Alexandre Fávero Bulgarelli

Formação em saúde com vivência no Sistema Único de Saúde (SUS): percepções de estudantes do curso de Odontologia da Universidade Federal do Rio Grande do Sul (UFRGS), Brasil

O processo ensino-aprendizagem para a formacao de cirurgioes-dentistas fundamenta-se em diretrizes que corroboram a formacao de profissionais reflexivos, humanisticos e criticos. Nessa perspectiva, objetiva-se, com a presente pesquisa, trabalhar as percepcoes de estudantes de uma faculdade de odontologia em relacao a realizacao de estagios curriculares supervisionados no Sistema Unico de Saude (SUS). Esta e uma pesquisa descritiva, desenvolvida com dados qualitativos, coletados por meio de questionarios autoaplicados em 65 estudantes, e trabalhados segundo Analise de Conteudo. Chegou-se a tres temas estruturados nas seguintes categorias: explorando o desconhecido; iniciando a caminhada profissional; vivenciando as realidades no SUS. Os estudantes percebem diferentes processos de trabalho em saude, apontam a importância do engajamento dos professores na supervisao dos estagios e percebem o SUS como um rico espaco de aprendizagem significativa para a formacao em saude.

Nursing care practices at an outpatient care center from an integrative perspective

Objetivo: analizar las practicas de Enfermeria en un ambulatorio de especialidades, en la perspectiva de la integralidad de las acciones en salud. Metodo: Fueron realizadas entrevistas con 24 profesionales de enfermeria. Para analisis de los datos se utilizo el analisis de contenido, llegando a los temas: el dimensionamiento y comprometimiento con el servicio de salud; actividades y las practicas del equipo de enfermeria. Resultados: Con relacion a lo dimensionamiento, fue revelado que el equipo es insuficiente, comprometiendo la asistencia de calidad, resultando en sobrecarga y descontentamiento de los profesionales. Sin embargo, las personas se mostraran satisfechas con las tareas practicadas en el cotidiano, relacionando la integralidad al cuidado individual, percibido por los profesionales como esencial y, comunmente, practicado en su cotidiano. Conclusion: se considera que el equipo de enfermeria tiene potencialidad y comprometimiento para desarrollar su practica articulada con el principio de la integralidad, atendiendo las necesidades de salud de la poblacion con calidad de la asistencia.Descriptores: Practica Profesional; Enfermeria; Atencion Integral de Salud; Servicios de Salud.AIM to analyze nursing care practices at a Specialized Outpatient Care Center from the perspective of an integrative health care activity. METHOD Interviews with 24 nursing professionals were undertaken. For data analysis, Thematic Content Analysis as proposed by Bardin was applied, resulting in the following themes: the team size and its commitment to health care; professional practices and activity of the nursing team. RESULTS The size of the nursing team was considered insufficient, which compromises the quality of care and results in work overload and dissatisfaction of the nursing professionals. On the other hand, they were satisfied with the tasks performed day-to-day and related integrality to individual care, considered it essential and usually practiced it daily. CONCLUSION It is considered that the nursing team has the potential and commitment to develop their care practice combined with the integrative perspective, and therefore providing quality health care to the population.

Analysis of job satisfaction of the nursing staff of a primary health care unit

This was a cross-sectional, observational study conducted in an outpatient specialty district health unit in the city of Ribeirão Preto, in the southeastern Brazilian state of São Paulo, with the aim to analyze the job satisfaction of the nursing staff. Data were collected using the Index of Work Satisfaction (IWS), a validated instrument which was applied to 23 members of the nursing team in January 2012. Among the components of job satisfaction, participants considered Interaction to be most important, followed by Professional Status, Job Requirements, Organizational Policies, Remuneration and Autonomy. The combined mean Index of Work Satisfaction obtained was 8.29, corresponding to poor job satisfaction among the studied population, as most of the studies in the literature that used the same instrument had scores between 12 and 37.

Social organization and control of tuberculosis: the experience of a Brazilian town

OBJECTIVE This study was aimed at analyzing the participation of a committee formed by representatives of the community in tuberculosis control based on a participatory management model. METHOD This is a Case Study involving a tuberculosis committee with data collected through semi-structured interviews conducted with nine individuals. The data, organized through the Association of Ideas Map technique, were analyzed based on the Social Constructionism perspective. RESULTS The participation of the Tuberculosis Committee studied was shown to be effective and associated with aspects articulated according to the measures taken by the social parties involved in the committee, culminating with assistances inserted into certain parts of the towns co-management. CONCLUSION It was concluded that the reality of this case study shows that relationships among civil society can guide the management model in the search for effective processes of tuberculosis control.OBJETIVO: o objetivo deste estudo foi analisar a participacao de um comite com representantes da sociedade no controle da tuberculose em um modelo de gestao participativa. METODO: trata-se de Estudo de Caso de um Comite de Tuberculose, com dados coletados por meio de entrevistas semidirigidas, aplicadas em nove sujeitos. Os dados, organizados pela tecnica de Mapa de Associacao de Ideias, foram analisados a luz da perspectiva Construcionista Social. RESULTADOS: observou-se que a participacao do Comite de Tuberculose estudado mostra-se efetiva e associada a aspectos que se articulam de acordo com as acoes realizadas pelos atores sociais, envolvidos no Comite, culminando com assistencias inseridas em certos segmentos da cogestao do municipio. CONCLUSAO: conclui-se que a realidade, impressa neste estudo de caso, mostra que relacoes entre a sociedade civil podem nortear o modelo de gestao na busca de processos efetivos para o controle da tuberculose.

As práticas de enfermagem em um ambulatório na perspectiva da integralidade

Objetivo: analizar las practicas de Enfermeria en un ambulatorio de especialidades, en la perspectiva de la integralidad de las acciones en salud. Metodo: Fueron realizadas entrevistas con 24 profesionales de enfermeria. Para analisis de los datos se utilizo el analisis de contenido, llegando a los temas: el dimensionamiento y comprometimiento con el servicio de salud; actividades y las practicas del equipo de enfermeria. Resultados: Con relacion a lo dimensionamiento, fue revelado que el equipo es insuficiente, comprometiendo la asistencia de calidad, resultando en sobrecarga y descontentamiento de los profesionales. Sin embargo, las personas se mostraran satisfechas con las tareas practicadas en el cotidiano, relacionando la integralidad al cuidado individual, percibido por los profesionales como esencial y, comunmente, practicado en su cotidiano. Conclusion: se considera que el equipo de enfermeria tiene potencialidad y comprometimiento para desarrollar su practica articulada con el principio de la integralidad, atendiendo las necesidades de salud de la poblacion con calidad de la asistencia.Descriptores: Practica Profesional; Enfermeria; Atencion Integral de Salud; Servicios de Salud.AIM to analyze nursing care practices at a Specialized Outpatient Care Center from the perspective of an integrative health care activity. METHOD Interviews with 24 nursing professionals were undertaken. For data analysis, Thematic Content Analysis as proposed by Bardin was applied, resulting in the following themes: the team size and its commitment to health care; professional practices and activity of the nursing team. RESULTS The size of the nursing team was considered insufficient, which compromises the quality of care and results in work overload and dissatisfaction of the nursing professionals. On the other hand, they were satisfied with the tasks performed day-to-day and related integrality to individual care, considered it essential and usually practiced it daily. CONCLUSION It is considered that the nursing team has the potential and commitment to develop their care practice combined with the integrative perspective, and therefore providing quality health care to the population.

Percepções de um grupo de idosos frente ao fato de não consultarem regularmente o cirurgião-dentista

It is still common sense the idea that the elderly do not need dental care because they are largely toothless and denture wearers. Thus the research question is: What is the reason that makes many elderly people do not see the dentist regularly? This study aimed to find and analyze the reason that makes the elderly, enrolled in a family health care center, do not visit the dentist regularly. It is a descriptive and exploratory with a quanti-qualitative approach using household semi-structured interviews applied to 149 elderly enrolled at a family Health Unity in Ribeirao Preto city, SP, Brazil. Data were analyzed and standardized by the Content Analysis technique and for the quantitative analysis it was performed bivariate analysis based on p<0.05. There was significant association between dentist visit and age (p=0,025), and it was observed that higher age elderly related going to the dentist few times. Some of the reasons were: fear, financial difficulties, absence of time, and absence of tooth pain and denture wear. It was concluded that these reasons are related to the social and cultural aspects that needs to be analyzed within the primary health care.

Atenção primária à saúde e a construção de sentidos para a saúde bucal: leitura construcionista social sobre discursos de idosos

Dentistry currently reveals itself to be open to new ideas about the construction of meanings for oral health. This openness leads to the social production of health revealing the contextualization of the social and historical aspects of the sundry knowledge in the development of oral health for different communities. With this research, we seek to build meanings for oral health with a group of elderly people. With this objective in mind, we propose an approximation between discourses on oral health mentioned by the elderly and the Social Constructionist discourse. We interviewed 14 elderly people enrolled in a Family Health Unit in Ribeirao Preto, State of Sao Paulo, in the first semester of 2010, and identified two interpretative repertoires through Discourse Analysis, which showed the relationship between 1 - Lack of information and dental assistance in childhood, and 2 - Primary Health Care building the meaning of oral health. We concluded that Social Constructionism works epistemologically for the construction of meanings for oral health and that primary health is essential for appreciation and health care that enables the construction of meanings in oral health by the elderly that create conditions for self-care and healthy attitudes.

Oral health conditions and quality of life of elderly users of the Unified National Health System

OBJECTIVE: This study aimed to analyze the oral health status and socio-economic conditions of the elderly, which are users of the Brazilian Unified Public Health System (SUS) and its relationship to a subjective indicator of impacts of oral conditions on quality of life (Oral Health Impact Profile OHIP-14).METHODS: It is a descriptive cross-sectional exploratory study developed in the second semester of 2011. The sample consisted of 76 elderly (65-74 years old) users of the public dental service at the Dental Specialties Center at the Faculty of Dentistry of Ribeirao Preto, Brazil. The methodological strategy adopted for data collection was the structured interview and secondary data were obtained from medical records and reports. To perform the statistical analysis it was used an exploratory analysis of multivariate data by means of STATA Software.RESULTS: The frequencies of the dimensions of the OHIP-14 with the greatest impact were pain (13.16%) and psychological distress (14.47%). The low impact association was represented by social disability (71%) and social disadvantage (63%). The gender, type of housing, necessity and prosthesis wearing were not associated with measures of quality of life related to oral health. It was observed a good correlation between the perception (r = 0.542, p <0.001), a moderate association between higher income (r = 0.28, p <0.01) and the scores of the OHIP.CONCLUSION: It was concluded that the elderly which reported good self-perception of oral health and good income have expressed the perception that oral health reflects a good impact on quality of life.

Narrative of a Teaching Practice. An Autoethnography about Being a Geriatrics Professor.

ABSTRACT This study was developed to show a professor’s perspective to comprehend his difficulties and challenges, within a different scenario and culture of teaching geriatric dentistry in a nursing home. It was a self-analysis theoretically supported by the Social Constructionism and the Interpretative Autoethnography perspective. Data were constructed by means of participant observation and interaction descriptions. They were analysed by means of a matrix of association. As a result, a culture of adaptation and negotiation was described. Teaching geriatrics is associated with a constant adaptation to technical difficulties. It needs a well-developed interpersonal and professional relation among professors, students, and elderly. It results in constant adjustments and negotiation with feelings and emotions. Teaching geriatrics, in this context, was perceived as a multi-emotional scenario, which enriches the health educational practices.

Perception of oral health in home care of caregivers of the elderly

Objective: to analyze the perception of caregivers of elderly persons regarding their own oral health care and that of the elderly individuals. Method: a descriptive-exploratory study with a qualitative approach was carried out. Semi-structured interviews with 13 caregivers were conducted, recorded and transcribed, and the Content Analysis technique was applied. Results: All respondents were informal caregivers, most of whom were female, aged over 50, married, had some degree of kinship with those receiving Palavras-chaves: Saúde Bucal. Atenção Primária à Saúde. Idosos. Cuidadores. http://dx.doi.org/10.1590/1981-22562017020.170010