Rosangela Maria Greco

A inclusão da equipe de saúde bucal na Estratégia Saúde da Família: entraves, avanços e desafios

O objetivo deste artigo e discutir a inclusao da saude bucal na Estrategia Saude da Familia, em cidades de uma microrregiao do sudeste do Brasil, sob a perspectiva dos recursos humanos. Foram aplicados questionarios aos integrantes do servico de saude bucal: dentistas, auxiliares e gestores. O instrumento considerou tres dimensoes: como e porque se adotou o novo modelo, como o servico esta se reorganizando e que avancos foram percebidos pelos profissionais. O motivo mais mencionado pelos gestores, para inclusao da Saude Bucal foi a possibilidade de mudanca do modelo tecno-assistencial. Dentistas e auxiliares quando questionados sobre sua motivacao, tambem consideraram prioritariamente a possibilidade de mudanca na pratica. Observou-se ainda que existem nos criticos na contratacao e capacitacao de recursos humanos para atuar na equipe de saude bucal e na integracao entre os profissionais de saude. Mas o acesso esta melhor, seja pela organizacao efetuada, seja pela expansao de equipes. Os municipios da microrregiao ainda enfrentam percalcos para que o funcionamento do servico de saude bucal, apos a Saude da Familia, apresente avancos reais nas praticas de atencao. Porem, os avancos existem e estes devem ser reforcados, para consolidacao do sistema de saude e melhoria na qualidade de vida da populacao.

Relato de experiência: ensinando a administração em enfermagem através da educação em saúde

Este trabalho aborda uma experiencia de ensino na Disciplina de Administracao em Enfermagem de uma Universidade Federal, com alunos que estao cursando o oitavo periodo do curso de graduacao em enfermagem. A partir da concepcao de que as gerencias da unidade e do cuidado estao associadas, uma vez que o enfermeiro ao gerenciar recursos em geral deve estar voltado para o processo assistencial e nao pode perder de vista a qualidade da assistencia, os alunos construiram uma proposta de educacao em saude para ser desenvolvida com adolescentes em uma escola publica, integrando Unidade Basica de Saude/Escola/Universidade. Atraves deste trabalho os alunos puderam associar a teoria a pratica fazendo um exercicio de planejamento, tomada de decisao, lideranca, trabalho em equipe, avaliacao e controle.This article analyzes a teaching experience in the course of Nursing Administration at a Federal University, with fourth-year students majoring in Nursing. Based on the conception by which unit and care managements are associated, since nurses who manage funds should typically aim at the assistance process and cannot lose sight of the assistance quality, students built a health education proposal to be developed with adolescents at a public school by integrating basic health unit, school, and university. Through this work, students were able to associate theory and practice by carrying out an exercise comprehending planning, decision-making, leadership, teamwork, evaluation, and control.

Impact of oral health conditions on the quality of life of workers

Occupational health has been the scope of numerous studies, primarily due to the concern that the worker should enjoy good working conditions and a satisfactory quality of life. This study seeks to analyze the impact of oral health on the quality of life of workers at a public university using the simplified version of the Oral Health Impact Profile (OHIP-14) and associated factors. A cross-sectional study was conducted with 326 workers who responded the questions of OHIP-14 about self-rated health, oral morbidity, and socioeconomic and demographic questions. Multiple linear regression analysis was performed to verify the association between the independent variables and OHIP-14. About 40% of the impact of oral health on quality of life can be explained by the variables: education level (p = 0,03), age (p = 0,03), reason for visiting a dentist (p = 0,01), oral health perception (p < 0,01) and satisfaction with teeth and mouth (p < 0,01). The use of OHIP-14 can be useful for planning programs and actions focused on health education for occupational health, prioritizing workers with greater psychosocial impacts caused by oral problems.

The nursing staff opinion about the continuous quality improvement program of a university hospital

ABSTRACT Objective To analyze the nursing staff opinion about the continuous quality improvement program at a University Hospital. Methods A descriptive study designed as a case study, analyzing the quality program at a University Hospital, with the opinion of a sample stratified by nursing team category through a self-administered questionnaire, from May to July 2012. The answers were submitted to factor analysis, having the dialectical and historical materialism as the theoretical-methodological reference. Results The factor analysis grouped the variables in six factors: working conditions, approval, belongingness, tranquility, interpersonal relations, and private life. With the exception of the factor interpersonal relations, the answers revealed that workers do not have opinion about the proposed questions. Four of the six factors had a predominance of positive answers. Conclusion A high percentage of respondents was not aware of the implications of a quality program. The majority believed that the program influenced positively in their working conditions and in the interpersonal relationships at work and agree with the program; however, they did not feel part of the program, and were not at ease to develop these activities. They did not acknowledge the program interfering in their personal life.

The knowledge and attitudes of female street sweepers regarding gynecological care

This qualitative approach study carried out an open interview with female road sweeper in January 2010 to identify their knowledge of their own bodies and how they take care of themselves considering gynecological alterations. The following signification units were identified in the organization of information: womens knowledge of their bodies; womens knowledge of vaginal discharge; how women treat vaginal discharge; vaginal discharge intervening in the work process. Comprehensive analysis revealed that these women know nothing or a little of genitals and lack of care interfere with their work activities. Nurses have important role as educators in the prevention and in the therapeutic conduct of the gynecological alterations, aiming to provide better life quality. In this sense, the professional/client interaction during the gynecological consultation represents an excellent opportunity to establish bonds of confidence and to move towards the construction of knowledge in health. DESCRIPTORS: Womens health. Nursing care. Female genital diseases.This qualitative approach study carried out an open interview with female road sweeper in January 2010 to identify their knowledge of their own bodies and how they take care of themselves considering gynecological alterations. The following signification units were identified in the organization of information: womens knowledge of their bodies; womens knowledge of vaginal discharge; how women treat vaginal discharge; vaginal discharge intervening in the work process. Comprehensive analysis revealed that these women know nothing or a little of genitals and lack of care interfere with their work activities. Nurses have important role as educators in the prevention and in the therapeutic conduct of the gynecological alterations, aiming to provide better life quality. In this sense, the professional/client interaction during the gynecological consultation represents an excellent opportunity to establish bonds of confidence and to move towards the construction of knowledge in health. DESCRIPTORS: Womens health. Nursing care. Female genital diseases.

Conhecimentos e atitudes de mulheres varredoras de rua sobre o cuidado ginecológico

This qualitative approach study carried out an open interview with female road sweeper in January 2010 to identify their knowledge of their own bodies and how they take care of themselves considering gynecological alterations. The following signification units were identified in the organization of information: womens knowledge of their bodies; womens knowledge of vaginal discharge; how women treat vaginal discharge; vaginal discharge intervening in the work process. Comprehensive analysis revealed that these women know nothing or a little of genitals and lack of care interfere with their work activities. Nurses have important role as educators in the prevention and in the therapeutic conduct of the gynecological alterations, aiming to provide better life quality. In this sense, the professional/client interaction during the gynecological consultation represents an excellent opportunity to establish bonds of confidence and to move towards the construction of knowledge in health. DESCRIPTORS: Womens health. Nursing care. Female genital diseases.This qualitative approach study carried out an open interview with female road sweeper in January 2010 to identify their knowledge of their own bodies and how they take care of themselves considering gynecological alterations. The following signification units were identified in the organization of information: womens knowledge of their bodies; womens knowledge of vaginal discharge; how women treat vaginal discharge; vaginal discharge intervening in the work process. Comprehensive analysis revealed that these women know nothing or a little of genitals and lack of care interfere with their work activities. Nurses have important role as educators in the prevention and in the therapeutic conduct of the gynecological alterations, aiming to provide better life quality. In this sense, the professional/client interaction during the gynecological consultation represents an excellent opportunity to establish bonds of confidence and to move towards the construction of knowledge in health. DESCRIPTORS: Womens health. Nursing care. Female genital diseases.

Demandas psicológicas e controle do processo de trabalho de servidores de uma universidade pública

This cross-sectional research aimed to analyze the psychological demand and work control self-reported by the Education Administrative Technicians of a public university. This is a complete sample selection consisting of 833 Education Administrative Technicians who self-completed a questionnaire with questions structured in 2013/2014. A descriptive bivariate analysis was performed with the calculation of psychosocial stress at work, using the Demand-Control Model quadrants categorized as: low-demand work (low-demand and high-control), reference group, passive work (low-demand and low-control), active work (high-demand and high-control), high-demand (high-demand and low-control) - group with the highest exposure. The study complies with all ethical and legal research requirements involving human beings. There was a predominance of the category of workers performing passive work (n = 319, 39.7%), low work demand (n = 274, 34.1%), high work demand (n = 116, 14.4%) and active work (n = 95, 11.8%). There were contributions from the investigation on the health of these workers insofar as they provided a diagnosis of the category. There is a recommendation for such data to support interventions to empower them and retailor jobs.Resumo Pesquisa transversal que objetivou analisar a demanda psicologica e o controle do trabalho autorreferido pelos Tecnicos Administrativos em Educacao de uma universidade publica. Amostra de selecao completa composta por 833 Tecnicos Administrativos em Educacao, que auto preencheram um questionario com questoes estruturadas em 2013/2014. Realizada analise descritiva e bivariada com calculo do estresse psicossocial no trabalho, utilizando os quadrantes do Modelo Demanda-Controle categorizados como: trabalho de baixa exigencia (baixa demanda e alto controle) grupo de referencia, trabalho passivo (baixa demanda e baixo controle), trabalho ativo (alta demanda e alto controle), alta exigencia (alta demanda e baixo controle) grupo de maior exposicao. Foram atendidos todos os requisitos eticos e legais de pesquisa envolvendo seres humanos. Houve predominio da categoria de trabalhadores que executam trabalho passivo (n = 319; 39,7%), trabalho de baixa exigencia (n = 274; 34,1%), trabalho de alta exigencia (n = 116; 14,4%) e trabalho ativo (n = 95; 11,8%). Houve contribuicoes da investigacao para a saude destes trabalhadores, na medida em que propiciou um diagnostico da categoria. Ha recomendacao para que tais dados subsidiem intervencoes no sentido de empoderalos e fazer readequacao dos postos de trabalho.

Atenção à saúde do trabalhador: instrumento para subsidiar a consulta de enfermagem

Aim: to describe the development of forms for data collection, diagnoses, prescriptions and nursing outcomes to support the nursing process during occupational health care. Method: account experience of building a tool to systematize nursing care in consultation with the worker. Results: three health data collection tools were created : the first one intended to register nursing track record; the second lists 26 nursing diagnoses and the third describes 22 possible nursing interventions and 23 Nursing expected results. The last two were aligned according to North American Nursing Diagnosis Assosciation International (NANDA I), Nursing Intervention Classification International (NIC), Nursing Outcome Classification ( NOC) taxonomies. Conclusion: the contributions to nursing and to the worker health were: the creation of an instrument to subsidize the systematized nursing consultation to workers; compliance with current legislation on the implementation of the nursing process.

Work ability and health of security guards at a public University: a cross-sectional study

Abstract Objective: to evaluate the work ability and health status of security guards at a public University. Methods: a cross-sectional, descriptive, and analytical study was carried with 119 security guards. The following instruments were used: Work Ability Index (WAI), Patient Health Questionnaire (PHQ-9), International Physical Activity Questionnaire (IPAQ, short), Alcohol Use Disorders Identification Test (AUDIT), Medical Outcomes Study (MOS), and Demand-Control-Support (DCS). Descriptive statistics were used to describe the study samples and the Spearmans coefficient correlation was performed to assess the WAI. Significance level was set at 5%. Results: samples were composed by men; the mean age was 54.9 years (SD=5.7); 80% had partners, and 75% had basic education. The majority (95%) had only one job, the average length of service was 24.8 years (SD=11), ranging from 3 to 43 years. 88.9% worked ≤40 hours and 75% did not work at night shift or rotating shifts. The average score given to work ability was good (40.7 points), with significant correlation to social support at work (p-value=0.002), health conditions (p-value=0.094), and depression symptoms (p-value=0.054). Conclusion: this study showed that many characteristics might affect the work ability scores. Considering the results, we note that healthy life habits and a reorganization of work environments should be encouraged.Objective: to evaluate the work ability and health status of security guards at a public University. Methods: a cross-sectional, descriptive, and analytical study was carried with 119 security guards. The following instruments were used: Work Ability Index (WAI), Patient Health Questionnaire (PHQ-9), International Physical Activity Questionnaire (IPAQ, short), Alcohol Use Disorders Identification Test (AUDIT), Medical Outcomes Study (MOS), and Demand-Control-Support (DCS). Descriptive statistics were used to describe the study samples and the Spearmans coefficient correlation was performed to assess the WAI. Significance level was set at 5%. Results: samples were composed by men; the mean age was 54.9 years (SD=5.7); 80% had partners, and 75% had basic education. The majority (95%) had only one job, the average length of service was 24.8 years (SD=11), ranging from 3 to 43 years. 88.9% worked ≤40 hours and 75% did not work at night shift or rotating shifts. The average score given to work ability was good (40.7 points), with significant correlation to social support at work (p-value=0.002), health conditions (p-value=0.094), and depression symptoms (p-value=0.054). Conclusion: this study showed that many characteristics might affect the work ability scores. Considering the results, we note that healthy life habits and a reorganization of work environments should be encouraged.

Capacidade para o trabalho e saúde dos vigilantes de uma Universidade pública

Abstract Objective: to evaluate the work ability and health status of security guards at a public University. Methods: a cross-sectional, descriptive, and analytical study was carried with 119 security guards. The following instruments were used: Work Ability Index (WAI), Patient Health Questionnaire (PHQ-9), International Physical Activity Questionnaire (IPAQ, short), Alcohol Use Disorders Identification Test (AUDIT), Medical Outcomes Study (MOS), and Demand-Control-Support (DCS). Descriptive statistics were used to describe the study samples and the Spearmans coefficient correlation was performed to assess the WAI. Significance level was set at 5%. Results: samples were composed by men; the mean age was 54.9 years (SD=5.7); 80% had partners, and 75% had basic education. The majority (95%) had only one job, the average length of service was 24.8 years (SD=11), ranging from 3 to 43 years. 88.9% worked ≤40 hours and 75% did not work at night shift or rotating shifts. The average score given to work ability was good (40.7 points), with significant correlation to social support at work (p-value=0.002), health conditions (p-value=0.094), and depression symptoms (p-value=0.054). Conclusion: this study showed that many characteristics might affect the work ability scores. Considering the results, we note that healthy life habits and a reorganization of work environments should be encouraged.Objective: to evaluate the work ability and health status of security guards at a public University. Methods: a cross-sectional, descriptive, and analytical study was carried with 119 security guards. The following instruments were used: Work Ability Index (WAI), Patient Health Questionnaire (PHQ-9), International Physical Activity Questionnaire (IPAQ, short), Alcohol Use Disorders Identification Test (AUDIT), Medical Outcomes Study (MOS), and Demand-Control-Support (DCS). Descriptive statistics were used to describe the study samples and the Spearmans coefficient correlation was performed to assess the WAI. Significance level was set at 5%. Results: samples were composed by men; the mean age was 54.9 years (SD=5.7); 80% had partners, and 75% had basic education. The majority (95%) had only one job, the average length of service was 24.8 years (SD=11), ranging from 3 to 43 years. 88.9% worked ≤40 hours and 75% did not work at night shift or rotating shifts. The average score given to work ability was good (40.7 points), with significant correlation to social support at work (p-value=0.002), health conditions (p-value=0.094), and depression symptoms (p-value=0.054). Conclusion: this study showed that many characteristics might affect the work ability scores. Considering the results, we note that healthy life habits and a reorganization of work environments should be encouraged.