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1
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CARLOS MARCELO DA SILVA MORAES
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Care-Educational Technology to mediate communication between indigenous people and health professionals
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Advisor : IVANEIDE LEAL ATAIDE RODRIGUES
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Data: Apr 10, 2023
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Introduction: The indigenous peoples of Brazil have the right guaranteed by the union to differentiated attention during health care, respecting their beliefs, culture, knowledge and practices. The regional CASAI have as acharacteristic the reception of indigenous people from the most varied ethnic groups, speaking approximately 200 languages in Brazil, being fundamental the valorization and preservation of these languages. Communication is the foundation for effective health care, and the success of the therapeutic process depends on it. Therefore, care-educational technologies sensitive to cultural aspects, developed from the professional praxis, contribute to empowerment and autonomy in daily processes, ensuring support to culturally
adequate care and education practices. Objective: To semantically validate a care educational technology in the form of a mini-dictionary of indigenous dialects for multidisciplinary use in the care of indigenous people undergoing out-of-village health treatment. Method: Methodological study for semantic validation of care-educational technology, conducted in a Regional CASAI located in Belém-Pará. Twenty members of the multiprofessional team working in the institution participated. For data collection a Likert scale was used, with 19 items divided into 4 blocks: Objectives, Organization, Appearance and Writing Style, and Motivation. The answers were organized in a database and tabulated in the International Business Machines Statistics Package Social Science IBM® SPSS® Statistics, 23.0.0.0. To measure the agreement between the answers the Semantic Concordance Index (SCI) was used, calculated per block and globally, considering the cut-off point of 70%. Results: 18/90% of the participants were female, 11/55% aged ≥59 years, 11/55% nursing technicians, 5/25% nurses and 4/20% corresponding to the other professional categories (Social Worker, Nutritionist, Pharmacist and Pharmacy Assistant),19/95% had worked in indigenous health for more than one year. The evaluation of the target audience showed a variation of SCI per block between 93% and 100% and an overall SCI of 97%. Discussion: The minidictionary was considered a communication tool in the context of indigenous health, promoting well-being through an interactive environment as advocated by the National Humanization Policy in order to improve working conditions and care for the indigenous population, with the potential to transform relationships in health care spaces where this population is inserted. Conclusion: The study achieved its objective by demonstrating, through validation, that the minidictionary of indigenous languages Interlocutions with Health Professionals is suitable for use in the process of mediating communication between health professionals and indigenous people, as assessed by the target audience.
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2
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EDJANE MARCIA LINHARES MELO
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Experiences of women with cervical cancer and undergoing hemodialysis in light of Wanda de Aguiar Horta's theory
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Advisor : MARY ELIZABETH DE SANTANA
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Data: Apr 26, 2023
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The uterine colon cancer in Brazil, has an incidence of 13.25%, being its highest mortality rate in the North region of the country, with 15.7%, occupying the first cause of female death in the region. When diagnosed with late stages, these women need complementary treatments, such as hemodialysis. Horta, 1979, sees the human being as an integral being, observing and attending not only to the work, or treatment to be carried out, well with its Basic Human Needs addressed. Being thus, this research has as objectives: To analyze, in light of the Theory of Basic Human Needs, the experiences of women with uterine colon cancer and subjected to hemodialysis; meet the main basic human needs affected, reported by women with colorectal cancer undergoing hemodialysis; provides a sick care protocol for women with colon cancer and undergoing hemodialysis. Being a descriptive study, with a qualitative approach, considering Wanda Horta's theory of basic human needs. 14 women with colon cancer who are undergoing hemodialysis will participate in the research. The data collection was obtained through a semi-structured interview and non-participatory observation, for data triangulation. We will respect the ethical principles and the study that was approved by an Ethics and Research Committee, with number: 58010522.6.0000.5170 and 58010522.6.3001.5550. To characterize the sociodemographic and clinical profile of women, simple statistics were used. The material from the interviews was submitted to the software IRAMUTEQ 0.7 alpha 2 for the textual processing of the interviews. Generating two blocks (Psychobiological basic human needs and psychobiological, biopsychosocial and biopsychospiritual basic human needs) with six classes Experiences on: discovery and diagnosis of colon cancer and therapeutic itinerary; of his body and family and community support; about hemodialysis treatment; perception of better or worse two symptoms and treatment received; perception of cancer and care of two treatments and spirituality and faith., Suggestion of care protocol for women hospitalized with colon cancer who undergo hemodialysis was carried out as a product. At the end of the study, we deduce that, in order to provide careful assistance to these women, it is necessary to try to understand their feelings and situations experienced by them, to assist them in their assessed needs and not only in the teaching process. Also highlighting the need for and importance of these studies and contributions on the subject in our Northern region. Also, it will serve as subsidies for more future investigations involving the theme in question.
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3
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JANICE DE MATOS FRAZÃO
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Hemovigilance and cancer patients: technology for nursing care
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Advisor : MARY ELIZABETH DE SANTANA
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Data: Apr 26, 2023
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It is evident that patients with cancer require blood transfusion, in many cases this is the only therapy capable of saving lives, in this field nursing has been gaining prominence, as it is closely linked to the transfusion process, thus, educational technologies can help in this scenario. The general objective: to build an educational technology to mediate nursing care during the blood transfusion process in cancer patients. The specifics: carrying out an Integrative Review on educational technology, nursing care, blood transfusion and cancer patients, identifying nursing care during the blood transfusion process in cancer patients and synthesizing the information obtained in the integrative review and on nursing care during the process of blood transfusion in cancer patients to compose the educational technology. It is a methodological research with a qualitative approach, carried out in two moments: the first moment was the realization of the Integrative Review, the second moment the individual interview. The databases selected to compose the integrative review were: Latin American and Caribbean Literature in Health Sciences (LILACS), Medical Literature, Analysis and Retrieval System Online (MEDLINE), Database of Nursing (BDENF) and Scientific Electronic Library Online (SCIELO). The search period for articles was from January 2016 to January 2021, using the descriptors: Neoplasms; Blood transfusion; Patient safety; Nursing Care and Educational Technology. The inclusion criteria are as follows: primary studies, in English, Portuguese and Spanish, published between January 2016 and January 2021 and available in full. Editorials, experience reports, case studies, gray literature (monographs, dissertations and theses) were excluded. 17 articles were selected to compose the review. The field research was carried out at the Ophir Loyola Hospital, 11 nurses who work in the Surgical and Hematological Clinics participated in this study. To carry out the content analysis, we used the Bardin technique supported by the IRAMUTEQ software through the method of Descending Hierarchical Classification, proposed by Reinert. Six classes emerged from the corpus and were organized into three categories: I - Main information about the transfusion act for technology composition; II- Transfusion safety from the perspective of patient safety; III - The transfusion act from the nurse's perspective. From the context, an educational technology of the booklet type was produced. It is concluded that cancer patients who receive blood transfusions need nursing care and that educational technology makes it possible to ensure an improvement in the effectiveness and dynamics of nursing care for these patients
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4
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MARTA CLEONICE CORDEIRO DE ASSUNÇÃO
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Protocol of Good Practices for Covid-19 in the Hospital Context: a Convergent Care Research.
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Advisor : ANTONIA MARGARETH MOITA SA
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Data: May 2, 2023
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Introduction: The scenario of COVID-19 is advancing at alarming proportions, requiring constant updating of professionals for the management and organization of health services to the new epidemiological scenario. This new disease instigated a specific planning process to meet the organizational demands of activities in the hospital network. Institutional documents, such as protocols, can guide conduct, standardize and qualify care and management techniques. Objective: To collectively develop a protocol of good practices for organizing actions to combat COVID-19, based on the scientific literature and the activities of nursing professionals who work in a municipal public hospital in Belém/Pará. Methodology: This is a field study carried out at Hospital de Rearguard Dom Vicente Zico, with a descriptive character and a qualitative approach. The Convergent Care Research was the methodological support chosen for data collection (Participant Observation, field diary, semi-structured interview and convergence group). The observations and registration in the field diary took place during the daily active search of the Hospital Epidemiological Surveillance Nucleus. The interviews were conducted with 15 nursing professionals, audio-recorded on an electronic device, with an average time of 28.2 minutes. The convergence group was divided into two meetings to correct the protocol (1st version). After finalizing the editions, it was made available to the Hospital Epidemiological Surveillance Nucleus for approval by the nursing team and coordination. Data collection took place between June and October 2022, after approval by the Ethics and Research Committee. After transcribing the interviews, they were analyzed and interpreted using thematic content analysis. Results: Sociodemographic profile: They had a minimum age of 26 years and a maximum age of 59 years. The average age was 39.2 years, with a higher concentration in the age group from 41 to 50 years (40%); 80% (12) were female; nursing category: nursing technicians (60%) and nurses (40%); complete vaccination schedule 93.3 (14); two or more reinfections by Sars- Cov-2 26.7% (4); more than one bond 53.3 (8). Three categories were obtained from the content analysis: Mechanisms to promote self-care and hygiene in the nursing team; Culture of biosafety to combat COVID-19 at Hospital de Rearguard Dom Vicente Zico; Nursing practice as a collective space for building institutional norms. The proposal to build the protocol in the professionals' practice resulted in reflection on the need for collective integration between the different hospital sectors and sharing of technicalscientific knowledge. Conclusion: In summary, this research corroborated the encouragement of dialogue and reorganization of work methods in the profile of hospital care for suspected or confirmed cases of COVID-19. This pathology has become a fearful experience for the population, managers and health professionals. The challenges for applying the Convergent Care Research (PCA) showed a reflection on the emerging need to include research in the field of hospital practice
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5
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CASSILENE OLIVEIRA DA SILVA
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GASTROGUIA: device to mediate the care of health professionals to children with gastrostomy
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Advisor : MARCIA HELENA MACHADO NASCIMENTO
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Data: May 4, 2023
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Introduction: this is a study of construction and validation of educational technology (ET) to mediate the care of health professionals for children with gastrostomy. A gastrostomy is a surgically created feeding tract in which a catheter is inserted into the lumen of the stomach. The use of technologies by health professionals is a common practice in different practice scenarios, whether public and/or private institutions, with various technologies being made available, such as equipment/products/instruments/guides that assist in the care of children with gastrostomy, thus guaranteeing access specialized care by an interdisciplinary team that meets the specific needs of these children. Objective: to develop a guide to mediate the care of healthcare professionals for children with gastrostomy. Methods: The integrative review was developed in six stages, using the Virtual Health Library databases; Periodical Portal of the Coordination for the Improvement of Higher Education Personnel and Web Of Science, considering the period 2011-2021. 21 experts participated in the content validation stage and 24 health professionals participated in the semantic validation. For data collection, two instruments were applied with the Likert Scale, one for specialists containing three assessment blocks (objective, structure and organization and relevance) and the other for health professionals containing four assessment blocks (objectives, organization, appearance, motivation). Data were analyzed using the Statistical Package For The Social Science SPSS® version 21.0. for Windows®10, for better data elucidation. The study was approved by the Human Research Ethics Committee. Results: for the textual composition of the educational technology, the synthesis of the integrative literature review of six articles, a manual and a consensus were included, from which three thematic axes emerged: concept and indication of gastrostomy, perioperative care -pre, trans and post- surgery, gastrostomy devices). The thematic axes were used to construct the first version of the educational technology. The Content Validity Index per item was greater than 85%. Cronbach's Alpha of all items in the blocks with 95%. The Semantic Validity Index was greater than 95% per block. The main changes were editing some images and changing items. The educational technology titled “Gastroguide: device to mediate the care of health professionals to children with gastrostomy”, is considered valid by experts in the health field and by the target audience (health professionals) in terms of content and semantics, a since it obtained levels of agreement above those recommended in the literature.
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6
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MAYARA DEL AGUILAL PACHECO
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Humanization of care in the context of primary health care: social representations of users with pulmonary tuberculosis
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Advisor : IACI PROENCA PALMEIRA
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Data: May 10, 2023
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In the world, about 10 million people are affected by tuberculosis, of which 66,819 are found in Brazil, which occupies the 20th place among the countries with the highest burden of the disease. In social thinking, negative ideas about tuberculosis still permeate, and the patient who suffers prejudice and stigma sometimes prefers not to adhere to treatment. Therefore, the practice of humanization is essential to qualify and dignify care. The objective was to describe the social representations of users who experience pulmonary tuberculosis on the humanization of care in the context of Primary Health Care and to analyze the repercussions of these representations on adherence to the treatment of pulmonary tuberculosis by these users.Qualitative, descriptive study, based on the Theory of Social Representations, in its procedural approach. Participants were 30 users undergoing treatment for pulmonary tuberculosis registered in Family Health Teams in an Administrative District in the city of BelémPará. The production of information took place through individual, semi-structured, indepth interviews. To characterize and organize the psychosocial and demographic profile of users with pulmonary tuberculosis, an excel spreadsheet was used. The content of the interviews was submitted to the ALCESTE software for text processing. Ethical principles were respected and the study was approved by an Ethics and Research Committee, under number 5214278. Most participants were men aged between 18 and 49 years; had a steady partner; they were evangelical or catholic; with incomplete primary education or complete secondary education; unemployed; with monthly family income of one to three minimum wages; with the type of admission to the health service characterized as a new case. ALCESTE generated five lexical classes, divided into two blocks: Concreteness of (de)humanization; A body sick with tuberculosis and the search for why: therapeutic itinerary. The interpersonal interactions experienced in everyday life between professionals and users with tuberculosis characterize the representations of the humanization of care in the context of Primary Health Care. Relationships of trust and good treatment encourage them to follow the guidelines received and take care of themselves. However, the results of this research pointed to tuberculosis as a stigmatizing/stigmatized disease even today, including by health professionals who carry out retrograde, mistaken and dehumanized guidelines, mischaracterizing humanization and triggering discriminatory attitudes and the circulation of outdated knowledge about tuberculosis and the sick. It is concluded that the social representations of the humanization of care are consolidated in interpersonal relationships, mainly in the actions of good treatment and trust, and have repercussions both on adherence to treatment and on the self-reclusion of the user influenced by archaic and negative knowledge that populate the social memory about tuberculosis and the patient
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7
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WIDSON DAVI VAZ DE MATOS
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The social representations of prostate cancer by men with this pathology
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Advisor : IACI PROENCA PALMEIRA
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Data: May 29, 2023
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Introduction: In Brazil, it is estimated that for the three-year period 2023-2025 there will be 704,000 new cases of cancer, of which 71,730 are prostate cancer, becoming the most frequent in all regions of the country, among which is Pará, with estimate of 1050 cases for 2023. The repercussion of cancer as an incurable disease causes damage that permeates the biological scope and reaches psychocultural and social dimensions, affecting the people who experience this process. Objectives: To analyze the social representations of prostate cancer by men with this diagnosis and its repercussions on their ways of coping and self-care. Method: Research with a qualitative, descriptive and exploratory approach based on the Theory of Social Representations in its procedural approach. Participants were 31 men diagnosed with prostate cancer enrolled at the High Complexity Oncology Unit in the State of Pará. Data were produced from April to June 2022 and took place through in-depth semi-structured individual interviews. Sociodemographic data were collected using a questionnaire, which were subsequently tabulated and organized using Excel software, version 2016. The content of the interviews was transcribed in full and submitted to the ALCESTE software, version 2012. The ethical principles were respected and approved by the Committee. of Ethics in Research at the University of the State of Pará, under opinion number 5214281. Results: Men were mostly married; declared themselves Catholic; age range from 65 to 69 years; coming from the interior of the state; incomplete primary education; retirees, monthly family income between one and two minimum wages. ALCESTE generated six lexical classes, divided into two blocks: Block A- meaning the sick body and Block B- the perception of oneself with prostate cancer: a new day in a new time. The results pointed to the therapeutic itinerary of men from the initial symptoms of the oncological disease, as well as the triggering of memories with family members who had cancer, when experiencing the signs and symptoms of the disease and the side effects of the treatments, causing conflicting feelings. like the fear of finitude. Final Considerations: Understanding the way men represent prostate cancer and how they deal with this process can instigate the professional team, especially nurses, to reflect and intervene in order to meet their biological and subjective demands, contributing to coping of the disease and maintenance of hope and continuity of treatment.
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8
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LARISSA KELLY CUNHA COSTA
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CONSTRUCTION OF A CARE-EDUCATIONAL BOOKLET ON NURSING IN GYNECOLOGICAL CARE FOR HOMOSEXUAL WOMEN
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Advisor : IVONETE VIEIRA PEREIRA PEIXOTO
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Data: Jun 23, 2023
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INTRODUCTION: Homosexuality is historically contextualized with prejudice and
discrimination, even when addressing public health care. Among vulnerable groups, homosexual women stand out, as there are still many misconceptions about their health needs and sexual practices, often making health care invisible, since the assistance provided by health professionals is often, decontextualized and fragmented, being essential the readjustment of services and preparation of professionals, especially nurses for their direct connection in the health care of homosexual women. OBJECTIVE: To elaborate a careeducational technology on the gynecological care of homosexual women in the prevention of cervical cancer in Primary Care. MATERIALS AND METHODS This is a methodological and descriptive study with a qualitative approach, whose purpose is to build a careeducational nursing booklet on gynecological care for homosexual women in the prevention of cervical cancer. This type of research develops instruments and involves complex and sophisticated methods to achieve a certain purpose. The research was carried out in two stages, namely: 1) Identification of the data collection process; 2) The construction of careeducational technology. This type of research develops instruments and involves complex and sophisticated methods to achieve a certain purpose. The research was carried out in two stages, namely: 1) Identification of the data collection process; 2) The construction of careeducational technology. RESULTS AND DISCUSSION: Through the collection of data through a semi-structured interview script that describe important aspects, such as: Aspects of the sociodemographic profile of the interviewees; Identification of categories; and the Presentation of care-educational technology aimed at homosexual women. The construction of the technology took place through the most important points reported by the research participants to better clarify the gynecological care of homosexual women in Primary Care. From the analysis of the content of the interviews and using the IRAMUTQ software, it was possible to visualize the words that obtained the highest percentage in terms of average frequency between them and different between them. This dictionary of words provided the analysis of the words that had the highest value. After processing the data, the analysis of the seven classes provided by the IRAMUTEQ software began, in which the ECU grouped in each class were read to understand and name each class. In summary, seven classes emerged, where it was possible to classify and categorize all the content generated through the speeches of the interviewed nurses, thus forming four categories that were defined from the decoding. The generated categories served as a foundation to provide a theoretical foundation for the development of care-educational technology in health. CONCLUSION: It is concluded that it is not enough just to guarantee the access of homosexual women to health services, the nurse has to be able to provide humanized, holistic care with qualified listening. Therefore, it becomes relevant to build a care-educational technology in health for the gynecological care of homosexual women in the prevention of cervical cancer
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9
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TANIA DE SOUSA PINHEIRO MEDEIROS
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The Nurse in Child Development Surveillance: Screening for Early Signs of Autism Spectrum Disorder in Primary Care
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Advisor : MONICA CUSTODIA DO COUTO ABREU PAMPLONA
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Data: Jun 28, 2023
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INTRODUCTION: Surveillance of child development is made up of activities aimed at promoting typical development and detecting problems, it should take place from birth and include child development assessment activities, early guidance to parents. In this context, Autism Spectrum Disorder or Autism is a developmental disorder that shows signs in early childhood, around up to 36 months, with changes in behavior, functional and symbolic verbal language of the child, and there should be a screening still in childcare and screening for children who need diagnostic investigation. OBJECTIVE: to understand how nurses in their childcare practices evaluate child development surveillance and tracking of early signs of autism in children up to 3 years of age. MATERIALS AND METHODS: this is an exploratory study with a qualitative approach, carried out with 22 primary care nurses in Tucuruí, in the state of Pará. The data collection instrument was a semi-structured interview script prepared by the researcher. Data analysis was carried out through content analysis proposed by Bardin and through the descending hierarchical classification (CHD) analysis of the Iramuteq software. RESULTS: it was identified that nurses were 18 female and 4 male, aged between 23 and 62 years, the training time ranged from 1 year to 27 years and the time working in the ESFs is between the period of 8 months to 23 years. From the CHD, the analysis of the textual Corpus was carried out, where it was possible to obtain 6 classes of text segments that, at the same time, presented similar vocabulary. rereading the segments with the aim of interpreting the scenario and central theme in each of the 6 emerging classes and, based on the classes generated by CHD, 3 sub-bodies: the first aggregates the nurses' conceptions through classes 5 and 4, the second is composed of Knowledge with classes 1, 6 and 3, and the third brings together Practices with class 2, establishing connections with the object of study and constituted three categories: 1- Nurses' conceptions about child development, 2- Knowledge nurses' professionals in identifying signs of ASD and 3- Surveillance practices for screening early signs of ASD in childcare by nurses.. FINAL CONSIDERATIONS: it was evident that the nurses in the research present a conceptual confusion about child development and scarce knowledge about ASD, which subtract actions of tracking early signs of ASD in the context of childcare
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10
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SARA VALENA DO ROSÁRIO SALES MIRANDA
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Application on basic newborn care for first-time parents: Validation study
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Advisor : MARCIA HELENA MACHADO NASCIMENTO
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Data: Jul 4, 2023
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INTRODUCTION: Globally, the main causes of neonatal deaths are complications of
premature birth, intrapartum-related events and sepsis. Neonates face the highest risk of
dying in the first month of life. The content validation of an application scientifically
qualifies the information, benefiting parents and/or caregivers in acquiring safe
information about the care of the newborn at home. OBJECTIVE: legitimize an
educational app on basic newborn care for first-time parents. METHODOLOGY: This is a
methodological study, with a quantitative approach, developed in two stages: content
validation and application adequacy. The study's anchor unit was the Neonatal Intensive
Care Unit and the Rooming-in Unit. The participants were 17 expert content judges in the
health field. Data collection was through a questionnaire formatted by Google Forms, and
structured according to the Likert scale applied to expert judges in the health area. For
the analysis, the Content Validation Index (CVI) was calculated. RESULTS: in the content
validation stage, according to the agreement of the experts-judges' responses, a general
CVI of 94.91% was obtained. In the application adaptation stage – version III, the logo
was modified; adequacy of guidelines on the immersion bath of the newborn (position
and use of soap); adaptation of the texts of some screens to a simpler language; texts on
some screens have been adapted to simpler language; insertion of images representing
the behavioral stress factor. FINAL CONSIDERATIONS: the application was considered
adequate to mediate guidance on basic care for newborns to first-time parents. The
expectation, in this sense, is that the application for first-time parents will awaken in the
nursing team that work with newborns the importance of reinforcing guidance on basic
care at home
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11
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TAMIRES DE NAZARE SOARES
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Nursing care during the hospitalization of thenewborn and the child with heart disease in the light of Madeleine Leininger's theory
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Advisor : RUBENILSON CALDAS VALOIS
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Data: Jul 4, 2023
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Nursing care aims to protect and promote the individual with a view to putting himself
in the other's shoes, the care relationship is established within certain limits, so it is up
to the nurse to understand what the patient's real needs are, because when well
executed, it improves the quality of life of people who depend on it, and in this context
we are talking about care for children and newborns with heart disease. This study
aimed to reveal the care provided by nurses during hospitalization of children with heart
disease in the light of Madeleine Leininger's theory. The study was qualitative
descriptive research, whose method was chosen because it suited the needs of
understanding the care of nurses during the hospitalization of children and newborns
with heart disease. The research was carried out at the Hospital de Clínicas Gaspar
Vianna with 22 nurses distributed in a pediatric clinic, neonatal and pediatric ICU,
approved by the ethics committee of the referred Hospital. The information was
collected through in-depth semi-structured interviews, in the analysis and interpretation
of the information a methodological technique of content analysis was used based on
Bardin and to assist in its processing, the IRAMUTEQ software was used as a tool,
which brings statistical rigor to qualitative research, performed according to
Descending Hierarchical Classification. The prevalence of females was observed with
86.3%, the majority with 31.8% were above or equal to 46 years of age, with training
time of more than 6 years. Nurses do not recognize patient care with different cultures,
and often mechanistic with hospital protocols, none knew about the theory of
transculturality. The patient's cultural influence often influences the time of care, and
when nurses realized that something was not right with the patient due to their culture,
they tried to adapt, but only when something was already bothering clients and parents.
These findings have significant implications for nursing practice in the context of caring
for children with heart disease.
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12
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ARIELLY CRISTINE SALDANHA DA SILVA
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Creation of a serious game about Care for Children with Autism Spectrum Disorder in the vaccination room for Nursing professionals
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Advisor : PAULO ELIAS GOTARDELO AUDEBERT DELAGE
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Data: Oct 10, 2023
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Show resume
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Autism Spectrum Disorder (ASD) is a neurological development disorder characterized
by deficits in communication and social interaction, in addition to the presence of
restricted and repetitive patterns of behavior. The nurse supervises child vaccination,
both in the techniques performed and in the administrative area, thus leading all actions
carried out in this environment, and can play a fundamental role in caring for children
with ASD in this context. Objective: Develop a jogo sério about caring for children with
ASD in the vaccination room for nursing professionals. Method: This is a
methodological research developed in two stages: situational diagnosis with health
professionals, and subsequently, the creation of a jogo sério as an Educational
Technology. The research participants were 22 health professionals who had
experience in caring for children with ASD. The data were analyzed using the
Iramuteq® v.7 alpha 2 program to analyze the frequency and semantics of speeches
in the form of textual data. Results: The data collected from professionals led to the
board game elements, that is, dynamics, mechanics, game elements, critical points
about the characteristics of children with ASD and the professional care of this child. It
was also possible, through the data collected, to construct the game's actions using
cards, game characters, important characteristics of children with ASD according to
the health professionals interviewed and how to best act when faced with these
behaviors. Therefore, the stages of the game were designed taking into account the
main characteristics that children with ASD may present and the appropriate
management that can be used by nursing professionals to improve the care of these
children in the vaccination room. Conclusion: The educational technology produced
in the form of a serious game for the training of nursing professionals in caring for
children with ASD, aimed at providing guidance and awareness among nursing
professionals on the management of vaccination for children with ASD. The
experiences of health professionals in caring for children with ASD contributed to the
explanation of guidelines on behavioral management aimed at caring for autistic
children that could also be used, for example, in the vaccination room, as these
managements are suitable for various contexts, as they are aimed at autistic children
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13
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DRIELE CAROLINE NORONHA GOMES
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Construction of a gamified strategy based on self care for elderly people to accession to the HIPERDIA program in a Family Health Strategy
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Advisor : PAULO ELIAS GOTARDELO AUDEBERT DELAGE
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Data: Oct 11, 2023
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Show resume
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The HIPERDIA program is a public health program in Brazil aimed at controlling anda
preventing high blood pressure anda diabetes mellitus. Currently, within the scope of
the Unified Health System (SUS), these cases are monitored by the Family Health
Strategy (ESF). The use of Gamification has shown efficiency in the adherence of
users to treatments and prevention in different health contexts, providing
improvements in work processes and stimulating teams. Objective: to listen to the
elderly and ACS about the difficulties that exist within their routine at HIPERDIA, so
that from this analysis it is possible to build a Gamified strategy to promete
adherence to treatment in alderly people treated in the HIPERDIA program. Method:
Methodological research on the development of care- educational technology in a
gamified format, with a qualitative approach, adopting a semi- structured interview
procedure, with lexical analysis of the data. Result: Based on the speech of the
elderly and the ACS, it was possible to develop a gamified strategy whose objective
was the creation of a Bingo, where instead of numbers there are indications about
the behavios that should be carried out on a daily basis, that is, representations of
the recommendations passed on by the ACS to the elderly for maintaining health
anda self- care in relation to Diabetes and Hypertension. Conclusion: This study
enabled discussion about the use of gamification in Nursing and the importance of its
use within primary care programs such as HIPERDIA. It is important that more
scientific work be developed that addresses the use of gamification in the field of
Nursing. In this context, the research contributed with important data for the teams,
considering that nurses need to knom their area of activity both within the team (the
ACS) and in the community (the Elderly)
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KATIA FURTADO DA SILVA ALÉM
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ASSESSMENT OF LONGITUDINALITY FROM THE PERSPECTIVE OF HYPERTENSIVE AND/OR DIABETIC USERS IN THE FAMILY HEALTH STRATEGY
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Advisor : IVONETE VIEIRA PEREIRA PEIXOTO
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Data: Oct 11, 2023
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Show resume
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The Family Health Strategy (FHS) is considered gateway to health services in Brazil,
and aims to solve most users’ health problems. FHS is organized according to the
Brazilian Health System (SUS - Sistema Único de Saúde) guidelines, highlighting the
longitudinality attribute and the ability to maintain care throughout individuals’ lives,
regardless of the presence of disease. One group in particular should have routine
follow-up in FHS: those living with hypertension and diabetes (DM). Longitudinal
follow-up of this group makes it possible to reduce disease-related complications,
reducing hospital admissions and the need for emergency services. The municipality
Ananindeua chosen as the research field is the 2nd with the largest population in the
state, with an administrative division of 5 Health Regions, which are responsible for
managing care. This study aims to assess the longitudinality attribute score through
the Primary Care Assessment Tool (PCATool) in FHS from the perspective of users
with hypertension and/or DM registered and cared for by FHS of the 3rd Health Region
in the municipality of Ananindeua, Pará, in addition to outlining the profile of this
population and relating the score obtained with these users’ socioeconomic
characteristics. The sample studied was a total of 140 people with hypertension and/or
DM, registered in 17 FHS located in the 3rd Health Region, aged 18 years and older.
For data collection, a form composed of a socioeconomic profile and the PCATool
Brazil adult - extended version, was used, with questions referring to the longitudinality
attribute. Data collection was carried out from January to June 2023 in person using a
printed or digital form on dates and times previously scheduled with the health team.
Each interview lasted approximately 30 minutes. Data were tabulated and analyzed
using the Statistical Package for the Social Sciences. Longitudinality score
assessment was calculated according to the PCATool Brazil manual, and cut-off point
was 6.6. Regarding the longitudinality attribute score, 83 participants (59.3%) obtained
a low longitudinality score (<6.6) and the mean score was 6 (µ = 6.14 ± 1.45).
Regarding socioeconomic profile, most patients are women (104; 74.3%), between 54
and 63 years old (52; 37.1%), married (42; 30%), of mixed race (101; 72.1%), with own
home (121; 86.4%) of masonry type (137; 97.9%), family income of up to one minimum
wage (97; 69.3%). Most have children (136; 97.1%), between three and five children
(62; 44.3%). Most have up to four years of education (57; 40.7%), being self-employed
(52; 37.1%), and the largest number of users indicated that they had hypertension (78;
55.7%). Regarding the comparison between the longitudinality score and
socioeconomic variables, it was noticed that there is no relationship between user
characteristics and the longitudinality attribute score. Thus, this research indicates that
there is low score of longitudinality in FHS in the perception of patients with
hypertension and/or DM registered and treated in the city of Ananindeua, Pará
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VITOR HUGO PANTOJA SOUZA
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Development of technology to operationalize the care of the multidisciplinary team in postpartum hemorrhage
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Advisor : RUBENILSON CALDAS VALOIS
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Data: Oct 17, 2023
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Show resume
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Postpartum hemorrhage is still the leading cause of maternal death, and the international estimate is
between 25% and 35%. In Brazil, this cause is responsible for more than 41% of deaths. Case histories
of postpartum hemorrhage are not always recorded in medical records, and when they are, they are
inadequate or incomplete. In this sense, the use of a checklist contributes to multi-professional care,
optimizing time and directing professionals' attention to the main points, recording them safely, quickly
and concisely. The aim of this study was to develop a technology to operationalize multiprofessional
care in postpartum hemorrhage. This is a methodological study of the technology-building type, with a
qualitative approach, which was developed in two stages. Two groups took part in this study: the first
group was made up of 10 nurses and 2 nursing residents and the second group was made up of 3
doctors. This research was approved by the National Council for Research Ethics (CONEP), opinion
number 6.227.364 and CAAE 68904223.2.0000.5170, posted on August 08, 2023. The data collected
was analyzed according to Bardin's proposal, with the help of the IRAMUTEQ software. The corpus was
made up of 15 texts representing each of the 15 interviews conducted. The corpus was then fragmented
every 60 words by the software and 202 text segments (TS) emerged, of which 174 TS were used,
representing 86.14% of the total. The results obtained chi-squared values ≥15.5 and the p-value used
was <0.0001. Having submitted the text corpus for CHD analysis, IRAMUTEQ grouped the text corpus
into 6 classes. Class 01 with 31/174 ST (17.82%), class 02 with 28/174 ST (16.09%), class 03 with
35/174 ST (20.11%), class 04 with 23/174 ST (13.22%), class 05 with 31/174 ST (17/82%) and class
06 with 26/174 ST (14.94%). This resulted in four categories: Identification and Stratification of Risk for
PPH (Class 03 and 05); Etiology and diagnosis of PPH (Class 02); Treatment of PPH (Class 01 and
04); and Effective communication in PPH (Class 06); and in the construction of the technological solution
entitled Checklist: the sequencing of multiprofessional care in PPH. In view of the above, it can be
concluded that although PPH is part of the routine in birth care environments, research is limited to
treatment and diagnosis, and the few technological constructions are versions of protocols for treatment.
The causes are remembered using the 4Ts mnemonic, the diagnosis is mainly made by visual
estimation, the most commonly used medication is oxytocin and during treatment the team must be in
sync. The technological solution constructed was a checklist, which covered everything from
stratification to reassessment 24 hours after the hemorrhagic event.
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16
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MAYARA MELO GALVAO
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Photobiomodulation: technology for guidance to nurses on its use in the treatment of nipple trauma
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Advisor : ILMA PASTANA FERREIRA
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Data: Oct 19, 2023
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Show resume
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Photobiomodulation is a non-invasive therapy that uses low-intensity laser light to
promote tissue regeneration and healing. It is a non-invasive and painless technique,
indicated for the auxiliary treatment of nipple trauma, such as cracks and
inflammation, common during breastfeeding and which can cause pain and
discomfort. This study aimed to build an assistance technology in the form of a
booklet to assist nurses in the adjuvant treatment of nipple trauma with low-intensity
light. The study was a descriptive research with a qualitative methodological
approach. The study construction process was carried out through the development
of the Integrative Literature Review (RIL) after analyzing eight articles that were close
to the topic from the following databases: PubMed, Web of Science, Virtual Health
Library (VHL) and Scopus . The information with characteristics of the publications
was organized in a table, in the analysis and interpretation of the information the
content analysis methodology according to Bardin was used and to assist in the
processing of the data the IRAMUTEQ software was used as a tool, which brings
statistical rigor to the research qualitative, carried out according to the Descending
Hierarchical Classification, making it possible to define 3 categories for the
construction of the booklet: Category 1: Main factors that cause nipple trauma;
Category 2: Photobiomodulation in the Treatment of Nipple Trauma and Category 3:
Nurse's Guidance on breastfeeding. The results of this research showed that the
studies are still in their infancy and although they prove the effectiveness and
importance of using this treatment to accelerate the healing of nipple trauma, they did
not focus on analyzing the use of this technology by nurses.
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17
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TOBIAS FERREIRA GONCALVES
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Ecological study on the profile of death due to severe acute respiratory syndrome in Pará
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Advisor : ILMA PASTANA FERREIRA
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Data: Oct 20, 2023
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Show resume
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The occurrence of death due to SARS has become a constant concern in the context of human health, with the Covid-19 pandemic making it necessary to constantly observe this event as an indicator of the capacity to control the disease in the territory. Objective: This study aimed to analyze the spatial distribution of deaths from severe Acute Respiratory Syndrome due to Covid-19 in Pará between 2020 and 2022. This is an exploratory ecological study, based on spatial analysis. The demographic, population and socioeconomic data of the resident population of Pará were structured and organized in order to describe the profile of the population facing or dying from SARS due to Covid-19, using descriptive statistics techniques, by absolute and relative frequencies. The Mortality Index was calculated considering the sum of deaths that occurred throughout the period. Spatial analysis was performed using qgis v3.8.1. and, within it, the 23,109 cases of death were distributed by health region and municipality of residence. A higher proportion of cases were observed in males (57.27%). In the age group over 80 years old (22.43%). The brown color concentrated the largest number of cases (61.06%). Having completed high school (10.34%), had heart disease (22.67%), had Down Syndrome (0.11), Chronic liver disease (27.28%), asthmatics (42.40%), Diabetics (0.61%), Neuropath (0.36%), Pneumopath (0.84%), immunocompromised (1.27%), chronic renal disease (24.76%), obese (4.96%). As for the clinical profile, they presented fever (65.12%), cough (68.50%), sore throat (17.90%), dyspnea (78.31%), respiratory discomfort (59.69%), saturation < 95 (53.99%), Diarrhea (9.77%), Vomiting (5.50%), Abdominal pain (4.25%), fatigue (11.44%), loss of smell (4.97%), loss of taste (4.92%), ICU support (57.74%), ventilatory support (50.55%). For diagnosis, they collected a sample (75.13%), nasopharyngeal secretion (62.30%), detectable for Covid in PCR (46.40%), typical covid tomography (22.73%), immunofluorescence (35.59%), rapid test (8.58%), positive Igg (5.58%), positive Igm (6.53%), Iga (0.25%). The mortality rate was higher in 2020 (114.77/100 thousand inhabitants), in Metropolitana I (256.20/100 thousand inhabitants). It is concluded that from the study carried out, it was possible to identify the ecological pattern of the health regions most affected during the analysis period and demonstrate that the ecological pattern points to the densest ecological regions, with the need for further studies to identify the contributing factors of this profile
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18
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DAYANNE DE NAZARÉ DOS SANTOS
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Health literacy of people undergoing treatment for tuberculosis in an endemic municipality in the Brazilian Amazon
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Advisor : LAURA MARIA VIDAL NOGUEIRA
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Data: Oct 24, 2023
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Show resume
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Health Literacy defined as people's knowledge, motivation and competence in accessing, understanding, evaluating and applying health information to judge and make decisions in everyday life about self-care, disease prevention and health promotion, aiming for quality of life. In addition to individual and collective empowerment for health promotion, health literacy is crucial for obtaining satisfactory results in the control of diseases that require prolonged treatment, such as tuberculosis. The objective of this study is to analyze the level of health literacy of people undergoing treatment for tuberculosis associated with the sociodemographic profile in primary health care. This is an analytical, cross-sectional study, carried out in the municipality of Belém, in 04 units: Municipal Health Unit of Sacramenta, Guamá, Jurunas and Marambaia. To collect data, three questionnaires were used, namely: Sociodemographic Clinical Questionnaire, Health Literacy Test and the Health Literacy Questionnaire (HLQ-Br). The data were tabulated in a Microsoft Excel 2021 spreadsheet and analyzed using the Statistical Package for the Social Science, version 22.0. Descriptive statistics were used, the results of which are expressed in relative and absolute frequencies and dispersion measures. The Kolmogorov – Smirnov test and Kruskal-Wallis test were chosen for inferential analyzes considering p < 0.05. 207 people undergoing treatment for tuberculosis participated in the study, predominantly male and aged between 18 and 39 years. A significant statistical association was identified between Health Literacy, education and paid activity. It is accepted that Health Literacy can contribute as a mechanism for surveying demands relating to users in services, for better access to health promotion and recovery needs, enhancing interaction with professionals and producing effective self-care. Thus, adequate literacy could be a facilitator for tuberculosis treatment, as it will strengthen the understanding of the information offered in health services
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19
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ERLON GABRIEL REGO DE ANDRADE
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Nursing students’ social representations about latent tuberculosis infection
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Advisor : IVANEIDE LEAL ATAIDE RODRIGUES
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Data: Oct 24, 2023
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Show resume
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Introduction: a chronic infectious disease, tuberculosis is caused by bacillus of the genus Mycobacterium, a context in which latent tuberculosis infection also stands out. Due to contact with patients, certain groups are characterized by a greater risk of contracting this infection, such as nursing students. Considering the possibility of becoming infected with the bacillus during practical activities during the course, it is necessary to research the subjective issues that permeate their thoughts and practices in the face of latent infection, which, in this context, constitutes a social phenomenon, as it strongly raises awareness production of subjectivities. Therefore, it is important to understand their social representations based on what they know, think, feel and practice about this object. Objectives: to analyze nursing students’ social representations about latent tuberculosis infection; and discuss the possible repercussions of these representations in their personal, academic and professional daily lives. Method: a descriptive study, with a qualitative approach, carried out at the Escola de Enfermagem “Magalhães Barata”, Universidade do Estado do Pará. Participants were 37 regularly enrolled students, studying from the first to the fifth grade of the Undergraduate Nursing Course, and who were reactive to the tuberculin skin test. Individual interviews were carried out with a semi-structured script, in order to understand participants’ sociodemographic/academic profile and explore the object of study. The interviews were transcribed and analyzed with the software Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires, version 0.7, alpha 2, using descending hierarchical classification. Results: among the participants, 24 (64.86%) were female, and their ages ranged from 19 to 40 years, with a predominance of the 19 to 23 age group (n=28; 75.68%). Through descending hierarchical classification, the texts (n=37) were divided into 1,939 text segments, with 1,686 being used (86.95%), generating seven lexical classes. Presenting different aspects that constitute students’ social representations, these classes were organized into three thematic axes: “Meaning LTBI and tuberculosis: knowledge, affections and memories”, with classes 1, 3 and 4; “Being a reactor: discovering, taking care of yourself and others”, with classes 2, 5 and 6; and “Informing to better care: challenges and possibilities in higher education”, with class 7. Final considerations: social representations indicate the repercussions of the phenomenon in students’ personal, academic and professional daily lives. From this perspective, fear appeared as the main feeling due to the fact of discovering a reactor, considering the possibility of developing tuberculosis and, therefore, facing the challenges of treatment, social stigma and the possible manifestation of a serious form of the disease. However, for them, this did not prevent them from talking about their condition with classmates, professors and family as well as with other people in the future. Given the relevance of the topic, self-care actions and the willingness to care for others were constituted as strategies to face this condition, anchored in the understanding that qualified information on the topic supports care.
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ANA FLAVIA DE OLIVEIRA RIBEIRO
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Knowledge, attitudes and practices of Community Health Agents in the detection of respiratory symptomatic patients
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Advisor : LAURA MARIA VIDAL NOGUEIRA
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Data: Oct 27, 2023
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Show resume
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The Community Health Agent is the social actor who plays an important role in the search for respiratory symptomatic patients. Considering the potential contribution of studies on Knowledge, Attitudes and Practices to the consolidation of programs and actions aimed at the prevention and control of tuberculosis and in view of the importance and multiplicity of attributions of Community Health Agents in the National Tuberculosis Control Plan, it is assumed that the knowledge, attitudes and practices of these professionals can interfere in the quality and effectiveness of their actions. The objective of this study was to evaluate the knowledge, attitudes and practices of Community Health Agents in the detection of respiratory symptomatic patients in Primary Health Care. This is an analytical, cross-sectional study with a quantitative approach, carried out with 129 Community Health Agents from 18 Family Health Strategies and one Riverside Family Health Strategy in the municipality of Santa Izabel do Pará/PA. Data were collected from March to October 2022, using a self-administered questionnaire based on the methodological guide Advocacy, Communication and Social Mobilization for tuberculosis control for knowledge and attitudes and practices research on tuberculosis and the booklet on tuberculosis for Community Health Agents, adapted to meet the specificities of this study. To evaluate the possible association between the level of knowledge and attitudes and practices, the chi-square test was applied using Bioestat 5.3. A significance level of 95% was considered, and a p-value ≤ to 0.05. The predominant age of the study participants was the age group between 41 and 50 years. Regarding gender, most Community Health Agents were female. Regarding the level of education, most of them attended up to high school. The religion that prevailed was Catholic, and a significant number of CHAs considered themselves brown. Regarding knowledge, 93.8% of the Community Health Agents had adequate/good knowledge and 6.2% were considered regular. Regarding attitudes, 87.6% had adequate/good attitudes and 12.4% were considered regular. Regarding practices, 41.9% presented adequate/good practices, 45% considered regular and 13.2% were not adequate/insufficient. In the correlation analysis, the association between knowledge and attitudes was not significant (p=0.2582), nor was the association between knowledge and practices (p=0.8973). The results of this study indicate that the Community Health Agent's knowledge and attitudes were considered adequate and the practices were regular, a fact that demonstrates that the behavior is not aligned with what they know. Regarding the association between knowledge, attitudes and practices, the analysis of the results allowed us to observe that they do not interfere with each other. The Community Health Agents are essential for the early detection and treatment of cases, and should carry out the active search for respiratory symptomatic patients, which is essential in the context of Primary Health Care. The perspective for achieving the goals of the National Tuberculosis Control Plan by 2035 is the expansion of knowledge for the reorientation of professionals, health services and clinical management in relation to tuberculosis cases. In view of this, the need for investment in supervision and training to improve tuberculosis control activities is reinforced. Therefore, it is concluded that the knowledge, attitudes and practices of the CHAs may compromise the quality of the actions developed within the scope of the National Tuberculosis Control Plan
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21
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JAQUELINE CARDOSO MARCENA
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Caring for an empty cervix: nursing care guide for mothers with stillbirth
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Advisor : MONICA CUSTODIA DO COUTO ABREU PAMPLONA
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Data: Oct 27, 2023
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Show resume
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The diagnosis of stillbirth is an extremely painful moment for a pregnant woman and her family. The emotional impact is profound, and in many cases, the mother can experience a wide range of feelings, including sadness, anger, guilt, and even depression. The role of nurses and other healthcare professionals is of utmost importance in the care, support, and guidance of patients, especially when it comes to mothers who have experienced the tragedy of fetal death, where the professional training of nurses plays a vital role in ensuring proper care and necessary emotional support. The aim of this dissertation was to construct a care guide to assist nursing professionals in approaching and caring for patients with fetal death. This is a methodological research of technology construction type, with a qualitative approach, which was developed in three distinct stages: Development of the Integrative Literature Review (ILR), analysis of the results, and the process of constructing the care guide. The corpus consisted of 17 texts, corresponding to the set of selected articles. The collected data were analyzed according to Bardin's proposal, with the assistance of the IRAMUTEQ software. 1,116 text segments (TS) were identified, with 857 TS utilized, totaling 76.79%. There were 40,994 occurrences (words, forms, or terms), with 5,345 distinct words and 2,604 with a single occurrence. IRAMUTEQ® dimensioned and classified the TS based on CHD, generating five classes through a dendrogram, which were organized into three categories: I-Management of technical-assistance and bureaucratic-administrative activities (Class 05); II-Nursing care - Aspects related to stillbirth, mother, and family (Class 02); III-Emotional and knowledge barriers of nurses when dealing with mothers of fetal death (Classes 01, 03, and 04). From this context, a care guide technology was produced. The purpose of the guide is to provide guidance to professionals in the field regarding this care, understanding the mourning period as the loss not only of a baby but also of a series of expectations and dreams experienced by the entire family
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