In the current reality of health services, and in particular public institutions, where resources are limited and the population's health care needs are growing, there is a demand for improvement of work processes, in order to guarantee safe and quality, with lower costs and waste. Based on this context, the present study aims to develop, guided by scientific evidence and from an interprofessional perspective, the standardization of the medication administration process in a neonatal intensive care unit. The methodological path adopted will be the Convergent Care Research (PCA), which will take place in three phases: a semi-structured interview; meetings in small groups, called convergence groups, and the elaboration of the product, which will be a flowchart, containing the sequential steps of the medication administration process, collectively constructed with the team that performs this process. These steps will be based on the concepts of the Lean methodology, which is extremely relevant in healthcare, given that it aims to add maximum value to the customer, at the lowest cost and avoiding waste. The study will take place in a high-risk maternity hospital in a city in Rio Grande do Norte, and will have the participation of nurses and nursing technicians, who work in the neonatal intensive care unit of that institution. The research will begin after a favorable opinion from the Ethics and Research Committee (CEP), from the Federal University of Rio Grande do Norte (UFRN) and acceptance by the participants, upon signing the Free and Informed Consent Form (TCLE). It is expected that the collected data will allow the standardization of the drug administration process in a neonatal intensive care unit, represented by means of a flowchart.

During the aging process, which is becoming increasingly common, not everyone is able to maintain their functional abilities. Weaknesses lead to dependence and the need for a caregiver, most often an informal one. Caregivers need to assume their duties in the knowledge of the impact their care has on the elderly person's life. Performing their role properly provides a favorable prognosis for the elderly person and eases their burden. The Family Health Strategy's closest territory is the home, and it is through home visits that meaningful relationships are developed with the elderly person and their caregiver through support and co-responsibility for care. For this support to be carried out properly, it is necessary to assess and stimulate the health literacy of informal caregivers. Health literacy is the set of skills and competencies used by individuals to obtain, process and understand basic health information and services needed to make appropriate health decisions for themselves and others. Increased literacy leads to the empowerment and protagonism of the caregiver in carrying out health care, in ensuring their safety and the safety of the elderly person. This research aims to contribute to the Primary Health Care team in home care through the Health Literacy of informal caregivers of elderly people. It is a qualitative study developed through a Convergent Care Survey. The research setting was a municipality in the greater Natal area and participants included dependent elderly people, informal caregivers and ESF health professionals. The information collected was analyzed using Bardin's Content Analysis and the Atlas.ti® software. Next, the professionals present at the CG1 participated in the construction of an instrument to accompany the informal caregiver to support home care for the elderly through a new Convergence Group, called CG2, mediated by the Charles Maguerez Arc Method during four meetings. GC2 was registered as an Extension Project at the Federal University of Rio Grande do Norte's Extension Office. Home care faces many obstacles if it is to be carried out optimally. Dependent elderly people depend on overburdened caregivers in a scenario that is unfavorable to the health of both. Health professionals, not far from these impasses, recognize the importance of the caregiver, but still carry out visits centered on the elderly person. The team's lack of knowledge of the term Health Literacy means that it is not used as a criterion for decisions, limiting the provision of care. As a way of broadening the professional view of the caregiver and Health Literacy, a tool was collectively built to accompany the informal caregiver by Primary Health Care to support home care for the elderly.

High rates of mental illness have become a significant global public health issue, highlighting the need for the development of research in the field of mental health and technologies that enable professionals to provide better quality care to users suffering from mental health issues. In this context, Primary Health Care (PHC), as the gateway to the Unified Health System (UHS) and playing a crucial role in the management of SUS, becomes indispensable, as the need to adapt the work process developed by the PHC teams to meet mental health demands is imperative. Therefore,this study is an exploratory descriptive research with a qualitative approach that aimed to analyze the mental health care provided by the Family Health teams in the municipality of Parnamirim/RN,as well as to identify the technologies and work tools adopted by the teams to enable mental health actions, identify the problems, weaknesses, and potentials related to the mental health demand from the perspective of the PHC professional, and to develop, from the research, an educational technology aimed at contributing to the training process of PHC professionals. In accordance with the study's scope, work was conducted with health professionals who make up the Family Health Strategy teams across the seven territories of the municipality, totaling 20 individuals, including doctors, nurses, nursing technicians, and community health agents. Data collection was carried out through individual interviews with a semi-structured guide. The interview data were coded, summarized, systematized, and analyzed with a qualitative data analysis software, ATLAS.ti version 23, and Bardin's Thematic Analysis method was used for the analysis, resulting in five categories of analysis: 1) Mental Health Practices offered by the professionals of the Family Health Strategy (FHS): what is seen and what is done; 2) Reception as care technology in Mental Health in PHC: the real and the ideal; 3) "Us" in the Psychosocial Care Network (PCN): what is known and what is done; 4) Limits and possibilities of Mental Health Care in PHC; 5) Continuous Education as a potential for the qualification of Mental Health practices.The main result showed fragmented care concerning mental health, with poor coordination between PHC and the services that make up the PCN, making comprehensive care unfeasible. The practices of “mental health care” prevail based on an essentially biomedical model and with strong medicalization. Regarding the limitations for mental health care in PHC, the lack of training,insufficient resources, problems in the coordination of the care network, the fragility of the psychosocial care network without well-defined flows, difficulty accessing the network, lack of communication, workload, and the absence of matrix support stand out. However, the professionals highlighted the potential of PHC, as they see it as a conducive space for the construction of bonds, longitudinally, and resolution. The suggestions point to the implementation of continuous education activities and the development of strategic tools that help professionals more safely handle mental health demands. From the findings of the study, an educational technology in the form of a booklet (mental health booklet: welcoming mental suffering in PHC) was developed as a technical product. The material created, aimed at PHC health professionals, and containing information to be used in professional practices as a qualification instrument, has the potential to impact both the health services of the municipality where the study occurred and other PHC services that show similarity with this research, in order to improve assistance to users suffering from mental health issues and to promote comprehensive care.

Patient Safety achieved its benchmark in 1999, when the document To Err Is Human was published, which contained alarming data on adverse events occurring in hospitals in the United States due to errors related to healthcare. In Brazil, Ordinance No. 529 was created, dated April 1, 2013, which established the National Patient Safety Program (PNSP) in order to contribute to the qualification of health care in all health establishments in the national territory. Through this Ordinance, the Patient Safety Culture can be characterized in five operationalized characteristics, among them, the culture that encourages and rewards safety-related notification and the culture that, upon the occurrence of incidents, promotes organizational learning . However, given this context, it is necessary for errors to be reported, described and notified, so that the cause of the problem is known and intervention is carried out on an educational, preventive and non-punitive basis, since the record serves as an instrument of communication and discussion. between management and assistance. From this perspective, adherence to the reporting of incidents related to healthcare by healthcare professionals has been an important element in producing actions to improve Patient Safety. Thus, this research had the general objectives of analyzing adherence to reporting incidents related to healthcare by healthcare professionals in a teaching hospital and developing an institutional protocol to improve adherence to reporting incidents related to healthcare. This is a Convergent Care Research (PCA) with a qualitative approach, carried out at the Onofre Lopes University Hospital, located in the city of Natal/RN, from May to December 2023. Data collection was carried out in two stages: the first consisted of the application of semi-structured interviews, which made it possible to identify knowledge and practices for reporting incidents related to health care, with the participation of 32 professionals. In the second stage, two convergence group meetings were held, which included discussion of interview data and the construction of the institutional protocol, with the participation of 14 professionals in the first meeting and 12 in the second. The analysis of the data produced in the two stages was carried out following the proposals in the PCA. To organize and process the data, the Atlas Ti software was used. Ethical principles were respected. The results obtained made it possible to identify the main barriers and strategies for reporting health-related incidents. It was highlighted that the lack of adequate information and the lack of knowledge of the VIGIHOSP instrument and the importance of notification influence professionals not carrying out this procedure, resulting in underreporting. The study enabled the creation of an innovative protocol-type tool, since, in the studied institution and in the EBSERH network, there is no specific protocol to guide professionals in reporting incidents at VIGIHOSP. This advance is essential to foster a culture of patient safety and improve adverse event management processes.

Clinical Protocols and Therapeutic Guidelines are documents that provide recommendations aimed at optimizing patient care, which can be called clinical practice guides, manuals, guidelines, notebooks, protocols, among others that must be adopted to improve this process. Considering the relevance of monitoring risks and standardizing the care process for polytraumatized patients in practice scenarios. From this context, the present study aimed to build and validate a protocol for multiple trauma patients in a Mobile Emergency Care Service in Rio Grande do Norte. This was applied research for the development of a technological product with a quantitative approach, focused on the construction and validation of content and appearance of the Standard Operating Procedure (SOP). The product was built through the following steps: 1) scoping review on the theme 2) construction of the instrument based on the characterization of the checklist items with the mapping of the scoping review and 3) content and appearance validation process using the Delphi technique composed of a panel of judges (nurses). The judges were invited via email. The study complied with the ethical precepts in research with human beings described in Resolution 466/2012 of the National Health Council and is in accordance with the guidelines for research procedures at any stage in a face-to-face environment, with approval from the University's Research Ethics Committee. Federal Government of Rio Grande do Norte, authenticated by opinion no. 6,046,885. In the results, items with a Content Validity Index ≥ 0.90 and checklist reliability based on Kappa agreement ≥ 0.83 were considered valid. After the construction and structuring of the POP, the Delphi stage was carried out with the responses of 6 judges, to validate the content and appearance, containing a form organized using a Likert scale (1. I completely disagree, 2. I partially disagree , 3. partially agree and 4. completely agree). The checklist categorized into 5 items. The 1st round evaluated the individual content of the items, the 2nd round evaluated the attributes of the instrument and the 3rd round evaluated the appearance and general evaluation (comparison between the immobilization performed before and currently). The level of agreement between the judges and the validation of content and appearance reached final values of 1.00. These professionals (100%) have worked at SAMU 192 for between five and ten years. This work revealed the need to standardize, through a protocol, nursing care for victims of accidents with forearm injuries, in order to contribute to the standardization of the immobilization procedure for the affected segment, optimize knowledge of the technical condition, and maintain up-to-date professional in the treatment of orthopedic trauma in different scenarios. The product of this study consisted of the standard operational protocol to guide the immobilization procedure of the upper limbs (forearm), drawn up based on the improvement strategies collectively raised in the interviews, with a view to standardizing the aforementioned process of immobilization of the upper limbs of the polytraumatized person, which is fragile and out of alignment.

Mental health care in Primary Care (AB) promotes benefits such as positive clinical results, improved quality of life for patients with depression or other types of psychopathology. For this, it is essential that the professional, first of all, know how to identify the problems and issues being addressed in health education, taking into account that the individual assisted there is a biological, social, subjective and also historical being. Regular health education actions alone are not capable of meeting the needs of the population and increasing the quality of health services. Thus, this study aims to implement an educational strategy on mental health centered on the learning needs of the Multidisciplinary Primary Care Team. The Assistential Convergent Research will be carried out. They will be respected as steps that correspond to PCA. Conception: carrying out an Integrative Literature Review through the PICO strategy; Instrumentation: The research scenario will be a municipality in Greater Natal and will have as participants the health professionals who participate in PC, will be granted the Free and Informed Consent Form (TCLE) and the Term of Authorization for Voice and Images Recording (TAGV) in order to start collecting data that arrive through Convergence Groups, using open interviews and semi-structured listening; Scrutiny: thorough investigation of the information in progress to carry out the necessary changes observed in the data collection phase. Analysis: use of apprehension, synthesis and theorization steps, which are PCA budgets for data interpretation. In the end, it is intended to build an instrument of educational strategy in permanent education about the mental health patient in AB aimed at AB professionals.

Permanent Health Education is defined as a teaching and learning process integrated into work, based on expressive learning and the likelihood of transforming professional practices. In Rio Grande do Norte, the implementation of Permanent Education in Health was guided by national guidelines, first established by the Ministry of Health document that presented guidelines for training and development policies for the Unified Health System and, then, by Ordinance GM /MS n.º 198/2004, which instituted the National Policy for Permanent Education in Health. In this context, this study aims to analyze the performance of the Regional Centers for Permanent Education in Health in the state of Rio Grande do Norte and to develop an action plan to strengthen the work processes of the Regional Centers for Permanent Education in Health. This is a qualitative research, of the action-research type, which was carried out with the professionals responsible for the Nucleus of Permanent Education in Health of seven Regional Public Health Units in Rio Grande do Norte. Data collection and production took place in three stages. The first consisted of a working meeting with the professionals participating in the study to present the research and survey the research needs about the perspectives of collaborative intervention to improve work processes, fostering the debate on the intersection of education and management in the regional offices of state health. From this, individual interviews were conducted to understand the challenges and potential of the URSAP for the implementation of the Regional Centers for Permanent Education in Health. Based on the recognition and analysis of the Centers' performance diagnosis, a plan of action of the Regional Centers for Permanent Education in Health was built, collaboratively in operational groups, with state managers and professionals working in the URSAPs, to promote the regionalization of implementation of the Potiguar Policy for Permanent Education in Health. The Atlas.ti version 22 qualitative analysis program was used to process and organize the data. Data analysis was carried out based on the principles of content analysis proposed by Minayo (2001). Data analysis allowed the elucidation of three categories: Knowing the work processes of the Regional Centers for Permanent Education in Health, their challenges and potential; Discussing the necessary actions to qualify the work processes of the Regional Centers for Permanent Education in Health and Building an action plan to improve the work processes of the Regional Centers for Permanent Education in Health in the state of Rio Grande do Norte. The content of this last category enabled the materialization of the action plan as an intervention in the scenario studied. The product of this study will contribute to strengthening the management of health education in Rio Grande do Norte through the implementation of the Potiguar Policy of Permanent Education in Health in a horizontal and regionalized way.

Palliative care is a health field that seeks to improve the quality of life of people with a life-threatening illness. It is estimated that in the world more than 56.8 million people need palliative care every year and of these, 7% are children. Nursing acts in the elaboration, execution and evaluation of health care plans, being able to make use of the promising approach and resources to carry out good palliative care practices. The present study has the general objective of building a practical guidance guide on the application of palliative care by nursing in a neonatal intensive care unit and, as specific objectives, to identify the knowledge of the nursing team of an intensive care unit on palliative care; describe palliative care developed in a neonatal intensive care unit; to analyze the discourse of the nursing team about their performance in palliative care in a neonatal intensive care unit. This is an exploratory-descriptive research with a qualitative approach. The instrument used to collect information was the use of focus groups. The analysis was carried out in the light of the thematic analysis framework. From the analysis, it was possible to build 2 categories, where it was first identified that nursing has difficulty accepting the death of a Newborn, there is no alignment of the team in decision making, causing anguish in the team. Despite the nursing team's little knowledge about the theme, they defend comfort, quality of life, and welcoming the family. Demonstrate the need for in-service training. In category 2, nursing feels the need for institutional directives that guide individualized care. Humanized care and adequate management of pain in newborns are prioritized. Nursing understands the importance of including the family in care, being able to provide comfort at the time of death. Despite the technical mastery of the profession, it is necessary to develop palliative skills, as well as work on interdisciplinarity. Since then, the practical guide will contribute as a consultation instrument and care strategies for newborns in palliative care.

Among chronic non-communicable diseases, breast cancer is the most diagnosed among women in the world and in Brazil. It is known that social inequalities influence the prognosis, and therefore, health promotion and disease prevention actions need to address the Social Determinants of Health (SDH). In screening for the disease, mammography is used, however, it is observed that some barriers may influence its performance, such as: knowledge about the disease, discomfort and fear of the test being positive, individual aspects such as race, education and socioeconomic class , etc. This is a field research, descriptive exploratory and qualitative approach, which aims to analyze the look of women on screening mammography. The study took place at the specialized outpatient clinic of Maternidade Escola Januário Cicco and data were collected through interviews with a semi-structured script with women aged 50 to 69 years. The data from the interviews were coded, summarized, systematized and analyzed using the ATLAS.ti desktop version software, using Bardin's Thematic Analysis as an analysis technique, originating three categories of analysis: Access to the mammography exam; Knowledge regarding mammography examination; and Experiences when performing the mammography exam. The speeches reported facilities and barriers to access the exam and as a way to overcome the challenges, women have resorted to the private sector. There is a distorted perception of the test as a form of prevention, however, it was also found that the test seeks early detection of cancer. Experiences in performing the exam vary from quiet moments to the most traumatic ones, especially due to the discomfort of pain. The absence of pain, having breastfed and the practice of breast self-examination were reasons for postponing the examination. It is observed that the SDH have influenced this scenario, where, depending on aspects such as income, education and race, different realities of the exam are obtained. Prevention and health promotion actions need to act on the SDH in order to overcome inequalities in performing the test. As a technical product, a booklet was created based on the identified weaknesses of the users, which will be made available to the institution as a resource for intervention in the approaches of its professionals. It is pointed out as a limitation of the research its execution in a specialized outpatient clinic and the realization of the study in a broader context, such as in primary care, may bring other contributions.

Introduction: Cow's milk protein allergy (CMPA) is the most common type of food allergy in childhood. Professionals who work in Hospital Food and Nutrition Units must be aware of the points that avoid the cross contact of food and utensils with cow's milk protein, and consequently, the onset of hypersensitization reactions in children with CMPA after a meal. Objective: To develop and validate a protocol for standardizing nutritional care in a Food and Nutrition Unit of a pediatric hospital, based on scientific evidence of good nutritricionan management practices in cow´s milk protein allergy. Method: This is a methodological research, with a quantitative approach, which comprises the development and validation of a protocol. The location of the study was the Food and Nutrition Unit of a pediatric public hospital. Experts with knowledge and working on the cow's milk protein allergy participated in the research, selected according to inclusion and exclusion criteria. This study will be developed according to the following steps: an integrative literature review; development of the protocol text for standardizing nutritional care in cow's milk protein allergy in a pediatric hospital; elaboration and pre-test of the protocol validation questionnaire; filling out the questionnaire for validation of the protocol's appearance and content by the judges. To analyze the data from the judges' evaluation, the Content Validity Index (CVI) calculation was used, focused on the analysis criteria of clarity, relevance and precision of each item. This study was developed out after approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte. Results: The validation analysis of the content and appearance of the protocol went through a Delphi round where the items were considered adequate with a minimum agreement of CVI=0.83. Therefore, the developed instrument was validated. The Protocol domains arising from the research categories reflecte the essentisl points of attention in the treatment of CMPA in the hospital environment. Final considerations: Since nutritional therapy aimed at children with CMPA is paramount in their treatment, the product resulting from this research contributes to the structuring of a safe and adequate flow in the food and nutrition services of pediatric hospitals.

Introduction: the assessment of people with chronic wounds, nowadays called complex or difficult to heal, requires a careful look from health professionals, especially from nursing, with a view to minimizing the repercussions. For this, it is essential to use educational, problematizing strategies that favor the safe and effective management of different types of wounds. Nurses and nursing technicians report having superficial knowledge on the subject, which implies broader healing processes, financial burden, lower bed turnover and greater risk of infection. Objective: to structure a training course for nursing professionals regarding the clinical management of difficult-to-heal wounds. Methodological path: this is a qualitative research of the case study type. The research took place at the University Hospital Onofre Lopes, in the year 2022, between the months of June and October. The study population consisted of nurses and nursing technicians who assist people with wounds in the inpatient units of the aforementioned hospital. Data were analyzed based on the precepts of content analysis, in the thematic modality, proposed by Laurence Bardin. Results: it was possible to identify strengths and weaknesses about nursing care for people with wounds, in addition to creating a proposal for a course for managing wounds that are difficult to heal. The variety of coverages and the autonomy and competence of the dressing committee were the main factors identified as facilitators in the care process. However, difficult points were also pointed out by the participants, such as fragmented continuing education, lack of knowledge about the inputs and their proper use, the reduced staff dimensioning combined with non-participatory management. Conclusion: the structuring of the course on managing difficult-to-heal wounds was carried out and, through content analysis, it was possible to identify several factors that impact nursing care in this context. With this, it is expected that the identified factors will be considered by management and professionals in the perspective of transforming the scenario of action, increasing the quality of care offered to people with wounds, optimizing processes and reducing costs.

Syphilis is a public health problem worldwide, with high rates of incidence and prevalence. When this disease affects pregnant women, transmission to the fetus may occur and several negative outcomes may arise, such as: abortion, intrauterine fetal death, prematurity and others. Failures in prenatal care are evidenced for women with gestational syphilis and it is observed that when she is admitted to the maternity for delivery, in an abortion condition or due to intrauterine death, there is, in most cases, her counter-reference to the Health Teams of the family. There is a need for communication between SUS health services, sharing information necessary for the continuity of health care for these women. Thus, the objective is to build and validate a counter-referral form for women with gestational syphilis treated at a public maternity hospital. This is a methodological, quantitative and descriptive study. A field research will be carried out in a regional maternity of habitual risk, in the metropolitan region of the State of Rio Grande do Norte, to obtain how the current assistance occurs to women with syphilis. Soon thereafter, an integrative review will be carried out to support the construction of the counter-reference form and this instrument will go through the validation process with the application of the Delphi technique, adopting the Content Validity Index and the form item with equal value will be considered validated. or greater than 78% assigned by the selected judges. The study will respect all ethical and legal aspects according to Resolution No. 466 of 2012, which regulates research involving human beings. The study data will be analyzed and presented in the results according to the nature of each stage (field research, integrative review and form validation). Finally, it is expected to validate the counter-referral form.

Suicide is a public health problem that affects families, communities and society as a whole. For the World Health Organization (WHO), suicide prevention should be considered a public health priority. In this context, Primary Care (AB), as it is the gateway to the Unified Health System (SUS), requires that its professionals are qualified to assist service users and identify protective and suicide prevention factors, guaranteeing them assistance. and appropriate follow-up. This study aimed to analyze the practices of primary care health professionals on the phenomenon of suicide in the city of Parnamirim/RN. This is an exploratory, descriptive study with a qualitative approach carried out with 15 nurses from the Family Health Strategy (ESF) teams. To this end, data collection was carried out through virtual interviews through the video call application, google meet, after consent and signing of the free and informed consent form (ICF). Ethical aspects were considered, according to Resolution No. 466/2012-CNS. Data were analyzed in light of Minayo's thematic content analysis method. The following thematic categories were listed: practices of Primary Care health professionals on the phenomenon of suicide, with the subcategories: care for people with suicidal ideation and suicide attempts in Primary Care and interference with mental health care in Primary Health Care. Category 2: actions of suicide prevention developed in Primary Care. Category 3: suicide and preventive practices, knowing the limits and potentialities, with the Subcategories: potentialities and limits identified for the development of suicide prevention practices in the territory and challenges for suicide prevention in the current pandemic context. It was evidenced that mental health care in primary care still happens in an incipient way and is focused on the biomedical model, with professionals showing little approximation with this area of activity. As for the care of people with suicidal behavior, difficulties were reported regarding the approach and management of these users. Suicide prevention actions only take place during the Yellow September programming and that the limiting factors to carry them out are the lack of management support, need for continuing education, lack of matrix support and fragility of the Psychosocial Care Network. Despite the difficulties encountered, the participants also pointed out potentialities that can contribute to preventive activities, namely: the presence of AB and FHS teams with humanized professionals committed to developing their work within the territory with greater approximation to individuals and establishment of links, as well as an intersectoral partnership with CRAS. As a product, a practical guide was constructed that could help to investigate and prevent the occurrence of the phenomenon of suicide, preventing the occurrence of self-inflicted death. It is considered that studying the practices of professionals on the phenomenon of suicide in Primary Care, the gateway to health demands, including those related to mental health, makes it possible to identify the limits and potential that exist in the service, which can contribute to professionals rethink their practice and seek early identification and interventions to prevent suicidal behavior.

In Brazil, the universal right to health was constitutionally guaranteed in 1988, with the creation of the Unified Health System. Several efforts have been made to achieve a significant improvement in child health indicators, such as the Child Health Assistance Program. However, despite the advances and investment in public policies aimed at this population and the significant reduction in infant mortality rates, other problems have been gaining ground in this scenario, such as the prevalence of childhood obesity, preventable deaths from external causes such as accidents and violence, as well as problems related to poor living conditions, making it essential to reorganize health actions for this audience, based on the integrality of care. The aim is to build a plan to implement the monitoring of collective growth and development under the interdisciplinary perspective in a Family Health Strategy. This is a descriptive study, with a qualitative approach, developed through participatory action research, in the light of Thiollent's proposal. The study was developed with the professionals of the Family Health Strategy 01, involved in the children's care, working in the Family Health Unit Maria Fausta de Medeiros Dantas, located in the city of São José do Seridó/RN, totaling 13 subjects. The construction of the implementation plan was carried out collectively from the conversations in four seminars. The data was collected during the conversations through audio recording of the speeches of the participating professionals, which were later transcribed in full, and then the document was transferred to the ATLAS.ti® web software to assist in the analysis process. From the findings based on the interview transcriptions, four categories of analysis emerged: (a)What we think, which brings the understanding of the research subjects about the collective monitoring of child growth and development; (b) How we do and what we want, addressing the daily doing of the professionals involved in the research, how they intend to make the operationalization of the meetings of collective monitoring of children, as well as the construction of the themes that will be addressed in these meetings; c) Potentialities of the collective follow up of children's growth and development, portraying the positive aspects of the implementation of this type of follow up pointed out by the research participants and d) Difficulties for the implementation of the collective follow up of growth and development, which deals with the challenges for this follow up model to be implemented. In general, the narratives point to the importance of carrying out collective activities, as well as to the team's desire to develop work with groups. On the other hand, it is evident the professionals' lack of knowledge about important issues such as integrality, teamwork, as well as about the monitoring of child growth itself, besides a fragmented and excessively specialized care, pointing to the need for investment in permanent education. As a technical product, an action plan was developed for the implementation of collective growth and development monitoring for children from 0 to 6 months of age, an informative folder for parents, and a planning tool used to organize the actions that will take place in each meeting with the children. From the reflections and contributions arising from this study, it is expected to contribute positively to the implementation of comprehensive health care for children and their families. Regarding the professionals involved, it is expected to expand the teaching-learning process, under the optic of collaborative interprofessional work, breaking with the fragmentation and excessive specificity of knowledge and the promotion of an integral care to the child's health and thus ensuring an adequate growth and development for this age group.

Maternal mortality worldwide is an unacceptably high indicator and reflects the conditions of access to health and qualified care offered, where 75% of deaths include the main causes of hypertensive and hemorrhagic disorders, infections and complications due to complications in childbirth or unsafe abortions. In the context of hypertensive disorders in pregnancy are Gestational Hypertension, Pre-eclampsia, Eclampsia, Chronic Hypertension overlapping pre-eclampsia and HELLP Syndrome, which are responsible for multisystemic and perinatal maternal complications. Care based on safety and quality in situations that have a potential risk for complications should be prioritized, having as a fundamental point the training and collective discussions involving the interprofessional team. The objective is to build a check list of safe interprofessional care in gestational hypertensive urgency. It is a study of qualitative approach developed through a Convergent Care Research, to be carried out in three stages. The first stage will take place by conducting an integrative literature review, with the aim of analyzing the scientific evidence on safe care in gestational hypertensive urgency. The second stage and the third stage will have the Convergent Assistance Research as methodological reference and will be carried out in a usual risk maternity hospital in a municipality in the metropolitan region of Rio Grande do Norte, with obstetric doctors, nurses, nursing technicians, pharmacists and assistants as participants. pharmacy, who work in the risk classification and obstetric emergency service. As data collection strategies, semi-structured interviews will be conducted, in order to characterize the participants and get to know their perceptions regarding the care developed by the team in situations of hypertensive emergencies, moments of participant observation, guided by a script that will allow the recording of information relevant for practical assistance. The construction of the check-list constitutes the third stage of this study and will occur during the convergence groups, mediated by the design thinking technique, in five meetings held remotely. During the data collection procedure, participants' speeches will be recorded, later transcribed in full and analyzed using the method proposed by Morse, with the aid of the ATLAS-ti® software, version 9. The research received a favorable opinion from the Ethics and Research Committee (CEP) according to CAAE nº 44706221.3.0000.5537, from the Federal University of Rio Grande do Norte.

Invasive mechanical ventilation is one of the mainstays of treatment for children with acute or acute chronic respiratoryfailure in a pediatric intensive care unit. However, its prolonged use induces inflammatory processes, in addition to the occurrence of patient-ventilator asynchrony, defined as the incompatibility between the ventilatory demands of the patient in relation to what is offered by the mechanical ventilator. This event generates adverse clinical outcomes, in addition to an increased risk of mortality. Faced with this problem, the objective of this study is to build and validate a protocol for the identification and correction of patient-ventilator asynchrony through the method of visual inspection for children hospitalized in a pediatric intensive care unit. It is a research of methodological development, with a quantitative approach, based on Pasquali's Psychometrics model, carried out in four phases. Initially, an integrative literature review will be carried out to construct the domains and items of the protocol. Then, there will be a theoretical analysis of the items by means of content and appearance validity, which will be carried out in two stages: content and appearance analysis by 10 expert judges in invasive ventilatory support; and the semantic analysis of the items, using the brainstorming technique, which will consist of checking the understanding of the domains and items by two groups of three groups of resident physical therapists, nurses and physicians who work in the pediatric intensive care unit of Hospital Universitário Onofre Lopes. Finally, the reliability psychometric property will be evaluated, in which the instrument will be applied to children hospitalized in the aforementioned intensive care unit. Data analysis will be performed using the Content Validity Index (CVI), Kappa coefficient of agreement (k) and Spearman's correlation coefficient. It is expected that the proposed protocol will guide professionals working in the pediatric intensive care unit, so that they are able to identify and correct ventilator-patient asynchronies, in order to improve the quality of care practice in the care of mechanically ventilated children, minimizing the time of invasive ventilatory support and complications, in addition to supporting the implementation of safe conducts.

Smoking is a major public health problem and reducing its prevalence is challenging. The desire to quit smoking involves multifactorial and quite complex aspects. People who wish to stop using tobacco deal with the symptoms of withdrawal syndrome, where anxiety and irritability are predominantly present. Objective: Deploy auriculotherapy care envisionig the control anxiety in people who participate in a group to combat smoking, in a health service at a Federal University. Method: This is a Convergent Care Research (PCA), with a descriptive and exploratory character, with a qualitative approach. The population of this research corresponded to UFRN employees enrolled in the “healthiest without a cigarette” group, but who were still using tobacco. For data collection, an anamnesis script, semi-structured interview, Fagerström Test for Nicotine Dependence and Beck's Anxiety Inventory were used. To carry out the data analysis, the content analysis proposed by Minayo (2013) was made. Results and discussion: The nicotine withdrawal syndrome was evidenced by the participants as difficult to cope with. Anxiety, stress and irritability were symptoms evidenced in previous attempts to quit smoking. These symptoms were confirmed in the current study, but reported as less intense, with auriculotherapy having been attributed this minimization of the discomfort felt. Auriculotherapy was seen as a promoter of a feeling of relaxation, calm and control of adverse emotional situations, in addition to acting in minimizing anxiety and reducing the urge to smoke. Thus, the results of this study supported the recommendation to implement auriculotherapy in later groups. Final considerations: The adoption of strategies that can help to cope with the withdrawal syndrome is essential for the successful treatment of smoking. The implantation of auriculotherapy in later groups at DAS/UFRN was seen as positive, essential and viable. The Standard Operating Procedure (SOP), built as a product of this work, aims at the continuity and effective implementation of this therapy as a complementary care tool for the pre-existing smoking group.

Several public administration agencies have sought to implement and develop Quality of Life
at Work programs, however, many difficulties have been reported, such as the absence of
situational diagnosis and the lack of minimum indicators that allow the monitoring and
evaluation of the results obtained. In this context, this research had as a general objective to
build a Quality of Life at Remote Work project for the workers of a federal educational
institution. This is a quanti-qualitative research in which action-research was used, realized in
the Rectory of a federal educational institution, in the period from April to July 2021.
Participated in the study 97 technicians-administrative in education, 7 professors and 9
interns. The data was collected in two stages: the application of the Questionnaire for the
Evaluation of Quality of Life at Remote Work and a Discussion Group formed by members of
the Commission for Quality of Life at Work of the researched institution. The quantitative
data from the questionnaire were processed using the free statistical analysis software R,
version 4.2.0. The qualitative data from the questionnaire and the discussion group were
entered into IRaMuTeQ software and analyzed using Minayo's thematic content analysis
(2010). The results indicated that the workers evaluated their Quality of Life at Remote Work
as being good, evidencing the predominance of positive aspects. Variables such as gender,
age, education, and marital status had an influence on the perception of the research
participants; however, the number of residents in the same residence proved to be of little use
to explain variations related to the structuring factors of Quality of Life at Remote Work. As a
product resulting from this study, the Quality of Life at Remote Work Project "Connected"
was built based on the needs of the workers of the researched institution.

Transplantation is considered the gold standard of renal replacement therapy for the treatment of end-stage chronic kidney disease. In the context of chronic non-communicable diseases, which are responsible for about 70% of all deaths in the world, chronic kidney disease stands out as a serious public health problem due to its high morbidity and mortality. Adherence to therapeutic practices is a fundamental condition for the success of kidney transplantation, and health education is a fundamental factor in this process. The objective of this research was to build a health booklet for people undergoing kidney transplantation. This is a descriptive study, with a qualitative approach, with a methodological approach of convergent care research, a method that allows the convergence between research and care practice at the same time. The study setting was the kidney transplant clinic of a university hospital in the state of Rio Grande do Norte. Participated in the research 15 individuals who are monitored at the institution. The research was carried out through face-to-face interviews with patients, after signing the free and informed consent form. This moment followed a script, an instrument created by the researcher, composed of sociodemographic-cultural characterization and open questions for semi-structured interviews. Ethical aspects were considered, according to Resolution No. 466/2012-CNS. Data processing was carried out with the support of programs such as the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRaMuTeQ) and the Statistical Package for the Social Science (SPSS). The results obtained showed four classes, composed of words that demonstrated the positive character related to the performance of kidney transplantation, negative feelings related to dialysis therapies, the importance of health professionals, especially nurses, nutritionists and doctors, in care guidelines and the difficulties faced after transplantation. The difficulties reported by the participants were mainly those related to the correct use of immunosuppressants and the adoption of a healthy diet, with reduced sugar, salt and fat, among others. Based on these surveys, the kidney transplant health booklet was created, consisting mainly of post-transplant care guidelines and a place to record outpatient follow-up information. It is considered that other studies on health education for people undergoing kidney transplantation, such as the validation of the booklet, should be carried out, since the success of kidney transplantation depends above all on the patient's adherence to the proposed therapy. In this sense, studying the main difficulties faced by patients and what strategies can be launched so that the individual assumes a participatory posture in self-care makes all the difference to improve the life of the individual undergoing kidney transplantation.

Pressure injuries are an important health problem worldwide, being a significant cause of morbidity and mortality for patients admitted to the intensive care unit. This damage represents a challenge for health services, which have found in technology a promising alternative to optimize their work processes and resolve complications related to these events. Given this reality, the objective is to build and validate a digital technology to systematize nursing care with pressure injuries in intensive care unit patients. It is a methodological development research, with a quantitative approach, which had the Design Science Reseach as a methodological framework, being operationalized through five steps. In the first, the problem was identified through an integrative literature review, which aimed to identify whether the use of technologies reduces the incidence or worsening of pressure injuries. The selected studies demonstrated that the use of these devices helps nursing care in pressure injuries, reducing their incidence by up to 20%. The second step, called suggestion, sought to build the domains, items and appearance of digital technology, using the nursing process as a theoretical framework. Initially, the content of the technology comprised five domains, referring to the phases of the nursing process and 51 items. The third step, development, referred to the construction of digital technology, with the collaboration of specialists in the area of information technology, having the Model-View-Controller (MVC) as an architectural model. The fourth step focused on validating the content and appearance of the technology with eight experienced nurses in care or research involving patients with skin lesions or the nursing process. At that time, the content and appearance of the technology underwent two Dephi rounds, and in Round I seven items obtained an agreement rate below the cutoff point (<0.70). At the end of Round II, the technology was described by the title Nursing process for patients with pressure injuries in the ICU (PELe-ICU), comprising five domains, corresponding to the steps of the Nursing Process, and 89 items. Of the five domains, three had a perfect agreement index in all items evaluated. Only one item in domain II had a moderate level of agreement. The appearance of the technology also achieved a perfect concordance index. In accordance with what has been exposed, it is believed that the use of the technological product constructed and validated in this study will contribute to the optimization of the time given to nursing care, as well as to favor an effective articulation between the multidisciplinary team, a adequate support for the management of pressure injuries and the management of indicators related to these injuries.

The promotion of the health of the server, in addition to relying on its commitment as an active agent in protecting their health, involves multiprofessional and multi-management strategies. In this perspective, the Periodic Medical Examination acts as an important tool to compose epidemiological profiles because, collectively, it allows the evaluation of the health condition of employees, as well as early detection of diseases related or not to work. Objective: To describe the profile of the servers and the causes of non-adherence to periodic medical examinations at the Federal University of Rio Grande do Norte. Method: This is an exploratory and descriptive research, with a sequential multi method strategy, with a quantitative and qualitative approach. It is intended to perform data collection in two steps. The first corresponds to the quantitative approach from data collection in the portal SiapeNet / Organ Module. Then, respecting the ethical precepts and through the most viable strategy, an open question questionnaire will be sent to collect qualitative data, which will be analyzed through Bardin Content Analysis. Expected Outcomes: Considering the main profiles and the identified causes, the research will direct the actions of Occupational Health Surveillance, as well as allow the reevaluation of the current molds and strategies of the service in the call of the servers, in order to improve the adhesion of the servers. studied at the Periodic Medical Exams.

Nursing records must be objective, clear, concise and to follow a chronological order, describing assistance and observation given, mainly, when they are related to a more complex event, as a cardio-respiratory event. This study aims to make and validate a formulary to nursing staff records a cardio-respiratory arrest of oncologic patient. It consists on a methodological study with a quantitative approach type validation, developed in three steps. The first step is based on an integrative literature review; the second one is a descriptive study, with a transversal design and quantitative approach, developed with 38 nursing professionals from an oncological unit; the last one consists on validation of content and appearance by a panel of judges with 17 health professionals with expertise on oncology. Data analyzes occurs by descriptive statistic, presented in charts and tables, based on statistic program SPSS, 23.0 version. Data analyses related to the validation step is based on Content Validation Index (IVC) and Kappa coefficient of agreement (k). To initiate this research, it has Committee on Ethics in Research approval Nº 19368919.0.1001.5537. Some studies point records must follow a chronological order, with the following elements: patient identification; cardiac rhythm; immediate cause of cardio-respiratory arrest and medicine used, with time and posology. Related to the nursing professionals acting, this research points: sometimes or always they record time of proceedings during cardio-respiratory arrest (33.3%); sometimes or always they record name and quantity of medicine used (37.0%); but they never record category of professionals involved on cardiopulmonary resuscitation (37.0%), neither arrest cause (44.5%); sometimes they participate of the patient reanimation without indication (37.0%); they know do-not-resuscitate order (85.2%); sometimes patient (85.2%) and their families (63%) are conscious about exclusive palliation; sometimes nurses feel difficult to record all proceedings necessary during the event (48.1%); and they consider that is extremely important to use formulary to record objective data of those proceedings  (59.3%). According to those professionals, some items that cannot be absent of the formulary to record patient with reanimation with indication are:  initial and final arrest time (92.6%) and medicine used during the event (81.5%). Items that are important when patient has indication to reanimation are: death time (59.3%) and palliation recording on the handbook (55.6%). Related to the agreements of the content and appearance of the formulary, this study shows judges consider the formulary totally clear, extensive, relevant and it needs few revision, with IVC=1.0, Cronbach’s alpha = 0,82 and global kappa = 0,944. After judges’ review, considering 30 items, they suggest changes in 20 items, not changes in 10 items, exclusion of 5 items and 5 new ones. After those changings, it has the final version of the formulary. The perspective is that the technological product from this study increases security of the patient, it expands the legal support to take decisions, and it increases professional credibility. In addition to this, it can improve the quality of nursing records due to their standardization related to the attending of patients in cardio-respiratory arrest situation and palliative cares, promoting the evaluation of proceedings adopted during emergency event.

In the context of the Unified Health System of Brazil, called Sistema Único de Saúde, aiming to overcome the fragmentation of health care and achieve, among other principles, that of comprehensive care, it is proposed to organize assistance in Brazilian Health Care Networks, known as Redes de Atenção à Saúde. In this sense, the strategy of the Ministry of Health of Rede Cegonha seeks to implement care to ensure quality and humanized care for women in various areas, including prenatal care. Considering that high-risk prenatal care, which is necessary when pregnant women are more likely to have an unfavorable outcome, occurs at different points of care, the integration of these points in ensuring integrality is of fundamental importance. This study aims to analyze the reference and counter-reference of the prenatal component of Rede Cegonha in the city of Natal/RN. It is a qualitative, descriptive and exploratory study. To this end, data collection was performed on reference and counter-reference sheets sent to high-risk prenatal care and interviews with professionals in Primary Health Care, Specialized Care, management of the Department of Primary Care, Department of Specialized Care, system regulation and pregnant women attended at a high-risk prenatal care service. The data collected by the chips were analyzed using descriptive statistics with the aided of Excel Software. Atlas.ti (version 8) was used to organize and categorize the interview data and the thematic analysis by Bardin was used as an interpretation method. The following thematic categories were listed: Category 1 - Reference and counter-reference: from the normative function to the potential of network integration, with the Subcategories: understanding of reference and counter-reference as triggering and responding to the Specialized Care; understanding of reference and counter-reference as organization of the network and articulation between levels; Without clarity or with reduced concept of reference and counter-reference. Category 2 - Reference, counter-reference and organization of the stork network: distance between the real and the ideal in the coordination of care and integration of the levels of care, with the subcategories: The daily routine of reference and counter-reference in the Cegonha Network; organization and mechanisms to ensure timely, quality care and network integration; communication in the Cegonha Network and care coordination: the challenge of counter-referral. Category 3 - Mishaps and paths for integration in the stork network: what do we have and what can we do? with the subcategories: the challenge of consolidating the reference and counter-reference in the municipal stork network; what’s powerful about Cegonha Network. The analysis in the reference and counter-reference forms showed flaws in filling them out in the Primary Health Care, absence of return of the counter-reference by the Specialized Care and origin of the forms coming from the five health districts, as well as subsidizing the choice of the Primary Health Care units for the collection of the interviews. Based on the theoretical framework of comprehensiveness and integrated health service systems, concepts were approached. The results of the interviews point to communication failures between the services that make up the Prenatal Cegonha Network component, as well as weaknesses in the use of the instruments adopted to integrate the assistance levels such as the reference and counter-reference. It was also possible to find flaws in the assistance protocols, ins additions to the product, a flow chart of the reference and counter-reference analyzer was constructed in the Prenatal component in the Cegonha Network, which can be used by professionals to improve the coordination of care and integrality. Thus, they propose to collaborate for greater theoretical and practical knowledge in the field of integrality and coordination of care, understood as essential in the provision of integral health care.

Currently, discussions about the importance of patient safety have gained major repercussions worldwide. Defined by the Ministry of Health as a reduction, to an acceptable minimum, of the risk of unnecessary harm associated with healthcare, Patient Safety aims to work with six international goals, among them the minimization of the risk of falls and injuries. by pressure. Recent studies show that the rates of pressure injury in intensive care units (ICU) can reach 50% of hospitalized patients, finding a negative indicator of the quality of care provided. The Intensive Care Unit of the Natal Municipal Hospital, recognized as a reference ICU of the Municipality of Natal / RN, in conjunction with the Ministry of Health's Safe Patient Program, which gave the institution the opportunity to implement international patient safety goals, assigning the ICU the pilot project to minimize the risk of falls and pressure injury. Given the reality presented and the opportunity to contribute to the aforementioned project, the objective of this work is to build, together with the nurses of the adult ICU of the referred hospital, a nursing care protocol related to the prevention of pressure injury aiming at safety. of the patient. The qualitative design will be based on the Convergent Care Research, based on an analysis of the medical records to identify the Bradem Scales scores applied to the patients admitted to the reference ICU last year, in a second moment the semi-structured interviews with the ICU nurses will be performed. regarding their knowledge of the subject, their needs and potentialities. The analysis of the empirical material will take place through the Collective Subject Discourse and from this stage will begin the construction of the Protocol together with all nurses of the ICU, Patient Safety Center and Hospital Infection Control Commission. in previously structured working groups. After the conclusion of this protocol, it is expected that the care provided to critically ill patients admitted to the HMN ICU should be standardized, since all staff trained in order to minimize pressure injury rates and following an institutional protocol, occurrences This adverse event should be avoided and the care provided improved.

Climacteric period, defined as a biological event from the feminine circle, comprehends a relatively long period with hormonal, physical and emotional changes, that fixes a transition from a reproductive to a non-reproductive phase. The increasement of life expectancy of the women asks some actions of promotion of health to give them better quality of life. In this context, this research aims to build a Nursery Assistance Plan supported by Basic Human Needs Theory (TNHB) to women that have climacteric outpatient care in the Maternidade Escola Januário
Cicco, in Natal-RN. The first step of this study consists of a quantitative research by sectional type, whose data has 131 women at age of 40-65 years old, that fulfill formularies: Menopause scale (MRS) and Nursery Investigation Sheet. Firstly, results identified related to social-demographical characteristics show mostly women
at the age of 50-59 years old, brown people, with two children, working outside the room, income of one minimum salary, complete high school and was born in the countryside of Rio Grande do Norte. Related to the clinic characteristic, this study points predominance of 52% of climacteric moderate symptomatology, overweight, more than one year of menopause, more than two pregnancies, comorbidities and non-smoking. About basic human needs, most of them attend the Catholic church, practice physical exercise, present difficult in sleeping, have inappropriate nutrition, and they neither have sexual relationship nor a pleasure activity or hobby; few of them relates frequent urinary loss. Related to inferential analyzes, psych-biological needs – elimination, sleep and nutrition – they have association with moderate symptomatology of MRS. Based on quantitative data and analyze of DNT pattern and NANDA (2018), this study identified, in the second step, the following nursery diagnosis: sleep disorder pattern, overweight, urinary loss impaired, sexual disfunction and limited recreation activities. In the third step, there were the building of Nursing Assistance Plan to women in the climacteric period; in the fourth step, It occurred a satisfactory evaluation of Content Validation Index. Related to the limitation of this study, it points to difficulties in the literature review. Due to this, it suggests more researches about that theme. In this way, it expects Nursing Assistance Plan be developed in the nursing outpatient care to ensure NursingProcess to the climacteric women.

Fibromyalgia is considered a syndrome of unknown etiology, its main characteristic is chronic generalized pain, as well as several symptoms such as sleep and psychic disorders, generalized fatigue, which may progress to depression. Among the recommended non-pharmacological treatments are relaxation techniques. These have several benefits for the body, besides promoting the restoration of organic functions and serving as a therapeutic instrument that assists in the integrative process between mind and body. This study will aim to implement and institutionalize relaxation techniques as a therapeutic resource for UFRN servers diagnosed with fibromyalgia. This is an exploratory and descriptive case study with a qualitative approach. The research will be developed from the use of two instruments: semi-structured interview and / or focus group. The research participants will be the UFRN servers diagnosed with fibromyalgia and who agree to participate in the research. The data will be analyzed through content analysis proposed by Minayo. The aim is to create a Permanent Therapeutic Relaxation Group for Fibromyalgia Federal Servants in the Servant Health Care Directorate (DAS), thus being one of the permanent health promotion projects within the UFRN, with which minimize the negative impacts and damages that fibromyalgia brings to people and consequently improve the quality of life, promoting health and well-being.

Falls are the second leading cause of deaths by accidental or unintentional injuries in the world. With newborns (NB), a fall is defined when the child, who is being looked after by a healthcare professional, family member or caregiver, falls or slips from their hands, arms or lap (regardless of whether it caused harm or not). The exact incidence rate of this type of accident is unknown among newborns, but reports given to the Pennsylvania Patient Safety Authority between July 2004 and 2013, in the United States, indicated 272 newborn falls by relatives while in hospital care. At the institution where this study is proposed, the annual birth average is 3900. There were 5 cases of newborn drops until August this year. The main reported related injuries are minor abrasions, excoriation, cranial fracture and brain damage, which can be fatal. These events are usually preventable, so it is indispensable that health institutions promote newborn safety programs whereas providing a safe environment to mitigate or extinguish such occurrences. Objective: To develop, along with the nurses, an accident prevention protocol for newborns in rooming-in and neonatal ICU. Methods: This is a qualitative research, of convergent care type (PCA). In such design, the researcher seeks for improvement in care practice synchronously with the investigative process. Expected Results: It is expected that the result of this study will contribute to improving the care services through standardizing procedures which are based on scientifically sustained practices, thus promoting a consequent reduction in the number of falls by hospitalized newborns. It is also expected to stimulate research focused on this theme, of which studies are very restricted, aiming at generating more knowledge in the scientific field.

In the current context, the relevance of preventing the HealthCare-associated Infections (HAI) is a major challenge in hospital care practices. Conceptually, Primary Bloodstream Infections (BSI) are classified as laboratory confirmed by positive blood-culture results in patients using Central Venous Catheter (CVC), thus recognizing, professionals in the prevention of the occurrence of these events in the Units of Intensive Care (ICU) as well as institutional support and management in coping with the demands and difficulties to perform a safe care. This study aims to verify in the practice of care and management the actions that impact on the guarantee of BSI prevention associated with the CVC in the ICU of a university hospital. This is a mixed approach study in which methodological triangulation will be used in data collection from the combination of quantitative and qualitative methods. Thus, data collection will include steps such as systematic non-participant observation of the procedures performed by health professionals, among them, doctors, nurses and nursing technicians since the practice of safe insertion for CVC until the observation of the care related to the maintenance of the even though it will cover administration of medicines and exchange of dressings. In addition, a structured questionnaire will be applied with the professionals, which will address open and closed questions that can evaluate the knowledge and the realization of the safe practices for the prevention of BSI, as well as to raise the difficulties listed by them for not following the preventive actions. Finally, the focal group will be held, with the participation of the unit coordinators, managers, representatives of the multidisciplinary team of the ICU and the Hospital Infection Control Service in order to diagnose the management's face in the need for an increasingly emergent safe care . The analysis of the quantitative data will be of the descriptive type by the use of the software PSPP, whereas the qualitative one will take into account the analysis of content by Minayo. The research will meet all ethical standards, fully respecting the determinations of Resolution 466/2012 of the National Health Council, as well as the fundamental precepts of Bioethics.

the concern with patient safety is an issue of increasing importance and has been assuming a privileged space in health services, showing the importance of stimulating a safety culture among its professionals and managers so that all assume responsibility for reducing the occurrence adverse events, improving the quality of care provided. However, it is perceived that there are still many challenges to be overcome and consequently immediate interventions are required to make care safer at all levels of health care. With regard to obstetrical services, the importance of working to achieve safe care stems from a reality that still needs to be improved in the quality of safety in patient care since these imply conditions in their work processes that make them favorable the occurrence of errors. In view of the above, the following question arises: Is there a culture of patient safety in a maternity ward in the municipality of Natal? In order to answer this, we aim to analyze the existence of this culture of patient safety from the perspective of the health team that works in a maternity hospital in the city of Natal. This is a descriptive, exploratory, quantitative approach, developed through the collection of data in an obstetric service, from May to August 2018, using a validated questionnaire entitled "Patient Safety in Hospitals (HSOPSC ) "Applied with the professionals involved in direct assistance. Statistical software SPSS version 25.0 was used to analyze the data, which calculated the percentage of responses for each item evaluated. The study was submitted to the Ethics and Research Committee of the Federal University of Rio Grande do Norte and obtained approval by means of a consubstantiated opinion of No. 2,655,728 / CAAE n. 85607518.0.0000.5537. The results showed a higher percentage of positive responses were cooperation, support, communication between staff and managers, involvement of managers with regard to patient safety, however, non-notification of events is observed for fear of a punitive culture, but also , lack of a notification system, inadequate human resources, and dissonance between some responses that reflect the team's lack of knowledge about the theme and the reality in which they work. This study revealed a regular safety culture, showing itself to be fragile and incipient, needing to review and correct factors that may be contributing to the occurrence of adverse events during care, and to institute urgent mitigation measures that focus on staffing, the lack of a core of patient safety, the institution of a culture of non-punitive security and actions that sensitize the team for a better understanding about the subject of patient safety.

Health professionals are exposed to biological hazards in their work environment and accidents with sharps contribute greatly to their aggravation, causing social and economic damage. The precise number of infections caused by these events is still unknown due to the scarcity of systematized surveillance data and underreporting. Objective: To identify the prevalence of underreporting of accidents with biological materials in the Institution. Methods: A quantitative, descriptive, cross-sectional study was carried out with the nursing team of a public hospital in Natal, Rio Grande do Norte, Brazil, through a questionnaire. Expected Results: the systematization of information on preventive strategies to minimize the occurrence of accidents with sharps and the reorganization of work processes with the establishment of adequate measures to overcome the challenges identified.

The conception of Matrix support involves co-management strategies and support to operate in networks and in the health system, incorporating the concepcion extended health/disease process, the dialogue and the relational Constitution of multiprofessional teams for coping the problems. In the field of mental health this methodology is considered strategic to guarantee the principle of completeness of the actions in health, because it aims to establish better coordination between the Centre for psychosocial care (CAPS) and the basic attention (AB). However, there are aspects of this relationship developed by CAPS III East of Natal, Rio Grande do Norte, in AB which need to be investigated, related to integration between teams of basic attention and supporters in to institute in the work dynamics the requests of the matrix support for sharing or discussion of cases. It is understood that the construction of this relationship is complex and procedural task which we consider to be potentially relevant to the strengthening of mental health policy in the city. Thus, this study aimed to analyze the matrix support in mental health from the point of view of professionals in the basic attention of Sanitary Districts East and South of Natal/RN and develop according to the gaps identified a technical product suggestion to qualify the Matrcial Support, through the establishment of technologies (approach, relation, action, other). This is a study whose design is descriptive and exploratory nature of qualitative approach. The subjects of the research were the medical professionals, nurses, nursing technicians and community health agents (ACS), totaling 15 subject, working in basic units with the model of the family health strategy. The option for research in health districts South and East in virtue of being the territory of the CAPS range III East. Data collection was used to interview with semistructured roadmap and for analysis the analysis technique of thematic content. To assist in the processing of textual data was used the ATLAS/ti software. The findings built from the transcripts of the interviews revealed three categories and subcategories, namely: a) what is said and what is meant, with their respective subcategories, which brings understanding of the subjects of research about the matrix support of mental health in the basic attention; b) what have and how to offer and its subcategories covering the characteristics, organization and contributions of the matrix support actions; c) limits and possibilities: what can we?, revealing the difficulties identified and the paths pointed out by the subjects of the research on the matrix support in mental health in basic care. Overall, the narratives reveal antagonistic conceptions in relation to knowledge and practices Matrix support. The results revealed the Matrix Support being offered by the CAPS and the Psychiatry residents HUOL/UFRN, though with limitations related to organizational, relational aspects and to request the Support flows, in the context both of the micropolitical in the production and management of care, as in macropolitíca. The suggestions points to aspects that promote continuity of support actions, the interprofessional work, the link, and the exercise of Support based on the design of the clinic expanded and not in the biomedical model, vertical. As technical product we suggest the strategy Matrix support Regulated as practical and feasible intervention, able to favor communication processes from the request and coordination of AB, able to establishing flows, criteria for requesting MA and management of care. From this study, it is expected to contribute reflexively about the need to include new practices less fragmentary, discontinuous and circumstantial in the daily services and guaranteeing care in community-based mental health, especially of Christmas. And in this way contribute to the methodology Matrix support, for your potential transformer of working relationships between the teams, a strategy that extends the networking and that favors full, continuous care and quality for users the SUS.  

Nowadays, most sexually transmitted infections are curable or treatable; however, the global health scenario still worrying. Rapid tests are simple to run chromatographic immunoassays, which can be applied in up to 30 minutes and do not require laboratory structure. They are fundamental to extend access to diagnosis, increase the system's resolution and, in addition, allow timely intervention in cases requiring treatment. In primary care in Brazil, they are implemented by the Ordinance No. 77 regulation of January 12, 2012. The main objective of this study is to understand the adhesion of basic care services in the Seridó region of Rio Grande do Norte, to the application of the rapid tests for sexually transmitted diseases and how the environment surrounding primary care teams can influence this service. This is an exploratory-descriptive study, with a quantitative approach. To attend the objectives, an interview will be conducted using a semi-structured instrument with open and closed questions that address the context and the insertion of the rapid test in the work process of the primary care teams in the Seridó region. The data will be tabulated by the Microsoft Excel 2010 tools, then processed and analyzed by Statistical Package for Social Sciences (SPSS) version 22.0.

The reasons why people with hepatitis C do not attend medical appointments scheduled at the Liver Study Center of the University Hospital Onofre Lopes are important, due to the fact that this disease has an important epidemiological impact and present with a high morbidity and mortality rate. Objective: To analyze the reasons that led people with hepatitis C to abandon outpatient follow-up at the Liver Study Center from May 1995, year of creation of this service, to December 2017. Methods: A descriptive qualitative study based on Convergent Research Assistance. The first step in the collection of data consisted of analyzing the charts for the selection of people diagnosed with hepatitis C who did not attend consultations for more than six months from May 1995 to December 2017. The second the data collection stage referred to a semi-structured interview with people with hepatitis C who accepted to participate in the study after being invited by telephone call. At the same time, two Focal Groups were held, the first with the multidisciplinary team: nursing team and receptionists from the Liver Study Center, representatives from the Medical and Statistical Archive Service and chief nurse of the regulation, representing management. The second focal group included specialist doctors. The two focus groups addressed the problem related to the difficulty of outpatient follow-up of people with hepatitis C. The interpretation of the data collected was followed by the steps proposed by the Convergent Care Survey (PAIM and TRENTINI, 2014), which have as theoretical reference thematic analysis of Minayo (2013). Final Considerations: the study made it possible to identify the profile of people who abandoned follow-up in specialized outpatient viral hepatitis, listed the main reasons for absenteeism, which raised concerns in the professionals who assist the person with hepatitis C. In this way, together with the multiprofessional team,  the line of care in hepatitis C at the University Hospital Onofre Lopes was elaborated. The research met all ethical standards, fully respecting the determinations of Resolution 466/2012 of the National Health Council, as well as the fundamental precepts of Bioethics.

Palliative care is considered integral care for patients whose disease no longer responds to the so-called curative treatment. It is a differentiated approach to care that aims to improve the quality of life of patients, their families and friends, through the relief of physical, psychological, social and spiritual suffering. The aim of this study was to analyze the feelings experienced by the nursing team that assists cancer patients in palliative care. This is an exploratory and descriptive study with a qualitative approach. Eight focus groups were held, which took place between June and July 2018, totaling the participation of 37 members of the nursing team, who develop their work activities in the oncology ward. from a university hospital. A semi-structured questionnaire was used, containing closed questions about the sociodemographic variables related to the interviewees, their formation and team functions; After completing the questionnaire, focus groups were conducted on the feelings experienced by the nursing staff regarding terminal patient care. The analysis was performed according to Bardin's thematic content analysis technique, adapted by Minayo. Data were transcribed and transported to Atlas-ti software, version 8.4.16.0, which implemented the pre-analysis and material exploration steps, coding the material and organizing it into categories and subcategories, so that it could be done. thereafter the treatment of the results. The following categories emerged: “Work in Oncology”; “Feeling prepared to deal with cancer patients in palliative care”; “Feelings of nursing caring for patients in palliative cancer care”: “Interference of feelings in patient care in palliative cancer care”; "Organizational factors that intensify the feelings of the professional." The results showed that the nursing staff needs technical and emotional preparation to deal with patients in palliative cancer care. This preparation does not yet exist in the team in question, having been initiated by the service the technical preparation in palliative care, but still no proposal regarding emotional care with the professional, which would reduce the suffering caused by dealing with patients at the end of life and would improve patient and family care. Thus, it is concluded that the permanent care with patients in palliative care, reveal feelings of anguish, frustration and suffering, which are expressed by the fact that they feel helpless and unprepared to care in terminality. For comprehensive patient care to be possible, the involvement of a multidisciplinary team is necessary, with nursing professionals being the key actors in this process, as they are the ones who take care of the patient full time, sharing their needs and pains. Based on the findings of this research, an extension project is proposed as a proposal for the implementation of continuing education entitled: “integrative practices promoting the health of nursing workers in palliative care” with effective interaction and technical cooperation between Onofre Lopes University Hospital and Escola de Health of the Federal University of Rio Grande do Norte aimed at nursing professionals who deal with the care of cancer patients in palliative care. The School of Health, through the course of massage therapy presents itself as an active learning scenario, as it provides the acquisition of fundamental knowledge and skills, stimulating the use of these integrative therapies in a rational, safe, effective and quality. However, it is necessary to strengthen the practice of care for nursing professionals through integrative practices, in order to consolidate nursing care in quality palliative care, committed to the real needs of the Unified Health System.