The main objective of the study was to analyze the perception of doctors living in the backlands of Paraíba regarding skills related to Family and Community Medicine. This is research with a qualitative, descriptive and exploratory approach, developed using the focus group technique with 14 resident doctors from the area of Family and Community Medicine at a private university in the interior of the State of Paraíba. The preliminary information was categorized and analyzed based on the theoretical framework of the Collective Subject Discourse, allowing the construction of four analytical categories to date, namely: Competencies related to family and community medicine; knowledge necessary for clinical practice in primary health care; essential skills for practicing clinical practice in primary health care and fundamental attitudes to clinical practice in community family medicine. 

The Permanent Education Centers (NEPS) are characterized as an organizational strategy for carrying out educational actions to qualify work processes in the SUS. Using the NEPS, it is possible to institutionalize coordination with educational institutions, identify and develop professional qualification activities, empower professionals to identify that work is, in itself, formative and encourage discussions about public health policies and their management . The present study aims to analyze the process of establishing the Center for Permanent Education and Community Teaching Service Integration (NEP-IESC). The investigation brings a qualitative approach of an exploratory-descriptive nature, structured based on action research. During the process of living-acting-reflecting, elements categorized into three meaning cores were observed: i) Fragilities and Tension; ii) Potentials and Needs; iii) Plans and Notes. In addition to the procedural analysis of the phenomena emerging from these centers, we identified the need to create an Operational Guide for the implementation of the NEP-IESC. We hope that this guiding instrument will be incorporated by the Caicó Municipal Health Department with the fundamental intention of strengthening Teaching-Service-Community integration and professional qualification.

Health promotion and popular education are closely linked, allowing the relationship between professionals and users to occur horizontally and with the exchange of knowledge. In this context, cordel literature, as a means of linking information and as an accessible language instrument, fosters a dynamic that reflects this relationship. Thus, the aim of this research is to rescue and catalog cordels from the Djalma Mota cordel library at the Federal University of Rio Grande do Norte, Caicó campus, whose themes cover health issues in order to create a tool that facilitates access to this literature for health promotion activities as well as making this topic more relevant. It is a documentary research, with a survey of all the cordels available in the cordelteca that address health topics, including disease prevention, body care and healthy habits.

A Vivência Integrada na Comunidade (VIC) surge como uma proposta de metodologia ativa na formação em saúde, atuando como algo inovador no processo ensino-aprendizagem. Sendo este um módulo do curso de medicina da Escola Multicampi de Ciências Médicas (EMCM), oportuniza ao estudante sua inserção em diversos campos do sistema de saúde, além de promover a integração entre a universidade, os gestores e os trabalhadores da área da saúde. Objetivou-se sistematizar a integração ensino e serviço entre a EMCM e o CAPS AD para a realização da Vivência Integrada na Comunidade. Estudo do tipo metodológico, com enfoque na construção de instrumentos pedagógicos, com ênfase na experiência da pesquisadora enquanto preceptora no cenário de pesquisa, CAPS AD do município de Caicó-RN. Para subsidiar a organização do serviço para a VIC, foram desenvolvidas quatro oficinas temáticas entre os meses de agosto e setembro de 2023, com participação de cinco profissionais de saúde, intituladas: 1. Apresentação do componente curricular VIC; 2. Visita técnica; 3. Consulta interprofissional, e 4. Gestão do Cuidado no CAPS AD. Enquanto resultado, percebe-se que o processo de desenvolvimento das oficinas de educação permanente em saúde junto aos preceptores/equipe técnica do CAPS AD com enfoque na VI propiciou reflexões e necessidade de melhoria nas relações interprofissionais no serviço, apesar das dificuldades e conflitos profissionais existentes. Almeja-se a construção de roteiros de situações de aprendizagem, para fortalecimento das iniciativas de organização institucional para a preceptoria no CAPS AD de Caicó-RN, melhorando o processo ensino-aprendizagem dos estudantes de graduação de medicina da EMCM.

Introduction: The teaching and learning process is related to the individual's level of motivation, which increases the greater their understanding of psychological needs. Intrinsically and extrinsically motivated behaviors are
responsible for the success or failure of the subject in this learning process. Thus, active learning methodologies bring the student as a protagonist in the construction of knowledge, seeking their highest level of motivation and using tools that reinforce this idea. Virtual Reality, an immersive technology tool, supports this process, which increases knowledge, confidence and satisfaction. Objective: To evaluate the effect of virtual reality on self-confidence, motivation and acquisition of clinical skills in medical students in the context of cardiology teaching. Methodology: This was an experimental study of the pre-test and post-test type applied to a random experimental group (virtual reality teaching) and a control group (traditional teaching), in students in the seventh period of the module "Dyspnea, Pain chest pain and Edema" from the medical course at the Multicampi School of Medical Sciences at the Federal University of Rio Grande do Norte. A short course was held, aiming to train students to manage acute coronary syndrome. Specific questionnaires were applied to assess motivation, self-confidence, skills and experiences using virtual reality, in addition to a sociodemographic questionnaire. Results: The averages of confidence in intervening appropriately in an individual with chest pain, in recognizing signs and symptoms of a cardiac event, in accurately assessing an individual with dyspnea, in evaluating the effectiveness of interventions in an individual with chest pain, and the motivation to believe in being an important activity and personal decision were significantly greater in the control group in the pre-test in relation to the experimental group. At post-test, confidence in accurately assessing an individual with chest pain and in intervening appropriately in an individual with chest pain were significantly higher in the control group. Global motivation in the control and experimental groups differed significantly across the interventions. Conclusions: The difference in average confidence and motivation was more evident in the group with traditional education at a pre-intervention time. The acquisition of skills was similar between the experimental and control groups.

The fundamental principles of the Unified Health System (SUS), such as universality, comprehensiveness, and equality in access to healthcare, reflect a commitment to the comprehensive provision of services. However, the discussion about access goes beyond availability, encompassing health impact and care quality. The challenge of decentralization and regionalization of the healthcare system in Brazil is notable due to regional disparities and the complexity involving multiple stakeholders. Although decentralization provides greater autonomy to municipalities, it reveals challenges, especially in specialized care, due to the resolution of Primary Health Care and the fragmented organization of healthcare services. The National Regulation Policy of SUS seeks to operationalize regulatory functions, highlighting Referral Protocols as tools that guide clinical and management decisions, aiming to improve the effectiveness and efficiency of the healthcare system. In this context, this dissertation aims to develop a personalized referral protocol for patients with orthopedic conditions in a school clinic. Therefore, the present research will be a descriptive case study with a qualitative approach. Data collection will be carried out at the Multicampi School Clinic of Medical Sciences in the city of Caico - RN. The approach will include the analysis of the efficiency of care, considering variables such as waiting time, quality of services provided, and effective utilization of resources available at the clinic. Additionally, the referral flow of patients from Basic Health Units to orthopedic specialty services will be analyzed. Data will be collected through direct observations, documentary records, in order to inform the creation of a protocol that optimizes patient flow and contributes to efficient resource management at the school clinic. Finally, the 5W2H tool will be applied for the formulation of a referral protocol within the school clinic, consisting of an exploratory and evaluative methodology. Results showed that despite the strengths of the current system, challenges related to the referral of orthopedic patients were identified, such as referrals without proper justification or reason, the lack of Rheumatology professionals in the municipality, and referrals solely for medical reports. The creation of a clear flowchart and standardized referral form are important initiatives in this process, facilitating communication among different stakeholders and ensuring that all necessary information for adequate patient care is provided. These tools not only optimize the referral process but also contribute to more effective and personalized care, aligned with the specific needs of each patient. Furthermore, the Orthopedic Referral Protocol presents a systematic approach to different orthopedic conditions, providing clear criteria to guide healthcare professionals in decision-making regarding the need for referral. Its organization by specific diseases and conditions facilitates the identification of situations requiring referral and promotes a more precise and individualized approach for each patient. In this context, it is concluded that it is essential to optimize referral processes, adopting more careful approaches in assessing patient needs and promoting better coordination among available healthcare services.

Shift handover is a strategic tool used to organize the work of the nursing team and ensures the continuity of patient care during the change of shift between teams. Failures in this process can lead to deficiencies in care and harm to patients' health, which can be overcome through correct communication techniques, pre-structured and standardized protocols, promotion of mutual respect among professionals, continuous professional education, and ongoing professional development. Therefore, this study aims to develop an educational technology for training nursing teams in the context of hospital shift handover to improve patient safety. To achieve this, methodological research was conducted to construct audiovisual educational technology in two stages: Stage 1: Scoping Review; and Stage 2: Educational video construction. For the scoping review, based on the Joanna Briggs method, the following phases were followed: identification of the research question; identification of relevant studies; study selection; data mapping; grouping, summarizing, and reporting results. To identify eligible studies, the descriptors Nursing Team, handover, shift handover, and hospital were used and searched in electronic databases: Pubmed, Science Direct, EMBASE, Scielo, and Scopus. For the second stage of video construction, the following steps were developed: definition of the set of objectives; review of the scientific literature; planning and elaboration of video content; and video construction and editing. In the first stage of the research, the scoping review presented 9 eligible studies that indicated the use of videos and clinical simulation as effective training strategies, with the ISBAR/SBAR tool being the most used for content systematization. Therefore, for the construction of the video, information on the important items for shift handover identified in the scoping review was used to construct the scenario, in which the context of the transition of the shift in a hospital ward occurs with a dialogue between two nurses, with content based on ISBAR/SBAR. It is concluded that the identification of the main training methods for the transformation and improvement of the shift handover process as well as effective communication in patient safety and their knowledge can guide interventions to improve work processes. And that the development of educational technology, such as videos, can easily be accessed by healthcare professionals, guiding them in modifying skills and attitudes that promote improvement in their work processes during shift handover.

Pharmacists and other health professionals must be trained to assist elderly people in the use of medicines in elderly people undergoing polypharmacy. Therefore, the research aimed to build workshops to obtain situational strategic planning for pharmaceutical care for elderly patients. The research was developed at the Mãe Joaquina Basic Health Unit, located in the municipality of São Fernando/RN, with a team of 9 professionals who make up the unit and who are directly linked to pharmaceutical care, from August to November 2023. For the development of situational strategic planning (PES), workshops were held, with the fishbowl method for the phase I explanatory moment, realistic simulation for the phase II explanatory moment, the Kahoot!^â tool for the normative and strategic moments and discussion in groups for the tactical-operational moment. Through the use of active methodologies during the workshops, an operational plan was obtained with improvements in aspects of multidisciplinary communication, as well as operations and actions to improve the pharmaceutical assistance service provided in basic health care for elderly people.

Childbirth care has undergone several transformations aimed at adopting good humanization practices in healthcare institutions. In this context, the use of technologies in the labor process, such as simulation as an active methodology, constitutes an important resource that bridges the gap between obstetric practice and strengthens the autonomy and protagonism of parturients during labor and delivery. This approach helps minimize the negative effects of childbirth and reduces insecurities and fears related to vaginal delivery. The main objective of this study was to develop a health education activity on non-pharmacological strategies for pain relief during labor, directed at pregnant women, using simulation as a support tool. This is a participatory research study, specifically action research, analyzed qualitatively through content analysis techniques. Data collection was carried out at the Multicampi School of Medical Sciences (EMCM/UFRN), located in Caico, RN, Brazil. The simulated activity was conducted in the EMCM/UFRN simulation and skills laboratory, after approval by the Research Ethics Committee. The study population consisted of a group of seven people: five pregnant women and two companions who met the established study criteria. The participating pregnant women were collaborative and engaged, showing interest in participating in further experiences involving simulation and suggesting topics for future activities. It is concluded that this research provided pregnant women the opportunity to visit EMCM and practically experience non-pharmacological pain relief methods available for use during labor at the reference maternity hospital. This study is expected to support other simulation-based experiences for pregnant women, encouraging vaginal delivery and promoting greater integration between education, healthcare services, and the community.

In order to encourage the proper functioning and greater participation in decisions on public health policies by the Municipal Health Councils of the Seridó Potiguar region,this project aimed to recognize and analyze the main challenges and difficulties faced by the presidents of the Municipal Health Councils of the municipalities in the Seridó region ofPotiguar to make these spaces more active and deliberative.For the development of the research, it was necessary to know the profile of the presidents, as well as their level of knowledge, and how the Municipal Health Councils are organized.It was based on bibliographic research, aiming at theoretical knowledge about popular participation and social control; and empirical research, to assess the application of this knowledge to reality.This was a qualitative, descriptive and exploratory study, whose population consisted of the presidents of the Health Councils of the municipalities in the Seridó Potiguar Region.The collection of information was carried out through individual semi-structured online interviews and the completion of online forms.Data resulting from filling in the forms were analyzed using simple descriptive statistical analysis.The information resulting from the semi-structured interviews was transcribed and submitted to lexicographic textual analysis with the aid of the software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires (IRAMUTEQ).The results that reveal the perception of the main challenges and difficulties of the presidents were analyzed in six classes:Need for a more empowered presidency, counselor's responsibility, motivation to preside, potentiation of social control, health plan inspectionand power to deliberate. It is concluded that it is necessary to develop projects aimed at the continued training of counselors,so that they can unleash competences and abilities to guarantee a quality of the exercise of Social Control,that meet local health needs and thus make the Health Council more effective.

According to INCA, the estimate for Brazil for each year of the 2020-2022 triennium is 625,000 new cases of cancer per year. Some types of cancers have screening methods that can diagnose them at an early stage. Breast cancer is responsible for about 30% of cancer cases in women and with an estimate of causing 15% of deaths caused among other types of cancer. Between 50 and 69 years, MS recommends screening with mammography. Cervical cancer is one of the leading causes of death worldwide, with approximately 530,000 cases and 275,000 deaths every year. Cytopathological examination of the cervix is recommended by the Ministry of Health as a screening test. The recommendation is to perform cytopathological examination in women aged 25 to 60 years. This work aims to evaluate the accessibility of screening methods available for breast and cervical cancer in the female population recommended for screening by the Ministry of Health in the municipality of Caicó/RN from 2014 to 2020. In this municipality, it was observed that access to mammography exams is superior to other regions. There is a great access of the population recommended by the Ministry of Health to screening mammography exams and, consequently, there is a lower diagnosis of breast cancer. It is observed that access to screening results in a lower percentage of deaths when compared to the other regions studied. Screening data for cervical cancer show that the municipality of Caicó has an average about three times higher than the national, regional and state scenarios. However, preventive screening tests at high rates and histological tests at similar levels did not result in a decrease in the percentage of deaths as expected. The Northeast region has the highest average percentage of deaths from cervical cancer, followed by the municipality of Caicó and the state of Rio Grande do Norte. More in-depth studies involving technical and logistical aspects in carrying out preventive exams are necessary to identify the possible causes of this incongruity.

The Medical Internship is a final stage of the undergraduate course experienced by students in health services. Facing the daily reality of the future profession, inherent in this training stage, is considered a source of concern and stressors, which can impact the quality of sleep and predispose to the emergence/worsening of mental disorders. Thus, the objective of this study was to evaluate the quality of sleep and the symptoms of depression, anxiety and stress in students of the Escola Multicampi de Ciências Médicas do Rio Grande do Norte (EMCM-RN/UFRN). The study was approved by the Research Ethics Committee. The invitation for voluntary participation was sent to everyone who was attending the Medical Internship in December 2021. Participants should sign the Term of Free and Informed Consen and fill out four electronic forms prepared in Google Forms: Socioeconomic questionnaire; Pittsburgh Sleep Quality Index (PSQI); Epworth Sleepiness Scale (ESS) and Depression, Anxiety and Stress Scale (DASS-21). From a sample of 80 students, only 28 answered the questionnaires. The sample profile indicated a mean age of 26.5 years (± 5.3 years), with a predominance of females (54%), single marital status (79%), Catholic religion (68%), with family income two minimum wages (39%), who live with family (32%) or friends (32%); and with the need to change city and/or state due to the medical course (93%). The average score obtained in the PSQI was 7 points (± 2.8 points), indicative of poor sleep quality and present in 68% of the sample. Students reported sleeping an average of 6 hours/night (± 0.64 hours), counted from the time they reported going to bed (23.03 hours ± 0.89 hours), waking up (5.5 hours ± 0, 57 hours) and taking time to fall asleep (21.25 minutes ± 14.38 minutes). An average score of 10 points (± 4.59 points) was obtained on the ESS. Despite the ESS index being indicative of the absence of complaints of excessive daytime sleepiness, we observed that 36% of boarding students had sleepiness and 14% had severe sleepiness. In the DASS-21, the general classification was considered normal only for the stress component (64%). More than half of the students (57%) reported symptoms of depression or anxiety, with the moderate classification being more prevalent in both. From the study, it was observed that poor sleep quality, excessive daytime sleepiness and symptoms of depression and anxiety were prevalent in students of the Medical Internship of this institution, highlighting the importance of surveying the mental health condition and the pattern of sleep of Medical Internship students as an essential component in the search for coping strategies and harm reduction in favor of professional medical qualification. Expansion of the sample can be considered a strategy to add robust relationships to the results.

The Programa de Residência Multiprofissional em Atenção Básica (PRMAB) of the Escola Multicampi de Ciências Médicas of the Universidade Federal do Rio Grande do Norte (EMCM/UFRN) in partnership with the Municipal Health Departments of Caicó/RN and Currais Novos/RN, aims to provide training for professionals from different health areas based on reflective, critical, humanistic and ethical practices with social responsibility in the Sistema Único de Saúde (SUS). The Health Care Networks of the municipalities of Caicó/RN and Currais Novos/RN are the practice settings for PRMAB workers-residents. In Caicó/RN, one of the facilities that is part of the teaching-learning process through work is the Hospital Estadual Telecila Freitas Fontes (HETFF), which is placed as a rotation for the workers-residents of the second year of PRMAB. This study aims to produce a proposal for an educational itinerary for workers/residents of the Programa de Residência Multiprofissional em Atenção Básica at the Hospital Estadual Telecila Freitas Fontes as a practice scenario. This is a qualitative, exploratory research that uses documentary research as a methodological theoretical framework. The analysis of the documents was influenced by the social place occupied by the researcher as a preceptor and graduate of PRMAB. Therefore, we used as data collection tools the researcher's field diary, with notes dated from March 11, 2022 to July 2022, as well as the evaluation of the rotation in the hospital unit contained in the activity reports of the residents who passed through the service in the years 2021 and 2022.  This proposal is materialized in a manual, which provides information about the hospital unit, the PRMAB and the rotation at HETFF, proposing the learning objectives, the possible activities to be developed (with script suggestions), the standard schedule and the elaboration of a final product of the rotation. With this, we hope to contribute both to the qualification of the teaching-learning process of workers-residents who work in the HETFF as a segment of Primary Care, and to the improvement of Health Care in the municipality of Caicó/RN.

The social demands related to the specificities of the new health professional led to the transformations in medical education. Therefore, the National Curricular Guidelines suggest that the Pedagogical Projects of Medical Courses contemplate the adoption of active teaching and learning methodologies, in which the student must be protagonist and autonomous in his teaching process and the teacher a facilitator, in addition to ensuring a citizen formation, (re)recognizing himself as an agent of social transformation and guarantee of rights and duties. In view of the methodological possibilities, clinical simulation stands out, which prepares students for learning in a clinical environment. Thus, the objective was to build and propose a clinical simulation program for medical education at the undergraduate level. To this end, a study of multiple methods was adopted, carried out in phases, contemplating in step 1 - the documentary study and in stage 2, the educational action research. The data collection took place in Patos, a city of Paraíba, based on information collected in documents from the Medical Course of the University Center of Patos (UNIFIP), as well as from professors of the Medical Humanities (MH) and Primary Health Care (PHC) axes. As a result, we obtained the mapping of the competencies of the course, the characterization of the laboratory structure of UNIFIP to support the practices of clinical simulation, programmatic contents and the experiences of clinical simulation of the HM and PHC axes. From these results, it was possible to delineate a clinical simulation program for medical education, with emphasis on primary health care and clinical communication skills, based on the simulation experiences existing in the UNIFIP Medical Undergraduate Course.

University libraries, with the advent of information technologies and the change in society's behavior, acquired a new format: digital/electronic. The Dr. Paulo Bezerra sectoral library is part of the Escola Multimpi Ciências Médicas do RN at the Universidade Federal do Rio Grande do Norte (Caicó, RN) and offers services and products to the academic community. Despite using the University's computerized platforms, it has challenges in promoting services and products. Therefore, the objective of this work is to build an application for using the Dr. Paulo Bezerra sectoral library of the Escola Multicampi de Ciências Médicas do RN. To this end, this research is exploratory, applied, qualitative, and a case study and used meetings with the team to gather information about the sectors and their responsibilities, as well as photographic records. The Glide apps website (http://www.glideapps.com) was then used to create the interface. Finally, the application was evaluated using the word cloud technique of the application user's reactions through Mentimeter (http://www.mentimeter.com). The product was an application that is available for free download and has a login page and three internal tabs with the deposits "home", "technical team" and "talk to the library". In each tab, there are easy-access resources to search for reference and library information. The application was evaluated by 52 people with different roles at the institution (teachers, students, and technical staff) and demonstrated to be intuitive”, “practical” and “necessary”. In this way, the application brings users closer to the services and products offered by the library, facilitating their academic integration.

INTRODUCTION: The Multiprofessional Residency in Health (RMS) is a postgraduate modality that promotes learning based on the insertion of postgraduate students into real practice scenarios in the world of work. In the municipality of Caicó, one of the learning scenarios is the Occupational Health Reference Center (CEREST). In this space that makes up the Unified Health System in the IV Health Region of Rio Grande do Norte, it is offered to residents rotations of activities under supervision/preceptorship in an interprofessional way of the workers of this health equipment. OBJECTIVE: This study aims to analyze to what extent the presence of PRMAB residents influenced the work process of CEREST health professionals. METHODOLOGY: This is qualitative research of descriptive and exploratory character developed through the technique of content analysis, with the participation of 03 workers from CEREST and working directly with the residents. RESULTS: Thus, it was possible to construct three categories, namely: Knowledge and Preparation to work in Occupational Health; Residence x Preceptorship: perceptions, weaknesses and strengths and the working conditions of CEREST/Caicó professionals. We noticed that the interviewees have knowledge about workers' health, emphasizing the deficiency of the human resources framework. Still, regarding residency, it emphasizes the importance of residency and preceptorship and that the working conditions of cerest have a direct impact on workers' health actions in the IV Health Region/RN and on the training process of residents. CONCLUSION: It is concluded that CEREST has been going through a process of institutional dismantling over time, influencing the working conditions of professionals and, consequently, impacting the training process of residents. 

Introduction: The development of manuals has been occurring frequently, improving and facilitating the work of professionals and multidisciplinary teams, guiding them in the health-disease and teaching-learning process. In addition, universities, through residency programs, have manuals that guide and instruct residents, facilitating, standardizing the guidelines and activities to be developed for the same Objectives: To develop a Medical Residency Manual to be used as an institutional document by residents. Method: We opted for an integrative literature review and document analysis with the aim of ordering, synthesizing and gathering the results that are published on the Medical Residency Manual as an educational product. Results: The results of this review pointed to the challenges of Medical Residency Programs, faced by Graduate programs, and with regard to the researched documents, there was a certain consensus among institutions in the construction of a Medical Residency Manual in the sense complies with the provisions contained in the current laws of the National Medical Residency Commission, enabling compliance with the rules described will enable an ethical, harmonious and balanced coexistence for all entrances to the services to which they are bound to guide students who enter so that themselves are aware of the functioning and obligations. Conclusion: Therefore, it is expected that the contents proposed in the manual can provide guidance and help to students of the residency course in clinical medicine, being a reference for students.

The general objective of this study was to provide training for health professionals in Basic Life Support [Suporte Básico de Vida- SBV] and to analyze the method of in situ simulation as a strategy for health education on urgency and emergency topics in the context of Primary Care [Atenção Básica-AB]. This is a research-action. The following steps were followed: situational diagnosis, planning, intervention, data analysis, and results dissemination. In the situational diagnosis, the mapping and characterization of the structural, material, and human resources of the Primary Health Care Unit were carried out. For this, we used as official documents the Evaluation for the Improvement of Access and Quality of Primary Health Care (AMAQ) and the manual of the physical structure of the Healthcare Units (UBS). For the sociodemographic characterization, the participants filled out an identification form. Lectures, skills training, and in situ simulation sessions were planned and performed. Moreover, complementarily, clinical simulation sessions. The study was approved by the Research Ethics Committee under number 5,163,206; CAAE: 54027521.7.0000.5568. The qualitative analysis was carried out using the Collective Subject Discourse [Discurso do Sujeito Coletivo-DSC]. After establishing the situational diagnosis of the local Healthcare Units of the study, it was possible to identify that its structure differs, partially, from what is recommended in the official documents of the Ministry of Health. As for the materials, equipment, and supplies for urgency and emergency care in the Primary Care, it was possible to identify that decisive items for this kind of care were not available at the time of data collection, not meeting what is recommended by the National Policy of Urgency and Emergency. Most participants are female (75.0%), with an average age of 41 years, community health agents (25.0%), with an average time of professional training of 7.3 years, and time of professional experience of 8 years. Most had no training in Basic Life Support (66.7%) and urgency and emergency (66.7%). Regarding self-confidence to deal with emergencies, it was possible to identify that participant improved their response pattern in the post-test, assigning higher levels of self-confidence to work in emergencies. It also identified the contributions of the in situ simulation method for Basic Life Support training, its limitations and potentialities. It is expected that this work will contribute to improving the quality of care for the local population.

Primary Care is the main gateway to the individual's health demands, and the most frequent cause of demand for care at this level of care, pointed out by some studies, are psychic complaints. Some other factors aggravate this scenario of exacerbated consumption: the patient's desire to use the medication to solve personal, family and/or economic problems, the doctor-patient relationship and the professional's attitude of not feeling comfortable in denying the drug prescription; difficulties in quick access to the specialist doctor and the counter-reference; excessive demand for consultations, which reverberates in insufficient time for the adoption of conducts such as counseling, guidance, care shared with other team members and/or introduction of weaning from the medication already in use. Such factors imply a significant and worrying increase in prescriptions of psychotropic drugs in Primary Health Care, given that in most cases, these drugs are prescribed without a definition of a therapeutic regimen that takes into account and/or reassess the condition. of the patient being temporary or permanent for the use of that drug.

Multiprofessional Residencies in Health (RMP's) are programs of teaching-service-community integration, with intersectoral and interprofessional articulation with the aim of inserting qualified health professionals into the SUS priority areas, aiming to meet the needs of users of health services. health. The objective was to evaluate the hospital rotation of the RMP in primary care at the Escola Multicampi de Ciências Médicas do Rio Grande do Norte (EMCM), from the perspective of graduates, considering the multiprofessional/interprofessional and intersectoral work, for comprehensive care and network integration. of health care and, from that, to build, as a product, a technical report for socialization and discussion with the coordination of the RMP in AB and the Executive Direction of the Telecila Freitas Fontes State Hospital (HETFF). Cross-sectional, evaluative study, with a quantitative approach, carried out with 46 graduates of the aforementioned residence, from the years 2020, 2021 and 2022, through a self-applicable questionnaire, divided into two parts: part A, with four questions that aim to characterize the graduate/resident ; and part B, with ten statements about hospital rotation, using the Likert Scale, and four open questions. Data analysis was performed using simple descriptive statistics. Most were female. It is observed that the predominant age group was between 25 and 29 years old. Most were nursing and dentistry. As for the completion states, the insertion of the course for graduates of institutions in Paraíba and Rio Grande do Norte can be seen. In part B, three domains were created to better present and discuss them: the multiprofessional residency in primary care and the health care network; multiprofessional/interprofessional, intersectoral work and integration with AB; professional qualification, matrix support and inter-institutional articulation. It can be seen that the rotation in Health Care of the Multiprofessional Residency in Primary Care at HETFF is satisfactorily evaluated by most of the graduates participating in the research, and these results are reported in a technical report to be socialized and discussed with the coordination of the RMP and Direction HETFF Executive.

The relationship between Reception in health services and the gender debate is a growing discussion in the field of Public Health. Violence against women constitutes a persistent and multiformsocial phenomenonarticulated by psychological, moral and physical facets. This recognition by workers of a Psychosocial Care Center (CAPS) should be considered as a fundamental condition for the quality of care provided. This dissertationaims to analyze the reception practices of CAPS professionals in mental health care for women in situations of violencein a city of Rio Grande do Norte.This is an action-researchwith a descriptive exploratory nature and a qualitative approach. Data were collected at two different times, namely: i) open questionnaire; ii) conversation wheel. In the first stage of data collection a printed questionnaire was given to all CAPS workers, addressing issues related to the practice of Reception for women victims of violence. These data were used to build a common narrative to set the Conversation Circle, the second moment of data collection. The results were organized from the analysis of the implications allied to the thematic content analysis. Three core meanings were created - Identification of women victims of violence, Reception reduced to the alienated technique, Permanent education and the critical knots for assisting women victims of violence. The results reveal a negative view of the care offered by the CAPS to women victims of violence. Welcoming as a praxiological strategy in human care is not carried out in a qualified manner and boils down to a checklist of questions that does not allow identifying the suffering of women victims of violence. The workers of this health facility are technically involved in relation to the care that ends in the verbal identification of violence for referrals to other facilities. The need for Permanent Education and the construction of a Line of Care to qualify the attention to women victims of violence in the CAPS who have their non-verbal complaints made invisible is notorious, which demonstrates a functional structure in the work of the team, fragile in relation to questions of gender.

Introduction: Musculoskeletal diseases have a significant impact on society, due to the morbidity and costs they entail. Despite its high prevalence, the teaching of the musculoskeletal system is neglected in medical schools, making it difficult to address these complaints, especially in primary care. Efforts are made to fill this gap and, among these, the teaching of musculoskeletal physical examination associated with clinical anatomy. Objective: to implement the teaching of the musculoskeletal physical examination, associated with clinical anatomy, in an integrated medical curriculum and to evaluate the students' perception of the strategy used and the skills acquired about it. Methodology: Descriptive study, of qualitative nature, which used the methodology of action research. Forty students from the Escola Multicampi de Ciênci09as Médicas (EMCM) of the Federal University of Rio Grande do Norte (UFRN) participated during two curricular components. In the second year, there were 5 theoretical-practical activities, aimed at teaching the musculoskeletal physical examination associated with clinical anatomy. An Objective Structured Clinical Examination (OSCE) assessment was applied. In the third year, the same students performed a musculoskeletal physical examination in outpatients. At the end, a questionnaire (Likert) was applied to assess the students' perception of the strategy used to teach the musculoskeletal physical exam and the acquired skills. Results: Using clinical vignettes of the main painful syndromes (upper and lower limbs and spine), teachers of rheumatology and anatomy led students to search for related anatomical structures in full-body mannequins and parts of the axial and appendicular segments, leading to understanding relevant points of the musculoskeletal examination. Subsequently, based on these activities, another physical examination training was carried out by students in pairs. In the third year, the physical examination of the various segments was performed by all students on real patients, under the supervision of a teacher. Regarding the strategy used, all students agreed that clinical anatomy guided the learning of the physical examination and helped with clinical reasoning regarding musculoskeletal complaints. The students also replied that they are safe in performing the physical examination of most of the surveyed segments. Final Considerations: The use of clinical anatomy for training the musculoskeletal physical examination within an integrated curriculum, may be a way to improve this clinical skill of the future doctor thinking about general training. The maintenance and improvement of the curriculum strategy at EMCM, can be experienced in other medical schools, especially those with a curriculum based on active and student-centered methodologies.

In 1969, the medical internship became a period of mandatory internship for academic training, representing a phase of transition between the student and doctor states; later, it was reformed by the National Curriculum Guidelines, aiming at the formation of a generalist professional. To meet the premises of the DCN and guide the intern in his new stage of training, the purpose is to produce the EMCM's Internship Manual in Surgical Clinic I. This is bibliographic research applied as a narrative. The Manual was prepared in 3 stages: bibliographic review; construction of the Manual and formation of the committee of evaluating judges; evaluation of the Manual by the judges, using the Content Validation Index, obtaining, finally, an IVC of 1. The Manual seeks to assist the student in the final stage of his academic training, using clear and concise language, touching on the important points of the curricular component and the experience within the institution.

Introduction: Medication errors are among the main events that affect patients and have serious individual and institutional consequences. These events can be related to any phase of the medication process, from prescription, storage, dispensing, preparation and administration. Objective: To evaluate the organization of the medication system of a regional hospital in the state of Rio Grande do Norte, in its aspects that may favor the occurrence of errors. Methodology: This is a descriptive-exploratory study with a quantitative approach, where data were collected between the months of December 2019 and February 2020, after approval by the Research Ethics Committee, through a structured interview script with one of the professionals responsible for the medication system and through a second script used to analyze the medical records of patients admitted to the surgical clinic sector of the hospital. The information collected was organized in a database built from the IBM SPSS software program, and presented in a descriptive manner and in tables containing absolute and relative frequencies. Results and discussion: The main results found were: most prescriptions written manually and with carbon copies (99.3%), illegibility in their spelling (90%), use of acronyms, abbreviations and commercial names (100%) , dispensing by individual dose (80%), absence of clinical activity by the pharmacist, absence of the Drug Standardization Commission and electronic stocking system, storage and unsafe dispensing of drugs, absence of records of the occurrence of adverse events and errors related to medication. Conclusions: Assessing the organization of the hospital's medication system allowed the identification of some potential flaws for the occurrence of adverse events and medication-related errors and enabled the construction of an intervention proposal that could be used to improve the system's organization and thus promote safer care.

The need for changes in schooling made it possible to use new ways of teaching and learning more in tune with the demands of society. In the Brazilian context, Active Teaching and Learning Methodologies (AM) have been adopted, in line with the National Curriculum Guidelines, so that there is the active participation of the student and that he can become a protagonist in the construction of his knowledge. For this, the health preceptor emerges in an essential role in this process, being the professional who works within the environment of assistance in health services, also turning it into a teaching environment for professional practice. Thus, the aim of this study was to identify the conceptions and practices of preceptors about the use of AM teaching-learning in the context of preceptorship in health linked to the Multicampi School of Medical Sciences of Rio Grande do Norte (EMCM-RN). Study with a quantitative-qualitative methodological approach, of an exploratory-descriptive type, developed with the preceptors linked to the EMCM-RN master's degree. Data collection was performed using an online form, with analysis of quantitative data using simple descriptive statistics. The qualitative analysis took place through the Collective Subject Discourse. The results of this study made it possible to find, for the profile of the preceptors, an average age of 36 years, an average training time of 10.2 years, and a length of experience of the preceptorship of an average of 3.6 years. The majority were female, with academic training in Nursing, and the highest academic degree was Specialization. In addition, half of them reported using AM in their field of action, the following being mentioned: Fishbowl, PBL, Problematization, Simulation, TBL, Discussion or Case Study. Such results also made it possible to perceive that AMs enable an excellent articulation between the daily experiences lived in the practice of services, and education based on the construction of knowledge, in an inter-relationship established between the preceptors and the students. Therefore, it is necessary to know and make use of different ways to facilitate knowledge. In addition, it can be considered that AMs offer the possibility to build new ways of conducting health training, as it is a possible instrument to overcome traditional teaching models. Finally, it is considered that the perception of preceptors about AM teaching and learning is of great importance for the construction of actions that meet their pedagogical needs for the process of training new health professionals.

The sleep pattern and duration are important health-related factor. There is evidence of urbanization promoting irregularity and sleep deprivation, related to the increase of excessive daytime sleepiness (EDS) and obesity in the world, although scarce literature describes such associations in rural populations. This study evaluated the sleep pattern, occurrence of EDS, and self-reported obesity in a population sample from the rural area of Caicó in the state of RN. Data collection was performed using the Sociodemographic and Munich Questionnaires, with the addition of questions to assess naps; Epworth Sleepiness Scale (ESS); weight, and height. The final sample had 309, distributed in nine rural communities, with greatest prevalence of subjects over 51 years old (40%), female (66%), with less than primary education (65.5%), with a partner (76.8%), with income of less than three minimum wages (91%) and who did not directly practice any rural activity (63.5%). Most respondents reported a sedentary lifestyle (58.4%), having three meals a day (59.4%), non-smokers (88.1%) and non-alcoholics (72.6%). The sleep patter (Bed time: 9 pm; awakening: 5 am; approximate duration of sleep: 8h/night) did not present variations between week days and weekends, based on these data, a low rate and amplitude of social jet lag was observed. Based on the chronotype classification for this sample, the predominance of morning (34.4%) and intermediate (36.6%) chronotypes was observed. There was an occurrence of EDS in 20% of the sample, concomitantly to the reporting of naps, which lasted an average of 1h/day (73.8%). Self-reported overweight was observed in 66.3% of the sample, with a significant association with age, marital status, presence of at least one obese parent and chronotype. Thus, the study revealed that the sociodemographic profile was similar to that of frequent users of the health service in that area and that residents of the rural area of the semi-arid region allocate the sleep episode in response to the environmental and sociocultural factors experienced, such as geographic positioning, low urbanization, daytime demand for rural labor, prevention of thermal exposure and solar irradiation. In addition, the low variability in the expressed sleep pattern and the duration of sleep per night, associated with the frequent habit of napping, suggest that this rural population has a satisfactory amount of sleep, which could be associated with the low prevalence of EDS. Overweight seems to be related to advanced age, female gender and chronotype, as well as sedentary lifestyle. Finally, it is considered that revealing sociodemographic and behavioral habits in association with sleep pattern, occurrence of EDS and obesity in this sample population is of great importance for the construction of actions that meet their health needs and for the formulation of strategies to the prevention of diseases.

Introduction: The training of residents of Family and Community Medicine must be focused on the management of the reality experienced in Primary Health Care (PHC). In this context, the experience with rural medicine becomes essential in the formation of the future family doctor, given the need to offer an adequate service to the populations of these areas and according to the general contexts experienced by them. Objective: To propose the creation of an internship in rural medicine in the residency program in Family and Community Medicine of a federal educational institution in the interior of Rio Grande do Norte. Methodology: Project built in two stages: 1) an integrative review and; 2) elaboration of a product. After the completion of the first stage, 04 articles were listed only, considering the theme involved. In order to provide more subsidies for the construction of the proposal, gray literature was used. Since then, the rural medicine internship menu was elaborated. Results: the internship in rural medicine will fit into the theoretical-practical modality, lasting 30 days and being optional, with a workload of 160 hours. Practical activities will be performed in the Family Health Team in which the resident will be allocated. Theoretical activities will follow the schedule defined by the coordination of the residency program. Conclusion: External internships are fundamental in the training of residents, in particular, the rural medicine internship, considering mainly the context of cities in the interior of the state of Rio Grande do Norte, formed by an important portion of the rural population. This will improve the quality of the health service provided to the population, which is sometimes neglected in this regard, and enable residents to provide such service.

This dissertation describes the factors that influence the choice of the specialty of Family and Community Medicine by students from the first classes of the medicine course at the Multicampi School of Medical Sciences of the Federal University of Rio Grande do Norte (UFRN), headquartered in Caicó, region of Seridó, in the state of Rio Grande do Norte. The aim of this study was to investigate the factors that influence the choice of Family and Community Medicine as a specialty, correlating them with the pedagogical project of the course (PPC) and with the students' socioeconomic aspects. This is an exploratory research, with data collection through the application of a semi-structured questionnaire with 23 undergraduate students from the 9th, 10th, 11th and 12th periods, ensuring representativeness of each period of the internship. The results express the answers of the 23 medical students interviewed, according to the attached questionnaire (Appendix A) with 17 questions. The majority of the sample is male, half of the students are 25 years old or younger and only 25% of the students are over 27 years old and 60.87% come from a private school. As for the origin of the students, 19 come from the interior of a state and only 4 from the metropolitan region and 95.65% were admitted to the university through some inclusion policy of the federal government. The results of the study demonstrate that students who choose Family and Community Medicine do so because of personal convictions, which may have an influence on the course's pedagogical project, but also have previous roots in the students' life history.

INTRODUCTION: The residency in the health field is characterized as a lato sensu postgraduate course. The medical field was a pioneer in offering this type of specialization, and its good functioning served as a model to expand in other areas of health. In this sense, there is a uniprofessional tradition in the curricular structuring of multiprofessional residencies in health where, even with the regulation for the exercise of thirteen categories, interprofessional initiatives happen in a partial way, not exploring all their potential and applicability. OBJECTIVES: To analyze the process of adopting interprofessional education in health  in the multiprofessional residency (RMS) from the perspective of residents and professors. The specific objectives are: to discuss the strengths and weaknesses of the methodologies for adopting interprofessional education in the RMS from the perspective of residents and professors; identify the main lessons learned for strengthening interprofessional education in the RMS; discuss main recommendations for strengthening IPE in the RMS; and identify needs and challenges related to teacher development for IPE in the context of the RMS. METHODOLOGY: Based on the problem and purposes, this is a study with a qualitative approach and a descriptive-exploratory character. The study will be developed with the multiprofessional residency classes in health at the headquarters of the Multicampi School of Medical Sciences located in the municipality of Caicó/RN, an integrative unit of the State University of Rio Grande do Norte. The study will have participants, residents and permanent teachers participating in both residency programs. The research data will be collected through unstructured interviews applied to teachers and focus groups that will be conducted with the residents of both professional programs of the multiprofessional residency. The collected data will be analyzed using the theoretical framework of Bardin, where we will use content analysis, with subsequent construction of categories. The content analysis technique presupposes some steps, defined by Bardin as: pre-analysis; exploration of the material or coding; treatment of the results obtained, inference and interpretation. RESULTS: The main learnings mentioned were: strengthening the training process from an interprofessional and collaborative perspective, developing collaborative skills for effective teamwork, broadening the user's understanding, and their needs, as the center of the health service production process . The most relevant recommendations were: teacher development for alignment with the theoretical-cocneitual and methodological frameworks of interprofessional education in the multiprofessional health residency and group discussions among residents to share learning and collectively build knowledge.

Introduction: The Multicampi School of Medical Sciences was implanted in Caicó / RN, having as one of its fundamental axes the community-based teaching, aiming at forming critical and reflective individuals to act in the concreteness of the Unified Health System (SUS). Initially, the undergraduate medical course was created and, soon after, post-graduate modalities emerged, as is the case of the Multiprofessional Residency Program in Primary Care (PRMAB). Objectives: To analyze the process of insertion of residents Multiprofessional Residency Program in Health (PRMS) within the scope of health management, in Caicó-RN. In addition, we sought to know the strengths and weaknesses of the students' insertion in the view of the workers of the Municipal Health Department (SMS); identify the challenges faced by workers to exercise preceptorship in management, and finally, build a flowchart of insertion of residents in the various sectors of HSE as a way to optimize the preceptorship process in management. Methodology: This is a qualitative study of a descriptive and exploratory nature developed through the focus group technique, with the participation of 10 SMS instructors who work directly with residents. For the analysis of information, content analysis in the thematic modality was privileged. Results: In this way, it was possible to build two thematic categories composed by their respective subcategories, namely: Limits and possibilities for the insertion of residents in the SMS of a municipality in the interior of Rio Grande do Norte: Organization and operationalization of activities within the scope of management; Potentialities and weaknesses in the development of practices; Challenges of the exercise of preceptorship in the scope of health management x teaching-service integration: Relationship between preceptors / residents for teaching-service integration; Challenges of preceptorship in health management; Optimizing preceptorship: contributions from preceptors. Final Considerations: In general, the PRMS proved to be an important training mechanism in management scenarios. However, research has shown that there are still a number of weaknesses in the organization and operation of actions that still deserve greater attention and care from their coordinators and preceptors involved. It is hoped that the results of the research and application of the flowchart conceived here can contribute to a better ordering of preceptorship practices, as well as to strengthen the work process of preceptors and the health training of residents

The Community Integrated Living (VIC) appears as a proposal of an active methodology acting in the integration of the triad teaching-service-community, acting as something innovative in the process teaching learning. As this is a module of the medical course of the Multicampi School of Medical Sciences (EMCM), it provides the student with the opportunity to insert himself in several fields of the health system, besides promoting the integration between the university, managers and health workers. The following research seeks to identify the potentialities and challenges of the formative experience in pre-hospital care developed in the Mobile Emergency Care Service (SAMU) from the perspective of the student. This is a qualitative, exploratory and descriptive study that used as data both the experience of the researcher in SAMU and the reports of the students about the impact of the insertion of SAMU in their training. Four categories were created from the thematic analysis: "The moment in central SAMU consisted only of a conference"; "As we entered the service we became part of what was previously mere speculation"; "Every experience is valid for training, even if we do not achieve all expectations"; and "Teaching and learning are master springs of the same process", with which the students' talks were worked out.  The results achieved prove that VIC contributes to the strengthening of academic and professional training, besides allowing students to collaborate with the professionals of the service in which they are inserted, helping SAMU and EMCM-UFRN to remedy or minimize the weaknesses pointed out, guaranteeing a greater use of VIC by serving as a guideline for other training institutions that wish to implement this methodology in their curricula.

With regard to women's satisfaction with the nursing care offered during the parturition process, the literature prioritizes a quantitative assessment of these aspects, not allowing to know the women's opinion about the quality of care offered during childbirth and birth. Thus, giving voice to users is a way of evaluating the practice of obstetric nursing and stimulating actions based on public policies for humanizing childbirth and birth, guiding the adoption of practices that respect the freedom of choice of women in the decision-making processes of care. The general objective of this research is to analyze the perception of puerperal women about the assistance to labor and birth provided by obstetric nurses. This is a descriptive study, with a quantitative and qualitative approach, which uses the interview technique, through the application of a semi-structured questionnaire. The closed questions established the sociodemographic profile of the women, as well as described obstetric and neonatal characteristics, and listed used by nurses. The open question referred to the mothers' perception of obstetric nursing care during labor and birth. The socio-demographic and obstetric profile of women assisted in the institution that represents the field of this study was outlined, as well as the establishment of categories that characterized the interviewees' perception of the assistance provided. Most of the participants maintained a stable relationship, had a complete fundamental level and were primiparous. Four categories of responses were formed, entitled: nurse as a support figure, nursing enabling the humanization of childbirth, nursing favoring the physiology of childbirth, and natural childbirth without unnecessary interventions versus feeling of helplessness. The results point to a reflection on institutionalized childbirth, which made the practice of some interventions part of the hospital culture. Thus, qualified listening and effective communication are essential for women to feel at ease and free to experience this unique moment of their life. The importance of qualifying in more detail indicators related to assistance is emphasized, such as the professional who indicates or performs interventions, since, even if the delivery is attended by an obstetric nurse, other professionals are included in the course

Thus, this research showed the importance of analyzing assistance through the users' voices, valuing the subjectivity of the moment that represents delivery. The importance of qualifying in more detail indicators related to interventions is emphasized, which may favor more targeted research on the assistance of the multidisciplinary team.

.

Suicide attempt is a self-directed, non-fatal and potentially harmful act designed to result in death, whether or not it can result in injury. Among the countless cases of psychiatric outbreaks that are admitted to the hospital is the suicidal patient, with a considerable fraction of recurrence. Therefore, welcoming the person with a fundamental suicide attempt, because if performed safely, promptly and quality, it is possible to determine the patient's acceptance and adherence to treatment. The objective was to evaluate the attitudes of health professionals towards the patient victim of self-harm with suicidal intent; analyze the profile of victims of notification for self-harm with suicidal intent at the Seridó Regional Hospital Unit, in the period from 2015 to 2019; to develop permanent health education workshops with a focus on welcoming and assisting patients who are victims of self-harm with suicidal intent. It is an action research involving two phases, using a self-administered affirmation questionnaire, permanent education workshops and reapplying the questionnaire to identify changes. The instrument was applied to 104 professionals from August to November 2019 in the urgency and emergency sectors and medical clinic of UHRS Telecila Freitas Fontes, Caicó / RN, demonstrating that higher education professionals have more proactive attitudes towards the victim of suicide compared to mid-level professionals. 264 forms of compulsory notification for self-harm were analyzed, completed between the years 2015 to 2019, showing 59.1% of the total suicide attempts in the city of Caicó / RN, with a higher occurrence among women (62.1%), single (51.9%) and use of exogenous substances (51.33%). The data reinforce the need for reflection on the high rate of suicides and suicide attempts, pointing out the importance of the organization of the health network as a whole and the qualification of professionals in the face of complex decision making, including the public health problem.

Burnout Syndrome (SB) is defined as a psychological syndrome resulting from chronic stress at work. BS is characterized by Emotional Wear (DE), Depersonalization (DP) and reduced Personal Achievement (PR) with negative consequences at the individual, professional, family and social levels. The aim of this study was to verify the prevalence of Burnout syndrome in Nursing professionals who work at the ICU / HRTFF - Caicó / RN, as well as to investigate associations with demographic, occupational, psychosocial and health variables, to characterize the sociodemographic profile of the professionals. The evaluated population was composed of nursing professionals (technicians and nurses) who developed their activities in the ICU. This was a cross-sectional, observational and descriptive epidemiological study with a quantitative approach. Two instruments were used for data collection, both self-applicable: Maslach's Burnout Inventory and a questionnaire prepared by the researcher. To verify the association between the independent variables (demographic, occupational, psychosocial and health data) and the dependent (Burnout Syndrome), Pearson's Chi-square independence test was used. A p value <0.05 was adopted, with a significance level of 5% and a confidence interval of 95%. Among the main results, on average, the total sum of dimensions was 61.50 points. According to the criteria for the diagnosis of Burnout, 9.4% (03 professionals) are affected by the disease and 90.6% of professionals are not (29 professionals). The mean / median of Burnout was significantly higher in professionals who had higher education or more (p-value: 0.018) and who do not use medications frequently (p-value: 0.006). We observed that 03 nursing professionals were affected by the disease, demonstrating that one should pay attention to the factors that may be causing stress and seek ways to minimize them.

The study of stress has been increasing in recent years, especially in the organizational sector. It is known that people dealing with psychiatric patients are subjected to a daily stress load. There are two public services that work with mental health (CAPS III and CAPS AD) in Caicó city. The objective of this research was to study the prevalence of stress symptoms in professionals working in mental health, in order to sensitize the management of these professionals. A questionnaire and the inventory of LIPP stress symptoms were used in each of the professionals who accepted to participate in this study, which revealed that 70% of these employees had symptoms of stress.

Patient safety is a subject widely studied in the current context. Despite the growing interest in the subject, there is still widespread lack of awareness of the problem, so it is important to work on this issue in order to reduce the damage and adverse events caused by health care. This study evaluated the patient safety culture in the Primary Health Care of the Municipality of Currais Novos-RN, through the application of forms to working professionals from Family Health Teams of the urban area of the city. A cross-sectional study with a quantitative approach, where the analyzed data highlighted the most critical points that could support suggestions that will be proposed to local management, to improve the patient safety culture in the primary care in question. This work, a pioneer in the Seridó region, could become a reference for the improvement of a health system quality, as well as seek to directly impact the training of Multiprofessional Residency professionals and medical students, both linked to EMCM-UFRN, who develop their stages and activities in the Primary Health Care Units researched.

The Brazilian psychiatric reform (RP) resulted in a series of transformations when it comes to practices, knowledge, cultural and social values that permeated the context of treatment and care for people with mental disorder and/or psychoactive substance users. Since 2003, through the Integral Attention Politics to Alcohol and Drug Users, Brazil restated drug usage as a complex public health phenomenon, claiming as a theoretical-political-ethical landmark the Damage Reduction (RD) perspective. To formalize the attention to psychoactive substances users, through the GM 225/02 ordinance new rules and guidelines were established for the organization of services which offer assistance in metal health, the Psychosocial Attention Centers (CAPS), including CAPS meant to assist people who make abusive/harmful use of alcohol and other psychoactive substances, the CAPS ad. As a professional for this service, it was observed the need for permanent education action for the team, strategy guaranteed by legislation, but absent in CAPS ad daily basis, in Caicó-RN County. Developing actions for permanent health education was aimed, with a Caicó-RN CAPS ad multi-professional team, therefore, it was sought to identify the previous knowledge of the team about psychoactive users assistance, under the Mental Health National Politics perspective and promote workshops related to the work process in health and mental health. Approved by the Ethics Committee (CAAE nº 89520618.2.0000.5568), the research was developed in two phases, consisted by a questionnaire ad six thematic workshops, between November of 2018 and January of 2019, at CAPS AD. The questionnaire is consisted by professional characterization data (Part A) and by assertives (Part B), condensed in seven areas, answered before and after the workshops, involving the following themes: Psychoactive Substances (SPA)and Chemical Dependency; Psychiatric Reform (RP); Mental Health National Politics for SPA Users; Damage Reduction; National Politics for Humanization; Extended Clinic and PTS; Clinic and Care Management. About seven professionals participated in each of the workshops. The preliminary assertive analysis (before and after the workshops) seems to indicate changes in answers, which shows a possible relevance in the service activities context.

INTRODUCTION: Suicide has been seen as a public health problem worldwide by the increasing number of cases, especially among young people (WHO, 2014). In Brazil, especially in the interior of Rio Grande do Norte has not been different, especially the municipality of Caicó (BOTEGA, 2010).

OBJECTIVES: To analyze suicide cases and characterize the psychosocial care network in the Seridó / RN region, from 2000 to 2015, subsidizing a proposal to prevent new cases of suicide.

METHODOLOGY: The cases served by the ITEP / RN-Caicó were selected from 2000 to 2015, where the death was due to suicide. Statistical analysis used the measures of central tendency, including: mean and standard deviation, in addition to their individual absolute frequencies for each item evaluated.

RESULTS: The present study included 401 cases of suicide. Caicó and Currais Novos show higher frequency of absolute cases, but when we used the calculation of the suicide coefficient the cities of São José do Seridó and Ouro Branco appear with the highest rates. The male sex corresponds to 83% of the cases. The mean age was calculated as 43.7 (standard deviation ± 18.9) years. The main ethnicity found was whites and the unmarried ones were 48.6%, followed by the married or in stable union. Farmers account for the majority of suicide cases (32.43%), followed by retirees, home and students. The psychosocial care network in the Seridó Region presents several failures, among them the lack of psychiatric beds in the main regional hospitals, in the cities of

Caicó and Currais Novos. Some interventions were proposed, such as the creation and implementation of a flowchart of high-risk suicide cases in regional hospitals, continuous continuing education for all RAPS, instrumentalization of compulsory notification of suicide attempts in RAPS, strengthening of matrix support, training for identification and screening of cases of risks for basic care.

CONCLUSION: It is known that the epidemiological profile of suicide is intrinsic to each region studied, due to several factors. For the region of Seridó Potiguar, and with emphasis on the municipality of Caicó, the lack of assistance, together with the lack of preparation of RAPS professionals, are important factors to consider and may influence the number of these occurrences.

Visceral leishmaniasis (LV) is a zoonosis, known as a protozoan of the genus Leishmania, transmitted through the bite of sand flies. Canids are considered the nurses' main reservoirs, which are also known as calazar. According to the Ministry of Health, the average lethality in the four years was 5.8% and in the perspective of reducing, it has implemented surveillance / patient care actions with LV. However, the measures adopted in them contrast with the reality experienced in many municipalities, such as Caicó / RN, where the number of infected persons does not reflect the percentage of diagnosed diseases, suggesting that it is a positive stimulus in their underestimated cases or that a euthanasia of dogs may not influence the occurrence of infected humans. With this study, this has been a general decision-making process for the early diagnosis of VL in humans from canine positivity, and as specific objectives: analysis of epidemiological data in the city of Caicó / RN in the period 2008-2017; to perform the diagnosis of dogs and humans living in places with animals previously diagnosed with Visceral Canine Leishmaniasis (LCV) in the neighborhood with the highest prevalence of canine infection in the period 2013-2017; and to correlate the epidemiological data of infected domestic dogs versus humans living in the household. It is a cross-sectional study with primary and secondary data, with a quantitative approach. The results of the epidemiological analysis indicated that between 2013-2017, there was a prevalence of dogs with LVC ranging from 1.23% -3.79%. In 2017, this prevalence among the districts of the municipality of Caicó ranged from 0% to 16.36%, with Bairro Frei Damião being the most prevalent, and therefore, it was selected for the development of the following phases of this research. Initially, there was the blood collection of the dogs domiciled in the Barrio Frei Damião in 2018, conducting the Canine Inquiry. The biological material was submitted to the rapid test DPP® Visceral Canine Leishmaniasis (Bio-Manguinhos). Of the 55 samples analyzed, 9 were confirmed by ELISA for LVC. In the 9 residences with dogs confirmed for LVC, the OnSite ™ (Bio Advance Diagnostic) immunochromatographic rapid test was used for the early diagnosis in humans. Thirty tests were performed, all of which were negative. With this, it is concluded that new approaches, with a larger population, should be performed to attest to the effectiveness of early diagnosis. In addition, it was observed that the highest prevalence of LVC in the municipality of Caicó / RN is in districts that facilitate the proliferation of sandflies and stray animals and that, therefore, there is a need for the implementation of campaigns that encourage responsible possession of animals, health education activities, as well as the regularity of garbage collection, the accomplishment of the entomological survey in order to know the dispersion of the vector in the municipality, as well as the improvement of working conditions in the Zoonoses Surveillance Unit, so that it is possible to carry out regular campaigns, fulfilling the role of surveillance in health designated the local sphere of government.