Environmental and behavioral factors associated with household transmission of SARS-CoV-2 in children and adolescents.

Objective: To analyze the association between risk behaviors and environmental factors and SARS-CoV-2 infection in children and adolescents in the family environment. Methods: Cross-sectional study. A total of 267 children and adolescents aged 5-19 years who have contact with COVID-19-positive essential workers were tested between June and October 2020. Behavioral and environmental variables associated with SARS-CoV-2 infection were investigated. Association between these variables was performed using Poisson regression. Results: SARS-CoV-2 prevalence was 25.1%. Following the confirmation of COVID-19 diagnosis of the index case, 92.1% of adults reported hand hygiene and 83.5% showed habits of respiratory etiquette. However, 12.7% wore masks in common areas of the residence before COVID-19. Sharing common objects was a risk factor for SARS-CoV-2 infection in the sample. Conclusion: Sharing objects among family members was identified as a risk factor associated with SARS-CoV-2 infection in children and adolescents who lived with infected adults. There was high frequency of hand hygiene and low prevalence of mask use.

Judicialization and cancer: quality of life of patients and caregivers in the COVID-19 pandemic.

BACKGROUND: In Brazil, cancer patients and caregivers of cancer patients seek judicial intervention for free access to medications from the public health system. Indeed, the COVID-19 pandemic potentially affected the health-related quality of life of cancer patients and caregivers of cancer patients. This study aimed to describe the sociodemographic profile and assess the health-related quality of life of patients and caregivers in the state of Goias, Brazil, in 2020. METHODS: A cross-sectional study was conducted using the Medical Outcomes Study 36-Item Short Form Health Survey (SF-36) and a sociodemographic questionnaire. RESULTS: A total of 88 (67,7%) patients and 42 (32,3%) caregivers participated in the study, mostly women (55,5%); aged from 18 to 60 (66%) years old; with up to nine years of education (73,1%) and monthly family income lower than the minimum wage (69,2%); married or in a stable union (92,3%); living with multiple people in the same household (73,8%). The quality of life domains with the best scores were mental health for patients and pain for caregivers. The most affected quality of life domain was physical limitation for patients and caregivers. Factors associated with better quality of life were female gender and age between 18 and 60 years in patients, more than 9 years of education, living with multiple people in the same house, and having a monthly family income higher than US$200 for caregivers. CONCLUSION: The study found evidence of physical and emotional vulnerability during the pandemic, highlighting the need to strengthen public policies of assistance support to this population.

Organizational culture of public health services from the perspective of nursing professionals / Cultura organizacional dos serviços públicos de saúde na perspectiva dos profissionais de enfermagem

INTRODUCTION: Culture is present in all environments, representing, in general, the ways of thinking, acting, feeling, learning, and sharing by a plurality of people. OBJECTIVE: Analyze the values and practices that characterize the organizational culture of health services of the public network from the perspective of nursing workers. METHODS: A cross-sectional, descriptive-analytical, quantitative study was conducted with 156 nursing workers from the public health services of a city in the State of Goias, Brazil. The Brazilian Instrument for Assessment of Organizational Culture and a sociodemographic and labor characterization questionnaire were used. The data were analyzed in the STATA program. RESULTS: It was identified that the female sex was significant with the reward and training practices (p=0.050). The professional nurse category was related to the values of competitive, individualistic, satisfaction, and well-being professionalism (p=0.036 and p=0.041). Income was correlated with cooperative professionalism (p=0.010). CONCLUSION: Managers of health institutions must promote an adequate work environment, with the use of tools capable of assessing the needs and abilities of subjects.

INTRODUÇÃO: A cultura está presente em todos os ambientes, representa, em geral, os modos de pensar, agir, sentir, aprendidos e compartilhados por uma pluralidade de pessoas. OBJETIVO: Analisar os valores e práticas que caracterizam a cultura organizacional dos serviços de saúde da rede pública na perspectiva dos trabalhadores de enfermagem. MÉTODO: Estudo transversal, descritivo-analítico, quantitativo, com 156 trabalhadores de enfermagem dos serviços públicos de saúde de um município do estado de Goiás, Brasil. Foram utilizados o Instrumento Brasileiro de Avaliação da Cultura Organizacional e um questionário sociodemográfico e de caracterização do trabalho. Os dados foram analisados no programa STATA. RESULTADOS: Identificou-se que o sexo feminino foi significativo com as práticas de recompensa e treinamento (p=0,050). A categoria profissional de enfermagem esteve relacionada aos valores de profissionalismo competitivo, individualismo, satisfação e bem-estar (p=0,036 e p=0,041). A renda foi correlacionada com o profissionalismo cooperativo (p=0,010). CONCLUSÃO: É importante que os gestores das instituições de saúde promovam um ambiente de trabalho adequado, com a utilização de ferramentas capazes de avaliar as necessidades e habilidades dos participantes.

Percepção de sintomas osteomusculares e sua repercussão nas atividades de vida diária em intérpretes de língua de sinais / Musculoskeletal symptoms perception and its impact on language interpreters' daily lives

Resumo Objetivo: analisar a percepção de sintomas osteomusculares e sua repercussão nas atividades de vida diária referidas por intérpretes da língua brasileira de sinais (libras). Métodos: pesquisa qualitativa de natureza descritiva-analítica, utilizando a análise de conteúdo categorial temática. Foi aplicado questionário sociodemográfico e realizada entrevista semiestruturada com 12 profissionais intérpretes de libras, atuantes nas redes de ensino nos níveis fundamental, médio e superior do município de Goiânia, convidados via redes sociais, no primeiro semestre de 2021. Resultados: foram identificadas três categorias temáticas: percepção álgica, percepção de cansaço e atividades de vida diária. Os profissionais estavam trabalhando remotamente devido à pandemia da doença COVID-19, cujo regime permitiu uma flexibilização do processo de trabalho com aulas on-line, eventos, palestras e congressos a partir do domicílio do trabalhador. Houve um aumento expressivo da demanda física e psicológica, devido ao aumento das atividades a serem cumpridas e por estarem ausentes os limites entre ambiente de "trabalho" e "casa". Conclusão: os participantes apresentaram percepções negativas em todos os aspectos avaliados, evidenciando a existência de sobrecarga na atuação como intérprete de língua de sinais.

Abstract Objective: to analyze the perception of musculoskeletal symptoms and their repercussion in the activities of daily living reported by professional Brazilian sign language interpreters (LIBRAS). Methods: descritive-analytical qualitative research, using thematic categorical content analysis. We used a sociodemographic questionnaire and a semi-structured interview with 12 professional LIBRAS interpreters, working in the primary, secondary, and superior education in the municipality of Goiânia. They were invited via social media, in the first half of 2021. Results: we identified three thematic categories: pain perception, perception of tiredness, and activities of daily living. The professionals were working remotely due to the COVID-19 pandemic. This allowed flexibility in the work schedule, with online classes, events, lectures, and congresses participation from the worker's home. Conclusion: the participants had negative perceptions in all aspects evaluated, evidencing an overload in acting as a sign language interpreter in educational activities.

Tangency and multiple factors of violence against lecturer: nuances of the experience in pedagogical practices in health education / Tangenciamiento y multifactorialidad de la violencia contra el docente: situaciones vivenciadas en la práctica pedagógica en salud / Tangenciamento e multifatorialidade da violência contra o docente: nuances vivenciadas na prática pedagógica em saúde

ABSTRACT Objective: to identify factors that lead the teacher to experience violence in their pedagogical practice in health education. Method: research with a qualitative approach, based on the Grounded Theory, conducted with 11 professors of the nursing course of a public university in the central region of Brazil in 2020 and 2021. Online semi-structured interviews were analyzed partially in the light of the Constructivist Grounded Theory. Results: factors that lead lecturer to experience violence are characterized by institutional culture, gender, professor's perception of violence, and the triggers that drive students to commit violence. Social status and inequalities lead to positions of domination and, consequently, create a fertile ground for violence. Final Considerations: analyzing violence under Bourdieu's theory, it is clear that student violence towards lecturer and the reports contained in this study deserve pedagogical reflection. However, it is necessary to include these discussions as a background in teaching environments.

RESUMEN Objetivo: identificar los factores que hacen que el profesor experimente violencia en la práctica pedagógica en salud. Método: es una investigación de enfoque cualitativo realizada de 2020 a 2021 entre 11 docentes del curso de Enfermería de una universidad pública de la región central de Brasil, mediante entrevistas semiestructuradas en línea que fueron analizadas parcialmente a la luz de la Teoría Fundamentada en Datos Constructivista. Resultados: Los factores que llevan a los profesores a sufrir violencia están caracterizados por la cultura institucional, el género, la percepción de la violencia por parte de los profesores y los desencadenantes que incitan a los alumnos a practicar tal violencia. El origen social convertido en desigualdades desencadena posiciones de dominación y, en consecuencia, se constituye en un terreno fértil para la violencia. Consideraciones finales: Al analizar la violencia bajo los fundamentos de Pierre Bourdieu, es posible percibir que la violencia de los alumnos contra los profesores merece una reflexión desde el punto de vista pedagógico sobre los informes contenidos en las entrevistas. Sin embargo, es necesario insertar estos debates en las diferentes etapas de la enseñanza.

RESUMO Objetivo: identificar fatores que levam o professor a experienciar violência na prática pedagógica em saúde. Método: pesquisa de abordagem qualitativa ancorada no referencial da Teoria Fundamentada nos Dados com 11 docentes do curso de Enfermagem de uma universidade pública da região central do Brasil em 2020 e 2021. Entrevistas semiestruturadas online foram analisadas parcialmente à luz da Teoria Fundamentada nos Dados Construtivista. Resultados: fatores que levam os docentes a experienciar a violência são caracterizados por cultura institucional, gênero, percepção de violência pelo docente e gatilhos que ensejam os estudantes a praticarem violência. Origem social convertida em desigualdades desencadeia posições de dominação e, consequentemente, constitui-se em terreno fértil para a violência. Considerações finais: analisando a violência sob os fundamentos de Pierre Bourdieu, percebe-se que a violência de alunos contra professores merece pedagogicamente reflexões sobre os relatos contidos nas entrevistas. Contudo, faz-se necessário perpassar tais discussões como pano de fundo nos palcos de ensino.

Tangency and multiple factors of violence against lecturer: nuances of the experience in pedagogical practices in health education.

OBJECTIVE: to identify factors that lead the teacher to experience violence in their pedagogical practice in health education. METHOD: research with a qualitative approach, based on the Grounded Theory, conducted with 11 professors of the nursing course of a public university in the central region of Brazil in 2020 and 2021. Online semi-structured interviews were analyzed partially in the light of the Constructivist Grounded Theory. RESULTS: factors that lead lecturer to experience violence are characterized by institutional culture, gender, professor's perception of violence, and the triggers that drive students to commit violence. Social status and inequalities lead to positions of domination and, consequently, create a fertile ground for violence. FINAL CONSIDERATIONS: analyzing violence under Bourdieu's theory, it is clear that student violence towards lecturer and the reports contained in this study deserve pedagogical reflection. However, it is necessary to include these discussions as a background in teaching environments.

Access and Use of Health Services by People with Diabetes from the Item Response Theory.

The objective of this study was to analyze the indicators of access and use of health services in people with diabetes mellitus. This study used data from the National Health Survey, conducted in Brazil in 2013. The National Health Survey was carried out with adults aged 18 years or older residing in permanent private households in Brazil. Indicators from 492 individuals with self-reported diabetes mellitus living in the Central-West region of the country were analyzed. Item response theory was used to estimate the score for access to and use of health services. Multiple linear regression was used to analyze factors associated with scores of access and use of health services by people with diabetes mellitus. The mean score of access estimated by the item response theory and use estimated was 51.4, with the lowest score of zero (lowest access and use) and the highest 100 (highest access and use). Among the indicators analyzed, 74.6% reported having received medical care in the last 12 months and 46.4% reported that the last visit occurred in primary care. Only 18.9% had their feet examined and 29.3% underwent eye examinations. Individuals of mixed-race/skin color and those residing outside capital and metropolitan regions had lower access and use scores when compared to white individuals and residents of state capitals, respectively. The study shows several gaps in the indicators of access and use of health services by people with diabetes. People of mixed race/skin color and residents outside the capitals and metropolitan regions had lower scores for access and use, suggesting the need to increase health care in these groups.

Reproductive Desire in Women Living with HIV/AIDS with Serodiscordant Partners.

OBJECTIVE: To estimate the prevalence and factors associated with reproductive desire in a sample of women living with HIV/AIDS (WLHA) with serodiscordant partners. STUDY DESIGN: Between September 2015 and August 2016, a cross-sectional study was conducted among 110 WLHA from HIV/AIDS treatment services and non-governmental organizations. An interview was conducted using a structured questionnaire to collect sociodemographic data, reproductive desire, and potential predictor variables. Poisson regression was used to analyze the factors associated with reproductive desire in the sample. RESULTS: The prevalence of reproductive desire was 32.7% (95% Confidence Interval: % CI: 24.7-42.0%). In regression analysis, we observed an association between reproductive desire and the following variables: age < 30 years; relationship time < 2 years; reproductive desire for the partner; and absence of children. CONCLUSIONS: The prevalence of reproductive desire in the investigated sample was relatively high. Young age and reproductive desire for the partner were the main associated factors.

Judicialization of health: profile of demands for oncological medicines in a state in the central region of Brazil.

BACKGROUND: The significant increase in access to oncological medicines through court cases suggests that constitutional guarantees of integral and universal care in the Brazilian public health system are uncertain. METHODS: A retrospective observational study was conducted to analyze data from lawsuits requesting oncological medicines from 2014 to 2020 in the State of Goiás, Brazil, in state and federal courts. Sociodemographic, medical, and legal variables were statistically examined using descriptive, association, and correlation methods. RESULTS: Women brought more than half (54%) of the 301 processes analyzed. The most frequent age group was over 55 years, with income below 3 × the minimum wage (total about USD$600/month), and their cases were promoted through the public minister and public defender's offices. The most requested medications, not on official public health system lists, were indicated for multiple myeloma and brain cancer. CONCLUSIONS: Improved quality of life, frequently used as a justification, could be conceptually confused with increased survival. Finally, judicialization itself indicates that individual health needs arise even with properly defined and adequately implemented public policies. These needs should be considered for the adequate provisioning of services by the state to ensure the right to health.

Instruments to assess the role of the clinical pharmacist: a systematic review.

BACKGROUND: The clinical pharmacist is an essential member of the healthcare team and plays an important role in health care in the primary care and the hospital setting. Knowledge regarding the instruments that evaluate the different activities of the clinical pharmacist, as well as the evaluation of the psychometric properties of these instruments, is necessary. METHODS: A literature search was performed in the PubMed and Scopus electronic databases without time and language restrictions. For the search strategy, the "pharmaceutical services," "validity studies," and "professional performance" domains were used. To assess the quality of the instruments, the five sources of validity evidence of contemporary psychometry were used, and the Joanna Briggs Institute's standardized instrument was used to assess the methodological quality of the studies. After screening 4096 articles, 32 studies were selected. RESULTS: A total of 32 studies were included, and 32 instruments were identified to be used by pharmacists acting in various pharmaceutical practice scenarios. It was found that the available instruments were developed or adapted from others, with variation in the methods, constructs, dimensions, and domains, as well as the psychometric properties. Most of the instruments addressed community pharmacies, and evidence of content validity and internal structure was found most frequently. A standardized and validated instrument that comprehensively assessed the performance of the clinical pharmacist, addressing clinical activities, was not identified for all practice environments. CONCLUSIONS: Without standardized and validated instruments specifics to assess the performance of the clinical pharmacist, it is hard to establish the main clinical activities performed by pharmacists in their pharmaceutical practice environments and to propose training actions to improve professional practice. Despite the large number of instruments available and considered validated by the authors, it is questioned to what extent the validity indicators presented in the different studies really show the validation status. SYSTEMATIC REVIEW REGISTRATION: PROSPERO CRD 42018099912.

Competencies of health personnel for the practice of health literacy in Brazil: A Delphi consensus survey.

OBJECTIVE: The aim of this study was to identify a set of competencies of health personnel for the practice of health literacy in Brazil. METHODS: Scoping review and online interviews with healthcare practitioners, followed by three rounds of the modified e-Delphi method with health literacy specialists from November/2020 to March/2021. During the rounds, the items were revised, new items added for review, and their importance was rated on a five-point Likert scale in an online form. Those items that achieved a mean Likert rating of 4+ (rated important to very important) and ≥ 90.0% agreement among the experts were maintained in each round. RESULTS: The initial competencies list contained 30 items from the literature scoping review and online interview with 46 Brazilian healthcare practitioners. 25 experts (health personnel with publications on health literacy) were invited to participate in the e-Delphi rounds. Of the total of 56 items evaluated, 28 reached consensus among the experts. The Brazilian competencies list differed from other consensuses by the emphasis on professional commitment to the literacy in health, autonomy and social context of the patient. CONCLUSION: For the Brazilian context, 28 competencies are relevant to the practice of health literacy in health care. This study is an initial step to develop the HL competences of Brazilian health professionals and an update of the skills evidenced in previous international studies.

Obesity and physical activity in ostomized patients

Introduction: The relationship between obesity and physical activity is still unknown in specific groups, such as people living with ostomies. Objective: To assess the prevalence of obesity and the level of physical activity in ostomized individuals. Methods: A cross-sectional study with a population of ostomized patients in two hospitals of a Brazilian city. Obesity was assessed by the Body Mass Index (BMI) and physical activity, by the International Physical Activity Questionnaire. Results: The study included 148 patients (55.4% of men [82]), with a mean age of 58.5 (±17.8) years, with 56.1% (83) of the sample aged 60 or older. Colostomies were identified as definitive in 67.6% (100), there were 28 cases (18.9%) of obesity, 67 (45.3%) overweight patients, and 31 (20.9%) subjects were underweight. Sedentary lifestyle was identified in 40.5% (60) of the participants. The mean BMI was significantly higher in men (25.9 ± 5.1), and a higher proportion of men were overweight (28; 34.1%); the underweight group had a greater proportion of women (20; 30.3%). An association between physical inactivity and underweight (p = 0.003) was found. Conclusion: Most patients with ostomies, especially colostomies, are men over 60 years of age who are overweight or obese. In general, underweight individuals are more sedentary. (AU)

Professional Responsiveness to Health Literacy: A Scoping Review.

BACKGROUND: Difficulty in understanding and using health information can harm the patient and increase the cost of care provided. So, this study classified and mapped the characteristics and interventions that make health care professionals responsive to the patient's health literacy. METHODS: Medline (PubMed), CINAHL (EBSCO), PsycInfo, ERIC (ProQuest), Lilacs (BVS) and EMBASE (Elsevier) were searched using a combination of controlled descriptors. The selected studies needed to address the concept or main focus of the study among health care professionals in the care or academic environment. KEY RESULTS: After reviewing 34 articles, 14 definitions and 10 subcategories of responsiveness were identified, and a broad characterization of health professional responsiveness to health literacy was proposed. Professional responsiveness to health literacy was characterized as knowing the definition and implications of health literacy for the patient's well-being and being able to develop, adapt, implement, and evaluate health education strategies. Nineteen strategies were mapped for education to ensure professional responsiveness to health literacy, classified as (A) expository (n = 18; 94.7%), (B) interactive (n = 9; 47.4%), (C) practice with educational materials (n = 2; 10.5%), (D) practice with standardized patient or simulation (n = 8; 42.1%), and (E) practice with actual patients (n = 4; 21.1%). DISCUSSION: These characteristics and interventions provide a useful taxonomy for the development of curricula and professional education programs, and for the validation and use of measures to evaluate the health workforce. [HLRP: Health Literacy Research and Practice. 2022;6(2):e96-e103.] Plain Language Summary: We found 14 definitions and 10 categories of professional responsiveness to health literacy. Professional responsiveness to health literacy was characterized as knowing the definition and implications of health literacy for the patient's well-being and being able to develop, adapt, implement, and evaluate health education strategies. Nineteen strategies were mapped for education to ensure professional responsiveness to health literacy.

[Dimensions of student violence against the teacher]. / Dimensões da violência do aluno contra o professor.

Violence against teachers is a global concern and has a negative impact on the development of society. In this context, this study aimed to review definitions of violence against teachers to develop an integrated consensus and conceptual model. A scoping review of the literature was carried out to include articles that could answer the guiding question of the study: "What are the definitions and dimensions of student violence against teachers in teaching?" The studies included in the review, it was identified that violence against the teacher can be defined as a set of actions and situations caused by students in an insidious or chronic way in the workplace and/or through digital medium, mediated by the perception of violence, the copping mechanism of the teacher and the organizational management of the violence. The integrated model of violence against teachers comprises conceptual antecedents, such as previous experience with violence against the teacher, the cultural definition of violence and the perception of victimization. Violence against teachers is a multidimensional construct that results from the interaction with the student in the organizational and social context. The consequences of violence against the teacher include psychological, emotional, biological, professional and social harm.

A violência contra o professor é uma preocupação global e traz impacto negativo para o desenvolvimento da sociedade. Nesse contexto, o estudo objetivou revisar definições de violência contra o professor para desenvolver consenso integrado e modelo conceitual. Foi realizada uma revisão de escopo de literatura para incluir artigos que pudessem responder à pergunta norteadora da pesquisa: "Quais são as definições e as dimensões da violência do aluno contra o professor no ensino?" Nos estudos incluídos na revisão, identificou-se que a violência contra o professor pode ser definida como o conjunto de ações e situações provocadas por estudantes de forma insidiosa ou crônica no local de trabalho e/ou meio digital, mediadas por percepção de violência, mecanismo de enfrentamento do professor e gestão organizacional da violência. O modelo integrado de violência contra o professor compreende antecedentes conceituais, como a experiência anterior com violência contra o docente, definição cultural de violência e percepção de vitimização. A violência propriamente dita contra o professor é um construto multidimensional que resulta da interação com o estudante nos contextos organizacional e social. As consequências da violência contra o professor incluem danos psicológicos, emocionais, biológicos, profissionais e sociais.

Dimensões da violência do aluno contra o professor / Dimensions of student violence against the teacher

Resumo A violência contra o professor é uma preocupação global e traz impacto negativo para o desenvolvimento da sociedade. Nesse contexto, o estudo objetivou revisar definições de violência contra o professor para desenvolver consenso integrado e modelo conceitual. Foi realizada uma revisão de escopo de literatura para incluir artigos que pudessem responder à pergunta norteadora da pesquisa: "Quais são as definições e as dimensões da violência do aluno contra o professor no ensino?" Nos estudos incluídos na revisão, identificou-se que a violência contra o professor pode ser definida como o conjunto de ações e situações provocadas por estudantes de forma insidiosa ou crônica no local de trabalho e/ou meio digital, mediadas por percepção de violência, mecanismo de enfrentamento do professor e gestão organizacional da violência. O modelo integrado de violência contra o professor compreende antecedentes conceituais, como a experiência anterior com violência contra o docente, definição cultural de violência e percepção de vitimização. A violência propriamente dita contra o professor é um construto multidimensional que resulta da interação com o estudante nos contextos organizacional e social. As consequências da violência contra o professor incluem danos psicológicos, emocionais, biológicos, profissionais e sociais.

Abstract Violence against teachers is a global concern and has a negative impact on the development of society. In this context, this study aimed to review definitions of violence against teachers to develop an integrated consensus and conceptual model. A scoping review of the literature was carried out to include articles that could answer the guiding question of the study: "What are the definitions and dimensions of student violence against teachers in teaching?" The studies included in the review, it was identified that violence against the teacher can be defined as a set of actions and situations caused by students in an insidious or chronic way in the workplace and/or through digital medium, mediated by the perception of violence, the copping mechanism of the teacher and the organizational management of the violence. The integrated model of violence against teachers comprises conceptual antecedents, such as previous experience with violence against the teacher, the cultural definition of violence and the perception of victimization. Violence against teachers is a multidimensional construct that results from the interaction with the student in the organizational and social context. The consequences of violence against the teacher include psychological, emotional, biological, professional and social harm.

Driving and restrictive factors of group practice in community psychosocial care services. / Fatores impulsores e restritivos da prática com grupos em serviços comunitários de atenção psicossocial.

This qualitative research aimed to investigate workers' theoretical conceptions regarding group work and analyze the driving and restrictive factors of group therapeutic practice in Psychosocial Care Centers (CAPS). Sixty-six workers from CAPS and outpatient clinics from the Psychosocial Care Network from twenty-three municipalities in the State of Goiás participated in the study. Data were collected through a structured questionnaire and a group interview audio-recorded and documented with photographs. The concept of what the group is and is not emerged from the thematic analysis of the data. The categories were organized into three analysis blocks concerning driving and restrictive forces: service-related, professional-related, and user-related. Relational, structural, and therapeutic aspects and professional competence for group coordination are integrated in an antagonistic, complementary, and inseparable way to apprehend the studied reality. We conclude that highlighting the restrictive aspects that must be recognized and improved and the drivers that must be maintained and enhanced can actively contribute to expanding the therapeutic capacity related to the use of group technology in mental health.

O objetivo desta pesquisa qualitativa foi investigar as concepções teóricas dos trabalhadores sobre o grupo bem como analisar os fatores impulsores e restritivos da prática terapêutica grupal nos Centros de Atenção Psicossocial (CAPS). Participaram do estudo 66 trabalhadores de CAPS e ambulatórios da Rede de Atenção Psicossocial (RAPS) de 23 municípios do estado de Goiás. A coleta de dados se deu por meio de questionário estruturado e entrevista grupal registrada em gravação de áudio e fotografias. Da análise temática dos dados emergiram o conceito do que o grupo é e do que o grupo não é. Tanto no eixo das forças impulsoras, quanto das forças restritivas, as categorias foram organizadas em três blocos de análise: aspectos relacionados ao serviço, aos profissionais e aos usuários. Aspectos relacionais, estruturais, terapêuticos e a competência profissional para a coordenação de grupo se integram de modo antagônico, complementar e indissociável para apreensão da realidade estudada. Conclui-se que evidenciar os aspectos restritivos que precisam ser reconhecidos e aprimorados bem como os impulsores que precisam ser mantidos e potencializados pode contribuir ativamente para ampliar a capacidade terapêutica do uso da tecnologia grupal no contexto da saúde mental.

Fatores impulsores e restritivos da prática com grupos em serviços comunitários de atenção psicossocial / Driving and restrictive factors of group practice in community psychosocial care services

Resumo O objetivo desta pesquisa qualitativa foi investigar as concepções teóricas dos trabalhadores sobre o grupo bem como analisar os fatores impulsores e restritivos da prática terapêutica grupal nos Centros de Atenção Psicossocial (CAPS). Participaram do estudo 66 trabalhadores de CAPS e ambulatórios da Rede de Atenção Psicossocial (RAPS) de 23 municípios do estado de Goiás. A coleta de dados se deu por meio de questionário estruturado e entrevista grupal registrada em gravação de áudio e fotografias. Da análise temática dos dados emergiram o conceito do que o grupo é e do que o grupo não é. Tanto no eixo das forças impulsoras, quanto das forças restritivas, as categorias foram organizadas em três blocos de análise: aspectos relacionados ao serviço, aos profissionais e aos usuários. Aspectos relacionais, estruturais, terapêuticos e a competência profissional para a coordenação de grupo se integram de modo antagônico, complementar e indissociável para apreensão da realidade estudada. Conclui-se que evidenciar os aspectos restritivos que precisam ser reconhecidos e aprimorados bem como os impulsores que precisam ser mantidos e potencializados pode contribuir ativamente para ampliar a capacidade terapêutica do uso da tecnologia grupal no contexto da saúde mental.

Abstract This qualitative research aimed to investigate workers' theoretical conceptions regarding group work and analyze the driving and restrictive factors of group therapeutic practice in Psychosocial Care Centers (CAPS). Sixty-six workers from CAPS and outpatient clinics from the Psychosocial Care Network from twenty-three municipalities in the State of Goiás participated in the study. Data were collected through a structured questionnaire and a group interview audio-recorded and documented with photographs. The concept of what the group is and is not emerged from the thematic analysis of the data. The categories were organized into three analysis blocks concerning driving and restrictive forces: service-related, professional-related, and user-related. Relational, structural, and therapeutic aspects and professional competence for group coordination are integrated in an antagonistic, complementary, and inseparable way to apprehend the studied reality. We conclude that highlighting the restrictive aspects that must be recognized and improved and the drivers that must be maintained and enhanced can actively contribute to expanding the therapeutic capacity related to the use of group technology in mental health.

Desafios globais das políticas de saúde voltadas à população masculina: revisão integrativa / Desafíos globales de las políticas de salud dirigidas a la población masculina: revisión integradora / Global challenges of health policies aimed at the male population: an integrative review

Resumo Objetivo Analisar as publicações científicas quanto aos desafios para construção e inserção das políticas de saúde voltadas à população masculina no Brasil e no mundo. Métodos Revisão integrativa da literatura com inclusão de estudos que discorreram sobre políticas de saúde do homem. Busca realizada, em julho de 2020 e janeiro 2022 nas bases de dados: Public/PublishMedline (PUBMED), Scopus, Embase e Web of Science. Incluíram-se artigos nos idiomas português, espanhol e inglês, sem restrição de data de publicação. As buscas foram obtidas pelo cruzamento nas bases com os seguintes descritores: Men's Health, Health Policy, Men. Resultados Foram identificados 1709 artigos. Após o processo de seleção e análise, 29 estudos compuseram a amostra. Verificou-se que 79,5% dos estudos foram conduzidos no Brasil, 6,9% no Reino Unido, 3,4% envolvendo países do continente asiático, 3,4% na Irlanda e Austrália, 3,4% na Escócia e 3,4% União Europeia. Foram publicados no período entre 2008 e 2021. Da análise emergiram as categorias: Desconhecimento e reconhecimento da política masculina e (Des) construção da política masculina. Conclusão Independentemente do país, os estereótipos de gênero e a inabilidade dos gestores, profissionais de saúde e dos próprios homens em reconhecer a política foram os principais desafios na construção e inserção das políticas para a população masculina. Considera-se necessária a legitimação da atenção integral ao homem como movimento social e política governamental, visando à melhoria da qualidade da gestão e prática clínica.

Resumen Objetivo Analizar las publicaciones científicas con relación a los desafíos para la construcción e inserción de las políticas de salud dirigidas a la población masculina en Brasil y en el mundo. Métodos Revisión integradora de la literatura con inclusión de estudios que tratan sobre políticas de salud del hombre. Búsqueda realizada en julio de 2020 y enero de 2022 en las bases de datos: Public/PublishMedline (PUBMED), Scopus, Embase y Web of Science. Se incluyeron artículos en los idiomas portugués, español e inglés, sin restricción de fecha de publicación. Las búsquedas se obtuvieron por el cruce en las bases con los siguientes descriptores: Men's Health, Health Policy, Men. Resultados Se identificaron 1.709 artículos. Después del proceso de selección y análisis, 29 estudios compusieron la muestra. Se verificó que el 79,5 % de los estudios se condujo en Brasil, el 6,9 % en Reino Unido, el 3,4 % en países del continente asiático, el 3,4 % en Irlanda y Australia, el 3,4 % en Escocia y el 3,4 % en la Unión Europea. Fueron publicados en el período entre 2008 y 2021. Del análisis surgieron las categorías: Desconocimiento y reconocimiento de la política masculina y (Des)construcción de la política masculina. Conclusión Independientemente del país, los estereotipos de género y la falta de habilidad de los gestores, de los profesionales de salud y de los propios hombres para reconocer a la política fueron los principales retos en la construcción e inserción de las políticas para la población masculina. Se considera necesaria la legitimación de la atención integral al hombre como movimiento social y política gubernamental, con la finalidad de mejorar la calidad de la gestión y de la práctica clínica.

Abstract Objective To analyze scientific publications regarding the challenges for the construction and insertion of health policies aimed at the male population in Brazil and in the world. Methods This is an integrative literature review with the inclusion of studies that discussed men's health policies. Search was performed in July 2020 and January 2022 in the Public/Publish MEDLINE (PubMed), Scopus, Embase and Web of Science databases. Articles in Portuguese, Spanish and English were included, without restriction of publication date. The searches were obtained by crossing the bases with the following descriptors: Men's Health, Health Policy, Men. Results A total of 1,709 articles were identified. After the selection and analysis process, 29 studies made up the sample. It was found that 79.5% of studies were conducted in Brazil, 6.9% in the United Kingdom, 3.4% involving countries on the Asian continent, 3.4% in Ireland and Australia, 3.4% in Scotland and 3.4% in the European Union. They were published between 2008 and 2021. From the analysis, the following categories emerged: Lack of knowledge and recognition of male policies; (De)construction of male policies. Conclusion Regardless of the country, gender stereotypes and the inability of managers, health professionals and men themselves to recognize the policy were the main challenges in the construction and insertion of policies for the male population. It is considered necessary to legitimize comprehensive care for men as a social movement and governmental policy, aiming at improving the quality of management and clinical practice.

Association between spirituality/religiousness and quality of life among healthy adults: a systematic review.

BACKGROUND: Health-related quality of life (HRQoL) is determined by multiple factors that include components such as spirituality and religiousness (S/R). Even though various systematic reviews have investigated the association between S/R and improved health outcomes in the most different groups, healthy young individuals are seldom addressed. OBJECTIVE: To assess the association between S/R and HRQoL among young, healthy individuals. METHODS: Systematic review of papers published in the last ten years and indexed in four academic research databases (PubMed, Web of Science, Cochrane Library, and Scopus) and two gray literature databases. Inclusion criteria were studies assessing S/R and HRQoL using validated instruments and assessing healthy adults (i.e., non-clinical patients, not belonging to any specific group of chronic diseases), aged between 18 and 64 years old. RESULTS: Ten out of 1,952 studies met the inclusion criteria: nine cross-sectional and one longitudinal cohort study, in which 89% of the participants were college students. Nine studies report a positive association between S/R and HRQoL, while one study did not report any significant association. The main HRQoL domains associated with S/R were the psychological, social relationships, and environment domains, while the S/R most influent facets/components were optimism, inner strength, peace, high control, hope, and happiness. CONCLUSIONS: Higher S/R levels among healthy adult individuals were associated with higher HRQoL levels, suggesting the S/R can be an important strategy to deal with adverse environmental situations even among those without chronic diseases, enhancing the wellbeing of individuals. Registration of systematic review: PROSPERO-CRD42018104047.