Navegando por Palavras-chave "Health care"

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    Apoio à atenção básica de saúde: percurso da pesquisa-intervenção
    (Universidade Federal de São Paulo (UNIFESP), 2014-07-11) Brandalise, Carmem Lucia [UNIFESP]; Mendes, Rosilda [UNIFESP]; http://lattes.cnpq.br/3746693286898810; http://lattes.cnpq.br/1977459287536762; Universidade Federal de São Paulo (UNIFESP)
    This study analyzes the work of the Multidisciplinary Team in the Health and Care Section of Community, Department of Primary Care in the Municipality of Santos which is composed of several professional areas and divided up in a way that meets the four health districts of the municipality, organized to follow all Primary Care services. The methodology used was the research intervention, assuming the construction of spaces for collective questioning in a dialectical movement of action-reflection-action. The data were produced by six problem workshops arranged by themes chosen collectively by the subjects involved in the study: "support matrix"; "work process in health"; "care"; and "interdisciplinary and multidisciplinary." For the record, in addition to recording, it was used the methodology of the scribe, which consists of a free record of the progress of the meeting by one of the workshop participants. The ordering of data included the transcription of tapes and reading the records of the scribes and field diaries. The ordination and classification of data allowed to grasp the relevant issues settling four analytical categories: "The practice of teamwork"; "The practice of care: tensions between what you want and what you do"; "The ways of organizing work to transform the management of care"; and 'Research intervention: capability to invent and reinvent ". The study suggests the need to establish systematic spaces for discussion of the work process with primary care amount of units of responsibility of each SEATESC professional, as well as their monitoring schedules of the teams in the Primary Care services, to strengthen interdisciplinary work and the organization based on the real need of the local teams; and the SEATESC need of utilization of the potentiality of the intervention research method due to the possibility of experimentation, which allows to make room for collective reflections, to find alternative co-management and co-responsibility of care. Finally, the study found that subjects envision possibilities for the development of a supportive practice having reference from their own experience in SEATESC, so that productive assemblages are operated in a way that bring innovations to the practice of care professionals in order to qualify the care with the monitoring in network; the need to review the.
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    Avaliação do impacto de um programa de intervenções para prevenção de infecção do trato urinário associada ao uso de sonda vesical em pacientes transplantados renais
    (Universidade Federal de São Paulo (UNIFESP), 2010-05-26) Regagnin, Dejanira Aparecida [UNIFESP]; Medeiros, Eduardo Alexandrino Servolo de [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    The urinary tract infection is one of the most ordinary complications after a renal transplant and it may lead to rejection, donor kidney failure, long hospital stay period and increased cost. Although the use of a urinary catheter as its period of stay is considered a risk factor, little has been studied about the nursing staff knowledge to prevent urinary tract infection due to a urinary catheter. Objectives: Evaluate the nursing staff practice and knowledge related to the maintenance of a urinary catheter as the risks of its use, implement an intervention guide and measure its impact on the incidence of urinary tract infection and also on the nursing assistance to patients undergoing renal transplantation. Method: A prospective interventional study was performed in a hospital in São Paulo, from August first 2008 to July 31st 2009, and divided into two phases. In the first phase, which occurred from August 2008 to January 2009, the urinary catheter insertion and the procedures for its safe maintenance were observed and a questionnaire to access the nurses’ information about the subject was applied as well. In the second phase, from February first to July 31st 2009, a group of new actions based on data collected from the first round were implemented, the same questionnaire was applied once more followed by another period of observation which the main purpose was to verify the effect and changes caused by the new guide developed. Results: The nursing professionals’ theoretical knowledge assessment showed a meaningful statistical difference between the distinct study phases such as urethral meatus hygiene procedure (p=0,007), hygiene frequency urethral meatus (p<0.001), the cleaning product used in the hygiene of the urethral meatus (p<0,001), the catheter exchange frequency (p<0,001) and HRIM infection rates (p<0,001) awareness indicating an improvement after the intervention. The practice observation also showed a hand hygiene improvement among physicians: 9,1% of frequency before procedure and 68,2% after the procedure. Among the nursing staff members again positive results were noticed: 26,7% to 48% of hand washing before procedure and 76% to 86,7% after procedure. Better adherence to the use of personal protective equipment comparing 60 to 75% in the first round against 98% to 100% in the second. There were 44 (11,33%) cases of urinary tract infection in the first phase of the study, 26 deceaseddonor while 17 living-donor, which 37 (84,09%) due to urinary catheter presence. The average time between the urinary tract infection diagnosis and the kidney transplant was 13,5 days (5 to 30 days). In both phases, there was a bacterial infection predominance being the gram-negatives responsible for 97,7% of the infections in the first round against 82,25% in the second. E. coli itself was responsible for 34 (32%) cases of infection, followed by K. pneumoniae which caused 18 (16,9%) cases of infection. Conclusions: A meaningful practice and theoretical knowledge improvement can be noticed due to the educational program. Despite all the better results achieved in the second phase of this study, with reduction of urinary tract infection associated with vesical catheter (p=0,674), any impact on decreasing urinary tract infections could be demonstrated.
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    ÀWỌN `ỌNÀ MÍMỌ́: os caminhos sagrados das mulheres do Axé em Nova Iorque (EUA)
    (Universidade Federal de São Paulo (UNIFESP), 2017-12-01) Niel, Marcelo [UNIFESP]; Pereira, Pedro Paulo Gomes [UNIFESP]; Sanchez, Zila Van Der Meer [UNIFESP]; http://lattes.cnpq.br/9110200572507368; http://lattes.cnpq.br/1474930426841995; http://lattes.cnpq.br/6729357796985067; Universidade Federal de São Paulo (UNIFESP)
    This doctoral research is an ethnography about the migration of Candomblé (an Afro-Brazilian religion) to the city of New York in the United States of America. I describe the trip of three Brazilian “mães de santo” (“mothers of saint”) who carry their practices and knowledge from Brazil. I report their establishment in the city, the dialogue with the urban space in a megalopolis, the changes occurred in their rituals and their possible translations in this new space, the clientele and their motivations. The first article, “Àwọn `Ọnà Mímọ́: the sacred ways of the Axé Women in New York”, observe and analyze the itinerary of Brazilian mães de santo (“mothers of saint”) who traveled to New York City carrying the knowledge and the practices of Candomblé with them. It also seeks to analyze how this itinerary promotes the establishment and permanence of Candomblé in Brazil and abroad. The text is based on an ethnographic research carried out between 2013 and 2017, through participating observation and monitoring of the everyday life of these mães de santo (“mothers of saint”). It was possible to learn that Candomblé is founded on an open, dynamic religious codex, and that the constant movement through which it reinvents itself and renegotiates its practices is at the very core of its existence. The second article, “Àwọn Ìyá Awo: the ladies of secretin the Big Apple: women and Candomblé practices in New York City, USA”, the presence of three Brazilian mães de santo (“mothers of saint”) stood out. They have been led to rethink their practices in the context of life in the USA and to reshape standard religious configurations—in short, they have created new traditions, as per Roy Wagner’s academic work (1975). By telling the stories of these women, it was possible to reveal the mechanisms through which they have reinvented their religion: articulating secrets, permissions and transpositions related to their practices while also (and rather paradoxically) contributing to preserve the original essence of Candomblé. And by doing that, they have also helped spread and establish their religion in a foreign country. One of the most important aspects of the reinvention process concerns the so-called hierarchical changes; in New York, the relationship between the mães de santo and the practitioners is more horizontal than then one observed on the terreiros located in Brazil. The third and last article, “Oogun Àṣẹ: Candomblé practices and health care in New York City, USA”, presents the results of an ethnography carried out between 2013 and 2017, which relied on participating observation, interviews and monitoring of the everyday life of three Brazilian mães de santo (“mothers of saint”) who sought to reinvent Candomblé in New York City, USA. The article follows them as they attempt to transpose their religious beliefs and practices to this new, foreign context. It describes their relationship with practitioners who seek health care through the use of plants and prayers during religious rituals and ceremonies.
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    Calor humano: origem e perpetuação desse valor em uma instituição hospitalar modelo referência do município de São Paulo
    (Universidade Federal de São Paulo (UNIFESP), 2016-09-27) Santos, Audry Elizabeth dos [UNIFESP]; Sanna, Maria Cristina [UNIFESP]; http://lattes.cnpq.br/4959840449509550; http://lattes.cnpq.br/2902978842122408; Universidade Federal de São Paulo (UNIFESP)
    Objetivo: Descrever e analisar a origem e a manutenção do valor ?Calor humano? num hospital privado, modelo-referência do município de São Paulo, criado por imigrantes sírio-libaneses. Método: Empregou-se a pesquisa histórico-social, na modalidade história oral e considerou-se esta como um Estudo de Caso. O objeto de estudo foi o valor moral Calor humano e o recorte temporal foi de 1960 até 2006. Entrevistas empregando-se roteiro semiestruturado foram realizadas com diretores da instituição, lideranças da enfermagem, funcionários, médicos e pacientes. Estas foram transcritas e transcriadas e os achados descritos e interpretados à luz das teorias dos sociólogos Max Weber e Émile Durkheim. Resultados: Quatro categorias temáticas foram construídas: ?Criação do Hospital em Estudo?, ?Origem do Calor Humano?, ?Compreensão do Calor humano pelos Diversos Atores Sociais?; e ?Ações de Implementação do Valor Calor humano?. Conclusão: identificou-se a forte influência da cultura dos imigrantes sírio-libaneses no hospital. A liderança fundadora planejou a criação do hospital à luz do atendimento filantrópico baseado na solidariedade. A liderança médica, pertencente à colônia sírio-libanesa, desempenhou o comando de forma carismática, característica esta que foi o vetor da criação do valor moral Calor humano. Esta peculiaridade foi responsável pela disseminação do modelo estabelecido para o atendimento geral e a manutenção do valor Calor humano deveu-se à solidificação da cultura absorvida na longa permanência das lideranças médica e de enfermagem na instituição. Como decorrência, houve a criação de vários processos assistenciais implantados pela enfermagem que auxiliaram na manutenção desse valor moral na instituição
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    Educação para o autogerenciamento de pacientes com câncer de cabeça e pescoço apoiada em multimídia
    (Universidade Federal de São Paulo (UNIFESP), 2017-10-26) Hortense, Flavia Tatiana Pedrolo [UNIFESP]; Domenico, Edvane Birelo Lopes De [UNIFESP]; Bergerot, Cristiane Decat; http://lattes.cnpq.br/4394065755397984; http://lattes.cnpq.br/9590895567864681; http://lattes.cnpq.br/4611985668712695; Universidade Federal de São Paulo (UNIFESP)
    Head and neck cancer (CA/HN) is among the ten most frequent in Brazil, reaching about 1.7% of the population. The treatments can result in functional and aesthetic deficiencies, depending on location and staging. Educational interventions should be developed to assist patient in the process of adaptation and generation of selfmanagement skills. Objectives: to build, validate the content of an educational program based on the principles of self-management, directed to patients with CA/HN, and to evaluate the effectiveness of this program in a comparative way, and through a reception study. Method: study of mixed nature, divided into three steps: (1) methodological study, for the construction and validation of a script for the development of learning objects, (2) experimental study, randomized and controlled, to evaluate the educational intervention based on the usual action versus the multimedia, through the instruments Functional Assessment of Cancer Therapy-Head and Neck (FACT-H & N) and Hospital Anxiety and Depression Scale (HADS) in four time points, from the beginning of the treatment to the follow-up period (12 months) and (3) qualitative study to evaluate the educational material developed on the basis of the principle of the reception study. The results were analyzed according to the study design of each step. Results: in the first step, the script was approved by 99 percent of all health professionals. The kappa free-marginal statistical test presented a value of 0.68%, giving a substantial agreement, resulting in the production of a printed manual and an educational video. In the second, the control group (GC) reported gradual decrease on the quality of life (QOL) scores over the time points, while the experiment group (GE) has increased progressively their scores. The prevalence of anxiety and depression (AD) symptoms was low in both groups, next to those described in the literature. The correlation was significant between the presence of AD symptoms and poor QOL. GC patients showed significant worsening in social/family well-being and on the prevalence of additional concerns related to CA/HN, while the GE presented decrease on anxiety symptoms and increase on emotional well-being. In the last step, the educational material was evaluated as satisfactory for the subject sequence, length, language and images used. Participants have attested that the educational materials helped in the development of skills for self-management. Conclusion: the steps adopted for the construction and validation of the content, and for the development of educational materials were effective, appropriate and capable of reproduction. The different criteria used for the educational material evaluation indicated and highlighted the benefit of this educational action. It was observed that patients have opted for a better adaptive response to the illness. In addition, the assessment routine brought indicators that guided the team working. The educational material was considered appropriate for the target population and capable of generating skills for self-management.
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    Education of dietitian's in Brazil: Minimum clock hours of instruction for a bachelor's degree in nutrition
    (Pontifícia Universidade Católica de Campinas, 2013-10-01) Medeiros, Maria Angélica Tavares de [UNIFESP]; Amparo-Santos, Ligia; Domene, Semíramis Martins Álvares [UNIFESP]; Universidade Federal de São Paulo (UNIFESP); Universidade Federal da Bahia Escola de Nutrição Departamento de Ciências da Nutrição
    This essay aims to debate the minimum clock hours of instruction necessary for obtaining a bachelor's degree in nutrition considering the challenges to educate health professionals. Official documents on the minimum clock hours of instruction required by undergraduate nutrition programs were analyzed to investigate compliance with the curriculum guidelines for the area, the law that regulates the profession of dietitian, and the necessary education for the Sistema Único de Saúde (Unified Health Care System). Compared with other health programs, nutrition presented the smallest increase in the minimum clock hours of instruction required for the degree. The changes that occurred in the epidemiological, demographic, and nutritional profile of the population and scientific advances require specific nutrition actions. Since Sistema Único de Saúde focuses on comprehensiveness in the three levels of care, on humanization, and on health care, the theoretical and methodological concepts given in undergraduate programs need to be improved for the dietitians education to meet the Sistema Único de Saúde needs. Incorporation of the knowledge needed for working with food and nutritional phenomena, including its social and cultural dimensions, management of public policies, quantity cooking, and food and nutritional surveillance requires a higher minimum clock hours of instruction. In conclusion, dietitians need a minimum clock hours of instruction of 4,000 to acquire a proper education, integrate into the university life, and coordinate interdisciplinary experiences of the triad teaching/research/extension.
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    Expressão artística como construção do sujeito da saúde
    (Universidade Federal de São Paulo (UNIFESP), 2014-02-26) Jabur, Sergio Marques [UNIFESP]; Silveira, Fernando de Almeida [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)
    This research studies the practices of health care situating Psychology as a critical social space (the interlacing between perception and narrative language and the constitution of the subject) historical production and perception of the psychological subject. The study intends to describe and analyze the role of subjectivity, of the experiences learned by the subject and the artistic expression in the improvement of health care, including the experience from the perspective of art as productio n of meaning. W e start from thehypothesis that the individual expresses his existence through art, for he is immersed i n a field of presence with his subjectivity, and being subject to the ever-changing process of transformation; narrating his own experiences in life and his self conduct in the world. The existential phenomenological approach in psychology is possible in this research when we consider man's existence based on artistic expression as a possible therapeutic encounter. The study is therefore justified because when we deal with perception and language we refer to what is most special, that is, the subjectivity of relationships. Art is also a manifestation of the beholder, as we look and we are looked at continuously. It is a study which implies a qualitative approach and the way of thinking is mainly based on the readings of works of Merleau-Ponty , with emphasis on Eye and Spirit, and their commentators, aiming at the establishment of theoretical and methodological tools for future application, and other practices in the field of public health, particularly mental health. It is an interdisciplinary study and it refers to the field of psychology and ands deals with man in the world he dwells.
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    Frequency of public child care service use and associated factors
    (Soc Brasil Pediatria, 2010-01-01) Vitolo, Márcia Regina; Gama, Cintia Mendes [UNIFESP]; Campagnolo, Paula Dal Bó; Universidade Federal de São Paulo (UNIFESP); UFCSPA
    Objective: Assess the maternal socio-demographic factors associated with the frequency of use of child care services by low income families.Methods: Cross-sectional analysis of 393 children between 12 and 16 months old who participated in a randomized field trial during their first year of life in a program of nutritional intervention. the study began in the Brazilian Unified Health System (Sistema Unico de Saude, SUS) of the maternity hospital in the city of Sao Leopoldo, state of Rio Grande do Sul, Brazil. Children were examined regarding child care follow-up and vaccination schedule by checking the immunization chart. Data were analyzed using statistical tests Pearson's chi square and prevalence ratio (PR) with respective 95% confidence interval.Results: the frequency of children who were not continuously taken to the child care service was 53.2%. Multivariate analysis suggests that the factors associated with the lack of continuous use of the service were: mother's educational level <= 8 years (PR 1.32 95%CI 1.02-1.71), non-nuclear family structure (PR 1.32 95%CI 1.10-1.59) and not being an only child (PR 1.38 95%CI 1.10-1.72). the reasons for lack of follow-up, according to the mothers were: the fact that they thought it unnecessary for 66.2%, problems with the service for 21.7%, difficulties related to their jobs for 6.05%, and other reasons for 6.05%.Conclusion: the high frequency of children who were not taken to the child health care service for follow-up is associated with low maternal educational level and family structure, as well as the perception that follow-up visits are not necessary when the child does not have a disease.
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    Health promoting practices and personal lifestyle behaviors of Brazilian health professionals
    (Biomed Central Ltd, 2016) Hidalgo, Karen D.; Mielke, Gregore I.; Parra, Diana C.; Lobelo, Felipe; Simoes, Eduardo J.; Gomes, Grace O.; Florindo, Alex A.; Bracco, Mario; Moura, Lenildo; Brownson, Ross C.; Pratt, Michael; Ramos, Luiz Roberto [UNIFESP]; Hallal, Pedro C.
    Background: This study was conducted to examine the lifestyle behaviors and health promoting practices of physicians, nurses, and community health workers in Brazil. Methods: A random sample of primary health care units in Brazil was selected, and a pretested questionnaire was administered via phone interviews, in 2011, to 182 physicians, 347 nurses, and 269 community health workers, totaling 798 health professionals. The total initial sample included 1600 eligible health professionals. Variables measured included physical activity, alcohol intake, hours of sleep, diet, and perceived self-efficacy to provide preventive counseling on related lifestyle behaviors. Results: More than 25 % of physicians, nurses, and community health workers reported eating 0-2 portions of fruits and vegetables per day. In terms of cervical and breast cancer, nurses reported to be 'very prepared' to advise patients on these topics more frequently than physicians. The prevalence of smoking ranged from 4.9 % among nurses to 7.4 % among community health workers. The proportion of physical inactivity ranged from 40. 3 % among nurses to 52.1 % among community health workers. Conclusion: A reasonably high proportion of physicians, nurses, and community health workers report not engaging in healthy lifestyle behaviors that impact chronic diseases, thus, they may be less likely to encourage such behaviors in their patients.
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    Internações por condições sensíveis à Atenção Básica no estado de São Paulo
    (Universidade Federal de São Paulo, 2021-10-18) Lima-Neto, Luiz Farias de [UNIFESP]; Luppi, Carla Gianna [UNIFESP]; http://lattes.cnpq.br/7144041143118933; http://lattes.cnpq.br/5858755470500003; Universidade Federal de São Paulo (UNIFESP)
    No Brasil a Atenção Básica (AB) é praticada com condução pelo Ministério da Saúde e execução municipal descentralizada, com a participação, com maior intensidade no estado de São Paulo (ESP), de entes privados mediante a celebração de contratos com as gestões municipais, o que favoreceu a diversidade de formas de elaboração de serviços e de resultados da execução dos mesmos. Nesse contexto questiona-se sobre o desempenho da AB mediante a participação de entes privados na execução de suas ações. Isso posto, o percentual de Internações por Condições Sensíveis à AB (ICSAB) tem se expandido como indicador de efetividade da AB, uma vez que a resolubilidade desse nível de atenção deve ser refletida na diminuição de internações hospitalares por causas específicas sensíveis ao cuidado oferecido pela AB. Esta dissertação é um estudo ecológico de série temporal descritivo com utilização de dados secundários a partir do levantamento dos percentuais de ICSAB e objetiva descrever a distribuição desse indicador de 2009 a 2018 no ESP segundo o índice de desenvolvimento humano municipal (IDHM), porte populacional municipal, contratação intermediada de trabalhadores da AB e Departamento Regional de Saúde (DRS). Os resultados mostram redução do percentual de ICSAB no ESP no período avaliado. Encontrou-se diferença de redução do percentual de ICSAB segundo o porte populacional municipal: municípios menores apresentaram maior redução do percentual de ICSAB. Também, encontrou-se diferença segundo o IDHM, municípios com baixo IDHM apresentaram maior redução do percentual de ICSAB. Entretanto encontrou-se aumento do percentual de ICSAB em municípios mais vulneráveis e mais de 20% de contratação intermediada de trabalhadores da AB. Houve diferença segundo contratação intermediada: municípios com menos de 20% de contratação intermediada de trabalhadores da AB obtiveram maior redução do percentual de ICSAB. Observou-se variação heterogênea do percentual de ICSAB segundo DRS. Os resultados sugerem que a contratação intermediada de trabalhadores da AB não aparenta ser determinante para a redução do percentual de ICSAB e em municípios vulneráveis. Assim, os resultados corroboram a necessidade de aprofundamento do estudo sobre os efeitos da contratação intermediada e a elaboração de estratégias para apoio aos municípios mais vulneráveis na contratação de entes privados para a execução da AB.
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    Mortalidade materna: um risco de raça e classe
    (Universidade Federal de São Paulo, 2023-01-19) Lima, Camilla Cotrin [UNIFESP]; Devincenzi, Macarena Urrestarazu [UNIFESP]; http://lattes.cnpq.br/9369073345790021; http://lattes.cnpq.br/6141239319184295; Universidade Federal de São Paulo (UNIFESP)
    Este trabalho apresenta uma análise do perfil dos óbitos de mulheres durante o ciclo gravídico puerperal na cidade de Santos nos anos de 2020 e 2021, sendo que, a região metropolitana da Baixada Santista apresenta elevada razão de mortalidade materna. A mortalidade materna é um indicador que reflete a qualidade de vida da população, sobretudo um forte indicador do acesso aos cuidados em saúde, na maioria dos casos uma tragédia evitável. O estudo foi realizado no âmbito do Projeto de Extensão “Tecendo a Rede de Cuidado à Saúde da Mulher e da Criança na Zona Noroeste de Santos”, a partir das informações coletadas referentes à idade, escolaridade, etnia e local de moradia, através das investigações do óbito da Seção de Vigilância à Mortalidade Materno- Infantil SEVIG-MMI da Prefeitura de Santos. Foram analisados 100% dos óbitos no período, sendo 11 o total de casos de morte materna nos anos de 2020 e 2021 no município de Santos. A média de idade das mulheres foi de 29 anos. Referente à escolaridade, verificou-se um número expressivo de mulheres com baixa escolaridade, sendo 5 mulheres com 8 anos de estudo. Constata-se a variável raça/etnia como dado de maior relevância, sendo que foi encontrado uma considerável desigualdade racial entre os casos, correspondendo a sete óbitos de mulheres pretas e pardas. Em relação à moradia, verificou-se quatro óbitos em bairros da Zona Noroeste, quatro óbitos na Zona Leste e dois óbitos na área dos Morros. O indicador da mortalidade materna no município reflete as desigualdades sociais que são visíveis, a exemplo do contorno socioterritorial que se apresentaram as mortes. Mostrando assim a necessidade de construção de redes intersetoriais, visando uma perspectiva de cuidado integral à saúde da mulher, destacando o planejamento reprodutivo, política fundamental para prevenção da mortalidade materna.
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    The perception of hypertensive elderly patients regarding their health needs
    (Univ Sao Paolo, 2012-02-01) Marin, Maria Jose Sanches [UNIFESP]; Santana, Flavio Henrique da Silva; Moracvick, Maria Yvette Aguiar Dutra; Universidade Federal de São Paulo (UNIFESP); Fac Med Marilia
    Considering the prevalence of arterial hypertension among the elderly, the present study analyzes their perception of health needs, in a qualitative way, from focal groups with elderly users of Family Health Units. Data analysis was performed according to the hermeneutic-dialectical perspective and resulted in three nuclei of meaning: recognizing the possibility of having access to basic health care together with the desire to consume services of greater complexity and understanding the shortcomings of the State; attachment and welcoming as fundamental elements in the feelings of support and security and autonomy permeated by the tranquility to deal with the disease and the difficulties imposed by conditions inherent to the subjects' life style. Therefore, it is understood that the Family Health Strategy has been complying with its role in terms of the access to the healthcare system and regarding the professional-user attachment. However, health care continues to be centered on the disease rather than the individual.
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    Políticas no cuidado: uma cartografia de políticas de cuidado em três unidades de saúde da atenção básica
    (Universidade Federal de São Paulo (UNIFESP), 2016-10-14) Rodrigues, Andre [UNIFESP]; Henz, Alexandre de Oliveira [UNIFESP]; Casetto, Sidnei José [UNIFESP]; http://lattes.cnpq.br/3498118188722873; http://lattes.cnpq.br/8635317893278680; http://lattes.cnpq.br/6894336079264122; Universidade Federal de São Paulo (UNIFESP)
    The term care is used in a myriad of situations and in most of its uses seems to be understood as an act that always works favorably. It is common too, to find this term used vaguely, as if just speaking it made some unambiguous and major meaning come about. However, after looking back to a brief history of this term, we noticed that it has undergone significant variation over time, since it is always connected to multiple policies at play in each period. To care, as a way to call a specific type of relating, must be understood as something able to operate for good, for evil and beyond good and evil, and as something about which is actually impossible to know beforehand, and for sure, what effects will have. In this research we noticed that the statements above have strong resonances with the practices of health professionals. In this work I have relied on the idea that the care provided by health professionals is imbibed in a multiplicity of policies. Supported by the studies about power in Foucault and by the Deleuze-Guattarian claim that before Being there is politics the care is conceived as a praxis that updates policies and is run trough by subjectivation policies present on each historical moment. Therefore, the objectives of our investigations were to detect policies that constitute the care production of health professionals at Primary Care Centers. The study was qualitative and done on a cartographic perspective, which is appropriate to detect such processes. Data were produced as part of the research Primary Care and Network Care Production in Santos City, regarding eleven Care Centers, developed by the Laboratory of Studies and Research on Teaching and Working in Health Care (LEPETS), from the Federal University of São Paulo (UNIFESP). In the present research, data from three of those Centers were analyzed, specifically, data produced with the author's involvement. Two main themes surfaced from the analysis of the body of work. The first one, named method-care, points to the crossed implications between care policies and research policies built along the investigation. The second one, Ways of Caring, presents and problematizes several care policies mapped throughout the investigation.Results showed that the notion of care is not given beforehand as something established a priori, and also, that there are constitutive relationships between caring and researching, pointing to an ethic and political dimension that arises between these practices.
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    Satisfação de clientes sobre cuidados de enfermagem no contexto hospitalar
    (Escola Paulista de Enfermagem, Universidade Federal de São Paulo (UNIFESP), 2009-01-01) Lopes, Juliana de Lima [UNIFESP]; Cardoso, Maria Lucia Alves Pereira [UNIFESP]; Alves, Vera Lucia de Souza; D'Innocenzo, Maria [UNIFESP]; Instituto do Coração; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To describe the methodology used to measure outpatient satisfaction with nursing care and to report their actual satisfaction scores. METHODS: This was a descriptive retrospective cross-sectional study. Data were collected from December 2003 through October 2005 from a database provided by the department of marketing of a large hospital in São Paulo City. RESULTS: The majority of outpatients (99%) were satisfied with nursing care. CONCLUSION: Outpatients satisfaction was due to their expectation, needs, and nursing care received.