Banca de DEFESA: SÉRGIO BALBINO DA SILVA

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : SÉRGIO BALBINO DA SILVA
DATE: 20/12/2019
TIME: 14:00
LOCAL: Departamento de Enfermagem
TITLE:

Evaluation of Mycobacterium tuberculosis infection Control Measures in Primary Health Care in Natal/RN

KEY WORDS:

Tuberculosis; Primary Health Care; Infection Control; Health Services Evaluation.

PAGES: 79
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

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

BANKING MEMBERS:
Externa à Instituição - ALINE ALE BERALDO - MS
Externa ao Programa - 3055823 - ANA ANGELICA REGO DE QUEIROZ
Presidente - 1995800 - ERIKA SIMONE GALVAO PINTO
Interna - 3168491 - NILBA LIMA DE SOUZA