Disertación/Tesis

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2023
Disertaciones
1
  • AMANDA PEREIRA FERREIRA
  • USE OF THE CITIZEN'S ELECTRONIC RECORD IN THE MUNICIPALITY OF PARNAMIRIM-RN: PERCEPTION OF PRIMARY HEALTH CARE PROFESSIONALS

  • Líder : DANY GERALDO KRAMER CAVALCANTI E SILVA
  • MIEMBROS DE LA BANCA :
  • DANY GERALDO KRAMER CAVALCANTI E SILVA
  • EWERTON WILLIAM GOMES BRITO
  • LUIZ ALVES MORAIS FILHO
  • HELLYDA DE SOUZA BEZERRA
  • Data: 07-mar-2023


  • Resumen Espectáculo
  • The use of information technology in the health area is growing and there are countless possibilities and benefits related to its use. PEC is a software developed with the objective of integrating and sharing health information in the context of Primary Care, qualifying the clinical record and enhancing disease prevention, health promotion and care management by teams in Basic Health Units. The research aimed to analyze the perception of Primary Health Care professionals about the implementation process and use of the PEC. Survey-type, exploratory and longitudinal study, with a quantitative approach, with professionals working in Primary Health Care (PHC) in the city of Parnamirim (RN) as study participants. For data collection, an adapted questionnaire was used with assertive questions standardized on a Likert-type agreement scale. The data obtained through the completed questionnaires were typed and tabulated in the SPSS 26.0 software and analyzed based on descriptive statistics and inferential analysis using Pearson's chi-square test (x²), assuming a significance of 5% (p≤0 .05). Most respondents were female (76.6%), aged between 31 and 50 years (61.7%). Of those interviewed, 67% agreed that PEC is easy to use, 75% agreed that PEC allows you to complete tasks faster, 75% said that PEC ensures better job performance. Overall, 96% agree that PEC is useful for work. Through the analysis of Pearson's chi-square test (x²), a relationship was verified between the improvement of work performance, with the ease of use of the system, little time to learn it, as well as the little effort for its understanding, thus contributing to services carried out quickly and productivity gains. Therefore, it can be inferred that the use of the PEC was well accepted by the professionals, bringing greater agility and efficiency to the work in AB. In this sense, it is important that managers and professionals articulate spaces for discussion about the use of this tool, since it is necessary to regulate the use of technology to enjoy its benefits.

     

2
  • MARIA DA LUZ BEZERRA CAVALCANTI LINS
  • QUALITY OF THE RECORDS IN NURSING CARE FOR PEOPLE WITH VENOUS ULCER IN PRIMARY HEALTH CARE

  • Líder : DANY GERALDO KRAMER CAVALCANTI E SILVA
  • MIEMBROS DE LA BANCA :
  • FRANCISCA JACINTA FEITOZA DE OLIVEIRA
  • DANY GERALDO KRAMER CAVALCANTI E SILVA
  • GILSON DE VASCONCELOS TORRES
  • THIAGO GOMES DA TRINDADE
  • Data: 17-mar-2023


  • Resumen Espectáculo
  • Chronic injuries cause physical, psychological, social and economic changes for the individual/family, in addition to compromising health services, due to their chronicity. Proper recording of these injuries favors monitoring the evolution of the case, favoring comprehensive care. Thus, the objective was to analyze the quality of records of venous ulcers (VU) in health units in Natal-RN. An exploratory and longitudinal survey study was carried out, with a quantitative and qualitative approach. Nursing professionals who treat users with VU participated, representing 23 basic health units in the municipality. A questionnaire was used for data collection (sociodemographic aspects and records of care for people with VU), applied on the Google Forms platform. Most respondents were women (93.9%); aged between 20 and 45 years (63.9%). With regard to nursing care records, 30.30% did it properly, addressing the affected limb, the edges and the wound bed. About the evolution of the lesion and the frequency of changing the dressing, 15.15% recorded it properly. About the guidelines, 21.21% instructed about healthy habits and risk of relapse. Furthermore, 54.54% of respondents consider their records inadequate. Thus, it is necessary for managers and professionals to articulate spaces for discussion on the implementation of public policies that favor human and material resources to effectively meet the demand, because in order to face the various health problems, whether morbidity or mortality, it is necessary to a reliable information base that sustains and directs decision-making.

3
  • JOSÉ SATURNINO DA SILVA
  • Dental prenatal care in large municipality in the northeastem Brazil”

  • Líder : EWERTON WILLIAM GOMES BRITO
  • MIEMBROS DE LA BANCA :
  • DANIELA MENDES DA VEIGA PESSOA
  • EWERTON WILLIAM GOMES BRITO
  • JOSE ADAILTON DA SILVA
  • Data: 24-mar-2023


  • Resumen Espectáculo
  • The dental prenatal care (PNO) in the family health strategy (ESF) has as its initial milestone for its institution the guidelines of the national oral health policy published in 2004, which encouraged the expansion of dental services for pregnant women. Prenatal dental care in Brazilian municipalities has faced numerous barriers to its consolidation. The coverage of this service is still considered low, and dentists find it difficult to be included in the teams that provide care to pregnant women, performing the care in isolation, focusing on curative actions. This work aims to know how the dentists of the family health strategy (ESF) of the city of Parnamirim/RN have performed the dental prenatal care. This is a quantitative and descriptive study with a cross-sectional design, carried out with 36 dentists. The data were collected from a semi-structured questionnaire, prepared by the researcher and guided by the current literature, using a Likert scale, with the objective of questioning the dental surgeons about conceptions, behaviors and work processes during the dental prenatal care within the ESF. The Microsoft Excel program was used for tabulation and analysis, with the support of the free software R Studio. It was found that 86% of the participants perform dental care to pregnant women, 39% of them eventually contemplate both individual and collective actions in their practice. For 44% of the interviewees, the educational actions are performed more frequently than the curative actions; 75% do not perform home visits to puerperal women, and 50% do not participate in groups for pregnant women. It is concluded that it is necessary to enhance the use of tools or strategies to increase the adherence of pregnant women to the PNO, there is a need for balance between the actions performed, whether collective, individual, curative or preventive. Practices that mainly involve interprofessional planning and joint actions, such as groups for pregnant women, shared consultations, and puerperal home visits are not consolidated in the routine of the dental surgeons of the municipality’s ESF.  The permanent/continuing education involving the theme needs to be included in the professionals’ calendar, however, it has been given little or no value by the management.

4
  • IONE CLÉA DA COSTA MORAIS
  • CONCEPTIONS AND CHALLENGES FOR THE ORGANIZATION OF PALLIATIVE CARE IN THE CONTEXT OF THE FAMILY HEALTH STRATEGY IN A MUNICIPALITY IN THE NORTHEAST OF BRAZIL

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • JOÃO BOSCO FILHO
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • Data: 28-mar-2023


  • Resumen Espectáculo
  • Palliative Care is part of the activities and actions of Primary Health Care and must contemplate the continuous and integrated care offered in the ambit of the Health Care Network. One of the challenges for the professionals who compose Primary Health Care is to reorganize themselves in order to meet the growing demands of users who need palliative care. The interest in the theme arose from professional experience as a nurse in a basic family health unit in the second largest municipality in the state of Rio Grande do Norte in northeastern Brazil, where the following questions were raised: how is primary health care in the municipality developing palliative care?  What is the understanding of professionals about this care?  Raising these questions is pertinent, as it worries professionals so that they can identify the existing weaknesses and how they can be improved, thus contributing to a better assistance for this public. The present study is linked to the research line on Care Attention and Care Management of the Professional Master's Degree in Family Health. It is a qualitative research, of exploratory and descriptive nature, with the purpose of understanding what knowledge, practices, support and difficulties the professionals/managers face in the practice of palliative care in their daily work. The research was carried out with 15 professionals, 11 of whom are assistance professionals and 4 management professionals. The method of analysis of the empirical data obtained from the interviews was the content analysis, based on 3 thematic categories: a) Understanding of palliative care (divided into two subcategories: a.i) What is palliative care; and a.ii) The benefits of palliative care and for whom it is intended); 2) The knowledge and practice of palliative care in the reality of the ESF; 3) Supports and challenges for a palliative care practice in the ESF. It was observed that the limitations of resources, management support, training and knowledge on the theme end up reducing the offer of this service in the municipality in question. These observations are, therefore, sensitive indicators of problems of access to palliative care and, consequently, of the integrality of care. For palliative care to be produced in Primary Health Care, it is essential that the team has the support, knowledge, skills, attitudes, and makes use of instruments that enable the materialization of this practice within the primary health care team. In this sense, given the results found, there is an urgent need for the structuring of a care policy that contemplates palliative care in the municipality.

5
  • TALLITA MAYARA FERNANDES DE BRITO CAVALCANTE
  • THE MONITORING OF PEOPLE WITH HYPERTENSION  AND/OR DIABETES BY FAMILY HEALTH STRATEGY TEAMS IN THE CONTEXT OF THE COVID-19 PANDEMIC: LIMITS AND POSSIBILITIES.

  • Líder : JOSE ADAILTON DA SILVA
  • MIEMBROS DE LA BANCA :
  • HELENI AIRES CLEMENTE
  • JOSE ADAILTON DA SILVA
  • RAFAELA CAROLINI DE OLIVEIRA TAVORA
  • TALITA HELENA MONTEIRO DE MOURA
  • Data: 29-mar-2023


  • Resumen Espectáculo
  • Covid-19 is an acute respiratory infection caused by the SARS-CoV-2 coronavirus, with the potential for seriousness, high transmissibility and global distribution. Data on the disease indicate that the elderly and people with pre-existing clinical conditions, such as diabetes mellitus and arterial hypertension, are at high risk of developing the severe form of the disease. In view of the health emergency situation, recommendations for the prevention of contagion by covid-19 were adopted, among them social distance and the reinforcement of hygiene measures. Primary Health Care plays a fundamental role in caring for people with chronic diseases as it coordinates care and organizes Health Care Networks, especially in the context of the pandemic. With some restrictions imposed by the pandemic, the number of people with arterial hypertension and diabetes mellitus who attended Primary Health Care services in 2020 had a 34% reduction when compared to 2019. With the objective of analyzing the work process of family health teams on the follow-up of people with hypertension and diabetes in the city of Natal in the context of the covid-19 pandemic and to identify successful experiences in coping with health emergency situations, a descriptive exploratory study of the case study type was carried out , qualitative. The focus group technique was used with health professionals, managers and community leaders linked to two Family Health Units in the city of Natal, capital of Rio Grande do Norte/Brazil. Under the content analysis, two thematic categories were produced. The results showed that there was a loss in the monitoring and access of people with hypertension and diabetes to the Basic Health Units, causing a break in the continuity of care and the consequent decompensation of people with such clinical conditions. The context of the pandemic required the teams to readjust the work process in order to guarantee the continuity of care and greater empowerment of users and family members in the care of chronic conditions.

6
  • LICAONIA MARA DE SOUZA
  • Continuing Education in the daily life of Primary Care teams: reflection-action of professionals

  • Líder : GRÁCIA MARIA DE MIRANDA GONDIM
  • MIEMBROS DE LA BANCA :
  • DIANA PAOLA GUTIERREZ DIAZ DE AZEVEDO
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • JOÃO BOSCO FILHO
  • Data: 31-mar-2023


  • Resumen Espectáculo
  • Permanent Health Education is an important ally in the knowledge of the professionals who are part of the Primary Care teams, being a tool of great encouragement to improve the work process of the teams. The objective of the study is to analyze the perception of Primary Care professionals in the municipality of Sousa/PB on Permanent Health Education for the elaboration of an Action Plan. This is a research with a qualitative approach, with a descriptive and participatory nature with the design of action research. The participants were coordinators and professionals of Primary Care in the municipality of Sousa/PB. The data collection procedure followed four steps and the data were analyzed using content analysis according to Bardin. The results indicate that EPS still needs to be understood and strengthened, so that it can be effectively present in the teams' daily lives. This is due to the fact that there was an understanding of concepts and practices involving EPS by the actors involved, still far from what is proposed by the National Policy on Permanent Education. Thus, it is important to emphasize that there is a need for leveraging and articulation strategies that can favor the strengthening of EPS, in all Primary Care teams. The product of the master's degree was an Action Plan to strengthen Permanent Education in the municipality of Souza/PB, as a relevant tool for this purpose, whose execution can follow the fulfillment of the PNPS. It is suggested to promote spaces and meetings between professionals at all levels of care so that they can strengthen this approach for the transformation of professional practices within their territories.

7
  • MIRELLE MEDEIROS ANTUNES
  • Attention to children with Autistic Spectrum Disorder in the Family Health Strategy.

  • Líder : PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • MIEMBROS DE LA BANCA :
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • JOÃO BOSCO FILHO
  • MARISTELA INES OSAWA CHAGAS
  • Data: 13-abr-2023


  • Resumen Espectáculo
  • Introduction: Autistic Spectrum Disorder is a condition that has affected one in every 160 children in the world, according to WHO data. Its early identification makes it possible to initiate interventions that may favor better child growth and development. In the Family Health Strategy, through actions such as monitoring growth and development, health professionals can contribute to this identification and early intervention to improve child development. Objective: To analyze the care of children with ASD in the ESF. Method: This is an exploratory and descriptive study with a qualitative approach. The research was carried out in the municipality of Jucurutu, Rio Grande do Norte, which has an estimated population of 18,295 thousand inhabitants and 09 ESF linked, 04 of which in the rural area. The research participants were professional nurses and physicians linked to the teams. Semi-structured interviews were conducted with professionals. In the second stage, a training meeting was held on the identification of ASD in primary care. Results: 9 nurses and 7 doctors participated in this research. In the qualitative analysis carried out from the interview with the professionals, three categories of analysis emerged: consultation to monitor the growth and development of the child in the PHC; Care given to children with suspected or diagnosed ASD in the PHC and care network; and, finally, knowledge and training of health professionals to care for children with ASD. The second stage consisted of a training meeting with the participation of 36 professionals, including: physicians, nursing professionals, oral health teams and community health agents. The meeting lasted 04 hours and addressed the following theme: Autistic Spectrum Disorder and Child Health in the municipality of Jucurutu. Final Considerations: It is observed that professionals from the Family Health Strategy in the municipality of Jucurutu report little experience in the early identification of ASD and in the monitoring of these children by the ESF. There is a need for permanent health education actions that can contribute to the qualification of care in PHC, especially with regard to children with ASD.

8
  • GÉSSICA DANDARA MEDEIROS DE SOUZA
  • Socioeconomic and healthcare factors associated with edentulism in Brazil

  • Líder : TATYANA MARIA SILVA DE SOUZA ROSENDO
  • MIEMBROS DE LA BANCA :
  • DANIELA MENDES DA VEIGA PESSOA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • THIAGO GOMES DA TRINDADE
  • Data: 19-abr-2023


  • Resumen Espectáculo
  • Edentulism (total or partial) causes great harm to the individual and may have a negative impact on quality of life. Despite the advances obtained through the National Oral Health Policy, Brazil is still marked by the large amount of tooth loss. The aim of the present study was to analyze the socioeconomic and health care factors associated with edentulism in Brazil. Cross-sectional study, using data from the 2019 National Health Survey (PNS) of individuals aged 15 years and over, totaling 90,846 individuals. Binomial descriptive and multivariate analysis was performed considering the requirements of complex samples., assuming a significance of 5% and a CI of 95%. A higher prevalence of edentulism was observed in older people, with lower income, female, uneducated, living in the interior, who had last visited the dentist more than three years ago and who had registered with Primary Care in Health. Edentulism in Brazil is related to worse socioeconomic conditions and difficulty in accessing dental treatment, which indicates the need to strengthen its national oral health policy.

9
  • PRISCILA MIKAELLY FERNANDES MONTEIRO
  • Health Promotion strategies used in Primary Health Care (PHC) to tackle Covid-19 in the city of Pombal/PB

  • Líder : GRÁCIA MARIA DE MIRANDA GONDIM
  • MIEMBROS DE LA BANCA :
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • JOÃO BOSCO FILHO
  • MARCIA CAVALCANTI RAPOSO LOPES
  • Data: 24-may-2023


  • Resumen Espectáculo
  • In Brazil, health promotion actions emerged with the purpose of qualifying the SUS in the midst of debates in the field of public health, on the relationship between democracy, social inequalities, human development and health. In this way, the present work aimed to promote reflection in the ESF teams on the implementation of Health Promotion actions and strategies, during the confrontation of the Covid-19 pandemic in the municipality of Pombal/PB. The study was configured as an action-research, supported by a qualitative approach and a descriptive perspective. For data analysis, we used the technique of content analysis. It was possible to categorize the information obtained in the focus group and in the meeting minutes, initially identifying 26 categories that were then grouped according to the number of times it appeared in the text, resulting in 07 categories, which were considered registration units. The prevalence of the registration units “health promotion”, “health/disease process”, “multidisciplinary health team” and “disease prevention”, denote that health professionals working in PHC have an approximation with these concepts. The SWOT/FOFA Diagnostic Matrix was applied to the focus group participants so that they could reflect on and identify conditions and factors that had a positive or negative impact on coping with the Covid-19 pandemic in the municipality. With regard to the documentary record of the Minutes, there was little information and no detailed description of actions, mainly on strategies for coping with the pandemic. The data obtained from the questionnaires showed that the principles of equity and comprehensiveness (75% - strongly agree) were the most contemplated in health promotion interventions, followed by intersectoriality and territoriality. Already in lesser agreement, for 50% of the respondents, the principles of social participation, autonomy, empowerment, intrasectoriality and sustainability emerge. In the final systematization workshop, there was unanimous agreement on the information collected, where the records made at each moment of the research portray the reality experienced by the teams during the pandemic. From the collected data and based on the Health Promotion Competencies (CompHP), we built a reference framework of health promotion actions that can guide the work processes of the FHS teams, including in a pandemic context. In this way, the present research led PHC health professionals in Pombal/PB to re-signify their practices in health services since the appearance of the first cases of Covid-19. Despite the data showing that several disease prevention and health promotion actions were carried out, we identified weaknesses with regard to the management of these actions. However, this new post-pandemic moment could be the fertile field in which, finally, the seed of health promotion could germinate and bring changes to people's lives and health services in our country.

2022
Disertaciones
1
  • STEPHANY ARAÚJO MAGALHÃES COUTINHO PEGADO
  • Contribution of auriculotherapy in the mental health of caregivers of the better at home programa

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • Data: 30-ago-2022


  • Resumen Espectáculo
  • Since 1988, with the creation of the Unified Health System (SUS), we have conquered several policies and programs in the health field. Among them, we highlight the Melhor em Casa Program as a home care service, which promotes a bond between the family and the health team, a triad of care responsibility formed by family-caregiver-home. The present study is an Action Research with an evaluative study of the type before and after, with the objective of analyzing the contribution of auriculotherapy in the mental health of caregivers of bedridden people, accompanied by the Primary Care team registered in the Melhor em Casa Program. from the municipality of Assú, in Rio Grande do Norte. Data collection was carried out from November 2021 to January 2022, in which 12 cases of family caregivers were analyzed, before and after auriculotherapy sessions, following the Humanescent Integrative Reception Protocol (PAIH). Data were collected before and after the therapeutic intervention of auriculotherapy application, which allowed, at first, a profile analysis, followed by listening with a comparative study, evaluated by a qualitative bias, through Bardin's content analysis. The research was approved by the research ethics committee (CAAE:51956921.7.0000.5292). The results showed a significant improvement in the well-being, emotional and physical state of the analyzed caregivers.

2
  • ANA KAROLINY GOMES DE MORAIS
  • AURICULOTHERAPY AS INTEGRATIVE CARE FOR CAPS 1 WORKER: CONTEXT OF THE COVID-19 PANDEMIC

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • Data: 30-ago-2022


  • Resumen Espectáculo
  • This study aimed to analyze the contribution of auriculotherapy as an integrative care to the health of CAPS 1 workers in the context of the COVID-19 pandemic. In the face of the pandemic scenario, the primordial need to protect those who are at the forefront of health care has become evident. It is necessary to organize the work, create protection and care measures, which prioritize the health of workers in essential health care equipment, such as CAPS. Auriculotherapy as a resource for integrative and complementary health practices that provides well-being, welcoming, bonding, promotion, protection and recovery of physical and mental health, can and should be an ally to this care process. The work was an action-research of a before-and-after evaluation study, with a qualitative approach, carried out with 10 workers from Caps 1 of Apodi/RN. The results showed empirical categories related to workers' feelings in the covid-19 pandemic scenario, conception about auriculotherapy before practice, feelings about the practice, contribution of auriculotherapy in health care and worker/worker assuming someone's place. that needs to be taken care of.

3
  • THEÔNIA RAQUEL DOS SANTOS
  • PRIMARY HEALTH CARE IN COMPREHENSIVE AND INTERSECTORIAL CARE FOR WOMEN IN A SITUATION OF VIOLENCE IN THE MIDDLE OF NORTHEAST BRAZILIAN

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • CLAUDETE FERREIRA DE SOUZA MONTEIRO
  • MARIA ANGELA FERNANDES FERREIRA
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • Data: 02-sep-2022


  • Resumen Espectáculo
  • Domestic and family violence is a serious public health problem in the world, constituting one of the main aspects of violation of human rights, as it affects health, physical integrity, the right to life. The objective of this study is to analyze the role of Primary Health Care (PHC) in the care of women in situations of domestic and family violence in the city of Parelhas/RN, from the perspective of intersectoriality and comprehensive care. This is a descriptive and exploratory research, with a qualitative approach. The investigation took place between February and March 2022, through the use of a field diary and semi-structured individual interviews with professionals who work in the Basic Health Units (UBS), in the Expanded Nucleus of Family Health and Primary Care. (NASF-AB) and in the Health Management of the municipality. 7 professionals who are part of the PHC participated in the research. The results demonstrate a fragile, disjointed network, without established flows and protocols, in which the dialogue between services is limited to individual referrals. In addition, PHC professionals find it difficult to identify most of the services that make up the care network, making it impossible to offer a quality and resolute service. However, they point to potentialities, such as the recognition of the strategic and important role of PHC as a gateway for women in situations of violence. There is an urgent need to strengthen public policies and the service network for these women, being essential to offer permanent education and the construction of spaces that allow health professionals to exchange experiences and opinions, carrying out self-assessment and reflecting on the limits and individual capabilities.

     

4
  • PRISCILIA JANAINA DANTAS DE LIMA FARIAS
  • THE PERFORMANCE OF PRIMARY HEALTH CARE IN THE CARE OF WOMEN IN SITUATIONS OF VIOLENCE IN THE INTERIOR OF NORDESTINO

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • CLAUDETE FERREIRA DE SOUZA MONTEIRO
  • Data: 02-sep-2022


  • Resumen Espectáculo
  • The objective of this study is to analyze the role of Primary Health Care in the care of Women in Situations of Domestic and Family Violence in the city of Assú/RN, from the perspective of intersectoriality and integrality of care. This is a descriptive and exploratory research, with a qualitative approach. The investigation took place in April 2022, through the use of a field diary and semi-structured individual interviews, developed with 8 professionals who work in the Basic Health Units (UBS) and in the Health Management of the municipality. Data analyzed from content analysis according to Bardin. The results show that care for women in situations of violence is difficult to approach within the PHC, demonstrated by the difficulty of identifying and recognizing violence against women in their daily lives, aggravated by the absence of an internal and intersectoral flow of care and by the lack of information and lack of knowledge on the part of professionals regarding the Service Network, its functioning and articulation, limiting referrals to certain sectors of this network. The little organization with regard to this service, added to the little preparation of professionals or fear in dealing with the problem, as well as the difficulty in understanding their role and the functioning of the Service Network in facing violence against women, make the fragmented and discontinuous care.  Thus, the need for PHC to understand its role within this network is identified based on the recognition of demands, with guidance, reception and qualified listening, appropriate procedures and referrals.

5
  • MARIA IZABEL DOS SANTOS NOGUEIRA
  • Taking care from start to end: conceptions of healthcare professionals in the municipality of Arez/RN about palliative care

  • Líder : JOÃO BOSCO FILHO
  • MIEMBROS DE LA BANCA :
  • GRÁCIA MARIA DE MIRANDA GONDIM
  • JOÃO BOSCO FILHO
  • RODSON RICARDO SOUZA DO NASCIMENTO
  • Data: 21-sep-2022


  • Resumen Espectáculo
  • The increase in population aging and advances in health, science and technology that have contributed to the increasing life expectancy of Brazilians, together with the high rates of noncommunicable chronic diseases, have led to an increase in the demand for palliative care, which is fundamental for the quality of life of the person and their families in the face of conditions that threaten the continuity of life. Thus, since palliative care according to the WHO definition does not necessarily have a relationship with the end of life, but with the improvement of quality of life, primary care plays an important role in this, not only in curative processes. , but also in palliative processes. This model of care must be continued not only in the hospital environment, but mainly in primary care. Therefore, the objective of this study was to analyze the knowledge of Primary Care professionals about palliative care and its use in the work context. This is an explanatory study, with a qualitative approach, data collection was carried out through a semi-structured interview. The place for data collection was the city of Arez, a Brazilian municipality in the state of Rio Grande do Norte, and the collaborators for the research were health professionals with a technical and higher level registered at the CNES in primary health care. Twenty-four primary care health professionals participated in the study. Qualitative data were analyzed through Bardin's thematic content analysis. The study obtained a favorable opinion issued by the CEP of HUOL/UFRN, under opinion number: 5,132,798, CAAE: 52747621.0.0000.5292. It was evident after the research that there is a need for reflection on the definition and training of health professionals in relation to palliative care, and all issues related to it (death, loss, grief, family), especially those in primary care. The importance of this theme must consider the epidemiological profile of the population for chronic conditions, and the growing need for palliative care, which is revealed as a challenge for everyone, as it is a new demand for care. We emphasize the need for continuity of studies related to the theme, mainly related to the implementation of Palliative Care in Primary Health Care and permanent education for health professionals

6
  • THALLITA MONALISA SIZENANDO SOUZA LIMA
  • INTEGRATIVE C&D: CONTRIBUTIONS TO CHILD CARE IN A BASIC HEALTH UNIT.

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • Data: 22-sep-2022


  • Resumen Espectáculo
  • The child psychomotor development can be affected by several factors, being observed in the daily life of the Basic Health Unit of Góes, Rural Area of the municipality of Apodi in Rio Grande do Norte, a considered number of complaints of mothers related to child development. In this sense, the Family Health Team adapted the care process in the Ministry of Health's Growth and Development Program, through the production of two Manuals with guidelines to assist and empower parents and/or caregivers in the demands, thus entitlement of “integrative C&D”. The present study is of the Action-Research type of evaluative nature, with a qualitative analysis approach before and after the implementation of integrative C&D. The two Manuals contain, in an interactive playful way, specific guidelines to help parents and/or caregivers, in activities to stimulate psychomotor development, in children's entertainment, in addition to quick, easy and cheap recipes to help mothers in the use of food fresh, produced by the residents of the region. Also noteworthy is the implementation of integrative multidisciplinary care during consultations. The research subjects are mothers of children aged 12 to 48 months who reported some of these complaints of behavioral changes. Data evaluation will be guided by the steps of Bardin's content analysis. This work was proposed to the Ethics and Research Committee of the Ethics and Research Committee of the Hospital Universitário Onofre Lopes-CEP HUOL, under protocol number 5,078,004, according to resolution 466/1. Through this study, we sought to innovate and evaluate in an integrative way, the process of caring for the child in the Basic Health Unit, aiming at strengthening the team's bond with the family, better monitoring the development of cognition and psychomotricity, in addition to providing two manuals produced by the team for use by mothers and caregivers of these children.

7
  • DEBORA KATIELLY CAVALCANTE
  • Integrative and Complementary Practices and Mental Health of Health Professionals in the Covid-19 Pandemic

  • Líder : JOÃO BOSCO FILHO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • Data: 22-sep-2022


  • Resumen Espectáculo
  • The current scenario of the Covid-19 pandemic has had an intense impact on the ways of living life in society. The health crisis required reorganization of work processes in health, in particular, of those who work in the so-called front line of the fight against the Coronavirus. The demands imposed in the work context, associated with the fears and anguish experienced by health workers had a direct impact on their mental health, requiring effective care strategies. In this scenario, Integrative and Complementary Practices (PICs) emerge as important care tools, contributing to the effective improvement of mental health. Faced with this reality, the study aims to analyze an intervention with integrative and complementary practices in the face of the impacts on the mental health of Primary Care health workers in Assú/RN who are on the front line of combating Covid-19. The study uses an interventional research approach, whose data will be analyzed through a qualitative approach. The study was carried out in two Basic Health Units (UBS) located in the urban area of the city of Assú/RN and has as investigated health workers of the primary care of two units of Assú/RN. In the data collection, structured questionnaires were used with both closed and open questions related to the mental health of health workers in the period of the Covid-19 pandemic. The first questionnaire was carried out before the intervention activities with the use of integrative practices and the second after carrying out these activities, aiming to identify the impact of the intervention on the mental health care of these workers. The intervention with yoga allowed a significant improvement, according to what was reported by the participants, in the levels of stress, anxiety, physical tiredness and emotional tiredness. In this sense, the intervention through yoga with health workers from two UBS in Assu/RN, carried out in the meetings, brought some changes to the physical, psychological and emotional condition of the participants, among which we can highlight: greater relaxation, greater quality sleep, more self-knowledge (mind and body), improvement in mood, improvement in work activities, reduction of anxiety and stress, balance and positive feelings. Finally, it was concluded that PICs are effective techniques for the care, prevention and promotion of the mental health of workers who were facing Covid-19 during the pandemic and, therefore, were strongly impacted. It is extremely important that these activities can be carried out continuously with the health team. In addition, when medical, psychological or psychiatric follow-up is required, PICs should not replace or eliminate these treatments, but rather be used together with them.

8
  • YLANA LAÍNE MEDEIROS LOURENÇO PALHARES
  • Evaluation of the quality of prenatal care in the municipality of Tangará/RN

  • Líder : PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • MIEMBROS DE LA BANCA :
  • DIXIS FIGUEROA PEDRAZA
  • ERIKA SIMONE GALVAO PINTO
  • MARISTELA INES OSAWA CHAGAS
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • Data: 29-sep-2022


  • Resumen Espectáculo
  • Prenatal care aims to ensure the healthy development of pregnancy and enable the birth of a healthy baby. The quality of this care plays a decisive role in maternal and neonatal mortality. From this perspective, quality assessment processes in health services are necessary and important to identify weaknesses and draw up proposals for decision making by management and professionals. Inserted in this theme, the present study aimed to evaluate the quality of prenatal care in the city of Tangará/RN. This is an evaluative study of the normative and cross-sectional type, with a quanti-qualitative approach, based on semi-structured interviews with 11 professionals from family health units and 21 users who gave birth between the months of October and December 2021. Information was also collected from the systematic observation of the units and from the pregnant women's booklets. Data collection occurred from January to March 2022. In this study, the evaluation of prenatal care quality was done through an index based on the triad "structure-process-outcome" that classifies prenatal care in four categories (superior adequate, adequate, intermediate, and inadequate). Data analysis was done using SPSS software and content analysis. The classification of prenatal care was categorized as intermediate for adequacy of prenatal care, showing weaknesses. The components "process" and "results" were the ones that stood out the most in terms of weaknesses. The "structure" component showed weaknesses in ensuring access to basic tests recommended for prenatal care. Regarding the "process", it was observed the low coverage of pregnant women meeting the goals of the Prenatal and Birth Humanization Program, the low performance of clinical-obstetric procedures by professionals to assess maternal-fetal health, low multiprofessional performance, and the low performance of educational activities for pregnant women. The "results" component showed weaknesses in the guidance given to pregnant women, as well as the guarantee, by the service network, of access and accessibility to reference services, in the case of high-risk prenatal care. The weaknesses found by the index based on the triad corroborated the results obtained by the interviews conducted with professionals and users. Therefore, there is an urgent need for these aspects to be considered for the planning and development of actions aimed at maternal and child health, specifically in prenatal care in primary health care, since these aspects interfered directly in the adequacy and quality of usual high-risk prenatal care in the municipality surveyed. 

9
  • ANDRESSA NAZARA LUCENA DE MELO
  • KNOWLEDGE ON CHILD FEEDING OF NURSES IN THE PRIMARY HEALTH CARE IN A HEALTH REGION IN THE STATE OF PARAIBA

  • Líder : DIXIS FIGUEROA PEDRAZA
  • MIEMBROS DE LA BANCA :
  • DIXIS FIGUEROA PEDRAZA
  • NATHANIELLY CRISTINA CARVALHO DE BRITO
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 30-sep-2022


  • Resumen Espectáculo
  • Knowledge on child feeding by the population and health professionals is a key determinant for breastfeeding practices. This study aimed at evaluating the knowledge on child feeding of nurses from the Primary Health Care in the state of Paraíba, associated with demographic and professional characteristics. The research has a cross-sectional design, in which a validated, adapted questionnaire was applied to verify the knowledge of these professionals regarding child feeding. The degree of knowledge about it was expressed through a score of 0-21. The t-test for independent samples was used to verify differences in the Mean ± Standard Deviation of the degree of knowledge according to demographic and professional profile. Most nurses were aged ≤ 40 years, had not participated in training on child feeding and were not committed to the Estratégia Amamenta e Alimenta Brasil. The period of exclusive breastfeeding and the best substitute for breast milk, when breastfeeding is not possible, stood out as positive knowledge. However, the predominant breastfeeding concept and the recommendation on the food groups that should be present at lunch from six months onwards were less correct. Their level of knowledge was 15.0 ± 2.95, with the highest score in those aged ≤ 40 years (p = 0.019). It is concluded that their knowledge about child feeding is adequate in relation to exclusive breastfeeding, but inadequate regarding predominant breastfeeding and the recommended introduction of food after six months of age.

10
  • CARLOS EDUARDO DE CARVALHO
  • The effectiveness of nursing care in improving blood pressure control in people with hypertension in the family health strategy: a cluster-type randomized clinical trial.

  • Líder : THIAGO GOMES DA TRINDADE
  • MIEMBROS DE LA BANCA :
  • MARCELO RODRIGUES GONÇALVES
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • THIAGO GOMES DA TRINDADE
  • Data: 30-sep-2022


  • Resumen Espectáculo
  • Introduction: Hypertension is a serious public health problem that affects a large percentage of the Brazilian population, causing a large number of complications and deaths nowadays. The monitoring of hypertensive users in the Family Health Strategy (ESF) is essential for a better control of this pathology, and consequently for the reduction of damages, and nursing care is essential for paradigm shifts in this context. The objective of this study was to analyze the effect of a multifaceted intervention of nursing care offered to users with arterial hypertension in the FHS, with a view to better blood pressure control. Methodology: This is an epidemiological, experimental, cluster-randomized trial, with a practical approach, carried out in the FHSs of two cities: Jucurutu, Rio Grande do Norte and São Caetano, Pernambuco. The research was composed of nurses working in the FHS of the two cities12 FHS) and hypertensive users (231 users) who were divided into two professionals, the control group and the intervention group. Sample selection was performed at two levels, that is, two randomizations. The first defined as teams of FHS participants in the research selected the study users and the systemic arterial hypertension they will integrate. 4 interventions were carried out during the study: Training of professional nurses; application of structured nursing consultation for hypertensive users; telemonitoring and/or home visits for follow-up; and matrix support for nurses in the intervention group. Results: After the application of the intervention, an increase in the rate of blood pressure control was found, as well as a reduction in the levels of systolic blood pressure and diastolic blood pressure, in users in both groups, although the results not found demonstrate statistical significance, the importance of nursing care in a structured way, to this group, for better monitoring and consequent control of blood pressure levels.

11
  • IONARA DE SOUZA JANUÁRIO
  • The effectiveness of nursing care in improving the quality of life of people with hypertension in the Family Health Strategy: a cluster-type randomized clinical trial

  • Líder : THIAGO GOMES DA TRINDADE
  • MIEMBROS DE LA BANCA :
  • MARCELO RODRIGUES GONÇALVES
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • THIAGO GOMES DA TRINDADE
  • Data: 30-sep-2022


  • Resumen Espectáculo
  • Introduction: Systemic arterial hypertension is considered a public health problem that affects a large part of the Brazilian population, resulting in complications and deaths from cardiovascular events. The monitoring of hypertensive users in the Family Health Strategy (FHS) is essential for a better control of this pathology and consequently reduction of damages. In the FHS, the nurse must act in coordinating the care of hypertensive people. Objective: To analyze the effect of a multifaceted intervention of nursing care offered to people with arterial hypertension, from the family health teams in São Caetano - Pernambuco and Jucurutu - Rio Grande do Norte, with the aim of improving the quality of life related to health of these users. Methodology: This is an epidemiological, experimental, cluster-randomized clinical trial with a quantitative approach. For the selection of the FHS and hypertensive users, the technique of simple random probability sampling was adopted. The research was composed by nurses working in the FHS of two cities (12 FHS) and by hypertensive users (231 users), divided into two groups: control group and intervention group. Those in the control group were followed up through the usual / customary nursing care, without an additional intervention from the team, and the intervention group followed the guidelines and application of the interventions recommended by the protocol of this study. Research data collection took place at two different times: at the beginning of the study (baseline) and three months after the intervention (follow-up). Measurements of absolute frequency and percentage absolute frequency were performed to illustrate geographic and socioeconomic characteristics, health habits, the health status of individuals and blood pressure control. The mean, median and standard error were considered to describe the age of the individuals and the quality of life score. Results: Of the study participants, 72.3% are female, the mean age is 59 years, 85.2% are overweight or obese, 69.7% do not practice physical activity, 52.4% had uncontrolled blood pressure. In the assessment of health-related quality of life, the average General Score of quality of life mentioned by the participants was 90.5, with the Mental State domain = 92.8 and the Somatic Manifestations domain = 88.4. In addition, 32.5% of the participants reported that hypertension and its treatment affect their quality of life. For baseline and follow-up comparison, proportions/dichotomization was performed by median, obtaining good quality of life for participants in both groups. Final considerations: Seeking strategies to prevent the damage and minimize the complications of hypertension is fundamental in our clinical practice. Despite the difficulties and limitations, intervention strategies such as the protocol for nursing consultation proposed in our study, need to be discussed and used by health teams, since they are low cost and should be part of the routine and usual care to support people with hypertension in the FHS.

     

12
  • NADELI LARYSSA DA SILVA GODOI
  •  The dentist and the interprofessional work in the Family Health Strategy.

  • Líder : EWERTON WILLIAM GOMES BRITO
  • MIEMBROS DE LA BANCA :
  • EWERTON WILLIAM GOMES BRITO
  • JAQUELINE ALCÂNTARA MARCELINO DA SILVA
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • Data: 04-oct-2022


  • Resumen Espectáculo
  • Interprofessional work represents the search for comprehensive care, in which different professions work together and in interdependence, sharing common goals, recognizing the importance of each other and forming a team identity. When it occurs with collaborative practices, interprofessionality strengthens the focus on the user and their needs, being, therefore, one of the most effective alternatives in the face of the complexity of the health sphere. The dentist has his work history more centered on the biomedical model, however, when inserted in the Family Health Strategy, he needs to engage in interprofessional teams. This is not yet a prevalent reality, as many dentists are excluded or are excluded from interprofessional work, but there is progress. This study aimed to assess dentists' understanding of interprofessional work, verifying whether they were involved in interprofessional practices with their teams, analyzing the potential and difficulties encountered, in addition to identifying the presence of interprofessional health education in the training of these professionals. This was a descriptive cross-sectional study with quantitative-qualitative approaches, carried out with 33 dentists working in the Family Health Strategy of a city in the metropolitan region of Natal/RN. As a collection instrument, for quantitative data, an electronic questionnaire prepared by the author was used with questions about interprofessional practices and education using the Likert scale. Qualitative data were collected through a semi-structured interview with questions about the professional profile, and interprofessional work with its potential and difficulties, including the impacts of COVID-19. Data collection was carried out in February and March 2022, after carrying out a pilot study. The quantitative data obtained were tabulated and analyzed descriptively in Microsoft Excel with the support of the free software R Studio for drawing up the graphs; the qualitative ones were transcribed and submitted to Bardin's content analysis. The results showed that interprofessional practices are already part of dentists' work processes, such as in home visits and participation in care groups. However, the isolated work, the hierarchy within the teams and the lack of incentive from the management make interprofessionality difficult. Most respondents understand what interprofessional work is and described as potentialities: comprehensive care, information sharing, dialogue and professional interest. On the other hand, isolated work, non-incentive of the management, lack of inputs and infrastructure, in addition to the absence of interprofessional training were reported as difficulties for this way of working. The importance of interprofessionality was experienced in the COVID-19 pandemic, with the participation of dentists in activities with other professionals, despite clinical dental losses. Learning and interprofessional practices aim to develop critical reflections that have a positive impact on work processes. However, there is a need for interest and support from those involved in the health system: professionals, managers and users, so that interprofessionality is widespread and effective.

13
  • LILIANE CECÍLIA DA SILVA
  • Knowledge about infant food of community health agents in a health region in the state of Paraíba

  • Líder : DIXIS FIGUEROA PEDRAZA
  • MIEMBROS DE LA BANCA :
  • LUCIANA ELLEN DANTAS COSTA
  • DIXIS FIGUEROA PEDRAZA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 24-nov-2022


  • Resumen Espectáculo
  • The knowledge of the Community Health Agent regarding infant feeding may influence breastfeeding practices. The present study aimed to identify the level of knowledge about infant feeding of community health agents who work in the Primary Care in the municipalities of the 4th Health Region of the state of Paraíba and its association with demographic and professional characteristics. This is a cross-sectional study, in which a validated, adapted questionnaire was applied to verify their level of knowledge regarding infant feeding. This level was expressed through a score of 0-21. The t-test for independent samples was used to verify differences in the Mean ± Standard Deviation of the level of knowledge according to demographic and professional profiles. Community health agents have shown a satisfactory level of knowledge about exclusive breastfeeding. Limited knowledge was evidenced in relation to predominant breastfeeding, the adequate form of storage and supply of expressed breast milk, the introduction of complementary foods from 6 months onwards, and the age at which the child should be supplemented with vitamin A. The level of knowledge of community health agents was 11.9 ± 2.86, with no significant differences according to demographic and professional profiles. It is concluded that their level of knowledge about infant feeding is adequate in relation to exclusive breastfeeding, but inadequate for predominant breastfeeding and complementary feeding.

14
  • AMARA KIZZI DE ALMEIDA ALVES
  • Evaluation of the quality of the Family Health Strategy in the Care of the subject with diabetes mellitus during the COVID-19 pandemic.

  • Líder : JOSE ADAILTON DA SILVA
  • MIEMBROS DE LA BANCA :
  • HELENI AIRES CLEMENTE
  • JANAINA PAULA COSTA DA SILVA
  • JOSE ADAILTON DA SILVA
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • Data: 20-dic-2022


  • Resumen Espectáculo
  • Diabetes mellitus is a chronic metabolic syndrome, which has a high worldwide prevalence and is related to high rates of morbidity and mortality, being a threat to public health. Health services, especially Primary Health Care, must be prepared for quality monitoring of people with this condition. In the context of the COVID-19 Pandemic, the essential attributes and derivatives of Primary Health Care become even more necessary to be achieved and evaluation in the emerging context is essential. Thus, we sought to evaluate the quality of the Family Health Strategy in the interior of Rio Grande do Norte in the care of individuals with Diabetes mellitus in the context of the COVID-19 pandemic. For this, a cross-sectional observational study with a quantitative approach was carried out in which 120 subjects were evaluated through the application of the general structured questionnaire and the instrument for evaluating the quality of Primary Care (PCATool-Brasil), in addition to the retrospective analysis of the records made in medical records of users diagnosed with Diabetes mellitus. The Poisson model, with robust variation, was used for multivariate analysis. The result of the general score of the PCAToll-Brasil indicated that 70% of the sample evaluated the quality of the Family Health Strategy as satisfactory, with a score ≥ 6.6. However, it showed an unsatisfactory assessment of the attributes available services, services provided and community guidance. Inadequate glycemic control was present in 64.2% of the subjects. However, having a service with a high degree of orientation towards Primary Care did not show a significant difference in relation to services with a low degree of orientation regarding glycemic control. After the adjusted multivariate analysis of the managements, the request for the lipid profile maintained a statistical difference (PR=0.762; 95%CI 0.630-0.921); guidance on the correct use of medication (PR=0.693; 95%CI 0.502-0.956); encouraging the practice of physical activity (PR=0.862; 95%CI 0.781-0.951); referral to an ophthalmologist (PR=1.169; 95%CI 1.016-1.344); consultation with an ophthalmologist (PR=1.209; 95%CI 1.063-1.376) and follow-up with a nutritionist (PR=0.864; 95%CI 0.768-0.972). The results found showed a strong orientation to Primary Health Care from the perspective of diabetic users, although it is necessary to invest in promotion and prevention actions, and in the recognition of the family context and the encouragement of community participation. While the practice of guidance in Primary Health Care on the topics correct use of medications and practice of physical activity, in addition to nutritional monitoring with a specialized professional, were highlighted as a protective factor for glycemic control.

2020
Disertaciones
1
  • MIRLLA KAROLINE COSTA SILVA
  • Diagnosis of Adolescent Health Care in the Municipality of Serra da Raiz / PB: Perspectives and Challenges.

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • MARIA DE FÁTIMA ANTERO SOUSA MACHADO
  • THIAGO GOMES DA TRINDADE
  • Data: 17-jun-2020


  • Resumen Espectáculo
  • Health care for adolescents is a major challenge in health practices. This is due to the fact that it is a population group with peculiar characteristics and the vulnerability in which they find themselves because they are more distant from health services. Therefore, comprehensive health care for adolescents demands comprehensive health care networks, health needs geared to this life cycle and the articulation of different sectoral policies. In view of the relevance of the theme for PHC, the present study aimed to draw a diagnosis regarding the health care of adolescents in the municipality of Serra da Raiz/PB. And more specifically, to know what the municipality's health management has planned and/or implemented regarding adolescent health; describe the structures for adolescent health care; and analyze the actions aimed at adolescents developed at the municipal level, with the processes and results. For this, a descriptive exploratory study, of documentary type, of qualitative nature was carried out. Data were collected based on the consultation and analysis of physical and electronic documents, direct observation of the structure and records of the work process and Information Systems. Data analysis was performed based on Bardin's content analysis, organized into thematic categories based on Donabedian's quality model of health services: structure, processes and results. The survey results pointed to a hegemonic biomedical model centered on primary care services aimed at serving adolescents. It is noticed that because there is not a defined flow aimed specifically at the adolescent public, their access is mostly due to spontaneous demand, being female adolescents (68.1%) as predominant in the demand for care in health units . Difficulties in comprehensiveness were also noticed, both among health teams that sometimes carry out health actions for adolescents in a fragmented way, as well as the lack of articulation with the intersectoral network. Results also signaled that the health-related morbidity data of adolescents indicated a reduction in the hospitalization rate for pregnancy, childbirth and the puerperium, in the period between 2008 and 2018, however, the fertility rate is a little higher (20.2% ) in relation to the national rate (18.5%). Despite the mortality data showing a large number of deaths in the age group of 10 to 19 years, due to external causes, at the level of Paraíba, Northeast and Brazil, there were no significant data found in the records of the information systems of the municipality of Serra da Raiz . Due to the limitations of the present study and taking into account that many important aspects could not be observed, new studies of the local reality are suggested based on a strategic planning that allows the listening of the actors, including adolescent users so that other needs are listed.

     

2019
Disertaciones
1
  • CLÉBIO JARLISON REGO DE FREITAS
  • Oral cancer: Analysis of the dental surgeon approach of the Family Health Strategy in Rio Grande do Norte

  • Líder : MARIA ANGELA FERNANDES FERREIRA
  • MIEMBROS DE LA BANCA :
  • MARIA ANGELA FERNANDES FERREIRA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • BRUNA RAFAELA MARTINS DOS SANTOS
  • Data: 07-jun-2019


  • Resumen Espectáculo
  • Deaths from mouth cancers rank 16th among all cancers worldwide. Because it is the oral cavity of the dental surgeon (CD), it is his responsibility to diagnose the malignant lesions early. This study aims to analyze the approach of the CD against oral cancer, verifying their knowledge about the theme, the offer of training in the theme and the actions taken in front of oral lesions in primary care. To do so, a questionnaire sent by e-mail to the professionals of the family health strategy was applied, using the database of the Regional Council of Dentistry of Rio Grande do Norte. Basic care CDs have knowledge about oral cancer (85%) and most of them are directed towards prevention of the disease (66.8%); however, around 70% of professionals report not being able to biopsies or exfoliative cytologies, and on average only 13% of the Health Units have the necessary conditions to perform these procedures. In addition, the services do not offer refresher courses on oral cancer. The implementation of strategies aimed at the active search for lesions and the accomplishment of diagnostic procedures in primary care may contribute to the early diagnosis of the disease in order to reduce the mortality rate due to oral cancer.

2
  • LIÉGIA KARISSA MORAIS RODRIGUES
  • Challenges and perspectives of home visits in the family health strategy from the professionals' understanding

  • Líder : JOÃO BOSCO FILHO
  • MIEMBROS DE LA BANCA :
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOSE ADAILTON DA SILVA
  • JOÃO BOSCO FILHO
  • Data: 27-jun-2019


  • Resumen Espectáculo
  • The home visit is an instrument to promote the home care of the Family Health Strategy team that facilitates the linkage and acts in the promotion of health care. Thus, this research aims to analyze the understanding of family health strategy professionals about home visits. The research is qualitative, descriptive. It was carried out from April to May 2019 with 17 professionals from the family health strategies of two teams from the municipality of Apodi, in the State of Rio Grande do Norte. In addition, we performed non-participant and systematic observation. The data were obtained through semi-structured interviews and after they were transcribed and submitted to content analysis. From the analysis emerged four categories: Understanding home visits; Importance of home visits; Difficulties and challenges encountered in visits and planning of visits. We perceive that professionals understand the visits as home visits that should be offered only to users who are bedridden and / or unable to go to the Basic Unit, reinforcing the view of the hegemonic medical model in health. In addition, the visits are carried out randomly, without planning and close at home.

3
  • PRYSCYLLA FIDELES DE MIRANDA
  • PERCEPTION OF ELDERLY AS TO ACCESS TO FAMILY HEALTH STRATEGY SERVICES IN NATAL /RN.

  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • ANA TANIA LOPES SAMPAIO
  • FLAVIA CHRISTIANE DE AZEVEDO MACHADO
  • TÂNIA CRISTINA FRANÇA DA SILVA
  • Data: 15-ago-2019


  • Resumen Espectáculo
  • The Worldwide aging and recommendations about social structure facilities which  provide an active aging, brings concerns about  access to health services in primary care. This article aims to understand how the elderly evaluate the access to family health strategy service in a Brazilian capital through the economic, social, organizational and political dimensions. The approach is qualitative, using the focus group technique with the participation of 18 elderly. In data investigation we used content analysis method recommended by Minayo. The studied group considered positively the units geographical location, bond between professionals and users, reception and humanization. The dissatisfaction was about ambience, unit structure, participation and regulation.  Regarding the evaluation of service quality, the opinions were diverse, with part of the group satisfied and another dissatisfied. 

4
  • MARÍLIA GUEDES DA SILVEIRA ARRAIS
  • ORAL CARE QUALITY IN BRAZILIAN PRIMARY CARE

  • Líder : TATYANA MARIA SILVA DE SOUZA ROSENDO
  • MIEMBROS DE LA BANCA :
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • THIAGO GOMES DA TRINDADE
  • DANIELA MENDES DA VEIGA PESSOA
  • Data: 27-sep-2019


  • Resumen Espectáculo
  • The aim of this study was to assess the quality of oral care provided in Brazilian primary care and identify associated contextual socioeconomic factors. This is a cross-sectional study whose unit of analysis was all the oral care teams that participated in an external assessment for the second cycle of the Access and Quality Improvement Program – Primary Care. Quality was measured in the following dimensions: access, resolution, work process, care coordination and infrastructure. The quality criteria of the external assessment were grouped into these dimensions and weighted using Item Response Theory. The indicator of oral care quality was the result of grouping latent variables. Descriptive analyses were performed by region and association between “Oral Care Quality” and the Municipal Human Development Index (HDI), with 5% significance. Only 25% of the oral care teams were considered good. The infrastructure dimension obtained the best results and care coordination the worst. There was no statistically significant difference between municipalities with high and low HDIs. Quality assessment is vital to ensure the continuous improvement of quality healthcare.

5
  • ARACELLI LAÍSE TAVARES MENDONÇA
  • Collaborative Interprofessional Practice in Family Health Strategy: Analysis of an experience in a small municipality.

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • JANETE LIMA DE CASTRO
  • MARINA PEDUZZI
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 11-oct-2019


  • Resumen Espectáculo
  • This research addresses the theme of Interprofessionality in PHC, considering the development of Collaborative Interprofessional Practice (CIP) between the Estratégia Saúde da Familia teams (ESF)  and the Núcleo Ampliado de Saúde da Familia e Atenção Básica (NASF-AB). Its objectives were to analyze the CIP performed by ESF and NASF-AB professionals in the context of PHC in the small municipality; describe the work process developed during the CIP, identify the collaborative competencies present in the development of this practice and analyze the view of users of the developed CIP. This is an exploratory, comprehensive, interpretative and qualitative study conducted in a small municipality. The participants were professionals and users integrated with the CIP, during the follow-up consultations for growth and development of children from 0 to 2 years old, in basic health units. Data collection procedures occur in early 2019 through: semi-structured interview; application of questionnaires on professional and sociodemographic profile; application of questionnaire on collaborative competencies; and direct observation, supported by field diary. The data, analyzed by the Thematic Content Analysis technique, were interpreted by the theoretical-conceptual references on an Interprofessional Practice. The results pointed to the development of an effective CIP experience, being observed the presence, in the analyzed work process, of collaborative competencies: interprofessional communication, role clarity, conflict resolution and collaborative leadership. It was evidenced from the mothers' statements  the developed CIP is presented as a tool for the development of comprehensive health care, enhancing patient-centered attention. On the other hand, the mothers highlighted the lack of synchronization between professionals during the consultation development, the limited consultation time and the turnover of professionals involved in the practice the weaknesses of the ICP performed. The results of this research are expected to promote the development of CIP, similar to the ESF practice scenario, as well as new studies on the impact of CIP on health care.

6
  • RENAN CABRAL DE FIGUEIRÊDO
  • The monitoring, growth and child development in Primary Health Care: the dentist's insertion in the care process.

  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • GEORGIA COSTA DE ARAUJO SOUZA
  • MAISA PAULINO RODRIGUES
  • Data: 11-oct-2019


  • Resumen Espectáculo
  • The Family Health Strategy (ESF) proposes to reorient health services within the scope of SUS Primary Care. This strategy is formed by multiprofessional teams that perform several actions: health promotion, protection, recovery and rehabilitation. Growth and Development (CD) consultations are part of this actions and are intended to assist the healthy growth of children, with the purpose to help their full development, and to provide a higher quality adult life. In this direction, dental care and health assistance started during the first months of a child's life and subsequent follow-up, can greatly contribute to the prevention of oral diseases and also improve the acceptance of dental treatment when necessary. The objective of this study was to analyze the insertion of dental procedures in the ESF consultations, within the scope of the ESF, as well as to know the dentists' perception about the theme and the oral health actions offered by them. This is a qualitative research, exploratory of interventionist character whose data collection instruments were the questionnaires and focus group, applied to the dentists of the ESF, a medium-sized municipality in the northeast of Brazil. The material obtained was transcribed and subjected to content analysis as recommended by Bardin. Two categories emerged from the analysis: dentists' conceptions of CD and actions developed by dentists in CD. The results indicated that oral health presents as potentiality in the GD consultations, strengthening the care process and contributing to the expansion of children's oral health. Meantime, these actions happened spontaneously, according to the desire and understanding of dental surgeons. Like this, it was necessary to systematize oral health care for CD consultations, through the organization of protocols, instituting, officially such practice in the municipality.

7
  • MILENA GABRIELA DOS SANTOS SILVA
  • VIOLENCE OF CHILDREN IN THE FAMILY CONTEXT: PERCEPTION OF TEAMS OF THE BASIC HEALTH UNITS

  • Líder : NADJA DE SA PINTO DANTAS ROCHA
  • MIEMBROS DE LA BANCA :
  • LUCIANA CARLA BARBOSA DE OLIVEIRA
  • NADJA DE SA PINTO DANTAS ROCHA
  • THIAGO GOMES DA TRINDADE
  • Data: 17-oct-2019


  • Resumen Espectáculo
  • The objective of this study was to identify the perception of the teams of Primary Health Care (PHC) about violence against children in the family context, in a municipality in northeastern Brazil. Exploratory and descriptive research, with quantitative and qualitative approach. It was developed in two moments: interview with semi-structured questionnaire, followed by 01 focus group in 01 unit in care reference. For the processing of quantitative data, we used the Microsoft Excel program, version 2013. For qualitative data, content analysis, according to Bardin and the principles of Symbolic Interactionism by Herbet Blummer. The results revealed a predominance of negligent violence with 33% and psychological violence, 31.4%. Most professionals, 75.7%, have never participated in training courses on Care Line. There is appreciation in referring situations of violence to specialized services, when 45.7% of participants reported these services are partially started and PHC units, with 81.4%, not started. The perception of these teams reveals the need to aggregate competences and attitudes towards the construction of public practices / policies to articulate the psychosocial network and care shared management. Therefore, it aims to promote a dialogue between the various actors involved with the theme of violence in childhood, still invisible in care practices.

8
  • ANTÔNIO HENRIQUE BRAGA DA COSTA
  • “I AM A PERSON AND NOT A DISEASE”: THE GAINING AUTONOMY AND MEDICATION MANAGEMENT IN THE FAMILY HEALTH STRATEGY OF A MUNICIPALITY OF INN RN

  • Líder : ANA KARENINA DE MELO ARRAES AMORIM
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JOSE ADAILTON DA SILVA
  • ANA KALLINY DE SOUSA SEVERO
  • MARILIA SILVEIRA
  • Data: 18-oct-2019


  • Resumen Espectáculo
  • The Brazilian psychiatric reform movement proposes the production of new practices and contexts of interventions \ mental health care based on freedom care and that seek to establish themselves against the hegemonic medicalizing logic, which has produced an epidemic of diagnoses of mental disorders, fruit of the phenomenon of medicalization of life. One of the expressions of this phenomenon is the high prescription rates of psychotropic drugs and the low critical use of these drugs in health services. Therefore, it is urgent in the context of the articulation of psychosocial care with primary health care in Psychosocial Care Networks, to propose elements aligned with non-medicalizing perspectives and seeking an intervention model that privileges integral and territorialized care in mental health. In the Family Health Strategy, we have the privileged locus for the production of new care technologies that favor de-medicalization, empowerment and the production of autonomy of subjects in psychological distress and mental disorders. Among these technologies, we can consider that Gaining Autonomy & Medication Management (GAM) is a group strategy with potential for emancipating care, constituting a concrete tool to face the problem of medicalization of life. Thus, we aimed to investigate the limits and potentialities of GAM as a strategy of care and coping with medicalization in the context of the Family Health Strategy in a municipality in the interior of the RN. It is a research with a qualitative approach using action research, having as its capacity the ability to interfere in the reality studied and modify it, analyzing its effects for the participants. The instruments used were: the realization of a GAM intervention group over eight months, observant participation, and the construction of narratives from the experience with the group. In addition, field diaries and audio recording were used to record the experiment. The GAM group consisted of FHS users who make use of psychotropic drugs as well as members of the local NASF-AB team. For the constitution of the corpus of analysis the audio transcription records of the meetings, the researcher's field diaries and validated collective narratives were used. The results show that the process of medication permeates the practices of professionals and is configured as the main offer of care, the demands of psychic \ ethical-political suffering of women users in the FHS, who use psychiatric drugs as silencers of their anxieties associated with the female condition. and being a woman in her concrete realities due. The experience with GAM has shown to be a potentiator of demedicalizing actions, pointing out ways to incorporate new relationships and social dynamics in the territory. It was shown as a participative and reflective methodology with the ability to trigger self-knowledge, autonomy, and action power for all subjects. Its use promoted the expansion of dialogue, the exchange of experiences with the use of medication, building meaningful experiences in the different dimensions of people's lives: social, family and individual. The GAM was also potent to establish health promotion spaces in the FHS, considering that the GAM guide was thus constituted as a group-facilitating tool in this context. We conclude that GAM has strategic potential to face the medicalization of life in the FHS, as well as a care and attention tool for mental health production in PHC.

9
  • BRUNO HENRIQUE SOARES PESSOA
  • PRECEPTORSHIP MODELS OF FAMILY PRACTICE RESIDENCIES IN BRAZIL

  • Líder : THIAGO GOMES DA TRINDADE
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • MARCELO RODRIGUES GONÇALVES
  • THIAGO GOMES DA TRINDADE
  • Data: 22-oct-2019


  • Resumen Espectáculo
  • The specialty of Family and Community Medicine began in Brazil in 1974. The first three residency programs began in 1976, but despite this, there has always been a low demand for the specialty. Several policies have been used for reorientation and medical training focusing on Primary Health Care, with emphasis on the More Doctors Program. There has been an increase in the number of annually residency vacancies from 218 in 2003 to 3,587 in 2019. Given the increasing demand from residents, in a scenario of few preceptors, different models are being tested in Brazil. There is scarce national and international literature comparing these models of preceptorship and insertion of residents and preceptors in the primary care practice setting. The aim of this review was to identify the models of preceptorship in the Family Practice residency setting in the primary care learning scenario, associated with the identification of strengths and weaknesses of each model. An integrative literature review was performed in electronic databases, expanded by thorough search in all issues of the Brazilian Journals of Family and Community Medicine and Medical Education. Fourteen articles were included in the review, resulting in three general models of preceptorship, with seven different configurations. The mode of linking the preceptor to teams and health facilities was the most determining factor in configuring the models. The studies included in this review came from different locations in the country, especially from the southeast region. Preceptor models influence the quality of care, preceptor work routine, and residents' learning. It was also observed that the preceptor models where the resident makes up the team and the preceptor is linked to one more team was a strategy used to provide Primary Health Care doctors and expand residency programs. It was emphasized that the teacher training of preceptors is central to the education of the resident physician, regardless of the preceptorship model adopted. The quality of the articles was a limiting factor, as only three articles refer to original research data. Further research on this topic is needed to determine if there are more models, in addition to accessing or affecting these models in learning and health care of the population.

10
  • NAYARA MEDEIROS SANTOS
  • The practice of exclusive breastfeeding in the conception of women in the interior of Rio Grande do Norte

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • JOSE ADAILTON DA SILVA
  • GIGLIOLA MARCOS BERNARDO DE LIMA
  • Data: 23-oct-2019


  • Resumen Espectáculo
  • The main objective of the research was to know the perception of women about the practice of exclusive breastfeeding. This is an exploratory-descriptive study with a qualitative approach conducted with 16 mothers from Tangará - RN. Participants are registered and accompanied at the health units of the municipality, with at least one child over six months, whether or not breastfed and who agreed to participate freely. Data were collected through research in documents such as the medical records, the registration form used by the CHA and nursing books to verify the monitoring of these women in each team. As a tool for data collection, focus groups were applied to these women. The results show that all mothers are aware of the benefits that breastfeeding brings to their children, but they are not always able to fulfill this duty and often feel guilty about the failure of this practice bringing consequences that reverse those initially expected. As a contribution we highlight the creation of spaces for discussion and listening to these women within the health services.

11
  • IZABEL MYCKILANE ALVES DE FARIAS
  • Insertion integrative practices in health care in primary care

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ANTONIO MEDEIROS JUNIOR
  • HELOISA KARMELINA CARVALHO DE SOUSA
  • Data: 23-oct-2019


  • Resumen Espectáculo
  • The large-scale increase in the number of people with anxiety disorder highlights the need for attention. Symptoms that affect people’s quality of life often go unnoticed by professionals in routine appointments. In those cases primary care can provide a welcoming environment to users to be heard without fear and receive the necessary support. Besides traditional forms of care, complementary therapies help in mental health care, including cases of anxiety. As this practices are not often offered in public health units, this inclusion could offer more coping options, allowing user freedom of choice. The association of integrative and conventional practices enables their use in groups because it also plays a complementary role. So, this research aims to analize the contribution of complementary therapies to a therapeutic group of self-declared subjects anxious. This qualitative study has a descriptive-exploratory approach. At the end of the study was noticed that therapeutic group was well evaluated by the members before the introdution of integrative practices, however, one thing must be considerate that despite the attempt of comprehensive care offered by traditional means there is still a gap that was fillet by introdution of integrative practices. In addition to individual and collective emotional benefits resulting from this practice, the research draws attention to the possibility of reducing drug use by this group by introducing low-cost technology. Finally, it is possible to believe that association of traditional group practices with integrative and complementary therapies in the primary care favors new possibilities for integrality and the use of privileges for mental health care at this level of care. 

12
  • LÍLIAN JOANE CAVALCANTI
  • KNOWLEDGE AND PRACTICE OF COMMUNITY HEALTH AGENTS ON HEALTH INDICATORS

  • Líder : JOÃO BOSCO FILHO
  • MIEMBROS DE LA BANCA :
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • MAISA PAULINO RODRIGUES
  • Data: 23-oct-2019


  • Resumen Espectáculo
  • The health indicators are important instruments for the avaliation and planning of the actions and health services, establishing conditioning parameters to the continuous performance control.  The problematic of this study focuses on the need of a closer proximity of the Community Health Agents (ACS) with the health indicators presented in the Sispacto. The objectives of the study are: To identify the conceptions of ACS on health indicators; to verify the influence of the indicators in the planning and practice of the ACS; to increase the knowledge of ACS on the importance of indicators to promote integrality in the Health System. The methodological path chosen was the Convergent Care Research (PCA). The study scenario includes the dependencies of the Tancredo Neves Family Health Unit, located in the Tancredo Neves neighborhood of Catolé do Rocha, Paraíba. The ACS that act in the Family Health Strategy Tancredo Neves 01 and Tancredo Neves 10 will act as participants in the research, both of which operate in common physical space. As data collection techniques will be used semi-structured interview, systematic observation and workshops. At the end, it is expected to discuss the need to rethink the work process and the importance of health indicators as an important work tool for evaluation and planning of these professionals, in order to allow changes in actions and implications in the health-disease process of the population. It should be emphasized that the ACS is an instrument for the improvement and consolidation of the ESF, since the great majority of the actions of this program are given through these professionals. 

13
  • ADRIANA PEREIRA SILVA
  • HEALTH EDUCATION GROUPS AS A CARE TOOL IN THE FAMILY HEALTH STRATEGY IN A MEDIUM-SIZED CITY: PERCEPTION OF USERS AND PROFESSIONALS

  • Líder : JOÃO BOSCO FILHO
  • MIEMBROS DE LA BANCA :
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • MAISA PAULINO RODRIGUES
  • Data: 23-oct-2019


  • Resumen Espectáculo
  • The problem of analysis was: what is the perception of professionals and users about the group as a tool for health promotion and self-care in the Family health strategy in the municipality of Asú/RN? The general objective is to analyze the perception of professionals and users about the groups as a tool for health promotion and self-care in the Family health strategy in the municipality of Asú/RN. This is a descriptive research of a qualitative approach, which, according to Minayo (2009), works with the universe of the meanings of values and attitudes that phenomena are interpreted from their actions within the reality lived. The research project was approved through the opinion 3,180,297 on March 01, 2019 of the Ethics and Research Committee of the University Hospital Onofre Lopes-CEP/HUOL, which is linked to the department of Collective Health of the Federal University of Rio Grande do North-UFRN. The study was conducted in 01 Basic health unit of the urban area of the municipality of Asú/RN, with a sample consisting of 10 professionals from the multidisciplinary family health team and eight users participating in health education groups who worked in Same team. For data collection, semi-structured interviews were used with the professionals and the focal group with the users. Data analysis was performed using Bardin's content analysis. The results showed that the groups are planned collectively by the team, with the organization and definition of themes with greater centrality in the nurse. In the perception of some professionals, the groups are conceived as a space for coexistence and exchange, for others, as a space for information transfer. As difficulties in forming groups, the professionals elicit the lack of time due to the high demand for individual care, the disarticulation of the team and the lack of interest of some to participate in the moments of team meetings and lack of Municipal management support. As a potentiality, the professionals reported the partnership, humility, the establishment of dialogue and the love of work. The users described the groups as spaces of transformation that contributes to autonomy and self-care.

14
  • ODEMIR PIRES CARDOSO JÚNIOR
  • THE PROFESSIONAL MASTER IN FAMILY HEALTH: ANALYSIS OF THE (DES) PATHS CARRIED OUT IN THIS PATH

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • GILBERTO MARTINS SANTOS
  • KARLA PATRICIA CARDOSO AMORIM
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 30-oct-2019


  • Resumen Espectáculo
  • Technological changes and current transformations in practically all Brazilian scenarios have demanded professionals with specialization profiles distinct from the traditional ones. The Professional Master in Family Health (MPSF) is an innovative modality of stricto sensu teaching, aimed at training leaders for transformative professional practice through the study of techniques, processes or themes through the incorporation of recognized scientific methodology, providing integration between the world of work and academia. Generally, the completion works produced in the Professional Masters courses are directed to the interpretation of the practice and the outline of action lines, but always addressing concepts, theories and discussion of ideas. This study aimed to analyze the results and products of the Professional Master's Degree in Family Health - nucleader Federal University of Rio Grande do Norte (UFRN), defended from 2012 to 2016. This is a documentary, exploratory and descriptive study. qualitative approach. Data collection was performed in electronic databases (repository of dissertations and theses of the university; Lattes Platform; postgraduate program page) and through interviews. The data analyzed were: year of defense, title, author and advisor, work format (dissertation or other product / model), objectives, methodology used, line of research and themes, as well as area of professional practice and time of professional practice when of the defense of the dissertation. Similarly, we sought to analyze the technical and scientific productions developed and related to the Master, after its completion, as well as the activities and links of the graduates in this period until 2018. The final productions were measured in five concepts, each generating a quality indicator: quantity of approved completion work (PM) and quality of completed completion work produced. From this perspective, they were classified as Adequate to the research line [Very Good (MB) and Good (B)], or Need for improvement [Regular (R), Weak (F) or Insufficient (I)]. From this understanding, the data were complemented through content analysis from Bardin's perspective. The project was approved by the Research Ethics Committee of HUOL-UFRN (Opinion No. 3,180,305 and CAAE No. 07046819.9.0000.5292). The following categories of analysis emerged: Master's degree as a SUS brand: one more reason to continue on the path of knowledge and Professional Profile, North and Choices: which master's degree we do and which master's degree we want? It is concluded that the criteria and items of institutional evaluation introduced by the Higher Education Personnel Improvement Coordination (CAPES) are known by the evaluated academic community, but need to be rethought to meet the specificities of the program.

15
  • VANIELY OLIVEIRA FERREIRA
  • QUALITY OF CHILD HEALTH CARE IN BRAZIL

  • Líder : TATYANA MARIA SILVA DE SOUZA ROSENDO
  • MIEMBROS DE LA BANCA :
  • ANA LARISSA FERNANDES DE HOLANDA SOARES
  • NADJA DE SA PINTO DANTAS ROCHA
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 31-oct-2019


  • Resumen Espectáculo
  • Child health care is a target of concern for politicians, managers and health professionals. Objective: To analyze the quality of child health care in Brazil, from the external evaluation of the Access and Quality Improvement Program - Primary Care (PMAQ-AB). Method: This is a cross-sectional study that had as unit of analysis all health teams in Brazil evaluated by PMAQ-AB. Quality was measured in three dimensions, each generating a quality indicator: resoluteness, work process and infrastructure. External evaluation quality criteria were chosen for the dimensions mentioned above, which were weighted by the Item Response Theory (IRT) technique, which considers its discriminatory power.Child health care is a target of concern for politicians, managers and health professionals. Objective: To analyze the quality of child health care in Brazil, based on the external evaluation of the Access and Quality Improvement Program - PMAQ-AB. Method: This is a cross-sectional study that had as a unit of analysis all health teams in Brazil evaluated by ItFo was created the indicator of quality of child health through the grouping of the assessed dimensions, both the indicator and the dimensions were classified as good, fair or bad. The quality of child health care was analyzed in relation to its association with a contextual indicator, the HDI, based on multilevel Poisson regression, with significance of 5%. Results: It was evidenced poor quality in child health care in Brazil, however it is observed that both nationally and in Brazilian regions, child health care can be resolute, also shows a deficit in the development of the process of child health. work focused on child health care, and in relation to infrastructure, there is a prevalence of good quality, highlighting the Northeast region with the largest number of teams with good infrastructure. Conclusions: The study demonstrating that child health care in Brazil is still below expectations and that the performance of PHC services should be improved by strengthening the work process component.

16
  • GLAUBER VICTOR CABRAL DE MORAIS
  • Correlation between work processes of oral health teams and performance indicators in Rio Grande do Norte

  • Líder : CIPRIANO MAIA DE VASCONCELOS
  • MIEMBROS DE LA BANCA :
  • CIPRIANO MAIA DE VASCONCELOS
  • GEORGIA COSTA DE ARAUJO SOUZA
  • KARLA PATRICIA CARDOSO AMORIM
  • Data: 01-nov-2019


  • Resumen Espectáculo
  • This study addresses the analysis of processes and indicators in oral health from the perspective of the production of culture of analysis, evaluation and intervention, capable of generating institutional capacity in teams and local systems in order to produce changes in service practices. The objective of this work was to evaluate and understand how the Oral Health Teams organize and manage the work process in the articulation of actions in the state of Rio Grande do Norte and the correlation with two indicators of the National Program for Access and Quality Improvement. Primary Care (PMAQ-AB). Secondary databases were used for both indicator evaluation (health indicator monitoring) and PMAQ-AB external evaluation for the 2nd cycle of this program. Data were analyzed using SPSS Statistics (Version 22). For descriptive analysis were evaluated the means, standard deviations, maximum, minimum, median, quartiles. To verify significant difference of indicators and patterns of work processes, the Mann-Whitney test was used. Significant values were considered p <0.05. As a result we present that, in general, the Oral Health teams that participated in the external evaluation of PMAQ-AB in the state of Rio Grande do Norte affirmed to plan the organization of the work process. By correlating the work process patterns of the oral health teams and the indicators, it was found that the more satisfactory the Work Process pattern developed by the eSB in the municipalities, the higher the means of the First Consultation and Ratio of Indicators. Treatment Completed by First Consultation, both with statistical significance (p = 0.001 and p = 0.003, respectively). It is concluded in this study that the organization of the work process was a determining factor in the impact on service utilization indicators. However, it is suggested to evaluate other conditioning factors that may interfere with the improvement of these indicators. Among these factors, it is suggested to consider structural aspects (physical and human resources of services).

     

17
  • DANIELLA PADILHA AVELINO BEZERRA
  • Integrative humanescent reception protocol: a process validation study

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • Data: 08-nov-2019


  • Resumen Espectáculo
  • The present study aimed to Validate the integrative humanescent reception protocol (IHRP) as an innovative process of care technology in Integrative and Complementary Health Practices (PICS), besides analyzing the effectiveness of the use of this protocol as a technological innovation in Integrative Health. (SI), from the perspective of professionals who use the protocol and users who are assisted at the Laboratory of Integrative and Complementary Practices in Health of the Federal University of Rio Grande do Norte (LAPICS / UFRN). This is a qualitative and quantitative approach study conducted at LAPICS / UFRN. The content validation stage resulted from the judgment of experts involved in PICS. The sample was intentional, selected by analysis of the lattes curriculum, totaling 5 experts in the subject. The operationalization occurred through agreement between the answers obtained by the content validity index (CVI), through the evaluation of the expert. For employee perception and user satisfaction, Bardin content analysis was used. As a result, of the 4 evaluated items, one presented perfect agreement index (CVI 1.0), questions Q1 and Q4 were also considered adequate (CVI 0.75), but required changes and the other item obtained CVI of 0.50. . The global evaluation of the instruments obtained CVI of 0.75, thus validating their content. The suggestions of the judges were related to the reformulation of the wording regarding the adequacy of the vocabulary, the elaboration of the sentences more clearly and the suppression of words. From the speeches of LAPICS employees and users, it is observed that there is a great acceptability of PAIH actions as a differentiated approach to conventional medicine. Reports indicate positive impacts on users' health on the psychological, physical and emotional dimensions, as well as demonstrating the benefits of particular use of practices available through LAPICS / UFRN. The study obtained a favorable opinion from the HUOL / UFRN Research Ethics Committee (Opinion No. 3.361.057 and CAAE: 13371219.6.0000.5292).

18
  • THIAGO EMMANUEL ARAÚJO DOS SANTOS
  • Construction and Validation of instruments for assessing the utility of “Autoavalição para melhoria do Acesso e da Qualidade da Atenção Básica – AMAQ”.

  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • PAULO DE MEDEIROS ROCHA
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 14-nov-2019


  • Resumen Espectáculo
  • OBJECTIVE - The reorganization of Brazilian health care, from the late 1980s with the creation of the Unified Health System, had as its main strategy the expansion of primary health care, with the expansion of coverage of Family Health teams and the demand for better quality results begins the movement of institutionalization of monitoring and evaluation in primary care. In this sense, the study aims to analyze evidence of content validity of an instrument built to assess the usefulness of the “Self-Assessment for Improving Access and Quality of Primary Care”, one of the components of the “Program for Improving Access and Quality of Care”. Ministry of Health. METHODS - This is a content validation study, with a quantitative approach, using data analysis. The sample was intentional including 7 specialists in validation and evaluation of Primary Care. The instrument consists of indicators of usefulness of the Joint Committee on Standards for Education Evaluation, adapted to the context of the “Self-Assessment of Improved Access and Quality of Primary Care”. The agreement among the experts on relevance, representativeness and clarity of the instrument items was evaluated by calculating the Interrater Agreeement and Content Validity Index indices. To analyze the internal consistency of the items, Cronbach's alpha was calculated. RESULTS - The content validity index for the entire instrument presented a value of 1.00, for each item the values were 1, both for relevance and representativeness evaluation and for clarity. For the Interrater Agreement, all items have value of 1 and its set has a value of 1 for both relevance and representativeness assessment and for clarity assessment. The internal consistency was excellent, obtaining an overall alpha value of 0.999. Changes were made regarding certain terms or expressions to improve the clarity of the instrument. CONCLUSIONS - The results showed that the instrument met the proposed objective, the findings of this study demonstrate that the validated instrument can be applied in further evaluations of self-assessment processes and contribute to the strengthening of the self-assessment institutionalization by municipal management, teams and health professionals. Primary / Primary Health Care.

19
  • AMANDA PAULINO DE OLIVEIRA
  • Basic Guide to Wound Prevention and Treatment in the Municipality of Natal: An Analysis of Nurses' Perspective

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ELINE LIMA BORGES
  • GILSON DE VASCONCELOS TORRES
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 18-nov-2019


  • Resumen Espectáculo
  • The skin is the largest organ of the body, indispensable for human life and essential for the physiological functioning of the body. Like any other organ, it is subject to aggression from intrinsic and extrinsic pathological factors that can trigger skin wounds. In Brazil, wounds affect the population in general, regardless of gender, age or ethnicity and constitute a serious public health problem. Thus, health professionals need to be qualified to serve this clientele, and must make use of protocols that systematize care. In this direction, a Basic Guide for Wound Prevention and Treatment (BGWPT) was prepared for the city of Natal, aiming to guide the conduct of nursing professionals in Primary Health Care (PHC). This Guide has been used by nurses in the health network since 2016. Thus, this research sought to analyze the results from the implementation of BGWPT, from the point of view of nurses. It is an exploratory study with a qualitative approach. Twenty nurses who work in the Family Health strategy and make regular use of BGWPT were interviewed. The data collection instruments were: questionnaire, direct observation and document analysis. The data were analyzed based on the technique of thematic content analysis proposed by Bardin, giving rise to two categories namely: ‘perception about BGWPT’ and ‘changes made after BGWPT implementation’. The results indicate that BGWPT is implanted in 95% of the health units of the PHC, allowing the standardization of care actions for people with skin lesions, accelerating the healing process of the lesions. In addition, satisfaction and safety in the conduct of nurses, in the management of the protocol, as well as the reduction of public spending on covering materials was evidenced, which can be attributed to the professional training and qualification of nurses who make systematic use of the Guide. It can be said that BGWPT has been contributing to the achievement of satisfactory results among health professionals, users and health services.

     

20
  • LUCAS ALVES FERREIRA
  • USE OF INTEGRATIVE AND COMPLEMENTARY PRACTICES IN THE FAMILY HEALTH STRATEGY: SCENARIO OF A MEDIUM PORTE

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JOÃO BOSCO FILHO
  • Data: 26-nov-2019


  • Resumen Espectáculo
  • The Integrative and Complementary Practices Policy (PICs) was established since 2006 in Brazil, through the Unified Health System (SUS) with emphasis on Primary Care. The Family Health Strategy (FHS) is a structuring and priority of the Primary Care (AB) work process. PICs have made considerable advances in PHC in Brazil in recent years, being today a strategic standard of the Ministry of Health to certify the quality of teams in Primary Care. This is a descriptive and exploratory study, based on the mixed approach, and aims to analyze the use of ICPs in the Family Health Strategy (FHS) in the municipality of Assú, located in the western region of Rio Grande do Norte (RN), with a population 57,644 inhabitants, thus being considered a medium-sized municipality. Data were collected through structured questionnaires with 74 FHS professionals and semi-structured interviews with 3 representatives of the Municipal Primary Care Management. For data analysis, thematic content analysis was used, according to Bardin. Regarding ethical aspects, the research project was approved under the opinion of the Ethics and Research Committee of the Onofre Lopes University Hospital (CEP / HUOL), under CAAE 15000919.4.0000.5292 and opinion number 3.440.908. As a result, it was observed that professionals understand PICS as something else, which can be complementary or substitutive depending on the context of use; The provision of PICS in the participants' routine is incipient and non-institutionalized, being reduced to the orientation on the use of medicinal plants and auriculotherapy with restricted offer to professionals of the Extended Family Health Center; AB management has voiced that it is sensitive to the need for PICS Effectiveness, although it does not provide substantial support for this. The main difficulties were the difficulty of acceptance of these practices by users, the lack of specific training of professionals and the lack of support and adequate funding at the management level.

     

21
  • NIEDJA KAROLINE DE SOUZA ANDRADE
  • HOSPITAL DISCHARGE OF HIGH-RISK NEWBORNS: THE CARE INTERFACE BETWEEN MATERNITY AND PRIMARY HEALTH CARE

  • Líder : NADJA DE SA PINTO DANTAS ROCHA
  • MIEMBROS DE LA BANCA :
  • ANA LARISSA FERNANDES DE HOLANDA SOARES
  • NADJA DE SA PINTO DANTAS ROCHA
  • PAULA FERNANDA BRANDAO BATISTA DOS SANTOS
  • TATYANA MARIA SILVA DE SOUZA ROSENDO
  • Data: 26-nov-2019


  • Resumen Espectáculo
  • Child mortality is still a serious public health problem in the national and international context, especially when it comes to the neonatal component. Despite the numerous strategies already implemented to cope with the high number of child deaths, there is still a need for continuous efforts to offer comprehensive and qualified care to the newborn. The shared hospital discharge process is presented as a potential strategy aiming at the appropriate follow-up of the risk newborn. The aim of this study was to analyze the interaction and sharing of care actions between maternity Family Health Strategy teams after hospital discharge, and follow-up of high-risk newborns in Primary Health Care. This is an exploratory descriptive study using a qualitative approach, conducted in a city of Northeastern Brazil. The subjects were 39 Family Health Unit professionals who care for newborns. An interview consisting of open and closed questions was applied. The data were systematized using content analysis in the thematic modality. The results demonstrate that the relationship between maternity and family health teams in the newborn discharge process remains a challenge, since it is disjointed and fragmented, with no integration or sharing of actions. The Family Health Strategy follow-up is also inadequate, given that the professionals exhibit difficulties in understanding the particularities of these children, compromising the care they provide. There is a need to implement mechanisms that favor cooperation and communication between the different care levels, in order to integrate the services.

22
  • ANNE CAROLINE MONTEIRO ROQUE
  • The adolescent's look under mental health service using Sandplay's projective technique

  • Líder : JANETE LIMA DE CASTRO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISABEL CRISTINA AMARAL DE SOUSA ROSSO NELSON
  • JANETE LIMA DE CASTRO
  • Data: 13-dic-2019


  • Resumen Espectáculo
  • Adolescence is a period known for changes and vulnerability, exposing the young to situations of violence, mental illness, and it is necessary to be aware of the needs of this group. This study aims to know the perception of adolescents accompanied by the ESF under mental health service. This is a study of qualitative approach and descriptive-propositional nature, the existential action research type, which used the projective interview technique, using Sandplay for data collection. The interviews were developed with the help of a semi-structured script, which was organized in four question sessions, which had the following questions: What is adolescence for you?; What causes mental distress at  this stage of life?; Is there a family relationship with this suffering?; and, Do you feel welcomed by the health team?. Along the interview was developed the technique called Sandplay or Sand Game. As a result, it was possible to understand how the adolescent accompanied by the ESF uses the municipality`s mental health service and its implications on the care received. Through projective technique exposes thoughts, sometimes not expressed in the interview. In this sense, the Family Health Strategy must be able to develop new care modalities based on the real problems of the clientele in question, thus contributing to the planning and organization of care, as well as to the adolescent mental health care network. The study obtained a favorable opinion from the Research Ethics Committee HUOL/UFRN (Parecer n. 3.440.688 e CAAE: 13447719.9.0000.5292).

23
  • GABRIELA BESERRA SOLANO
  • SYPHILIS IN GUAMARÉ-RN: THE VISION OF HEALTH PROFESSIONALS

  • Líder : CIPRIANO MAIA DE VASCONCELOS
  • MIEMBROS DE LA BANCA :
  • ANDRÉ LUIS BONIFÁCIO DE CARVALHO
  • CIPRIANO MAIA DE VASCONCELOS
  • EWERTON WILLIAM GOMES BRITO
  • MAISA PAULINO RODRIGUES
  • Data: 16-dic-2019


  • Resumen Espectáculo
  • Syphilis is a systemic infection, caused by Treponema pallidum transmitted most of the time by sexual and vertical means, being exclusive of the human being, can evolve to a chronic condition that can bring serious consequences when not treated early. This study aimed to analyze the activities of professionals from the city of Guamaré/ RN about the management of gestational, congenital and acquired syphilis it is an exploratory, comprehensive-interpretative study with a qualitative nature. We interviewed 10 health professionals (physicians, nurses working in Primary Care and Secondary Health Care. The instruments of material collection were: semi-structured interviews and documentary research, conducted between April and June 2019. The material was submitted to the technique of Thematic Analysis of Content and interpreted in light of the theoretical-methodological references adopted in the research. Such analysis has brought up three thematic categories: “perception of syphilis”; “difficulties for the prevention of syphilis”; and “actions for the control of syphilis”. The results indicate that professionals are informed about the treatment of syphilis, however, do not carry out prevention and disease control actions effectively, presenting, also, a perception supported in the biomedical paradigm. In addition, health education actions carried out by professionals are guided by a “bank education”, guided by the transmission and reproduction of knowledge.  Finally, it can be suggested that there is a need to invest in Permanent Education in Health in the city in focus with a view to empowering professionals and perhaps re-meaning the professional know-how about syphilis.

     

2016
Disertaciones
1
  • ANNE KARELYNE DE FARIA FURTUNATO
  • ESTRATÉGIAS DE PROMOÇÃO À SAÚDE DA PESSOA IDOSA INSTITUCIONALIZADA NO MUNICÍPIO DE POMBAL – PB: DESAFIOS DA ATENÇÃO PRIMÁRIA

  • Líder : VILANI MEDEIROS DE ARAUJO NUNES
  • MIEMBROS DE LA BANCA :
  • VILANI MEDEIROS DE ARAUJO NUNES
  • JACILEIDE GUIMARAES
  • JOAO CARLOS ALCHIERI
  • MARIA GORETTI DA CUNHA LISBOA
  • Data: 10-jun-2016


  • Resumen Espectáculo
  • Trata-se de um estudo descritivo, do tipo pesquisa-ação, com abordagem quantitativa a ser realizado com profissionais que atuam na Estratégia Saúde da Família (ESF), Núcleo de Apoio à Saúde da Família (NASF) e idosos residentes em uma instituição de longa permanência para idosos (ILPI) localizada no município de Pombal – PB. O objetivo geral do estudo será implementar estratégias que promovam a melhoria da qualidade de vida e aumento da resolutividade da atenção à saúde da pessoa idosa institucionalizada a partir de ações desenvolvidas pela Estratégia Saúde da Família. Como objetivos específicos: caracterizar os serviços de atenção ao idoso no município, identificando as comunicações entre estes; identificar as ações desenvolvidas pela ESF nas ILPI; realizar um diagnóstico situacional das condições de saúde dos idosos residentesem uma ILPI, identificando a capacidade funcional e cognitiva dos mesmos; identificar os serviços de saúde utilizados pelos idosos residentes na ILPI; realizar oficinas de capacitação sobre as especificidades do envelhecimento humano junto aos profissionais da ESF e apresentar proposta de cronograma de atividades a serem pactuadas entre ESF/NASF/ILPI. A população do estudo será constituída por todos os idosos residentes (n=12) na instituição e para a identificação das ações realizadas pela Estratégia Saúde da Família a população será constituída pelos profissionais que atuam na Unidade de Saúde da Familia Kellyson Ramalho, perfazendo um total de 17 (dezesseis) profissionais. Serão aplicados dois instrumentos de coleta de dados: um instrumento utilizado para a caracterização dos idosos residentes na ILPI local do estudo aplicado aos idosos e outro para os profissionais da ESF e NASF para a identificação de ações desenvolvidas pela ESF junto aos idosos residentes na instituição. O instrumento aplicado aos idosos constará de um formulário para caracterização sócio demográfica bem como do estado de saúde, além de conter escalas já validadas para avaliação funcional (Escala de Katz) e avaliação cognitiva (Mini Exame do Estado Mental – MEEM). Quanto ao instrumento de coleta de dados a ser aplicados aos profissionais, este constará de questões de múltipla escolha contendo informações referentes ao perfil do profissional, tempo de serviço na unidade, serviços de atenção ao idoso, conhecimento acerca da legislação destinada à pessoa idosa e ações desenvolvidas em instituições de longa permanência para idosos. Os dados coletados serão agrupados por categorias de sujeitos (idosos e profissionais) e analisados separadamente. O armazenamento dos dados será feito no programa Microsoft Excel, sendo estes confrontados e corrigidos se apresentarem erros e inconsistências. Após verificação da consistência dos dados, estes serão tabulados utilizando o programa estatístico Statical Package for Social Sciences (SPSS) versão 2.0 para análise. Os dados serão discutidos à luz da literatura pertinente ao tema. Cumprir-se-á todos os preceitos éticos e legais relativos à pesquisa com sujeitos humanos, conforme as diretrizes regulamentadoras da resolução nº. 466, de 12 de dezembro de 2012, do Conselho Nacional de Saúde/MS e suas complementares, visando assegurar os direitos e deveres que dizem respeito à comunidade científica, aos sujeitos da pesquisa e ao Estado.

2
  • ZULEIKA DANTAS DO VALE TAVARES
  • IMPLEMENTANDO A CADERNETA DE SAÚDE DA PESSOA IDOSA: PROPOSTA DE DIAGNÓSTICO, MONITORAMENTO E PREVENÇÃO DE QUEDAS.

  • Líder : VILANI MEDEIROS DE ARAUJO NUNES
  • MIEMBROS DE LA BANCA :
  • VILANI MEDEIROS DE ARAUJO NUNES
  • ANTONIO MEDEIROS JUNIOR
  • JOAO CARLOS ALCHIERI
  • MARIA GORETTI DA CUNHA LISBOA
  • Data: 10-jun-2016


  • Resumen Espectáculo
  • Atualmente, chegar à velhice é uma realidade populacional mesmo nos países mais pobres. No Brasil, estima-se que exista atualmente, cerca de 17,6 milhões de pessoas idosas e que até 2025, será o sexto país do mundo em número de idosos. Para enfrentarmos o envelhecimento populacional de forma estruturada, faz-se necessária a implantação e implementação de políticas públicas voltadas para pessoa idosa. Como exemplo no Brasil temos o pacto pela vida que definiu como ação estratégica implantar a Caderneta de Saúde da Pessoa Idosa. A nova versão da caderneta traz informações mais completas sobre os dados socioeconômicos e particularmente no agravo quedas, que representa um sério problema para essa população, pois mais de um terço das pessoas idosas sofrem pelo menos uma queda ao ano. São inúmeras as consequências ocasionadas pelas quedas como hospitalização, isolamento e até a morte. o objetivo desse trabalho é Implementar a caderneta de saúde da pessoa idosa visando contribuir para uma política de prevenção de quedas de idosos no domicílio; Capacitar os agentes comunitários de saúde (ACS) para o preenchimento da caderneta no que se refere aos dados sócio demográficos e avaliação de quedas, com ênfase nos aspectos ambientais; elaborar um guia de segurança ambiental ligado à prevenção de quedas no domicílio da pessoa idosa com vistas a capacitar os ACS; realizar um diagnóstico das quedas ocorridas nos domicílios das pessoas idosas e caracterizar a pessoa idosa nos aspectos socioeconômicos. O estudo será realizado no município de São José de Mipibu-RN, com 150 idosos. As informações derivadas deste estudo darão subsídio para realização de um trabalho de prevenção, registro e acompanhamento de indicadores de quedas na atenção básica.

3
  • JANAÍNE MARIA DE OLIVEIRA
  • DIRECTIONS TO BE PRECEPTOR EXPERIENCES IN TEACHING - SERVICE - COMMUNITY INTEGRATION OF A CITY OF NORTHEASTERN BRAZIL : CHALLENGES EDUCATION HEALTH

  • Líder : ANA KARENINA DE MELO ARRAES AMORIM
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JACILEIDE GUIMARAES
  • FATIMA RAQUEL ROSADO MORAIS
  • JOÃO BOSCO FILHO
  • Data: 29-jul-2016


  • Resumen Espectáculo
  •  

    The process of thinking and doing health has undergone major changes since the creation of the Unified Health System, which consequently boosted changes in vocational training processes in health, driven by the need to have professionals with a vision for comprehensive health care. From this need, the student's inclusion in health services becomes more valued. thus having the teacher a key role in student's approach to population and territory in the consolidation of the teaching-service-community integration. Given this importance, this study was driven to question which way leading service professionals to exercise preceptorship? They have dimension of their role as articulator of this integration process? What motivates this work and what your weaknesses? With these issues in mind, this study aimed to investigate the senses to be preceptor in the teaching-service-community integration experiences, from the speeches of preceptors professionals in the FHS, the study used a qualitative approach with building block in the production of present way in speeches preceptors of professionals, and its theoretical basis the approach of discursive practices in constructionist framework and had the actors 20 preceptors professionals in the FHS receiving trainees gradations of health public and private educational institutions. Semi-structured interviews were conducted, transcribed and analyzed, allowing the construction of sense of being preceptor from 4 analytical axes, namely: 1. Motivations and capabilities; 2. Limitations and criticism; 3. Relationship teaching-service-community; and 4. Be preceptor. As a result it was realized that the teacher plays the role of educator in their practice performance. However difficult to assign the educator role and, despite technical and educational limitations, he plays with commitment preceptorship, wishing qualification and organization of this practice in order not to overload their work in the FHS. It is also realized that the preceptor be involves the work of joint education service, but not in their collective dimension and also without the interaction with the community and the territory as a fundamental context in the health- disease. It is concluded that in the struggle for normalization of preceptorship function there is still much to advance , it is necessary , however , to reflect on the paths to be followed in addressing the obstacles to studies that may elicit solutions to this problem , so as progress towards the qualification of teacher professional so that it can come to fulfill this function with greater property, contributing to the strengthening of the SUS and reaffirmation of the ESF as a setting for health education.


4
  • ANNE CHRISTINE DE MACÊDO SILVA GOMES
  • Caregivers of people with disabilities: oral health perceptions and practices

  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • MAISA PAULINO RODRIGUES
  • NADJA DE SA PINTO DANTAS ROCHA
  • MARIA ALICE PIMENTEL FUSCELLA
  • Data: 29-jul-2016


  • Resumen Espectáculo
  • People with disabilities have, in general, hygiene and oral health compromised, focusing directly on the patient's condition. This situation is exacerbated in patients with motor or intellectual impairment, requiring usually a caregiver or guardian to assist in the achievement of oral hygiene in daily life. The objective of this study was to identify the perception and knowledge of caregivers of disabled people about oral health, as well as meet the oral health status of these, and its impact on their quality of life. It is considered that these perceptions can generate positive or negative actions to take care. They interviewed 50 caregivers who accompanied the special patients at the Dental Specialties Center of the city of Currais Novos / RN. This is a descriptive, exploratory, sectional search, with quantitative and qualitative approach, which focuses primarily on the caregivers of people with disabilities. To collect quantitative data it was applied a questionnaire consisting of two parts: the first part addressed the sociodemographic aspects; and the second part was composed by OHIP -14 index that sought to identify the impact of oral health on the quality of life of caregivers. Qualitative data were collected through semi-structured interview with the caregivers who agreed to answer it. Quantitative data were analyzed using the SPSS 22.0 and qualitative data were treated according to the content analysis technique the light of the theoretical framework of Minayo. The speeches emerged three thematic categories: conception healthy mouth, ways to take care of the mouth, conception of the edentulous. These categories allowed to capture the perceptions and knowledge of caregivers about oral health. The study results showed that the caregivers have a vision of oral health associated with the absence of oral problems, disregarding the social determinants involved in the health-disease. It is clear the need to implement educational and motivational programs that involving caregivers and patients under their responsibility, with a view to empowerment oral health.

5
  • ANNA CRISTINA DA CRUZ BEZERRA
  • Child health in the state of Rio Grande do Norte: access and quality of primary health care attention

  • Líder : NADJA DE SA PINTO DANTAS ROCHA
  • MIEMBROS DE LA BANCA :
  • NADJA DE SA PINTO DANTAS ROCHA
  • PAULO DE MEDEIROS ROCHA
  • MARIZE BARROS DE SOUZA
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • Data: 01-ago-2016


  • Resumen Espectáculo
  • Access and quality of care in early childhood, in the Brazilian context of Primary Health Care (APS) are influenced by the principles of the Unified Health System (SUS) and the main health policies of the child, represented by the Children and Adolescents Statute (ECA), the National Children Health Policy and the early childhood legal milestone. The Family Health Strategy (ESF) plays a central role in reorienting the model of care toward the integrity and improved performance of child care. This study was designed to evaluate the children health care in APS, from the perspective of access and quality of care in eight health regions of the State of Rio Grande do Norte. 13 essential aspects of child care were analyzed, in the components of supply, of active search and registration throughout two historical moments, from the multicenter research database of the National Program for Improving Access and Quality Primary Care / PMAQ / AB. The PMAQ, launched in 2011, sets up a new strategy for improving care through assessment, coordination of actions and certification focusing on the work of primary care teams. It is an evaluative study, cross-sectional, with a quantitative approach, performed with secondary data from PMAQ / AB, from the two program cycles in the period from 2011 to 2014. The universe of this research includes 407 health teams in 112 municipalities family of Rio Grande do Norte who were part of the two phases of the research. Data analysis was developed quantitatively through the Statistical Package for Social Sciences (SPSS®) version 22.0, with subsequent linkage of the databases of the first and second cycle. The main results demonstrate regional heterogeneities, with similarities and specificities, expanding trends of access and quality of care in early childhood within the APS of 8 health regions. However there has been challenges in the active search for and attention to the most vulnerable groups such as premature infants, which can be decisive for the increasing neonatal mortality. The increase in violence and accidents in early childhood shows qualification of APS on this record, but reveals the need for qualification of supply and health professionals activities for preventive interventions and health promotion focused on early childhood in the family and community context face to their local realities. The performance regarding access and quality of care in APS, from the perspective of PMAQ, shows a different picture that reveals the desirability of adopting precocious and timely interventions for early childhood, presented in this study.

6
  • JULIANA FERREIRA LEMOS
  • More Doctors Program for Brazil " : construction and validation tool for evaluation

  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • CLAUDIA SANTOS MARTINIANO SOUSA
  • MAURICIO ROBERTO CAMPELO DE MACEDO
  • PAULO DE MEDEIROS ROCHA
  • SEVERINA ALICE DA COSTA UCHOA
  • Data: 02-ago-2016


  • Resumen Espectáculo
  • This work aims to validate the content of indicators to evaluate the " More Doctors Program for Brazil ". The study was methodological, held in one of the Brazilian capital, with data collection from march to april 2016. The techniques were Delphi including 10 specialists in Primary Health Care evaluation apprehensively view through scale of 0 to 10 and average cutoff <7 and Standard deviation > 1, then pilot study with 4 program doctors, 1 supervisor and 1 tutor academic. The validated final instrument contains the categories: motivation through financial and educational incentives, work process, professional setting, expertise, supervision and tutoring. Was concluded that the instrument is reliable, easy to apply with potential widespread for application in others national contexts program.

7
  • LAIANNY KRÍZIA MAIA PEREIRA
  • ANALYZIS OF QUALITY OF INVESTIGATIONS ON INFANTS AND FETUS DEATH CASES IN CAICÓ/RN

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • LEOCIR PESSINI
  • NADJA DE SA PINTO DANTAS ROCHA
  • Data: 05-ago-2016


  • Resumen Espectáculo
  • Infant Death Rate (IDR) consists in one of the most used indicators to analyze public health situation. Identifying risk factors related to that may help on planning actions for restructuring and improving maternal and infant care, aiming death cases reduction. This is a study of descriptive character, within a quantitative approach, that has the goal to analyze the quality of investigations on infants and fetus death cases in Caicó/RN context. As research participants, all cases of infant or fetus death (N=55), notified and inquired on the Mortality Information System (MIS) from 2010 to 2015 in Caicó, were included. A secondary data about the infant and fetus cases, from death surveillance sector of the city and the MIS, was used on this study. In order to achieve a better analyzes of the investigations, the research analyzed the following dimension: Completeness, Consistence, Eventuality classification and investigation time length, each of those with its variable of study. This data was analyzed through absolute and relative frequency using the statistical software Statistical Package for the Social Science (SPSS) version 22.0. The study result showed a low percentage of investigation (45.3%) on the study time period, with most of the investigation happening way beyond the opportune deadline, stipulated by the Health Ministry.  Those were not done in an effective way, once was verified a low completeness and presence of innumerous inconsistencies. From the total of infant and fetus death cases investigated, the majority of the them (64.8%) were avoidable by health service action, and only 13.7% were in concordance when comparing the results based on the Brazilian List of Preventability and the investigation performed by the county. In overall, this study pointed a fragility on the death investigation in Caicó, mainly on the context of investigation closure. Therefore, it is important to reinforce the role of the investigation committee and further, highlight investigation records as an important tools for decision making management and infant mortality tracking, requiring additional investments, as capacitation for health care professionals, in order to overcome the identified problems.

8
  • REJANE MARTA DE MEDEIROS
  • INFANT DEATH: QUALITY OF INVESTIGATIONS IN NATAL/RN CITY

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • LEOCIR PESSINI
  • THIAGO GOMES DA TRINDADE
  • Data: 05-ago-2016


  • Resumen Espectáculo
  • The investigation of infant mortality is an important strategy that allows visibility to the profile of the deaths, and the good quality of the information is necessary to ensure the monitoring of deaths efficiency and support actions to control and prevention of new events. Despite important advances in information systems, in particular Information System Mortality (ISM), some studies point to factors that compromise the quality of information, especially those related to the completeness and consistency. This study aims to analyze the quality of investigations of infant deaths in the city of Natal/RN, in the period between 2010 and 2015. This is an epidemiological cross-sectional study, exploratory and descriptive, which will be held through a quantitative approach. The data of the municipal ISM were used, and included the deaths of children under one year of mothers living in Natal/RN, occurred the years between 2010 and 2015. The completeness and consistency were analyzed from the variables contained in Death Certificate (DC) and Summary Sheet (SS). The results showed that there was a gradual rise in the proportion of investigation of deaths reported over the years of the study, however were observed significant delays to completion. Fulfilment of the variables contained in the DC and SS was considered satisfactory, but some inconsistencies were found in the data showing the need to improve the quality of records in investigations.

9
  • ANDRELINA ALVES MANGUEIRA
  • WORK PROCESS OF ORGANIZATION AND PLANNING OF ACTIONS OF PRIMARY CARE TEAMS IN THE NORTHEAST

  • Líder : PAULO DE MEDEIROS ROCHA
  • MIEMBROS DE LA BANCA :
  • PAULO DE MEDEIROS ROCHA
  • NADJA DE SA PINTO DANTAS ROCHA
  • GABRIELA MARIA CAVALCANTI COSTA
  • Data: 09-ago-2016


  • Resumen Espectáculo
  • With the main objective of inducing increased access and improved primary care quality, the Ministry of Health established by Ordinance No. 1654 GM / MS, of 19 July 2011 the National Programme for Improving Access and Quality Primary care (PMAQ - AB). And believing that studies evaluating the planning of actions in teams of primary care, may favor the process of work, with consequent improvement and strengthening of primary care, became interested in developing this study, whose overall objective is: to analyze the dimensions related to organization of the work process and the planning of actions of primary care teams in the Northeast in the 1st and 2nd PMAQ-AB cycle. This is an observational, retrospective analysis of secondary data. Was used to search the database of the 1st and 2nd PMAQ cycle, the group of teams participating in the external evaluation in the Northeast in the two program cycles with study of variables related to Module II - Interview with professional . health at the health Unit the variables were analyzed using descriptive statistics, using IBM SPSS Software 24.0 and the results were organized and grouped into two dimensions: management actions for organization of the work process of the teams and the planning of actions and the tools used by the teams. The study followed all appropriate ethical standards with approval by the Ethics Committee of the Federal University of Rio Grande do Sul, under the number 21904 on March 13, 2012, and in line with Resolution No. 196/96 of the National Council Health. the results showed the support of management in the organization of the work process of the teams and action planning, providing information for analysis of the situation, with discussion of the data and monitoring information system. In the dimension related to the planning of actions and tools used by the teams, it was observed that the teams surveyed perform planning activities, on a monthly basis. Carry out monitoring and analysis of indicators and health information. As for the self-assessment process, the AMAQ instrument was the most widely used both in the 1st cycle as in the 2nd cycle, being applied by the teams as an organizing tool of the work process. The meetings is at a time of discussion of the work and action planning process, taking place mostly monthly. Thus, the study showed that primary care teams Northeasts Region, develop action planning and organizing the work process with the use of the resources offered by the management, favoring the rethinking of health practices, and contribute to the strengthening primary care.

10
  • ELIZANDRA PEREIRA TRINDADE
  • Rediscovering education health work as healthcommunity agent tool

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • Data: 10-ago-2016


  • Resumen Espectáculo
  • Summary: The National Policy of Primary Care, established by GM 2,488 / 2011 ordinance brings the specific role of the Community Health Agent (ACS) "develop health promotion activities, prevention of diseases and disorders as well as health surveillance for through home visits and individual and collective educational actions in the home and in the community "(BRAZIL, 2006, p.15). It is defined as research objective: to analyze the health education actions developed by the Community Health Workers Health Unit Family Felipe Shrimp I. The study was classified as an applied research, exploratory qualitative approach. It was performed by semiestrututrada interview, being developed researcher, in March 2016. The study followed all ethical procedures recommended by existing legislation, with opinion approved by the Research Ethics Committee in Human Beings with CAAE: 51325315.4.0000.5292. The results were worked from the thematic analysis (MINAYO, 2010), covering the following categories: The understanding of "health education; Limits and possibilities of the development of health education practices actions and feelings of community health agents in the development of health education actions. The findings point to a tension between two educational models: the traditional and the dialogical. In fact seem to co-exist in the the Family Health Strategy elements scene of both models, with the hegemonic first and second, an attempt to consolidate the assumptions of the Unified Health System (SUS). We understand that professionals, from experienced difficulties should seek new ways to make health education, enabling reflect on daily life and transform naturalized practices; The results suggest the need for ACS rethink the way they have developed their educational practices in health in order to get along with your team conditions for their empowerment, so that it can be perceived as a major player with your community from the perspective of transformation of reality and strengthening of social control. Fleeing from reality today set that is transfer of normative character of guidelines that aim to change the subject habits according to what is expected of him, without taking into account the uniqueness of each community or family

11
  • MARCELA FERNANDES DE ARAÚJO BATISTA DE MORAIS
  • Evaluation of women health care in pregnancy and postpartum in the northeast of Brazil

  • Líder : PAULO DE MEDEIROS ROCHA
  • MIEMBROS DE LA BANCA :
  • PAULO DE MEDEIROS ROCHA
  • NADJA DE SA PINTO DANTAS ROCHA
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • Data: 11-ago-2016


  • Resumen Espectáculo
  • In the process of construction of the Single Health System (SUS) the importance of the National Primary Care (NPC) is bigger and more evident. The teams of the primary care must be responsible for the population in their coverage area, maintaining a coordinated care. Within the high priority actions of the Family Health Strategy is prenatal care which aims to assure the good development of the pregnancy, allowing the birth of a healthy child. The present study aimed to evaluate women’s health care in the pregnant and puerperal cycle in the Northeast of Brazil through the data of the NPCAQIP. It is an evaluation study, with quantitative approach. The data used was obtained through the external evaluation bank of the NPCAQIP from both cycles provided by the Ministry of Health from the dimension of the women’s health care in the pregnancy and puerperium on the three modules of the data collection instrument, which are: Module I – Observation in the health unit, module II – Interview with a professional of the NPC team and verification of documents in the health unit and Module III – Interview with a client in the health unit. In order to analyze the data with a quantitative approach, the information was inserted in a data bank of the Statistical Package for Social Sciences (SPSS®) in the 17.0 version. After that, it was carried out a linkage of the two created data banks, one for the 1st cycle and the other one for the 2nd cycle, using the CNES variable and it was analyzed the same health units on both cycles, each cycle containing 9296 health units. The number of participants who took part in the study was 5146 health care professionals in each evaluation cycle, and regarding the clients, 1732 women on the first cycle and 2004 women on the second one took part answering questions concerning prenatal care. For the variable concerning the puerperium, 1743 women took part on the first cycle and 1952 women took part on the second one. The results were presented and discussed in different dimensions related to structure, process of work in the prenatal and process of work in the puerperium. It is highlighted the important consistence of the information about the pregnant card, prenatal tests, vaccination, postpartum follow-ups and Community Health Agent visit on the first week postpartum, considering they are variables which interlink with each other and are related by different individuals in the process. When it is compared to the second cycle of the NPCAQIP considering the variables of the woman in a pregnant and puerperal cycle, in relation to infrastructure, work process of the teams and perception and satisfaction of the clients, some advances can be noticed. Even though there are some variables which diminished or remained the same from one cycle to another, it is clear that the proposal of change induction in the practices of service, which was proposed by the NPCAQIP, is slowly consolidating. The evaluation cycles aim to encourage and follow the development of the different individuals involved in the search for better quality of health. One suggests that at every cycle the data collection instrument is enhanced and that basic criteria for certification is created.

12
  • THÁZIA COSTA
  • Quality of Life of Elderly People in the Family Health Strategy: a study under two viewpoints

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • GILSON DE VASCONCELOS TORRES
  • MAISA PAULINO RODRIGUES
  • MARCELO VIANA DA COSTA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 11-ago-2016


  • Resumen Espectáculo
  • This research deals with the issue of quality of life of elderly people in the Family Health Strategy, considering the participation of a group of senior citizens in the health promotion actions developed in the neighborhood of Igapó, Natal-RN. It was aimed at analyzing the quality of life of a group of senior citizens, in two different periods, based on the SF-36 (Medical Outcomes Study 36 - Item Short - Form Health Survey); and analyzing the view of elderly people with regard to the effects of health promotion actions for their quality of life. This is a longitudinal and descriptive/exploratory study, which was performed in two steps, embodying different and complementary viewpoints. In the first step, we used a quantitative approach, measuring the quality of life, from certain parameters. In the second step, we used a qualitative approach, bringing the view of elderly people about the analyzed object “lived” and its repercussions. Data were collected by applying questionnaires and holding focal group, and then they were analyzed by the softwares Microsoft Excel 2013 and Statistical Package for the Social Sciences (SPSS), 20.0. We adopted the Mann–Whitney U Test to check the significance among the differences of data. Moreover, we used the thematic content analysis. The project was approved by the Research Ethics Committee of HUOL/ UFRN (Opinion nº 562.318 and CAAE: 21996313.7.0000.5537). The results confirm changes in the quality of life according to the domains in the physical, functional and mental aspects. In addition, the listening of the group has vocalized situations that allow us to recognize improvements in the quality of life. We hope that this research may contribute to the strengthening of health promotion actions as potential driving practices directed towards the changes in the quality of life.

13
  • JOEL DÁCIO DE SOUZA MAIA
  • FORMING A GROUP OF HYPERTENSIVE PATIENTS TO SELF-CARE: AN ACTION RESEARCH

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • IRIS DO CEU CLARA COSTA
  • MAISA PAULINO RODRIGUES
  • MARCELO VIANA DA COSTA
  • Data: 12-ago-2016


  • Resumen Espectáculo
  • Throughout the world the lifestyle of people have changed drastically in the last decades, especially in developing countries like Brazil.  These changes brought new ways of getting ill, among these illnesses stand above chronic and degenerative diseases. One of the illnesses of most incidence in contemporary society is hypertension, including in Brazil, which is in high prevalence and is of a great risk to diseases in the circulatory system.  Brazil's Family Health Strategy is prioritizing the cope of this pathology and it needs sustainable actions in this matter. Considering this, it turned out to have a great value to develop a study in order to find out the perception of a team of the Family Health Strategy regarding the formation of groups, concept and importance of self-care and Popular Health Education. Promoting from that the formation of a group of self-care to users carriers of hypertension under the light of the Popular Health Education. As data collection instrument an interview was performed in order to acknowledge the perception of such professionals regarding the subject approached. To collect other kinds of information we used a field journal. The data analysis was based on Bardin's content analysis. At the end of the study, we were able to observe that the workers of the chosen team have a limited perception of health education, understanding it as only a way of preventing diseases and as a way of educate and inform the population. They do not understand the model proposed by the Popular Health Education. The practices currently developed by the team are basically lectures performed in the community without schedule, not even following a regular basis. Problems such as only part of the team developing the actions of health education, some professionals not willing to be part of such practices and a very tight or incompatible schedule are some of the existing hinders found in the reality studied. The workers of the team studied presented some experience working with user groups. They have good expectations of which positive results a group of hypertensive patients may bring, however, most of them do not know the importance of self-care to those patients. It was necessary to develop workshops to the discussion of such subjects with this team. These workshops made possible the confirmation of the results of this research. It was possible to observe that the whole team needs a better involvement in health education activities, a proper schedule, and an ongoing education to the discussion of this and other important subjects. After these workshops, the team decided to organize an experimental action following the models of Popular Health Education to the hypertensive patients in their area, showing excellent results locally. We believe this was a seed to the formation of a group of hypertensive patients in order to develop self-care guided by the Popular Health Education, as well as the start of changes in the educational practices developed by the team studied.

14
  • ANA KARINA SILVA CAVALCANTI FONTELA
  • PERCEPTION OF TEENS VACCINATED AGAINST HPV FOR PREVENTION OF CERVICAL CANCER

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • MARIA DAS NEVES FIGUEIROA
  • THIAGO GOMES DA TRINDADE
  • Data: 12-ago-2016


  • Resumen Espectáculo
  • Faced with the need to reduce the incidence of cervical cancer and lesions caused by the HPV virus the Ministry of Health began in March 2014 the vaccination campaign against HPV in girls 11-13 years throughout the country, because that the demand for such young adolescents at the service of primary care has become important to develop a study, which the research objective to analyze the perception on the prevention of cervical cancer in vaccinated users against HPV in a Recife Health Unit. This is an action research in which there will be two focus groups and a workshop. Each group will consist of 01 moderator leading the discussion by a road map to guide the following themes: knowledge and understanding of HPV infection and its link to cervical cancer; understandings and concerns about HPV vaccination; vaccination experiments; understandings about the importance of cervical cancer screening and knowledge on strategies to prevent cancer of the cervix in primary care, 01 recorder / registrar responsible for recording with audio and transcribe the discussions minimum of five and maximum number 10 girls aged between 11 and 14 years, who have already taken the first dose of the vaccine, attending the Health Unit Professor Mario Ramos for at least six months and is accompanied by the Community Health Agents Program. The meetings will take place in a comfortable and neutral location, the meetings will be held monthly on day and time combined with the teenagers, and participants will be invited by CHWs who had visited the day before confirming their presence. Data analysis will be conducted through Bardin Content Analysis. Towards development of health education actions and analysis of health situations, the study could qualify the discussion of ongoing in-service education and improve educational integration and service actions and promote actions that can improve attention and care management with vaccination and periodic holding of cytological examination of these girls to reduce cases and deaths by HPV.

15
  • MARIA ISABEL SILVA GUILHERME
  • FAMILY HEALTH AND MENTAL HEALTH: POSSIBILITIES OF JOINT IN A CONTEXT OF RURAL AREA

  • Líder : JACILEIDE GUIMARAES
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JACILEIDE GUIMARAES
  • LUCINEIRE LOPES DE OLIVEIRA
  • Data: 30-ago-2016


  • Resumen Espectáculo
  • Care in Primary Care is strategic because of its scope in the context of SUS in the organization of health systems, as it is the main gateway for users, requiring an indispensable link with the attention of medium and high complexity and actions health surveillance, making it easier for teams to users and vice versa. For this feature, it is common that health professionals routinely meet with people in psychological distress, since mental health is not separated from general health, making it necessary to recognize that these demands are present in several complaints from users Primary Care. Thus, professionals of primary care, demand is the challenge to understand and intervene on these issues, which more recently have the support of the prerogative of matrix support in mental health and possible reference to be articulated through the Support Centers Family Health (NASF) in locations that have such attention device. The aim of this study was to investigate the possibilities and limits of mental health actions in the Family Health Strategy (FHS) in a context of countryside. This is a descriptive and exploratory research with a qualitative approach, carried out in the ESF located in rural Assú municipality in the state of Rio Grande do Norte. We used a semi-structured interview to collect and record on the issue investigated. In the context studied, we found that the difficulties experienced by family health teams put forward the deadlock effect and ensure in practice the guiding principles of the NHS and basic Psychiatric Reform. We observed a fragmentation of care network to health and work process, where the little investment in the qualification / training of professionals focuses on the unpreparedness of the teams to deal with the mental health of users. Thus, it is essential to expand the matrix support in mental health for bigger and better possibilities of Psychosocial Care Network (RAPS) in the context of the state of Rio Grande do Norte, particularly in the municipality of Assu-RN.

16
  • JEANE DE OLIVEIRA RAMOS DA SILVA
  • CIRCLE DANCE LIKE INTEGRATIVE PRACTICE AND SUPPLEMENTARY: health promotion for contributions

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ANAMELIA LINS E SILVA FRANCO
  • GEORGIA SIBELE NOGUEIRA DA SILVA
  • MARIA ISABEL BRANDAO DE SOUZA MENDES
  • Data: 31-ago-2016


  • Resumen Espectáculo
  • Concerning the Brazilian health reform, which institutionalized, through the Unified Health System (SUS), the full healthcare assistance, the ordinance GM/MS Nº 671/2006, which implemented the integrative and complementary practices (PICs) into SUS, and the need of SUS users, health professionals, and managers, this paper, as a PAE (Existential Action Research), aims at analyze and describe through the Sociopoetic approach (Guathier, 2005) how Circle Dance workshops for health professionals can provide health, and contribute to the divulgation and development of this practice. The present research was conducted in Natal-RN, involving 15 health professionals who work for SUS. Data were collected using three methodological tools: surveys, daily notes and focal group. Health professionals feelings and thoughts were observed during the Circle Dance workshops, identifying its influences in the participant’s health, and evaluating how their experiences during the dance perhaps contributes to the divulgation and development of this practice as a PIC in Natal. Studies about the Circle Dance, The Salutogenesis Paradigm, Health Promotion Politics, Integrative Practices, Full Education Assistance and Worker Health were used   as theoretical background. This work concludes that Circle Dance workshops led to a health environment, which improved health, besides providing moments of consciousness expansion that deepened the understanding of important human values for a healthy daily living, such as equality, cooperation, unity, peace and respect for diversity. Moreover, it expanded the use and recognition of Circle Dance as an Integrative and Complementary Practice in the Unified Health System (SUS), enabling the continued expansion with the establishment of permanent Circle Dance of the SMS - Natal / RN: Roda Mandala de Luz.

17
  • VALESKA CAHU FONSECA DA NÓBREGA
  • Social networks support breastfeeding: a search action

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ROSANA LUCIA ALVES DE VILLAR
  • SUZANA CARNEIRO DE AZEVEDO FERNANDES
  • Data: 31-ago-2016


  • Resumen Espectáculo
  • The research discusses the social networks of support to breastfeeding in a Family Health Unit  from theoretical contributions on the social networks, considered as a web of established relationships between people and their consequences on individual and collective behavior, and the theory of the gift that reveals the comprehension of social interactions, bonds, exchange and reciprocity that circulate symbolic goods essential to the establishment of ties strengthening the network and the practice of breastfeeding. The general objective was analyze the social networks of support for encouraging the BF and develop actions in view of its strengthening; and as specific objectives: to map the social networks to support women in pregnancy and post childbirth, develop educational activities for stimulating BF involving social support networks and analyze the results of educational activities from the perspective of the participants. The research type was the action developed, divided in four phases: the exploratory phase, the planning phase, the action phase and the evaluation phase, with a qualitative approach. Took place at an area next to the Family Health Unit - Center in the city of Parnamirim, state of Rio Grande do Norte, and the research subjects consisted of eight women in exclusive breastfeeding. Data were collected at different phases through interviews, field diary records and focus groups. Were analyzed by developing ecomap; report of the actions developed and use of the thematic analysis technique content. The results revealed that the nuclear family has a very strong relationship with the mother, highlighting the partner (father) and mother (grandmother) as most influential members of the social network. The educational activities consisted of three types of activities that are complementary: home visits, conversations circles and interaction of a virtual group using the app WhatsAap, that were motivating strengthening of the network, helping to encourage the continuation of breastfeeding. The analysis of the voices of the subjects participants affirmed the importance of the support network for the practice of breastfeeding, involving relations of exchange and personhood in which circulated positive gifts, generating feelings of recognition, affection, solidarity and satisfaction for having lived the experience.

18
  • NATHALY SOPHIA ROCHA PHILLIPS DAVID
  • SELF ASSESSMENT INTEGRATIVE MANAGEMENT CARE: SENSES AND MEANING OF PICS IN FOREST NISIA

  • Líder : ANA TANIA LOPES SAMPAIO
  • MIEMBROS DE LA BANCA :
  • ANA TANIA LOPES SAMPAIO
  • ISLÂNDIA MARIA CARVALHO DE SOUSA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 31-ago-2016


  • Resumen Espectáculo
  • Health reform, established in Brazil since 1988, has as one of the basic principles of the Unified Health System - SUS full health care. One of the structural policies for this comprehensive care is the National Policy on Integrative and Complementary Practices-PICs, launched since 2006, which incorporates the device as Extended Clinica within Primary Care. The Municipality of Nísia Forest, situated in the wild Rio Grande do Norte, is in the process of implementing a Municipal Policy on Integrative and Complementary Practices in Health - PMPIC. This study is a qualitative research of the type Action Research analytical nature etnofenomenológico with social poetic approach, which aims to describe and analyze the implementation process of PMPIC / Nísia Forest-RN, the light of the senses and meanings pointed out by the Strategy professionals Family Health over a self-assessment workshop Humanopoiético Integrative.

19
  • HENRIQUE GONÇALVES DANTAS DE MEDEIROS
  • FAMILY HEALTH AND MEDICAL EDUCATION: REFLECTIONS FROM THE EXPERIENCE OF A MEDICINE UNDERGRADUATE COURSE LOCATED IN THE COUNTRYSIDE OF THE STATE OF PARAÍBA

  • Líder : THIAGO GOMES DA TRINDADE
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • ION GARCIA MASCARENHAS DE ANDRADE
  • THIAGO GOMES DA TRINDADE
  • Data: 01-sep-2016


  • Resumen Espectáculo
  • Taking under consideration the medical education reform processes in recent years and the current debate on the transference of medicine undergraduate courses to the countryside, the need of studying the experiences that have arisen after the 2001 National Curriculum Guidelines is visible. As a result, it was sought to analyze the experience UFCG medicine school located in Cajazeiras, moreover, report the history of the course; evaluate the present challenges; consider the theoretical foundations of the Pedagogical Project of the Course (PPC); describe the insertion of Public Health / Family Medicine  in the curriculum; consider whether this PPC meets the requirements of Primary Health Care; describe how the aspects related to the world of work, pedagogical project, pedagogical approach, practice scenarios and teacher development are experienced; recognize contradictions between PPC and real conduction; and excerpt generalizations that may support public policies. This research is based on Marxist frame of reference. Historical, monographic and comparative methods of procedure were used. It has a qualitative approach. Its characteristics are descriptive and exploratory. Indirect documentation (documentary and bibliographic research) and Intensive Direct Observation - participant observation, which, in the beginning was unsystematic and later systematic, following the instrument developed by Lampert, were adopted as data collection techniques. As data analysis technique, the hermeneutic-dialectic method. The story of the course reveals the tension between low absorptive capacity of the local health system and institutional characteristics of UFCG (teaching staff, PPC). The first aspect was the main pole of the contradiction in the early years, which was partially overcome thanks to the reduction of annual entries, possibility of supervised internships in other institutions and UFCG’s own hospital services establishment. Only then, the Teacher Development gained preeminence among the present challenges. Starting from common problems of Rural Medicine, PPC has a great eclecticism: it flirts with the Historical and Dialectical Materialism by Latin American Critical Epidemiology, which bases its understanding of medicine, and Methodology of Problematization, with the understanding of the student as a subject and diversification of learning spaces; referencing on Skills Pedagogy, conforms to currents of rationalist imprint, individualistic and neopragmatist nature; and, finally, the Postmodernism of Contestation, of Boaventura de Sousa Santos, and the Complex Thought, of Edgar Morin, establish an ethical understanding of the human being and Science, which guides assumptions of curricula based on humanism and research as a conductor axis of teaching. The course is aligned with the guidelines of ABEM / SBMFC for teaching in primary health care, which is inserted since the first year, by teaching of collective approaches of the health-disease process. Training in primary health care emphatically continues in the fourth term when community and family approaches in the territory are studied, developing Residency in Family Medicine and where, during the intermediate following years and the supervised internships, individual clinical approach in Primary Health Care is trained. Throughout the path, different methodologies are worked such as living in communities, tutorial groups for follow Singular Therapeutic Projects, seminars, etc. The course presents Innovative with Advanced Trend profile, and Teaching Development is a critical point, revealing their fundamental contradiction: the advancements in theory are not fully expressed in practice. It is both concluded that the medical educational policies of transference of the undergraduate course to the countryside should prioritize the analysis of the health network, and that changes in medical education mainly depends on political action in projects disputes.

20
  • ALEXANDRE BEZERRA SILVA
  • EARLY DETECTION OF GINECOLOGICAL CANCER: AN ACTION PERFORMED BY NURSES STRATEGY HEALTH ASSU FAMILY / RN?


  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • MAISA PAULINO RODRIGUES
  • ANTONIO MEDEIROS JUNIOR
  • LUCINEIRE LOPES DE OLIVEIRA
  • Data: 09-sep-2016


  • Resumen Espectáculo
  • The high incidence and mortality from cervical cancer in Brazil justify the implementation of effective strategies to control the disease including health promotion, prevention and early detection, treatment and palliative care, when needed. Populations of Women Family Health Units are not covered by the examination of cytology in the age range recommended by the Ministry of Health. The actions of the nurse in the Family Health Strategy (FHS) are still ignorant, there is no trace in the age group recommends . Ministry of Health Thus the study screen has the general objective to analyze the Health Strategy nurse's shares aimed Family to early detection and screening for cervical cancer in Assú municipality of ESF and specific objectives: identify if there active search, by nurses, women in the age group most at risk for cervical cancer in the teams of the Family Health Strategy; know the health education actions aimed at preventing cervical cancer in the teams of the Family Health Strategy. This is an exploratory qualitative study. After institutional consent and assent of the Research Ethics Committee of the Hospital Onofre Lopes, Opinion No 1562578 and CAAE 537532155.000.5292, data collection was carried out in June 2016. Research participants were 11 nurses from the Health Strategy the municipal Family Assú / RN. We opted for the semi-structured individual interviews. Data were analyzed from the Thematic Content Analysis method of Minayo. Bringing the main results obtained from the research, it was realized that it is necessary that the teams of the Family Health Strategy are aware on the issue of the frequency in which these tests are done, the age at which these tests are performed, finally, to profile of women who should conduct the examination colpocytology oncótica.O fulfilling spontaneous demand for the collection of cytological sample must continue, but it is important to prioritize the age group most at risk for the disease. Thus, health education and active search should be as essential tools for the prevention and control of cervical cancer.

21
  • SAMIRAMIS SIMONE DE SOUSA REZENDE
  • Oral Health in Primary Care: strategies to improve access

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • DANIELA MENDES DA VEIGA PESSOA
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 30-sep-2016


  • Resumen Espectáculo
  • In Brazil despite the expansion of oral health services occurred in recent years, the organization of demand and access to comprehensive care are still challenges in the SUS.The purpose of this study was to analyze the access to oral health actions in primary care and compose intervention strategies with a view to its improvement. This study adopted a qualitative approach in an interventionist character and was conducted with a family health team in unit basic network of Jaboatão dos Guararapes, Pernambuco, Brazil. Regarding the methodological strategies, initially, it was used the technique of dialectical hermeneutic circle (HDC) to identify the understanding of the health team professionals on the selected theme, with the construction / reconstruction of new and old concepts, from which defined themes for deepening. Workshops were held in order to dialogue with the participants and seek tools / instruments that could contribute to the improvement of the working process with regard to access to comprehensive oral care. The data record was through the Research Journal and audio recording, previously authorized. The proposed activities have developed on a shared basis with the professional team and the strategies of action were made by the participants based on the literature, considering their knowledge and practical experience. The analysis was produced in dynamic analytical process and collective construction of strategies to qualify health care. All participants concluded that in order to qualify for the oral l health care could not act alone and that changes needed to improve access to oral health should include expanded vision of comprehensive care and shared action between subjects in work processes. The survey results indicate that access to oral health is not restricted to the performance of the professional / dental health team, however if expands and articulates the role of other family health team professionals and the implication of all involved in the processes of health work: workers, users and managers.

22
  • JOSEANE DA ROCHA DANTAS CAVALCANTI
  • The tale tent in primary health care: a possible space for integral care for male health?

  • Líder : GEORGIA SIBELE NOGUEIRA DA SILVA
  • MIEMBROS DE LA BANCA :
  • GEORGIA SIBELE NOGUEIRA DA SILVA
  • MAISA PAULINO RODRIGUES
  • MARIA JACQUELINE ABRANTES GADELHA
  • Data: 05-dic-2016


  • Resumen Espectáculo
  • The alleged male invulnerability has become a factor of vulnerability to illness, added to the fact of the invisibility of their demands by the health services, regarding the organization of services and beliefs regarding masculinity signify synonymous with non-care. In this context, we have the need to create and intensify strategies in basic care that contemplate men in a unique way. In view of this scenario, we conducted a qualitative research of an interventional character in order to understand if the Tale Tent inventive practice can be configured as a space of humanized and integral care for the health of men who use the Family Health Strategy. The study was carried out with nine men in a Family Health Unit, in the city of Cuité-PB. As a methodological strategy, we used the interview, and the men's participation in the Tale Tent, mediated by the researcher; And the researcher's field diary and her assistant. The Tale Tent is an open space, through meetings where users and health professionals share wisdom and life experiences, stimulating co-responsibility in the search for solutions and overcoming challenges, constituting a strategy of optimization in the reception and establishment Based on the principle of humanization. For the analysis and interpretation of the narratives we turn to the Gadamerian Hermeneutics. From the dialogue with the narratives of the men in the tents and interviews we obtained some thematic axes: 1) To be man is to give account of everything! In this axis we find the centrality of work in the construction of masculinities, and the responsibility towards everything and character having the force of being man; 2) Conceptions about health: living well and feeling nothing. They started from the absence of illness, going to well-being, with emphasis in the course of the tents for the presence of music, leisure, and coexistence among them as allies in their health. 3) Conceptions about good service: the search for resolution and access arise alongside the reception and quality of communication. 4) Health demands and the tent: revealing needs. Of the demands we observe: hypertension, gastritis, prostate problems, physical pain and anxiety. They highlight their needs for resorting to health services and (re-) know the need to give visibility and care to their emotional issues. 5) The Tale Tent and the recognition of the other by the word. In this axis, from the initial shyness to (re) knowledge and the joy of being able to speak, evidence the gains obtained with the Tent for the expression of its singularities and subjectivities. Through the account of these men, their stories of joys and pains, we verified how much it was possible to take care of the masculine health besides the illness and the instrumental care, within the scope of the ESF. By enhancing and welcoming the dimensions of masculine subjectivity, protagonism in health, and promoting a dialogical encounter, the Tent of Tale has exercised a place of humanized and integral care for these men and can continue to inspire more practices that favor the reception of existential pains and the reunion with the power of encounters, because these needs are too human.

23
  • RAFAEL SOARES CHAVES
  • SINGULAR THERAPEUTIC PROJECT AS A CARE MANAGEMENT TOOL IN THE RN FAMILY HEALTH STRATEGY: challenges and possibilities

  • Líder : ANA KARENINA DE MELO ARRAES AMORIM
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JOÃO BOSCO FILHO
  • MAISA PAULINO RODRIGUES
  • Data: 19-dic-2016


  • Resumen Espectáculo
  • In Brazil, the use and development of health instruments and technologies to guarantee access to health as a right for all, as well as the resolubility of the different and complex demands observed in the territories represent a key point for the development of SUS in its fundamental principles In the different Brazilian regions. the singular therapeutic project (STP) is a practice that is currently not yet incorporated into the routine of most health care teams in primary health attention and is still less widespread and developed, despite its great potential in the production of new realities, especially with regard to complex cases. Because of this, studies are justified in order to shed light on the realities of the teams in relation to the use of STP as a health care management tool within the Famlily Health Strategy. In this sense, the present work deals with an exploratory qualitative research that sought to investigate how a team of the ESF and a Nucleus of Support of Family Health (NASF) team that supports it use the STP in its territory, with specific objectives: to know the meanings attributed by the professionals (of the teams NASF and ESF) to the notions of Expanded Clinic, Matrix Support and Singular Therapeutic Project; Identify how teams communicate and link each other for the construction of the STP and the realization of matrix support; and identify the potentialities and difficulties experienced by the teams for the use of STP as a care management tool. For this, the methodological approach was developed through semi-structured individual interviews and focus groups with the professionals of the teams of a small city of the RN. The data produced by the interviews and the focus groups were organized and categorized through the content analysis proposed by Bardin. The three axes of analysis were: 1) The multiprofessionality, co-responsibility and resoluteness; 2) conceptions of PTS, difficulties, lack of experience and lack of knowledge about STP; and 3) Articulation and planning of actions. In general, the study pointed out that the construction of STP as a punctual practice, being a tool that does not make up the daily life of health teams and services in primary health, although it is recognized as important for the expansion of actions and resolution of the problems of the users. In addition, the STP, besides not being a tool of daily use, it is unknown to many and the teams are lacking experiences that potentiate their use in a systematic and shared way in the spaces of production of health care. In this way, it is important that actions of qualification of the atention be developed together with the teams for the use of STP among other tools for management of care in an integral and shared way.

2014
Disertaciones
1
  • JOSE ADAILTON DA SILVA
  • Promoção da Saúde: estratégias para a autonomia e qualidade de vida do sujeito com diabetes

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • KARLA PATRICIA CARDOSO AMORIM
  • MARIA DE FÁTIMA ANTERO SOUSA MACHADO
  • Data: 30-ene-2014


  • Resumen Espectáculo
  • O diabetes é uma doença crônico-degenerativa de grande prevalência na população mundial configurando-se enquanto sério problema de saúde pública. Por ser crônico exige dos sujeitos autocuidado e autogoverno longitudinal. A autonomia é um direito fundamental e também um dos princípios da bioética mais discutidos na atualidade. Seu conceito é complexo e leva em conta a vida experimentada ao longo dos anos. Quando a discussão sobre autonomia se trata de diabetes, a dependência do outro e os conflitos no controle da doença, diante de novas regras e estilos de vida, nem sempre condizentes com os valores dos pacientes, torna-a fragilizada. Embora a autonomia seja claramente parte integrante do tratamento e alicerce para uma vida digna e de qualidade, observa-se que os sujeitos tornam-se ainda mais dependentes dos serviços de saúde quando se deparam com o diagnóstico e não têm confiança para tomar suas próprias decisões diante da patologia limitadora, daí a necessidade dos serviços de atenção primária à saúde traçarem estratégias para promover a saúde desses sujeitos. Os Grupos Estratégicos de Promoção da Saúde são estratégias recentemente utilizadas para influenciar no nível de autonomia dos sujeitos, pois possibilitam, respeitando os limites éticos, garantir participação decisória no grupo, através de estratégias e treinamentos de habilidades com competências claramente definidas, que favorecem o empowermet e o protagonismo dos sujeitos. Desse modo, este trabalho objetiva propor estratégias no âmbito da promoção da saúde na ESF, que contribuam para melhor autonomia e qualidade de vida aos portadores de diabetes mellitus, a partir de sua percepção. E, mais especificamente analisar o perfil clínico e socioeconômico dos portadores de diabetes da ESF; identificar as experiências, necessidades e expectativas dos diabéticos sobre autonomia, autocuidado e qualidade de vida; e estruturar em conjunto com os diabéticos propostas para implantação de um Grupo Estratégico de Promoção da Saúde – GEPS. Para isto, foi realizada uma pesquisa exploratória descritiva de abordagem qualitativa, com 65 sujeitos com diabetes acompanhados por uma Unidade de Saúde da Família do Município de Santa Cruz/RN. A pesquisa foi realizada em três etapas interdependentes: 1) coleta de dados clínicos e socioeconômicos, para o qual foi utilizado entrevista estruturada e análise retrospectiva dos registros feitos em seu prontuário; 2) a análise das experiências, necessidades e expectativas dos sujeitos sobre autonomia, autocuidado e qualidade de vida, que utilizou-se de entrevista semiestruturada com 6 sujeitos, sendo 3 com mais e 3 com menos complicações autorreferidas e verificadas no prontuário; e 3) a construção coletiva de propostas para melhor autonomia e qualidade de vida dos próprios participantes do estudo, por meio de roda de conversa. A análise dos dados foi feita utilizando-se software de estatísticas simples para os dados das questões fechadas e os dados qualitativos foram analisados quanto ao conteúdo.  Observa-se que o perfil clínico e socioeconômicos dos sujeitos com diabetes aproximam-se das estatísticas nacionais, embora exista variáveis, como cor da pele, com variação significativa. A autopercepção dos sujeitos diante de algumas complicações divergem de registros encontrados em seu prontuário o que aponta uma possível desvalorização de queixas como hipoglicemia e disfunção sexual, como também baixa adesão ao tratamento por, muitas vezes, não terem suas opiniões valorizadas. As categorias encontradas: vida, qualidade de vida, diagnostico e enfrentamento do problema, autonomia, limites e dependência e as práticas coletivas de promoção da saúde, apontam para a necessidade de estratégias por meio de grupos que considerem as crenças e valores dos sujeitos, favoreçam sua emancipação e torne-os protagonistas de sua própria história. A autonomia é fundamental para o exercício da cidadania efetiva, é por meio dela que os sujeitos transformam sua realidade e a si mesmo.

2
  • RICARDO HENRIQUE VIEIRA DE MELO
  • Análise de redes do cotidiano a partir do encontro entre usuários e profissionais da Estratégia Saúde da Família.

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • GEORGIA SIBELE NOGUEIRA DA SILVA
  • PAULO HENRIQUE NOVAES MARTINS DE ALBUQUERQUE
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 14-feb-2014


  • Resumen Espectáculo
  •  

    O presente estudo discute a formação de Redes Sociais no cotidiano da Estratégia Saúde da Família, a partir de aportes da teoria sociológica sobre redes, interações, dádiva e reconhecimento. O objetivo geral é analisar as redes sociais locais em saúde a partir da interação de usuários e profissionais da Estratégia Saúde da Família na Unidade de Saúde de Cidade Praia, em Natal, RN. Seus objetivos específicos são: Mapear as redes sociais locais em saúde existentes no território adscrito; Identificar os tipos de interações cotidianas entre os sujeitos; Compreender a percepção dos sujeitos sobre o processo de formação de redes sociais a partir das interações. Caracteriza-se enquanto pesquisa qualitativa exploratória cujos sujeitos foram profissionais e usuários vinculados à referida unidade de saúde.  Para a coleta de dados foram utilizadas entrevistas individuais semiestruturadas e debates em grupos focais, estimulados pela Metodologia de Análise de Redes do Cotidiano (MARES), pertinente para abordar a complexidade das relações sociais e mapear os diferentes conteúdos expressos e as formas de mobilização coletiva. A análise dos dados foi realizada através da Técnica de Análise Temática de Conteúdo, proposta por Minayo. Os resultados foram interpretados à luz das Teorias da Dádiva (Mauss) e do Reconhecimento (Honneth). Os sujeitos visualizaram: Rede Virtual (28,20%); Rede de Atenção à Saúde (25,64%); Redes de Usuários (17,95%); Rede Pessoal (10,26%); Conselho Comunitário (10,26%); Escolas (7,69%). Os participantes não perceberam os arranjos familiares enquanto Redes Sociais. Os tipos de interações sociais identificadas foram: Confrontação/Negociação (41.02%); Harmônicas (25,70%); Correlativas (17,90%); Definidas pela Organização (15,38%). A formação de redes sociais ocorre a partir de interações cotidianas entre pessoas, pela articulação inseparável de conteúdos e formas, catalisadas pelo contexto, experiência e cognição, valorizando a liberdade, a expressividade e a diversidade dos parceiros de significação. Foram encontradas duas categorias, na percepção dos sujeitos, sobre a formação de redes sociais do cotidiano: Diálogo e Encontro. A aposta no circuito da dádiva e do reconhecimento recíproco, durante o trânsito nas redes sociais em saúde, pode ser capaz de tecer uma práxis transformadora, pela busca e alcance de confiança, respeito e estima, nos espaços de encontro entre usuários e profissionais da Estratégia Saúde da Família.


3
  • FRANCISCO GLERISTON VIEIRA
  • AVALIAÇÃO DA SATISFAÇÃO DAS USUÁRIAS SOBRE A ATENÇÃO À SAÚDE DA MULHER NO RIO GRANDE DO NORTE

  • Líder : PAULO DE MEDEIROS ROCHA
  • MIEMBROS DE LA BANCA :
  • PAULO DE MEDEIROS ROCHA
  • SEVERINA ALICE DA COSTA UCHOA
  • SUZANA CARNEIRO DE AZEVEDO FERNANDES
  • Data: 27-feb-2014


  • Resumen Espectáculo
  • Este trabalho discute a avaliação da satisfação das usuárias sobre a atenção à saúde da mulher em relação à qualidade da Atenção Primária à Saúde (APS) no Estado do Rio Grande do Norte (RN).
    O objetivo geral da pesquisa é Avaliar a satisfação das usuárias acerca das ações empreendidas na área de Saúde da Mulher, no âmbito Atenção Básica, no Estado do Rio Grande do Norte, a partir das informações do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQAB). Tendo como objetivos específicos Avaliar aspectos relacionados à Saúde da Mulher; Avaliar as ações de acolhimento específicas às gestantes e; Avaliar as informações sobre o pósparto. Essa dissertação caracteriza-se enquanto pesquisa avaliativa realizada através de um estudo transversal e multicêntrico (tipo inquérito), com abordagem quantitativa, no qual faz parte da Avaliação Externa do PMAQ-AB no Estado do RN, da Universidade Federal do Rio Grande do Norte.  Foram utilizados dados secundários das entrevistas com usuárias presentes nas Unidades Básicas de Saúde durante a Avaliação Externa do PMAQ-AB no Estado do RN. A amostra se deu por conveniência a partir dos seguintes critérios: usuários que estavam presentes nas Unidades Básicas de Saúde para realizar qualquer tipo de procedimento, assim como ter frequentado o serviço há pelo menos 1 ano e se disponibilizar a participar da pesquisa. Foram excluídos os que tinham ido pela primeira vez na unidade de saúde e aqueles que não frequentaram a mais de 12 meses. Para a coleta de dados foi utilizado um quadro variáveis/indicadores contendo as seguintes dimensões de análises: Saúde da Mulher, Acolhimento Específico à Gestante e Informações sobre o Pós-parto. A análise descritiva dos dados foi realizada por meio de frequências absolutas e relativas das variáveis, através do programa Statistic Package for Social Sciences (SPSS) for Windows, versão 22.0.0. Os resultados desta pesquisa indicam um quadro positivo de satisfação das usuárias acerca da Atenção à Saúde da Mulher no Estado do Rio Grande do Norte perante as ações empreendidas pela APS. Outra análise importante é a integração da APS com outros pontos da Rede de Atenção à Saúde na tentativa de reorientação do Modelo de Atenção à Saúde enquanto porta de entrada para garantia do acesso e da qualidade dos serviços prestados aos usuários e como coordenadora deste conjunto de cuidado. Portanto, a avaliação da satisfação dos usuários nos serviços de saúde é fundamental entre todos os atores envolvidos no processo de consolidação do Sistema Único de Saúde – SUS, tendo a necessidade de se repensar às práticas profissionais, reorganizar os processos de trabalhos das equipes Multiprofissionais de Saúde, viabilizar recursos financeiros, insumos e materiais, planejar e sistematizar novas ações de atenção à saúde com o objetivo de garantir a atenção integral a saúde da população.

4
  • MARISE SOARES ALMEIDA
  • AÇÕES EDUCATIVAS COM PORTADORES DE DIABETES MELLITUS ATRAVÉS DA EDUCAÇÃO POPULAR EM SAÚDE

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • ROSANA LUCIA ALVES DE VILLAR
  • MARIA ALICE PIMENTEL FUSCELLA
  • Data: 20-mar-2014


  • Resumen Espectáculo
  •  

    A Educação Popular em Saúde, em sua dimensão libertadora, remete indivíduos e grupos à troca de saberes e experiências, permitindo-lhes associar a saúde ao resultado das suas condições de vida. Sob essa ótica, trabalhadores e usuários da saúde são sujeitos do processo educativo. Neste sentido, este estudo tem como objetivos identificar as principais características clínicas e sócio-sanitárias e promover ações educativas com portadores de Diabetes Mellitus (DM) em uma Unidade de Saúde da Família do Distrito Sanitário Oeste, no município de Natal/RN. Trata-se de uma pesquisa-ação na qual será utilizado, para a dinamização de três grupos educativos com reuniões periódicas mensais, o referencial teórico da Teoria da Educação Libertadora, que tem como base uma pedagogia problematizadora, emancipadora e que valoriza o diálogo no processo de compreensão de si mesmo e do mundo. Participaram da pesquisa trinta trabalhadores de saúde e trinta e seis diabéticos, moradores da área de abrangência da unidade de saúde. Cada grupo tinha, em média, doze participantes, e as ações foram organizadas no salão da unidade, no Espaço Eliane Laurentino, utilizando-se rodas de conversa, dinâmicas de grupo, narrativas de vida, relatos de experiências, exibições e discussões de filmes, músicas, explicitação de saberes, desejos, limitações, crenças e valores socialmente construídos. A coleta dos dados realizou-se durante o segundo semestre de dois mil e treze através da Técnica de Associação Livre de Palavras (TALP), gravações das rodas de conversa, observação participante, dinâmicas de grupo, depoimentos, questionários, narrativa de vida e fotografias. O material empírico foi organizado e submetido a três análises: conteúdo temático (Bardin), análise pelo software IRAMUTEQ (Ratinaud), e o método de análise fotográfica (Edmund Feldman). Essas análises dos dados originaram palavras, expressões, categorias, temas e situações criativas mostrando que a educação popular em saúde encontra-se em processo de construção, ainda muito incipiente na atenção básica. A Política Nacional de Educação Popular em Saúde nos mostra os caminhos necessários para a transformação das práticas de saúde e a construção de uma sociedade mais compartilhada e solidária. As reuniões de grupo vivenciadas poderiam ser espaços para reverter essa lógica normativa que vem acontecendo ao longo dos anos na atenção básica, mas isso, por se só, não basta. Assim, percebemos que a educação popular em saúde é vista com bons olhos pelo ministério da saúde, sendo incorporada timidamente no processo educativo dos sujeitos deste estudo e bem distante dos princípios de participação, organização de um trabalho político, ampliação dos espaços de diálogo, respeito, de solidariedade e tolerância entre os diversos atores envolvidos no enfrentamento dos problemas de saúde, fundamentais para o aperfeiçoamento na construção de práticas saudáveis da atenção básica.


5
  • ANDREZZA KARINE ARAÚJO DE MEDEIROS PEREIRA
  •  

    LIMITES E POSSIBILIDADES DA EDUCAÇÃO EM SAÚDE NA ESTRATÉGIA DE SAÚDE DA FAMÍLIA DE PAU DOS FERROS/RN.


  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • JOÃO BOSCO FILHO
  • MAISA PAULINO RODRIGUES
  • Data: 27-mar-2014


  • Resumen Espectáculo
  • A Estratégia Saúde da Família (ESF) apresenta-se como um espaço privilegiado para a efetivação de práticas de educação em saúde orientadas pelo diálogo entre o saber científico e o saber popular, uma vez que é nesse espaço de saúde que profissionais e indivíduos/família se interrelacionam, criam vínculos, dialogam e constroem soluções para o enfrentamento dos problemas de saúde da população. O objetivo geral deste estudo foi analisar os limites e as possibilidades de efetivação da educação em saúde voltada para a coletividade na ESF de Pau dos Ferros/RN. Nesse sentido, buscou-se conhecer as concepções de educação em saúde dos profissionais de nível universitário da ESF; observar onde as práticas de educação eram desenvolvidas; conhecer os conteúdos e metodologias utilizadas para a efetivação das práticas de educação em saúde e caracterizar os espaços onde tais práticas eram desenvolvidas. Trata-se de uma pesquisa qualitativa, de caráter descritivo-exploratório, realizada junto a oito equipes localizadas na zona urbana do município. Foram investigados 18 profissionais que atuam nessas equipes, dentre os quais elencamos: quatro médicos, oito enfermeiros e seis odontólogos. Fez-se uso da entrevista semiestruturada e da observação baseada em princípios etnográficos. Os dados foram analisados com base na técnica de análise de conteúdo de Bardin (2010). O estudo obedeceu aos aspectos éticos contidos na Resolução 196/96 que regulamenta as Pesquisas Envolvendo Seres Humanos. Os resultados apontam que as concepções e práticas de educação em saúde dos profissionais da ESF são orientadas por uma “educação bancária”, pautadas pela transmissão e reprodução de conhecimentos. As temáticas são desenvolvidas de forma verticalizada, dissonantes da realidade de vida e saúde dos usuários. As práticas educativas são ofertadas majoritariamente por enfermeiros e estudantes de graduação em estágio na USF. Em sua maioria não são planejadas em equipe, e estão direcionadas à prevenção de doenças, distanciando-se da promoção da saúde. As principais dificuldades apontadas para a efetivação da educação em saúde dizem respeito à dificuldade de trabalhar em equipe, à falta de apoio da gestão, à estrutura física inadequada e a pouca adesão dos profissionais a práticas educativas. Portanto, a educação em saúde praticada na ESF não consegue instrumentalizar os sujeitos para que estes tenham autonomia e possam tornar-se sujeitos de suas vidas, de sua história. A prática educativa centrada na transmissão de conhecimentos ainda é uma realidade presente na ESF, constituindo-se em um desafio a ser superado.

6
  • MARIA BETÂNIA DE MORAIS
  • PET-Saúde na Percepção de Estudantes: Contribuições para a Formação na Área de Saúde.

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • SEVERINA ALICE DA COSTA UCHOA
  • CLÁUDIA HELENA SOARES DE MORAIS FREITAS
  • Data: 14-abr-2014


  • Resumen Espectáculo
  • Essa dissertação buscou analisar a percepção de estudantes acerca do Programa de Educação pelo Trabalho para Saúde (Pet-Saúde) para a Formação na área de Saúde. Discute a temática proposta a partir da percepção de estudantes egressos do PET-Saúde dos cursos participantes (odontologia, medicina, fisioterapia, enfermagem, nutrição, educação física) que desenvolveram suas atividades curriculares nas unidades de saúde da família do município de João Pessoa, entre 2009/ 2011.Propõe  caminhos de políticas indutoras de mudanças curriculares como uma via potencial de contribuições para formação na área de saúde. Chama-se atenção para as novas possibilidades de trabalhar a formação em saúde de forma contextualizada, eticamente embasada e socialmente referendada. Aponta-se nesse processo para a necessidade de adequar os perfis profissionais às demandas dos SUS. Trata-se de um estudo exploratório, descritivo, dentro de uma abordagem qualitativa, realizado no município de João Pessoa no âmbito dos cursos da área de saúde da Universidade Federal da Paraíba. O material empírico deste trabalho foi tratado pelo emprego da técnica Análise de “Conteúdo Categorial Temática” proposta por Bardin. Os resultados indicam perspectivas de incentivo a novas práticas e mudanças curriculares, em que se destaca o PET-Saúde, que vem apresentando experiências importantes no âmbito do ensino- serviço-comunidade com a inserção de estudantes na rede de saúde municipal. Conclui-se que o caminho percorrido desde a coleta à análise dos dados, corroborou com a literatura para reafirmar a importância e a urgência de mudança nos processos formativos com vistas a uma maior proximidade com as necessidades de saúde e com o SUS. O PET-Saúde é projeto incipiente e que demandam maiores investigações no que diz efetivação do caráter interdisciplinar e multiprofissional de sua proposta.    

7
  • ANA CAROLINA DE SOUZA PIERETTI
  •  

    Superando a aridez do semiárido: encontros entre saúde mental e saúde da família na formação de médicos no alto sertão paraibano


  • Líder : ANA KARENINA DE MELO ARRAES AMORIM
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • FLÁVIA HELENA MIRANDA DE ARAÚJO FREIRE
  • THIAGO GOMES DA TRINDADE
  • Data: 15-abr-2014


  • Resumen Espectáculo
  •    A atenção primária à saúde é um importante cenário para o cuidado em saúde mental por suas características e pelo trabalho no território contribuir para a superação do modelo manicomial de atenção. Esta pesquisa partiu do questionamento sobre como acontece a atenção em saúde mental na atenção básica nas unidades em que se desenvolve a Residência de Medicina de Família e Comunidade em um município do sertão paraibano. Objetivou investigar as demandas de saúde mental e práticas de cuidado no contexto de ESF e da RMFC do município de Cajazeiras a partir do discurso dos profissionais ali inseridos e discutir estratégias de qualificação do cuidado em saúde mental nessa realidade. Utilizou-se abordagem qualitativa em que foram realizados grupos focais envolvendo profissionais de duas equipes da ESF e uma equipe de NASF. Os dados produzidos nos grupos foram analisados a partir do referencial da análise do discurso de inspiração foucaultiana. Como resultados, evidenciou-se que os profissionais percebem a demanda em saúde mental na atenção básica principalmente na forma de sofrimento psíquico inespecífico e transtornos mentais graves. A atenção a essas pessoas não consegue superar a medicalização que é identificada por esses profissionais. A prática asilar persiste como alternativa para os casos de transtornos mentais graves, sendo limitada a incorporação do paradigma da desinstitucionalização como referencial para a prática profissional. Além disso, a relação com a rede de saúde encontra vários limites destacando-se a dificuldade de produção de continuidade e integralidade do cuidado. A partir disto, analisa-se a formação médica e sua capacidade de garantir o cuidado integral na atenção às demandas de saúde mental. No campo da pesquisa, dois modelos de formação se encontram. Os residentes participantes ou graduaram-se em Cuba ou em escola médica brasileira orientada pelas Diretrizes Curriculares Nacionais. Percebe-se então que a graduação, ao incorporar questões relativas à integralidade do cuidado, não é suficiente para gerar bons profissionais para o SUS. Considera-se necessário somar às mudanças na graduação a perspectiva da Educação Permanente em Saúde no mundo do trabalho, o envolvimento dos profissionais com a transformação das práticas de atenção à saúde e a construção da perspectiva da integralidade e da atenção psicossocial por dentro da Residência de Medicina de Família e Comunidade como importantes estratégias para a formação de médicos generalistas aptos para a atenção às demandas de saúde mental.

     

8
  • ADRIANA SANTOS LOPES
  • Acolhimento prescrito x real: uma análise sobre as relações entre trabalhadores e usuários na Estratégia Saúde da Família

  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • Adriana Falangola Benjamin Bezerra
  • PAULO DE MEDEIROS ROCHA
  • ROSANA LUCIA ALVES DE VILLAR
  • Data: 23-abr-2014


  • Resumen Espectáculo
  • O acolhimento vem sendo proposto como uma ferramenta que contribui para humanizar o cuidado, ampliar o acesso dos usuários aos serviços, garantir a resolutividade das demandas, organizar os serviços e promover o fortalecimento de vínculos entre profissionais e usuários. No município do Recife, esta prática vem sendo incentivada pela gestão a sua implementação pautada em atos normativos, com matrizes de avaliação e proposição de metas, embasadas em um modelo próprio do município. Este estudo objetivou analisar a relação entre o acolhimento prescrito e o acolhimento real e suas interferências nas relações de reciprocidade entre trabalhadores e usuários nas unidades de saúde da atenção básica de Recife. Utilizou como campo de investigação quatro unidades da  Estratégia  Saúde  da  Família  do Distrito Sanitário IV do município  de Recife – PE. A investigação teve um caráter qualitativo e para sua operacionalização, realizou entrevistas com profissionais e usuários cujos discursos gravados pelo modo digital de voz e posteriormente transcritos manualmente de forma literal. Os discursos obtidos foram analisados em grande parte através da abordagem metodológica do Discurso do Sujeito Coletivo (DSC), sendo também utilizada em menor escala a técnica da análise temática, de forma dialogada com aportes teóricos e documentos oficiais relacionados ao tema. Os resultados  apontaram que na maior parte das unidades de saúde os profissionais  executam os protocolos propostas e consideram que estes tem influencia positiva para o processo de trabalho no acolhimento, no entanto fatores como demanda excessiva, estrutura física das unidades, pouca resolutividade da rede de referência, singularidades das unidades, entre outros, apareceram dificultando o cumprimento do prescrito e desta forma gerando influencia negativa sobre o processo de trabalho do acolhimento. As relações recíprocas também sofreram influencias destes fatores, dificultando assim a circulação de dádivas. Entretanto, outros fatores como acesso, resolutividade, atitude acolhedora e responsabilização, potencializaram as trocas recíprocas entre profissionais e usuários. Os achados demandam que os atos prescritivos e as relações recíprocas do acolhimento são diretamente influenciadas pelas singularidades presentes nas comunidades, pelas variabilidades humanas e por fatores ligados a estrutura e processo de trabalho e portanto devem ser operados com cautela com vistas a proporcionar um acolhimento real de qualidade.

9
  • ANDREA TABORDA RIBAS DA CUNHA
  • A HUMANIZAÇÃO DA SAÚDE NO COTIDIANO DE USUÁRIOS DA ESTRATÉGIA DE SAÚDE DA FAMÍLIA


  • Líder : ROSANA LUCIA ALVES DE VILLAR
  • MIEMBROS DE LA BANCA :
  • MAISA PAULINO RODRIGUES
  • ROSANA LUCIA ALVES DE VILLAR
  • SUZANA CARNEIRO DE AZEVEDO FERNANDES
  • Data: 24-abr-2014


  • Resumen Espectáculo
  • A presente pesquisa parte do pressuposto de que para mudanças nas práticas em saúde  direcionadas ao cuidado integral é de fundamental importância a humanização , a participação e  a autonomia dos usuários.Neste sentido, investigou o tema da humanização envolvendo usuários da Estratégia Saúde da Família (ESF) do município de Mossoró, tendo como objetivos:analisar as percepções dos usuários sobre a humanização na produção do cuidado em saúde no cotidiano da Estratégia de Saúde da Família, a partir  da visão dos usuários sobre os significados de humanização na produção do cuidado ;identificar elementos que caracterizam práticas cotidianas humanizadas e não humanizadas ;relacionar percepções de usuários sobre humanização com as noções sobre clínica ampliada e participação social presentes na Política Nacional de Humanização(PNH);Identificar dificuldades e potencialidades na produção do cuidado em saúde na  perspectiva da humanização.Foi uma pesquisa de abordagem qualitativa  e para coleta dos dados  utilizou a Metodologia de Análise de Redes do Cotidiano (MARES), o que possibilitou a problematização das práticas de saúde através de uma discussão interativa envolvendo os sujeitos participantes. A análise do dados foi realizada através técnica de análise de conteúdo temática e seus resultados  foram interpretados tendo como referências  a clínica ampliada  e a participação do usuário dialogando com paradigma da dádiva discutido por Marcel Mauss.  Os resultados apontaram sentidos da humanização vinculados ao afeto, reciprocidade e honestidade, destacando-se como elementos essenciais as práticas humanizadas a confiança, o vínculo, a escuta, o diálogo e a responsabilização. Foram também mencionados outros elementos relacionados a organização dos serviços de saúde tais como acesso e bom funcionamento. As dificuldades e potencialidades demarcaram deficiências estruturais do sistema de saúde e mudanças no processo de trabalho.  A participação dos usuários desconstruindo e reconstruindo conceitos sobra a humanização na produção do cuidado em saúde é fator primordial para o a sedimentação do que propõe a PNH ,utilizando o espaço privilegiado da ESF,criando sujeitos mais partícipes e entendendo suas necessidades e demandas,sendo um caminho possível para a construção de uma gestão participativa.

10
  • FRANCIJANE DINIZ OLIVEIRA
  • A Preceptoria na estratégia saúde da família: o olhar dos profissionais de saúde

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • MAISA PAULINO RODRIGUES
  • ANTONIA OLIVEIRA SILVA
  • Data: 09-may-2014


  • Resumen Espectáculo
  • A proposta de integração ensino - serviço a partir de vivências no mundo do trabalho traz para os profissionais atuantes nos serviços de saúde um desafio, aliar a sua prática assistencial à preparação de novos profissionais em conformidade com o modelo de saúde nacional. Na cidade de Recife a rede de assistência é conhecida como rede escola, pois disponibiliza para as Instituições de Ensino Superior todos os seus equipamentos de saúde e, em especial, os profissionais que lá trabalham, para a prática de preceptoria, transformando essa atividade em um componente importante da rede de serviços. O presente estudo teve como objetivo apreender as representações sociais de profissionais de saúde sobre a preceptoria na residência multiprofissional em saúde da família. Trata-se de um estudo descritivo com abordagem qualitativa, cujos sujeitos são trabalhadores que exerceram a preceptoria, por no mínimo, dois anos nas residências multiprofissionais vinculadas a duas Instituições de Ensino Superior. Como Instrumentos de pesquisa, foram utilizadas: a técnica de associação livre de palavras, a partir do termo indutor preceptoria na residência multiprofissional, e a entrevista semiestruturada, a fim de  acessar as representações sociais da preceptoria, os dados foram processados mediante o auxilio do software ALCESTE 4.9 e do Software Evoc 2000. As informações obtidas foram analisadas considerando-se os aspectos lexicográficos, as classes semânticas e os temas que emergiram do material textual, à luz da teoria das Representações Sociais. A pesquisa propôs uma identificação das representações sociais da preceptoria na Estratégia Saúde da Família, em sua abordagem estrutural. A estrutura da representação foi evidenciada através da proposta da teoria do núcleo central, onde apresentou os termos conhecimento e compromisso possivelmente como pertencentes ao núcleo central da preceptoria. O processamento do corpus realizado pelo software ALCESTE 4.9 resultou em 4 classes e suas relações de divergência e convergência. Os resultados apontam que os preceptores representam seu papel além da oferta de conhecimento clínico aos estudantes, o preceptor enseja a busca de mudanças no e do modelo de saúde através da formação, eles tentam um perfil que vai além da formação para a prática clínica no ambiente de trabalho, uma formação ética e compromissada com as possibilidades de transformações sociais. E que os problemas do processo de trabalho em especial a sobrecarga de atendimento assistencial, leva o preceptor a questionar a eficácia desse modelo de formação. A integração ensino serviço pode potencializar as propostas de mudanças relativas ao modelo de atenção praticado nos serviços, mas essa relação ainda é superficial. O preceptor é um ator em ato, trabalha na cena da vida real, e é nesse momento que ele torna-se essencial para a busca de uma formação com o perfil defendido nas propostas de formação de um profissional que seja capaz de aprender a aprender e se pauta em especial nas diretrizes de Educação Permanente em saúde no Brasil.

11
  • THALES JENNER DE OLIVEIRA FALCÃO
  • A Inserção do Técnico em Saúde Bucal na Estratégia Saúde da Família no Estado do Rio Grande do Norte

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • ANTONIO MEDEIROS JUNIOR
  • CARMEN REGINA DOS SANTOS PEREIRA
  • Data: 23-may-2014


  • Resumen Espectáculo
  • Introdução - O Técnico em Saúde Bucal (TSB) é um dos profissionais da Odontologia que têm suas atribuições profissionais definidas através da lei federal 11889, podendo atuar na prevenção, promoção e recuperação da saúde bucal. Segundo o site do Departamento de Atenção Básica, do Ministério da Saúde, pode-se constatar através do histórico de cobertura da Estratégia Saúde da Família, que no Rio Grande do Norte existem atualmente apenas oito equipes com TSB implantadas. Objetivo - O presente estudo buscou elucidar os motivos da pouca inserção desses profissionais no serviço público, apesar da relevância do seu trabalho. Método - Trata-se de uma pesquisa quantitativa, sendo um estudo de caso do tipo exploratório, tendo em vista que não existem estudos semelhantes precedentes, e está dividida em duas fases distintas: a princípio foi realizado um mapeamento desses técnicos utilizando informações cadastrais das escolas formadoras e conselho de classe para descobrir quantos são e onde estão. E num segundo momento da pesquisa, foi feita uma análise do processo de implantação (ou não implantação) das equipes de saúde bucal para descobrir que fatores contribuíram para a efetivação (ou não efetivação) deste tipo de trabalho técnico nas equipes. Nessa segunda fase, os Coordenadores de Saúde Bucal municipais responderam a um questionário contendo questões abertas e fechadas através de ligações telefônicas. A amostra foi definida por sorteio levando em consideração a força potencial de trabalho contida nos municípios. Resultados – 1053 técnicos com 94,3% do sexo feminino, distribuídos por todas as Regionais de Saúde. Quanto as entrevistas, 96,9% dos coordenadores de saúde bucal acham importante um técnico em saúde bucal na Odontologia, 92,2% recomendariam a inclusão na Saúde da Família, muito embora 76,6% nunca tenha falado com o Secretário de Saúde sobre essa implantação em seu município, 40% disseram que a falta dessa implantação poderia estar relaciona a recursos financeiros e 31,7% citou a necessidade de melhorar a estrutura física para que fosse possível essa implantação. Conclusões – Os Técnicos em Saúde Bucal do Rio Grande do Norte estão sendo mal aproveitados pelo serviço público. Faz-se necessário uma maior sensibilização dos gestores quanto a importância deste profissional e investimentos em reforma e contratação de profissionais. 


12
  • ROBERVAM DE MOURA PEDROZA
  • Análise comparativa da tendência na Mortalidade Infantil em áreas cobertas e não cobertas pela Estratégia Saúde da Família no município de Garanhuns entre 2003 e 2012

  • Líder : ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • MIEMBROS DE LA BANCA :
  • ANGELO GIUSEPPE RONCALLI DA COSTA OLIVEIRA
  • PAULO DE MEDEIROS ROCHA
  • PAULO ROBERTO DE SANTANA
  • Data: 23-may-2014


  • Resumen Espectáculo
  • A mortalidade infantil é tida como um indicador sensível para descrever as condições de vida e de saúde de uma população, sendo, portanto, interpretada como a estimativa do risco de um nascido vivo morrer antes de completar o primeiro ano de vida. Esse indicador é considerado elevado quando atinge patamares superiores a 50/1.000 nascidos vivos, médios quando se encontra entre 20 e 49/1.000 e mais baixos quando está até 20/1.000. No Brasil, a Mortalidade Infantil tem evidenciado variações ao longo dos anos, e nas duas últimas décadas esse indicador tem sofrido um acentuado decréscimo, provavelmente devido à melhoria no acesso aos serviços de saúde, ao saneamento básico, redução da taxa de fecundidade, melhoria das condições de vida e implementação de tecnologias na atenção à saúde. O objetivo deste estudo foi avaliar a tendência na mortalidade infantil no município de Garanhuns no período de 2003 a 2012, segundo áreas cobertas e não cobertas pela estratégia saúde da família. Para atingir os objetivos, foi realizado um estudo de série temporal onde foram coletados os dados referentes aos nascidos vivos e óbitos de menores de 01 (um) ano através do Sistema de Informações de Atenção Básica – SIABE, nas áreas cobertas e não cobertas pela estratégia, a fim de estabelecer relação de causalidade entre a intervenção e o indicador. Os resultados foram apresentados em gráficos, com a curva da Mortalidade Infantil no município de Garanhuns entre os anos de 2003 e 2012 segmentado através das áreas cobertas e não cobertas pela estratégia saúde da família ao longo do mesmo período. Após a análise dos resultados, observou-se uma tendência de queda no coeficiente de mortalidade infantil tanto nas áreas cobertas pela estratégia da saúde da família quanto nas áreas cobertas pelo PACS, e que não foi possível estabelecer isoladamente uma maior redução da mortalidade infantil em áreas cobertas pela estratégia. No entanto, os resultados das ações desenvolvidas pela estratégia saúde da família são consistentes e plausíveis de causar impacto no declínio da mortalidade infantil, sobretudo as ações voltadas para a saúde da mulher e da criança.

13
  • DANIELLE CHACON DOS SANTOS BRAZ
  • PRÁTICAS INTEGRATIVAS E COMPLEMENTARES EM CURRAIS NOVOS/RN:USO DE PLANTAS MEDICINAIS?

  • Líder : MARIA ISABEL BRANDAO DE SOUZA MENDES
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • MARIA ISABEL BRANDAO DE SOUZA MENDES
  • RINALDA ARAÚJO GUERRA DE OLIVEIRA
  • Data: 12-ago-2014


  • Resumen Espectáculo
  • Este trabalho teve o objetivo de compreender como profissionais das Estratégias Saúde da Família e usuários do município de Currais Novos/RN lidam com a utilização (ou não) de plantas medicinais como uma das Práticas Integrativas e Complementares no SUS. A pesquisa é do tipo qualitativa e apresenta como instrumento de coleta de dados um roteiro de entrevista semi- estruturada, relacionada a questões que contemplaram o objetivo proposto. As entrevistas foram utilizadas com os profissionais e usuários, com base nas questões formuladas em um questionário e foram gravadas, com a anuência dos mesmos, sendo posteriormente transcritas em diário de campo. Foram sujeitos do estudo os profissionais médicos, enfermeiros, dentistas e agentes comunitários de saúde de equipes de estratégia saúde da família do município, totalizando 24 (vinte e quatro) profissionais de saúde, como também dez usuários identificados como pessoas que utilizam plantas medicinais para o cuidado de sua saúde que se mostrarem voluntários à pesquisa. Para a construção deste estudo, nos apoiamos na abordagem fenomenológica de Merleau-Ponty (1999), pois se direciona as experiências vividas, no sentido de compreendê-las. A partir deste estudo, pode-se perceber a importância atribuídas tanto pelos profissionais de saúde quanto pelos usuários à utilização de plantas medicinais, como também evidenciar que é na tradição familiar que se encontra a principal forma de disseminação do conhecimento a respeito da utilização das mesmas. A maioria das plantas medicinais tiveram indicações populares semelhantes às indicações científicas de uso, porém 70% dos usuários referiram nunca terem recebido de profissionais de saúde orientações e incentivo de utilização desta prática de cuidado. Metade dos profissionais entrevistados relatou não sentir segurança para prescrever plantas medicinais, apenas 25% relataram ter recebido durante a graduação informação sobre o assunto. Espera-se com o desenvolvimento deste estudo contribuir para incentivar e tornar possível a implantação de protocolos de atenção por parte dos profissionais de saúde, além de ampliar o cuidado integral, o acesso a outras opções terapêuticas, a participação dos usuários e o fortalecimento do vínculo no âmbito da atenção básica e da estratégia saúde da família.

14
  • BENJAMIN BENTO DE ARAUJO NETO
  • UMA ANÁLISE DA INTEGRAÇÃO DAS REDES DE ATENÇÃO À SAÚDE NOS ESTADOS DO CE, PI E RN.

  • Líder : PAULO DE MEDEIROS ROCHA
  • MIEMBROS DE LA BANCA :
  • MAISA PAULINO RODRIGUES
  • PAULO DE MEDEIROS ROCHA
  • SUZANA CARNEIRO DE AZEVEDO FERNANDES
  • Data: 21-ago-2014


  • Resumen Espectáculo
  • A pesquisa apresentada tem como objetivo analisar a integração das Redes de Atenção à Saúde, através do ordenamento e definição de fluxo de atendimento, na perspectiva do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica PMAQ-AB nos Estados do Ceará, Piauí e Rio Grande do Norte. Pretende Identificar se há registro dos usuários de maior risco encaminhados para outros pontos da atenção à saúde, assim como Estimar a disponibilização dos mecanismos e instrumentos de regulação na integração das Redes de Atenção à Saúde nesses Estados. O estudo é transversal, descritivo com uma abordagem quantitativa, fazendo parte da avaliação externa do PMAQ-AB no ano de 2013, do Ministério da Saúde que teve como base a Universidade Federal do Rio Grande do Norte. Os dados utilizados são todos secundários de todas as 1.702 Equipes de Saúde da Família que aderiram ao PMAQ-AB nos Estados do Ceará, Piauí e Rio Grande do Norte, perfazendo um total de 422 Municípios dos mesmos Estados. A coleta desses dados será realizada no período de abril a junho de 2013. A análise dos dados será descritiva através do Statistical Package for Social Sciences ( SPSS ) versão 17.0.0. Espera-se que todo esforço desprendido na pesquisa possa contribuir para o fortalecimento do processo de monitoramento e avaliação na perspectiva de mudança de atitude de alguns gestores e, ou profissionais inseridos na Estratégia Saúde Família avaliadas, podendo visualizar a participação popular enquanto estratégia de controle social.

15
  • LIGIANA NASCIMENTO DE LUCENA
  • Acolhimento na estratégia saúde da família: O que dizem os usuários?

  • Líder : MAISA PAULINO RODRIGUES
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • DYEGO LEANDRO BEZERRA DE SOUZA
  • JOÃO BOSCO FILHO
  • MAISA PAULINO RODRIGUES
  • Data: 29-ago-2014


  • Resumen Espectáculo
  • Trata-se de um estudo quantitativo/qualitativo e avaliativo realizado no município de Recife-PE, em seis distritos sanitários. Foram entrevistados 297 usuários  que frequentam as Unidades de Saúde da Família (USF) para se investigar se o acolhimento produz vínculos e escuta qualificada.  Os dados foram coletados pela  Escala de Avaliação da Satisfação dos Usuários   visando identificar a satisfação dos usuários em relação ao acolhimento. Esta escala foi construída/adaptada a partir da Escala utilizada para verificar a satisfação de usuários com os serviços de saúde mental (Satis-BR). Os dados quantitativos foram analisados com o auxilio dos softwares Statistical Package for Social Science (SPSS) 17.0. Já os dados qualitativos foram analisados tomando-se por base o referencial teórico de Bardin.  Os resultados apontam que os usuários, de modo geral,  estão satisfeitos com o acolhimento dos profissionais nas USF investigadas. Entretanto, apontam fragilidades no serviço, principalmente no que toca a ambiência e infraestrutura dos serviços.  

16
  • ROSANA MARIA FERREIRA DE MOURA LIMA
  • PROMOÇÃO DA ALIMENTAÇÃO SAUDÁVEL NA ATENÇÃO PRIMÁRIA À SAÚDE:CONTRIBUIÇÃO PARA CONSTRUÇÃO COLETIVA DO SABER-FAZER

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • JOÃO BOSCO FILHO
  • Data: 15-sep-2014


  • Resumen Espectáculo
  • O reconhecimento da alimentação como determinante e condicionante do processo saúde-doença exige novas explicações e intervenções da ação política em alimentação e nutrição e demanda modelo de atenção à saúde pautado na integralidade das ações e centrado na promoção da saúde. Este estudo, caracterizado como pesquisa-ação de caráter intervencionista, buscou desenvolver estratégias para apoiar a inserção transversal das ações de promoção da alimentação saudável nas práticas de profissionais de um Núcleo de Apoio à Saúde da Família e uma Unidade da Estratégia Saúde da Família no município de Natal, capital do Rio Grande do Norte, a partir da análise das percepções e processos de trabalho dessas equipes. Foram adotadas várias estratégias metodológicas: Círculo Hermenêutico Dialético, Observação Direta, Encontros Temáticos Reflexivos e Oficina “Repensando as práticas educativas para promoção da alimentação saudável”. Para registro de dados, foram utilizados os Diários de Pesquisa-DP e de Momentos-DM. A análise  ocorreu de forma processual, em conjunto com os participantes da pesquisa, em constante movimento de reflexão-ação-reflexão, com base na hermenêutica-dialética. Quanto aos resultados, em relação à promoção da saúde, evidenciaram-se as seguintes percepções: promoção da saúde associada à prevenção de doenças e agravos; promoção da saúde relacionada à qualidade de vida e ao bem estar, em suas várias dimensões; promoção da saúde enquanto responsabilidade do Estado; promoção da saúde relacionada às ações de educação em saúde; promoção da saúde como expressão da resolutividade e acessibilidade aos serviços de saúde. Quanto à alimentação saudável, predominaram as percepções referentes aos aspectos nutricionais. No que se refere à educação alimentar e nutricional-EAN, observou-se predominância da percepção de EAN como informação, orientação e transmissão de conhecimentos para mudanças de práticas alimentares. No que diz respeito ao processo de trabalho, observou-se que entre as ações para promoção da saúde, predominam as atividades educativas, como palestras, rodas de conversas, que na maioria das vezes, ocorrem de forma fragmentada, sem planejamento conjunto entre as equipes, variando de acordo com os profissionais e o momento de trabalho em que são realizadas. Os resultados apontaram para a necessidade de reorganização dos processos de trabalho, na perspectiva da articulação intra e intersetorial e da construção de novas tecnologias, tais como: Projeto de Saúde do Território – PST, Projeto Terapêutico Singular-PTS, Clínica Ampliada e Compartilhada, práticas educativas com metodologias ativas de ensino-aprendizagem. A partir dos resultados consideramos que se faz necessário a “reforma do pensamento”, a partir de mudanças na formação profissional e do fortalecimento dos espaços de educação permanente, considerando a complexidade que envolve a alimentação, a educação alimentar e nutricional e a promoção da saúde. A reforma do pensamento deve estar articulada e imbricada à produção de saberes e práticas que favoreçam a intersetorialidade, a transversalidade, o diálogo e a postura democrática e solidária, com base na construção coletiva do saber-fazer. Esperamos que esse estudo possa contribuir com reflexões e iniciativas que estimulem a construção de práticas que promovam a alimentação saudável na Atenção Primária à Saúde, na perspectiva da integralidade do cuidado e da realização da Segurança Alimentar e Nutricional.   

17
  • FRANCISCO AMÉRICO MICUSSI
  • CUIDANDO DO NINHO DA CEGONHA: IMPLANTAÇÃO DA CADERNETA DA GESTANTE EM UNIDADE DE SAÚDE DA FAMILIA

  • Líder : ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • MIEMBROS DE LA BANCA :
  • ELIZABETHE CRISTINA FAGUNDES DE SOUZA
  • THIAGO GOMES DA TRINDADE
  • RICARDO NEY OLIVEIRA COBUCCI
  • Data: 19-sep-2014


  • Resumen Espectáculo
  • A gestação é um período singular na vida da mulher, demandando atenção especial da família e dos profissionais de saúde (BRASIL, 2006).  No Brasil, o Ministério da Saúde adotou o Cartão da Gestante para acompanhamento do Pré-natal, o que não tem se mostrado instrumento capaz de contribuir para a melhoria da qualidade dessa assistência, considerando que os registros são falhos, dificultando a compreensão dos mesmos por parte das gestantes. O projeto de intervenção que resultou nesta dissertação teve por objetivo implantar uma Caderneta da Gestante visando o aprimoramento ao atendimento à mulher no ciclo gravídico-puerperal. O local da intervenção foi a Unidade Saúde da Família do Campo da Mangueira, no município de Macaíba/RN, Brasil. A Caderneta foi adotada como ferramenta tecnológica da gestão do cuidado, de modo inclusivo e participativo, incluindo gestantes e equipe em todas as fases da implantação. Foram selecionadas e acompanhadas 09 (nove) gestantes, na faixa etária entre 19 (dezenove) a 20 (vinte) anos, e no período gestacional compreendida de 07 (sete) a 11 (onze) semanas durante o período de abril a julho de 2014. No total foram realizadas 46 (quarenta e seis) consultas, dentre as quais 27 (vinte e sete) pelo médico, 19 (dezenove) pela enfermeira, além dos atendimentos realizados pelo dentista, imunização e visitas domiciliares. O registro do processo de implantação da caderneta constou de anotações em prontuários e relatórios dos momentos de encontros com gestantes e com equipe de saúde. Constatou-se que além de uma construção coletiva, humanizada e interdisciplinar houve a satisfação demonstrada pelas gestantes contribuindo dessa maneira para a adesão ao Pré-Natal - PN, maior estabelecimento de vínculos, melhora da autoestima das gestantes e melhoria na qualidade do PN. Considera-se que a implantação da Caderneta da Gestante na referida Unidade de Saúde contribuiu para mudanças nos modos de fazer a atenção materno-infantil na Estratégia de Saúde da Família e pode ser recomendada para implantação na rede municipal. 

18
  • ADRIANA MARIA ALVES
  • Morbimortalidade materna no município de Mossoró: Desvelando seus fatores

  • Líder : KARLA PATRICIA CARDOSO AMORIM
  • MIEMBROS DE LA BANCA :
  • KARLA PATRICIA CARDOSO AMORIM
  • ANA KARENINA DE MELO ARRAES AMORIM
  • FATIMA RAQUEL ROSADO MORAIS
  • Data: 19-sep-2014


  • Resumen Espectáculo
  • O objetivo deste trabalho, caracterizado como uma pesquisa de abordagem qualitativa de caráter exploratório descritivo, é analisar os aspectos que contribuem para a morbimortalidade materna em Mossoró-RN à luz da bioética. As informações foram coletadas entre os meses de Novembro e Dezembro de 2013, por meio de entrevistas semiestruturadas realizadas com 16 profissionais de saúde, sendo metade deles trabalhadores de Atenção Primária à Saúde e a outra metade de urgência obstétrica, e 04 mulheres que tiveram gravidez de alto risco com internação em UTI. O número de profissionais e de mulheres foi determinado pelo método da saturação na coleta de informações em pesquisas qualitativas. As entrevistas foram transcritas e submetidas a técnica de análise de conteúdo, especificamente a análise temática, possibilitando um aprofundamento e ultrapassando o conteúdo das falas. Diante disso, foram construídas três categorias de análise, a saber: a atenção à gestante no município de Mossoró/RN; os fatores que contribuem para a morbimortalidade materna em Mossoró/RN; e a morte de perto: O  relato de gestantes de alto risco que foram internadas em Unidade de Terapia Intensiva. A interpretação das informações analisadas revelaram a realidade difícil da rede de atenção à gestante no município, nos seus três níveis, apontam alguns fatores que contribuem com o aumento da morbimortalidade materna e estes correlacionados  com os princípios da bioética de BEAUCHAMP & CHILDRESS e os princípios da  Declaração Universal sobre Bioética e Direitos Humanos da UNESCO, sugerem algumas ações que poderiam diminuir este índice, relatam como lidam e percebem a morte materna e os sentimentos envolvidos, e relatam também a vivência de mulheres que tiveram risco de morte  na gestação. Percebemos então, na fala dos profissionais a necessidade de pôr em prática o que já existe na teoria, nos protocolos, manuais e portarias do Governo Federal. Mais uma vez sabemos o que precisa ser feito para reduzir a mortalidade materna e melhorar a qualidade da atenção, porém não há iniciativa concreta para que se efetive tudo isso e tenhamos o resultado esperado. O que existe é negligência não de todos, mas de todas as partes. Precisamos inicialmente capacitar os gestores e sensibiliza-los para essa temática. Os cidadãos também precisam ser empoderados de seus direitos e conhecedores das políticas públicas, para que possam cobrar dos serviços e dos gestores seu cumprimento. Por último precisamos sensibilizar os profissionais na busca de conhecimentos e na luta por melhores condições de trabalho, recursos humanos suficientes  e de salário, para também cobrar deles a excelência no atendimento. Desta forma os profissionais entendem que teremos menores números da mortalidade materna e maior satisfação dos usuários do SUS, especialmente neste caso, das mulheres que necessitam do serviço de obstetrícia.

19
  • CLARISSA ANDIRA XAVIER E SILVA
  • A ARTICULAÇÃO ENTRE A ESTRATÉGIA SAÚDE DA FAMÍLIA E O CENTRO DE ATENÇÃO PSICOSSOCIAL: ANÁLISE DE EXPERIÊNCIA EM MUNICÍPIO DO NORDESTE BRASILEIRO

  • Líder : ANA KARENINA DE MELO ARRAES AMORIM
  • MIEMBROS DE LA BANCA :
  • ANA KARENINA DE MELO ARRAES AMORIM
  • JACILEIDE GUIMARAES
  • JOÃO BOSCO FILHO
  • MAURICIO ROBERTO CAMPELO DE MACEDO
  • Data: 26-sep-2014


  • Resumen Espectáculo
  • A reforma psiquiátrica antimanicomial consiste num processo que busca desconstruir a lógica excludente provocada pelas internações, proporcionando aos sujeitos estratégias de reinserção social. Nesse sentido, a atenção básica, através da Estratégia de Saúde da Família - ESF vem, progressivamente, tornando-se espaço estratégico nas intervenções em saúde mental, se configurando como campo de práticas e produção de novos modos de cuidado. Nesta perspectiva, em Areia Branca-RN vem ocorrendo um processo de implementação dessa proposta, através da articulação da rede de Atenção Psicossocial e da Estratégia Saúde da Família/ESF. Porém, este processo não tem sido capaz de provocar mudanças nas práticas. Ao partir da concepção de que a articulação entre saúde mental e atenção básica é um desafio a ser enfrentado atualmente, que a melhoria da assistência prestada e a ampliação do acesso da população aos serviços com garantia de continuidade da atenção dependem da efetivação dessa articulação, estabeleceu-se como objetivo de pesquisa: Investigar como se dá a relação entre as equipes de ESF e a equipe de CAPS na atenção a saúde mental no município de Areia Branca – RN a partir dos discursos dos profissionais. E teve-se como objetivos específicos: 1) Conhecer a demanda em saúde mental existente no município de Areia Branca – RN atendida pela ESF; 2) Identificar limites e dificuldades na relação entre as equipes da ESF e do CAPS; 3) Identificar potencialidades para articulação entre as equipes da ESF e do CAPS para a constituição da RAPS local. Tratou-se de um estudo descritivo-exploratório, com desenho metodológico de natureza qualitativa, cujos sujeitos foram profissionais da Estratégia Saúde da Família, profissionais do Centro de Atenção Psicossocial e o responsável pela condução/gestão da saúde mental no município. Como instrumentos de pesquisa foram utilizadas observações informais, entrevista semiestruturada e grupos focais. As informações obtidas foram analisadas considerando a análise de conteúdo de Bardin, o que possibilitou discutir a pertinência do referencial teórico com os dados obtidos através da observação e interpretação da articulação entre a Estratégia de Saúde da Família e a rede de Atenção Psicossocial no município de Areia Branca-RN. Por um lado, registrou-se intensa demanda em saúde mental advinda de usuários e de seus familiares e/ou cuidadores. Por outro, verificaram-se que apesar de existir alguns avanços com relação a percepções sobre saúde mental, existem ainda práticas, histórica e contextualmente arraigadas, que atuam como obstáculos para a resposta efetiva a essa demanda na perspectiva da desinstitucionalização. Nesse sentido, considera-se importante ressaltar que as equipes da Estratégia de Saúde da Família devem ser capacitadas para garantir a prática de saúde com integralidade e a incorporação à rede de saúde mental do município.

20
  • NAYARA SANTOS MARTINS NEIVA DE MELO
  • MESTRADO PROFISSIONAL EM SAÚDE DA FAMÍLIA: O CURSO SOB A PERSPECTIVA DOS MESTRANDOS

  • Líder : ANTONIO MEDEIROS JUNIOR
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • MAISA PAULINO RODRIGUES
  • IRIS DO CEU CLARA COSTA
  • MARIA DO CARMO EULÁLIO
  • Data: 24-nov-2014


  • Resumen Espectáculo

  • Os mestrados profissionais foram criados no Brasil na década de 1990 em resposta às transformações sociais ocorridas no mundo do trabalho e têm como objetivo formar profissionais de alto nível com perfil próprio para diversas atividades da sociedade e para o setor produtivo. Constituem-se, na mais inovadora modalidade de pós-graduação brasileira, e carecem, portanto, de legitimação de sua identidade, o que suscita a necessidade de discussões para obter maiores esclarecimentos e delinear as características dessa modalidade de pós-graduação. Deseja-se construir novos entendimentos sobre suas peculiaridades partindo da ótica dos discentes do curso de Mestrado Profissional em Saúde da Família da Rede Nordeste de Formação em Saúde da Família, e não apenas de acordo com as semelhanças e diferenças em relação ao mestrado acadêmico. O presente estudo tem como objetivo apreender os significados atribuídos pelos estudantes à formação no Mestrado Profissional em Saúde da Família da Rede Nordeste de Formação em Saúde da Família. Trata-se de um estudo qualitativo e exploratório. Os sujeitos são os cem discentes em formação no ano de 2013, distribuídos entre as seis instituições nucleadoras da Rede Nordeste de Formação em Saúde da Família. Para a coleta de informações foi realizada pesquisa documental nos registros institucionais de todos os discentes, assim como entrevistas. Foram entrevistados 15 discentes, distribuídos nas seis instituições nucleadoras. As informações obtidas por meio de entrevistas gravadas, foram transcritas e resultaram em dois corpus de análise, posteriormente submetidos ao software Alceste© 4.9 para identificação das classes semânticas. Pode-se concluir que o curso proporcionou uma ressignificação de práticas profissionais na Estratégia Saúde da Família, considerando o contexto organizacional da Atenção Básica na região Nordeste e as especificidades do trabalho em saúde. Mesmo diante de dificuldades do alunado relacionadas à apropriação dos métodos de pesquisa, e à própria metodologia ativa da aprendizagem baseada em problemas, contribuiu efetivamente para o aprimoramento dos processos de trabalho na Atenção Básica, valorizando o trabalho em equipe e permitindo a aquisição de novos conhecimentos científicos.

21
  • NEUMA MARINHO DE QUEIROZ SANTOS DA COSTA CUNHA
  • A TERAPIA COMUNITÁRIA E A VIVÊNCIA DE ESTUDANTES DE MEDICINA: UMA ESTRATÉGIA DE ENSINO APRENDIZAGEM DO CUIDADO HUMANIZADO NA ESF?

  • Líder : GEORGIA SIBELE NOGUEIRA DA SILVA
  • MIEMBROS DE LA BANCA :
  • ANTÔNIO VLADIMIR FÉLIX DA SILVA
  • GEORGIA SIBELE NOGUEIRA DA SILVA
  • THIAGO GOMES DA TRINDADE
  • Data: 19-dic-2014


  • Resumen Espectáculo
  • Diante de um cenário repleto de críticas a um modelo médico que privilegia a doença e não o doente são muitos os argumentos que defendem a necessidade de resgatar a relação humanizada entre médico e paciente, direcionando a escuta terapêutica não só para os relatos objetivos da doença, mas para todos os aspectos que permeiam o adoecer. Tornou-se imprescindível formar durante a graduação médica um profissional com formação geral, humanística, crítica e reflexiva, capaz de realizar uma abordagem integral do ser humano; no entanto, apesar dos avanços do projeto pedagógico do curso de medicina, ainda nos deparamos com inúmeros desafios no processo de formação. O presente estudo teve como objetivo principal investigar se a vivência do estudante de medicina com a Terapia Comunitária Integrativa (TCI) na Atenção Primária- APS /Estratégia Saúde da Família- ESF, apresenta potencial para se configurar enquanto estratégia de ensino-aprendizagem para o cuidado integral e humanizado. Realizou-se uma pesquisa qualitativa com estudantes do curso de medicina do décimo ao décimo segundo período que tiveram vivência com a TCI, como parte do Internato de Medicina de Família e Comunidade. Utilizamos entrevistas em profundidade com roteiro e recorremos para análise das narrativas à Hermenêutica Gadameriana. Os alunos até ingressarem no internato de MFC desconheciam a TCI e suas pré-concepções revestiam-se de caráter depreciativo. A vivência do método possibilitou reavaliação dos preconceitos e construção de novos conceitos comprovando a importância da estratégia. Evidenciamos um hiato entre o “ensino” de conceitos teóricos do cuidado humanizado, mal compreendidos, durante a graduação médica e a aplicação prática desse cuidado a partir de modelos que privilegiem a escuta qualificada, a construção de vínculos, a autonomia do paciente dentre outros. Estagiar na ESF e participar da TCI favorece o aprendizado de conhecimentos “inexplicáveis”, demonstrando que só a vivência os consolida. Experimentar sentimentos de dores e alegrias através do enfrentamento de dificuldades e gratificações, neste cenário, contribui para o aprendizado. A TCI revelou potencialidades para o aprendizado de condições como resiliência, habilidade de comunicação, abordagem integral da pessoa e escuta. Questões como dificuldades estruturais, baixo número de pessoas com formação em TCI e pouco tempo de vivências com a TCI, aparecem como limitações para utilização do método como ferramenta pedagógica. Consideramos que a participação dos alunos na TCI, significa poder oferecer aos estudantes muito além de uma estratégia de ensino-aprendizagem para o cuidado humanizado, representa a possibilidade de ampliar os horizontes destes futuros médicos em um olhar bem mais consciente das dificuldades e potencialidades de um profissional na ESF. Acreditamos estar contribuindo para a formação de profissionais mais sensibilizados e preparados para realizar uma abordagem integral e humanizada da pessoa e de sua comunidade. A TCI enquanto estratégia de ensino permite ao participante realizar reflexões críticas, mostrando ser um instrumento capaz de possibilitar uma visão mais ampliada do estudante diante de sua prática profissional e capaz de conduzi-lo a mudanças de atitude, o que se refletirá em uma APS/ESF, mais resolutiva e gratificante para todos.

22
  • MARCOS OLIVEIRA DIAS VASCONCELOS
  • O ENSINO DO LIDAR COM A MORTE NO CONTEXTO DA ATENÇÃO PRIMÁRIA À SAÚDE NO CURSO DE GRADUAÇÃO EM MEDICINA.

  • Líder : GEORGIA SIBELE NOGUEIRA DA SILVA
  • MIEMBROS DE LA BANCA :
  • GEORGIA SIBELE NOGUEIRA DA SILVA
  • JOÃO BOSCO FILHO
  • THIAGO GOMES DA TRINDADE
  • Data: 22-dic-2014


  • Resumen Espectáculo
  • Ao longo do tempo, os avanços na ciência e na tecnologia biomédica foram cada vez mais incrementados, contribuindo para a falsa ideia sobre a possibilidade de controle e domínio da morte. A morte é um tema interditado, evitado tanto na sociedade leiga quanto no diálogo entre médicos e pacientes, pois é encarada como um fracasso profissional na área da saúde. O ensino do lidar com a morte na educação médica tem sido objeto de atenção de alguns autores, mas mudanças na formação médica com o aprofundamento dessa temática ocorrem muito lentamente. O objetivo desta pesquisa foi compreender os caminhos do ensino do lidar com a morte no contexto da Atenção Primária à Saúde (APS). Trata-se de uma pesquisa qualitativa feita a partir da colaboração de professores do curso de medicina da Universidade Federal da Paraíba (UFPB), escolhidos entre os docentes envolvidos em experiências curriculares na APS. Foram combinadas duas estratégias tecno-metodológicas: entrevistas em profundidade com roteiro e oficina com utilização de “cenas” projetivas. Para análise e interpretação das narrativas recorremos à Hermenêutica Gadameriana. Nos resultados, apontou-se que o ensino do lidar com a morte na UFPB é insuficiente e hegemonicamente tecnicista, apesar de, nas práticas pedagógicas em APS, haver uma proposta de ensino-aprendizagem ativa, baseada na problematização de situações concretas, que busca diminuir a distância entre a formação técnica e humana. Para os docentes, o ensino do lidar com a morte deveria acontecer, a partir de uma abordagem multidimensional, ao longo de toda a formação médica. Identificamos quatro habilidades ou competências para o cuidado humanizado no lidar com a morte na APS: tentar salvar, promover qualidade de morte, estar presente até o fim e valorizar a dimensão da espiritualidade. São limites dos espaços curriculares na APS para o ensino do lidar com a morte: práticas de ensino tecnificadas, fragmentadas, com avaliações e metodologias tradicionais; a falta de aprofundamento pedagógico e de integração no currículo médico; e as fragilidades dos serviços de APS. São potencialidades dos espaços curriculares na APS para o ensino do lidar com a morte a aproximação com as dinâmicas de adoecimentos e lutas da população, através de práticas mais dialogadas e que incentivem o protagonismo estudantil e o trabalho interdisciplinar. A metodologia de utilização de “cenas” projetivas mostrou ser uma ferramenta interessante para o ensino do lidar com a morte. Conclui-se que esta pesquisa permitiu identificar elementos capazes de iluminar novos modos de saber-fazer para um cuidado humanizado diante do adoecer e morrer.

2013
Disertaciones
1
  • MARSILENE GOMES FREITAS
  • AVALIAÇÃO DA QUALIDADE  DA ATENÇÃO PRIMÁRIA À SAÚDE DA CRIANÇA NO  RIO GRANDE DO NORTE:  VISÃO DAS USUÁRIAS

  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • FRANKLIN DELANO SOARES FORTE
  • SEVERINA ALICE DA COSTA UCHOA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 19-dic-2013


  • Resumen Espectáculo
  •  

    O presente estudo tem por objetivo avaliar o acesso e a qualidade dos  processos de trabalho das equipes do ESF( Estratégia de Saúde da Família) referentes   a atenção integral   à saúde da criança na percepção dos usuários no Estado do Rio Grande do Norte. Trata-se de uma Pesquisa Avaliativa Observacional transversal, com abordagem quantitativa o qual faz parte da Avaliação Externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ), da Universidade Federal do Rio Grande do Norte. A coleta de dados foi realizada no período de setembro a novembro de 2013 na Base de Pesquisa Estudos em Saúde coletiva da UFRN em Natal /RN. Serão utilizados dados secundários do total de 412 EAB ( Equipes de Atenção Básica) distribuídas em 116 dos 167 municípios do Estado do Rio Grande do Norte que participaram da Avaliação Externa do PMAQ em Natal/RN. Para Avaliação Externa a amostra foi de conveniência a partir dos seguintes critérios: usuários que estavam presentes na Unidade Básica de Saúde (UBS) para realizar qualquer tipo de procedimento e que consentisse em participar da avaliação. Foram excluídos os que tinham ido pela primeira vez na unidade, aqueles que não a frequentavam há mais de 12 meses e consulta com médico, enfermeiro ou dentista no dia da entrevista. Será elaborado um protocolo de pesquisa com  as dimensões de Crescimento e Desenvolvimento (CD), amamentação e alimentação, e problemas de saúde e variáveis a estas relacionadas. A análise dos dados será descritiva através do Statistical Package for Social Sciences (SPSS) versão 17.0.0. Acredita-se que a pesquisa possa contribuir, sobretudo, como ferramenta para a análise das práticas de saúde locais, fornecendo subsídios  para o planejamento de ações e tomada de decisão da gestão local e dos profissionais das equipes de saúde do Estado do Rio Grande do Norte.


2
  • MÁRCIA CUNHA DA SILVA PELLENSE
  • Satisfação dos Usuários e a Qualidade da Atenção Primária à Saúde no Rio Grande do Norte

  • Líder : SEVERINA ALICE DA COSTA UCHOA
  • MIEMBROS DE LA BANCA :
  • ANTONIO MEDEIROS JUNIOR
  • FRANKLIN DELANO SOARES FORTE
  • SEVERINA ALICE DA COSTA UCHOA
  • ZENEWTON ANDRÉ DA SILVA GAMA
  • Data: 19-dic-2013


  • Resumen Espectáculo
  •  

    O presente estudo tem por objetivo avaliar a satisfação dos usuários em relação à qualidade da Atenção Primária no Estado do Rio Grande do Norte (RN). Trata-se de uma pesquisa avaliativa observacional transversal, com abordagem quantitativa, a qual faz parte da Avaliação Externa do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ), da Universidade Federal do Rio Grande do Norte. A coleta de dados foi realizada no período de setembro a novembro de 2013 na Base de Pesquisa Estudos em Saúde coletiva da UFRN em Natal /RN.  Foram utilizados dados secundários de todas as entrevistas com usuários das equipes que participaram da Avaliação Externa do PMAQ no Estado do RN. Para Avaliação Externa a amostra foi de conveniência a partir dos seguintes critérios: usuários que estavam presentes na Unidade Básica de Saúde (UBS) para realizar qualquer tipo de procedimento e que consentisse em participar da avaliação.  Foram excluídos os que tinham ido pela primeira vez na unidade e aqueles que não frequentaram há mais de 12 meses. Foi elaborado um protocolo de pesquisa com identificação do usuário/perfil socioeconômico, dimensão organizacional (acesso e coordenação do cuidado); dimensão interpessoal (interação usuário-serviço-equipe, vínculo e subjetividade) e estrutura (dimensão objetiva). As variáveis relacionadas a cada dimensão A análise dos dados foi realizada por meio da distribuição de frequência, através do Statistical Package for Social Sciences (SPSS) versão 17.0.0.  Acredita-se que a pesquisa possa contribuir, sobretudo, como ferramenta para a análise das práticas de saúde vigentes, fornecendo subsídios científicos para o planejamento de ações e tomada de decisão da gestão e dos profissionais das equipes de saúde. Por fim, pretende-se que o estudo seja capaz de fornecer informações que possam se traduzir em intervenções concretas na melhoria da qualidade dos serviços ofertados à população.


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