[Factors related to the place of first choice for the diagnosis of tuberculosis]. / Fatores associados à primeira escolha de local para o diagnóstico da tuberculose.

The objective of this study was to identify factors related to the place of first choice for the diagnosis and treatment of tuberculosis. A descriptive quantitative study was conducted in Natal/RN, throughout February/September 2012 with 60 individuals diagnosed with pulmonary tuberculosis that responded a questionnaire. Data were analyzed by the Chi-square and Fisher test. The factors asso- ciated to the place of first choice were: having had previous contact with the disease (p = 0.04); the person's awareness of the disease (p = 0.018) and having had previous care at the health service unit of choice (p = 0.002). It is concluded that intrinsic and extrinsic factors may influence the individual's first choice of a place for care and diagnosis of diseases. It is important that nurses promote actions related to these factors, for the enhancement of early diagnosis of tuberculosis through case finding and access to the primary care unit thereby reducing the demand for emergency services.

Educational technology for primigravidae: a quasi-experimental study.

OBJECTIVE: To analyze the influence of an educational technology on the knowledge of primigravidae about the signs of labor and obstetric risk. METHOD: A quasi-experimental, before-and-after, non-randomized and non-concurrent study carried out with 90 primigravidae. For data analysis, descriptive statistics was applied,McNemarandStudent's t test. The project was submitted and approved by the Research Ethics Committee in 2020. RESULTS: The profile of the pregnant women corresponded to women with an average age of 23 years, brown, living in a common-law marriage, and with an average of 10 years of education. Half of the pregnant women were in the third trimester of pregnancy and were undergoing usual-risk prenatal care. Only 12.22% of the participants reported having access to information on the subject. Data analysis showed a significant difference in the number of correct answers for the questions, before and after viewing the animated video, especially in questions related to signs of labor, bag of waters, and fetal movement test. CONCLUSION: Educational technology has a positive influence on primigravidae's knowledge about signs of labor and obstetric risk.

[Work situations experienced by family health strategy professionals in Ceará-Mirim]. / Situação de trabalho dos profissionais da Estratégia Saúde da Família em Ceará-Mirim.

The purpose of this study was to analyze the work situations experienced by Family Health Strategy (FHS) professionals. This descriptive study was performed in Ceará-Mirim, Rio Grande do Norte state, in 2007. The population consisted of 190 FHS professionals, in which a questionnaire with closed-questions was applied. The results showed that 83.2% of the professionals consider that knowing the geographical area under their responsibility is a positive aspect that helps performing their activities, while 40.5% consider the number of families that each team has to follow to be a difficulty. Regarding work conditions, 93.2% reported the presence of professionals with a public health profile and 86.6% reported there is a lack of equipment and instruments. Of professionals who work exclusively with the FHS, 74% are community health agents. The commitment and responsibility to replace the traditional care practices should concern everyone, and there is a need for an interaction between historical, political, social, economic, and cultural factors.

[The extra training of nursing care in the teaching hospitals]. / O estágio extracurricular remunerado no cuidar da enfermagem nos Hospitais de Ensino.

Study type integrative review of literature that aimed at understanding the integration of middle level nursing trainees in the nursing care of teaching hospitals. Using the theoretical framework of contextual analysis, in which the context is featured in four distinct interactive levels, and as containing meanings that facilitate the description and understanding of issues surrounding the phenomenon. We found thirteen texts which were organized in three levels of contextual issues: the nursing care under the immediate context; the working trainees, under the specific context; and the teaching hospital, as the metacontext. The study helped to identify the extracurricular work experience as a means of scientific and technical development of trainees in the nursing care provided in teaching hospitals, while involved in the context of the current professional world that may also be a silenced form of the precariousness of work.

Educational technology for primigravidae: a quasi-experimental study / Tecnología educacional para primigestas: estudio casi experimental / Tecnologia educacional para primigestas: estudo quase experimental

ABSTRACT Objective: To analyze the influence of an educational technology on the knowledge of primigravidae about the signs of labor and obstetric risk. Method: A quasi-experimental, before-and-after, non-randomized and non-concurrent study carried out with 90 primigravidae. For data analysis, descriptive statistics was applied,McNemarandStudent's t test. The project was submitted and approved by the Research Ethics Committee in 2020. Results: The profile of the pregnant women corresponded to women with an average age of 23 years, brown, living in a common-law marriage, and with an average of 10 years of education. Half of the pregnant women were in the third trimester of pregnancy and were undergoing usual-risk prenatal care. Only 12.22% of the participants reported having access to information on the subject. Data analysis showed a significant difference in the number of correct answers for the questions, before and after viewing the animated video, especially in questions related to signs of labor, bag of waters, and fetal movement test. Conclusion: Educational technology has a positive influence on primigravidae's knowledge about signs of labor and obstetric risk.

RESUMEN Objetivo: Analizar la influencia de una tecnología educacional sobre el conocimiento de primigestas acerca de las señales de trabajo de parto y de riesgo obstétrico. Método: Estudio casi experimental del tipo antes y después, no randomizado y no concurrente, realizado con 90 primigestas. Para análisis de los datos fue aplicada estadística descriptiva,McNemaryt Student. El proyecto fue sometido y aprobado por el Comité de Ética en 2020. Resultados: El perfil de las gestantes correspondió a mujeres con edad media de 23 años, pardas, que están en una unión estable y con media de 10 años de escolaridad. Mitad de las embarazadas estaban en el tercer trimestre gestacional y realizaban el preembarazo de riesgo habitual. Solamente el 12,22% de las participantes relataron tener acceso a informaciones sobre la temática. El análisis de los datos evidenció diferencia significativa en el número de aciertos de las cuestiones, antes y después de la visualización del vídeo animado, principalmente en las preguntas relacionadas a las señales del trabajo de parto, bolsa de aguas y conteo de movimientos fetales. Conclusión: La tecnología educacional tiene influencia positiva sobre el conocimiento de las primigestas acerca de las señales de parto y de riesgo obstétrico.

RESUMO Objetivo: Analisar a influência de uma tecnologia educacional sobre o conhecimento de primigestas acerca dos sinais de trabalho de parto e de risco obstétrico. Método: Estudo quase experimental do tipo antes e depois, não randomizado e não concorrente, realizado com 90 primigestas. Para análise dos dados foi aplicada estatística descritiva, McNemar e t Student. O projeto foi submetido e aprovado pelo Comitê de Ética em Pesquisa em 2020. Resultados: O perfil das gestantes correspondeu a mulheres com idade média de 23 anos, pardas, que vivenciam uma união estável e com média de 10 anos de escolaridade. Metade das gestantes estavam no terceiro trimestre gestacional e realizavam o pré-natal de risco habitual. Apenas 12,22% das participantes relataram ter acesso a informações sobre a temática. A análise dos dados evidenciou diferença significativa no número de acertos das questões, antes e depois da visualização do vídeo animado, principalmente nas perguntas relacionadas aos sinais de trabalho de parto, bolsa d'águas e mobilograma. Conclusão: A tecnologia educacional tem influência positiva sobre o conhecimento das primigestas acerca dos sinais de trabalho de parto e de risco obstétrico.

Trauma in elderly people: access to the health system through pre-hospital care.

OBJECTIVE: to identify the prevalence of trauma in elderly people and how they accessed the health system through pre-hospital care. METHOD: documentary and retrospective study at a mobile emergency care service, using a sample of 400 elderly trauma victims selected through systematic random sampling. A form validated by experts was used to collect the data. Descriptive statistical analysis was applied. The chi-square test was used to analyze the association between the variables. RESULTS: Trauma was predominant among women (52.25%) and in the age range between 60 and 69 years (38.25%), average age 74.19 years (standard deviation±10.25). Among the mechanisms, falls (56.75%) and traffic accidents (31.25%) stood out, showing a significant relation with the pre-hospital care services (p<0.001). Circulation, airway opening, cervical control and immobilization actions were the most frequent and Basic Life Support Services (87.8%) were the most used, with trauma referral hospitals as the main destination (56.7%). CONCLUSION: trauma prevailed among women, victims of falls, who received pre-hospital care through basic life support services and actions and were transported to the trauma referral hospital. It is important to reorganize pre-hospital care, avoiding overcrowded hospitals and delivering better care to elderly trauma victims.