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1.
Cien Saude Colet ; 25(2): 741-748, 2020 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-32022213

RESUMEN

This article aims to comprehend meaning assigned to oral health, by means of older adults discourses, supported by a Social Constructionist perspective. This is a qualitative study with a descriptive and comprehensive design based on the Social Constructionism theoretical support conducted by means of interviews with 19 older adults. Data were analysed by means of a Discourse Analysis with identification of Interpretative Repertoires, which structured the meanings proposed to oral health. It were created repertories to disclosure possible meanings assigned to the oral health by older people as: having a clean mouth; having good comprehensive/general health; having a beautiful smile and oral health well-being condition; and suffering in the past and accepting pain. The meaning assigned to oral health by older people, in a social constructionist perspective, allow us to comprehend the subjectivity behind oral health of older people, which can guide health professionals' approaches to deal with it.

2.
BMC Public Health ; 20(1): 119, 2020 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-31996183

RESUMEN

BACKGROUND: Leprosy is a public health problem and a challenge for endemic countries, especially in their border regions where there are intense migration flows. The study aimed to analyse the dynamics of leprosy, in order to identify areas of risk for the occurrence of the disease and disability and places where this health condition is worsening. METHOD: This ecological study considered the new cases of leprosy reported in the municipality of Foz do Iguaçu from 2003 to 2015. Spatial and spatial-temporal scan statistics were used to identify the risk areas for the occurrence of leprosy, as well as the Getis-Ord Gi and Getis-Ord Gi* methods. Areas of risk for disabilities were identified by the scan statistic and kernel density estimation. RESULTS: A total of 840 cases were reported, of which 179 (21.3%) presented Grade 1 or 2 disabilities at the time of diagnosis. Leprosy risk areas were concentrated in the Southern, Eastern and Northeastern Health Districts of the municipality. The cases of Grade 2 disability were observed with higher intensity in regions characterized by high population density and poverty. CONCLUSION: The results of the study have revealed changes in the pattern of areas at risk of leprosy according to the investigated periods. In addition, it was possible to verify disabilities as a condition present in the investigated cases, or that may be related to the late diagnosis of the disease. In the areas of risk identified, patients have reported worse physical disability after diagnostic confirmation, or indicate inadequate clinical examination, reinforcing the need for structuring leprosy control services in a qualified manner.

3.
Rev Bras Enferm ; 72(suppl 2): 345-353, 2019 Nov.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31826229

RESUMEN

OBJECTIVE: To identify the knowledge produced on Medication-Related Problems in the transitional care of the elderly from hospital to home. METHOD: Integrative review of the literature data, organized in six stages: guiding question; establishment of inclusion and exclusion criteria; extraction of data; analyze; interpretation of results; and presentation of the review. Articles were considered among 2002 and 2017, in Portuguese, English, and Spanish, in the databases LILACS, MEDLINE, CINAHL and EMBASE. RESULTS: 10 studies were selected and analyzed. They were categorized by subject and identified in three themes: Medication Discrepancy and Reconciliation (40%); Adhesion to Medication (30%); and Adverse Drug Events (30%). FINAL CONSIDERATIONS: Drug-Related Problems in the transitional care of the elderly from hospital to home, were presented as a relevant theme for nursing, involving complex issues related to care. Drug reconciliation was evidenced as a coherent and effective strategy in home care transitions for the elderly.

4.
Rev Bras Enferm ; 72(3): 671-679, 2019 Jun 27.
Artículo en Inglés, Portugués | MEDLINE | ID: mdl-31269131

RESUMEN

OBJECTIVE: to construct collectively with nursing professionals bundle for best practices of cold chain maintenance of immunobiological agents conservation at the local level. METHOD: a qualitative research of convergent care type. Bundle construction was guided by the Evidence-Based Practice criterion. Data collection was carried out from October to December 2016, through five workshops, with the participation of 21 professionals from 7 vaccination rooms of a municipality of Minas Gerais State. The framework developed by Morse and Field was adopted for data analysis. RESULTS: through bundle, care is taken regarding refrigeration equipment temperature monitoring, contingency plan performance, recyclable ice coil setting and chamber use as refrigeration equipment. FINAL CONSIDERATIONS: the chosen interventions began to guide the practice and promote a care based on safety and quality.


Asunto(s)
Paquetes de Atención al Paciente/métodos , Refrigeración/métodos , Vacunas/uso terapéutico , Adulto , Competencia Clínica/normas , Enfermería Basada en la Evidencia/métodos , Femenino , Humanos , Masculino , Persona de Mediana Edad , Guías de Práctica Clínica como Asunto , Investigación Cualitativa , Refrigeración/normas
5.
Rev. bras. enferm ; 72(3): 671-679, May.-Jun. 2019. tab
Artículo en Inglés | LILACS-Express | ID: biblio-1013552

RESUMEN

ABSTRACT Objective: to construct collectively with nursing professionals bundle for best practices of cold chain maintenance of immunobiological agents conservation at the local level. Method: a qualitative research of convergent care type. Bundle construction was guided by the Evidence-Based Practice criterion. Data collection was carried out from October to December 2016, through five workshops, with the participation of 21 professionals from 7 vaccination rooms of a municipality of Minas Gerais State. The framework developed by Morse and Field was adopted for data analysis. Results: through bundle, care is taken regarding refrigeration equipment temperature monitoring, contingency plan performance, recyclable ice coil setting and chamber use as refrigeration equipment. Final considerations: the chosen interventions began to guide the practice and promote a care based on safety and quality.


RESUMEN Objectivo: construir colectivamente, con profesionales de enfermería, bundle para buenas prácticas de mantenimiento de la cadena de frío de conservación de inmunobiológicos a nivel local. Método: investigación cualitativa del tipo convergente asistencial. La construcción del bundle fue guiada por los criterios de la Práctica Basada en Evidencias. La recolección de datos fue realizada en el período de octubre a diciembre de 2016, por medio de cinco talleres, con la participación de 21 profesionales de 7 salas de vacunación de un municipio del estado de Minas Gerais. Para el análisis de los datos, se adoptó el referencial de Morse y Field. Resultados: por medio del bundle, se contemplan cuidados relativos al monitoreo de la temperatura del equipo de refrigeración, ejecución del plan de contingencia, ambientación de la bobina de hielo reciclable y el uso de la cámara como equipo de refrigeración. Consideraciones finales: las intervenciones elegidas pasaron a guiar la práctica y promover un cuidado pautado en la seguridad y calidad.


RESUMO Objetivo: construir coletivamente, com profissionais de enfermagem, bundle para boas práticas de manutenção da cadeia de frio de conservação de imunobiológicos em nível local. Método: pesquisa qualitativa do tipo convergente assistencial. A construção do bundle foi norteada pelos critérios da Prática Baseada em Evidências. A coleta de dados foi realizada no período de outubro a dezembro de 2016, por meio de cinco oficinas, com a participação de 21 profissionais de 7 salas de vacinação de um município de Minas Gerais. Para análise dos dados, adotou-se o referencial de Morse e Field. Resultados: por meio do bundle, contemplam-se cuidados relativos ao monitoramento da temperatura do equipamento de refrigeração, execução do plano de contingência, ambientação da bobina de gelo reciclável e o uso da câmara como equipamento de refrigeração. Considerações finais: as intervenções eleitas passaram a nortear a prática e promover um cuidado pautado na segurança e qualidade.

6.
Acta Paul. Enferm. (Online) ; 31(4): 399-408, jul.-ago. 2018. tab
Artículo en Portugués | LILACS-Express | ID: biblio-973390

RESUMEN

Resumo Objetivo Neste estudo o objetivo foi analisar a percepção da equipe de enfermagem sobre as condições geradoras de absenteísmo e suas implicações para a assistência em unidades de urgência e emergência. Métodos Estudo qualitativo, realizado por meio de entrevistas individuais, semiestruturadas, conduzidas a partir de um roteiro norteador composto das dimensões Processo de Gestão de Recursos Humanos; Condição de Trabalho em Equipe e Qualidade do Cuidado Prestado, com 30 profissionais da equipe de enfermagem, sendo esses enfermeiros, auxiliares e técnicos de enfermagem atuantes em cinco unidades de urgência e emergência, no município de Ribeirão Preto, São Paulo. Para análise dos dados, utilizou-se a análise de conteúdo, modalidade temática. Resultados Os participantes relataram que a estrutura física inadequada, equipamentos e materiais de má qualidade, questões salariais, déficit de recursos humanos e comunicação ineficaz são potenciais condições geradoras de absenteísmo e influenciam a qualidade da assistência prestada. Conclusão Os gestores têm papel fundamental de criar condições que assegurem ao trabalhador da enfermagem o seu crescimento profissional, satisfação com o trabalho, gerando menor absenteísmo e fortalecendo o seu compromisso com cuidado de qualidade à população assistida pelo Sistema Único de Saúde. Portanto, considera-se este estudo uma ferramenta para a compreensão da percepção da equipe de enfermagem sobre as condições geradoras de absenteísmo em serviços de urgência e emergência.


Resumen Objetivo El objetivo del estudio fue analizar la percepción del equipo de enfermería acerca de las condiciones que generan el absentismo y sus implicaciones para la asistencia en unidades de urgencia y de emergencia. Métodos Estudio cualitativo, realizado por medio de entrevistas individuales, semi estructuradas, conducidas a partir de una guía de ruta compuesta por las dimensiones: Proceso de Gestión de Recursos Humanos; Condición de Trabajo en Equipo y Calidad de la Asistencia Médica Prestada, con 30 profesionales del equipo de enfermería, siendo estos enfermeros, auxiliares y técnicos de enfermería, actuantes en cinco unidades de urgencia y emergencia, en el municipio de Ribeirão Preto, São Paulo. Para el análisis de los datos, se utilizó el análisis de contenido, modalidad temática. Resultados Los participantes informaron que la infraestructura física inadecuada, equipos y materiales de mala calidad, cuestiones salariales, escasez de recursos humanos y comunicación ineficaz son posibles condiciones generadoras de absentismo e influyen en la calidad de la atención prestada. Conclusión Los directores poseen un papel clave en la creación de condiciones que aseguren al trabajador de enfermería su crecimiento profesional, satisfacción en el trabajo, generando un menor absentismo y fortaleciendo su compromiso con la atención de calidad a la población atendida por el Sistema Único de Salud. Por lo tanto, se considera este estudio una herramienta para entender la percepción del equipo de enfermería acerca de las condiciones generadoras de absentismo en servicios de urgencia y emergencia.


Abstract Objective In this study, the objective was to analyze how the nursing team perceives the conditions that lead to absenteeism and its implications for care at emergency medical services. Methods Qualitative study, developed through individual, semistructured interviews based on a script composed of the dimensions: Human Resource Management Process; Teamwork Condition and Quality of Care Provided, involving 30 nursing team professionals, including baccalaureate nurse, auxiliary nurses and nursing technicians working at five emergency services in the city of Ribeirão Preto, São Paulo. To analyze the data, thematic content analysis was used. Results The participants reported that the inappropriate physical structure and bad-quality equipment and material, salary issues, lack of human resources and ineffective communication are potential conditions leading to absenteeism and influence the quality of care provided. Conclusion The managers play a fundamental role in creating conditions that guarantee professional growth and job satisfaction to the nursing workers, leading to less absenteeism and strengthening their commitment to care quality for the population attended in the Unified Health System. Therefore, this study is considered as a tool to understand the nursing team's perception of the conditions leading to absenteeism in emergency services.

7.
Metas enferm ; 21(5): 5-9, jun. 2018. tab
Artículo en Español | IBECS | ID: ibc-172689

RESUMEN

Objetivo: describir la satisfacción en el trabajo, así como de sus componentes incluidos en el Index of Work Satisfaction (IWS), en el equipo de Enfermería de los servicios de urgencias en una ciudad del interior del estado de São Paulo en Brasil. Método: estudio descriptivo transversal, desarrollado en cinco unidades de urgencias de una ciudad del interior de São Paulo (Brasil), sobre 208 trabajadores del equipo de Enfermería. Se utilizó el instrumento IWS, que recorre seis componentes: autonomía, interacción, estatus profesional, requisitos del trabajo, normas organizacionales y remuneración, y oscila entre 0,9 (menos satisfacción) y 37,1(más satisfacción). Resultados: los componentes con más y menos satisfacción profesional son, respectivamente, remuneración y estatus profesional, tanto para enfermeros/as como para auxiliares de Enfermería. La puntuación de satisfacción global evaluada por el IWS fue de 9,5 para enfermeros/as y 10,1 en auxiliares. En el caso de los profesionales de Enfermería, y en relación al apartado “importancia asignada”, el componente autonomía obtuvo la mayor puntuación. Conclusiones: ante los resultados obtenidos, mediante el análisis de los componentes del IWS, el personal de Enfermería de los servicios de urgencias, de una ciudad del interior de São Paulo (Brasil), presentaron bajo índice de satisfacción profesional. Es importante la concienciación de los gestores relativo a la mejora de las condiciones laborales y la profundización en la investigación de las variables que corroboraron a una puntuación por debajo del mínimo


Objective: to describe the satisfaction in work, as well as in the components included in the Index of Work Satisfaction (IWS), among the Nursing Team of the Emergency Units in a city from inner São Paulo, Brazil. Method: a descriptive cross-sectional study, conducted in five Emergency Units from a city in inner São Paulo (Brazil), with 208 workers from the Nursing Team. The IWS instrument was used, which covers six components: autonomy, interaction, professional status, work requirements, organization rules and remuneration; it ranges from 0.9 (lower satisfaction) to 37.1 (higher satisfaction). Results: the components with the highest and lowest professional satisfaction were, respectively, remuneration and professional status, both for nurses and for nursing assistants. The overall satisfaction score assessed by the IWS was 9.5 for nurses and 10.1 for assistants. In the case of Nursing professionals, the Autonomy component obtained the highest score in the section “Importance assigned”. Conclusions: according to the results obtained through the analysis of the IWS components, the Nursing staff from the Emergency Units of a city in inner São Paulo (Brazil) presented a low rate of professional satisfaction. It is important to create awareness in managers regarding the improvement in working conditions, and to conduct a deeper research into the variables that led to a score below the minimum level


Asunto(s)
Humanos , Enfermería de Urgencia/tendencias , Tratamiento de Urgencia/enfermería , Satisfacción en el Trabajo , Estudios Transversales , Brasil , Rol Profesional , Psicometría/instrumentación
8.
PLoS Negl Trop Dis ; 12(4): e0006407, 2018 04.
Artículo en Inglés | MEDLINE | ID: mdl-29624595

RESUMEN

BACKGROUND: Brazil is the only country in Latin America that has adopted a national health system. This causes differences in access to health among Latin American countries and induces noticeable migration to Brazilian regions to seek healthcare. This phenomenon has led to difficulties in the control and elimination of diseases related to poverty, such as leprosy. The aim of this study was to evaluate social determinants and their relationship with the risk of leprosy, as well as to examine the temporal trend of its occurrence in a Brazilian municipality located on the tri-border area between Brazil, Paraguay and Argentina. METHODS: This ecological study investigated newly-diagnosed cases of leprosy between 2003 and 2015. Exploratory analysis of the data was performed through descriptive statistics. For spatial analysis, geocoding of the data was performed using spatial scan statistic techniques to obtain the Relative Risk (RR) for each census tract, with their respective 95% confidence intervals calculated. The Bivariate Moran I test, Ordinary Least Squares (OLS) and Geographically Weighted Regression (GWR) models were applied to analyze the spatial relationships of social determinants and leprosy risk. The temporal trend of the annual coefficient of new cases was obtained through the Prais-Winsten regression. A standard error of 5% was considered statistically significant (p < 0.05). RESULTS: Of the 840 new cases identified in the study, there was a predominance of females (n = 427, 50.8%), of white race/color (n = 685, 81.6%), age range 15 to 59 years (n = 624, 74.3%), and incomplete elementary education (n = 504, 60.0%). The results obtained from multivariate analysis revealed that the proportion of households with monthly nominal household income per capita greater than 1 minimum wage (ß = 0.025, p = 0.036) and people of brown race (ß = -0.101, p = 0.024) were statistically-significantly associated with risk of illness due to leprosy. These results also confirmed that social determinants and risk of leprosy were significantly spatially non-stationary. Regarding the temporal trend, a decrease of 4% (95% CI [-0.053, -0.033], p = 0.000) per year was observed in the rate of detection of new cases of leprosy. CONCLUSION: The social determinants income and race/color were associated with the risk of leprosy. The study's highlighting of these social determinants can contribute to the development of public policies directed toward the elimination of leprosy in the border region.


Asunto(s)
Lepra/epidemiología , Determinantes Sociales de la Salud , Adolescente , Adulto , Femenino , Humanos , América Latina/epidemiología , Masculino , Persona de Mediana Edad , Análisis Multivariante , Riesgo , Análisis Espacio-Temporal , Adulto Joven
9.
Interface (Botucatu, Online) ; 22(65): 387-398, abr.-jun. 2018.
Artículo en Portugués | LILACS | ID: biblio-893480

RESUMEN

Objetivou-se compreender a satisfação dos usuários com acesso e acolhimento da Atenção Primária à Saúde (APS) a partir da demanda não urgente do Pronto Atendimento (PA). Entrevistaram-se intencionalmente 28 usuários não urgentes dos PA dos cinco Distritos de Saúde (DS) de Ribeirão Preto-SP que passaram em atendimento na APS ao menos uma vez nos seis meses que antecederam a coleta de dados para avaliar o atendimento. Analisaram-se as entrevistas semidirigidas pela técnica de análise de conteúdo. Identificou-se satisfação com o atendimento recebido pelos profissionais de saúde na APS e insatisfação com a demora no agendamento de consultas e dificuldade de acolhimento por demanda espontânea. Não foram observadas divergências da satisfação do usuário nos diferentes DS. Conclui-se que os obstáculos com o acesso aos serviços de APS constituem entrave para população obter atendimento, repercutindo na satisfação e alta demanda pelo PA.(AU)


El objetivo fue entender la satisfacción de los usuarios con el acceso y la acogida de la Atención Primaria a la Salud (APS) a partir de la demanda no urgente de la Atención Rápida (PA, por sus siglas en portugués). Se entrevistaron de forma intencional 28 usuarios no urgentes de los PA de los cinco Distritos de Salud (DS) de Ribeirão Preto (Estado de São Paulo) que fueron atendidos en la APS al menos una vez en los seis meses anteriores a la colecta de datos para evaluar la atención. Se analizaron las entrevistas semi-dirigidas por la técnica de análisis de contenido. Se identificó la satisfacción con la atención recibida por los profesionales de salud en la APS y la insatisfacción con la demora en la marcación de consultas y la dificultad de acogida por demanda espontánea. No se observaron divergencias de la satisfacción del usuario en los diferentes DS. Se concluye que los obstáculos relacionados al acceso a los servicios de APS constituyen un obstáculo para que la población obtenga atención, repercutiendo en la satisfacción y en alta demanda por el PA.(AU)


This study aimed to analyze user satisfaction with access and care in Primary Health Care (PHC) based on non-urgent demand for emergency services. 28 non-urgent users of emergency services were intentionally interviewed across five health districts in the city of Ribeirão Preto in São Paulo State. These users had been treated in PHC at least once in the previous six months prior to data collection aimed at evaluating the services. Content analysis was used to analyze the interviews. The results showed there to be satisfaction with care received from health professionals in PHC and dissatisfaction with delays in arranging an appointment and with difficulty to receive care based on spontaneous demand. There was found to be no difference in the levels of satisfaction between the users from different health districts. The article concludes that obstacles to access to PHC services represent a barrier for populations wishing to receive care, with repercussions in terms of user satisfaction and high demand for emergency care.(AU)


Asunto(s)
Humanos , Masculino , Femenino , Comportamiento del Consumidor/estadística & datos numéricos , Promoción de la Salud/provisión & distribución , Accesibilidad a los Servicios de Salud/estadística & datos numéricos , Investigación sobre Servicios de Salud/estadística & datos numéricos , Atención Primaria de Salud/estadística & datos numéricos , Sistema Único de Salud/estadística & datos numéricos
10.
J. nurs. health ; 7(1): 58-66, Dec.2017.
Artículo en Portugués | BDENF - Enfermería | ID: bde-31754

RESUMEN

Objetivo: conhecer como foi realizado o planejamento reprodutivo das climatéricas usuárias daAtenção Primária em Canarana-MT. Métodos: pesquisa qualitativa, exploratória e descritivaenvolvendo dez climatéricas, no ano de 2012, aprovado pelo comitê de ética sob parecer 070/06.Resultados: média de idade foi de 50,2 anos, a média de anos de estudo foi de 7,6. A maioria écasada, sendo 9 sexualmente ativas. São multíparas, variando de 3 a 9 gestações, majoritariamentede alto risco, identificou-se baixo planejamento reprodutivo. 40% conhecem sobre planejamentofamiliar. Oito aderiram à laqueadura, minoria reconhece o uso da camisinha para a prevenção dedoenças sexualmente transmissíveis. Mesmo sendo inférteis, 40% identificaram quando interromper autilização do método contraceptivo. Considerações finais: a assistência ao planejamento reprodutivocontemplou as ações de promoção com êxito, as de prevenção com algumas fragilidades, e ações deinformação e educação em saúde de maneira satisfatória ao propiciar conscientização para oautocuidado.(AU)


Objective: to know how the reproductive planning of climacteric women, users of Primary HealthCare in Canarana-MT, was done. Methods: a qualitative, exploratory and descriptive study involvingten climateric, in 2012, approved by the Ethics Committee under protocol 070/06. Results: meanage was 50.2 years, the average years of schooling was 7.6. Most are married, with 9 being sexuallyactive. Are multiparous, ranging from 3 to 9 pregnancies, mostly high-risk, low reproductive planningwas identified. 40% know about family planning. Eight adhered to tubal ligation, few recognize theuse of condoms to prevent sexually transmitted diseases. Although being infertile, 40% identifiedwhen to stop using the contraceptive method. Final thoughts: assistance to reproductive planningsuccessfully included promotion actions, prevention with some weaknesses, and information andeducation on health satisfactorily to provide awareness for self-care.(AU)


Objetivo: conocer cómo se realizó la planificación reproductiva de las climatericas en la AtenciónPrimaria en Canarana-MT. Métodos: estudio cualitativo, exploratorio y descriptivo con diezclimatericas, en 2012, aprobado por el Comité de Ética, opinión 070/06. Resultados: la edadpromedio fue 50,2 años, el promedio de escolaridad fue 7,6. La mayoría son casados, 9 sexualmenteactivos. Son multíparas, 3 a 9 niños, en su mayoría embarazos de alto riesgo, se identifico bajaplanificación reproductiva. 40% sabe acerca de la planificación familiar. Ocho eligieron la ligadurade trompas, pocas reconocen el uso de condones para prevenir las enfermedades de transmisiónsexual. Incluso infértiles, 40% identificó cuando dejar de usar el método anticonceptivo.Consideraciones finales: asistencia a la planificación reproductiva incluyen las acciones depromoción con éxito, la prevención con algunas debilidades, e información y educación sobre la saludde manera satisfactoria proporcionando conciencia para el cuidado personal.(AU)


Asunto(s)
Humanos , Climaterio , Planificación Familiar , Salud de la Mujer
11.
Infect Dis Poverty ; 6(1): 134, 2017 Oct 12.
Artículo en Inglés | MEDLINE | ID: mdl-29020981

RESUMEN

BACKGROUND: In Brazil, people still fall ill and die from tuberculosis (TB), and this can be explained by the significant impasse in the equity of distribution of therapeutic resources to the population as a whole. The aim was to identify geographical areas which have shown progress in terms of equity (of income, schooling and urban occupancy) and test its effect on mortality from TB in a municipality of southeast Brazil. METHODS: It is an ecological study considering TB as the basic cause for deaths registered between 2006 and 2013 on the Mortality Information System and other variables obtained through the Demographic Census of the Brazilian Institute of Geography and Statistics (2010). The geographical area for analysis comprised the areas of coverage of the health services. Social indicators have been constructed through the Principal Component Analysis (PCA). The cases were geocoded and the annual mortality rate from TB was calculated with smoothing using the local empirical Bayesian method. Multiple linear regression was then performed. There was confirmation of the existence of spatial dependence of residue through the application of the Global Moran I test, and application of the Models with Global Spatial Effects, to identify the best standard of spatial regression. RESULTS: The mortality rates ranged from 0.00 to 2.8 deaths per 100,000 people, per year. In the PCA, three indicators were constructed, and designated as indicators of income, social inequality, and social equity. In multiple linear regression, the indicator of social equity was statistically significant (P < 0.0001) but had a negative association, an adjusted R2 of 28.36% and with spatial dependence (Moran I = 0.21, P = 0.003455). The best model to deal with existing spatial dependence was the Spatial Lag Model. CONCLUSIONS: The better social conditions have shown progress in reducing mortality from TB, thereby reinforcing the achievement of Sustainable Development Goals. In addition, cartography was also applied, which can be replicated in other scenarios throughout the world, using a scope distinct from that of works traditionally produced in that it places the emphasis on social equity.


Asunto(s)
Enfermedades Endémicas , Condiciones Sociales , Tuberculosis/mortalidad , Población Urbana , Adulto , Anciano , Anciano de 80 o más Años , Teorema de Bayes , Brasil/epidemiología , Femenino , Humanos , Masculino , Persona de Mediana Edad , Factores Socioeconómicos
12.
BMC Infect Dis ; 17(1): 510, 2017 07 21.
Artículo en Inglés | MEDLINE | ID: mdl-28732485

RESUMEN

BACKGROUND: Stigma associated with tuberculosis (TB) has been an object of interest in several regions of the world. The behaviour presented by patients as a result of social discrimination has contributed to delays in diagnosis and the abandonment of treatment, leading to an increase in the cases of TB and drug resistance. The identification of populations affected by stigma and its measurement can be assessed with the use of valid and reliable instruments developed or adapted to the target culture. This aim of this study was to analyse the initial psychometric properties of the Tuberculosis-Related Stigma scale in Brazil, for TB patients. METHODS: The Tuberculosis-Related Stigma scale is a specific scale for measuring stigma associated with TB, originally validated in Thailand. It presents two dimensions to be assessed, namely Community perspectives toward tuberculosis and Patient perspectives toward tuberculosis. The first has 11 items regarding the behaviour of the community in relation to TB, and the second is made up of 12 items related to feelings such as fear, guilt and sorrow in coping with the disease. A pilot test was conducted with 83 TB patients, in order to obtain the initial psychometric properties of the scale in the Brazilian Portuguese version, enabling simulation of the field study. RESULTS: As regards its psychometric properties, the scale presented acceptable internal consistency for its dimensions, with values ≥0.70, the absence of floor and ceiling effects, which is favourable for the property of scale responsiveness, satisfactory converging validity for both dimensions, with values over 0.30 for initial studies, and diverging validity, with adjustment values different from 100%. CONCLUSION: The results found show that the Tuberculosis-Related Stigma scale can be a valid and reliable instrument for the Brazilian context.


Asunto(s)
Psicometría/métodos , Discriminación Social/psicología , Tuberculosis/psicología , Infecciones Oportunistas Relacionadas con el SIDA/psicología , Adulto , Anciano , Anciano de 80 o más Años , Brasil/etnología , Estudios Transversales , Emociones , Grupos Étnicos , Miedo , Femenino , Humanos , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Tuberculosis Pulmonar/psicología
13.
Rev. APS ; 20(2): 159-166, 20/04/2017.
Artículo en Portugués | LILACS-Express | ID: biblio-878826

RESUMEN

O objetivo deste estudo foi avaliar a aceitabilidade do usuário/família sobre a Estratégia Saúde da Família (ESF). Realizou-se um estudo avaliativo de abordagem quantitativa em uma Unidade de Saúde da Família onde foram entrevistados 217 usuários, durante o mês de novembro de 2007. Para análise dos resultados utilizou-se o SPSS® for Windows, Versão 11.0. Identificou-se uma população adulta com idade média de 41 anos, com baixa escolaridade e com maior proporção de mulheres. A maioria dos usuários está satisfeita com a informação recebida sobre a doença, o tratamento, a forma de obter a ficha, o tempo dedicado à consulta e de espera para o atendimento. Todos profissionais da equipe receberam nota maior que sete. Identificou-se que a maioria dos usuários aceita a ESF, sugerindo que esta estratégia apresenta potencialidades para qualificar a atenção primária à saúde. Entretanto, os problemas estruturais da unidade foram os mais apontados pelos participantes.


The objective of this study was to evaluate the acceptability of the Family Health Strategy (FHS) by the user/family. We did an evaluative study with a quantitative approach at a Family Health Unit, where 217 users were interviewed during the month of November 2007. SPSS® for Windows, Version 11.0, was used to analyze the results. We identified an adult population with a mean age of 41 years, with low education levels, and with a higher proportion of women. Most users are satisfied with the information they have received about: disease, treatment, how to get an appointment, the time spent during consultations and in waiting to be seen. All the professional staff received grades higher than seven. It was found that most users accept the FHS, suggesting that this strategy has the potential to qualify the health care service in primary care. However, the unit's structural problems were those most often mentioned by the participants.

14.
PLoS Negl Trop Dis ; 11(2): e0005381, 2017 02.
Artículo en Inglés | MEDLINE | ID: mdl-28241038

RESUMEN

BACKGROUND: Although the detection rate is decreasing, the proportion of new cases with WHO grade 2 disability (G2D) is increasing, creating concern among policy makers and the Brazilian government. This study aimed to identify spatial clustering of leprosy and classify high-risk areas in a major leprosy cluster using the SatScan method. METHODS: Data were obtained including all leprosy cases diagnosed between January 2006 and December 2013. In addition to the clinical variable, information was also gathered regarding the G2D of the patient at diagnosis and after treatment. The Scan Spatial statistic test, developed by Kulldorff e Nagarwalla, was used to identify spatial clustering and to measure the local risk (Relative Risk-RR) of leprosy. Maps considering these risks and their confidence intervals were constructed. RESULTS: A total of 434 cases were identified, including 188 (43.31%) borderline leprosy and 101 (23.28%) lepromatous leprosy cases. There was a predominance of males, with ages ranging from 15 to 59 years, and 51 patients (11.75%) presented G2D. Two significant spatial clusters and three significant spatial-temporal clusters were also observed. The main spatial cluster (p = 0.000) contained 90 census tracts, a population of approximately 58,438 inhabitants, detection rate of 22.6 cases per 100,000 people and RR of approximately 3.41 (95%CI = 2.721-4.267). Regarding the spatial-temporal clusters, two clusters were observed, with RR ranging between 24.35 (95%CI = 11.133-52.984) and 15.24 (95%CI = 10.114-22.919). CONCLUSION: These findings could contribute to improvements in policies and programming, aiming for the eradication of leprosy in Brazil. The Spatial Scan statistic test was found to be an interesting resource for health managers and healthcare professionals to map the vulnerability of areas in terms of leprosy transmission risk and areas of underreporting.


Asunto(s)
Lepra/epidemiología , Adolescente , Adulto , Anciano , Anciano de 80 o más Años , Brasil/epidemiología , Niño , Preescolar , Análisis por Conglomerados , Femenino , Humanos , Lactante , Lepra/transmisión , Masculino , Persona de Mediana Edad , Medición de Riesgo , Análisis Espacial , Topografía Médica , Adulto Joven
15.
Medicina (Ribeiräo Preto) ; 50(1): 29-38, jan.-fev. 2017. graf
Artículo en Portugués | LILACS | ID: biblio-833843

RESUMEN

Objetivou-se identificar semelhanças e diferenças da satisfação do usuário com a Atenção Primária à Saúde (APS) nas dimensões de acesso e acolhimento a partir dos atendimentos não urgentes no ProntoAtendimento (PA) de Ribeirão Preto-SP com os resultados do Programa de Melhoria do Acesso e da Qualidade da Atenção Básica (PMAQ-AB), cuja avaliação no município de Ribeirão Preto-SP percorreu em período concomitante. Estudo quantitativo realizado nas unidades de PA dos cinco Distritos de Saúde do município. Participaram do estudo 514 usuários que receberam ao menos um atendimento na APS nos seis meses que antecederam a pesquisa. Utilizou-se o intrumento EUROPEP - European Task Force on Patient Evaluation of General Practice Care e diário de campo como fontes de dados. Amparouse nos resultados das dimensões de acesso e acolhimento da avaliação do PMAQ para identificar semelhanças e diferenças entre o que os usuários do presente estudo reportaram. No recrutamento dos sujeitos percebeu-se que muitos não obtiveram atendimento médico na APS nos últimos seis meses justificando a dificuldade em conseguir vaga e quando adoecem e precisam procuram o PA. Tem-se que 12,7% foram atendidos no mesmo dia que procuraram a APS. Dos 87,3% que não foram atendidos no mesmo dia, o tempo médio de espera entre o dia do agendamento e o dia da consulta na APS foi 58 dias, 42,4% dos usuários responderam "ruim" sobre a facilidade em marcar uma consulta. Os resultados convergem com os resultados do PMAQ-AB que sinalizaram baixo desempenho para o acolhimento à demanda espontânea. Porém, a boa avaliação do PMAQ-AB no quesito agendamento de consultas divergiu com os resultados deste estudo em que foi constante a queixa pela demora no agendamento de consultas. Conclui-se que os usuários atendidos nos PAs em Ribeirão Preto-SP não reconhecem a APS como fonte regular de cuidado, o que pode interferir na não adesão a esses serviços de forma contínua, resultando na busca por serviços de urgência e emergência para tratar agravos que poderiam ser resolvidos na APS. (AU)


The objective was to identify similarities and differences about user satisfaction with Primary Health Care (PHC) in the dimensions of access and care from non-urgent care in emergency care (EC) in Ribeirão Preto-SP with the National Program Evaluation Improving Access and Quality of Primary Care (PMAQ-AB), whose evaluation in Ribeirão Preto happened in same period. It was a quantitative study in the PA units of the five Health Districts.The study included 514 users who received at least one appointment in the PHC in the six months preceding the survey. We used the EUROPEP instrument - European Task Force on Patient Evaluation of General Practice Care and diary as data sources. It was based on the results of the dimensions of access and host PMAQ assessment to identify similarities and differences between what users of this study reported. During recruitment of users we realized that many did not receive medical care in PHC in the last six months justifying the difficulty in getting vaccancy and when they get sick and need to look for EC. We have that 12.7% were treated on the same day that sought to PHC. Of the 87.3% that have not met the same day, the average waiting time between the day of marking and the day of appointment on the PHC was 58 days, 42.4% of users answered "bad" about the ease in making an appointment. The results converge with PMAQ-AB results signaled underperforming to host the spontaneous demand. However, the good evaluation of PMAQ-AB in the category marking appointment diverged with the results of this study it was constant complaint by the delay in scheduling appointments. We conclude that users seen in EC in Ribeirão Preto-SP not recognize PHC as a regular source of care, which may interfere with non-adherence to these continuous service, resulting in the search for urgent and emergency services to treat injuries that could be resolved in the PHC.


Asunto(s)
Humanos , Masculino , Femenino , Investigación sobre Servicios de Salud , Satisfacción del Paciente , Atención Primaria de Salud
16.
Rev. enferm. Cent.-Oeste Min ; 6(3): 2331-2341, set.-dez. 2016.
Artículo en Portugués | LILACS | ID: biblio-836100

RESUMEN

Trata-se de estudo descritivo, com abordagem qualitativa, visando identificar como se dá o processo de educação para o trabalho em sala de vacina na concepção dos enfermeiros, técnicos de enfermagem e referência técnica em imunização. Métodos: os dados foram coletados por meio de entrevista semiestruturada, analisados por meio da análise de conteúdo temática e organizados em duas categorias: “A realidade da educação de trabalhadores para o cuidado em sala de vacina” e “A necessidade da capacitação de recursos humanos para a gestão do trabalho em sala de vacina”. Resultados: os resultados demonstraram ausência de um processo educativo efetivo para os profissionais que atuam em sala de vacina. A educação dos profissionais é realizada predominantemente por meio da concepção educativa tradicional, distanciada da proposta de Educação Permanente em Saúde. São prioritariamente direcionadas para os enfermeiros, sem a participação dos técnicos/auxiliares de enfermagem, que são os responsáveis pela execução das atividades em sala de vacina. Conclusão: esses achados apontam a necessidade de repensar as formas de educação desses profissionais para que ocorram melhorias no processo de trabalho em sala de vacina.


A descriptive qualitative study aimed to identify how the process of education about the work in vaccine roomis. Taking in consideration the nurse, nursing technical and technical conception about the immunization technique. Methods: Data collection happened through semi-structured interviews, analyzed through thematic content analysis, organized into two categories: "The reality of workers of education for care in vaccine room" and "The need for training of human resources for work management in the vaccination room." Results: The results showed the absence of an effectiveeducational process for professionals working in vaccine room. The education of professionals happen mainly through the traditional educational concept, distanced from the proposed Permanent Health Education. This education process happens primarily directed to nurses, without the participation of technical / nursing assistants, who are responsible for implementing the room activities vaccine. Conclusion: These findings indicate the need to rethink the forms of education of these professionals to occur improvements in the work process in vaccine room.


Se trata de estudio descriptivo con abordaje cualitativo con el objetivo de identificar como acontece el procesode educación para el trabajo en sala de vacuna, en la concepción de los enfermero, el técnico/auxiliar de enfermería y el profesional referencia técnica en inmunización. Métodos: Los datos fueron recogidos por medio de entrevista semiestruturada, analizados por medio del análisis de contenido temática y organizados en dos categorias: “la realidad dela educación de los trabajadores para el cuidado en sala de vacuna” e “la necesidad de capacitación de los recursos humanos para la gestión del trabajo en sala de vacuna”. Resultados: Los resultados demostraron ausencia de un proceso educativo efectivo para los profesionales que actúan en sala de vacuna. La educación de los trabajadores es realizada .predominantemente por medio de la concepción educativa tradicionale, distanciada de la propuesta de Educación Permanente en Salud. Son prioritariamente orientadas para los enfermeros, sin la participación de los técnicos/auxiliaresde enfermería, que son los responsables por la ejecución de las actividades en sala de vacuna. Conclusión: Es os resultados apuntan la necesidad de repensar las formas de educación de esos profesionales, para que ocurran mejorías en el proceso de trabajo en sala de vacuna.


Asunto(s)
Humanos , Masculino , Femenino , Educación en Enfermería , Grupo de Enfermería , Atención Primaria de Salud , Vacunas
17.
Rev Lat Am Enfermagem ; 24(0): e2803, 2016 Sep 09.
Artículo en Inglés, Portugués, Español | MEDLINE | ID: mdl-27627124

RESUMEN

OBJECTIVE: to identify the students' perception about the quality of clinical placements and asses the influence of the different tutoring processes in clinical learning. METHODS: analytical cross-sectional study on second and third year nursing students (n=122) about clinical learning in primary health care. The Clinical Placement Evaluation Tool and a synthetic index of attitudes and skills were computed to give scores to the clinical learning (scale 0-10). Univariate, bivariate and multivariate (multiple linear regression) analyses were performed. RESULTS: the response rate was 91.8%. The most commonly identified tutoring process was "preceptor-professor" (45.2%). The clinical placement was assessed as "optimal" by 55.1%, relationship with team-preceptor was considered good by 80.4% of the cases and the average grade for clinical learning was 7.89. The multiple linear regression model with more explanatory capacity included the variables "Academic year" (beta coefficient = 1.042 for third-year students), "Primary Health Care Area (PHC)" (beta coefficient = 0.308 for Area B) and "Clinical placement perception" (beta coefficient = - 0.204 for a suboptimal perception). CONCLUSIONS: timeframe within the academic program, location and clinical placement perception were associated with students' clinical learning. Students' perceptions of setting quality were positive and a good team-preceptor relationship is a matter of relevance. OBJETIVO: identificar a percepção dos estudantes de enfermagem sobre a qualidade das Práticas Clínicas em Atenção Primária à Saúde e avaliar a influência dos diferentes processos de tutoria na aprendizagem clínica. MÉTODOS: um estudo analítico transversal realizado com alunos do segundo e do terceiro ano de enfermagem (n = 122) na aprendizagem clínica nos serviços de Atenção Primária à Saúde. A Ferramenta de Avaliação de Práticas Clínicas (Clinical Placement Evaluation Tool) e um índice sintético de atitudes e habilidades (escala de 0 a 10) foram calculados para marcar a aprendizagem clínica. Foram realizadas análises univariadas, bivariadas e multivariadas (regressão linear múltipla). RESULTADOS: a taxa de resposta foi de 91,8%. O processo de tutoria mais indicado foi o de "preceptor-professor" (45,2%). As Práticas Clínicas foram avaliadas como "ótimas" por 55,1%, o relacionamento com a equipe-preceptor foi considerado bom por 80,4% dos casos e a classificação média para a aprendizagem clínica foi de 7,89. O modelo de regressão linear múltipla, com mais capacidade explicativa incluiu as variáveis "ano acadêmico" (coeficiente de beta = 1.042 para alunos do terceiro ano), "área de cuidados de saúde primários" (coeficiente de beta = 0,308 para a Área B) e "percepção de práticas clínicas" (beta coeficiente = - 0,204 para uma percepção menos que ótima). CONCLUSÕES: O momento dentro do programa acadêmico, a localização e percepção das Práticas Clínicas foram associados com a aprendizagem clínica dos alunos. A percepção dos alunos sobre a qualidade do lugar das Práticas Clínicas foi positiva e um bom relacionamento da equipe-preceptor é uma questão de relevância. OBJETIVO: identificar la percepción del alumnado de enfermería sobre la calidad de las Prácticas Clínicas y evaluar la influencia de los diferentes procesos de tutoría en el aprendizaje clínico. MÉTODOS: estudio analítico transversal realizado con estudiantes de segundo y tercer año de enfermería (n = 122) en el aprendizaje clínico en los servicios de atención primaria de salud. La Herramienta de Evaluación de Prácticas Clínicas (Clinical Placement Evaluation Tool) y un índice sintético de las actitudes y habilidades (escala de 0 a 10) se calcularon para puntuar el aprendizaje clínico. Se realizaron análisis univariados, bivariados, multivariados (regresión lineal múltiple). RESULTADOS: la tasa de respuesta fue del 91,8%. El proceso de tutoría más comúnmente identificado fue "preceptor-profesor" (45,2%). Las Prácticas Clínicas se evaluaron como "óptimas" en un 55,1%, la relación equipo-preceptor fue considerada buena por el 80,4% de los casos y la calificación media para el aprendizaje clínico fue de 7.89. El modelo de regresión lineal múltiple con mayor capacidad explicativa incluyó las variables "año académico" (coeficiente beta = 1.042 para los estudiantes de tercer año), "Área de Atención Primaria de la Salud" (coeficiente beta = 0,308 para el Área B) y la "percepción de las Prácticas Clínicas" (coeficiente beta = - 0,204 para una percepción subóptima). CONCLUSIONES: el momento dentro del programa académico, la ubicación y la percepción de las Prácticas Clínicac se asociaron con el aprendizaje clínico de los estudiantes. La percepción de los estudiantes de la calidad del lugar de las Prácticas Clínicas fue positiva y la buena relación equipo-preceptor es una cuestión de relevancia.


Asunto(s)
Educación en Enfermería , Atención Primaria de Salud , Estudios Transversales , Femenino , Humanos , Masculino , Autoinforme , Adulto Joven
18.
BMC Health Serv Res ; 16: 78, 2016 Mar 01.
Artículo en Inglés | MEDLINE | ID: mdl-26931507

RESUMEN

BACKGROUND: The early identification of the Breathing Symptoms within the scope of Primary Health Care is recommended, and is also one of the strategies of national sanitary authorities for reaching the elimination of tuberculosis. The purpose of this study is to consider which attributes and which territories have shown the most significant progress in Primary Health Care, in terms of coordination of Health Care Networks, and also check if those areas of Primary Health Care that are most critical regarding coordination, there were more or less cases of avoidable hospitalizations for tuberculosis. METHODS: This is an ecological study that uses primary and secondary data. For analysis, coropletic maps were developed through the ArcGIS software, version 10.2. There was also the calculation of gross annual and Bayesian rates for hospitalizations for tuberculosis, for each Primary Health Care territory. RESULTS: There were satisfactory results for attributes such as Population (n = 37; 80.4 %), Primary Health Care (n = 43; 93.5 %), Support System (n = 45; 97.8 %); the exceptions were Logistics System (n = 32; 76.0 %) and Governance System, with fewer units in good condition (n = 31; 67.3 %). There is no evidence of any connection between networks' coordination by Primary Health Care and tuberculosis avoidable admissions. CONCLUSION: The results show that progress has been made regarding the coordination of the Health Care Networks, and a positive trend has been shown, even though the levels are not excellent. It was found no relationship between the critical areas of Primary Health Care and tuberculosis avoidable hospitalizations, possibly because other variables necessary to comprehend the phenomena.


Asunto(s)
Prestación Integrada de Atención de Salud , Atención Primaria de Salud/organización & administración , Calidad de la Atención de Salud/organización & administración , Tuberculosis/diagnóstico , Teorema de Bayes , Brasil/epidemiología , Prestación Integrada de Atención de Salud/organización & administración , Femenino , Encuestas Epidemiológicas , Hospitalización , Humanos , Masculino , Guías de Práctica Clínica como Asunto , Tuberculosis/epidemiología , Tuberculosis/prevención & control
19.
Rev. latinoam. enferm. (Online) ; 24: e2803, 2016. tab, graf
Artículo en Inglés | LILACS | ID: biblio-961005

RESUMEN

ABSTRACT Objective: to identify the students' perception about the quality of clinical placements and asses the influence of the different tutoring processes in clinical learning. Methods: analytical cross-sectional study on second and third year nursing students (n=122) about clinical learning in primary health care. The Clinical Placement Evaluation Tool and a synthetic index of attitudes and skills were computed to give scores to the clinical learning (scale 0-10). Univariate, bivariate and multivariate (multiple linear regression) analyses were performed. Results: the response rate was 91.8%. The most commonly identified tutoring process was "preceptor-professor" (45.2%). The clinical placement was assessed as "optimal" by 55.1%, relationship with team-preceptor was considered good by 80.4% of the cases and the average grade for clinical learning was 7.89. The multiple linear regression model with more explanatory capacity included the variables "Academic year" (beta coefficient = 1.042 for third-year students), "Primary Health Care Area (PHC)" (beta coefficient = 0.308 for Area B) and "Clinical placement perception" (beta coefficient = - 0.204 for a suboptimal perception). Conclusions: timeframe within the academic program, location and clinical placement perception were associated with students' clinical learning. Students' perceptions of setting quality were positive and a good team-preceptor relationship is a matter of relevance.


RESUMO Objetivo: identificar a percepção dos estudantes de enfermagem sobre a qualidade das Práticas Clínicas em Atenção Primária à Saúde e avaliar a influência dos diferentes processos de tutoria na aprendizagem clínica. Métodos: um estudo analítico transversal realizado com alunos do segundo e do terceiro ano de enfermagem (n = 122) na aprendizagem clínica nos serviços de Atenção Primária à Saúde. A Ferramenta de Avaliação de Práticas Clínicas (Clinical Placement Evaluation Tool) e um índice sintético de atitudes e habilidades (escala de 0 a 10) foram calculados para marcar a aprendizagem clínica. Foram realizadas análises univariadas, bivariadas e multivariadas (regressão linear múltipla). Resultados: a taxa de resposta foi de 91,8%. O processo de tutoria mais indicado foi o de "preceptor-professor" (45,2%). As Práticas Clínicas foram avaliadas como "ótimas" por 55,1%, o relacionamento com a equipe-preceptor foi considerado bom por 80,4% dos casos e a classificação média para a aprendizagem clínica foi de 7,89. O modelo de regressão linear múltipla, com mais capacidade explicativa incluiu as variáveis "ano acadêmico" (coeficiente de beta = 1.042 para alunos do terceiro ano), "área de cuidados de saúde primários" (coeficiente de beta = 0,308 para a Área B) e "percepção de práticas clínicas" (beta coeficiente = - 0,204 para uma percepção menos que ótima) Conclusões: O momento dentro do programa acadêmico, a localização e percepção das Práticas Clínicas foram associados com a aprendizagem clínica dos alunos. A percepção dos alunos sobre a qualidade do lugar das Práticas Clínicas foi positiva e um bom relacionamento da equipe-preceptor é uma questão de relevância.


RESUMEN Objetivo: identificar la percepción del alumnado de enfermería sobre la calidad de las Prácticas Clínicas y evaluar la influencia de los diferentes procesos de tutoría en el aprendizaje clínico. Métodos: estudio analítico transversal realizado con estudiantes de segundo y tercer año de enfermería (n = 122) en el aprendizaje clínico en los servicios de atención primaria de salud. La Herramienta de Evaluación de Prácticas Clínicas (Clinical Placement Evaluation Tool) y un índice sintético de las actitudes y habilidades (escala de 0 a 10) se calcularon para puntuar el aprendizaje clínico. Se realizaron análisis univariados, bivariados, multivariados (regresión lineal múltiple). Resultados: la tasa de respuesta fue del 91,8%. El proceso de tutoría más comúnmente identificado fue "preceptor-profesor" (45,2%). Las Prácticas Clínicas se evaluaron como "óptimas" en un 55,1%, la relación equipo-preceptor fue considerada buena por el 80,4% de los casos y la calificación media para el aprendizaje clínico fue de 7.89. El modelo de regresión lineal múltiple con mayor capacidad explicativa incluyó las variables "año académico" (coeficiente beta = 1.042 para los estudiantes de tercer año), "Área de Atención Primaria de la Salud" (coeficiente beta = 0,308 para el Área B) y la "percepción de las Prácticas Clínicas" (coeficiente beta = - 0,204 para una percepción subóptima). Conclusiones: el momento dentro del programa académico, la ubicación y la percepción de las Prácticas Clínicac se asociaron con el aprendizaje clínico de los estudiantes. La percepción de los estudiantes de la calidad del lugar de las Prácticas Clínicas fue positiva y la buena relación equipo-preceptor es una cuestión de relevancia.


Asunto(s)
Humanos , Masculino , Femenino , Adulto Joven , Atención Primaria de Salud , Educación en Enfermería , Estudios Transversales , Autoinforme
20.
Texto & contexto enferm ; 25(3): e3440015, 2016.
Artículo en Inglés | LILACS-Express | ID: lil-792834

RESUMEN

ABSTRACT: This study aimed to analyze the use of Health Information Systems in the decision-making process by the management from cities located in Southern Bahia, Brazil. A qualitative approach was employed; subjects were 16 secretaries of health. Data were collected through interviews and subject to the content analysis technique; Knowledge Management was used as the theoretical framework. The managers are still beginners in the use of Health Information Systems; several actors are involved in the decision; there is low qualification in Health Information Systems; managements implement innovation, even if incipiently; difficulties happen when a new system is established and because of internet access. It was concluded that Health Information Systems' use to support knowledge production has not reached yet its full potential; it is suggested that management should promote the strengthening of the information culture and should seek to construct knowledge based on the expertise of different actors for the decision.


RESUMEN El estudio tuvo como objetivo analizar el uso de los Sistemas de Información en Salud en el proceso de toma de decisión por la gestión en municipios del sur de Bahia, Brasil. Se utilizó aproximación cualitativa. Los sujetos fueron 16 secretarios de salud. Datos recolectados a través de entrevista, sometidos a la técnica de análisis de contenido y el referencial de Gestión del Conocimiento. Los gestores aún son principiantes en el uso de los Sistemas de Información en Salud, hay implicación de actores en la decisión, sin embargo en algunos casos no hay efectiva participación social; ocurre poca calificación en Sistemas de Información en Salud; gestión implementan innovación, aunque incipiente; hay dificultad cuando de la implantación de sistema nuevo y acceso a la internet. Se concluye que la utilización de los Sistemas de Información en Salud como sustrato para la producción del conocimiento aún no alcanza todo su potencial, sugiere que la gestión promueva el fortalecimiento de una cultura informacional y construye un conocimiento inscrito en saberes de distinguidos actores para la decisión.


RESUMO: Estudo teve como objetivo analisar o uso dos Sistemas de Informação em Saúde no processo de tomada de decisão pela gestão em municípios do sul da Bahia, Brasil. Utilizou-se abordagem qualitativa, os sujeitos foram 16 secretários de saúde. Dados coletados através de entrevista e submetidos à técnica de análise de conteúdo; adotou-se o referencial da Gestão do Conhecimento. Os gestores ainda são neófitos no uso dos Sistemas de Informação em Saúde; há envolvimento de atores na decisão, porém em alguns casos não há efetiva participação social; ocorre pouca qualificação em Sistema de Informação em Saúde; gestões implementam inovação, embora incipiente; há dificuldade quando da implantação de sistema novo e acesso à internet. Conclui-se que a utilização dos Sistemas de Informação em Saúde como substrato para a produção do conhecimento ainda não atinge todo o seu potencial, sugere-se que a gestão promova o fortalecimento de uma cultura informacional e busque construir um conhecimento inscrito em saberes de distintos atores para a decisão.

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