Suzane Beatriz Frantz Krug

Do prazer ao sofrimento no trabalho da enfermagem: o discurso dos trabalhadores

This study aimed to identify situations that cause pleasure and pain in the nursing work in two health institutions located in rural areas. This is a survey conducted at the University of Santa Cruz do Sul (UNISC). The research had a qualitative approach and the data was collected through interviews with sixteen workers, later analyzed through content analysis. The results showed distress in work related to patient care, to poor working conditions and to difficulties in the relationship with the rest of the staff Pleasure in work was related to recognition by patients, to the possibility of alleviating the suffering of patients, to a good relationship with the rest of the staff to the monitoring of the family on health needs and to the answering of demands by the community. Facing suffering is possible through individual and institutional measures. A humanized look to the health of the health worker is relevant, with changes in work organization.O estudo teve como objetivo identificar situacoes causadoras de prazer e de sofrimento no trabalho da enfermagem de duas instituicoes de saude, localizadas em area rural. Trata-se de uma pesquisa realizada na Universidade de Santa Cruz do Sul (UNISC), teve abordagem qualitativa e os dados das entrevistas com 16 trabalhadores foram analisados utilizando a Analise de Conteudo. Os resultados apontaram sofrimento no trabalho relacionado a assistencia ao paciente, as precarias condicoes de trabalho e a dificuldade de convivio da equipe; prazer no trabalho relacionado ao reconhecimento pelos pacientes, a possibilidade de amenizar o sofrimento do mesmo, ao bom relacionamento da equipe de trabalho, ao acompanhamento da familia nas necessidades de saude e a resolutividade de demandas da comunidade. O enfrentamento do sofrimento esta voltado a medidas individuais e institucionais. Considera-se relevante um olhar humanizado para a saude do trabalhador da saude com modificacoes na organizacao do trabalho.

From pleasure to suffering in the nursing work: the speech of the workers

This study aimed to identify situations that cause pleasure and pain in the nursing work in two health institutions located in rural areas. This is a survey conducted at the University of Santa Cruz do Sul (UNISC). The research had a qualitative approach and the data was collected through interviews with sixteen workers, later analyzed through content analysis. The results showed distress in work related to patient care, to poor working conditions and to difficulties in the relationship with the rest of the staff Pleasure in work was related to recognition by patients, to the possibility of alleviating the suffering of patients, to a good relationship with the rest of the staff to the monitoring of the family on health needs and to the answering of demands by the community. Facing suffering is possible through individual and institutional measures. A humanized look to the health of the health worker is relevant, with changes in work organization.O estudo teve como objetivo identificar situacoes causadoras de prazer e de sofrimento no trabalho da enfermagem de duas instituicoes de saude, localizadas em area rural. Trata-se de uma pesquisa realizada na Universidade de Santa Cruz do Sul (UNISC), teve abordagem qualitativa e os dados das entrevistas com 16 trabalhadores foram analisados utilizando a Analise de Conteudo. Os resultados apontaram sofrimento no trabalho relacionado a assistencia ao paciente, as precarias condicoes de trabalho e a dificuldade de convivio da equipe; prazer no trabalho relacionado ao reconhecimento pelos pacientes, a possibilidade de amenizar o sofrimento do mesmo, ao bom relacionamento da equipe de trabalho, ao acompanhamento da familia nas necessidades de saude e a resolutividade de demandas da comunidade. O enfrentamento do sofrimento esta voltado a medidas individuais e institucionais. Considera-se relevante um olhar humanizado para a saude do trabalhador da saude com modificacoes na organizacao do trabalho.

Uma análise reflexiva da atuação do profissional enfermeiro junto à condição de acidentado do trabalho, segundo a teoria de Paterson e Zderad

Esse artigo refere-se a uma analise critica reflexiva da atuacao do profissional enfermeiro junto a condicao de acidentado do trabalho. Observa-se que, no âmbito das relacoes sociais, determinadas pelo sistema capitalista e revestidas pelo carater utilitario, desponta o preconceito que passa a permear as relacoes com esses individuos. Os acidentados sao identificados como pessoas incapazes para o trabalho e para a vida social, sendo prejudicados diretamente em suas relacoes, sofrendo brutalmente com essa situacao. Como subsidio para atuacao do profissional enfermeiro frente ao tema, foi utilizada a Teoria da Pratica Humanista de enfermagem de Paterson e Zderad.

Gestão pública no SUS: considerações acerca do PMAQ-AB

The objective of the study was to understand the perception of the municipal health managers in the 28th Health Region of Rio Grande do Sul on the impacts of the National Program for Access and Quality Improvement in Primary Care (PMAQ-AB) in the organization of work and health assistance, as well as the aspects that translate their perceptions and involvement in the Program. It is a qualitative research with 11 health managers and the data were analyzed through Content Analysis. The results show positive and negative aspects of the Program, and detail deficiencies of the managers involvement with it, however the results point to positive impacts on the health management and assistance in the studied region.

Tuberculosis entre los profesionales de las prisiones en Rio Grande do Sul

Objetivo: avaliar o risco de infeccao e adoecimento por Mycobacterium tuberculosis entre profissionais de saude e de seguranca em casas penitenciarias de duas regioes do Rio Grande do Sul (RS). Metodo: estudo transversal, envolvendo profissionais de penitenciarias. Foi realizada uma entrevista, baciloscopia e cultura de escarro. A infeccao latente foi avaliada de acordo com o resultado do teste tuberculinico (TT), auto-referido. Resultados: entre os trabalhadores que realizaram o TT na regiao central, 10 (83,3%) foram considerados reatores; e na regiao sul, 2 (16,7%). O tempo de trabalho entre os agentes penitenciarios reatores ao TT foi 15,3 anos e entre os trabalhadores da saude 4,1 anos (p = 0,01). Nao foram identificados casos de Tuberculose (TB) ativa. Conclusao: a prevalencia de TB latente foi 27,9%. O tempo de trabalho entre as diferentes categorias profissionais e a regiao em que trabalham foram considerados fator de risco para TB latente.OBJECTIVE to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). METHOD cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. RESULTS among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. CONCLUSION prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.

Tuberculose entre profissionais de penitenciárias do Rio Grande do Sul

Objetivo: avaliar o risco de infeccao e adoecimento por Mycobacterium tuberculosis entre profissionais de saude e de seguranca em casas penitenciarias de duas regioes do Rio Grande do Sul (RS). Metodo: estudo transversal, envolvendo profissionais de penitenciarias. Foi realizada uma entrevista, baciloscopia e cultura de escarro. A infeccao latente foi avaliada de acordo com o resultado do teste tuberculinico (TT), auto-referido. Resultados: entre os trabalhadores que realizaram o TT na regiao central, 10 (83,3%) foram considerados reatores; e na regiao sul, 2 (16,7%). O tempo de trabalho entre os agentes penitenciarios reatores ao TT foi 15,3 anos e entre os trabalhadores da saude 4,1 anos (p = 0,01). Nao foram identificados casos de Tuberculose (TB) ativa. Conclusao: a prevalencia de TB latente foi 27,9%. O tempo de trabalho entre as diferentes categorias profissionais e a regiao em que trabalham foram considerados fator de risco para TB latente.OBJECTIVE to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). METHOD cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. RESULTS among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. CONCLUSION prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.

Tuberculosis among prison staff in Rio Grande do Sul

Objetivo: avaliar o risco de infeccao e adoecimento por Mycobacterium tuberculosis entre profissionais de saude e de seguranca em casas penitenciarias de duas regioes do Rio Grande do Sul (RS). Metodo: estudo transversal, envolvendo profissionais de penitenciarias. Foi realizada uma entrevista, baciloscopia e cultura de escarro. A infeccao latente foi avaliada de acordo com o resultado do teste tuberculinico (TT), auto-referido. Resultados: entre os trabalhadores que realizaram o TT na regiao central, 10 (83,3%) foram considerados reatores; e na regiao sul, 2 (16,7%). O tempo de trabalho entre os agentes penitenciarios reatores ao TT foi 15,3 anos e entre os trabalhadores da saude 4,1 anos (p = 0,01). Nao foram identificados casos de Tuberculose (TB) ativa. Conclusao: a prevalencia de TB latente foi 27,9%. O tempo de trabalho entre as diferentes categorias profissionais e a regiao em que trabalham foram considerados fator de risco para TB latente.OBJECTIVE to evaluate the risk of infection and illness caused by Mycobacterium tuberculosis among health care and security staff in prisons in two regions of Rio Grande do Sul (RS). METHOD cross-sectional study involving prison staff. An interview and sputum smear microscopy and culture were performed. Latent infection was evaluated according to the result of the tuberculin test (TT), self-referred. RESULTS among staff who had a TT, 10 (83.3%) in the central region and 2 (16.7%) in the southern region were considered reactors. Length of employment among prison officers who reacted to TT was 15.3 years, and among health care workers, 4.1 years (p = 0.01). No cases of active tuberculosis (TB) were identified. CONCLUSION prevalence of latent TB was 27.9%. Length of employment between different professional categories and their working regions was considered a risk factor for latent TB.

Experimental study with nursing staff related to the knowledge about pressure ulcers

ABSTRACT Objective: to compare the scores of knowledge in teams participating or not participating in educational interventions about pressure ulcers. Method: a quantitative study with experimental design. Data were collected through a validated questionnaire. The study included 71 individuals, including nurses and nursing technicians from three intensive care units, divided into intervention group and control group. Data analysis considered the scores of the groups in the moment before and after intervention. To check the average rate of correct answers, we calculated the mean and standard deviation. We carried out the Mann-Whitney test for analysis of two independent samples, and the Wilcoxon test for related samples. Results: The mean percentage of correct answers, at the baseline was 74.1% (SD = 26.4) in the intervention group and 76.0% (SD = 22.9) in the control group and post time -intervention, was 87.8% (SD = 18.8) in the group receiving educational intervention, considering that in the control group it was 79.1% (SD = 22.2). The group that participated in educational interventions did not reach the proper average of 90% correct answers for the test. Conclusion: educational interventions on staging, evaluation and prevention of pressure ulcers contributed significantly to the increase of correct responses score in the knowledge test of the intervention group and improved their knowledge on the subject.

A INSERÇÃO DO PROFISSIONAL DE EDUCAÇÃO FÍSICA NAS EQUIPES MULTIPROFISSIONAIS DA ESTRATÉGIA SAÚDE DA FAMÍLIA

The present study aimed to reflect on the importance of multidisciplinary teams in the Family Health Strategy, focusing on the importance of physical education professional. The methodology consisted of literature searches, based on the Ministerial Decree 154 of January 2008 that created the Centers of Support for Family Health (CSFH) and guidelines. The location of the data sources occurred in conventional library systems and web search, as LILACS and SciELO, in the period April-June 2013. The following key words were used: family health, physical education, health promotion; prevention of diseases. The results point to the importance of the role of physical education professional in Centers of Support for Family Health is recognized, however, it is necessary to consolidate their involvement in multidisciplinary teams, as it plays a key role in disease prevention and health promotion. Descriptors: Family Health; Physical Education; Health Promotion; Disease Prevention.

INDICADORES DO PACTO PELA SAÚDE E A COBERTURA DA ASSISTÊNCIA NOS CENTROS DE ATENÇÃO PSICOSSOCIAL: UM ESTUDO ECOLÓGICO

Introduction: The health pact, a 3-level partnership of the government, greatly contributed to the improvement of services offered to the population. In this context, it fitted into the reorganization of Mental Health Centers, which had new population coverage targets. Objectives: Identify the care coverage of the mental health centers in Brazilian states registered at the website of the Ministry of Health from 2010 to 2012. Material and Methods: This is an ecological study using a retrospective cross-sectional. The units that composed the analysis were from all Brazilian states. We sought to investigate the state coverage of mental health centers using DATASUS database. The analysis was performed by comparing indicators released by the Ministry of Health, and the results were presented at the DATASUS website. Results: In the period studied, it was observed that the coverage of mental health centers presented an average ranged from good to very good. Conclusion: In general, it can be said that most states achieved an increased coverage during the study period. We found that the mental health centers were becoming best-known and sought by the population. Achieving the optimal coverage targets in the country can represent the victory of much of the population.