Ana Carine Arruda Rolim

Subnotificação de maus-tratos em crianças e adolescentes na Atenção Básica e análise de fatores associados

Estudo transversal que analisou os fatores associados a subnotificacao de maus-tratos em criancas e adolescentes. Participaram do estudo 1.055 profissionais que trabalhavam na Atencao Basica em 85 municipios cearenses. Os dados foram obtidos por meio de questionario e submetidos a analise bivariada e multivariada por regressao logistica. O modelo final mostrou que ter menos de cinco anos de trabalho, nao conhecer a ficha de notificacao, nao ter a ficha na unidade de saude, nao confiar nos orgaos de protecao, nao saber para onde encaminhar os casos e ter medo de envolvimento legal aumentou a chance dos profissionais nao notificarem situacoes de maus-tratos nesse grupo.

Factors associated with reporting of abuse against children and adolescents by nurses within Primary Health Care

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the studys results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the studys results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

Meanings Assigned by Puerperal Women to Episiotomy

Objective: identify the knowledge and perception of puerperal mothers after completion of routine episiotomy. Method: this is a descriptive and qualitative study conducted with 13 puerperal mothers in a public hospital in Fortaleza/CE in the month of November 2011, using a previously elaborated interview script. Data were analyzed according to thematic analysis, giving rise to the following category: “Knowledge and perception of puerperal women regarding the episiotomy”. Result: most women were young, at reproductive phase, outside the formal labor market and ended up going through obstetric interventions without questioning their realization, and only half of the women in the study claimed to have received information about the procedure. The information provided by healthcare professionals on episiotomy conferred greater confidence to mothers. However, only few patients received knowledge in this way. Conclusion: knowledge about episiotomy is important for women, enabling them to express their freedom of opinion to comply or reject its realization.

Assessment of Nurses’ Knowledge about Food Reintroduction in Tracheostomized Patients

Objective: assess the knowledge of nurses working in a hospital regarding food reintroduction to tracheostomized patients. Method: this is a quantitative, descriptive and cross-sectional study which used an instrument that consists of 20 closed questions, divided into two parts, applied to a sample of 50 clinical nurses in April 2011. Results: the sample was composed of 90% of female subjects with mean age of 35.4 years, 37% of respondents reported having more than ten years of professional experience and 83% stated that were never approached about the subject and that were unaware of the medical conditions to which the patient should submit to resume feeding by mouth. Conclusion: it was found professional unpreparedness and lack of knowledge in the subject and that approaching the theme since graduation and continuing education measures to be implemented in institutions that meet tracheostomized patients could provide the reintroduction of oral diet safely.

Atuação do cirurgião-dentista na identificação de maus-tratos contra crianças e adolescentes na atenção primária

Analisou-se a atuacao do cirurgiao-dentista na identificacao de maus-tratos contra criancas e adolescentes na atencao primaria e os fatores associados. Estudo transversal com 212 cirurgioes-dentistas em 85 municipios cearenses. Usou-se questionario com variaveis sociodemograficas, conhecimento, identificacao e notificacao de maus-tratos; remetido aos participantes via gestao municipal. Realizou-se analise bivariada e multivariada por regressao logistica. Poucos profissionais identificaram maus-tratos, refletindo dificuldades para essa pratica. As analises mostraram que ter pos-graduacao e conhecer a ficha de notificacao aumentou a chance de identificar maus-tratos.

Fatores associados à notificação de maus-tratos em crianças e adolescentes realizada por enfermeiros na Atenção Primária à Saúde

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the studys results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the studys results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.

Factores asociados a la notificación del maltrato en niños y adolescentes realizada por enfermeros en la Atención Primaria a la Salud

OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the studys results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.OBJECTIVE: to analyze the factors associated with the underreporting on the part of nurses within Primary Health Care of abuse against children and adolescents. METHOD: cross-sectional study with 616 nurses. A questionnaire addressed socio-demographic data, profession, instrumentation and knowledge on the topic, identification and reporting of abuse cases. Bivariate and multivariate logistic regression was used. RESULTS: female nurses, aged between 21 and 32 years old, not married, with five or more years since graduation, with graduate studies, and working for five or more years in PHC predominated. The final regression model showed that factors such as working for five or more years, having a reporting form within the PHC unit, and believing that reporting within Primary Health Care is an advantage, facilitate reporting. CONCLUSION: the studys results may, in addition to sensitizing nurses, support management professionals in establishing strategies intended to produce compliance with reporting as a legal device that ensures the rights of children and adolescents.