Dissertations/Thesis

Clique aqui para acessar os arquivos diretamente da Biblioteca Digital de Teses e Dissertações da UFRN

2024
Dissertations
1
  • MARIA LUZIA PAIVA BESSA VALE
  • EDUCATIONAL TECHNOLOGY FOR GUIDANCE IN CASES OF ERRORS, INCOMPLETENESS OR LOST DEATH CERTIFICATE

  • Advisor : MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • COMMITTEE MEMBERS :
  • ANA PATRÍCIA TARGINO DE MEDEIROS
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • Data: Feb 22, 2024


  • Show Abstract
  • Introduction: The Death Certificate is officially the first document that must be granted to the family or guardian after a person's death. Despite its importance, errors, incomplete data and imperfections in its completion are often found in this document, preventing the Death Certificate from being drawn up by the Civil Registry Offices. This fact leads the population to turn to different institutions without knowing which service to use to solve the problem. Objective: Build and validate a booklet-type educational technology in printed format as a strategy to guide the population in cases of errors, incompleteness or loss of death certificates. Method: Methodological research with a quantitative approach, carried out in a Municipal Health Department in Rio Grande do Norte. Experts on the subject of epidemiological surveillance/death surveillance participated in the research, in addition to the target population. The study took place according to the following steps: carrying out an integrative literature review; text development and layout of the first version of the booklet; preparation and pre-testing of the educational booklet; completion of content and appearance validation instruments by judges; semantic analysis of items by the target population. To analyze the booklet evaluation data, the Content Validity Index calculation and the Kappa test were used. This study was carried out after approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte. Results: Considering the evaluation of the judges and the target audience, the booklet was validated in terms of content and appearance, obtaining maximum evaluation from the Content Validity Index and Kappa test, with the product called “Death Certificate: what to do in case of incomplete filling, errors or loss?” Final considerations: It is believed that the educational technology developed has the potential to create impact and be applied at local, regional and national levels, since it can be used for the dissemination of knowledge, contribute to access of information and clarify doubts about the Death Certificate. The booklet will be presented to the Management of the city of Mossoró/RN for appreciation, and may be implemented as an instrument to guide the population on the subject.

2
  • MARIA ANAKARINE DE SOUZA MEDEIROS
  • STANDARDIZATION OF DRUG ADMINISTRATION IN NEONATAL INTENSIVE CARE

  • Advisor : SIMONE PEDROSA LIMA
  • COMMITTEE MEMBERS :
  • CARLA SUELLEN PIRES DE SOUSA
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • SIMONE PEDROSA LIMA
  • Data: Feb 22, 2024


  • Show Abstract
  • 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.

3
  • SILVANA ALVES DA ROCHA SILVA
  • CARE OF ELDERLY PEOPLE WITH POST-DISCHARGE DIABETES: FOCUS ON GUIDANCE OF SAFE AND HEALTHY FOOD SUPPLY

  • Advisor : MARIZE BARROS DE SOUZA
  • COMMITTEE MEMBERS :
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • DIOGO VALE
  • FLAVIO CESAR BEZERRA DA SILVA
  • MARIZE BARROS DE SOUZA
  • Data: Feb 26, 2024


  • Show Abstract
  • Aging brings functional and physiological changes to the elderly, which sometimes lead to situations that require hospital treatment, and which can cause declines in the processes involved in feeding. In this context, clear guidelines are needed on the indications for therapeutic diets in different situations. With regard to geriatric patients with functional alterations and diabetes, diets modified in terms of consistency and nutrients stand out. In this scenario, the figure of the caregiver arises, the person responsible for helping the dependent patient with their activities of daily living, especially with eating. Given this reality, the aim of this study was to contribute to the nutritional care of elderly patients with type 2 diabetes mellitus after hospital discharge. The methodological approach took the form of a descriptive qualitative study based on a case study, carried out in a hospital located in a municipality in the greater Natal area, with companions of dependent elderly patients who had type 2 diabetes mellitus as their underlying disease and who required dietary changes after discharge from hospital. Data was collected using an interview with a semi-structured script and a sociodemographic characterization instrument. Laurence Bardin's content analysis method was used to analyze the data. Ethical principles were respected. The results made it possible to verify the sociodemographic profile of the elderly person and their caregiver, as well as to identify the main doubts related to feeding dependent elderly people. Final considerations: Based on the results found, it was possible to build a technical technological product to help caregivers of dependent elderly people with type 2 diabetes mellitus with the difficulties they face when being discharged from hospital, with regard to adequate, safe and healthy food.

     

     

4
  • LARISSA EMMANUELE DE SANTANA FÉLIX
  • Home care by informal elderly caregivers: construction of assistance technology for literacy assessment
  • Advisor : BIANCA NUNES GUEDES DO AMARAL ROCHA
  • COMMITTEE MEMBERS :
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIZE BARROS DE SOUZA
  • VERBENA SANTOS ARAÚJO
  • Data: Feb 26, 2024


  • Show Abstract
  • 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.

5
  • LEÍZA MELO SOUSA
  • Weaving mental health of adolescents in primary care

  • Advisor : JACILEIDE GUIMARAES
  • COMMITTEE MEMBERS :
  • JACILEIDE GUIMARAES
  • LYGIA MARIA DE FIGUEIREDO MELO
  • JOÃO BOSCO FILHO
  • Data: Feb 26, 2024


  • Show Abstract
  • Promoting comprehensive care for adolescents represents a challenge for health systems, worsening after the COVID-19 pandemic, as there was an increase in rates of psychological distress in general, including also the adolescence phase, where it presents a higher rate of young people with increased physical inactivity, anxiety levels, stress and depression, among other forms of suffering. Thus, as Basic Health Care (AB) is a gateway to the Psychosocial Care Network (RAPS), strengthening it becomes fundamental for comprehensive territorial-based care, as it represents the closest space to the user with your home. Therefore, it is essential to qualify the Family Health Teams (ESF), consolidate the link with the territory, carry out active searches with the Community Health Agent (ACS), carry out qualified listening/welcome, and provide matrix support for mental health teams, family participation and the empowerment of these young people. Therefore, the study aims to develop a practical guide aimed at health workers, proposing strategies for assisting adolescents in psychological distress within the scope of territorial PC care. This is an exploratory, descriptive and qualitative research. With the participation of 29 health professionals from the ESF working in the Basic Health Units (UBS) in the city of Parnamirim-RN. The representation of one UBS per territory was maintained, through a lottery-style draw, with at least one professional from each of the categories remaining, being selected through non-probability sampling called intentional sampling. As a technique for analyzing and presenting data, Content Analysis proposed by Bardin (2011) was chosen. Finally, with the help of the Canva platform, the technical-technological product “Practical guide for PC health professionals with territorial care strategies for teenagers from the Z and Alpha generations” was created, being of relevance to the municipality, as it presents care guidelines for adolescents, considering the local reality, alerting to the invisibility of the care of these young people in PHC, drawing the attention of municipal management to the weaknesses in the care of these young people and in the municipality's RAPS, strengthening the dialogue on the importance of professional qualification, multi-professionality, of intersectorality, family participation, listening, communication and care planning, for dignified assistance, which guarantees rights, social coexistence and comprehensive care in the territory.

6
  • DÉBORAH PRISCYLLA BEZERRA CORRÊA DE MELO
  • MENTAL HEALTH CARE IN THE FAMILY HEALTH STRATEGY: DEVELOPMENT OF
    AN EDUCATIONAL TECHNOLOGY AS A TOOL FOR CONTINUOUS EDUCATION

  • Advisor : LYGIA MARIA DE FIGUEIREDO MELO
  • COMMITTEE MEMBERS :
  • JACILEIDE GUIMARAES
  • LYGIA MARIA DE FIGUEIREDO MELO
  • MARIA JACQUELINE ABRANTES GADELHA
  • Data: Feb 27, 2024


  • Show Abstract
  • 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.

7
  • SANDRA ÁVILA CAVALCANTE
  • Proposal to implement an early warning score in a pediatric ward
     
  • Advisor : JULIANA TEIXEIRA JALES MENESCAL PINTO
  • COMMITTEE MEMBERS :
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • EMANUELLA SILVA JOVENTINO MELO
  • Data: Feb 28, 2024


  • Show Abstract
  • Signs of clinical deterioration may already be present at the time of pediatric hospitalization or may appear suddenly, configuring a serious situation that can prolong hospital stay, increase the risk of morbidity, disability and death. In an attempt to anticipate the recognition of signs of clinical deterioration in the pediatric patient, a variety of Pediatric Early Warning Systems have been proposed by study groups around the world. In Brazil, this system was adapted from the Brighton Pediatric Early Warning Score and showed good accuracy. The objective of this study is to implement the Pediatric Early Warning in a pediatric inpatient unit. The research is of the Convergent Assistance type with a qualitative and quantitative approach. Data collection, production and analysis will be carried out following the steps of the convergent care research. In the first stage, the conception, the theme was delimited, the research problem was contextualized and the general objective was elaborated. In the second stage, instrumentation, the pediatric ward was defined as the collection site where the researcher is part of the professional team of this scenario, and doctors and nurses as study participants, with definition of inclusion and exclusion criteria. In the third stage, scrutiny, data will be collected in five moments: application of a pre-test questionnaire; training on Pediatric Early Warning; application of the early warning score; semi-interview and implementation of the early warning score in the ward. For data analysis, the phases of convergent care research will be used, according to Trentini and Paim (2014): apprehension, synthesis and theorization. For this purpose, the ATLAS.ti® version 9.1 qualitative data analysis and management software will be used. It is expected that the implementation of the Pediatric Early Warning is plausible for the care practice of the health team in question, that it helps to identify cases of clinical deterioration in the pediatric population in a concise and objective way, generates alerts and favors the taking of appropriate actions, in a satisfactory time and this will contribute to the quality of care provided.

8
  • PATRICIA MEDEIROS DA SILVA OLIVEIRA
  • COLLECTIVE CONSTRUCTION OF A PROTOCOL TO IMPROVE ADHERENCE TO THE NOTIFICATION OF INCIDENTS RELATED TO HEALTHCARE BY CARE PROFESSIONALS

  • Advisor : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • ANA BEATRIZ DE ALMEIDA MEDEIROS MOURA
  • Data: Feb 29, 2024


  • Show Abstract
  • 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.

9
  • KARINE CORDEIRO DE LEMOS VASCONCELOS SILVA
  • NURSING PROCESS IN AN INTENSIVE CARDIOLOGICAL CARE UNIT: CONSTRUCTION OF CONTENT IN ELECTRONIC RECORDS

  • Advisor : IZAURA LUZIA SILVERIO FREIRE
  • COMMITTEE MEMBERS :
  • ERIK CRISTÓVÃO ARAÚJO DE MELO
  • IZAURA LUZIA SILVERIO FREIRE
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • Data: Feb 29, 2024


  • Show Abstract
  • The nursing process comprises the dynamics of systematized and interrelated actions aimed at assisting human beings. Through the development and application of its steps, it is possible to develop nursing care with the aim of providing patient safety. The objective is to build content relating to the stages of the nursing process: nursing diagnosis, planning and implementation for the electronic medical record of a cardiological intensive care unit. This is methodological development research, with a quantitative approach, structured in three stages relevant to the theoretical pole. In the first stage, a scoping review was carried out with the aim of mapping the nursing diagnoses, results and interventions most commonly used in patients with cardiac pathologies in the scientific literature. The second stage referred to the construction of content for the electronic medical record of the cardiac ICU, in which the findings from the scoping review were considered, linked to the international NANDA, NIC and NOC taxonomy. Finally, the constructed content was inserted into the electronic medical record of the cardiac ICU. The data were analyzed using descriptive statistics and presented in table format. The research followed all ethical and legal aspects of research on human beings, obtaining the opinion of the Research Ethics Committee under nº 69691723.7.0000.5537. The selected studies demonstrated that the most common nursing diagnoses in patients with cardiac pathologies are decreased cardiac output and impaired physical mobility; there was a predominance of interventions related to skin care/supervision; with the most frequent results being pain control. The constructed content consisted of 15 nursing diagnoses, with their definitions, related factors and defining characteristics; the planning stage was composed of 10 expected results, 31 interventions and 246 activities. Finally, the implementation stage was constructed, the purpose of which will be to detail the way in which each activity will be carried out, as well as checking the intervention carried out as a way of recording the implementation of the care plan. After construction, the content was inserted into the electronic medical record tabs. It is expected that the technological product constructed will contribute to the optimization of nursing care, as well as favoring effective coordination between the multidisciplinary team and adequate support for patients suffering from cardiac pathologies admitted to the intensive care unit studied.

     

10
  • JOSÉ CLAÚDIO MIRANDA DE MACEDO
  • CONSTRUCTION AND VALIDATION OF PROTOCOL FOR POLYTRAUMATED PATIENTS IN MOBILE EMERGENCY CARE SERVICE

  • Advisor : ELIANE SANTOS CAVALCANTE
  • COMMITTEE MEMBERS :
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • ELIANE SANTOS CAVALCANTE
  • MARILIA SOUTO DE ARAUJO
  • Data: May 16, 2024


  • Show Abstract
  •  

    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.

11
  • TAMYRIS LUIZA DE ABREU
  • TUBERCULOSIS ALMANAC: A shared experience in the production of knowledge

  • Advisor : GRÁCIA MARIA DE MIRANDA GONDIM
  • COMMITTEE MEMBERS :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • RAYRLA CRISTINA DE ABREU TEMOTEO
  • Data: May 31, 2024


  • Show Abstract
  • Introduction: Tuberculosis (TB) is considered an infectious and contagious disease, caused by the proliferation of Mycobacterium Tuberculosis, which mainly affects the lungs and can reach other areas of the body. However, although it is an old and easily treatable disease, TB is considered a serious public health problem. It is also evident that there are factors that favor the abandonment of tuberculosis treatment, which makes it increasingly difficult to interrupt the chain of transmission. In this context, it is worth emphasizing the importance of integrating the Health Care Networks as a fundamental element in the control of this pathology. Objective: To develop a proposal for an almanac on tuberculosis as a subsidy for health education practices in the SUS Health Care Networks. -Action. The methods and techniques used - integrative review, interviews and focus group - will enable the development of an interactive educational technology, in the format of an 'Almanac', for use in virtual and physical modalities by health professionals, users and managers. The content, format and appearance of the Almanac will be validated by 02 groups of specialists using a validation method that best fits the time and the desired objectives. The study scenario is the municipality of Cajazeiras-PB. The population will consist of nurses, physicians, community health agents, nursing technicians, radiology technicians, sputum smear technicians, biochemists inserted in the three levels of care of the SUS and users who have received a diagnosis of TB. Data collection should take place from April/2023 to September/2023, after being approved by the Ethics and Research Committee. The study will respect the human condition and will comply with all the requirements of autonomy, non-maleficence, justice and equity, among other explicit requirements in resolution 466/2012 of the Ministry of Health. Expected results: It is believed that the development of the almanac will enable the participation of subjects in the educational process, contributing to the construction of knowledge and increasing the autonomy of those involved, in addition to contributing and allowing health professionals to obtain greater results and that this is positive and effective for your work process, as well as in the area of academic research. It is believed that through this research, the possible fragility in the attention to tuberculosis related to the scope of effective control of the pathology by the Care Networks can be identified.

12
  • JOSÉ AILTON SILVA CÂNDIDO
  • SIMPLIFYING MENTAL HEALTH: AN EDUCATIONAL STRATEGY IN PERMANENT EDUCATION FOR PRIMARY CARE PROFESSIONALS
  • Advisor : MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • COMMITTEE MEMBERS :
  • CARLA SUELLEN PIRES DE SOUSA
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • SIMONE PEDROSA LIMA
  • Data: Jun 10, 2024


  • Show Abstract
  • 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.

     

2023
Dissertations
1
  • ANA PAULA FERREIRA DE SOUZA
  • GAMBLING: THE PLAY AND ITS CONTRIBUTION TO THE AUTONOMY AND PROTAGONISM OF THE PARTURIENT

  • Advisor : SIMONE PEDROSA LIMA
  • COMMITTEE MEMBERS :
  • SIMONE PEDROSA LIMA
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • CARLA SUELLEN PIRES DE SOUSA
  • Data: Feb 23, 2023


  • Show Abstract
  • 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.

2
  • GEORGE SILLAS SILVA GOMES
  • REGIONALIZATION, EDUCATION AND HEALTH IN THE POTIGUAR TERRITORY: performance of the regional centers of permanent education in health.

  • Advisor : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIZE BARROS DE SOUZA
  • RICARDO BURG CECCIM
  • Data: Feb 24, 2023


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


3
  • SIDNEY RAFAEL GOMES DE OLIVEIRA
  • NURSING CARE FOR PARTURIANT IN THE OBSTETRIC CENTER: ASSISTANCE PROTOCOL FOR HUMANIZED LABOR

  • Advisor : VERBENA SANTOS ARAÚJO
  • COMMITTEE MEMBERS :
  • VERBENA SANTOS ARAÚJO
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • ANA LÚCIA DE MEDEIROS CABRAL
  • GRACIMARY ALVES TEIXEIRA
  • Data: Feb 24, 2023


  • Show Abstract
  • 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.

4
  • AILZA ROQUE DE BRITO BEZERRA
  • NURSING PERFORMANCE IN PALLIATIVE CARE: A PRACTICAL GUIDE FOR A NEONATAL INTENSIVE CARE UNIT

  • Advisor : JACILEIDE GUIMARAES
  • COMMITTEE MEMBERS :
  • JACILEIDE GUIMARAES
  • ELIANE SANTOS CAVALCANTE
  • NADJA CRISTIANE LAPPANN BOTTI
  • Data: Feb 24, 2023


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

5
  • CHYRLY ELIDIANE DE MOURA
  • Standard Operating Procedure for the treatment of syphilis in Primary Health Care: breaking the paradigm of Benzylpenicillin application

  • Advisor : MARIZE BARROS DE SOUZA
  • COMMITTEE MEMBERS :
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MARIZE BARROS DE SOUZA
  • Data: Feb 24, 2023


  • Show Abstract
  • 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.

     

6
  • ALAN DE CASTRO SILVA
  • SCREENING MAMMOGRAPHY: THE PERSPECTIVE OF WOMEN USING A SPECIALIZED AMBULATORY

  • Advisor : LYGIA MARIA DE FIGUEIREDO MELO
  • COMMITTEE MEMBERS :
  • FATIMA RAQUEL ROSADO MORAIS
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • LYGIA MARIA DE FIGUEIREDO MELO
  • Data: Feb 24, 2023


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

     

7
  • MYRNA MARQUES LOPES
  • NURSE'S PERFORMANCE IN THE CARE OF PATIENTS IN THE IMMEDIATE POST OPERATION OF NEUROSURGERY
  • Advisor : ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • COMMITTEE MEMBERS :
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • ELIANE SANTOS CAVALCANTE
  • FERNANDA MARIA CHIANCA DA SILVA
  • Data: Feb 27, 2023


  • Show Abstract
  • 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.

     

8
  • ENEIDA LAIS DE OLIVEIRA SOUSA
  • ELABORATION AND VALIDATION OF A PROTOCOL FOR THE STANDARDIZATION OF NUTRITIONAL CARE IN COW'S MILK PROTEIN ALLERGY IN A PEDIATRIC HOSPITAL

  • Advisor : MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • COMMITTEE MEMBERS :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • DIANA QUITÉRIA CABRAL FERREIRA
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • Data: Feb 27, 2023


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

9
  • VANESSA GOMES DE OLIVEIRA MEDEIROS
  • DEVELOPMENT OF A SERIOUS GAME PROTOTYPE ON TEACHING, ASSESSMENT AND MANAGEMENT OF PAIN IN PRE-TERM NEWBORN

  • Advisor : FLAVIO CESAR BEZERRA DA SILVA
  • COMMITTEE MEMBERS :
  • FLAVIO CESAR BEZERRA DA SILVA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • THAIS ROSENTAL GABRIEL LOPES
  • ROSA MARIA DOS SANTOS MOREIRA
  • Data: Feb 28, 2023


  • Show Abstract
  • 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.

10
  • JULIANNY BARRETO FERRAZ
  • NURSING PROFESSIONALS TRAINING IN THE CLINICAL MANAGEMENT OF DIFFICULT-TO-HEAL WOUNDS

  • Advisor : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • COMMITTEE MEMBERS :
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • ANA BEATRIZ DE ALMEIDA MEDEIROS MOURA
  • Data: May 15, 2023


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

11
  • EDSON MENDES MARQUES
  •  

     
  • Advisor : MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • COMMITTEE MEMBERS :
  • CARLA SUELLEN PIRES DE SOUSA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • Data: Aug 31, 2023


  • Show Abstract
  •  

     
2022
Dissertations
1
  • LUAN NOGUEIRA BEZERRA DE MEDEIROS
  • CONSTRUCTION AND VALIDATION OF A CONTRAR REFERENCE FORM FOR WOMEN WITH GESTATIONAL SYPHILIS ATTENDED IN PUBLIC MATERNITY

     

  • Advisor : ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • COMMITTEE MEMBERS :
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MÔNICA CECÍLIA PIMENTEL DE MELO
  • Data: Jan 25, 2022


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

     

2
  • Lianne Clarissa Cavalcanti Eufrázio de Araújo
  • CONSTRUCTION AND VALIDATION OF CHECKLIST FOR REFERRING THE HOSPITALIZED PATIENT TO THE HYPERBARIC OXYGEN THERAPY UNIT

     

  • Advisor : ELIANE SANTOS CAVALCANTE
  • COMMITTEE MEMBERS :
  • ELIANE SANTOS CAVALCANTE
  • ERIK CRISTÓVÃO ARAÚJO DE MELO
  • IZAURA LUZIA SILVERIO FREIRE
  • KARINA CARDOSO MEIRA
  • Data: Jan 27, 2022


  • Show Abstract
  • 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.

3
  • MARIA SUELHIA ÉLICA DE LIMA SILVA
  • KNOWLEDGE AND EXPERIENCE OF BASIC CARE PROFESSIONALS ABOUT SUICIDE

  • Advisor : JACILEIDE GUIMARAES
  • COMMITTEE MEMBERS :
  • JACILEIDE GUIMARAES
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • CLAUDIA MARA DE MELO TAVARES
  • Data: Jan 27, 2022


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

4
  • LARISSE KATARINE PINHEIRO
  • PATIENT SAFETY IN THE SCENARIO OF THE PSYCHIATRIC HOSPITAL
  • Advisor : MARIZE BARROS DE SOUZA
  • COMMITTEE MEMBERS :
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • JACILEIDE GUIMARAES
  • MARIZE BARROS DE SOUZA
  • Data: Jan 28, 2022


  • Show Abstract
  • 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.

5
  • JOSEMÁRIA DE MEDEIROS BATISTA

  • Construction of an action plan for the implementation of collective monitoring of child growth and development
  • Advisor : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • COMMITTEE MEMBERS :
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • LYGIA MARIA DE FIGUEIREDO MELO
  • MERCIO GABRIEL DE ARAUJO
  • Data: Jan 31, 2022


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

6
  • LÍVIA FREIRE VASCONCELOS FARIAS
  • THE DENTAL SURGEON'S WORK PROCESS IN THE FAMILY HEALTH STRATEGY OF THE MUNICIPALITY OF SÃO JOSÉ DE MIPIBU-RN: CHALLENGES FOR INTEGRAL CARE

  • Advisor : LYGIA MARIA DE FIGUEIREDO MELO
  • COMMITTEE MEMBERS :
  • EDSON HILAN GOMES DE LUCENA
  • LYGIA MARIA DE FIGUEIREDO MELO
  • MARIZE BARROS DE SOUZA
  • Data: Jan 31, 2022


  • Show Abstract
  • 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.

7
  • LIBNA LAQUIS CAPISTRANO QUENTAL
  • CONSTRUCTION OF A CHECK-LIST OF SAFE INTERPROFESSIONAL CARE IN THE MANAGEMENT HYPERTENSIVE EMERGENCY

  • Advisor : SIMONE PEDROSA LIMA
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MÔNICA CECÍLIA PIMENTEL DE MELO
  • SIMONE PEDROSA LIMA
  • Data: Feb 7, 2022


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

8
  • ILANA DEYSE ROCHA LEITE
  • CONSTRUCTION AND VALIDATION OF A NURSING HISTORY FOR A PEDIATRIC INTENSIVE CARE UNIT

  • Advisor : JULIANA TEIXEIRA JALES MENESCAL PINTO
  • COMMITTEE MEMBERS :
  • ERIK CRISTÓVÃO ARAÚJO DE MELO
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • Data: Dec 8, 2022


  • Show Abstract
  • 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.

9
  • LAYANNE SILVA DE LIMA AMORIM
  • PATIENT-FAN ASYNCHRONY IDENTIFICATION AND CORRECTION PROTOCOL BY VISUAL

     INSPECTION METHOD FOR PEDIATRIC INTENSIVE CARE UNIT

  • Advisor : IZAURA LUZIA SILVERIO FREIRE
  • COMMITTEE MEMBERS :
  • IZAURA LUZIA SILVERIO FREIRE
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • RENCIO BENTO FLORENCIO
  • Data: Dec 29, 2022


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

2021
Dissertations
1
  • BRUNA KELLY PAULINO SOUZA DE FREITAS
  • HUMANIZATION OF ASSISTANCE IN THE PARTURITIVE PROCESS: instructing women in a school maternity hospital in Rio Grande do Norte

  • Advisor : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • COMMITTEE MEMBERS :
  • ROSA MARIA DOS SANTOS MOREIRA
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • Data: Apr 15, 2021


  • Show Abstract
  •  

    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.

     

2
  • KARYLANE RAYSSA DE OLIVEIRA PESSOA ARAÚJO
  • STANDARD AURICULOTHERAPY OPERATIONAL PROCEDURE TO MINIMIZE ANXIETY FRAMEWORK IN A SMOKING GROUP
  • Advisor : BIANCA NUNES GUEDES DO AMARAL ROCHA
  • COMMITTEE MEMBERS :
  • ANDREA CÂMARA VIANA VENÂNCIO AGUIAR
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • Data: Sep 20, 2021


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

3
  • MARIANE ELIVÂNIA SILVA
  • EMERGENCY ENERGY HARMONIZATION: INTERVENTION PLAN FOR A SERVICE OF INTEGRATIVE AND COMPLEMENTARY HEALTH PRACTICES

  • Advisor : VERBENA SANTOS ARAÚJO
  • COMMITTEE MEMBERS :
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • FERNANDA MARIA CHIANCA DA SILVA
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • VERBENA SANTOS ARAÚJO
  • Data: Sep 24, 2021


  • Show Abstract
  • 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.

4
  • ALLAN JOSÉ SILVA DA COSTA
  • Quality of Life at Remote Work Project at a Federal Education Institution. 

  • Advisor : MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • MARIA LÚCIA DO CARMO CRUZ ROBAZZI
  • Data: Nov 3, 2021


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

     

5
  • LOUZIANE KARINA TAVARES DE SOUSA TEIXEIRA
  • INTERPROFESSIONAL ACTION IN PREVENTING PNEUMONIA ASSOCIATED WITH MECHANICAL VENTILATION IN INTENSIVE CARE UNITS
  • Advisor : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • COMMITTEE MEMBERS :
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • DENISE MARIA GUERREIRO VIEIRA DA SILVA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • Data: Dec 2, 2021


  • Show Abstract
  • 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.

6
  • KARLA CRISTINA BARBOSA
  • CONSTRUCTION OF THE HEALTH BOOK FOR PEOPLE SUBMITTED TO KIDNEY TRANSPLANTATION
  • Advisor : THEO DUARTE DA COSTA
  • COMMITTEE MEMBERS :
  • THEO DUARTE DA COSTA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • TACIANA DA COSTA FARIAS ALMEIDA
  • Data: Dec 15, 2021


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

7
  • ERICA RAYANE GALVAO DE FARIAS
  • CONSTRUCTION AND VALIDATION OF A GRAPHIC PROTOCOL FOR SAFE CARE AND VACCINATION IN CHILDREN. 

  • Advisor : CLEONICE ANDREA ALVES CAVALCANTE
  • COMMITTEE MEMBERS :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • ERIK CRISTÓVÃO ARAÚJO DE MELO
  • Data: Dec 20, 2021


  • Show Abstract
  • 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.

8
  • RAQUEL KAROLINE BARRETO FERNANDES
  • DIGITAL TECHNOLOGY FOR NURSING CARE WITH PRESSURE INJURIES IN INTENSIVE CARE UNIT
  • Advisor : IZAURA LUZIA SILVERIO FREIRE
  • COMMITTEE MEMBERS :
  • IZAURA LUZIA SILVERIO FREIRE
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • ERIK CRISTÓVÃO ARAÚJO DE MELO
  • Data: Dec 22, 2021


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

9
  • JACQUELINE FARIAS DE ALBUQUERQUE
  • EDUCATIONAL STRATEGY ON THE TEACHING OF MECHANICAL VENTILATION FOR A MULTIPROFESSIONAL TEAM IN A PEDIATRIC NURSING
  • Advisor : MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • ROSANGELA DINIZ CAVALCANTE
  • Data: Dec 23, 2021


  • Show Abstract
  • 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.

     

     

     

2020
Dissertations
1
  • AYSLA MONIQUE FERNANDES FERREIRA DOS SANTOS
  • CAUSES AND PROFILES OF SERVERS REFUSING PERIODIC MEDICAL EXAMINATIONS IN A PUBLIC UNIVERSITY
  • Advisor : CLEONICE ANDREA ALVES CAVALCANTE
  • COMMITTEE MEMBERS :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA LÚCIA DO CARMO CRUZ ROBAZZI
  • Data: Sep 16, 2020


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

2
  • ANA LUIZA DA SILVA GODEIRO
  • EDUCATIONAL INTERVENTION TO PREVENT NON-ELECTIVE REMOVAL OF THE PERIPHERALLY INSERTED CENTRAL CATHETER IN PEDIATRICS

     

  • Advisor : LAURIANA MEDEIROS COSTA SANTOS
  • COMMITTEE MEMBERS :
  • ALCIVAN NUNES VIEIRA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • JOÃO BOSCO FILHO
  • LAURIANA MEDEIROS COSTA SANTOS
  • Data: Oct 19, 2020


  • Show Abstract
  • 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.

3
  • KARINELLE PEREIRA COSTA
  • CONSTRUCTION AND VALIDATION OF NURSING RECORD IN A PATIENT WITH CARDIORRESIRATORY STOP AT ONCOLOGICAL UNIT

  • Advisor : IZAURA LUZIA SILVERIO FREIRE
  • COMMITTEE MEMBERS :
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • FERNANDA MARIA CHIANCA DA SILVA
  • IZAURA LUZIA SILVERIO FREIRE
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • Data: Oct 29, 2020


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

4
  • LÍLIAN PATRICIA SILVA DE SOUZA
  • Life history of ostomized people living on the street treated by the adult rehabilitation center in a city in northeastern Brazil

  • Advisor : ELIANE SANTOS CAVALCANTE
  • COMMITTEE MEMBERS :
  • ELIANE SANTOS CAVALCANTE
  • JACILEIDE GUIMARAES
  • PEDRO FREDEMIR PALHA
  • Data: Nov 18, 2020


  • Show Abstract
  • 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.

     

     

5
  • MARTA MARIA PINHEIRO
  • Reference and counter-reference in the prenatal component of Rede Cegonha in the city of Natal/RN

  • Advisor : LYGIA MARIA DE FIGUEIREDO MELO
  • COMMITTEE MEMBERS :
  • LYGIA MARIA DE FIGUEIREDO MELO
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • Data: Nov 18, 2020


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

6
  • MARA LIZANDRA QUIRINO OLIVEIRA LUNA
  • Work related mental disorders in servants of a federal university.

  • Advisor : JACILEIDE GUIMARAES
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • Data: Nov 24, 2020


  • Show Abstract
  • 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.

7
  • RAYRA MASS LUCENA DE SENA LIMA
  • CARE PROTOCOL FOR REDUCING PRESSURE INJURY RICH IN PATIENTS OF AN INTENSIVE 
    THERAPY UNIT: A COLLECTIVE CONSTRUCTION
  • Advisor : VERBENA SANTOS ARAÚJO
  • COMMITTEE MEMBERS :
  • ELIANE SANTOS CAVALCANTE
  • IVANILDA LACERDA PEDROSA
  • VERBENA SANTOS ARAÚJO
  • VILANI MEDEIROS DE ARAUJO NUNES
  • Data: Nov 24, 2020


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

     

8
  • FLÁVIA MARAÍSA DE PAIVA SILVA
  • INTER-PROFESSIONAL AND COLLABORATIVE WORK AS ASSUMPTIONS FOR THE REORIENTATION OF THE PRODUCTION OF THE PSYCHOSOCIAL CARE NETWORK HEALTH SERVICES

  • Advisor : MARIZE BARROS DE SOUZA
  • COMMITTEE MEMBERS :
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • JACILEIDE GUIMARAES
  • MARIZE BARROS DE SOUZA
  • Data: Nov 25, 2020


  • Show Abstract
  • 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.

9
  • RENATA PEREIRA SOARES
  • NURSING ASSISTANCE PLAN FOR WOMEN IN THE CLIMATE IN A PUBLIC MATERNITY
  • Advisor : MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • COMMITTEE MEMBERS :
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • MARIA DE LOURDES COSTA DA SILVA
  • ROSANGELA DINIZ CAVALCANTE
  • SIMONE PEDROSA LIMA
  • Data: Nov 27, 2020


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

10
  • MARTA SILVÂNERE PEREIRA DANTAS

  • Development and validation of an application for mobile devices to prevent drug use among adolescents

  • Advisor : MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • COMMITTEE MEMBERS :
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • JACILEIDE GUIMARAES
  • RUMMENIGGE RUDSON DANTAS
  • HELIDA SALLES SANTOS
  • Data: Nov 27, 2020


  • Show Abstract
  • 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.

11
  • ANA CLÁUDIA ALVES PIMENTA
  • RELAXATION TECHNIQUES AS A THERAPEUTIC RESOURCE FOR FEDERAL UNIVERSITY FIBROMYALGIA CARRIERS

  • Advisor : BIANCA NUNES GUEDES DO AMARAL ROCHA
  • COMMITTEE MEMBERS :
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • FLAVIO CESAR BEZERRA DA SILVA
  • MARIA CLÁUDIA GATTO CARDIA
  • Data: Nov 30, 2020


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

12
  • PAULA ISIS NASCIMENTO SILVA
  • NURSING PRACTICES IN PREVENTING PNEUMONIA ASSOCIATED WITH MECHANICAL VENTILATION IN NEONATAL INTENSIVE THERAPY

  • Advisor : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • COMMITTEE MEMBERS :
  • ALCIVAN NUNES VIEIRA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • LAURIANA MEDEIROS COSTA SANTOS
  • VIRGINIA MENEZES COUTINHO
  • Data: Dec 2, 2020


  • Show Abstract
  • 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.

13
  • RENATA RILKIA PEDROSA BEZERRA
  • PROPOSAL FOR A NEWBORN FALL ACCIDENT PREVENTION PROTOCOL
  • Advisor : SIMONE PEDROSA LIMA
  • COMMITTEE MEMBERS :
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • ROSANGELA DINIZ CAVALCANTE
  • SIMONE PEDROSA LIMA
  • Data: Dec 21, 2020


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

2019
Dissertations
1
  • SONAIRA LARISSA VARELA DE MEDEIROS SOARES
  • Learning methodology based on problem: perception of the academic community.

  • Advisor : BIANCA NUNES GUEDES DO AMARAL ROCHA
  • COMMITTEE MEMBERS :
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • JOÃO BOSCO FILHO
  • LAURIANA MEDEIROS COSTA SANTOS
  • Data: Mar 26, 2019


  • Show Abstract
  • 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.
2
  • CARLA LARISSA FERNANDES PINHEIRO
  • PREVENTION OF PRIMARY BLOODSTREAM INFECTIONS ASSOCIATED WITH THE CENTRAL VENOUS CATHETER: strategies to achieve better results in an Intensive Care Unit.

  • Advisor : ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • COMMITTEE MEMBERS :
  • ALCIVAN NUNES VIEIRA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • IZAURA LUZIA SILVERIO FREIRE
  • Data: Apr 10, 2019


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

3
  • DAYSE ALEIXO BEZERRA
  • MOTOR AFFORDANCES IN HOME ENVIRONMENT OF CHILDREN WITH MICROCEPHALY AND ITS RELATION WITH COGNITIVE PERFORMANCE.

  • Advisor : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • COMMITTEE MEMBERS :
  • ANDREA BARALDI CUNHA
  • ANGELICA TERESA NASCIMENTO DE MEDEIROS
  • IZAURA LUZIA SILVERIO FREIRE
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • KLAYTON GALANTE SOUSA
  • Data: Apr 15, 2019


  • Show Abstract
  • 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.

4
  • ISABELLE CRISTINA BRAGA COUTINHO CUNHA
  • ANALYSIS OF PATIENT SAFETY CULTURE IN THE PERSPECTIVE OF THE HEALTH TEAM THAT WORKS IN A MATERNITY IN THE NATURAL / RN MUNICIPALITY
  • Advisor : THEO DUARTE DA COSTA
  • COMMITTEE MEMBERS :
  • ALCIVAN NUNES VIEIRA
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • THEO DUARTE DA COSTA
  • Data: Apr 24, 2019


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

5
  • EMELINE NORONHA VILAR DE SOUZA
  • Evaluation of the iter-hospital neonatal transport processo of a maternity reference school in Rio Grande do Norte.

  • Advisor : MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • COMMITTEE MEMBERS :
  • ANNA CHRISTINA DO NASCIMENTO GRANJEIRO BARRETO
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • WILTON RODRIGUES MEDEIROS
  • Data: Apr 25, 2019


  • Show Abstract
  • 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).

6
  • SIMONE ALLI FERNANDES FARIAS
  • Underreporting of accidents with biological material exposure to biological in the 
    nursing team.
  • Advisor : CLEONICE ANDREA ALVES CAVALCANTE
  • COMMITTEE MEMBERS :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • Data: Apr 26, 2019


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

7
  • JEAN CARLOS BEZERRA
  • FACTORS RELATED TO PREMATUROUS BREASTFEEDING IN A PUBLIC MATERNITY.

  • Advisor : SIMONE PEDROSA LIMA
  • COMMITTEE MEMBERS :
  • IZAURA LUZIA SILVERIO FREIRE
  • ROSANGELA DINIZ CAVALCANTE
  • SIMONE PEDROSA LIMA
  • WILTON RODRIGUES MEDEIROS
  • Data: Apr 26, 2019


  • Show Abstract
  • 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.

8
  • LÍVIA CRISTINA SIQUEIRA GARCIA
  • MATRIX SUPPORT IN MENTAL HEALTH: a tool for integral care?

  • Advisor : LYGIA MARIA DE FIGUEIREDO MELO
  • COMMITTEE MEMBERS :
  • LYGIA MARIA DE FIGUEIREDO MELO
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • CLAUDIA MARA DE MELO TAVARES
  • Data: Apr 29, 2019


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

9
  • VANISSE KALYNE DE MEDEIROS
  • NURSING CARE WITH PRESERVATION OF CATHETERS FOR HEMODIALYSIS: CONTRIBUTION OF PERMANENT EDUCATION.

  • Advisor : LAURIANA MEDEIROS COSTA SANTOS
  • COMMITTEE MEMBERS :
  • BIANCA NUNES GUEDES DO AMARAL ROCHA
  • JOÃO BOSCO FILHO
  • LAURIANA MEDEIROS COSTA SANTOS
  • Data: Apr 29, 2019


  • Show Abstract
  • 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.

10
  • TÚLIO CÉSAR VIEIRA DE ARAÚJO
  • Primary health care services adhesion to the sexually transmitted diseases rapid test.

  • Advisor : MARIZE BARROS DE SOUZA
  • COMMITTEE MEMBERS :
  • CLAUDIA MARA DE MELO TAVARES
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • MARIZE BARROS DE SOUZA
  • Data: Apr 29, 2019


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

11
  • JORGE LUÍS SILVA DE ALMEIDA
  • PATIENT SAFETY CULTURE IN THE PERSPECTIVE OF THE NURSING TEAM OF THE INNOVATION UNIT OF A UNIVERSITY HOSPITAL

  • Advisor : ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • COMMITTEE MEMBERS :
  • ANA CRISTINA ARAUJO DE ANDRADE GALVAO
  • JOÃO BOSCO FILHO
  • THEO DUARTE DA COSTA
  • Data: Apr 30, 2019


  • Show Abstract
  • 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.

12
  • RENATA QUIRINO COSTA DA SILVA TAVARES
  • ABANDONMENT OF OUTPATIENT FOLLOW-UP IN REFERENCE SERVICE OF RIO GRANDE DO NORTE STATE BY PEOPLE WITH HEPATITIS C 

  • Advisor : EDILENE RODRIGUES DA SILVA
  • COMMITTEE MEMBERS :
  • EDILENE RODRIGUES DA SILVA
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • Data: Apr 30, 2019


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

13
  • PATRÍCIA DIÓGENES DE MORAIS
  • VALIDATION OF AN INSTRUMENT FOR DIAGNOSIS OF MISCELLANEOUS DENTAL DISSEMINATION BY DENTIST SURGERY
  • Advisor : IZAURA LUZIA SILVERIO FREIRE
  • COMMITTEE MEMBERS :
  • CLEONICE ANDREA ALVES CAVALCANTE
  • GEORGIA COSTA DE ARAUJO SOUZA
  • IZAURA LUZIA SILVERIO FREIRE
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • MARIA JALILA VIEIRA DE FIGUEIREDO LEITE
  • Data: Jun 28, 2019


  • Show Abstract
  • 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.

14
  • JOSEANE THAILINE PEREIRA DE CARVALHO ROMÃO
  • Palliative Care, Nursing Care, Cancer, Feelings.

  • Advisor : ELIANE SANTOS CAVALCANTE
  • COMMITTEE MEMBERS :
  • ELIANE SANTOS CAVALCANTE
  • JOAO MARIO PESSOA JUNIOR
  • MARIA DAS GRACAS DE PAIVA NICOLETE
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • Data: Sep 25, 2019


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

15
  • RENAN LAURINDO DANTAS DOS SANTOS
  • Morbidity of Federal University employees away for treatment of their own health

  • Advisor : MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • COMMITTEE MEMBERS :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • MARIA LUCIA AZEVEDO FERREIRA DE MACEDO
  • Data: Oct 29, 2019


  • Show Abstract
  •  

    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.


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