The Working Environment in Primary Healthcare Outpatient Facilities: Assessment of Physical Factors and Health Professionals' Perceptions of Working Environment Conditions.

The objectives of this study were to assess the adequacy of physical parameters/factors (temperature, relative humidity, noise, and illuminance levels) of the work environment in PHC facilities, to evaluate the association between the adequacy of these measured physical parameters and the physical characteristics of the PHC facilities and their surroundings and to assess the association between health professionals' perceptions about exposure to physical risks in the PHC work environment and the adequacy of physical parameters measured in the same facilities. The study monitored 23 PHC facilities in southern Brazil and interviewed 210 health professionals. Data analysis involved Pearson's chi-square, Fisher's exact test, Spearman's correlation, and multivariate linear regression analysis was used to control for confounding factors. The significance level was set at 5% (p ≤ 0.05). The combination of temperature and relative humidity presented thermal comfort levels outside the adopted criteria for adequacy in consultation (outdoor relative humidity, p = 0.013) and procedure rooms (front door open, p = 0.034). Inadequate sound comfort (noise) levels in the morning shift were found in the vaccination (front door open, p = 0.021) and consultation rooms (movement of people, p = 0.016). In PHC facilities where reception rooms had insufficient lighting, internal curtains were opened less frequently (p = 0.047). The analysis of health professionals' perceptions of physical factors demonstrated that physicians more frequently perceive the physical risk of temperature and humidity (p = 0.044). The higher the number of nurses (p = 0.004) and oral health technicians in the PHC facilities (p = 0.031), the greater the general percentage of adequacy of monitored physical parameters. It was also confirmed that the higher the perception of moderate or severe physical risk among health professionals, the lower the general percentage of the adequacy of the physical parameters of the work environment of the PHC facilities evaluated (rs = -0.450, p = 0.031). This study's evidence contributes to a better understanding of physical conditions and future occupational interventions to ensure the comfort, safety, and well-being of PHC workers.

O ensino do processo de enfermagem na ótica dos docentes / The teaching of nursing process from the perspective of professors / La enseñanza del proceso de enfermería desde la perspectiva de los docentes

Objetivo: conhecer como vem sendo ensinado o Processo de Enfermagem por docentes. Método: estudo exploratório, descritivo, com abordagem qualitativa. A produção de dados foi realizada por meio da aplicação de um questionário e realização de entrevista semiestruturada. Participaram 14 docentes de uma instituição pública do extremo sul do Rio Grande do Sul, após a aprovação do projeto de pesquisa pelo Comitê de Ética em Pesquisa, parecer 174/2011. Depois de transcritas, as entrevistas foram lidas, relidas e analisadas, com base na análise textual discursiva. Resultados: pôde-se constatar que os docentes não ensinam nem exigem a utilização do Processo de Enfermagem de forma completa pelos discentes. São utilizadas apenas algumas das etapas do Processo de Enfermagem, sendo dada prioridade à evolução de enfermagem. Conclusão: não existe consenso entre os docentes quanto à abordagem de ensino do Processo de Enfermagem. Além disso, há pouca adesão nos cenários de práticas, o que pode dificultar o aprendizado do discente, com repercussões para o futuro profissional.(AU)

Objective: to get to know how Nursing Process is being taught at undergraduate level. Method: this is a descriptive, exploratory, qualitative study. Data were collected through administration of a questionnaire and through semi-structured interviews with 14 professors who taught at a public institution in the South of Rio Grande do Sul. The research project was approved by the Research Ethics Committee, opinion 174/2011. The interviews were first transcribed, then read, reread and analyzed using discursive textual analysis. Results: we found that professors do not teach nor require students to fully use Nursing Process. Only a few steps of nursing process are used and priority is given to the evolution of nursing. Conclusion: There is no consensus among professors as to what approach should be used in the teaching of Nursing Process. In addition, there is poor adherence to it in practical settings, which hinders the learning process and could have repercussions for their future professional lives.(AU)

Objetivo: conocer cómo se enseña el proceso de enfermería. Método: se trata de un estudio exploratorio, descriptivo, cualitativo. La recolección de los datos se llevó a cabo mediante un cuestionario y entrevistas semi-estructuradas a 14 profesores de una institución pública en el sur del estado de Rio Grande do Sul. El proyecto de investigación fue aprobado por el Comité de Ética en Investigación, opinión 174/2011. Una vez transcritas las entrevistas, se procedió a la lectura, relectura y análisis de las mismas, por medio de técnicas de análisis textual discursiva. Resultados: se constató que los profesores no enseñan ni requieren el uso integral del Proceso de Enfermería por los estudiantes. Solamente algunas etapas del proceso de enfermería son utilizadas, dándose prioridad a la evolución de enfermería. Conclusión: no hay consenso entre los profesores sobre qué abordaje debe ser utilizado en la enseñanza del proceso de enfermería. Además, hay poca adherencia al PE en los escenarios de prácticas, lo que puede dificultar el aprendizaje de los estudiantes y tener repercusiones en su futuro desempeño profesional.(AU)