Dissertações em Enfermagem (Mestrado) - PPGENF/ICS
URI Permanente para esta coleçãohttps://repositorio.ufpa.br/handle/2011/4815
O Mestrado Acadêmico iniciou-se 01/01/2011 pertence ao Programa de Pós-Graduação em Enfermagem (PPGENF) do Instituto de Ciências da Saúde (ICS) da Universidade Federal do Pará (UFPA).
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Navegando Dissertações em Enfermagem (Mestrado) - PPGENF/ICS por Orientadores "FERREIRA, Glenda Roberta Oliveira Naiff"
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Item Acesso aberto (Open Access) Práticas de enfermagem no processo de trabalho na atenção primaria à saúde: desafios no contexto da pandemia da COVID-19 na região norte do Brasil(Universidade Federal do Pará, 2023-11-01) REIS, João Paulo Monteiro dos; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950Objective: To understand the challenges related to the work process and nursing practices in PHC faced by nurses during the covid-19 pandemic in the Amazon region. Methods: Observational study, with a qualitative cross-sectional design carried out in four states in the northern region: Pará, Acre, Rondônia and Roraima, located in the Brazilian Amazon. The collection instrument was a semi-structured interview where the participants were nurses who worked in care or management in primary health care units. The interview data were processed using Bardin's content analysis and the IRaMuTeQ software version 0.7 alpha 2. Results: The average age of the research participants was 40.8 years, the majority were women, 66.7% were mixed race , 30% white, 3.3% black and one nurse did not declare their color. Based on the analysis carried out by the software, the corpus was fragmented into 651 text segments, representing 84.94% of the interview content, resulting in three thematic categories and one subcategory: category 1- The impact of covid- 19 in the assistance of professional nurses; Subcategory 1: nursing care for priority groups during covid-19 category; 2- Nurse care in PHC during covid-19; Category 3- the challenges and biopsychosocial aspects of professional nurses in facing Covid-19. Conclusion: Nurses faced several challenges during the covid-19 pandemic period, such as a substantial increase in demand for healthcare, placing an intense workload on nurses who worked during this period in the Amazon region. There was a need to quickly adapt to new care protocols, including screening, testing and monitoring of patients with Covid-19. A significant transformation was triggered in the way nurses carried out their work, with the internet playing a crucial role in this new work process. There was a significant impact on the biopsychosocial health of nurses.Item Acesso aberto (Open Access) Práticas individuais e coletivas dos enfermeiros na atenção primária à saúde: um panorama da região norte do Brasil(Universidade Federal do Pará, 2023-10-31) VELOSO, Caroline de Morais Zanchin; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950INTRODUCTION: territorial characteristics, with an emphasis on the geography of the North region, require individual and collective practices in the work of Primary Health Care nurses that meet the peculiarities of the populations that inhabit this territory. OBJECTIVE: to analyze individual and collective practices that are associated with the dificulties of nurses working in Primary Health Care in the North region. METHOD: mixed methods study carried out with Primary Health Care nurses in the North region, between November 2019 and August 2021, using an electronic form and interview. The data were analyzed using the Bioestat program and the IRaMuTeQ® software, using Bardin's thematic content analysis. RESULTS: 626 nurses participated in the quantitative stage and 31 in the qualitative stage. Difficulty in carrying out practices was described by 15.7% (98/626) of nurses. Four categories were identified in the qualitative analysis: professional autonomy in their activities; need for a prescription from another professional to complete a service; work facilities; difficulties at work. Among collective practices, there was an association between difficulty and participation in the management of inputs (p = 0.03), but it was evident from the interviews that the nurse participates in the request for technical material, but does not receive it as requested. In individual practices, there was an association between the difficulty in carrying out a consultation (p = 0.03) and the prescription of medications (p = 0.02). The qualitative analysis demonstrates that the nurse needs a prescription from another professional to complete a service he started. The association between difficulty and resolution showed significance between prenatal consultation (p = 0.000), activities to monitor child growth and development (p= 0.001; 25%) and family planning (p= 0.000; 25.7%) . However, these are practices that nurses report that they exercise with greater autonomy. The association of difficulty with caring for hypertensive patients (p <0.0001) and diabetics (p<0.0001) also showed insufficient resolution. In these activities, the nurse describes needing the doctor to prescribe medications and complete the care. CONCLUSION: The work carried out by primary health care nurses requires the continuous improvement of these professionals' skills and abilities, especially with regard to nursing consultations and medication prescriptions. The implementation of nursing protocols and continuing education help in the development of professional autonomy, aiming at the quality of the service and the resolution of the assistance provided to users.