Introduction: The process of human aging results in losses in the biological, psychological, functional, and social fields, conferring vulnerability to the elderly in relation to diseases and health issues, with a direct impact on their quality of life. In this context, integrative and complementary health practices emerge as a promising therapeutic approach. Among them, auriculotherapy stands out, a modality of traditional Chinese medicine that aims at the psycho-organic regulation of the individual through the stimulation of energy points in the auricular pavilion. It shows good prognostics in reducing chronic pain, as well as improvements in the field of mental health. Its incorporation into primary care has the potential to strengthen health promotion and self-care, especially among elderly individuals who use multiple medications for extended periods. Objective: To develop a standard operating procedure for the application of auriculotherapy in the elderly within the context of primary care. Method: This is a descriptive research with a qualitative approach structured in three main stages: an integrative literature review, which gathered and analyzed scientific evidence on the efficacy of auriculotherapy in managing common conditions in the elderly; the construction of the Standard Operating Procedure as a technological product, based on the information obtained from the review; and the conduction of a Focus Group consisting of seven auriculotherapy specialists working in Basic Health Units, which took place in two face-to-face meetings, aiming to identify possible gaps in the product and thereby refine the instrument. To analyze the data collected in the Group, Bardin's content analysis was used. Prior to the development of the Research, there was a favorable Opinion from the UFRN Ethics Committee under number 6.994.208, in accordance with the guidelines of Resolution No. 466/2012 and No. 510/2016 of the National Health Council. Results: The review analyzed 14 studies published between 2018 and 2023, highlighting significant benefits of auriculotherapy in reducing chronic musculoskeletal pain, alleviating emotional symptoms, and controlling glycemic and blood pressure levels. The product was initially developed in a practical and didactic manner, with auricular maps and detailed instructions for each stage of care, making it an accessible tool for training healthcare teams and promoting comprehensive care. After the focus group, essential adaptations were incorporated into the protocol, including smoking as a common condition in the elderly, adjustments to the auricular points based on practical experience, the integration of Complementary and Integrative Health Practices (aromatherapy and music therapy), and the improvement of educational material for better application in primary care. Final Considerations: The instrument produced reinforces the protagonism of the elderly in their self-care, through guidelines for home stimulation of auricular points between sessions. Thus, it is understood that auriculotherapy, applied in a structured and standardized manner, will contribute to humanizing healthcare, expanding access to complementary practices within the unified health system, and promoting a higher quality of life for the elderly population, with a positive impact on the comprehensiveness of care and the management of costs in public health. The study presented as limitations the heterogeneity of the findings in the literature, which hindered the standardization of protocols and the direct comparison between different approaches to auriculotherapy in the elderly.

Mental health reception is an essential technology to ensure comprehensive and humanized care for users of the Psychosocial Care Network (RAPS). This study aimed to develop a training proposal for professionals from a CAPS III in Natal/RN, focusing on the care and reception of users with psychological distress, based on the concepts, potentialities and challenges of mental health reception. This is a qualitative study with a descriptive-exploratory approach, with the production of a technical-technological product. The study was developed in two phases: Phase 1 - Identification of the content of the course proposal: based on the perceptions of health professionals and the pillars used to implement a reception proposed by the PNH; Phase 2 - Structuring of the course proposal. The study was carried out at CAPS III Leste, located in the city of Natal, capital of the state of Rio Grande do Norte. The sample consisted of health professionals from the service, including nurses, nursing technicians, physicians, pharmacists, social workers, psychiatrists, and psychologists assigned to the aforementioned CAPS. The study was submitted to and approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion no. 6,566,565 and CAAE: 75841823.4.0000.5537. The results indicated that, although reception is widely recognized as a structuring axis of mental health care, its implementation still faces significant challenges, such as service overload, lack of ongoing training, and resistance to implementing a comprehensive care model. The perceptions of the interviewees evidenced both traditional, more bureaucratic and standardized conceptions, as well as perspectives aligned with the guidelines of the National Humanization Policy (PNH), which emphasize qualified listening, therapeutic bonds, and co-responsibility for care. Among the challenges highlighted, the following stand out: overcrowding of services, insufficient human resources and fragmentation of the network, making it difficult to coordinate between the different levels of care. On the other hand, the professionals highlighted the potential of the reception, including the construction of therapeutic bonds, the multidisciplinary approach and the possibility of expanded and humanized listening. In addition, it was identified that continuing education in health is an essential factor to qualify the reception and combat stigmas still present in mental health care. It can be concluded that professional qualification and strengthening of the RAPS are fundamental strategies to improve the reception in mental health, promoting more effective, humanized care aligned with the principles of the Psychiatric Reform and the PNH.

Cervical cancer or cervical cancer is an important topic on the agenda of health technicians and managers, and among the causes necessary for its development is infection by the human papillomavirus – humanpapilloma virus (HPV). It is considered to be the fourth most frequent cancer in women worldwide, but it should be noted that, currently, cervical cancer is considered to be eligible for eradication through vaccination against the most prevalent oncogenic HPV types and screening and treatment of precursor lesions. This is a cross-sectional study with a quantitative and qualitative approach, which aims to implement an evaluation and monitoring process in the Network of Type I Laboratories that perform cervical cancer screening in RN. The study will be developed at the Laboratory of Pathological Anatomy and Cytopathology of RN, part of the service network of the State Department of Health of the State of Rio Grande do Norte and the data of the results issued by the 28 Type I Laboratories will be obtained from the Health Information Systems of the MS, DATASUS/SISCAN, in the National Registry of Health Establishments (CNES) and will be organized and systematized in  an excell spreadsheet for analysis, and the results of the MEQ issued by LAPAT will be collected from the TargetWeb system (management software). Expected Results: it is expected to implement a Good Practices Guide in LAPAT that subsidizes the improvement of the quality of the flows of vaginal cervical cytology tests (analyzer flowchart) in the type I laboratories of the network of laboratories contracted by the RN Department of Public Health, while enabling the involvement and commitment of the professionals of this network in the process of evaluation and monitoring of these flows,  contributing to the early detection of cervical cancer in the state.

Communication is essential for the quality and safety of health care, especially in the transition of care, which involves the transfer of information and responsibilities between professionals from different sectors or shifts. A tool that has been widely used to standardize and optimize this communication, contributing to patient safety and reducing errors, is the mnemonic SBAR (Situation, Background, Assessment, and Recommendation). This study aims to build and validate an instrument for the transition of care for children and adolescents in Pediatric Intensive Care Units, based on SBAR. This is a methodological study with a quantitative approach, based on Pasquali's framework. It was developed in three poles or stages: theoretical pole through the scoping review, according to the PRISMA-ScR guidelines, to identify scientific evidence and structure the instrument items; empirical pole with the evaluation of content and appearance validity by 15 nursing specialists, using a Likert scale and the analytical pole that used statistical analysis by the Content Validity Index (CVI) and Kappa coefficient (k); and semantic analysis performed by three first-year nursing residents, through the brainstorming technique and evaluation of the understanding of the items with a Likert scale. The scope review resulted in the inclusion of six studies that supported the construction of the instrument, structured in five domains and 41 items. Validation by the specialists, through the Delphi technique, indicated high agreement in the clarity and representativeness of the items, with k and CVI values greater than 0.70 for all items. The semantic analysis, in the brainstorming, confirmed adequate understanding by the residents, without the need for adjustments with CVI above the cutoff point (>0.70). The instrument has the social impact of improving communication between health professionals, standardizing the information transmitted, strengthening teamwork, optimizing time and resources, and promoting a culture of patient safety in the institution. However, future studies are suggested to test its effectiveness in healthcare practice and its applicability in different hospital contexts.

The healthcare products used in gynecological video surgeries are complex devices whose reprocessing represents a technical challenge at all stages. Commonly reusable, these instruments have characteristics such as miniaturization, the presence of valves, narrow lumens, recesses, optical and electronic components, which make them vulnerable to processing failures and increase the risks to patient safety. Although manufacturers provide instruction manuals, the guidelines are often insufficient, inaccurate or contradictory in relation to health standards and established good practices. This study is justified by the need for a reliable, safe and scientifically based technical-technological product for processing products used in gynecological hysteroscopies and videolaparoscopies. The aim was to develop a protocol for processing health products used in gynaecological video surgeries for a material and sterilization center at the Januário Cicco Maternity School. This is a methodological study developed in two stages: an integrative literature review and the construction of the protocol, based on the Theory of Knowledge Translation. The process of preparing the technical and technological product followed the recommendations of the Guide for the Construction of Nursing Care Protocols of the Regional Nursing Council of São Paulo and the operational standard for the preparation and control of institutional documents of the Brazilian Hospital Services Company. The first stage consisted of an integrative review, which allowed the essential contents of the protocol to be defined by peers, through the analysis of 19 scientific studies available in the databases searched, organized into seven thematic categories: pre-cleaning, reception, cleaning, preparation, sterilization, storage, transport and quality control. The second stage consisted of structuring the protocol in accordance with the manufacturers' recommendations, current health legislation and the service's technical and operational standards. The protocol developed is a strategic tool aimed at standardizing and qualifying processing practices in the material and sterilization center at the Januário Cicco Maternity School. It is hoped that its implementation will contribute to patient safety, the reduction of risks of incidents and adverse events, the rational use of resources and the strengthening of the team's permanent education, thus assuming a relevant technical and social role in minimally invasive gynecological care.

Introduction: This study focuses on Health Promotion for adolescents through educational activities to prevent Sexually Transmitted Infections. Health Promotion is a process of ‘’empowering’’ the population to improve the quality of life in the process of health and illness. At the school level, adolescent health is a challenge, with the issue of preventing Sexually Transmitted Infections specifically emerging in addition to condom distribution and early diagnosis actions, but rather using health education to stimulate reflection on the prevention of risk behaviors, considering the social determinants of health. For Health Promotion, from this perspective, integration between the health and education sectors is necessary, reinforcing the concept of health beyond the treatment of diseases and injuries, a challenge in which nursing plays an important role within the multidisciplinary team due to its history insertion in health education actions. Objective: To develop an educational intervention project for the prevention of Sexually Transmitted Infections in the Promotion of Health among adolescents in a federal educational institution. Methodology: Descriptive-exploratory study with a qualitative approach, using interviews as a data collection technique, guided by a semi-structured script of questions. The research location will be a basic, technical and technological education school at a federal university in northeastern Brazil. Research participants will be high school students over 18 years of age and residents of the educational institution. The interviews will be recorded and later transcribed, and organized to carry out content analysis, according to Bardin, supporting the construction of the social technology of this research, which concerns educational action for Health Promotion in adolescence. The study is justified by collaborating with the global effort to end communicable and infectious diseases by 2023, as established in the World Health Organization's Sustainable Development Goals, specifically goal number 3 - health and well-being. Also noteworthy is its inclusion in the School Health Program, contributing to the construction of healthy lifestyles and the prevention of Sexually Transmitted Infections in adolescence through work on the topic of sexuality, which is often considered taboo in Society, therefore helping to demystify the content.

 Introduction: Burnout is a syndrome characterized by physical, emotional, and mental exhaustion resulting from chronic stress in the workplace, and is especially prevalent among healthcare professionals. Objective: To analyze burnout levels and their relationship with quality of life indicators, in addition to understanding the perceptions of healthcare workers working in specialized care in the private sector regarding stress in the workplace. Materials and Methods: This is a cross-sectional, quantitative-qualitative study with a sample composed of healthcare professionals, including technicians, nurses, pharmacists, physiotherapists, and psychologists (n = 12). The Maslach Burnout Inventory (MBI) and Short-Form Health Survey (SF-36) instruments were applied, and semi-structured interviews were conducted. Results: Twelve healthcare workers were evaluated, and of these, 75% were in the initial phase of burnout, while 25% were at risk for the syndrome. The "pain" dimension of the SF-36 showed a statistically significant difference between these groups (p = 0.011). A significant negative correlation was found between burnout and perception of bodily pain (rho = -0.815 | p = 0.001). Qualitative analysis revealed that 58.3% identified overload and excessive workload as the main stressor, while 83.3% of companies offered no mental health support initiatives. Among the stressors, significant reference was made to gaps in management training and the need for institutional strategies to manage stress and improve internal communication. As institutional responses, a mental health promotion program is proposed as a technical product, including discussion groups, psychological counseling, information booklets, thematic workshops, and training for managers. Conclusion: Healthcare professionals working in private healthcare have a high prevalence of burnout, especially in its initial phase. This condition is associated with a worse perception of bodily pain and specific sociodemographic and occupational characteristics. Therefore, institutions should promote mental health care actions for healthcare professionals.

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.

Introduction: Humanized normal childbirth is conceptualized by the delivery, vaginal route of the fetus, configuring the end of pregnancy. Several public initiatives, such as the Prenatal and Birth Humanization Program and Rede Cegonha, aim to promote access to and humanization of childbirth, as well as make women the protagonists of this process. In the search for effective strategies in health education and to promote good practices in labor, delivery and birth, digital games or recreational instruments can be important allies. The playful plays a vital role in learning, as it allows the subject to seek knowledge of their own body, rescue personal experiences, values, as well as solutions to problems, generating co-responsibility in the construction of knowledge. Objective: To develop, together with obstetric nurses, a digital educational game in order to strengthen the autonomy and protagonism of the parturient. Method: Qualitative research, which will be developed in three stages (1) Focus group carried out with obstetric nurses; (2) In-depth study of scientific evidence that addresses “Good practices in labor and birth”; (3) Development of the digital educational game: Amelinha, based on the analysis of the focus group plus scientific evidence. Data collection with nurses will take place in synchronous and virtual format, through the Google Meet platform. The data will be analyzed using the content analysis proposed by Bardin. The study will comply with Resolution nº 466 of 2012 of the National Health Council. Expected results: it will be possible to favor good practices in care during the period of evolution of labor, delivery and birth through the instrument constructed, collectively, in addition to generate greater interaction between parturient and obstetrician nurse, which is not an effective strategy, but also a low-cost one.

Being born is a unique milestone in a woman's life and has historically undergone transformations with the advancement of science and currently society has been demystifying the taboos that have been building year after years and women have been gaining again the leading role in the act of giving birth. Thus, it is worth highlighting the growing number of obstetric violence committed by professionals during the care of pregnant women and one of the factors is associated with the lack of care protocol. The nursing team acts directly in the care of pregnant women, whether in the prepartum/during and postpartum period. Nursing Process (NP) that provides the opportunity for a scientific technical resource based on clinical evidence, consequently improving the quality and continuity of care offered to users in the service. The motivation for this study emerged from the experience of the researcher who works at the institution in enabling the construction of a tool created in line with the research subjects. Objective: To develop a nursing care protocol focused on the theme of humanized labor related to nursing care for the parturient in the obstetric center. Methodology: This is a descriptive exploratory study, with a qualiquantitative approach, using the Convergent Care Research (PCA) by Paim, Trentini and Silva (2014) as a design. semi-structured, after consent and signing of the Free and Informed Consent Term (ICF) of the research. will be held from April to May 2022, to nursing professionals who work in the Obstetric Center of a public maternity hospital. The empirical material will be worked from the collective subject discourse technique and to assist in the data processing, the DSCsoft software will be used, in addition, the numerical data of the research will be evaluated using simple statistical analysis through an Excel spreadsheet. The study will be submitted to the UFRN ethics committee for consideration and will respect all ethical and legal principles as provided for in Resolution 466/12, which provides for studies with human beings. It is expected that as a result of this project it will be possible to structure a nursing care protocol for humanized labor, to optimize the service provided with an emphasis on the parturient and her well-being.

Syphilis is a sexually transmitted systemic infection that is curable and exclusive to humans. It is caused by the Treponema pallidum bacterium and can be transmitted through unprotected sexual contact and from mother to baby during pregnancy in cases where the pregnant woman has not received or received inadequate treatment. Primary Health Care (PHC) plays a crucial role in providing comprehensive care to people with syphilis and promotes prevention, diagnosis, treatment, follow-up, and surveillance actions. Since 2016, Brazil has been experiencing a syphilis epidemic, partly due to an increase in testing coverage, a decrease in condom use, and resistance from health professionals to administer benzathine benzylpenicillin in PHC. Given this situation, the objective of this study was to develop and present a Standard Operating Procedure (SOP) to contribute to the adherence and safety of the teams in administering benzathine benzylpenicillin in PHC based on the fragilities identified by professionals. This study was a qualitative action research type and was conducted in a municipality in the 7th Health Region of Rio Grande do Norte (RN). The study universe was the technical teams of PHC and Surveillance, as well as the teams of Basic Health Units (BHUs) that do not administer benzathine benzylpenicillin. Information was collected through the use of focus groups. The Atlas ti. cloud was used for data organization and categorization and content analysis developed by Laurence Bardin was used as the interpretation method. It was possible to organize and group the difficulties faced by professionals in treating syphilis in PHC, relating to the dimensions of health care management. In the professional dimension, the disability of professionals for preparing and administering this medication and taboos related to anaphylactic reactions were highlighted, such as fear of administering the medication to people who have never received it and in situations where the doctor is not present in the BHU. In the organizational dimension, fragilities in the logistics of medicines and supplies were highlighted, as well as the absence of protocols to guide practices and standardize the conduct of teams. In the systemic dimension, fragilities in the structure of BHUs are evidenced by the lack of a procedure room and space for observing users and the absence of basic items for emergency and emergency care. There are also fragilities in health management in supporting BHUs and understanding the role of PHC in the context of Health Care Networks (HCN). The identification of these fragilities contributes to the production of new tactics that can positively impact the intervention actions carried out by PHC teams. In this context, the SOP is presented as a management and care strategy, as when well developed and implemented with properly trained health teams, it helps with decision-making, expands access, and strengthens the care line for people with syphilis.

ABSTRACT

Patients with cerebrovascular diseases when undergoing surgical procedures can present several complications and evolve to negative outcomes, including death. Thus, specialized care in the Intensive Care Unit becomes necessary. In this context, the intensive care nurse plays a fundamental role in the care of patients with neurological disorders. However, in order to achieve the best results, it is essential that this assistance is based on clinical protocols and guidelines, which standardize, guide and indicate care supported by scientific evidence. The objective of this study is to analyze the performance of nurses in patient care in the immediate postoperative period of neurosurgery in a Surgical Intensive Care Unit. This is an exploratory descriptive study with a qualitative approach to be developed in a private hospital in the city of Natal/RN. Previously, the study will be submitted to a Research Ethics Committee, in compliance with Resolution 446/2012. The data will be collected according to a previously established schedule, will be coded and analyzed using the Content Analysis Technique, according to Bardin. It is expected that the results of this study will identify the way in which nurses act during the care of neurosurgical patients. As a technological product resulting from the study, it is proposed to develop a Guide to Good Practices aimed at nursing care for patients in the immediate postoperative period of neurosurgery. It is expected that this instrument favors the acquisition of knowledge about neurosurgical patient care, communication between nursing professionals, coordination of nursing care and the reduction of the risk of harm to patients.

Introduction: Pain in the neonatal period, particularly in preterm newborns, needs to be well evaluated and correctly managed by health professionals in order to reduce negative stimuli during the stay in Neonatal Units, and, consequently, a better neurological development. For this, it is essential to adopt and use daily scales that can measure pain in these newborns in order to guide professionals regarding the best care practices with a view to reducing and preventing pain in preterm infants. Objective: To develop a serious game prototype on pain assessment and management in preterm newborns. Method: This is a methodological research with a quantitative approach, based on the methodological framework of Pasquali. The research took place in a Maternity School in Rio Grande do Norte, in the year 2022. The research phases were five (5), namely: theoretical, empirical and analytical procedures; development of the serious game by professionals specialized in education technologies; game content evaluation by neonatologist nurses and technology experts. Such stages occurred through the strategy of integrative review in databases and sending the game prototype link as well as the foms via email to the 18 judges participating in the evaluation stage. The study was conducted after approval by the Maternidade Escola, and approval by the Research Ethics Committee of the UFRN/HUOL, under opinion No. 5559962, in accordance with the ethical precepts of Resolution No. 466 of 2012 of the National Health Council. Results: The prototype was finalized after content evaluation by 09 nurses specialists in neonatal nursing and 09 specialists in information technology, who analyzed the prototype screens of the game prototype and proposed suggestions for improvements. After this evaluation by specialists, the resulting product of this study was the “Neo-pain Game”, a serious game that involves the teaching, evaluation and management of pain in preterm newborns in the Neonatal ICU to be routinely used by the nursing team. neonatal nursing. Furthermore, it will also serve as a teaching-learning instrument for undergraduate and graduate students in the field of nursing. Conclusion: The development of the serious game prototype significantly contributes to the management of pain in preterm newborns hospitalized in Neonatal Units. This occurs because it is an innovative educational technology that provides professionals and students with updated scientific content, didactic and with dynamic presentation for teaching-learning purposes and use of the scale in routine care. The prototype will also serve as an instrument to raise the awareness of managers and professionals regarding the importance of using the pain assessment scale in the institution where the research was carried out, and may also be disseminated among other Neonatal Intensive Care Units. It should be noted that the educational game will still be used in the research maternity hospital in a phase subsequent to the production of the prototype, with a view to testing its applicability with professionals and students of the Institution, with the intention of being subsequently instituted.

Seek strategies for the prevention of avoidable damage aimed at qualifying health services. The instruments for early risk verification are part of a low-cost technical tool for error reduction. Considering the importance of monitoring risks and standardizing the care process involving the patient, family members and health professionals who must pay attention to the guidelines regarding preparation for performing Hyperbaric Oxygen Therapy (HBO), this study aimed to build and validate a checklist for the referral of the hospitalized patient to the hyperbaric oxygen therapy unit. This is applied research for the development of a technological product with a quantitative approach, aimed at constructing and validating the checklist's content and appearance. The product was built through the following steps: 1) scoping review on the topic, including the taxonomies of the North American Nursing Diagnosis Association (NANDA) and Nursing Interventions Classification (NIC); 2) construction of the instrument based on the characterization of the checklist items with cross-mapping between the result of the scoping review and the titles of the diagnoses in the NANDA I taxonomy, electing the NIC interventions, transforming them into a question format; and 3) content and appearance validation process using the Delphi technique, consisting of a panel of judges (nurses). An active search for judges was carried out through the Lattes platform of the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq) and the snowball technique. The study complied with the ethical precepts in research with human beings described in Resolution 466/2012 of the Conselho Nacional de Saúde and is in accordance with the guidelines for research procedures at any stage in a virtual environment, with approval by the University Research Ethics Committee Federal of Rio Grande do Norte, authenticated by opinion No. 4,702,060. In the results, items with the Content Validity Index ≥ 0.90 and the reliability of the checklist by Kappa agreement ≥ 0.80 were considered valid. After the construction and structuring of the checklist, the Delphi step was carried out with the responses of 10 judges, for the validation of content and appearance, containing questionnaires organized through a Likert-type scale (1. totally disagree, 2. partially disagree, 3. partially agree and 4. fully agree). The checklist categorized into 14 items. The 1st round assessed the individual content of the items, the 2nd round assessed the instrument's attributes and the 3rd round the appearance and general assessment. The level of agreement between the judges and the validation of content and appearance reached final values of 1.00. Based on the judges' analysis, it can be concluded that the checklist for referral to the Hyperbaric Oxygen Therapy Units was considered an important support tool and favors the communication process between health teams.

The implementation of the Patient Safety Culture in health services and, more specifically,

within the psychiatric hospital, can become a strong ally in the fight for more humanized and safe care. In this perspective, patient safety is seen as an important device regarding more qualified psychiatric care. It is a qualitative research of the Convergent Assistance type. The general objective of this study was the construction of the patient safety protocol for a psychiatric hospital. For that, we sought to: identify the themes considered to be a priority for the team to develop the protocols; verify the theoretical supports that give basis to the themes worked; the definition of innovations necessary for the applicability of the protocols; and, knowing the perception of research participants about the patient safety culture. The investigation took place in a psychiatric hospital in the city of Natal/RN. The sample consisted of 18 professionals, which was made up of the care team – including the researcher who is also part of the hospital's technical team – and members of the management. Data collection occurred through face-to-face workshops, through the technique of discussion in a Convergence Group, using the Arco de Maguerez methodology. To analyze the data regarding the perception of the patient safety culture, the Collective Subject Discourse method was used. The results of this study were organized into three topics, namely: the characterization of the convergence group: the group was composed mostly of females, 13 (72.22%); predominantly aged between 31 and 40 years; regarding the academic level, 77.78% are specialists, however, only 1 participant reported having taken a course or postgraduate course in patient safety. The construction and presentation of the protocols: three products were built, namely: Interdisciplinary Assistance Protocol for Falls; Interdisciplinary Assistance Protocol for Evasion; and Interdisciplinary Assistance Protocol for Suicide. The conception of the convergence group about the culture of patient safety: five discourses of the collective subject were identified: “Patient safety and the global aspects of care”; “The culture of patient safety as a responsibility of all professionals and the institution itself”; “Patient safety contributes to quality psychiatric care. It positively influences the patient's emotions”; “The culture of patient safety as a habit that needs to be implemented and naturalized”; and “This is respect for life!”. The present study resulted in important developments for the implementation of protocols and the beginning of the implementation of the risk management culture, namely: the construction of the Adverse Events Notification Form and the Daily Fall Risk Assessment form; training of professionals regarding the application of protocols; training of the nursing staff regarding the use of the Morse Fall Scale; and training of professionals about suicide and about the management of patients with suicidal ideation. The use of a problematizing methodology and the collective construction process were essential for the team's adhesion in the construction and implementation of the products, and for the visualization and conduction of the developments resulting from this research.

Collective Oral Health has brought a new perspective to dental practices in the public service. However, it has not been easy to break with the hegemonic project in the field of dentistry, which sends practices based on the flexnerian paradigm, with conceptions focused exclusively on the biological dimension of the individual and oriented to the disease and its cure. To qualify actions that involve and stimulate changes in this scenario means to assume new strategies that favor the redirection of the oral health care model in Primary Care, so that the user becomes the center of health actions. To this end, there must be a strong integration and interaction between the different professionals, as well as the bringing together of different skills and knowledge, which primarily involves teamwork. The development of this competence focuses on Continuing Education in Health, understood as fundamental in the formative process of SUS workers. The objective of the study was to analyze the work process of the dentist surgeon (DC) in the Family Health Strategy in the municipality of São José de Mipibu-RN. This is a social research of qualitative approach, of exploratory and descriptive nature developed in the basic care of the municipality comprising the dental surgeon professionals of the Family Health Strategy. Data were collected through individual interviews using a semi-structured script and the data from the interviews were organized, explored and analyzed based on the thematic content analysis method presented by Bardin and coded and systematized using the ATLAS.ti cloud version software. The following thematic categories were listed: Category 1: The dental surgeon's work process: activities developed, work planning and organization, with the subcategories: Activities developed; Work planning and organization. Category 2: Teamwork and comprehensive care: approximations and distancements with the PNAB guidelines. Category 3: Advances and limits to the construction of teamwork and comprehensive care. The results point to a DC isolated and centered in clinical and educational procedures, mainly in the office, with collective and territory-based activities relegated to second place, as well as weaknesses in work planning and organization, with actions that distance themselves from the needs of the assisted population. The professionals' speech signals a lack of knowledge and distancing from the national primary care policy guidelines, which pointed to the insipient characteristics of teamwork and comprehensive care. The lack of supplies and equipment, the lack of communication between teams and professionals from other levels of complexity were highlighted as the main challenges for an integral care. The advances indicated are related to the expansion of access and services in the oral health network. There was recognition of the need for a permanent education strategy aimed at professionals in which managers are also included. As a result of the research, a continuing education proposal was developed, involving the construction of a Virtual Learning Object to strengthen the work of the oral health team, based on the needs identified in the study.

One of the tools to be used by nurses in their work process is the Nursing History, the first stage of the nursing process and known as the investigation phase, which consists of data collection to identify real or potential problems for people in need. of nursing care. However, for its implementation, it is necessary to have a data collection instrument that serves as a guide for the nurse and that reproduces the needs of the person to be cared for. The aim of this study is to build and validate a Nursing History for the Pediatric Intensive Care Unit of a university hospital, using Wanda Horta's Theory of Basic Human Needs as a theoretical framework. This is a methodological study with a quantitative approach. The methodological framework of Pasquali (2010) will be used, which emphasizes the importance of the instrument validation process. The study will be carried out in three poles or stages. The first pole will be the Theoretical, with an Integrative Literature Review in order to select the results to compose the construction items of the Nursing History, guided by the framework of the Basic Human Needs Theory by Wanda Horta and Elaboration of the construct; The second pole/stage consists of the Empirical Procedures, through the judgment by 15 judges, experts in the field of nursing, of the content and appearance of the construct using a Likert-type scale; and the third pole/step consists of Statistical procedures, with statistical analysis and validation of the final version of the instrument through the Content Validity Index (CVI), Kappa coefficient of agreement (k) and Spearman's correlation coefficient. It is expected that the construction and validation of a nursing history aimed at the care of children and adolescents in a Pediatric Intensive Care Unit, provides data collection based on the scientificity of nursing, systematized and focused on the real needs of children, adolescents and your escorts.

Introduction: Over the centuries, the act of giving birth has undergone several transformations. A domestic process, accompanied only by women, whose main subject was the parturient, became hospitalized, medicalized, accompanied by health professionals and led by the figure of the doctor. Along with the technological advances responsible for institutionalizing childbirth and birth, there have been negative changes in the care for parturient women due to the loss of their autonomy, such as violent acts, such as dehumanized treatment and pathologization of natural processes. The subject in question has social relevance justified by addressing issues related to the deprivation of human rights, especially issues related to the female gender, in addition to discussing phenomena inherent in the health work process, as well as illustrating the need for effective public and health policies in the control of this problem. Objective: To understand the level of understanding of puerperal women about the concept of humanization in labor, as well as good practices in care during childbirth and birth. Method: This is an exploratory, descriptive and qualitative research carried out at the Maternidade Escola Januário Cicco, with women who have given birth at this institution and are in the immediate puerperium. The data were collected between the months of August and November 2020 and were coded and analyzed using the content analysis technique, in the thematic analysis mode according to Bardin Results and Discussion: The results that emerged from the interviewees' speeches gave rise to three thematic categories: feelings experienced by parturients in the parturition process, understanding of parturients about the parturition process and offering good practices to parturients in the parturition process. Some factors were identified that hinder the humanization of assistance in the parturition process and suggested measures to reverse this situation, having as a result of the study a Practical Guide that minimizes gaps in the care process. Final Considerations: Given the results of the research, it is considered that the Good Practices of Attention to Childbirth and Birth are already a reality experienced in the institution, even because the vast majority of reports highlight feelings of satisfaction due to the assistance received, which demonstrates existence of humanized care by health teams. As a technological product, emerging from the results present in the thematic categories, which demonstrated potentialities and weaknesses existing in the assistance provided by the institution, the Birth and Birth Care Guide was developed, which contains the practices made available by the maternity, where these are indicated during the parturitive process. Additionally, it is important to highlight that the product presents the rights of the parturient, clarifications on the flow of care, as well as on terms relevant to labor and delivery used within the Institution.

Diseases related to stress, sleep problems, tension, anxiety have become a growing problem in recent years. These diseases cause a lot of suffering for affected individuals and may result in long periods of incapacity for the activities of everyday life. Thus, it is necessary to use strategies aimed at minimizing the effects of stress and anxiety, such as the use of practices that promote energy rebalancing and improvement in quality of life.  Integrative and complementary health practices (PICS) can be used as a therapeutic resource, as they represent a set of resources capable of acting in different aspects of health, providing both health recovery and the prevention of diseases and injuries, whether physical or mental. The Federal University of Rio grande do Norte (UFRN) has the emergency energy harmonization (HEE) service that is characterized by being an activity to promote energy rebalancing from the use of Reiki and massage practices. It is held since 2018, in its own room, within the Laboratory of integrative and complementary practices of UFRN (LAPICS/UFRN), where the user who presents any type of imbalance resulting from physical, emotional and/or energetic overloads is immediately welcomed, functioning as a kind of "prompt care". The  action forthis study aims to enable strategies  to qualify the care of HEE developed LAPICS /UFRN from the knowledge of professionals working in this care, identifying the difficulties, potentialities and suggestions for improvement and thus organizing the work process, since most users, at some point, of the monitoring at LAPICS /UFRN, go through this type of care Objective: Build an intervention planfor the care of Emergency Energy Harmonization in a PICS service. Methodology: This is an exploratory-descriptive study, with a qualiquantitative approach, using the Convergent Assistance Survey (PCA) of PAIM, TRENTINI AND SILVA (2014). This will be performed according to the following steps: Participant observation and analysis of medical records, which will comprise the period from March 2019 to March 2020; Application of semi-structured interview script that will be sent by e-mail to professionals working at HEE, via form produced in Google forms; Groups of work will be formed, via  the Google meet platform,to elaborate the actions of the intervention plan, and to guide these groups, the principles of strategic situational planning will be used with a focus on the Altadir Method of Popular Planning (MAPP). The empirical material will be worked from the discourse technique of the collective subject and the auxiliary processing will be the DSCSOFT software used, in addition, the numerical data of the research will be evaluated using simple statistical analysis through excel spreadsheet. The study will be submitted to the ethics committee of UFRN and will respect all ethical and legal principles as provided in Resolution 466/12 that provides for the study of human beings. It is expected that as a result of this project it is possible to structure the work process of HEE care from the construction of an intervention plan.

The Intensive Care Unit is a sector destined to patients seriously ill with ventilatory support performed by Ventilação Mechanical invasive, most of the time, which is one of the technologies used to ensure hemodynamic stability and adequate oxygenation. Pneumonia Associated with Mechanical Ventilation, with the adverse event related to Invasive Mechanical Ventilation , is a very common infection of the lung parenchyma that affects critical patients with a considerable morbidity and mortality rate. A strategy that has been successfully adopted to prevent this pathology is related to the implementation protocols, built and applied collectively that can encourage professionals to adhere to the recommended measures. In this perspective the role interprofessional has been an important element to produce these health actions considering the complexity of the health-disease. In this context, this research aims to understand how interprofessional action could be configured as a strategy for the prevention of Pneumonia Associated with Mechanical Ventilation in an Intensive Care Unit . It is a qualitative research of the convergent care type . The study scenario will be the Adult Intensive Therapy Unit of a university hospital, with nurses, nursing technicians , physiotherapists and doctors as participants . The researcher is part of the professional team in this scenario, which meets the Convergent Care Research by requiring the researcher to be immersed in the study site and their direct relationship with the participants. The collection and production d and data will be held by means of sequential steps. Initially, it will be applied structured questionnaire professionals, containing open and closed questions able to identify the knowledge and practices to prevent Pneumonia Ventilator - Associated, in addition to raising approaches interprofessional performance and collaborative work .Then, data will be collected on the incidence density rate of this infection in the Intensive Care Unit, provided by the Hospital Infection Control Commission. Subsequently , convergence groups will be held with the participating professionals , contemplating educational actions that address the most relevant themes presented in the questionnaires , at a time of discussion and exchange of knowledge among the participants in order to support the collective construction of a protocol . The analysis of the data from the questionnaires will be of the descriptive type , while the data produced in the convergence groups will be analyzed following the phases of apprehension, synthesis, theorization and data transfer, at which time the Atlas Ti version 8.0 software will be used. It is hoped that the results of this research will contribute to standardize the preventive actions of Associated Pneumonia Mechanical ventilation in the unit Terapia Intensive the dulto emphasizing the role cross , reflecting the quality of assistência and patient safety.

The National Immunization Program in Brazil aims to contribute to the control and eradication of vaccine-preventable diseases, through the standardization and availability of vaccines in the basic vaccination schedules in the public health network of the Unified Health System (SUS). However, the expansion in the number of available vaccines and vaccine coverage have generated an increase in the incidence rates of Immunization Errors (EI), defined as any preventable event that can cause or lead to an inappropriate use of an immunobiological, or cause damage to a patient. Therefore, it is necessary to develop and implement instruments for standardizing care in relation to the technique of administering vaccines. In this perspective, this study aimed to build and validate a graphic protocol for safe care in vaccination of children under 1 year of age. This is an applied research for the development of a technological product with a quantitative approach, aimed at building and validating the content and appearance of the graphic protocol in which the Pasquali psychometrics framework was used through the following steps: 1) Theoretical procedures through a scope review in order to identify and map the evidence on the knowledge, attitudes and practices in health that supported the development of content on safe care in vaccination for children under 1 year of age; 2) Empirical procedures that occurred with the construction and structuring of the graphic protocol through the Canva application (2013); 3) Validation of content and appearance in the Delphi step, which took place via Google Forms, by expert judges in the field of immunization to reach a consensus; and 4) Analytical procedures, in which data from the previous phase were analyzed using the content validation coefficient. 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 virtual environment, with approval from the University Research Ethics Committee Federal of Rio Grande do Norte, authenticated by opinion No. 4,812,554. In the results, items with a minimum agreement of 70% among the judges were considered valid. After the construction and structuring of the graphic protocol, the Delphi step was carried out with the responses of 13 judges, for the validation of content and appearance, based on the adapted Pasquali criteria: behavior, objectivity, simplicity, clarity, relevance, precision , variety, modality, typicality, credibility, breadth and balance. The level of agreement between the judges and the validation of content and appearance reached final values of 0.92. Based on the judges' analysis, it can be concluded that the graphic protocol constructed was considered an important support and strengthening instrument for safe nursing care in the vaccination of children under 1 year of age.

Children with certain chronic respiratory diseases commonly require hospital admission and sometimes invasive mechanical ventilation (IMV) for life support. Although IMV is a common therapy in pediatric intensive care units, it is not common in pediatric wards. Studies suggest that professionals who care for mechanically ventilated patients have insecurities and gaps in their knowledge on this subject. The objective of this study was to implement a strategy for teaching IMV, focused on the learning needs of the multiprofessional team of the pediatric ward of Onofre Lopes University Hospital. To achieve this purpose, this exploratory research of qualitative nature, characterized as a Convergent Care Research will develop five strategic steps: (1) pactuations in the unit; (2) convergence group (CG) for the identification of learning needs; (3) literature review to base the technological productions, composed of the teaching strategy (Multiprofessional Training), and the didactic material (Bedside Referral Card); (4) realization of this training and (5) individual interviews with the participants. For data production and collection, the CGs and the individual interviews will be used, conducted by the researcher using a semi-structured script and with the help of a digital voice recorder. The speeches produced will be transcribed in full using the Microsoft Office Word® 365 text editor. The text created will be exported to the ATLAS.ti® version 9.0 software for data organization and systematization. Data analysis will be performed by the technique of apprehension, synthesis, theorization and transfer of qualitative data according to Trentini and Paim (2004). It is expected that the teaching strategy directed by the learning needs of professionals and the didactic material produced contribute to the acquisition of new knowledge on topics related to IMV and facilitate the integration of this new knowledge with the care practice, favoring it in a critical-reflective, safe and humanized way.

Peripherally inserted central catheter is a technology created as a strategy of humanization to assistance, since promotes a secure venous access for a prolonged period. To this, the use of this catheter requires from nursing staff knowledge and skill, with discussions and trainings aiming to improve praxis and to reduce occurrences that can damage the performance of this device. Objective: to evaluate the effect of an educative intervention to nurses and nurse technicians from a Pediatric Intensive Care Unit in the improvement of theoretical knowledge related to the prevention of damage by the non-elective removal of the Peripherally inserted central catheter. Method: it consists in a almost-experimental study with a unique group, type before and after, in an educative intervention, based on problematization to nursing staff from Pediatric Intensive Care Unit of a hospital-school in Natal/RN. Data collection related to reasons by the removal of the catheter is in a register book from research scenery, about knowledge of the professionals, by the application of a questionnaire. This study points the existence of a significative difference between score of knowledge before and after educative intervention base on T-pareado test, considering values p < 0.05 as significative. Results: 22 nursing professionals participated of this research (10 technicians and 12 nurses), most of the feminine gender (86.36%), with an average age of 36.5 years, and 12.8 years of profession, with an average of 5.3 years working on Pediatric Intensive Care Unit. After educative intervention, it points significative difference of knowledge, improving the ranking of nurse technicians from 5.30 to 9.10 and nurses from 11.83 to 20.67. The most different average score was in the questions related to the technic to realize flush and to preventive actions of infiltration/thrombosis/phlebitis, indications and contra-indications of insert catheter. As a result, the Good practices guide to the prevention of non-elective removal of the PICC is the product of this study, approaching preventive actions and management of complications. This research points too some priority cares, according to the point of view of participant nursing staff during educative activities, organized in a priority care list related to the use of this device, that will be showed to the hospital to post-analyze and insertion in the prescription of electronic nursing, to collaborate to the promotion of nursing systematizing care to use this catheter. Conclusion: the educative intervention was effective, becoming possible the plausibility of this research hypothesis, considering average score of knowledge that improve significantly after intervention. At last, this research aims this knowledge be effective in the care act, part of permanent education in health, and the application as the Good Practices Guide as the Priority Care List improve the development of practices of management of the catheter, consequently, decreasing the non-elective damage of this device. Thus, children admitted in the Pediatric Intensive Care Unit can enjoy benefits of this device in a most comfortable way, with safety and therapeutic efficacy, as well as it will be time optimization of the staff nursing work and the lowest price to the service.

Several factors can contribute to the fact that people seek the street as a “housing option”, among these factors the social determinants stand out, organized from the capitalist logic of having at the expense of being. In this context, the researched segment is configured as ostomized people living on the streets who hypothetically face two imprisonments, either because of the biopsychosocial impact that the stoma causes on these users, or because of the cognitive darkness of the intuitive “need” to live on the streets due to the imposed social condition. This is an exploratory, descriptive study, with a qualitative approach, which aims to analyze narratives of people living on the streets with ostomy treated at the Adult Rehabilitation Center-CRA of a state in northeastern Brazil, in order to propose improvements in the care provided with a view to comprehensive care, overcoming stigma and prejudice. The data were collected in two moments: documentary research carried out on the CRA's service records, in September to December 2019; and interviews guided by the thematic oral history approach, carried out with people on the street assisted by CRA, between January and May 2020. The interviews were inserted in the Atlas.ti 7 software for organization and treatment of the data, which were analyzed using if thematic content analysis. The research received approval from the Research Ethics Committee of the Federal University of Rio Grande do Norte on 10/04/2019 nº CAAE: 19348419.9.0000.5537. According to the survey, the categories generated were: “Being homeless: prejudice, stigma; performs informal work; subsistence difficulty; existence of affective bonds, companionship; insecurity; "Using the scholarship: difficulty in relating"; "Using the scholarship: there is no place to perform hygiene". From the analysis of the data from the interviews, 34 subcategories emerged in total. The results showed that the group of participants has mostly less than 40 years (60.00%); male (100.00%); brown (60.00%); complete elementary school (40.00%). Regarding the state of birth, most were born in Rio Grande do Norte (40%), the others interviewed in the states of Paraíba, Pernambuco and São Paulo As for time spent on the streets, most of them are from 5 to 10 years old living on the streets (40.00%). whether formal or informal. There was unanimity in the reports that the fact of being on the street carrying a colostomy bag is doubly limiting, either due to the lack of information from where to seek specialized services, or stigma and prejudice, due to their condition to be living on the streets given the characteristic aspects inherent to carrying a colostomy bag with unpleasant odor excretions. In view of the results, the product of this work is the proposal for the implementation of an electronic data instrument that enables the monitoring and matriculation of cases, aiming at the integral assistance of the subjects, with network articulation and systematic monitoring, thus ensuring the access of the population in a situation from the street to the health care network with equity and social justice.

Mental and behavioral disorders is a group of illnesses that has been studied by researchers and has aroused interest in managers because they are one of the most frequent causes of workers' absence, causing low productivity, long periods of work disability and even early retirement. With this research we aim to address illness prevention and the recovery of employees affected by work-related mental disorders in a federal public institution and to develop a product that may contribute to the knowledge and the preventive practices in this area. This is a descriptive exploratory study with a qualitative approach. Firstly, we searched those workers from Federal University of Rio Grande do Norte (UFRN) who needed to stop working to treat disorders which main codes were those belonging to F group (Mental and Behavioral Disorders) and other codes, such as: Z73.0 (Burn-out), Z56.5 (Uncongenial work), Y96 (Work related condition), Z56.3 (Stressful work schedule) and Z56.6 (Other physical and mental strain related to work) between the years 2012 and 2019, obtained from the Federal Public Administration System (SIAPE SAÚDE). We used thematic content analysis to draw up the results, from which the following analysis categories emerged: 1. Work conditions and organization and 2. Life-work. The first category was divided into the subcategories: 1.1 Interpersonal relationships and 1.2 Workload. The second category was subdivided into 2.1 Home-work interface and aspects of the individual and 2.2 Social support / reception and ways of coping. As a product of this research, we propose a manual for operative groups entitled “Healthy mind at work”, in order to prevent workers´ mental illness. We also highlight the importance of implementing new projects about mental health at work and the relevance of participation of the employees in projects that already exist at the institution.

Currently, the complexities of health needs and the specificities of services, from the perspective of comprehensive care, emphasize the relevance of different professionals for resolute and quality care. In this horizon, teamwork emerges as a tool to achieve essential transformations for better operationalization of the Unified Health System. The interprofessional and collaborative practice develops the reduction of professional competition, and replaces the asymmetry in power relations in health care, by Partnership relations. It is built in the exercise of dialogue, promoting participation, planning, decentralization of power and partnership / participation of users in the care process. WHO recommends its implementation as a possibility of optimizing health services, strengthening health systems and promoting qualification of care outcomes. Psychosocial attention is configured as a potent space for the strengthening of interprofessionality in the dynamics of health work, which is why it was chosen as the object of analysis of this study. This study aims to analyze the interprofessional and collaborative work in the production of health services in the Psychosocial Care Network in the city of Pombal / PB. This is a qualitative research, case study type, descriptive, exploratory. To identify the aspects proposed in the objectives, interviews will be conducted with managers who work in the different health services that are part of RAPS, and focus groups with professionals who work in the care of these services. The analysis of the data learned by the interview and focus groups will happen simultaneously, according to Bardin. The content analysis technique will take place in the following steps: pre-analysis, material exploration or coding, treatment of the results obtained and interpretation.

Introduction: Adolescence is a phase of human development in which transformations occur, and adolescents can become more vulnerable to certain risk situations such as involvement with drugs. Objective: To develop and validate an application for mobile devices in order to promote health and prevent drug use among adolescents. Method: This is an applied methodological research, of technological production, in which the Follow Life mobile application (follow life!) was developed and validated, to be used both in the educational and assistance spheres. The study participants were experts with knowledge and active in the theme of prevention of drug use, computer experts and the target audience formed by adolescents. For data collection, forms were used through the Google forms tool containing questions about the characteristics of the evaluators and aspects of the application related to functionality, usability, reliability and efficiency. Results: considering the evaluation of experts and the target audience on aspects of the software, all obtained an evaluation of Content Validity Index (CVI) equal to or higher than the cutoff point, going to maximum evaluations, and the product under study was validated. Conclusion: from the present study it was possible to carry out the development and validation of an application for mobile devices on the theme of prevention of drug use among adolescents.

Ventilator-Associated Pneumonia in the newborn is considered as a Health Care-Related Infection associated with mechanical ventilation for more than two days or detection of infection 24 hours after discontinuation of therapy. Technological advancement has increased the newborn's survival, however, the use of the mechanical ventilator has been associated with the occurrence of adverse events, such as Pneumonia Associated with Mechanical Ventilation. Thus, the prevention of these infections has been a challenge to guarantee the quality of care in health services. This research aims to analyze nursing practice in the context of factors related to the occurrence of Pneumonia Associated with Mechanical Ventilation to propose a care product capable of improving measures to prevent this infection. It is a Convergent Care Research, with quantitative and qualitative approaches, carried out in a Neonatal Intensive Care Unit of a maternity school, from December 2019 to September 2020. 19 nurses, 39 nursing technicians and 07 managers participated in the study. The four methodological phases of Convergent Care Research were followed: conception, instrumentation, scrutiny and analysis. Data collection was carried out through three stages: verification of nursing knowledge and practices, survey of data on the incidence of Pneumonia Associated with Mechanical Ventilation and individual interviews. Quantitative data were organized in Excel spreadsheets and analyzed according to descriptive statistics. Qualitative data were organized using the qualitative analysis software, Atlas ti, and analyzed following the steps of apprehension, synthesis, theorization and transfer. In the process of recognizing preventive measures and care practices that compromised the safety of neonatal patients, solutions and coping measures were revealed, such as an adequate number of professionals, provision of materials and supplies, management supervision and support, permanent education and use of protocols assistance. With the categorization of data from the interviews with managers, two categories were elucidated: Factors for the occurrence of Pneumonia Associated with Mechanical Ventilation in neonates and Nursing practices for the prevention of Pneumonia Associated with Mechanical Ventilation in neonates. This categorization enabled theorizing, which shows that this infection is revealed as a problem that needs to be solved through care and management practices, for prevention to occur effectively. Based on this, assistive technological products were elaborated, namely: primer with diagnostic situation for managers, Standard Operating Procedure for the prevention of Pneumonia Associated with Mechanical Ventilation in newborns and implementation flowcharts and monitoring of adherence to preventive measures and results achieved. The Standard Operating Procedure was chosen from among the tools suggested by managers, as it presents good acceptance and applicability in the institution. With the implementation of this product and following the flowcharts, it will be possible to follow the necessary path for adherence to prevention measures to be effective and to improve care, causing an impact in reducing the incidence of Pneumonia Associated with Mechanical Ventilation. It is also expected that, with the necessary support, there will be a change in the behavior of the nursing team and that management will continue to develop policies that ensure the safety of the neonate patient.

In the last decades, Brazil rethought and redistricted the medical education in the country. The new National Curricular Guidelines (DCN) proposed changes in the current model, in order to integrate education with what is essential for health services. These guidelines a reorientation in training, which should stimulate the active participation of the student in the construction of knowledge and constitute professionals with a general profile, through an innovative pedagogical proposal, problem-based learning, where the acquisition of knowledge is centered student. In this perspective the objective of this study is to analyze the perception of the academic community about the method of Problem-Based Learning used in the curricular proposal of the Multicampi course of Caicó. The research is a case study, with an exploratory and descriptive character with a qualitative approach. Date collection was performed through two research instruments: interview and focus group. An interview was conducted with 20 teachers, 15 preceptors and 27 students from the Multicampi Medical School, which will be analyzed through the Bardin Content Analysis. The results show four main categories, being: The production of knowledge in the context of the PBL methodology; The potential of the PBL methodology; The weaknesses and challenges of the PBL methodology; Teacher training in the PBL. Strengths of the PBL methodology were identified in the training of students and important gaps in teacher training to be solved by the school. The Multicampi School presents itself as an active learning scenario that provides the acquisition of fundamental skills for a reorientation of medical education focused on the generalist profile, however it is necessary to strengthen the teaching qualification in order to consolidate quality training and committed to concrete needs of the Unified Health System.

Microcephaly is a congenital malformation in which the cephalic perimeter is less than two standard deviations or more of the expected mean for age and sex, due to inadequate brain development. It is accompanied by motor and cognitive changes that vary according to the degree of brain involvement. Recent studies point to the home environment as a strong influencer of child development, understood as the triggering agent of behaviors and actions. Therefore, it is suggested that a home environment rich in opportunities for motor stimulation has a positive impact on the future motor and cognitive performance of children who are early exposed to these stimulus. According to these informations, the objective in this research is to evaluate motor affordances in home environment of children with microcephaly and its relation with cognitive performance. This is a quantitative, epidemiological and analytical approach. The sample consisted of 30 children with microcephaly, between 18 and 42 months of age, and their families, who were invited to participate in the study through active search. To assess motor affordances and cognitive performance, it was used the instruments Affordances in the Home Environment for Motor Development - Infant Scale (AHEMD-IS) and the cognitive scale of the Bayley Scales of Infant and Toddler Development III (BSITD-III), respectively. It was observed that the majority of the children evaluated (73.33%) lived in homes with low motor affordances, with average of 8.47 ± 1.72 points in the total standardized AHEMD score and that all children were classified with varying cognitive performance from extremely low to borderline, with about 86.67% of them presenting 55 points in the BSITD-III Composite Score. Statistically significant differences (p-value = 0.003) were also found between motor affordances and cognitive performance. Therefore, it is concluded that the majority of children with microcephaly presented severe cognitive impairment and few opportunities for motor stimulation in their homes. In addition, it is suggested that the home environment rich in motor affordances favors the cognitive development of children with microcephaly.

INTRODUCTION: In developed countries, it is estimated that 15 to 20% of newborns are born in places with inadequate conditions, and it is necessary to transfer them to health care units that have intensive care. In Brazil, these cases are still underreported, which may difficult the quantification of this  event in the country, besides the development of singular and contextual actions. It is observed that the interventions with the greatest impact to reduce neonatal deaths are more dependent on qualifyeds people than on technology and assets. Therefore, the lack of trained professionals is the biggest difficult to increase the adequate clinical attention in countries with high rates of neonatal mortality, and the investment in training professionals is an important strategy to reduce these deaths. Because of this, one of the great advances of Neonatology was the institution of Neonatal Transport (NT), which effectively contributed to the reduction of neonatal and infant mortality rates. OBJECTIVE: To evaluate the inter-hospital neonatal transportation process of a maternity school. METHOD: This is a cross-sectional, descriptive observational study, before and after, with a quantitative approach and documentary analysis. The study will be developed at a reference Maternity School in Rio Grande do Norte. The sample will be constituted of all newborns hospitalized from May to October 2018 submitted to inter-hospital NT, performed by the healthcare professional and residents of the Institution, able to perform transportation safely with certification of the neonatal transport course. EXPECTED RESULTS: It is known that the conditions of the inter-hospital transport influence neonatal mortality, so when ideally it contributes to the reduction of neonatal and infant mortality coefficients. Therefore, it is expected that the results of this research will contribute to: the reflection about the know-how of the professionals who perform transportation in the care of the newborns; the improvement of the scientific knowledge; and the improvement of the quality of the assistance of a school maternity, the state of Rio Grande do Norte in the Unified Health System (UHS).

The health policies in Brazil were built over several decades (if not centuries), received several nomenclatures and for several administrations. The woman and the child still occupy an exclusionary and discriminatory social position and these policies have also been built, over time, based on this situation. Since Getúlio Vargas' government, several intervention projects have been designed and implemented to improve the health conditions of women and children, whether at the individual or collective level. With the advent of the discussions and, consequently, implementation of the Unified Health System (SUS), is that a more collective form of intervention is considered in the female population, with a view to improving maternal and infant mortality rates.

Some laws and ordinances are created in order to achieve these goals, and the SUS places prenatal care as the great instrument (action) to improve the reproductive health of women, with the early detection of risks can occur with gestation and, therefore, interventions that may decrease maternal and neonatal morbidity and mortality.

Despite the improvement in maternal and infant mortality rates in the last decades, the number of deaths due to prematurity did not occur in the same proportion, being responsible for about 70% of infant mortality in Brazil, and in Rio Grande do Norte, almost 80% of deaths in children under one year occurs due to prematurity.

In the course of my professional activities in a maternity school, I observed that there were a significant number of women hospitalized and that their babies were premature, and the questioning of the research emerged: what are the factors related to preterm birth in a public maternity hospital? It has the general objective of identifying the factors related to preterm birth in a public maternity and specific to estimate the prevalence of preterm birth, to identify the association between the individual factors of the mother and the occurrence of preterm birth and to identify the association between the gynecological and and the occurrence of preterm deliveries.

The study is descriptive, analytical, cross-sectional, prospective and quantitative approach; developed in a School Maternity of the city of Natal, with reference to every state of Rio Grande do Norte. The sampling will be simple probabilistic and random, based on the data, considering the error of 5%, 95% confidence level, monthly mean of deliveries of the MEJC and the collection period that will be of three months, the number of puerperas to be investigated will be 298. It will interview women whose children were born between 20 and 36 weeks of gestation. It will investigate several variables (individual, socioeconomic characteristics, risk factors prior to gestation, reproductive history and related to the current gestation). Emphasizing that such work must comply with regulatory norms of research involving human beings. Afterwards, the data will be analyzed, in order to reach the proposed objectives.

AbstractThe renal patient undergoing hemodialysis depends on a venous access to survive, due to the high rate of use of central venous catheters, it is necessary for the nursing team to possess the technical-scientific and practical control of Catheters handling, for the preservation of and thus reducing risks to the health of patients in hemodialysis treatments. Objective: To analyze the contribution, according to the professionals' perception, of the permanent education in the construction of the knowledge about assistance to patients under hemodialysis treatment with central venous catheter for hemodialysis and in the transformation of care practices. Methods: Convergent Assistance Research, with a qualitative approach, using as reference the Permanent Education policy and the Freiriano thought. The data will be collected through a focus group and participant observation, applied in the problematization methodology called Arco de Charlez Maguerez. The scenario of the study will be the University Hospital Onofre Lopes, in the Central Building of Internment, with the nursing team as participants. Data collection will take place in the second half of 2018. Expected results: the research intends to analyze the contribution of lifelong education through the implementation of educational strategies in dialogue with the team, to transform current reality with adherence to innovations practices and knowledge in catheter care. The ethical determinations of Resolution No. 466/2012 of the National Health Council will be respected.

The topic of patient safety is occupying a prominent place when it comes to the provision of quality health care, especially after the publication of international studies that have proven the high frequency of Adverse Events in health services. Thus, patient safety, understood as a set of actions aimed at promoting safe health care, should be seen as a tool to promote safety culture. In turn, the safety culture of the patient should be understood, both individually and collectively, as the product of the perceptions, attitudes and values shared in the hospital organization and that shows the degree of commitment with the quality of the health services provided. This study aims to evaluate the safety culture of the patient of the Central Unit of Internment of a University Hospital of Natal / RN, from the point of view of the nursing team. This is a cross-sectional, cross-sectional, observational study using the "Hospital Survey on Patient Safety Culture" instrument, composed of 12 dimensions in its translated version and adapted transculturally to the Brazilian hospital scenario. It is hoped that this research, besides identifying the level of the patient's safety culture in the proposed scenario, could contribute to health care with higher quality. In addition, it will foster a reflection, in professionals and in management, about their actions regarding the productive process and its impact on the construction of an institutional culture focused on patient safety.

Malocclusion results from changes in the dental position and poor relationship of the maxillary bones, being considered a phenomenon of modern civilizations that can be classified as a Public Health problem. The aim of this study was to validate an instrument for the diagnosis of malocclusion in the deciduous dentition by dental surgeons. It is a methodological study developed in two stages. The first consisted of content and appearance validation by a panel of judges composed of five orthodontic dentists; and the semantic analysis of the items, using the brainstorming technique, which consisted in checking the comprehension of the items by two groups of three non-orthodontic dentists. In the second stage, the psychometric properties were evaluated, which evaluated the instrument by three dental surgeons, on two different occasions, the same group of 114 children, aged three to five years, verifying the reliability of the instrument. Data analysis was performed using the Content Validity Index (IVC), Kappa coefficient of agreement (K) and Spearman's correlation coefficient. The research followed all ethical and legal aspects of research in humans, obtaining the opinion of the Commission of Ethics in Research under No. 2.803.127. In relation to clarity, Domain I, referring to the identification of the child, obtained IVC = 1. Domain II, related to the evaluation criteria, was initially composed of 11 items, four were evaluated with IVC = 1, four with IVC = 0.8, however, items VII and VIII were considered unclear or unclear, with IVC 0.6 and 0.2. Domain III, referring to the general result, the two items that compose it received IVC = 1; the instrument as a whole, two items received IVC = 1 and an IVC = 0.8. Regarding the relevance of the items in Domain II, seven obtained IVC = 1 and two IVC = 0.8, however, items VII and VIII were considered as irrelevant or irrelevant, with IVC 0.66 and 0.50. The representativity of Domain III presented IVC = 0.8. In the evaluation of the three domains of coverage, it was verified that two obtained IVC = 1.00 and one obtained IVC = 0.8; and the instrument as a whole had IVC = 0.8. According to the judges' suggestions, the instrument was modified, obtaining the primary version. As for the semantic analysis, it was observed that of the ten items that make up the primary version of Domain II, eight were considered completely comprehensible, however, items VIII and X were considered non-understandable, with IVC 0.66 and 0, 50. The three domains of the instrument obtained IVC = 1.00 in relation to the understanding of the items and words; and filling in the answers. According to the suggestions, the secondary version of the instrument was obtained. The items and domains of the secondary version, obtained IVC = 1.00 in all aspects analyzed. When evaluating the psychometric properties, it was observed that there was a good inter-rater agreement (K≥0.6), and that the instrument was consistent in time and space by the three observers, obtaining the strong Spearman coefficient (r> 0, 6). In the application of the instrument, it was verified that the majority of children (97.3%) were diagnosed with orthodontist evaluation (score ≥15). Thus, the alternative hypothesis of the study is accepted, in which it is evident that the instrument for the diagnosis of malocclusion in the deciduous dentition by dental surgeons has strong evidence of validity. Thus, it is expected that the product constructed in this study will allow the dental surgeon to guide and refer children to specialized services still in the deciduous teething phase, ensuring a comprehensive care for this population.

The illness and sick leave for treatment of one's own health has repercussions for the life of the servant, as well as reflects and interferes in the dynamics of the institution in which he develops his work activities. Objective: To analyze the morbidity of employees of a Brazilian Federal University away for treatment of their own health in 2016. Method: Descriptive study of quantitative approach and cross-sectional design. The subjects of the study were permanent University employees who were removed for treatment of their own health. Data were collected using management reports from the Integrated Server Health Care Subsystem. Results: in the institution studied in 2016, 410 licenses were granted to treat the health of employees themselves, predominantly females, 72.68%, aged 31 to 45 years (70.73%), work activity in mid-level position, 55.61%, and performance in the administrative area (45.37%). It is noteworthy that mental and behavioral disorders were predominant with 24.88% of cases. Final considerations: the knowledge of the illness profile of the employees of the studied institution identified the need for preventive actions to be developed by the management, related to the mental health of the server and the work environment.