Navegando por Palavras-chave "Education Continuing"

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    Educação permanente e a redução da mortalidade infantil em um município do Grande ABC – SP: um estudo de caso
    (Universidade Federal de São Paulo (UNIFESP), 2019-10-04) Walendy, Claudia Helena [UNIFESP]; Nicolau, Stella Maris [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Combating child mortality is a challenge for societies wishing to improve their social development indicators. This study aimed to analyze how the Municipal Health Secretariat of Mauá, SP, carried out between 2013 and 2016 a successful administrative reform in relation to the reduction of child mortality, listing this issue as a priority, with continuing education actions with emphasis on changes. of work processes with a strong sense of responsibility and intense articulation of management collectives, teams among themselves and among the various services and levels of attention of the health network. This is a case study with documentary analysis of reports and municipal ordinances related to actions to reduce child mortality, interviews with managers and health professionals who worked in the maternal child care network during this period. The results indicate that professionals report this experience as remarkable and enriching, and that even after the completion of this management, some work processes implemented were maintained, but without the same strong network articulation promoted by management. On the other hand, there are also reports of excessive pressure for results and care actions had a strong component of control over the lives of pregnant women by the teams in order to reduce child mortality.
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    Efetividade de intervenção educativa para prevenção de infecções do trato urinário de idosos institucionalizados
    (Universidade Federal de São Paulo (UNIFESP), 2020-06-25) Silva, Joao Luis Almeida Da [UNIFESP]; Barbosa, Dulce Aparecida [UNIFESP]; Universidade Federal de São Paulo
    Objectives: the objectives were to analyze the effectiveness of educational intervention with nursing professionals and caregivers to prevent urinary tract infections in institutionalized elderly; compare prevalence rates and associated risk factors; to verify the knowledge of the nursing staff and caregivers about signs, symptoms, risk factors, treatment and preventive measures before and after educational intervention. Methods: a quasi-experimental study carried out at a Long- Term Care Facility for the Elderly from July 2018 to July 2019 in a municipality in southern Bahia. The prevalence profile was carried out with 116 elderly people. An instrument was used for clinical evaluation of the elderly and risk factors were collected from medical records. Urine I and urine culture were collected for laboratory analysis before and after the educational intervention. The educational intervention was carried out with 20 professionals (07 from the nursing team and 13 caregivers of the elderly), organized in 4 groups. A self-administered structured questionnaire was applied in the pre-intervention period, educational intervention was carried out through 6 thematic workshops per group of professionals, reapplication of the questionnaire 6 months after the intervention. Results: the prevalence of urinary tract infection in the pre-intervention period was 33.62%. The associated factors were: female gender; use of diapers and diuretics; urinary and fecal incontinence; type 1 diabetes; benign prostatic hyperplasia and dehydration (p <0.05). It was shown that dehydration increased the chance of developing the infection by 40 times. The isolated uropathogens were all gram-negative, the most prevalent were Escherichia coli (69.2%) with good sensitivity to antimicrobials and Klebsiella Pneumoniae (20.6%) with more variable sensitivity and resistance. After the educational intervention, the prevalence of urinary tract infection decreased to 20%; the risk factors for dehydration and prolonged use of diapers were no longer associated with the condition; the most prevalent microorganisms remained. The average number of correct answers by the nursing team and caregivers, after educational intervention, increased from pre to post-test by 52% in relation to signs of urinary infection, 32% in relation to symptoms, 72.5% treatment, and 40 % on personal / behavioral and morbidity-related risk factors, 59% on conditional factors and 43.8% on preventive measures. The team of caregivers showed a greater gain in knowledge compared to the nursing team in almost all questions (p <0.05). The length of care with the elderly did not present a positive correlation with any variable (R <1; p> 0.05). Conclusion: the educational intervention was effective in producing knowledge acquisition by the nursing staff and caregivers, provided a reduction in the rate of urinary tract infections in the elderly and altered the association of the most prevalent modifiable factors in the chance of developing this type of infection.
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    Manipuladores De Alimentos Atuantes Em Um Abrigo Institucional: Discutindo O Processo De Educação Permanente
    (Universidade Federal de São Paulo (UNIFESP), 2017-04-26) Silva, Angela Lima da [UNIFESP]; Batista, Sylvia Helena Souza da Silva [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Children's feeding practices include various factors such as food consumption, availability, cultural and media influences, but are mainly influenced by the knowledge, experiences and experiences of the mother and / or caregiver. In the case of children received by the State, these depend on the care of several people, who bring their cultural and educational influences throughout their lives into their professional practice, which often does not comply with appropriate feeding practices, and may have a negative impact on the Children's health. Based on this scenario, The aim of this study was to discuss the demands and expectations of professionals involved with infant feeding from an institutional sheltering service that serves children from 0 to 3 years old, in order for the education process. In this research, we chose a qualitative research, in the case study modality, having as food manipulating participants and social protection agents (caregivers) acting in an institutional reception service. The data were produced through a semi-structured interview and participant observation, analyzed according to the content analysis technique, thematic type, allowing the construction of four thematic nucleo, which revealed the profile of the professionals involved in infant feeding, as well as the knowledge and the conceptions brought from their professional practice, the understanding of their role in the development and growth of the children, the facilities, difficulties and limitations of the professional performance, and finally, showed how the training process occurs for them to work with infant feeding. Thus, the food practices and care of the adopted children in the daily life of the professionals studied are guided by the knowledge and conceptions based on sociocultural influences and the personal experience lived with motherhood, going against the current nutritional and food recommendations. It can be observed that caregivers have difficulty distinguishing their professional role as their mother, unlike the food manipulators, who perceive themselves as educators, acting actively in the formation of the eating habits. It was revealed the difficulty that the professionals have to see the potentialities of their work, as well as to identify that some activities are part of the caregiver assignment. The presence of menu was considered as potentiality and the absence of work material and extensive workload as a hindrance to professional performance. The training process of these professionals is based on the perspective of traditional teaching, with occasional actions outside the work environment, focused on the transmission of information and technical procedures, using traditional teaching methodologies. Thus, it was identified the need of the training process of these professionals to be constructed according to the particularities of the service, considering their knowledge and perceptions, enabling the critical reflection on professional practice and the autonomy of the subject in the construction of their knowledge and citizenship.
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    Pelos caminhos da integralidade: o que uma usuária-guia pode ensinar sobre a produção de redes de cuidado?
    (Universidade Federal de São Paulo (UNIFESP), 2017-12-01) Nardez, Danielle Abujamra Siufy [UNIFESP]; Mendes, Rosilda [UNIFESP]; http://lattes.cnpq.br/3746693286898810; http://lattes.cnpq.br/0844959075471900; Universidade Federal de São Paulo (UNIFESP)
    The Brazilian Unified Health System (SUS) has brought about significant changes in the way of caring for the health of the population and is a result of the ideals and struggles of social movements and the Sanitary Reform of the 1970s and 1980s. comprehensiveness of care and the study of their dimensions, giving evidence for the interface of the concept with the development of synergistic actions that optimize resources and prioritize established bonds between professionals and these with the community, surpassing the uniquely biologicist view of care. This research was aimed at analyzing the conformation of the networks constituted in primary care from the perspective of a guiding user and a family health team in the construction of integrality of care, understanding how the links are produced in order to extend the knowledge about the connections existing in the different configurations of a local health-producing network. It is a qualitative research in the research-intervention modality that made use of the mapping device to follow the processes of network formation for expanded care in health. The production of data was performed through workshops with the team and with the guide user and the production of the research diaries by the researcher and the team. The material was organized and categorized according to the research objectives. The results show that the way in which the guiding user produces care reveals the relationship between the formal and informal network. They also show that affectivity and bonding were perceived as unique experiences in this research process. The emphasis on the light / relational component of the linkages established between users and health workers also refers to the acceptance of this relationship. The path taken by the guiding user has left important marks in the way to understand the limits of the professional performance of health workers, as well as the reckless view of wholeness as totality. The reflection that now arises refers to the place where users are daily located in the health services of the network and what status their suffering acquires for the different levels of attention. It is also concluded that the method chosen for the production of data showed to be revealing clues to the research process bringing important analyzers to the center of the discussion of the results, providing an opening for new possibilities of investigation of the integrality and formation of the networks, key points for the analysis of health care production. Finally, the study suggests that affections occupy a central place in the processes of health production and that networks constructed from the singularities present in the cases should avoid being guided by the comprehension of integrality as an objective image, in order not to negate the subject and its history in the composition of extended care.