Disertación/Tesis

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

2023
Disertaciones
1
  • RAYANE LARISSA SANTOS DE ARAÚJO MONTEIRO
  • (VERSUS POTIGUAR: CONTRIBUTIONS TO HEALTH TRAINING IN RN)

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • ROSANA LUCIA ALVES DE VILLAR
  • CIPRIANO MAIA DE VASCONCELOS
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • MAURA VANESSA SILVA SOBREIRA
  • Data: 30-jun-2023


  • Resumen Espectáculo
  • The enactment of the 1988 constitution brings profound changes to the areas of health and education, based on the expanded concept of health and points to the Unified Health System (SUS) as the attribution of organizing the training of professionals in the area. In 2003, the creation of the Health Education Work Management Secretariat (SGTES) was a milestone for the development of strategies and projects related to the training and development of workers, among them the Project Experiences and Internships in the Reality of the Single System of Health - VER-SUS/Brazil. In Rio Grande do Norte, the first edition of VERSUS Potiguar was developed and coordinated by the State Secretariat for Public Health, with the aim of contributing to the training of future health workers. The experience took place from June 3 to 11, 2022, simultaneously in three Health Regions of the state, under the articulation of the Regional Commissions for Integration of Teaching and Service and Higher Education Institutions. Given the innovative character of the initiative, this work seeks to contribute to the institutional evaluation of the project. The study aims to evaluate the contributions of VERSUS Potiguar to health training in the state of Rio Grande do Norte. This is an exploratory study with a qualitative approach. The research is carried out with teachers, linked to partner Education Institutions, facilitators, organizing committee and students participating in VERSUS Potiguar. Data collection was carried out between June 2022 and April 2023. Quantitative data and characterization of the participants were extracted from the database of the selection system of the Health Secretariat, used for enrollment of students. Qualitative data were collected using an electronic form and a consolidation matrix used in a workshop. Quantitative data were analyzed with the aid of the google spreadsheets tool and for the qualitative data Bardin's content analysis will be performed. VERSUS Potiguar proved to be a unique strategy regarding the discussion on training for work in health, through the immersion experienced by students in the reality of the SUS. The report and manifestations of the participants throughout their experience show the potential to cause consequences in their academic training and in their future performance.

2
  • ANA CARLA MACEDO DO NASCIMENTO
  • HEALTH EDUCATION MANAGEMENT IN RIO GRANDE DO NORTE ACCORDING TO THE AGENDA OF THE BIPARTITE INTERMANAGEMENT COMMISSION (2018-2021)
  • Líder : FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • MIEMBROS DE LA BANCA :
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • MARIA JALILA VIEIRA DE FIGUEIREDO LEITE
  • MATEUS ESTEVAM MEDEIROS COSTA
  • Data: 07-jul-2023


  • Resumen Espectáculo
  • Permanent Health Education is an important issue in favor of recognizing and building responses to the needs and demands of the population. Thus, the objective was to discuss the contribution of the Bipartite Intermanagement Commission/RN (CIB/RN) for the implementation of the policy of permanent education in health, having as analytical references the agenda of the Ministry of Health, ordinances and documents produced on Permanent Education in Health (EPS) at CIB/RN. To this end, a descriptive, exploratory study was conducted through document analysis of the minutes and deliberations of the CIB/RN. The data captured in the documents were organized in an Excel® spreadsheet, version 2008, allowing the identification of themes discussed and deliberated in the committee in the period from 2018 to 2021. therefore, map categories of analysis. Through content analysis, the CIB RN discussion agenda was identified regarding the object of health, planning, investment projects, management of health education and permanent education actions. There was a prevalence in the deliberations of themes related to infrastructure and construction for health and in the minutes the theme of qualification and training of workers, managers, and representatives of social control and regulations for the development of the Policy of Permanent Education in Health (PEPS) predominated. in the state. The CIB/RN has acted in the formulation of public policies consisting of a decision-making space for strategic themes for the policy of permanent education in health, dialoguing with the agenda of the Ministry of Health, ordinances and documents produced on EPS, to promote health of the population in line with the principles of the Unified Health System (SUS).

3
  • ALDENIRA JOACLA CAETANO DA SILVA
  • Health education: Course on men's prenatal care for health professionals in primary care
  • Líder : CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • MIEMBROS DE LA BANCA :
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • DANDARA NAYARA AZEVEDO DANTAS
  • ANNE KAROLINE CANDIDO ARAUJO
  • Data: 11-jul-2023


  • Resumen Espectáculo
  • Health Education contemplates meaningful, problematizing learning and proposes strategies for the collective construction of knowledge. Among this large area, there is Permanent Education in Health, which develops educational practices focused on solving concrete problems, and as a team seeks alternatives for transforming the work process to achieve more effective and efficient results. In the present dissertation, we sought to deepen about the absence of prenatal care for men, and the possible strategies to be implemented with health professionals, to favor the participation of the partner. The objective of the study was to build a proposal for a training course on men's prenatal care for health professionals in the Basic Units of a municipality in the interior of Rio Grande do Norte. This is a methodological study, carried out in two stages. Developed respecting the ethical foundations of Resolutions nº 466/2012 and ethically approved by opinion number 5,463,151. The first stage, carried out in August 2023, took place through a descriptive-exploratory study with a qualitative approach, in the municipality of Riachuelo, in Rio Grande do Norte, 13 pregnant women, 13 parents and 23 health professionals were interviewed, four nurses, two physicians, six nursing technicians and 11 community health agents. Through content analysis, the following thematic axes related to the perception of the participants in relation to prenatal care for men emerged: Importance of the presence of the man/father in the prenatal consultation; Difficulties for the participation of the man/father in the prenatal consultation; Use of health education to facilitate the father/man's participation in prenatal care; Professional training for the implementation of quality prenatal care for men. In view of the perceptions and needs indicated by the participants regarding men's prenatal care, together with the regulations of the Ministry of Health, the second stage was followed, in which a proposal for a course was built to meet the identified demand for Permanent Education. The course addresses content and uses educational practices focused on solving the problem, through discussions and development of team skills. So that the collectively built knowledge is applied in practice and collaborates for the transformation of the work process, in order to achieve more effective and efficient results in humanized and quality assistance to men in prenatal care.

4
  • INGRID BEATRIZ DA SILVA
  • HEALTH OF WORKERS IN THE UNITED HEALTH SYSTEM DURING AND AFTER THE COVID-19 PANDEMIC: 
    THE PERSPECTIVE OF MANAGEMENT CENTERS
  • Líder : MARIA APARECIDA DIAS
  • MIEMBROS DE LA BANCA :
  • MARIA APARECIDA DIAS
  • JANETE LIMA DE CASTRO
  • PAULO MOREIRA SILVA DANTAS
  • PATRICIA FERRAS ARAUJO DA SILVA
  • Data: 01-ago-2023


  • Resumen Espectáculo
  • The reality of work shows a recent transformation through rapid modernization in the world of work. The pandemic context due to Covid-19, caused by the New Coronavirus (Sars-Cov-2), enhances these changes, directly affecting the work processes in health, and, consequently, the health of the worker. This research has as its general objective "Analyzing Occupational Health in the Unified Health System during and after the Covid-19 pandemic from the perspective of Occupational Health management centers at the municipal and state levels of Rio Grande do Norte." For that, an observational and descriptive study was developed, with a qualitative approach, in the case study type. The study was carried out at the Municipal Health Department of Natal and at the State Department of Public Health of Rio Grande do Norte, both located in the city of Natal, capital of the State of Rio Grande do Norte, northeastern Brazil, with the participating subjects being the professionals who make up the management centers in the field of workers' health in both secretariats. The instrument used for data collection was an individual semi-structured interview and the data obtained were analyzed using the Content Analysis technique. The narratives were categorized into six core meanings, which dealt with: 1. The potentialities that emerged from and during the Covid-19 pandemic; 2. Strategies used in workers' health during the Covid-19 health crisis; 3. The challenges experienced in the field of occupational health in the face of the Covid-19 global crisis; 4. Post-pandemic and its consequences, considering the perspective of remote work; 5. The main needs of the worker's health in the north of Rio Grande do Sul; and 6. Worker's health policy(ies). The analysis of the speeches highlighted the use of PPE and its relationship with the Permanent Education processes, as a potentiality and the projects supported by the worker's self-care, as an important strategy. Lack of knowledge regarding Covid-19 was highlighted as a major challenge and the organization and management of telework was highlighted when referring to post-pandemic developments. An emerging need pointed out for the field of Occupational Health in RN is the strengthening of mental health at work. Regarding the Occupational Health Policy, it is highlighted that it is seen as a relevant initiative to guarantee the health of workers, however, there is a perception that the policy is not yet fully implemented in practice, mainly due to bureaucratic and budgetary obstacles. It is noteworthy that the study was carried out at the municipal and state levels and presented converging results. It is hoped that the results of this study will promote an expanded knowledge about the field of Occupational Health, especially in the post-pandemic context.

5
  • KEILA REGINA DE OLIVEIRA
  • MANAGERIAL COMPETENCIES AND TRAINING OF MANAGERS: A STUDY AT THE REGIONAL HOSPITAL OF MATO GROSSO DO SUL.

  • Líder : MARIA TERESA PIRES COSTA
  • MIEMBROS DE LA BANCA :
  • MARIA TERESA PIRES COSTA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • ANTONIO ALVES FILHO
  • ELIANE BORGES DE ALMEIDA
  • Data: 15-ago-2023


  • Resumen Espectáculo
  • This study aimed to analyze whether the training offered between 2017 and 2022 was suitable for the development of managerial competencies among the managers of the Regional Hospital of Mato Grosso do Sul. We identified the established competencies and the necessary development to reduce the gap and improve the quality of care provided. To achieve this objective, the research adopted an applied methodology with a deductive and exploratory approach to meet specific purpose. Documentary research was used as the data collection method. The locus of the study is the Regional Hospital of Mato Grosso do Sul, which serves patients referred for medium and high complexity care in the Health Care Network. It is managed by the State but is part of the regionalized and hierarchical network of the Municipal Health Department of Campo Grande and its microregion of health. The hospital is classified as a large-sized facility, with 2,266 employees, including 1,713 permanent civil servants, 535 temporary workers, and 18 commissioned positions. Additionally, we identified that 100% of managerial positions are occupied by career civil servants. To assess the development needs of professionals and managers in the hospital, with the aim of improving the quality of care provided to the population, we found that the Competency Management Program is used to try to train and develop the necessary competencies to reduce the gap between institutional and individual competencies, leading to better performance among all professionals, whether managers or workers. The research findings will contribute to the Regional Hospital of Mato Grosso do Sul updating its people development policy to align it with the necessary competencies for satisfactory performance. Another positive aspect of the study is its potential to serve as a reference for defining competencies for hospital managers, enabling the competency management model to achieve differentiated results in organizations that implement it.

6
  • ROSANE DE SOUZA LIRA CANUTO
  • SERVANTS LEAVES DUE TO ILLNESS IN A PUBLIC HOSPITAL: A STUDY ON THE CAUSES

  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JANETE LIMA DE CASTRO
  • PATRICIA FERRAS ARAUJO DA SILVA
  • Data: 25-ago-2023


  • Resumen Espectáculo
  • Hospitals are complex organizations that offer medium and high complexity health services. The professionals who work in this service live daily with work overload, lack of personnel, long shifts, shortage of inputs and equipment, inadequate physical structures, insufficient beds, overcrowding, wage gap, fragility in relationships, among others. This research aims to know the profile of leaves due to illness among employees of a public hospital in the State of Alagoas. This is a descriptive, cross-sectional study with a quantitative approach. The target population consisted of all hospital workers who, from May 2020 to December 2021, had leave due to illness registered in the Cadastral Information System of the General Hospital of the State of Alagoas/HGE, which have sociodemographic, clinical and occupational information of workers. The HGE is the largest public hospital in the state, a gateway to urgency and emergency type III. Data were tabulated in Excel software and analyzed via JASP 0.16.4 (JASP TEAM, 2023). Inferential tests were performed to investigate the association between the number of leaves per ICD-10 group, using the Kruskal-Walis test. The χ² test was performed, with a significance level of 5% (p < 0.05), when cells had a number of observations lower than 5, Fisher's exact test was used. The results showed a high number of absences due to illness among health workers at the institution, more frequently in the nursing category and among non-permanent workers. With regard to diseases, those of the musculoskeletal system were more frequent. Knowing the causes of absenteeism due to illness associated with health workers provides subsidies to establish prevention and health promotion strategies at work. It is believed that the health of these workers is neglected, which is also reflected in the quality of care provided to the patient. Knowing the profile of the worker's illness is essential, since it allows the situational diagnosis, contributes to the recognition of risk factors and helps in intervention strategies aimed at improving working conditions, quality of life and reducing work leave.

     

7
  • CRISTIANE COSTA UCHÔA
  • Working conditions and health of nurslng workers in hospitais in Brazil: an integrative review

  • Líder : HENRY WALBER DANTAS VIEIRA
  • MIEMBROS DE LA BANCA :
  • ESRON SOARES CARVALHO ROCHA
  • ANA TANIA LOPES SAMPAIO
  • HENRY WALBER DANTAS VIEIRA
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • Data: 14-sep-2023


  • Resumen Espectáculo
  • The health of health workers is closely related to working conditions. Nursing is considered one of the occupations with the highest risk of tension and illness. The study will aim to investigate the relationship between working conditions and the health of nursing professionals in the hospital network in Brazil. It will be an integrative literature review study, the searches will take place in the Virtual Health Library (VHL) in the LILACS, BDENF and MEDLINE databases. Articles available from 2017 to 2022 will be included, using the descriptors: Nursing Professionals; Work conditions; Hospitals in Brazil; Workers health. From this research, selected studies will be presented according to authors, objectives, type of study, results and conclusions. Thus, this research will serve as a basis for understanding the factors that interfere with the health of nurslng professlonals who work In a hospital environment and will promote public policies that encompass this issue, serving as a basis for future studies.

8
  • LUCIANA TOLÊDO LOPES
  • VIRTUAL OUTPATIENT SECONDARY CARE POINT MODEL: AN INSTRUMENT FOR STRENGTHENING HEALTH CARE NETWORKS

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • CIPRIANO MAIA DE VASCONCELOS
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • Data: 29-sep-2023


  • Resumen Espectáculo
  • Who is interested in the good performance of the Unified Health System (SUS)? In a historical context of influences contrary to the implementation of the SUS, this research initially proposed to shed light on such facts so that it could identify mechanisms present in the health policy arena, since the establishment of the new republic in the country. identified problem, addresses the need to induce relationships with private institutions to respect and add to the structures already achieved by the SUS – and not merely to favor itself –, proposing the challenge of applying a study, based on the deepening of models currently used in the SUS, focusing on the organization of Health Care Networks (RAS), more specifically the Outpatient Secondary Care Point Model (PASA Model), raising the following research question as a guiding axis: “How does the Point of Care Model Can secondary outpatient care enhance the development of telehealth projects developed by private institutions in the SUS?” This is qualitative-quantitative research that proposed the development of an instrument in a checklist format and the use of a Likert scale to obtain evidence of content validity, measured using the instrument's Content Validity Index (CVI), adopting 0.78 is used as a minimum reference value. Through meetings with the Expert Committee, the PASA Model was adapted to a virtual model, in the format of a checklist, containing 41 items. The items reached agreement between the evaluating judges, with the instrument reaching an index of 0.99, therefore considered to have good content validity for the proposed purposes. Its results are intended for SUS health managers to take ownership of the elements covered, using them, if applicable, in future telehealth projects developed by private initiatives, aiming to enhance them, with an emphasis on implementing and strengthening the RAS. In addition, its results meet the interest of encouraging private companies to, at a minimum, consider the structures and models already consolidated in the SUS, making it impossible for their actions to focus solely on the market's own interests.

9
  • AVÂNIA DIAS DE ALMEIDA
  • Implementation of the Work Management and Health Education Observatory within the Rio Grande do Norte State Department of Public Health

  • Líder : HENRY WALBER DANTAS VIEIRA
  • MIEMBROS DE LA BANCA :
  • HENRY WALBER DANTAS VIEIRA
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JANETE LIMA DE CASTRO
  • MAURA VANESSA SILVA SOBREIRA
  • Data: 29-sep-2023


  • Resumen Espectáculo
  • The area of work management and health education plays a crucial role in promoting policies that value work, workers and democratize work relations in the context of the Unified Health System (SUS). This area encompasses activities such as staffing, workforce planning, work process management, and employee development. In the state of Potiguar, the State Department of Public Health (SESAP) assumes the role of conducting health policy, covering eight health regions and their municipalities. In this geographically branched context, the management of work and health education needs to use fast and secure information to understand and plan actions according to the needs of the territories. The information systems currently used by the Coordination of Labor Management and Health Education (CGTES) generate large volumes of data, which are isolated in different databases, making it difficult to communicate and integrate this information, which, in turn, makes decision-making difficult. As a strategy to reverse this scenario, CGTES implemented an Observatory as a tool to support decision-making. The Observatory allows an integrated and systemic view of the information contained in different information systems, and makes it possible to identify trends, gaps and opportunities for improving policies and actions in the area. The research intends to shed light on how the Observatory was structured, which actors and actresses were essential, their perceptions about its implementation process and their views on the preliminary results. Thus, we intend to present a historical account of the implementation of the Observatory of Work Management and Health Education within the scope of the State Health Department of Rio Grande do Norte. For this, the methodological focus adopted was documentary and descriptive research, with an exploratory approach, with emphasis on qualitative techniques. Documental collections and a focus group were carried out for the survey of inputs, these were analyzed in the light of Bardin. The results reveal a history of construction crossed by a pandemic, the strong presence of the support of the National Council of Health Secretaries (CONASS) and the Pan American Health Organization (PAHO) as drivers of the creation of the GTES Observatory, the profile of the team who worked on the implementation, the progress in the development of information systems for the area, the greater organization of information related to personnel expenses, strengths and weaknesses during the construction process, the initial repercussions of the information made available, its reflexes in decision-making , its capacity to support the strengthening of health regions and, finally, the vision of the future.

10
  • IZABELLA SANT' ANNA SIQUEIRA
  • HEALTHCARE WORKER PROTECTION IN COVID-19: A DOCUMENTARY ANALYSIS



  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • PATRICIA FERRAS ARAUJO DA SILVA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 02-oct-2023


  • Resumen Espectáculo
  • The pandemic caused by the coronavirus (SARS-CoV-2) has created a global public health emergency. As a central element was the role of health workers in facing the pandemic and fighting COVID-19, and protection for professionals who worked on the front lines to preserve their physical and mental health should be included in this context. The present research has the general objective of analyzing the regulations and protocols published in the face of the COVID-19 pandemic by the Government of the State of Mato Grosso/Secretariat of State of Health, comparing them with the recommendations and technical guidelines of OPAS/OMS/BRAZIL regarding the health of the health worker. The specific objectives are to systematize the technical guidelines regarding the health of the health worker made available by OPAS/OMS/BRAZIL during the period of coping with the COVID-19 pandemic; map the regulations and protocols related to the health of the health worker made available in publications by the Government of the State of Mato Grosso/Secretariat of State of Health, during the confrontation with the COVID-19 pandemic; to compare the norms and protocols adopted by the Government of the State of Mato Grosso/Secretary of State of Health with the technical guidelines of OPAS/OMS/BRAZIL, regarding the health of the health worker in the period of coping with the COVID-19 pandemic. This is qualitative research with a documentary approach to the regulations and protocols adopted for the health of health workers in the context of the COVID-19 pandemic, in the years 2020 to 2021. 11 Technical Guidelines from OPAS/OMS/BRAZIL and 23 Regulations published by the State Executive, referring to the theme of workers' health, were selected for analysis. This research has the scope of strengthening the discussion about the protection of the health of the health worker in the State Department of Health of Mato Grosso.

11
  • GILSANDRA DE LIRA FERNANDES
  • Psychic Suffering Of Professionals Enrolled In Health Residence Programs During The Training Process: An Integrative Review

  • Líder : MAURICIO ROBERTO CAMPELO DE MACEDO
  • MIEMBROS DE LA BANCA :
  • MAURICIO ROBERTO CAMPELO DE MACEDO
  • ANA TANIA LOPES SAMPAIO
  • JOÃO BOSCO FILHO
  • Data: 16-nov-2023


  • Resumen Espectáculo
  • Some studies show how psychological suffering is manifested among health professionals enrolled in residency courses in the health area (medical, multiprofessional and others) and highlight its evidence through some indicators that associate it with the context of training. Among physicians, the prevalence of anxiety, depression and suicide disorders is higher than in the general population. This research aims to analyze and understand the psychological suffering of professionals enrolled in health residences during the training process, through an integrative review of the literature, with an exploratory design. For the identification of relevant studies, the databases will be consulted: Scientific Electronic Library Online (SCIELO), System Online (MEDLINE); Virtual Health Library (VHL); Latin American and Caribbean Literature in Health Sciences (LILACS).  For the analysis of the results and synthesis of the articles, a synoptic table will be made to expose the findings, constituting a single database, to facilitate the management of the information found. Some tables and graphs will be developed that will be fundamental for the presentation of the results achieved in the analysis of the texts, answering the guiding questions present in the general and specific objectives of this study. The research seeks to subsidize educational institutions, residency programs and health services to take the necessary measures to improve the quality of life and reduce the psychological suffering of these professionals in the process of training.

12
  • SUZIÉLE DA COSTA SOUZA LIMA
  • THE ROLE OF THE MANAUS SCHOOL OF PUBLIC HEALTH IN THE CONSOLIDATION OF THE MUNICIPAL HEALTH

  • Líder : MAURICIO WIERING PINTO TELLES
  • MIEMBROS DE LA BANCA :
  • MAURICIO WIERING PINTO TELLES
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 30-nov-2023


  • Resumen Espectáculo
  • This documentary research addresses the significance of Health Education and the National Policy of Permanent Education in Health (PNEPS) within the context of the Unified Health System (SUS) in Brazil. It highlights the SUS's role in promoting health education, workforce management, and healthcare professional training. The establishment of the Manaus Public Health School (ESAP) is noted as a crucial milestone for healthcare professionals' training and development in the municipality, focusing on Primary Health Care.ESAP provides courses and educational programs to enhance professional practices and strengthen the integration of teaching, service, and the community. The research aims to analyze ESAP's role in consolidating Manaus' Municipal Policy of Permanent Education in Health (PMEPS). Employing a qualitative approach, the study uses documentary research as the data collection method.Documentary research enables in-depth analysis of previously recorded materials, such as texts, images, and reports. Documents were sourced from public outlets, including the Manaus Municipal Health Secretariat website, Ministry of Health publications, and normative documents in the Official Gazette of the Municipality.

    The collected data underwent analysis using Bardin's content analysis technique. This process involved pre-analysis, material exploration (coding), and result treatment (categorization, inferences, and interpretations). Record units were identified and organized into analytical matrices following the guidelines of the National Policy of Permanent Education in Health and Manaus Municipal Health Policy.The study encompassed 49 documents relevant to the research's guiding questions, selected based on inclusion and exclusion criteria. It highlights that Manaus' Municipal Policy of Permanent Education in Health primarily aims to enhance continuous healthcare professionals' training. To achieve this goal, the policy seeks alignment with the national policy and integration of relevant theoretical principles for healthcare service enhancement in the region.This policy is based on essential principles like comprehensiveness, interprofessionality, social participation, and valuing healthcare work. These principles guide educational actions that consider the whole human being, fostering collaboration among healthcare professionals.The development of Permanent Health Education at ESAP/Manaus faces significant challenges, notably the lack of financial resources limiting the provision of various educational activities. Additionally, ensuring healthcare professionals' involvement and providing adequate infrastructure and logistics are crucial hurdles to overcome.Despite these challenges, there are opportunities to be explored. The institution can establish strategic partnerships, leverage technological innovation, and conduct periodic assessments of activities. These actions have the potential to attract additional resources, broaden the reach of permanent education activities, and facilitate continuous program improvements.By overcoming challenges and implementing effective strategies, ESAP/Manaus can create a lasting impact on community health, positioning itself as a leader in continual healthcare service improvement and professional development. Manaus' Municipal Policy of Permanent Education in Health is a recent example of success, showcasing how participatory engagement can lead to more comprehensive and effective policies. With widespread stakeholder involvement, this policy has the potential to meet community needs, offering quality healthcare professional education, promoting social control, and enhancing healthcare service quality in Manaus. This collaborative participation model can serve as inspiration for other regions and sectors interested in developing more inclusive and effective public policies.

13
  • FRANCISCO AUBER PERGENTINO VIEIRA
  • INTERPROFESSIONAL EDUCATION IN THE QUALIFICATION OF INTEGRATED HEALTH SURVEILLANCE ACTIONS IN PRIMARY CARE

  • Líder : MARCELO VIANA DA COSTA
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • JAQUELINE ALCÂNTARA MARCELINO DA SILVA
  • MARCELO VIANA DA COSTA
  • Data: 14-dic-2023


  • Resumen Espectáculo
  • Interprofessional Health Education – (IHE) as a necessary approach to qualify integrated health surveillance actions in primary care. The study aimed to systematize a professional qualification strategy in health surveillance based on the theoretical-conceptual and methodological references of interprofessional education. This is a descriptive action research, with a qualitative approach. The research was carried out in three subsequent stages in the primary health care settings of a city, which is the headquarters of the Ninth Health Management Area in the backlands of state of Paraiba. In the first stage, a semi-structured interview was carried out with 23 participants and, in the second and third stages, focus groups were formed and the SOCKS technique was applied to the study subjects. The last step resulted in the systematization of a professional qualification strategy directed at HS professionals. The data collected came from the application of a semi-structured interview, focus groups and the SOCKS technique involving professionals linked to health surveillance and primary health care. The data was analyzed using the Categorical Thematic Content Analysis proposed by Bardin. After treatment and analysis of the speeches produced in the semi-structured interviews and focus groups, four thematic units emerged by analysis categories: “Character of health surveillance actions”; “Necessary skills for interprofessional work in health surveillance”; “Collaboration and networking as premises of the HS work process” and “Barriers to interprofessional collaboration in health surveillance”. From the thematic units, subcategories emerged. The discussions were shaped by the reality of HS in the context of PHC, from the perspective of the dimensions of interprofessionality, ensuring reflective and coherent moments according to the objectives of the action research. The results of the interactions and reports of the actors that were transcribed gave greater visibility to the problems that permeate primary care and consequently the HS work process. The professional qualification strategy for health surveillance presented in this study was designed based on the theoretical-conceptual and methodological references of interprofessional education, taking into account the possibilities of applying active learning methodologies. The proposal includes ten workshops and presents central elements of the process of developing interprofessional communication skills, focusing on the health surveillance work process. The themes/topics, expected skills, learning objectives, methodology, learning theory and assessment were described and the duration was estimated at 120 minutes to complete each stage. The study draws attention to the need to rethink possibilities for implementing the PNVS by promoting a discussion based on interprofessionality and health care models that value comprehensive care in the SUS. There is an urgent need for debates and the formulation of innovative initiatives to strengthen the HS in the country through IHE. In this sense, interprofessional health education presents itself as a useful and appropriate approach for the scenario under study, considering that interprofessional communication promotes shared spaces for action, with interdependence and co-responsibility of practices.

14
  • LAURO GABRIEL BEZERRA SANTOS
  • DIVERSITY MANAGEMENT PRACTICES, WITH EMPHASIS ON GENDER IDENTITY, IN HEALTHCARE ORGANIZATIONS
  • Líder : FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • MIEMBROS DE LA BANCA :
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • MARIA APARECIDA DIAS
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • Data: 18-dic-2023


  • Resumen Espectáculo
  • In Brazil, diversity management emerged in the 80s, advocating the need to include women, blacks and homosexuals in the world of work. However, the trans and transvestite population has a low level of inclusion in the world of work, especially formal work, due to low levels of education, stigmatization and social prejudice. The aim is therefore to construct, validate and apply a questionnaire to assess diversity management practices in healthcare organizations with a focus on the gender identity of the trans and transvestite population. To this end, an evaluation study will be carried out between may and november 2023. The methodological path includes the phases of structuring subsidized by integrative literature review in three electronic databases (SCIELO, LILACS, PUBMED), content validation by consensus of three specialists in the area of gender and sexuality selected for convenience and application of the validated with managers working in human resources/management of work and education in health secretariat of state for public health, located in the city of mossoró/rn. The study presents partial results relating to the instrument's structuring phase. At the end of the study, it is hoped to obtain a reliable and valid questionnaire to enable analysis of the challenges to the process of social inclusion of the trans and transvestite population in health organizations.

15
  • EMMANUELE DE JESUS BALATA SOUSA ALVES
  • PERMANENT HEALTH EDUCATION IN MARANHÃO: a 10 (ten) year analysis

  • Líder : JOSE JAILSON DE ALMEIDA JUNIOR
  • MIEMBROS DE LA BANCA :
  • MARIA DE LOURDES CARVALHO
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • MAURICIO WIERING PINTO TELLES
  • Data: 19-dic-2023


  • Resumen Espectáculo
  • Introduction: Continuing Health Education can be understood as learning at work,
    where learning and teaching are incorporated into the daily lives of organizations
    and work, based on meaningful learning and the possibility of transforming
    professional practices. Objective: To analyze the trajectory of EPS in the state of
    Maranhão in the period from 2012 to 2022, based on the identification and mapping
    of secondary-level technical professional training and professional qualifications
    developed by ETSUS/ESP and demonstrate EPS actions in the Maranhão scenario
    through an application prototype. Methodology: This is a descriptive study, with
    documentary research and a quali-quanti approach. The study scenario for this
    research was defined considering the public institutional character and the
    professional training developed at ETSUS/MA and ESP/MA. Analysis: The data was
    analyzed based on the categorization of: nature of the offer; training institution/
    regional health/ municipality; educational offer and the number of trained/trained students. Results: 67 educational offers were found, 7 of which were mid-level technical training offers and 60 professional qualification offers, reaching a total of 3,247 students trained in technical training and 45,346 students trained in professional qualifications, with a total of 48,593 trained in the decade . Conclusion: Weakness in the systematization of data and the need for monitoring mechanisms were observed in the documents. The application is a powerful and innovative instrument that reaches the managerial, technological and decision-making dimensions in this process. To conduct EPS in the state of Maranhão it is necessary to understand it and make it a protagonist in this SUS that is learned, in this SUS that is taught.

16
  • RUY RIBEIRO MORAES CRUZ
  • THE MENTAL HEALTH OF PROFESSIONALS AT A HOSPITAL IN SÃO LUÍS-MA IN THE CONTEXT OF THE COVID-19 PANDEMIC

  • Líder : MAURICIO ROBERTO CAMPELO DE MACEDO
  • MIEMBROS DE LA BANCA :
  • MAURICIO ROBERTO CAMPELO DE MACEDO
  • MARIA APARECIDA DIAS
  • PATRICIA FERRAS ARAUJO DA SILVA
  • Data: 19-dic-2023


  • Resumen Espectáculo
  • Several studies point to the high prevalence of psychological distress among health professionals working in ICUs. This evidence is worrying, as it affects the mental health and quality of life of this workforce that intends to care for critically ill patients, such as the one that occurred after the COVID-19 pandemic period. The search for strategies to improve the quality of life of workers and the work process has been salutary, in order to prevent psychic illness, as well as to understand the perception of care and the development of a new culture of valuing life in this population. . This research aims to identify the occurrence of psychic suffering and mental disorders among health professionals in a public hospital in São Luís, and its association with the work process in the pandemic context generated by the "coronavirus disease" - COVID-19 , based on the perception of the actors involved. The work will be a single case study that will approach, through methods and techniques of qualitative analysis, the understanding of the signs and symptoms that produce changes in the quality of life and in the work process. With regard to the specific objectives, the search for identifying the nature of the psychological distress manifested by the health professionals interviewed and whether they associate these forms of suffering with the work process in assisting people affected by COVID-19 stand out. Finally, as a product, the study aims to produce a Standard Operating Protocol, contributing to the notification, referral and creation of strategies in the mental health care of ICU workers. Preliminary

    Results: in progress.

17
  • IRACEMA SOUSA DE CARVALHO
  • (EDUCATIONAL ACTIONS OF THE NATIONAL PROGRAM TO SUPPORT ONCOLOGICAL CARE: MEANINGS AND CONTRIBUTIONS TO GRADUATES AND INSTITUTIONS)

  • Líder : SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • MIEMBROS DE LA BANCA :
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • JOSE JAILSON DE ALMEIDA JUNIOR
  • VANESSA MURTA REZENDE
  • Data: 21-dic-2023


  • Resumen Espectáculo
  • (The National Support Program for Oncological Care was a program developed by the Ministry of Health to encourage actions and services included by non-profit entities, associations and private foundations in the field of oncology. Among the oncological care actions to be supported with funds raised through PRONON, it includes the field of education, training and improvement of human resources for professionals working in the health area. General objective: to analyze the meanings and contributions of educational actions, taught by the National Support Program for Oncological Care, for graduates and institutions. Method: This is an exploratory descriptive study of a qualitative nature, whose theoretical framework will be guided by theoretical budgets that support the National Policy on Permanent Education in Health. Expected Results: It is estimated that they will be able to point out contributions to the educational actions both for the professionals who participated and for the executing institutions of the project. And from the difficult aspects, contributions to the development of actions, and also intends to leave some suggestions for the continuation of the National Support Program for Oncological Care (PRONON) and services involved. Final Considerations: Highlight the culture of the theme, explain how the objectives were achieved and highlight some aspects of the research findings. Consider the limitation of the study to have worked only two regions and hope that the study encourages other researchers to expand to non-surviving regions. From the analysis of the data, some suggestions may arise for the National Support Program for Oncological Care (PRONON) and institutions executing the actions.)

18
  • WELLINGTON QUEIROZ DE FREITAS
  • IMPERATRIZ REGIONAL EDUCATION-SERVICE INTEGRATION COMMISSION: Implementation and contributions to the Permanent Health Education Policy in the State of Maranhão

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • HENRY WALBER DANTAS VIEIRA
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • Data: 21-dic-2023


  • Resumen Espectáculo
  • Permanent Health Education (EPS), as a training and development strategy for workers for the Unified Health System (SUS), was established as a policy in 2004, through ordinance no. 198, and redefined by ordinance no. 1. 996 of 2007. It aims to contribute to the necessary transformation of work processes and health practices, in accordance with the principles of decentralization of the SUS, which define guidelines and strategies for the implementation of the National Policy for Permanent Education in Health ( PNEPS), establishing the Permanent Teaching-Service Integration Commissions (CIES) as permanent bodies that participate in the formulation, conduct and development of PNEPS. In this sense, this research aimed to contribute to the process of implementing the Permanent Commission for Teaching-Service Integration (CIES) in the Imperatriz health region, aiming to strengthen the National Policy for Permanent Health Education (PNEPS) in the state of Maranhão. . This is an Action Research with an evaluative study, whose theoretical framework is based on the assumptions of PNEPS. The subjects participating in this research were managers, workers, representatives of educational institutions with courses in the area of health and social control in the SUS, who participate in the Teaching-Service and community integration processes. The data were collected during the interventions and the workshop with the central theme Permanent Education in Health, from April to October 2023, which made it possible to identify the profile of these participants and their perceptions about PNEPS, in addition to contributing to the implementation of CIES Imperatriz/MA Region. As a product, a Guidance booklet was created on how to implement a Regional CIES. The results point to some weaknesses in relation to the mastery of some PNEPS contents by research participants and the importance of training the SUS workforce in relation to the tools for operationalizing EPS. It is expected that the results of this research can support strategies for strengthening Permanent Health Education in the State of Maranhão, as well as for the establishment of CIES in all Health Regions

19
  • RENATA FREIRE DO NASCIMENTO
  • QUALIFICATION OF THE REGULATORY COMPLEX IN THE SUS: HISTORICAL TRAJECTORY (2013-2022)
  • Líder : SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • MIEMBROS DE LA BANCA :
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • RAFAEL RODOLFO TOMAZ DE LIMA
  • RENATA SILVA SANTOS
  • Data: 22-dic-2023


  • Resumen Espectáculo
  • The research aims to analyze how the qualification of professionals who work in work processes at the State Regulation Complex has been the subject of discussions and deliberations by the Bipartite Intermanagers Commission over the last 10 years. This theme is justified by the need to draw the attention of SUS managers to the complexity of the regulators' work, in a context of insufficient services, and to debate the importance of qualifying these professionals, understanding Permanent Health Education as the most appropriate support for promote changes in practices based on the problematization of reality. This is a socio-historical study with a qualitative approach, which used the documentary research method as a source method for data collection. The research allowed us to understand the problems surrounding the implementation of the State Regulation Complex of the State of Rio Grande do Norte, enabling the construction of a timeline with the main events related to the process. The results demonstrate that the importance of the qualification of professionals who work in the Work processes of the State Regulation Complex with a focus on professional performance is not emphasized, but rather on the safety of the regulatory process. It is a fact that managers hold discussions focused on work processes, without, however, making any assessment whether the professionals who make up the teams in this sector are qualified to carry out these work processes. It is hoped that the study can contribute to the State developing its ongoing health education plan for the teams of the State Regulation Complex, including the themes discussed by managers, along with the needs identified by professionals in their daily work. It is suggested that a State Regulation Policy be drawn up seeking to overcome the weaknesses of internal regulations, in line with national regulations.

     

2022
Disertaciones
1
  • JULIANA FERREIRA LIMA COSTA
  • PET-SAÚDE INTERPROFESSIONALITY AND THE DISPONIBILITY TO A LEARING INTERPROFESSIONALITY

  • Líder : MARCELO VIANA DA COSTA
  • MIEMBROS DE LA BANCA :
  • ELIANA GOLDFARB CYRINO
  • LUIZ ROBERTO AUGUSTO NORO
  • MARCELO VIANA DA COSTA
  • SYLVIA HELENA SOUZA DA SILVA BATISTA
  • Data: 07-feb-2022


  • Resumen Espectáculo
  • IIntroduction: In the Brazilian reality, the theoretical and methodological bases of EIP provide elements to supply the requirement of the contemporary world and promote the integrality of health care, contributing to the qualification of health professionals to team as work. Interprofessionality was the focus of the ninth pet-health edict to advise them to learn as a teamwork, through integration-teaching-service and the development of collaborative skills. In this scenario, it seeks to demonstrate elements that allow reflection on interprofessionality and collaborative competencies, through the perception of students participating in the ninth pet-health/interprofessionality edict. Objective: To identify the availability of students who participated in the edition of PET-Saúde Interprofessionality for interbranch education and collaborative interbranch practices. ning Scale (RIPLS). Methodology: This study is characterized as a quantitative method research, which is part of an exploratory-descriptive perspective in relation to backed in the objectives, based on concept collected through the application of the instrument for collecting data on interbranch health education, Readiness for interbranch Learning Scale (RIPLS). Results found: From the items analysis, the positivity of education interbranch health was disclosed, with regard to collaboration and teamwork induced by the participation of the ninth pet-health/interprofessionality edict and a certain fragility regarding the clarity of definition of roles, the need for greater definition of professional autonomy and the valorization of the patient's opinion to participate in care. Final considerations: Variety collaborative competencies were developed for integrality of care from the analysis of availability for interbranch education and interbranch practices and from the analysis of the strengths and weaknesses found, perceived the need that is still necessary the creation the support of this stimulus for the effective integration of knowledge and much still necessary for the progression and institutionalization of the perspective of interbranch in the practice.

2
  • CARLA ULHOA ANDRÉ
  • PATIENT SAFETY WORK ORGANIZATION IN PRIMARY CARE: A SCOPING REVIEW 
  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JANETE LIMA DE CASTRO
  • ANA DANIELA SILVA DA SILVEIRA
  • Data: 14-mar-2022


  • Resumen Espectáculo
  • ANDRÉ, Carla U. ORGANIZATION OF WORK IN PATIENT SAFETY IN PRIMARY CARE: A SCOPING REVIEW 2022. 201 sheets. Dissertation (Master) - Federal University of Rio Grande do Norte. Department of Public Health. Postgraduate Program in Management, Work, Education and Health - MPGTES, Rio Grande do Norte, 2022.
     

    This study aimed to identify and map publications on work management related to Patient Safety in Primary Health Care. The Scoping Review method was used, with data collected on December 23, 2021, in 5 national and international databases, using eligibility criteria. 52 publications were selected from a total of 643 which came up in the initial search. The main findings are related to the categories culture, practices, employees, and services. The global relevance of the theme that addresses Patient Safety in Primary Health Care is made evident. Therefore, knowledge gaps persist, which requires the expansion of research and encouragement for more studies to be carried out.

3
  • ELENIMAR COSTA BEZERRA
  • MANAGEMENT OF THE SPECIALIZED HOSPITAL MEDICAL WORKFORCE: PROPOSAL TO CREATE MONITORING PARAMETERS

  • Líder : HENRY WALBER DANTAS VIEIRA
  • MIEMBROS DE LA BANCA :
  • DAVID LOPES NETO
  • HENRY WALBER DANTAS VIEIRA
  • JANETE LIMA DE CASTRO
  • MAURA VANESSA SILVA SOBREIRA
  • Data: 14-mar-2022


  • Resumen Espectáculo
  • The object of the study is the search for rationalizing measures for the use of the specialized hospital medical workforce (SHMW) in a public hospital, aiming to organize monitoring parameters. This is a study in the area of health work management and is characterized as action research, of an interventional nature, using the medical specialty of traumatology and orthopedics as a pilot experience. It proposes the creation of a Monitoring Matrix for this workforce, within the scope of the State Department of Health of Rio Grande do Norte (SESAP), with well-defined stages, relating the dimensioning of the workforce to the production of procedures, as well as the bed occupancy rate and analyzing the relationship between production and other elements of the work process, such as frequency and absenteeism. The intervention intends, through the implementation of the monitoring matrix, to expand the capacity of analysis about this workforce and its deliveries regarding the production of procedures, feeding back the sizing parameters, involving other technical areas of SESAP in the analysis, such as planning, health care, and regulation, causing changes in the Care Network. It is also intended that the organization of information in this area will support the Situation Room of Work Management, subsidizing more assertive decision-making by the Management of SESAP.

4
  • ANA PAULA REZENDE DE OLIVEIRA GOLDFINGER
  • ASSESSMENT OF THE DEVELOPMENT OF SKILLS AMONG STUDENTS OF A LAT SENSU COURSE IN PUBLIC HEALTH OFFERED BY SCHOOL DR. JORGE DAVID NASSER.

  • Líder : DYEGO LEANDRO BEZERRA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JANETE LIMA DE CASTRO
  • ANA DANIELA SILVA DA SILVEIRA
  • Data: 28-mar-2022


  • Resumen Espectáculo
  • Introduction: The degree in public health must be critical-reflective to respond to the challenges of today's society. Thus, to be consistent with this vision comes the proposal of a learning and assessment modality that is out of the ordinary: the portfolio emerges as a promising proposal to respond to the current demands, being its construction guided and composed by strategies of the active teaching-learning methodology, aiming at the necessary competences for future sanitarians, guided by transversal axes of competence. The research aims to evaluate the trajectory of students of a lato sensu postgraduate course in public health at Public Health School Dr. Jorge David Nasser using the portfolio as an evaluative instrument. Method: documentary research was carried out with mixed analysis of qualitative and quantitative data, document analysis research, with a mixed character, based on data collection, carried out from April to October 2021 from the portfolio of the subjects involved. Results: the use of the portfolio as an evaluation tool has provided students with a critical reflection of the knowledge built during the course and the students' motivation to change work processes and continue to learn. Thus, the use of the assessment tool portfolio responds, at least partially, to the need for critical and reflective training of health professionals. Conclusion: the use of active teaching-learning methodologies for the formation of the student and the consequent use of the portfolio as an evaluative tool in this process. The use of the evaluative portfolio strengthens and contributes to students' self-confidence, self-knowledge and development of reflective competence throughout the training process, in addition to providing theoretical-practical dialogue aimed at the profile of the professional to be trained.

5
  • HAROLDO JORGE DE CARVALHO PONTES
  • STATE SCHOOLS OF PUBLIC HEALTH: AN ANALYSIS OF THEIR CONTRIBUTIONS TO THE IMPLEMENTATION AND STRENGTHENING OF THE UNIFIED HEALTH SYSTEM

  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • FERNANDO PASSOS CUPERTINO DE BARROS
  • JANETE LIMA DE CASTRO
  • ROSANA LUCIA ALVES DE VILLAR
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • Data: 12-abr-2022


  • Resumen Espectáculo
  • The State Schools of Public Health (SSPH) are responsible for formulating and/or executing programs and politics aimed at qualifying health workers. Therefore, they play an important role in the implementation and strengthening of the Unified Health System (known as SUS – Sistema Único de Saúde). The previously mentioned schools were the focus of the study, and this work aimed to analyze their contributions to the services’ qualification provided by SUS. Using the qualitative approach, the research was carried out in two stages, using different methodological procedures with two types of data collection: documentary research and interviews. The documents’ analysis aimed to know the mission of the SSPH. The interviews with the directors and teachers intended to observe whether, in their perception, the educational actions developed are planned considering what is recommended by the National Policy for Permanent Education (NPPE). In the interviews with the States Health Secretaries of the SSPH included in the study, as well as the directors and teachers, it was sought to know their perception about the role and contribution of Schools to the health services in their States. By integrating, articulating and analyzing this rich set of information, it was possible to identify, according to the perception of its professors, directors and state health secretaries, the contribution of SSPH to health services. According to the interviewees, these Schools have significantly contributed to health professionals qualification and, for this reason, their work is recognized by SUS workers and managers. At the same time, they are Schools that face the challenge of insufficient resources, both financial and personnel. In this confrontation, they rely on the commitment and responsibility of their professionals. This research made it possible to know these Schools, that are committed to the principles and guidelines of SUS, and the work they develop, based on Permanent Health Education and, consequently, their contributions to the strengthening of SUS.

6
  • MARILIA EUFRASIO DA SILVA
  • IMPLEMENTATION OF THE STATE CENTER FOR HEALTH AND SAFETY OF WORKERS (A): CONTRIBUTIONS TO THE STATE SECRETARIAT FOR PUBLIC HEALTH OF RIO GRANDE DO NORTE

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • JANETE LIMA DE CASTRO
  • JOÃO BOSCO FILHO
  • Data: 25-abr-2022


  • Resumen Espectáculo
  • On May 22, 2018, the Núcleos de Atenção à Segurança e à Saúde do Trabalhador e da Trabalhadora (NASSTs) were established, through ordinance nº 136/GS/SESAP. Through the ordinance in SEI nº 2931, of October 15, 2020, the Núcleo Estadual de Atenção à Segurança e à Saúde do Trabalhador e da Trabalhadora (NESST) was implemented in order to advise, regulate, plan, coordinate, establish guidelines and to integrate the actions in the areas of occupational health that are developed by the NASSTs. Given this situation, the objective of this dissertation was to analyze the implementation and the main contributions of NESST-SESAP. This study is configured as action research, which has a collaborative character and an analytical approach. The intervention took place in stages and the first was the situational diagnosis of the NASSTs, to guide the initial actions of the NESST. In the second moment, the process of implantation of the State Nucleus of Attention to the Safety and Health of the Worker is described. In turn, in the third stage, the strengths and weaknesses of the NESST were presented, according to the representatives of the NESSTs. In the last step, the dimensioning by Unidades Regionais de Saúde (URSAP) is presented, which includes the existing centers, according to minimum dimensioning and regional dimensioning. In addition, units that do not yet have NASST are listed. Therefore, the importance of strengthening and articulating occupational health care policies in the state of Rio Grande do Sul was verified.

7
  • CRISTIANE CRUZ DOS SANTOS MELLO
  • SIZING THE WORKFORCE IN PUBLIC HEALTH INSTITUTIONS: AN INTEGRATIVE REVIEW
  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • JANETE LIMA DE CASTRO
  • PATRICIA FERRAS ARAUJO DA SILVA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 25-abr-2022


  • Resumen Espectáculo
  • This research deals with one of the most powerful and complex practices in health work management: personnel dimensioning. The objectives of this study are to highlight the contributions of dimensioning to the management of work in public health institutions; to identify the scientific production related to dimensioning in the area of Work Management; to identify how the personnel dimensioning methodology has been used in public health institutions, in addition to understanding the reasons that lead health institutions to implement the dimensioning practice. An integrative literature review was carried out on the theme of workforce dimensioning, with emphasis on the health area. The purpose of identifying practical experiences and conceptually deepening the subject has as its objective image to present to the Secretary's manager a planning instrument that, when applied, can avoid the excessive supply of professionals, identify possible insufficiencies related to the number of personnel, identify technical information needed to expand managerial skills and support managers' decision-making, with a view to ensuring the best execution of the work and efficiency in the provision of services. It is believed that the systematization and analysis of experiences regarding the practice of staff dimensioning in health, recorded in the literature, can help health departments that have not yet elected such a practice to start their implementation processes.

     

2021
Disertaciones
1
  • THAÍS SILVA DOS REIS
  • QUALIFICATION OF EDUCATIONAL PRACTICES OF HEALTH PROFESSIONALS WHO WORK WITHIN PRIMARY HEALTH CARE IN THE STATE OF MARANHÃO
  • Líder : FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • MIEMBROS DE LA BANCA :
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • DIEGO DE SOUSA DANTAS
  • Data: 20-ago-2021


  • Resumen Espectáculo
  • This is a master's project linked to the Professional Master's Degree in Management, Work, Education and Health at the Federal University of Rio Grande do Norte. Its objective is to promote the qualification of the educational activities of health professionals who work in the field of Primary Health Care and Professional Training, critically reflecting their own work based on the principles, logics and tools of Popular Education in Health. The present study had a qualitative approach, of the action-research type, consisted in the development of a Popular Education in Health workshop using Popular Education in Health materials related to the theme of Women's Health produced by the researcher. 1. Production of educational material, 2. Development of workshops, 3. Adequacy of materials to the proposals of professional evaluators,4. Sending educational materials to a sample of women, 5. Adequacy of materials to users' observations. Regarding the production phase of educational materials, these were elaborated from a traditional bibliographic review on the themes: Breastfeeding, gestational grief, the importance of the doula in the process of pregnancy and giving birth, and obstetric violence. After preparation, these materials were evaluated by health professionals participating in the training workshop. To carry out the workshops, an invitation was sent to the superintendent of primary health care (PHC) in the state of Maranhão, who could send up to 5 health professionals who work in the PHC, and are willing to participate in the research. In addition to these professionals, the workshop will feature the participation of 5 professionals from the School of Public Health of the State of Maranhão. The training workshop took place in June 2021, with two virtual meetings. Each meeting lasted an hour and a half and took place remotely using Google Meet. The workshop meetings were planned, and articles and text about PNEPS were used; educational material prepared by the researcher related to the theme of women's health; dynamics to sensitize participants to the possibilities of developing Popular Education activities in women's health in the workplace. Also in the workshop, a dialogic discussion was conducted on the educational materials on women's health produced by the researcher in order to enable an evaluation of these materials. By email and via Google Forms®, along with the educational materials, the Informed Consent Form was sent, explaining the objectives of the study, the professional's form of participation and request for a virtual subscription in case of accepting the participation. After this individual evaluation, there was a specific moment in the workshop to make an evaluation of the materials. Based on the results of this evaluation, adaptations were made to the materials. In general, the workshop meetings will have as central themes: “Knowing Popular Education in Health”, “Strengthening popular education in women's health” and “Putting into practice what was learned”. All workshop meetings were recorded, and so participants will have to consent to the use of voice and image by signing an authorization term. After the workshop and its two meetings, the materials were sent to a sample of women who have characteristics to the target audience of the materials. The data collected in the questionnaires were analyzed descriptively from the calculation of the absolute and relative frequencies of the variables.

2
  • TAYNANA SOARES OLIVEIRA FEQUIS
  • NÚCLEOS DE EDUCAÇÃO PERMANENTE EM SAÚDE DA SECRETARIA DE ESTADO DE SAÚDE DO ACRE: ANÁLISE DAS FRAGILIDADES E POTENCIALIDADES

  • Líder : SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • MIEMBROS DE LA BANCA :
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • ROSANA LUCIA ALVES DE VILLAR
  • JESSICA DANTAS DE SA TINOCO
  • Data: 09-nov-2021


  • Resumen Espectáculo
  • Continuing Education in Health is characterized by the practice of learning in the service, bringing the proposal to face the problems of reality through prior knowledge acquired through life experiences, thus becoming a meaningful learning experience. It has as its premise, for the planning and survey of gaps in the training and development of workers, the health needs of users of the Unified Health System. The implementation of this strategy, in the State of Acre, took place in 2004 by the State Secretariat of Saúde do Acre, with the creation of the Department of Education and Research, there are currently 10 Centers implemented. Thus, this research aimed to analyze the process of implementation and development of the Centers for Continuing Health Education in the State of Acre, its weaknesses and potential. This is an exploratory descriptive study of a qualitative nature, using a semi-structured interview with 10 coordinators of the permanent education centers of the state health units. Two categories resulted from the analysis: Conception of the Center for Continuing Education in Health and Implementation of the Center for Continuing Education in Health. of these and their strengths and weaknesses. It is concluded that, despite the potential identified in the developed actions, there are still several weaknesses, such as the lack of monitoring and evaluation of the EPS activities and the lack of qualification for the professionals who work in the coordination of the centers. Thus, it is suggested that a refresher course on Permanent Health Education be held for the coordinators, to strengthen the process of implementation of the National Policy on Permanent Health Education within the State of Acre, and contribute to the policy of expansion of these cores for units in the interior of the state

3
  • CYLENE BEZERRA DE MEDEIROS NÓBREGA
  • POTENTIALITIES OF ACTIVE METHODOLOGIES FOR THE (RE)SIGNIFICATION OF THE PERMANENT EDUCATION CENTERS, IN THE STATE OF PARAÍBA.

     

  • Líder : SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • MIEMBROS DE LA BANCA :
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • LENILMA BENTO DE ARAÚJO MENESES
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • Data: 09-dic-2021


  • Resumen Espectáculo
  • The present study aims to verify how the use and potentialities of Active Methodologies – AM - can contribute and be configured into strategies for the (re) signification of the Continuing Education Centers - NEPS, in the health services of the State of Paraíba. Method: Descriptive, exploratory, qualitative approach. Research setting: Paraíba State hospital network, where the NEPS are located. Research Subjects: Eight coordinators of the NEPS of the services of the State of Paraíba belonging to I and II Macro-regions, I Health Macro-region with headquarters in João Pessoa, II Health Macro-region with headquarters in Campina Grande. Data Collection Period: July 27, 2021 to August 17, 2021. The collected data were analyzed using the thematic content analysis method, from which four categories resulted: Characterization of the NEPS Participants; Conception of permanent health education of the NEPS coordinators, Implementation and development of the NEPS and Potentialities of the use of Active Methodologies in the NEPS educational actions. Results: The categories provided the debate about how the use and potentialities of Active Methodologies can contribute to the (re)signification of the Permanent Education Centers, of the State of Paraíba. Final considerations: Data analysis made it possible to reach the objectives of the study, especially regarding the possibilities of active methodologies to contribute to changes in the training proposals for professionals of the Nuclei of Continuing Education in Health - NEPS, of the Health Services of the State of Paraíba. Thus, a course is proposed that may contribute to changes in the training proposals for professionals of the NEPS of the health services of the state of Paraíba and promote the debate on the meaning and re-signification of the proposals of continuing education in health in the light of references on Active Methodologies.

4
  • ROBSON JOSÉ DA SILVA
  • RELATIONSHIP BETWEEN WORKFORCE SUPPLY, SERVICES AND HEALTH INDICATORS: AN ANALYSIS FOR THE TOCANTINS STATE

  • Líder : ISABELLE RIBEIRO BARBOSA MIRABAL
  • MIEMBROS DE LA BANCA :
  • ISABELLE RIBEIRO BARBOSA MIRABAL
  • JANETE LIMA DE CASTRO
  • GISELLI DE ALMEIDA TAMAROZZI
  • Data: 10-dic-2021


  • Resumen Espectáculo
  • Introduction: For health planning, it is necessary to recognize, monitor and assess the dynamics of territories, the health production process and the social health needs of the population. Health indicators constitute one of the references for analyzing the health situation in a given territory and can be used as an instrument in favor of work management, as they are the result of the workforce available in the territory. Objective: to analyze the relationship between the supply of workforce, services and health indicators for the state of Tocantins. Methods: This is a quantitative research with a descriptive character of secondary data from the agreement system of the Unified Health System of Tocantins. The analysis period comprises January 2014 to December 2017. Two axes were analyzed: Axis 1 – Workforce and Assistance Coverage and Axis 2 – Attention and Service Offer. The indicators included in this research were: 1) Population Coverage – Primary Care Team; 2) Population Coverage – Estimated by Oral Health teams. 3) Proportion of admissions for sensitive primary care conditions; 4) Average supervised toothbrushing collective action; 5) Proportion of tooth extractions in relation to preventive procedures; 6) Proportion of live births to mothers with 7 or more prenatal visits; 7) Infant Mortality; 8) Maternal Mortality; 9) Ratio of cervical cytopathological tests in women aged 25 to 64 years and the same age group. For the analysis of municipal indicators, choroleptic maps were produced indicating the distribution of indicators according to the intensity of the colors. To analyze the spatial bivariate relationship between the indicators, the local Bivariate Moran test was applied and to analyze this relationship in a multivariate analysis, the Skater technique or regionalization method was applied. Results: Regarding Oral Health Team Coverage, there was no change in the offer in the state of Tocantins, with few cities in critical condition (with less than 49.99%). The supervised brushing actions, on the other hand, undergo a reduction of actions over four years in part of the state's municipalities. Regarding the proportion of tooth extractions, there were 28 municipalities in 2014 and it rose to 26 in 2017 in the red classification. Regarding family health care coverage in Tocantins, 127 municipalities in 2014 and 126 municipalities in 2017 had 100% coverage. And in relation to the proportion of Hospitalization for Sensitive Conditions to Primary Care, over the four years there was a reduction in the number of cities in the red and orange classification. From 2015 onwards, there was a collapse of the analysis network of the materials collected to carry out the screening for cervical cancer, showing that the availability of the workforce does not translate into guaranteeing access to the exam in a timely manner. Over the four years, there was an improvement in prenatal care, but there was an increase in the number of municipalities that registered maternal deaths. In MoranMap, the overlap between the high coverage of primary care and the low number of maternal deaths stands out. This finding was corroborated in the Scater map, where cluster 1 shows the municipalities with high coverage of AB, high proportion of prenatal care and the lowest rates of maternal death. Conclusions: it was shown that the supply of the workforce and services is related to health outcomes. With this, the Regulation and Work Management can use these indicators for technical support with the creation of alert panels, for the discussion on work management and organization.

5
  • MARIANA PEREIRA DE ALMEIDA SANTOS
  • TRAINING OF COMMUNITY AGENTS IN HEALTH: AN ANALYSIS OF THE TECHNICAL COURSE IN THE HYBRID TRAINING MODE CARRIED OUT BY THE SCHOOL OF PUBLIC HEALTH IN THE STATE OF MARANHÃO
  • Líder : FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • MIEMBROS DE LA BANCA :
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • ROSANGELA DINIZ CAVALCANTE
  • SHEILA SAINT CLAIR DA SILVA TEODOSIO
  • Data: 10-dic-2021


  • Resumen Espectáculo
  • The School of Public Health of the State of Maranhão (ESP/MA) is dedicated to the training and qualification of health workers to meet the needs of the SUS, developing, among other strategies, training programs, professional training and improvement. From the perspective of Continuing Health Education (EPS) and in the context of the new Coronavirus pandemic, ESP/MA offered the hybrid modality of the Community Health Agent Technical course. Then, this research project aims to evaluate the effectiveness of hybrid training of the community health agent's technical course offered by the School of Public Health of Maranhão under the students' perception. Therefore, a descriptive study of a quantitative approach will be developed in the character of a census where the student's perception will be captured through a questionnaire with closed questions applied via Google forms®. The target population foresaw the participation of 254 students in the research, who experienced the course in this teaching modality, however we had a total participation of 85 course participants. The questionnaire contained 14 questions, containing information on the characterization of the sociodemographic profile, such as: age, gender, education, residence, time in the profession, knowledge and difficulties encountered in monitoring classes online, and whether this type of teaching and the material teaching adopted by the school in the face of the pandemic scenario was satisfactory for the acquiring knowledge related to the area under study and evaluation of its performance in the activities carried out. Data will be analyzed using measures of central tendency, using graphic resources for this descriptive representation. Most respondents were between 30 and 49 years of age, totaling 71.7%. This could lead to difficulty with hybrid teaching and a negative course review. But, the general evaluation of the course showed that there were no difficulties in the students' perception. The great professional experience of the respondents, with at least 10 years, with 97.1% in total, and they consider that the course content contributed to their performance as a Community Health Agent is very significant regarding the inference about the quality of the course. With the completion of this study, it is intended to contribute to overcome the challenges and barriers for the implementation of hybrid education, helping the continuous improvement of training processes for the Unified Health System (SUS). Despite the positive results, investments should be made in reducing digital barriers, especially in municipalities with a predominance of rural areas and more distant from large urban centers, as these would be the potential beneficiaries in the post-pandemic growing hybrid modality of COVID-19 in the processes of continuing and permanent education.

6
  • THAÍS MAÍRA DE MATOS
  • TEACHING-SERVICE INTEGRATION IN FACING

    TO COVID-19 IN JOÃO PESSOA/PB

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • ROSANA LUCIA ALVES DE VILLAR
  • JANETE LIMA DE CASTRO
  • ANDRÉ LUIS BONIFÁCIO DE CARVALHO
  • Data: 13-dic-2021


  • Resumen Espectáculo
  • This research addresses aspects of teaching-service integration in the context of the COVID-19 pandemic. It aims to analyze the teaching-service integration as a strategy for Continuing Education in Health, in the fight against COVID-19 in services of the Escola Rede de Saúde Municipal, João Pessoa. The methodological approach classifies it as an exploratory, comprehensive-interpretive study with a qualitative approach. Its setting is the Santa Isabel Municipal Hospital, the Epidemiological Surveillance Management, the Telehealth Center for Coronavirus Prevention Guidelines - services from the SMS/JP Health Network that carry out actions to combat COVID-19, and are also spaces for practice of Educational Institutions. Data were collected through semi-structured interviews and focus groups, carried out with service managers, health professionals, internship coordinators and students. The results express that the teaching-service integration is a strategy of permanent health education, considering the articulation between the actors of the service and of the educational institutions, causing the development of a critical-reflective look at the service, correlating with everyday life and the daily life of the territories, developing spaces for listening, support between professionals and students, learning, evolution and growth.

7
  • MARIA DE FÁTIMA DE SOUZA ROVARIS
  • EDUCASAUDESC IN THE CONTEXT OF COVID-19: REFLECTIONS FOR WORKERS IN THE UNIQUE HEALTH SYSTEM OF SANTA CATARINA

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ROSANA LUCIA ALVES DE VILLAR
  • JULIANA VIEIRA DE ARAÚJO SANDRI
  • Data: 22-dic-2021


  • Resumen Espectáculo
  • Continuing Education in Health comprises the process of learning at work, based on the premise of meaningful learning and the possibility of transforming professional practices and even the organization of work. The National Policy on Continuing Education in Health is one of the structuring policies of the Unified Health System. In the State of Santa Catarina, this policy is currently managed by the School of Public Health, of the State Department of Health of Santa Catarina, in front of the challenges in the context of the COVID-19 pandemic, in March 2020 a training space was created in the “EducaSaudeSC” Virtual Environment, with the objective of training, updating and streamlining information about the pandemic for health professionals who are in care at patients with Covid-19. The present study is a descriptive research whose procedures used refer to the action research of document analysis, with the objective of analyzing the contributions of the use of the Virtual Learning Environment EducaSaúdeSC for health workers in the State of Santa Catarina, in the context of the COVID-19 pandemic. The data used to compose the study were obtained in 2020 and 2021

8
  • DANILO MONTEIRO SOARES
  • ETHICS IN THE PUBLIC SERVICE: A STUDY ON CONCEPTIONS
  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • ROSANA LUCIA ALVES DE VILLAR
  • JANETE LIMA DE CASTRO
  • KLEYTON SANTOS DE MEDEIROS
  • Data: 22-dic-2021


  • Resumen Espectáculo
  • This project it´s about ethics in the context of public organizations, built on two major pillars: the Brazilian Federal Constitution and the legal framework of the Ethics Management System of the Federal Executive Power. For the performance of functions, the servers, in addition to technical qualification, need political and ethical skills. Considering problems related to fragility referring to ethical posture in work processes, this research has as its general objective to analyze the conceptions about ethics in the public service of employees of the Department of Health Work Management (DEGTS), belonging to the Secretary of Work Management and Health Education (SGTES) of the Ministry of Health (MS). As specific objectives, this research propose to describe the profile of the research participants, understand the meanings of ethics and public ethics for (DEGTS) servers and identify the importance and difficulties for the exercise of work ethics developed. This is an exploratory research using a qualitative approach. Data collection will be performed through semi-structured interviews with servers working in DEGTS. The information will be analyzed through content analysis, in the thematic analysis modality. It is expected that the results of the research provide subsidies of analysis and reflections to assist future decisions related to the subject studied, considering the perspective of disseminating the importance of implementation with ethical precepts that strengthen the performance of the servers.

9
  • MANUARA APARECIDA ALVES DE SOUZA
  • EMERGENCY OPERATIONS CENTER FOR COVID-19: AN ANALYSIS OF PLEASURE AND SUFFERING AT WORK

  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • MARIA APARECIDA DIAS
  • PATRICIA FERRAS ARAUJO DA SILVA
  • Data: 29-dic-2021


  • Resumen Espectáculo
  • This research addresses the topic of working conditions and its implications for workers' health, having as a starting point the understanding that work can be considered a source of satisfaction, self-fulfillment, maintenance of interpersonal relationships and survival, but it can also be a source of suffering, pain and frustration. With the Ministry of Health's Emergency Operations Center for Covid-19 as a setting, the research has as its general objective to analyze the working conditions and their impacts on the health of the team at the Covid-19 Emergency Operations Center. As specific objectives, this study aims to map the sociodemographic and labor profile of the Covid-19 Emergency Operations Center team and to identify the stressors originating in the work environment. This is a descriptive and exploratory research with a qualitative approach. Data collection was carried out through a structured questionnaire with members of the COE. It is expected that the results of the research provide support for analysis and reflections to help health managers in planning actions to promote the health of workers, with a view to mobilizing resources and proposals for improvements.

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