Artigos Científicos - FAENF/ICS
URI Permanente para esta coleçãohttps://repositorio.ufpa.br/handle/2011/2216
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Navegando Artigos Científicos - FAENF/ICS por Autor "CARVALHO, Jacira Nunes"
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Item Acesso aberto (Open Access) Confiabilidade e validade das declarações de óbitos por câncer de útero no município de Belém, Pará, Brasil(2004-10) CARVALHO, Jacira Nunes; KOIFMAN, Rosalina Jorge; MATTOS, Inês Echenique; MONTEIRO, Gina Torres RegoBelém, Pará State, Brazil, presents high mortality rates for uterine cervical cancer, thus justifying an analysis of the reliability and validity of data on this underlying cause of death. Death certificates for Belém residents who died in 1998-1999 from neoplasms of the uterine cervix, uterine body, or unspecified uterine site, or with mention of such a neoplasm on any line in the death certificate, were selected, amounting to 188 death certificates (DCs). All DCs were submitted to new coding, and reliability analysis was performed by simple agreement and Cohen's kappa. The underlying cause of death, established after review of medical records and/or histopathological findings, was considered the gold standard for analysis of criteria validity, based on the positive predictive value. We observed a simple agreement of 94.0% and kappa of 0.87, suggesting high reliability of the official system's coding of uterine cancer as the underlying cause of death. In the validity analysis, 120 of the 127 deaths originally considered as caused by cancer of the uterine cervix and 3 of the 4 coded as cancer of the uterine body were confirmed. An 11.2% increase in uterine cervical tumors and a reduction of 62.5% in unspecified uterine tumors were observed.Item Acesso aberto (Open Access) Políticas e tecnologias de gestão em serviços de saúde e de enfermagem(2009-12) LOPES, Márcia Maria Bragança; CARVALHO, Jacira Nunes; BACKES, Marli Terezinha Stein; ERDMANN, Alacoque Lorenzini; MEIRELLES, Betina Hömer SchlindweinOBJECTIVE: To determine if Brazilian nurses have knowledge of politics and technologies for the administration of health care and nursing services. METHOD: A integrative literature review was conducted using the LILACS, MEDLINE, SciELO, BDENF, and PAHO databases. The key words "administration of health care," "health technology," and "health care technology and nursing," limited to publications in Portuguese, Spanish, and English were used to search the databases. RESULTS: Eleven publications from 2003 to 2007 were retrieved. Nurses could articulate well in the nursing services and had technical competencies for professional nursing practice; however, they were fragile politically; this limited their professional autonomy and made them to be subordinated to other health care professionals. CONCLUSION: Advancement and continuing changes in health care, particularly in the organizational and technical-scientific levels, require nurses to develop and strengthen their political, management, and leadership skills to participate equally in a interdisciplinary leadership team.