Disertación/Tesis

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2024
Disertaciones
1
  • LARISSA ARIELLY CUNHA DA SILVA
  • Construction and validation of a guide for the transition of care to patients with mental disorders

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • ISABELLE CAMPOS DE AZEVEDO
  • MARCOS ANTONIO FERREIRA JUNIOR
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 23-ene-2024


  • Resumen Espectáculo
  • The transition of care is presented as a strategy to reorganize and continue the care provided with coordination between the team, family and services involved. From this perspective, the present study aims to develop a guide to support the transition of care for individuals with mental disorders. This is a methodological study with a mixed approach, organized into three procedures: theoretical, in which a focus group was carried out with 10 professional nurses from the mental health area of two reference hospitals and a Scoping Review on the transition of care to individuals with a disorder mental; empirical procedures for creating the guide and validating its content and appearance using the Delphi technique, with the collaboration of judges in the area in question; and analytical procedures, intended for data analysis using the Content Validation Coefficient. The present study was approved by the Ethics and Research Committee (CAAE: 67216423.0.0000.5537). The focus group lasted 61 minutes, in which nurses addressed their perceptions about the transition of care for patients with mental disorders. The Scoping Review showed that the transition of care for patients with mental disorders between levels of health care is carried out by a multidisciplinary team with the help of tools that facilitate communication between professionals by systematizing care, standardizing communication and directing care. The data from the focus group and the Scoping Review were the basis for creating the Guide, which was submitted to the judges for validation. In the Delphi I round, which had the participation of 16 judges, a general content validity coefficient of 0.93 was achieved for the three chapters. For appearance validation, an index of 0.93 was obtained. After adjustments suggested by the judges, in Delphi II the content and appearance validity indices were 100 for each. Therefore, the Guide was considered valid in its content and appearance, and can contribute to a safe continuity of care provided to the patient.

2
  • JÉSSICA ÍRIS FRANCO DA SILVA
  • The work of nurses in pediatric health units: satisfaction and dissatisfaction.

  • Líder : JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • DENISE ELVIRA PIRES DE PIRES
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • MARCELO MAURICIO DA SILVA
  • SORAYA MARIA DE MEDEIROS
  • Data: 07-feb-2024


  • Resumen Espectáculo
  • The experiences of pleasure and suffering determine the subject's relationship with their work,
    and can culminate in the production of health and psychological illness among workers.
    Pleasure tends to be manifested through feelings such as recognition and affinity with work,
    that is, positive experiences. On the other hand, failure, frustration and impotence point to
    suffering, when they contradict the expectations of this subject. Given this, the study's general
    objective was to analyze aspects of the work process that trigger satisfaction and dissatisfaction
    among nurses who work in pediatric services in a capital in northeastern Brazil. This is a
    descriptive and analytical study with a qualitative approach, using the Psychodynamics of
    Christophe Dejours' work as a theoretical framework. Eighteen nurses working in three public
    pediatric services of medium and high complexity in the city of Natal/RN participated in the
    study between September and November 2023. Semi-structured face-to-face interviews were
    used as a method to obtain data in a preferred location. of each participant, associated with a
    field diary. Subsequently, content analysis was conducted with the help of the Atlas.ti 23
    software. All research was developed in compliance with Resolution 466/12 of the National
    Health Council and the General Data Protection Law n.13.709/2018, having been approved by
    CEP/UFRN with opinion no. 6.278.155. The elements of satisfaction exposed were the
    development of care due to the affinity with the pediatric specialty, especially when the child
    recovers, good relationships with peers, both families and the multidisciplinary team, as well as
    the empathy of the immediate supervisor. However, work overload, distancing from
    institutional management, related to poor organization of Nursing staffing and staff shortages
    with frequent sector reassignments and undervaluation of the specialty, were the main factors
    that contributed to job dissatisfaction. It was concluded that the research participants are
    partially satisfied with their work and that the factors revealed could be fundamental to
    improving their work process in relation to their teams, institutional and political management.

3
  • ERICLES LOPES DE MOURA
  • Implantation of a Peripherally Inserted Central Catheter guided by ultrasound versus blind puncture for the prevention of vascular trauma: a Systematic Review,

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • ISABELLE CAMPOS DE AZEVEDO
  • KLEYTON SANTOS DE MEDEIROS
  • Data: 09-feb-2024


  • Resumen Espectáculo
  • Introduction: The evolutionary history of intravenous therapy points to a development
    observed as a result of the advancement of studies and research derived from several other
    areas of knowledge. For this reason, it should not be reduced to a simple technique for
    carrying out therapy, given its well-structured arsenal of knowledge. Tunneled central
    catheters began to be used in the 1980s, however, regarding Peripherally Inserted Central
    Catheters (PICC), there are records of the beginning of their implementation since the 1970s.
    Their significant use in the care setting Critics consider the existence of conditions that
    increase the chance of complications related to puncture, when compared to other
    intravascular devices. However, the benefits of this device do not exempt it from the
    occurrence of adverse events, such as vascular trauma that usually occurs after its
    implantation. The prevention of this outcome is what configures the object of this study.
    Objective: To compare the effectiveness of implanting a Peripherally Inserted Central
    Catheter using ultrasound-guided puncture with blind puncture for preventing vascular
    trauma in adult patients admitted to an intensive care unit (ICU). Methodology: This is a
    systematic review of effectiveness. This design comprises a type of study capable of
    synthesizing the results of primary studies that meet the eligibility criteria to answer a
    research question. The recommendations of the JBI Manual for Evidence Synthesis were met;
    and to provide greater methodological rigor to its structure and content, the initiatives of the
    Preferred Reporting Items for Systematic Reviews and Meta-Analyses for Protocols 2020
    statement were complied with. For data management purposes, a search and review protocol
    was drawn up, the registration of which on the International Prospective Register of
    Systematic Review platform it was registered under the following inscription:
    CRD42023467957. Data collection occurred through a paired search with independent
    reviewers in ten data sources, and the studies were selected according to the eligibility criteria
    adopted for the purposes of this review. Data extraction took place by completing a semi-
    structured instrument containing the variables of interest to the research, from which
    descriptive analyzes were processed as well as critical assessment of the methodological
    quality, risk of bias and strength of evidence of the studies that were part of the final sample.
    Results: After using the search strategy syntaxes, a total of 1.024 articles were retrieved to
    read the titles and abstracts. From this number, three studies were selected for full reading, as
    they met the scope of this review. All of them were randomized clinical trials, however, one
    of them was excluded because it was not available in full text in the database. The final
    sample was composed of four studies, which were subjected to a complete reading from

    which the form for data extraction was completed, as well as the JBI Critical Assessment
    Checklist for Randomized Controlled Trials was applied, in order to identify the risk of bias
    and the methodological quality of the studies. Both studies compared the effectiveness of two
    puncture methods for PICC implantation, between blind puncture and ultrasound-guided
    puncture. As a result, it was observed that the use of ultrasound to guide the puncture was
    superior to the conventional method for implanting the device, especially for the prevention
    of postoperative complications. Conclusion: Ultrasound-guided puncture is a safe,
    satisfactory and effective method for PICC implantation and prevention of vascular trauma in
    adult patients admitted to the ICU.

4
  • DAYARA AINNE DE SOUSA ARAÚJO
  • Conventional infusion therapy and hypodermoclysis in palliative patients: comparison between general and oncology hospitals.

  • Líder : QUENIA CAMILLE SOARES MARTINS
  • MIEMBROS DE LA BANCA :
  • ALCIDES VIANA DE LIMA NETO
  • ISABELLE CAMPOS DE AZEVEDO
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • QUENIA CAMILLE SOARES MARTINS
  • Data: 23-feb-2024


  • Resumen Espectáculo
  • The objective of the study is to compare the clinical and therapeutic characteristics related to the hospitalization course in palliative patients undergoing conventional therapy and hypodermoclysis in a general and oncology hospital. It is a study with a quantitative approach, prospective cohort, to structure it, Strengthening the Reporting of Observational Studies in Epidemiologi was used. It took place in two oncology reference services with exclusive services to the Unified Health System in the state of Rio Grande do Norte. The study population consisted of cancer patients undergoing palliative care who were hospitalized. Therefore, to calculate the sample for this research, it showed a power of 80% and a level of evidence of 0.05, so the overall sample was 84 patients to be evaluated. This research included patients admitted to hospitals that present palliative care procedures or that are beyond therapeutic possibilities, and excluded patients whose at least the main caregiver had no knowledge about palliative care procedures. For the outcomes of this study, death, hospital discharge and transfer to other units will be considered. For data collection, an instrument for sociodemographic and clinical data was used, in addition to the algorithm for eligibility of hypodermoclysis in adult patients, the Edmonton Symptom Assessment Scale and the Palliative Performance Scale. The data was organized in Microsoft Excel and analyzed using the statistical software Statistical Package for the Social Sciences version 22.0, statistical tests were carried out to analyze the data, with a significance level of 0.05 adopted. The study obtained a favorable opinion from the Research Ethics Committee under number 6.289.214 and CAAE 71440423.6.0000.5537, thus following the ethical precepts in research with human beings described in Resolution 466/2012 of the National Health Council. Study was divided into hospital 1 (29 patients) and hospital 2 (55 patients), this is justified by the discrepancy in the number of hospital beds in hospital 2 in relation to hospital 1. The results indicate that in both hospitals the median age They are in the sixty-year-old age group, female (37.0% - 63.0%), and predominantly reside in the interior of the state (36.2% - 63.8%). The types of cancer that prevailed were of gastrointestinal origin (45.9%), followed by lung (11.8%) and breast (8.2%), in addition, the number of days of hospitalization had a median of six days in hospital 1 and four in hospital 2. The study showed that palliative patients used the peripheral venous catheter more frequently (53.3%) with a median of one day in usage time, the central venous catheter had a median in usage time of thirteen days and hypodermoclysis of one day. Therefore, the routes are effective, however, adverse events related to the catheter and assistance were observed, such as: infiltration, erythema, hematomas, venous fragility, which will present different levels of complications in relation to the catheter and puncture site of choice. Furthermore, infusion therapy works to control signs and symptoms, contributing to comfort and quality of life. This study verified the access route that guarantees quality, safety and comfort for patients in hospital, as well as contributing to a safe and cost- effective transition of care for health services and users. 

5
  • THUANNY NAYARA DO NASCIMENTO DANTAS
  • Middle Range Theory for the Nursing Diagnosis of Neonatal Abstinence Syndrome.

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • Data: 27-feb-2024


  • Resumen Espectáculo
  • Introduction: In the health concept, Neonatal Abstinence Syndrome is a post-birth
    complication identified in newborns based on the observation of a set of signs and
    symptoms resulting from exposure to psychoactive substances during pregnancy or as a
    consequence of pharmacological exposure to the pain relief and control or sedation. In
    the context of Nursing, Neonatal Abstinence Syndrome is configured as a Nursing
    diagnosis that belongs to the NANDA International classification system and that,
    currently, requires the development of its diagnostic indicators (related factors and
    defining characteristics) to make it valid with a higher level of evidence. Thus, with the
    aim of identifying the etiological elements and clinical characteristics of this diagnosis,
    reducing the existing gaps between theory and practice and contributing to improving
    the quality of nursing care for newborns undergoing abstinence, it is proposed to
    develop a Theory of Medium Range (MRT) for the diagnosis under study. Objective:
    Develop a Middle Range Theory for the nursing diagnosis of Neonatal Abstinence
    Syndrome. Method: This is a methodological study of theoretical-causal validity,
    proposed by the Lopes e Silva framework, carried out in six stages: Definition of the
    approach for constructing the MRT; Definition of the theoretical-conceptual models
    adopted for MRT; Definition of key MRT concepts; Construction of a pictorial
    diagram; Construction of MRT propositions; and Establishment of causal relationships
    and practice-based evidence. Two approaches were adopted to construct the MRT:
    literature review, through the execution of two systematic reviews (on etiology and risk
    and diagnostic accuracy); and based on Callista Roy's Adaptation Model. Data
    collection occurred by searching the following data sources: SciELO, Web of Science,
    Science Direct, PubMed, COCHRANE, SCOPUS, CINAHL, EMBASE and LILACS.
    As a search strategy, the following descriptors were used: Newborn, Etiology,
    Causality, Signs and Symptoms and Neonatal Abstinence Syndrome, interspersed with
    the Boolean operator AND. The inclusion criteria were: studies addressing the Neonatal
    Abstinence Syndrome phenomenon, complete studies, available and free in any
    language. Exclusion criteria include: abstracts, editorials, letters to the editor, theses,
    dissertations, review articles, reviews, preliminary notes, reflection articles. Results:
    Eight etiological factors (related factors) and 12 clinical characteristics (defining
    characteristics) were identified. Based on these findings, conceptual and operational
    definitions were created for each of these clinical antecedents and consequences of
    MRT, which were summarized in a pictorial scheme and which also supported the
    construction of MRT propositions and causal relationships. These results were
    presented through the description and construction of flowcharts, tables, charts and
    figures. Conclusion: The MRT for the diagnosis of Neonatal Abstinence Syndrome was
    developed to describe, explain and predict the phenomenon, in order to guide nursing
    interventions more assertively, in order to meet the human needs of the population in
    focus and improve practice nursing, through the theoretical-causal validation study.

6
  • SHAYANNA MICKAELA DUQUE CARNEIRO
  • The (re)construction of the professional identity of migrant nurses.
  • Líder : JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • JOÃO BOSCO FILHO
  • MARCELO MAURICIO DA SILVA
  • SORAYA MARIA DE MEDEIROS
  • Data: 28-feb-2024


  • Resumen Espectáculo
  • The migration of nurses is an important phenomenon with varied implications, both for the places of origin and for the destinations. Individual, social and professional factors influence the decision to migrate these workers and the experiences lived by them directly reflect on the construction of their personal and professional identities. The objective of this study was to analyze the decision of nurses who have an employment relationship in a public teaching institution to migrate to another institution in the regions of Brazil. This is an analytical study, with a qualitative approach, mediated by Thematic Oral History. Nurses working in four university hospitals managed by the Brazilian Company of Hospital Services who migrated from these units as well as the other way around were invited to participate in the study. Semi-structured interviews were conducted and their analysis through the categories resulting from the dialogue between the authors studied in the theoretical framework on the theme. The research was approved by the Research Ethics Committee of UFRN with the Opinion number 6.278.154 and CAAE 70566623.5.0000.5537. Thirteen interviews were carried out respecting their availability and preference regarding format. Therefore, there were eleven face-to-face interviews and two through the Google Meet platform. There was a predominance of female employees, aged between 32 and 48 years old. Regarding academic degrees, all reported having at least two Lato Sensu postgraduate degrees and only three reported Stricto Sensu postgraduate degrees at the Residency and Master's level. The initial crisis in the insertion of the labor market of a capitalist society, with its frustrations of unemployment, precarious ties in cooperatives and the lack of recognition in society, stimulated the search for professional qualification as a means of getting out of that reality. This qualification, at all times, was filled with expectations due to the change in the environment in which they were inserted, which influenced the decision of the first migration of eleven of the thirteen collaborators in the study. However, the personal and
    professional maturation after their migratory experiences promoted a new identity crisis: the search for identity for themselves. The nurses in the study not only wanted social identity, but also the pleasure of belonging, and thus, of the eleven collaborators who migrated for the first time away from their states, eight decided to migrate once again to be close to their essence, promoting the (re)construction of their professional identities with a new beginning, new environments, new friendships and new work processes. It was found in the research that the professional identity is changeable, directly linked to the individual identity and that when they find their new belonging, through their choices and not only for an economic reason, the employees develop their work activities with satisfaction and pleasure. As nurses, this directly reflects not only on their professional careers, but also on their personal lives and the entire society that depends on their health care. 

7
  • CAMILA SAYONARA TAVARES GOMES
  • Care-educational technology aimed at risk-prone health behavior, sedentary lifestyle and overweight in university students.

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • DANDARA NAYARA AZEVEDO DANTAS
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • NIRLA GOMES GUEDES
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • Data: 28-feb-2024


  • Resumen Espectáculo
  • The nursing diagnoses Risk-prone health behavior, Sedentary lifestyle and Overweight are common among university students, given the transitions experienced and the fragility in their health care during the undergraduate period. In this context, nurses can intervene through care-educational technologies aimed at promoting health. However, there are few technologies available for this audience. Thus, the present study aimed to: build and validate a care-educational technology for the nursing diagnoses Risk-prone health behavior, Sedentary lifestyle and Overweight in university nursing students. This is a methodological study, carried out in two stages. The first stage consisted of the construction and content validation of the care-educational technology and the multiple- choice questionnaire, with closed questions, applied in the pre-test and post-test. The construction of the technology was supported by scientific literature and the experience of the researchers involved. In the content validation process, a focus group was held with nine judges, considering the opinions frequently expressed by the judges and the final consensus. The second stage of the study corresponded to the application and evaluation of care-educational technology, through an experimental study. The nursing students were divided into an intervention and control group. The intervention group was subjected to this technology and the control group to the lecture in the format of a dialogued expository class. Both groups answered the pre- and post-tests. Data were analyzed using descriptive and inferential statistics. The research project was approved by the Ethics Committee of the Federal University of Rio Grande do Norte, under opinion number 5,917,687. The results show that the technology developed was a workshop, called “Workshop on health care”, divided into four thematic axes, with 35 minutes of execution in each axis and twenty minutes of application of the pre- and post-test. The thematic axes were aimed at health promotion, involving content on healthy eating, sedentary lifestyle, use of legal and illicit substances, sexual and reproductive health, mental health, time management, stress and quality sleep. As for the focus group, there was a final consensus among the judges, with adjustments being made to the technology and the questionnaire. In the experiment stage, it was identified that the care-educational technology was not effective in improving students' knowledge about health promotion, when comparing the pre-test (p=0.506) and the post-test (p=0.271) of the intervention and control groups. However, when the correct answers to the questions in the pre- and post- tests of the groups were analyzed, an increase in correct answers to the questions in the experimental group was observed when compared to the control. It is concluded that the care-educational technology developed and validated was not effective when comparing the tests before and after the intervention and control groups, however the average number of correct answers for students in the intervention group was higher. Therefore, it is expected that this technology can be applied in other studies with a larger number of university students, especially those in the health area. 

8
  • RAFAELA CAVALCANTI DE ALBUQUERQUE NASCIMENTO
  • Risk factors associated with nosocomial infection during hospitalization in adult intensive care units: Scoping Review.

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • RODRIGO ASSIS NEVES DANTAS
  • BARBARA COELI OLIVEIRA DA SILVA
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • Nosocomial Infection are recognized by the World Health Organization as a problem of broad global magnitude. In this context, Brazilian hospitals present an unfavorable scenario in terms of high rates, as they present approximately 6% of HAIs in the context of hospital admission, being triple the percentage of tolerance stipulated by the World Health Organization. When considering that HAIs are a serious public health problem, they can be caused by several risk factors, which vary according to the hospital context, patient profile and health care practices adopted, and can thus be assessed that Carrying out a comprehensive and systematic review to identify risk factors for HAIs will become a useful tool for infection control. Objetive: Identify and map the risk factors associated with healthcare-associated infections in people hospitalized in adult intensive care units. Method: This is a scoping review (DOI 10.17605/OSF.IO/MYEJ5) developed within the recommendations of the Joanna Briggs Institute and PRISMA Extension for Scoping Review, developed in five stages: 1) identification of the research question; 2) identification of relevant studies; 3) selection of studies; 4) data extraction, separation, summarization and reporting of results and 5) communication of results. According to JBI, the Participant, Concept and Context mnemonic was applied to construct the research question, in which Participant corresponds to “People in hospital”, Concept “Risk factors for healthcare-related infections” and the Context “ Adult ICU”, and the guiding question was: “What are the risk factors in the development of HAIs in people admitted to intensive care units?”. The search was carried out in twelve databases, using the following Boolean descriptors and operators, according to the crossing format: (Cross Infection) OR (Nosocomial Infection) OR (Patients) OR (Adult) AND (Risk Factors) AND (Intensive Care Units ) OR (ICU Intensive Care Units), in 2023 on the Federated Academic Community platform. The research inclusion criteria were: articles originating from primary, secondary studies, national regulations and policies, dissertations and theses available in full, without temporal delimitation, in any language and that answer the research question. Reflections, experience reports, editorials and summaries published in the annals of scientific events will be excluded. Results 5533 studies were found, 54 of which were included. 100% of the studies addressed some intrinsic characteristic associated with a risk factor for the development of HAIs, addressing age 62%, sex 53%, use of antibiotic agents in the previous 90 days 9%, use of corticosteroids 1%, diseases priors 29%, smoking 2%, nutrition 22%. For extrinsic risk factors, such as those associated with hospitalization, the study addressed length of stay 71%, ICU admission 42%, APACHE II 33%, APACHE III 27%, night admission 2%, nurse/patient ratio 1% , aseptic measures 19%, use of sedation 21%, blood transfusion 2%. The use of devices was also cited in studies as risk factors, with the following being addressed: central venous catheter, endotracheal intubation, tracheostomy tube, mechanical ventilation, nasoenteral tube, urinary catheter, drains, etc. Conclusion: The mapping of risk factors associated with Nososcomial Infections contributes to the advancement of scientific knowledge about Nosocomial infections in ICU, by providing a comprehensive mapping of risk factors, aiming to join efforts with existing national programs focused on prevention of nosocomial infection. 

9
  • KATARINE FLORÊNCIO DE MEDEIROS
  • APPLICATION OF THE INSTRUCTIONAL THERAPEUTIC TOY IN HOSPITALIZED CHILDREN UNDERGOING BLADDER CATHETERISM

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • EDMARA BAZONI SOARES MAIA
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • SORAYA MARIA DE MEDEIROS
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • Among the playful interventions proposed for children undergoing hospitalization, Therapeutic Play stands out,
    which can be classified into three types: dramatic; physiological and instructional function enabler. The
    Instructional Therapeutic Toy aims to clarify and train the child/family about hospitalization and the therapy involved in it. This is a descriptive and exploratory study with a qualitative approach through multiple case studies, supported by Winnicott's contributions, with the aim of understanding the meaning attributed by hospitalized children to participating in an instructional therapeutic play session in preparation for bladder catheterization. Ten children hospitalized in a university hospital in a northeastern capital participated in the period from October to November 2023. Data collection occurred in three phases: 1) collection of data from the medical records; 2) Intervention with Instructional Therapeutic Play and 3) semi-structured interview with the child. The second and third phases were recorded in video and audio using electronic media and transcribed in full. The field diary was used to record observations related to non-verbal communication during the application of the therapeutic toy and the interview. The criterion used to interrupt collection was theoretical data saturation. The data were analyzed based on inductive thematic analysis with the support of Winnicott's theoretical framework, resulting in the identification of three themes: Having control over reality; Perceptions related to instructional BT; Bladder catheterization from the perspective of hospitalized children. The study met the ethical prerogatives required by Resolution No. 466/2012, of the National Health Council and its supplementaries, being approved by opinion no. 6.417.881 and CAAE 71444523.0.0000.5537, issued by the Ethics and Research Committee of the Federal University of Rio Grande do Norte. For children, therapeutic toys allow them to have control over reality by giving them powers to oppress, decide what to do and want to be, be or have something for themselves. By reliving previous experiences, they had the opportunity to dramatize their experiences and retell their stories related to past and current hospitalizations in an attempt to process and re-signify them to discover the child's self, with the aim of, through creativity, coping better. with the situation. It was identified that they perceive therapeutic play as a pleasurable activity, as it allows them to enter their imagination and play, but it also awakens paradoxical and/or negative feelings by reviving memories of past experiences. For some children, bladder catheterization meant healing and care and, as it was an invasive procedure, it was associated with pain. For others, when contacting their internal reality, the therapeutic toy caused internal disorders and disturbed feelings emerged, which caused an escape from reality. Although the session was intended to instruct children about bladder catheterization, it became a dramatic therapeutic toy when it provided space for creativity, entering the children's universe, recounting their experiences and expressing emotions and perceptions related not only to catheterization, but also to other procedures experienced during hospitalizations.

Tesis
1
  • FERNANDO HIAGO DA SILVA DUARTE
  • USE OF AUDIOVISUAL RESOURCE IN THE ACQUISITION OF KNOWLEDGE AND REDUCTION OF THE LEVEL OF ANXIETY OF HOSPITALIZED PATIENTS NEWLY DIAGNOSED WITH HIV/AIDS: randomized clinical trial.

  • Líder : DANIELE VIEIRA DANTAS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • DANDARA NAYARA AZEVEDO DANTAS
  • DANIELE VIEIRA DANTAS
  • JULIANA RAQUEL SILVA SOUZA
  • RENATA SILVA SANTOS
  • Data: 20-feb-2024


  • Resumen Espectáculo
  • The acquired immunodeficiency virus (HIV) is capable of developing the Acquired Human
    Immunodeficiency Syndrome (AIDS), with severe clinical manifestations, affecting physical
    and mental integrity. It is necessary to use technological tools in education, as lack of
    knowledge can cause anxiety in newly diagnosed patients. The objective of this study was to
    evaluate the effectiveness of an audiovisual resource in acquiring knowledge and reducing
    anxiety in patients newly diagnosed with HIV in an infectious disease hospital in the capital
    of Rio Grande do Norte. Developed in two phases: methodological and experimental study,
    from August to December 2023. The first phase was divided into three stages: stage 01 -
    scope review, identified and validated the relevant elements for the composition of the
    appeal, using the Fehring criteria, obtaining 22 judges. Step 02 - construction and validation
    of script content. And in stage 03 - construction and validation of the resource interface, in
    the respective stages the Delphi technique was used, with six judges in both. In the
    experimental phase, a randomized controlled and single-blind clinical trial was carried out,
    with a quantitative approach, according to the recommendations of the Consolidated
    Standards of Reporting Trials, with a size and Cohen effect of 0.50, test power of 0.88 and a
    level of 5%, generating a sample of 40 patients among 20 patients, who received the standard
    guidelines and 20 patients from the Experimental Group (EG). They received the standard
    guidelines and the audiovisual resource, with information about the disease, characteristics of
    the virus, forms of transmission and prevention, effectiveness of treatment and daily care. To
    evaluate the effectiveness of the resource, two instruments were used for data collection: 1)
    State Trait Anxiety Inventory (STAI); and 2) Knowledge Assessment Instrument
    (HAI). These were processed in a Microsoft Office Excel 2010 and Statistical Package for the
    Social Sciences (SPSS) version 20.0 databases, using descriptive and inferential
    statistics. The Chi-square test (χ²) or Fisher's test or Student's t-test and other necessary
    statistical tests were used, with p<0.05 for the relationship between the variables. This
    research was approved by the Research Ethics Committee of the Federal University of Rio
    Grande do Norte, with opinion: 4,619,717. Regarding the results, 30 (76.0%) were male and
    10 (24.0%) were female, marital status, 30 (76.0%) were single and 10 (24.0%) were married,
    21 (53.0%) lived in the interior of the state and 19 (47.0%) lived in the capital of Rio Grande
    do Norte, and 38 (93.0%) lived in urban areas. Regarding the acquisition of knowledge
    ascertained by the IAC, positive results were obtained with an average of 29.0% after
    application of the resource, regarding the anxiety addressed in the STAI, of the eight sub-
    items directly related to anxiety, an average of 28.5% reduction in anxiety was obtained after
    intervention. Thus, the data evidenced the effectiveness of the audiovisual resource for the
    acquisition of knowledge and reduction of anxiety, as promoting knowledge enables a better
    experience of users in the face of the diagnosis.

2
  • SILVIA KALYMA PAIVA LUCENA
  • Serious game as an educational tool for caring for people before and after an intestinal stoma.

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ISABELLE KATHERINNE FERNANDES COSTA
  • RODRIGO ASSIS NEVES DANTAS
  • ALCIDES VIANA DE LIMA NETO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • ADRIANA CATARINA DE SOUZA OLIVEIRA
  • JESSICA DANTAS DE SA TINOCO
  • Data: 21-feb-2024


  • Resumen Espectáculo
  • Objective: Build and validate a serious game as an educational tool in
    stomatherapy in hospital care. Method: Methodological study, with a
    quantitative approach, carried out in four stages: scoping review, with the aim of

    identifying the guidance provided to patients pre-operatively and post-
    operatively; research with hospital care nurses, in order to identify the

    knowledge and difficulties of these professionals regarding the care of people
    with an intestinal ostomy, information that supported the third stage;
    construction of the serious game; content validation (narrative, clinical,
    contextual aspects and whether the case is appropriate). For evaluation, the
    content validity index (CVI) will be used, with a value greater than or equal to
    0.8, to be considered valid. An adapted Egameflow instrument was also
    applied, with 24 questions, of which two are focused on aspects of contact with
    technologies and games, 21 questions related to the game as an educational
    strategy, in which its alternative answers were through a score of 1 it was weak
    to 7 strong and an open question regarding learning the game. The data was
    first passed into Excel and then a descriptive analysis was carried out using the
    Statistical Package for Social Science for Windows program, obtaining the
    relative and absolute frequencies of the categorical variables. The study was
    submitted to the research ethics committee of the Federal University of Rio
    Grande do Norte and received a favorable opinion under number 5.736.475,
    CAAE: 61762122.9.0000.5537. Results: Given the findings of the scoping
    review and research with hospital care nurses, it was possible to build the
    serious game with two scenarios, one for the pre-operative period of a surgery
    to create an intestinal ostomy and the second, for the postoperative period.
    Regarding content validation, the 10 experts experts in the area of
    stomatherapy, in the sentence “The narrative of the case/question presented is
    adequate and is close to representing reality” obtained a CVI of 0.9; “The
    clinical aspects presented in the case are adequate and are close to

    representing reality” CVI of 0.8; “The contextual aspects presented in the
    clinical case are adequate and are close to representing reality” CVI of 0.9; “Do
    you consider this case appropriate for teaching about intestinal ostomy care”
    CVI of 0.8, thus obtaining a total CVI of 0.85. In relation to the game as an
    educational strategy, the questions that obtained the best scores were “Do I try
    to apply my knowledge in the game?” average of 6.8; “I want to know more
    about the content presented” average of 6.8; “Does the game improve my
    knowledge?” average of 6.7; “Am I motivated by improving my skills?”, average
    of 6.6; “Do I receive information about my status such as score level?”, average
    of 6.6. Conclusion: Given these results, it is observed that the serious game
    represents a real situation that can be found in hospital environments.
    Furthermore, the game proved to be a good educational strategy. Furthermore,
    it is intended that with this study, the level of knowledge of health professionals,
    especially nurses, will increase regarding this topic.

3
  • LUANA SOUZA FREITAS
  • Serious game about intestinal ostomies as an educational technology for nurses in the context of primary health care.

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ISABELLE KATHERINNE FERNANDES COSTA
  • QUENIA CAMILLE SOARES MARTINS
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • MARINA DE GÓES SALVETTI
  • RENAN ALVES SILVA
  • Data: 28-feb-2024


  • Resumen Espectáculo
  • The nurse is the professional who cares for the person with a stoma after the initial impact caused and is the reference to provide guidance towards adapting to the new condition, which is why they need to be trained to provide this assistance. The use of educational technologies can be a tool to assist in this preparation, as an example of this type of resource, there are serious games, which are virtual games with responsive dynamics that aim to achieve learning using visual resources for motivation. In this sense, the objective of this study is to develop and evaluate a serious game as an educational technology about intestinal ostomies for nurses in the context of primary health care. This is an applied and methodological research with a technological focus to build a serious game, divided into two stages, 1st stage: identification of the difficulties of primary care nurses in caring for people with ostomies. 2nd stage: development of the serious game (conception, elaboration, finalization and feasibility). This study has reached the elaboration stage. In the first stage, a questionnaire was applied to primary care nurses who raised the following difficulties: guidance on the various types of collecting equipment, technical skills and frequency of changing and cleaning bags, emotional aspects of the person with a stoma and lack of training to assist this patient. public. After the first stage, the 2nd stage began with the alignment of goals and learning objectives, followed by the development of a scoping review that identified in 17 studies guidance from nurses with experience in the area, predominantly on aspects of self-care with stoma and peristomal skin, choices about collection bags and adjuvants, and adaptation and acceptance issues. With the information in hand, the prototype was built from June to December 2023, containing 7 fictional characters with different complaints and representing several possible simulated moments in the life of a person with a stoma. The scenarios cover initial concepts of intestinal elimination stoma, ostomy and peristomal skin hygiene, cleaning and changing collection bags, aspects of feeding and indication of bags, complications, social, emotional and adaptation issues, laws and rights of people with ostomy and intestinal continence methods. The 1st stage of evaluation takes place with six judges specialists in stomatherapy for content analysis and two specialists in technical and pedagogical aspects of the developed software. The judges' requests for improvements were considered and after the modifications made, the 2nd stage of evaluation began by the experts.

4
  • LAÍS VASCONCELOS SANTOS
  • Validation of the situational low self-esteem diagnosis in nursing students

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • Low self-esteem can frequently occur in undergraduate nursing students, as they are a population vulnerable to mental imbalance and/or a crisis arising from stressors related to academic life. When present, low self-esteem can lead to self-destructive behavior, lower self- efficacy and course dropout. However, there are few studies on this diagnosis in this population. Thus, the present study aims to validate the nursing diagnosis of situational low self-esteem in nursing students. This is a methodological research, developed in three stages, namely: 1) theoretical-causal validation, based on the construction of a medium-range theory; 2) content analysis; and, 3) clinical validation, through a diagnostic accuracy study. Initially, the development of the middle range theory was operationalized through a scoping review. The antecedents, consequences and their respective conceptual and operational definitions were identified, as well as a pictogram, propositions and causal relationships. In the second stage, the elements of the theory were analyzed by 22 judges, with levels of expertise ranging from beginner to experienced. The data were analyzed using the content validity index, based on the collective wisdom approach. In the third stage, the research was carried out with 55 nursing students from a federal public institution, located in the city of Campina Grande- Paraíba. The research was approved by the UFRN Research Ethics Committee, through opinion number 5.632.922 and Certificate of Presentation for Ethical Assessment number 60617922.4.0000.5537. The results showed that in the first stage, 16 antecedents and 21 consequences corresponding to the diagnosis under study were identified, and their respective conceptual and operational definitions were elaborated. The analysis of these elements allowed the development of a pictogram, construction of 8 propositions and establishment of causal relationships. In the second stage, the analysis of the diagnostic content by the judges made it possible to improve the definition and elements previously developed, which resulted in a diagnostic structure consisting of 13 defining characteristics, 15 related factors, 5 associated conditions and 1 population at risk. In the third stage, the prevalence of the nursing diagnosis of situational low self-esteem was 78.18% among the students interviewed. The defining characteristics: Recalls trauma and Anxious symptoms presented the best sensitivity and specificity values. Related factors: Traumatic experiences and Individuals in psychological distress demonstrated a 13.65 times greater chance of developing the diagnosis of situational low self-esteem. It is concluded that the diagnosis Situational low self-esteem is verifiable in undergraduate nursing students and presents two defining characteristics with better accuracy values. Furthermore, it is expected to contribute to increasing the level of evidence for this diagnosis in the NANDA-I taxonomy.

5
  • JULIANE RANGEL DANTAS
  • Validation of the nursing diagnosis Risk-prone health behaviors in university students.

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • JESSICA DANTAS DE SA TINOCO
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • TAHISSA FROTA CAVALCANTE
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • The nursing diagnosis Risk-prone health behavior is present in different populations, however
    research is scarce on university students. These behaviors are associated with the occurrence of
    several negative consequences, in the short and long term, which can affect the quality of life of
    individuals, especially young people. Given this reality, it is necessary to validate the
    aforementioned nursing diagnosis for the university public. Therefore, the objective of the present
    study is to validate the nursing diagnosis Risk-prone health behavior in university students. This is a
    methodological study, developed in three stages, namely: theoretical-causal validation, based on the
    construction of a medium-range theory; content analysis; and, clinical validation, through a
    diagnostic accuracy study. The study was approved by the Research Ethics Committee of the
    Federal University of Rio Grande do Norte, under opinion no. 4.953.282 and Certificate of
    Presentation for Ethical Appreciation no. 48202221.6.0000.5537. In the first stage, a medium-range
    theory was developed for the diagnosis under study, which was operationalized through an
    integrative review in four databases. We sought to verify in the literature the essential attributes,
    clinical antecedents, clinical consequences, conceptual and operational definitions, propositions and
    the causal relationships between the identified concepts. The final sample consisted of 87 articles.
    The following were identified: a definition, an essential attribute, 14 clinical antecedents, 11 clinical
    consequences, 12 propositions and 14 causal relationships. A pictogram was also produced to
    illustrate the “ComPoRis Theory”. In the second stage of the study, content analysis was carried out
    by 48 judges, via an online Google Forms form, in order to judge the adequacy of the definition,
    attribute, antecedents and clinical consequences. The suggestions sent by professionals were
    analyzed, culminating in the readjustment of the definition of the diagnosis and essential attribute,
    as well as the 13 clinical antecedents and 12 clinical consequences and their respective conceptual
    and operational definitions.In the third stage, an accuracy study of the Risk-Prone Health Behavior
    diagnosis was carried out with 108 nursing students from the Federal University of Rio Grande do
    Norte. Data collection took place in October 2023 in the Nursing Department of that university. The
    SPSS software was used to carry out the descriptive statistical analysis and the R software was used
    to analyze the latent class of the clinical indicators of the diagnosis under study. The diagnosis
    presented a prevalence of 78.88% in the investigated clientele. The sensitive indicators were:
    Inadequate eating behaviors, Compensatory use of the internet and Excess body fat. The specific
    indicators were: Abuse of legal and illegal substances, Unsafe sexual behavior and Impaired
    emotional health. Thus, it is concluded that the Risk-Prone Health Behavior diagnosis is verifiable
    in nursing students and presents three sensitive and three specific indicators. Through this research,
    we hope to contribute to increasing the level of evidence regarding the clinical construct validity of
    the aforementioned diagnosis, strengthening its relevance and permanence in the NANDA-I
    taxonomy. Furthermore, it is expected to contribute to the advancement of nurses' work process,
    through more reliable identification of the diagnosis in this population and by strengthening the
    development of good habits and prevention of future health problems.

6
  • MARINA MARISA PALHANO DOS SANTOS
  • HIV Prevention in Adolescents: Development and Validation of a Peer Education Instrument in Nursing Context

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ALIETE CRISTINA GOMES DIAS PEDROSA DA CUNHA OLIVEIRA
  • BARBARA COELI OLIVEIRA DA SILVA
  • ERIKA SIMONE GALVAO PINTO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • Data: 29-feb-2024


  • Resumen Espectáculo
  • The shift in the age profile of HIV cases and the rising incidence rates among adolescents suggest vulnerabilities in preventive measures. As a refined methodology in health education, Peer Education enables collective interventions with individual reach, fostering significant changes in this scenario. These aspects are incorporated into the Combined Prevention Mandala, representing a modern approach integrating multiple HIV prevention strategies into a unified framework.It is essential to highlight the role of nurses, responsible for implementing and operationalizing health promotion actions, establishing connections between school health and education as a strategy. This study aims to construct and validate an instrument focused on HIV prevention in adolescents through peer education in the context of nursing. It is a methodological study with a quantitative approach, organized into six stages: Concept analysis; Scoping review; Data cross-referencing; Instrument item construction; Instrument content validation, and Instrument appearance validation.The concept analysis followed Walker and Avant's (2019) eight-step framework. The scoping review was guided by The JBI Manual for Evidence Synthesis for the selection of studies identifying items for the instrument. The nine axes of the Combined Prevention Mandala (CPM) underpinned the entire methodological process. For validation stages, judge selection and the Delphi Technique for content validation, Content Validation Coefficient (CVC) utilization, and Kappa Index calculation for judge agreement on the instrument and its items were performed.The study received approval from the Research Ethics Committee (CEP) of UFRN with Protocol No. 6.566.151 and Certificate of Ethical Presentation (CAAE) No. 75835223.2.0000.5537. The constructed instrument had nine main titles corresponding to the CPM axes, with 40 items derived from the scoping review. Validation involved 16 expert judges and the target audience, assessing "Representation," "Importance," and "Clarity," showing excellent agreement levels. Specific evaluation resulted in a Kappa index of 1,00 and CVC of 1,00. Overall evaluation of content yielded a Kappa index of 1,00 CVC of 1,00. Appearance evaluation about culture adequation also achieved Kappa 0.87, CVC of 0,89 indicating excellent concordance among evaluators. In conclusion, the constructed instrument meets HIV prevention needs in adolescents, proving innovative and useful for nurses. This thesis demonstrates the feasibility of building an instrument for HIV prevention in adolescents through peer education, with evidence of content and appearance validity for the nursing context.

7
  • ANA CAROLINA COSTA CARINO
  • Validation of the nursing diagnosis Overweight in university students.

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • KADYJINA DAIANE BATISTA LÚCIO
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • Data: 01-mar-2024


  • Resumen Espectáculo
  • Intense weight gain after entering university is common among undergraduate students. In this context, the importance of empowering professional nurses in the development of health promotion strategies, based on the inference of accurate and precise diagnoses, is emphasized. Thus, the objective of the present study is to validate the nursing diagnosis of Overweight in adolescents and young adults at university. This is a methodological study, developed in two stages, namely: content analysis; and, clinical validation, through a diagnostic accuracy study. The study was developed according to the Lopes e Silva framework. It should be noted that the theoretical-causal validation stage, based on the construction of a medium-range theory, was carried out in a previous study. The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion number 4.953.282 and CAAE 48202221.6.0000.5537. Regarding data analysis from the content analysis stage, the collective wisdom model was followed, with the participation of 48 judges. The Content Validity Index was used, through the application of the Wilcoxon statistical test, with p-value > 0.05, to determine the proportion of judges who agreed with the items presented. For clinical validation, 108 nursing students were interviewed. The latent class analysis model was followed to establish accuracy measures, namely: sensitivity and specificity. The analysis of the association of sociodemographic, clinical and behavioral variables with the nursing diagnosis of Overweight occurred through analysis of the Pearson Chi-square Test and Fisher's Exact Test. A p-value ≤ 0.05 was considered statistically significant. Regarding the results, in the first stage of the study, all items were considered statistically valid, and a new structure for the nursing diagnosis “Overweight” was proposed, containing 06 defining characteristics, 06 related factors, 06 risk population; 03 associated conditions. In the second stage of the present study, the prevalence of the nursing diagnosis among the clientele was 38.12%. The following were identified as sensitive defining characteristics: “Excessive calorie consumption” and “Dissatisfaction with body image”. On the other hand, the specific defining characteristics were: “Negative self-perception of health”, “Inadequate eating behavior” and “Impaired emotional health”. “Personal history of being overweight” stood out as the factor with the greatest impact on the occurrence of the diagnosis in the studied clientele. It is concluded that the Overweight diagnosis is verifiable in adolescents and young adults at university and presents two sensitive and three specific characteristics. Thus, it is expected to contribute to increasing the level of evidence of the aforementioned diagnosis in the NANDA-I taxonomy, as well as to greater knowledge about the accuracy of the defining characteristics of the Overweight diagnosis in adolescents and young adults at university.

2023
Disertaciones
1
  • ANA CLARA DANTAS
  • Development of mid-range nursing theory for ineffective health maintenance behaviors in people with chronic conditions.

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • Data: 03-feb-2023


  • Resumen Espectáculo
  • Objective: To develop a Mid-Range Nursing Theory for Ineffective Health Maintenance Behaviors in People with Chronic Conditions. Method: This is a methodological study, based on Lopes e Silva's (2016) referential of Theoretical-Causal Validity, developed in six stages, namely: definition of the approach to construct the Medium-Range Theory; definition of the theoretical- conceptual models to be analyzed; definition of the main concepts of Middle Range Theory; development of a pictorial scheme; construction of the propositions of the Middle Range Theory; and establishing causal relationships and evidence for practice. For the construction of the Middle Range Theory, two approaches were defined: literature review from an integrative review and derivation from the theoretical model of Imogene King (1981). Data collection for the review took place by searching the following databases: SCOPUS, Web of Science, Science Direct, CINAHL and COCHRANE. As a search strategy, the following descriptors were defined, ordered in the Descriptors in Health Sciences (DeCS) and Medical Subject Headings (MeSH): Health Behavior; Chronic Disease; Primary Health Care and Nursing Diagnosis, intermediated by the Boolean operator “AND”. The inclusion criteria adopted were: studies that addressed any element related to Ineffective Health Maintenance Behaviors, complete studies available in the applied data sources and studies in any language. Editorials, letters to the editor, expert opinion, abstracts, reviews, books and book chapters were excluded. Results: Of the 75,154 studies found, after applying the eligibility criteria, 75 studies made up the final sample. Twenty related factors and 14 defining characteristics were identified, in addition to five at-risk populations and two associated conditions. The presentation of the review results started the development of the Middle Range Theory. The derivation from the theoretical model of Imogene King (1981) allowed the extraction of elements that contributed to the development of the Middle Range Theory for the nursing diagnosis of Ineffective Health Maintenance Behaviors in people with chronic conditions. Conclusion: It is concluded that the Middle Range Theory for Ineffective Health Maintenance Behaviors in people with chronic conditions provides the theoretical-causal validation of this nursing diagnosis, supporting the planning of nursing interventions in terms of health promotion and disease prevention. complications related to these conditions.

     
2
  • KAUANNY VITÓRIA GURGEL DOS SANTOS
  • Use of music to relieve pain and anxiety in patients undergoing cardiac catheterization: a systematic review with meta-analysis

  • Líder : RODRIGO ASSIS NEVES DANTAS
  • MIEMBROS DE LA BANCA :
  • RODRIGO ASSIS NEVES DANTAS
  • ALEXSANDRA RODRIGUES FEIJAO
  • KATIA REGINA BARROS RIBEIRO
  • KLEYTON SANTOS DE MEDEIROS
  • Data: 03-feb-2023


  • Resumen Espectáculo
  • Objective: to evaluate the effectiveness of using music to relieve pain and anxiety in adult and elderly patients undergoing cardiac catheterization. Method: this is a systematic review with meta-analysis, carried out in October 2022, in 13 national and international data sources. The mnemonic “Population, Intervention, Control, Outcomes, Study design” (PICOS) was adopted for the elaboration of the research question. Randomized Clinical Trials (RCTs), involving patients aged 18 years or older, with no time or language restriction, were included, and studies that did not respond to the proposed research question were excluded. The present study was registered on the International Prospective Register of Systematic Reviews (PROSPERO) platform and followed the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Results: the sample consisted of nine studies included in the quantitative and qualitative synthesis of the data. The studies were mostly published in Germany (22.22%), Iran (22.22%) and Turkey (22.22%), in the years 2005 to 2022. 1,324 patients were included, in the age group of 18 to 84 years, whose anxiety assessment was given, above all, by the State-Trait Anxiety Inventory (STAI) (66.67%) and Numeric Rating Scale (NRS) (33.33%). Of the nine total studies, only three mentioned pain assessment, using the following scales: Visual Analog Scale (VAS) (22.22%) and Numeric Rating Scale (NRS) (11.11%). The preferred route for performing cardiac catheterization was the femoral (44.44%), followed by the brachial (22.22) and radial (11.11%). The parameters evaluated were anxiety, pain, systolic and diastolic blood pressure, heart and respiratory rate. There was a reduction in these parameters in the experimental groups due to the use of music, especially instrumental (44.44%), slow and relaxing (44.44%), applied through headphones (44.44%) or loud speaker (33.33%), in a time interval of 15 to 45 minutes, with melodies of 60 to 80 beats per minute (55.55%), in a sound intensity of 60 to 70 decibels (33.33%). Conclusion: music is considered a low-cost, non-pharmacological strategy that increases the humanization of care and is effective in reducing pain and anxiety levels in patients undergoing cardiac catheterization.


3
  • TÂMARA TAYNAH MEDEIROS DA SILVA
  • Use of mentholated popsicles in the management of postoperative thirst in patients radical prostatectomy: a randomized clinical trial

  • Líder : RODRIGO ASSIS NEVES DANTAS
  • MIEMBROS DE LA BANCA :
  • RODRIGO ASSIS NEVES DANTAS
  • ALEXSANDRA RODRIGUES FEIJAO
  • ISABEL KAROLYNE FERNANDES COSTA
  • KLEYTON SANTOS DE MEDEIROS
  • Data: 06-feb-2023


  • Resumen Espectáculo
  • In order to improve the thirst problem, the technique of providing a little volume of cold liquid in the oral cavity to lubricate the mucosa is used. Therefore, interventions such as iced or mentholated popsicles, menthol chewing gum, wet gauze with cold saline solution, cold water for gargling, and frozen gauze with saline solution are the main methods used to stimulate thirst quenching in patients during the period preceding the surgery. This study aims to evaluate the effects of the use of menthol popsicle in the relief of postoperative thirst in patients undergoing radical prostatectomy in an oncology hospital. This is a randomized, controlled, single-blind clinical trial with a quantitative approach that complied with the standards recommended by the Consolidated Standards of Reporting Trials. This study was registered on the Brazilian Clinical Trials Registry platform. The present study was carried out in the surgical ward of Hospital Doutor Luiz Antônio da Liga Norte Riograndense Contra o Câncer, located in the city of Natal, Rio Grande do Norte. The population consisted of male patients undergoing elective radical prostatectomy who were in the immediate postoperative period. The sample has probabilistic and simple random characteristics. The study consisted of two groups: a control (CG) and an experimental (EG). The CG consisted of patients who received popsicle without the addition of the mentholated substrate and the EG of patients who received the popsicle with the addition of the mentholated substrate of 0.05%. The instrument for data collection is divided into three parts: 1) Patient identification, clinical and sociodemographic data; 2) Data regarding the surgical procedure and anesthetic process; 3) Data regarding thirst intensity using the Numerical Scale (EN) and thirst discomfort using the Perioperative Thirst Discomfort Scale (EDESP). Thirst must be characterized and treated appropriately, especially in the surgical patient, to provide comfort and pain relief, as this sensation has a relevant impact on patient satisfaction and can have a negative impact on anesthetic recovery, especially in the postoperative period. immediate. It is noteworthy that the outcomes were positive during the research, with few reports of complications related to the use of interventions to manage thirst.

4
  • LAHELYA CARLA DE ANDRADE OLIVEIRA
  • Impacts of prematurity on the neuropsychomotor development os newborns development: a systematic review with meta-analysis.

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • NILBA LIMA DE SOUZA
  • ERIKA SIMONE GALVAO PINTO
  • JULIANA RAQUEL SILVA SOUZA
  • KLEYTON SANTOS DE MEDEIROS
  • Data: 08-feb-2023


  • Resumen Espectáculo
  • Newborns are considered premature when birth occurs before gestation reaches 37 weeks and, consequently, the lower the gestational age, the greater the risks of adverse biological conditions and possible abnormalities
    in the child's neurodevelopment. Objective: To verify the results on the impacts of prematurity on the neuropsychomotor development of newborns. Method: This is a systematic review with meta-analysis, a method designed based on strategies by the Cochrane Handbook (2011) and the instrument The PRISMA  Statement (PRISMA). The PICO (Patient or Problem, Intervention, Control or Comparasion, Outcomes) strategy was used to construct the guiding question: What are the impacts of prematurity on the neuropsychomotor development of newborns? Electronic data search was performed National Library of Medicine, Web of Science, Cumulative Index to Nursing and Allied Health Literature, SciVerse Scopus, Cochrane Library and Gale Academic OneFile, in addition to access to CAPES theses and dissertation directories for gray literature. . The search used MeSH indexed descriptors: Infant, Newborn, Diseases; Infant, Premature; Child development; Complication. Primary studies of the approved type were included, such as experimental and randomized clinical trials that were almost evaluated as complications of the neuropsychomotor evolution of newborns. A search was carried out without language restrictions and without time frame. Review articles, meta-analyses, abstracts, conference proceedings, editorials/letters, study reports and those carried out with secondary data were excluded. For a previous selection of studies, a previous selection of titles and selected abstracts, which was performed in a selection and a protocol, in a reliable way, strictly corresponding to the inclusion and selection criteria and other preliminary aspects selected in the protocol. of research. Results: Considering that, as gestational age decreases, the risk for developmental delays increases, it is hoped, with this study, to identify signs and risks in the development of premature newborns, which allows an effective action in the prevention and promotion of mental health, childhood and adolescence, as well as providing basic principles to help professionals to increase the repertoire of interventions and, in this way, actively collaborate in the development of children with atypical development.

5
  • SILMARA DE OLIVEIRA SILVA
  • MULTIMEDIA STRATEGY FOR THE ACQUISITION OF KNOWLEDGE AND REDUCING ANXIETY OF CAREGIVERS OF CHILDREN AND ADOLESCENTS IN CHEMOTHERAPY: RANDOMIZED CLINICAL TRIAL.

  • Líder : DANIELE VIEIRA DANTAS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • DANIELE VIEIRA DANTAS
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • MARIA DO CARMO DE OLIVEIRA
  • Data: 08-feb-2023


  • Resumen Espectáculo
  • Chemotherapy is the main method used to age childhood cancer, which treat childhood cancer from zero to ten years of age. It is noteworthy that the beginning of chemotherapy treatment causes concern in caregivers of children/adolescents, mainly associated with knowledge of the treatment. In this way, the education process is necessary to seek education and the education process to seek education, therefore, with the education and education process seeking to seek the education process to seek education and the reduction of education. In this sense, the study aims to evaluate the effect of a multimedia strategy compared to standard guidelines for acquiring knowledge and reducing anxiety in caregivers of children and adolescents undergoing chemotherapy. This is a randomized and controlled clinical trial, carried out in a Philanthropic Hospital, a reference in the care of children and adolescents with cancer, in Natal-RN. The Experimental Group received the institution's standard guidelines associated with a multimedia strategy on the chemotherapy treatment process - Digital animation film lasting 12 minutes and 22 seconds. While the Control Group received only the standard guidelines that are provided at the institution. The data collection instrument used was the State Trait Anxiety Inventory (IDATE) and a Knowledge Assessment Instrument (IAC). The project was approved by the Central Research Ethics Committee of the Federal University of Rio Grande do Norte nº CAAE 52597121.9.0000.5537 and registered in the Brazilian Clinical Trial Registry (RBR-4wdm8q9). Most caregivers are female, with complete high school, with a family income of one to two minimum wages. It is evident that the intervention with the multimedia strategy contributed to the acquisition of knowledge by caregivers and reduction of the anxiety score. It is noteworthy that in the control and experimental groups, after the interventions, it was possible to prove the increase in the feeling of preparation and confidence to take care of children/adolescents undergoing chemotherapy. In this way, the study reinforces that multimedia strategies such as the digital animation film are technologies that can be used at the beginning of chemotherapy treatment, contributing to the health education process and reducing the anxiety of caregivers of children and adolescents with cancer.

6
  • BARBARA EBILIZARDA COUTINHO BORGES
  • Development of a Mid-Range Nursing Theory for Caregiver Role Tension.

     
  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • Data: 13-feb-2023


  • Resumen Espectáculo
  • Introduction: Caregiver occupation is understood as one that watches over and supports an individual in their basic functions for the maintenance of health and well- being, providing an opportunity to improve the quality of life for the person who is in need of it, due to being restricted or with physical limitations. Therefore, it is increasingly routine for caregivers of individuals with chronic conditions to play a decisive role in supporting health and assisting the social services of the population they care for. However, these subjects have their own needs, which are influenced, especially, by the combination of the problems presented with the quality of life and the caregiver's tension, even when the influence of economic, epidemiological issues and variables related to care are decisive. The study and publication of new NANDA-I diagnoses contributes to the realization of new validation research in order to provide higher levels of scientific evidence for the taxonomy, and in the last editions investigations that contemplate and scientifically strengthen the conceptual core of the DE (00061) Caregiver role tension, hindering the development and consolidation of its evidence. Objective: To develop a mid-range nursing theory for Caregiver Role Tension. Method: This is a methodological study based on the development of a Middle Range Theory (AMR). For the construction, the model proposed by Lopes e Silva (2016) is adopted as a methodological reference, thus, the research will take place from the Theoretical-Causal Validity stage. For this purpose, six steps are described according to the methodological framework, and they are: Definition of the TMA construction approach, Definition of the theoretical-conceptual models to be analyzed, Definition of the main concepts of the TMA, Development of a pictorial scheme, Construction of the propositions of TMA, Establishing causal relationships and evidence for practice. Results: First, an integrative literature review was carried out to extract all the data that will compose the theory, thus operationalizing some stages of the TMA. The search took place in the following databases: Scopus, ScienceDirect, PUBMED/Medline, CINAHL, LILACS and Web of Science, using the descriptors “Caregivers”, “Nursing Diagnosis”, “Self Care” and “Caregiver Burden”, in all for crossings, the Boolean operator AND was used. With the findings, 25 defining characteristics, 38 related factors, 4 populations at risk and 2 associated conditions for the highlighted ND emerged. In addition, it enabled the construction of the propositions and their causal relationships of the present TMA. All data were organized in spreadsheets and presented in the form of charts and tables. It is added that the research does not involve human beings, therefore, it does not need to be referred to the Research Ethics Committee. Conclusion: the responsibility of care, the individual assumes an ambiguity of feelings and personal repercussions, and can then manifest positive and negative feelings. Therefore, nurses need to identify the clinical manifestations of tension and develop skills in the recognition and accurate inference of the diagnosis.

7
  • KALYNE ARAÚJO BEZERRA
  • Analysis of self-inflicted violence in adolescents in today's society

  • Líder : JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • SORAYA MARIA DE MEDEIROS
  • SANDRA MICHELLE BESSA DE ANDRADE FERNANDES
  • LUCIANO MARQUES DOS SANTOS
  • Rosângela Aparecida Pimenta Ferrari
  • Data: 24-feb-2023


  • Resumen Espectáculo
  • Self-inflicted violence is by practices of violence against oneself, and can be classified as self-harm, an idea of suicide, suicide attempt and suicide. It corresponds to the third leading cause of death among adolescents in the world and in the Brazilian reality, there is an increase in these cases. In this sense, it is essential to map the factors associated with self-inflicted violence in Brazil, as well as the development of efficient strategies for self-inflicted violence in adolescents, with the purpose of contributing to the formulation of specific policies for the care of this public and their families. This study has as its general objective the factors associated with self-inflicted violence and mapping the programs, as strategies and as coping interventions, aimed at developing the adolescents who are cared for. This is a descriptive study that will combine documented-exploratory data with qualitative ones. 20 data by authorship2 were considered as violence injuries by Not data for the identification of
    factors associated with adolescents, considering data from 2009 to 1 in Brazil. Data were selected for descriptive and reference analysis using the R Studio software, and Joinpoint for analysis of the temporal trend of the cases, with a significance level of 5%. The proposed methodological qualitative data were necessary for a scoping review, by the Joanna Briggs Institute Manual and following the PRISMA-ScR recommendations. To assist in the analysis of the studies, the Intelligent Systematic Review software was used, and later with the help of the Atlasti 9.0 software, the data were organized and coded for qualitative analysis. This was theoretically based on research by Guy Debord and Byung-Chul Han for understanding today's society. For this study, all the ethical requirements of research with human beings were followed, being appreciated by the Research Ethics Committee under opinion no. 5,521,288. Self-proven violence by adolescents in Brazil was shown to be associated with the female sex, age group from 15 to 19 years old, white color/race, incomplete high school and
    the Southeast region. As for the time trend, self-inflicted violence in adolescents showed an increase of 21.4 cases in the year 2009 between 2021. Among the objectives, the inclusion and exclusion criteria were applied, and the study by peers was applied to the study. It is concluded that self-inflicted violence in adolescents is a phenomenon that increases, in addition to health programs, strategies and interventions are still scarce.

8
  • KAROLAYNE CABRAL MATIAS
  • Development and analysis of the control concept of infections related to health care

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • DANDARA NAYARA AZEVEDO DANTAS
  • LAYS PINHEIRO DE MEDEIROS
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • Data: 24-feb-2023


  • Resumen Espectáculo
  • Introduction: there are several problems that can affect the quality of care and patient safety, among them, Health Care-Related Infections. Nurses work at three levels in relation to the prevention of HAIs, in an interrelated and dynamic way, namely: care, management and in actions as a CCIH nurse. Objective: to develop and analyze the concept of Controller in the Scenario of Infections Related to Health Care. Method: This is a methodological study, conducted by the Hybrid Concept Development Model proposed by Schwartz-Barcott and Kim (2000), carried out in three stages, namely: The first phase will be a scoping review, the second phase will be the data collection through a consensus group of 30 experienced nurses, the third phase aimed to compare, analyze and integrate the results obtained in the previous phases, enabling the writing of the final report. Results: For this analysis, the metacontext was considered to be the norms, resolutions, laws and global, international and national public policies that deal with the subject. For the general context, the attributions of the Control of Infections Related to Health Care were considered. For the specific context, the potentialities and challenges of the Control of Infections Related to Health Care will be talked about and the immediate context will talk about the performance of the HAI controller and his specific actions. Conclusion: The analysis used explained the existing knowledge in the literature about the context of the controller and how it works in health care services.

9
  • LUISA ALVES PEREIRA DE AQUINO
  • Assessment of patient safety culture in a surgical center in different organizational contexts

  • Líder : QUENIA CAMILLE SOARES MARTINS
  • MIEMBROS DE LA BANCA :
  • CAREN DE OLIVEIRA RIBOLDI
  • CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA
  • QUENIA CAMILLE SOARES MARTINS
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 24-feb-2023


  • Resumen Espectáculo
  • The study aims to assess the patient safety culture in a surgical center in different organizational contexts. This research is in line with the national recommendations prepared by the Ministry of Health, inserted in the National Agenda of Priorities in Research, in axis 9 (Programs and Health Policies) regarding the evaluation of adverse events, and their impacts on public health and the evaluation of the National Patient Safety Program (PNPS) of the Unified Health System (SUS). In addition, it internationally supports the Global Patient Safety Action Plan, prepared by the World Health Organization (WHO) to eliminate preventable harm in health care by the year 2030. Within the hospital environment, the operating room is considered a of the places with the highest technological density, with the performance of urgent or elective procedures capable of demanding, in most situations, resources and precise and efficient inputs in the face of the complex practices developed by health professionals. Given its complexity, it is estimated that unsafe surgical care can significantly affect individuals. In the hospital setting, nearly half of all adverse events in hospitalized patients are related to surgical care. It is believed that there are particularities in relation to the different management models (public and private) capable of favoring or hindering CSP, such as the hospital structure, staff dimensioning, number of employment relationships and financial incentives, as identified by researchers in another study. This study aims to evaluate the levels of patient safety culture in surgical centers in a public and a private institution. This is a cross-sectional study carried out in two hospitals, one publicly managed and the other privately managed. A total of 185 health professionals participated in the study, namely: nursing technicians, nurses and physicians from both surgical centers. The E-Questionnaire Software validated and adapted for Brazil, from the Hospital Survery on Patient Safety Culture (HSOPSC) of the Agency for Healthcare Research and Quality (AHRQ) was used as an instrument for data collection. The collected data were exported from the E-questionnaire Software to a database in the Microsoft Office Excel version 2020 program and a descriptive analysis was used containing patient safety indicators. To analyze the results, the statistical software Statistical Package for the Social Sciences (SPSS) temporary version 25.0 was used to compare the findings in the referred hospitals. This study was assessed by the Research Ethics Committee (CEP) of the Federal University of Rio Grande do Norte (UFRN) obtaining a favorable opinion with CAAE 61763422.5.0000.5537 and opinion number 5,664,688. When evaluating and comparing the profile of positive responses, it was observed that for the private hospital, four dimensions were strong, with a percentage of positive responses above 75%: 3-Expectations and actions of the direction/supervision of the unit/ services that favor safety (78.1%); 4-Organizational learning/continuous improvement (87.6%); 5- Teamwork in the unit/service (78.4%) and 10- Hospital management support for patient safety (79.4%) were the dimensions with the best results. As for the public hospital, no dimension showed values above 75%, with the best results being 4-Organizational learning/continuous improvement (73.9%); 5- Teamwork in the unit/service (70.8%); and 12-Problems with shift changes and transitions between units/services (52.1%). About the worst scores, for the private hospital, there are the following dimensions: 8-Non-punitive response to errors (33.6%); 1-Frequency of reported events (60.1%) and 12-Problems with shift changes and transitions between units/services (60.2%). In the public hospital we have: 8-Non-punitive response to errors (15.6%); 2-Perception of safety (34.3%) and 1-Frequency of reported events (35.4%). The study concluded that there are differences between the types of public and private management regarding the patient safety culture and guide managers in the actions promoted in the surgical center in both scenarios, allowing better health outcomes, quality of care and reduction of events adverse.

10
  • JOÃO DE DEUS DE ARAÚJO FILHO
  • FACTORS ASSOCIATED WITH ANXIETY AND DEPRESSION LEVELS AMONG NURSING RESIDENTS IN THE STATE OF RIO GRANDE DO NORTE

     
  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • ERIKA SIMONE GALVAO PINTO
  • BRUNO ARAÚJO DA SILVA DANTAS
  • GILSON DE VASCONCELOS TORRES
  • DULCIAN MEDEIROS DE AZEVEDO
  • Data: 23-mar-2023


  • Resumen Espectáculo
  • In Brazil, the diverse, competitive and exhausting universe of work, most of the time, generates significant impacts on the physical and mental health of workers. Anxiety and depressive symptoms are present in several health professionals and in several places around the world. Studies show that the main reason for absence of health professionals for more than 15 days at work are depressive episodes. In addition, anxious, depressive and stress symptoms are observed among undergraduate and graduate students, as a result of that it is necessary to track scientific data that deal with the factors associated with these symptoms and/or illness. The objective of this work is to identify the prevalence of levels and associated factors of anxiety and depression in nursing residents in the state of Rio Grande do Norte, Brazil. This is a cross-sectional study, to be carried out with residents who are currently at the Hospital Universitário Onofre Lopes, Maternidade Escola Januário Cicco, located in the city of Natal/RN, Hospital Universitário Ana Bezerra in Santa Cruz -RN and primary care health services in the cities of Mossoró, Currais Novos and Caicó. At the end of the collection, 32 resident nurses responded from a total of 41 working in the RN. In the analysis of the material, categorical variables were used through the chi-square test and Fisher's exact test, according to the adequacy of the test to the data and likelihood ratio. Data were processed using SPSS software and presented in graphs and tables. Most residents were female (84%), single (71%), reported having been harassed at some point in the residence (71%), undergoing or requiring psychological and/or psychiatric therapy after entering the residence (59 %). In the Beck inventory classification, regarding anxiety, we have the following result: Minimum (3.13%), mild (40.63%), moderate (28.12%) and severe (28.12%). While in the depression inventory classification: 15.63% minimal, 37.50% mild, 34.37% moderate and 12.50% severe. At the end of the study, the presence of mild, moderate and severe symptoms of anxiety and depression was observed in these residents, especially in the first year of residency, making it necessary to share this result with the services, scientific and academic circles, in addition to exemplifying the need of care for this public, especially with regard to the prevention of mental illness.

11
  • ANNA THAYS DIAS ALMEIDA
  • Technologies for health promotion of university students: scoping review

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • DANDARA NAYARA AZEVEDO DANTAS
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • VIVIANE MARTINS DA SILVA
  • Data: 24-mar-2023


  • Resumen Espectáculo
  • The impact of the new reality and student obligations in higher education can trigger a
    series of problems. Thus, university spaces are strategic environments for the
    development of health promotion actions for these students. For this, the use of tools is
    important to facilitate approximation, interest and collaboration, especially among young
    people. Thus, the objective of the present study was to analyze the technologies and their
    contributions to the promotion of the health of university students in the health area. The
    study developed a Scoping Review based on the JBI. The following research questions
    were adopted: “What are the technologies for promoting the health of university students
    in the health area present in the literature? What are the advantages and limitations of
    these technologies? The sources selected for the study were: Medline/Pubmed,
    Cumulative Index to Nursing and Allied Health Literature, Web of Science, Latin
    American and Caribbean Literature in Health Science, Nursing Databases, Scopus,
    Cochrane, SciElo, Education Resources Information Center, Catalog of Theses and
    Dissertations by the Coordination for the Improvement of Higher Education Personnel,
    The National Library of Australia's, Academic Archive Online, Digital Access to
    Research Theses, Europe E-Theses Portal, Electronic Theses Online Service, Repositorio
    Científico de Acesso Aberto de Portugal, National ETD Portal, Theses Canada and
    Google Scholar. A total of 42,294 studies were found and 71 articles were selected for
    this research. The studies were mostly published in the United States of America, with
    the main methodology being experimental studies. Among the target audience, there was
    a predominance of nursing and medicine students, aged between 17 and 40 years.
    Regarding technologies, the most predominant was light technology (63.4%), the use of
    health education, group training and mindfulness/mindfulness were the most used,
    followed by light/hard technologies with (19.7 %) and hard technologies with (16.9%).
    The main focus was on students' mental health in addition to their physical health. The
    most frequent time of application of the technology was up to eight weeks, being applied
    mostly in spaces of the university itself, such as classrooms, outdoors and gymnasiums.
    Due to the variety of technologies, the materials used were also diverse. Most of the
    studies did not consider the previous assessment of the health of the students, being only
    applied to technology. The use of these technologies has shown positive effects in
    promoting the health of students in the health area, with an improvement in depressive
    symptoms, anxiety, stress, as well as an increase in the practice of physical activities and
    also an improvement in the ability to deal with academic stressors. Academic stress
    experienced by healthcare students can impair health and performance. Thus, these
    technologies are important strategies to be adopted by educational institutions to ensure
    the health of their students.

12
  • DASE LUYZA BARBOSA DE SOUSA ALVES
  • Construction and Validation of an educational module based on Nursing Systems for the training of expert patients with Amyotrophic Lateral Sclerosis.

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • ISABEL KAROLYNE FERNANDES COSTA
  • MERCIO GABRIEL DE ARAUJO
  • Data: 27-mar-2023


  • Resumen Espectáculo
  • Amyotrophic Lateral Sclerosis (ALS) is the most common form of motor neuron disease, characterized as a neurodegenerative and progressive disease associated with the loss of upper and lower motor neurons. Despite being recognized and initially characterized by changes in the motor system, ALS is defined as a multisystem disorder in which the motor system is entirely and most drastically affected. It should be noted that among all the implications of the disease, it leads to changes in the quality of life of the affected patient, as well as their caregivers and family members, because due to the progressive loss of muscle strength, the patient also loses the ability to perform activities of daily living. daily activities such as self-care, such as talking, eating or walking. And these patients need practical, social, informative, psychological, physical, emotional and spiritual support. Currently, the offer of courses structured by technologies in virtual environments has expanded significantly on the national scene, especially at higher and continuing education levels for professionals. Indeed, the possibility of reaching a large number of individuals, scalability, can favor this growth. Therefore, introducing technological innovations in the teaching process establishes the existence and necessity of educational environments. Therefore, in the educational materials that cover ICT, the Virtual Learning Objects (OVA) and the Virtual Learning Environments (VLE) are highlighted, which are extensively pointed out as potential support instruments in supporting the teaching/learning process. . Through this, the proposal of health education presents itself as a transforming vehicle of practices and behaviors, with the aim of developing autonomy for the user in addition to improving their quality of life. The present study aims to build and validate the content of an educational module based on the Nursing Systems Theory to train trainers for the development of expert patients with amyotrophic lateral sclerosis. This is a methodological study and for the construction and validation of the content of the educational module, the research will be systematized according to the Psychometrics framework of Pasquali (1999) composed of three specific steps, carried out through theoretical, empirical or experimental and analytical procedures. or statistical, these steps will be adapted for the construction of the educational module. During the theoretical procedure, the present study will develop the items that will be part of the content of the educational module, soon after the construction of the content, the empirical procedures that constitute the selection of judges for the Content Validation will begin, then the Semantic Validation by nurses representing the target population, this objective is to verify if the instrument and the items that compose it are intelligible to the population for which it is intended. And finally, in the analytical procedures, the collected data will be statistically analyzed in order to guarantee the validity and reliability of the built instrument that correspond to the statistical analyzes that verify the content validity. The collected data will be stored in the Microsoft Excel for Windows 2010 application and analyzed using the statistical program Statistical Package for the Social Sciences (SPSS) version 22.0 for Windows. From the reference of Pasquali et al. (2010) in this study, the item that presents more than 80% agreement between the judges (rated as adequate) and a Content Validity Coefficient (CVC) > 0.8 will be considered valid.

13
  • BRENO WAGNER ARAÚJO COSME DA SILVA
  • ANIMATION VIDEO ON SOCIAL ADAPTATION FOR PEOPLE WITH INTESTINAL STOMS

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ALCIDES VIANA DE LIMA NETO
  • ISABELLE KATHERINNE FERNANDES COSTA
  • LAYS PINHEIRO DE MEDEIROS
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 31-mar-2023


  • Resumen Espectáculo
  • Ostomy is the term used to describe the surgical opening that allows the communication
    of an internal organ with the surface of the skin. Its making represents a delicate period
    for the person with ostomy, where changes in the process of physiological eliminations
    can cause vulnerabilities, sadness, fear, shame, withdrawal from social cycles and
    routine activities, resulting in social isolation. Faced with this new reality, the nurse
    plays an important role in the process of social adaptation of the person and family,
    contributing with guidelines, which can be done in different ways, where animation
    videos stand out: a strategy with several possibilities to be explored and that help in the
    search for the objective of health education that can be applied to any public. In this
    perspective, the objective of this research is to develop an animation video about social
    adaptation for people with intestinal stomas. This is a methodological study in which
    three standardized operational steps were adopted for the production of educational
    films: Pre-production, Production and Post-Production. In pre-production, the content of
    the script was raised from the literature, the synopsis and argument were created, the
    script was constructed and organized. In addition, at this same stage, the script was
    validated with content specialists (nurses) and video production specialists (media).
    Two rounds of the Delphi technique were applied with the judges, 10 in the first and
    eight in the second round with the nurse judges. As for media professionals, three
    judges participated in the first round and the same number in the second round. In the
    production stage, the final version of the script was made available to the production
    team, which continued to build the animation. The Content Validity Index was used to
    measure agreement between judges and the Kappa Index. The data were organized in
    spreadsheets in the Microsoft Office Excel® program and the analytical procedures in
    the program itself and the results presented in the format of charts and tables, in view of
    the best presentation. After validation, a Content Validity Index ≥ 0.75 was considered
    acceptable, obtaining as a result all the items of the instrument used with the nurse
    judges greater than this established value, thus considering the validated material. After
    validation, the animation video was made available on online and free video platforms
    and shared on social networks in order to disseminate relevant information and help
    health professionals to promote health education for this audience.

14
  • RAFAEL MOREIRA DO NASCIMENTO
  • Elaboration of a podcast as an educational resource for people with stomas: a validation study

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ISABELLE KATHERINNE FERNANDES COSTA
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • JESSICA DANTAS DE SA TINOCO
  • Data: 31-mar-2023


  • Resumen Espectáculo
  • People with stomas are those undergoing a surgical procedure whose objective is to exteriorize a part of the digestive, respiratory or urinary system, through an artificial opening that allows the communication of the internal organ with the external environment for the maintenance of life. The Ministry of Health published Ordinance GM/SAS/MS nº 400/2009, providing the National Guidelines for Health Care for People with Ostomies within the scope of the Unified Health System (SUS). Among the attributions, it defines that the health care of people with a stoma is composed of health education actions. Thus, podcasts are digital audio files available on internet platforms whose purpose is the transmission of information, and when properly applied they can be considered an innovative alternative for educational practice. With this, the objective of the study was to build and validate an educational podcast for people with intestinal stomas. This is a methodological study carried out from January 2022 to March 2023, divided into four phases: (1) Analysis of podcast productions; (2) Construction of the educational podcast; (3) Validation of podcast content; and (4) Recording and publishing the podcast. The analysis of the data collected through the content validation instrument, via Google Forms, was carried out considering the Content Validity Index (CVI) for each item, as well as for the entire instrument. The formula for calculating the CVI took into account the values of a Likert Scale ranging from 0 to 2 points, where “disagree” is assigned a value of 0, “partially agree” a value of 1 and “totally agree” the value of 2, thus using the answers with values “1” and “2” for its execution, resulting in the proportion of judges who considered the item valid. The minimum acceptable agreement index among the study judges for each item was 0.78, and for the instrument in general it was 0.80. The collected data were compiled and analyzed in spreadsheets with the help of the Microsoft Office Excel® 2016 program and the results presented in the format of charts and tables. After the content validation and adequacy stage, the Podcast was recorded and made available for free on digital online music platforms. The study was carried out based on ethical principles respecting Resolution 466 of 2012 of the National Council for Ethics in Research involving human beings, considered by the Research Ethics Committee of the Federal University of Rio Grande, with favorable opinion nº 5.521.293 and CAAE 59714122.8.0000.5537. The podcast content presented CVI = 0.98 for script I, and CVI = 0.978 for script II. Thus, the contents of the podcast scripts were considered valid for recording the episodes. However, in addition to content validation, it is necessary for the educational podcast to go through the other validation steps, such as semantics, appearance and suitability for the target audience. Thus, offering correct and quality information about health for this population.

15
  • EVA JORDANA DE OLIVEIRA DUTRA
  • EVALUATION OF HEALTH ACTIONS IN FIGHTING COVID-9 IN PRIMARY HEALTH CARE FROM THE PERSPECTIVE OF CALLISTA ROY'S ADAPTIVE MODEL

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • NILBA LIMA DE SOUZA
  • SUENIA SILVA DE MESQUITA XAVIER
  • MARIA AMÉLIA ZANON PONCE
  • Data: 25-abr-2023


  • Resumen Espectáculo
  • The COVID-19 pandemic reached considerable numbers of the Brazilian population with the emergence of critical challenges for public and private health care networks. Plans to deal with COVID-19 within the scope of Primary Health Care (PHC) emerge as an important bridge in disease control, making their continuous monitoring and evaluation relevant so that they are improved and put into practice by nursing and other PHC professionals, based on evidence-based practice. In this sense, the objective was to evaluate the PHC structure and the actions carried out by health professionals in the municipality of Caraúbas/RN in the face of COVID-19 and how the pandemic context influenced these actions based on Callista Roy's theory of adaptation. An evaluative study of the normative type was carried out with emphasis on the degree of implementation in the dimensions of structure and process and of the evaluative research type. The research was developed in the APS of the municipality of Caraúbas, in the interior of Rio Grande do Norte, with professionals who are part of the family health teams directly involved in coping with COVID-19 and health managers. With regard to evaluative research, value judgment was used to analyze the existing relationships between the intervention and the context. The qualitative data obtained were analyzed using the content analysis technique proposed by Laurence Bardin (2011). As results and discussions, regarding the degree of implementation, the Structure dimension was classified as partially implemented. The Process dimension, in turn, was classified as fully implemented, but with some divergences from reality according to what was revealed by the statements of the interviewed professionals when exposing their perceptions. Regarding the perceptions referred to by health professionals who work to combat COVID-19 within the PHC, they raised three thematic categories: (I) influence of the pandemic on the development of actions by PHC professionals; (II) Potentialities and difficulties in professional performance during the pandemic; (III) Characteristics of patients assisted during the pandemic – suspected and confirmed for covid-19; (IV) Attributions of PHC professionals and managers in coping with covid-19. In view of this general panorama regarding the convergences and divergences of the results found between the degree of implementation and the perception of these same professionals involved in the study context, it can be inferred that, even with a partially implemented structure, the professionals, in their work process, as well as the way they idealize their assistance, have their activities based on an intrinsic understanding that corroborates the ideology of Callista Roy's theory. 

16
  • NATÁLIA DE OLIVEIRA VIEGA
  • Space-time analysis of syphilis in pregnant women and congenital syphilis in the state of Rio Grande do Norte.

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ANA ANGELICA REGO DE QUEIROZ
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • NILBA LIMA DE SOUZA
  • Data: 19-jul-2023


  • Resumen Espectáculo
  • Syphilis is an infectious disease of a systemic nature, curable and exclusive to humans, caused by the bacterium Treponema Pallidum. During the period from 2011 to 2021, 466,584 cases of syphilis in pregnant women and 221,600 cases of congenital syphilis were reported in Brazil. Despite the elimination of congenital syphilis being a global priority, the infection still represents a huge public health challenge. The state of Rio Grande do Norte has been showing a growing trend regarding the incidence rates of syphilis in pregnant women and congenital syphilis, even, in some years, the incidence rate of congenital syphilis in the state has been higher than the national rate.For this reason, this study aimed to analyze the space-time distribution of cases of syphilis in pregnant women and congenital syphilis in the state of Rio Grande do Norte during the period from 2010 to 2019. It is an ecological time series study, with a quantitative approach that used data from the Department of Informatics of the Unified Health System.The study population consisted of all reported cases of syphilis in pregnant women and congenital notified through the Information System for Notifiable Diseases during the period from 2010 to 2019. As this is secondary data, in the public domain, it was not necessary appreciation by the research ethics committee of the Federal University of Rio Grande do Norte. However, all ethical precepts were respected in accordance withResolution 466/2012 dealing with research with human beings.Thematic maps of the spatial distribution of syphilis cases were constructed using the QGIS software version 3.28. During the period of this study, 3,420 cases of syphilis in pregnant women and 3,727 cases of congenital syphilis were reported. The VII health region concentrated the highest number of cases of the two diseases, the equivalent of1,851 cases of syphilis in pregnant women and 3,016 cases of congenital syphilis. Regarding the characterization of pregnant women, it was noticed that the age group from 20 to 39 years was the most affected by syphilis during pregnancy. As for schooling, most had incomplete primary education. Most were also diagnosed with primary syphilis. As for the characterization of children diagnosed with syphilis, the vast majority were diagnosed in the neonatal phase, with up to 6 days of life. Most of the children were female, and most of the children were born to mothers who received prenatal care.

17
  • HALLYSON LENO LUCAS DA SILVA
  • Temporal analysis of differentials in work relationships for nurses in the five regions of brazil between the years 2003-2021.

  • Líder : JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • INÊS SANTOS ESTEVINHO FRONTEIRA
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • KARINA CARDOSO MEIRA
  • MARIO ROBERTO DAL POZ
  • SORAYA MARIA DE MEDEIROS
  • Data: 28-sep-2023


  • Resumen Espectáculo
  • With regard to the legal attributions of the nurse, according to the precepts of Law n.
    7,498/1986, which provides for the regulation of Nursing practice, the nurse is
    responsible for exercising all nursing activities, including private actions: planning,
    organization, coordination, execution and evaluation of nursing care services nursing;
    nursing prescription; direct care for critically ill patients; and nursing care of greater
    technical complexity. The objective was to analyze the temporal trend of the nurses'
    workforce in the regions of Brazil in the period 2003-2021. This is an exploratory-
    analytical-descriptive research, with a quantitative approach and with a focus on the
    ecological study of temporal trends, related to the differences in the employment
    relationships of nurses in the five regions of Brazil. The database of the Annual List of
    Social Information was used. The analysis, treatment and temporal distribution were
    carried out by exporting the database for descriptive and inferential appreciation using
    Software R Studio version 4.3.1. Statistical analyzes were extracted regarding frequency
    distribution, measures of central tendencies and positions. Trend analyzes were
    performed using polynomial equations, which consisted of: simple linear regression,
    second-degree or parabolic and third-degree or exponential regression. The choice of
    the model that best fitted the data was considered. The temporal trend analysis was
    performed in two stages: the Durbin-Watson test to assess the autocorrelation of the
    historical series and exploratory analysis using the autocorrelation function. The
    adoption of the significance test was also considered as a criterion for choosing the
    model, where a significant trend was considered when p-value < 0.05. It was a research
    that used public domain information, in a database, without the possibility of individual
    identification. The temporal trend of the differential of employment contracts for nurses
    was stationary in the Northeast, South, Southeast and Midwest regions, that is, four of
    the five regions of Brazil. The North Region was the only one that showed an upward
    trend. Based on the analysis of the time series obtained, this study showed a stable

    situation in the generation of employment contracts in four of the five regions of Brazil.
    It is concluded that in Brazil the trend of employment contracts for nurses is
    predominantly stationary, despite the upward growth in the North of the country.

18
  • VALERIA DANTAS DE AZEVEDO
  • Development of a flowchart for nursing care in outpatient autologous hematopoietic stem cell transplantation. Natal. Dissertation, 122p – Postgraduate Program in Nursing, Department of Nursing, Federal University of Rio Grande do Norte, Natal, 2023.

  • Líder : ISABELLE CAMPOS DE AZEVEDO
  • MIEMBROS DE LA BANCA :
  • ISABELLE CAMPOS DE AZEVEDO
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • MARCOS ANTONIO FERREIRA JUNIOR
  • Data: 15-dic-2023


  • Resumen Espectáculo
  • Care planned and executed through management technologies, such as flowcharts, causes transformations in the reorganization of health services and contributes to the training of health professionals who work in certain contexts, such as outpatient autologous hematopoietic stem cell transplantation. As it is a complex procedure, it requires specialized care plans, high competence and well-established flows. Therefore, the present study aims to develop a flowchart for nursing care for patients undergoing outpatient autologous hematopoietic stem cell transplantation. It is a methodological study with a mixed approach, based on Pasquali's psychometric framework, structured in the following procedures: theoretical, empirical and analytical. For the theoretical procedures, a Scoping Review was carried out and a focus group composed of the nursing team (nurses and nursing technicians) who work in the bone marrow transplant outpatient clinic of a reference hospital for this treatment in Rio Grande do Norte to support the definition of the flowchart contents. In the empirical procedures, the information collected in the previous stage was compiled to support the construction of the flowchart. Validation of the content and appearance of the flowchart was carried out using the Delphi technique, with the evaluation of the criteria proposed by Pasquali and the Suitability Assessment of Materials. Finally, the analytical procedures occurred using the content validation coefficient, when the responses were considered valid, the items obtained a minimum agreement of 80% between the judges and the content validation coefficient above 0.8. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte and obtained an approval opinion under CAAE: 58796722.8.0000.5537. After building the flowchart, it was submitted to the first Delphi round and reached a general content validation coefficient > 0.9. After the adjustments suggested by the judges, in the second round the content and appearance validity indexes were > 0.9 each and the general validation coefficient > 0.9. Therefore, it is concluded that the flowchart is valid in its content and appearance as a useful management technology for organizing nursing care in services that offer outpatient autologous hematopoietic stem cell transplantation with a view to improving care management and decision-making. decisions in this context.

19
  • ELOÍSA ARAÚJO DE CARVALHO
  • Self-care for users with diabetes mellitus and systemic arterial hypertension in post-COVID-19 conditions.

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • ANA ANGELICA REGO DE QUEIROZ
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • REJANE MARIA PAIVA DE MENEZES
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • TATIANA MARIA NOBREGA ELIAS
  • Data: 20-dic-2023


  • Resumen Espectáculo
  • Diabetes mellitus and systemic arterial hypertension are chronic diseases of multiple etiologies, responsible for the main causes of mortality and morbidity among adults and the elderly, becoming a challenge for public and health policies in Brazil and around the world. These challenges, accentuated by the COVID-19 pandemic, are risk factors for both the severity of the infection and the inability to carry out post-COVID activities of daily living. With the aim of analyzing the self-care actions of people with diabetes mellitus and systemic arterial hypertension in post-COVID-19 conditions, in light of Orem's Theory, a descriptive, cross-sectional and exploratory research was carried out, with a quantitative approach, in the municipality of Ceará Mirim, metropolitan region of Natal, capital of the State of Rio Grande do Norte, in 9 Basic Family Health Units, in the urban area of the municipality. The population of 6,932 included diabetic and hypertensive users, registered in the 9 Units and the sample corresponded to 363, obtained from stratified random sampling, considering a 95% confidence interval with a margin of error of 5%. Users registered in these Units, diagnosed with diabetes mellitus and/or high blood pressure, and having been affected by COVID-19, were included. Data were obtained through structured forms, composed of closed questions, “Clinical File for post-COVID condition”, adapted for the research, for demographic data and health condition and the “WHO Disability Assessment Schedule (WHODAS 2.0) Manual”, for data related to self-care. They were applied through structured interviews, carried out in the Units and at the participant's home, depending on their availability. The data were tabulated, organized and analyzed using the Statistical Package for Social Science version 22.0 and the self-care variables were analyzed according to the “WHO Disability Assessment Schedule WHODAS 2.0 Manual” score. All procedures were governed by the ethical precepts of Resolution no. 466/12 of the National Health Council for research with human beings. The results indicate that individuals in a post- COVID-19 condition are mostly male, with an average age of 57 years, with at least one comorbidity, with diabetes mellitus and high blood pressure being more prevalent and also more developed in those who required hospitalization and oxygen support during the acute phase of the infection. In the post-COVID phase, it was identified that self- care actions such as inability to move and limitations in activities were affected. The most frequent physical symptoms were fatigue and dyspnea and the cognitive ones were memory loss, concentration problems and anxiety. In the end, it was possible to identify that the post-COVID-19 condition causes the emergence of symptoms and consequences in the self-care of diabetic and hypertensive individuals. This identification is essential to assist in the rehabilitation of functional disabilities and contribute to defining flows and priorities in health services and nursing care in the post-pandemic scenario.

20
  • LOUISE CONSTANCIA DE MELO ALVES SILVA
  • Effectiveness of aromatherapy with Lavandula angustifolia on postoperative pain after heart surgery: randomized
    clinical trial.

  • Líder : RODRIGO ASSIS NEVES DANTAS
  • MIEMBROS DE LA BANCA :
  • HYLARINA MARIA MONTENEGRO DINIZ SILVA
  • KATIA REGINA BARROS RIBEIRO
  • RODRIGO ASSIS NEVES DANTAS
  • SANDY YASMINE BEZERRA E SILVA
  • Data: 20-dic-2023


  • Resumen Espectáculo
  • Pain in the postoperative period of heart surgery is considered common due to the
    sternotomy and placement of drains and, when poorly controlled, can lead to
    hemodynamic consequences and pulmonary complications. Therefore, timely and
    adequate pain relief leads to a reduction in these complications and the length of
    hospital stays. There is a growing use of Integrative and Complementary Health
    Practices as non-pharmacological methods for reducing pain, especially aromatherapy,
    which is characterized by the inhalation of essential oils. This study aims to evaluate the
    effectiveness of aromatherapy with inhalation of Lavandula angustifolia essential oil in
    relieving pain during the immediate postoperative period in patients undergoing heart
    surgery. This is a single-blind randomized controlled clinical trial with a quantitative
    approach, conducted in accordance with the Consolidated Standards of Reporting Trials
    (CONSORT) guidelines. The population consisted of patients in the immediate
    postoperative period of heart surgery, carried out in the Intensive Care Unit of the Heart
    Hospital in Natal, with a probabilistic, random and simple sample of 52 participants
    divided equally into the following groups: Control Group (CG), who received the
    diffuser collar without the essential oil and the Experimental Group (EG), who received
    a drop of essential oil in the diffuser collar for inhalation over the course of 30 minutes.
    The data collection instrument is subdivided as follows: 1) identification of the patient;
    2) information about the surgery; 3) pain assessment scales; 4) vital signs table; 5) space
    to assess whether there was relaxation in the patient's facial expression. This study
    followed all the ethical requirements for research with human beings, and was approved
    by the Research Ethics Committee of the Federal University of Rio Grande do Norte.
    The patients' vital signs, pain and facial expression were assessed before the diffusion
    collar was fitted, and they were assessed in the same way ten minutes after the collar
    was fitted and 30 minutes after the collar was removed. Of the 52 patients collected, 33
    (64%) were male and 19 (36%) were female. Among the types of heart surgery
    performed on the study sample, 40 surgeries (77%) were Revascularization of the
    myocardium and the remaining surgeries were divided between Revascularization of the
    myocardium plus valve replacement (4%), correction of atrial septal defects (2%) and
    valve replacement or retrocautery (9%). The patients who reported the most pain were
    male and the main sites of pain were in the back, at the sternotomy and at the site of the
    drains, especially the mediastinal drain. There was pain relief for some patients who
    received the Lavandula angustifolia oil intervention and many reported liking the aroma
    they were receiving, showing relief in their facial expressions or even smiles when they
    received the aroma. Studies on this subject are important so that the use of non-
    pharmacological methods by nurses, as part of humanized, holistic care based on
    scientific evidence, can gain an even greater place in clinical practice, complementing
    standard therapies and improving the quality of life of the patient.

Tesis
1
  • ROMANNINY HEVILLYN SILVA COSTA ALMINO
  • Development and Content Validation of the Proposition of the Occupational Stress Nursing Diagnosis from a Medium-Range Theory

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • CAMILA TAKÁO LOPES
  • HARLON FRANÇA DE MENEZES
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • RAFAEL OLIVEIRA PITTA LOPES
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 15-feb-2023


  • Resumen Espectáculo
  • Occupational stress has affected several workers. The recognition of related factors and symptoms of occupational stress facilitates the development of interventions by nurses, but it is evident that the nursing diagnosis Occupational Stress does not exist in NANDA International. In this sense, the general objective of this study was to develop and validate the content of the proposition of the Occupational Stress as a nursing diagnosis based on a Medium-Range Theory. Therefore, this is a methodological study, which was carried out in two stages, which were: theoretical-causal validation and content validation. The research was approved by the Ethics Committee of the University Hospital Onofre Lopes (HUOL) of the Federal University of Rio Grande do Norte under nº 4.695.488 and amendment under nº 5.498.40 and CAAE: 45570821.7.0000.5292. Data analysis was performed using descriptive and inferential statistics. Initially, a concept analysis was carried out based on the theoretical framework of Walker and Avant, which was operationalized by scoping review using the following data sources: The Cochrane Library, Scopus, Web of Science, National Library of Medicine (MEDLINE /PubMed), The Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Latin American and Caribbean Literature in Health Sciences,Science Direct, and Google Scholar. The final sample corresponded to 138 studies. Four attributes, 24 antecedents and 28 clinical consequences of the concept Occupational Stress in health professionals were listed. Then, the Medium Range Theory of Occupational Stress in Health Professionals (TMA-EOPS) was built based on the derivation of Betty Neuman's Systems Model, according to the theoretical framework of Fawcett and Gigliotti. Sixteen concepts, 20 propositions and 35 causal relationships between Occupational Stress and the stressors and symptoms present in the TMA-EOPS were identified, in addition to the construction of the pictogram/diagram and C-T-E structure. The second stage included content validation by judges about the elements of the diagnostic proposition. Forty-nine judges participated in this step, who validated the following elements regarding relevance: 04 attributes, 22 related factors and 28 defining characteristics of the proposed nursing diagnosis. Furthermore, they validated 03 attributes, 19 related factors and 25 defining characteristics regarding the clarity and precision of the conceptual and operational definitions of the respective elements of the diagnostic proposition. In this sense, the diagnostic proposal presented after content validation: 02 attributes, 29 defining characteristics, 21 related factors and 01 associated condition. Subsequently, the evaluation of TMA-EOPS was carried out in two rounds. Five judges participated. In the first round, TMA-EOPS was considered adequate for all items related to significance, parsimony, testability and empirical adequacy; only 01 item related to internal consistency and 01 item related to pragmatic adequacy were not considered adequate. In the second round of TMA-EOPS evaluation, items not previously validated were considered adequate. It is concluded that the study contributed to the advancement of knowledge in the discipline of Nursing through the development of a proposal for a nursing diagnosis based on a Medium Range Theory that does not exist in the NANDA International taxonomy.

2
  • MANACÉS DOS SANTOS BEZERRIL
  • Construction, validation, and effect of a course for training nurses in the training of expert patients.

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • ISABELLE CAMPOS DE AZEVEDO
  • QUENIA CAMILLE SOARES MARTINS
  • FRANCISCA SANCHEZ AYLLON
  • ANA LUISA PETERSEN COGO
  • MARCOS ANTONIO FERREIRA JUNIOR
  • Data: 31-mar-2023


  • Resumen Espectáculo
  • The object of the study is the development of a course for nurses in the training of expert patients. And it aims to evaluate the effect of the course for the training of Primary Health Care nurses in the training of expert patients. It is a research structured in two stages: the first is a methodological investigation, which sought to build and validate the course for training Primary Health Care nurses in the formation of expert patients, based on theoretical, empirical and analytical procedures; to this end, a Scoping Review was carried out, in addition to visits to active health schools by an expert patient for the construction of the course; then, a Google Forms was created with the course content based on criteria adapted from Pasquali, to be evaluated by specialists using the Delphi technique for course validation; finally, from the application of the Content Validation Coefficient, it was possible to assess the agreement between the judges. The second stage, quasi-experimental research of the before-after type with intervention with a single group of participants that proposed to evaluate the effect of the course, which had the participation of nurses from Basic Health Units in the city of Natal, Rio Grande do Norte, who participated in the course itself. Data collection was carried out with the application of multiple-choice pre- and post-tests and scales associated with the simulation scenarios present in three of the six meetings of the course. The information obtained through the instruments was tabulated in the Statistical Package for Social Science for Windows software, analyzed in a simple descriptive way and through inferential tests. The research follows the ethical precepts of the National Health Council with approval by the Research
    Ethics Committee (CAAE: 46980621.2.0000.5537). The Scoping Review resulted in a sample of 234 studies, identifying Diabetes Mellitus (110; 39.9%) as the most prevalent chronic disease and physical activity (234; 08.7%) among the main self-care actions. The course was structured in the following sessions: characterization, syllabus, objectives, contents, methodologies, evaluation, programming, references, and appendices, following the principles of Andragogy, the Theory of Meaningful Learning and the Theory of Self-efficacy. In validation, two Delphi rounds were performed: the first had nine judges and a total Content Validation Coefficient above 0.90, while the second with six and a total Content Validation Coefficient of 0.99. The effectiveness assessment had seven nurses, with a predominance of females (06; 85.7%) and time working in Primary Health Care between one and ten years (04; 57.1%). The pre and posttest ratio reached a statistically significant result (p-value=0.008830). The Student Satisfaction and Self-Confidence in Learning Scale showed an average greater than 4.5 (±0.5) in two items of satisfaction and four of self-confidence; the Debriefing Experience Scale showed two items on the teacher's ability to conduct the debriefing and one on the appropriate guidance from the teacher, with an average of 5.0 (±0.0); and the Simulation Design Scale, an average of 5.0(±0.0) in only one item pertaining to objectives and information, and two related to Feedback/Reflection. It was concluded that the course built and validated is considered effective for training Primary Health Care nurses in training the expert patient.

3
  • FRANCISCO MAYRON MORAIS SOARES
  • Elaboration and evidence of validity of educational hypermedia in reception and obstetric risk classification

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • GILSON DE VASCONCELOS TORRES
  • KARINE DE CASTRO BEZERRA
  • IGOR CORDEIRO MENDES
  • LARA LEITE DE OLIVEIRA
  • Data: 19-abr-2023


  • Resumen Espectáculo
  • Faced with the scenario of health complications related to pregnancy, the recognition of risk implies the need for specialized evaluation, with additional tests and services, and for these pregnant women the current strategies focus on improving the quality of care during this critical period. In obstetrics, the reception presents characteristics inherent to the needs and demands related to the pregnancy process that is permeated by several holistic changes. Thus, the objective of this research is to verify the evidence of validity of an educational hypermedia about the embracement and classification of obstetric risk. This is a methodological research, with development by the basic instructional design model that involved the technological production, of the educational hypermedia type, for the teaching of the Acolhimento and Obstetric Risk Classification Protocol, carried out in five stages. Twenty-two judges participated to validate content and usability. For the analysis, the Content Validity Index the System Usability Scale and the binomial test were used. The study was submitted to the Research Ethics Committee with a favorable opinion under protocol number 5.042.351. The research was conducted according to the required ethical standards, with a request for prior signature of the ICF. An educational hypermedia was developed, in the form of a website, entitled "Acolhimento e Classificação de Risco Obstétrico", or simply, ACRO. The theoretical content developed for the educational hypermedia was organized in the following topics: conceptual approach, Module I: Approaching the theme of Acolhimento and Obstetric Risk Classification; Module II: Emergency Obstetric Acolhimento; Module III: Obstetric Risk Classification; Module IV: Decision-making Process in Acolhimento and Obstetric Risk Classification; Module V: Classifying Risk - Classification Exercises, References, Supplementary Material (virtual library) and Presentation of the authors. The content obtained a Content Validity Index of 0.96 and for usability it obtained 91.9. In the global evaluation, all the requirements obtained a 0.98 index. The developed educational hypermedia presents evidence of validity and constitutes an innovative resource for the teaching and learning process in Nursing.

4
  • SANDY YASMINE BEZERRA E SILVA
  • Elaboration and validation of the content and appearance of a mobile application to subsidize the monitoring of tuberculosis cases in Primary Health Care

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • MARIA AMÉLIA ZANON PONCE
  • MARIA SANDRA ANDRADE
  • NILBA LIMA DE SOUZA
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • Data: 04-may-2023


  • Resumen Espectáculo
  • The development of new tools, interventions and strategies that implement tuberculosis control has been encouraged worldwide. The general objective of this study was to develop and validate the content of a mobile application, for use on smartphones, to support the monitoring of tuberculosis cases in Primary Health Care. This is a methodological, multiphase study, with a quantitative and qualitative approach, systematized according to the methodological framework of User-Centered Design. The research phase had a descriptive-exploratory study, developed with nurses, doctors and people living with tuberculosis, distributed in health units in the city of Natal; and a scope review. In the design phase, the application content was elaborated and in the prototyping phase, the application prototype was developed. In the test phase, content and appearance validations were carried out using the Delphi technique. At this stage, the content validity coefficient greater than 0.8 and the percentage of agreement equal to or greater than 80% were used as parameters for validation. The study complied with the ethical foundations of Resolutions nº 466/2012 and 510/2016. Based on the results of the descriptive-exploratory study and scope review, the application's content was structured into six sections in the version for health professionals: Personal data; Information about tuberculosis; Register user; Search patient; Contact; Query; and six for people living with tuberculosis: Tests; Personal data; Information about tuberculosis; Contact; Treatment; Alerts; For content and appearance validation, two Delphi rounds were carried out: the first had 19 judges and a total Content Validation Coefficient above 0.86, the second, with 9 judges and a total Content Validation Coefficient of 0. 95. It is concluded that the mobile application has validity to support the monitoring of tuberculosis cases in Primary Health Care.

5
  • FLAVIA BARRETO TAVARES CHIAVONE
  • SafeCare-serious game to support patient safety teaching: appearance validation, usability and effectiveness testing.

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • FRANCIS SOLANGE VIEIRA TOURINHO
  • ISABELLE CAMPOS DE AZEVEDO
  • MARCOS ANTONIO FERREIRA JUNIOR
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 31-may-2023


  • Resumen Espectáculo
  • The current student, Student 3.0, is characterized by the demand for technologies that support their teaching-learning process, by making it dynamic and innovative. This student profile is concatenated with social changes understood as cyberculture and cyberspace, which reflect on the relationships between human beings and technologies in different contexts, among them, within the scope of teaching. As an option for this, serious games emerge, which promote an interactive, immersive and safe teaching environment. Thus, the objective is to validate the appearance, usability and effectiveness of SafeCare: serious game to support the teaching of patient safety. It deals with a validation study and a quasi-experiment of the before and after type, divided into two stages. The first consisted of the development of the serious game, based on the Analysis, Design, Development, Implementation, Evaluation model. And in the validation of appearance and usability, using the adapted Suitability Assessment of Materials and the System Usability Scale Validation judges were nursing professors and students. For whom, after agreeing to participate, a link was sent to access SafeCare: serious game and Google Forms to fill in the validation forms. At this stage, the data were tabulated and analyzed in Microsoft Excell 365, according to specific calculations for each instrument. Therefore, the verification of the effectiveness of the serious game was carried out. For this, an extension course was developed to train undergraduate nursing students from the fourth academic period on patient safety. It was structured in four meetings and one of them was dedicated to the use of SafeCare: serious game. In the first moment of the course a pre-test was carried out and at the end the post-test. Data were tabulated and analyzed using descriptive and inferential statistics in the Statistical Package for Social Science for Windows. Furthermore, the study was submitted and approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte with registration number: 4.954.453 and CAAE: 49774921.7.0000.5537. The validation steps were performed in two Delphi rounds, the first with 15 judges and the second with ten. The evaluators were mostly teachers (80%), between 41 and 45 years old (30%) and female (70%). In the first Delphi conference, appearance validation reached agreement of 0.88 and 92.94%, in the second, 0.90 and 100%. As for usability, the Delphi 1 round obtained a score of 90 points and the second 92.5. In the effectiveness test, the sample consisted of 18 students, mostly female (83.3%), aged between 21 and 25 years (55.5%) and attending the fourth period (44.5%). The average score in the pre-test was 4.7 and in the post-test 6.3. Data were analyzed using correlational bivariate analysis between means, Pearson's correlation, which detected a large effect association of 0.456 and a significant p of 0.029. It ends like this. that SafeCare: serious game obtained approval scores in the validation procedures and in the effectiveness test, therefore, it is feasible to infer that the game developed has the capacity to support the teaching of patient safety and, in addition, represents a teaching tool associated with current educational demands, which can promote meaningful learning.

6
  • VANESSA PINHEIRO BARRETO
  • Construction and validation of the content of an instrument aimed at guiding the filling in of notification forms and epidemiological investigation of arboviruses

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ERIKA SIMONE GALVAO PINTO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • DANIEL GUILLÉN MARTÍNEZ
  • PATRÍCIA PERES DE OLIVEIRA
  • Data: 26-jun-2023


  • Resumen Espectáculo
  • The concomitant circulation of dengue, chikungunya and zika viruses in Brazil has become a public health problem for the country. Arboviruses are considered notifiable diseases, therefore, every suspected or confirmed case must be notified to the Epidemiological Surveillance Service, so that strategies are adopted to reduce viral
    proliferation. However, it was observed that there are flaws in filling out the notification forms, thus, the incompleteness of this information reflects an underestimation of the real number of cases that occurred in epidemics, as well as making it impossible to identify the real health situation in which find the population. Thus, the objective is to build and validate the content of an instrument aimed at guiding the correct completion of the notification forms and epidemiological investigation of arboviruses. This is a methodological research composed of two steps. The first consisted of a document review, carried out through the analysis of Ministry of Health manuals and technical notes on guidelines for completing the notification forms. In the second stage, the instrument was constructed and validated based on the material identified in the previous stage and on the arbovirus notification and epidemiological investigation form. The instrument's items were constructed and evaluated based on Pasquali's theoretical framework and the calculation of the Content Validity Coefficient was performed using the Hernandez-Nieto framework. The validation steps were carried out with expert judges, using the Delphi technique. The Kappa test was applied to assess the judges' degree of agreement on the analyzed items. Data were tabulated in Microsoft Excel 365 and analyzed in SPSS statistical software, version 25.0. Ethical precepts were followed in accordance with Resolution No. 466, of December 12, 2012, of the National Health Council. The research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, through opinion no 5.463.378 and Certificate of Ethical Appreciation Presentation 57846222.0.0000.5537. The validation process was carried out in two Delphi rounds, 13 judges participated in the first and 9 in the second. The judges were mostly female (61.54%), had an average age of 36 years, an average time of training of 13 years and an average time of experience in arboviruses of 8 years. The items were evaluated according to the criteria of clarity of language, practical pertinence and theoretical relevance, these were changed, deleted and included based on the analyzes and pertinent suggestions of the judges. The final version of the instrument had 50 items. They were obtained in Delphi 1 Content Validity Coefficient 0.92 and Kappa 1.00; in Delphi 2, the Content Validity Coefficient was 1.00 and Kappa 1.00, which indicates almost perfect agreement between the evaluators. It is concluded that the content of the constructed instrument was validated according to the evaluated dimensions. Thus, it has evidence that it represents a technology that can be used by health professionals, who act directly in filling out arboviruses notification forms, which can promote a better quality of this information.

7
  • TATIANA MARIA NOBREGA ELIAS
  • Development of an instrument for nursing
    care in the prevention of congenital syphilis in Primary Health Care.2023.

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • ALEXANDRA DO NASCIMENTO CASSIANO
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • NILBA LIMA DE SOUZA
  • REJANE MARIA PAIVA DE MENEZES
  • Data: 21-jul-2023


  • Resumen Espectáculo
  • Brazil faces high rates of cases of perinatal morbidity and mortality caused by
    congenital syphilis since the 1990s, although actions for the promotion,
    prevention and control of diseases are applicable in prenatal programs during
    assistance to the binomial. Consultations for pregnant women are carried out as
    a priority in Primary Health Care, accompanied by a multidisciplinary team,
    including a nurse. However, despite the improvement in access to prenatal
    care, important gaps persist, such as: late start of consultations, number of
    consultations lower than recommended, deficit of tests performed and,
    sometimes, the inefficient conduction of specific treatments and forms of
    prevention of illnesses. Therefore, the objective of this study is to build and
    validate an instrument for nursing care in the prevention of congenital syphilis in
    Primary Health Care. For this purpose, Jean Watson's theory of nursing care
    was used, constituting the application of nurses' critical thinking, in a
    transpersonal perspective, enabling the recognition of care by the pregnant
    woman to support her in the prevention of congenital syphilis. This is a
    methodological study consisting of four phases: the first being the
    operationalization of the construct, supported by the theory of transpersonal
    nursing care and a scope review, containing a final sample of 35 articles that
    enabled the categorization of 33 care nursing for the prevention of congenital
    syphilis which, together with the ten elements of the Clinical Caritas Process,
    made up the first version of the instrument, with ten dimensions and 27 items;
    the second phase corresponded to content validation for the analysis of
    agreement between the item-dimension and the validation of the instrument
    items and its operational guide and took place in two Delphi rounds with the
    participation of 12 judges; in the third phase, face validation took place, with 38
    judges and a Delphi round to assess the instrument's verbal compression. Both
    in the second and in the third phase, the Kappa coefficient and the Content
    Validation index were used for the statistical analyses. And, finally, the fourth
    phase, which consisted of validating the construct and assessing its reliability;
    15 nurses who accompany the prenatal consultation and 138 pregnant women
    participated in it. For construct validation, exploratory and confirmatory factor
    analysis and Cronbach's alpha were used to assess the instrument's internal
    consistency and thus ensure its reliability. The study complied with the ethical
    prerogatives required by Resolution nº 466/2012, of the National Health Council
    and its complementary ones, being approved by opinion nº. 5,632,945 and
    CAAE 61762422.3.0000.5637, issued by the Ethics and Research Committee
    of the Federal University of Rio Grande do Norte. From the results obtained, in

    the validation of the instrument's content, an agreement between the items and
    the dimensions was greater than 0.60 in the first round of Delphi in 77.78% of
    the items; however, of the six items that did not show satisfactory agreement, 3
    were excluded and the other 3 were adjusted in their allocation and description.
    Items validated with a Kappa index of less than 1.00 were submitted to the
    second Delphi round, with all of them presenting values higher than those of the
    first round and greater than 0.61. Still in this phase, regarding the content
    validation of the instrument and the operational guide, all items and their
    respective operational descriptions obtained a CVI ≥ 0.80 and a Kappa ≥ 0.60,
    giving rise to the second version of the instrument with 24 items. In face
    validation, the instrument was submitted to the evaluation of verbal
    compression, with all items obtaining a Kappa ≥ 0.80 and a CVI greater than
    0.89, not requiring another round or adjustments, moving on to the last phase
    validation, with 24 items. The construct validation was carried out through factor
    analysis, where in the exploratory analysis the variables generated 9 factors
    with a variance greater than 50%, which brings security to the confirmatory
    analysis that obtained statistically significant values in the adequacy indices of
    the final model (Ratio X2 /g.l, RMR, RMSEA, PCFI, CFI and IFI). Regarding the
    verification of reliability, the instrument obtained a Cronbach's Alpha above 0.70
    and below 0.90 in all items, that is, the consistency of the data is classified as
    adequate. In view of these results, it is concluded that the instrument developed
    for nursing care in the prevention of congenital syphilis demonstrated to have
    psychometric quality and satisfactory validity to support and qualify nurses'
    practice with pregnant women in Primary Health Care.

8
  • JÉSSIKA WANESSA SOARES COSTA
  • Instrument for identifying transitional care in
    adults with Post-Intensive Care Syndrome characteristics.

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ELIABE RODRIGUES DE MEDEIROS
  • KATIA REGINA BARROS RIBEIRO
  • RAPHAEL RANIERE DE OLIVEIRA COSTA
  • REJANE MARIA PAIVA DE MENEZES
  • SORAYA MARIA DE MEDEIROS
  • YANNA GOMES DE SOUSA
  • Data: 28-jul-2023


  • Resumen Espectáculo
  • Critical illness is associated with a multitude of heterogeneous conditions,
    however, given the imposed hemodynamic instability, it predisposes the individual to
    the need for advanced means of life support. In this perspective, individuals who face a
    critical illness and a long period of hospitalization in the Intensive Care Unit are
    exposed to the development of Post-Intensive Care Syndrome, characterized and related
    to physical, cognitive and psychological dysfunctions. Consequently, survivors of the
    syndrome and their support network face difficulties in providing care when returning
    home and in daily activities, with nursing professionals being one of the main
    responsible for training self-care and the support network for hospital discharge. With
    this, the objective was to build and validate an instrument to identify transitional care in
    adults with characteristics of Post-Intensive Care Syndrome. This is a theoretical study,
    of methodological development, with a quantitative approach and use of the
    Psychometric Data Theory. The total sample consisted of 194 participants, including 10
    judges, 30 Nursing students and 154 assessments of adults with Post-Intensive Care
    Syndrome characteristics. Data collection took place between August 2022 and May
    2023, after a favorable opinion from the Research Ethics Committee under no
    5.388.801. The construction of the instrument was arranged in three stages: Stage 1:
    Operationalization of the construct; Step 2: Content Validity and Face Validity; and
    Step 3: Construct Validity and Instrument Reliability. The conceptual theoretical basis
    is anchored in the Theory of Basic Human Needs and in the Theory of Transition. In
    Step 1, the construction of the instrument was carried out based on the theoretical bases
    and a Scoping review, which followed the recommendations of the Joanna Briggs

    Institute and the checklist Preferred Reporting Items for Systematic reviews and Meta-
    Analyses extension for Scoping Reviews. The preliminary version of the instrument had

    33 items divided into 5 dimensions. In Step 2, the instrument was submitted to content
    validity by 10 judges, in 2 rounds, resulting in a pre-final version with 30 items and 5
    dimensions: D1 - Clinical aspects (9 items); D2 – Feeding and physiological
    eliminations (4 items); D3 – Mobility, hygiene, comfort and safety (4 items); D4 – Skin
    and mucous membranes (4 items); and D5 – Cognitive and psychological (9 items). In
    round 1, dimension 5 underwent changes in the writing of item 24, initially written as
    “How is the communication?” passing the formulation “How is communication after
    admission to the ICU?”, with such modification obtained a Kappa coefficient of 1.00, in
    round 2. Still in dimension 5, items 25, 26, 27 and 28 were regrouped as the item “25 -
    How is the sensory perception?”, obtaining Kappa with perfect agreement (1.00), the
    Operational Guide followed the reformulation changes of the items, without impact on
    the operational definitions of the initial version. In face validation, carried out with
    judges and Nursing students, the instrument followed the pre-final version without
    changes, with perfect Kappa in general analysis, by dimension and items. In Step 3,
    regarding construct validity and internal reliability, the instrument proved to be valid
    and reliable, with a total Cronbach's Alpha equal to 0.835, not indicating the presence of
    redundancy or duplication of it’s items. The assumption of unidimensionality was
    verified through the analysis of principal components and it was detected that the first
    factor is able to explain 30.1% of the variance, that is, it can be considered that the

    instrument has a dominant factor, validating the assumption of unidimensionality and,
    therefore, of local Independence. According to the Gradual Response Model, the
    discrimination parameter ranged from 0.097 to 3.265. It was found that most items have
    a moderate to very high power of discrimination. For factorial validity, the model
    quality parameters were evaluated: χ2., CFI, TLI and RMSEA. Thus, analyzing the
    statistics of the final model, it should be noted that by TLI and CFI, it is possible to
    verify that they presented values above 0.90 (CFI = 0.92 and TLI = 0.90), which
    indicates a good fit of model. The RMSEA presented a value of 0.086, below the
    maximum limit of 0.10, which also indicates a good model fit. Therefore, the instrument
    proved to be reliable and has consistent evidence of content, face and construct validity
    to identify transitional care in adults with characteristics of Post-Intensive Care
    Syndrome.

9
  • ISADORA LORENNA ALVES NOGUEIRA
  • Development of an online course plan for user health education in the context of syphilis.

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • ALIETE CRISTINA GOMES DIAS PEDROSA DA CUNHA OLIVEIRA
  • ALCIDES VIANA DE LIMA NETO
  • ALEXANDRA DO NASCIMENTO CASSIANO
  • ALEXSANDRA RODRIGUES FEIJAO
  • NILBA LIMA DE SOUZA
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • REJANE MARIA PAIVA DE MENEZES
  • Data: 25-ago-2023


  • Resumen Espectáculo
  • Syphilis, a sexually transmitted infection, is considered a serious public health problem, with worldwide rates of 7.1 million cases, being prevalent in the reproductive age group of 15 to 49 years. These indicators motivated the World Health Organization to develop an intervention program for the adequate management of sexually transmitted infections, by the year 2030. This research aims to validate an online course prototype for health education in the context of syphilis in primary health care. Methodological study with a quantitative approach, based on the four fundamental stages of Filatro: analysis, design and development, implementation and evaluation. In the first stage, a scoping review was carried out, mapping the knowledge of users assisted in primary health care about syphilis, subsequently a cross-sectional study was carried out, with 269 users assisted in the municipality of Natal, Rio Grande do Norte. Descriptive and inferential statistics were used, using the Chi-square and Fisher tests, evaluating the significance of p ≤ 0.05; in the second stage, the thematic axes were structured for the content of the online course plan, in the low-fidelity prototype version, using google forms, based on objectives, contents, methodological path, evaluation and curriculum structure. The plan was conceived from the perspective of the Moodle platform and the template provided by the virtual learning environment of the Unified Health System; in the third stage, the educational resources were configured, based on the needs of tools such as: training, setting, teaching-learning situation, modules and evaluation; in the evaluation stage, the content was validated with specialists in the field of nursing, recruited through the Lattes platform and the snowball strategy, according to Fehring's framework, considering a minimum cutoff of 4 points. The sample included 11 specialists. Descriptive and inferential statistics were performed for Kappa values ≥ 0.6 and CVI ≥ 0.8, and adjustments of items, including information, content and grammar. The project was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, in compliance with the ethical precepts of Resolution 466/12. The results of the scoping review demonstrated the existence of gaps in the knowledge of syphilis regarding clinical manifestations, deficits in prevention, testing, diagnosis and implemented therapeutic practices, categorized based on Orem's self-care deficit theory. In the cross-sectional study, about the sociodemographic characterization of the participants, users with a mean age of over 30 years (55.02%) were identified, a proportion of women (79.3%) higher than that of men (20.7%) , single (47.21%), mixed race (44.24%), Catholic religion (34.20%), complete high school (41.64%) and self-employed (42.50%). As for knowledge about syphilis, understanding of the importance of using condoms (96.28%), definition of the disease (88.48%), signs and symptoms of syphilis (72.08%) and medication for the syphilis treatment (47.22%). Regarding health education actions in the prevention of syphilis, most users said they had access to educational materials in health services, mainly lectures (27.14%), addressing prevention measures (58.44%). Users who sought information on the internet totaled 94.05%, but with a low percentage for health matters (13.04%). When asked if they would participate in an online course on the subject, 93.31% responded positively that they would join. The analysis and relationship between the variables showed that the definition of sexually transmitted infections was related to the level of education, obtaining p<0.001; as well as for the variable on condom use (p=0.011). A similar proportion was observed between the definition of syphilis according to the service sector (p=0.004), marital status (p=0.001), religion (p=0.026) and education (p=0.008). For the variable identification of signs and symptoms, significance was obtained for the service sector (p=0.0031), marital status (p=0.057), religion (p=0.059) and education (p=0.001). The right answers regarding medications for the treatment of syphilis were related to the service area (<0.001) and religion (p=0.019). The variable participation in lectures was related to sector (p=0.058) and education (0.099). The use of the computer or cell phone in the search for information was related to the sector (p<0.001). Concerning the creation of the online course on syphilis, significance was obtained for education (0.013). Based on the results and these analyses, an online course plan instrument was created, consisting of four modules: sexually transmitted infections and their social impact; clinical aspects of the disease; limitations for self-care; effective self-care and the contribution of technologies. The instrument was validated for the number of 84 items related to the content, in a Delphi round carried out with 11 specialists. Kappa values ≥ 0.6 and CVI ≥ 0.8 were considered for the criteria clarity of language, practical relevance, theoretical relevance and theoretical dimension, reaching satisfactory rates for 80 items, resulting in the exclusion of item 04 from the general aspects; adjustments to items 48 and 50 of module II and item 59 of module III, for the clarity criterion. Given these consensuses greater than 80% and global with satisfactory values, the items could be kept in the instrument and validated with just one Delphi round. It is concluded that the online course plan prototype, with a focus on health education, is relevant and will have an impact on the final development of the online course technology, and may contribute to the knowledge of Primary Health Care users about from syphilis.

10
  • ROMEIKA CARLA FERREIRA DE SENA
  • Impact of the COVID-19 pandemic on depressive symptoms and anxiety among the elderly in the world scenario: A systematic review with meta-analysis.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • ISABELLE CAMPOS DE AZEVEDO
  • GILSON DE VASCONCELOS TORRES
  • FLAVIA DANIELLI MARTINS LIMA
  • FRANCISCO MAYRON MORAIS SOARES
  • Data: 28-ago-2023


  • Resumen Espectáculo
  • Brazil and the world went through a pandemic due to the COVID-19 virus, given the new
    mutation of the coronavirus. In this pandemic scenario, the elderly were characterized as a
    vulnerable population due to the interinsectic characteristics of this public. In addition to non-
    communicable chronic diseases, psychological comorbidities such as depression and anxiety
    have been described as diseases with a higher incidence in the elderly population, including
    during and after the pandemic. Thus, the study aims to analyze the impacts caused by the
    covid-19 pandemic on depressive symptoms and anxiety among elderly people on the world
    stage. This is a systematic review that followed the PRISMA guidelines, PVO strategy,
    registered in PROSPERO - CRD42023451218. The databases used were: SCOPUS,
    MEDILINE/PubMed, EMBASE and Psychoinfo. The following Boolean descriptors and
    operators “AND” and “OR” were used as a search strategy and inclusion of alternative terms:
    “COVID-19 pandemics OR COVID 19 Virus Infection” AND “Depression OR Depressive
    Disorder OR depressive symptoms” AND “Anxiety OR Anxiety Disorders) AND (Aged OR
    Geriatrics), selecting studies from 2020 to 2023, with data collection in the same period,
    considering that on January 30, 2020, the World Health Organization declared a Public Health
    Emergency of International Concern disclosed in various social media due to the spread of the
    coronavirus. For this study, age related to the elderly refers to people aged ≥60 years. General
    data analysis was carried out using the R 4.0 software. the DerSimonian-Laird model with
    random effect and calculation of proportion and correlation using a confidence interval of
    95% and significance of 0.05. In addition, a predictive analysis was performed analyzing the
    meta-regression. studies with a high risk of bias in addition to determining the risk of
    publication bias with the funnel plot, together with the meta-regression analysis. In addition,
    outliers were excluded and subgroups were analyzed. A total of 6,595 articles were found,
    with 16 articles being eligible after application of inclusion and exclusion criteria. Levels of
    stress, quality of life, quality of sleep, emotional distress, concern and family care stood out as
    factors that significantly contributed to the development of depressive symptoms and anxiety
    among the elderly worldwide. According to the analysis carried out, there was a prevalence of
    more than 50% of association between variables related to the pandemic and the development
    of depression and anxiety with CI from 0.45 to 0.60 and p-value &lt; 0.05. With analysis of the
    studies, almost 16 thousand people of the interest group were evaluated, already considering
    the losses that occurred in the researches. According to the bias analysis, no bias was
    identified. Through the results, it is concluded that the restrictive measures adopted in the
    COVID-19 pandemic, as well as the entire pandemic scenario, had a considerable impact on
    the mental health of the elderly in the global context.

11
  • ISABELLE CHRISTINE MARINHO DE OLIVEIRA
  • Digital educational technologies in the prevention of HIV in adolescents and young people: systematic review

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • BARBARA COELI OLIVEIRA DA SILVA
  • ELIÃ PINHEIRO BOTELHO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • KLEYTON SANTOS DE MEDEIROS
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 29-ago-2023


  • Resumen Espectáculo
  • The technological age brought new directions to the teaching-learning process. In this sense,
    Digital Educational Technologies (TED) have been applied as useful tools in building
    knowledge on the subjects of difficult approach to adolescents and young people, such as
    human immunodeficiency virus prevention (HIV). The objective of this study was to analyze
    the scientific evidence about TED in the prevention of HIV in adolescents and young people.
    This is a systematic review developed based on the recommendations of the manual for
    evidence synthesis of Joanna Briggs Institute and the Preferred Reporting items for
    Systematic Review Sand Meta-Aalyses: The Prism Statement. This study was recorded on the
    prosperous platform under the CRD42023418826 identifier. Through peak strategy
    (population, intervention, control and outcomes/outcome) the question of research was built:
    “What is the effectiveness of digital educational technologies in the prevention of HIV in
    adolescents and young people according to the scientific literature?” The search and
    collection of this review was performed in the 16 data sources: Scopus elsevier; Medical
    Literature Analysis and Retieval System Online via National Library of Medicine; Web of
    Science; Science Direct Elsevier; Embrase Elsevier; Scientific Electronic Library Online;
    Latin American and Caribbean Literature in Health Sciences; Virtual Health Library;
    ClinicalS.gov; International Clinical Trials Registry Platform; Cochrane Library; CAPES
    Theses and Dissertations Catalog; Brazilian Portal of Publications and Scientific Data in Open
    Access; Federated Network of Institutional Repositories of Scientific Publications; Open
    Access Theses and Dissertations; and OpenGrey Database, through the crossing of the
    descriptors in Health Sciences/ Medical Subject Headings (decs/ mesh) and keywords:
    Educational Technology, Digital Technologies, Information Technology, Mobile
    Applications, Technology, Primary Prevention, Prevention, Health Education, , Human
    Immunodeficiency Virus, HIV Adolescent, Tenager, Young Adult, Young, using Boolean and
    OR and OR operators. Primary quantitative primary studies were included in full and free,
    without temporal limit, in any language and answered the research question. Editorial, letters
    to the editor, protocols, reflections, experience reports, revisions, summaries published in
    scientific events, and studies whose outcome did not evaluate aspects related to TED. Of the
    7403 studies found, the sample consisted of 14 articles. The methodological quality of the
    studies was verified and the level, importance and recommendation force of evidence used the
    grid system. Digital educational technologies represent an important tool in the teaching-
    learning process that has generated behavioral changes about HIV prevention in adolescents
    and young people. The studies were analyzed regarding the characteristics, implementation
    and evaluation of the intervention. The outcomes knowledge about HIV/AIDS and changes in
    risk behavior have had a high level of evidence. The general risk of bias was identified as low
    for most studies. There was a strong recommendation of TED as conduct for professionals.
    The results are encouraging and support the use and development of more educational
    technologies for HIV prevention in this population. The study contributes to nursing science
    as it drives research and clinical practice, with production or readjustment of available
    technological resources.

12
  • CARLOS JORDAO DE ASSIS SILVA
  • Development of middle-range nursing theory for healthy aging.

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • REJANE MARIA PAIVA DE MENEZES
  • ROSANE BARRETO CARDOSO
  • SORAYA MARIA DE MEDEIROS
  • Data: 11-oct-2023


  • Resumen Espectáculo
  • The life expectancy of the population had a considerable increase in the last century and
    it is projected that Brazil will be the 6th country in the world in number of elderly
    people in the next decade. It is emphasized that it is a relevant social and health gain,
    but that does not mean that people are living healthier. Therefore, a transformation in
    health systems is required, focusing on a model of comprehensive care, centered on the
    elderly, requiring more specialized training from nurses and focused on healthy aging.
    However, the lack of a specific theoretical framework for gerontological nursing care,
    based on the discipline&#39;s values and concepts, and focused on the elderly, favors the
    need for a medium-range theory in this context. Thus, the aim of this study is to develop
    a mid-range theory for healthy aging from the perspective of transitions. This is a
    theoretical study, aimed at building a mid-range nursing theory. The development of the
    Mid-Range Theory for Healthy Aging (MRTHA) was based on the methodological
    framework of Theoretical-Causal Validity in its six stages. As a theoretical approach for
    the construction of the theory, the starting point was the concept of healthy aging and
    the nursing diagnosis, Disposition for improved healthy aging, associated with the
    derivation from a specific theoretical model, in this case Meleis&#39; theory of transitions.
    Anchored in these concepts, healthy aging and nursing diagnosis and, and later the
    evaluation of the theory of transitions from the Evaluation Model proposed by Meleis
    from the elements of description and criticism. The main concepts that emerged from
    the MRTHA were derived from the conceptual and theoretical models used. Then the
    pictorial scheme was built using the Canva tool, and a posteriori the propositions and
    established causal relationships of the MRTHA. The prerogatives of Law nº 9.610/1998,
    regarding copyright of the authors of the primary studies used, were fully respected. The
    MRTHA originated the formulation of eight propositions and the established causal
    relationships between the phenomenon and clinical nursing practice. It was concluded
    that the development of MRTHA clarified the occurrence of a health promotion nursing
    diagnosis focused on healthy aging. It is expected that the construction of the MRTHA
    will contribute to the diagnostic reasoning and theoretical support of gerontological
    nursing practice.

13
  • ANDERSON BRITO DE MEDEIROS
  • Prevalence of mental disorders in pregnant and lactating women deprived of liberty in the prison system: systematic review.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • GLAUBER WEDER DOS SANTOS SILVA
  • JAIME ALONSO CARAVACA-MORERA
  • JANMILLI DA COSTA DANTAS SANTIAGO
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • KLEYTON SANTOS DE MEDEIROS
  • THAIS ROSENTAL GABRIEL LOPES
  • Data: 20-oct-2023


  • Resumen Espectáculo
  • Introduction: Female incarceration has increased due to several factors, including changes in criminal policies, social and economic inequalities, abuse of psychoactive substances and issues related to gender and mental health. Being a woman and experiencing pregnancy or lactation in the prison system can be an even more challenging and difficult experience due to precarious sanitary conditions, lack of adequate medical care, stigma, isolation and separation from the child. The restrictions of the prison environment can increase the risk of problems related to the mental health of these women. Objective: To evaluate the prevalence of mental disorders among pregnant and breastfeeding women in the female prison system. Method: This is a systematic review, which evaluates and brings together similar studies for statistical analysis. To write this review, the PRISMA checklist guidelines were followed. Furthermore, the protocol was registered on the International Prospective Register of Systematic Reviews (PROSPERO) platform, under registration number CRD42022350737. Using the PECOT strategy (Population, Exposure, Control, Outcomes/Outcomes and Types of Studies/Observational), the research question was constructed: “What is the prevalence of pregnant and lactating women with mental disorders in the female prison system?” Included were studies on pregnant women and the development of mental disorders (depression, anxiety, stress and insomnia, postpartum depression) during incarceration in comparison to pregnant women not exposed to incarceration or deprivation of liberty in the prison system. Literature reviews, case series, case reports and qualitative studies were not considered. Searches were carried out in the following databases: PubMed, Web of Science, Embase, Latin American and Caribbean Literature in Health Sciences (LILACS), Scopus and Nursing Database (BDENF), without restriction on the language of the articles or of the year of publication. The search strategy used medical subjective vocabularies (MeSH) and a variety of other keywords. To assess the risk of bias, the Newcastle Ottawa Scale was used to assess the methodological quality of the research, while the Grading of Recommendations Assessment, Developing and Evaluation (GRADE) method was used to classify the evidence into the quality levels of the studies. As these are secondary and public data, submission to the Research Ethics Committee was waived. Results: Of the 2165 studies found, the final sample consisted of four articles. The analysis and level of methodological quality were carried out, as well as the strength of recommendation of the evidence with the GRADE system. The studies were carried out in the last decade, in the United States and Canada and evaluated regarding characteristics, implementation and evaluation of the evidence. The prevalent mental disorders found in pregnant and lactating women in the women's prison system were anxiety, common mental disorders, schizophrenia, self-harm, and postpartum depression. The Risk of Bias assessment of the included studies was essentially classified as low, which demonstrates the quality of the research regarding bias, making the results provocative for carrying out interventions in the scenario. Final considerations: It was concluded that the prevalence of mental disorders in pregnant and lactating women in the prison system indicates a growth trend, as the context of imprisonment increases illness and psychological suffering. However, it is suggested that new studies be carried out to better elucidate the prison scenario, as well as to develop measurement instruments/scales aimed at the prison scenario due to the uniqueness of the environment.

14
  • MARILIA SOUTO DE ARAUJO
  • Construction, validation and evaluation of the effectiveness of a low- cost simulator aimed at teaching medication administration to infants.

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ALESSANDRA MAZZO
  • EDILMA DE OLIVEIRA COSTA
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • R0DRIGO GUIMARÃES DOS SANTOS ALMEIDA
  • RAPHAEL RANIERE DE OLIVEIRA COSTA
  • SORAYA MARIA DE MEDEIROS
  • Data: 15-dic-2023


  • Resumen Espectáculo
  • Nursing education has several limitations, among which practical training in administering medications to infants stands out, due to the scarcity of opportunities to train this skill. Clinical simulation and simulators are, respectively, potential teaching methods and technologies to reduce this gap. The objective was to build, validate and evaluate the effectiveness of a low-cost simulator for the purpose of administering medications to infants, subcutaneously, intravenously and intramuscularly. This is a mixed methods research, using the concomitant triangulation strategy, consisting of three types of study: one methodological, one interventional and one descriptive. Five steps were necessary for the research: planning, building and testing the simulator; simulator validation; validation of the simulation scenario; intervention study; and descriptive study. For the validation stages, the Kappa index, the Content Validity Index and the Factor Validity Index were calculated. In the intervention study, descriptive and inferential statistics were used, through the use of frequencies and the McNemar test. In the descriptive study, interviews were carried out and received lexicographic information processing in the IRAMUTEQ software, for subsequent content analysis. The simulator construction stage involved the creation of a prototype of an infant, produced with materials of low purchasing value, with a final cost of R$326.20. The second stage involved the validation of the simulator by nine judges, who analyzed its functionality, appearance and general aspects. The assessment of functionality using the Kappa, CVI and FVI indices was 0.99. Both when evaluating the general aspects of the simulator and its appearance, a Kappa index of 0.96 and a CVI and FVI of 0.98 were obtained. Therefore, excellent agreement between the evaluators was obtained. The third stage involved content validation of the simulation scenario by 31 judges, who evaluated its representativeness, importance and clarity, resulting in a representativeness CVI of 0.83; CVI importance of 0.94; CVI clarity of 0.88; Kappa of 0.81; FVI of 0.89. In the fourth stage, the medication administration skills of 18 undergraduate nursing students were compared before and after offering a course focused on the topic, with improvements in the 73 items evaluated, of which 25 were statistically significant. There was also an increase in the percentage of self-confidence in the three routes of administration. The last stage involved the students&#39; perception regarding the use of the simulator, emerging four thematic categories: potentialities of using the low-cost simulator in the subcutaneous, intravenous and intramuscular administration routes; the realistic experience of using the low-cost simulator; practical application of theoretical knowledge learned; and practical gaps and repercussions on the safety of medication administration. In effect, the simulator constructed is innovative and reproducible, confirming the thesis that it is possible to construct a low-cost simulator aimed at administering medications to infants that presents evidence of validity in appearance and functionality and that promotes the improvement of patient skills students.

15
  • CINTIA GALVÃO QUEIROZ
  • Efficacy of non-instrumental techniques for feeding tube insertion in critically ill patients: randomized clinical trial.

  • Líder : RODRIGO ASSIS NEVES DANTAS
  • MIEMBROS DE LA BANCA :
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • ISABEL KAROLYNE FERNANDES COSTA
  • KATIA REGINA BARROS RIBEIRO
  • LAYS PINHEIRO DE MEDEIROS
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 15-dic-2023


  • Resumen Espectáculo
  • The insertion of the nasoenteral tube, despite being a frequent procedure, is invasive and traditionally inserted ‘‘blindly’’, with the patient’s head in the neutral position and without instrumental assistance or external laryngeal manipulation. This procedure sometimes becomes difficult and traumatic, presenting greater complexity in patients in coma (physiological or induced) and intubated, becoming a challenge in the face of anatomical obstacles. Therefore, its insertion presents no risks, adverse events may occur during this procedure and compromise patient safety. To this end, the objective was to compare the effectiveness of two non-instrumental methods of nasojejunal feeding tube insertion in patients in coma (physiological or induced) and intubated. This is a prospective, planned and controlled clinical trial, carried out in the Intensive Care Unit of Hospital Dr. José Pedro Bezerra, where adult patients in a physiological or induced coma and intubated were selected. They were randomly distributed into two groups: those who had the probe inserted conventionally, with the head in the neutral position (Control Group) and the group with the head positioned laterally to the right (Intervention Group). In both cases, the patients were in a supine position, without a pillow, in a semi-Fowler position and there were no chin, jaw or larynx maneuvers. The following calculations were recorded: (1) Success rate of the selected technique in the first attempt, second attempt and total; (2) Time required for the first successful attempt and the sum of all attempts; (3) Complications during insertion, including probe kinking, twisting, knotting, mucosal bleeding and insertion into the trachea; (4) Mandatory patient signals. The project was assessed by the Research Ethics Committee of the Federal University of Rio Grande do Norte, where it received a favorable opinion and was registered on the Brazilian Clinical Trials Registry platform (RBR-8cktds4). 32 patients were distributed according to randomization and allocated as follows: 16 (50%) in the CG and 16 (50%) in the IG. There was no significant difference in terms of age, sex, weight, height and body mass index between the groups. The overall success rate was 75%. Success in the first attempt to insert in intubated patients was 87.50% in the IG and 62.50% when compared to the CG. The time required for successful insertion
    was shorter in the IG (53.31 ± 17.50) compared to the CG (84.38 ± 29.81), showing a statistical difference in the insertion time between the groups (P &lt; 0.001). Complications were higher in the CG (31.25%) compared to the IG (6.25%). There were no cases of serious complications. Furthermore, when evaluating the average hemodynamic parameters (systolic and diastolic blood pressure, heart rate, pulse and oxygen saturation), there was no significant difference between the two groups, before and after probe insertion. It is concluded that the simple neck lateralization maneuver, as a stand-alone maneuver, results in faster and more successful insertion times, with low complication rates, avoiding unnecessary manipulations of the thyroid, larynx and airway instrumentation.

16
  • BRUNA RODRIGUES MONTEIRO
  • Prevalence of congenital syphilis in newborns in the global context: systematic review.

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • CAROLINA PEREIRA DA CUNHA SOUSA
  • ERIKA SIMONE GALVAO PINTO
  • KLEYTON SANTOS DE MEDEIROS
  • MARIA DE LOURDES COSTA DA SILVA
  • NILBA LIMA DE SOUZA
  • Data: 18-dic-2023


  • Resumen Espectáculo
  • Objective: Detect the prevalence of congenital syphilis in newborns in the global context. Method: This is a systematic review. To construct the guiding question, I use the PECOT mnemonic (Population, Exposure, Comparator, Results, Type of Study). After formulating the mnemonic, the review presented the following research question: “What is the prevalence of congenital syphilis in newborns in the global context? ”. The search was carried out in the following databases: Embase, PubMed, Scopus, Ebsco, Web of Science, Latin American and Caribbean Literature in Health Sciences (LILACS). As a search strategy, a combination of descriptors indexed in the Medical Subject Headings (MeSH) was adopted: Pregnancy; Vertical Transmission of Infectious Diseases Syphilis; Observational study, mediated by the Boolean operator “AND” and “OR”. Observational studies on the vertical transmission of gestational syphilis and the association of gestational syphilis with congenital syphilis were included as inclusion criteria. There were no language or time restrictions for study selection. The systematic review period was six months. Article selection and data extraction were performed by two independent, blinded reviewers using Rayyan Intelligent Systematic Review software and based on the Preferred Reporting Items for Systematic Reviews and Meta- Analyses (PRISMA) flowchart. To evaluate the quality of the evidence of the included data, the Grading of Recommendations Assessment, Developing and Assessment (GRADE) method was chosen, while the Newcastle-Ottawa Scale was used to analyze the risk of bias. The review protocol was sent to the database of the International Prospective Registry of Systematic Reviews with registration number CRD 42022349359 and since it involved research data already published in a scientific database, the Research Ethics Committee was exempt. Results: In total, 6,268 studies
    were identified in the databases, after using the PRISMA software and based on the PRISMA flow chart. The sample was composed of 30 studies (16 cohort studies; 04 case-control; 10 cross-sectional studies) that involved 15,593 pregnant women diagnosed with gestational syphilis who transmitted the infection vertically. The studies were carried out mainly in China, Brazil and the United States of America, from 1995 to 2023. As a diagnostic test for gestational syphilis, the rapid treponemal test is referred to as a diagnostic tool, while benzathine penicillin G is the first drug of choice . for the treatment of syphilis. As an effect of transmission, the complications found in newborns were: Congenital syphilis and adverse events associated with prematurity, low birth weight and fetal/neonatal mortality. The main cause of verticalization was associated with incomplete treatment of syphilis during pregnancy and late diagnosis of the disease in the third trimester. Conclusion: Despite the high number of studies identified in the databases, regardless of period and language, only 30 studies contextualize the global reality of congenital syphilis and its association with gestational syphilis. However, the outcome of congenital syphilis was represented by late diagnosis and treatment of gestational syphilis.

2022
Disertaciones
1
  • KLEBIA KAROLINE DOS SANTOS NECO
  • The influence of social media on the risk perception of young people acquiring HIV: scope review.

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ELIÃ PINHEIRO BOTELHO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 27-ene-2022


  • Resumen Espectáculo
  • The need for a life connected to the internet and digital communication technologies is strongly perceived in the younger part of the world population. The use of the internet can provide benefits when it is used as a means of communication, education, information, expression and leisure. However, it also becomes an environment of vulnerability in relation to exposure to risks, including that of acquiring HIV and AIDS. The aim of this study was to analyze the influence of social media on the risk perception of young people to acquire HIV. This is a scope review developed in accordance with JBI recommendations. The Participant, Concept and Context (PCC) mnemonic resulted in the research question: "What is the influence of social media on the risk perception of young people acquiring HIV?" The Health Sciences Descriptors/ Medical Subject Headings (DeCS/MeSH) selected were: HIV; Adolescent AIDS; Teenager; Young; Social Networking; Social media; Internet; Risk; Health Risk and Risk Perception. The search was performed in the data sources: Elsevier SciVerse Scopus (Scopus); US National Library of Medicine - NLM (MEDLINE/PubMed), Web of Science, Scientific Electronic Library Online (SciELO), Science Direct, Latin American and Caribbean Literature on Health Sciences (LILACS), Spanish Bibliographic Index of Health Sciences (IBECS), Cumulative Index to Nursing and Allied Health Literature (CINAHL), CAPES Theses and Dissertations Catalog, Open Access Scientific Repositories of Portugal (RCAAP); DART-Europe; Trove from the National Library of Australia; Theses Canada; Digital Library of Theses and Dissertations at the University of São Paulo (USP) and Google Scholar. Original and review articles, complete works, theses and dissertations, available in full, without time limit, in any language and that answered the research question, were included. Data were extracted using an instrument built in Microsoft Excel 2010, which included: title; author(s); year of publication; database/library/database/academic search engine; kind of study; study site, objective(s); methodological design; level of evidence; results; conclusion/recommendations/suggestions. For analysis, a synthesis matrix that included the extracted information. A total of 4135 publications were identified, of which 128 of the full texts were assessed for eligibility, 87 were excluded and 41 made up the final sample. The predominance of publications between 2011 and 2021 was highlighted, with an international coverage of the topic (95.1%). The studies showed that the most accessed social media was facebook, followed by text messaging apps. And that some of these platforms have varied resources that are used to disseminate information about HIV/AIDS prevention. Other research shows that more time accessing social media and being male was associated with an increase in the chances of searching for an online partner, which is also related to the growth in HIV testing. Thus, the risk perception of young people acquiring HIV involves knowledge about the disease, the social context in which it is inserted and their coexistence with social media, which inter-related influences positively or negatively.

2
  • LARISSA DE LIMA FERREIRA
  • Omission of nursing care in a care unit for patients with COVID-19

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • ISABELLE CAMPOS DE AZEVEDO
  • QUENIA CAMILLE SOARES MARTINS
  • ELIZABETH BARICHELLO
  • MARCOS ANTONIO FERREIRA JUNIOR
  • Data: 28-ene-2022


  • Resumen Espectáculo
  • The pandemic caused by the Severe Acute Respiratory Syndrome Coronavirus 2 fostered the rapid increase in new hospital beds, reorganization of care flows and demand for professionals, especially in nursing. However, with the increase in the need for hospital care, the fear of contagion of the disease, the physical and emotional wear of the professional, the lack of Personal Protective Equipment and the lack of supplies for carrying out care provide interruptions and incidents in nursing care. In the meantime, this study raises the following guiding questions: what nursing care is omitted during patient care with Coronavirus disease 2019? What are its causes and associated factors? And, it aims to describe the care omitted from the perspective of the nursing team in a care unit for patients with Coronavirus disease 2019. It is a cross-sectional study with a quantitative approach, carried out at the Onofre Lopes University Hospital with nurses and nursing technicians who work in the ward and Intensive Care Unit for the care of patients affected by the new coronavirus. For this purpose, the Missed Nursing Care Survey-BRASIL instrument was used for data collection, in the second half of 2021. Data were analyzed descriptively, with simple frequency calculation, central tendency and dispersion. The study had its approval authenticated by the consolidated opinion of the Research Ethics Committee, nº 4.812.664, CAAE:47765821.0.0000.5537. The most omitted care described by 71 nursing professionals were evaluated, 28 (40%) nurses and 43 (60%) nursing technicians, 51 (72%) were female, with a mean age of 41 years and 65 (91) %) with a 12-hour work shift. Of these, 44 (62%) worked in the Intensive Care Unit and 27 (38%) in the ward. It should be noted that 37 (52%) were permanent professionals at the hospital and 34 (48%) came from the emergency selection process to complement the workforce in the face of disease caused by the new coronavirus. The length of experience in the patient care sector with Coronavirus disease 2019 ranged from one to 16 months and the length of professional experience from three to 33 years. Among the most overlooked care, the most prevalent was walking three times a day, or as prescribed. Regarding the perceptions of nursing professionals, it was observed that, among the cares with statistically significant differences, nurses scored higher frequencies in omitted care. As for the reasons attributed to the omissions, those related to material resources, such as lack of equipment and medicines, were highlighted. And, among the reasons with statistically significant differences, nursing technicians had higher frequencies in the reasons indicated for omission during care. It is concluded that the nursing care omitted during the care of the patient affected by Severe Acute Respiratory Syndrome Coronavirus 2 was related to daily nursing care such as patient mobilization and, that the reasons for this are associated with the management of materials and time, which can be minimized with organizational measures to promote safe and quality care practices based on preventive measures.

3
  • DONÁTILA CRISTINA LIMA LOPES
  • SPECIALIZED NURSING LANGUAGE TERMS FOR THE CARE OF PEOPLE WITH SEQUENCES BY COVID-19 

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MARIA ALZETE DE LIMA
  • HARLON FRANÇA DE MENEZES
  • NUNO DAMÁCIO DE CARVALHO FÉLIX
  • Data: 01-feb-2022


  • Resumen Espectáculo
  • The objective was to build a specialized terminology for the care of people with sequelae by COVID-19, based on the Seven Axes Model of the International Classification for Nursing Practice (ICNP®) and on the Roy Adaptation Model (MAR), and validate the terminology content constructed by specialist nurses. Methodological study developed between 2020 and 2021, operationalized by the following steps: 1) Identification and extraction of relevant terms contained in the literature related to people with sequelae by Covid-19; 2) Standardization and standardization; 3) Cross mapping of the identified terms with the terms of the ICNP®, version 2019/2020; 4) Classification of terms found according to Roy's Adaptation Model; and, 5) Validation of the content of terms through a focus group with specialist nurses. The last stage takes place through two meetings lasting around two hours each and composed of eight specialist nurses, members of a research group from a Federal University, who developed research on an ICNP®. It was used in the Content Validity Index (CVI), validating those with a value of ≥0.80. This study was approved by the Research Ethics Committee, under Opinion No. 4,099,646, in accordance with Resolution 466/12, of the National Health Council. There were a total of 2,146 publications, of which 45 were fully examined and met the pre-established criteria. These documents were created by the creation of the corpus, where the information was extracted and grouped in a document in the Word for Windows® program, containing 308 pages. After an analysis process, the PorOnto program was drawn up, extracting a total of 1,659 terms. The extracted terms were organized in an Excel for Windows® spreadsheet and submitted to a normalization and standardization process, resulting in 478 useful terms. In the cross-mapping, each list of terms was submitted, separately, to a crossover process with the terms contained in the ICNP® through the Access for Windows® Version 2016 tool, resulting in constant and non-constant terms in the Seven Axis model of ICNP®. Thus, 157 terms were classified as constant and 321 as non-constant. Regarding the constant and non-constant terms in the ICNP®, it was identified that the most frequent were from the “Focus” and “Judgment” Axis. The study allowed the structuring of a specialized terminology for people with sequelae due to COVID-19, with the constant terms being prevalent, in the Focus and Means axes. However, it is noteworthy that the significance of non-constant terms was notorious, which can be suggested for inclusion in the International Council of Nurses and subsequent updating of the ICNP®. It is believed that the results of this study may contribute to the operationalization of the systematization of nursing care, in addition to contributing to the comprehensiveness of health care for people with sequelae due to COVID-19 and the real demands of these subjects, which will support the steps subsequent to the construction of a Terminology Subset for information and communication to Nursing practice.

4
  • VINÍCIUS COSTA MAIA MONTEIRO
  • Assessment of the degree of implementation of primary health care actions in quilombola communities in Rio Grande do Norte

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • NILBA LIMA DE SOUZA
  • SUENIA SILVA DE MESQUITA XAVIER
  • WESLLA KARLA ALBUQUERQUE SILVA DE PAULA
  • Data: 04-feb-2022


  • Resumen Espectáculo
  • Quilombola communities can be defined as ethnic-racial groups that carry cultural, historical, and territorial characteristics arising from their ancestry. These communities are located in the rural context and suffer from difficulties in accessing essential public services, including health care. Primary Health Care (PHC) is configured as the closest health service to this population and needs to ensure that the actions carried out in quilombola communities can resolve their health problems, ensuring the integrality of the care provided. Thus, studies that assess the quality of care provided in quilombola communities become very relevant. Given the above, the general objective of this study was to assess the degree of implementation of PHC actions in quilombola communities in the State of Rio Grande do Norte. This is evaluative research of the normative type, with a quantitative approach, in which the PHC attributes established by Barbára Starfield were used as a theoretical-methodological framework. The study scenario was the 33 quilombola communities in the State of Rio Grande do Norte registered and recognized by the Palmares Cultural Foundation. The study sample consisted of 51 professionals, physicians, nurses, and nursing technicians, who work in Family Health Strategies and Primary Health Care Teams. For data collection, the PCATool 2020/Brazil (Instrument of Evaluation of Primary Health Care). For data tabulation and analysis, the SPSS software was adopted, using descriptive statistics. To analyze the degree of implementation of PHC actions in quilombola communities, the essential attributes, capacity and performance, and the derived attributes were considered: accessibility, logitudinality, coordination - information systems, coordination - integration of care, comprehensiveness, family guidance, and guidance community. The percentage of responses identified were distributed into four classifications: not implemented (from 0 to 25%); implanted incipient (26% to 50%); partially implemented (from 51% to 75%); fully implemented (from 76% to 100%). From the analyzes carried out, it was found that the PHC actions in quilombola communities in Rio Grande do Norte were classified as fully implemented (82.2%), considering the dimensions capacity (77.92%) and performance ( 85.56%). By observing the derived attributes: accessibility (74.51%), longitudinality (92.94%), coordination – information systems (80.88%), comprehensiveness – available services (85.91%), family guidance (87, 45%), and community guidance (92.16%), it is noted that these dimensions were also fully implemented. Only the dimension coordination – integration of care (56.86%) was considered as partially implemented. It is concluded that, from this study, it was possible to carry out a situational diagnosis of PHC actions in quilombola communities in Rio Grande do Norte, identifying the weaknesses and potential in the provision of health care to these communities.

5
  • BIANCA CALHEIROS CARDOSO DE MELO
  • The nursing care executed by specialist nurses at teaching hospitals in the northeast region of Brazil

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • SÓSTENES ERICSON VICENTE DA SILVA
  • EDILMA DE OLIVEIRA COSTA
  • ELAINE CRISTINA NOVATZKI FORTE
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • SORAYA MARIA DE MEDEIROS
  • Data: 09-feb-2022


  • Resumen Espectáculo
  • Nowadays, the job market has demands due to social, political, economic, and technological needs faced by workers globally. Those requirements also exist in the health sector, which increasingly requires training, updates, and continuous professional improvement. In this manner, lato sensu graduate nursing courses suggest an education aimed at a particular area of knowledge.  These enable updates, learning, and better quality of care for the patient, family, and the community. The study aimed to analyze how nursing managers identify the quality of care in university hospitals based on the inclusion of specialist nurses. It is a descriptive-exploratory study of the qualitative approach. The managers of the nursing division in teaching Hospitals in Northeast Brazil were interviewed for information collection through Google Meet. The data were analyzed following the Content Analysis with the help of the Atlas.ti 9.0 software which helped to visualize the main results. The interview was conducted with fivenursing managers after submission and approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte, opinion nº 5.004.512, under the number 50938721.5.0000.5537.The results found two categories of analysis: effects on nursing care after hiring specialist nurses and factors that promote and impede the insertion of the specialist nurses in the job market. The leading repercussions were: teaching and research improvements; systematized organization of own knowledge; security in performance/knowledge; enthusiasm; targeted treatment/work process; faster care; early identification of risks; reduced morbidity and mortality; shorter hospital stay/bed turnover; decrease in operating cost; user satisfaction; greater emphasis of the institution. The facilitating factors were: opening of vacancies in public tenders; better score in contests; institutionalization of the career plan; institutional incentive for the accomplishment of the post-graduation; same financial investment, in the private market, compared to general nurses; requirement of specialties by regulatory bodies; mastery of knowledge in the area of activit As for the complicating factors: reduced vacancies for specialist nurses; a need for greater financial investment for hiring; devaluation of specializations; inflexibility; female specialist/professional illness; lack of specific regulation and quality of lato sensu postgraduate training; experience in the area and appreciation of specializations by the private network.

6
  • NARYLLENE MACIEL DE ARAÚJO
  • EFFECTIVENESS OF THE USE OF VIDEO IN REDUCING THE ANXIETY LEVEL AND IN HEALTH EDUCATION OF PATIENTS IN MYOCARDIAL REVASCULARIZATION PRE-OPERATIVE: RANDOMIZED CLINICAL TRIAL

  • Líder : DANIELE VIEIRA DANTAS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • DANIELE VIEIRA DANTAS
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • MARIA DO CARMO DE OLIVEIRA
  • Data: 09-feb-2022


  • Resumen Espectáculo
  • Myocardial revascularization surgery is still the most used in the treatment of many coronary artery diseases in an attempt to improve patient survival. In the preoperative period, anxiety can appear as a precursor of unwanted responses before surgery and worsen the postoperative prognosis. Thus, a non-pharmacological method to reduce this negative feeling and assist in the patient&#39;s surgical process is nursing guidance, which serves in the acquisition of knowledge within health education and can rely on technological tools to facilitate communication and bring reality closer. of the patient. In this sense, the objective is to evaluate the effectiveness of using video to acquire knowledge and reduce the level of anxiety in the preoperative period of myocardial revascularization. This is a randomized controlled clinical trial, carried out in the cardiology ward of Hospital Rio Grande, with 52 patients undergoing coronary artery bypass graft surgery, equally divided into Control Group and Experimental Group, which received guidance with the audiovisual resource of a video, while the Control Group received only the institution&#39;s standard guidelines. For data collection, the first researcher applied the instrument to assess the patient&#39;s anxiety before interventions both groups, in the second moment, the main researcher performed the different interventions for the two groups, and, finally, the first researcher returned to apply the anxiety assessment instrument again – now after the interventions – and the instrument to assess the knowledge acquired, without knowing which patient is part of each group. This project was approved by the Central Research Ethics Committee of the Federal University of Rio Grande do Norte No. CAAE 40743520.9.0000.5537 and registered in the Brazilian Registry of Clinical Trials (RBR-24c5qwm). The patients had a mean age of 63 years and the majority had completed elementary school. It was possible to prove that the audiovisual resource of the video was significant in increasing the patient&#39;s knowledge about the surgical procedure. In the control and experimental groups, it was observed that both interventions increased patients&#39; confidence in the operation, proving that nursing guidelines help the patient in this perioperative period. Thus, the study reinforces that audiovisual tools can help in nursing guidance, providing further explanations and increasing patient education about their health condition. This study proves the importance of nurses in interventions in the preoperative period and contributes to a better patient experience in terms of surgery.

7
  • NATALLY ARAÚJO PEREIRA DOS SANTOS
  • MEANINGS OF PREGNANCY ATTRIBUTED BY WOMEN IN STREET SITUATIONS BASED ON THE ORAL HISTORY OF LIFE

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • NILBA LIMA DE SOUZA
  • ERIKA SIMONE GALVAO PINTO
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • WESLLA KARLA ALBUQUERQUE SILVA DE PAULA
  • Data: 11-feb-2022


  • Resumen Espectáculo
  • Introduction: Prenatal care has the ability to contribute to the health and prevention of maternal-fetal and infant morbidity and mortality. For the Homeless Population, however, the context of vulnerability in which they live makes pregnancy a moment of concern and need for specific health care, since the absence of this continuous and adequate care during pregnancy can have negative impacts on quality of life. Objective: This study aimed to evaluate the implementation of health actions and the influence of the context on pregnancy and childbirth experience of homeless women. Methods: This is a Health Evaluation Research of the Normative Evaluation and Evaluative Research type from a mixed approach parallel convergent in which the quantitative and qualitative elements were collected simultaneously, with the same level of significance, analyzed separately and culminatted in a process of confluence. The research were developed in public places used by homeless people and at Casa Lumen São Felipe Neri, a Foster home for homeless women located in the city of Natal-RN. The population consisted of five homeless women in urban areas of Natal, by spontaneous demand and by women who previously lived on the streets, but who during the period of data collection were residing in the foster home. Data collection took place between September and October 2021 through an instrument designed for the study. Data analysis corresponded to the evaluation of the implementation according to the Starfield Primary Health Care attributes, with the analysis of the implementation of health activities from the perspective of the experience of pregnancy and childbirth by homeless women, according to the Oral History of Life. This research project was submitted to the UFRN Research Ethics Committee, being approved with report  number 4,908,889 and CAAE 48035521.3.0000.556. Results: The study highlighted the inequity in the health care provided to this population, which reported a difficulty in accessing prenatal care, laboratory or gynecological tests, and health education focused on pregnancy. In addition to these, they revealed little care and acceptance by professionals, violation of social rights and unattended births. Such aspects reveal the need for a cohesive care network, attentive to the needs and particularities of this population, and which is covered by ministerial programs. Conclusion: The attributes of primary health care for women whose pregnancy happened on the streets were not covered and the oral life history of these women showed the inequity in the health care provided to women during pregnancy with failures, especially in prenatal care.

8
  • PRISCILA KALINE DE ANDRADE SILVA
  • Middle Range Theory of Nursing Diagnosis Risk of aspiration in critically ill patients

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • DANDARA NAYARA AZEVEDO DANTAS
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • TAHISSA FROTA CAVALCANTE
  • Data: 22-feb-2022


  • Resumen Espectáculo
  • Aspiration is a common adverse event in the hospital environmentespecially in patients admitted to the intensive care unit. In view of thisthe development of a medium-range theory on the risk of aspiration in critically ill patients will allow the identification of causal relationships between risk factors and the phenomenon of interestwith a focus on preventionThereforethe present study aimed to develop a mid-range theory of the nursing diagnosis Risk of aspiration in critically ill patientsThis is a methodological researchcarried out in accordance with the references on middle-range theory. The study was operationalized through a scoping review on the subjectfollowed by the stages of conceptual and operational definitionspictogramelaboration of propositionsand, establishment of causal relationshipsFrom 74 included studiesseven risk factors were identifiednamelylow headboarddysphagia, high gastric residual volume, underinflation of the tracheal cuffinadequate position of the feeding tube, regurgitationdecreased gastrointestinal motility; 11 associated conditionsprolonged presence of orotracheal tube, enteral nutritionreduced level of consciousnesssedationreduced and/or absent cough reflexdelayed gastric emptyinggastroesophageal refluxincreased intragastric pressurereduced laryngeal sensitivitydecreased gag reflex and invasive procedures; andtwo populations at riskelderly and critically ill patients. Its conceptual and operational definitions were established. The pictogram was presented using the Ishikawa diagramEleven propositions were created andfinallythe causal relationships between risk factorsassociated conditions and the diagnosis Risk of aspiration in critically ill patients were determined. It is concluded that the construction of the middle-range theory on the nursing diagnosis Risk of aspiration in critically ill patients provides a consistent theoretical basis for decision-making and clinical judgment of nurses. It is suggested that further studies be carried out in order to analyze the content of the theory developed and clinically validate its elementsAndthus, continue contributing to the advancement of Nursing as a science and art.

9
  • LEANDRO MELO DE CARVALHO
  • Development of an application for managing the self-care of patients with Amyotrophic Lateral Sclerosis

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • MERCIO GABRIEL DE ARAUJO
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 23-feb-2022


  • Resumen Espectáculo
  • Introduction: Amyotrophic Lateral Sclerosis (ALS) is a neurodegenerative disease that mainly affects the human motor system. The patient affected by this disorder gradually loses the ability to perform routine tasks, such as talking, eating or walking. It is believed that in chronic conditions, self-care can improve the quality of life of active patients involved in managing their conditions. From this perspective, technologies can work as a means of promoting this self-care and nursing professionals can act in its management, as they are able to clarify doubts and transmit information, qualifying the patient and their family. Objective: The aim was to develop an application for self-care management of patients with Amyotrophic Lateral Sclerosis. Methods: This is a methodological study of a quali-quanti approach to be carried out through User Centered Design (UCD). This strategy aims at the participation and collaboration of users in the development of applications, promoting the creation of useful products that meet the requirements and characteristics of users and are easy to handle, comprising four stages: analysis, design, construction and evaluation. Results: In the first stage, a Scoping Review was carried out with the aim of mapping the self-care strategies of people with Amyotrophic Lateral Sclerosis; in the second stage, there were investigations and discussions about the interactivity solutions for the user and the application; in the third stage, the application was built. The last stage was not performed during this study. The application was built in partnership with the Laboratory of Technological Innovation in Health at the Onofre Lopes University Hospital (LAIS/HUOL) of the Federal University of Rio Grande do Norte (UFRN). Conclusion: Self-care performed through technologies, such as an application, can be a powerful tool in promoting the quality of life of patients with Amyotrophic Lateral Sclerosis, as well as in self-care for other chronic diseases.

10
  • SABRINA DAIANE GURGEL SARMENTO
  • EFFECT OF MUSIC IN THE RELIEF OF PAIN DURING BED BATH OF INDIVIDUALS IN POST-OPERATIVE HEART SURGERY: RANDOMIZED CLINICAL TRIAL

  • Líder : RODRIGO ASSIS NEVES DANTAS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • KATIA REGINA BARROS RIBEIRO
  • MARIA DO CARMO DE OLIVEIRA
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 24-feb-2022


  • Resumen Espectáculo
  • A frequent complication reported by patients in the postoperative period of cardiac surgery is pain, therefore, this event can be mitigated through pharmacological and non-pharmacological therapies. The latter includes music as a non-pharmacological alternative to minimize the patient's pain. Thus, the present study has the general objective of evaluating the effect of music on pain relief during the bed bath of patients in the immediate postoperative period of cardiac surgery. This is a randomized, controlled, double-blind clinical trial, carried out in the Intensive Care Unit (ICU) of Hospital Rio Grande. The sample group will be 52 patients undergoing cardiac surgery for myocardial revascularization, divided equally into Control Group (CG) and Experimental Group (EG), where the EG will receive the intervention with headphones with sound of their choice, while the CG, only headphones without sound, during the first post-surgery bed bath. As for data collection, the main researcher performed the randomization and applied the headphone in both groups, during the bed bath, then the second researcher applied the assessment instrument before, during and ten minutes after the bed bath. Finally, the main researcher removed the headphone, thus guaranteeing the ignorance of the second researcher of the group to which the patient belonged, with the researcher and the patient being blind. This project was submitted to the Research Ethics Committee of HUOL and approved under registration 3.425.285 and CAAE: 11745419.6.0000.5292 and registered in the Brazilian Registry of Clinical Trials (RBR-69w6f5z). The present investigation consisted of a sample group of 38 participants, 52.26% from the CG and 44.74% from the EG. As for the socio-epidemiological profile, 81.58% of the patients were male, 60.53% were aged up to 64 years, 65.79% were married and 44.74% had elementary education. The variables related to the intervention instrument showed that 86.84% liked and/or used to listen to music, with a preference for gospel songs and Brazilian popular music, when comparing their effect during the bed bath between the CG and EG, observed- whether there was significance (p<0.05%) in the reduction of pain and between the EG there was a reduction in heart rate when the times of therapy studied were compared. Thus, it is possible to infer that this study demonstrated the use of a simple and low-cost tool, but with the potential to reduce the patient's pain during nursing care, being an important ally in the provision of humanized nursing care and quality.

11
  • FERNANDA RAFAELA DOS SANTOS
  • Terminological subset of the International Classification for Nursing Practice for people with Covid-19 in the context of Primary Health Care

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • AUREAN DECA JÚNIOR
  • HARLON FRANÇA DE MENEZES
  • MARIA ALZETE DE LIMA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 24-feb-2022


  • Resumen Espectáculo
  • With a high worldwide incidence, Covid-19 consists of a disease transmitted mainly by the respiratory route, and has symptoms that can vary from mild to severe. Thus, the importance of Systematization of Nursing Care is highlighted, since it provides evidence-based care, and consequently an improvement in the quality of care provided to these patients. The objective of this study was to build a standardized nursing terminology for people with Covid-19 in the context of Primary Health Care, based on the Seven Axis Model of the International Classification for Nursing Practice (ICNP®), in the light of the theory of Needs. Basic Humanities by Wanda de Aguiar Horta. This is a terminological study, which was developed in four stages, namely: 1) identification of terms relevant to the care of people with Covid-19 in the context of Primary Health Care; 2) Standardization and standardization; 3) Cross-mapping of the terms identified with the terms of ICNP®, version 2019/2020; 4) Classification of the terms found according to the Horta Model. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, with opinion No. 4,099,646, under Presentation Certificate for Ethics Assessment No. 33494920.8.0000.5537. From the process of selection and analysis of articles, a total of 42 publications were identified, among which 20 studies were examined in full and that met the pre-established criteria. In addition, 9 official documents were identified. Such documents went through the creation of the corpus, where the information was extracted and grouped in a document in the Word for Windows® program, containing 250 pages. After the analysis process, they were submitted to the PorOnto program, extracting a total of 18,109 terms. The extracted terms were organized in an Excel for Windows® spreadsheet and subjected to a normalization and standardization process, resulting in 844 useful terms. In the cross mapping, each list of terms was submitted, separately, to a process of crossing with the terms contained in the ICNP® through the Access for Windows® Version 2016 tool, resulting in constant and non-constant terms in the Seven Axis model of the ICNP®. Thus, 145 terms were classified as constants and 699 as non-constants. Among the constant terms, 24 made up the Action axis, 4 made up the Customer axis, 90 made up the Focus axis, 5 made up the Judgment axis, 2 made up the Location axis, 13 made up the Means axis and 7 made up the Time axis. The study allowed the structuring of a standardized nursing terminology for people with Covid-19 in the context of Primary Health Care, which could support the creation of a Terminological Subset of the International Classification for Nursing Practice (ICNP®) for care of nursing. Finally, it is believed that the results obtained will promote an improvement in the clinical practice of nurses for people with Covid-19, and consequently guarantee quality care, especially in the context of Primary Health Care, as it is in this scenario that the longitudinal follow-up of the population with this disease.

12
  • BRUNA RUSELLY DANTAS SILVEIRA
  • Ideal type of Family Health Strategy professionals about Palliative Care: comprehensive phenomenological approach

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • DANIELE VIEIRA DANTAS
  • GLEYCE ANY FREIRE DE LIMA CARVALHO
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • MARIA CÉLIA FREITAS
  • REJANE MARIA PAIVA DE MENEZES
  • Data: 25-feb-2022


  • Resumen Espectáculo
  • Palliative Care promotes comfort and quality of life through prevention and relief of biopsychosocial-spiritual suffering resulting from experiences with serious illnesses. In Brazil, this care is determined to be integrated into the services of the Health Care Network, with emphasis on Primary Health Care, whose principles and attributes are aligned with the palliative philosophy. Such similarity tends to the provision of care that addresses the palliative demands of users, even if performed intuitively by health professionals. In this meander, the present study proposes to understand the typical ideal of the Family Health Strategy professional regarding the action of caring for users with palliative needs in Primary Health Care following the principles of Alfred Schütz's phenomenological-comprehensive approach sedimented by Zeferino: the researcher's disinterested attitude; rules of sociological relevance; logical coherence; subjective interpretation; adequacy; and scientific logical rationality. The study was carried out in three Family Health Units in the West, North I, and North II Health Districts, located in the city of Natal, State of Rio Grande do Norte. The participants were: 11 nurses, 9 physicians, and 7 dentists, in a total of 26. Data were collected from audio-recorded semi-structured interviews online and at the workplace of the health care professionals, guided by a script of questions regarding the biographical situation of the participants and by the topics triggers of the interview, later transcribed in Microsoft Word 2010 and added to the Atlas.ti Cloud® software for organization, aid in the coding and categorization of the material. The analysis of sociodemographic data was carried out using simple descriptive statistics in Microsoft Excel version 2010, while for the qualitative analysis of the speeches, Zeferino's principles were applied in the light of Schütz's theoretical-methodological framework. The study complied with the ethical and legal principles that govern scientific research in human beings, according to Resolution 466/2012 of the Conselho Nacional de Saúde, being approved by the Comitê de Ética em Pesquisa da UFRN nº 4,836,686, CAAE nº 48553621.9.0000.5537. The analysis of the speeches allowed us to identify the categories of human action expressed in the second-degree constructs “actions to take care of users with palliative needs” and “actions to integrate palliative care in primary care”, considering the "In-order-to motives" and "motives because", for allowing the interpretation of the actions of the social actors in this investigation, revealing the ideal type analyzed by Alfred Schütz's comprehensive phenomenology. In conclusion, the Strategy Family Health caregivers have significant experience in offering primary palliative care for patients and their families in Primary Health Care, and they recognize the importance of integrating Palliative Care assistance into the primary care services to guarantee the comfort and quality of life for those who are suffering, even in the face of difficulties and/or obstacles in the approach of this care wich still happen in a pre-reflective way.

13
  • ANNY SUELEN DOS SANTOS ANDRADE
  • Use of phototherapy in newborns in a neonatal unit: analysis of the implementation

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • NILBA LIMA DE SOUZA
  • WESLLA KARLA ALBUQUERQUE SILVA DE PAULA
  • Data: 29-mar-2022


  • Resumen Espectáculo
  • Neonatal hyperbilirubinemia has a high worldwide prevalence and affects 84% of healthy newborns in the first week of life. For 60% of them, it is a physiological phenomenon, which appears on the second or third day after birth. However, some neonates present the most accentuated condition that requires treatment with phototherapy as an intervention. Therefore, the present study aimed to determine the degree of implementation in the use of phototherapy for the treatment of neonatal hyperbilirubinemia. It is a normative assessment, with a quantitative approach, with emphasis on the degree of implementation of an intervention. The study took place in a public maternity hospital located in Natal, Rio Grande do Norte. The population consisted of nurses working in neonatal units, who provide direct care to newborns using phototherapy, and the final sample consisted of 20 participants. Data collection took place between December 2021 and January 2022, using an instrument designed for the study. Data analysis was performed using the Statistical Package for the Social Sciences (SPSS)® software, from the perspective of descriptive statistics and attribution of value judgment, according to the degree assigned. The study complied with the ethical and legal principles that govern scientific research in human beings according to Resolution No. 466/2012 of the National Health Council, being approved by the Embodied Opinion of the Research Ethics Committee, No. 5,133,140, under CAAE No. 51872521.0 .0000.5537. It was observed that the degree of phototherapy implantation was classified as partially implanted (58.10%), where the structure (62.79%) and process (80.94%) dimensions are partially and fully implanted, respectively. Only the items checking the newborn's temperature (22.50%) and checking the light irradiance of the phototherapy device (23.75%) are not implanted. It is concluded that the definition of the degree of implementation of phototherapy brings the situational diagnosis of phototherapy in a maternity hospital, since it makes it possible to identify strengths and weaknesses related to the care offered to the neonate under phototherapy, in order to transform them into improvements. We suggest the development of a nursing care instrument for newborns under standardized phototherapy, according to already established norms and criteria.

14
  • BEATRIZ TAVINA VIANA CABRAL
  • Nursing workload in rooming-in at a university hospital

  • Líder : QUENIA CAMILLE SOARES MARTINS
  • MIEMBROS DE LA BANCA :
  • QUENIA CAMILLE SOARES MARTINS
  • ISABELLE CAMPOS DE AZEVEDO
  • CRISTIANE DA SILVA RAMOS MARINHO
  • FRANCISCA MARTA DE LIMA COSTA SOUZA
  • CAREN DE OLIVEIRA RIBOLDI
  • Data: 31-mar-2022


  • Resumen Espectáculo
  • The nursing team has sought to ensure care with scientific support and autonomy, for which it is necessary to design coherent nursing professionals. The rooming-in is the place within a hospital system where the healthy mother and newborn binomial will go soon after birth and continue together until hospital discharge. In this perspective, the present study has as its guiding questions: which care indicators arouse a greater need for assistance in puerperal women and newborns? And what are the existing classifications for the binomial in rooming-in?. The general objective is to apply the workload instrument to classify the mother-child binomial in rooming-in that subsidizes the sizing of nursing professionals. This is an observational, descriptive study with a quantitative approach, which will be carried out in the rooming-in sector of a University Hospital. The data collection instrument will be organized in three stages, in which the first is composed of seven care indicators, as follows: Mode of delivery; Maternal morbidity and complications; Neonatal morbidity and complications; Breastfeeding; Social aggravating factors; Education and care guidance and Interaction and bonding, with scores from one to four being assigned, the second will be sociodemographic, personal and obstetric data and the third will collect data from the Safe Childbirth Checklist, present in the medical record, the The search will be active in the rooming-in daily, every 24 hours, in the form of an interview. The information collected will be stored and processed in a computerized database using Microsoft Office Excel and Statistical Package for the Social Sciences, version 20.0. The descriptive treatment will be through the means and medians, the data analysis will be used the chi-square test. It is noteworthy that this research will follow the ethical precepts in research with human beings described in Resolution nº 466, of December 12, 2012, of the National Health Council upon approval by the Research Ethics Committee of the Faculty of Health Sciences of Traíri / Federal University of Rio Grande do Norte, under Certificate of Ethical Appreciation No. 54027921.7.0000.5568. The present investigation consisted of 211 mother-child binomials and 471 evaluations, with (105; 49.3%) being vaginal/normal delivery and (108; 50.7%) cesarean delivery, with regard to the guidelines of childbirth (124; 58.2%) received it during prenatal care and (89; 41.8%) did not obtain it, while breastfeeding guidelines (131; 61.5%) received and (82; 38.5%) %) did not receive, in the care of the newborn (124; 58.2) received and (89: 41.8%) did not receive. 64.8 were in rooming-in, while 35.2 were in the pre-delivery, delivery and post-delivery room. It is concluded that from the present study, it became possible to classify the binomials in relation to the levels of care and, based on the importance of the life and well-being of the mother and the newborn, it is possible, despite the accommodation together being a seasonal sector, establish a number of professionals.

15
  • RAYANE SARAIVA FELIX
  • ASSESSMENT OF THE ATTRIBUTES OF PRIMARY HEALTH CARE IN THE ASSISTANCE TO PATIENTS WITH SYSTEMIC ARTERIAL HYPERTENSION IN THE MUNICIPALITY OF PARNAMIRIM / RN

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • NILBA LIMA DE SOUZA
  • MARIA AMÉLIA ZANON PONCE
  • WESLLA KARLA ALBUQUERQUE SILVA DE PAULA
  • Data: 29-abr-2022


  • Resumen Espectáculo
  • Systemic Arterial Hypertension (SAH) represents a serious epidemiological problem in Brazil and in the world, both due to its high prevalence and the complications it causes with high rates of morbidity and mortality and relevant impacts on hospital costs. In Brazil, the challenges of controlling and preventing SAH and its complications are, above all, for the teams that provide Primary Health Care (PHC), whose work process presupposes a bond with the community and the attached clientele. Evaluating the performance of PHC in the care of people with SAH is an important need for propositions that seek to improve the quality of care, since the evaluation is an instrument that supports decision-making and guides changes. In this sense, this study aimed to evaluate the attributes of primary health care in the care of patients with Systemic Arterial Hypertension in the city of Parnamirim/RN. This is an evaluative study with a quantitative approach of a normative nature. The evaluation model created by Barbara Starfield was used as a theoretical-methodological framework, which suggests a normative method to measure the achievement of primary health care, evaluating the capacity and performance of attributes at this level of care in relation to the actions developed/offered. The study was carried out in units that offer primary health care services in Parnamirim, a municipality in the Metropolitan Region of Rio Grande do Norte. The study population consisted of nurses and doctors (110 subjects) from the Family Health Strategy teams, responsible for follow-up consultations for patients with SAH within the primary care of the municipality. Medical professionals and nurses who work in the unit surveyed for at least three months were included in the sample. Professionals who were on sick leave and professional leave were excluded. Data collection was carried out between the months of October 2021 and January 2022, using an instrument to assess the capacity and performance of care for hypertensive patients in PHC. This instrument was created based on the Primary Care Assessment Tool in the Brazil version (PCATool-Brasil) and on Caderno de Atenção Básica nº 37, both published by the Ministry of Health. The instrument consists of 5 questions to characterize the professionals and 29 questions that seek to assess the elements related to the capacity and performance of each PHC attribute, namely: first contact access; longitudinality, integrality and coordination. Data were analyzed using descriptive statistics, in which scores were calculated, classified as High (score ≥ 6.6) and Low (score < 6.6), with the High score being characterized by the presence and extent of PHC attributes, revealing services better oriented. The study followed the ethical and legal principles that govern scientific research in human beings, recommended in Resolution No. 466/2012, of the National Health Council, being submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte and approved under the number: 4,954,487. Sixty-nine subjects participated in the research, of which 76.81% were female, 72.46% had a nursing degree, 59.42% said they worked for 1 to 2 years in the current Primary Health Care unit. Of the 4 attributes evaluated in this study, only the attribute Longitudinality had a high score (7.61), the others had a low score, namely: Access to the first contact (5.92), Integrality (5.96), Coordination (5.57) . In this way, it can be seen that the municipality did not obtain a satisfactory score, evidencing the absence of the extension of the PHC attributes in the care of patients with arterial hypertension and improvement in health care processes, qualification of the system's performance, and consequently, impacts on improving the health of this population.

16
  • MICHELL PLATINY CÂNDIDO DUARTE
  • Web/mobile application development to identify and guide people with signs of anxiety, depression and low self-esteem in relation to covid-19

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • GILSON DE VASCONCELOS TORRES
  • IGOR CORDEIRO MENDES
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • Data: 13-jul-2022


  • Resumen Espectáculo
  • Introduction: The pandemic started from the new coronavirus (COVID-19) was established by the World Health Organization (WHO) as an acute respiratory infection caused by a subtype of the coronavirus. The imposed social isolation could worsen and enhance loneliness, sadness, anxiety and, consequently, affect sleep eating patterns, religious manifestations, among others. Can the use of an application called APASMC.COVID-19 as digital technology be effective in identifying and guiding people with signs of anxiety, depression and low self-esteem in the current and post-pandemic context caused by Covid-19? Objective: To develop a web/mobile application (APASMC.Covid-19) with an intuitive and easily accessible interface as a technology for identifying and guiding people with signs of anxiety, depression and low self-esteem in the current and post-pandemic context caused by Covid-19. Method: This is a methodological study that will be carried out from the creation of a web/mobile application, with free or paid domain, using an engine called Bubble.io, which presents block programming consisting of Javascript, HTML, Node. js and Postgres. The application will be developed and created, under the name App.APASMC.Covid-19, characterized by its use of technological, practical and easy access, in which it is intended for care related to the social isolation imposed by the new coronavirus. The application, as described below, will be built and developed using Javascript, Node.js and Postgres. All the results of this research will be consolidated and used to support future studies of longitudinal and transversal designs and propose strategies and policies to reach comprehensive actions with quality in the health care network, implementing actions of integrality and universal coverage of populations, as well as, also, favoring the improvement of the teaching-learning process in undergraduate and graduate health and other areas of interest.

17
  • REBECCA STEFANY DA COSTA SANTOS
  • MIDDLE RANGE THEORY FOR THE CARE OF PEOPLE LIVING WITH THE HUMAN IMMUNODEFICIENCY VIRUS

     
  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • HARLON FRANÇA DE MENEZES
  • NUNO DAMÁCIO DE CARVALHO FÉLIX
  • Data: 08-dic-2022


  • Resumen Espectáculo
  • Introduction: Chronic conditions, such as those of people living with the human immunodeficiency virus, cause necessary changes in lifestyle, which sometimes conflict with socially ingrained and apprehended behaviors and beliefs that impact the health-disease process and the way to take care of yourself. The latest version of NANDA International brought changes in the nursing diagnosis Ineffective Health Self-Management, formerly called Ineffective Health Control, a diagnosis that has a high prevalence among people living with this disease, resulting in compromised health. The presence of diagnoses like this infer high care at all levels of health care by nursing, which transposes the biologicist character and refers to a greater need to deepen the issues that influence it. Objective: To develop a mid-range Nursing theory for Ineffective Health Self-Management in people living with the human immunodeficiency virus, in the light of Roy's Adaptation Model. Methods: This is a theoretical, predictive and deductive study based on the theoretical references of Callista Roy. The study was carried out in five stages, namely: definition of the approach to construct the middle-range theory, definition of the main concepts (key concepts), construction of a pictorial scheme, construction of propositions and the establishment of causal relationships and the evidence for practice. Initially, a scoping review was carried out, which served as the basis for the theory with searches in the following databases: Scopus, Web of Sciense, PubMed, CINAHAL, Cochrane, LILACS and Scielo. The following descriptors were used: “Acquired immunodeficiency syndrome”, “HIV”, “Patient acceptance of health care”, and “Cooperation and adherence to treatment” intermediated by the Boolean operators AND and OR. From this search, the essential elements of the validation process (attributes, factors and indicators) were extracted and analyzed in order to establish the causal relationships between them. Results: Of the 5622 articles obtained, after applying the eligibility criteria, 51 articles made up the final sample. The results show the identification of five essential attributes, 37 antecedents and 19 consequents. Finally, a pictogram was constructed representing the establishment involved in causal relationships with seven prepositions. Conclusion: It is concluded that the middle-range theory on the nursing diagnosis Ineffective health self- management in patients living with the human immunodeficiency virus developed in this study provides a consistent theoretical basis for the aid of nurses' diagnostic reasoning.

18
  • ANALIA ANDREIA DE ARAUJO NASCIMENTO
  • Construction and validation of educational technology for training hematopoietic stem cell transplant nurses on the Expert Patient Program.

  • Líder : ISABELLE CAMPOS DE AZEVEDO
  • MIEMBROS DE LA BANCA :
  • ISABELLE CAMPOS DE AZEVEDO
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • ADRIANA CATARINA DE SOUZA OLIVEIRA
  • MARCOS ANTONIO FERREIRA JUNIOR
  • Data: 16-dic-2022


  • Resumen Espectáculo
  • Educational technologies (ET) are facilitating instruments in the educational process of chronic patients such as hematopoietic stem cell transplant recipients and their families. However, theoretical knowledge is needed to incorporate new technologies in teaching during nursing care provided to these patients. At this moment, the Expert Patient Program emerges, as a strategy created to equip the subject with regard to the proper management of their health condition, in which they develop skills for an active and leadership role through shared and collaborative management with professionals related to their condition. of health. In order to conduct health education in the formation of Expert Patients, several types of technologies and methodologies can be used with a view to systematizing scientific knowledge and clinical practice as an instrument that facilitates essential information for self-care in health. In this perspective, the present study has as its guiding question: What should be the content and appearance of an educational technology for the training of hematopoietic stem cell transplant nurses on the Expert Patient Program? And, it aimed to develop an educational technology for training hematopoietic stem cell transplant nurses on the Expert Patient Program. This is a methodological study with a mixed approach, based on Pasquali's psychometry, organized into three procedures: theoretical, in which a focus group was held with eight Nurses who work in the Bone Marrow Transplant sector of a reference Hospital and nurses of Primary Care in the Municipality of Natal/RN, in addition to a Scoping Review on the educational technologies used for teaching self-care in the context of post-transplantation of hematopoietic stem cells; empirical procedures for the construction of the TE, and validation of the content and appearance through the Delphi technique, in two rounds, with the collaboration of 18 judges in the first round and 11 judges in the second, all with experience in the area in question; and analytical procedures, aimed at analyzing the data on which the Content Validation Coefficient was calculated. The study was approved by the Ethics and Research Committee, under Certificate of Ethical Appreciation nº 55774621.5.0000.5537. The focus group was held in 20 minutes, and the nurses addressed some of the content necessary for discharge instructions, the main complaints of the patient upon returning to the outpatient clinic, the reasons for seeking primary care and urgency and emergency by the patient. With the data from the focus groups and from the Scoping Review, TE was built, which was submitted to the judges for validation. In the Delphi I round, 0.81 was reached in the general content validity coefficient, while in appearance validation, for the Suitability Assessment of Materials criteria, an index of 0.80 was obtained. After adjustments proposed by the judges, in round II the content validation indexes reached a total of 0.87 and appearance equal to 0.88. Thus, the TE was considered valid in its content and appearance.

Tesis
1
  • KADYJINA DAIANE BATISTA LÚCIO
  • Efficacy of clinical simulation in line with the conceptual map on the diagnostic reasoning ability of nursing students

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • DANIELE VIEIRA DANTAS
  • JESSICA DANTAS DE SA TINOCO
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • RAPHAEL RANIERE DE OLIVEIRA COSTA
  • Data: 21-feb-2022


  • Resumen Espectáculo
  • The diagnostic inference in nursingbecause it is something complexcan lead to difficulties for studentsThusthere is a need to develop educational technologies aimed at improving this reasoningThusthe objective isto evaluate the effectiveness of clinical simulation in line with the conceptual map in the diagnostic reasoning ability of nursing students. The research was developed in three stagesthe first two being subsidized by a methodological study and the third by a controlled and randomized clinical trial. The first includes the construction of two clinical cases for the pre-test and post-test instrumentstwo clinical simulation scenarios on diagnostic reasoning in nursing and the elaboration of the studentsleveling assessment. The second stage corresponded to content analysis of clinical cases, simulation scenarios and assessment of studentsplacement by judges. The evaluation of the scenarios had 45 judges in diagnostic reasoning and/or clinical simulationwho analyzed each item using a likert scaleTo assess the degree of diagnostic accuracythe Nursing Diagnosis Accuracy Scale was usedClinical cases and leveling questions had their content evaluated by 8 judges in a focus group. The third stage included the application of clinical simulation in line with conceptual maps to improve the ability of diagnostic reasoning for undergraduate nursing studentsStudents were randomized into intervention and control groups. The intervention group was submitted to the use of educational technology and the control group to the traditional class. The following inclusion criteria were adopted: age 18 years or olderbeing a student of the nursing course at a Federal University of Rio Grande do Norte and having attended or being studying the curricular component referring to the Nursing Process contentspecificallyNursing diagnosis. The following were used as exclusion criteriastudents who had any cognitive or behavioral difficultieswhich made communication unfeasible and also those who had a grade higher than 7 in the leveling assessment. As discontinuation criteriathe following were consideredwithdrawal from participating in the research after the beginning of data collection and/or the appearance of flu-like symptoms during this period. Data were analyzed by descriptive and inferential statistics. For the simulation scenariosan agreement of 85% of the judges was considered. For the Nursing Diagnosis Accuracy Scalethe S coefficient was calculated for all diagnoses. The students' performance was analyzed using inferential statistics in the pre-test, post-test and Diagnostic Reasoning Inventory instrumentsadopting a significance level of 5% (p≤0.05). The research project was approved by the responsible Ethics Committeeunder number 3,084,032. It was registered in the Brazilian Clinical Trials Registry databasereceiving the number: RBR-7qjpn6. The results show that the scenarios were judged with acceptable agreement by the experts, the proposed diagnoses showed a high degree of accuracy. The clinical cases used in the pre-test and post-test had an average content validity index of 93.7%. In the last stagethe intervention group stands out in the inference of the diagnostic labelwhich presented a statistically significant difference when comparing the preand post-test moments (p = 0.001). The same happened in the correct answers regarding related factors (p=0.004) and defining characteristics (p=0.004). Thus, it is concluded that the educational strategy clinical simulation in line with the conceptual map was effective in improving the diagnostic reasoning of nursing studentsFurthermorethe study provides visibility for two active teaching methodologiesclinical simulation and the conceptual mapwhich represents an advance in the role of students as active subjects in the teaching-learning process.

2
  • ILDONE FORTE DE MORAIS
  • PET-Saúde Interprofissionalidade: intentionality and contributions of projects to promote changes in health education

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • FRANKLIN DELANO SOARES FORTE
  • JENNIFER DO VALE E SILVA
  • MARCELO VIANA DA COSTA
  • RODRIGO ASSIS NEVES DANTAS
  • SORAYA MARIA DE MEDEIROS
  • Data: 21-feb-2022


  • Resumen Espectáculo
  • Introduction: the debate on the reorientation of health education is increasingly necessary due to the epidemiological and demographic transition, in addition to complex health needs. Furthermore, the uniprofessional teaching model based on silos and the tribalism of professions is still hegemonic. Therefore, Interprofessional Health Education is an approach that aims to strengthen collaboration and teamwork in the health care of users, families, and community. For this, the PET-Saúde Interprofessionalidade has been a strategy to promote changes in the teaching of health professions in Brazil. However, the presence of different professions sharing the same space does not configure interprofessionality. Objective: analyzing the intentionality and contributions of the PET-Saúde Interprofessionalidade projects to promote changes in health education. Method: this is qualitative research with a comprehensive approach. Three academic units of a public university in the state of Rio Grande do Norte configured the investigative scenario. As a result of the restrictions on in-person contact imposed by the COVID-19 pandemic, data production took place remotely through the Google Meet platform, in virtual rooms restricted to individual online interviews with tutors, preceptors, and students of the PET-Saúde Interprofissionalidade . This technique was complemented by conducting an online focus group session with the preceptors. The non-probabilistic sample consisted of 22 subjects with experiences in the program. The material produced was submitted to content analysis in three stages: pre-analysis, exploration of the material, and treatment of the results. The first allowed a panoramic view of the empirical material and the systematization of a pre-classification of the elements in two thematic axes. In the following steps, the groupings of textual segments were consolidated, and their nuclei of meaning were identified, enabling the organization of thematic categories analyzed in the light of the theoretical, conceptual, and methodological framework of interprofessional education and collaborative practice. The investigation was approved by the Ethics Committee in Research with Human Beings from the Federal University of Rio Grande do Norte, under number 4,630,008. Results: perceptions about the intentionality of the PET-Saúde Interprofessionalidade encompass aspects such as an environment of shared knowledge; theoretical deepening, distancing from traditional uniprofessional education, and the idea of something similar to the concept of Interprofessional Education. These elements express that shared learning experiences are relevant but do not represent the essence of an intervention based on Interprofessional Education, which is to foster the development of collaborative skills. This initiative provided contributions associated with the review of Pedagogical Course Projects; guided the discussion of Interprofessional Education in the Structuring Teaching Centers of some undergraduate courses; it stimulated the implementation of disciplines with an interprofessional character; strengthened teaching-service integration and contributed to the implementation of a Permanent Commission on Interprofessional Education. Despite these positive characteristics, the program faced obstacles arising from the hegemony of uniprofessional training; charges for productivity in the management of health services; turnover of members, difficulties in reconciling schedules, and, above all, the impact of the COVID-19 pandemic on the redesign of planned proposals and implemented interventions. The projects conducted revealed the demand for structuring and longitudinal actions, which require health education policies that enable the sustainability of Interprofessional Education. Final considerations: the development of collaborative competences must be clearly understood and safeguarded as an intention of Interprofessional Education in initiatives with this perspective. This demands sustainable strategies and policies at the macro, middle, and micro levels, which consider interprofessionality as a permanent approach in the reorientation of the training and qualification of the health workforce towards effective teamwork.

3
  • ALEXANDRA DO NASCIMENTO CASSIANO
  • When to go to maternity? Care-educational technology for primiparous pregnant women on signs of labor and obstetric risk.

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • CRISTYANNE SAMARA MIRANDA DE HOLANDA DA NÓBREGA
  • ELIZABETH TEIXEIRA
  • FLAVIA ANDREIA PEREIRA SOARES DOS SANTOS
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • REJANE MARIA PAIVA DE MENEZES
  • SORAYA MARIA DE MEDEIROS
  • Data: 23-feb-2022


  • Resumen Espectáculo
  • The gestational period is a phase of complex and unique transformations accompanied by physical, hormonal, psychological and social changes, and there may also be a variation of ambivalent feelings ranging from doubts, apprehension, love, joy, reaffirmation of pregnancy and anxiety and worry, especially when it comes to the pregnancy of a primigravidae. It is a fact that the primiparous pregnant woman has doubts about the right time to go to the maternity hospital, often generating anguish, fear and insecurity, sensations always observed by professionals in the daily routine of health services and are highlighted by the literature. Faced with this reality, it is believed that the use of an animated video on the signs of labor and obstetric risk in prenatal consultations can be a useful technological tool in expanding knowledge about pregnancy and childbirth in women about to be pregnant. to be a mother. The objective is to develop a care-educational technology for primiparous pregnant women about the signs of labor and obstetric risk. Methodological study, carried out through four stages, namely: 1) Construction of the animated video script on signs of labor and obstetric risk; 2) Validation of the animated video script content by expert judges; 3) Construction of the animated video on signs of labor and obstetric risk and, 4) Influence of the animated video on the knowledge of primiparous pregnant women through an EQE. To analyze the data referring to the validation process, the Content Validity Index and the Kappa Coefficient were used; In the quasi-experiment data analysis phase, descriptive statistics, trend measures, data dispersion were applied, in addition to the McNemar, Chi-square and Student's t tests, with a significance level of 5%. The study was submitted to the Research Ethics Committee of the Federal University of Rio Grande of Norte in accordance with the recommendations of Resolution 466/2012, of the National Health Council and its complements, with opinion approved under No. 4,396,786 and CAAE 39211420.4.0000.5537. The validation of the technology was carried out by 21 expert judges, fifteen of them with expertise in obstetric nursing and eleven in primary health care. Most were female (71.4%) with an average age of 35 years; of these, 42.9% were masters with an average of 8 years of experience in the field; The total Content Validation Index of the animated video script was 0.97. All the variables analyzed had an index greater than 0.81, with a lower value of 0.85 in the judgment regarding the adequacy of the material to the sociocultural level of the pregnant women. The Kappa coefficient obtained was 0.55, which corresponded to a moderate agreement. Ninety primiparous pregnant women were interviewed, whose profile corresponds to women with an average age of 23 years; mixed race (64.45%); in a stable union (74.44%) and an average of 10 years of schooling. Most (62.22%) were housewives and 54.45% had a family income of 1 minimum wage; half of the pregnant women (50%) were in the third trimester of pregnancy and 85.56% were undergoing usual risk prenatal care. Only 12.22% of them reported having access to information about signs of labor and obstetric risk. Data analysis using the McNemar test showed a statistical difference (p<0.0005) between before and after the animated video in questions 1, 2, 3, 4, 5 and 6. Regarding the total performance, it was verified if, through the Student's t test, there was a significant difference (p<0.001) between before and after viewing the animated video in the number of correct answers for the questions. Finally, in the evaluation of primigravidae regarding the importance of the video, the average grade attributed was 9.92. At the end of this study, it was concluded that its results confirmed the thesis that the use of a care-educational technology, such as an animated video, on the knowledge of the signs of labor and obstetric risk, had a positive influence on most of the participating pregnant women, indicating its importance and applicability to primary care services during the follow-up of women in prenatal consultations.

4
  • CINTIA CAPISTRANO TEIXEIRA ROCHA
  • CONSTRUCTION AND VALIDATION OF AN EDUCATIONAL TECHNOLOGY FOR NURSING CARE IN KIDNEY TRANSPLANTS

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • QUENIA CAMILLE SOARES MARTINS
  • ANA ELZA OLIVEIRA DE MENDONCA
  • MARIA ALZETE DE LIMA
  • AUREAN DECA JÚNIOR
  • HARLON FRANÇA DE MENEZES
  • Data: 23-feb-2022


  • Resumen Espectáculo
  • This is a methodological study with the objective of building and validating an educational technology for nursing care in kidney transplant recipients, aimed at academics and nursing professionals. The research was conducted by Ausubel's theoretical framework of meaningful learning. To guide the construction of the didactic material, the Contextualized Instructional Design proposed by Filatro (2004) was used, structured in five correlated stages: 1) analysis, 2) design, 3) development, 4) implementation and 5) evaluation. The survey of the needs of the didactic material was carried out through the scoping review which, after being constructed, was submitted to content validation by expert judges, using an Instrument for Validation of Educational Content in Health. The collected data were entered into a Microsoft spreadsheet Office Excel 2013 and the Statistical Package for Social Sciences (SPSS) version 20.0, and analyzed using descriptive statistics and presented in the form of tables. To measure the proportion of judges in agreement on a given aspect of the assessment, the Validity and Content Index (IVC), Intraclass Correlation Coefficient (ICC), Kappa Index (K) and Validation of Educational Health Content (IVCES) were used. Items with a minimum agreement of 80% among experts were considered valid. Data collection took place from May to July 2021, with a total of 29 participants in content validation. The research was approved by the Ethics Committee of the Federal University of Rio Grande do Norte, through certificate of Ethical Appreciation Presentation nº 32033020.4.0000.5537. In the reliability assessment, IVCES showed excellent agreement among experts with a global CVI of 0.99 and Kappa > 0.9. Total internal consistency was considered satisfactory with ICC > 0.9 and significant p-value (p<0.05) in all domains: “objectives”, “structure/presentation” and “relevance. The study made it possible to map and develop didactic and technology-mediated material on nursing care for kidney transplant patients in the immediate, mediate, late postoperative period and in Primary Health Care. It is believed that the development of this study will provide the strengthening of care offered in the health care network in the line of care for people with chronic kidney disease using renal replacement therapy, kidney transplantation. In addition, it is an instrument that induces co-responsibility and quality in continuously improving health outcomes. It also stands out as an important driver for the praxis (action-reflection-action) of science and for the appreciation of nursing. It is noteworthy that the inclusion of primary health care in the care of the renal transplant patient becomes a differential of this study, care that is essential in the process for the maintenance of the graft in the transplanted patient, as it allows better adherence to therapeutic treatment, promotion and prevention of diseases such as opportunistic infectious diseases, reduction of anxiety regarding doubts and treatment difficulties and greater emotional support for the user and the family.

5
  • AMANDA BARBOSA DA SILVA
  • Development of mid-range nursing theory for impaired health literacy

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • DANDARA NAYARA AZEVEDO DANTAS
  • ANA PAULA NUNES DE LIMA FERNANDES
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • Data: 17-ago-2022


  • Resumen Espectáculo
  • This study has as its research object the development of a Mid-Range Theory (AMR) for nursing on Impaired Health Literacy. The research is consistent with the trend of studies worldwide regarding the encouragement of scientific investigations by considering Health Literacy (HL) as an essential element for the care and improvement of the individual's ability to respond to their health status. The recent inclusion of the SL in Nanda Internacional (NANDA-I) reinforces the importance and the need to work on theoretical and practical aspects of the SL, especially from the perspective of Nursing science. In this way, theorizing on the subject in question provides a framework of knowledge to strengthen nursing as a discipline and science, in addition to providing limits for professional performance based on ethical precepts and guidelines for professional practice. TMA studies have been developed in order to support and contribute to the development of NANDA-I in order to clarify concepts or even insert diagnoses not yet covered. This study aims to develop a Middle Range Theory for Impaired Health Literacy. This is a methodological study of a diagnostic proposal for Impaired Health Literacy from the development of a TMA. Thus, the study was carried out in two stages, namely: 1) Theoretical-Causal Validity for the development of the TMA for Impaired Health Literacy and 2) Content analysis by judges of the proposed nursing diagnosis Impaired Health Literacy. The theoretical-causal validity was operationalized from an integrative literature review, developed in five data sources, namely: SCOPUS, WEB OF SCIENCE, LILACS, MEDLINE AND SCIENCE DIRECT. After applying the inclusion and exclusion criteria, 78 studies made up the final sample of the first stage. The content analysis by judges took place through the participation of 44 judges according to previously established criteria, whose diagnostic proposition constructed from the causal theoretical validity was refined according to criteria of relevance, clarity and precision evaluated. For the descriptive analysis of the characterization of the participants, the frequencies, measures of the distribution center and their variability were considered. The Kolmogorov-Smirnov test was applied to verify the normality of the cases. A statistical analysis was performed to calculate the CVI to identify the proportion of judges who consider the instrument with its respective clinical indicators and etiological factors to be adequate. This study obtained a favorable opinion from the Research Ethics Committee (CEP) of the Federal University of Rio Grande do Norte (UFRN) (ANNEX A) with number 4,745,373 and CAAE 46968421.4.0000.5537. In the first stage, 14 etiological factors, eight defining characteristics, two populations at risk and three associated conditions were identified. The TMA made it possible to construct nine propositions and establish causal relationships between the phenomenon and clinical practice, in addition to the construction of the pictogram. In the second stage, the judges considered the diagnostic proposal adequate, considering 15 etiological factors, eight defining characteristics, four associated conditions and five populations at risk. It was concluded that the development of the TMA enabled the construction of a diagnosis focused on the problem until now, non-existent in the NANDA International taxonomy, which was considered valid by the specialists, based on the content analysis.

6
  • ELIABE RODRIGUES DE MEDEIROS
  • School nursing in the care of infectious diseases: elaboration and validation of a service organization protocol

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • DANIELE VIEIRA DANTAS
  • ERIKA SIMONE GALVAO PINTO
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • MARIA SANDRA ANDRADE
  • ELIÃ PINHEIRO BOTELHO
  • Data: 19-ago-2022


  • Resumen Espectáculo
  • Infectious diseases are pathologies relevant to the epidemiological situation of communities. Several efforts are made by health professionals to reduce the rates of these diseases and nursing, the most frequent category in health services, has stood out for offering preventive and health promotion services in community spaces, such as schools. The actions that it performs are already documented, however, there are no protocols that guide the execution of those that have this focus. Therefore, the objective of the present study is to analyze the evidence of validity of a protocol for organizing the school nursing service in the care of infectious diseases. This is methodological research composed of two stages. The first operationalized through a scope review to search for constructs on the available evidence on this aspect. In the second, the construction and validation of the protocol was carried out based on the evidence identified in the previous phase. Luiz Pasquali&#39;s theoretical framework was used for the construction of the items and Rafael Hernandez-Nieto&#39;s framework for the content validation process. The analysis considered agreement rates and the content validity coefficient, and the values were presented in tables. The ethical principles in research involving human beings were followed, in accordance with Resolution No. 466/2012 of the National Health Council, so that it was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte through opinion No. 4.758.536 and CAAE No. 45645621.3.0000.5537. In the scope review, 83 documents were included, from which 87 actions were identified after grouping. Four functions of school nursing (research, care, educational and manager), also called domains, were used to systematize the protocol for organizing services. The validation process was carried out with 13 expert judges through three rounds of Delphi evaluation. They identified agreement with the domains and items that integrated them and suggested adjustments. They also analyzed the need for changes in the items and, based on the criteria of clarity of language, practical relevance and theoretical relevance, scored the agreement for the validation of the content. At the end of the three rounds, all domains had concordance rates greater than 90% and all items had a content validity coefficient greater than or equal to 0.91 and thus were classified as excellent validity. The thesis that the school nursing protocol in the care of infectious diseases has evidence of content validity was confirmed. This instrument can be used by nursing teams that carry out activities in schools aimed at different infections. It can also be suitable for any need identified in the different contexts in which it is used.

7
  • SIMONE KARINE DA COSTA MESQUITA
  • Artificial Neural Network to assist nurses in decision making about venous ulcer dressings

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • JULIANO TEIXEIRA MORAES
  • DANIELE VIEIRA DANTAS
  • ISABELLE KATHERINNE FERNANDES COSTA
  • JESSICA DANTAS DE SA TINOCO
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • Data: 26-ago-2022


  • Resumen Espectáculo
  • Venous ulcer is considered a major public health problem due to the socioeconomic impact it causes on society due to the increase in its incidence, as well as the gaps in health services, in particular, the difficulty of professionals in clinical judgment during treatment. choice of injury coverage, which slows down the healing process. In this way, a computer system can help nurses to minimize the difficulties facing the treatment of venous ulcers, through artificial intelligence. Among the intelligent technologies, the Deep Artificial Neural Networks have been standing out for their high power to solve complex problems, which makes it possible to maximize the quality of care offered to patients and contribute to the decision-making of professionals during clinical practice. Given the context, the study aims to provide computational assistance to nurses in decision-making about dressings for venous ulcers, through two neural networks. This is a methodological, descriptive research with a quantitative approach. The study was divided into four phases, according to the Unified Process (UP) methodological model. Phase 1 refers to the design and requirements gathering. In this phase, an integrative review was carried out on dressings used in the treatment of venous ulcers, construction of an image bank and the classification of tissues and coverage suggestions, by expert nurse judges in the treatment of chronic ulcers. Phase 2 comprises the elaboration of the structure of neural networks. Phase 3 refers to building, testing and evaluating the networks. To make it possible to evaluate usability, it was necessary to create a VenoTEC application containing 9 screens, aimed at classifying coverage options from photos taken of venous lesions of patients. Thus, the usability assessment process took place with 13 nurses, in the period of June 2022, using a scale, guided by the System Usability Scale (SUS). Data were analyzed according to a calculation guided by the SUS, as well as exported to the Statistical Package for Social Science 20.0 program, where they were analyzed using relative and absolute frequency statistics. The construction of the neural network aimed at tissue classification obtained an accuracy of 70% of correct answers, while the neural network aimed at the classification of coverage obtained an accuracy of 100% of correct answers. In this way, the networks proved to be effective for the application. Phase 4 refers to the finalization of the product. The result of the usability evaluation obtained an average of 88.07; which characterizes a very good usability. The participating nurses, when using the system, felt satisfied and stated that they would use the technology in their work activity. The development of the two deep ANNs aimed at offering computational support to nurses during VU treatment may bring contributions as a work tool based on scientific evidence and protocols, in order to standardize conduct in health services, which may favor the improvement of care , by minimizing errors, in addition to providing quick and professional decision making.  

8
  • JULLIANA FERNANDES DE SENA
  • DISTANCE EDUCATIONAL TECHNOLOGY ABOUT THE CARE OF PEOPLE WITH INTESTINAL STOMACY

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ALCIDES VIANA DE LIMA NETO
  • ANDRÉ APARECIDO DA SILVA TELES
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • ISABELLE KATHERINNE FERNANDES COSTA
  • JESSICA DANTAS DE SA TINOCO
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • Data: 23-nov-2022


  • Resumen Espectáculo
  • Health professionals are important agents of educational health actions and these are of great importance in the lives of patients, particularly in relation to ostomy care, in which the professional must guide self-care, adaptation and assist in the prevention of complications. In this context, Virtual Learning Environments have been providing significant impacts on the traditional educational paradigm and the use of technology has allowed the creation of virtual environments and patients, in addition to simulating practices to assist in the development of skills and the acquisition of knowledge for assistance. With this, the present study aims to build and evaluate an educational technology in the form of distance learning on the care of people with intestinal ostomies for academics and health professionals. This is a methodological, quantitative study and had as theoretical reference the psychometric theory of Pasquali and the Instructional Design of Filatro (2019). It was developed in four stages: Analysis: Literature review and Scoping Review, Design: elaboration of the technology project with content mapping; Development: Construction of educational technology in the EaD modality, and Evaluation of the technology content by expert judges in the area with pedagogical support to the conceptions of Ausubel&#39;s theory of Meaningful Learning. This last step consisted of the assessment of content and suitability by 13 expert judges. Data analysis was related to the evaluation of the technology by the judges through descriptive and inferential statistics, using Microsoft Excel and SPSS 20.0 programs, using the Kappa index (K) to measure the level of agreement and consistency of the judges in relation to the permanence or not of the items in the technology units, taking into account the indications of “inadequate” or “adequate” for them and the Content Validity Coefficient (CVC), considered acceptable K ≥0.50 and CVC&gt;0.75 , respectively. The overall CVC of the objectives was 0.87 and K was 0.51; structure and presentation had CVC of 0.85 and K of 0.46 and in the matter of relevance the CVC was 0.94 and K of 0.67. After the suggestions made by the judges, the adequacy of the educational technology will be carried out, incorporating the suggestions, in order to meet the needs and expectations proposed. The technology can be very useful in the hands of academics and health professionals to use as a care instrument in the guidelines for patients with intestinal ostomy. Soon, access to technology will be through the internet through the Virtual Environment if they wish to understand the care that will be necessary to help the new life condition of patients with intestinal ostomy.

9
  • THAIS ROSENTAL GABRIEL LOPES
  • The construction of paternal identity mediated by love for the premature child in the Kangaroo Method Care.

     
  • Líder : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MIEMBROS DE LA BANCA :
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • FLAVIO CESAR BEZERRA DA SILVA
  • GLAUBER WEDER DOS SANTOS SILVA
  • MÔNICA CECÍLIA PIMENTEL DE MELO
  • VERBENA SANTOS ARAÚJO
  • Data: 19-dic-2022


  • Resumen Espectáculo
  • Introduction: the construction of paternal identity is a transactional process and requires the involvement of men in the context in neonatal care, when the premature delivery of the child occurs unexpectedly. It involves subjective and complex aspects in addition to new adaptive activities and affective skills, so that it can be participated in the third stage proposed by the Kangaroo Mother Care Method. Objective: to describe the experience of the father in the care of the preterm child in the third stage of the Kangaroo Mother Care Method. Method: descriptive study with qualitative approach, carried out at the Maternity School Januario Cicco, reference in neonatal care, in the municipality of Natal, Rio Grande do Norte, from March to July 2022. Seven parents who experienced care for the premature child in the third stage of the Kangaroo Mother Care Method participated in the participants. For data collection, a questionnaire with sociodemographic data was used and in-depth open interviews were conducted, closed by the criterion of data saturation. The participants' characterization variables were typed into a Microsoft Office Excel spreadsheet and analyzed using descriptive statistics (absolute and relative values). The interviews were recorded, transcribed and transcribed in a LibreOffice document, giving rise to the corpora for processing and analysis. Initially, exploratory reading of the interviews was performed to highlight the main ideas of the participants and preparation of methodological and substantial memoranda.  The corpora were processed in the SOFTWARE IRAMUTEQ, through lexographic analyses: Descending Hierarchical Classification, Similitude Analysis and Factorial Analysis of Correspondence by categorical variable, associated with Bardin content analysis. Study approved by CEP/UFRN, Opinion: 5.269.9903, CAEE: 52591021.9.0000.5537. Results: the integration of the categories allowed the emergence of the central category: "The construction of paternal identity mediated by the love of the premature child in the Kangaroo Mother Care Method" from four dominant categories: Category I (Class 02) - The transition of care experienced by the nursing-mediated father; Category II (Class 01 and 05) - Producing new paternal senses from the routine of child care and the desire to care for the premature child; Category III (Class 03 and 04) - Positive religious/spiritual coping as a coping strategy to deal with the child's prematurity; Category IV (Class 06) - Feeling like a father in child care in the MC. It was identified that the construction of paternal identity is mediated by paternal love for the child, which is built from the maturation and sense of responsibility that arise substantially in the postpartum period.  The early connection established with the premature child, the new care routine initiated in the hospital environment and extended to the family home mediated by nursing in the third phase of the Kangaroo Method and the continuous contact mediated by love and desire to care and contribute to the confrontation of obstacles and acquisition of new paternal competencies in the daily relationship between father and child. Thus, paternal love is propitiated by the intimacy established between father and child in parenting. Final considerations: it was revealed that the construction of paternal identity is based on the relationships established with the child as he acquires a proactive and engaging posture, in the redefinition of personal priorities experienced in daily care and by the love he feels for the child, in the third stage of the Kangaroo Mother Care Method. It is considered that the results support the thesis that the father should be involved early in all phases proposed by the neonatal care of the Kangaroo Method, for the effectiveness of care after hospital discharge. Moreover, the health professionals involved, in particular, nursing should recognize the paternal role in the child's life and in the positive impacts for their growth and development, as well as and promote the use of positive strategies, such as religious coping, in overcoming the challenges of fatherhood.

     

2021
Disertaciones
1
  • CAMILA PRISCILA ABDIAS DO NASCIMENTO
  • Evaluation of street teams that serve people living with tuberculosis


    https://video.rnp.br/portal/transmission?idItem=98522

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ALINE ALE BERALDO
  • ERIKA SIMONE GALVAO PINTO
  • MARIA DE LOURDES COSTA DA SILVA
  • NILBA LIMA DE SOUZA
  • Data: 22-ene-2021


  • Resumen Espectáculo
  • OBJECTIVE: to evaluate the street office teams that serve people living with tuberculosis in the city of Natal. METHOD: This is an evaluative research of a normative type, with a quantitative and qualitative approach with emphasis on the degree of implementation, structure and process of the office team on the street. Avenis Donabedian was used as a theoretical-methodological framework for health assessment. The study population was made up of 15 health professionals distributed in the following categories: nurses, social worker, doctor, psychologist and nursing technician from the three office teams in the street of the city of Natal / RN. Data collection was carried out from August to October 2020 through a questionnaire based on the Manual of Recommendations for Tuberculosis Control in Brazil, which consists of questions related to professional characterization, the structure / process dimension, and perceptions referred by professionals from health teams that make up office teams on the street to care for people living with tuberculosis. Quantitative data were organized and analyzed using the Statistical Package for the Social Sciences (SPSS), version 22.0 from IBM, using descriptive statistics. For the analysis of the implementation of the Street Consultation Teams in the city of Natal, the dimensions (structure and process) and their sub-dimensions (resources: human and material; process: operational activities) were considered. Regarding the assessment of implantation, 20 criteria were selected and the percentage of responses identified was divided into four classifications: not implanted (from 0% to 25%), incipient (from 26% to 50%), partially implanted (from 51% to 75%) and implanted (76% to 100%). Qualitative data were recorded in audios, transcribed, organized, and analytical processing was carried out with the help of the Interface software from R pour les Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ), version 7 alpha 2. The research was approved by the Research Ethics Committee at the Federal University of Rio Grande do Norte, under CAEE: 30796020.9.0000.5537. The construction of the logical-operational model allowed the identification of the structural organization, the activities developed and the expected / developed results of the tuberculosis control program for the homeless population of the city of Natal. RESULTS: Of the 15 professionals selected in the sample, 01 were away from their activities during data collection, thus totaling 14 participants. From the data collected, it was possible to identify the degree of implementation of the Consultancy Teams on the Street in the city of Natal / RN, which was classified as implanted (76.79%). In the structure dimension, material resources were classified as partially implemented (72.73%). As for the process dimension, the operational activities obtained the degree implemented (81.75%). Regarding the perceptions mentioned by the health professionals who make up the office teams on the street to assist people living with tuberculosis, three thematic categories emerged: (1) the reasons that contribute to living on the street; (2) the duties and activities of the eCnaR and health managers and (3) the challenges and difficulties in the daily work. The results found for category 1 were: multifactorial, unemployment, family problems and drugs, for category 2 monitoring, guidance, care, dispersion of medication and referral to the health network and in the lack of recognition of the network and difficulty in working hours work respectively. CONCLUSION: The logical-operational model of the tuberculosis control program for the homeless population allowed an understanding of the program organization and supported the evaluation process. The identification of the criteria related to the structure and process made it possible to identify the degree of implementation of the program of the municipality of Natal as implemented, which emphasizes the need to continue the operational improvement that is essential for the integrality of assistance in addition to health education activities.

2
  • RAYLA PATRÍCIA DA SILVA ANDRADE
  • Completeness of the Tuberculosis Information System in the Municipality of Parnamirim/RN

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • NATHALIA HALAX ORFÃO
  • NILBA LIMA DE SOUZA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 29-ene-2021


  • Resumen Espectáculo
  • Introduction: Tuberculosis affects people with low purchasing power and is still seen as neglected. Until 2035, a global reduction of 4 to 5% per year would be necessary for a tuberculosis-free world. The Primary Health Care services are the gateway to a possible suspected case of tuberculosis and after confirmation, the case notification must be carried out and inserted in the Information System for Notifiable Diseases for tuberculosis. Objective: This study aimed to analyze the completeness of the tuberculosis data in the Information System for Notifiable Diseases in the municipality of Parnamirim / RN from 2009 to 2019. Method: This is a descriptive, retrospective, historical series study based on secondary data. The population was composed by the database of the Information System of Notifiable Diseases, with information from the notification forms for tuberculosis in the municipality of Parnamirim / RN, totaling 891 cases. Data collection took place in the second half of 2020. The selected variables are represented by the sociodemographic, clinical, laboratory variables and the outcome of the case. The database was built in Excel format, version 2017, to create descriptive tables and graphs. For the application of statistical tests, the free statistical software R, version 3.6.1, was used. In the qualitative variables, a descriptive analysis was carried out through distributions of absolute and relative frequencies (%). In the comparison of completeness with the time under study, the Spearman’s non-parametric statistical test was applied with a significance level of 5%. After the conclusion of the descriptive analysis, the evaluation of variables was started according to the completeness criterion. The completeness analysis was based on the classification of the Notifiable Diseases Information System for qualitative assessment, establishing the following division: category 1 (bad), when there is 0 to 25% of completeness; category 2 (regular), between 25.1% and 50%; category 3 (good), between 50.1% and 75%, and category 4 (excellent), for completeness between 75.1% and 100%. The study followed the ethical precepts in research with human beings described in Resolution 466/2012 of the National Health Council. Approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, through the report 4,009,967 and Certificate of Presentation for Ethical Consideration 30793920.1.0000.5537. Results: 891 cases were analyzed in the period from 2009 to 2019. It was found that the predominance of reported cases was male (70.93%); between 20 and 29 years (31.09%); as for the level of education, (25.34%) had between the 1st to the 4th grade incomplete elementary school. The situation of the patient's entry into the Health Unit, a new case predominated (78.56%); clinical form was pulmonary (86.76%); (60.20%) underwent chest radiography with a suspicious result (91.15%); (75.59%) performed sputum smear microscopy in a sample for diagnosis, of these (71.90%) had a positive result; only (37.50%) performed the rapid test, with (87.04%) detectable sensitive to rifampicin and (1.23%) detectable resistant to rifampicin; (17.96%) underwent sputum culture, of these (35%) had a negative result. For the situation of closure of the notified case (77.63%) they obtained a cure for tuberculosis. While 8.20% abandoned treatment. Regarding completeness, it was classified as regular: illicit drug, smoking and rapid test, as good education and other conditions and as excellent sex, age, type of entry, clinical form, chest X-ray, AIDS, alcoholism, diabetes, disease mental, sputum smear, sputum culture and outcome of the case. Evidence of a statistically significant correlation was obtained between the time under analysis and the completeness of education level, chest X-ray and the outcome of the case (drop in completeness); illicit drug, smoking and rapid test (increase in completeness). Conclusion: Considering the completeness of the fields of the notification / investigation form for tuberculosis, it was found that of the 17 variables analyzed, 18% were classified as regular, 12% as good and 70% as excellent between the years 2009 to 2019 In the mandatory field variables, a behavior was verified, with the fields being completely filled out. As for the quality of the essential fields, there was a variability in completeness. Thus, it is necessary to establish strategies for the importance of the quality of the registration of notifications.

3
  • SYLVIA SILVA DE OLIVEIRA
  • Social representations of Prenatal for men who experienced consultations with partner

  • Líder : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MIEMBROS DE LA BANCA :
  • FLAVIO CESAR BEZERRA DA SILVA
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOAO MARIO PESSOA JUNIOR
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • Data: 29-ene-2021


  • Resumen Espectáculo
  • For a long time, in the history of mankind, men were stablished as the financial providers of the family and, therefore, distanced themselves from their children development. However, new scientific evidence highlights the affective involvement of the male during the gestational period is crucial for paternity construction, establishment of the bond between father and baby and promotion of the mental health of the child and well-being of the woman. The prenatal assistance is very important of these process. Aim: to analyze the Social Representations attributed by the man during the prenatal consultations Method: this is a descriptive exploratory research, with a qualitative approach, in the light of the Theory of Social Representations, in the structural aspect, carried out with 38 men who experienced their partner's prenatal consultations and who were present at a maternity school located in the state of Rio Grande do Norte, from January to November 2020. To make data collection feasible, a sociodemographic questionnaire, the theme-story design and the Free Words Association Technique were used, using the inductive term “father and prenatal consultations”. The data were analyzed using the aid of the Interface R software for the Multidimensional Analyzes by Textes et de Questionnaires (IRAMUTEQ), version 7 alpha 2, through the prototypical processing (frame of four houses) for the matrix which is automatically calculated ; intermediate frequency (± 5.67) and Average Evocation Orders (± 2.8). It should also be noted that the research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under the Certificate of Presentation for Ethical Appreciation (CAAE) numbering 21360719.0.0000.5537. Conclusions: the execution of the present research made it possible to reveal that the Social Representations of the men who participated in the partner's prenatal consultations presented feelings, as well as general meanings of what it is to “wear the identity of a father even before birth of the child”, which direct the core of meanings towards love which is established and strengthened throughout the partner's gestational period.

4
  • DHYANINE MORAIS DE LIMA RAIMUNDO
  • SPATIAL ANALYSIS AND TEMPORAL TREND OF NOTIFIED CASES OF CONGENITAL SYPHILIS IN RIO GRANDE DO NORTE

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • ALIETE CRISTINA GOMES DIAS PEDROSA DA CUNHA OLIVEIRA
  • ANA ANGELICA REGO DE QUEIROZ
  • RENATA KARINA REIS
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 08-feb-2021


  • Resumen Espectáculo
  • Congenital syphilis is a multiple system infection, caused by Treponema pallidum and transmitted to the fetus via the placenta, at any time during pregnancy. The State of Rio Grande do Norte has rates above the national average (12.5 cases / 1,000 live births). The general objective of the research was to analyze the spatial distribution of notified cases of congenital syphilis and its temporal trend in the State of Rio Grande do Norte. This is an ecological study, with secondary data for the period from 2008 to 2018, with the population reported cases of congenital syphilis. For this purpose, data reported in the Notifiable Diseases Information System and in the Live Births Information System were used. In the analysis of the data, the maps of the eight health regions of Rio Grande do Norte from the Brazilian Institute of Geography and Statistics were extracted and the local and global Moran was performed with QGIS software version 2.18, being smoothed by the local empirical Bayesian method that resulted in the thematic maps . After calculating the incidences, which were standardized per 1,000 inhabitants, it was possible to carry out the analysis of the temporal trend using the Jointpoint model. The study obtained a favorable opinion from the Research Ethics Committee of the Federal University of Rio Grande do Norte, under Opinion No. 3,775,828 and CAAE No. 25687519.4.0000.5537. The results of this study show that 88% of children were diagnosed during prenatal care or childbirth / curettage, even with 76% of them being considered asymptomatic. On the other hand, the treponemic test was not performed in 81% of them. As for the treatment performed by the mothers, 70% was considered incomplete or inadequate. Moving averages showed a tendency to increase congenital syphilis in the 7th and 3rd health regions. Regarding the temporal analysis, this investigation showed a spatial cluster in the 3rd, 5th and 7th health regions, with an increased risk for congenital syphilis up to 2.65 times. Finally, the temporal trend showed a continuous growth curve across the state. It is concluded that there is a sensitive weakness regarding prenatal care, given the growing incidence in the State with an expectation of increase in the next five years. Finally, we emphasize the importance of implementing strategic and priority actions, as well as expanding the commitment to new partnerships, with a focus on reducing the transmission of congenital syphilis.

5
  • THATIANE MONICK DE SOUZA COSTA
  • Massage for pain relief in newborns undergoing puncture: a systematic review

  • Líder : DANIELE VIEIRA DANTAS
  • MIEMBROS DE LA BANCA :
  • DANIELE VIEIRA DANTAS
  • ALEXSANDRA RODRIGUES FEIJAO
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • MARIA DO CARMO DE OLIVEIRA
  • Data: 10-feb-2021


  • Resumen Espectáculo
  • Introduction: Premature newborns are exposed to about 75.1 ± 42.6 painful procedures during hospitalization, which generate an impact on changes in blood pressure, heart rate and respiratory rate, and it is necessary to apply measures to relieve pain. Non-pharmacological treatments are currently an effective alternative in pain management, since they mitigate neonatal suffering and reduce the chances of future comorbidities. Massage is part of these non-pharmacological measures, which is based on the comfort and relaxation of the individual, since it is linked to the improvement of blood circulation, reinforcing oxygenation and nutrition of tissues, having important efficacy in reducing pain. Objective: To evaluate scientific evidence on massage in pain relief in newborns undergoing to puncture. Method: Is this a systematic review, with the research question by pico strategy (Patient or Problem, Intervention, Control or Comparasion, Outcomes): Does massage produce pain relief when used in newborns submitted to puncture? The search was performed in the electronic data sources National Library of Medicine (MEDLINE - PubMed), Web of Science, CINAHL, Scopus, Cochrane Library and Gale. Different combinations of the keywords "infant, newborn", "massage", "pain" were used. The crossing of the research descriptors indexed in The MesH were: (((infant, newborn) OR (premature) OR (baby)) AND ((massage) OR (reflextherapy)) AND ((pain) OR (Pain measurement) OR (Pain management) OR (Pain relief) OR (Pain assessment) OR (Puncture assessment) OR ())). Primary quantitative studies were included, such as near-experimental and randomized clinical trial, which evaluated pain in newborns submitted to puncture using massage. The research was performed without language restriction and without time frame. This review was submitted to the PROSPERO database. Results: Of the 878 studies found, after reading titles and abstracts, excluding duplicates and reading in full, the sample consisted of 12 articles. A high level of agreement was observed among the reviewers who tracked the articles (Kappa index>90%). Of the twelve records included in this review, eleven (91.6%) randomized clinical trials and one (8.3%) is characterized as a non-randomized clinical trial (almost-experimental study). Regarding the specifications of the study population, the total number of participants enrolled in the studies was 981 neonates, and the age varied between 24 hours of life and 42 gestational weeks. About the place of application, seven (58.3%) studies performed the intervention in the lower limbs, five (41.6%) upper limbs and five (41.6%) on the feet of newborns. Regarding the time of application, seven (58.3%) studies performed the massage for 2 minutes, two (16.6%) for 3 minutes, one (8.3%) for 1 minute and one (8.3%) for 30 minutes. The instruments most used by researchers to evaluate the response to pain felt by newborns were the Neonatal Infant Pain Scale (NIPS) and the Premature Infant Pain Profile (PIPP). The researchers identified the effectiveness of massage over other techniques (or control group) in pain relief in 83.3% of the studies. The main benefits generated by massage were: reduction of pain scores during and after puncture, better mental development, lower heart rate change, shorter duration of crying and shorter procedure time. Conclusion: The application of massage can contribute to the relief of neonatal pain by reducing the pain assessment score, reducing crying time and stabilizing vital signs in newborns submitted to puncture.

6
  • RENILLY DE MELO PAIVA
  • Construction and validation of a graphic protocol for the evaluation of safe care for chronic renal patients in Renal dialysis

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • ISABELLE CAMPOS DE AZEVEDO
  • MARCOS ANTONIO FERREIRA JUNIOR
  • QUENIA CAMILLE SOARES MARTINS
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 19-feb-2021


  • Resumen Espectáculo
  • Safe and quality care in hemodialysis services aims to reduce or eliminate the occurrence of adverse events. This is because, it is an environment that presents several risk factors because it is an invasive and complex procedure. Thus, it is necessary to implement measures for patient safety in these services, as well as to identify problems and measure the quality of care and management. Thus, this study aimed to build and validate the content and appearance of a protocol for evaluating safe care in hemodialysis. It deals with a methodological study conducted by Pasquali's psychometric framework organized in three procedures, namely: theoretical procedures in which a Scoping Review was carried out to support the definition of the contents included in the protocol; empirical procedures construction of the protocol through scientific evidence and content and appearance validation via Google forms and Delphi steps with expert judges in the area of patient safety and kidney diseases; and, analytical procedures in which the analysis of the data from the previous phase was carried out using the content validation coefficient, items with a minimum agreement of 80% between judges were considered valid. This study is approved by the Ethics and Research Committee of the Federal University of Rio Grande do Norte, under Certificate of Ethical Appreciation No. 3,915,158 and CAAE: 29259020.7.0000.5537. After construction of the protocol, it was submitted to the appreciation of nine judges who responded to all Delphi stages, who made suggestions for improvement and improvement. This achieved a general content validity coefficient of 0.87 and 0.94 for appearance validation. Thus, the graphic protocol for evaluating safe care for patients on Renal dialysis is considered valid in its content and appearance.

7
  • ISABELLE PEREIRA DA SILVA
  • Construction of a prototype application to assist in self-care of people with intestinal ostomy

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ISABELLE KATHERINNE FERNANDES COSTA
  • RODRIGO ASSIS NEVES DANTAS
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • HELENA MEGUMI SONOBE
  • Data: 22-feb-2021


  • Resumen Espectáculo
  • Living with an intestinal ostomy negatively affects psychological, physiological, social aspects and demands adjustments in lifestyle, mainly related to self-care. The nurse is one of the components of the support network for people with ostomy and works in health education for this population with the aim of helping people in the development of their self-care. Several tools can be used to assist in the education of people with stomata to achieve self-care skills, with emphasis on the use of technologies such as mobile devices, which have a worldwide reach and have mobility and portability as their main benefits. Thus, the objective of this study was to develop a prototype of an application on a multimedia platform to assist in the self-care of people with intestinal ostomy. This is a methodological study in the technological innovation modality, which was based on the Design Science Research methodology. The study was carried out in two stages, respectively: a scoping review in order to map the recommendations related to self-care of people with intestinal ostomy and the development of a prototype of the application. The first step followed the recommendations of the Joanna Briggs Institute and the extension for scoping review of the Preferred Reporting Items for Systematic Reviews and Meta-Analyzes. A search was carried out in eight databases and six portals of gray literature that totaled 14,318 studies and, after the selection and refinement process, a sample of 83 was obtained, of which 74 are articles, 8 dissertations and 1 thesis. Recommendations for self-care were categorized into the following themes: care for the stoma and peristomal skin; changing, cleaning and emptying the collector; nutrition; stomach and peristomal complications; use of equipment and adjuvants for ostomy; leisure and physical activities; body image and sexuality. In the end, self-care recommendations were organized to compose the content of the prototype. In the second stage of building the prototype, four phases followed: identification of the need, logical design of the artifact, development and initial tests. The prototype in its final version, conceived as a minimum viable product, resulted in 20 screens with interactive graphic animations, composed of the initial with registration options for accessing the platform and the initial menu, which brings the elements “register”, “my records”, “stoma care” and “contact”. The records offer the possibility for the person with a stoma to store information about stoma care and insert photos, while the “stoma care” element brings information about self-care, mapped in the literature, and has a filter to prioritize the order of information related to the main difficulty that the person has. In addition, the “contacts” screen allows access to doubts and the option to send questions to researchers, via the application. It is concluded that the prototype was successfully developed and has important resources for teaching self-care, being able to help people with stomas in learning about stoma care, as well as professionals in the health education process for this population.

8
  • JOSÉ RENATO PAULINO DE SALES
  • Gestational and congenital syphilis: epidemiological analysis of factors related to notifications in the state of Rio Grande do Norte.

  • Líder : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MIEMBROS DE LA BANCA :
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • DANIELE VIEIRA DANTAS
  • GRACIMARY ALVES TEIXEIRA
  • MÔNICA CECÍLIA PIMENTEL DE MELO
  • Data: 24-feb-2021


  • Resumen Espectáculo
  • Syphilis is considered a sexually transmitted infection, of a systemic and curable character, caused by Treponema pallidum and treatable with antibiotics. It has high rates of vertical transmission, aggravating serious problems of morbidity and mortality as a congenital syphilis. Its general objective is to analyze the factors related to the reported cases of gestational and congenital syphilis in the state of Rio Grande do Norte. This is a research with a quantitative epidemiological approach, of a descriptive and ecological type, derived from secondary data, having the state of Rio Grande do Norte as its coverage area, carried out in 2020. The sample was composed based on the criteria of eligibility and totaled 1892 notifications of syphilis in pregnant women and 2101 notifications for congenital syphilis in the period from 2014 to 2018. Data collection took place between the months of October to December through the bank of the Information System for Notifiable Diseases. The data were organized in the Microsoft Excel program for tabulation and statistical analysis using the software Statistical Package for the Social Sciences version 23.0. For statistical analysis, the Chi-square or Fisher's exact tests were used, as well as Odds Ratio with respective 95% confidence intervals (95% CI), followed by logistic regression to obtain the adjusted values to verify the associations between the variables of interest. The significance adopted was p <0.05. Finally, statistical differences between the values spent (R$) for hospitalization between gestational and congenital syphilis were obtained, when parametric, by independent t test and when the Gaussian assumption was broken by Mann-Whitney and as a measure of the quality of fit of the logistic model was the Hosmer and Lemeshow test was used, in which a p> 0.05 will indicate that the model is adjusted. Inherent to ethical aspects, the research was conducted in accordance with Resolution 510/16 of the National Health Council, which addresses the guidelines and regulatory standards for research involving human beings and how the study made use of secondary data, analysis by the Ethics and Research Committee. During the investigated period, an increase in reported cases was observed in the year 2018. The registered maternal profile points to women with an average age of 20 to 29 years (50,0%), brown (57,9%), with low education (61,2%). The analysis of prenatal care identified a predominance of maternal diagnosis in the third gestational trimester (40,0%) despite the fact that (84,3%) of these pregnant women performed it and the presence of nontreponemal reactive tests in (86,2%) and treponemal tests (49,5%) of women at delivery. With regard to maternal treatment, only (3,3%) of these women were registered with an appropriate treatment scheme and (18,6%) of partners were treated concurrently with pregnant women. In the outcomes related to children, (98,5%) were diagnosed with recent congenital syphilis and a number of (1,1%) of deaths from the disease in the state. Regarding hospitalizations for the notified condition, it presented an average number of 79,2 for congenital syphilis with an average value of R$ 4,217 per child. The results point, moreover, to important gaps in the processes of epidemiological surveillance regarding the filling of notifications regarding ignored and blank information. The analysis of notification of gestational and congenital syphilis made it possible to conclude that vertical transmission was related to missed diagnostic and therapeutic opportunities. The development of strategies for early detection and adherence to the treatment of the disease must be adopted, with a view to strengthening care and breaking the chain of vertical transmission of syphilis, in addition to avoiding and / or minimizing hospitalizations of children as a result of congenital syphilis. We emphasize the need for professional qualification for notification of the disease, as well as care for hospitalization of the newborn affected by the disease and expansion of the provision of information to epidemiological surveillance, in order to allow the continuity of the analysis of the disease.

9
  • VALÉRIA GOMES FERNANDES DA SILVA
  • Social Representations of people who have HIV serodiference drawn up by health professionals from specialized assistance services

     

    https://video.rnp.br/portal/transmission?idItem=98519

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MARIA APARECIDA ALVES DE OLIVEIRA SERRA
  • REJANE MARIA PAIVA DE MENEZES
  • RENATA KARINA REIS
  • Data: 25-feb-2021


  • Resumen Espectáculo
  • In the context of specialized health care services, professionals are constantly faced with the reality of people living with HIV serodifference. The present study aims to analyze the Social Representations under the structural aspect of people with HIV serodifference, elaborated by health professionals from Specialized Assistance Services in Sexually Transmitted Infections HIV / AIDS. This is a descriptive, exploratory, qualitative study, anchored on the assumptions of the Theory of Social Representations, in the structural aspect. The place of performance included three Specialized Care Services in STI / HIV / AIDS in the metropolitan region of the state of Rio Grande do Norte, and had the participation of 51 health professionals, working in multidisciplinary care teams, in addition to the coordinating professionals of the respective health services and programs. Data collection took place from October to December 2020, and was mediated by the use of the Free Word Evocation Technique associated with the replacement and decontextualization model (silent zone), with the inductive term “People in serodifference for HIV”. The data were analyzed through the prototypical processing (table of four houses) for each matrix, for which the intermediate frequencies (± 9 matrix 1 and ± 9.32 matrix 2) and the Average Evocation Orders (matrix 1: ± 3.04; matrix 2: ± 2.96), and similarity analysis, in order to vify the compositions and co-occurrence of words. The analytical processing took place in the Interface R software for Multidimensional Analyzes by Textes et Questionnaires (IRAMUTEQ), version 7 alpha 2. The research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, 30794020.6.0000.5537. The 51 participants were mostly female (82.35%), with a predominant age range from 41 to 54 years old (45.10%). Regarding the level of education, 78.43% had higher education and 21.57% technical education, and 41.18% reported having specialization or specific training to work in the service. Of the total participants, 11.76% were coordinators of the responsible services and programs, and 88.24% were professionals from the multiprofessional care team, of which 33.33% were doctors, 24.44% were nursing technicians, 15.55% were pharmacists, 13.33% nurses, 6.66% social worker and 6.66% psychologists. As for the training time of professionals, there was a variation of 1 year and 10 months to 46 years of profession, as well as the time of service in the SAE was in the range of 9 days to 37 years. In the prototypical analysis, it was found that the term inducer referring to matrix 1, resulted in 255 evocations and 93 distinct words, while matrix 2 (substitution and decontextualization zone) had 255 evocations and 156 distinct words. After the processes of stemming and categorization, the number of different evocations was 43 for matrix 1 and 41 for matrix 2. After the exclusion of evocations with a frequency lower than three, 62.79 evoked evocations % (27) and 65.85% (27), respectively. In matrix 1, the possible representation of people living with HIV serodifference, semantically crystallized in the central nucleus, by the terms: love (f = 19; OME: 2.6), fear (f = 18; OME: 2.7), sexual behavior (f = 9; OME: 2.3), acceptance (f = 9; OME: 2.7) and respect (f = 9; OME: 2.6). In matrix 2, the representations were objectified by the terms prejudice (f = 27; OME: 2.7), ignorance (f = 21; OME: 2.0), fear (f = 16; OME: 2.8), madness (f = 10; OME : 2.4) and love (f: 10; OME: 2.5). Thus, there is a semantic crystallization of the terms love and fear between the two central cores. In the analysis of similarity to matrix 1, the terms that showed strong co-occurrence and connectivity were: “partnership”, “love”, “fear”, “prevention”, “care”; and matrix II, with the terms: "assistance", "reception", "ignorance", "prejudice", "fear". The Social Representations held by health professionals about serodifference were concentrated on the meanings attributed structurally to love, fear, partnership, assistance, prejudice, ignorance, which denotes the valorization of meanings that are beyond the field of health care provision.
10
  • RENATA MARINHO FERNANDES
  • Construction of a mid-range theory for nursing diagnosis sedentary lifestyle

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • CECILIA MARIA FARIAS DE QUEIROZ FRAZAO
  • Data: 26-feb-2021


  • Resumen Espectáculo
  • Sedentary lifestyle has an increasing curve between adolescents and young adults. In this context, it is essential that the nurse knows in depth this nursing diagnosis. The objective of this study is to build a medium-range theory for the nursing diagnosis Sedentary Lifestyle in adolescents and young adults. This is a methodological study, according to Lopes e Silva's theoretical framework for the development of medium-range theory for nursing diagnoses. The study was made operational through an integrative literature review in the databases: National Library of Medicine and National Institutes of Health; Scopus; Cumulative Index to Nursing and Allied Health Literature and Web of Science. The crossing of the following descriptors Sedentary Behavior; Sedentary Lifestyle; Young Adult; and Adolescent allowed 2974 articles to be obtained. After applying the eligibility criteria, the final sample resulted in 57 articles. The results show the identification of six essential attributes; 23 clinical antecedents and 11 clinical consequents. The essential attributes were aging; excessive screen time on the internet; student; watch television >2h/day; women; and physical activity lower than recommended. The clinical antecedents were live in an urban area; aging; unemployment; excessive screen time on the internet; student; prolonged sitting time; physical inactivity; lower health perception; less satisfaction with life; watch television >2h/day; women; high socioeconomic status; physical activity lower than recommended; mismanagement of free time; insufficient resources for physical activity; insufficient interest in physical activities; high maternal education; air pollution; unfavorable climatic conditions; deficient knowledge; migration; high education level; and family history of physical inactivity. And the clinical consequents were impaired memory; backache; inadequate sleep time; lack of physical conditioning; depression; stress; anxiety; excess adiposity; cardiovascular disease; impaired cognitive function; and less visual attention. It is concluded that the understanding of nursing diagnosis sedentary lifestyle based on a medium-range theory is timely and generates tools that can promote health and quality of life in this specific population.

11
  • BRUNO NEVES DA SILVA
  • Intersections between quality of life of and resilience of rural women: a mixed methods research

     

    https://video.rnp.br/portal/transmission?idItem=98514

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • DEISE LISBOA RIQUINHO
  • ERIKA SIMONE GALVAO PINTO
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOSÉ LUÍS GUEDES DOS SANTOS
  • NILBA LIMA DE SOUZA
  • Data: 26-feb-2021


  • Resumen Espectáculo
  • BACKGROUND: historically, the Brazilian rural scenario is surrounded by social inequalities that influence the people's life trajectories. Rural women suffer with these inequalities due to their class and gender condition and there is a need to consider the processes that lead these women to resist daily adversities, like resilience as well their quality of life. AIM: to analyze the influence and association between resilience and quality of life in rural women. The general aim of this study was to analyze the influence of resilience on the quality of life of rural women. METHOD: mixed methods study of convergent parallel type (QUAN + QUAL), in which two studies were conducted: a quantitative seccional study, whose sample consisted of 87 rural women; and a qualitative study, guided by the oral life history method, in which seven women participated. Data were collected simultaneously from July to November 2020, in the rural area of the municipality of Nazarezinho, Paraíba. In the quantitative study were applied a sociodemographic formiulary, the Resilience Scale, and the Medical Outcomes Study 36-Item Short-Form Health Survey (SF-36). Qualitative data were collected through open interviews, which were recorded. The processing of quantitative data was performed using SPSS software version 25.0® in which descriptive and inferential statistical analyzes were performed. For qualitative data, they were initially transcribed, textualized and transcrieted, when they were then submitted to the thematic analysis proposed by Braun and Clarke (2006). The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte under CAAE number 29253420.3.0000.55373. RESULTS: After parallel analysis, the data were integrated, and it was found that the degree of resilience has a positive linear relationship with the domains of quality of life obtained from the application of SF-36, and, while the degree of resilience increases, they increase the domains of quality of life of rural women, which was corroborated by the very narratives of these women's lives, which denote that, despite the difficulties and difficulties experienced, they are able to see their daily lives with satisfaction, and reinforce that contact with work was important to your current physical health. CONCLUSION: based on the understanding that resilience influences the quality of life of rural women it is expected that this study will contribute to subsidize future interventions and public policies that make it possible to increase the quality of life and reduce inequalities in the rural environment, and contribute to the health promotion of women who (re) exist in this context.

12
  • FRANCISCA SIMONE DA SILVA
  • Venous puncture in external jugular: self-referred knowledge by nursing students

  • Líder : MARIA ALZETE DE LIMA
  • MIEMBROS DE LA BANCA :
  • ANA ROBERTA VILAROUCA
  • FERNANDO JOSÉ GUEDES DA SILVA JÚNIOR
  • MARIA ALZETE DE LIMA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 26-feb-2021


  • Resumen Espectáculo
  • Peripheral venous access is a common procedure in health care services, becoming a challenge for professionals. It is a procedure performed by nurses that requires precise clinical assessment, skills, mastery of physiology and anatomy, specific skills achieved in professional technical-scientific training, which requires the integration of multiple and complex knowledge. In this sense, the objective was to verify the self-reported knowledge of undergraduate nursing students to perform peripheral venipuncture in the external jugular vein. This is a research developed by a quantitative approach, with a cross-sectional design and descriptive analysis, carried out with students from the sixth to the ninth period, enrolled in the second semester of 2020, of the Undergraduate Nursing Course at the Federal University of Rio Grande do Norte. Data collection was carried out via the Internet, via e-mail and WhatsApp messaging application, through the application of an electronic questionnaire by access link. The data were organized in a Microsoft Excel Software spreadsheet, version 2017 and converted to the free statistical software R for the application of statistical tests. The quantitative variables were analyzed by descriptive statistics of measures of trend and dispersion of data and in the comparison of academic characteristics with the dimensions of the instruments under study, the Mann-Whitney, Friedman and Kruskal Wallis tests were applied, adopting the level of significance was 5%. Study developed through Certificate of Presentation for Ethical Appreciation, CAAE: 36707320.2.0000.5537. Responses were obtained from 59 students, predominantly female (81,36%), age group up to 25 years (72,88%), most singles (84,75%), in which, 22,03% of the students were in the sixth period, 25,42% seventh, 28,82% eighth and 23,73% ninth. As for the learning process, it was found that 35 (59,32%) had no experience of attending an external jugular venipuncture, and even though 12 (20,34%) they did not know how to use flexible intravenous catheters such as polyurethane. In general, students from the last periods presented a higher level of theoretical knowledge, before and during the procedure, with proactive actions (p-valor 0,007) and academics from the ninth post-procedure period. There is no difference in the level of satisfaction when comparing the different periods in academic training. Thus, the domain of knowledge and high level of academic management present in the final periods of training reflects on the quality of the care practice of these graduates, as future professionals.

13
  • ANA CAROLINA COSTA CARINO
  • CONSTRUCTION OF A MEDIUM SCOPE THEORY OF OVERWEIGHT NURSING DIAGNOSIS

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • CECILIA MARIA FARIAS DE QUEIROZ FRAZAO
  • Data: 26-feb-2021


  • Resumen Espectáculo
  • The present study aims to build a Mid-Range Theory for the diagnosis of Overweight nursing in adolescents and young adults. This is a methodological study in the light of the theoretical framework of Lopes and Silva (2016). The study was made operational through an integrative literature review, carried out in the databases Scopus; Cumulative Index to Nursing and Allied Health Literature; Web of Science; and National Library of Medicine and National Institutes of Health. The descriptors “Overweight”; “Adolescent” and “Young Adult” were used, as well as the Boolean operators AND and OR. It were obtained 4,505 articles, which were evaluated through a consensus between three researchers with the aid of the State of the Art through Systematic Review software. The final sample consisted of 30 articles. The results show 6 essential attributes, 25 clinical antecedents and 18 clinical consequences related to the nursing diagnosis of overweight. The essential attributes are: female gender; moderate or high per capita income; residence in an urban area; inadequate eating habits; sedentary lifestyle; and alcohol consumption. The clinical history of Overweight was found: female gender; moderate or high per capita income; high childhood weight; high weight in adolescence; overweight in the family; use of obesogenic drugs; alcohol consumption; menarche age before 12 years; poor sleep quality; residence in an urban area; high consumption of carbohydrates; marital status; high maternal weight during pregnancy; age over 20 years; deficient knowledge about healthy eating; intake of soda at the expense of water; eating sweets over fruits; routine intake of protein supplements and energy drinks; habit of snacking between meals several times a day; increase food consumption in situations of stress and pressure; sedentary lifestyle; playing video games during the week; irregular eating pattern; inadequate eating habits; beginning of university life. Finally, the clinical consequences are: depression; anxiety; psychosocial stress; successive weight loss attempts; food negativity; binge eating; negative self-perception of health; recurrent adherence to restrictive diet, diet pills, food substitutes and medication-related diet; unhealthy behaviors for weight control; dissatisfaction with body reality; shame of the body; negative and derogatory feelings associated with self-image; concern about weight; desire to be thinner; overvaluation of the silhouette of the ideal body; risky attitudes towards smoking; propensity to metabolic disorders, hypertension and dyslipidemia; and increased risk for renal cell carcinoma. Then, the Middle Reach Theory of that diagnosis was developed. It was found that, from the creation of the Medium Reach Theory, it was possible to better understand the nursing diagnosis of Overweight in the context of adolescents and young adults. The understanding of this phenomenon allows the advancement of nursing science through the direction of nursing interventions and the provision of holistic care focused on the needs of the clientele.

14
  • JOYCE VIANA BARBOSA
  • CONSTRUCTION AND VALIDATION OF ALGORITHM FOR THE USE OF HYPODERMOCLYSIS

  • Líder : QUENIA CAMILLE SOARES MARTINS
  • MIEMBROS DE LA BANCA :
  • LUCAS MELO DE SOUZA
  • ISABELLE CAMPOS DE AZEVEDO
  • PATRÍCIA PERES DE OLIVEIRA
  • QUENIA CAMILLE SOARES MARTINS
  • Data: 26-feb-2021


  • Resumen Espectáculo
  • The use of Hypodermoclysis as subcutaneous therapy presents itself as an effective technique for medication and fluid replacement, when the oral and intravenous routes are not viable in any way. Especially in the fields of geriatrics and oncology, due to the clinical conditions that patients have. Therefore, it is necessary to develop and implement instruments to standardize care in relation to the technique, from its choice to its use, in an attempt to support the decision-making of health professionals, and thus, promote care in a planned manner. . In this perspective, this study establishes the following guiding question: What elements are needed to build and validate the content and appearance of an algorithm that helps in the indication of patients to use hypodermoclysis? And, it aims to develop and validate an algorithm to assist in the indication of hypodermoclysis in an adult patient. This is a methodological study for the construction and validation of the content and appearance of an assistance tool. The research considers the proposal of the Pasquali Model, which is organized in three stages, namely: theoretical procedures, in which a scope review was carried out to identify and map the evidence on the eligibility / indication criteria of adult patients for use hypodermoclysis; empirical procedures, which took place through the construction of the algorithm, which was developed using Bizagi Modeler software, for content and appearance validation via Google Forms and the Delphi steps with expert judges in the area to reach consensus. And, analytical procedures in which the analysis of the data from the previous phase was carried out using the content validation coefficient. Items with a minimum agreement of 80% between judges were considered valid. The study is in line with the ethical precepts, with approval approved by the opinion of the Research Ethics Committee of the Faculty of Health Sciences of Trairí of the Federal University of Rio Grande do Norte, under CAAE: 39785520.6.0000.5568. After the construction of the algorithm, the Delphi I and Delphi II steps were performed to validate the content and appearance. At the end of the stages, the level of agreement between the judges was calculated, which presented values above 80% and content validation coefficient above 0.8. It is concluded that the algorithm is relevant as an instrument to support decision making and the strengthening of evidence-based nursing practice.

15
  • RAFFAELA PATRICIA DA SILVA SOARES
  • DEVELOPMENT AND ANALYSIS OF THE EXPERT PATIENT CONCEPT IN THE BRAZILIAN SCENARIO

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ADRIANA CATARINA DE SOUZA OLIVEIRA
  • ALLYNE FORTES VITOR
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 26-mar-2021


  • Resumen Espectáculo
  • The Family Health Strategy teams are responsible for knowing the reality of the population and encouraging co-responsibility and social participation. The present study addresses a new concept of health education as a strategy to achieve patient empowerment in self-care practices. Such a concept is called Expert Patient. Objective: Analysis and development of the Expert Patient concept in the Brazilian scenario. Method: Study developed based on the Hybrid Concept Development Model proposed by Schwartz-Barcott and Kim (2000), operated in two stages: 1. Context analysis of the Expert Patient; 2. Development of the Expert Patient concept. The first took place from the perspective of Hinds, Chaves and Cypress (1992), in which the four interactive levels of the context (immediate, specific, general and meta-context) were used. The data were collected through a scoping review, which resulted in a final sample of 14 studies. The second stage was carried out according to the three phases recommended by the model: 1. Field phase, where the data were collected through a second scoping review, with a sample number of 145 studies; 2. Theoretical phase; in which an online form was applied to 15 health professionals who are part of the Family Health Strategy teams; 3. Final analytical phase, carried out through a thematic content analysis that allowed to compare, integrate and analyze the data and arrive at a definition of the concept. Results: In the first stage, the following context levels were identified: Particularities of the expert patient and interprofessional care; Implications and challenges for the Health Care Model; Self-management of health care and the expert patient; and Patient-centered health care. In the second stage, the presence of chronic diseases and comorbidities became the main antecedent of the concept, as the main attribute of health education for self-care and as the main consequence of independence in carrying out activities of daily living. Conclusion: The hybrid approach provided the opportunity to build the concept of Expert Patient and offered clarification, knowledge and new insights on patient empowerment for self-care in health. However, it is recommended that other studies be developed as a way to support the analysis of the object from an expanded perspective, taking into account other realities.

16
  • ALANY CARLA DE SOUSA PAIVA
  • Control measures for Mycobacterium tuberculosis infection in the hospital service.

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • JULIANA TEIXEIRA JALES MENESCAL PINTO
  • NILBA LIMA DE SOUZA
  • WESLLA KARLA ALBUQUERQUE SILVA DE PAULA
  • Data: 18-jun-2021


  • Resumen Espectáculo
  •         The Ministry of Health, through the Manual of Recommendations for the Control of Tuberculosis in Brazil, warns that control measures be taken to interrupt the chain of transmission of the disease. The objective of this work is to evaluate the positive and negative factors of the implementation of administrative control measures, engineering and individual protection in the control of Mycobacterium tuberculosis in the hospital service, presenting an action plan to minimize the challenges of these measures. It is an integrative review of the literature with a summary of the studies published in the years between 2016 and 2020. Articles available in their entirety for free access in English, Spanish, Portuguese and French were included. Editorials, letters to the editor, review studies, theses, dissertations, duplicate articles and studies that did not correspond to the relevant topic for the purpose of the review were excluded. A research protocol was constructed and the guiding question was elaborated based on the PICO strategy. The search for the studies was carried out in February 2021, on the basis of the US National Library of Medicine, ScienceDirect, Cumulative Index to Nursing and Allied Health Literature and Literatura Latino-Americana e do Caribe em Ciências da Saúde. The research strategy was given by crossing the descriptors "Tuberculosis", "Infection Control" and "Hospitals". For the information analysis, a Microsoft Excel spreadsheet was used, which allowed the compilation and further categorization of the data. The synthesis of the information also allowed the construction of the SWOT matrix with the identification of positive (strengths and opportunities), negative (weaknesses and threats), internal and external factors related to the tuberculosis infection control measures and the strategic planning of actions identified as negative. By preparing the 5W2H matrix, in order to minimize the weaknesses and threats to the tuberculosis infection control process in the hospital service. Of the 22 studies selected in the sample, (63.6%) were included in the US National Library of Medicine (50%) published in 2019, (95.46%) were in English. There was a prevalence in the use of the quantitative approach in (95.46%) of the articles and a predominance of the investigations carried out in the regions of Asia (40.91%) and Africa (36.37%). Regarding the objective and method of the studies, (45.4%) of the studies use the infinite verb "evaluate" in the objective, but they do not use any methodological evaluation tool or methodological framework that defines the study design as evaluative. The data analysis allowed to identify the tuberculosis infection control measures carried out in the hospital service, being (90.9%) administrative measures, (63.6%) environmental measures and finally (54.4%) measures of individual protection. These results were separated by strengths, opportunities, weaknesses, and threats. This data was organized this way, because it was what the SWOT matrix setup required. What later allowed the construction of the 5W2H matrix focused on the negative points (weaknesses and threats) that the studies bring. The measures categorized as internal force were an infection control plan, isolation criteria of the suspected or confirmed case of Tuberculosis, Tuberculosis Infection Control Committee, bacteriological diagnosis, disinfection of potentially contaminated areas, reduction of the patient's stay in the service, promotion of education / training of personnel, education in cough etiquette and respiratory hygiene, screening / identification of tuberculosis cases, screening of the professional tuberculosis team, screening of suspected or confirmed tuberculosis cases, notification of tuberculosis cases , provision of treatment, diagnostic imaging, indication of air isolation, professional responsible for tuberculosis infection control, prioritization of tuberculosis control, hospital discharge after negative result, periodic monitoring of infection control actions, waiting room for tuberculosis cases s Respiratory intomas, sputum collection area and independent entrance for professionals in risk areas with a high tuberculosis burden, existence of ultraviolet lighting in the environment, presence of airborne isolation room, opening of doors and windows, existence of air filter in the rooms, exclusive room for tuberculosis cases and bacteriological analysis laboratory. Regarding external opportunities, the policy / guideline / regulation for the control of tuberculosis infection and communication with sectors / departments external to the service were identified. Regarding internal weaknesses, it was observed under follow-up of mechanical ventilation, lack of training, delay in the start of treatment, low adherence to the use of the N95 mask, limitation in the supply of N95, insufficient number of isolation rooms, delay in patient isolation, isolation in the wrong place, low tuberculosis detection rate, inadequate facilities, incorrect precautionary signs in environments, late diagnosis, under-registration of tuberculosis cases, lack of a professional responsible for tuberculosis infection control Regarding external threats, we find the limitation of financial resources. It was concluded that the construction of the SWOT matrix allowed the organization of the control measures found in the studies, so that they were distributed in positive and negative factors, since these data were presented in the selected investigations. Thus, it was possible to observe which aspects required a strategic action to minimize the weaknesses and threats to the tuberculosis infection control process. From this moment, with the construction of the 5W2H planning matrix, it was possible to outline an action plan, which emphasizes the importance of strengthening these control measures and highlights the need to evaluate the implementation of measures to control Tuberculosis thus contributing towards decision making.

17
  • DAYANA KELLY SOARES FERREIRA
  • TEMPORAL ANALYSIS OF MATERNAL MORTALITY IN THE STATE OF RIO GRANDE DO NORTE

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • SORAYA MARIA DE MEDEIROS
  • CECILIA NOGUEIRA VALENCA
  • KARINA CARDOSO MEIRA
  • MARIA FRANCINETE DE OLIVEIRA
  • ANNELISSA ANDRADE VIRGÍNIO DE OLIVEIRA
  • Data: 27-ago-2021


  • Resumen Espectáculo
  • Introduction: pregnancy is a phase full of changes and that involves not only the woman, but everyone around her. When we think about maternal death, we must reflect on the consequences that involve this fact and shake an entire family. About 830 women die daily due to avoidable situations related to pregnancy and childbirth. Objective: to analyze the temporal evolution of maternal mortality between age groups and its correlation with prenatal and childbirth variables in the state of Rio Grande do Norte from 2000 to 2019. Methodology: This is an ecological study, of the type time series, based on secondary data, with the total number of maternal death records and total reported live births, obtained from the Live Birth Information System and the Mortality Information System. Trend analysis was performed using generalized linear regression, the Prais-Winsten method and the correlation between maternal mortality and prenatal and delivery variables, using Spearman's Correlation Coefficient. In addition to using the Chi-square, Fisher, Wilcoxon, Kruskal Wallis and Dunn tests to analyze demographic characteristics, the type of obstetric cause, direct and indirect obstetric causes, and health regions, according to maternal age group. The significance level was 5%. Data were tabulated in Microsoft Office Excel program (version 365) and statistically analyzed in R software (version 3.5.3.). The project waived submission to the Ethics and Research Committee for dealing with secondary data in the public domain. Results: in the period 2000-2019, there were 495 cases of maternal deaths in the state, with a predominance of women aged 25 to 29 years; self-declared brown; single; instruction ignored; type of direct cause of death, with hypertensive disorders being the main direct cause, followed by hemorrhages. The Metropolitan Region had the most expressive number of deaths as a region of residence and occurrence of death. The Maternal Mortality Ratio ranged from 24.93 to 75.72/100,000. In the Corrected Ratio analysis, there was a variation from 39.27 to 118.09/100,000. There was evidence of an association between marital status and indirect obstetric causes with maternal age; that there is a difference between the medians in the schooling classifications of the age groups 10-19 years and 30-34 years with RMME; the indication of differences between the median level of education ≥ 8 years compared to the other classifications. As well as, between the medians of the type obstetric cause for the age groups 20-24; 25-29 and 30-34 years with RMME. In the period studied, the corrected RMME showed an increasing trend, in the range 10-19 years and 25-29 years, with a significant result and an estimated annual increase of 7.96% and 36.72%. The RMMC indicated a growing trend, in the 10-19 age group, with a significant result and an estimated annual increase of 3.62%. On the other hand, the 30-34 age group showed a decreasing trend of -1%. The correlation coefficient between RMME, according to prenatal variables and the type of delivery showed a statistically significant inverse relationship between the number of prenatal consultations and the RMME of adolescent mothers, that is, consultations 1 to 3 (r = -0.50 and p-value=0.024) and 4 to 6 (r= 0.49 and p-value= 0.028). This same inverse and significant relationship was verified for the variable type of vaginal delivery with age range 10-19 years (r= -0.50 and p-value= 0.025) and 25-29 years (r= -0.63 and p-value=0.003). And according to prenatal variables and the type of delivery, they showed a statistically significant positive relationship between the number of prenatal consultations and the RMMC with a range of 30-34 years, that is, no consultation (r= -0.53 and p-value=0.017) and 1 to 3 (r=0.46 and p-value=0.043). A correlation was identified between prenatal coverage and MMR, and also with the choice of type of delivery, in which the greater the number of vaginal deliveries, the lower the MMR. Conclusion: in the state of Rio Grande do Norte, maternal mortality remains high, with a significant increasing trend for adolescents and young people during the period studied. The results point to the need for reflections and strategies implemented by management and health teams to improve obstetric care in prenatal care, childbirth and puerperium, at national and local levels, and reduce maternal deaths.

18
  • FERNANDA BELMIRO DE ANDRADE
  • Graphic protocol for the assessment of safe nursing care for hospitalized individuals with mental health problems: validation study

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • ISABELLE CAMPOS DE AZEVEDO
  • BIANCA CRISTINA CICCONE GIACON ARRUDA
  • MARCOS ANTONIO FERREIRA JUNIOR
  • Data: 17-dic-2021


  • Resumen Espectáculo
  • Safety in the care of individuals with mental health problems who have been hospitalized for years has been neglected, therefore, when considering their particularities, it is necessary to qualify professionals and services to minimize the risks associated with care. Thus, nursing plays an important role in the development of safer actions, as it has a continuous role during the hospitalization period. Thus, the importance of carrying out periodic assessments in services to identify weaknesses and potential in assistance is also highlighted, in order to promote the adequacy of units through the implementation of measures that increase safety. From this perspective, the present study has as a guiding question: What should be the content and appearance of a protocol for the assessment of safe nursing care for hospitalized individuals with mental health problems? And, the general objective is to develop a graphic protocol validated in its content and appearance to assess safe nursing care for hospitalized individuals with mental health problems. This is a methodological study with a mixed approach, based on Pasquali's psychometrics, organized into three procedures: theoretical, in which two focus groups were held with 13 mental health professionals and a Scoping Review on the safe care of individuals with mental health problems. mental health to define the contents that make up the protocol; empirical procedures for the construction of the graphic protocol and validation of its content and appearance using the Delphi technique, in two rounds, with the collaboration of seven judges/experts in the area in question; and analytical procedures, aimed at analyzing the data where the Content Validation Coefficient was calculated. The study was approved by the Research Ethics Committee, under Certificate of Ethical Appreciation no 48213421.0.0000.5537. The focus groups lasted 45 minutes each, in which the nurses addressed actions they carry out and that need to be developed in order to obtain safe care. With the data from the focus groups and from the Scoping Review, the graphic protocol was constructed, which was submitted to the judges for their validation. In the Delphi I round, a general content validity coefficient ≥0.95 was reached for all elements of the protocol and checklist, while in the appearance validation for the criteria of the Suitability Assessment of Materials, indices greater than 0.90 were obtained. After adjustments proposed by the judges in round II, the content and appearance validity indices were 0.99 each. Thus, the graphic protocol was considered valid in its content and appearance.

19
  • LUCAS BATISTA FERREIRA
  • TERMINOLOGICAL SUBSET OF THE INTERNATIONAL CLASSIFICATION FOR NURSING PRACTICE FOR PEOPLE WITH SEQUENCES BY COVID-19

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • MARIA ALZETE DE LIMA
  • PAULINO ARTUR FERREIRA SOUSA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • RUDVAL SOUZA DA SILVA
  • Data: 20-dic-2021


  • Resumen Espectáculo
  • The general objective was to build and validate a terminological subset of the International Classification for Nursing Practice (ICNP®) for adults with sequelae by COVID-19, based on Roy's Adaptation Model. Methodological study, developed between 2020 and 2021, operationalized in five stages, namely: 1) Identification of terms relevant to the practice, contained in the literature, related to the sequelae of Covid-19 in adults; 2) Cross-mapping of the terms identified in the literature with those contained in the ICNP®, version 2019/2020; 3) Construction of statements of diagnoses/outcomes and nursing interventions for adults with sequelae due to COVID-19; 4) Structuring the ICNP® terminological subset for people with Covid-19 sequelae, in light of Roy's adaptation model; 5) Validation of the content of the terminological subset. For the assessment of the degree of agreement among the experts, the content validity index was used, taking into account the cutoff point ≥ 0.80 for the consensus of diagnosis statements/ nursing outcomes and interventions. The study complied with the regulatory precepts for research involving human beings, being approved by the research ethics committee of the Federal University of Rio Grande do Norte, receiving opinion nº 4,099,646. The experts had more than 10 years of professional experience in the field of infectology (65.2%), with titles of specialists (60%) and masters (68.2%). 178 nursing diagnoses/outcomes were elaborated, in addition to their corresponding operational definitions and 450 nursing interventions. 140 statements of nursing diagnoses/outcomes were validated, as well as 388 nursing interventions, for presenting a Content Validity Index ≥ 0.80. The predominance of nursing diagnoses in Roy's Adaptive Physiological Mode (73%) was highlighted, followed by the Self-Concept Mode (22.1%), Interdependence Mode (2.8%) and Role Function Mode (2.1%). It is concluded that the terminological subset of the ICNP® developed showed statements of diagnoses/outcomes and nursing interventions that were validated by specialist and active nurses, and that, therefore, are relevant to the clinical nurse in the nursing care setting. adults with sequelae by Covid-19. Thus, the subset contributes to clinical reasoning and decision-making that strengthen safe and holistic care through the application of specialized language terminology and the look of the theoretical model used, in addition to enabling the implementation of the nursing process using phenomena of their daily lives.

Tesis
1
  • MILLENA FREIRE DELGADO
  • EFFECTIVENESS OF REALISTIC SIMULATION IN TEACHING DIAGNOSTIC REASONING IN NURSING IN CHILD AND ADOLESCENT HEALTH

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • CLEMENTE NEVES DE SOUSA
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • ERIKA SIMONE GALVAO PINTO
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • RAPHAEL RANIERE DE OLIVEIRA COSTA
  • Data: 22-ene-2021


  • Resumen Espectáculo
  • The teaching of diagnostic reasoning in nursing focused on the health of children and adolescents is very relevant for the training of critical, reflective nurses with specific knowledge about these unique periods in the individual's life cycle. In this context, it is believed that realistic simulation is a positive and beneficial teaching strategy for the training of future nurses. This study aims to analyze the effectiveness of realistic simulation in teaching diagnostic reasoning in nursing focused on the health of children and adolescents. Methodological study, carried out in three stages, namely: construction of scenarios for realistic simulation; validation of the content of these scenarios by specialists; and, application of simulation as an educational strategy in the teaching of diagnostic reasoning in nursing aimed at the health of children and adolescents. In the first two stages, four clinical cases were prepared for the pre and post-test and two scenarios for the simulation process, which had their contents analyzed by 25 experts who judged the relevance, specificity and coherence of the clues provided in each case. and nursing scenario and diagnosis, using the Diagnostic Accuracy Scale. In the third stage, the strategy was applied to students in the seventh period of the undergraduate course at a public university in northeastern Brazil. They were randomly divided into the intervention and control groups. The intervention group, in addition to participating in the simulation, also assessed satisfaction with the process. The data were analyzed using descriptive and inferential statistics. The project was approved by the Research Ethics Committee of the responsible institution, under opinion number 3,175,619 and Certificate of Presentation for Ethical Appreciation 07990418.4.0000.5537. The results showed that the four clinical cases (S coefficient: 0.916) and the two scenarios (S = 0.535) created obtained an acceptable coefficient of agreement among specialists. In the experiment, the pre-test indicated homogeneity of the intervention and control groups. In the post-test, there was no statistically significant difference in performance between the groups, however the results showed a slight improvement in the diagnostic reasoning performance of the intervention group compared to the control group. The intervention group was able to infer more diagnoses and their components than the control group. In evaluating the educational strategy, students expressed high satisfaction and relevance to improve diagnostic reasoning skills aimed at the health of children and adolescents. It is concluded that the strategy on teaching diagnostic reasoning in nursing focused on the health of children and adolescents was effective, as well as promising and attractive for undergraduate students

2
  • ANNE KAROLINE CANDIDO ARAUJO
  • MEDIUM REACH THEORY FOR NURSING CARE TO ADOLESCENTS WITH OBESITY

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • BERTHA CRUZ ENDERS
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • DANDARA NAYARA AZEVEDO DANTAS
  • LARISSA SOARES MARIZ VILAR DE MIRANDA
  • NATHALIA COSTA GONZAGA SARAIVA
  • Data: 29-ene-2021


  • Resumen Espectáculo
  • Introduction: Nursing care for adolescents with obesity occurs in the school context or in Primary Care services, through multiprofessional interventions, with a view to promoting healthy habits. The lack of a specific theoretical framework for nursing care, based on the values, principles, and concepts of the discipline, and focused on the needs of adolescents, indicates the need for a medium-range theory in this area. The construction of these theoretical bases becomes important when considering the increasing rates of this disease among adolescents. Objective: To develop a medium-range theory of nursing care for adolescents with obesity, in the context of Primary Health Care. Method: Methodological study, developed in three stages and based on the Walker and Avant Theory Derivation strategy and on the Model Health Promotion Program. In the first stage, an integrative literature review was conducted to describe the actions of nursing care performed with a focus on adolescents with obesity. In the second stage, the concepts, attributes, antecedents and consequences of nursing care, were identified in the literature and the statements of relationship between the concepts were established. In the third stage, the theory itself was constructed through the derivation process, through which the elements identified in the conceptual analysis were compared analogously with the concepts and statements contained in the Pender Health Promotion Model and redefined for the context of Primary Health Care. Results: A final sample of 58 studies served as a basis to identify care actions for adolescents with obesity. Eight essential attributes of the phenomenon were identified, 12 antecedents and 10 consequent. The theory of nursing care for adolescents with obesity, built in the third stage, integrates the principles of the Pender model, as well as the specific concepts of individual characteristics and experiences, cognitions and behavioral affects, and other factors that lead to the result of promoting Cheers. The statements derived from this process structure the descriptive and explanatory theoretical model of care for this population in the context of Primary Care. Conclusion: It is concluded that the medium-range theory developed in this study allows nurses to understand their role in the multidisciplinary team in caring for the population of adolescents with obesity; it allows to minimize the gap between theory and nursing practice in adolescent health care; and contributes to the advancement of nursing theoretical knowledge and the implementation of evidence-based practice.

3
  • WILMA FERREIRA GUEDES RODRIGUES
  • CONSTRUCTION AND VALIDATION OF A HOSPITAL CARE QUALITY SCALE IN THE PUERPERIUM (EQUAP)

  • Líder : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MIEMBROS DE LA BANCA :
  • DANIELE VIEIRA DANTAS
  • FLAVIO CESAR BEZERRA DA SILVA
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • NILBA LIMA DE SOUZA
  • SERGIO RIBEIRO DOS SANTOS
  • STELIO HENRIQUE MARTIM DANTAS
  • Data: 22-feb-2021


  • Resumen Espectáculo
  • Introduction: The puerperium is a period of physical and mental transformation that begins after childbirth and ends when breastfeeding ends. This process of involution to the pre-gravid condition can cause more severe complications and evolve to death; however, 92% of the cases of maternal deaths in this phase are avoidable, mainly at the hospital level, when related to bleeding, puerperal infection and hypertension. In this context, the evaluation of the quality of puerperal hospital care is fundamental for monitoring possible complications. However, the indicator that evaluates this type of assistance does not include the intercurrences susceptible to complications, or the specific causes related to maternal deaths. Objective: To develop and validate scale for evaluating the quality of hospital care in the puerperium. Method. Methodological study, developed in two stages: theoretical foundation and theoretical analysis. In the theoretical foundation stage, an instrument based on the Theory of General Systems was developed, proposed by Adevis Donabedian and a review of the scope that allowed the construction of the items of the instrument from the constitutive, operational and behavioral definitions. The second stage began with the evaluation of expert judges in the field. They agreed or disagreed with the items based on the following criteria: objectivity, simplicity, clarity, relevance, precision and variety. The inclusion of expert judges was based on the following criteria: having published and researched on the subject and being an expert in the construction of an instrument. Those who presented incorrect or incomplete answers were excluded. To assess the level of agreement between judges on a given item, the Content Validity Index (CVI) and the Kappa Index were used. The relevance criterion of the study was CVI>0.80 and Kappa>0.61. The sample was made up of ten judges. In addition, the instrument was submitted to a lexical and grammatical correction in order to adapt it to another language. After the lexical and grammatical analysis and validation of the expert judges, the evaluation of puerperal women (target population) was carried out. They agreed or disagreed with the items from the following criteria: item easy to understand and I did not understand the item. This step allowed the evaluation by the smallest cognitive stratum of the target population. For convenience and at random, 10 puerperal women admitted to the Flavio Ribeiro Coutinho maternity hospital in Santa Rita, Paraíba, were selected. The inclusion criteria for women were: being over 18, knowing how to read and write and being in the puerperium. Exclusion criteria: puerperal complication, some against medical indication and/or with suspicion of COVID-19. At this stage, the Content Validity Index and the Kappa Index were also used. The relevance criterion was CVI>0.80 and Kappa>0.61. The instrument underwent a second evaluation by expert judges, to validate the final version of the instrument. The method chosen for the construction and theoretical validation of this assessment instrument followed Pasquali's recommendations. It should be noted that this study was submitted to the Research Ethics Committee (REC) of the Federal University of Rio Grande do Norte (UFRN), in accordance with resolution 466/2012 and obtained a favorable opinion under CAAE number 18967519.6.0000.5176. Results: At the end of this stage, eight items were removed from the instrument, 11 were unified and three had the wording modified. Performed the lexical and grammatical correction the scale was submitted to analysis of the target audience and presented CVI ≥ 0.9 in all items, except the items 16, 24, 34, 37, 38 with which presented CVI<80, however they were reformulated was not removed. Finally, a second round was held with the participation of judges and the scale obtained an CVI ≥0.9 on all items. The scale for evaluating the quality of hospital care provided in the puerperium is presented with theoretical validity, average of CVI = 0.99, with 49 items in total, 17 in the structure dimension, 23 in the process dimension, nine in the result dimension. It is concluded that the scale for assessing the quality of hospital care provided in the puerperium has theoretical validity. 

4
  • LAYS PINHEIRO DE MEDEIROS
  • DEVELOPMENT OF SERIOUS GAME AS AN EDUCATIONAL STRATEGY ABOUT NIPPLE-AREOLARY INJURIES

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • EURIDES ARAUJO BEZERRA DE MACEDO
  • ISABELLE KATHERINNE FERNANDES COSTA
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • KELLY PEREIRA COCA
  • LUCIANA MARA MONTI FONSECA
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • SIMONE PEDROSA LIMA
  • Data: 24-feb-2021


  • Resumen Espectáculo
  • Defined as “the basis of life”, breastfeeding offers children the best possible nutrition, in addition to providing physical and mental health throughout their growth and development. Despite its proven relevance, most mothers face difficulties that culminate in the early interruption of breastfeeding, especially in the first six months, which must be performed exclusively. Among the alleged reasons for weaning, breast problems, including pain and nipple-areola lesions, stand out. In this scenario, the role of the nurse professional is fundamental in promoting breastfeeding through the prevention and clinical management of complications, including nipple-areolar injuries. The objective of this research is to develop a serious game as an educational strategy on care for nipple-areolar lesions in lactating women. This is a methodological study, with a quantitative approach, carried out in two stages that make up the process of developing educational software: elaboration and evaluation. Entitled “aleitagame”, the product of this research is based on Papert's Constructionist theory. From the findings of the researcher's scope review and empirical experience, three scenarios were developed to compose the game, namely: hospital, basic health unit and home visit, addressing the following causes of nipple-areolar injury, respectively: inadequate technique breastfeeding, fungal infection and ankyloglossia. After the elaboration phase, the educational software was submitted to the evaluation stage, which was carried out through the participation of nine research judges, six to evaluate the content and three for the technical and pedagogical aspects. The scenarios that received the most recommendations for changes in content were the basic health unit and home visits. Regarding the technical and pedagogical question, the most pertinent suggestions were about the game commands to the participant during the execution and adjustments in the feedback to better understand the error, if it occurs. In the evaluative scores of satisfaction with the game, through GameFlow, better scores were observed, as well as similarity between the two categories, in the elements "challenges", "player skills", "objectives", "feedback" and "improvement of the knowledge". The other categories, "control", "concentration" and "immersion" had scores that differed by more than 1.5 points in each item. Conclusion: The “aleitagame” is under development and has completed two stages of the process. After appraisal by the judges, changes were made to improve the quality of the software as an innovative teaching strategy. It is recommended to continue the development stages, which are the validation and completion so that it can be operationalized in the context of the training of professional nurses.

5
  • MARJORIE DANTAS MEDEIROS MELO
  • Advanced Practice Nursing in the context of Primary Health Care: a strategy for transforming the Brazilian health scenario.

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ANDREA SONENBERG
  • BERTHA CRUZ ENDERS
  • ISABELLE KATHERINNE FERNANDES COSTA
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • MARINA DE GÓES SALVETTI
  • RHAYSSA DE OLIVEIRA E ARAUJO
  • Data: 25-feb-2021


  • Resumen Espectáculo
  • In view of the growing global dimension on the strengthening of Primary Health Care through the expansion and training of human resources, especially nursing, it is essential to present the role of Advanced Practice Nursing and its potential for transformation in Primary Health Care in Brazil. The objective of this study is to understand Advanced Practice Nursing, focusing on the role of Family Nurse Practitioners, in order to assist its implementation in Brazil. This is a multi-method study with three steps, with a conceptual focus on the PEPPA framework, described below: Literature review on the impact of the management of Advanced Practice Nurses on NCDs in Primary Health Care; Case study with Family Nurse Practitioners in the USA; Theoretical-Philosophical Essay in the light of Max Horkheimer's Critical Theory. In step 1, it was possible to verify the positive impact that advanced nursing practice has on the four most frequent categories of Noncommunicable Diseases, namely: Diabetes, Cardiovascular Diseases, Chronic Respiratory Diseases and Cancer. In step 2, from the analysis of the interviews carried out with the Family Nurse Practitioner in the USA, three partitions emerged based on the content of the participants' statements: 1) Being an advanced practice nurse; 2) Educational routes and possibilities of action and 3) Being political: a path for transformation, where it was possible to describe competences and skills considered to be outstanding points in relation to other professional categories, points of improvement in their educational background and the importance of political representation and being active in performing the role. In the last stage of the research, the emergence of a change in the scenario of primary health care in Brazil was highlighted, placing nurses as a primary tool in the struggle for social transformation and the search for autonomy as citizens and professionals in the light of Critical Theory and its concepts. The complexity of the nurse's work dialogues with the concepts of Critical Theory and stimulates the critical behavior towards praxis in knowledge / action, strengthening their function. At the present time, there is a tendency to expand the practice of nurses through the implementation of Advanced Nursing Practice as one of the possible solutions for the reduction of social inequalities caused by the lack of equal access to health. Through this study, it is expected to subsidize the implementation of Advanced Nursing Practice in the context of Primary Health Care, along the lines of the PEPPA framework, by understanding what Advanced Nursing Practice is in the scope of family health, reflecting on the path traveled here and the next steps we need to take, always in the constant search for recognition, autonomy and transformation.

6
  • YANNA GOMES DE SOUSA
  • Elaboration and validation of an instrument to identify the workload of nurses working in the Psychosocial Care Center.

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • ANA ELISA PEREIRA CHAVES
  • HUGO RAFAEL DE SOUZA E SILVA
  • JACILEIDE GUIMARAES
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • MILVA MARIA FIGUEIREDO DE MARTINO
  • SORAYA MARIA DE MEDEIROS
  • Data: 30-abr-2021


  • Resumen Espectáculo
  • This study aimed to develop and psychometrically validate an instrument to identify the workload of nurses working in the Psychosocial Care Center - CAPS II. This is methodological development research with a quantitative approach that used the Psychometric Theory of Data, developed in three stages: Stage 1: we carried out the construction of the Nurse's Workload Instrument - CTENF through an Integrative Literature Review and according to the theoretical bases of Christophe Dejours, Edith Seligmann Silva, Laurell and Noriega, and Joyce Travelbee. CTENF was synthesized in six important domains: Domain 1: Organization and Working Conditions, Domain 2: Nurse and Patient Relationship in Mental Suffering, Domain 3: Nurse and Multidisciplinary Team Relationship, Domain 4: Nurse Relationship and Service Management, Domain 5: Mental Repercussions and Domain 6: Physical Repercussions with 75 items. Stage 2: Ten expert judges identified in the Lattes Platform performed the Content Validity based on the criteria proposed by Benner, Tanner, and Chesla. The judges assessed the item / domain relationship at this stage and their agreement was assessed using Kappa, thus obtaining: in domains 1, 2, 3, 4, 5 and 6 concordances above (0.80) in all items among the evaluators, in addition, the general Kappa by domains was calculated: (0.84; 0.92; 0.80; 0.80; 0.98 and 0.84) and the CTENF general Kappa of 0.86. The expert judges and students enrolled in the Nursing Course at the Federal University of Rio Grande do Norte-UFRN Campus Natal-RN also carried out the CTENF Face Validity, with a General Kappa value of 1 in this validity. Stage 3: The Construct Validity was carried out with 300 nurses who work at the Psychosocial Care Centers II in the Northeast Region. In this phase of the research, the data were analyzed using the Item Response Theory (IRT) to assess the latent traits of professionals working in the Psychosocial Care Center - CAPS II. For this, the Gradual Response Model (MRG) was applied, in which the Likert scale was fixed between 1 and 5, representing satisfaction, adequacy and frequency in relation to the item. According to the results of the TRI, all items had a satisfactory power of discrimination and it was possible to identify the items of greatest importance to differentiate professionals with different levels of the latent trait studied. Confirmatory Factor Analysis (AFC) of the psychometric structure of the instrument scale (CTENF) was also performed. In addition, the quality of the fit in the model was verified using the parameters χ2 / G.L., CFI, TLI, GFI and RMSEA, indicating a good or reasonable adjustment of the fixed structure. This study obtained a favorable opinion from the Ethics Committee of the Federal University of Rio Grande do Norte - UFRN under opinion nº. 3.640.801/2019.

7
  • BARBARA COELI OLIVEIRA DA SILVA
  • CONSTRUCTION AND VALIDATION OF AN INSTRUMENT TO OPERATIONALIZE THE NURSING PROCESS FOR AIDS PATIENTS IN THE CONTEXT OF HOSPITAL ADMISSION
    .

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • ALINE RODRIGUES FEITOZA
  • PATRÍCIA PERES DE OLIVEIRA
  • Data: 31-may-2021


  • Resumen Espectáculo
  • The nurse is paramount in caring for people living with AIDS. To this end, in view of the peculiarities of this clientele, the professional needs to provide systematized care during hospitalization in order to meet biological to psychosocial nuances, reduce complications during treatment, assist in adaptation and self-care, and even carry out appropriate interventions according to the presented problem. In addition, the standardization of the nursing process aimed at this clientele enables agile reasoning in decision-making for specialized and scientific care. Thus, health services, including those that care for people with AIDS, need an instrumentalized nursing process. The study aims to construct and validate an instrument to operationalize the nursing process for AIDS patients in the context of hospital admission in the light of Wanda Horta’s Theory of Basic Human Needs. This is a methodological research. The instrument was systematized according to the model proposed by Pasquali et al., namely: theoretical, empirical and analytical procedures. The theoretical procedures aimed at the construction of the instrument, being divided as follows: two scoping reviews, the first for the research stage and the second for diagnosis, followed by cross-mapping to check the diagnoses extracted with the NANDA-I 2018-2020 Nursing Diagnoses version, with subsequent consultation to the books Nursing Outcomes Classification and Nursing Interventions Classification to extract the results and interventions referring to the planning and implementation stages of the instrument respectively. After that, the Alafaro-LeFevre book was consulted for insertion of the items of the evaluation stage. It is worth underlining that the instrument followed the five steps of the Alfaro-LeFevre nursing process and the principles of Wanda Horta’s Theory of Basic Human Needs. In the empirical procedures, the content validation steps were conducted with nurse judges by means of the Delphi technique using Google Forms. Finally, in the analytical procedures, in order to validate the content of the instrument, the content validity coefficient for validation (≥ 0.7) was calculated. Kappa (>0.80) was applied to evaluate only the degree of agreement of the judges on the evaluation of the analyzed items. Cronbach’s alpha (≥ 0.7) was used to evaluate the internal conscience among the items of the instrument. Regarding the global validation of the instrument, Delphi 1 obtained the items: investigation (Content Validity Coefficient 0.97 and Kappa 0.97), diagnosis (Content Validity Coefficient 0.95 and Kappa 0.94), planning (Content Validity Coefficient 0.93 and Kappa 0.82), implementation (Content Validity Coefficient 0.91 and Kappa 0.78) and evaluation (Content Validity Coefficient 0.88 and Kappa 0.73); in turn, Delphi 2: investigation (Content Validity Coefficient 0.99 and Kappa 0.99), diagnosis (Content Validity Coefficient 1.00 and Kappa 1.00), planning (Content Validity Coefficient 0.97 and Kappa 0.94), implementation (Content Validity Coefficient 0.97 and Kappa 0.94) and evaluation (Content Validity Coefficient 0.96 and Kappa 0.87). As for the overall reliability of the instrument, Delphi 1 obtained the items: investigation (Cronbach’s alpha 0.94), diagnosis (Cronbach’s alpha 0.81), planning (Cronbach’s alpha 1.00), implementation (Cronbach’s alpha 1.00) and evaluation (Cronbach’s alpha 0.98); with regard to Delphi 2: investigation (Cronbach’s alpha 0.96), diagnosis (Cronbach’s alpha 1.00), planning (Cronbach’s alpha 1.00), implementation (Cronbach’s alpha 1.00) and evaluation (Cronbach’s alpha 1.00). The instrument based on a validated theory represents a care technology for nurses who work in the care of AIDS patients in the context of hospital admission, in addition to having valid content and reliability to safely adopted in care practice.

8
  • CAROLINA PEREIRA DA CUNHA SOUSA
  • The oral ability of preterm newborns for breastfeeding: proposal for an assessment instrument.

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • NILBA LIMA DE SOUZA
  • ERIKA SIMONE GALVAO PINTO
  • IZAURA LUZIA SILVERIO FREIRE
  • HUGO RAFAEL DE SOUZA E SILVA
  • MARCELO COSTA FERNANDES
  • WESLLA KARLA ALBUQUERQUE SILVA DE PAULA
  • Data: 15-jul-2021


  • Resumen Espectáculo
  • The aim was to develop and psychometrically validate an instrument to assess the oral ability of preterm newborns for breastfeeding. This is a theoretical study of methodological and quantitative approaches. We used the psychometric theory of data, and the sample was obtained by criteria of convenience and intentionality, leading to 243 individuals among Nursing, Speech Therapy, and Medicine workers. The method design had three stages: 1. Operationalization of the Construct, 2. Content and Face Validity, 3. Construct Validity and Instrument Reliability. In step 1, the instrument construction was carried out based on Alaf Ibrahim Meleis, Sister Callista Roy, Arnold Sameroff, Heidelise Als, in addition to the Integrative Literature Review. An operational guide was created based on scientific articles, manuals from the Health Department, books, protocols, and technical standards. The preliminary version of the instrument had 28 items clustered in five dimensions: D1: Clinical Parameters and General Evaluation; D2: Tonic-Postural Organization and Oral Reflexes; D3: Nutritive Suction; D4: Signs of Stress in the Preterm Subsystems and D5: Physical and Human Environment of Neonatal Units. In step 2, the instrument went through content validity with the judges' evaluation - selected considering the Dreyfus and Dreyfus model for speech therapists and physicians and the Benner, Chesla, and Tanner model for nurses. Finally, ten judges were elected and performed three rounds of evaluation, which resulted in the final version of the instrument: with 27 items and five dimensions. Of these items, 26 had substantial to perfect agreement, but only one had moderate. The kappa coefficient per dimension in the three rounds (D1= 0.84/-/0.75), (D2= 0.57/0.73/0.75), (D3= 0.48/0.62/0 .81), (D4= 0.90/0.82/0.64) and (D5= 0.77/0.47/0.43) and the overall kappa (0.70/0.69/ 0.83). For the operational guide, two cycles of analysis were needed and the CVI and kappa per dimension were calculated based on these two rounds D1 (R1=0.76/0.64 and R2=086/0.76), D2 (R1=0 .98/0.95 and R2=1.00/1.00), D3 (R1=0.88/0.780 and R2=094, 0.88), D4 (R1=0.93/0.85 and R2 = 0.98 / 0.95) and D5 (R1 = 0.83 / 0.69 and R2 = 0.93 / 0.85). The CVI and the general kappa of the operational guide were 0.89 and 0.81. For face validity, the kappa per dimension was calculated for judges and students (D1= 1.00/0.90), (D2= 1.00/0.97), (D3= 0.97/0.84), (D4=1.00/0.54) and (D5=1.00/0.89). At the end, the general kappa of the instrument for judges was (0.99) and for students (0.84). The third stage revealed that the instrument had adequate factorial and convergent validity. The Classic Test Theory and the Item Response Theory found high discriminatory power, an acceptable degree of difficulty, and validation of its measurement model and its quality. This study was approved by the Research Ethics Committee under opinion Number 4,219,662. Therefore, the instrument proved to be reliable and has evidence of content, face, and construct validity to assess the oral ability of preterm infants to breastfeed.

9
  • MARCELA PAULINO MOREIRA DA SILVA QUEIROZ
  • OUTPATIENT NURSING CARE MODEL FOR INDIVIDUAL SELF-MANAGEMENT IN POST-CORONARY ANGIOPLASTY

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • ANNE KAROLINE CANDIDO ARAUJO
  • BERTHA CRUZ ENDERS
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • CLAUDINALLE FARIAS QUEIROZ DE SOUZA
  • DANDARA NAYARA AZEVEDO DANTAS
  • Data: 27-ago-2021


  • Resumen Espectáculo
  • Introduction: Outpatient nursing care for individuals undergoing percutaneous transluminal coronary angioplasty needs a care structure for self-management of care. Self-management of this individual provides better results in the therapeutic process, such as mitigation of complications and the acquisition of well-being and quality of life. Objective: to develop an outpatient nursing care model for self-management of individuals undergoing percutaneous transluminal coronary angioplasty. Methodological path: This is a methodological, theoretical research, with a qualitative approach carried out through the process of deductive-inductive logical reasoning and based on Betty Neuman's Systems Model and The Individual and Family Self-Management Theory. The study was carried out in three stages, namely: the first corresponded to the selection of concepts, based on the framework, and the integrative literature review, which identified the strategies used by nurses in the care of individuals in post-coronary angioplasty for support to self-management; the second was conducted at the Alcides Carneiro University Hospital, located in Campina Grande, Paraíba, through interviews with nurses, individuals undergoing coronary angioplasty and their families; in the third moment, the previous results were analyzed and integrated under the light of the theoretical framework, which allowed the elaboration of a graphical representation of the care model that culminated in the development of a conceptual structure in the form of a model. The study received a favorable opinion from the Research Ethics Committee under number 4.630.775 and CAAE 43329321.8.0000.5182. Results: The research developed the “Ambulatory Nursing Care Model for Self-Management of the Individual in Percutaneous Transluminal Coronary Post-angioplasty”. The integrative review data showed three strategies used by nurses to support self-management, namely: educational, emotional support and social support network. In the field phase, two categories emerged: participants' perceptions about aspects of care for self-management and factors that interfere with support for self-management with their respective subcategories. Nurses, individuals and their families understood that the following aspects are essential in self-management care: strategies for monitoring care, dialogue with the nurse, importance of the nurse in care, family support, management support and the need to guide the family for continuity of care. Final considerations: The nursing care model from the perspective of self-management developed in this study offers a guiding and strategic theoretical framework for assistance to people with coronary artery disease undergoing angioplasty and represents a contribution to the knowledge of nursing in secondary prevention in health . Thus, it is believed that the present study contributes to the advancement of nursing knowledge and the direction of care provided by this professional to post-angioplasty patients.

10
  • GLAUBER WEDER DOS SANTOS SILVA
  • Grounded theory on the acceptance of the travestis and transsexuals for survival to suicidal ideation

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • ISABELLE CAMPOS DE AZEVEDO
  • EDU TURTE CAVADINHA
  • DULCIAN MEDEIROS DE AZEVEDO
  • JAIME ALONSO CARAVACA-MORERA
  • JOSÉ LUÍS GUEDES DOS SANTOS
  • FRANCISCA GEORGINA MACEDO DE SOUSA
  • Data: 27-ago-2021


  • Resumen Espectáculo
  • Introduction: the suicide, a complex phenomenon, is a serious public health problem and suicidal ideation has been identified in the literature as the best predictor to prevent a suicide attempt, particularly among travestis and transsexuals. Discovering strategies, mechanisms and devices to overcome suicidal ideation among travestis and transsexuals constitute, in itself, an important step to enhance their lives. Objective: to understand how travestis and transsexuals deal with suicidal ideation. Methods: multiphase and mixed methods study. In the first phase, a study was developed with concomitant data triangulation in the period from 2015 to 2016. In the cross-sectional phase, 58 travestis and transsexuals from non-governmental organizations in Rio Grande do Norte/Brazil participated. The prevalence of suicidal ideation was verified through The Beck Scale for Suicide Ideation (BSSI) and received descriptive statistical treatment. In the qualitative stage, 24 travestis and transsexuals with suicidal ideation in the previous group participated. The meanings attributed to suicide were described and analyzed through thematic content analysis. Quantitative and qualitative data were analyzed as they were similar, complementary or opposite. Later, in the second phase, between 2018 and 2021, the procedures of the Grounded Theory were used in the way proposed by Strauss and Corbin and the theoretical framework of Symbolic Interactionism. Twenty-four travestis and transsexuals with suicidal ideation in the previous phase were eligible for the first sample group. From the hypotheses raised in the analysis process and by the principle of theoretical saturation, the study enrolled 18 participants divided into five sample groups: first - nine travestis and transsexuals with suicidal ideation in the first phase; second - three travestis and transgender social leaders/activists; third - two family members from the first group; fourth - two travestis and transsexuals undergoing hormone therapy; fifth - two health professionals from the transgender health clinic in Rio Grande do Norte, Brazil. Data were collected through in-depth interviews from 2016 to 2021, with simultaneous data collection and analysis, with open, axial and selective coding procedures and construction of diagrams, memos and consequential matrices. A theoretical-explanatory model of the identified phenomenon was elaborated. Study approved by CEP/UFRN in two phases: opinions No. 1.314.559 of 11/09/2015 and No. 3187.452 of 03/08/2019, respectively. Results: the prevalence of suicidal ideation among participants was 41.4% (n=24) (CI% 41.3 -54.51%). From the descriptive statistical analysis in line with the codification, classification and categorization process, a joint-display was elaborated with three phases: 1st phase "He arrived and put me under his arms": the grandparents as the family nucleus, "What am I doing here in this life?": elaborating feelings and reasons for committing suicide and BSSI item "reasons for suicide attempt"; 2nd phase "Having a second of courage you go and do it": experiencing suicide and BSSI items “previous suicide attempt, wish to die and active suicide attempt”; 3rd phase "They will never accept our transsexuality": experiencing transphobia in the family and society, "Friend and mother's shoulder": overcoming suicidal behavior and BSSI item "attitude towards ideation". Seeking to understand how transvestites and transsexuals deal with suicidal ideation, three components, eleven themes, forty concepts, 115 categories and 799 codes emerged in the theorizing procedures that integrate the central category (substantive theory) - "Acceptance of the transvestite and transsexual person ”: 1st component: the family grant (conditions) – living in the family (non-acceptance by the parents, the father violating the transgender child, suffering from family rejection vs. maternal acceptance, acceptance of grandparents and family understanding about transsexuality); 2nd component: Sociality (actions/interactions) – social activism (feeling the responsibility of activism vs. identifying with trans activism, becoming an activist, overcoming suicidal ideation in activism and acting for trans health); social networks (rejecting trans people, raping trans people, living abusive relationships vs. supporting trans people); the school (rejecting trans people vs. studying for a living); the world of work (not accessing the job market, being stigmatized in the job market vs. being accepted in the job market, surviving with the help of work); health services (being rejected from health services vs. receiving specialized health care); health professionals (attitudinal negativity vs. offering comprehensive care); 3rd component: Self-assertion (results/consequences) – self-regulation (self-mutilation); suicidal behavior (surging suicidal ideation, attempting suicide vs. eliminating suicidal ideation); hormonization (frustrated by the lack of support, self-hormonization, consequences of misuse vs. helping to accept oneself, achieving authenticity, receiving professional support, and possibly not using); and being who you are (not conforming to the skin you inhabit, psychic suffering vs. understanding being trans and becoming who you are). Final considerations: The theoretical-methodological articulation between the data showed that the survival of travestis and transsexuals is based on the acceptance of the trans person in the scenarios they occupy, integrating the family, the social context and the self-affirmation of who they are. The convergences and divergences of the results are considered to support the thesis: the survival of the travestis and transsexual person to suicidal ideation is possible when the family and society accept them and provide them with social identity and conditions of access to the world of work and reach of policies that grant them autonomy over their bodies, the libertarian expression of their gender identity and the right to be who they really are.

11
  • RAYRLA CRISTINA DE ABREU TEMOTEO
  • Adhesion process for the treatment of tuberculosis in the context of Primary Health Care. 

  • Líder : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MIEMBROS DE LA BANCA :
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • FRANCISCA GEORGINA MACEDO DE SOUSA
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOSÉ LUÍS GUEDES DOS SANTOS
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MARCELO COSTA FERNANDES
  • Data: 29-oct-2021


  • Resumen Espectáculo
  • Introduction: Adherence to tuberculosis treatment is one of the main challenges for the control of the disease. The strategies adopted so far are not considered effective enough to ensure therapeutic success, and the lack of a theory that adequately explains this adherence are reasons that impede progress in research and development of this action. For the systematic development of effective interventions and evaluation, it is necessary to investigate what barriers may still exist to achieve better adherence to this therapy. Objectives: to understand how the process of adherence to tuberculosis treatment occurs in Primary Health Care, based on the experience of adherent people and to build a theoretical model on the process of adherence to tuberculosis treatment. Method: qualitative study that followed the Straussian strand of Grounded Theory as a methodological framework and Symbolic Interactionism as a theoretical framework. Twenty people participated in the study, distributed into three sample groups, which: first – eleven people who underwent complete tuberculosis treatment between 2018 and 2019; second – seven professionals from Basic Health Units in the city of Cajazeiras, Paraíba, Brazil, being three doctors, three nurses and one community health agent; and third – two relatives of participants from the first group. Data were collected through in-depth interviews from 2019 to 2021, with concomitant data collection and analysis, considering open, axial and integration coding procedures, construction of diagrams and memos. Data were analyzed for context and process. A theoretical-explanatory model was developed considering the paradigm, an analytical tool that helps to classify concepts and establish relationships. The NVivo® software version 12 was used as a technological support to help organize the data. Study approved by CEP/UFRN under opinion nº 3.246,634 of April 5, 2019. Results: from the data analysis, three major themes were listed that represent the conditions (feeling with threatened recovery: treatment context - explained by the categories physical threats; psychological threats and programmatic threats), actions-interactions (performing the treatment: the recovery process - explained by the categories strategic actions related to the diagnosis; guided recovery actions and self-initiated recovery actions) and the consequences (recovering: the resignification of life - explained by the categories improvement; achieving healing and new life), all aspects of the paradigm. The nine categories, each with its subcategories and their respective concepts, were all interconnected and represented by the theoretical model whose central category was “Threats, treatment and recovery from tuberculosis: transmuting suffering into a new life”. The main objective of the people who adhered to the tuberculosis treatment was to recover, to solve the threats to health and recovery, for this they needed to change the circumstances experienced and transformed circumstances that caused suffering into circumstances that promoted a new life. Final considerations: The interaction with the data, theoretical and methodological procedures showed that adherence to tuberculosis treatment is based on the desire for health recovery, but also on aspects of life that existed prior to the illness, in the individual and family spheres. , social and labor. Advances in knowledge about this phenomenon make it possible to design policies and intervention strategies that meet the specific realities of the treatment of tuberculosis. It is considered that the results support the thesis: people with tuberculosis act in relation to their care, anchored in what it represents for them. However, it is the action-interaction with people and with themselves that allows them to signify and re-signify their perspectives in relation to care, which progressively lead them and help them to make decisions.

12
  • ALCIDES VIANA DE LIMA NETO
  • Mobile app to aid in patient education in the preoperative period of myocardial revascularization

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • DANIELE VIEIRA DANTAS
  • ISABELLE KATHERINNE FERNANDES COSTA
  • JOSE ADAILTON DA SILVA
  • PATRÍCIA PERES DE OLIVEIRA
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • TACIANA DA COSTA FARIAS ALMEIDA
  • Data: 25-nov-2021


  • Resumen Espectáculo
  • The obstructions caused by coronary artery disease, in certain cases, prevent normal arterial blood flow in the heart, which can lead to suffering and even tissue death in the affected area. In some situations, when other treatments have not been effective, myocardial revascularization is indicated, which is a complex and large-scale surgery, also known as saphenous bypass or breast bypass. Thus, it is necessary to educate the patient in the preoperative period, so that he can understand and actively participate in the entire care process. This may imply a postoperative period with fewer complications and adverse events. Thus, the objective was to develop and validate a mobile app to aid in patient education in the preoperative period of myocardial revascularization surgery. This is a methodological research, with a mixed approach, elaborated from the stages of contextualized instructional design: 1) analysis - carried out from a scoping review and a qualitative study with 13 patients admitted to a university hospital to receive pre- operatives to identify the learning needs of patients before surgery; 2) design and development, in which the flow diagram and the low and high fidelity prototypes of the application were structured by a team composed of researchers and software developers; 3) implementation, with availability of the high-fidelity version of the prototype for analysis on a digital platform; 4) evaluation, in which the application's content and usability were validated by judges in the field of cardiology nursing, in two rounds organized using the Delphi technique. At this stage, the content validity coefficient greater than 0.8 and the percentage of agreement equal to or greater than 80% were used as a parameter for validation. The research took place from January to September 2021 and was approved by the ethics committee of the Federal University of Rio Grande do Norte, through Certificate of Presentation for Ethical Appreciation no 39198020.0.0000.5537. Thus, through the scoping review and the cross-sectional study, the learning needs of patients before surgery were identified, which were categorized into: cardiovascular system and coronary artery disease; care, procedures and routines before, during and after surgery. Based on these categories, the application's content was organized into nine thematic sections: understand more about the heart; understand your illness; understand the bypass surgery or breast bypass; care before surgery; care after surgery; rehabilitation and lifestyle changes; patient records; schedule; quiz. After the second Delphi round of analysis of the application by the judges, a content validity coefficient equal to or greater than 0.91 and a percentage of agreement of 100 were obtained, with the exception of only one of the 12 criteria analyzed. As for usability, of the 18 items, 17 obtained 100% agreement from the judges. After all adjustments, the current version of the software has 90 screens. With that, it is concluded that the developed application was validated. It is believed that this technology can contribute to the literacy and health education of patients who will undergo myocardial revascularization.

13
  • CLARISSA MARIA BANDEIRA BEZERRA
  • Stress and its interface with obesity, sleep quality and obstructive sleep apnea in nurses

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • KARINA CARDOSO MEIRA
  • MILVA MARIA FIGUEIREDO DE MARTINO
  • REJANE MARIA PAIVA DE MENEZES
  • ROSÂNGELA MARION DA SILVA
  • SORAYA MARIA DE MEDEIROS
  • Data: 29-nov-2021


  • Resumen Espectáculo
  •         Nurses are prone to alterations in the sleep-wake cycle, with prejudices to their performance, not work and health. can run through long working days, modifications to our sleep and reposition hours, inappropriate eating habits, irregular physical activity and stress. Objective-to analyze the level of stress in relation to the prevalence of obesity, quality of sleep, obstructive apnea of sleep in nurses two shifts day and night. Cross-sectional study with a quantitative approach, of the analytical type. The target Audience was composed by nurses of the Hospital university Onofre Lopes, 122, do Hospital University Ana Bezerra 53 and of the  maternity scholl Januário Cicco 30 not total to show was of 205 professionals in both shifts. At the data collection period from December 2020 to April 2021 the nurses prepare the instruments: to obtain two sociodemographic data, assessment of the stress level, the quality of the sound that is or the Quality Index of the Sound of Pittsburgh-Brazil, o Berlim questionnaire to verify obstructive apnea of sleep and questionnaire on feeding behavior to verify obesity. To organization two dice are due in spreadsheet. It provides a descriptive analysis to assess the profile of the sample, second to the individual characteristics, sociodemographic and eating habits of the two research subjects, including the frequency of categorical variables, with absolute (n) and percentual (%) frequency values and descriptive statistics of position. (average and median) and dispersion of two dice (standard deviation) for the numerical and order variations. It was submitted to the Brazil platform and endorsed by the Research Ethics Committee of the Federal University of Rio Grande do Norte, respecting the normatization of Resolution No. 466/12 of the National Health Council, regarding the ethical aspects of research involving human beings. The subjects involved will be requested to assassinate the Term of Free and Informed Consent. The results will show statistically significant data in relation to stress and the characteristics of two interviewees as not having sons (0.008) and who at a non hourly night (<0.001). For the quality of those who use medications daily (0.002), that at no hour of the night (<0.001) and those who feed on TV (0.049). How many years were the nurses stressed (56.10%) two interviewees presented a median level of stress, how much the quality of sleep (66.38%) was bad and how many year of sleep disturbance (81.46%) did not appear disturbed. Concerning sleep disturbance, age and obesity, the logistic regression showed the chance of a professional meal of at least 35 years, presenting sleep disturbance, decreased in 66%, compared to professional years eating over 35 years. At a chance of professionals classified as obesity, they have a sleep disorder that is 19.77 times higher, compared to professionals who do not have obesity. It confirms that the same cross-sectional structure study ratifies the interface of stress, quality of sound and obstructive apnea of sound in nurses, the established objectives. As statistically significant associations affirmed the difficulty of facing professional hairs that act not night shift.

2020
Disertaciones
1
  • SILVIA KALYMA PAIVA LUCENA
  • Effectiveness of educational intervention as a teaching-learning strategy in intestinal irrigation.

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ISABELLE KATHERINNE FERNANDES COSTA
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • JESSICA DANTAS DE SA TINOCO
  • Data: 27-ene-2020


  • Resumen Espectáculo
  • Objective: To analyze the effectiveness of educational intervention as a teaching-learning strategy of the intestinal irrigation procedure with undergraduate students of the Federal University of Rio Grande do Norte. Method: This is a randomized clinical trial conducted at the Nursing Department of the Federal University of Rio Grande do Norte, with 31 undergraduate students who attended the discipline of Adult Comprehensive Attention I who were divided into a control and intervention group. randomly. Knowledge analysis was performed by applying an instrument containing 10 questions in three stages: pretest, posttest and retention. Both groups received materials for previous reading. In addition, the control group was given a lecture-dialogued about the procedure of intestinal irrigation and for the intervention group a clinical simulation. Data analysis was performed using SPSS 20.0 software, performing descriptive, inferential statistical analysis, Chi-square test and Mann-Whitney test. The study was approved by the Research Ethics Committee of the institution in charge, under number 3.050.149 and Certificate of Presentation for Ethical Appraisal 02977518.8.0000.5537. Results: Regarding socio-demographic characterization, most were female 27 (87.1%), single 14 (45.2%), with family income of 3 minimum wages 12 (38.7%), with average age of 24.93 years (standard deviation 1.184), childless 27 (87.1%), with no previous experience in health 27 (87.1). There were no statistically significant differences between groups in the pretest; Post-test scores showed better scores in the control group (with statistically significant differences p = 0.008) and an average of 9.19; and at retention, performed 30 days after the intervention, better scores were observed in the intervention group (with statistically significant differences p = 0.015) and an average of 9.0. Conclusion: The study showed that both strategies were effective, with the expository-dialogued class in the immediate posttest and the clinical simulation in retention in the long term.

2
  • GABRIELA SOUZA DAMÁSIO GUEDES
  • Development and validation of a service flowchart for people living with human immunodeficiency virus in the city of Natal, RN.

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ERIKA SIMONE GALVAO PINTO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • ALINE RODRIGUES FEITOZA
  • Data: 28-feb-2020


  • Resumen Espectáculo
  • The immunodeficiency virus infection has changed since the beginning of the epidemic, currently, it is considered a chronic and potentially controllable disease. This evolutionary character brings with it a complexity of factors that requires continuous health care, quality of life and investment in integrality. In this context, health care for people living with Acquired immunodeficiency syndrome makes interdisciplinary and intersectoral work necessary. Therefore, a challenge to seek and create health technologies that respond to this population’s needs is found. The study aims to develop and validate a flowchart of care for people living with HIV and acquired immunodeficiency syndrome (AIDS) for existing health services in the city of Natal, Rio Grande do Norte. This is a methodological study for construction and content validation. The study is based on Pasquali's Model (2010), and follows the steps of theoretical pole, namely: theoretical procedures, in which a search of the theoretical basis was carried out through documentary research; experimental procedures. in which the instrument was validated for content validation via Google Forms and the Delphi steps; analytical procedure, in which the calculation and analysis of the content validation coefficients and level of agreement was performed. The sample size considers Pasquali, who suggests from six to twenty subjects, and the selection of judges used criteria adapted from Fehring (1994) to support inclusion. The Content Validity Coefficient (CVC) evaluated the agreement between the judges, and the analysis comprehends the concept of language clarity, practical and theoretical relevance. The study agrees and respects ethical precepts, having approval certified by the opinion of the Research Ethics Committee of the Federal University of Rio Grande do Norte (CEP / UFRN), under CAAE nº 17815219.4.0000.5537. 16 documents were listed in order to compose the constitutive and operational definitions. The study found out that the theme addressed was mainly related to the protocols that guide assistance within the scope of Brazil’s public health system. In this scenery, this research proposed to elaborate the items and build the flowchart. After construction, Delphi steps were performed to validate the content. At the end of the stages, the level of agreement between the judges was calculated, it was found that during the two Delphi rounds, the judges agreed that the constructed material had valid content, which consists of CVC values equal to or greater than 0.8. Therefore, we concluded that the instrument is relevant and favors the success for its use in the managerial and assistance practice to which it is proposed.

3
  • JÉSSICA CRISTHYANNE PEIXOTO NASCIMENTO
  • Analysis of the risk of Post Traumatic Stress Disorder in emergency professionals

  • Líder : RODRIGO ASSIS NEVES DANTAS
  • MIEMBROS DE LA BANCA :
  • RODRIGO ASSIS NEVES DANTAS
  • ALLYNE FORTES VITOR
  • ISABEL KAROLYNE FERNANDES COSTA
  • MARINA DE GÓES SALVETTI
  • Data: 05-nov-2020


  • Resumen Espectáculo
  • The human kind deals with stressful and potentially traumatic situations from the most remote stories of humanity. In modern life, where stressful situations are in evidence, the work field and the economy suffer losses due to the short time of service of professionals caused by mental disorders. Diseases caused by stress and trauma, then, come into discussion as one of the causes of shortening the time of service provision among job professionals with high physical, emotional and / or high dangerousness demands, such as military firefighters, military police and health professionals, working in urgent and emergency contexts. Posttraumatic Stress Disorder - a disease caused by exposure to traumatic and stressful events, is characterized by the chronicity of symptoms of remembering, avoidance or autonomic hyperstimulation related to a traumatic event. Therefore, this study aims to analyze the risk of developing Post-Traumatic Stress Disorder in professionals who work in emergency situations by tracking the symptoms of PTSD with health professionals from the Emergency Room Clóvis Sarinho, from the Emergency Care Units located in Natal / RN, the Mobile Emergency Service, military firefighters and military police in the city of Natal / RN and the metropolitan region. An analytical, transversal, exploratory method with a quantitative approach was used, which will use two instruments of data collection: the Scale of the Impact of the Event - Revised and an instrument for collecting sociodemographic information and related to the potentially traumatic event. The research was carried out in the service facilities where each professional was inserted. This project was approved by the Research Ethics Committee (REC) under the protocol number: 2,628,475, and Certificate of Presentation for Ethical Appreciation: 88024818.2.0000.5537. It was found that the participating emergency professionals consisted mostly of men, aged 36-45 years, with service time above 10 years, with graduate education, with spouses, who work in work schedules of 41 to 60 hours a week. It was possible to verify that 31.07% of the sample had a score compatible with a probable diagnosis of PTSD. Among the professionals working in public safety, 39.67% had scores corresponding to the probable diagnosis of PTSD, and in those working in health, 20.78%; security professionals were 40% more likely to have scores compatible with the diagnosis of PTSD. In the subscales of the IES-R, participants aged 36 to 45 years, mostly firefighters and nurses; with time of work in the emergency field of about 15 years, had higher average score in the subscale of symptoms of intrusion; in the subscale of avoidance, military police and nurses, with time of activity from 15 years; and in hyperstimulation subscale, had higher average scores participants in the 36-45 age group, and military police officers. The main potentially traumatic events experienced by professionals in the work environment were also pointed out; the main signs manifested, the main coping strategies and factors that hinder professional practice.

4
  • JACQUELINE TARGINO NUNES
  • Sleep quality and overweight in nurses in different work shifts

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • SORAYA MARIA DE MEDEIROS
  • JONAS SAMI ALBUQUERQUE DE OLIVEIRA
  • KARINA CARDOSO MEIRA
  • MILVA MARIA FIGUEIREDO DE MARTINO
  • Data: 14-dic-2020


  • Resumen Espectáculo
  • The aim of this study was to analyze the quality of sleep and investigate whether it influences the BMI of professional nurses during the day and night shifts. This is an analytical study with a quantitative approach. The study was carried out at the University Hospital of Rio Grande do Norte. Data were collected between January and March of the year 2020, using the following instruments: Pittsburgh Sleep Quality Index Questionnaire and socio-demographic data to characterize their subjects. 268 nurses will be surveyed in their work shifts. The instruments were made available according to the work shift of each professional. 120 nurses participated in the research. The data, after being coded and tabulated, underwent statistical analysis using the SPSS version 2.0 program. The study obtained a favorable opinion from the Ethics and Research Committee of the Federal University of Rio Grande do Norte, under Opinion with CAAE nº 25693119.4.0000.5537. For qualitative variables, descriptive analysis was carried out by means of distributions of absolute and relative frequencies (%) and quantitative variables were analyzed descriptive statistics of measures of trend and data dispersion, such as: minimum, maximum, average and standard deviation The sociodemographic profile was characterized by a predominance of females, 85.00% of nurses, and in the work shift, 75.00% in the night shift and 92.65% in the day shift. When grouped in relation to the age group, up to 35 years old (58.33%) and over 35 years old (41.67%), the majority were aged up to 35 years. As for the PSQI, the nurses on the night shift, totaling 84.62% had poor sleep quality, while the subjects on the day shift, only 17.65% had poor sleep quality. We also found that 84.62% of night shift nurses have an inadequate BMI, that is, they are overweight, with statistical significance (p = <0.001). It was concluded that night work causes losses in sleep quality and changes in the weight of professional nurses

5
  • NANETE CAROLINE DA COSTA PRADO
  • TERMINOLOGICAL SUBCONJECT OF THE INTERNATIONAL CLASSIFICATION FOR NURSING PRACTICE (ICNP®) IN NEONATES WITH PERIPHERALLY INSERTED VENOUS CENTRAL CATHETER IN THE LIGHT OF THE THEORY OF BETTY NEUMAN

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MARIA ALZETE DE LIMA
  • PAULINO ARTUR FERREIRA SOUSA
  • NUNO DAMÁCIO DE CARVALHO FÉLIX
  • Data: 15-dic-2020


  • Resumen Espectáculo
  • The Peripherally Inserted Central Venous Catheter (PICC) stands out among the central catheters inserted in neonatal intensive care units. By allowing drug therapy to be performed, the device is able to save the life of critically ill newborns. The handling of the PICC catheter presupposes skills and competencies that favor the safety of the newborn and that reduce the risks of complications associated with the catheter. In this directive, as a tool that organizes the practice and directs the patient's needs, the Nursing Care Systematization (SAE) has a significant impact on the quality of care directed to the patient. It is emphasized that for systematic nursing practice, it must be supported by a theory. When considering the newborn as a being composed of lines of preservation that protect him from stressors, the nurse has the fundamental role of strengthening the lines of protection of the newborn, in order to maintain the balance and well-being of the newborn. In this sense, the study had as objectives: to elaborate a set of CIPE® nursing diagnoses, results and interventions, version 2019, for newborns with peripheral insertion central venous catheters in the light of the Betty Neuman model, based on scientific literature and in professional practice; validate the set of diagnostic statements and interventions with expert nurses. This is a methodological study, developed in four stages: 1st - identification of the Nursing Practice phenomena for newborns using the PICC; 2nd - elaboration of Nursing Diagnostics, Results and Interventions; 3rd - validation and statistical analysis of the statements of Nursing Diagnoses, Results and Interventions; 4rd - Structure of the CIPE terminology subset. The project was submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte, obtaining approval with the Certificate of Presentation for Ethical Appreciation (CAAE) 48990515.0.0000.5292. Data were analyzed using descriptive and inferential statistics. To analyze the degree of agreement of specialist nurses, the Agreement Index (CI> 0.80), Agreement Validation Index (IVC> 0.80) and the Binominal Test (p < 0.005). As a result, 34 nursing diagnoses were identified, with the most frequent ones being discussed. Regarding nursing interventions, 35 interventions were developed. It is concluded that from the phenomena of practice it was possible to elaborate the ICNP® nursing diagnoses, results and interventions. In addition, the use of the Neuman systems model represented a conceptual-philosophical foundation capable of directing clinical evaluation to identify stressors and their possible causes.

Tesis
1
  • MERCIO GABRIEL DE ARAUJO
  • VALIDATION OF NURSING OUTCOME DRY EYE GRAVITY IN ADULT PATIENTS IN AN INTENSIVE THERAPY UNIT.

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • MARCOS ANTONIO FERREIRA JUNIOR
  • FABIANE ROCHA BOTARELI
  • ADRIANA CATARINA DE SOUZA OLIVEIRA
  • MARIA PALOMA ECHEVARRIA PÉREZ
  • Data: 13-feb-2020


  • Resumen Espectáculo
  • This study aimed to validate the Dry Eye Severity Nursing Outcome in adult patients admitted to an intensive care unit. Methodological study developed in three steps: content validation, semantic validation and clinical validation. In the first stage, content validation, 23 experts captured through the Lattes Curriculum and 10 nurses participated in the composition of the consensus group belonging to the research group Clinical Nursing Studies and Research Group. The second step, semantic validation, consisted of 15 clinical clinic nurses from a university hospital located in northeastern Brazil. to verify the understanding of the instrument items. The third stage, clinical validation, consisted of 72 patients admitted to the intensive care unit of this hospital unit. The collected data were organized and stored in a database built in Microsoft Office Excel 2016 and analyzed by a specific statistical program. This study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte by CAAE nº 71452817.5.0000.5537 and opinion nº 2444761 and followed the Resolution nº 466/12, approved by the National Health Council of the Ministry of Health, in 12 December 2012. In the first stage of the 14 indicators evaluated by the experts, seven presented content validity index below 0.80. Then, in the consensus group validation six indicators were reformulated. In the semantic validation stage, of the 15 nurses 86.67% were female, 73.33% are up to 40 years old. Regarding the degree, 46.67% are specialists, while masters and graduates had the following percentages: 40.00% and 13.33%. At the time of operation, 40.00% with up to 10 years and 60.00% over 10 years. At this stage, the 14 indicators presented Kappa coefficient ≥ 0.80 and were considered semantically valid. Regarding clinical validation, 72 patients were selected and 144 eyes were evaluated by two pairs of evaluators: one with the Nursing Outcomes Classification Dry Eye Severity Nursing Outcome indicators without definitions and the other with the indicators validated in previous stages with their constitutive definitions, operational values and operating magnitudes. The evaluations were compared by the intraclass correlation coefficient. The evaluators who used indicators with the definitions agreed in the evaluation of the results. From this, the indicators with constitutive, operational definitions and operational magnitudes of the Dry Eye Gravity nursing result are valid for adult patients admitted to the intensive care unit.

2
  • GIOVANNA KARINNY PEREIRA CRUZ DE ANDRADE
  • Corneal donation-transplantation process: predictors of corneane tissue quality and graft failure.

  • Líder : MARCOS ANTONIO FERREIRA JUNIOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • ELEN FERRAZ TESTON
  • MARCOS ANTONIO FERREIRA JUNIOR
  • OLECI PEREIRA FROTA
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 14-feb-2020


  • Resumen Espectáculo
  • The objective of this study was to identify the factors inherent to the donation-transplantation process, the predictors of the quality of the corneal tissue captured and the cases of post-transplant graft failure in a reference service in the state of Rio Grande do Norte (RN). This is an epidemiological study with a quantitative approach, consisting of two steps. The first consisted of a retrospective, longitudinal, descriptive and analytical cohort study that addressed the process of corneal uptake by the Human Ocular Tissue Bank (BTOH) until transplantation was performed. The second stage corresponded to a hospital-based, longitudinal, descriptive and analytical case-control study, which included transplanted patients with corneal graft failure from a newborn reference service. For the cohort study sample, the corneas processed by the newborn BTOH (n = 419) were considered in order to identify the predictors of the quality of the donated corneas. The case-control study sample consisted of patients transplanted with corneal tissue who developed graft failure after transplantation (n = 27 cases and 54 controls). The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under opinion No. 2,454,077 and CAAE 80007117.8.0000.5537. Data were collected in their entirety from January to October 2018 and organized into spreadsheets for descriptive and inferential analysis procedures. For descriptive analysis, the Statistical Package for Social Sciences (SPSS), version 25.0 software was used. The description of the variables and their distribution patterns were presented by frequencies and measures of central tendency, while for multivariate analysis measures of magnitude of effect (odds ratio and relative risk) and association measures (chi-square or exact test) were applied. Fisher) to a significance level of 0.05. Logistic regression analysis was used to adjust the final model. The results were presented in two chapters referring to the cohort and case-control studies, entitled respectively: “the donation process and corneal tissue quality” and “the donation-transplantation process and corneal graft failure”. Regarding corneal donors (cohort / n = 419), it was found that the epidemiological profile showed a prevalence of individuals with a mean age of 42.53 years, male (73.99%), living in the state capital and region. metropolitan area (45.35%). The main cause of death was associated with the pathophysiological mechanism of cardiorespiratory arrest (86.4%). Regarding the chronological variables of the donation process, the following means were obtained: death-enucleation (5 hours and 33 minutes), death-preservation (7 hours and 43 minutes) and enucleation-preservation (2 hours and 9 minutes). Of the donated corneas 17.18% were discarded due to expiration date. The quality of the corneal tissue evaluated by slit lamp presented excellent (1.91%), good (51.79%), fair (20.29%) and poor (26.01%) final ratings. The clinical profile of patients undergoing corneal transplantation in the case-control study was characterized by male subjects (50.62%), with an overall mean age of 52.31 years (cases: 56.15 years; control: 50, 39 years old). The average time since tissue immersion in preservation medium and transplantation was 9.46 days. The variable corneal quality in the comparison between groups was excellent / good (cases: 59.26% versus controls: 79.63%) and fair / poor (cases: 40.74% versus controls: 20.37%). ). Corneal graft failure showed a statistically significant relationship with the variables: donor corneal button size, donor-recipient button size difference, cause of death, stromal disturbances, and time between enucleation and death. The identification of the inherent variables in the donation-transplantation process that may interfere with the survival of the corneal tissue after transplantation in a particular service requires proper investigation, due to the growing rate of corneal transplants performed each year worldwide and because they are treated. of a procedure that involves risks of failure.

3
  • JULIANA RAQUEL SILVA SOUZA
  • Elaboration of mobile application for nursing consultation for women with breast cancer.

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • FRANCISCO STÉLIO DE SOUZA
  • MARIA DE LOURDES COSTA DA SILVA
  • NILBA LIMA DE SOUZA
  • REJANE MILLIONS VIANA MENESES
  • Data: 14-feb-2020


  • Resumen Espectáculo
  • Breast cancer is a public health problem due to the high morbidity and mortality rates and the physical and psychological sequelae. In this context, nursing consultation subsidized by specific instruments for women with breast cancer is strengthened as an effective strategy for comprehensive care, a fact that justifies this study. The objective of this study is to develop a mobile application for nursing consultation for women with breast cancer in light of Roy's Adaptation Model. This is a methodological study developed in four steps: 1) Review of the national and international literature for the search for empirical indicators performed in the Web of Science, Lilacs, Pubmed, Care and Cinahal databases, with the descriptors breast cancer, disorders adaptation, social adjustment and psychological adaptation, previously selected in the Health Sciences Descriptors and Medical Subject Headings; 2) Elaboration for the construction of the nursing consultation instrument for women with breast cancer in the light of the Roy Adaptation Model. 3) Validation of content and appearance by judges, intentionally selected on the Lattes Platform. Validation was performed by two rounds of submission of the instrument to the judges, pilot test and lexical and grammatical correction. Twenty judges, nurses with a minimum degree of oncology nursing specialist, or with professional experience in breast oncology / breast cancer, of at least one year, and / or academic experience with at least one year of experience in oncology nursing were selected. . Likewise, the instrument was submitted to students of the last period of undergraduate nursing for evaluation and primary understanding of the instrument. Subjects who did not follow the Delphi Technological methodological process for content and form validation were excluded; 4) Adaptation of the instrument to free software available in three languages. This study was approved by the Research Ethics Committee of CAAE: 13927619.2.0000.5537 and Parecer: 3.382.745 and followed National Health Council Resolution No. 466/12. Data regarding content validation were analyzed using the content validity index, which assumed> 0.80, programmed in Microsoft Excel version 2010, for analysis of descriptive statistics with absolute and relative frequencies. Thus, we accept the hypothesis that the instrument has evidence of validity. It is expected that the use of a mobile application for nursing consultation for women with breast cancer, built on a theory and scientifically validated, can contribute to the nursing care practice for women with breast cancer.

4
  • KAROLINA DE MOURA MANSO DA ROCHA
  • Translation and cross-cultural adaptation of the Good Perioperative Nursing Care Scale instrument.

  • Líder : BERTHA CRUZ ENDERS
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • BERTHA CRUZ ENDERS
  • ISABEL KAROLYNE FERNANDES COSTA
  • ISABELLE KATHERINNE FERNANDES COSTA
  • KALYANE KELLY DUARTE DE OLIVEIRA
  • MARIA ALZETE DE LIMA
  • Data: 17-feb-2020


  • Resumen Espectáculo
  • Perioperative nursing care is developed in order to minimize the risks and possible complications from a biopsychosocial and physiological view of the individual. Interventions by all stakeholders must be quality and conscious, and assessment of care through reliable instruments is a strategy to ensure this end. Thus, the aim of this study is to cross-culturally adapt the Good Perioperative Nursing Care Scale (GPNCS) instrument to the Portuguese language in the Brazilian context. The instrument was developed in Finland and has been translated and used in several countries in Europe and Asia to evaluate perioperative nursing care from the patient's perspective. The relevance of the nursing care content of the instrument in various contexts makes it suitable for use in Brazil. This is a methodological study with a quantitative approach to translation and cross-cultural adaptation of instruments according to Beaton et al. (2007), conducted from May to July 2019. The steps were: initial translation from English to Portuguese by 02 translators; synthesis of the translation; back-translation from portuguese to english, by 02 translators; content validation by a committee of reviewers; and pretest. The pretest stage was performed in July 2019, at Onofre Lopes University Hospital, in the surgical clinic sectors with intentional sample of 40 patients who underwent elective surgical procedures. Data analysis was performed by Fisher's test and Kappa coefficient. The research was approved by the UFRN Research Ethics Committee under the CAAE protocol: 0800131860005537 and opinion 3305610. Thus, in the translation stage, 07 divergences were noticed in items 1, 5 and 7 of the first part of the instrument and items 1, 6, 7, 10 of the second part of the instrument, which after discussion, the translators and researchers of the study reached a consensus. In Back-Translation the translators confirmed that the translated version accurately reflects the content of the original version. For the content validation, the Evaluators Committee was formed, composed of 09 professionals, who, in each item of the instrument considered adequate and totally adequate regarding semantic, idiomatic, experimental and conceptual validation, generating agreement higher than 80. %. However, 06 experts suggested unifying item 29 and 30 because they are two statements with similar ideas. Thus, it can be stated that the instrument was translated and adapted cross-culturally to the Brazilian reality, becoming the Good Nursing Care Scale. However, due to structural problems in the collection unit, psychometric validation was not developed, however the study was not compromised because the proposed objectives were achieved. Thus, it is essential to develop this last step so that the instrument can be used in the various national scenarios.

5
  • ANA PAULA NUNES DE LIMA FERNANDES
  • Dryness Eye: development of a medium-range nursing theory.

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • MARCOS ANTÔNIO GOMES BRANDÃO
  • ALLYNE FORTES VITOR
  • BERTHA CRUZ ENDERS
  • FABIANE ROCHA BOTARELI
  • PRISCILLA ALFRADIQUE DE SOUZA
  • Data: 19-feb-2020


  • Resumen Espectáculo
  • This is a study about the development of a medium-range nursing theory, based on Callista Roy's adaptation model, about dryness eye. Its general objective was to develop a mid-range nursing theory of eye dryness based on Roy's adaptation model. This is a theoretical research, of descriptive-exploratory nature, with a qualitative approach. To reach the objectives, the strategies for the development of theories proposed by Walker and Avant (2019) were adopted, electing the concept analysis strategy to present the concepts, the establishment of relational statements from the statement synthesis and the strategy. From theory analysis to the realization of theoretical deduction. This study took place in five stages, namely: scoping review, concept analysis, statement synthesis, theoretical modeling and construction of elements for nursing taxonomies from the developed theory. In the first stage a Scoping Review was conducted guided by the steps recommended by the Joana Briggs Institute (2015). After identifying the research question, a search protocol was established and from the descriptors “dry eye syndromes” and “keratoconjuntivite cicca”, based on: Scopus, Web of Science, Science Direct, the identified synonyms were used as keywords in the electronic search engine in order to broaden the search. We obtained a sample of 193 studies that served as the basis for building the elements of the theory. The concept and statements were obtained from the primary studies included in this sample. When analyzed and synthesized, they were modeled from the theoretical deduction made by the analysis of Roy's adaptation model. From the analysis of the theory, it was found that this model starts from the metaparadigmatic understanding that the environment is an actor in human adaptive systems; health as a state in which the person seeks to stay through adaptation; nursing as a profession that promotes adaptation; and the person as an adaptive system that is controlled by stimuli, control and feedback. The central proposition of this medium range theory is that the event of eye dryness occurs as a result of activation of focal stimuli (intrinsic factors that lead to decreased tear production), contextual (environmental / extrinsic factors that promote instability and increased film evaporation lacrimal) and residual (combined), which can lead to adaptation or an adaptation problem. Nursing by identifying the unwanted human response provides conditions that act effectively and are able to reiterate human adaptive mechanisms promoting eye health. From the construction of the theory, propositions of taxonomic elements were elaborated that could serve as basis for the individual to recover the adaptive mechanisms and obtain eye health. It was built the proposition of the nursing result entitled: behavior for prevention of eye dryness and a proposition for the construction of the nursing intervention entitled: control of eye dryness. Based on the propositions, the theory will support the practice by proposing to describe, explain, predict and intervene in the phenomenon under study.

     

6
  • LORRAINY DA CRUZ SOLANO
  • Evaluation of health residences in practice scenarios in primary health care in the state of Rio Grande do Norte.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOAO MARIO PESSOA JUNIOR
  • RICARDO BURG CECCIM
  • RODRIGO ASSIS NEVES DANTAS
  • ROSANGELA DINIZ CAVALCANTE
  • Data: 28-feb-2020


  • Resumen Espectáculo
  • The objective was to evaluate the structures, processes and results of the Multiprofessional Residency Programs in Family and Community Health and Physicians in Family and Community Medicine in the practice scenarios of Primary Health Care in the State of Rio Grande do Norte. It is a mixed study, supported by cartography, developed in Basic Health Units that are scenarios of practice of joint action of health residency programs in the municipalities of Mossoró and Caicó, unique in this area of the specialty of Family and Community Health in the state. Users, health workers, residents and managers participated in the collective field of these residences, who were invited to collaborate with the study through the “snowball” method. The production of the data took place in three stages, coordinated with each other. The first consisted of a comparative analysis of the performance reports in the quality standards verified in the external evaluation action planned and carried out by the Program for Improvement of Access and Quality of Primary Care, conducted by the Ministry of Health. The second was through the production and registration of data in the form of field reports, as occurs in the sharing related to the so-called “existential territory” where the practice fields of the residences are inserted. The third took place at the meeting with users, workers, residents and managers mediated by semi-structured interview scripts. Qualitative data were processed using the IRaMuTeQ software and submitted to Bardin's Content Analysis. In compliance with Brazilian legislation, it followed the precepts determined by Resolution No. 466/2012, of the National Research Ethics Committee, of the National Health Council registered at CEP / UFRN CAAE: 12101019.5.0000.5537. The results showed that the PMAQ reports have inconsistencies that make it impossible to make a comparative analysis between the 6 UBS research fields, 4 in Mossoró and 2 in Caicó, in addition none of the teams read or analyzed the results contained in the reports. The field records are shown on the cartographic maps of each BHU and express the production of subjectivity around SUS, Primary Care and professional training. The interviews generated a corpus referring to 58 interviews that confirm the fact that the scenarios of practices in the state are positively altered in the production of care offered to the population and the work process of the teams. Evaluation of residency programs resulted in the problematization of Health Units as Schools, which needs to be systematized to generate resolutive spaces in which all those who are in the scenarios of practices in Primary Health Care learn: students, professionals, managers, users and teachers. The study presents the concept / tool of Mandala Formative on in-service training threads.

7
  • DANYELLA AUGUSTO ROSENDO DA SILVA COSTA
  • ELABORATION AND VALIDATION OF INSTRUMENT FOR NURSING CONSULTATION TO PEOPLE LIVING WITH MENTAL DISORDERS UNDER THE FAMILY HEALTH STRATEGY.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • DEYLA MOURA RAMOS
  • DULCIAN MEDEIROS DE AZEVEDO
  • FRANCISCA PATRÍCIA BARRETO DE CARVALHO
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • ISABELLE KATHERINNE FERNANDES COSTA
  • MARIA ALZETE DE LIMA
  • Data: 03-jul-2020


  • Resumen Espectáculo
  • This is a methodological study, which aimed to validate an instrument for nursing consultation to people living with mental disorders within the scope of the Family Health Strategy. The instrument was developed based on the phases of the Nursing Process, in accordance with Federal Nursing Council Resolutions number 358/2009 and 429/2012, which deal with the use of its phases in health units, namely: data collection, diagnoses nursing, nursing actions and interventions, expected results and formal registration. Wanda Aguiar Horta's Theory of Basic Human Needs was used as a theoretical-analytical framework. The project was submitted to the Human Research Ethics Committee of the Federal University of Rio Grande do Norte, being approved with the Certificate of Presentation for Ethical Appreciation (CAAE) nº. 25688219.4.0000.5537 and opinion No. 3,736,262. The investigation was carried out in two stages: the first consisted of an integrative literature review to obtain aspects related to assistance to support the construction of an instrument for nursing consultation to people living with mental disorders within the scope of the Family Health Strategy. The following electronic databases were used: Latin American and Caribbean Literature in Health Sciences (Lilacs); Medical Literature Analysis and Retrieval System Online (MEDLINE / PUBMED); SCOPUS; Web of Sciense; Cumulative Index to Nursing, Allied Health Literature (CINAHL) and The Cochrane Library (Cochrane). The sample consisted of 14 articles. The second stage took place through the content validation of this instrument by specialists using the Delphi technique. These were selected through the Lattes Platform of the National Council for Scientific and Technological Development (CNPQ). The sample consisted of 42 specialists in Delphi 1 and 32 for Delphi 2, reaching the final version of the instrument for nursing consultation to people living with mental disorders within the scope of the Family Health Strategy. Statistical analysis was performed using: Content Validity Index (CVI), Relative Index (ARI) and alpha Cronbach. In the first stage, Delphi 1, the mean of Cronbach's alpha and ARI were greater than 0.80, and the CVI was 0.803. In the Delphi 2 phase, Cronbach's alpha reached 0.896, with a CVI of 0.998. A comparison was made between the Delphi 1 and 2 phases, and in both the reliability was quite satisfactory. Thus, the validity of the instrument in its content was achieved.

8
  • GLEYCE ANY FREIRE DE LIMA CARVALHO
  • Elaboration of a nursing model in palliative care in home care.

  • Líder : BERTHA CRUZ ENDERS
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • BERTHA CRUZ ENDERS
  • CECILIA NOGUEIRA VALENCA
  • LARISSA SOARES MARIZ VILAR DE MIRANDA
  • MARIA CÉLIA FREITAS
  • REJANE MARIA PAIVA DE MENEZES
  • Data: 31-jul-2020


  • Resumen Espectáculo
  • Nursing care of individuals in palliative home care involves management and direct care based on the principles and knowledge of theoretical and methodological nursing concepts. The nursing care model provides a guiding framework for that care. The objective of this study was to develop a Nursing Care Model for individuals receiving home palliative care. Nursing Care Models are structures/instruments derived from a conceptual framework and a care methodology that guide the provision of nursing care to specific populations.  The theoretical framework for the study included the humanistic and holistic perspective of the person in his context, palliative care concepts and the theoretical principles of nursing care. A qualitative study using the Convergent Care Research method was conducted in Natal, Rio Grande do Norte, Brazil. Nineteen nursing professionals, members of the multiprofissional teams of the Home Care Services were selected by convenience and participated in the study. The study was conducted in four stages: 1) Insertion. The researcher imersed in the healthcare team of the Home Care Services; 2) Definition of the subsidizing base. In this stage, the theoretical base was constructed by means of: review of literature and identification of relevant conceptual definitions; the profile identification of persons receiving palliative care in the services; the search of reality, or the data collection, that enabled the  imersement and the integration of nursing care and research, in the identification of the perceptions of health professionals regarding nursing care in the provision of palliative care, 3) Analises and Interpretation. This stage involved the organization and synthesis of data using an organized system and the Atlas Ti.1 software, resulting in the theorization of information and the construction of the conceptual structure in model form. Incentives were also given for committment atitudes, transferibility and the dialogue of knowledge, and for the use of the model as a practical reliable instrument. The study was approved by the Research Committee of the Universidade Federal do Rio Grande do Norte, CAAE 91773018.8.0000.5537.  The“Nursing Care Model for Individuals on Home  Palliative Care” developed in this study is based on the theortical and methodological concepts of nursing care. The aim of the Model is to guide nursing professionals in the systematized care, while valuing the centrality of care on the person and family, and in the promotion of quality of life and comfort in the home environment.  Home care permits reflexion on the knowing/doing of nursing to people  under palliative care and on the nurse´s role as articulator of care  and management actions. It is concluded that the utilization of the model may enhance the nursing values in the home palliative care of humanism and scientific principles, thereby providing comfort and relief to the person and family,

9
  • ANDRESSA KALINE FERREIRA ARAUJO JALES
  • Assistive Technologies on sexually transmitted infeccions for blind persons: validation of content and semantics in the light of David Ausubel.

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • ELIÃ PINHEIRO BOTELHO
  • ELUCIR GIR
  • MARIA ALZETE DE LIMA
  • MARISE REIS DE FREITAS
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 21-ago-2020


  • Resumen Espectáculo
  • The objective was to investigate evidence of content validation and semantic validation of virtual booklet and sound media for blind people about the prevention of sexually transmitted infections (STIs), acquired immunodeficiency syndrome and viral hepatitis. Methodological development study, carried out with experts in special education and sexual and reproductive health and with blind people enrolled at the Support Center for the Visually Impaired (CADV), located in Mossoró/RN and at the Institute of Education and Rehabilitation of the Blind of Rio Grande do Norte (IERC/RN), located in Natal, from May 2018 to July 2020. The research was developed in four stages: (1) construction of content on prevention of STI/HIV/AIDS and Viral Hepatitis by conducting literature review on STI/AIDS prevention and blind people carried out in five databases (Virtual Health Library, Cochrane, PubMed, Scopus and Web of Science) and verification of the adequacy of blind people's knowledge about prevention and transmission of STI/AIDS carried out with blind people registered at CADV according to defined eligibility criteria; (2) construction of the virtual booklet considering the five phases proposed by Falkembach (2005) - analysis and planning, modeling, implementation and evaluation and maintenance and distribution; and, of the podcast considering the steps proposed by Silva (2019) - definition of the theme, choice of participants, definition of the necessary equipment, preparation of the agenda, recording of the episode, editing of the podcast and publication of the episode); (3) content validation of the assistive technologies developed, carried out by means of evaluation by judges in the areas of special education and sexual and reproductive health, chosen by searching the lattes platform and according to the criteria established by Joventino; and, (4) semantic validation of the podcast performed by blind people enrolled at IERC / RN and who met the inclusion criteria of the research. The content and semantics validation steps were guided by Pasquali and all the research was developed in the light of the Theory of Meaningful Learning proposed by David Ausubel. The collected data were compiled and analyzed in an electronic data spreadsheet and, to respond to the research objectives, absolute and relative frequencies of the adequacy of knowledge about STI/AIDS prevention and transmission and the content validation verification instruments were calculated. semantic validation. The Content Validity Index was also calculated in order to analyze the agreement index between the judges in relation to the analyzed items, having been considered validated the items that obtained agreement greater than or equal to 70%. Ethical recommendations for research involving human beings were followed in accordance with Resolution No. 466/2012, having been submitted to the Research Ethics Committee of the Federal University of Rio Grande do Norte, CAAE Nº 91753918.4.0000.5537. Inadequate knowledge of all participants on ways of transmitting some STIs / AIDS was identified and adequate control by most participants on HIV prevention and control methods. It was noticed that the manuscripts focused on the sexuality and sexual practices of people with visual impairments as risk factors for the development of STI/AIDS and the development, validation and testing of technologies as instruments for access of people with visual impairment to STI/information. AIDS. The virtual booklet was built following the international accessibility recommendations defined by the W3C and the podcast was recorded in a radio station studio, considering the transcribed agenda elaborated by the researcher. The content validation was performed by 29 judges in special education and 28 judges in sexual and reproductive health, in two rounds, and all items in the virtual booklet and the podcast had their content validated by these specialists. The items of the produced sound media were considered intelligible to all strata of the target population, conferring the podcast's appearance validation. It was concluded that the virtual booklet and podcast developed and validated in this research represent health education tools on STI / HIV / AIDS and Viral Hepatitis for blind people.

10
  • ISADORA COSTA ANDRIOLA
  • Advanced Practice Nursing: analysis of United States context to underlie the implementation process of this practice in Brazil.

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • ANDREA SONENBERG
  • BERTHA CRUZ ENDERS
  • FLAVIA ANDREIA PEREIRA SOARES DOS SANTOS
  • MARCELLY SANTOS COSSI
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • Data: 18-sep-2020


  • Resumen Espectáculo
  • This research aims to analyze the Advanced Practice Nursing, focusing on the role of Certified Nurse-Midwives and Nurse Practitioners, in the United States context, in order to underlie its implementation in Brazil. This is a qualitative study, which kind is a case study. The questions that guided this research were: How is the Advanced Practice Nursing, especially  Certified Nurse Midwives and Nurse Practitioners, developed in a real context in the United States of America (USA)? How can the understanding of the context contribute to its implementation the Advanced Practice Nursing in Brazil?. The assumptions were the following: (a) Advanced Practice Nursing allows Nurses to act in a differentiated scope of practice, which includes advanced clinical evaluation, diagnosis and treatment skills, so that these professionals are allowed to meet the health needs of a large part of the population in an autonomous and recognized way. (b) Understanding the contextual levels of  Advanced Practice Nursing in the United States of  America allows the identification of which aspects of the Brazilian reality need to be modified or encouraged to support a proposal of implementation of this practice in Brazil. (c) Advanced practice nursing can turn into a valid reality in Brazilian context and contribute to improve the health outcomes especially in the maternal and child health. The unit of analysis ("the case" itself) was the practice of Certified Nurse-Midwives and Nurse Practitioners in New York, United States of America. The logic that links data to propositions is based on the relevant literature. The data were collected through a literature review, which has been developed during the research; non-participant observation in a large hospital in New York (USA); and interview with six Certified Nurse-Midwives / Nurse Practitioners. As a criterion for the interpretation of the findings, the method of analysis of responsive interviews proposed by Rubin & Rubin (2005) will be used, which is described over two phases: preparation of the transcripts, with identification of concepts, themes and events, with subsequent codification that data; and the construction of the narrative that culminates in building up a theory. The data will be examined under the theoretical lens of Hinds et al. (1992), which deals with the analysis of the context at all its levels: the immediate, specific, general context, and the metacontext. Based on this analysis we could understand clearly which activities belongs to the Advanced Practice Nurses; how this practice can be define and what makes it different from the practice of other health workers; and how this practitioner situate themselves in the health system and achieve the expected outcomes. Understanding this practice subsidised a proposal for Advanced Practice Obstetric Nurses in Brazil using the PEPPA framework as a guide.

2019
Disertaciones
1
  • LAÍSI CATHARINA DA SILVA BARBALHO BRAZ
  • Participative educational strategy in the promotion of sexual health with adolescents

  • Líder : BERTHA CRUZ ENDERS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • BERTHA CRUZ ENDERS
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • MARCELO COSTA FERNANDES
  • Data: 15-feb-2019


  • Resumen Espectáculo
  • Adolescence is a life period marked by conflicts, modifications and discoveries, one of which is the first sexual intercourse, activity generally conducted precociously and usually without orientation and protection. This has resulted in increased vulnerability to sexually transmitted diseases and undesired pregnancy, cases that continue to be on the increase despite the existing health policies for adolescent health and the educational strategies on sexual health. In this study an active educational strategy on sexual health was implemented using a thematic game. The study was based on the need for educational strategies that link information to reflection, thus integrating knowledge to reality enabling the adolescent to be an active participant in the promotion of own sexual health, and in the permanent process of autonomy and learning, essential elements for decision making. The objectives were: 1) To analyze the perceptions of adolescents regarding their experience in a participative educational action about sexual health, and 2) To identify the adolescents´ knowledge regarding behaviors related to their sexual health as they participate in a participative educational strategy. Descriptive and exploratory qualitative study conducted in public high school located in Natal, RN. The population was composed of 122 enrolled adolescents, in average of 15 year of age. The educational activity was conducted in April and May 2018, in four sessions of 50 minutes duration. The sessions were used to identify the previous knowledge of sexual education, to implement round group discussions, and to apply the sexual health educational game. Data were collected by a semi-structured questionnaire, open discussions in the round group discussions, comments during the game sessions, and direct non-participative observations. Bardin´s thematic content analysis techniques were used to categorize the data. The thematic categories formed were: Interest in themes and methodology; Desire for continuation of activity; Activity as diversion, play; Activity as a participative class; Importance of the educational activity in health; Knowledge constructed and positive life results; Lack of dialogue in the. It is concluded that educational activities on sexual health with adolescents using active methodologies and educational games, incite interest and promote active participation of the students, also enable learning and reflection about health issues. This study seeks to contribute to strengthening of public health policy in adolescent health and for clinical thinking by nurses in the school context.

2
  • TÁSSIA REGINE DE MORAIS ALVES
  • Mothers’ livingness regarding the interruption of Exclusive Breastfeeding

  • Líder : JOVANKA BITTENCOURT LEITE DE CARVALHO
  • MIEMBROS DE LA BANCA :
  • JOSÉ LUÍS GUEDES DOS SANTOS
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • MARIA CLAUDIA MEDEIROS DANTAS DE RUBIM COSTA
  • SIMONE PEDROSA LIMA
  • Data: 21-feb-2019


  • Resumen Espectáculo
  • Introduction: The exclusive breastfeeding is a vital practice for the mother and its child, since it fights malnourishment and extreme hunger at the first years of life, and, in many cases, it is responsible to ensure the child survival. It is estimated that 823,000 fatalities would be avoided each year in relation to five years old children if the breastfeeding were universally amplified. Objective: To comprehend the livingness of mothers regarding the interruption of exclusive breastfeeding. Method: Qualitative research, underpinned at the straussian aspect of the Grounded Theory. The research scenario was a Health Unit that acts in the field of Family’s Health Strategy in the city of Caicó (Rio Grande do Norte). 19 subjects took part in the study, distributed on three sample groups: the first one was composed of thirteen mothers, the second, by three health professionals and the third, by three relatives. The data gathering occurred between April and September of 2018, using an in-depth interview, with the support of memos and diagrams. An analysis of the data was made concurrently with the data gathering, in three stages of codification: open, axial and of integration. The software NVivo® 11 was used to organize data during the analysis process. The Symbolic Interactionism was adopted as theoretical frame. Results: From the analytic process, emerged a phenomenon or central category of the research, entitled as ”living the multidimensionality of the interruption of exclusive breastfeeding”, sustained by three categories that promotes a driving movement for the central phenomenon, accordingly to the paradigmatic model’s components: conditions –“ living the myths and taboos related to exclusive breastfeeding”; “receiving influence from the family nucleus and from health professionals regarding exclusive breastfeeding”; “not feeling protected by the Brazilian laws”; actions/interactions – “interrupting the exclusive breastfeeding” and “developing mammary complications”; and consequences – “introducing artificial milk and complementary breastfeeding before the sixth month of life” and “experiencing negative feelings and sensations in front of the interruption of exclusive breastfeeding”. Conclusion: The current study highlighted that the exclusive breastfeeding is a complex phenomenon, which transcends biological dimensions, being influenced by cultural factors, interference of family and health professionals that provides direct care to the mother. Moreover, the lack of law coverage that protects exclusive breastfeeding contribute for the non-adhesion of this practice, which awakens negative feelings.

3
  • BEATRIZ MEDEIROS DE MACEDO
  • Accuracy of the clinical indicators of the nursing diagnosis of fatigue in patients with heart failure

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA BEATRIZ DE ALMEIDA MEDEIROS MOURA
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • KESSYA DANTAS DINIZ
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • Data: 21-feb-2019


  • Resumen Espectáculo
  • Accurate clinical indicators are important for nursing care and teaching. The identification of these components occurs through studies of diagnostic accuracy. Thus, the present study aims to analyze the accuracy of the clinical indicators of nursing diagnosis Fatigue in patients with heart failure. This is a cross-sectional, diagnostic accuracy study. The sample consisted of 96 patients in attendance at the University Hospital Onofre Lopes, selected for convenience, consecutively. The instrument of data collection was a form, containing questions related to sociodemographic, clinical aspects and diagnostic indicators. In addition, to support the data collection, a protocol was used with the conceptual and operational definitions of the clinical indicators. The research was approved by the ethics committee in research of the unit responsible, under number 2,517,527 and Certificate of Presentation for Ethical Appreciation: 80923217.7.0000.5537. The results showed that the majority of the clientele investigated were male, brown, with companion, from the interior of the state, practicing a religion, with incomplete elementary school and retired or benefited. The mean age was 57.78 years. The most prevalent clinical indicators were: Impaired ability to maintain habitual level of physical activity, Increased physical symptoms, Increased need for rest, Impaired ability to maintain habitual routines, Insufficient energy, Non-restorative sleep pattern, Introspection, and Tiredness. There was statistical association of the nursing diagnosis investigated with the variables gender and jugular engorgement. The most sensitive clinical indicators were: Increased physical symptoms and Tiredness. And the one of greater specificity was: Disinterest in the environment that surrounds it. The diagnostic study was present in 42.54% of patients with heart failure. Thus, it is concluded that the Fatigue diagnosis presents accurate clinical indicators in the clientele with heart failure. Furthermore, it is expected that, from the identification of these accurate clinical indicators, the diagnostic inference of the nurse will be facilitated in clinical practice.

4
  • BELARMINO SANTOS DE SOUSA JÚNIOR
  • Institutional Analysis of Nursing Practices in the Prevention of Pressure Injury

  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • CECILIA NOGUEIRA VALENCA
  • DOMINGO PALACIOS CEÑA
  • Data: 22-feb-2019


  • Resumen Espectáculo
  • Pressure injuries are strong indicators of the quality of health care provided by nurses. Institutional analysis allows access to contradictions and possibilities for changes in practices. This study had the following guiding question: What are the practices of the nurse related to the prevention of pressure injury in a University Hospital in the city of Natal / RN? The objective of this study was to analyze nurses' practices related to the prevention of pressure injury in a university hospital in the city of Natal / RN. It is a quantitative and cross-sectional study. Participated 48 nurses at the Intensive Care Unit and Surgical Center of the university hospital. The data collection was done through a questionnaire after the approval of the Ethics and Research Committee of the University Hospital Onofre Lopes. The data obtained were entered in a database of the Statistical Package for the Social Sciences, version 20.0, for treatment of the results with inferential statistical analysis. As a result, nurses were questioned about their practice in the prevention and treatment of pressure injuries in the sector where they work. The errors and correctness in the questions about prevention of pressure injury represented a quantitative greater than 50% of the errors to the questions. We also analyzed questions about the applicability of preventive measures, whose answers showed little applicability in clinical practice. The nurses' practice in skin care with a view to preventing pressure injury is relevant for the evaluation of the exposure of risks and damages related to adequate health care in the hospital unit. The research concluded that the use of care practices in the prevention of pressure injury by nurses help to develop a safety culture, with improvements in the quality of care in health and nursing services. Thus, nurses' ongoing training strategies in patient safety with pressure injury prevention approaches represent a management tool to minimize or mitigate the occurrence of these injuries.

5
  • JÉSSICA DE ARAÚJO OLÍMPIO
  • Accuracy of clinical indicators of nursing diagnosis Hypothermia in patients with heart disease
  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ALLYNE FORTES VITOR
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • Data: 25-feb-2019


  • Resumen Espectáculo
  • This study aims to evaluate the accuracy of the nursing diagnosis of hypothermia in patients with heart disease. This is a methodological study with a quantitative approach, to be conducted in two stages: Concept analysis of hypothermia and analysis of the accuracy of clinical indicators of nursing diagnosis Hypothermia in patients with heart disease. The first step proposes to clarify the concept of hypothermia, its attributes, antecedents, consequent and empirical referentials, based on the model proposed by Walker & Avant (2011). In order to search the literature, an integrative literature review was carried out, which obtained a sample of 66 articles, identified from the following search engines and databases: Cochrane, Lilacs, Scielo, Web of Science, Scopus, Pubmed and Google Scholar, accessed by middle of the periodical directory of the Coordination of Improvement of Higher Level Personnel. In addition to the material selected through the databases, previous reading articles obtained from reverse search were used. The second step proposes to analyze the accuracy of the clinical indicators of the nursing diagnosis Hypothermia in patients with heart disease and verify the prevalence of this diagnosis in the presence of its clinical indicators based on the Latent Class Analysis method. Data were collected through an instrument containing sociodemographic, clinical information and clinical indicators of nursing diagnosis.
    Hypothermia through physical examination and collection of information in the medical records of patients admitted to the cardiology unit. The study has a sample of 120 patients selected from the following eligibility criteria: being 18 years of age or older and hospitalized for pre-surgical or clinical treatment. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, in compliance with Resolution no. 466/2012 of the National Health Council of the Ministry of Health and obtained a favorable opinion from the CEP under number 2,574,889 and CAAE 85607418.3.0000.5537. From the integrative review, the United States of America was the country with the highest production of articles (44.0%), a large part of the research was produced in the last five years (43.7%) and in the English language (97%). Regarding the concept analysis, the main attribute was the reduction of the central body temperature to less than 36 ° C. As antecedent are all the factors that influence in the reduction of the temperature as the metabolic ones and exposure to the cold. Among the consequences are: cardiac events, respiratory events, increased susceptibility to infections, tremors, hypoglycemia, increased metabolic rate, peripheral vasoconstriction, piloerection and cold skin on the touch. The sociodemographic characterization of the patients who participated in the second stage of this study identified: a majority male (62.5%), companion (74.2%), born and resident in the state of Rio Grande of the North (65% and 59.2%), retired (59.2%), practicing religion (87.5%). Most of them had incomplete elementary education (37.5%), with an approximate income of two or more minimum wages (50.8%) and a mean age of 59.7 years. Among the hospitalization reasons identified, congestive heart failure occurred with a higher prevalence (30%).

6
  • ISABEL NEVES DUARTE LISBOA DE OLIVEIRA
  • Acuracy of clinical indicators of nursing diagnosis constipation in oncological pacients in antineoplastic chemotherapy 

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • MARIA ALZETE DE LIMA
  • WERUSKA ALCOFORADO COSTA
  • Data: 26-feb-2019


  • Resumen Espectáculo
  • Nursing diagnosis constipation is prevalent in cancer patients and may decrease their quality of life. The inference of nursing diagnoses, through sensitive and specific clinical indicators, allows rapid and effective interventions to obtain results for which the nurse is responsible. Thus, the present study aims to analyze the accuracy of the clinical indicators of the nursing diagnosis constipation in cancer patients on antineoplastic chemotherapy. Diagnostic accuracy study, of the transversal type, developed at the chemotherapy outpatient clinic of the Norteriograndense Hospital League against Cancer. The population was composed of patients undergoing antineoplastic therapy attended at the outpatient clinic of said hospital. The sample was 240 individuals. The data collection took place from February to September 2018, through a form containing questions related to sociodemographic, clinical data and diagnosis indicators. The project was approved by the Research Ethics Committee of the institution responsible, under the number of opinion: 2,417,240. The results showed that the majority of the interviewees were female, with a mean of 55.62 years, with a partner, practicing some religion, coming from the capital and retired or pensioners. Regarding the nursing diagnosis constipation, its prevalence was 86.6%. The sensitive clinical indicators of the diagnosis were: effort to evacuate, hypoactive bowel sounds. The specific clinical indicators were: headache, abdominal pain, pain when evacuating, exertion when evacuating and liquid stools. Thus, it is concluded that constipation is a prevalent nursing diagnosis in cancer patients on antineoplastic chemotherapy. Also, there are clinical indicators that accurately predict their occurrence in this clientele. Thus, nursing interventions should be directed to this diagnosis, in order to prevent side effects, promote support and contribute positively to the quality of life of patients submitted to antineoplastic chemotherapy.

7
  • LUANA SOUZA FREITAS
  • Effectiveness of telenursing in the accompanying of ostomy persons: from the perspective of the Roy Adaptation Model

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • ANA ANGELICA REGO DE QUEIROZ
  • ISABELLE KATHERINNE FERNANDES COSTA
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 28-feb-2019


  • Resumen Espectáculo
  • Stomy is the name given to any artificially created opening of the internal environment of the body structure to the external environment. The fact of becoming aesthetic entails a change to a new excreta elimination condition generating an adaptation to this situation. Attempts to access care may result in poor knowledge of the stomatomania about the care of the stomach, in view of this. Roy's Model of Adaptation as a guideline for nursing actions. It is aimed at analyzing the effectiveness of the telephone intervention without the adaptive process of the stomized person. This is a longitudinal, almost experimental, type-of-trial, randomized, and unicego study conducted with 2 groups of individuals with up to one year of oestrus, the only conventional treatment. , the monitoring by phone. The indicators indicated that they were not able to differentiate statistically between the control and intervention groups, because their sociodemographic, clinical and adaptation variables, a sample characterization, identified a predominance of people with a lower gender, with lesser or equal age to 60 years, pardos, retired, living with companion, elementary school, with income of 1 minimum wage, catholics. According to asics as well as non-orquality and uravities, have anti-therapy, have anti-therapy or radiotherapy, have had behavior of the stoma and peristomal, has not colostomy, with comestible temporary, Use the device collector of 1 piece, being the patient who makes an exchange of his bag, and feels adapted. Regarding the adaptive modes, an absence of significant statistical significance was identified between the control groups and their adaptation without pre-test. However, in the post-test it was pointed out that, since the means and medians of the control group were lower than those in the group that received an intervention in a statistically significant way. An adaptive score of the control group in the post-test was also lower when compared to the pre-test of the group, whereas an analysis of the intervention group evidenced an elevation of the adaptive levels of the group when comparing the pre- and post-east . It is noticed the effectiveness of a telephone intervention in the levels of adaptation of the person with health, emphasizing the importance of a complementary and regular accompaniment in the promotion of health actions that influence the self-esteem, self-care and the adaptation of the public.

8
  • ÂNGELA MONIC LIMA DE SOUZA
  • Emotional status and sleep quality in nursing professionals in hospital shifts

  • Líder : MILVA MARIA FIGUEIREDO DE MARTINO
  • MIEMBROS DE LA BANCA :
  • MILVA MARIA FIGUEIREDO DE MARTINO
  • REJANE MARIA PAIVA DE MENEZES
  • SORAYA MARIA DE MEDEIROS
  • ROSÂNGELA MARION DA SILVA
  • Data: 15-mar-2019


  • Resumen Espectáculo
  • The Emotional State exerts a significant influence in the social, behavioral and even in the work process, nursing deals directly with this extension, especially those who work in turns arriving to fulfill a workload of up to 12 hours, this day can generate emotional disturbances characterized by subjective feelings of discomfort and accompanied by changes in the level of activity in cognitive functions, language and physiological functions such as appetite, sexual activity, biological rhythms and sleep quality. Such altered physiological functions can directly influence nursing professionals. The present study aimed to describe the emotional state and to investigate whether it exerts influence on the quality of sleep of the nursing professionals in the day and night shifts. It was developed at the University Hospital of Rio Grande do Norte. The data collection in its entirety was collected from January to December of 2018, using the instruments: Present Emotional Status List, Pittsburgh Sleep Quality Index Questionnaire and Sociodemographic Characterization Form. The questionnaires were made available according to the work shift of each professional. A total of 74 nurses and 107 nursing technicians participated in the study. The data after being coded and tabulated, passed through statistical analysis through the SPSS version 2.0 program. The study obtained a favorable opinion from the Ethics and Research Committee of the Federal University of Rio Grande do Norte, under Opinion with CAAE of nº 80922717.8.0000.5537. The sociodemographic profile presented a predominance of female gender for both classes, in 79% of the sample, with age range between 24 and 45 years, corresponding to approximately 94%. There was a statistically significant difference for the variable more than one work (p = 0,001) and significant similarity for the children variable (p = 0,047). For the variable use of stimulants, they affirmed that 81% of nurses and 75% of nursing technicians use it. As to PSQI, only 22% of nursing professionals presented good sleep quality. Regarding the emotional state, the phrases "I am reflecting", "I am tired", "I am taking care", "I miss someone" and "I am sleepy" have presented more responses to the intensities more or less and strongly. It is concluded that shift work causes impairment of sleep quality of nursing professionals, who may also be influenced by changes identified in emotional states.

9
  • MOIZIARA XAVIER BEZERRA
  • CROSS MAPPING OF NURSING DIAGNOSTIC TITLES FORMULATED ACCORDING TO CIPE® VERSUS DIAGNOSTICS OF NANDA INTERNATIONAL, INC FOR CHILDREN WITH RENAL DISEASES

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MARIA ALZETE DE LIMA
  • RUDVAL SOUZA DA SILVA
  • Data: 25-nov-2019


  • Resumen Espectáculo
  • This is a cross-sectional study with a quantitative approach that aimed to cross-map the nursing diagnosis titles of children with kidney disease prepared according to the International Classification for Nursing Practice (ICNP®) with NANDA International diagnoses, Inc (NANDA-I), as well as classifying diagnostic titles according to levels of basic human needs theory and cross-mapping product content validation. The present study was divided into methodological steps, namely: construction of the term bank for children with kidney disease, elaboration of diagnostic titles for children with kidney disease according to the term bank. Data were collected between May and October 2015. The diagnoses were made in two lists and tabulated in the Microsoft Excel program (Office 2013) and also classified according to the levels of the theory of basic human needs. The diagnoses were compared between these classification systems, and thus classified into constant and non-constant titles. Thus, non-constant titles were classified as: similar, broader, more restricted and there is no agreement. Then the mapping product was subjected to the content validation process by experts. Content Validity Index of 0.80 or greater was considered. The experts who participated in the cross-mapping validation process were from the ICNP® Development Center of Brazil. The project was approved by the Research Ethics Committee of Onofre Lopes University Hospital with Opinion No. 1,007,954 and presentation certificate for ethical appreciation No. 42666815.0.0000.5292. A total of 67 nursing diagnoses were identified, 48 from ICNP® and 19 from NANDA-I. After cross-mapping, 85.4% of ICNP® diagnoses were not constant in NANDA-I. Non-constants were classified into: similar (7.3%), narrower (7.3%), broader (12.1%), and 73.3% of the diagnoses were not found in NANDA-I. The constant or non-constant diagnostic titles were classified in ICNP® and NANDA-I, respectively: Psychobiological 68% and 32%; Psychosocial 82.4% and 17.6%. No psychospiritual needs were identified. In cross-mapping, seven NANDA-I and ICNP® diagnoses were validated by the specialists and 11 non-constant diagnoses, with CVI> 0.8. The study presented numerical differences during the identification of nursing diagnoses with the use of two classification systems; however, the contribution of these systems to the development of nursing promotes effective results in care delivery, since the identification of the nursing diagnosis incorporated into a nursing diagnosis. Standardized language contributes to support nursing interventions and the strengthening of the profession.

10
  • HANNA PRISCILLA DA SILVA
  • Construction of the proposal Nursing Diagnosis infeffective peripheral venous retourn in adult patients with cardiovascular clinical conditions.

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • CAMILA TAKÁO LOPES
  • ALLYNE FORTES VITOR
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 02-dic-2019


  • Resumen Espectáculo
  • This study aimed to construct the Nursing Diagnosis (ED) ineffective peripheral venous return in adult patients with cardiovascular clinical conditions directed to the NANDA International taxonomy. This is a methodological study, operationalized by the model of Lopes, Silva and Araújo (2012), consisting of three steps: Concept analysis, content analysis, and accuracy of clinical indicators. To achieve the objectives proposed in this study, the concept analysis step was performed based on the model proposed by Walker and Avant (2019) and operationalized through an integrative review, according to Walttemore Knalf (2005). The search in the literature took place between February and June 2019, and was carried out by a pair of researchers on the same days and places, on different computers, without communication, until the crossing exhaustion, according to the protocol built for this review. The following data sources were used: Science Direct, Scopus, Cumulative Index to Nursing and Allied Health Literature (Cinahl), Pubmed (Public Medline), Cochrane, Web of Science and the Virtual Health Library (VHL). I was opted for an advanced, non- controlled search using the keyword: “Peripheral” and the Medical Subject Headings (MeSH) and Health Sciences Descriptors (DeCS) indexed descriptors “Venous Insufficiency”, “Lower Extremity” and “Leg”. The crossings were performed through the “AND” shot operator. In the initial search, 24,559 studies were found, which through screening, application of inclusion and exclusion criteria and thorough reading totaled the final sample of 136 publications. Of the studies found, were highlighted the ones from the last 5 years, 44 (32.35%), from North America, 69 (50.74%), with urgency for review studies, 52 (38.24%), with quantitative approach, 97 (71.32%) found in the Medline data source, 59 (43.48%) predominantly in the English language, 131 (96.32%). The information provided by the integrative review was presented descriptively and supported the stages of concept analysis. The analysis of the articles that made up the study sample allowed us to identify the components of the nursing diagnosis Ineffective peripheral venous return in adult patients with cardiovascular clinical conditions, identifying three attributes, 17 antecedents and 11 consequences of the diagnostic focus in question. Of the identified antecedents, were highlighted the structural and / or functional incompetence of the valves, 56 (41.18%), advanced age, 54 (39.71%), female, 42 (30.88%), obesity 40 (29, 41%) and calf muscle pump dysfunction, 33 (24.26%). Regarding the consequent, there were edema, 60 (44.12%), skin changes, 49 (36.03%) and pain, 35 (25.74%). In order to offer total, individualized and well-planned care, it is essential that nurses have nursing diagnoses that cover the human responses found in care practice in order to accurately infer the real needs of caring individuals to offer total, individualized and well planned care. It is concluded that the obtained data can support the construction of ND Ineffective peripheral venous return, promoting taxonomy improvement and offering a ND that contemplates the human responses presented by this group of patients, until then incipient.

     

11
  • ANDERSON BRITO DE MEDEIROS
  • Social representations of motherhood elaborated by pregnant and lactating women who experienced pregnancy deprived of liberty in the prison system.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • DULCIAN MEDEIROS DE AZEVEDO
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JAIME ALONSO CARAVACA-MORERA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • Data: 04-dic-2019


  • Resumen Espectáculo
  • Introduction: The gestational period during the deprivation of liberty in the prison system, as well as lactation, are delicate, complex and marginalized processes, attacking the best experience of motherhood. The experience of the gestational process in the prison environment enables interactions that rework the senses and symbolic world of these women. Objective: To analyze the social representations of motherhood among pregnant and lactating women who experienced pregnancy deprived of liberty in the prison system. Method: This is a qualitative study, anchored in the assumptions of the Theoretical Paradigm of Social Representations in the structural aspect, conducted with 42 pregnant women, lactating women who experienced pregnancy deprived of freedom in the prison system of the state of Rio Grande do Norte. From May to September 2019. For data collection, we used a sociodemographic questionnaire, thematic drawing-story and the free word evocation technique associated with the substitution and decontextualization model (mute zone), with the term inductor. “Being a mother in prison”. Data were analyzed by prototypic processing (four-box table) for each matrix, for which intermediate frequencies (± 8.37 matrix 1 and ± 8.10 matrix 2) and mean evocation orders (matrix) were automatically calculated. 1: ± 3.08; matrix 2: ± 3.01) according to requirements. Thus, it composed the central nuclei, the peripheries and the contrast zones. The words composition and co-occurrence test (similarity analysis) was also performed. The analytical processing was carried out using the Software interface for Multidimensional Analysis of Textes and Questionnaires (IRAMUTEQ), version 7 alpha 2. The research was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, under CAAE. : 08005219.7.0000.5537. Results: Most participants were between 18 and 28 years old (n = 20; 47.62%); were single (n = 20; 47.62%). They had two or more pregnancies (n = 38; 90.47%) and reported one or more miscarriages (n = 21; 50%). In the prototypic analysis, it was found that the term inductor resulted in 420 evocations and 133 distinct words. After categorization and lemmatization, the number of different words evoked by women were 84 between matrix 1 and 2. Excluding the evocations with frequency less than three, resulted in a use of 31.15%. In matrix 1, the possible representation of being a mother in prison crystallized, principally and semantically, by the terms: separation (f = 27; OME: 2.9), sadness (f = 18; OME: 2.3), horrible (f = 16; OME: 2.1), pain (f = 12; OME: 2.8). In the substitution and decontextualization zone (matrix 2), the representations were objectified by the terms separation (f = 18; OME: 3), sadness (f = 13; OME: 2.5), fear (f = 11; OME: 2.2), horrible (f = 10; OME: 1.5). Thus, the only representational difference between the two cores was the change of the word pain for fear in matrix 2, maintaining the crystallization between the two frames with respect to the first square of the frame. In the similarity analysis, the central nucleus, composed by the term “separation”, had a strong co-occurrence with the words: “suffering (11), distant (4), abandoned (3), horrible (9), adoption (4) and sadness (8)”. Final considerations: Experiencing motherhood in the prison system, whether pregnant or lactating, represents for women a set of meanings and meanings, which are attributed from institutional norms and prison laws that weaken the mother-child dyad and potentiate the mother. female imprisonment, meaning for these women, essentially, suffering for the dichotomy of the bond with the child.

12
  • MARILIA SOUTO DE ARAUJO
  • Conformity, satisfaction and self-confidence of face from infirmary simulation.

  • Líder : SORAYA MARIA DE MEDEIROS
  • MIEMBROS DE LA BANCA :
  • EDILMA DE OLIVEIRA COSTA
  • RAPHAEL RANIERE DE OLIVEIRA COSTA
  • SORAYA MARIA DE MEDEIROS
  • VERÔNICA RITA DIAS COUTINHO
  • Data: 06-dic-2019


  • Resumen Espectáculo
  • The objective of this study was to analyze the knowledge, satisfaction and self-confidence of nursing technical students from the use of simulation in basic life support teaching in the context of Primary Health Care. This is a longitudinal intervention study. and quantitative approach. The quasi-experimental design of a non-equivalent pre-test and post-test control group was used through a non-probabilistic convenience sampling. The study was carried out at the School of Health of the Federal University of Rio Grande do Norte with 46 students of the technical nursing program of that institution. The assessment of knowledge, satisfaction and self-confidence in learning and self-confidence to act in emergency situations, validated, were applied in three moments: pretest, immediate posttest and secondary posttest (after 30 days). The control group participated in the theoretical-practical course of Basic Life Support with emphasis on Primary Health Care with the following methodological strategies: lecture and demonstration of skills. The experimental group participated in the same course, however, with the following strategies: lecture plus clinical simulation. To perform the simulation, the NLN / Jeffries Simulation conceptual model for nursing teaching was followed. The study included 46 students, predominantly female (69.6%), aged 16 to 25 years (63%), who had never studied basic life support in the technical course (76.9%) and without professional experience in health (100%). Regarding the comparison of the level of knowledge, it was found that, at the 5% level of significance, there was a statistical difference between the medians of the control and experimental group in post-test 2, thus, students in the experimental group retained more knowledge than students. of the control group. In addition, the students in the experimental group maintained higher levels of self-confidence for emergency work, with a difference in post-tests 1 and 2. In this respect, female students had higher levels of self-confidence for emergency work when compared to those of the male. Regarding satisfaction and self-confidence in applied learning for students in the experimental group after the use of simulation, there is a predominance of students who are strongly satisfied and self-confident with learning after participating in the clinical simulation. Thus, learning from the clinical simulation methodology gave higher scores of knowledge, satisfaction and self-confidence, compared to those acquired through lectures with demonstration of skills.

13
  • MARINA MARISA PALHANO DOS SANTOS
  • Peer education in the prevention of human immunodeficiency virus in adolescents: a systematic review

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ELIÃ PINHEIRO BOTELHO
  • ALEXSANDRA RODRIGUES FEIJAO
  • ERIKA SIMONE GALVAO PINTO
  • GABRIELA DE SOUSA MARTINS MELO DE ARAUJO
  • Data: 09-dic-2019


  • Resumen Espectáculo
  •       As a refined methodology for health education, peer education has been delineated as a significant form of prevention and health promotion in adolescents, an age group that has gained prominence in the face of the global epidemic of the human immunodeficiency virus. Aim: To evaluate the scientific evidence on peer education in the prevention of immunodeficiency virus in adolescents. Method: This is a systematic review with the PICO strategy research question: Can peer education produce health-related behavioral changes when used as a prevention method for human immunodeficiency virus in adolescents? The search was performed on the Elsevier, PubMed Central, PubMed, DART-Europe, Web of Science, Capes Thesis and Dissertation Catalog, RCAAP, LILACS, Scopus, Scielo, Open Access Thesis and Dissertations (OATD), Cyberthesis, DART- Europe, Ethos, New Zealand theses by crossing the indexed descriptors 1.peer influence, 2.peer group, 3.health educativon, 4.peer education (1 OR 2 OR 3 OR 4) 4.adolescent, 5.adolescence, 6.youth (4 OR 5 OR 6) 7.acquired immunodeficiency syndrome, 8.HIV (8 AND 9) 9.primary prevention, 10.school-based prevention (9 OR 10). The method design was developed based on the guidelines defined by the Cochrane Handbook (2011) and the instrument The PRISMA Statement (PRISMA). All comparative study designs will be included in the review, including clinical trials, pretest / posttest, cohort, case-control and cross-sectional studies. Of the 6,142 studies found, after the first selection of reading titles and abstracts, excluding duplicates, the sample consisted of 11 articles. Studies were evaluated from 2000 onwards. ROBIS: A Risk of Bias Assessment Tool for Systematic Reviews was used for risk assessment of bias. This review was submitted to registration in the PROSPERO database under the identifier 150530. Results: Data from 11 studies were analyzed for behavioral and non-behavioral outcomes. Concerning the former, peer education had a positive impact on reducing risk attitudes (63%), self-efficacy against condom use (18.1%), intention to refuse unprotected sex (9%), intention to use condoms (90%) and condom use (90%). Non-behavioral aspects include effective results for elements such as knowledge related to sexual health (81.8%), conversation and sharing of knowledge with friends / colleagues about the use of preventive methods. Behavioral changes were also found to be more pronounced soon after the intervention than at follow-up months. Conclusion: Peer education represents a new genre of promotion and prevention that promotes individual and community health behavior changes that can maintain long-term modified habits.

14
  • BRUNA RODRIGUES MONTEIRO
  • Intervening factors in skin-to-skin contact between mother and baby in the first hour after normal delivery

  • Líder : NILBA LIMA DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA BEATRIZ DE ALMEIDA MEDEIROS MOURA
  • ANA LÚCIA DE MEDEIROS CABRAL
  • ERIKA SIMONE GALVAO PINTO
  • NILBA LIMA DE SOUZA
  • Data: 17-dic-2019


  • Resumen Espectáculo
  • Skin-to-skin contact between the mother and the baby after normal delivery is sometimes considered fragmented; especially when there are factors that are involved in the implementation of good obstetric practices, which forms gaps between what is recommended by the World Health Organization, the Ministry of Health and what is implemented in social reality. In this scenario, this study aimed to analyze the factors that interfere with skin-to-skin contact between mother and baby in the first hour after normal delivery. This is a cross-sectional observational study with a quantitative approach. The research was conducted at the Leide Morais Maternity Hospital and the Ana Bezerra University Hospital, both references in the usual risk delivery in the state of Rio Grande do Norte. The sample consisted of 105 parturients admitted to the preparatory, childbirth and postpartum sector with the following eligibility criteria: gestational age > 37 weeks; pregnant women at normal risk who were on the verge of normal birth. Data collection is carried out from May to July 2019, through a structured instrument based on scientific literature and ministerial recommendations, with a total of 36 questions. For the analysis, the data were entered into a database and analyzed quantitatively using descriptive and inferential statistics using the Statistical Package for Social Sciences version 20.0. The level of significance adopted was 5% with a 95% confidence interval. The study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte with the opinion number 3,187.28. It was identified that of the 63 deliveries observed in the maternity of Leide Morais and the 42 deliveries observed in Ana Bezerra at the beginning of the contact the immediate treatment was favored by obstetrics 62 (59%) and interrupted by pediatrics 85 (80%). Regarding the factors responsible for the delay in skin-to-skin contact, 6.6% (7) of newborns experienced complications, while 5.7% (6) underwent neonatal procedures before contact, and maternal factors were absent during this period. While the factors responsible for the interruption of skin-to-skin contact were observed in 67.6% (71) of neonatal procedures, followed by 15.2% neonatal complications (16). At follow-up, it was found that contact occurred immediately after normal delivery in 87.6% (92) of the cases, however, only three newborns (2.8%) experienced golden hour and greater durability of skin-to-skin contact. Between one and five minutes of life of the newborn was recorded in 82.8% (87) of deliveries. The study allowed the identification of factors that intervene in the skin-to-skin contact between the mother and the baby, both in terms of delay, durability and interruption, which allows proposals for the reduction of non-recommended procedures and no scientific evidence on the delivery observed in the present study.

15
  • LORENA FERNANDA SILVA DE OLIVEIRA NUNES
  •  Construction of an educational technology on bladder catheterization for nursing
  • Líder : CECILIA NOGUEIRA VALENCA
  • MIEMBROS DE LA BANCA :
  • CECILIA NOGUEIRA VALENCA
  • SORAYA MARIA DE MEDEIROS
  • ROSANGELA DINIZ CAVALCANTE
  • Data: 17-dic-2019


  • Resumen Espectáculo
  •        The advent of new Communication and Information Technologies establishes the emergence of educational strategies consistent with the current transformations, presenting impacts on the world of work, a productive scenario for the realization of educational practices. The distance education offered by Virtual Learning Environments is a relevant educational strategy for the Permanent Education of the nursing team, as it allows for time flexibility, the transposition of geographical barriers and the opportunity for digital inclusion. Thus, the proposal of building an educational technology on bladder catheterization for the qualification of the nursing team, based on the gap identified in a public health service, emerged. The study aims to describe the construction of a distance course on bladder catheterization for nursing. This is a methodological study for the construction of a technology-mediated educational instrument, developed according to the methodological framework of Pasquali Psychometry. The study is in line with the ethical precepts established by the National Health Council and was approved by the opinion of the Research Ethics Committee, nº 3.187.303, CAAE: 08005519.6.0000.5537. The construction of the distance learning course proved to be a challenging experience, since it was sought to develop it with high methodological rigor, considering the constructivist perspectives of education, such as problematization and meaningful learning. Given the use of educational technologies in continuing education, it is concluded that the study may contribute to improve nursing care, aiming at patient safety. The validation of educational technology is suggested later.

16
  • JULIANE RANGEL DANTAS
  • Accuracy of nursing diagnosis Ineffective airway clearance in patients admitted to intensive care units

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • BERTHA CRUZ ENDERS
  • HELEN CRISTINY TEODORO COUTO RIBEIRO
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • Data: 20-dic-2019


  • Resumen Espectáculo
  •         The nursing diagnosis Airway clearance is common in critically ill patients admitted to the intensive care unit. The adequate inference of this diagnosis becomes necessary to provide more qualified nursing care. Thus, the present study aims to analyze the accuracy measures of clinical tests to diagnose airway clearance in adult patients admitted to intensive care units. Cross-sectional diagnostic accuracy study. One sample consisted of 104 critically ill patients, who were selected by convenience, consecutively trained in a university hospital in northeastern Brazil. The data collection instrument was a structured script of interview and physical examination, applied from June to October 2019. An accuracy of the clinical indicators of the associated diagnostic test through latent class analysis. The study was approved by the Research Ethics Committee of the responsible institution, under opinion number 3,241,219 and Certificate of Presentation for Ethical Appraisal 09901619.0.0000.5537. The results indicate a prevalence of 36.54% of the diagnosis Airway clearance in the investigated clientele. Clinical indicators applicable to the diagnosis were: Change in respiratory rate; Change in breathing pattern; Absence of cough; Orthopnea; Adventitious noises and decreased breathing sounds. The indicators used were: Change in respiratory rate and Change in breathing pattern. It can be concluded that the clinical indicators Respiratory Changes and Respiratory Pattern Changes show better precision measures for nursing diagnosis inference. Airway clearance in adult patients admitted to intensive care units. Moreover, the results contributed to the process of accurate diagnostic inference of the nurse until the end of improving nursing care to sick patients.

17
  • CARLOS JORDAO DE ASSIS SILVA
  • Human responses, culture, and self-care of indigenous elders: a mixed methods study.

  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • REJANE MARIA PAIVA DE MENEZES
  • LUCIANE PAULA BATISTA ARAUJO DE OLIVEIRA
  • MÔNICA CRISTINA RIBEIRO ALEXANDRE D'AURIA DE LIMA
  • ANA ANGELICA REGO DE QUEIROZ
  • JOSÉ LUÍS GUEDES DOS SANTOS
  • Data: 20-dic-2019


  • Resumen Espectáculo
  •           BACKGROUND: The human aging process is a worldwide phenomenon and also exists among indigenous people, however, in Brazil, information about the health conditions and self-care culture of indigenous elderly people is still scarce and fragmented. Researching about the human responses and the self-care culture in this population is needed as it enables a qualified, systematized and culturally congruent nursing care. OBJECTIVE: To analyze human responses in nursing and the self-care culture of indigenous elderly. METHOD: This is an exploratory and descriptive study with a mixed method approach, of convergent parallel type. Quantitative and qualitative data were collected concurrently, with equal weighting for both data. Data integration was performed, in which the results of quantitative and qualitative data were mixed and produced mutually supported information. Finally, Leininger's Theory of Culture Care Diversity and Universality was used, which is the theoretical perspective that conducted this research. The study population consisted of indigenous people of Potyguara ethnicity, living in the indigenous community of Amarelão, João Câmara, Rio Grande do Norte. In the quantitative approach, a Nursing Consultation with 51 participants was held, and in the qualitative approach phase, a semi-structured interview with 17 indigenous elderly was performed in August 2019. Data obtained from the Nursing Consultation were analyzed following two steps: phase I - data analysis and synthesis; phase II - establishment of nursing diagnoses using the North American Nursing Diagnosis Association Internacional (2018-2020). Statistical analysis was performed using the Statistical Package for Social Sciences (SPSS) program. Absolute and relative frequencies were used and Fisher's Q-Square and Exact Test were applied. Qualitative data were analyzed from thematic content analysis. The research was submitted to the Ethics and Research Committee of the Federal University of Rio Grande do Norte and the National Research Ethics Committee under the CAAE: 07990219.7.0000.5537, being approved by the opinion nº. 3,475,904. RESULTS: Regarding nursing diagnoses, 38 were identified, being the prevalent ones: Impaired dentition (98.0%), Risk of impaired skin integrity (66.7%), Chronic pain (64.7%), Risk of deficient fluid volume (54.9%), Impaired Swallowing (45.1%), Impaired Ambulation (45.1%), Sleep Pattern Disorder (43.1%), Stress Urinary Incontinence (41.2%), Discus falls (35.3%) and sexual dysfunction (33.3%). Concerning the qualitative data, three thematic categories were identified: 1) Meaning of health in the conception of indigenous elderly; 2) Indigenous experience of becoming ill and 3) Indigenous self-care practices. CONCLUSION: Based on the convergences and combinations of qualitative and quantitative results, the human responses most present in the indigenous elderly are those resulting from factors leads to decrease in their functionality and independence, corroborated by the participants' statements. Regarding self-rated health, reported problems relate to limiting conditions that also interfere with the performance of daily activities. Regarding self-care practices, the use of medicinal plants for disease prevention and treatment was evidenced, as well as the performance of domestic activities, manual labor and autonomy in problem solving, as ways of obtaining health, which is, an active aging. However, the medicalization is still present in this unique ethnic health-disease process, shown in the statements of the elderly, when citing the dependence on the use of drugs, including psychotropic drugs. This finding is also evidenced by quantitative data, which points to necessary reflections on the abusive use, self-medication and indiscriminate prescription of drugs for this population. The quantitative data also revealed a low presence of preventive practices adopted by the group, which makes evident the influence of the medical-curative model absorbed in the self-care practices of this population, as a result of contact with non-indigenous society through health services.

18
  • SÉRGIO BALBINO DA SILVA
  • Evaluation of Mycobacterium tuberculosis infection Control Measures in Primary Health Care in Natal/RN

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ALINE ALE BERALDO
  • ANA ANGELICA REGO DE QUEIROZ
  • ERIKA SIMONE GALVAO PINTO
  • NILBA LIMA DE SOUZA
  • Data: 20-dic-2019


  • Resumen Espectáculo
  •        Tuberculosis remains a public health problem throughout human history. For effective coping strategies and improvement of the results, infection control measures are needed to be used by Primary Health Care in its’ services. Aim: to evaluate the infection control measures for Mycobacterium tuberculosis in Primary Health Care, in Natal, Rio Grande do Norte. Method: this is a normative evaluative research, of quantitative approach, with emphasis on the degree of implementation of control measures. The methodological reference used was the health evaluation model by Avenis Donabedian. The final sample was composed by 235 professionals and 22 Basic Health Units, distributed equally among the professional categories (doctors, nurses and nursing technicians). The sampling process used was stratification, in order to obtain data representativeness, thus the sample was proportionally distributed throughout basic health units in each health district. Data collection took place between April and July 2019 through a questionnaire consisting of 49 questions, developed by the Manual of Recommendations for Tuberculosis Control in Brazil (2018) which divides the infection control measures of tuberculosis in: administrative, environmental and individual or professional protection. Data were organized and analyzed using the IBM Statistical Package for Social Science, version 22.0. To identify the degree of implementation of the actions, 46 criteria were listed, and the percentage of responses were distributed into four classifications: Not implemented (from 0% to 25%); Incipient (from 26% to 50%); Partially implemented (from 51% to 75%); Implemented (76% to 100%). The study followed the Resolution 466 of 2012 of the National Health Council and was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte, through Opinion 3.250.817 and Certificate of Presentation for Ethical Appreciation 08005818.6.0000.5537. Results: the development of the logical model funded the evaluation process and provided compression of the disease control actions, through the assessment (Structure-Process). Of the 235 selected professionals, 184 composed the final sample. The reasons for not including the remaining number of professionals in the study were: (31) professional refusal and absent during the data collection period (20). The study found that the degree of implementation of actions related to infection control measures of Mycobacterium tuberculosis in Primary Health Care services, in Natal / RN was incipient (49.5 %). The structure and process dimensions were classified as partially implanted (38.36%) and incipient (10.88%), respectively. Regarding Structure, the sub-dimensions related to environmental measures were evaluated as non-implanted (0.76%), followed by management measures whose degree was partially implanted (25, 82%) and, lastly, the individual respiratory protection measures. as partially implanted (11.78%). Regarding the process dimension, the sub-dimension related to the management measures analyzed presented incipient implantation (10.88%). Conclusion: The construction of the logical model provided comprehension about the relation to disease infection control measures and provided subsidies to foster the evaluation process. In addition, the infection control actions of Mycobacterium tuberculosis in the city of Natal were classified as incipient. Thus, there is a need for coordination between management and professionals in the implementation of actions in health services.

Tesis
1
  • JESSICA NAIARA DE MEDEIROS ARAUJO
  • Construction and validation of nursing diagnosis Ocular dryness in adult patients hospitalized in an intensive care unit

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • FABIANE ROCHA BOTARELI
  • KALYANE KELLY DUARTE DE OLIVEIRA
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • RODRIGO ASSIS NEVES DANTAS
  • Data: 01-feb-2019


  • Resumen Espectáculo
  •  

    This study aimed to construct and validate the nursing diagnosis Ocular dryness in adult patients hospitalized in an intensive care unit (ICU). This is a methodological research of validation of nursing diagnosis developed in three interrelated stages, namely: STAGE 1: Construction of the nursing diagnosis Ocular dryness in adult patients hospitalized in an ICU and construction of the definitions, based on the concept analysis framework and operationalized through Scoping Review. STAGE 2: Analysis of diagnostic content, in which the evaluators judged the adequacy of previously created concepts, through focus group. STAGE 3: Clinical validation of nursing diagnosis Ocular dryness in adult patients hospitalized in an ICU, performed by means of a study of the accuracy of clinical indicators of nursing diagnosis Ocular dryness, with a cross-sectional design and quantitative approach, performed with 206 patients hospitalized in an ICU of adults of a university hospital located in the Brazilian northeast. The data collected was organized and stored in a database built in Microsoft Office Excel 2016 and analyzed by a specific statistical program. The study obtained a favorable opinion from the Research Ethics Committee under number 918.510 and CAAE 36079814.6.0000.5537. The recommendations of Resolution nº 466/12, approved by the National Health Council of the Ministry of Health, on December 12, 2012, were obeyed. In the first stage, 169 articles were selected and two attributes, 32 antecedents and 12 consequent ones were identified. In the second stage, after discussion in the focus group, the judges obtained a consensus regarding the adequacy of each component and definition of the diagnosis. We defined 14 defining characteristics, nine related factors, two populations at risk and 22 associated conditions. In the third stage, was verified using the latent class model the prevalence of nursing diagnosis Ocular dryness in 76.22% of the sample. The clinical indicators decreased lacrimal volume and excess mucoid secretion presented high values of specificity. In addition, dilated blood vessels on the ocular surface, excess mucoid secretion, mucoid filament and chemosis presented higher values for sensitivity. It is concluded that the data obtained can contribute to a better understanding of the manifestation of the diagnosis in adults hospitalized in an ICU, as well as the most important signs for inference of Ocular dryness. Thus, the nursing diagnosis Ocular dryness is valid in adult patients admitted to the ICU.

2
  • SUZANE GOMES DE MEDEIROS
  • Assessment of safety in the use of vaccines in primary health care

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • FRANCIS SOLANGE VIEIRA TOURINHO
  • KISNA YASMIN ANDRADE ALVES
  • MARCOS ANTONIO FERREIRA JUNIOR
  • PATRÍCIA PERES DE OLIVEIRA
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 01-mar-2019


  • Resumen Espectáculo
  • The importance of safety in Primary Health Care services raises the need for studies on adverse events arising from medication errors, especially vaccines, which are frequently used at these sites. Therefore, the objective was to evaluate the safety of nursing care in the use of vaccines in primary health care. Methodological research, with a quantitative approach, divided into the following stages: 1) literature review - through national and international materials, ministerial manuals, laws, decrees, updated scientific articles, among others; 2) elaboration of a graphic protocol for the evaluation of safe nursing care in the use of vaccines in primary health care; 3) validation of content and appearance of the graphical protocol - which counted on the participation of twelve judges in Delphi 1 and eight in Delphi 2, with the completion of an electronic form made available by Google Forms. The relevance analysis of these items was by the Content Validity Coefficient (CVC) ≥ 0.78; 4) evaluation of vaccination rooms - occurred by the graphic protocol previously validated in its content and appearance, in 13 Health Units of the Family of Natal / RN / Brazil. The protocol was used in person, through the technique of non-participant observation, by two evaluators. The data collection period was from November 2016 to August 2018. The analysis of the data regarding the evaluation of the vaccination rooms was carried out using the instructions of the protocol itself and the Kappa coefficient, in order to demonstrate inter-observer reliability. All the steps of the research followed the ethical precepts with approval under Certificate of Presentation and Ethical Appraisal (CAAE) nº 59962316.8.0000.5537. The valid protocol in its content and appearance reached General Content Validity Coefficient (0.83) in Delphi 2. This value demonstrates that the instrument has reliability and reliability, with a recommendation of 75% of the judges for the application of the instrument in the practice of health services. The results and discussion are organized into four topics: patient safety in primary care, which identified a variety of patient safety actions at this level of attention, with emphasis on the importance of improving safety culture in primary care , using appropriate instruments to assess the safety culture in this context; the role of the nursing team in vaccine care, which allowed the listing of important aspects for the actions in the vaccine room, with emphasis on the need for professional training and supervision by the nurse. In the third topic, construction and validation of content and appearance of the graphic protocol, the evaluation of the judges considered valid the items of the instrument, with recommendation of its use in the primary care services. The fourth, safety assessment of nursing care in the vaccine rooms, identified unsafe care in seven investigated settings and partially safe care in five vaccine rooms. These results point out that nursing care with vaccines in Primary Health Care in the city of Natal presents fragilities capable of compromising patient safety. Thus, the periodic evaluation of the vaccine environments is necessary to detect factors that can affect the proper conservation of vaccines and their potency and efficacy, with damages to the health of the population. Thus, it is emphasized the importance of training and sensitization of the vaccinators to act according to the recommended norms, and the implementation of improvement cycles to qualify the services. It is also worth noting that further research in this area will be deepened to consolidate safe nursing practices in all vaccine contexts and to implement the public policies that involve the national immunization program.

     

3
  • MAYARA LIMA BARBOSA
  • CONSTRUCTION AND VALIDATION OF A VIRTUAL LEARNING OBJECT TO SUPPORT PENITENTIARY HEALTH EDUCATION. 

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • ANA LUISA PETERSEN COGO
  • GABRIELA MARIA CAVALCANTI COSTA
  • MARCOS ANTONIO FERREIRA JUNIOR
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 19-jun-2019


  • Resumen Espectáculo
  • This study aims to build and validate a Virtual Learning Object to support teaching on prison health. It is a methodological study, with a quantitative approach, developed from June / 2017 to March / 2019, whose stages followed the model proposed by Pasquali: theoretical, empirical and analytical procedures. Theoretical procedures included the identification of the contents that comprised the Virtual Learning Object, based on interviews with the health professionals of the Prison Basic Attention Teams and a scoping review. For the construction of hypermedia was considered the Pasquali reference for content elaboration, the organization followed the principles of Significant Learning Theory and the concepts of Instructional Design (ADDIE model). In the empirical procedures the content validation stages were carried out, in which the frame proposed by Pasquali, using the Delphi technique, was also adopted. This stage was carried out with experts through electronic form (Google forms), for the selection of the judges the criteria of eligibility proposed by Fehring were adopted. In the analytical procedures the analyzes were carried out regarding the agreement and the Content Validity Coefficient. The usability assessment was performed with nursing students, using the System Usability Scale and, in a complementary way, the Suitability Assessment of Materials, to measure the adequacy of educational material to the target audience. The ethical determinations present in Resolution 466/2012 of the National Health Council were respected, so a study was approved by the Research Ethics Committee of the Federal University of Rio Grande do Norte under CAAE 62825716.8.000.5537. From the interviews with the health professionals and the results of the scope review, the work process developed and the assistance practices carried out by the prison staff and the health condition of the persons deprived of their liberty are revealed. This information resulted in the structuring of the Virtual Object of Learning in seven screens, namely: presentation, concepts, legal apparatus, penitentiary system, work process, publications and final provisions / credits. The screens presented information regarding its theme, interactive text, reading suggestion for deepening and exercise. After the construction, content validation followed, in which 11 and 8 judges participated in the first and second rounds, respectively. After the first round of Delphi, the Virtual Object was reformulated and submitted to Delphi 2, where the agreement was 97.6% and Content Validity Coefficient equal to 1. In this study, the usability evaluation with the System Usability Scale obtained an average of 82.9 and Suitability Assessment of Materials of 88.36%. The Virtual Learning Object - Penitentiary Health had its content validated and the usability assessment satisfactory. In this sense, the future availability of educational material can foster and contribute to the teaching of prison health among health students.

4
  • AMANDA JÉSSICA GOMES DE SOUZA
  • Scale of adaptation to the care of the venous ulcer based on the roy model: construction and validation

  • Líder : ISABELLE KATHERINNE FERNANDES COSTA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • DANIELE VIEIRA DANTAS
  • ISABELLE KATHERINNE FERNANDES COSTA
  • MARIA ISABEL DA CONCEICAO DIAS FERNANDES
  • MIRIAN ALVES DA SILVA
  • Data: 19-jun-2019


  • Resumen Espectáculo
  • Methodological study, with the objective of constructing and validating a scale to measure the level of adaptation to venous ulcer care based on the Roy Adaptation Model. The research took place in two stages: definition and operationalization of the constructs, and theoretical and semantic analysis. In the first step, the scale items were constructed from the Roy Adaptation Model, two integrative reviews of the literature and the interview to people with venous ulcer. In the second stage, 24 judges were selected to judge the adequacy of the items, which underwent a grammatical lexical correction, and a pilot test was then carried out with 11 people with venous ulcer to evaluate the comprehension of the items. This stage was completed with a new submission to the judges. The theoretical validation process of the instrument followed the Pasquali reference and adopted the Delphi technique for its operationalization. The item with a Content Validity Index (CVI) ≥ 0.9 was considered valid. The present study obtained a favorable opinion from the Research Ethics Committee of the Federal University of Rio Grande do Norte, through CAAE nº 65941417.8.0000.5537 and 65941817.1.0000.5537. The first step resulted in the construction of the preliminary items of the instrument, with a total of 76 items divided into Roy's four adaptive modes, 28 items in the physiological mode, 16 in the self-concept mode, 21 in the role function mode and 11 in the interdependence mode. In the second stage, 14 judges participated in the Delphi 1 round. The percentage of items that presented IVC≥ 0.9, in each mode were: physiological 78%; self-concept 81.2%; real-life function 61.9%; and 100% interdependence. At the end of this stage, 17 intes were removed from the instrument, 11 were unified and 3 were relocated within the modes. After the lexical and grammatical correction, the scale was submitted to the pilot test and presented IVC≥ 0.9 in all items, except for one item that presented IVC≥ 0.8 but was not withdrawn but modified. Finally, the Delphi 2 round was performed with participation of 12 judges and the scale reached consensus with IVC≥ 0.9 in all items. The scale of adaptation to care with venous ulcer with theoretical validity is presented - IVC = 0.98, with 48 items in total, being 17 in the physiological mode, 14 in the self-concept mode, 4 in the real-life function mode and 5 in the interdependence mode. It is concluded that the Scale of adaptation to the care with venous ulcer has theoretical validity.

5
  • JESSICA DANTAS DE SA TINOCO
  • Efficacy of Virtual Clinical Simulation on Nursing Diagnostic Reasoning in Adult Health. 

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • HELEN CRISTINY TEODORO COUTO RIBEIRO
  • MARCOS VENÍCIOS DE OLIVEIRA LOPES
  • Data: 21-jun-2019


  • Resumen Espectáculo
  • Methodological study, with the aim to evaluate the efficacy of virtual clinical simulation, grounded on problem based learning, as an educational strategy for the Nursing diagnosis reasoning in adult health. The study was developed in four stages, namely: construction of the scenarios for virtual clinical simulation on diagnostic reasoning; content analysis of scenarios by specialists; development of the virtual learning object for clinical simulation; and application of virtual clinical simulation with undergraduate students in Nursing. The creation of the simulated scenarios was based on the literature, through diagnostic validation studies. The scenarios were analyzed by 22 experts in diagnostic reasoning and / or clinical simulation. The third stage allowed to allocate the scenarios in the virtual clinical simulation. After the final engineering, the virtual object was submitted to the test of its usability next to a team composed by eight students of Nursing and nurses. In the last step, the virtual clinical simulation strategy was tested by an experimental study with undergraduate students of the Nursing undergraduate course at a public university in Northeast Brazil. The students were randomized into the intervention and control groups. The intervention group was submitted to virtual clinical simulation and evaluated the quality of the virtual learning object. Data were analyzed using descriptive and inferential statistics. The project was approved by the research ethics committee, with favorable opinion nº 2.171.393. The results show that the simulated clinical scenarios were created by the responsible researcher, who were later judged by the specialists as relevant (CVI equal to or greater than 0.85). All the proposed diagnoses presented a high degree of accuracy, with an acceptable measurement for CVI and Kappa index. As a third step, the virtual learning object was developed. It presented good usability (final score of 87.81). In the experimental stage, the comparison of the intervention and control groups for diagnostic inference showed a significant increase in the number of correct answers for diagnostic inference (p = 0.008) and identification of related factors (p = 0.031) at the post-test stage of the intervention group. The prioritization of the diagnoses showed a statistically significant difference when the pre- and post-test moments (p = 0.08) were compared in the intervention group, as well as when the intervention and control groups were compared (p = 0.014). There was a greater difference in performance between the pre- and post-test in the scores of the students who participated in the intervention (p = 0.003). In addition, the virtual object obtained a high average quality score (4,66). Thus, it is concluded that the virtual clinical simulation grounded on problem-based learning was presented as an effective educational strategy for the nursing diagnosis reasoning in adult health. Moreover, the educational technology developed was attractive and favored the active and meaningful learning of the student.

6
  • FRANCISCA MARTA DE LIMA COSTA SOUZA
  • APPLICATION FOR MOBILE DEVICE AS  TOOL FOR ACCESSION OF PREGNANT TO PREGNANT

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • FATIMA RAQUEL ROSADO MORAIS
  • LEILA DE CASSIA TAVARES DA FONSECA
  • MARIA ALZETE DE LIMA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 28-jun-2019


  • Resumen Espectáculo
  • This is an experimental technological development study, followed by a randomized controlled trial, with the general objective of evaluating the use of a mobile application for smartphone as a tool in adherence to prenatal consultations and the following specific objectives: to develop a mobile application for smatphone as a tool in adhering to prenatal consultations; validate the mobile application for smartphones by judges in the area of women's health and information and communication technology; evaluate the effectiveness of the mobile application for smartphone in the adhesion prenatal consultations. The research will be conducted at the Basic Health Unit Armando Álvares Padilha in the municipality of Parnamirim, located in the state of Rio Grande do Norte. To achieve the proposed objectives, the study will be developed in three phases. First, we present the data related to the application development, according to the validation of the application by judges and later, the evaluation of the application in the adhesion to the prenatal consultations. The study will include 46 pregnant women registered in this unit and 10 judges. In compliance with Resolution 466/12, of the National Health Council, which guides research on human beings, the project was submitted and approved by the Research Ethics Committee of Federal University of Rio Grande do Norte under protocol CAAE no: 76787917.0.0000.5537 and Opinion no 2.356.769. It is believed that the use of technology can facilitate the approximation of pregnant women to the team of the Family Health Strategy, as well as health professionals, to the data that contribute to health indicators, since it is a further monitoring instrument, evaluation and possible improvement in the reduction of maternal and child deaths. The technological product will also be a support for pregnant women in order to facilitate access to information in any geographical environment. In the light of the above, the research presents a great relevance to the health area, specific to nursing, which acts directly with pregnant women in the prenatal period, allowing to know new models of prenatal technologies, and to evaluate their effectiveness in the adherence of these pregnant women to. With this, it is expected to improve the rate of prenatal care and to reduce maternal-neonatal morbidity and mortality associated with poorer behaviors in pregnancy. In addition to arousing the interest of nursing by the use and elaboration of technologies in the promotion of care.

7
  • CECILIA OLIVIA PARAGUAI DE OLIVEIRA SARAIVA
  • EVALUATION OF NURSING SAFE CARE IN NEONATAL INTENSIVE CARE UNITS.

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • HELEN CRISTINY TEODORO COUTO RIBEIRO
  • NILBA LIMA DE SOUZA
  • QUENIA CAMILLE SOARES MARTINS
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • WILIAM WEGNER
  • Data: 25-sep-2019


  • Resumen Espectáculo
  • The objective of this study was to evaluate safe nursing care in neonatal intensive care units. Evaluative research with quantitative approach, conducted in six hospitals in the metropolitan region of Natal / RN / Brazil. The study was subdivided into three methodological steps: 1) identification and mapping of Patient Safety in the Neonatal Intensive Care Unit, based on a scoping review; 2) elaboration of a safe care evaluation instrument, with subsequent validation of content and appearance; 3) evaluation of safe nursing care through a quasi-experimental, before-after study, with intervention. In step 1, a scoping review was performed in order to list the essential elements for safe nursing care. The construction of the assessment instrument (graphic protocol) of safe care (step 2) was based on the triad structure-process-result, with adaptations for neonatal care, supported by scoping review data. To validate the content and appearance of the graphic protocol, nurse judges were enrolled from a Lattes Platform search according to previously established inclusion criteria. The Delphi technique was used, divided into two steps (Delphi 1 and 2) and the validation process took place through an electronic form in Google forms. The relevance of the items was judged by the result of the Content Validation Coefficient. In step 3, for the measurement of safe care, a previously validated pre- and post-test instrument was used, interspersed with an intervention in the neonatal units. Data collection of this stage occurred from January to July 2019 through the non-participant observation of two trained evaluators and without interaction between them. The results were analyzed by descriptive statistics, thus the care classification was performed from the score listed in the graphic protocol. The Kappa coefficient was measured to assess interobserver agreement. All ethical precepts were respected and the project received approval from the Research Ethics Committee of the Federal University of Rio Grande do Norte, issued CAEE No. 64879717.4.0000.5537.Scoping review resulted in a total of 87 scientific productions, whose themes were subdivided into : Adverse Event Investigation (49; 56.3%) and Safe Practice Assessment / implementation (38; 43.7%). The construction of the protocol was based on these results. A structured checklist script was elaborated, consisting of ten items and 111 sub-items about the elements "structure, process and result". The protocol was considered valid for content, with Content Validity Coefficient of 0.97 in the second Delphi round. The overall estimate of the instrument for appearance validation was 0.99 at Delphi II. In addition, 100% of the judges recommended the use of the protocol after inclusion of suggested changes. In step 3, the process element presented the best compliance percentage, above 50% for all neonatal units. The process element varied so that those services that did not have the active patient safety center had their items considered inadequate (below 50% of compliance) in three services, in the first evaluation. The result element had the highest number of inadequacies (below 50% compliance in three intensive care units). In the metropolitan region of Natal, partially safe care prevailed, evidenced by 83.3% of NICUs with a protocol score between 7 and 13. It is concluded that, in the investigated services, nursing care is partially safe. Moreover, the evaluation, through the graphic protocol, was essential to identify problems that impact the safety of newborns. Similarly, the intervention played an important role in achieving improvements. However, it is necessary that these actions occur continuously to subsidize the practice of nursing professionals in the face of harm reduction.

8
  • ISABELLE CAMPOS DE AZEVEDO
  • FACTORS ASSOCIATED WITH HEMATOPOETIC STEM CELL RETRANSPLANT: A CASE-CONTROL STUDY

  • Líder : MARCOS ANTONIO FERREIRA JUNIOR
  • MIEMBROS DE LA BANCA :
  • ELEN FERRAZ TESTON
  • ALLYNE FORTES VITOR
  • MARCOS ANTONIO FERREIRA JUNIOR
  • OLECI PEREIRA FROTA
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 31-oct-2019


  • Resumen Espectáculo
  • This research has as object of study the cases of hematopoietic stem cell retransplantation (HSCR) performed in patients previously transplanted in a reference service for this procedure of high complexity in the state of Rio Grande do Norte. In this context, the present study aimed to analyze the factors associated with failure of hematopoietic stem cell transplants (HSCT) in patients undergoing retransplantation in a referral service in the state of Rio Grande do Norte from 2008 to 2018. The study It consisted of a quantitative, case-control, descriptive and analytical research. Data were collected from secondary sources, from the medical records of patients treated by the study service and were analyzed in order to verify the association between clinical and sociodemographic variables and the performance of HSCR among patients undergoing previous transplantation. To calculate the probability of association between the analyzed characteristics and gender, the chi-square trend test, Fisher's exact test and Mann Whitney test were used, according to each case. Bivariate and multivariate analyzes were used to assess the association between the selected variables and to estimate the magnitude of the odds ratio, respectively, using the Statistical Package for Social Sciences version 25.0. The significance level adopted was 0.05. The first part of the study was the construction of an analysis of the concept of HSCR. The Research Protocol was approved in its ethical and methodological aspects by the Research Ethics Committee of the Federal University of Rio Grande do Norte, with approval on April 12, 2019 under opinion 2,596,384 and CAAE: 80927417.9.0000.5537. For the concept analysis, the sample consisted of 31 studies. As a substitute term, “Second Transplant” and the related concept “Secondary Graft” were highlighted. The most frequent attributes, antecedents and consequences were, respectively: only option / form of treatment for graft rejection or failure; graft failure; and increased survival. Of the 84 patients surveyed in the case-control study, 28 (33.33%) were classified as cases and 56 (66.67%) as controls, with a mean age of 34.11, 51 (60.71%) were male, 65 (77.38%) lived in Rio Grande do Norte, 41 (48.81%) were married, 42 (50.00%) received care in the transplant sector for about 21 months, 43 (51, 19%; p <0.001) waited for up to 15 days from the beginning of the conditioning regimen until the first HSCT, the mean time to perform the HSCR was 14.74 months and 42 (50.00%) had a survival of about At 17 months, 35 (41.67%) died and the most prevalent causes were sepsis (28; 33.34%), multiple organ failure (14; 16.67%) and pulmonary infection (8; 9.52 %). Graft versus host disease (OR = 9.17; CI = 95%: 0.97-86.38; p = 0.040) proved to be a risk factor for HSCR. Bile acid is also directly related to HSCR (OR = 16.12; CI = 95%: 2.05-128.12; p = 0.001) and the use of immunosuppressive is a protective factor for HSCT (OR = 4.50; CI = 95%: 1.38-14.69; p = 0.009). The chance of patients with sepsis (OR = 6.03; 95% CI: 1.386-26.205; p = 0.017) using bile acid (OR = 24.32; 95% CI: 2.853-261-608; p = 0.004) and anticoagulant (OR = 3.12; 95% CI: 1.023-10.756; p = 0.046) performing HSCR is higher compared to patients who did not develop sepsis and do not use these medications. The average overall survival (SG) was 26.97 (p <0.001). This study provides relevant scientific evidence regarding risk factors for HSCR and patient survival. Sepsis, GVHD and bile acid are directly related to retransplantation and sociodemographic factors are also related to HSCR.

9
  • ANNA CLÁUDIA FREIRE DE ARAÚJO PATRÍCIO
  • Analysis of the health and disease conditions of homeless people

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • KHIVIA KISS DA SILVA BARBOSA
  • LUIPA MICHELE SILVA
  • MARIA ALZETE DE LIMA
  • MIRELLA ALVES DA CUNHA
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • Data: 13-nov-2019


  • Resumen Espectáculo
  •         This is a cross-sectional study conducted with 100 homeless people in the city of João Pessoa, Paraíba, with the objective of analyzing the health and disease conditions of homeless people. Data were collected between February and May 2018. For this purpose, a structured interview script, Self-Reporting Questionnaire Scale, Beck Anxiety Scale, Beck Depression Scale, Beck Desperation Scale, Resilience, Hamilton Depression Scale and HIV / AIDS Vulnerability Questionnaire. In addition, rapid tests for HIV, virus, hepatitis B and C were performed. One research was approved by the Ethics Committee on Research on Human Beings of the Federal University of Paraíba, according to opinion number 2456847. Initially, the questionnaire on vulnerability to HIV was validated. HIV, Tuberculosis, and other Sexually Transmitted Infections through Item Response Theory. To verify the influence of variables on the diagnosis of HIV and tuberculosis, perform the Weight of Evidence by measuring the Information Value. The latent class model and confirmatory factor analysis are also used to verify an association of variables with psychological, sociodemographic and behavioral factors. These procedures were performed with the aid of the software SPSS 19.0, Software R and MPLUS. It was found that 79% of respondents have common mental disorders, 37% mild, 29% desperate, 48% low resilience, 69% depression; 74% use drugs, 29% are HIV positive, 5% HIV, 1% hepatitis B, 75% do not use condoms in all sexual relations, 52% have sex with casual partners, 54% have sex with drug users, 71% suffered physical violence. An analysis using the Item Response Theory validated as reliable for measuring vulnerability to HIV, the following items: early diagnosis of STI (F = 0.473), partner with STI symptom (F = 0.518), drug use (F = 0.509), sex for money (F = 0.552), STI symptoms (F = 0.448), amount of sexual partner (F = 0.616), sharpening (F = 0.398) and being a victim of sexual violence (F = 0.347). Factors considered by the Weight of Evidence that influence HIV were: hopelessness, anxiety, time spent living on the street, age, oral sex. For tuberculosis found: hopelessness, resilience, dwelling time on the street, anal and oral sex. We highlight the Latent Class Model for three classes with Akaike Information Criterion of 1828.24, Bayesian Information Criterion of 1989.76, relative entropy of 95.89%, being interpreted as ≤ 30 years, men, single, low resilience, depression, 85% mental disorder, oral, anal and vaginal sex, anxiety symptoms and mild depression. A confirmatory factor analysis found a presence of factors that influence or harm homeless people, such as: sociodemographic, psychic and behavioral, with a Comparative Adjustment Index of 0.986; Tucker-Lewis Index of 0.982; Mean Square Root of Approximation Error Squares 0.022; Mean Square Index 0.075. Conclusion: The study allowed identifying factors that predispose to postponement and that can be inserted in the care provided as homeless people in order to find early factors that favor the postponement, minimizing them and providing the necessary assistance.

10
  • MARCELLY SANTOS COSSI
  • Effectiveness of the virtual learning object about diagnostic reasoning in obstetric nursing.

  • Líder : ANA LUISA BRANDAO DE CARVALHO LIRA
  • MIEMBROS DE LA BANCA :
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • BERTHA CRUZ ENDERS
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • CRISTYANNE SAMARA MIRANDA DE HOLANDA DA NÓBREGA
  • JESSICA DANTAS DE SA TINOCO
  • Data: 29-nov-2019


  • Resumen Espectáculo
  • Experimental study aimed to analyze the effectiveness of a virtual object on obstetric nursing, based on problem-based learning, for the diagnostic reasoning of undergraduate students. The search was performed in four steps: elaboration of the problems used in the virtual learning object; expert content analysis of problems; development of the virtual learning object and application of the virtual object in the experimental group. In the first stage, five problems were elaborated, in the form of clinical cases involving the contents of obstetric nursing. In the second stage, the problem contents were analyzed by 22 specialist nurses. The third step involved the development of the virtual object, which was tested through a usability test in order to identify possible problems. This test was performed by users using technology, who analyzed educational technology through the System Usability Scale. Then, the experiment was performed using the virtual object with undergraduate Nursing students from a public university in the Northeast of Brazil. Students were randomly assigned to intervention and control groups. The intervention group assessed the quality of OVA through the Learning Object Review Instrument 2.0
    instrument. Data were analyzed using descriptive and inferential statistics. The project was approved by the Research Ethics Committee of the institution in charge, under opinion No. 2,155,907 and Certificate of Presentation for Ethical Appraisal 69855917.1.0000.5537. The results showed that the five clinical cases created obtained acceptable agreement among the specialists. The virtual object was developed as a web application, written with HTML, CSS and Java Script language. It obtained excellent usability (SUS 85.5 score) among users. In the experiment, there was a slight improvement in the performance of the intervention group in identifying the indicators of the nursing diagnosis Ineffective breastfeeding, as well as better performance in writing it. Finally, the virtual learning object presented good quality with a high average score (LORI 4.88). Therefore, this strategy was promising and attractive for undergraduate nursing students. It was concluded that there was no difference in performance between the groups, as the application led to similar learning between them. This may be justified by the small sample size. Thus, further studies with larger samples are suggested.

11
  • EMANUELLA DE CASTRO MARCOLINO
  • NURSE'S APPROACH TO CHILDREN IN VIOLENCE: AN ANALYSIS OF THE THREE LEVELS OF HEALTH CARE.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • FRANCISCO DE SALES CLEMENTINO
  • GILSON DE VASCONCELOS TORRES
  • NILBA LIMA DE SOUZA
  • RAFAELLA QUEIROGA SOUTO
  • Data: 06-dic-2019


  • Resumen Espectáculo
  • The objective of this study was to analyze the approach of nurses (a) children and adolescents in situations of violence in the three levels of health care based on the line of care for children and adolescents in situations of violence. Analytical study with qualitative approach, conducted in the city of Campina Grande, Paraíba, in primary, secondary and tertiary health care services that assist children and adolescents in situations of violence. Approved by CEP/UFRN, Parecer: 2.456.493, CAEE: 80006417.2.0000.5537. The sample consisted of 76 nurses distributed: in primary care, working in the Family Health Strategy; in secondary care, in a municipal hospital for child and adolescent care in the reception, red room and pediatric ward sectors; in tertiary care, the nurses of the reception, red room, pediatric observation, pediatric ward and pediatric intensive care unit of a referral trauma hospital. Data were collected through sociodemographic form and recorded and transcribed semi-structured individual interviews. The collected data were analyzed by IRAMUTEQ software through Descending Hierarchical Classification, Similitude Analysis and Word Cloud. In Primary Care we obtained, from the lexicographic analysis classes, five categories named: Category I (Class 1) - Living and identification by the nurse of situations of violence with children and adolescents; Category II (Class 4) -Family context and violence; Category 3 (Class 5) - Health promotion actions by nurses; Category IV (Class 3) - Multidisciplinary team and services of the care network as support for the approach of the nurse; Category V (Class 2) -Capacitation and performance of the nurse facing the victim of violence. In Secondary Care emerged five categories defined as: Category I (Class 1) - Conducts directed to children and adolescents victims of violence in the service of medium complexity; Category II (Class 4) -Scope of medium complexity and actions of the nurse; Category III (Class 5) -Capacitation and the nurse's way of dealing with victims of violence; Category IV (Class 3) -Nurse's perception of the family context and the victim; Category V (Class 2) -Identification of violence against children and adolescents by nurses through nursing consultation; and for Tertiary Care the data produced six categories named: Category I (Class 1) - Reception, notification and follow-up of cases of violence; Category II (Class 5) -Nursing consultation: signs of identification of violence; Category III (Class 6) -Relation of the nurse with the relative; Category IV (Class 4) -Nurse training to approach children and adolescents victims of violence; Category V (Class 2) -Specificities of the service sectors in the highly complex service; Category IV (Class 3) -High complexity health service as a reference for situations of violence. The analysis of the three levels of health care identified weaknesses in the approach of nurses to children and adolescents in situations of violence regarding scientific and technical knowledge in undergraduate or training, in the identification of cases of violence, in relationships with victims and family, in articulation. multidisciplinary and intersectoral approach and in defining the internal flows of each It is concluded that the approach of nurses to children and adolescents in situations of violence needs qualification through specific professional training, definition of flows and protocols, articulation with the Forensic Nursing protection and advancement network for an advanced practice of nurses at victims of violence.

12
  • DEYLA MOURA RAMOS
  • SELF-ESTIMA ASSOCIATION, USE OF ALCOHOL, TOBACCO AND OTHER LIFE-QUALITY SUBSTANCES OF PEOPLE WITH HIV / AIDS.

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • ERIKA SIMONE GALVAO PINTO
  • FELISMINA ROSA PARREIRA MENDES
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • GILSON DE VASCONCELOS TORRES
  • MAURA VANESSA SILVA SOBREIRA
  • Data: 13-dic-2019


  • Resumen Espectáculo
  • It is noted that people affected by AIDS are targets of stigma, prejudice and social exclusion, concomitantly arise undesirable feelings, which can trigger mental illness. Assuming that self-esteem and the use of alcohol and other substances may be associated with alterations in the quality of life of people with AIDS, the following hypotheses are proposed: H1 - There is an association of self-esteem, the use of alcohol, tobacco and other substances. quality of life of people with HIV / AIDS accompanied by the Specialized Assistance Service. H0 –There is no association between self-esteem, use of alcohol, tobacco and other quality-of-life substances in people with HIV / AIDS accompanied by the Specialized Assistance Service. The objective of this study was to evaluate the association of self-esteem, the use of alcohol, tobacco and other substances with quality of life of people with HIV / AIDS accompanied by the Specialized Assistance Service, in Parnamirim / RN-BR. This is an analytical study, cross-sectional design and quantitative approach to treatment and data analysis, which aims to identify aspects related to quality of life, self-esteem and use of alcohol and other substances by people living with AIDS. The accessibility sample consisted of 150 people registered with Specialized Assistance Services. In the data collection process, four specific instruments were used, namely: 1. Questionnaire with sociodemographic characterization; 2. Medical Outcomes Study 36 instrument - item Short Form (SF-36); 3. Rozemberg Self-Esteem Scale; 4. Alcohol, Smoking and Substance Involvement Screening Test Questionnaire (ASSIST). Data obtained from the four instruments were initially entered in an Excel spreadsheet, version 2016, with a check for possible typing errors. These data were later exported to the Statistical Package for Social Science (SPSS), version 21.0. Descriptive analyzes were performed with absolute and relative frequencies of nominal variables, and minimum, maximum, mean (SD) and median scores of scalar variables. To assess the reliability of the SF-36 questionnaire and Rosemberg Self-Esteem Scale instruments, internal consistency analysis was performed using the Cronbach's alpha coefficient. The nonparametric association tests (Chi-square and Fisher's exact tests, Mann Whitney U test and Friedman's test) and correlation (Spearman's correlation test) were chosen and the p <0 level was adopted. 05 of statistical significance. All ethical precepts were respected and the project received approval from the Research Ethics Committee of the Federal University of Rio Grande do Norte, issued CAEE 01426918.4.0000.5537. It was found that more than half of the sample consisted of men (69%) aged up to 59 years, single (50%), monthly family income of up to 1 minimum wage, living in a rented house (37.3% ), with time of study according to high school (32%). Regarding the domains and dimensions of quality of life, it is observed that the Functional (80.3), Physical (66.7) and Emotional (60.4) Aspects obtained the best scores and Body Pain (24, 1) with the lowest score. Regarding the self-esteem scale according to gender, it can be verified that the female was better than the male, but without significant difference. In the distribution of substances used by people with AIDS, the highlight was alcohol 80 (53.3%), tobacco products 61 (40.7%) and marijuana 37 (24.7), mostly in males when compared with female. People with the lowest self-esteem achieved in some domains better quality of life, except in two dimensions, General Health and Body Pain. In conclusion, it is accepted the alternative hypothesis that there is an association of self-esteem, the use of alcohol, tobacco and other substances with quality of life of people with HIV and AIDS accompanied by the Specialized Assistance Service, showing that the quality of life has changed. according to the self-esteem of the interviewed individuals.

13
  • DANDARA NAYARA AZEVEDO DANTAS
  • Development of the concept Rehabilitation Nursing for the Brazilian context.

  • Líder : BERTHA CRUZ ENDERS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • BERTHA CRUZ ENDERS
  • CAROLINE EVELIN NASCIMENTO KLUCZYNIK
  • FRANCISCA GEORGINA MACEDO DE SOUSA
  • Data: 16-dic-2019


  • Resumen Espectáculo
  • Introduction: Rehabilitation nursing has not been widely established in Brazil. Many nurses are unaware of their role and importance as members of the rehabilitation team. It is believed that there is a conceptual gap in the area of nursing in rehabilitation in this country, which may be contributing to this problem. Objective: To develop the concept of Rehabilitation Nursing for the Brazilian context, based on the hybrid concept development model. Method: The Hybrid Concept Development Model was implemented in three phases: Theoretical, Field and Final Analytic. In the Theoretical Phase, 120 studies that described the practice of nurses focusing on rehabilitation were analyzed. The Field Phase was conducted at a University Hospital and a Specialized Rehabilitation Center (CER), both located in a northeastern capital of Brazil, through participant observations and semi-structured interviews with nurses, health team members, patients. and companions. Field Phase data were analyzed using Theoretical Phase results as the theoretical axis and Thematic Analysis as the methodological framework. In the final analytical phase, the results of the theoretical and field phases were compared, analyzed and integrated in the light of the Nursing Theoretical Model based on Life Activities, which allowed a definition of the concept. The research project was approved by the Research Ethics Committee (CEP) of the Federal University of Rio Grande do Norte (UFRN) with CAAE 03986518.0.0000.5537. Results: The facts show that Rehabilitation Nursing in Brazil can be defined as an educational and care process, developed by the nursing team, based on a systematized care that involves the patient, the family and the multidisciplinary team and aims at prevention. complications, promoting independence and autonomy in life activities, quality of life, adapting to a new life situation, social and family reintegration and / or well-being. Conclusion: It is believed that the hybrid approach allowed to expand and clarify essential aspects of definition and measurement of the concept under study, which favored the development of a concept that could be applicable in different contexts of professional practice in the Unified Health System (SUS).

     

14
  • GRACIMARY ALVES TEIXEIRA
  • Understanding family care for child with Zika Virus Congenital Syndrome: Grounded Theory.

  • Líder : BERTHA CRUZ ENDERS
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • BERTHA CRUZ ENDERS
  • ELISANGELA FRANCO DE OLIVEIRA CAVALCANTE
  • FRANCISCA GEORGINA MACEDO DE SOUSA
  • JOVANKA BITTENCOURT LEITE DE CARVALHO
  • Data: 16-dic-2019


  • Resumen Espectáculo
  • Introduction: Zika Virus Congenital Syndrome are congenital anomalies in the brain of children that can cause microcephaly, retarded cognitive, motor and speech development; cerebral palsy; epilepsy; irritability; dysphagia; changes in vision and hearing. Thus, care should be focused on the child's development according to its neurological and / or motor complications, through early stimuli. Thus, there is an indispensable need for family members to take care of the particularities inherent to these children, because the team of specialized professionals should stimulate the child's growth and development, but it requires the family to continue these stimuli in their daily life. Such considerations are important for nursing given the role that the Family Health Strategy nurse has in the home environment. Objective: To understand the family care process for child with Congenital Syndrome by Zika virus. Method: This is a descriptive and exploratory research with a qualitative approach, as Grounded Theory, which was used in the theoretical / philosophical reference Callista Roy and Leonardo Boff. The study was conducted at the Child Rehabilitation Center in Natal-RN, Brazil, with 19 participants in four sample groups: twelve mothers, three fathers, two physical therapists and two nurses, determined by the principle of theoretical saturation. Data were collected through in-depth interviews from April to October 2018, simultaneously analyzing the collection by the constant comparison method. In addition, it was part of the collection and analysis of data, memos and diagrams. In the data analysis we used the open, axial and selective coding procedures, according to Straus and Corbin, forming the theoretical model with the categories / components of actions-interactions, conditions and consequences. Results: the theoretical model: Understanding the care of the mother to the child with congenital syndrome by Zika virus in the family context of the child consists of five categories: Revealing family care, centered on the mother, to the child with congenital syndrome by Zika virus; Identifying the maternal attachment that determines the care for children with Zika virus congenital syndrome in the family context; Identifying the factors that hinder the care of mother to child with congenital syndrome by Zika virus; Recognizing the evolution of children with congenital syndrome by Zika virus through the care of early stimulation; Recognizing losses due to absence of farly stimulus for children with Zika Virus Congenital Syndrome. Final considerations: The phenomenon permeates the family care of children with mother-centered Zika virus congenital syndrome and come across the need for shared responsibility among family members. In addition, the theoretical model that explained the phenomenon: understanding the mother's care for the child with Zika virus congenital syndrome in the child's family context, guides nursing care in this process by strengthening the support network for the care of these children. . Thus, it is expected that this study will contribute to the science of nursing, and subsidize the qualification and vocational training.

2018
Disertaciones
1
  • PRISCILA FERNANDES MEIRELES
  • Effectiveness of fibrinolytic therapy for prehospital treatment of acute myocardial infarction

  • Líder : MARCOS ANTONIO FERREIRA JUNIOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • MARCOS ANTONIO FERREIRA JUNIOR
  • OLECI PEREIRA FROTA
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • Data: 22-feb-2018


  • Resumen Espectáculo
  • Fibrinolytic Therapy (TF) is the pharmacological treatment for myocardial reperfusion in patients with a diagnosis of ST-segment elevation myocardial infarction (STEMI) in accordance with the criteria of indication and contraindication. Its pre-hospital administration is associated with a significant reduction in mortality rates. This study aimed to describe the effectiveness of the use of TF in prehospital care for the treatment of patients with STEMI. Epidemiological research, with a quantitative approach, of the descriptive, analytical, observational, individuated type, performed through a sectional design. It was carried out in two stages in which the first occurred with the Mobile Emergency Service (SAMU) and Emergency Care Units (UPA) in the city of Natal/RN and the second in the services referenced as entrance doors of those units. Data were collected from secondary sources from March to October 2017. For this study, the effectiveness was related to the outcome of the patients, considered as clinical improvement, refractory AMI, reinfarction, worsening of the clinical picture or death. The data were organized in a spreadsheet using the Microsoft Excel® 2010 program, submitted to statistical analysis through the Statistic Package for Social Sciences - SPSS® version 20.0. Frequencies and measures of central tendency were used and association measures were applied (chi-square test). The level of significance was set at 0.05 (p <0.05). The Research Protocol of this study was approved in its ethical and methodological aspects by the Research Ethics Committee of the Federal University of Rio Grande do Norte under opinion no. 1.762.797 and CAAE no. 59963416.5.0000.5537. Of the 53 patients' charts of the final study sample, there was a predominance of care by the UPA with 88.68%, when 41.51% were discharged with clinical improvement still in the prehospital care, 37.73% were transferred to other services and 13.21% died. The main signs and symptoms at admission were precordialgia (84.62%), sweating (36.54%), dyspnea (26.92%), hypertension (19.23%), nausea (17.31%), malaise (17.31%) and emesis (13.46%). The main characteristic of chest discomfort was precordialgia (70.45%). The TF drug administered in all patients was tenecteplase. The median time to symptom-port was 180 minutes, symptom-reperfusion 300 minutes and needle-holder 160 minutes. As outcome, 74.47% had clinical improvement, 19.15% died, 4.25% refractory AMI and 2.13 reinfarction. The main characteristic of the clinical improvement was the reversal of precordialgia (68.57%), characterized as myocardial reperfusion criterion. Early administration of TF could still optimize the outcome of clinical improvement (100%) when performed within 3 hours. In 60.78% of the cases, there was no record of occurrences that could be related to the use of TF and among the occurrences after its use, 21.56% presented some bleeding. As a limitation, it was observed the insufficiency of important records. The present study presented scientific evidence of the effectiveness of TF with improvement of the clinical outcomes of patients who used it and the shorter times related to chest discomfort and the administration of TF were responsible for increasing the outcomes of clinical improvement and reducing the outcome of death.

2
  • CRISTIANE DA CÂMARA MARQUES
  • Association between the presence of the nursing diagnosis Risk of infection and the development of infections in hospitalized AIDS patients - Control case study

  • Líder : ALEXSANDRA RODRIGUES FEIJAO
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • ANA LUISA BRANDAO DE CARVALHO LIRA
  • ALINE RODRIGUES FEITOZA
  • Data: 26-feb-2018


  • Resumen Espectáculo
  • The need for hospitalization of people living with Acquired Immunodeficiency Syndrome makes patients more susceptible to Health Care Related Infections as well as death. Infections related to care are among the main causes of morbidity and mortality, considering a relevant public health problem. Faced with the need to identify the risk of infection and factors related to them, in order to recognize deficits and patient needs with AIDS and improve the quality of health care, this study aims to analyze the predictive value of risk factors nursing diagnosis risk of infection in patients with AIDS. This is a retrospective study, analytical, observational, case control study in Statistical and Medical Archive Service of the Hospital Giselda Trigueiro, located in Natal, in the state of Rio Grande do Norte. The case group was formed by 104 patients who presented infection related to health care. The control group consisted of 104 individuals who did not evolve to hospital infection during the hospitalization period. The collection was performed between April and August 2017 through an instrument divided into four parts: sociodemographic data; clinical data; hospital infection data; and Risk Factors of Nursing Diagnosis Risk of Infection. For data analysis, we used statistical inference by applying the Pearson chi square test, we calculated the odds ratios with 95% confidence interval, and the prevalence of infected patients. The accuracy of the risk factors of the diagnosis was measured by sensitivity, specificity and predictive values. The results were organized in tables and discussed with the pertinent literature. The study was approved by the Ethics Committee of the Federal University of Rio Grande do Norte, with Certificate of Presentation for Ethical Appraisal nº 46209215.0.0000.5537. The results showed that among the risk factors and prevalence of over 50% were identified: invasive procedure, changes in skin integrity, decreased hemoglobin, immunosuppression, abnormal peristalsis, chronic illness and leukopenia. There were three statistically significant associations with the nursing diagnosis investigated: three invasive procedures, altered skin integrity and decreased hemoglobin. Among those, the ones with the highest odds ratios were invasive procedure and altered skin integrity. The most sensitive risk factor was the invasive procedure and alteration in skin integrity and the suppressed inflammatory response and chronic disease were more prominent. It is concluded that the identification of accurate clinical indicators assist in the decision making of the nurse, which will facilitate the early identification of risk factors for developing an infection during care provided to people living with acquired immunodeficiency syndrome, thus ensuring patient safety.

3
  • ROMEIKA CARLA FERREIRA DE SENA
  • Prevalences and factors associated with suicidal ideation, depressive states and work satisfaction among nursing professionals in urgency and emergency hospital assistance in hospitals in Rio Grande do Norte

  • Líder : FRANCISCO ARNOLDO NUNES DE MIRANDA
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRA RODRIGUES FEIJAO
  • FRANCISCO ARNOLDO NUNES DE MIRANDA
  • JOAO MARIO PESSOA JUNIOR
  • KARINA CARDOSO MEIRA
  • Data: 28-feb-2018


  • Resumen Espectáculo
  • Introduction: Among the precarious working conditions, many nursing professionals who work in the emergency and emergency hospital network are subjected to high levels of stress, putting at risk physical and mental health. Objective: To analyze the prevalence and factors associated with suicidal ideation, predisposition to depression, and job satisfaction with sociodemographic, occupational and suicide risk factors among nursing professionals from the emergency and emergency (EU) sectors of regional hospitals in Rio Grande From north. Method: A cross-sectional study involving 56 nurses and 91 nursing technicians (n = 147) from the Public Hospitals of the Network of Emergency and Emergency Care of the II, IV and VII URSAP / RN. Data collection took place from January to November 2017, using four instruments: Socio-demographic, Occupational Characterization and Risk Factors for Suicide, Beck Depression Inventory, Beck Suicidal Ideation Scale, Satisfaction Scale in the Work by Martins. Data were entered in a Microsoft Excel® v.2016 worksheet and checked by double entry. Descriptive analysis (absolute and relative frequencies, measures of central tendency and dispersion), univariate analysis (Pearson's Chi-square test or Fisher's exact test, Likelihood ratio, Student's t test, Mann-Whitney U test or Kruskal Walliss, depending on the presence of normality of the variables) and multivariate analysis (the prevalence ratio and confidence intervals -IC95% were calculated using Poisson regression with robust variance). The software SPSS v.20 and Package R v.2.7.1 were used. The level of significance was 5%. The research project was approved by CEP / UFRN under Opinion No. 1,877,910 of December 21, 2016 and CAAE: 62824216.6.0000.5537. Results: Suicidal Ideation (IS) was identified in 4.8% (n = 7) of the participants, and depressive states - minimum: 86.4% (n = 124), mild: 12.2% (= 18), moderate: 1.4% (n = 2). Mean overall satisfaction at work: 85.7% (n = 126) indifferent, 10.9% (n = 16) satisfied, 2% (n = 3) dissatisfied and 14% (n = 2) very dissatisfied. There was a statistically significant relationship between: IS and the variables sexual orientation (p = 0.006), low self-esteem (p-value = 0.010) and depressive states (p = 0.012). Depressive states and last training on emergency situations (p = 0.041), evaluation of family relationship (p = 0.012), self report of low self-esteem (p = <0001) and hopelessness (p = 0.001); Average overall job satisfaction with average length of service in the EU area (p = 0.016), living with the family (p = 0.015) and having a family member who attempted suicide (p = 0.024). The adjusted models showed that heterosexuals were 0.60 less likely to develop IS when compared to homosexuals (95% CI -0.44-0.83). Those with low self-esteem had 1.17 higher odds of developing IS (95% CI -1.02 - 1.34). Individuals with a poor family relationship (95% CI -3.87-12.30) and low self-esteem (CI 95% -2.07-10.57) were more likely to present mild / moderate depressive status, 1.35 and 4, 76 respectively. Conclusion: It is evidenced that the nursing professionals of this study presented processes of mental illness in the context of the hospital emergency and emergency service. Specifically, suicidal ideation and depressive states have been associated with personal and collective factors of the work environment. It is suggested the development of analytical studies that can mainly evaluate the issues of self-esteem and social support, in order to reach new evidences.

4
  • HELOIZA TALITA ADRIANO DA SILVA
  • Selfcare of the user with diabetes inside the primary health care.
  • Líder : REJANE MARIA PAIVA DE MENEZES
  • MIEMBROS DE LA BANCA :
  • ALEXSANDRO SILVA COURA
  • ANA ANGELICA REGO DE QUEIROZ
  • ERIKA SIMONE GALVAO PINTO
  • REJANE MARIA PAIVA DE MENEZES
  • Data: 29-may-2018


  • Resumen Espectáculo
  • The diabetes mellitus is among the chronic diseases of the highest global impact regarding health. It is one of the main causes of mortality in Brazil, probably a reflex of the population’s current profile, a consequence of demographic changes, with high prevalence and low control rates, in the adult population. Therefore, there is the need of a higher focus in the actions of control, prevention and early detection of the cases, in order to diminish complications. With this in mind, the afflicted patients must be modifying agents of their health, and it is possible to foresee in the actions of selfcare a path in the pursue of more health, damage reduction and improvement in the quality of life.  The study’s objective is to analyze the actions of selfcare accomplished by the patients with Diabetes Mellitus, that were treated in the primary health care. It is a descriptive, exploratory study with a quantitative approach. The testing place was on the Units of Family Health Strategy (FHS), from the North and South sanitary Districts of Natal. It was used a random, stratified sample with a confidence interval of 95% and margin of error of 5%, corresponding to 379 diabetics, and a total of 387 researched patients. The subjects had a diagnosis of diabetes at 18 years old, registered in the researched Health Units. A Term of Consent was used, according to the Resolution 466/12 of the National Health Council. The instruments used were two: the first, having questions about the unit’s characterization, alongside the administrator; and, the second, made by two parts: the first, with socioeconomical variables and the second, containing questions about the activities of the selfcare with diabetes (QAD). The descriptive statistical analysis, with average, medium, standard deviation and the Student’s application of a parametric test t for a significance level of 5%, regarding the comparison of the QAD items by region. The gathered data were analyzed from the software Statistica SPSS, version 20.0. The results showed that by studied region the majority of the interviewed were from the North District (91.73%), the predominance of an age group higher than 60 years old (53.23%), female (71.06%), married (49.87%), with more than five years of diabetes diagnosis (53.75%), that did not attend to the support meetings (90.44%), mostly because there was no reunion at all inside the Health Unit (32.29%). The majority affirm to know about the selfcare (50.13%) and carry out selfcare actions regarding diabetes (68.22%). In relation to the results about selfcare with diabetes (QAD) based on the seven days of the week, the items related to medication had higher number of days of executed actions (6,39), meanwhile the actions related to physical activity (1.10) and glycemia control (0.97), were the least executed actions. When compared to the researched districts the evidences about statistical differences, based on the seven days of the week related to following a healthy diet (4.94), ingesting red meat and/or whole milk derivatives (3.34) and accomplish physical activities for at least 30 minutes (2.56). The results pointed out the most and least accomplished selfcare activities by the disease carriers, as well as, the existing difficulties, and indicate a few characteristics of the health units, that can hamper the daily support alongside the patients These results contribute to an improvement of the patient’s care, by identifying the mainly difficulties in the selfcare actions, as well as make it possible to identify the need of care protocols guided towards the patient’s selfcare.

     

5
  • WENYSSON NOLETO DOS SANTOS
  • Concept analysis of nursing diagnosis ineffective health control in people living with AIDS

  • Líder : RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MIEMBROS DE LA BANCA :
  • RICHARDSON AUGUSTO ROSENDO DA SILVA
  • MARIA ALZETE DE LIMA
  • RUDVAL SOUZA DA SILVA
  • Data: 09-nov-2018


  • Resumen Espectáculo
  •  

    This is a concept analysis, according to the Walker and Avant method, operationalized through integrative review, aiming to analyze the concept of nursing diagnosis ineffective control of health in people living with AIDS. To do so, we searched the databases: Scopus, Cinahl, PubMed, Web of Science, Science Direct, Cochrane and Lilacs, using the descriptors: Cooperation and Adherence to Treatment; adherence to medication and acquired immunodeficiency syndrome. Data collection was performed between January and March 2018, by a pair of researchers. The initial sample was 7693 articles, 1,029 in Scopus, 427 in CINAHL, 3,673 in PubMed, 1,280 in the Web of Science, 646 in Science Direct, 354 in Cochrane and 284 in LILACS. Next, the inclusion criteria were applied to refine the search, ie: articles available in the selected databases in Portuguese, English or Spanish; studies that respond to the proposed guiding questions. The following exclusion criteria were applied: prior notice, protocols, ongoing research, reviews, editorials and letters to the editor. After the application of the established criteria, a final sample of 46 articles was obtained, 14 in Scopus, 3 in Cinahl, 8 in PubMed, 6 in Web of Science, 5 Science in Direct, 7 in Cochrane and 3 in Lilacs. Five attributes, 34 antecedents and 17 consequent ones were identified. The concept was defined as: a dynamic and multifactorial process that involves physical, psychological, behavioral, socio-cultural, environmental and economic aspects related to the difficulty of following the therapeutic plan agreed between the person / caregiver and the health professional, negatively affecting their condition clinical and quality of life; and bringing personal, social and economic consequences to people living with AIDS. The definition of NANDA International for the diagnosis Ineffective control of health and its components need a complementation, aiming at a better targeting of care to people living with AIDS. It is necessary to carry out other studies on this subject and future research is intended to validate content and clinical validation of the concept of ineffective health control in people living with AIDS. Finally, this study may represent an advance for the literature on the subject by synthesizing, defining and analyzing the phenomenon of ineffective health control in people living with AIDS.

6
  • SANDY YASMINE BEZERRA E SILVA
  • EVALUATION OF THE IMPLEMENTATION LEVEL OF THE TUBERCULOSIS CONTROL PROGRAM IN THE CITY OF NATAL / RN

  • Líder : ERIKA SIMONE GALVAO PINTO
  • MIEMBROS DE LA BANCA :
  • ALINE ALE BERALDO
  • ERIKA SIMONE GALVAO PINTO
  • EWERTON WILLIAM GOMES BRITO
  • MARIA DE LOURDES COSTA DA SILVA
  • NILBA LIMA DE SOUZA
  • Data: 13-nov-2018


  • Resumen Espectáculo
  • Introduction: The National Tuberculosis Control Program aims reduce morbidity, mortality and transmission of the disease through prevention, diagnosis and treatment. Tuberculosis control is the responsibility of all spheres of government, which should promote the adequate implementation of tuberculosis control programs and ensure the user's access to the health care network. Objectives: The general objective of this study was is evaluate the implementation level of the Program of Control of Tuberculosis in Primary Health Care in the city of Natal, Rio Grande do Norte. The specific objectives were: develop a logic model of the Tuberculosis Control Program focusing on the structure and process dimensions and identify the implementation of the Tuberculosis Control Program in Primary Health Care in the city of Natal, Rio Grande do Norte. Method: This is an evaluative research, with a quantitative approach, with emphasis on the level of program implementation, using Avenis Donabedian's health evaluation as a theoretical-methodological reference. The study population consisted of primary health care nurses from Natal/RN distributed in the 54 Health Units of the municipality. The inclusion criteria used were: nurses working in the professional period in the period of collection of the research and who performed actions in the control of Tuberculosis. The Barbetta formula was used to calculate the sample of Health Units, considering a sample error of 5% and a 95% confidence interval, resulting in 48 Health Units and a participation of at least 02 nurses per unit, totaling 96 nurses. Data collection was carried out from November 2017 to February 2018 through a questionnaire based on the Manual of Recommendations for Tuberculosis Control in Brazil, consisting of questions on the professional characterization and on the structure and process dimensions of the Tuberculosis Program . The data were organized and analyzed through the Statistical Package for the Social Sciences (SPSS), version 22.0 IBM, using descriptive statistics in absolute and relative numbers. In order to analyze the implementation of the Tuberculosis Control Program in the city of Natal, the dimensions (structure and process) and its sub-dimensions were considered (human, structural and material resources; operational activities, health education and information systems). Regarding the evaluation of the level of implantation, 31 criteria were selected and the percentage of responses identified were distributed in four classifications: Not implemented (from 0% to 25%); Incipient (26% to 50%); Partially implanted (from 51% to 75%); Implanted (76% to 100%). Results: The construction of the logic, model allowed the identification of the structural organization, the activities developed and the expected results of the program. Of the 96 nurses selected in the sample, 08 were distant from their activities during data collection, 06 refused to participate in the study and in two units there were only 02 nurses responsible for the activities of the unit, totaling 80 participants. From the data collected, it was possible to identify the level of implementation of the Tuberculosis Control Program in Natal RN, which was classified as partially implanted (62.85%). The structure and process dimensions were also classified with the same degree of evaluation (61.80% and 63.17%, respectively). In the structure dimension, material resources were classified as implanted (86.92%), human resources as partially implanted (55.00%) and structural resources, with incipient implantation (49.58%). As for the process dimension, the operational activities obtained the degree of partially implemented (59.26%), health education activities, incipient (36.88%) and information system activities were classified as implemented (87.00 %). Conclusion: The logic model of the Tuberculosis Control Program that was built allowed an understanding of the organization of the program and subsidized the evaluation process. The identification of the criteria related to the structure and process made it possible to identify the level of implementation of the program in the municipality of Natal as partially implemented, which highlights the need for improvement for its proper operation. It is necessary structuring the spaces destined to the care of this clientele, as well as the integrality in the assistance, with greater participation of the other professional categories, besides the intensification of the activities of health education.

7
  • MANACÉS DOS SANTOS BEZERRIL
  • Perceptions and experiences of teachers of the health sciences center on teaching of patient safety

  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • MARCOS ANTONIO FERREIRA JUNIOR
  • QUENIA CAMILLE SOARES MARTINS
  • ANA LUISA PETERSEN COGO
  • Data: 05-dic-2018


  • Resumen Espectáculo
  • With a view to stimulating broader professional training regarding patient safety, the World Health Organization has launched the Multiprofessional Curriculum Guide on Patient Safety to encourage the introduction of the theme in the activities carried out by teachers in educational institutions and encourage their insertion in teaching. Therefore, it is relevant to understand how the patient's understanding of patient safety is verified, as well as to verify if the theme is present in the training of the different courses in the health area of the institution under study. Therefore, the guiding question of this study was: what are the perceptions and experiences of health professors from a federal university about teaching patient safety? And, it aimed to identify the perceptions and experiences of teachers of the Health Sciences Center of a federal university on the teaching of patient safety. It is a descriptive study, with a mixed approach; the research scenario was the Federal University of Rio Grande do Norte, and involved the professors of the departments of the Health Sciences Center, the sample was stratified type and had 96 participants. For the collection of data was used the Google Forms or printed form composed by the characterization data of the participants and open questions about the experiences and perceptions of teachers for patient safety. Data analysis was carried out in a simple descriptive way and we used the Descending Hierarchical Classification and similarity analysis with the aid of the Interface Software of R for Multidimensionnal Analyzes of Textes et de Questionneires. The study is in accordance with the ethical precepts established by Resolution No. 466 of December 12, 2012, of the National Health Council and had its approval authenticated by the Consubstantiated Opinion of the Research Ethics Committee of the Federal University of Rio Grande do Norte, nº 2.454.034, Certificate of Presentation for Ethical Appreciation: 80929617.1.0000.5537. Among the participants in the courses, physical education (7.4%), nursing (8.3%), pharmacy (7.4%), physiotherapy (7.4%), speech therapy (3.1%) , medicine (42.7%), nutrition (6.0%), dentistry (12.5%) and collective health (5.2%). From the processing of the Descending Hierarchical Classification, five classes emerged: perceptions about patient safety; actions to include patient safety in academic training; difficulties to implement patient safety in the training process; theoretical and practical improvements in teaching patient safety; experiences with patient safety in teaching and research. It was concluded that the teachers of the Health Sciences Center understand the relevance of inserting patient safety as a cross-cutting theme in the teaching-learning process in the most diverse academic levels, as a way to enhance the training of future and current health professionals, and therefore provide effective, safe and quality care.

8
  • FLAVIA BARRETO TAVARES CHIAVONE
  • Construction and validation of contents of the prototype of a serious game to support the teaching of patient safety in nursing 
  • Líder : VIVIANE EUZEBIA PEREIRA SANTOS
  • MIEMBROS DE LA BANCA :
  • VIVIANE EUZEBIA PEREIRA SANTOS
  • MARCOS ANTONIO FERREIRA JUNIOR
  • PETALA TUANI CANDIDO DE OLIVEIRA SALVADOR
  • ANA LUISA PETERSEN COGO
  • Data: 07-dic-2018


  • Resumen Espectáculo
  • Patient safety stands out as a current area of great relevance to the care provided by the health sector, so it is imperative that the teaching of this subject be carried out in a transversal and effective way, mainly subsidized by digital technologies with the purpose of meeting the students' current demands. In the meantime, this study establishes the following guiding question: what contents are valid to compose a Serious game to support the teaching of patient safety? And, it aims to build and validate the content of the prototype of a Serious game to support the teaching of Patient Safety in Nursing. This is a quantitative approach methodological study for the construction and validation of content of a Serious game. For that, it was based on the proposal of Pasquali, that is to say: theoretical procedures, in which a search in the scientific literature was carried out through a Scoping review, to elucidate the relevant themes for construction of the contents that composed the educational resource; procedures, which was done by the construction of the content, the instrument for its validation via Google Forms and the Delphi stages. Finally, the analytical procedures, in which the calculation and analysis of the content validation coefficients and level of agreement were performed. The study is in accordance with the ethical precepts established No. 466, of December 12, 2012, of the National Health Council and had its approval authenticated by the consubstantiated opinion of the research ethics committee of the Federal University of Rio Grande do Norte, nº 2.455. 166, CAAE: 80922917.0.0000.5537, dated December 22, 2017. It was found that teaching of patient safety is based mostly on aspects related to the international goals established by the world health organization. In this scenario, it was proposed game scripts based on international goals, in which the player will motivate himself to seek his knowledge with the loss and gain of the scores, as well as immediate feedbacks and the end of the game. After the construction of six scripts, the Delphi I and Delphi II stages were validated, at the end of the stages the level of agreement between the judges was calculated, which presented values above 80% and content validation coefficient above of 0.8. It is concluded that the constructed scripts are valid in their content for construction of the prototype of the Serious game. However, it should be noted that in addition to content validation, it is necessary for the educational resource to undergo other validation steps such as use and effectiveness in order to prove its effectiveness in teaching patient safety.

9
  • DANIELLY OLIVEIRA PITOMBEIRA
  • ANALYSIS OF HYPOTHERMIA IN CARDIOPATHIC PATIENTS

  • Líder : ALLYNE FORTES VITOR
  • MIEMBROS DE LA BANCA :
  • ALLYNE FORTES VITOR
  • ANA CARLA DANTAS CAVALCANTI
  • DANIELE VIEIRA DANTAS
  • MARIA ALZETE DE LIMA
  • Data: 11-dic-2018


  • Resumen Espectáculo
  • Hypothermia is defined as the core body temperature below 36 ° C, which may be present regardless of temperature, if the patient reports cold sensation and / or presents with tremors, peripheral vasoconstriction and piloerection. Unintentional hypothermia is the focus of this research and was observed in patients with heart disease who did not undergo a surgical procedure. This is a retrospective cohort study with computerized charts, whose main objective is to analyze the phenomenon of hypothermia in patients with heart disease between the admission period and the occurrence of this outcome. All medical records of the patients admitted to the cardiology unit for adults of a university hospital in the Brazilian Northeast, from August 2016 to July 2018 were considered. The collection resulted in 1006 records, of which 645 were hospitalized for heart disease. These were analyzed and 109 were selected because they met the eligibility criteria previously established and therefore are present in this study. Data were collected from July to September of 2018 through the use of an instrument with sociodemographic, clinical data and nursing diagnosis indicators Hypothermia. Data were categorized and organized into a spreadsheet built in Microsoft Excel for Windows and exported to statistical package for simple frequency analysis, central tendency and variability measures, Chi-square test, Fisher, relative risk calculation, Kolmogorov-Smirnov test et de Student. The results showed that 45% of the sample presented hypothermia on the second follow-up day. Concerning the sociodemographic characterization, there was a greater frequency of males, with 61.4% of the total studied. Regarding the age group, 55.9% were younger than 60 years. Regarding schooling, 33% attended incomplete primary education, followed by 20.2% with complete medical education and 19.3% with no literacy. Regarding marital status, 66% of the sample lives with a partner. Regarding the place of birth and residence, 67.8% were born in the interior of the state and 51.3% live in the interior. Regarding the days of hospitalization, an average of 18 days was obtained. From the charts analyzed, 60.5% of the patients did not perform cardiac surgery. Regarding drug therapy, analgesic use was observed in 95% of patients, followed by antihypertensives with 69.7% and beta-blockers with 63.3% of the total studied. There were difficulties in obtaining records of anthropometric measurements in the medical records, with 62.3% of the missing height data and 34.8% of the absent weight data during the follow-up period. This study reinforces the need to develop instruments to improve care management regarding hypothermia in patients with heart disease.