Made available in DSpace on 2018-06-18T13:12:04Z (GMT). No. of bitstreams: 0 Previous issue date: 2015 / Com o advento das novas tecnologias são crescentes as formas de publicação e acesso à informação científica na área da saúde. Estudos apontam que existem algumas barreiras encontradas pelos usuários para buscar, acessar e avaliar a informação científica de maneira eficaz. A área da saúde apresenta uma grande gama informacional disponível na Internet e os pesquisadores devem obter subsídios para selecionar o que realmente é importante, absorver e gerar conhecimento para que, através da pesquisa, possam organizar e direcionar seus estudos voltados a uma produção intelectual consistente, em conformidade com a evolução científica. Neste sentido, o objetivo deste estudo foi analisar o comportamento de busca em bases de dados dos pós-graduandos do Programa de Pós-Graduação de Ensino em Ciências da Saúde. Nesta investigação, optou-se por uma pesquisa qualitativa, que inclui uma abordagem descritiva do sujeito de pesquisa e a busca de caráter exploratório na literatura científica nacional e internacional existente acerca da temática proposta. Os instrumentos utilizados para a coleta de dados foram questionário eletrônico e discussão em grupo para um melhor aprofundamento da realidade, visando mais entendimento sobre o processo de busca por parte dos pós-graduandos. Os dados foram analisados à luz do referencial teórico, onde foram destacados três núcleos temáticos: o processo de busca de informação pelos pós graduandos; dificuldades encontradas pelos pós-graduandos na busca de informação em bases de dados; facilidades encontradas pelos pósgraduandos na busca de informação em bases de dados. Identificados os três núcleos temáticos, emergiram as principais barreiras encontradas nas etapas da pesquisa, ficando estas evidenciadas neste estudo. Identificou-se a necessidade de ações que potencializem a competência informacional nas várias etapas do processo de pesquisa, o que poderá impactar diretamente na qualidade das publicações científicas. / With the advent of new technologies are increasing forms of publication and access to scientific information in health. Studies show that there are some barriers encountered by users to search, access and evaluate scientific information effectively. The health sector has a wide informational range available on the Internet and researchers must obtain subsidies to select what is really important, absorb and generate knowledge, so that, through research, can organize and direct their studies aimed at a consistent intellectual production, in accordance with the scientific progress. In this sense, the objective of this study was to analyze the search behavior of post graduate students of Programa de Pós-Graduação de Ensino em Ciências da Saúde. In this investigation, we chose a qualitative research that includes a descriptive approach to the research subject and the search for exploratory in existing national and international scientific literature on the proposed theme. The instruments used for data collection were electronic questionnaire and group discussion for better understanding of reality, seeking more agreement on the search process by the post graduate students. The data were analyzed based on the theoretical framework, which were highlighted three central themes: the process of searching for information by post graduate students; difficulties encountered by post graduate students in the search for information in databases; facilities found by post graduate students in the search for information in databases. It was identified the need for actions that enhance information literacy at various stages of the research process, which could directly impact the quality of scientific publications.

A Atenção Primária à Saúde é locus privilegiado para a realização de atividades que evoquem a alimentação saudável, assim como o desenvolvimento de outras ações características desse nível de complexidade. Nesse sentido, a abordagem dos problemas relacionados à alimentação e nutrição é objeto do trabalho do nutricionista. O objetivo do estudo foi identificar os modos de inserção do nutricionista na atenção primária da microrregião de saúde de Viçosa-MG. Trata-se de um estudo de caso exploratório em que foram utilizadas técnicas de pesquisa quanti e qualitativa, de modo complementar, com aplicação de questionários semi-estruturados, entrevistas e grupo focal aplicadas ao grupo de nutricionistas (n=16) que trabalhavam em estabelecimentos de saúde da atenção primária. Foram realizadas análises dos dados de natureza descritiva e a análise dos dados qualitativos seguiu a técnica de Análise de Conteúdo. Os resultados encontrados apontam para um grupo majoritariamente feminino e com elevado nível de escolaridade. As atividades exercidas foram em sua maioria direcionadas ao atendimento clínico em consultório com algumas profissionais, principalmente aquelas vinculadas a estratégia Saúde da Família (SF), executando atividades em equipes e utilizando os equipamentos sociais existentes nas comunidades. Foram relatadas precárias condições de trabalho no que se refere à estrutura física das unidades de saúde e aos equipamentos básicos de trabalho do nutricionista, funcionando como dificuldades na condução do trabalho e gerando insatisfação. Elementos característicos da organização do trabalho na SF como o trabalho em equipe, a visita domiciliar e a proximidade das unidades de saúde com a comunidade foram valorizados pelas nutricionistas atuantes ou não na estratégia. O trabalho foi, na percepção das entrevistadas, relacionado a elementos favoráveis de sua condução, ligados a valorização profissional, reconhecimento e gratificação, mas também a elementos desfavoráveis vinculados à pratica profissional quando ligadas a entraves políticos, administrativos locais e sensação de desamparo por parte das organizações e linhas de comando da saúde, refletindo em uma percepção conflituosa sobre o trabalho. A inserção das nutricionistas na atenção primária, assim como a condução de suas práticas profissionais foi reflexo da presença e influência de diferentes modelos de atenção à saúdes coexistentes nos municípios da microrregião. / Primary health care is privileged locus for the realization of activities that invokes healthy food, including development of others actions characteristic to this level of complexity. In this case, approachment of problems related to food and nutrition is part of nutritionist\'s work. The aim of this study is to identify manners of inserting nutritionists in primary health care in Viçosa (MG) microregional. It treats about a case explorative study in which were used quantity and quality techniques. In a complementary manner, semi-structured surveys, interviews and focus groups were applied to nutritionists (n=16) who worked in health\'s primary care establishment. Key-informants were interviewed and some municipal documents were analyzed. Results point to a mostly female group with high level in education. Realized activities were headed to clinical appointments and, at some cases, mainly related to Family Health strategy (SF), executing team activities and using already existent social equipments in the communities. Poor working conditions related to health centers physical structure and poor basic equipments for nutritionist\'s work were mentioned, working difficulties also caused dissatisfaction. Characteriscally elements of work organization in SF like team-work, housing visits and proximity to health centers to were valued by nutritionists. The work was, in nutritionist\'s perspective, related to positive elements in its conduction like professional value, recognizing and rewarding, but there were also disadvantageous elements. Those elements were related to politics hinders, local administration and health guidelines command, reflecting as a conflict perception about work . The nutritionist\'s insertion to primary health care, such as its conduction at professional practice was the reflex of presence and influence of different models of health\'s attention, co-existing in the microregional cities.

Submitted in partial compliance with the requirements for the Master’s Degree in Technology: Chiropractic, Durban University of Technology, Durban, South Africa, 2017. / Background The imperative of clinical education in chiropractic is to endow students with the clinical competencies and professional attributes necessary for independent practice. The clinical practicum exposes chiropractic students to the realities, demands and expectations of patient care through immersion into the clinical learning environment. Various authors emphasise the importance of obtaining a student’s perspective of their experiences within this environment as it is essential to curriculum development and improvement, delivery of quality clinical education, and student satisfaction with their standard of education. Interestingly, unlike in other health professions’ disciplines, the clinical experiences of chiropractic students who have commenced their clinical practicum have scarcely been described in international literature. This study is the first of its kind to record the clinical experiences of chiropractic students during their clinical practicum in South Africa. Aim The aim of this study was to explore and describe the clinical experiences of first-time registered Master’s chiropractic students during their clinical practicum component at the Durban University of Technology Chiropractic Day Clinic in 2016. Method A qualitative, exploratory, descriptive approach was utilised. A purposive sample of 15 first-time registered Master’s chiropractic students was interviewed. Their clinical experiences during the clinical practicum were obtained through semi-structured interviews. Seven key questions, each relating to a specific aspect of the clinical practicum, were used to stimulate discussion. The data were recorded electronically and thereafter transcribed. Thematic analysis was used to interpret the data. Results Four main themes were identified, viz. undergraduate education and pre-clinical preparation; experiences within the clinical learning environment; inter-personal relationships in a clinical learning environment, and appraisal of the clinical practicum. Participants reported that the undergraduate and pre-clinical preparatory phase needed to be more practically orientated in order to provide relevance and cohesion to clinical learning. Significant experiences in the clinical learning environment included personal and professional growth and development, perceptions of preparedness for independent practice, perceptions of patient responses to chiropractic care, administrative duties and clinic infrastructure. The interpersonal relationships that contributed to the overall clinical experience were between students and their clinical supervisors, and students and the administrative staff. The appraisal of the clinical practicum included highlights and positive aspects that shaped the attitudes, values and philosophies of students, as well as the challenges and obstacles they encountered within the clinical learning environment. Conclusion This is the first South African study to document the clinical experiences of first-time registered Master’s chiropractic students. These clinical experiences were based on a variety of organisational and curriculum-orientated factors, as well as interpersonal dynamics. While students acknowledged and appreciated the critical importance of clinical education, and valued the learning opportunities within the clinical setting, they also provided constructive feedback on matters needing improvement to enhance the overall clinical experience. The lack of exposure to patient care prior to the commencement of the clinical practicum negatively impacted the clinical experiences. It is recommended that the findings of this study be utilised by the key stakeholders within chiropractic education to enhance chiropractic clinical education in South Africa. / M

Made available in DSpace on 2014-12-17T14:13:27Z (GMT). No. of bitstreams: 1 LucianaCBO_texto_completo.pdf: 9696567 bytes, checksum: d49f53dc6179e052feaec6aa13aac92a (MD5) Previous issue date: 2008-12-18 / It is noticeable that pressure, tension and overwork are frequent in health professionals routine. The work related to the ward area demands deep attention and surveillance. Because of that, it is essential to have a specific look at the humanization directed at health professionals, considering that taking care of other human beings is the essence of their job. This study has analyzed the psychic health levels, as well as the stress health professionals are submitted to, providing a debate about the humanization in 06 public hospitals (03 of them awarded by actions of humanization, and 03 not awarded) in Rio Grande do Norte state, Brazil. A study with 126 active health professionals (doctors, nurses, psychologists, nutritionists and social workers) in ward areas in their respective institutions was carried out. The thesis presented, with multi-disciplinary characteristic, counted on the support of statisticians (to calculate samples and data analysis), psychologists, social workers and administrators (linked to the human resources sector in each hospital). A cross-sectional study was performed, taking into consideration both quantitative and qualitative factors. The tools used for that were a semistructured questionnaire with socio-demographic characteristics, work and humanization; Lipp's Stress Symptoms Inventory for Adults (ISSL), and the Goldberg s General Health Questionnaire (QSG). The workers are predominantly women (84,9%), married (54,8%), between 46 and 55 years old (40,5%), working in the same institution for more than 20 years (22,2%), and between 16 and 20 years (20,6%), respectively. They work 40 hours a week (71,4%) and have multiple jobs (61,9%). Although most of these individuals global psychic health is in a good level, there are a significant number of people that is gradually getting worse concerning psychic stress (F1) showed by QSG (54,7%), and stress showed by ISSL(42,1%). Observing the categories, nurses (41,5%). Nutritionists (20,8%), doctors and social workers (18,9%), were among the most affected. About general health (F6), 63% of the awarded hospitals and 70% of the not awarded ones, presented good health levels (ranging from 5 to 50%). It was also noticed that, in the groups mentioned above, 25 and 20% respectively, were inserted in scores between 55 to 90%, what means that they are in worsening phase. The fact that the hospital is awarded or well recognized doesn t interfere in health professionals stress level and in their psychic health. Through what was heard from these individuals, it was possible to verify that they know little about humanization, once few of them identify or know that the service they offer is in an adoption process by Ministerial Policies. It was also detected the necessity of developing actions aimed at worker s health. Such results showed the importance of have more investments in programs that are directed to workers well-being, because they deal with other people s health and it is known that it is difficult for them to offer high-quality assistance if there are not suitable physical, psychological and material conditions to help them develop their jobs. As a warning, it is fair to say that investments in actions that provide humanized care to health professionals, mainly concerning preventive care for their health and life quality in their work / Observa-se que press?o, tens?o e sobrecarga de trabalho s?o uma constante na rotina dos profissionais de sa?de. O trabalho vinculado ao setor de enfermaria exige aten??o e vigil?ncia. Neste sentido, torna-se pertinente um olhar espec?fico ? humaniza??o direcionada ao profissional de sa?de, j? que este tem em seu of?cio o cuidar do outro. Este estudo analisou os n?veis de sa?de ps?quica e stress dos profissionais de sa?de abrindo um debate sobre a humaniza??o em 06 hospitais p?blicos (03 premidos pelas a??es de Humaniza??o e 03 n?o premiados) no Estado do Rio Grande do Norte, Brasil. Foi realizado um estudo com 126 profissionais de sa?de (m?dicos, enfermeiros, psic?logos, nutricionistas e assistente sociais), atuantes no setor de enfermaria nas respectivas institui??es. A Tese apresentada de car?ter multidisciplinar contou com o apoio de estat?sticos (para o c?lculo amostral e an?lise dos dados), psic?logos, assistente social e administradores (vinculados ao setor de pessoal de cada hospital). Foi efetivado um estudo de delineamento transversal, de natureza quantitativa e qualitativa. Como instrumentos, foram utilizados: um question?rio semi-aberto constando caracter?sticas s?cio-demogr?ficas, de trabalho e humaniza??o; o Invent?rio de Sintomas de Stress para Adultos de LIPP (ISSL), e; o Question?rio de Sa?de Geral de Goldberg (QSG). Os trabalhadores s?o predominantemente mulheres (84,9%), casados (54,8%), apresentando idades de 46 a 55 anos (40,5%), cujo tempo de servi?o na institui??o permeia entre acima de 20 anos (22,2%) e 16 a 20 anos (20,6%) respectivamente. Contam com uma carga hor?ria de trabalho de 40 horas semanais (71,4%), al?m de apresentar m?ltiplos v?nculos de trabalho (61,9%). A sa?de ps?quica global dos sujeitos encontra-se em um n?vel bom, no entanto, tamb?m h? indiv?duos em n?mero significativo de processo de agravamento tanto no stress ps?quico (F1) apresentado pelo QSG (54,7%) quanto pelo stress demonstrado pelo ISSL (42,1%). Ao observar as categorias, os enfermeiros (41,5%), nutricionistas (20,8%), m?dicos e assistentes sociais (18,9%) estiveram entre os mais atingidos. Analisando os grupos de hospitais que apresentaram uma boa sa?de geral - F6, (com escores entre 5 a 50%) estavam 63% do grupo de hospitais premiados e 70% do grupo de hospitais n?o premiados. Percebe-se que o fato do hospital ser premiado, ou reconhecido n?o interfere no n?vel de stress e na sa?de ps?quica do profissional de sa?de. Quanto aos discursos dos sujeitos foi poss?vel constatar um baixo conhecimento sobre o tema da humaniza??o, de modo que poucos identificam ou sabem que o servi?o ao qual assiste est? em processo de ado??o a uma Pol?tica Ministerial. Detectou-se tamb?m a necessidade de a??es voltadas a sa?de do trabalhador. Tais resultados apontaram para a necessidade de se investir mais em programas direcionados ao bem-estar dos profissionais que lidam diretamente com a sa?de das outras pessoas, visto que se torna muito dif?cil a estes sujeitos oferecer um atendimento de qualidade quando n?o se disp?e de condi??es f?sicas, psicol?gicas e materiais para o desempenho de suas fun??es. Cabe o alerta para investimentos em a??es que busquem um cuidado humanizado ao profissional de sa?de principalmente quanto ao enfoque preventivo para sua sa?de e qualidades de vida no trabalho

Department of Advanced Nursing Science / MCur

Introdução: Esse estudo investigou a violência de gênero contra mulheres profissionais de enfermagem perpetrada por parceiros íntimos (VPI), familiares e outros agressores. Objetivos: Estimar a ocorrência de violência psicológica, física, sexual; caracterizar os agressores, a busca de ajuda e locais procurados; analisar as diferenças entre enfermeiras e auxiliares/técnicas de enfermagem quanto à freqüência da violência de gênero e verificar a nomeação de violência aos atos de agressão identificados. Métodos: Nesse estudo transversal foram entrevistadas 179 profissionais de 20 a 59 anos (50 enfermeiras e 129 auxiliares/técnicas de enfermagem), utilizando-se um questionário validado e aplicado face a face por entrevistadoras treinadas. Resultados: A VPI foi a mais freqüente (63,7%; IC95%:55,7-70,4) seguida pela violência por outros (45,8%; IC95%:38,3-53,4) perpetrada por pacientes/acompanhantes, colegas de trabalho da área da saúde, estranhos, chefia de enfermagem e conhecidos. A violência por familiares ocupou o terceiro lugar (41,3%; IC95%: 34,0-48,9) e foi cometida, principalmente, por pai, irmãos (homens), tios e primos. Houve importante sobreposição dos tipos de VPI, sendo a forma exclusiva de violência psicológica a mais comum (19,2%), seguida pelas três formas (17,5%) e violência psicológica conjugada à física (14,7%). Auxiliares/técnicas de enfermagem referiram mais VPI que enfermeiras (p<0,05). As profissionais de enfermagem, de forma geral, buscaram pouca ajuda: 20,3% para a violência por outros, 29,3% para a violência por familiares e 29,7% para a VPI. Não perceberam o vivido como violento, 31,9% das entrevistadas. Conclusões: Os elevados índices de violência de gênero identificados evidenciam a presença dessa forma de violência também entre mulheres profissionais de saúde de alta escolaridade. Propõe-se que essa temática seja foco de atenção das equipes supervisoras nos locais de trabalho, através de uma abordagem acolhedora e ética. Sugere-se que o tema seja abordado para a proteção da saúde das profissionais e para uma melhor prática assistencial. / Background: This study investigated gender violence against female nursing staff perpetrated by male intimate partners (IPV), family members and other aggressors. Objectives: To estimate the occurrence of psychological, physical and sexual violence; characterize the aggressors, as well as the attempt to seek help and where it was sought; analyze the differences between nurses and nursing aides/technicians as to the frequency of gender violence and to verify if the acts of aggression are designated as violence. Methods: In this cross sectional study, 179 professionals, aged 20 to 59 years old, were interviewed (50 nurses and 129 nursing aides / nurse technicians). A validated questionnaire was applied in face to face interviews conducted by trained interviewers. Results: IPV was the most frequent form of violence (63.7%; IC95%:55.7-70.4), followed by violence perpetrated by others (45.8% IC95%: 38.3-53.4) including patients and people accompanying them, colleagues within the field of health, chiefs of the nursing staffs, acquaintances and strangers. Family members occupied the third place as aggressors, (41.3%; IC95%:34.0-48.9), and the majority of these were fathers, brothers, uncles and cousins. There was an important amount of overlap of the types of IPV, being that the most common exclusive form was psychological violence (19.2%), followed by psychological, physical and sexual violence in conjunction (17.5%) and then by both psychological and physical violence (14.7%). Nursing aides/ technicians mentioned the occurrence of IPV more frequently than did the nurses (p<0.05). In general, the nursing staff did not seek help frequently: only 20.3% of those who suffered violence from other aggressors, 29.3% from family members and 29.7% from IPV sought help. Those who did not perceive their experience as a form of violence represented 31.9% of the subjects interviewed. Conclusions: The high rates of gender violence identified in this study are evidence of the occurrence of this form of violence among female health professionals with high levels of education. It is suggested that team supervisors be encouraged to focus on this theme in the workplace, addressing it by means of an ethical and supportive approach. By contributing towards the protection of health professional\'s well being, this could also help improve the quality of assistance for which they are responsible.

Introdução: Esse estudo investigou a violência de gênero contra mulheres profissionais de enfermagem perpetrada por parceiros íntimos (VPI), familiares e outros agressores. Objetivos: Estimar a ocorrência de violência psicológica, física, sexual; caracterizar os agressores, a busca de ajuda e locais procurados; analisar as diferenças entre enfermeiras e auxiliares/técnicas de enfermagem quanto à freqüência da violência de gênero e verificar a nomeação de violência aos atos de agressão identificados. Métodos: Nesse estudo transversal foram entrevistadas 179 profissionais de 20 a 59 anos (50 enfermeiras e 129 auxiliares/técnicas de enfermagem), utilizando-se um questionário validado e aplicado face a face por entrevistadoras treinadas. Resultados: A VPI foi a mais freqüente (63,7%; IC95%:55,7-70,4) seguida pela violência por outros (45,8%; IC95%:38,3-53,4) perpetrada por pacientes/acompanhantes, colegas de trabalho da área da saúde, estranhos, chefia de enfermagem e conhecidos. A violência por familiares ocupou o terceiro lugar (41,3%; IC95%: 34,0-48,9) e foi cometida, principalmente, por pai, irmãos (homens), tios e primos. Houve importante sobreposição dos tipos de VPI, sendo a forma exclusiva de violência psicológica a mais comum (19,2%), seguida pelas três formas (17,5%) e violência psicológica conjugada à física (14,7%). Auxiliares/técnicas de enfermagem referiram mais VPI que enfermeiras (p<0,05). As profissionais de enfermagem, de forma geral, buscaram pouca ajuda: 20,3% para a violência por outros, 29,3% para a violência por familiares e 29,7% para a VPI. Não perceberam o vivido como violento, 31,9% das entrevistadas. Conclusões: Os elevados índices de violência de gênero identificados evidenciam a presença dessa forma de violência também entre mulheres profissionais de saúde de alta escolaridade. Propõe-se que essa temática seja foco de atenção das equipes supervisoras nos locais de trabalho, através de uma abordagem acolhedora e ética. Sugere-se que o tema seja abordado para a proteção da saúde das profissionais e para uma melhor prática assistencial. / Background: This study investigated gender violence against female nursing staff perpetrated by male intimate partners (IPV), family members and other aggressors. Objectives: To estimate the occurrence of psychological, physical and sexual violence; characterize the aggressors, as well as the attempt to seek help and where it was sought; analyze the differences between nurses and nursing aides/technicians as to the frequency of gender violence and to verify if the acts of aggression are designated as violence. Methods: In this cross sectional study, 179 professionals, aged 20 to 59 years old, were interviewed (50 nurses and 129 nursing aides / nurse technicians). A validated questionnaire was applied in face to face interviews conducted by trained interviewers. Results: IPV was the most frequent form of violence (63.7%; IC95%:55.7-70.4), followed by violence perpetrated by others (45.8% IC95%: 38.3-53.4) including patients and people accompanying them, colleagues within the field of health, chiefs of the nursing staffs, acquaintances and strangers. Family members occupied the third place as aggressors, (41.3%; IC95%:34.0-48.9), and the majority of these were fathers, brothers, uncles and cousins. There was an important amount of overlap of the types of IPV, being that the most common exclusive form was psychological violence (19.2%), followed by psychological, physical and sexual violence in conjunction (17.5%) and then by both psychological and physical violence (14.7%). Nursing aides/ technicians mentioned the occurrence of IPV more frequently than did the nurses (p<0.05). In general, the nursing staff did not seek help frequently: only 20.3% of those who suffered violence from other aggressors, 29.3% from family members and 29.7% from IPV sought help. Those who did not perceive their experience as a form of violence represented 31.9% of the subjects interviewed. Conclusions: The high rates of gender violence identified in this study are evidence of the occurrence of this form of violence among female health professionals with high levels of education. It is suggested that team supervisors be encouraged to focus on this theme in the workplace, addressing it by means of an ethical and supportive approach. By contributing towards the protection of health professional\'s well being, this could also help improve the quality of assistance for which they are responsible.

La thèse retrace l'histoire de la médecine ostéopathique aux Etats-Unis, en Grande-bretagne en France et en Belgique. Partant de sa création par Andrew Taylor Still au XIXe siècle dans le middle-west, on suit d'abord son évolution conceptuelle et académique avant de s'intéresser à son institutionnalisation. Les fondements métaphysiques et transcendantaux de cette médecine manuelle sont mis en perspectives par rapport aux connaissances de l'époque tant aux Etats-Unis qu'en Europe. Nous suivons ensuite son passage sur le vieux continent via l'Angleterre et la France avant d'aborder son développement en Belgique ainsi que son entrée à l'Institut des Sciences de la Motricité de l'U.L.B.<p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p><p> / Doctorat en Philosophie / info:eu-repo/semantics/nonPublished