Navegando por Assunto "Enfermagem"

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Ação e raciocínio pedagógico de professoras de enfermagem: expressões em diferentes contextos educacionais
(Universidade Federal do Pará, 2018-08-27) MENEGAZ, Jouhanna do Carmo; BACKES, Vânia Marli Schubert; MOYA, José Luis Medina
Objective: to report sources of knowledge base for teaching, categories of knowledge base for teaching and phases of pedagogical reasoning and action of professors of higher education in Nursing in public and private universities in the South region of Brazil. Method: t collective study of instrumental cases with a qualitative approach. The cases involve the pedagogical reasoning and action of two professors of Nursing. Data collection incorporated documents, interviews and observation analyzed using the constant comparative method. The analysis gave rise to two metacategories, termed public case and private case, and their transversal axes: relationships between sources and knowledge base for teaching, relationships between categories of knowledge base for teaching, and relationships between knowledge base for teaching and the Model of Pedagogical Reasoning and Action. Results: there are distinct relationships between sources, knowledge base for teaching and phases of the Model in the cases’ pedagogical reasoning and action. Conclusion: emphasis is placed on hierarchization and linking in the relationships between Shulman’s constructs and encouragement to reflection, and broadening of the sources of knowledge base for teaching as a source of lecturer training is suggested.
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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.
Acesso aberto (Open Access)
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)
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.
Acesso aberto (Open Access)
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.
Acesso aberto (Open Access)
Conhecimento de enfermeiros da atenção primária à saúde sobre síndromes hipertensivas específicas da gestação
(Universidade Federal do Pará, 2020-08-27) SIQUEIRA, Lorena Saavedra; TAVARES, Roseneide dos Santos; http://lattes.cnpq.br/2302813977671086; https://orcid.org/0000-0003-4556-2683
The Specific Hypertensive Syndrome of Pregnancy (SHEG) is characterized by clinical manifestations such as hypertension and proteinuria, a symptom that manifests itself after the 20th week of pregnancy, is considered the first cause of maternal death in Brazil. In this context, through the inclusion of preventive and curative procedures and health promotion, prenatal care can be considered a protective factor for the health of pregnant women. The nurse is the health professional most qualified to identify, and perform the first care and referral for high-risk pregnant women to prenatal care if necessary. The nursing care practiced by the nurse is permeated by several knowledge and skills that have a strong influence on care during the puerperal pregnancy cycle. It is essential to know and understand pregnancy and its complications for measures to be taken in a timely manner to protect the health of the mother and fetus. Thus, the objective was to unveil the knowledge of nurses who attend prenatal care in basic health units about Specific Hypertensive Syndromes of Pregnancy in the city of Belém, state of Pará. A field research with a qualitative descriptive approach was carried out in the eight administrative districts of Belém, and the sample consisted of fifteen nurses who attend prenatal care in primary care, the collection was made through an oral and recorded interview, the analysis Data analysis was carried out through Bardin's Content Analysis, and to assist in processing, the IRAMUTEQ software was used as a tool that brings statistical rigor to qualitative research carried out according to Reinert's method, which uses the Descending Hierarchical Classification. In the results, four categories and three subcategories emerged. Category 1 “Main aspects about SHEG” with subcategories 1 and 2, respectively, “Knowledge of prenatal nurses about SHEG and its clinical manifestations”, “Preventive measures to reduce complications triggered by SHEG during prenatal care. primary ", category 2" Prenatal care in primary care of pregnant women with SHEG ", with subcategory 1" Factors associated with referral of pregnant women with SHEG to Obstetric Urgencies and Emergencies ", Category 3" Nurses' assistance to pregnant women diagnosed with SHEG "and Category 4" Nurses' knowledge about nutritional factors during pregnancy and the relationship with SHEG ". Nurses who work in prenatal care have knowledge about SHEG, however they have difficulties in its classification, describing the pathology in a more general way. In addition, some clinical signs such as edema are described as a diagnostic criterion, despite the literature demonstrate the opposite. Another relevant factor concerns the prevention of SHEG, where nurses describe healthy habits as protective factors, which according to the evidence only prevent complications that this pathology causes, besides, within the management, a strong tendency to refer to the pre-natural high-risk and obstetric emergencies, however there is no reference to the return of this woman to her unit of origin to share prenatal care as guided by women's health protocols. We concluded that most of the participants had been without training on prenatal care for a long time, which may be related to the outdated information about changes in protocols and inappropriate conduct. Through investigation, we understand the need for professional improvement of nurses on SHEG, and that the creation and use of care protocols based on the most current scientific evidence being addressed in the clinical practice of nurses are extremely important to guide the decision-making process and ensuring the provision of quality and safe care. In this context, we can say that nurses have knowledge about SHEG, however there are still many gaps regarding the proper classification of the pathology, the clinical management within primary care shows a difference in the procedures adopted despite the existence of national protocols.
Acesso aberto (Open Access)
Conhecimento de famílias ribeirinhas relacionado às infecções sexualmente transmissíveis
(Universidade Federal do Pará, 2022-08-26) LIMA, Nyvia Cristina dos Santos; CASTRO, Nádile Juliane Costa de; http://lattes.cnpq.br/2532971599666350; https://orcid.org/0000-0002-7675-5106
Introduction: Sexually Transmitted Infections are Public Health problems, due to their magnitude and difficulty in accessing adequate treatment. Considering the magnitude and consequences of STIs for the world, it is important to provide and develop studies that allow researchers and managers of public policies and social investments to outline specific, solid and long-term strategies for the transformation of behaviors. In this sense, it is emphasized that it is necessary to implement specific policies so that they contemplate regional realities, peculiarities and specificities of Amazonian riverside communities regarding these infections, the subjects involved and the care practices. Objective: To explore the knowledge of riverine families about Sexually Transmitted Infections. Methodology: Exploratory descriptive research with a qualitative approach. It was carried out in the city of Igarapé-Miri-PA, a riverside community on the Meruú River and is located in the mesoregion of northeast Pará and in the microregion of Cametá and is 78 km away from the capital of Pará, Belém, in the lower Tocantins. Data collection took place in January 2022, through forms. Data were processed in the IRAMUTEQ software and submitted to content analysis. Result: 38 families were interviewed, most of the participants were female, aged between 36 and 59 years old, in a stable union and with different schooling, with emphasis on elementary school. The data pointed to 04 classes, later presented in three categories such as: care practice, knowledge of sexually transmitted infections and accessibility to health services and the availability of treatment. Final considerations: Residents have deficient knowledge about sexually transmitted diseases, whether for prevention or treatment. The care practices mentioned are related to the use of natural resources and presented in the form of bottles and teas, used as an alternative to the scarcity of local primary care services. The lack of accessibility to health services and the conditions of social vulnerability interfere with knowledge, care and continuity of treatment by the public health service.
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)
Desvelamento crítico da pessoa estomizada: em ação o programa de educação permanente em saúde
(2012) CUNHA, Regina Ribeiro; BACKES, Vânia Marli Schubert; HEIDEMANN, Ivonete Teresinha Schülter Buss
OBJECTIVE: To present the critical unveiling of the Itinerary of Freirean Research in the care of people with stoma. METHODS: A qualitative study in health linked to the methodological framework of Freire, which includes obtaining and analysis of data in dialogical circles, comprising three dialectical moments, intertwined in an interdisciplinary manner: thematic research, coding and decoding, and critical unveiling. This occurred in the period between April 2009 and February 2010, with an irregular number of participants, in the auditorium of the President Vargas Specialized Reference Unit, in the city of Belém / PA (Brazil). RESULTS: Inadequate training of health professionals was one of the most relevant topics generated, and unveiled the necessity of implementing a program of continuing education on the care of people with stoma. CONCLUSION: The proposed unveiling constituted a life experience so that these people with stomas were enabled to "read the world" and thus know and walk towards the transformation of their reality.
Acesso aberto (Open Access)
Detecção do DNA de Mycobacterium leprae em secreção nasal
(2008-11) PONTES, Ana Rosa Botelho; ALMEIDA, Maria das Graças Carvalho; XAVIER, Marília Brasil; QUARESMA, Juarez Antônio Simões; ISHIKAWA, Edna Aoba Yassui
Studies have demonstrated high sensibility of the polimerase chain reaction (PCR) technique in the identification of the Mycobacterium leprae DNA . This study aimed to evalue the PCR sensibility at the detection of the M. leprae DNA in nasal swab of leprosy patients and to compare the results with the bacilloscopy and multibacillary (MBs) and paucibacilares (PBs) forms. Nasal secretion samples of 24 leprosy patients were collected, and were preserved in one and two lise's solution. The PCR results were highly significant (p <0.0000) and they revealed grater sensibility than bacilloscopy, in several clinical forms. Nevertheless, still different studies are necessary, testing new markers and preservatives, with the purpose of lifting up the sensibility of this technique, in nasal secretion samples.
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.
Acesso aberto (Open Access)
EDUCAHIV: avaliação da usabilidade de aplicativo móvel para a prevenção e controle do HIV/AIDS
(Universidade Federal do Pará, 2023-11-09) BARROS, Kely da Silva; RAMOS, Aline Maria Pereira Cruz; https://lattes.cnpq.br/5659071119788962; https://orcid.org/0000-0001-8812-2923
Introduction: Aiming to achieve the 95-95-95 target recommended by the United Nations to end AIDS by 2030, the use of mobile health applications, also called mHealth (mobile health), has become a very useful technological equipment in the combating the HIV virus epidemic, as it is a universal and easily accessible tool. It was found that applications based on Ministry of Health Protocols are available in a fragmented manner and that there is no one that brings together all the necessary information and is aimed at nurses, making their daily clinical practice, which tends to meet diverse demands, difficult. Objective: To evaluate the usability of the “EducaHIV. Methodological Course: This is a methodological research, with usability evaluation carried out with nurses who work in Primary Health Care in the Administrative District of Guamá, municipality of Belém. The instrument used to evaluate the usability of the application was the SURE questionnaire ( Smartphone Usability questionnaiRE) which uses a 4-point Likert-type response scale and which also has its own result scale to evaluate usability, in addition, the Content Validity Index-CVI, the CVI of individual items, was calculated and the S-CVI/AVE which is the average of the I-CVI. Results: 17 nurses participated in the research who used the application for an average of 20 minutes using smartphones or tablets and, after using it, answered the printed SURE questionnaire with an average duration of 10 minutes. Data collection took place in a unique approach in October 2023. Data analysis showed that 94% of nurses obtained a usability level of 80 on the SURE scale, ensuring that the application was useful and also obtained a CVI of 0.92 and the S-CVI/AVE of 0.91. Regarding the considerations reported in the questionnaire, the most frequent was the need for the application to zoom to improve the visualization of the content and the insertion of information about drug interactions of antiretrovirals and other medications. Conclusion: Given the satisfactory results, it is concluded that the EducaHIV application has a high level of usability and a good agreement rate, which reflects on the quality of the application and user satisfaction.
Acesso aberto (Open Access)
Enfermeiros da região amazônica brasileira e o acesso à informação na atenção primária à saúde
(Universidade Federal do Pará, 2023-11-09) FERREIRA, Evellyn de Paula Moraes; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
The study aims to analyze the access to information on Primary Health Care (PHC) by nurses from the Brazilian Amazon Region. The research is part of the macro project Nursing Practices in the Context of Primary Care: a national study of mixed methods and its data were collected from November 2019 to August 2021. The participants were 626 nurses, who work in PHC in the Northern Region. For data collection, an electronic questionnaire was used, with closed questions, whose data were stored in the Microsoft Excel program. The chi-square test was used to evaluate differences in the proportion of access to information between the states of the North Region, by which the two states with lower coverage (Amapá and Pará) were compared to each other and then to the others. Also, the chi-square partition test was applied and, for the variables that presented statistical significance, the residue test was used, considering a residual value equal to or greater than 1.96 for p < 0.05. These analyzes were performed using the program bioestatₒ and the resulting data were presented in the form of tables. The study was approved by the Research Ethics Committee (CEP) of the University of Brasília under opinion no. 4.263.831 and CEP of the Federal University of Pará under opinion no: 4.520.687. When comparing the states of the Northern Region with Pará and Amapá, which have lower PHC coverage, the following results: Roraima has a higher proportion of nurses who access information on Primary Health Care by printed means (p = 0.0177); Amazonas (p < 0.0001), Rondônia (p = 0.0049), Roraima (p = 0.0288) and Tocantins (p = 0.0014) have higher proportions of nurses who access information in the workplace; Amazonas nurses access less information published in scientific journals (p = 0.0388); nurses in Roraima have a higher proportion of access to information from specialized books (p = 0.0247); and nurses in Rondônia (p = 0.0373) and Roraima (p = 0.0357) have greater access to information from government sources. The access to information and resources by the nurses of the PHC of the Brazilian Amazon participating in the research, involve a combination of specific training, cooperation with health networks, partnerships with organizations and access to online portals and specialized publications, elements that contribute to the continuous training of nurses and that improve the quality of health care offered in the Brazilian Amazon.
Acesso aberto (Open Access)
Enfermeiros empreendedores de negócios no Brasil: perfil socioprofissional e de formação
(Universidade Federal do Pará, 2022-08-01) PONTES, Emily Silva; TRINDADE, Letícia de Lima; http://lattes.cnpq.br/4855649408920925; https://orcid.org/0000-0002-7119-0230; MENEGAZ, Jouhanna do Carmo; http://lattes.cnpq.br/2423764452219953; https://orcid.org/0000-0002-7655-9826
Objective: to analyze socioprofessional and training characteristics of business entrepreneurs nurses in Brazil. Method: cross-sectional, exploratory and descriptive study, with a quantitative approach; it is presented as a clipping of the macro-research project entitled Nurses Entrepreneurs of Business in Brazil: labor market and training that aims to investigate entrepreneurial entrepreneurship in Brazilian nursing and aspects of its training. A total of 185 business-entrepreneur nurses in Brazil participated, using a non-probabilistic sampling technique for convenience. An online questionnaire was used for data collection, elaborated in theSurveyMonkey Program, with a link to the Free and Informed Consent Term. Data were analyzedusing descriptive statistical analysis, where quantitative variables were presented by mean, standard deviation and central tendency and categorical variables were described by absolute and relative frequencies. Results: business entrepreneur nurses presente
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Ensino-aprendizagem em saúde mental e psiquiatria: percepção dos alunos da graduação em enfermagem
(Universidade Federal do Pará, 2017-03-09) FREITAS, Karina Faine da Silva; OLIVEIRA, Marília de Fátima Vieira de; http://lattes.cnpq.br/7030765721580568; https://orcid.org/0000-0003-4303-9434
The purpose of this study is to understand the student's perception about the teaching learning process in curricular activities: Nursing in Mental Health and Psychiatry and Semi Internship in Nursing II, identifying weaknesses in the training process. The philosophical theoretical support is based on the libertanting pedagogical conception of Paulo Freire, as well as, it is anchored in authors and documents that discuss the proposed theme. Fourteen graduating students had participated in the curricular activities of Nursing in Mental Health and Psychiatry and Semi-Internship in Nursing II, ministered respectively in the 4th and 9th semesters of the Nursing Course-UFPA, divided between two sessions, the first one composed of four Students and the second session of ten students. Data collection was realized in September and October 2015, throught the technique of group interviews, via the focal group. The data obtained were analyzed following the steps proposed by John W. Creswell (2010), from which four important thematic units appeared: "The critical-curious look for the classes of Mental Health and Psychiatry"; "The Pedagogical dimension"; "Learning in relation to Mental Health and Psychiatry"; "The stigma in relation to the psychiatric patient". The results revealed that the students perceive their training process and critically contemplate the ways of teaching in mental health and psychiatry, and recognize that the way in which the content is worked makes difference in the teaching-learning process. It is inferred, that for teachers it is still a challenge to understand the pedagogical action and the role they play in this process, recognizing the demands and requirements that determine the formation process, as well as, respect for the autonomy of the students. Through this study we perceive the need to consolidate the training of nurses from the perspective of SUS, in order to know the devices of the Psychosocial Attention Network and the precepts of the Psychiatric Reform. The results indicate the need to overcome the pontual formation of mental health, however, it should favor an academic environment that fosters the topic of discussion in all curricular activities because it is a transversal theme and takes place throughout the living process of the human being. It was possible to understand through the praxis, the process of reflection on the action and the critical posture, that the environment changes and people are transformed.
Acesso aberto (Open Access)
Esse tal Nicolau: representações sociais de mulheres sobre o exame preventivo do câncer cérvico-uterino
(2010-09) SILVA, Sílvio Éder Dias da; VASCONCELOS, Esleane Vilela; SANTANA, Mary Elizabeth de; RODRIGUES, Ivaneide Leal Ataíde; MAR, Dayse Farias; CARVALHO, Francilene da Luz Carvalho
This research aims to identify women's social representations of women regarding cervical cancer and describe the relationship of these social representations with preventive care. The study used a qualitative-exploratory approach, with the theory of social representations as the theoreticalconceptual support. Data collection was performed using two techniques: the free association of words and the semi-directed interview with open questions. The thematic analysis technique was used for data interpretation. The research resulted in two thematic units: cervical cancer: an early treatable wound and the screening test: taking because of fearing. It was observed that women have great fear of having cervical cancer and, therefore, recognize the importance of the screening test and see it as an act of self-care towards their health.
Acesso aberto (Open Access)
Gestão de pessoal de enfermagem por competências em serviços de saúde: revisão de escopo
(Universidade Federal do Pará, 2021-04-06) OLIVEIRA, Sebastião Magno; MENEGAZ, Jouhanna do Carmo; http://lattes.cnpq.br/2423764452219953; https://orcid.org/0000-0002-7655-9826
Introduction: Due to its recognized benefits in the public scenario, the so called competency management model has been introduced in institutions that provide health care services within the scope of the Public Unified Health System (SUS). Institutions providing health services were led to verify the management models used and adapt them to the changes originating from globalization, starting from the need for managerial molds capable of putting into practice the skills of workers, for this reason, the use of tools such as management by competences are being inserted in health services. Objective: Describing, based on the scientific literature, how nursing staff management by competencies in health services occurs. Method: This is a scoping review based on the protocol of the Joanna Briggs Institute (JBI). The researched articles were obtained using two search strategies, based on LILACS, MEDLINE, and SCIELO, using descriptors, keywords, and Boolean operators, without time limits, in Portuguese, English, and Spanish. The data were collected in the month of September 2020, and 165 articles were collected. The studies found were transferred to the Rayyan® application software, with the aim of giving the following steps and the review greater agility and safety. After excluding duplicates 148 articles remained, subsequently reading title and abstract 20 articles were classified as eligible for review, which were read fully and, with the exclusions, five articles were included in the review. The selection of studies was carried out based on the inclusion criteria. Data analysis was performed using descriptive statistics and through Bardin's content analysis. A qualitative analysis of the extracted data related to the competency management process was carried out. Result: As a result, five studies related to the theme of the review were obtained with contributory attributes to compose it. The results were organized by topics of interest to the work according to the JBI protocol. The studies showed a time window of publications on the theme in the national context, which suggests a small number of studies on the theme in Brazil. The results show that most research was conducted in public health institutions and was carried out with nurses. This fact reinforces the relevance of nurses in the process of managing people in health services. One point of weakness found was regarding the concept of competence being evidenced in only one article. In four studies, some type of material, instrument, or reference system was evidenced, but they did not specifically address the theme of management by competencies, but rather dealt with issues related to the process of managing people, quality and other care processes which involve the professionals of the institutions in general, and not specifically the nursing team.
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)
A Implicação do apoio social no viver de pessoas com hipertensão arterial
(Universidade Federal do Rio Grande do Sul. Escola de Enfermagem, 2013-09) TAVARES, Roseneide dos Santos; SILVA, Denise Maria Guerreiro Vieira da
This study aimed to know the types of support offered by the network of social support and implications on hypertensive life. Qualitative study whose methodology was based on Grounded Theory. 35 people were interviewed between October 2008 and August 2010, 22 hypertensive compulsorily enrolled in HIPERDIA at a Health Unit in Belém / PA, 5 family members, 5 health professionals and 3 representatives of community institutions, referenced by hypertensive patients, as members of the network support. Data were subjected to coding procedures: analysis, comparison and categorization. The category "Identifying the types of social support offered to people in their living with hypertension" was the Intervening Condition of the Theory. The types of emotional, informational and instrumental support originated mainly from family relationships and may mean alternative treatments, featuring a care focused on people with hypertension and their network of relationships which requires attention from healthcare professionals, including nurses.
Acesso aberto (Open Access)
Indicadores epidemiológicos das infecções relacionadas à assistência à saúde dos hospitais de Belém-Pa sob a ótica da vigilância sanitária
(Universidade Federal do Pará, 2017-04-03) MIRANDA, Valdirene Barroso; CAMPOS, Ana Cristina Viana; http://lattes.cnpq.br/4058636685107892; https://orcid.org/0000-0003-0596-6632; VIEIRA, Antonia Benedita Rodrigues; http://lattes.cnpq.br/0692027193243552
The term Hospital Infection (HI) has been substituted by Healthcare-Associated Infections (HAIs) because they embrace the infections the patient can acquire in other healthcare services, besides hospitals. The HAIs show larger incidence in the Intensive Therapy Units (ITUs). The failures in the tools sterilization processes, the lack of antimicrobian patterning and the failure in the hands hygienic technics are some factors that contribute to acquire infections, resulting in the mortality increase, in the internment period increase and in the healthcare expenses elevation. Concerning to the legislation, Federal Law 9.431/1997 made obligatory for each hospital creating HAIs Control Commissions and keeping HAIs Prevention and Control Programs, as measures to prevent and control this phenomenon. It is due to Sanitary Vigilance inspecting the Hospitals’ HAIs Control Commissions, supported by sanitary inspection and documental analysis. This procedure allows picking up epidemiologic information about HAIs in each hospital, enabling the HAIs tax calibration, as well as information about microorganisms which round the hospitals the most. The objective proposed has been describing Belém’s Hospitals’ HAIs epidemiological profile through the Sanitary Vigilance’s view, in the period between 2011 and 2014. It’s about historic series ecologic study, with secondary data, collected in the Belém’s Sanitary Vigilance Department Data Base, referring to the HAIs informed by 32 hospitals, between 2011 and 2014. The study results show that 68,8% of the hospitals are particular and 31,2% are public; that 71,9% have Intensive Therapy Unit rooms, 60,87% of them in the particular net. Concerning to the HAIs Control Commissions’ behave, 56,2% of the hospitals count on active Commissions, while 43,8% don’t count on active ones. About Infection Indicators, HAIs’ tax keeps around 3,3%. The infected patients’ tax reached 2,7% in 2012. HAIs’ obits reached it’s higher increase in 2011, 14,3%. The respiratory tract infection has been the highest incidence topography, reaching the tax of 24% in 2012. Followed by the urinary tract infections (14,2% to 17,6%), blood flows infections (13,5% to 17,9%), skin (7,5% to 5,3%), intestine infections (5,7% to 6,1%), surgery site infections (0,9 to 1,0%), clean surgery infections (0,2% to 0,8%), neonatal blood infections (1,6% to 2,1%) and other topographies’ infections (3,3%). Pathogens that involved the most in infectious process were Pseudomonas aeruginosas (96%), Klebsiella pneumoniae (92%), Escherichia coli, Staphylococcus aureus and Staphylococcus epidermidis (80%) and Acinetobacter baumanni (72%). We conclude that a considerable number of hospitals in Belém don't monitor adequately the HAIS' occurrence, because the lack of active controls and of HAIS' Control Program implementation in a hospital can reflect unconsistent epidemiological data. Hospitals without active commissions can’t show indicators that reflect its epidemiological reality properly. So, it’s quite necessary that Sanitary Vigilance acts in a more incisive way in the hospitals, towards improving the process of controlling infections and ameliorating epidemiological indicators. This action will contribute to make sanitary department and hospitals comply their institutional missions, that are “eliminate, diminish and prevent risks and damages related to the patient’s health”.