Navegando por Palavras-chave "Nutritionists"

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    Concepções e práticas dos nutricionistas na rede de cuidado em saúde: desafios para construção da integralidade
    (Universidade Federal de São Paulo (UNIFESP), 2019-02-26) Cicco, Vivian Lemos Lopes De [UNIFESP]; Zihlmann, Karina Franco [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Introduction: the nutritionist is the professional that aims to guarantee the Human Right for Adequate Food and the Food and Nutrition subject is gaining importance due to their essential role in the health prevention and promotion, one of the SUS`s priority actions (Brazilian Unified Health Service). Objective: to know the nutritionist’s conceptions and practices about health comprehensiveness, taking into account the demands and challenges of network care. Method: this study carried out a qualitative research with nine nutritionists from the Municipal Secretariat of Health of Santos, with in-depth interviews, analyzed with Thematic Content Analysis technique. The respondents signed a CF that complies CNS 466/12 Resolution. The project was approved by the Ethics Committee of UNIFESP, number CAAE 81167317.4.0000.5505. Results: nine nutritionists were interviewed, seven of whom were female and two male, with a mean age of 36.2 years. Six participants had more than ten years of Nutrition training; seven had specialization degree, two had master’s degree and one another graduation. It was constructed four categories of analysis: integrality, PNAN (Portuguese acronym for National Policy of Food and Nutrition), Social Nutrition and Networking. It was observed isolated work, little communication between peers. Most affirmed that graduation did not provide adequate training on SUS, Social Nutrition and PNAN, focusing on biomedical technical knowledge. The study highlighted the suffering implied in some speeches, revealing invisibility as a category and low valorization of the nutritionist in the health services. Conclusion: although nutritionists identify institutional difficulties, they emphasized the need of continuous training in their working context. By facing the need to overcome these difficulties, the importance of Permanent Education in Health becomes evident, as a strategy, reflection and support for these professionals, as fundamental agents in health care actions, collaborating with the strengthening of intra and interprofessional actions, in order to meet the population’s needs.
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    Desenvolvimento e validação de conteúdo de instrumento de avaliação da atenção nutricional no âmbito da atenção primária à saúde
    (Universidade Federal de São Paulo, 2017-10-25) Almeida, Ana Beatriz Pacito [UNIFESP]; Medeiros, Maria Angélica Tavares de [UNIFESP]; Santana, Angélica Barbosa Neres; http://lattes.cnpq.br/4891875284385301; http://lattes.cnpq.br/5008335677535140; Universidade Federal de São Paulo (UNIFESP)
    Introdution: Food and Nutrition (F&N) actions has a central role in healthy promotion and prevention of health problems, and Primary Health Care (PHC) is strategic to the realization of this actions. However, although the Política Nacional de Alimentação e Nutrição (PNAN) establish as the first guideline the organization of Nutritional Care (NC), this continue neglected in PHC and don’t be finded registries in literature about any instrument who propose evaluate it. According to the above, the justification to the realization of this study is based in the necessicity to elaborate and validate the content of an instrument, composed by questions and indicators, able to portray the situation in the Country about the NC provided in the units of PHC and assist the decisions. Objectives: Develop and validate the content of the Instrumento de Avaliação da Organização da Atenção Nutricional (IAAN) whitin the PHC. Methods: The study was approved by the Research Ethics Committee of Universidade Federal de São Paulo on the number of notion 1.661.045. The elaboration of the instrument is based in a extensive literature review to identificate the F&N actions planned in the official guidelines and the possible repercutions for succes of NC. The instrument were reviewed by researchers of area and submitted to an pilot study. Was used the Delphi tecnic to obtain the consensus between the experts nutritionists and, consequently, validation of content of IAAN. The strategies to collect the participants to the validation process included, among others, contact with the profissional concils and researchers associations, and identification of the state coordinators of F&N. Results: The panel of experts was composed by nutritionists who work in different areas of PHC, videlicet: management, department, teaching and research; and all the macro regions of the Country was represented. The content of IAAN was validated in two rounds and its final version got 68 questions and 10 indicators: 1) Acting of nutritionist: graduate, knowledge, relation with the team, workload and work process; 2) Support to the NC actions: infrastructure and permanent education; 3) Intersectoriality; 4) Social control; 5) Food and Nutrition Surveillance; 6) Individual NC; 7) NC for groups; 8) NC at prenatal care; 9) NC at puerperium and breast-feeding; and 10) NC to the child’s health. Conclusion: The process of the validation was fundamental to assegurate the adequation and the representivity of the content of IAAN. The experts’ qualification support the analisys of the instrument and granted the credibility to the validation. The participation of all the macro regions of Brazil made possible the appreciation of the instrument by specialists who worked in different realities. The IAAN turn able the establishment of evaluative process and to represent a method to utilization in researchs. The results obtained with future utilizations could contribute to elaborate a representation of the lived situation in the Country and, therefore, subsidize decisions that promotes progress and improvements of NC.
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    Formação em nutrição: análise do currículo após a implantação das diretrizes nacionais curriculares
    (Universidade Federal de São Paulo (UNIFESP), 2017-04-23) Nakazato, Viviane do Lago [UNIFESP]; Oliveira, Nara Rejane Cruz de [UNIFESP]; http://lattes.cnpq.br/5610581984121401; http://lattes.cnpq.br/3258131488159921; Universidade Federal de São Paulo (UNIFESP)
    As Diretrizes Curriculares Nacionais (DCN) para os cursos de graduação em nutrição surgem em 2001 propondo um perfil de egresso que além das competências específicas, envolve competências gerais exigindo do ensino (instituição, coordenação e corpo docente) adequação do projeto pedagógico do curso e estratégias de ensino que permitam atender este novo cenário. A presente pesquisa teve como principal objetivo verificar como os currículos de formação profissional em nutrição têm sido desenvolvidos para atender demandas das DCN com relação às competências gerais propostas por este documento. A pesquisa foi qualitativa do tipo descritiva, composta de análise documental dos projetos político-pedagógicos de cursos disponíveis sob jurisdição do Conselho Regional de Nutrição – 3ª região. Realizou-se também uma entrevista semiestruturada com o coordenador do curso de graduação de uma universidade pública de São Paulo. A partir da análise dos projetos político-pedagógicos, observou-se que poucos são disponibilizados para consulta, porém no que se refere a sua elaboração, a maioria dos documentos apresentam estratégias que possam contemplar as solicitações da DCN. A entrevista evidenciou um currículo inovador, construído coletivamente e que deve ser revisado sempre afim de atender novas demandas do mundo do trabalho e das competências esperadas para o nutricionista. A formação docente também foi apontada como fator fundamental do processo na formação profissional, visto que é o docente que aplicará em sala de aula, a proposta curricular do curso. Conclui-se que um currículo inovador e a formação docente adequada pode contribuir para a formação de um nutricionista conforme competências propostas pelas atuais DCN, porém requer conhecimento, esforço e dedicação.
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    Percepção de risco de doenças transmitidas por alimentos por nutricionistas
    (Universidade Federal de São Paulo, 2018-04-11) Carvalho, Samantha Freund de [UNIFESP]; Rosso, Veridiana Vera de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    Various food dimensions have been changing in modern life, highlighting the growing increase of meals outside the home. Attention to working practices in the retail food trade segment is critical to the prevention of foodborne diseases (FBD). Studies on food handlers have shown that there is a gap between knowledge and practice and the occurrence of the optimistic bias has already been detected as one of the hypothesis to explain this phenomenon, among other factors that may influence neglect of good practices and compromise food safety. The nutritionist plays a fundamental role in ensuring the quality of food and in preventing FBD. In this context, it is important to know the perception of risk and the existence of the optimistic bias phenomenon in the performance of this professional. The goals of the research were to determine the perception of risk for FBD and identify the optimistic bias in nutritionists working on quality control and food safety in different segments of the Retail Food Trade in the state of São Paulo. Participants of the study were 66 nutritionists without any time experience restriction. A questionnaire was applied in three parts: 1- Sociodemographic and work profile; 2- Test of technical knowledge in microbiology, food hygiene and current health legislation; 3- Test of perception of risk related to good handling practices and FBD. To identify the optimistic bias, a comparison was made between the perception of risk score that the nutritionist attributed to herself in relation to the score she attributed to her peer in a similar situation. A high percentage of nutritionists could be contacted whose answers to the Knowledge Test were classified as reasonable (59%), verifying only 29% with sufficient knowledge and 12% with knowledge classified as insufficient. A statistical analysis correlating the variables age, training time, time of experience and role with the knowledge score obtained inconclusive results. It was possible to verify the existence of the OB for situations related to the possibility of FBD occurring in establishments where the interviewees worked themselves, regardless of their role, compared to the same situations in which other nutritionists performed. Significant negative correlation (r= - 0.25 and p = 0.03) was found between knowledge and the optimistic bias, that is, the more successful the Knowledge Test, the lower the probability of the optimistic bias, revealing that knowledge may contribute to a better understanding of the etiology of FBD. In situations of comparison between perception of FBD risk of the nutritionists themselves or of others in situations related to food safety (existence of documentation, temperature, hand hygiene) no significant difference was identified that could evidence the optimistic bias phenomenon. The research points to failures in the theoretical training of professionals not overcome by experience. Possibly the use of more inclusive and participatory pedagogical techniques can minimize the optimistic bias occurrence and improve the perception of risk by nutritionists.