Social support and professional networks of nurses and nursing technicians in coping with Covid-19: A sectional study in two Brazilian cities.

Among healthcare workers, nurses are at exceptionally considerable risk for contracting COVID-19. Regardless of professionals' level of education, Brazilian nursing is one of the healthcare occupations shouldering the highest levels of responsibility and workload. Social support networks to health and nursing can be a strategy to reduce workload and stress and may contribute to implementing the activities and protecting workers' health. This study aimed to map and analyze social support networks at workplaces as informed by frontline nursing professionals working in healthcare units in the Brazilian cities of Rio de Janeiro and Fortaleza, capitals of the States of Rio de Janeiro and Ceará, respectively. This observational and cross-sectional study used an online data collection instrument based on social network analysis methodology. We recruited 163 participants in two reference services for health professionals suspected or with COVID-19 symptoms. The research question was: "Which category or categories of health professionals have supported you or other colleagues the most in the event of diagnosis or suspicion of COVID-19 among nursing categories? Data were organized by nursing category and city and analyzed through social network analysis using Ucinet©, generating graphs and centrality metrics. Results point to the central relevance of nursing categories in the workplace social support in the pandemic, followed by other health professional categories.

Movimento estudantil em tempos de adversidade: o papel do estudante na reforma sanitária brasileira / Movimiento estudiantil en tiempos de adversidad: el papel del estudiante en la reforma a la salud en Brasil / Student activism in times of adversity: The role of students in the Brazilian health reform

Objetivo: refletir sobre as contribuições do movimento estudantil para a reforma sanitária brasileira, pressupondo seus aspectos histórico-dialéticos e os traços da contemporaneidade. Síntese de conteúdo: ao reconhecer que vivemos em tempos adversos e de uma reforma sanitária inconclusa, as entidades estudantis e outras organizações estudantis, bem como projetos e iniciativas que estimulam mudanças na formação em saúde, tais como iniciação científica, extensão universitária, Programa Nacional de Reorientação da Formação Profissional em Saúde, Programa de Educação para o Trabalho, Vivências e Estágios na Realidade do Sistema Único de Saúde e residências multiprofissionais, representam o estímulo ao pensamento crítico e social e o encorajamento do movimento estudantil como símbolo da defesa à efetivação do Sistema Único de Saúde (SUS) enquanto projeto político e social, bem como de resistência à desarticulação das políticas públicas brasileiras. Conclusões: colocamos em cena o potencial que todas essas iniciativas de formação, institucionalizadas ou não, têm para contribuir para a efetivação do SUS, uma vez que buscam a autonomia e o protagonismo discentes para a transformação da realidade social em que vivem.

Objetivo: reflexionar en torno a la contribución del movimiento estudiantil para la reforma a la salud en Brasil, asumiendo sus aspectos históricos y dialécticos y los rasgos de contemporaneidad de este movimiento. Síntesis de contenido: ante los tiempos adversos que vivimos y los efectos de una reforma a la salud inconclusa, las entidades y organizaciones estudiantiles, junto con los proyectos e iniciativas que fomentan cambios en la educación para la salud, como la iniciación científica, la extensión universitaria, el Programa Nacional de Reorientación de la Formación Profesional en Salud, el Programa de Educación para el Trabajo, las Vivencias y Pasantías en la Realidad del Sistema Único de Salud y las residencias multiprofesionales, representan un estímulo para el pensamiento crítico y social, además de apoyar la labor del movimiento estudiantil en Brasil como símbolo de defensa de la efectividad del Sistema Único de Salud (SUS) como proyecto político y social, y de resistencia a la desarticulación de las políticas públicas en este país. Conclusiones: manifestamos el potencial que todas estas iniciativas de capacitación, institucionalizadas o no, tienen de contribuir a la realización del SUS, considerando que buscan la autonomía y el protagonismo de los estudiantes para lograr la transformación de la realidad social en la que viven.

Objective: To reflect on the contributions of the student movement to the Brazilian sanitary reform, assuming its historical-dialectical aspects and the contemporary traits. Content synthesis: Faced with the adverse times we live in and the effects of an unfinished health reform, student entities and other student organizations, as well as the projects and initiatives that promote changes in health education, such as scientific initiation, university extension, National Program for Reorientation of Professional Training in Health, Work Education Program, Experiences and Internships in the Reality of the Unified Health System and multi-professional residencies, represent a stimulus to critical and social thinking, and also encourage student activism in Brazil as a symbol of the defense on the effectiveness of the Unified Health System (UHS) as a political and social project that resists against the disarticulation of public policies in this country. Conclusions: We acknowledge the potential of all these training initiatives, whether institutionalized or not, to contribute to the realization of UHS, since they promote students' autonomy and protagonism towards the transformation of their social reality.

Continuing education in healthcare as a strategy for occupational safety in the context of the COVID-19 pandemic: reflections on the role of community healthcare agents in construction of care.

Community healthcare agents are strategic professionals in delivery of Primary Healthcare activities. This article reflects on the role of continuing education in healthcare as a strategic element in ensuring the occupational health of community healthcare agents faced with combating and managing coronavirus 19 disease (COVID-19). In the current scenario, the work of community healthcare agents is undergoing daily reconstruction of professional practice in order to keep pace with the living territories to which they are assigned. Continuing education in healthcare enables construction of feasible scenarios that make problem solving possible, involving a constant reflective analytical perception of professional practices, permitting (re)construction of social skills such as the capacity to mobilize and motivate other actors to participate in political action. Through problematization, identification of needs, and questioning, continuing education in healthcare leads to (de)construction of the working practices of the very actors who are delivering care. Furthermore, continuing education in healthcare reaffirms the importance of the social, technical, and political training of community healthcare agents, thereby confirming their right to dignified and quality work. In a pandemic scenario, an agenda focused on continuing education in healthcare is essential to the continuity of care delivery to communities, facilitating expansion of access to the right to health.

Health Promoting School Interventions in Latin America: A Systematic Review Protocol on the Dimensions of the RE-AIM Framework.

Understanding the dimensions of internal and external validities (e.g., using the RE-AIM model: Reach, Effectiveness/Efficacy, Adoption, Implementation, and Maintenance) of school interventions is important to guide research and practice in this context. The aim of this systematic review protocol is to synthesize evidence on the RE-AIM dimensions in interventions based on the Health Promoting School (HPS) approach from the World Health Organization (WHO) in Latin America. Studies of interventions based on HPS-WHO that were carried out in Latin America involving the population of 5 to 18-year-olds will be eligible. Searches in nine electronic databases, a study repository, the gray literature, and the retrieved articles' reference lists will be performed, without year or publication language limits. Study selection and data extraction will be conducted by independent researchers. Data on intervention implementation will be summarized in categories of HPS-WHO actions: (1) school curriculum, (2) changes in the social and/or physical environment of schools, and (3) actions with families and the community. A previously validated tool will be used to summarize the information on the dimensions of the RE-AIM model. The strengths and limitations of the included studies will be evaluated using the Critical Appraisal Skills Program (CASP) tool, and the confidence level of evidence will be assessed according to the GRADE CERQual tool.

[Brazilian nursing and the democratization of health: notes on the National Policy of Popular Education in Health]. / A Enfermagem Brasileira e a democratização da saúde: notas sobre a Política Nacional de Educação Popular em Saúde.

This essay discusses the role of Brazilian nursing as a socially committed practice, in the political and pedagogic plan. The concepts of popular participation, representative and participatory democracy, and education in health are recovered, enlightened by the recent history of the constitution of social network of practices and reflections called Popular Education and Health. The construction process and the ethical-political principles of a National Policy of Popular Education in Health are presented, discussing the participation of nursing in the changes of educational practices, in spaces of political representation and formulation of public policies, with a perspective of achieving a fair and equal social order.

Subjectivity and sexuality production in women living with HIV/aids: a sociopoetic production.

The study aims to apprehend the subjectivity production possibilities concerning sexuality in a group of women living with HIV/aids, based on the sociopoetic method. The subjects were nine women with HIV/aids attended at the public referral hospital for infectious diseases in Fortaleza-CE. The results appoint that sexuality appears in several dimensions: in the sexual act, in knowing their own body, in professional accomplishment, in feelings of desire and love, besides the feeling of freedom. We concluded that sexuality is present in the individual's totality; it is not limited to the sexual act, but goes much further and is characterized as a dynamic reality.

[Access to the emergency service by clients with hypertensive crisis in a hospital in Fortaleza, CE, Brazil]. / Acesso ao serviço de emergência pelos usuários com crise hipertensiva em um hospital de Fortaleza, CE, Brasil.

A hypertensive crisis is a sudden and symptomatic elevation of blood pressure at risk of acute deterioration of target organs. Although the prevalence in the literature of the burden is 1%, the risk of complications and death associated with the problem of health in the emergency services have revealed the need for deeper issues related to access to the service of health. It is a quantitative and descriptive research, held in a public hospital Fortaleza city, between April and July of 2006, with 118 patients. The results show that people with hypertensive crisis has sought health services, especially the emergency, in order to get care. The study indicates access as a key element in meeting the needs of users who seek the services of health, and the waiting time, the resolution and the reception, important parameters on the quality of care.

[Expectations of hospitalized patients with HIV/AIDS regarding nursing care]. / HIV/AIDS hospitalizados Quanto à ssistência de enfermagen.

This study aimed at verifying the expectations of patients with HIV serum-positive patients, regarding to nursing care. This is a study with qualitative approach developed in the inpatient unit of a state public hospital in the municipal district of Fortaleza, CE. Data were collected in the period of September to October of 2003 through semi-structured interview, applied to 12 patients, randomly selected among the patients with diagnosis of HIV/AIDS. For data analysis it was used the Collective Subject's Speech (DSC) through emission of central ideas and/or key-expression. It was conclude that the patients expectations are for a more human care, more attention, contact verbal, more affectivity of the nursing team, a qualified and worthy attention. Besides their needs they should be informed daily about the vulnerabilities that they are submitted during the hospitalization.