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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Acesso aberto (Open Access)
Fatores da vulnerabilidade associados à sífilis e HIV em uma comunidade ribeirinha amazônica
(Universidade Federal do Pará, 2022-08-26) PINHO, Ellen Christiane Corrêa; SILVA, Richardson Augusto Rosendo da; http://lattes.cnpq.br/2184669241700299; https://orcid.org/0000-0001-6290-9365; CINHA, Carlos Leonardo Figueiredo; http://lattes.cnpq.br/9603271880856443; https://orcid.org/0000-0002-1891-4201
Background: There is an intensification of cases by the human immunodeficiency virus (HIV) and syphilis in some population segments, mainly in the northern region of Brazil. The state of Pará has the second highest AIDS mortality rate in the country, and a growing increase in the incidence of notifiable sexually transmitted infections (STIs). In this epidemiological sphere, the riverside population of the Amazon is included, which are miscegenations of indigenous peoples, Africans, and others, who suffer from low socioeconomic indicators, geographic barriers and access to health. Objective: To analyze vulnerability factors associated with the occurrence and knowledge of STIs (syphilis and HIV) in a riverside population in the Brazilian Amazon. Method: This is a cross-sectional study carried out in Ilha do Combu – Belém/PA. The sample calculation was performed using the Statcalc module – Sample size and power of the EPI INFO Version 7.2.2.16 program. For the sample, people aged 18 years or older and residents of the island were considered. Data collection took place through the application of two instruments: Sexually Transmitted Disease Knowledge Questionnaire (STD-KQ) used to measure the level of knowledge of riverside people; and to survey the population and the dimensions of vulnerability, the adapted instrument applied in the nationwide household survey of the “Research of Knowledge, Attitudes and Practices in the Brazilian Population” (PCAP) was used. The investigation for infections was carried out by means of a rapid test for HIV and syphilis, and peripheral blood collection for rapid plasma reaginine in cases of rapid test reagents for syphilis. For data analysis, descriptive statistics and a logistic regression model were used. In univariate binary regression were selected for multiple regression. The variables with the highest p-value were removed one at a time until the final fit of the multiple ordinal logistic regression model. All statistical analyzes were performed using Minitab 20® software. A significance level of 5%, confidence interval (CI) of 95% and Odds Ratio (OR) were adopted. Results: The total consisted of 325 riverside dwellers with a prevalence of syphilis of 6.15% (20) and of HIV of 0.61% (2), being a coinfection. 190 were female and 135 were male. 68.9% (220) had a mean age of 40 years and 56.6% (184) had never attended school or had elementary school. The variables related to individual vulnerability that were associated with the outcome/chance of infection for STIs in the final regression were almost four times higher in participants aged 48 years or older (p=0.022), having had a blood transfusion (p=0.023 ), people who had more than one sexual partner in the last 6 months (p=0.028) and did not know the female condom (p=0.031); and having a current sexual partner (p=0.041) had a low risk of 0.33 for the outcome. For social vulnerability, no variable was associated. And in the programmatic dimension, not having taken a rapid test for HIV presented a low risk of 0.26 (p=0.021). Regarding the level of knowledge in the riverside population, 65.5% (213) participants had low knowledge (0 to 14 correct answers/28 questions). On the other hand, in the association between the factors of level of knowledge about STIs, the three dimensions of vulnerability were present. Among them, participants aged 48 years or older had a risk 1.93 times higher (p=0.012) for low level of knowledge about STIs, not knowing their partner's serology had a risk of 1.92 times (p=0.011 ); almost 4 times greater chance (p=0.000) was obtained among riverside dwellers with low schooling; never having been tested for STIs in life had a chance of 2.51 (p=0.000), and not having access to condoms in the last year the risk was 1.95 times (p=0.006) of low knowledge. Conclusion: The riverside population was vulnerable to syphilis and HIV in the individual and programmatic dimensions. Regarding the level of knowledge about STIs, this population suffers from a deficit, and is vulnerable in all dimensions.
Acesso aberto (Open Access)
Percepção dos preceptores da residência em enfermagem obstétrica sobre o processo ensino aprendizagem à luz da teoria de Edgar Morin
(Universidade Federal do Pará, 2022-08-19) AMARAL, Elannira Sozinho; CARNEIRO, Márcia Simão; http://lattes.cnpq.br/3702559186954581; https://orcid.org/0000-0001-7732-1310
The object of this study is the obstetric nursing residency preceptors’ perception about the teaching-learning process on the light of Edgar Morin's theory. The residency is a lato sensu postgraduate course in which teaching is effective during practical training in healthcare services. The preceptor is the professional working in the healthcare services who is responsible for the practical training of the resident. Guiding question: What is the obstetric nursing residency preceptors’ perception about the teaching-learning process? General objective: To analyze the perception about the teaching-learning process among the obstetric nursing residency preceptors. Methodology: This is a descriptive study with a qualitative approach. The research was set in the Obstetric Nursing Residency Program at the Federal University of Pará (UFPA). The study participants were 16 preceptors. Inclusion criteria: Being a specialist in Obstetric Nursing; having two years' experience in obstetrics; Acting as a preceptor for at least two years. Exclusion criteria: Preceptors absent due to vacation or leave of absence. Data collection took place through a semis-tructured interview in May 2022. The interviews were audio recorded using an electronic device (cell phone) with an average duration of 14 minutes, later it was transcribed their full content, analyzed and interpreted using the methodological technique of content analysis, proposed by Bardin (2016), to assist in the treatment of the results, the IRAMUTEQ software was used. Edgar Morin was used as a theoretical reference. Results: Sociodemographic profile: the mean age was 44 years; 87.5% (14) were female; 37.5% (06) declared themselves single; 50% (08) married and 12.5% (02) in a stable union. All graduates from public universities; 68.8 (11) completed a lato sensu postgraduate course with a workload of 360 hours and 31.2% (05) in the residency modality; 12.5% (02) had a master's degree. Three analyzes generated by IRAMUTEQ were used. For analysis, word cloud techniques and similarity analysis and Descending Hierarchical Classification (DHC) were used. It was found 6 classes separated into 4 categories, entitled TeachingLearning Process; Challenges for the Realization of the Teaching-Learning Process; Teaching Focused on Comprehensive Care; The Importance of Residency for the Teaching-Learning Process Effectiveness. Conclusion: The study revealed the importance of the preceptor for the teaching-learning process in the residency modality. It was evident that teaching is focused on techniques and procedures based on institutional protocols. As challenges, the absence of pedagogical planning stood out; distance between university and hospital institution; lack of preceptors’ pedagogical preparation as well as incentives to exercise preceptorship; the existence of dispute over the teaching scenario and accumulation of tasks that compromise efficient teaching for residents. The need for teaching focused on Morin's complex thinking is highlighted, which articulates teaching, it aims at the multidimensional, transdisciplinary, favors self-criticism and reflection with the goal of changing realities.
Acesso aberto (Open Access)
Os significados entre residentes de enfermagem obstétrica sobre o processo de ensino-aprendizagem no campo de prática assistencial
(Universidade Federal do Pará, 2022-08-29) MOURA, Letícia Diogo de Oliveira; PEREIRA, Audrey Vidal; http://lattes.cnpq.br/2510148795147954; https://orcid.org/0000-0002-6570-9016; RODRIGUES, Diego Pereira; http://lattes.cnpq.br/8470989067617455; https://orcid.org/0000-0001-8383-7663
The teaching learning process in Obstetric nursing education seeks to include technical recommendations that significantly contribute to the transformation of the obstetric care scenario. Understanding the importance of the teaching-learning process in the qualification of new professionals is part of the transformation of this scenario. Object of study: the meanings amongst residents about the teaching-learning process in the practice scenarios of the Residency Program in Obstetric Nursing. Guiding question: What are the meanings amongst residents about the teaching-learning process carried out in the practice scenario of obstetric nursing? General objective: to analyze the meanings amongst residents about the teaching-learning process in the practice scenarios of the Residency Program in Obstetric Nursing. Specific objectives: to describe the teaching-learning process experience with residents in obstetric nursing; to discuss the possible obstacles in the practice scenario that impact the teaching-learning process. Methodology: a qualitative case study approach. The research was carried out in the obstetric nursing residency program at the Institute of Health Sciences of the Federal University of Pará. The research participants were twenty-two residents of the 1st and 2nd year of the program, which followed the intentional recruitment and application of the following inclusion criteria: being regularly enrolled as residents; have spent at least 1 month at the UBS, hospital and management level. The following exclusion criteria were established: residents on maternity leave or due to illness; residents who dropped out of the program. Data collection was carried out through four focus groups with both classes, being three groups with six residents and one group with 4 residents, obtaining two refusals to participate. The groups had two face-to-face meetings and an average lenght of 120 minutes. A conceptual map on positive and negative aspects of the residence was also used. Audio recording was used, which was transcribed in full with the information. The study was approved by the Research Ethics Committee of the Institute of Health Sciences of the Federal University of Pará, under No. 5.443.574/2022. The data were submitted to content analysis in the thematic modality with organization support of the ATLAS.ti 22.7 software, with the realization of the following codes: Preceptorship; resident R2; residency reception; the residency course in obstetric nursing. The results showed that preceptorship is a facilitating and integrating link in learning, with many professional references focused on training new qualified obstetric nurses. But also, the need of reception, empathy, involvement and integration in the training of preceptorship and with scientific evidence, aligned with theory and practice. Also, the extension of investment in preceptorship as a foundation to grant better formation. However, the second-year resident constitutes an important strategy for the aggregation of preceptorship with the firstyear residents, with their reception and conflict mediation. However, the lack of a sense of belonging and the management organization are important senses that must be worked along with the course and the practice scenario. It is concluded that this study achieved its initial objectives, elucidating the meanings of residents in obstetric nursing about the learning teaching process and provided support for future changes to be thought and carried out in the training of new obstetric professionals.

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