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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Análise espacial da epidemia de HIV entre homens jovens no Brasil: um estudo ecológico
(Universidade Federal do Pará, 2023-08-21) MARTINS, Cleyton Abreu; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
Introduction: Globally, it is estimated that for every seven new human immunodeficiency virus (HIV) infections, two occur among young people. Spatial analysis studies are essential tools in the fight against HIV. Objective: To spatially analyze the Brazilian historical scenario of the HIV epidemic among young men, from 2007 to 2021. Methods: An ecological study that used secondary databases from the Notifiable Diseases Information System. All cases of HIV and immunologically acquired disease syndrome (AIDS) among men between 15 and 29 years of age and with fixed residence in Brazil were considered. The 5,570 Brazilian municipalities were considered as the unit of analysis and the HIV/AIDS incidence rate standardized by age group as a variable. The following spatial analysis techniques were used: 1) Spatial Distribution, 2) Spatial Autocorrelation and 3) Spatial Scan. Results: 108,392 cases of HIV were reported in Brazil among young men during the study period. The Southeast Region had the highest incidence rates, followed by the Northeast, South, North and Midwest regions. The HIV epidemic showed territorial expansion in all Brazilian regions, with the exception of the southern region, which contracted. Although there has been a decrease in the number of hotspots in all regions, in the North and Northeast regions there has been an expansion in the size of hotspots. There was no expansion of coldspots in the regions. The space-time risk zones were comprised between 2015 and 2021 and all were formed by state capitals and surrounding municipalities. Conclusion: The different behaviors of the HIV epidemic in Brazilian regions may be associated with different regional sociopolitical scenarios. The consolidation, expansion and emergence of new hotspots point to locations where the fight against HIV among young people should be strengthened. The space-time risk analysis shows that the highest HIV detection rates occur in municipalities with higher demographic densities, and the long time period suggests fragility in policies to combat the virus. For the elimination of HIV, greater integration of municipalities, states and the federal government is necessary in the search for greater social equity.
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Análise espacial da epidemia do HIV entre mulheres brasileiras
(Universidade Federal do Pará, 2023-05-25) BEZERRA, Ana Luisa Lemos; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530
INTRODUCTION: The detection rate of Human Immunodeficiency Virus (HIV) among women has been decreasing in recent years. However, an epidemiological diagnosis at the national level is necessary to detail this behavior of the epidemic in this population, since the Acquired Immunodeficiency Syndrome (AIDS) remains the main cause of mortality among women aged 15 to 49 years. OBJECTIVE: To spatially analyze the historical scenario of the HIV epidemic in Brazil, among women from 15 years of age, from 2007 to 2020. METHODOLOGICAL DESIGN: Ecological study that used secondary databases of the Information System of Notifiable Diseases considering as unit of analysis the 5,570 Brazilian municipalities. All cases of HIV and AIDS among women living in Brazil were considered. The following spatial analysis techniques were used: 1) Spatial Distribution, 2) Spatial Autocorrelation and 3) Spatio-temporal risk analysis. RESULTS: There was a territorial decrease in the HIV epidemic throughout Brazil, but less decrease in the North, Northeast and Midwest regions. There was a decrease in the number of hotspost clusters (neighboring municipalities with a high incidence rate) throughout Brazil. However, some consolidated with expansion or contraction. Bahia, Paraná and Piauí were the only Brazilian states with coldspot clusters (neighboring municipalities with a low incidence rate), with Piauí standing out with the greatest expansion of this grouping. The South and Southeast regions presented spatio-temporal risks earlier than the other regions and all risk zones had in their compositions state capitals and most of them included adjacent municipalities. CONCLUSION: Although cluster hotspots have decreased in number, others have consolidated and new hotspots have also emerged. This study provides subsidies for the implementation of more effective and focused public policies to combat HIV among Brazilian women. There is a need to include municipal and state authorities in the planning of policies against HIV, always respecting the regional characteristics and each Brazilian municipality.
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Análise espacial e espaço-temporal dos casos de feminicídio ocorridos no estado do Pará entre 2016 e 2021
(Universidade Federal do Pará, 2023-10-27) SILVA, Ana Karoline Souza da; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
INTRODUCTION: Feminicide is a public health problem worldwide, with Brazil occupying the 5th position among the countries that kill the most. In order to combat feminicide, it is imperative to understand its association with social determinants of health, and spatial analysis is a fundamental tool for this. OBJECTIVE: To analyze the spatial and space-time scenario of the femicide rate and its relationship with the social determinants of health in the State of Pará between 2016 and 2021. METHODS: An ecological study using secondary data from the Integrated Public Security System (SISP-WEB). Gross municipal feminicide rates were analyzed using spatial distribution and autocorrelation (Gi statistic), temporal-spatial risk analysis, and geographically weighted spatial regression (GWR). RESULTS: During the study period, 339 cases of feminicide were reported in Pará. The spatial distribution of the feminicide rate during the study period showed a territorial expansion, with municipalities in the Metropolitan Region of Belém, Northeast, Southeast, and Southwest of Pará being the most affected areas. From 2016 to 2018, there was a high-high in feminicide rate (hotspot) formed by municipalities in the southeast and southwest of Pará, while between 2019 and 2021, there were two hotspots in the southeast and northeast. The spatio-temporal analysis revealed only one risk zone (RR=2.11; p<0.000) in the period from 2018 to 2020 that consisted of municipalities in the Metropolitan region of Belém, Northeast, Lower Amazonas, Southeast and Southwest of Pará. The GWR showed that the variability of the feminicide rate was associated with the DSS “youth homicide rate per 100,000 inhabitants”, “primary care coverage rate”, and “total high school pass rate”. CONCLUSION: To combat feminicide it is necessary to promote greater social equity, discuss gender equality in schools, and bring greater responsibility/qualification of health professionals in the Primary Health Care network for the early identification of signs of domestic violence as well as reporting to competent legal channels.
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Análise temporal e distribuição espacial das internações hospitalares por queda de idosos no Brasil, entre 2009 e 2018
(Universidade Federal do Pará, 2020-09-21) CHAGAS, Tiago de Nazaré das Chagas e; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Objective: To analyze the temporal trend and spatial distribution of hospital admissions due to falls in the elderly in Brazil. Method: Cross-sectional population-based study based on data from the Informatics Department of the Unified Health System (DATASUS) and the Hospital Information System of the Unified Health System (SIH / SUS). Therefore, the data were collected in a secondary database. Data were extracted from the SUS Information System - DATASUS, and correspond to information referring to Hospital Admissions Authorizations - AIH, of elderly hospitalized for falls in the period from 2009 to 2018 in Brazil. Data analysis used resources from descriptive and inferential statistics. Terra View® programs were used for spatial analysis and Join point® for trend analysis. Results: Over the ten years studied, the trend of hospitalizations for the elderly as a result of falls has grown significantly by 1.2% per year in Brazil. Among the regions, this behavior was variable, with periods of growth and stationary, with significant hospitalization among all age groups of elderly people above 75 years old, and among women, also observing different patterns between each state. The spatial analysis showed a Moran Global index of 0.39 (p = 0.02) in the period from 2009 to 2013, showing the existence of spatial autocorrelation, with a grouping of three states with low-low pattern, Pará, Amazonas and Amapá. Conclusion: Brazil is heading towards a new population configuration with an increase in the elderly population. The need to improve the structure of health care networks is urgent in all regions of the country in order to provide quick and effective care to the elderly victims of falls.
Acesso aberto (Open Access)
Assistência pré-natal e puerpério no âmbito da atenção básica no Brasil
(Universidade Federal do Pará, 2023-07-10) SOUSA, Dimauro Soares de; RODRIGUES, Diego Pereira; http://lattes.cnpq.br/8470989067617455; https://orcid.org/0000-0001-8383-7663; CUNHA, Carlos Leonardo Figueiredo; http://lattes.cnpq.br/9603271880856443; https://orcid.org/0000-0002-1891-4201
Recognizing Primary Care as the preferential gateway to public health services and its role in organizing care, investigating prenatal and puerperal care is essential for measuring its reach and quality, in order to provide subsidies for making decisions based on the results. Objectives: To analyze prenatal and postpartum care within the scope of Primary Care in Brazil. Methodology: This is a research with a quantitative and analytical approach. Brazil is the reference for this study. The variables related to the External Evaluation of the third cycle of the National Program for Improving Access and Quality of Primary Care were used for the research, Module II – Interview with the professional, coordinated by the ministry of health, from 2017 to 2018, which includes interviews with key informants. Teams were categorized by federative units and geographic regions, and data analysis were done using descriptve statistics, using absolute and relative frequency. All analyzes were done in IBM SPSS Statistics Software, version 20.0, and presented in the form of charts, graphs and figures. Results: The collection of data for the External Assessment that make up the second phase of the third cycle of the National Program for Improving Access and Quality in Primary Care, had the adhesion of 5.324 cities (95,6%). A total of 38,865 primary care teams in Brazil were evaluated, of these 36.702 (98,30%) teams perform prenatal consultations, 35.771(97,50%) presente a document proving the prenatal consultation, 36.433 (99,3%) of the primary care teams use the pregant woman’s handbook to monitor the pregnat women and 34.096(92,90) of those teams have a copymirror of the pregnant women’s handbook, or another form with equivalent information, at the Basic Health Unit. Regarding to the actions carried out by the team to guarantee the postpartum consultation up to one week after the childbirth, all of the brazilian regions have low rates of consultation at special times, in which any day of the week, with 65.4% adherence in this aspect. Conclusion: The results suggest that there are differences in prenatal and puerperal care in Brazilian regions. These results can be useful for other studies and for strengthening reginal planning actions. For managerial practice, the assistance during the prenatal and postpartum period must be repeatedly discussed.
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A atuação de enfermeiros nos institutos federais de educação da região norte do Brasil: visão pré e pós pandemia de COVID-19
(Universidade Federal do Pará, 2023-06-13) SOUZA, Jamily Silva; CASTRO, Nádile Juliane Costa de; http://lattes.cnpq.br/2532971599666350; https://orcid.org/0000-0002-7675-5106
Introduction: Nursing is present on several campuses of the Federal Institutes of Education (IFE), at the service of the academic community; they work mainly in health promotion and in advising teaching, research and extension activities. Due to the Covid-19 pandemic, several control and prevention measures were adopted, also affecting educational institutions such as IFE that reorganized their academic and administrative activities in the remote system, also affecting nurses who work in these institutions, with essential actions to guarantee of the health and safety of the school community and have their importance highlighted in the context of the pandemic. Objective: To analyze the performance of nurses in IFE in the North of Brazil in a pre and post Covid-19 pandemic view, considering the regional Amazonic specificities. Methodology: descriptive research with a qualitative approach carried out with nurses who work in community care at the 7 IFE in the 7 States of the North Region of Brazil. Data collection took place between October 2022 and January 2023 with semi-structured interviews following a script divided into two axes: 1) Characterization of the professional profile of the nurses targeted by the research; and 2) The performance of nurses in the pre- and post-pandemic context within their campuses. Data were processed using the IRAMUTEQ software and submitted to content analysis. Result: 20 nurses from 5 Institutes were interviewed. Most of the participants were female, aged between 28 and 37 years and specialists. Most had between 4 and 7 years of service in the institution. The data organized at Iramuteq pointed five classes, later presented in four categories: The Work place and Training, Work before the Covid-19 Pandemic, Work during the Covid-19 pandemic and Current work perspectives. Final considerations: Nurses in the IFE work mainly in health education, in addition to carrying out nursing procedures and advising on student care; during the pandemic, most of these activities were adapted to the remote model and new ones emerged as support in the institution's planning to combat Covid-19. Some difficulties that already existed were aggravated by the pandemic, such as deficiencies in infrastructure and means of communication, due to factors such as management problems and the peculiarities of the region. Nursing work gained recognition in the pandemic but needs to be further studied and regulated when it comes to performance in educational institutions such as IFE.
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Autocuidado de mulheres residentes no município de Benevides/PA na prevenção e controle de HPV: participação da(o) enfermeira(o)
(Universidade Federal do Pará, 2013-12-13) MIRANDA, Shirley Aviz de; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: Infection with Human Papilloma Virus (HPV) is one of the most common STIs in the world and has high carcinogenic potential for uterine cervix. OBJECTIVES: To identify possible deficits of competence for self-care behavior on the sexual health of women attending the Health Units of Family Paradise of Murinin with positive findings of HPV and develop strategies for health education that contribute to healthy sexual behavior in prevention and control HPV and its consequences. METHODS: A survey conducted in the city of Benevides, Pará. This study was configured as a convergent - care research (PCA), which had as its theoretical framework of Orem self-care. The educational strategy was applied in 11 women aged between 25 and 64 years who were examined in PCCU between the years 2011 and 2012 and who had income from changes related to HPV infection. We use in the development of educational the strategy to focus group technique, which lasted for two months (19/03/13-14/05/2013) with seven group meetings. The procedure for analyzing information collected during group activities, was based on PCA and reference Orem self-care focused on defined objectives, seeking to assess how the change in the perception of health behaviors in the prevention and control of HPV was processed before developed the educational strategy , guided by the precepts of the nursing support OREM - education system. RESULTS: We identified during the research deficit of competence for self-care in the prevention, treatment/control of HPV and appropriate care, lack of knowledge about HPV, its consequences and its confrontation; deficit of competence for self-care practices in sex life satisfactorily shared; deficit of competence to care related to the reduction of socioeconomic risks, lack of self-care health disorders related to the treatment and control of HPV. Later taxpayers educational actions for safer sexual behaviors towards HPV and other STIs have been developed. Throughout the educational process, women began demonstrating cognitive competence for HPV infection and competence in self-care practices successfully shared sex life. CONCLUSION AND IMPLICATIONS: We concluded that educational strategies used contribute to the learning of HPV infection in women as they showed signs of acquiring skills and abilities to self-care and hygiene healthier sexual practices, shared with their partners so. The implications for nursing practice are related to nursing needs to develop mechanisms to better accommodate the sexual partner as users, according to the policy of prevention of STIs and promotion of women's health. For teaching, we emphasize the importance of in-service training to meet the woman / man unit as marital / sexual partner, as well as training professionals with a comprehensive overview of the unit involved: the couple, the family. For research, the investigation of human behaviors that maintain the high incidence of human papillomavirus, is essential to find strategies in extinction of its incidence, control, treatment and disease prevention by HPV.
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Avaliação da implementação dos planos de contingência para enfrentamento da COVID-19 em hospitais universitários brasileiros
(Universidade Federal do Pará, 2023-06-06) SOUSA, Michele Monteiro; ALMEIDA, Deybson Borba de; http://lattes.cnpq.br/3390707163827574; https://orcid.org/0000-0002-2311-6204; CUNHA, Carlos Leonardo Figueiredo; http://lattes.cnpq.br/9603271880856443; https://orcid.org/0000-0002-1891-4201
The aim of this study was to evaluate the implementation of contingency plans to cope with COVID-19 in Brazilian university hospitals. Comprehensive qualitative qualitative study with semi-structured interviews applied to managers and workers of 8 federal educational institutions who participated in the construction, implementation and evaluation of contingency plans to cope with COVID-19. The textual content of the interviews was submitted to the N-vivo software. Data analysis was performed using Bardin's content analysis, and as a theoretical basis Donabedian's theory evaluating the triad structure, process and result. The profile of the 17 participants of the research was mostly female (76%), 59% are nurses and 23% act as health care managers and 23% as superintendents within the EBSERH. In the structural dimension, the lack of inputs, such as PPE and medicines, directly interfered in the effectiveness of contingency plans. It evidenced the historical demands of health professionals regarding working conditions. The results found in the dimension, structure and result evidenced the weaknesses of some university hospitals to meet the potential demand generated by the COVID-19 pandemic. This study demonstrated the importance of planning, preparing and updating guiding documents for hospital institutions, such as the contingency plan, aimed at coping with a public health emergency, as well as the need for integration between management, care, teaching and research services.
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Caracterização dos homicídios de crianças paraenses
(Universidade Federal do Pará, 2020-02-19) SILVA, Adria Vanessa da; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
INTRODUCTION: Homicide is an expression of interpersonal violence, it is from it that we can grasp the seriousness of the situation of violence perpetrated against children in the state of Pará. It represents the extreme of violence in a society and a serious conjecture of economic, social disorder , political and religious. A complex, multifactorial, heterogeneous phenomenon with an impact not only on quality, but also on people's life expectancy. The characteristics of these deaths can vary according to the victim's age, sex, color or race and other factors. OBJECTIVE: To characterize the homicides of children in the state of Pará. METHODOLOGY: Descriptive, retrospective study with a quantitative approach based on Epidemiology. The study was carried out based on the homicide data of children in the state of Pará, registered with the Assistant Secretary of Intelligence and Criminal Analysis, linked to the Secretary of Public Security of Pará, covering the period from January, 2014 to December, 2018. 77 occurrences resulting in homicide were identified. For data collection, the technique of descriptive analysis was used in order to highlight the characterization of victims and authors. RESULT: The profile of the victimized children and the aggressors found that the children's age range is from 0 to 11 years old incomplete, with the male gender prevailing and the highest percentage in the 18 to 24 age group, the highest percentage practiced by stepfathers, who practiced the act against the minor in his own residence. The feeling of hatred / revenge, followed by jealousy and ambition were the presumed causes that led the aggressor to commit the act, being the means used to consummate the fact the firearm. The ten municipalities in the state of Pará with the highest prevalence of homicides with children in this period was Belém, followed by Ananindeua, Itaituba, Altamira, Monte Alegre, Marabá, Salvaterra, Breu Branco, Xinguara and Marapanim. Recognizing the intensity of the victimization of children by homicide and its distribution in the municipalities of our state provides contributions for the State to encourage public policies in order to effectively protect and maintain the lives of children in situations of violence within the family.
Acesso aberto (Open Access)
Cartilha “Aprendendo melhor a cuidar de si” para o autocuidado do cuidador de adoecidos pelo câncer
(Universidade Federal do Pará, 2022-06-04) VALE, Jamil Michel Miranda do; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
The objective of this study was to apply the booklet “Learning better to take care of yourself” to family caregivers of people sick with cancer in palliative oncology care, as well as to investigate the burden on family caregivers and to analyze the correlation between the booklet “Learning better to take care of themselves” with the burden of these family caregivers. This is a descriptive study with a quantitative approach, carried out at the Ophir Loyola Hospital Palliative Care Clinic, with 147 family caregivers, in the second half of 2020. For the collection, two instruments were used: (a). Form for the characterization of caregivers and appreciation of the booklet; (B). Zarit Overhead Scale Questionnaire - Burden Interview. The collected data were tabulated, interpreted, processed and analyzed using descriptive and inferential statistics in Microsoft Excel® 2019 spreadsheets, in order to consolidate the information related to the data collected. The built database was organized and analyzed using the Statistical Package for the Social Sciences software version 24.0 in Windows 10 environment, with the results presented in tables and discussed based on the scientific literature. As a result it was obtained in the sociodemographic data that the caregivers are children (67 – 45,6%), female (86 – 58,5%), living outside Belém or metropolitan region (85, 57.8%), have completed High School (63 – 42,9%), are married (74 – 50,3%), mostly housewives (57 – 38,8%) and self-employed (45 – 30,6%), Catholic (71 – 48,3%) and have no income (81 – 55,1%). The average age of caregivers is 40 years old. Being a caregiver was a family decision (65 – 44,2%), exercising full-time care (89 – 60,5%), within a period of 1 to 5 years (69 – 46,94%), and sharing care with someone (89 – 60,5%) usually the brother (58 – 39,5%). The educational technology, the booklet 'Learning better to take care of yourself', achieved 91% acceptability. Regarding the general burden of caregivers, the majority presented Moderate to Severe burden (104 – 70,7%) and there was insufficient evidence to conclude that any of the variable’s gender, age group, health problems or length of care have any statistically relevant relationship with Zarit score (p > 0,05). As a conclusion, the booklet 'Learning better to take care of yourself', obtained 91% acceptability from family caregivers, who presented moderate to severe overload; Through the analyses, it was demonstrated that the acceptance of the booklet has a weak and inverse correlation with the burden, that is, the greater the acceptance of the booklet, the lower the burden presented by the family caregiver (alternative hypothesis - H1) and the burden will not be underwent statistically significant influence of the variables gender, age group, health problems or length of care, in this specific public (null hypothesis - H0). From the scores obtained in the question “do you have a health problem”, pain on the coast and use of alcoholic beverages did not show statistically significant differences. Although the other problems and habits were statistically significant. The Booklet, as an educational technology, strengthens and subsidizes the nursing care practice, legitimizing the continuity of the walk directed towards the new future care perspectives.
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A compreensão de diabéticos sobre as complicações com os pés e as implicações para o autocuidado
(Universidade Federal do Pará, 2013-10-30) PEREIRA, Odenilce Vieira; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932
The mellitus diabetes is a chronic disease that in recent years has contributed to the increased mortality in the world. The nurse stands out as a primary actor in diabetic care by performing nursing care at different levels of health care patient. The study aimed to describe the understanding of diabetic complications on his feet; identifying information submitted by nurses and examine factors that contribute to the incidence of vascular complications involving self-care. Descriptive qualitative research, developed in the months from May to July 2013, with thirty diabetic hospitalized at the University Hospital of Belém - Pará. Data were collected through semi-structured and subjected to thematic content analysis according to the model proposed by Bardin interview. All legal requirements have been rigorously considered. The study included seventeen women and thirteen men with a mean age of sixty . Most respondents had low level of education , ignorance and misinformation about diabetes which resulted in the realization of self-care. The data analysis allowed the learning of four core categories: discovery and control of diabetes, complications of diabetes and foot care; evidence that interfere with self-care of the feet; contributions of the healthcare team to practice self-care with their feet. The discussion was based on the theoretical framework that has supported the research and related theory of Orem Self Care. This research sought to emphasize inpatient hospital setting, as a characteristic for the curative treatment environment, however we believe that it can also be a place conducive to educational activities related to self-care and prevention for complications with the feet of diabetic patients.
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A compreensão dos socorristas acerca do atendimento pré-hospitalar para idosos à luz da política HumanizaSUS
(Universidade Federal do Pará, 2021-12-20) RODRIGUES, Thamyris Abreu Marinho; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
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Conceitos de gestão e gerência do cuidado de enfermagem: revisão de escopo
(Universidade Federal do Pará, 2021-02-20) BARROS, Aurilívia Carolinne Lima; MENEGAZ, Jouhanna do Carmo; http://lattes.cnpq.br/2423764452219953; https://orcid.org/0000-0002-7655-9826
Introduction: Terms “Care Management” and “Care Administration” are strongly present in the reality of health services and academic literature in studies at the most diverse care levels. The scope and differentiation of the terms Nursing Care Management and Nursing Care Administration are a matter of great concern. Objectives: To define the Management and Nursing Care Administration concepts based on the existing scientific production. Methods: This is a scoping review based on the protocol of the Joanna Briggs Institute. Data was collected in the 04-25/04/2020 period. The researched papers were retrieved from LILACS, CINAHL, MEDLINE, and SCOPUS databases without time limits. The sample consisted of studies published in Portuguese, English, and Spanish from 2007 to 2020. Results: We established a structural framework that involves the Nursing Care Management and Nursing Care Administration concepts. The definition and characterization of each component of this framework, its relationships, and, mainly, the conceptualization of the Care Management and Nursing Care Administration terms. This study identified that working in “Nursing Care Management” requires the same skills as working in “Nursing Care Administration”. However, such concepts are mobilized under different frequency and density, and skills with more significant strategic-administrative nuances are more strongly mobilized in the “Nursing Care Administration” thematic core. In contrast, skills mobilized show essentially strategic-cognitive nuances in the “Nursing Care Management” thematic core.
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Continuidade do cuidado por enfermeiros a pacientes covid-19 após alta hospitalar na Amazônia paraense
(Universidade Federal do Pará, 2023-11-09) SOUZA, Larissa Aline Costa Coelho de; COSTA, Maria Fernanda Baeta Neves Alonso da; http://lattes.cnpq.br/1219951595746213; https://orcid.org/0000-0002-2763-8050; PARENTE, Andressa Tavares; http://lattes.cnpq.br/2584253687792237; https://orcid.org/0000-0001-9364-4574
Objective: to understand nurses' strategies for continuing care for patients recovered from Covid-19, post-discharge, in a reference university hospital in the Amazon of Pará. Method: qualitative descriptive study, part of a multicenter project, which investigated the reality of ten institutions in Brazilian territory. Interviews were carried out with nurses who worked in clinical sectors caring for patients with Covid-19 at the João de Barros Barreto University Hospital (HUJBB), in Belém (PA), from December 2021 to May 2022. The interviews were transcribed and submitted to content analysis by Bardin, with the support of the free software IRAMUTEQ. Results: 15 nurses were interviewed (12 women and three men), with an average experience of one year and nine months in the Covid-19 patient sector. Three analyzes were carried out with IRAMUTEQ: similarity; word cloud; and descending hierarchical classification (CHD). The words that appeared most strongly were: patient and care. From the CHD, two categories emerged that guided the discussion: the first category dealt with admission and care during hospitalization of patients with Covid-19 in the hospital environment, in which the following stood out: rapid or laboratory testing for positive Covid-19; oxygen therapy; control of vital signs; dressings; among other aspects; the second, addresses hospital discharge and the continuity of care for patients recovered from Covid-19, demonstrating that the discharge process is a medical decision, and, after this process, Nursing assumes care and guidance at home, directing patients subject preferably to the institution's outpatient clinic. Conclusion: it was possible to understand that the nurse identifies the need for transition of care and the clinical conditions that require post-discharge care, but there is still no structured transition care practice in the institution.
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Crianças com transtorno do espectro autista: os desafios do cuidado e tecnologias cuidativas na ótica dos profissionais de saúde
(Universidade Federal do Pará, 2023-11-08) SILVA JÚNIOR, Marco Antônio Mesquita da; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Autism Spectrum Disorder (ASD) is a behavioral syndrome with developmental, behavioral and social interaction disorders. Care technologies, used by the multidisciplinary team, are strategies that seek to promote satisfactory results in social interaction, behavior and breaking stereotypical routines. The study aims to reveal the challenges that permeate the care of health professionals who care for children with ASD and to learn about the care technologies used in the care of health professionals who care for children with ASD. This is a descriptive study with a qualitative approach, carried out between July and August 2023. 17 health professionals were interviewed. The data were analyzed from the perspective of Bardin's content analysis technique and processed by the software Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires. The results of processing the Iramuteq software identified 6 classes and, through semantic grouping, three thematic categories emerged: “Techniques and strategies used in the intervention and behavioral management of children with ASD”; “Challenges in providing care to children with ASD” and “Role of the family in caring for children with ASD: Challenges, Acceptance and Overcoming”. It is concluded that it is essential to adopt multidisciplinary approaches, which integrate techniques, technologies, specialized clinical care, family support and integration into the social context, to promote comprehensive care for children with ASD.
Acesso aberto (Open Access)
Desafios do Programa HIPERDIA e implicações para a enfermagem
(Universidade Federal do Pará, 2014-06-27) FERNANDEZ, Darla Lusia Ropelato; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; GONÇALVES, Lucia Hisako Takase; http://lattes.cnpq.br/6191152585879205; https://orcid.org/0000-0001-5172-7814
INTRODUCTION: The HIPERDIA Program was established in 2001 in primary care because of the severity of epidemiological Hypertension (HBP) and Diabetes Mellitus (DM), conditions that can lead to serious complications instilling limitations and suffering in the lives of their patients and their families. In this context, it is worth mentioning the importance of primary prevention of these diseases and their complications. Past more than a decade of implementation, it is worth to reflect on the impact on health conditions that the program has generated among its users. OBJECTIVES: To elucidate the principles, philosophy and the guiding policy of HIPERDIA Program of the Ministry of Health (MH); describe how the patient care works, by a health team of HIPERDIA Program; explore the life and health behaviors demonstrated by users of HIPERDIA after its insertion into the program. METHODOLOGY DESCRIPTION: This is a Case Study second Yin (2010) whose object of study was a HIPERDIA Program executed in a Basic Health Unit outskirts of Belém. Data were obtained through interviews with users, staff and managers of the program, in addition to direct field observation, consultation records and official documentation of MS. The data analysis was performed by the analytical strategy "Relying on Theoretical Propositions" and the analytical technique "Standard Combination". RESULTS: The deterioration of the HIPERDIA program management illustrated by deficiencies in infrastructure, supplies, medicines and weaknesses in the reference and counter reference network, excessive spontaneous demand that overloads the health team allocated insufficient in number and the context of poverty and urban violence in users living contribute to poor adherence to treatment regimen and limit the team in its interdisciplinary and integral action. Furthermore, the current model of care is grounded in traditional, based on consultations and prescriptions and that has not proved sufficient to fully meet the needs of care to people with chronic condition requiring long-term care by adopting lifestyles more consistent and healthy. FINAL THOUGHTS: Big challenges are drawn against the data emerged from this study and it involves governmental and intersectoral actions that promote improvements in the living conditions of the population which requires political will to investing the necessary resources. Notwithstanding this, the nurse can make a contribution by promoting cultural care and self-care actions, customizing the plan of action and bringing the responsibility of the user and their families in improving their health condition.
Acesso aberto (Open Access)
Desenvolvimento e validação de conteúdo de aplicativo móvel para o controle do HIV/AIDS
(Universidade Federal do Pará, 2022-07-19) GAIA, Melyane de Assunção; SILVA, Richardson Augusto Rosendo da; http://lattes.cnpq.br/2184669241700299; https://orcid.org/0000-0001-6290-9365; RAMOS, Aline Maria Pereira Cruz; http://lattes.cnpq.br/5659071119788962; https://orcid.org/0000-0001-8812-2923
HIV/AIDS is a global health prblem and the northern region of Brazil has stood out with the increase in new cases and high morbidity and mortality throughout the country. Since the decentralization of HIV diagnosis to primary health care (PHC), has gained autonomy in its workflow, which requires a significant technological arsenal for the planning, organization, and operationalization of services. Although an Information and Communication (ICT) usability application is a powerful tool for engagement and health promotion, there is still no application aimed at the mobile nurse's HIV/AIDS workflow. This, the present study as a research question “What is the validity of the content of the content for an application that can mediate the assistance of nurses to people living with HIV?”. OBJECTIVE: To develop the content of a valid mobile media application for health promotion, prevention of HIV infection. METHOD: this is a methodological study for the elaboration and validation of content for a mobile application
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Os determinantes sociais, a infecção pelo HIV e a AIDS em uma capital na Amazônia brasileira: análise espacial e temporal
(Universidade Federal do Pará, 2021-05-21) DIAS, Bruna Rafaela Leite; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793
Almost 40 years after its discovery, the Human Immunodeficiency Virus (HIV) continues to be a challenge for public health worldwide. In Brazil, the states of the Northern region have the greatest impact of the HIV epidemic, with a continuous increase in detection rates. This study aimed to perform the spatial and temporal analysis of the incidence of HIV infection and AIDS, and its relationship with social determinants. Ecological study employing secondary data of cases reported to the Notifiable Diseases Information System (SINAN), in the period 2007- 2018, of individuals living in the city of Belém/PA. Temporal analysis was performed using Box and Jenkins methodology. For the spatial analysis, incidence was analyzed using autocorrelation and spatial regression techniques, Kernel density to study the expansion of the HIV epidemic in the city, and sweep statistics to identify clusters of risk. During the study period, 6,007 new cases of HIV/AIDS were reported to SINAN. Time series analysis revealed stability of incidence from 2007 until October 2016, followed by an upward trend. Starting in January 2017, incidence rates showed irregular fluctuations until the end of December 2018. Seasonal behavior was observed for the forecast from 2019 to 2022. High incidence clusters were located in the central and transitional areas of Bethlehem. The epidemic progressed from 2007-2010 to 2015-2018. The spatial high-risk zone for HIV was observed in the transition zone (RR = 3.65; 95% CI = 2.47 - 5.34; p = 0.00016), while the spatiotemporal high-risk zone was observed in the central, transition and expansion zones (RR = 4.24; 95% CI = 3.92 - 4.52; p = 0.000). Incidence rates were directly correlated to Family Health Strategy (FHS) coverage (adjusted R² = 0.38). The upward trend observed in the incidence rates of HIV infection and AIDS in Belém may be correlated with the efforts of public policies to combat the virus. However, the irregular behavior in incidence rates from 2017 and the seasonal behavior revealed in the forecasts suggest a loosening in public health policies. This study provides subsidies for the development of public health strategies to combat HIV.
Acesso aberto (Open Access)
Discurso dos(as) enfermeiros(as) da atenção básica sobre saúde sexual e reprodutiva das mulheres lésbicas
(Universidade Federal do Pará, 2019) FARIAS, Gesiany Miranda; LIMA, Maria Lúcia Chaves; http://lattes.cnpq.br/2883065146680171; https://orcid.org/0000-0003-3062-2399; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
Among the priority areas of Primary Health Care (PHC) is the attention on sexual and reproductive health, which must be offered to the population with ethics and humanization, being human rights that are part of public health policies. Refering for women, it reports that they can exercise their sexuality without repression and violence. However, countless people have their rights violated because of their sexual orientation. It cites here, the lesbians who often have their sexual and reproductive rights infringed within health services. Among the professionals who work in these services, the nurse is mentioned, who has an important role in the care and, therefore, should seek the improvement of their practices to provide a better assistance to the lesbians, within their demands and specificity. Thus, this research had the objective of characterizing the discourses of nurses who work in Primary Health Care (PHC) of Belém about sexual and reproductive health of the lesbians. The methodology used was exploratory with a qualitative approach, collected in the city of Belém in a UBS of each one of the 07 administrative districts of that capital. Participants were nurses that atued in these health sectors and that prested assistance to Ministry of Health programs that involved women's health. It were consulted a total of 23 nurses were consulted for the research. However, 10 discorded about the inclusion criteria, resulting in 13 nurses interviewed. The research happenned through a sociodemographic questionnaire, followed by a semistructured interview script. The content analysis was according to the structure proposed by Bardin, perpassing for the steps of preanalysis, material exploration, treatment of results, inference and interpretation. The results and discussions of this research were divided into four categories, the first about stereotypes involving lesbianity, the second reporting the need for training and qualification of these professionals, the third mentioning sexual health in primary care, and the fourth citing the reproductive rights of lesbians. Through this research it can characterize the discourse of these professionals, being fundamental to propose strategies for the reduction or eradication of some fragilities found such as heteronormativity in health care, lack of capacity, the stereotype that affect lesbians and the assistence question in sexual health and reproductive. All these themes were analyzed with theoretical bases, through discussions involving authors that discuss lesbianity, lesbian health, as well as publications of the Ministry of Health through its guidelines and concepts.
Acesso aberto (Open Access)
Educação interprofissional na formação em saúde do curso de graduação em enfermagem
(Universidade Federal do Pará, 2022-08-01) SANTOS, Sávio Felipe Dias; FERREIRA, Glenda Roberta Oliveira Naiff; http://lattes.cnpq.br/7459094802051187; https://orcid.org/0000-0002-8206-4950; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
Objective: in general, the study proposed to know, within the scope of the Pedagogical Projects of the undergraduate nursing course of public universities, contents that address Interprofessional Education, in relation to the specific character, the study sought to characterize the undergraduate courses in of public federal, state and municipal universities, regarding the regional distribution and the curricular proposal in relation to Interprofessional Education and also to analyze the Curricular Pedagogical Projects of the undergraduate nursing course and the factors/aspects related to the offer of Interprofessional Education. Method: this is an observational, cross-sectional study that carried out a survey based on documentary sources (Curricular Pedagogical Projects). The data source was the Ministry of Education's electronic platform and took place during the period of March and April 2022 from a data collection instrument, the eligibility of the institutions that would be part of the scope of the research were undergraduate nursing courses, in a baccalaureate degree, in the face-to-face modality, that was in activity and with the Curricular Pedagogical Projects available at the electronic address. In relation to the analysis, non-parametric tests were used for categorical and normality variables to choose the test of quantitative variables, and to verify if there was a difference in the proportion, the chi-square tests and the G test were used. Results: they were part of the results 88 Higher Education Institutions Out of the 140 institutions found in the Ministry of Education database, of this sample, 47 (53.4%) were from federal public institutions, 34 (38.6%) from state public institutions and 7 (8%) of municipal institutions. Of this total, only 13 presented Interprofessional Education based on their Pedagogical and Curricular Projects, being divided, in Brazil, 5 Institutions (38.4%) in the northeast region and 2 Institutions (15.4%) in each of the other regions and the administrative category of this group were presented as follows, 7 Institutions (53.8%) were federal public and 6 Institutions (46.2%) were state public. On the other hand, regarding the administrative aspects/concepts of the course and the offer of EIP, only the type of course offer was related to the offer of EIP, with statistical significance (p=0.02), on the other hand, the proportion of EIP offered was higher among the offer of annual courses (28.1%) when compared to the semester (7.1%). Conclusion: implementing Interprofessional Education in national education and health policies is an essential process for the theoretical and methodological structure of the curricula and, consequently, for the curricular projects of undergraduate courses in health and nursing, since the training of these professionals must ensure a better health care.