Programa de Pós-Graduação em Enfermagem - PPGENF/ICS

URI Permanente desta comunidadehttps://repositorio.ufpa.br/handle/2011/4814

O Programa de Pós-Graduação em Enfermagem (PPGENF) do Instituto de Ciências da Saúde (ICS) da Universidade Federal do Pará (UFPA). O Programa tem por objetivo formar Enfermeiros Pesquisadores com uma visão global do cuidado de enfermagem numa compreensão da realidade amazônica para as práticas de atenção à saúde nos serviços e no ensino com base em fundamentações teóricas e metodológicas críticas para o cuidado humano, contribuindo, assim, para a reorganização dos Serviços de Saúde, repercutindo no âmbito político, econômico e social da região amazônica.

Navegar

Agora exibindo 1 - 9 de 9

Acesso aberto (Open Access)
Análise espacial da mortalidade por Aids entre jovens no Pará e os impactos dos determinantes sociais de saúde
(Universidade Federal do Pará, 2022-07-15) SOUSA, Sara Melissa Lago; BOTELHO, Eliã Pinheiro; http://lattes.cnpq.br/6276864906384922; https://orcid.org/0000-0002-9682-6530; POLARO, Sandra Helena Isse; http://lattes.cnpq.br/7875594038005793; https://orcid.org/0000-0001-5026-5080
Introduction: Worldwide, AIDS control policies have led to a small decrease in the mortality rate among young people, which is only 6% among young males. For a better effectiveness of these policies, it is necessary to take into account the influence of social determinants of health (SDH) on the mortality rate in each territory. Objective: To spatially analyze the AIDS mortality rate among young people in the state of Pará and the spatial variability of the rate promoted by the DSS from 2007 to 2018. Method: Ecological study using secondary data from the Mortality Information System (SIM). All notifications of AIDS deaths in young people residing in the state of Pará between 2007 and 2018 were included in the study. The mortality rate was analyzed using spatial distribution and autocorrelation, spatial scanning, and geographically weighted regression (GWR). Results: During the study period, 1,372 AIDS deaths were reported among young people from Pará. The AIDS mortality rate showed territorial expansion. Spatial autocorrelation showed two high-high clusters in the period from 2007 to 2010, one formed by municipalities in the southeast of Pará and the other in the metropolitan region of Belém (RMB), with only the cluster of RMB remaining between 2011 and 2018. The RMB presented the highest spatial risk for AIDS mortality and the only one with the spatio-temporal risk in the period 2013-2018. The spatial variability of the AIDS mortality rate was promoted by the "homicide rate among young people", "elementary school dropout rate" and "by the number of families registered in CADÚNICO". Conclusion: This study covers the Amazonian particularities that involve AIDS mortality among young people from Pará, allowing the spatial identification of the involvement of rate variability promoted by the DSS.
Acesso aberto (Open Access)
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)
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 permanente em saúde: mecanismo indutor do processo educativo no cotidiano do trabalho
(Universidade Federal do Pará, 2016-02-29) DIAS, Geyse Aline Rodrigues; LOPES, Márcia Maria Bragança; http://lattes.cnpq.br/6740484061412959
The study aims to reveal the development of health continuing education proposal (EPS) on a Pará municipality, identifying difficulties and their influence in the educational process in health work daily, in view of the need to discuss on the National Policy of Permanent Education in health (PNEPS) in order to modify the practices, qualify the health care, to evaluate their influences and reflexes to consolidation of the Unified health System (SUS). In the theoretical referential, are used the assumptions of liberating pedagogical concept of Paulo Freire. Participated in the study forty-three (43) subjects, including coordinators and other health professionals involved in permanent education proposals in the Benevides-PA municipality.It consists a study of holistic single case, from a qualitative approach and, according to its objectives, with an explanatory and descriptive strategy (YIN, 2005). The data collection period was from February to June 2014, through focused interview guided by Yin (2015), from the use of interview protocol. Was used to analyze a general analytical strategy named "Couting on theoretical propositions," directed by Yin (2015), founded on the theoretical propositions of Continuing Education in Health and Educational Process in the Labour Everyday Health, followed by analytical procedure Strauss; Corbin (2008), from which emerged a total of three (03) categories, which are : "Understanding on Permanent Education in Health", "Process of Continuing Health Education experienced in Labor Daily", "Importance of Continuing Education in Daily the work in Health "; eight (08) subcategories, namely: "Concept of Continuing Education in Health", "Objective of Continuing Education in Health", "Demands of actions to be taken", "Development of Permanent Education Project Health"; "Development of the actions of Continuing Education in Health", "Difficulties in the development of the actions of Continuing Health Education", "Evaluation of the actions of Continuing Education in Health" and "Influence of Continuing Education in Health in daily work." The results showed that the development of EPS proposal deployed in the city is in its initial phase, because from that guides the PNEPS, interaction and coordination is essential between the levels of government, health workers, education and the community, however , was evidenced of a vertical relationship process, management hierarchical and centralized, with a predominance of traditional educational processes, the transfer of information with little or no process of critical reflection of reality. It is understood that the municipality is experiencing a challenging phase implementation of EPS, in this perspective, it is suggested to prioritize and create more moments and collective spaces, and dialogic participatory planning with all stakeholders, so as to foster horizontal processes of health production, preparation and development of problem-solving educational activities, critical and reflective, that meet the real needs of workers and users, as well as contribute to the motivation and professional appreciation , developing and expanding the services and collaborating effectively with the SUS consolidation.
Acesso aberto (Open Access)
Homens autores de violência contra a mulher: a versão da mídia impressa paraense e as contribuições para a enfermagem
(Universidade Federal do Pará, 2013-11-14) CHAVES, Alessandra Carla Santos de Vasconcelos; LIMA, Vera Lúcia de Azevedo; http://lattes.cnpq.br/5247917929280755; https://orcid.org/0000-0003-0094-4530
This study analyze the profile of men who commit violence against women identified in the news of the Liberal newspaper, of the state of Pará - Brazil, suggesting possible nursing strategies for coping problem. This is an exploratory study of the nature quantitative and qualitative using the statistical method and content analysis of Bardin (2011). Was developed in the Pará Tancredo Neves Cultural Foundation (CENTUR), where 2,190 copies of the newspaper O Liberal were analyzed, in that, 211 notes about marital violence in Pará was observed, of which 85 were published in the period from January 01 2004 and July 31, 2006 (before the Maria da Penha Law), and 126 were published from August 1, 2006 to December 31, 2008 (After the creation of the Maria da Penha Law). In the quantitative approach, it was found that men who commit violence against women are his companions with 25.88% (before the Maria da Penha Law) and 48.41% (after the Maria da Penha Law); are aged between 23 and 33 years with 27.06% (before the Maria da Penha Law) and 23.81% (after the Maria da Penha Law); they exert low specialized activity such as farmer 2.35% (before the Law Maria Penha) and mason with 6.35% (after the Maria da Penha Law). 3.53% have criminal records for assault prior to the creation of the Maria da Penha Law and trafficking in drugs with a percentage of 3.97%, for the years that follow the Maria da Penha Law years. Discussions with rates of 24.71% (before the Maria da Penha Law) and 27.78% (after the Maria da Penha Law) represent the main factor for aggression and/ or death of the woman. Physical violence is the most significant percentage with 89.4% (before the creation of the Maria da Penha Law) and 77.78% (after the creation of the Law). In the qualitative approach five thematic categories were identified: Violence against women is a complex phenomenon; Construction of the identity of the man author of violence committed against women; Major factors that lead men to commit violence against the partner; Applicability of Law 11.340/2006 the newspaper O Liberal; Forms of referencing the perpetrators of violence. Therefore, the prevention of violence against women does not depend solely on their empowerment, but must include transformations from the author of violence. Thus, the nurse plays a key role in the care of this man, as to join forces with other professionals to find a support to work in the education process in health from the authors of violence and their families.
Acesso aberto (Open Access)
Perfil acadêmico-profissional de professores de pós-graduação stricto sensu em enfermagem: análise por subárea de conhecimento
(Universidade Federal do Pará, 2022-08-01) TRINDADE, Ricky Falcão Silva; VENDRUSCOLO, Carine; http://lattes.cnpq.br/2297459405565528; https://orcid.org/0000-0002-5163-4789; MENEGAZ, Jouhanna do Carmo; http://lattes.cnpq.br/2423764452219953; https://orcid.org/0000-0002-7655-9826
Introduction: The area of Nursing has eight suba-reas of knowledge: fundamental nursing; emerging, reemerging, and neglected disease nursing; adult and elderly health nursing; women's health nursing; child and adolescent health nursing; nursing in management and management; mental health nursing; Collective health nursing. It is suggested that each of the nursing subareas has well-defined and distinct characteristics for teaching and research, whether in the sources or in the production of knowledge. Objective: To analyze the academic-professional profile of professors of stricto sensu graduate programs in Nursing by subarea of knowledge, based on the concepts of asymmetry, cooperation, and social insertion. Method: This is a cross-sectional, documentary study with a quantitative approach, which was structured from the steps proposed by Gil (2022): a) formulation of the problem and objectives; b) identification of sources; c) location of sources and access to documents; d) evaluation of documents; e) selection and organization of information; f) analysis and interpretation of data; g) writing of the report[.] Data collection took place from March 2020 to December 2020, with the main data sources being: Plataforma Sucupira and Plataforma Lattes. Results: The sample focused on the subarea of nursing care for the health of adults and the elderly, suggesting that it is the priority focus for Nursing, while nursing care for emerging and reemerging diseases had an insignificant representation. It was identified that nursing professors predominantly perform the following activities: they teach classes at the undergraduate level (93.68%), at the graduate level (93.26%), they are journal reviewers (90.88%) and they are project coordinators of research (96.77%). The inequality in the distribution of graduate programs in nursing in Brazil is equally represented when looking at the place of training, at all levels, especially when comparing the Southeast and North regions. Except for coordinating extension and teaching projects, more than half of the teachers develop a set of activities that demand time, knowledge, management, and diverse knowledge. Final considerations: It was possible to carry out an evaluation of the nursing area, and it was possible to detect asymmetrical organization processes, mainly in the location of the programs and the number of professors, which are concentrated in the Southeast region, while the North and Midwest are passed over. In relation to the asymmetric process, the lack of doctoral courses in the North Region stands out, which seems to be hampered in several aspects, such as: distance from the training center of the area Southeast , low availability of resources and financing, evaluation metrics that do not match the Amazonian context. The study provides subsidies for a deep analysis of the state of the area in the observed period and it is believed that they are possible contributions to the refinement of evaluation metrics of funding agencies.
Acesso aberto (Open Access)
As representações sociais de mulheres alcoolistas sobre o alcoolismo e suas implicações para o cuidado de si
(Universidade Federal do Pará, 2017-06-29) CUNHA, Natacha Marina Farias da; SILVA, Sílvio Éder Dias da; http://lattes.cnpq.br/0084512862619143; https://orcid.org/0000-0003-3848-0348
Alcohol is a psychotropic substance that has a depressant effect on the nervous system and causes alcohol dependence in those who abuse them, recognized by the WHO as progressive, incurable and fatal disease, but each year is growing worldwide. This study aimed to analyze the social representations of alcoholic women about alcoholism and its implications for self care, outlining its profile and characterizing the images (objections) and the senses (anchors) that alcoholic women have about alcoholism. To achieve this purpose a qualitative study was carried out and the method of Social Representation Theory was adopted. As a field of research for the study we had a few groups of Alcoholics Anonymous, participating in the study 12 alcoholic women, who were attending assiduously anonymous alcoholic support groups. The data collection was done individually, following an interview script with questions of free association of words and semi-structured questions, as well as a socio economic and cultural questionnaire, so that we could know the women who participated in the research. Data collection took place from July to December 2016. In order to work on the information collected, we chose thematic analysis, following six stages in the analysis. At first the data were transcribed, later codified so that it could identify in all other transcriptions homogeneous and significant results for the objective, allowing the creation and grouping of possible themes, the grouping of themes gained meaning in which it could understand its statement, Thus writing the data of this study. After analyzing the data, we obtained five categories that gave life to the categories of discussion: Alcoholization: from pleasure to reified knowledge of disease, where the search for sobriety led the women involved in the research to seek to know the social object that Affected. Woman: her rooted mother destroyed in which we identified the objectification of all the family consequences that alcoholism caused. Demoralization of female alcoholism: search for empowerment where the stigmatizing judgment of female alcoholism is presented, experienced and shared by these women, today seek to deconstruct the imagery that society has built against them. Daily struggles against the pleasures of alcohol, where the confrontation presented by these women is presented, in order to avoid a return to alcoholism, so they avoid avoiding the first drink, but also show that several aspects can contribute to the disfigurement, such as the media; And lastly The representation of self care as the starting point for nursing care where it presents that the search for health care as methods used to care for themselves, lost with alcoholization. Emphasizing the importance of nursing care to promote health education and strengthen self care. However, it is necessary to the nursing comprehension about the problem that involves alcoholism so that it can provide the care that the AA can not provide, that the sooner realized, the smaller the chances of psychological, physical and social damages, thus the greater the chances of Successful treatment.
Acesso aberto (Open Access)
Os sentidos do adoecimento pelo câncer colorretal: estudo etnográfico
(Universidade Federal do Pará, 2019-04-27) CORREA JÚNIOR, Antonio Jorge Silva; SANTANA, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399; https://orcid.org/0000-0002-3629-8932
Colorectal neoplasms affect the colon and rectum causing changes in intestinal habit, anemia, fatigue, rectal bleeding, obstruction, among others. According to the National Cancer Institute, the diagnosis of 17,380 new cases of colon and rectum cancer in men and 18,980 in women is expected in 2018/2019 for each year, approximately 190 cases will be diagnosed among men and 310 among women in the state of Pará making 500 cases, of these 240 will occur in the capital of Belém. The surgical treatment makes a new path for fecal elimination (estomy), the colostomy to be performed in the large intestine or the ileostomy to be performed in the small intestine temporarily or permanently. The purpose of this study was to interpret the meanings attributed by people to the experience of colorectal cancer and surgical treatment with stomization. This is an ethnographic study supported by the sociology of health in the oncological surgical clinic of the Ophir Loyola Hospital and the Chemotherapy Outpatient Clinic in Belém between August 2018 and February 2019, with companions and patients suffering from colorectal cancer. It counted on the techniques of participant observation, nonparticipant, field diary and semistructured interview in depth of the interpretative type, structuring from the narratives of the deponent and subsequent thematic analysis of Braun and Clarke. Fourteen patients were studied, and the caregivers were joined by twentytwo people, namely: eight sickcouple companions (sixteen people) and contacts with six sick people who felt comfortable answering the interview questions without assistance at the end. The senses were seized from a sample that in its totality used only the SUS public service, seven men and seven women, mostly pardos, studied until elementary school and possessed up to 1 minimum wage on average. As results, nine senses were obtained: (1) The history of sickness interrupted by difficulties; (2) Impressions on the public health service; (3) Estomization: future needs and paradoxical feelings towards "socializing"; (4) Losses in the patienceresilience process; (5) Corrected, fortified and constructed bonds: care as a fundamental coefficient; (6) Opinions about nursing; (7) Socialreligious and spiritual behavior; (8) Behavioral etiologies that trigger colorectal cancer, traditional knowledge and forms of treatment; (9) The immediate dream and the future prospects; being categorized into four units: Accessibility to SUS; Estomization: duality of experiences; The strategy of coping with the relationship with Nursing professionals; Socioreligiousspiritual repercussions of colorectal cancer stomization and future expectations. The senses of the experience of being stomped are ambiguous in the postoperative, converging to new ways of socializing, seeking resilience and future perspectives of life. It is noted that the symptoms and the intricate pathway in primary care were intervening factors for discrediting the public health service, however, the built links, the nursing care and the religious faith were factors referenced as beneficial in this course.
Acesso aberto (Open Access)
Vivências de famílias de crianças com câncer no contexto amazônico
(Universidade Federal do Pará, 2017-04-03) CARVALHO, Milene do Socorro Bastos de; CARVALHO, Jacira Nunes; http://lattes.cnpq.br/9434086419077532; https://orcid.org/0000-0002-5464-2434
The diagnosis of cancer is a disorganizing moment in the child's life and also in the lives of those who live with him or her, the reactions can be disastrous for the child and their families, leading them to emotional imbalances, insecurity, guilt, fear, and symptoms of depression. Identifying the family system, that is, the family as a complex phenomenon, which demands support among its members, to deal with a particular disease situation, can be the first step towards raising awareness and reflection on the importance and care of the family for the nursing. Family nursing research has contributed to new care experiences, which implies a reflection on new possibilities for nurses / family interaction in different scenarios and contexts. OBJECTIVES: To identify the structure, development and standard of functioning of the children's families with cancer in the region of Amazonia/Belém/Pará, by applying the Calgary Family Assessment Model (MCAF); to describe the children's families history with cancer according to the MCAF in the Amazonian context; to describe the expectations of the children's family members with cancer in relation to the participation of the nurse in the care of the child and his / her family. METHODOLOGY: A descriptive and exploratory study with a qualitative approach, used as a theoretical and methodological reference, the Calgary Family Assessment Model. It was developed in the city of Belém-PA, in a reference hospital in pediatric oncology. The study included 05 families of children diagnosed with cancer who were being treated in the hospitalization sector. A semistructured interview technique was performed, whose sessions were recorded and transcribed entirety, avoiding the loss or misrepresentation of the information. The analysis of thematic content was carried out in the light of the MCAF in three categories: structural, developmental and functional evaluation, presented through the Genogram and Ecomapa through the statements of each family interviewed. RESULTS: From the experiences of caring for the child with cancer we verified that the families experienced significant changes and problems of several magnitudes that came to compromise some relationships in the internal and external structure of the families. The Calgary Family Assessment Model allowed us to observe a scientific and systematic structure, through its categories of family assessment, because it helped us to gather information, which gave us support in the construction of the Genogram and Ecomapa in a way that allowed a broader and more significant view of the family structure. FINAL CONSIDERATIONS: The child and his/her family need a qualified and systematized assistance in order to enable paths that foster feelings of hope, security and confidence regarding the treatment and consequently aiming a satisfactory prognosis, so we emphasize the need for new studies related to the family, especially the applicability of the Calgary Family Intervention Model (MCIF), in order to deepen and make possible new dimensions, giving to family nursing new collaborations of great scientific relevance.

Navegar

Navegando Programa de Pós-Graduação em Enfermagem - PPGENF/ICS por Agência de fomento "CAPES - Coordenação de Aperfeiçoamento de Pessoal de Nível Superior"