Teresinha Heck Weiller

Agentes Comunitários de Saúde e as vivências de prazer - sofrimento no trabalho: estudo qualitativo

Se objetivo identificar situaciones generadoras de placer-sufrimiento en el trabajo de Agentes Comunitarios de Salud (ACS) de municipio de Rio Grande do Sul/Brasil. Se efectuo investigacion cualitativa con participacion de 24 agentes. Datos colectados en 2009 mediante grupo focal, empleandose analisis tematico. Las situaciones generadoras de placer en el trabajo fueron: ser reconocido, ser resolutivo, trabajar junto a los pares y utilizar la creatividad. Las situaciones generadoras de sufrimiento fueron: deficiencias de los servicios de salud, desconocimiento de las funciones, falta de reconocimiento, sufrimiento al trabajar en equipo, obligatoriedad de residir y trabajar en el mismo lugar, convivencia y grado de envolvimiento con los problemas sociales comunitarios y exposicion a la violencia derivado en miedo. Se evidencio la necesidad de adopcion de medidas de intervencion, apuntando a promover mejores condiciones de trabajo, satisfaccion profesional y salud para los agentes comunitarios.The objective of this study was to identify the situations that cause pleasure or distress at work among the Community Health Agents (CHA) in a city in Rio Grande do Sul state/Brazil. A qualitative study was performed with 24 agents as the participants. Data collection took place in 2009 through the use of focal groups, using the thematic analysis technique. The situations causing pleasure at work were: being recognized, solving problems, working with peers and being creative. Situations causing distress were: deficiencies in the health service; lack of knowledge regarding their roles; lack of recognition; the stress of teamwork; the obligation of living and working in the same area; daily living and becoming involved with the social problems of the community; and being exposed to violence, which resulted in fear. It was verified that there is a need for adopting interventions with a view to promoting better working conditions, professional satisfaction and the health of community agents.

[Community health agents and their experiences of pleasure and distress at work: a qualitative study].

Se objetivo identificar situaciones generadoras de placer-sufrimiento en el trabajo de Agentes Comunitarios de Salud (ACS) de municipio de Rio Grande do Sul/Brasil. Se efectuo investigacion cualitativa con participacion de 24 agentes. Datos colectados en 2009 mediante grupo focal, empleandose analisis tematico. Las situaciones generadoras de placer en el trabajo fueron: ser reconocido, ser resolutivo, trabajar junto a los pares y utilizar la creatividad. Las situaciones generadoras de sufrimiento fueron: deficiencias de los servicios de salud, desconocimiento de las funciones, falta de reconocimiento, sufrimiento al trabajar en equipo, obligatoriedad de residir y trabajar en el mismo lugar, convivencia y grado de envolvimiento con los problemas sociales comunitarios y exposicion a la violencia derivado en miedo. Se evidencio la necesidad de adopcion de medidas de intervencion, apuntando a promover mejores condiciones de trabajo, satisfaccion profesional y salud para los agentes comunitarios.The objective of this study was to identify the situations that cause pleasure or distress at work among the Community Health Agents (CHA) in a city in Rio Grande do Sul state/Brazil. A qualitative study was performed with 24 agents as the participants. Data collection took place in 2009 through the use of focal groups, using the thematic analysis technique. The situations causing pleasure at work were: being recognized, solving problems, working with peers and being creative. Situations causing distress were: deficiencies in the health service; lack of knowledge regarding their roles; lack of recognition; the stress of teamwork; the obligation of living and working in the same area; daily living and becoming involved with the social problems of the community; and being exposed to violence, which resulted in fear. It was verified that there is a need for adopting interventions with a view to promoting better working conditions, professional satisfaction and the health of community agents.

Educação Permanente em saúde: desafios para a gestão em saúde pública

Aim: to understand what the challenges for continued health education are in a city in the north of Rio Grande do Sul, which corresponds to the area of the 15th Regional Health Care Coordination. Method: descriptive and exploratory research, with qualitative approach. The data collection was carried out in august 2013. Content analysis was used for the data interpretation. The study subjects were 17 employees of the multidisciplinary team of urgency and emergency care. Results: the data of the study enabled the development of two categories: the first, Challenges in educational strategies focused on workers, and the second, Challenges in educational strategies designed to the users. It is highlighted that the activities of Continued Health Education are insufficient and inadequate. Conclusion: the study shows the necessity and relevance to develop activities with this approach. Furthermore, it is essential that managers are committed in order to carry them out

Measurement of the area of venous ulcers using two software programs

Objetivo: comparar a mensuracao de area de ulceras venosas por meio dos softwares AutoCAD(r) e Image Tool. Metodo: trata-se de um estudo de avaliacao de reprodutibilidade de testes, realizado em um ambulatorio de angiologia de um hospital universitario. Os dados foram coletados de 21 pacientes com ulceras venosas, no periodo de marco a julho de 2015, por meio de formulario de coleta e fotografia das feridas. Cinco enfermeiros (avaliadores) do Grupo de Estudos de Lesoes de Pele do hospital participaram da pesquisa. As feridas foram mensuradas em ambos os softwares. Os dados foram analisados por meio do Coeficiente de correlacao intraclasse, Coeficiente de correlacao de concordância e procedimento de Bland e Altman. A pesquisa respeitou os aspectos eticos de acordo com a legislacao vigente. Resultados: os tamanhos das ulceras apresentaram grande amplitude, porem, sem diferenca significativa entre as mensuracoes, existe excelente correlacao intraclasse e de concordância entre os softwares, os quais parecem ser mais precisos na mensuracao de feridas com area > 10 cm². Conclusao: o uso de ambos os softwares e indicado para a mensuracao de ulceras venosas, parecendo ser mais precisos quando utilizados para mensurar feridas com area > 10 cm².ABSTRACT Objective: to compare the measurement area of venous ulcers using AutoCAD(r) and Image Tool software. Method: this was an assessment of reproducibility tests conducted in a angiology clinic of a university hospital. Data were collected from 21 patients with venous ulcers, in the period from March to July of 2015, using a collection form and photograph of wounds. Five nurses (evaluators) of the hospital skin wound study group participated. The wounds were measured using both software programs. Data were analyzed using intraclass correlation coefficient, concordance correlation coefficient and Bland-Altman analysis. The study met the ethical aspects in accordance with current legislation. Results: the size of ulcers varied widely, however, without significant difference between the measurements; an excellent intraclass and concordance correlation was found between both software programs, which seem to be more accurate when measuring a wound area >10 cm². Conclusion: the use of both software programs is appropriate for measurement of venous ulcers, appearing to be more accurate when used to measure a wound area > 10 cm².

Perfil dos doadores e não doadores de sangue de um município do sul do Brasil

This study delineated the profile of blood donors and non-donors of a city in the South of Brazil. It is a cross-sectional study, with quantitative approach. Data was collected through forms filled out by a sample of 236 undergraduate students and 152 people that had access to the Emergency Room of the hospital of the same city, totalizing 388 individuals. The form was filled out during October of 2008, and data obtained consisted of: gender, level of schooling, age and whether or not they were blood donors. Moreover, the reasons to donate or not donate blood were questioned. The number of women and men who are donors is similar. Concerning age, young adults predominate when it comes to blood donation. The most frequent reason to donate was the feeling of helping people and the most frequent reason not to donate was the fear of the procedure. The results point out the need for further clarification about the process of blood donation.

O olhar das equipes de referência sobre o trabalho realizado pelo apoio matricial

The article aims to show residents the experience of the first group of Multidisciplinary Residency Program in Integrated Public Health System / University of Santa Maria from the work performed by matrix supporters in family health from the perspective of professionals within teams reference of the Family health Strategy. It is a descriptive, exploratory qualitative approach, carried out from December 2010 to March 2011, a municipality in the interior of Rio Grande do Sul The data collection survey was conducted from semi-structured interviews , revealing that in two years of implementation of a residency program there is much that is walking towards the construction of everyday pacts between teaching and service, with dialogue as a tool and technology in the development of therapeutic projects that meet the needs of users

A gente vai aprendendo: o apoio matricial na estratégia de saúde da família em um programa de residência multiprofissional integrada no interior do Rio Grande do Sul, Brasil

O objetivo deste estudo foi o de identificar se um programa de residencia multiprofissional no interior do Rio Grande do Sul contribui na formacao para o Sistema Unico de Saude utilizando o dispositivo de Apoio Matricial em saude da familia. Trata-se de estudo descritivo, exploratorio, de abordagem qualitativa, caracterizado como estudo de caso. Realizou-se a coleta de dados por meio de analise documental e entrevista aplicada a 34 profissionais do servico e onze residentes. O tratamento dos dados foi realizado pelo metodo de analise de conteudo. Os resultados revelam que, em um ano e meio do referido Programa, os residentes se sentiram instrumentalizados e identificaram dificuldades como falta de estrutura organizacional para integracao e discussoes de casos.

Percepção de enfermeiros acerca da implementação da avaliação na Atenção Básica: nota prévia

Aim: to know the nurses perception on the health actions developed after the implementation of the Program for Improving Access and Quality (PMAQ) in Primary Care (AB). Method: qualitative study, whose scenario will cover the municipalities of the 19th Regional Health Coordination of the state of Rio Grande do Sul. The participants will be the nurses working in Family Health Strategies(ESF) agreed with PMAQ. Data production will take place through an interview to carry out the thematic analysis. Expected results: it is expected there will be greater knowledge and understanding of how nurses have been developing health actions, since the implementation of PMAQ in AB.

Tendência da produção científica sobre avaliação em atenção primária à saúde

Aim: to analyze the trend of Brazilian scientific production on assessment in primary health care. Method: narrative research based on dissertations and theses from different post graduation programs and made available on the bank of theses and dissertations portal of Personnel Improvement Coordination of Superior Level, in May 2015. Results: the search was conducted by the use of the keywords assessment in primary health care, obtaining 292 results. From this sample, 81 studies were selected after thematic analysis, developing the categorization based on the similarity between the studies. Final Remarks: the present study showed that assessments in primary health care were developed from systematized and validated tools and are focused on the observation of one or more key attributes of primary care (attention at first contact, continuity or longitudinality, completeness and coordination).

Longitudinality in Primary Health Care: a comparison between care models

OBJECTIVEnto evaluate the attribute longitudinality in different models of assistance in Primary Health Care and observe its association with demographic, socioeconomic and health care characteristics.nnnMETHODna cross-sectional study, carried out in 2015 with 1076 adult users of primary care services in the 32 cities of the 4th Regional Health Care Core of Rio Grande do Sul State. The Primary Care Assessment Tool was used with definition of low (<6.6) or high (≥6.6) score for longitudinality. The association with independent variables was observed through the Poisson regression.nnnRESULTSnthe attribute was better assessed in the Family Health Strategy and associate with age, housing health region and care model.nnnCONCLUSIONnthe study points out the Family Health Strategy as a promoter of longitudinal care, and so, it suggests the expansion of this assistance model coverage for quality improvement in health care.