Mestrado em Enfermagem e Saúde (FEN)

URI Permanente para esta coleçãohttp://200.137.215.59/tede/handle/tde/256

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Perfil das infecções neonatais em recém- nascidos prematuros com displasia broncopulmonar em uma unidade de terapia intensiva neonatal.
(Universidade Federal de Goiás, 2026-02-25) Santana, Juliane Rodrigues Ferreira de; Mendonça, Ana Karina Marques Salge; http://lattes.cnpq.br/7766918925030041; Castral , Thaíla Corrêa; Sousa , Marilia Cordeiro de
Introduction: Neonatal infections remain one of the leading causes of morbidity and mortality in neonatal intensive care units, especially among premature newborns with bronchopulmonary dysplasia. Bronchopulmonary dysplasia is a multifactorial chronic lung disease resulting from interactions between pulmonary immaturity, inflammatory processes, and postnatal exposures such as mechanical ventilation and infection. Objective: To analyze the profile of neonatal infections in preterm newborns with bronchopulmonary dysplasia in the neonatal intensive care unit of a university reference hospital in Goiânia, Goiás. Method: This is a quantitative, descriptive, retrospective study conducted from January 2019 to July 2025, based on the review of 85 medical records of preterm newborns with gestational age under 34 weeks diagnosed with neonatal infection and bronchopulmonary dysplasia. Data were collected from clinical records. Results: Among the 85 participants, 31% presented early-onset neonatal infection, 19% late-onset infection, and 50% both types. A total of 80 episodes of lateonset infection were recorded, with bloodstream infections (34%) and meningitis (19%) being the most frequent. The most commonly isolated microorganisms were methicillin-resistant Staphylococcus aureus, Staphylococcus haemolyticus, Klebsiella pneumoniae, and Staphylococcus epidermidis, reflecting the predominance of pathogens associated with invasive devices and hospital care. Among newborns who developed bronchopulmonary dysplasia and neonatal infection, 44% had an Apgar score lower than 7 at the first minute of life. Additionally, 59% required neonatal resuscitation, 46% underwent invasive mechanical ventilation, 49% received Continuous Positive Airway Pressure, and 64% used surfactant, indicating greater initial clinical severity and the need for early respiratory support. Bronchopulmonary dysplasia was classified as mild in 34%, moderate in 37%, and severe in 29% of the preterm infants. Very low and extremely low birth weight newborns predominated, with high use of mechanical ventilation (79%), parenteral nutrition (96%), and a mean length of hospital stay of 57 days (±33.4). The mortality rate was 13%. Conclusion: The study described the profile of neonatal infections in preterm newborns with bronchopulmonary dysplasia, highlighting clinical, microbiological, and healthcare-related characteristics observed in the analyzed sample. The infections identified reflected the care context of the unit, with no inferential comparisons or risk assumptions in relation to groups not investigated. The presence of multidrug-resistant pathogens and the prolonged use of invasive devices underscore the need for strict prevention measures. The findings contribute to a comprehensive characterization of the target population, providing a basis for optimizing neonatal care and reinforcing patient safety protocols within intensive care settings.
Fatores Associados À Sobrecarga Em Cuidadores Familiares De Pessoas Idosas Nonagenárias
(Universidade Federal de Goiás, 2026-03-03) Silva, Viviane Oliveira da; Pagotto, Valeria; http://lattes.cnpq.br/9865313041988933; Nunes, Daniella Pires; Nunes, Cynthia Assis De Barros
Introduction: Family care for elderly people aged 90 and over involves increasing physical, emotional, and social demands, which can negatively impact the caregiver's health and well-being, resulting in burden. Despite this recognition, evidence regarding caregiver burden in the context of caring for individuals aged 90 and over, as well as the factors associated with this outcome, remains scarce. Objective: To analyze the care burden of family caregivers of elderly people aged 90 and over; and to analyze the demographic and health conditions of both caregivers and elderly individuals associated with burden. Method: A cross-sectional study conducted with 354 elderly-caregiver dyads in Goiânia, Goiás, Brazil. Participants were recruited from 53 Basic Health Units in Goiânia with registered populations. Burden was assessed using the Zarit Burden Interview, a 22- item scale with scores ranging from 0 to 88 points. Sociodemographic information (sex, age, race/color, kinship, education, income, marital status) and health/social data of the caregiver (multimorbidity, depressive symptoms, social support, care burden) were collected, along with health data of the elderly (multimorbidity, basic activities of daily living, instrumental activities of daily living), as well as clinical, functional, and psychosocial information. Descriptive analysis and adjusted linear regression were performed, adopting a significance level of 5%. Results: The mean burden score was 45,13 +15,18, and 35% presented moderate to intense burden and 16% intense burden. Among caregivers, bivariate analysis showed higher burden scores in those with multimorbidities (p=0.002), depressive symptoms (p≤0.001), and social support (p≤0.001). In the adjusted analysis, depressive symptoms remained associated with burden (β=0,65; IC95%: 0,43–0,86; p≤0,001), while social support showed an inverse association (β=-0,14; IC95%: -0,22-0,05; p=0,002). Among the elderly, bivariate analysis showed a significant association between burden and multimorbidity (p=0.003) and dependence in basic activities of daily living (p≤0.001). In the adjusted regression analysis, multimorbidity (β=5,05; IC95%: 0,83–9,28; p=0,019), and activities of daily living (β=1,13; IC95%: 0,06–2,19; p=0,038) remained associated with higher burden. Conclusion: Half of the caregivers experienced moderate to severe burden. Caregiver depressive symptoms increased burden, while social support acted as a protective factor. Multimorbidity and ADL dependence among elderly people aged 90 and over increased the burden. These results have implications for care policies aimed at individuals providing long-term care for the elderly.
Hemorragia Pós-Parto, Causas e Desfechos Maternos: um estudo transversal
(Universidade Federal de Goiás, 2026-03-25) Almeida, Marília de Sousa Lima de; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Moreira, Ana Paula Assunção; Guimarães , Janaina Valadares
Introduction: Postpartum hemorrhage (PPH) is the leading cause of maternal morbidity and mortality worldwide and the second in Brazil, mainly determined by uterine atony, trauma, retained placental tissue, and coagulation disorders. Objective: To investigate the association between the causes of PPH within the first 24 hours and maternal outcomes such as stability in rooming-in care (ALCON), instability while awaiting transfer to the Intensive Care Unit (ICU), and maternal death. Methods: This is a quantitative analytical cross-sectional study. Data collection was conducted from June 2024 to March 2025, based on electronic medical records of postpartum women treated in two public maternity hospitals in the Midwest region of Brazil, from December 2022 to November 2023. Descriptive statistics included absolute and relative frequencies, as well as measures of central tendency and dispersion. Associations between primary dependent variables (Causes: tone, trauma, tissue, and thrombin), secondary variables (Maternal outcomes: ALCON, ICU, and maternal death), and independent maternal variables—sociodemographic (age, marital status, race/skin color) and obstetric (comorbidities, previous obstetric risk, prenatal care, risk for PPH, gestational age, number of pregnancies and abortions, labor and mode of delivery, instrumental delivery, oxytocin use during labor, placental delivery in vaginal birth, intact cotyledons and membranes, prophylactic oxytocin, uterine tone assessment, attending professional at delivery, vital signs during labor, shock index, vital signs in the first hour postpartum, skin-to-skin contact, and breastfeeding in the first hour of life)—were assessed using Poisson regression with robust variance. Results were expressed as Prevalence Ratios (PR) with 95% confidence intervals (95% CI). Undocumented causes of PPH were also analyzed. The significance level was set at 5%. Results: A total of 8,358 medical records were evaluated, and the final sample of women with PPH was 794 (9.5%), of whom 784 (98.7%) had ALCON as outcome and 10 (1.3%) were awaiting ICU transfer. No maternal deaths occurred. The most prevalent causes of PPH were uterine atony 87.8% (697), tissue 6.2% (49), trauma 6.0% (48), and undocumented causes 8.3% (66). Women with uterine atony had an 83% reduction in ICU admission (adjusted PR = 0.17; 95% CI 0.07–0.39; p < 0.001), whereas retained tissue showed a 2.7-fold increase in ICU indication (adjusted PR = 2.70; 95% CI 1.16–6.28; p = 0.022). In the adjusted analysis, the following associations were observed: uterine atony with the assessment of vital signs during labor (adjusted PR = 1.07; 95% CI: 1.01–1.14; p = 0.015); trauma with cesarean delivery (adjusted PR = 0.23; 95% CI: 0.08–0.64; p = 0.005), instrumental delivery (adjusted PR = 2.82; 95% CI: 1.23–6.48; p = 0.015), and an inverse association with breastfeeding in the first hour of life (adjusted PR = 0.57; 95% CI: 0.33–0.98; p = 0.043); retained tissue with previous obstetric risk (adjusted PR = 5.99; 95% CI: 2.93–12.23; p < 0.001) and number of abortions (adjusted PR = 1.51; 95% CI: 1.11–2.06; p = 0.009); and undocumented cause inversely associated with vital signs during labor (adjusted PR = 0.35; 95% CI: 0.20–0.62; p < 0.001) and associated with cesarean delivery (adjusted PR = 2.69; 95% CI: 1.23–5.90; p = 0.014). Conclusion: Most postpartum women had stability in ALCON as their maternal outcome. The main causes of PPH were tone, tissue, and trauma. Study contribution: Understanding the prevalence of causes and outcomes may assist health managers in resource allocation, enabling professionals to address causes and reduce maternal morbidity and mortality due to PPH.
Teoria de médio alcance do diagnóstico de enfermagem integridade do complexo mamilo-areolar prejudicada
(Universidade Federal de Goiás, 2025-12-04) Bollela, Larissa Aquino Rocha; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Cavalcante, Águeda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Cavalcante, Águeda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Lira, Ana Luisa Brandão de Carvalho; http://lattes.cnpq.br/4545130167501174; Carmona, Elenice Valentim; http://lattes.cnpq.br/2163381815519225
Resumo
Efeito de intervenções não farmacológicas para o manejo de náuseas e vômitos na gestação: revisão integrativa
(Universidade Federal de Goiás, 2025-09-25) Cabral, Joyce Nunes; Bachion, Maria Márcia; http://lattes.cnpq.br/8503907944360635; Bachion, Maria Márcia; Vieira, Flaviana Vely Mendonça; Marta, Ilda Estefani Ribeiro
Embargado
Associação entre alterações anatomopatológicas placentárias e síndromes hipertensivas em gestações gemelares
(Universidade Federal de Goiás, 2025-06-18) Figueira, Vandressa Barbosa; Mendonça, Ana Karina Marques Salge; http://lattes.cnpq.br/7766918925030041; Mendonça, Ana Karina Marques Salge; http://lattes.cnpq.br/7766918925030041; Siqueira, Karina Machado; http://lattes.cnpq.br/0644332775668979; Pereira, Gilberto de Araújo; http://lattes.cnpq.br/8876450664255918; Rossi, Renata Calciolari; http://lattes.cnpq.br/9313445810035844; Sousa, Marilia Cordeiro de; http://lattes.cnpq.br/0293373613286443
Embargado
Capacidade Preditiva E Prognóstica Dos Indicadores Clínicos Do Diagnóstico De Enfermagem Desobstrução Ineficaz Das Vias Aéreas Em Adultos Com Covid-19: Um Estudo Longitudinal
(Universidade Federal de Goiás, 2025-12-20) Feliciano, Kennedy; Cavalcante, Agueda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Matos, Marcos André de; http://lattes.cnpq.br/1492491906180226; Matos, Marcos André de; Pereira, Lilian Varanda; Pascoal, Livia Maia
The SARS-CoV-2 pandemic posed a clinical challenge for all healthcare professionals. In this context, nurses, through the Nursing Process, were required to accurately identify and clinically judge human responses to this disease, which presents with diverse manifestations, especially respiratory ones. However, there are no clinical studies specifically addressing respiratory nursing diagnoses, which underscores the relevance and originality of this investigation. OBJECTIVE: To analyze the predictive and prognostic capacity of clinical indicators for the nursing diagnosis "Ineffective Airway Clearance (IAC)" in adults with COVID-19 hospitalized in clinical units. METHODOLOGY: This was a prospective cohort study conducted with 106 hospitalized adults who were followed for five consecutive days through anamnesis and clinical evaluation. The accuracy of the Defining Characteristics (DC) of the "Ineffective Airway Clearance" diagnosis was calculated using a two-latent-class model, with sensitivity and specificity estimates (95% CI). The model fit was assessed using the likelihood ratio test (G2) and the relative entropy test. To calculate the incidence rate per 1,000 patients, diagnostic inference was based on the posterior probabilities from the latent class analysis. Cox univariate regression models and the Wald test were applied to evaluate the influence of DCs on IAC survival time. Univariate Poisson regression with a robust variance estimator was used to identify associations and effect sizes between sociodemographic and clinical variables and the occurrence of IAC. The Wald test was applied to each Poisson model to verify the association of explanatory variables with the diagnosis of interest, estimating relative risks with their respective 95% confidence intervals. Variables with p<0.05 were considered statistically significant. RESULTS: Some DCs showed good diagnostic inference, demonstrating high sensitivity (Se) and specificity (Sp), such as: Ineffective sputum elimination (Se = 87%; Sp = 100%), Ineffective cough (Se = 67%; Sp = 100%), and Tachypnea (Se = 66%; Sp = 59%). Patients identified as white (RR=3.67×1010; 95% CI: 5.63×109 – 2.39×1011), with heart disease (RR = 4.17; 95% CI: 1.03 – 16.90), and those vaccinated with CoronaVac (RR=3.96×1011; 95% CI: 9.53×1010 – 1.65×1012) had a higher risk of developing IAC. The incidence rate for IAC was 31 per 1,000 patients (95% CI: 11.61–66.67). Additionally, the absence of cough increased the risk of developing IAC nearly sevenfold (HR=6.94; 95% CI: 1.18 – 40.74; Wald χ2=4.60); altered respiratory rhythm, nasal flaring, use of accessory muscles for breathing, and psychomotor agitation each increased the risk by 11 times; difficulty verbalizing increased the risk by 38 times. CONCLUSION: This study stands out for its innovative nature in generating results intended to inform future applications of the Nursing Process. It is expected that, beyond its contributions to evidence-based clinical practice, this work will support the consolidation of the Nursing Process and promote greater visibility of nursing as both a science and a profession.
Sintomas depressivos em puérperas afrodescendentes no contexto pandêmico da COVID-19: estudo transversal
(Universidade Federal de Goiás, 2025-02-18) Alves, Guilherme Kelvin Araújo; Cavalcante, Águeda Maria Ruiz Zimmer; Bahia, Julyana Cândido; Guimarães, Janaina Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaina Valadares; Pereira, Lilian Varanda; Almeida, Nilza Alves Marques
Embargado
Detecção de casos de tuberculose na atenção primária à saúde em duas capitais do Brasil: ações cruciais e perspectivas pós-pandemia da COVID-19
(Universidade Federal de Goiás, 2025-03-07) Oliveira, Johannes Abreu de; Souza, Sabrina da Silva de; https://lattes.cnpq.br/8704537518593762; Gonzales, Roxana Isabel Cardozo; http://lattes.cnpq.br/9433866515781707; Gonzales, Roxana Isabel Cardozo; http://lattes.cnpq.br/9433866515781707; Spagnolo, Lílian Moura de Lima; http://lattes.cnpq.br/0387100953903284; Nunes, Cynthia Assis de Barros; http://lattes.cnpq.br/8960122214003826
Embargada.
Fatores de risco para lesão por pressão em pacientes com Covid-19 internados em UTI durante o período pandêmico: coorte retrospectiva
(Universidade Federal de Goiás, 2025-03-06) Grants, Alessandra Rosas; Pereira, Lilian Varanda; http:// lattes.cnpq.br/6953643275046028; Pereira, Lilian Varanda; Bachion, Maria Márcia; Nunes, Cynthia Assis de Barros
Embargado
Catastrofização da dor em gestantes nulíparas durante o trabalho de parto vaginal: um estudo transversal
(Universidade Federal de Goiás, 2025-04-22) Sambula, Eliana Catalina Lopez; Almeida , Nilza Alves Marques; http://lattes.cnpq.br/2486258562480055; Pereira, Lilian Varanda; http://lattes.cnpq.br/6953643275046028; Pereira, Lilian Varanda; http://lattes.cnpq.br/6953643275046028; Matos, Marcos Andre de; http://lattes.cnpq.br/1492491906180226; Pacheco, Leonora Rezende; http://lattes.cnpq.br/0944928226120836
Embargada.
Prevalência e fatores associados à sífilis gestacional no contexto da pandemia de COVID-19
(Universidade Federal de Goiás, 2025-01-31) Lopes, Wanda Carvalho; Vieira, Flaviana Vely Mendonça; http://lattes.cnpq.br/5199507174724803; Guimarães, Janaina Valadares; http://lattes.cnpq.br/0986934969522024; Guimarães, Janaina Valadares; Mattos, Marcos André de; Freitas, Nara Rúbia de
INTRODUCTION: The COVID-19 pandemic negatively impacted prenatal, childbirth, and postpartum care, resulting in changes in hospital protocols and an increase in gestational syphilis cases due to reduced access to prenatal care. OBJECTIVE: To analyze the prevalence of gestational syphilis and factors associated with it in the context of the COVID-19 pandemic. METHODOLOGY: This cross-sectional study was carried out in a referral hospital in central Brazil, using secondary data from pregnant women’s medical records and systems such as SPDATA, MV, and SINAN NET. Cases of gestational syphilis diagnosed between 2018 and 2022, corresponding to the pre-pandemic and pandemic periods of COVID-19, were analyzed. The dependent variable was the prevalence of gestational syphilis, diagnosed clinically and through treponemal and non-treponemal serological tests. The independent variables included the COVID-19 pandemic, sociodemographic factors, access to healthcare services, and maternal and obstetric factors. RESULTS: The study revealed that 62.2% of the pregnant women did not have a paid job and 55.6% were without a partner. In addition, 16.5% had not undergone prenatal care and 54.8% had six or fewer appointments. HIV coinfection was observed in 3.1% of the pregnant women, and 51% reported previous pregnancies, with an abortion rate of 16.1%. The prevalence of gestational syphilis increased from 0.80% in the pre-pandemic period to 1.67% during the pandemic, representing a 108.75% increase. During the pandemic, there was a significant decrease in the number of normal births (p = 0.035; Exp(B) = 0.8; 95% CI: 0.69 - 0.99). HIV prevalence was higher in the pre-pandemic period, with a 153% higher risk for pregnant women in this period (p = 0.009; Exp(B) = 2.5; 95% CI: 1.26 - 5.00). Pregnant women with syphilis in the pre-pandemic period were significantly less likely to have a paid job (p = 0.038; Exp(B) = 0.83; 95% CI: 0.71 - 0.99). There were significant differences between the groups in terms of mode of delivery (p=0.012) and abortion rate (p=0.016). CONCLUSIONS: The study found a higher prevalence of gestational syphilis during the pandemic, with significant differences between the groups in terms of mode of delivery and abortion rate, highlighting the negative impact of syphilis on obstetric outcomes.
Qualidade do registro de enfermagem em hospital universitário: um estudo transversal
(Universidade Federal de Goiás, 2025-01-23) Araújo, Clarissa Santos de Lima; Cavalcante, Agueda Maria Ruiz Zimmer; http://lattes.cnpq.br/2468197020621699; Cavalcante, Agueda Maria Ruiz Zimmer; Santana , Rosimere Ferreira; Linch, Graciele Fernanda da Costa
Embargada.
Cuidados em saúde mental às puérperas na atenção primária à saúde: revisão de escopo
(Universidade Federal de Goiás, 2024-03-11) Silva, Ana Caroline Mourão; Caixeta, Camila Cardoso; http://lattes.cnpq.br/6328431715794338; Caixeta, Camila Cardoso; Souza, Adrielle Cristina Silva; Guimarães, Janaina Valadares
INTRODUCTION: Studies show that the main mental disorders affecting puerperal women are baby blues, postpartum depression and puerperal psychosis. The provision of health services for puerperal women in Primary Health Care (PHC) should cover the entire pregnancy period until after childbirth, taking into account the woman's biopsychosocial aspects. This level of health care is responsible for carrying out the puerperal consultation and follow-up, one of the main strategies for promoting maternal and child health, and failure to do so can lead to underdiagnosis or a delay in detecting mental disorders. The lack of mental health care for puerperal women is a problem that can have serious consequences for women's health. In view of this, this study aims to examine what has been done in terms of mental health care for puerperal women in PHC. OBJECTIVE: To map the scientific literature on the mental health care provided to puerperal women in Primary Health Care. METHODOLOGY: This is a scoping review, which aims to synthesize evidence and thus determine the main concepts, studies and gaps in a given area of knowledge. The search was carried out in the databases Scopus, Web of Science, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Pubmed, Medline (via PUBMED), LILACS (via BVS), Elsevier, in addition to the databases that index gray literature, which were Catálogo de Teses e Dissertações (CAPES) and Google Scholar. The terms used were "Postpartum Period", "Mental Health", "Primary Health Care", "Mental Health Assistance", "Mental hygiene" and their respective correspondents in Portuguese and Spanish. The searches in the databases generated a total of 1,482 results, 34 of which were considered eligible because they dealt with the three central themes of this review: puerperal women, mental health care and Primary Health Care. RESULTS: The quantitative results were analyzed using quantitative descriptive analysis and organized into graphs and tables. The qualitative data was analyzed using descriptive qualitative content analysis. Among the findings, the most prevalent countries in the studies were the United States, Australia and Canada, and the years with the highest number of publications on the subject were 2015 and 2018. Among the wide range of professionals who provide mental health care in the context of PHC, the studies showed a prevalence of nurses, followed by doctors and psychologists. As for the mental health care offered to puerperal women reported in the studies, 32% was aimed at screening for mental disorders, followed by treatment, with 24%. Referrals accounted for 18% of the actions reported by the professionals, while diagnoses of the disorders accounted for 15% of the care listed. Care aimed at promoting the mental health of puerperal women accounted for only 11% of the strategies reported in the studies. CONCLUSION: The identification of supply deficits and limited mental health care can result in low adherence or inadequate treatments, leading to negative outcomes. To reverse this situation, it is essential to ensure adequate follow-up for comprehensive health care for postpartum women.
Fatores de risco para baixa autoeficácia de mães para amamentar prematuros: estudo de coorte
(Universidade Federal de Goiás, 2025-02-21) Monteiro, Vinícius de Sousa; Castral, Thaíla Corrêa; http://lattes.cnpq.br/8910125241591217; Castral, Thaíla Corrêa; Siqueira, Karina Machado; Rossetto, Edilaine Giovanini
Embargado
Qualidade de vida no trabalho de enfemagem em centro de material e esterilização e em unidades de internação
(Universidade Federal de Goiás, 2024-12-18) Vidal , Fabiana Divina Mendanha de Mattos; Tipple, Anaclara Ferreira Veiga; http://lattes.cnpq.br/4288704233343920; Oliveira, Lizete Malagoni de Almeida Cavalcante; http://lattes.cnpq.br/2680821388094276; Oliveira, Lizete Malagoni de Almeida Cavalcante; Fusco, Suzimar de Fátima Benato; Barbosa, Maria Alves
Embargada.
Responsividade do Sistema de Classificação SINBAD na avaliação de úlcera no pé relacionada ao diabetes
(Universidade Federal de Goiás, 2024-12-11) Barros, Luciana da Silva; Bachion, Maria Márcia; http://lattes.cnpq.br/8503907944360635; Bachion, Maria Márcia; Soriano, José Verdú; Pereira, Lilian Varanda
Embargado.
Autoeficácia materna para a amamentação de prematuros: revisão de escopo
(Universidade Federal de Goiás, 2025-03-12) Sá, Alinne Almeida Sousa de; Castral, Thaíla Corrêa; http://lattes.cnpq.br/8910125241591217; Siqueira, Karina Machado; http://lattes.cnpq.br/0644332775668979; Siqueira, Karina Machado; Mendonça, Ana Karina Marques Salge; Butrico, Gabriela Ferreira de Oliveira
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Prevalência e fatores associados à sífilis em populações vulneráveis em tempos de pandemia Covid-19
(Universidade Federal de Goiás, 2024-03-12) Silva Filho, Gabriel Francisco da; Teles, Sheila Araújo; http://lattes.cnpq.br/4975298732179917; Teles, Sheila Araújo; Cardoso, Juliana Lamaro; Caetano , Karlla Antonieta Amorim
During the COVID-19 pandemic, programs and services for the diagnosis, treatment, and prevention of sexually transmitted infections (STIs) were interrupted or slowed down to redirect material and human resources to control the health crisis, thus compromising the global strategy to eliminate syphilis as a public health problem. Our study addressed this gap during the pandemic and tracked syphilis in vulnerable populations. The aim of this study was to evaluate the prevalence and risk factors associated with syphilis in socially and economically vulnerable population groups in Goiânia, Goiás. The studied population consisted of 635 individuals living in Goiânia, Goiás: LGBTQIAP+ people, immigrants and refugees, homeless people, and recyclable waste collectors. All participants were interviewed about sociodemographic data and risk behaviors for STIs. Subsequently, blood samples were collected and tested for anti-T. pallidum using a rapid test (RT), and positive samples were subjected to the VDRL test, using commercial kits. Syphilis was considered for those who tested positive in the RT and active syphilis for those with VDRL titers ≥ 1/8. Non-parametric tests were used for data analysis, as appropriate. Poisson regression analysis was used to identify variables associated with syphilis. The analysis was conducted by subgroups, specifying the differences existing in each population. P-values < 0.05 were considered statistically significant. Most individuals were male (53.2%), single (58.8%), and black or brown (75.9%). The median age, years of schooling, and monthly income were 33 years, 10 years of study, and R$ 1,200.00, respectively. The overall prevalence of syphilis was 17%, ranging from 7.6% in immigrants/refugees to 36.7% in LGBTQIA+ people. The prevalence of active syphilis was 5%, ranging from 1.8% in recyclable waste collectors to 15.2% in LGBTQIA+ people. The analysis of factors associated with syphilis revealed a higher prevalence of STIs in all studied subgroups. For recyclable waste collectors, older age, female gender, and illicit drug use were variables associated with syphilis, while for homeless people, education was a protective factor and transactional sex was a predictor of syphilis. The results of this study confirm the high prevalence of syphilis in socioeconomically vulnerable populations. However, the specificities of each subgroup should be considered in the planning and implementation of STI prevention strategies.
Competências de enfermeiros recém-graduados para gestão: desafios para a formação profissional
(Universidade Federal de Goiás, 2023-03-17) Almeida, Daniel Ribeiro de; Santos, Patrícia Tavares dos; http://lattes.cnpq.br/8052298165888796; Ribeiro, Luana Cássia Miranda; http://lattes.cnpq.br/1727326201446926; Ribeiro, Luana Cássia Miranda; Medeiros, Marcelo; Pascon, Daniela Miori
Históricamente, las enfermeras han asumido cargos de gestión en las unidades de salud, pues desde su origen, la enfermería, a través de las damas enfermeras de la época de Florence Nightingale, ha tenido la preocupación de asegurar la organización y administración de los servicios de salud. En consonancia con esto, la formación de enfermeros incorpora en su estructura curricular horas específicas para disciplinas relacionadas con la gestión, siendo una de las pocas graduaciones en el área de la salud con esta especificidad. Por lo tanto, existe la necesidad de una mayor inversión en la formación de enfermeras gestoras, respondiendo a las demandas del mercado laboral y evidenciando las lagunas existentes en el desarrollo de habilidades directivas desde la graduación hasta la práctica profesional. OBJETIVO: Describir las percepciones de las enfermeras en sus primeros cuatro años de trabajo sobre las competencias para el ejercicio de la gestión sanitaria. METODOLOGÍA: Estudio descriptivo-exploratorio con abordaje cualitativo, realizado con 14 enfermeros recién graduados de una universidad pública de Goiás. A coleta foi realizada nos meses de agosto e setembro de 2022 utilizando um roteiro semiestruturado composto por sete perguntas abertas para descrição da percepção desses enfermeiros sobre as competências para a gestão. El análisis se realizó mediante el método de análisis de contenido de Bardin y, posteriormente, mediante la clasificación jerárquica descendente, el análisis de similitud, el análisis fatorial de correlación y el muestreo de palabras mediante el software IRaMuTeQ. RESULTADOS: La mayoría de las enfermeras ocupaban puestos asistenciales, con más de dos años de formación y un tiempo de desempeño equivalente al de su formación. Enumeraron las competencias directivas adquiridas durante la graduación: comunicación, gestión de conflictos, liderazgo, trabajo en equipo, relaciones interpersonales, gestión de flujos asistenciales, gestión de recursos humanos, financieros y materiales, toma de decisiones, gestión del tiempo, formación continuada y asistencia, de acuerdo con las Directrices Curriculares Nacionales de Enfermería (DCN/ENF). Durante su desempeño profesional adquirieron las competencias de gestión de conflictos, toma de decisiones, delegación de funciones y negociación, que se sumaron a las adquiridas antes de acceder al mercado laboral. Estas competencias fueron adquiridas durante el curso de graduación, que tuvo como diferencial una estructura curricular con asignaturas específicamente centradas en cuestiones de gestión de enfermería, con una gran carga de trabajo práctico que, según ellas, desencadenó una mayor adquisición de estas competencias, la participación en actividades extracurriculares, además de que la estructura del curso fue percibida como un ejemplo en términos de formación de enfermeras gestoras. Los participantes sugirieron puntos de mejora en la matriz curricular como la inserción de nuevas materias obligatorias como seguridad del paciente, inserción de simulación realista como estrategia para el desarrollo de competencias actitudinales y aproximación con campos de pasantía en el sector privado. CONSIDERACIONES FINALES: Los participantes de este estudio relataron un conjunto de competencias de gestión desarrolladas durante la graduación que van más allá de las exigidas en la ENF-DCN y señalaron contribuciones para la mejora de las matrices curriculares de los cursos de pregrado en enfermería. Se espera que otros estudios puedan ser desarrollados en otros contextos, como instituciones de enseñanza privada.

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