Beatriz Sebben Ojeda

A integração ensino-serviço como estratégia na formação profissional para o SUS

Trata-se de um relato de experiencia relativo as estrategias e acoes adotadas para a integracao ensino-servico, com a finalidade de contribuir no processo de formacao profissional na area da saude, em consonância com as diretrizes e principios do Sistema Unico de Saude (SUS). O trabalho aborda as descobertas, os avancos, as potencialidades, as dificuldades e os pontos criticos encontrados, assim como as experiencias bem-sucedidas e a sustentabilidade vivenciada no contexto da Atencao Primaria a Saude com os programas Pro-Saude e PET-Saude.

Long-Term Care Institutions for Elders and the health system

OBJETIVOS: Analizar el sistema social organizacional Institucion de Larga Permanencia para Ancianos (ILPI) y su relacion con el Sistema de Salud (SUS). Identificar las comunicaciones que ocurren en los acoplamientos estructurales entre la ILPI y el SUS. Analizar las repercusiones del acoplamiento estructural en la ILPI. METODO: Estudio exploratorio descriptivo, cualitativo, con la utilizacion del metodo funcional de Niklas Luhmann. La recolecta de datos utilizo observaciones de segundo orden, a traves de entrevistas con 7 dirigentes y 8 ancianos, analisis de comunicaciones de 52 ILPIs brasilenas y observaciones de tercer orden en literatura nacional. RESULTADOS: En el sistema de salud ocurre la exclusion del anciano institucionalizado de las acciones programaticas en la salud. Hay un desconocimiento reciproco entre ILPIs y SUS, necesitando estimulos para un acoplamiento estructural mas exitoso. CONCLUSIONES: La diminuta sensibilidad del Sistema de Salud a las comunicaciones de la ILPI fue identificada como un obstaculo en el desempeno de la funcion social de esas instituciones.

Nexos e desafios na formação profissional do enfermeiro

The objective of the study was to know the linkages and challenges between professional training and practice and the Curriculum Guidelines for Nursing Baccalaureate Degree Programs. It was a qualitative study, with 34 graduates in nursing, who answered an e-mailed questionnaire. Data analysis was based on Michael Foucaults discourse analysis. The ethical aspects were observed. Analysis showed three themes in graduates discourses - Unified Health System, generalist professional training and humanization. The study revealed an approximation of concepts and guidelines of the Curriculum Guidelines for Nursing Baccalaureate Degree Programs and of the Unified Health System with the reality of professional practice along with challenges in the training of professional nurses.A investigacao teve como objetivo conhecer os nexos e desafios entre a formacao e a praxis profissional e as recomendacoes das Diretrizes Curriculares Nacionais do Curso de Graduacao em Enfermagem. Estudo qualitativo, com 34 diplomados em Enfermagem, que responderam ao questionario por e-mail. A analise dos dados foi baseada na analise de discurso de Michael Foucault. Os aspectos eticos foram respeitados. A analise apontou tres tematicas nos discursos dos diplomados - Sistema Unico de Saude, formacao generalista e humanizacao. O estudo revelou uma aproximacao das concepcoes e orientacoes das Diretrizes Curriculares e do SUS com a realidade da praxis profissional, bem como desafios para a formacao do enfermeiro.

A Instituição de Longa Permanência para Idosos e o sistema de saúde

OBJETIVOS: Analizar el sistema social organizacional Institucion de Larga Permanencia para Ancianos (ILPI) y su relacion con el Sistema de Salud (SUS). Identificar las comunicaciones que ocurren en los acoplamientos estructurales entre la ILPI y el SUS. Analizar las repercusiones del acoplamiento estructural en la ILPI. METODO: Estudio exploratorio descriptivo, cualitativo, con la utilizacion del metodo funcional de Niklas Luhmann. La recolecta de datos utilizo observaciones de segundo orden, a traves de entrevistas con 7 dirigentes y 8 ancianos, analisis de comunicaciones de 52 ILPIs brasilenas y observaciones de tercer orden en literatura nacional. RESULTADOS: En el sistema de salud ocurre la exclusion del anciano institucionalizado de las acciones programaticas en la salud. Hay un desconocimiento reciproco entre ILPIs y SUS, necesitando estimulos para un acoplamiento estructural mas exitoso. CONCLUSIONES: La diminuta sensibilidad del Sistema de Salud a las comunicaciones de la ILPI fue identificada como un obstaculo en el desempeno de la funcion social de esas instituciones.

Morse Fall Scale: tradução e adaptação transcultural para a língua portuguesa

The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.

Nursing, nutrition and physiotherapy students: career choice

Sob o aspecto da escolha profissional, o ingresso na universidade traz embutido significados de autorrealizacao e status social, nos quais perpassam conceitos e ideais construidos no viver da pessoa. O objetivo do estudo foi analisar regimes de verdade que permeiam a escolha profissional da enfermagem, fisioterapia e nutricao. E um estudo descritivo, de abordagem qualitativa, com ingressantes na graduacao. Coleta de dados foi realizada com grupos focais, avaliados pela analise de discurso, sob o olhar de Focault. Da analise emergiram as tematicas: - escolha profissional: coroamento de um processo de diferenciacao social, - reflexos da historia de reconhecimento das profissoes, - a escolha profissional para alem de projetos profissionais. Os discursos assinalam que o conhecimento cientifico adquire status nas relacoes de poder entre as diferentes profissoes e a sociedade, sendo fundamental que a formacao de profissionais de saude esteja articulada as politicas publicas que ampliam a participacao de diferentes profissoes, a fim de atender as demandas em prol da atencao integral.Bajo el aspecto de la eleccion profesional, el ingreso a la Universidad trae embutido significados de autorrealizacion y de status social, los cuales contienen conceptos e ideales construidos en el vivir cotidiano de las personas. El objetivo del estudio fue analizar regimenes de verdad contenidos en la eleccion profesional de enfermeria, nutricion y fisioterapia. Se trata de un estudio descriptivo, de abordaje cualitativo realizado en los estudiantes que ingresan a la Graduacion. La recoleccion de datos fue realizada en Grupos Focales, evaluados por medio del Analisis del Discurso, bajo el marco teorico de Focault. Del analisis emergieron las tematicas: Eleccion profesional; Coronamiento de un proceso de diferenciacion social; Reflejos de la historia del reconocimiento de las profesiones; La eleccion profesional - mas alla de proyectos profesionales. Los discursos senalan que el conocimiento cientifico adquiere status en las relaciones de poder entre las diferentes profesiones y en la sociedad, siendo fundamental que la formacion de los profesionales de la salud este articulada a las politicas publicas que amplian la participacion de las diferentes profesiones, con la finalidad de atender las demandas en pro de una atencion integral.

Acadêmicos de enfermagem, nutrição e fisioterapia: a escolha profissional

Sob o aspecto da escolha profissional, o ingresso na universidade traz embutido significados de autorrealizacao e status social, nos quais perpassam conceitos e ideais construidos no viver da pessoa. O objetivo do estudo foi analisar regimes de verdade que permeiam a escolha profissional da enfermagem, fisioterapia e nutricao. E um estudo descritivo, de abordagem qualitativa, com ingressantes na graduacao. Coleta de dados foi realizada com grupos focais, avaliados pela analise de discurso, sob o olhar de Focault. Da analise emergiram as tematicas: - escolha profissional: coroamento de um processo de diferenciacao social, - reflexos da historia de reconhecimento das profissoes, - a escolha profissional para alem de projetos profissionais. Os discursos assinalam que o conhecimento cientifico adquire status nas relacoes de poder entre as diferentes profissoes e a sociedade, sendo fundamental que a formacao de profissionais de saude esteja articulada as politicas publicas que ampliam a participacao de diferentes profissoes, a fim de atender as demandas em prol da atencao integral.Bajo el aspecto de la eleccion profesional, el ingreso a la Universidad trae embutido significados de autorrealizacion y de status social, los cuales contienen conceptos e ideales construidos en el vivir cotidiano de las personas. El objetivo del estudio fue analizar regimenes de verdad contenidos en la eleccion profesional de enfermeria, nutricion y fisioterapia. Se trata de un estudio descriptivo, de abordaje cualitativo realizado en los estudiantes que ingresan a la Graduacion. La recoleccion de datos fue realizada en Grupos Focales, evaluados por medio del Analisis del Discurso, bajo el marco teorico de Focault. Del analisis emergieron las tematicas: Eleccion profesional; Coronamiento de un proceso de diferenciacion social; Reflejos de la historia del reconocimiento de las profesiones; La eleccion profesional - mas alla de proyectos profesionales. Los discursos senalan que el conocimiento cientifico adquiere status en las relaciones de poder entre las diferentes profesiones y en la sociedad, siendo fundamental que la formacion de los profesionales de la salud este articulada a las politicas publicas que amplian la participacion de las diferentes profesiones, con la finalidad de atender las demandas en pro de una atencion integral.

Saberes e verdades acerca da enfermagem: discursos de alunos ingressantes

Trata-se de um estudo de abordagem qualitativa, com o qual se propoe analisar regimes de verdades que perpassam a profissao Enfermagem, manifestados por alunas(os) ingressantes no Curso de Graduacao, 2004/2, 2005/1 e 2005/2. Como opcao metodologica para a analise dos dados foi realizada a Analise de Discurso, utilizando-se referenciais de Michel Foucault. Nesse contexto de analise e discussao emergiram tres grandes tematicas: atravessamentos de saberes de genero na pratica da Enfermagem; a Enfermagem como saber hierarquizado; o fazer como poder, no cotidiano academico e profissional da Enfermagem. Evidenciaram-se concepcoes sociais que sao atravessadas por saberes invisiveis que legitimam praticas de saude e de enfermagem, tornando-as inquestionaveis.It is a study with a qualitative approach that proposes to analyze truths regimes that pass by and along Nursing as a profession, as manifested by students entering in the Graduate Course 2004/2, 2005/1 and 2005/2. The Discourse Analysis has been used as a methodological option for analyzing the data, under Michel Foucaults approaches. Three great themes have come out of such context of analysis and discussion: the traversing of gender knowledges in Nursing practice; Nursing as a knowledge made hierarchical; making as a might in Nursings academic and professional day-by-day. Social conceptions became self evident, going through invisible knowledges that legitimate health and nursing practices, making them unquestionable.

Burden of asthma among inner-city children from Southern Brazil

Abstract Objective: To assess the impact of asthma in a population of inner-city Brazilian children. Methods: In a cross-sectional study, we selected children with asthma and healthy controls from public schools (8–16 years) from a capital city of Southern Brazil. Divided into three phases, questionnaires were administered, assessing lung function, body mass index and allergic sensitization. Results: From 2500 children initially included in the study (48.4% males; mean age of 11.42 ± 2.32 years), asthma prevalence was detected in 28.6% (715/2500). The disease was not controlled in 42.7% (305/715) of the children, with 7.6% of hospitalization rate. School absenteeism (at least one day of missing school because of asthma) and sedentary behavior were high (57.1 and 67.2%, respectively), with 47.9% of subjects requiring oral steroids in the previous year, and physical well-being significantly lower than controls, directly interfering with quality of life, and therefore in the daily activities of these students. Moreover, 38% of the parents admitted to being non-adherent to treatment with their children and 31.1 and 53.6%, respectively, believed that rescue medication and exercise might be harmful. Conclusions: The burden of asthma in Brazilian children seems to be substantial. New international guidelines with a special focus in developing countries settings, with more pragmatic approaches, should be a priority for discussion and implementation actions.

Morse fall scale: translation and transcultural adaptation for the portuguese language

The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.The study aimed to translate and adapt the Morse Fall Scale from English into the Portuguese language. This was performed in seven steps: authorization by the author of the scale; translation into Portuguese; evaluation and structuring of the translated scale; reverse translation into English; evaluation and validation of the scale by a committee of experts; evaluation of clarity of items and operational definitions with 45 professionals; evaluation of agreement between raters and the reliability of reproducibility, related to data from the evaluation of 90 patients, performed by four evaluators/judges. The clarity of the scale was considered very satisfactory, with a confidence interval of 73.0% to 100% in the option very clear. For the concordance of responses, the results showed Kappa coefficients of approximately 0.80 or higher. It was concluded that the adaptation of the scale was successful, indicating that its use is appropriate for the population of Brazilian patients.