Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-12T18:10:35Z No. of bitstreams: 1 AriodaSilvaToledoDissertacao2003.pdf: 905086 bytes, checksum: 1d3c27378fdf449e4cf88420c2eaf0be (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-05-12T18:10:55Z (GMT) No. of bitstreams: 1 AriodaSilvaToledoDissertacao2003.pdf: 905086 bytes, checksum: 1d3c27378fdf449e4cf88420c2eaf0be (MD5) / Made available in DSpace on 2017-05-12T18:10:55Z (GMT). No. of bitstreams: 1 AriodaSilvaToledoDissertacao2003.pdf: 905086 bytes, checksum: 1d3c27378fdf449e4cf88420c2eaf0be (MD5) Previous issue date: 2003-01-01 / The purpose of the present study was to identify the social representations of the Physical Education professional which are built by health professionals so as to determine their concepts and to infer their practice. In order to achieve such goals, a psycho-sociological approach as well as Social Representations and Central Nucleus theories were used. It was concluded with the collection of nuclear and peripheral structural elements, and with the realization of the anchorage of the social representation under study. Ninety volunteer health professionals who work in Teaching and Health Institutions in the Federal District were interviewed. Two research instruments were used. The first one was a questionnaire in order to collect data regarding the multidisciplinary health teams which exist at the researched institutions themselves. The second one was an interview in which the free association technique was used. The inducing term was ???the Physical Education professional???. The data collected was processed by the Evoc (Ensemble de Programmes Permettant l'Analyse des ??vocations) software and later analyzed by the researcher. As a result, it was identified that the images of ???healthy??? and ???physical conditioning??? naturally appeared in the social representations of the Physical Education professional built by health professionals. It was clearly identified that health, physical conditioning, and physical activities are socially as well as historically linked with the Physical Education professional. Those associations with a positive aspect probably will lead to favorable attitudes, not making it difficult for the Physical Education professional to have access to multidisciplinary health teams. / O presente estudo teve como objetivo identificar as representa????es sociais do profissional de educa????o f??sica constru??das por profissionais de sa??de a fim de determinar suas concep????es e inferir suas pr??ticas. Para alcan??ar tais prop??sitos, utilizou-se uma abordagem psicossociol??gica e as teorias das Representa????es Sociais e do N??cleo Central, concluindo-se com a obten????o dos elementos estruturais nucleares e perif??ricos e com a realiza????o da ancoragem da representa????o social em pauta. Foram entrevistados noventa profissionais de sa??de, volunt??rios, que atuam nas Institui????es de Ensino e de Sa??de do Distrito Federal. Foram utilizados dois instrumentos de pesquisa, sendo o primeiro um question??rio para captar informa????es a respeito das equipes multidisciplinares de sa??de existentes nas pr??prias institui????es pesquisadas e o segundo uma entrevista na qual se utilizou a t??cnica livre, tendo como termo indutor ???o profissional de educa????o f??sica???. O dados colhidos foram processados pelo software Evoc (Ensemble de Programmes Permettant l'Analyse des ??vocations) e analisados posteriormente pelo pesquisador. Como resultado, identificou-se que as imagens de ???sa??de??? e ???condicionamento f??sico??? surgiram espontaneamente nas representa????es sociais do profissional de educa????o f??sica, elaboradas pelos profissionais de sa??de. Identificou-se claramente que a sa??de, o condicionamento f??sico e as atividades f??sicas est??o social e historicamente associadas ao profissional de educa????o f??sica. Essas associa????es de aspectos positivos provavelmente conduzir??o a atitudes favor??veis, n??o dificultando o acesso do profissional de educa????o f??sica ??s equipes multidisciplinares de sa??de.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-12-12T19:15:39Z No. of bitstreams: 1 KisnaYasminAndradeAlves_TESE.pdf: 5272909 bytes, checksum: 857560ffd5b4df0df50bd99e31b2eb5b (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-12-14T18:22:11Z (GMT) No. of bitstreams: 1 KisnaYasminAndradeAlves_TESE.pdf: 5272909 bytes, checksum: 857560ffd5b4df0df50bd99e31b2eb5b (MD5) / Made available in DSpace on 2017-12-14T18:22:11Z (GMT). No. of bitstreams: 1 KisnaYasminAndradeAlves_TESE.pdf: 5272909 bytes, checksum: 857560ffd5b4df0df50bd99e31b2eb5b (MD5) Previous issue date: 2017-08-31 / A comunica??o escrita ? uma ferramenta que contribui com a redu??o de danos ao paciente, uma vez que possibilita a unifica??o dos registros da equipe multidisciplinar e a continuidade da assist?ncia. Diante disso, este estudo objetiva analisar a comunica??o escrita dos profissionais de sa?de em hospitais p?blicos do estado do Rio Grande do Norte, Brasil. Trata de um estudo transversal que se baseia nas recomenda??es da Organiza??o Mundial de Sa?de, quanto a constru??o ?Record review of current in-patients?. Seguiram-se as etapas: 1) constru??o da Scoping review; 2) sele??o e treinamento dos examinadores de registros; 3) testagem dos procedimentos de avalia??o do registro (estudo piloto); e 4) desenvolvimento da revis?o de registros. A coleta de dados nos prontu?rios ocorreu no per?odo de outubro a dezembro de 2016, em tr?s hospitais p?blicos de Natal, nos setores de enfermarias de cl?nica m?dica e cir?rgica. Foram inclu?dos na amostra os pacientes internados h? pelo menos 10 dias. Os dados foram organizados por meio de um pacote estat?stico e analisados de forma descritiva, por meio de frequ?ncia absoluta e relativa e Diagrama de Pareto. O estudo segue os preceitos ?ticos estabelecidos pela Resolu??o n? 466/2012, do Conselho Nacional de Sa?de. Os resultados destacaram que o conte?do da comunica??o escrita compreende os elementos comuns aos registros ? identifica??o do paciente e profissional, letras leg?veis, uso de siglas e abreviaturas padronizadas, aus?ncia de rasura e in?cio dos escritos com data e hora ? e elementos espec?ficos a cada categoria profissional. A partir da revis?o de prontu?rios evidenciou-se os principais dados em n?o conformidades: 1) identifica??o do paciente (cabe?alhos) - data de nascimento e filia??o na identifica??o do paciente; 2) evolu??es m?dicas - aspectos do exame f?sico, antecedentes pessoais e familiares, h?bitos e condi??es de moradia do paciente, intercorr?ncias, resultados laboratoriais e de imagem nas evolu??es m?dicas; 3) anota??es do t?cnico de enfermagem - h?bitos de vida, presen?a de alergia, identifica??o do acompanhante, uso de medicamento quanto ao tipo, condi??es gerais acerca da atitude, humor, locomo??o e colora??o da pele, estado nutricional e orienta??es ao paciente/acompanhante nas anota??es do t?cnico de enfermagem; 4) controles essenciais ? unidade de medida ap?s o sinal vital; 5) anota??es do enfermeiro - identifica??o do acompanhante, colora??o da pele, elimina??es quanto ? consist?ncia, odor e colora??o; orienta??o do paciente/acompanhante; aspectos sobre exame f?sico, h?bitos de vida e presen?a de alergias; 6) elementos comuns da comunica??o escrita ? letras leg?veis, in?cio dos registros com hora e uso de abreviaturas; e 7) identifica??o profissional ? categoria e n?mero no conselho de classe. Conclui-se que a comunica??o escrita dos profissionais de sa?de, nos tr?s hospitais analisados, apresenta n?o conformidades nos dados de identifica??o do paciente e profissional, nos registros admissional e di?rio tanto de m?dicos e como da equipe de enfermagem. Assim, a??es para a melhoria da comunica??o escrita dos profissionais nos hospitais analisados, como tamb?m contribuir com as discuss?es acerca dessa tem?tica s?o recomendadas para se efetivar a comunica??o e o cuidado seguro. / Written communication is a tool that contributes to reducing patient harm, since it allows the unification of multidisciplinary team records and continuity of care. As such, this study aims to analyze the written communication of health care professionals in public hospitals in Rio Grande do Norte state, Brazil. This is a cross-sectional study based on the recommendations of the World Health Organization regarding the construction of a ?Record review of current in-patients?. It included the following stages: 1) performing a scoping review; 2) selecting and training record examiners; 3) testing record assessment procedures (pilot study); and 4) conducting the record review. Data were collected from medical records in the wards of the medical and surgical clinics in three public hospitals in the city of Natal, between October and December 2016. Patients hospitalized for at least 10 days were included in the sample. The data were organized in a statistical package and analyzed descriptively by absolute and relative frequency and a Pareto chart. The study complied with the ethical principles established by Resolution 466/2012 of the Brazilian National Health Council. The results highlight that written communication includes common elements ? information on the patient and medical professional, legible writing, the use of standardized acronyms and abbreviations, lack of erasures, and records initiated with the date and time ? and aspects that are specific to each professional category. The main nonconformities identified in the record review were: 1) patient identification (headers) ? date of birth and parents? names in the patient information; 2) progress notes ? aspects of the physical examination, personal and family history, patient?s habits and living conditions, complications, lab and imaging results; 3) notes by the nursing technician ? lifestyle habits, allergies, companion?s identification information, type of medication used, general health status in terms of behavior, mood, movement ability and skin color, nutritional status and guidance for the patient/companion; 4) essential controls ? unit of measurement after vital signs; 5) nurse?s notes - companion?s identification information, skin color, consistency, color and odor of urine/stools, guidance for the patient/companion, aspects of the physical examination, lifestyle habits and allergies; 6) common elements of written communication ? legible writing, records initiated with the date and time, use of abbreviations; and 7) medical professional?s information ? medical specialty and registration number. It was concluded that the written communication of health care professionals in the three hospitals studied exhibits nonconformities in the identification information of patients and professionals in both the admissions and daily records of doctors and nurses. Thus, action is recommended to improve the written communication of staff in the hospitals analyzed and contribute to discussions on the theme, in order to ensure effective communication and safe care.

?rea de concentra??o: Sa?de Coletiva. / Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T13:33:28Z No. of bitstreams: 2 patricia_maria_lopes_rocha_correa.pdf: 526931 bytes, checksum: 805797d7f659090dda3ebba83e68646c (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T13:34:00Z (GMT) No. of bitstreams: 2 patricia_maria_lopes_rocha_correa.pdf: 526931 bytes, checksum: 805797d7f659090dda3ebba83e68646c (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-08T13:35:02Z (GMT) No. of bitstreams: 2 patricia_maria_lopes_rocha_correa.pdf: 526931 bytes, checksum: 805797d7f659090dda3ebba83e68646c (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-08T13:35:02Z (GMT). No. of bitstreams: 2 patricia_maria_lopes_rocha_correa.pdf: 526931 bytes, checksum: 805797d7f659090dda3ebba83e68646c (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2013 / Este estudo teve como objetivo conhecer a percep??o acad?mica do aluno de gradua??o em odontologia sobre a sa?de coletiva, a sua forma??o profissional em sa?de coletiva e a sua perspectiva em trabalhar no Sistema ?nico de Sa?de (SUS). A metodologia utilizada foi a pesquisa qualitativa e explorat?ria. Os dados foram coletados nos meses de fevereiro a abril de 2013, por meio de entrevistas individuais semiestruturadas, gravadas, transcritas, submetidas ? analise de conte?do do tipo tem?tica e discutidas ? luz de alguns estudiosos do assunto. Contou com a colabora??o de treze acad?micos de gradua??o em odontologia de uma institui??o p?blica de ensino dos Vales do Jequitinhonha e Mucuri. Em rela??o ? percep??o sobre sa?de coletiva, foi poss?vel identificar tr?s categorias: a sa?de coletiva como atendimento ? comunidade; a sa?de coletiva como preven??o e a sa?de coletiva como ?rea interdisciplinar. Quanto ? forma??o profissional, os acad?micos ressaltaram a dist?ncia entre a teoria apresentada no curso e a pr?tica no servi?o p?blico; bem como a estrutura curricular vigente, direcionando a forma??o para o consult?rio particular. Para alguns desses acad?micos, trabalhar no SUS est? associado a: oportunidade para adquirir experi?ncia e necessidade financeira; compromisso com a sa?de coletiva e articular o servi?o p?blico com o servi?o privado. E, para outros, o SUS n?o se apresenta como campo profissional. A pesquisa revela a necessidade de oferecer uma forma??o em sa?de coletiva estruturada a partir do cuidado coletivo com a sa?de, para que o aluno possa conhecer e refletir o que ? na atualidade a sa?de coletiva e o SUS, bem como o caminho que se faz atrav?s de integra??o efetiva entre ensino-servi?o, articulando pol?ticas de educa??o e pol?ticas de sa?de, adequando os novos egressos ?s necessidades sociais da popula??o. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2013. / ABSTRACT The aim of the present study was to analyze the academic perception of dentistry students of public health care, the student?s professional education in the area of public health, and their perspective of working in the public health care system. A qualitative, exploratory and descriptive study was undertaken. Data was collected between the months of February and April 2013 through semi-structured individual interviews, which were recorded, transcribed, submitted to thematic analysis and discussed in the light of existing scientific literature on the object. A total of 13 dental students from the Public Education Instituition of Valeys Jequitinhonha e Mucur? participated in the study. In relation to public health three categories were identified: community health care; prevention based in public health care, and interdisciplinary public health care. With regard to professional education the students emphasized the gap between the theoretical formation in the course and the realities of the public health care system, and the course curriculum of the that directs the graduate towards private practice. For these students working in the public health system is associated with: the opportunity to acquire experience, financial necessity, a commitment to public health, and linking the public and private health care systems. For others the public health care system was not mentioned as a professional area. The study revealed the importance of offering professional education that considers the difficulties of working in the public health care system, integration between education and work, and of creating education and health policies that prepare newly graduated health professionals to address the social needs of the population.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T19:56:47Z No. of bitstreams: 1 EdnaMartaMendesDaSilva_DISSERT.pdf: 2541114 bytes, checksum: f8ff7cb9e333c8d74a3e56c51d296ef5 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-07T22:25:43Z (GMT) No. of bitstreams: 1 EdnaMartaMendesDaSilva_DISSERT.pdf: 2541114 bytes, checksum: f8ff7cb9e333c8d74a3e56c51d296ef5 (MD5) / Made available in DSpace on 2016-04-07T22:25:44Z (GMT). No. of bitstreams: 1 EdnaMartaMendesDaSilva_DISSERT.pdf: 2541114 bytes, checksum: f8ff7cb9e333c8d74a3e56c51d296ef5 (MD5) Previous issue date: 2015-04-24 / O presente estudo teve como objetivo construir e realizar um curso de capacita??o pedag?gica ? dist?ncia para profissionais de sa?de que exercem fun??es de preceptoria em institui??es p?blicas de sa?de. A preceptoria em sa?de ? uma pr?tica pedag?gica, que ocorre no ambiente de trabalho, conduzida por profissionais da assist?ncia, com cargo de professor ou n?o, onde a grande maioria desses atua de forma intuitiva, reproduzindo sua pr?pria forma??o, confundindo transmiss?o de informa??o com ensino. Estes preceptores muitas vezes n?o dominam os saberes pedag?gicos, necess?rios ? organiza??o de a??es formativas, tais como os diversos processos de ensino-aprendizagem e as diferentes modalidades de avalia??o. Esta ? primordial no processo de forma??o dos discentes da ?rea da sa?de, sendo por ocasi?o dos est?gios supervisionados que o processo de ensino-aprendizagem fundamenta-se na experi?ncia pr?tica com a participa??o em situa??es reais de vida e de trabalho profissional. Foi realizado um estudo do tipo explorat?rio, descritivo de abordagem qualitativa, com o desenvolvimento do curso de preceptoria em ensino na sa?de como produto final. Aplicado question?rio semiestruturado no per?odo de maio a julho de 2014, foram avaliados 162 profissionais de sa?de que desenvolviam a preceptoria, o que tornou poss?vel tra?ar o perfil do preceptor e identificar as necessidades pedag?gicas que fundamentou a constru??o do conte?do program?tico e a an?lise da percep??o destes profissionais quanto a preceptoria atrav?s da identifica??o de tr?s categorias: valoriza??o do conhecimento cl?nico; valoriza??o da orienta??o profissional e valoriza??o da forma??o do futuro profissional. O curso foi disponibilizado na modalidade ? dist?ncia atrav?s da plataforma Moodle com carga hor?ria de quarenta horas nos meses de outubro e novembro de 2014, com o objetivo de capacitar os profissionais de sa?de para o desenvolvimento de habilidades e compet?ncias necess?rias ao exerc?cio da preceptoria atrav?s de reflex?es sobre os conceitos de preceptoria, forma??o profissional dentro das Diretrizes Curriculares e preceitos do SUS, o papel do profissional de sa?de enquanto educador, aplica??o de metodologias ativas de ensino aprendizado, e m?todos de avalia??o. As inscri??es foram realizadas on-line atrav?s de link; das 300 vagas oferecidas, 243 profissionais se inscreveram, e 133 que exerciam preceptoria foram selecionados, destes 48 profissionais executavam sua pratica no local do estudo. O curso teve dura??o de 45 dias, e contou com tutores respons?veis por interagir e avaliar os alunos. Participaram do curso 28 profissionais, 12 conclu?ram. Oportunidades de melhoria foram identificadas para estimular a participa??o, por?m a satisfa??o dos concluintes nos leva a confirmar que, investir em qualifica??o do preceptor, partindo dos preceitos da Educa??o Permanente, proporcionar? uma maior apropria??o dos saberes para o ensino e consequente conscientiza??o do seu papel de educador no ?mbito do trabalho, facilitando a integra??o entre teoria e pr?tica e consequente melhoria do processo de ensino-aprendizagem. / This study aimed to construct and carry out a distance course of pedagogical training for health professional performing preceptorship functions in public health institutions. The preceptorship in health is a pedagogical practice that occurs in workplace, led by assistance professionals with teaching position or not, where the vast majority of these acts intuitively, reproducing their own training, confusing transmitting information with education. These preceptors often do not dominate the pedagogical knowledge, necessary for the organization of training activities, such as the various teaching-learning processes and the different assessment types. Student supervision is essential in the training process of students in the health field, and on the occasion of supervised internships that the teaching-learning process is based on practical experience with participation in real life situations and professional work. It was realized an exploratory study, descriptive with qualitative approach, with the development of tutoring teaching course in health as final product. Applied semi structured research instrument from may to july 2014. It were evaluated 162 health professionals who perform the preceptorship, which made it possible define the preceptor's profile and identify the educational requirements related to the educational process, which justified the construction of the program content and the professionals? perception analysis about preceptorship through identification of three categories: clinic knowledge valuation; valuation of professional orientation and valuation of professional future. The course was available on distance mode through Moodle platform with forty hours of work load from October to November 2014. With the aim of capacitate the health professionals to development of necessary abilities and skills to tutoring performance through thoughts about tutoring concepts, professional training within the curricular guidelines and SUS precepts, the role of health professionals as educators, application of active teaching methodologies, and evaluation methods. The applications were done online through the provided link; 300 vacancies offered, 243 professionals applied, chosen 134 that works on tutoring, where 49 represented professionals that works on the location of the study. The course lasted 45 days, and counted with tutors responsible to interact and evaluate the students. 28 professionals joined the course, 12 concluded. Opportunities were identified to stimulate the involvement, however the professionals? satisfaction shows that, make an investment on tutors education, starting from the Permanent Education precepts, will provide a bigger appropriation of the knowledge to the education and therefore the awareness of their role as an educator on work ambit, proportioning essential tools to tutors act while enabler of integration between theory and practice and result better teaching-learning process.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-14T22:45:01Z No. of bitstreams: 1 JefersonMessiasDeAlencarCruz_DISSERT.pdf: 1509574 bytes, checksum: f35fc4a6f16bff7cfc084902e46bf307 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-16T21:19:29Z (GMT) No. of bitstreams: 1 JefersonMessiasDeAlencarCruz_DISSERT.pdf: 1509574 bytes, checksum: f35fc4a6f16bff7cfc084902e46bf307 (MD5) / Made available in DSpace on 2017-03-16T21:19:29Z (GMT). No. of bitstreams: 1 JefersonMessiasDeAlencarCruz_DISSERT.pdf: 1509574 bytes, checksum: f35fc4a6f16bff7cfc084902e46bf307 (MD5) Previous issue date: 2016-09-16 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior (CAPES) / O trabalho ocupa um importante espa?o na vida dos indiv?duos, assim muitas vezes pode contribuir de forma negativa na sa?de e qualidade de vida no trabalho (QVT) desses indiv?duos. O objetivo do estudo foi avaliar a QVT, a preval?ncia de ansiedade e sintomatologia depressiva entre os profissionais de sa?de que atuam em unidades hospitalares de pediatria e neonatologia, no munic?pio de Natal/RN. Trata-se de um estudo observacional de corte transversal, realizado entre dezembro de 2015 a abril de 2016. A amostra do tipo conveni?ncia foi composta por 102 profissionais da sa?de (m?dicos, enfermeiros, t?cnicos/auxiliares de enfermagem e fisioterapeutas). Para se verificar o perfil ocupacional e sociodemogr?fico foi utilizado uma ficha desenvolvida pelos autores, para a avalia??o da QVT e a preval?ncia de ansiedade e depress?o nessa popula??o, foram utilizados instrumentos e question?rios espec?ficos validados ? realidade brasileira. O perfil dos profissionais de sa?de foi caracterizado por uma idade m?dia de 36 (?8,3), do g?nero feminino (82,4%), solteiro (44,1%), com renda de at? 9 Sal?rios m?nimos (76,5%), atuavam em unidades de terapia intensiva (69,6%), em escalas de plant?o diurnas/12 horas (45,1%) e a maioria possu?a mais de um v?nculo empregat?cio em outras unidades hospitalares (53,9%). A m?dia de horas trabalhadas nos setores pesquisados foi de 33,6 (?8,4) horas/semanais e 56,0 (?20,9) horas /semanais somando todos os v?nculos. As principais causas de insatisfa??o com o trabalho apontadas foram remunera??o (30,4%), condi??es de trabalho (19,6%), pouco tempo destinado a atividades sociais (17,6%), escala e regime de plant?es (16,7%) e o reconhecimento profissional (6,9%). Apresentaram escore final m?dio quanto ? QVT de 65,76 (?11,6) e em rela??o aos dom?nios da QVT verificou-se 62,86 (?13,8) no dom?nio ?F?sico/Sa?de?, 66,83 (?16,2) no dom?nio ?Psicol?gico?, 75,31 (?14,46) no dom?nio ?Pessoal?, e 58,03 (?14,05) no Dom?nio ?Profissional?. Verificou-se preval?ncia de 17,6% de ansiedade e 12,7% de sintomatologia depressiva entre os profissionais de sa?de que atuam em unidades hospitalares na aten??o ? sa?de infantil. Concluiu-se, ent?o, que os profissionais da sa?de apresentaram QVT satisfat?ria em todos os seus dom?nios, e que a preval?ncia de ansiedade e depress?o se mostraram associadas ao dom?nio ?F?sico/Sa?de? da QVT, o que sugere que medidas voltadas ? preven??o e promo??o de sa?de, melhoria nas condi??es de trabalho, bem como a valoriza??o profissional devem ser incentivadas com o intuito de se resguardar a sa?de nessa popula??o. / The work plays an important role in the lives of individuals and can often contribute negatively on the health and quality of working life (QWL) of these individuals. The aim of this study was to assess the QWL, the prevalence of anxiety and depressive symptoms among health professionals working in hospitals of pediatrics and neonatology in the city of Natal / RN. This is an observational cross-sectional study, conducted from December 2015 to April 2016. We used a convenience sampling (or availability sampling) of 102 healthcare professionals (physicians, nurses, nursing assistants and physiotherapists). In order to check the occupational and sociodemographic profile was used a form developed by the authors. For the assessment of QWL and the prevalence of anxiety and depression in this population we used specific instruments and questionnaires validated for the Brazilian context. The profile of health professionals was characterized by a mean age of 36 (? 8.3) years old, female (82.4%), single (44.1%), with income of up to nine Brazilian minimum wages (76.5%), working in intensive care units (69.6%) in part-time (12 hours, day shift) (45.1%) and the mostly of health professionals had more than one job in others hospitals (53.9%). The average hours worked in the hospitals surveyed was 33.6 (? 8.4) hours per week and 56.0 (? 20.9) hours per week when all shifts were summed. The main causes of dissatisfaction with the work were ?income/salary? (30.4%), ?working conditions? (19.6%), ?few time for social activities? (17.6%),?shifts and work schedule? (16.7 %) and ?professional acknowledgment? (6.9%). The final score of QWL was 65.76 (?11.6) and about QWL?s domains was found 62.86 (? 13.8) for "Physical and Health?, 66.83 (?16 2) for "psychological", 75.31 (?14.46) for "Personal" and 58.03 (?14.05) for the "Professional". The prevalence of anxiety was 17.6% and 12.7% for depressive symptoms among healthcare professionals working in children?s hospitals. In conclusion, we observed in this study that healthcare professionals presented satisfactory QWL in all domains. However, the prevalence of anxiety and depressive symptoms was associated to low scores of "Physical and Health" field from QWL, which suggests that interventions towards prevention and health promotion, improvement of work conditions, as well as professional valorisation should be more encouraged to improve the quality of life in this population.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-07-17T11:26:45Z No. of bitstreams: 1 LucilaCorsinoDePaiva_TESE.pdf: 11690313 bytes, checksum: 3a65a75275ff295b4c54513ec658275d (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-07-17T14:50:34Z (GMT) No. of bitstreams: 1 LucilaCorsinoDePaiva_TESE.pdf: 11690313 bytes, checksum: 3a65a75275ff295b4c54513ec658275d (MD5) / Made available in DSpace on 2017-07-17T14:50:34Z (GMT). No. of bitstreams: 1 LucilaCorsinoDePaiva_TESE.pdf: 11690313 bytes, checksum: 3a65a75275ff295b4c54513ec658275d (MD5) Previous issue date: 2017-03-07 / As mudan?as que tem ocorrido a n?vel mundial, nas organiza??es, nas rela??es pol?ticas e sociais, t?m provocado altera??es no mundo do trabalho e gerado um forte impacto na sa?de e qualidade de vida do trabalhador, a exemplo do estresse. Permitindo que os indiv?duos tornem-se vulner?veis a S?ndrome de Burnout, esta ? caracterizada por exaust?o emocional, despersonaliza??o e realiza??o profissional. Nesse contexto, teve-se por objetivo geral analisar a qualidade de vida e os fatores de risco de burnout e verificar as poss?veis associa??es entre as dimens?es de burnout e os dom?nios da qualidade de vida apresentadas por m?dicos, enfermeiros e t?cnicos de enfermagem. Avaliou-se uma amostra de 436 profissionais em dois hospitais universit?rios da regi?o Nordeste do Brasil, em um estudo transversal e descritivo com abordagem quantitativa. Procedeu-se a avalia??o por meio da autoaplica??o dos seguintes instrumentos: Invent?rio da S?ndrome de Burnout, World Health Organization Quality of Life Bref e um question?rio complementar abordando as vari?veis sociodemogr?ficas e do trabalho. Os dados obtidos foram analisados por meio da estat?stica descritiva e inferencial. Foram detectados que a maioria dos profissionais estudados apresentava baixa exaust?o emocional, alta despersonaliza??o e baixa realiza??o profissional entre m?dicos e t?cnicos de enfermagem, entretanto, os enfermeiros expressaram alta realiza??o profissional (p = 0,04 e 0,01). Verificaram-se associa??es, na classe dos enfermeiros, entre despersonaliza??o e grau de forma??o; na classe dos t?cnicos de enfermagem (p = 0,04), exaust?o emocional e as vari?veis: grau de forma??o e local de trabalho, e entre despersonaliza??o e sexo; e na classe m?dica, entre despersonaliza??o e n?mero de v?nculos e realiza??o profissional e grau de forma??o (p = 0,01). Verificaram-se associa??es entre a exaust?o emocional e o dom?nio psicol?gico da qualidade de vida na classe de enfermeiros; entre a exaust?o e os dom?nios psicol?gico e rela??es sociais em t?cnicos de enfermagem; e realiza??o profissional e rela??es sociais na classe m?dica (p = 0,03). Pode-se observar que existem fatores peculiares do exerc?cio dos profissionais de sa?de que podem desencadear a s?ndrome nos profissionais investigados, bem como a influencia da s?ndrome na qualidade de vida desses trabalhadores. Sugere-se que novas pesquisas sejam realizadas com esses profissionais, e que esses resultados podem contribuir para instrumentar a proposi??o de medidas preventivas quanto ? sa?de mental dos profissionais de sa?de. / The changes that have taken place worldwide, in organizations, in political and social relations, have caused changes in the world of work and have generated a strong impact on workers' health and their quality of life, such as stress. Allowing individuals to become vulnerable to Burnout Syndrome, characterized by emotional exhaustion, depersonalization, and professional achievement. In this context, the general objective was to analyze the quality of life and the risk factors for burnout and to verify the possible associations between the dimensions of burnout and the domains of quality of life presented by doctors, nurses and nursing technicians. A sample of 436 professionals was evaluated in two university hospitals in the Northeast of Brazil, in a cross-sectional and descriptive study with a quantitative approach. The evaluation was carried out through the self-application of the following instruments: Burnout Syndrome Inventory, World Health Organization Quality of Life Brief and a complementary questionnaire addressing socio-demographic and labor variables. Data were analyzed through descriptive and inferential statistics. It was detected that most professionals studied had low emotional exhaustion, high depersonalization and low professional achievement between physicians and nursing technicians, however the nurses expressed high professional achievement (p = 0,04 e 0,01). There were associations in the nurses' class between depersonalization and degree of formation; In the nursing technicians' class (p = 0.04), emotional exhaustion and the variables: degree of training and place of work, and between depersonalization and gender; In the medical class, between depersonalization and number of links and professional achievement and degree of training (p = 0.01). We found associations between emotional exhaustion and the psychological domain of quality of life in the nurses' class; Between exhaustion and the psychological domains and social relations in nursing technicians; And professional achievement and social relations in the medical profession (p = 0.03). It can be observed that there are factors peculiar to the exercise of health professionals that can trigger the syndrome in the professionals investigated, as well as the influence of the syndrome on the quality of life of these workers. It is suggested that new research be carried out with these professionals, and that these results may contribute to implement the proposition of preventive measures regarding the mental health of health professionals.

Made available in DSpace on 2014-12-17T14:46:41Z (GMT). No. of bitstreams: 1 LuisAMF_DISSERT.pdf: 3232688 bytes, checksum: 66501bc783e1fa5a5ecaef1f71f40fb5 (MD5) Previous issue date: 2009-10-29 / Descriptive exploratory study, with quantitative approach, with data collected from April to May 2009, aiming to identify the types of occupational violence affecting professionals on the nursing and medical staff in an emergency hospital service in Natal/RN, over the last 12 months; to identify emergency sectors where occupational violence episodes took place; to characterize aggressors on each type of occupational violence; to know the procedures adopted after each violent act targeting nursing and medical staff professionals; and to know the consequences of violence suffered by the nursing and medical staff professionals. The sample consisted of 26 nurses, 95 nursing assistants/technicians and 124 physicians, for a total of 245 professionals. The results showed that 50.61% of the professionals were women, aged 41 to 45 (22.45%), with post-graduate studies (51.43%), married (60.82%); 21.22% had 16 to 20 years of experience in the profession and in emergency practice; working 40 weekly hours (86.12%); and working both the day shift and the night shift (70.21%); 27.35% consider violence to be a part of their profession and the patient s companions as an important risk factor (86.53%); couldn t inform whether there was a specific established procedure for reporting occupational violence (45.71%); 73.06% suffered occupational violence in the 12 months; 70.20% verbal assault, 24.08% moral harassment, 6.12% physical assault, and 3.67% sexual harassment; 66.67% of the patients took part in the physical assault; the companions, in verbal assault (58.14%); and the health staff in moral harassment (69.49%); facing episodes violence, 37.65% of the professionals reported the fact to their co-workers; 57.25% uffered from stress as a consequence; on 4.71% of the episodes the professionals had to be bsent from work, resulting in 75 days of occupational violence-related absence. We conclude here was a high rate of occupational violence in the researched population, with verbal ssault and moral harassment as the most frequent violence types. Because factors related to ccupational violence were very diverse, actions seeking to confront this problem shouldn t be limited to the work environment itself. Education ought to be one of the most effective ctions for avoiding or minimizing these events occurrence / Estudo explorat?rio descritivo, com abordagem quantitativa, desenvolvido entre abril e maio de 2009, com o objetivo de identificar os tipos de viol?ncia ocupacional, sofrida pelos profissionais da equipe de enfermagem e m?dica, nos ?ltimos 12 meses, em um servi?o de urg?ncia hospitalar, em Natal/RN; identificar os setores da urg?ncia onde ocorreram os epis?dios de viol?ncia ocupacional; caracterizar os agressores de cada tipo de viol?ncia ocupacional; conhecer os procedimentos adotados ap?s cada ato violento sofrido pelos profissionais da equipe de enfermagem e m?dica, e conhecer as consequ?ncias da viol?ncia sofrida pelos profissionais da equipe de enfermagem e m?dica. A amostra constou de 26 enfermeiros, 95 auxiliares/t?cnicos de enfermagem e 124 m?dicos, totalizando 245 profissionais. Os resultados mostraram que 50,61% dos profissionais eram mulheres, entre 41 e 45 anos (22,45%); com p?s-gradua??o(51,43%), casadas (60,82%); 21,22% tinham entre 16 e 20 anos tanto de experi?ncia na profiss?o como de experi?ncia na urg?ncia; carga hor?ria semanal de trabalho de 40 horas (86,12%); e trabalham tanto no turno diurno como no noturno (70,21%); 27,35% consideram que a viol?ncia faz parte da sua profiss?o e os acompanhantes como importante fator de risco (86,53%); n?o sabiam informar se no hospital havia um procedimento estabelecido, espec?fico, para o relato de viol?ncia ocupacional (45,71%); 73,06% sofreram viol?ncia ocupacional nos 12 meses; 70,20% agress?o verbal, 24,08% ass?dio moral, 6,12% agress?o f?sica, e 3,67% ass?dio sexual; 66,67% dos pacientes participaram da viol?ncia f?sica; os acompanhantes, do ass?dio verbal (58,14%); e a equipe de sa?de do ass?dio moral (69,49%); diante dos epis?dios de viol?ncia, 37,65% dos profissionais, contaram o fato para colegas de trabalho; 57,25% tiveram como consequ?ncia o estresse; em 4,71% dos epis?dios os profissionais precisaram ausentar-se do trabalho, resultando em 75 dias de absente?smo relacionado a viol?ncia ocupacional. Conclu?mos que houve um alto ?ndice de viol?ncia ocupcional na popula??o investigada, sendo a agress?o verbal e o ass?dio moral os tipos de viol?ncia mais frequentes. Os fatores relacionados ? viol?ncia ocupacional foram muito diversos e por esta raz?o, as a??es voltadas para o enfrentamento desse problema n?o devem estar limitadas apenas ao ambiente de trabalho. A educa??o dever? ser uma das a??es mais eficazes para evitar ou minimizar a ocorr?ncia desses eventos

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-08-22T23:36:42Z No. of bitstreams: 1 IrmaLuciaDaSilveiraSilva_DISSERT.pdf: 6533120 bytes, checksum: 796c8e3100dfd18264d7068d2c1c6d24 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-22T23:44:48Z (GMT) No. of bitstreams: 1 IrmaLuciaDaSilveiraSilva_DISSERT.pdf: 6533120 bytes, checksum: 796c8e3100dfd18264d7068d2c1c6d24 (MD5) / Made available in DSpace on 2016-08-22T23:44:48Z (GMT). No. of bitstreams: 1 IrmaLuciaDaSilveiraSilva_DISSERT.pdf: 6533120 bytes, checksum: 796c8e3100dfd18264d7068d2c1c6d24 (MD5) Previous issue date: 2015-02-12 / O trabalho do cuidador de idoso busca minimizar a morbidade advinda das limita??es f?sicas, cognitivas e emocionais deste indiv?duo, constituindo-se em uma pr?xis que tem influ?ncias da singularidade dos sujeitos envolvidos e, portanto, est? em constante constru??o. Neste sentido, conhecer as demandas por capacita??o, averiguar os conte?dos estudados durante a forma??o e identificar as percep??es e as dificuldades relacionadas ao trabalho do cuidador formal, pode contribuir para o aprimoramento do seu processo de forma??o profissional. E as Institui??es de Longa Perman?ncia para Idosos (ILPIs) s?o, por excel?ncia, as mais indicadas para levantar tais informa??es. Desta forma, este estudo de car?ter transversal, descritivo e anal?tico com abordagem quantitativa e qualitativa, objetivou investigar a forma??o profissional dos cuidadores que trabalham em ILPIs em Natal/RN no ano de 2014. Para tanto, realizou-se uma entrevista semiestruturada com 63 cuidadores em 09 ILPIs, representando 75% do total desses profissionais nessas institui??es. As entrevistas captaram dados relativos ao perfil socioecon?mico, a forma??o profissional e a percep??o sobre a profiss?o de cuidador. Para an?lise dos dados, foram utilizadas a estat?stica descritiva e a an?lise do conte?do de Bardin. De modo geral, identificou-se que a maioria dos cuidadores eram de baixa condi??o socioecon?mica e se inseriam na ocupa??o sem a realiza??o de um curso espec?fico pr?vio. Contudo, entre os que realizaram algum curso, a maioria relata que os conte?dos vistos na grade curricular deram seguran?a para a pr?xis do cuidado, embora tamb?m reportem a necessidade de capacita??o. A percep??o sobre o cuidado est? preponderantemente relacionada ao amar e ao cuidar do outro e a escolha profissional relaciona-se a identifica??o com a pr?tica do cuidar em si. Diante dos resultados, conclui-se que h? a persist?ncia de um baixo n?vel de prepara??o formal para a ocupa??o. Al?m disso, a forma??o apresenta fragilidades que se iniciam com a aus?ncia de um curr?culo b?sico norteador e se intensificam com a baixa escolaridade requerida para o exerc?cio profissional. / The old caretaker's work seeks to minimize suffering and morbidity resulting from physical, cognitive and emotional limitations of these individuals, being a practice permeated by the uniqueness of the subjects involved, therefore, a process in constant construction. In this notion, the caregiver's role is crucial to assist the elderly in everyday life, aiming at improving their quality of life. This study has descriptive and analytical character with quantitative and qualitative approach aimed to investigate the professional training of active caregivers in long-term stay institutions for the Elderly (ILPIs) in Natal/RN in the year 2014. For this, semi-structured interviews were conducted with 63 caregivers employed in nine ILPIs, representing 75% of the professionals performing activities in these institutions. The interviews captured data on the socioeconomic profile, the perception about the profession and training of caregivers. Data were analyzed by observation of absolute and relative measures of central tendency of the numeric variables frequencies. It was found that most caregivers had poor socioeconomic status and had no specific training course to practice caregiver role. However, among those who carried out courses, most reported that the content covered during the training gave security to perform the practice, although they have shown a contradiction when referred to the need to build capacity. The perception of care is mainly related to love and care for the other while the choice of profession is associated with care practice itself. The results also indicate the presence of a low level of formal training for the exercise of the occupation, also revealing the weaknesses ranging from the absence of a core curriculum that can guide the formation, compounded by the low educational professionals in focus.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2018-03-02T23:09:14Z No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2018-03-13T17:53:52Z (GMT) No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) / Made available in DSpace on 2018-03-13T17:53:52Z (GMT). No. of bitstreams: 1 RafaelRodolfoTomazDeLima_DISSERT.pdf: 1880031 bytes, checksum: 4721daefc45bff182c9e4a4a971a0cf9 (MD5) Previous issue date: 2017-12-15 / No Brasil, constata-se um crescimento acentuado da popula??o idosa, onde isso se intensificar? nas pr?ximas duas d?cadas. No ?mbito do SUS, a assist?ncia a essa popula??o deve pautar-se em a??es desenvolvidas pelas equipes da ESF e do NASF. O estudo teve o objetivo de analisar a forma??o dos profissionais da ESF e do NASF para atender ?s necessidades das pessoas idosas. Trata-se de uma pesquisa com abordagem qualitativa, realizada em duas etapas e com procedimentos metodol?gicos distintos. Na primeira etapa, buscou-se analisar como ocorre a abordagem do envelhecimento na forma??o dos profissionais que atuam na ESF e no NASF, a partir da leitura dos projetos pedag?gicos dos seus cursos de forma??o. A segunda etapa consistiu em compreender, com a realiza??o de grupos focais, a percep??o das pessoas idosas atendidas por equipes da ESF e do NASF sobre as suas necessidades, bem como compreender a percep??o das mesmas sobre as compet?ncias profissionais necess?rias para o cuidado que essa parcela da popula??o precisa. Os resultados da primeira etapa revelaram que a forma??o profissional para o cuidado ? sa?de da pessoa idosa est? pautada exclusivamente na assist?ncia e condu??o de doen?as cr?nico-degenerativas, como tamb?m na identifica??o e preven??o de danos ? sa?de. Ademais, a operacionaliza??o dos grupos focais permitiu classificar as necessidades das pessoas idosas participantes do estudo em duas tem?ticas: Necessidade de boas condi??es de vida e necessidade de acesso aos servi?os de sa?de. De acordo com os participantes, os profissionais da ESF e do NASF s?o bem qualificados para lhes atenderem, por?m, n?o possuem autonomia para solucionar as suas necessidades. Para a resolu??o dessas necessidades, qualificar os gestores (municipais, estaduais e federais) do setor sa?de seria o caminho priorit?rio. Com a realiza??o deste estudo, percebe-se que a discuss?o acerca da tem?tica do envelhecimento no processo de forma??o dos profissionais que integram as equipes da ESF e do NASF ainda ? incipiente e est? desassociada das necessidades de sa?de das pessoas idosas. Assim, se faz necess?rio preparar pessoas que ofere?am aten??o integral ? crescente popula??o idosa, conhecendo as suas subjetividades e necessidades, bem como para formular e gerir pol?ticas p?blicas para a mencionada popula??o que ? usu?ria do SUS. / In Brazil, there is a marked increase in the elderly population, where this will intensify in the next two decades. Under the SUS, assistance to this population should be based on actions developed by the ESF and NASF teams. The aim of the study was to analyze the training of ESF and NASF professionals to meet the needs of the elderly. It is a qualitative research, carried out in two stages and with different methodological procedures. In the first stage, we sought to analyze how the aging approach occurs in the training of professionals working in the ESF and NASF, from the reading of the pedagogical projects of their training courses. The second stage consisted in understanding the perception of the elderly people assisted by ESF and NASF teams about their needs, as well as their perception about the professional competencies necessary for the care that this portion of the population needs. The results of the first stage revealed that the professional training for the health care of the elderly is based solely on the assistance and conduction of chronic-degenerative diseases, as well as on the identification and prevention of health damages. In addition, the operationalization of the focus groups allowed to classify the needs of the elderly participants of the study in two thematic ones: Necessity of good conditions of life and necessity of access to the health services. According to the participants, the professionals of the ESF and the NASF are well qualified to attend to them, however, they do not have the autonomy to solve their needs. To solve these needs, qualifying the managers (municipal, state and federal) of the health sector would be the priority path. With the accomplishment of this study, it is noticed that the discussion about the aging issue in the process of training the professionals that integrate the ESF and NASF teams is still incipient and is disassociated with the health needs of the elderly. Thus, it is necessary to prepare people who offer integral attention to the growing elderly population, knowing their subjectivities and needs, as well as formulating and managing public policies for the aforementioned population that is a SUS user.

Made available in DSpace on 2014-12-17T14:46:41Z (GMT). No. of bitstreams: 1 RodrigoAND_DISSERT.pdf: 4123762 bytes, checksum: 769cd7b343d86a0d219577a0a3bf4575 (MD5) Previous issue date: 2009-10-30 / Exploratory descriptive study, with a quantitative approach and prospective data, performed in Pronto Socorro Cl?vis Sarinho (PSCS), in Natal/RN, aiming to analyze care given by the nursing and medical staff to victims of violence attended to in an emergency hospital in Natal/RN; to identify care given by the nursing and medical staff as viewed by the victims; to compare data observed during the process of care with the victim s view on the care given by the nursing and medical staff; to identify the existing knowledge on violence and the process of caring for victims and its relation with prejudice; to identify obstacles and perspectives for prevention during the process of caring for victims in the emergency services. The population consisted of 97 physicians, 16 nurses, 75 nursing technicians and assistants and 365 victims of violence, with data collected from April to May 2009. Out of 188 professionals, 52.1% are female; 32% were aged 41 to 50; 99.5% had given care to a victim of violence; 90.4% reported to have given care to patients under custody; among these, 17.3% felt prejudice; 55.3% stated they don t provide different care for assaulted victims and assailants, however 44.7% stated they do; 86.7% feel their workplace is unsafe; 61.7% denied the existence of any obstacle and 38.3% reported the existence of obstacles; among these, 26.1% referred to inadequate facilities; 37.8% believe reinforcing security and professional training are the main solutions. Among the 365 researched violence victims, 82.2% were assaulted; male (69.6%); aged 18 to 24 (24.9%); hailing from the Greater Natal area (89.9%); on 19.7% the event happened on Saturday; during the night (48.8%); victim of physical assault (61.4%); produced by body force (27.7%); 24.4% were injured in the head and neck. 57% had used some drug, among which alcohol was predominant (75.5%). On 621 observations performed during the victim care process, when compared to the report of assaulted victims, there was a statistical difference, at 5% significance level, regarding reception, resistance from the professionals, questioning about the violent event, providing of guidance, interaction with the patient and the understanding of receiving proper care, and care resolution. In comparisons involving the observed and the assailant victims reports, there was a statistical difference regarding the resence of resistance from the professionals, performance of necessary procedures and the nteraction with the patient and the understanding of receiving proper care and 58.1% reported the nursing team was the one that provided the best care. We conclude that professionals had lready given care to assailant patients, acknowledge the importance of knowing how the vent took place and acquired this preparation during their practice. The most often referred bstacles that hinder assistance were: inadequate facilities, material deficit and lack of rofessional preparation. As solutions for these problems, they cited the reinforcement of ecurity and professional training / Estudo explorat?rio descritivo, com abordagem quantitativa e dados prospectivos, realizado no Pronto Socorro Cl?vis Sarinho (PSCS), em Natal/RN, com vistas a analisar o cuidado prestado pela equipe de enfermagem e m?dica, ?s v?timas de viol?ncia atendidas em um hospital de urg?ncia em Natal/RN; identificar na vis?o das v?timas o cuidado prestado pela equipe de enfermagem e m?dica; comparar os dados observados durante o processo de cuidar com a vis?o da v?tima sobre o cuidado prestado pela equipe de enfermagem e m?dica; identificar o conhecimento existente sobre viol?ncia e o processo de cuidar ?s v?timas e sua rela??o com o preconceito; identificar os obst?culos e as perspectivas de preven??o durante o processo de cuidar ?s v?timas nos servi?os de urg?ncia. A popula??o constou de 97 m?dicos, 16 enfermeiros, 75 t?cnicos e auxiliares de enfermagem e 365 v?timas de viol?ncia, com dados coletados de abril a maio de 2009. Dos 188 profissionais, 52,1% s?o do sexo feminino; 32% tinham entre 41 e 50 anos; 99,5% haviam cuidado de alguma v?tima de viol?ncia; 90,4% afirmaram j? ter cuidado de paciente custodiado; dentre estes, 17,3% sentiram preconceito; 55,3% afirmaram que n?o cuidam de uma v?tima agredida diferente de uma agressora, por?m 44,7% afirmaram que sim; 86,7% acham seu local de trabalho inseguro; 61,7% negaram a exist?ncia de algum obst?culo e 38,3% afirmaram a exist?ncia de obst?culo; dentre estes, 26,1% referiram-se ao espa?o f?sico inadequado; 37,8% acham que o refor?o na seguran?a e a capacita??o dos profissionais, s?o as principais solu??es. Das 365 v?timas de viol?ncia pesquisadas, 82,2% foram agredidas; do sexo masculino (69,6%); tinham entre 18 a 24 anos de idade (24,9%); procedentes da Grande Natal (89,9%); em 19,7% o evento ocorreu no s?bado; no hor?rio noturno (48,8%); v?tima de agress?o f?sica (61,4%); produzida por for?a corporal (27,7%); 24,4% sofreram les?es na cabe?a e pesco?o; 57% haviam usado alguma droga, destes, predominando o ?lcool (75%). Das 621 observa??es feitas durante o processo de cuidar das v?timas, quando comparadas ao relato das v?timas agredidas, houve diferen?a estat?stica, ao n?vel de signific?ncia de 5%, em rela??o ao acolhimento, presen?a de resist?ncia por parte dos profissionais, questionamento sobre o evento violento, fornecimento de orienta??es, intera??o com o paciente e entendimento de ser bem atendido, e resolutividade do atendimento. Nas compara??es entre o observado e o relato das v?timas agressoras, houve diferen?a estat?stica, quanto ? presen?a de resist?ncia por parte dos profissionais, realiza??o dos procedimentos necess?rios e quanto a intera??o com o paciente e entendimento de ser bem atendido e 58,1% das v?timas relataram que a equipe de enfermagem foi a que melhor atendeu. Conclu?mos que os profissionais j? haviam cuidado de pacientes agressores, reconhecem a import?ncia de conhecer como se deu o evento e adquiriram esse preparo em suas pr?ticas. O cuidado durante as observa??es e no relato das v?timas, este sofre interfer?ncia dos sentimentos de medo ou preconceito em rela??o as v?timas agressoras e isto foi percebido por elas. Os obst?culos mais referidos que dificultam a assist?ncia, foram: o espa?o f?sico inadequado, o d?ficit de materiais e o despreparo dos profissionais. Como solu??es desses problemas, citaram o refor?o na seguran?a e capacita??o dos profissionais