Barros, Anna Paula de Mendonça; Saddi, Fabiana da Cunha; http://lattes.cnpq.br/5199720685281720; Lemes, Cristiane Lopes Simão; http://lattes.cnpq.br/9279795437962960; Lemos, Cristiane Lopes Simão; Almeida, Nilza Alves Marques; Rocha, Bárbara SouzaThe National Health Promotion Policy (NHPP) considers the promotion of health as a set of strategies and ways of producing health, in the individual and collective scope, evidenced in the articulation and intra and intersectorial cooperation, formation and articulation of health care network with broad participation and social control. This policy was instituted in 2006 with the challenge of producing health, qualifying sanitary practices and expanding health promotion actions in SUS services and management. The NHPP undergoes extensive revision and reformulation in 2015, with the aim of increasing participation and capillarity, signaling new arrangements, good governance and fostering spaces for inter- and inter-sectoral articulation. In the same year of NHPP, the Ministry of Health establishes the Family Health Strategy (FHS) as a model for reorienting basic health care in the SUS, proposing changes in the health care paradigm, to overcome the existing biomedical model, health care as a right to citizenship, and to promote practices involved in strengthening health. Among the professionals who make up the Family Health team, nurses are assigned the responsibility of implementing actions to reduce health damage, influence the community's lifestyle and consolidate health promotion practices. This study analyzed the perception of this professional in a large city in the state of Goiás to investigate whether the discursive practices, or the actions taken by the language implicit in the NHPP, made possible the necessary changes in the FHS routine. This is a descriptive-exploratory study with a qualitative-quantitative approach. 38 nurses participated in the study. A self-administered questionnaire was used with information on the professional profile, knowledge about the NHPP, health promotion practices and motivations to work with health promotion. In the FHS, the nurse is predominantly female, married, aged between 26 and 35 years, graduated in private institutions, with 3 to 5 years of training, specialist in several health areas and works in the same team between 1 to 2 years. The nurses affirm that they know between 50% and 75% NHPP, but when indicating the practices performed in the routine of the FHS, observed actions different from those proposed in this Policy. They affirm that they feel motivated to work on health promotion through the possibility of following the users and believing in the FHT as a strategy of impact on the health quality of the population.Item Atendimento educacional hospitalar e domiciliar: uma pesquisa-ação(Universidade Federal de Goiás, 2016-06-23) Barros, Rodrigo Carvalho do Rego; Teixeira, Ricardo Antonio Gonçalves; http://lattes.cnpq.br/0272312162765846; Teixeira, Ricardo Antonio Gonçalves; Mendonça, Alzino Furtado de; Oliveira, Ellen Synthia Fernandes deHospital classes and home educational services are an area of education, linked to special education, established to provide educational services to students who are unable to attend school for health reasons. The teachers of hospital class and home educational services are in the intersection of health and education and therefore are the ones who become ill due to work. This research aims to promote the health of the teachers and coordinating team of NAEH confronting the problems of the hospital and home educational services. Therefore, was accomplished a mapping of the legal bases and of the main public policies of inclusion oriented to hospital and home educational services and a study on the health of teachers who work in this type of education. It was adopted as methodology the predominantly existential action research, since it is situations that cause suffering to the people involved, justifying actions to reframe and transform the reality experienced. As a theoretical framework was adopted the prospect of Dejours (2007), which uses as a health parameter the presence of pleasure and suffering at work. Although there was no verified illness between the research participants, from a psychopathological reference, a situation of suffering was found among the people involved because of difficulties encountered in educational visits involving cases of mental disorder. The search for solution was conducted by the collective researcher, following the very démarche of action research. The results were considered positive by the changes noted in the reports of the coordinator team of NAEH. Germana Da Silva LealItem Atuação dos nutricionistas no núcleo ampliado de saúde da família e atenção básica(Universidade Federal de Goiás, 2019-02-22) Bessa, Géssica Pires; Silveira, Nusa de Almeida; http://lattes.cnpq.br/9225080927999489; Lemos, Cristiane Lopes Simão; http://lattes.cnpq.br/9279795437962960; Lemos, Cristiane Lopes Simão; Pereira, Edsaura Maria; Lima, Jacqueline Rodrigues deThe Unified Health System strengthened the primary health care with the creation of the Expanded Nucleus of Family Health and Basic Care (NASF-AB), which expanded the diversity of professionals and made possible the insertion of the nutritionist. This work aimed to analyze the performance of the nutritionist of the NASF-AB of the municipalities of the health region Centro-Sul, Goiás. It consists of a quantitative and qualitative study developed from telephone interviews through Skype® and MP3 software Skype Recorder for audio recording, using a form with open and closed questions, made with the verbal consent of the interviewees. Thematic content analysis was carried out according to Minayo (2014). The quantitative data were analyzed by Excel® software. The professional profile of nutritionists is marked by a majority of female subjects (93.33%), with a mean age of 31 years, with a low remuneration in relation to the working day, presenting employment relationship, mainly in the form of a contract for the provision of services (66.67%), occupying the position of NASF-AB for less than 11 months (73.33%), who have the basic health units as their main workplace (60.00%), with a higher presence in the Health Program at School (93.33%), in the National Program for Tobacco Control (73.33%), in the Food and Nutrition Surveillance System (60.00%), in the National School Feeding Program (53.33%) and the Bolsa Família Program (53.33%). Through the qualitative analysis, it was possible to verify that important factors for the articulation of nutritionists with the Family Health teams (eSF) are: eSF support, communication, and planning and programming, whose work focuses on the development of support to the SFI in the technical-assistance dimension and the extended clinic. The articulation presents problems related to: precarious working conditions, difficulties with management, lack of adherence and lack of knowledge of the population about NASF-AB. The promotion of adequate and healthy food is developed as food and nutritional education, in lectures and groups, mainly in the BHUs and in the schools with weekly frequency, presenting greater participation of psychologists and of nurses and the public children and youth. The studied region lacks systematic strategies for the qualification of the workforce carried out by nutritionists, who presented misunderstanding about the Permanent Education in Food and Nutrition, as well as complaints about the lack of institutional qualification of this theme. This research was developed in the Professional Master in Collective Health of the Federal University of Goiás and can subsidize the planning of the nutritionist's work in NASF-AB.Item Mortalidade materna em adolescentes no municipio de Goiânia no periodo de 2002 a 2011(Universidade Federal de Goiás, 2013-12-20) Borges, Celma Dias; Souza, Marta Rovery de; http://lattes.cnpq.br/1155042579123151; Souza, Marta Rovery de; Martins, Cleusa Alves; Almeida, Alves Marques; Minamisava, Ruth; Palos, Marinésia Aparecida P.In addition to the common causes of death for both sexes, women are victimized by problems related to sexuality and reproduction. These problems become more severe for teenagers, as they are more likely to die than women greater than 20 years of age by a pregnancy-related, preventable death in most cases. The greater vulnerability of adolescents to these deaths is hinged to the material conditions of life and the rights recommended for this age group over the past decades depends one effective public politics. The aim of this study was to analyze maternal mortality in adolescents, in Goiânia, in the period 2002-2011. It is an observational, descriptive study conducted in the city of Goiânia, Brazil. The population included all maternal deaths of women aged between 10 and 49 years old in the city of Goiânia in the period 2002-2011, data collected from records of the death certificate and tokens Research Women and Maternal Death in the Municipal Health of Goiânia and structured in Microsoft Excel. The results showed no differences between the mortality profile of adolescents and women of all ages. Noteworthy is the proportion of unknown data for almost all variables, however, between the recorded data was prevalent age of 18, black color, low education and direct obstetric causes of maternal deaths. The conclusion from these findings is that age itself does not differ from the profile of maternal mortality among adolescents and women of all ages, but regardless of age where they occur, these deaths are a serious violation of human rights of women to be preventable in 92% of cases, and that the situation of vulnerability of adolescents to be recognized in practice as a condition for any teen is a victim of this type of death.Item Fatores associados à reospitalização em idosos com doenças crônicas acompanhados em programa de atenção domiciliar(Universidade Federal de Goiás, 2018-05-29) Borges, Jackeline Gomes; Pereira, Edna Regina Silva; http://lattes.cnpq.br/4503589425013098; Rassi Neto, Elias; http://lattes.cnpq.br/5546754296937329; Rassi Neto, Elias; Souza, Marta Rovery de; Rezende Filho, JoffreIntroduction: Due to the growth of the elderly population in Brazil, the burden of chronic diseases and functional disability tend to increase, as well as the number of people who needlong-term care. Home care is a health care modality that complements the care provided in basic care and in hospital services, promoting humanization and quality of life, assisting in dehospitalization and optimizing health resources. It is important to know the profile of the elderly served by this modality to obtain information that will help in the execution of public policies for the improvement of the home care. Objective: To describe the clinical- epidemiological profile of elderly people with chronic diseases, assisted in a home care program, and factors associated with rehospitalization. Methodology: An observational, analytical and cross-sectional study carried out in the elderly accompanied by the home care service of a Rehabilitation Center of Goiás from March 2014 to January 2017. Data collection through electronic medical records study. Data analysis was performed by the statistical program Stata, version 14.0 with descriptive, bivariate and multiple analysis to verify the association between independent and dependent variables. Results: A total of 109 elderly people with mean follow-up time of 5.4 (± 3.7) months, 51.4% female, 46.8% married and 42.2% with no schooling. The mean age was 75.9 years (± 9.6), and those with> 80 years corresponded to 36.7%. Among the chronic diseases that led to functional disability, the most frequent sequelae was cerebrovascular accident, with 56.9%. Comorbidity was present in 87.2% of patients, 54.1% had some auxiliary device (tracheostomy, gastrostomy, oxygen, mechanical ventilation) and 48.6% presented some type of infection. Rehospitalization were more prevalent in patients with ancillary devices, comorbidities and infections. Of the elderly, 31.2% evolved to death in the follow-up period. The factors related to statistically significant rehospitalization were: neuro-muscular disease, chronic obstructive pulmonary disease and the presence of tracheostomy. Conclusion: There is a relevant percentage of elderly people over 80 years old. The main chronic disease was stroke. The prevalence of patients with comorbidities, ancillary devices and infectious intercurrences was high. As the statistically significant factors related to rehospitalization are associated with respiratory problems (neuro-muscular disease, chronic obstructive pulmonary disease and the presence of tracheostomy), it is proposed to increase the frequency of speech therapy, respiratory physiotherapy and dental care.Item Satisfação profissional de enfermeiros de um hospital da rede pública de Goiânia(Universidade Federal de Goiás, 2013-12-10) Borges, Jackeline Lemes; Bezerra, Ana Lucia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Melo, Maria Aparecida de Souza; Bezerra, Nelson BarbosaThis is an exploratory descriptive cross-sectional study with a quantitative approach , conducted with 47 nurses in a public hospital in Goiânia . The instrument used was a questionnaire Index of Work Satisfaction of Stamps (1997), translated, adapted and validated for Portuguese by Lino (1999). The questionnaire is self-administered and self-explanatory, composed of paired comparisons that allow the identification of the importance of each component to job satisfaction and attitude scale, Likert, which helps identify job satisfaction perceived by the subjects as to the components Autonomy, Interaction, Professional Status, Organizational policies, Pay and Task Requirements. Data were analyzed using SPSS version 18.0. To assess the internal consistency Cronbach's alpha was used. Most of the nurses interviewed were women, married, with some specialization, with less than five years on the job , with more than one employment and effective. The component considered most important to the job satisfaction of nurses was the Pay and least Autonomy. The Professional Status was identified as the one that most influenced the satisfaction regarding their current job, and compensation as the least satisfaction. Index of Work Satisfaction among nurses was 9.77 and the Professional Status showed the highest real level of satisfaction, followed by Interaction, Organizational policies, Autonomy, Task Requirements and Pay. It can be considered that the high level of satisfaction with the professional status of nurses showed motivation to the perception of the importance and recognition of their work by the same category and own patients. The adoption of an instrument, from what was used in this study could be extended to the whole multidisciplinary team, is an alternative to the monitoring of this indicator in public health institutions in Goiânia, contributing to decision making by hospital managers in search of improved quality of care .Item Incidentes em unidades de atenção primária em saúde: percepção da equipe de enfermagem(Universidade Federal de Goiás, 2018-10-26) Braga, Quéren de Pádua; Bezerra, Ana Lúcia Queiroz; http://lattes.cnpq.br/0088227879433410; Bezerra, Ana Lúcia Queiroz; Souza, Marta Rovery de; Alves, Sergiane BisinotoIntroduction: Primary Health Care is the gateway and the first point of contact between the patient and the health system. Investigations focused on patient safety at this level of care are scarce but essential for diagnosing care processes for that preventive measures are taken to improve the quality of care and minimize possible incidents. There is a need for more nursing commitment to involve patients and professionals in the prevention of incidents in this context. Objective: To analyze the perception of professionals of the nursing team regarding the occurrence of incidents in patients attending primary healthcare units. Methodology: A cross-sectional descriptive study with a mixed approach, developed in 24 Basic Health Units of a municipality in the Central South Region of Goiás, with a population of 97 professionals from the nursing team. The data were collected in March 2018 through an interview with the PCISME (Primary Care International Study of Medical Errors) questionnaire to register incidents in APS, adapted and validated for the Brazilian reality. Descriptive analysis of quantitative data and content analysis of qualitative data were performed with the help of ATLAS.ti 7.5.4. Results / Discussion: We identified 88 incidents, divided into care: the most frequent were the vaccination, with 26 reports, followed by medication and fall; and administrative: being 11 related to administrative service and seven organizational structure and material resources. Among the incidents, 52 were considered adverse events, as they caused damage to the patient, two of which were permanent damage and two deaths. The professional category involved in the highest number of incidents were the nursing technicians in 45 reports, followed by doctors, administrative staff and nurses. The results presented the need to deepen this theme in other primary care services in order to improve the quality of care provided by qualified professionals and improve the quality of the organization of services and consequently the safety of patient care. Conclusions: The perception of nursing team's evidenced the need to sensitize managers and health professionals in order to expand strategies of permanent education, the use of instruments of notification of the incidents, since these actions contribute in the diagnosis of the health situation and professionals to promote improvements through safe and quality care. It should be emphasized that encouraging the production of research related to the subject in PHC is a way forward.Item Conselhos locais de saúde na atenção básica: um estudo de revisão da literatura(Universidade Federal de Goiás, 2013-02-28) Brito, Laiz Ayres; Queiroz, Maria Goretti; http://lattes.cnpq.br/7079676967280121; Queiroz, Maria Goretti; Nunes, Maria de Fátima; Marcelo, Vânia CristinaLocal Health Councils (LHC) were institutionalized through a Federal Resolution number 333/2003 , which recognizes these institutions as mechanisms for popular participation in health , directly linked to health unities in Brazil , Basic Health Units (BHU), outpatient and hospitals. This paper aims to describe the popular participation of LHC in UBS in Brazil. This is a descriptive study of qualitative nature, which uses the integrative literature review as a strategy type like collection and data analysis. Pateman (1992) was used as theoretical reference, about the gradual scale of participation; Demo (2009), which addresses the political quality and organizational capacity from the community to participate, besides the educative function of participation (Pateman, 1992; DEMO, 2009; Freire, 2011a; 2011b; 1979). The LHC educative function in primary health care was not a priority for articles discussion, however, it was realized in the advisor member of Local Councils. In addition, the LHC plays a formative and informative role for counselors and community. In LHC prevails a false participation like barriers for whole community participation, the unfavorable positioning of health management to councils and the difficulty to information access. There is also a difficulty in organization of LHC to participate, considered as a result of incipient culture of participation among councilors and community. The criteria of policy quality participation emphasizes: representativeness, mobilization for people participation, self - support and legitimacy. We identified a low substantive representation of local councilors and the drama of isolated leadership as mobilization for people participation. The LHC also need clearer definitions about their roles, especially collective initiatives. It is suggested an educational investment in councils, which stimulates daily life and culture of participation in all stages of life.Item Análise de uma comissão intergestores regional do estado de Goiás na estruturação das redes de atenção à saúde(Universidade Federal de Goiás, 2018-08-28) Campos, Cláudio Silva; Alves, Carla Guimarães; http://lattes.cnpq.br/4751410153566264; Pereira, Edsaura Maria; http://lattes.cnpq.br/8820722314388248; Pereira, Edsaura Maria; Souza, Marta Rovery de; Barbosa, Nelson BezerraINTRODUCTION: The decentralization process has brought the Unified Health System (UHS) closer to the needs of the population, giving managers the challenge of organizing health service networks and services. The strategy used to consolidate regionalization is the structuring of health care networks (HCN), by overcoming fragmented care models. One component employed in the construction of this model of attention is governance through inter- managers relations, mainly at the regional level, in the case of the Regional Inter-managers Commission (RIC). OBJECTIVES: To describe and analyze the nature of the deliberations of the RIC of the state of Goiás and to investigate its process of governance and structuring of HCN; to relate the composition of health services in this region; identify the profile of managers; to describe the organization of the RIC under study and to analyze the perception of the municipal health secretaries on RIC governance and the consolidation of HCN’s. METHOD: Descriptive study with a qualitative approach, using content analysis of data collected from interviews guided by a semi-structured script, with the managers that make up the CIR, associated with the analysis of documents produced by RIC, such as meeting minutes, resolutions and guidelines. RESULTS: The study showed that the RIC in question has a consolidated institutional structure, adequate organizational and technical structuring, with a collaborative and consensual governance process with no state representation in the decisions, and in relation to the HCN, there was a recognition of the importance of RIC as a key actor in governance, but the mechanisms for implementing this process have not been clearly defined. FINAL CONSIDERATIONS: This study pointed out the need to broaden the participation of other actors in the regional governance process, such as health regional, health councils and other, improving managers in relation to HCN’s, institutional and normative planning, institute processes for monitoring and evaluation of HCN’s and redefining the role and relationship of primary health care in HCN’s and their thematic networks.