Made available in DSpace on 2014-12-17T14:46:49Z (GMT). No. of bitstreams: 1 IsabelKFC_DISSERT.pdf: 2842147 bytes, checksum: 5940c197670eef58d4b127c85880497a (MD5) Previous issue date: 2011-12-02 / Exploratory, descriptive and quantitative study with prospective data, performed in the Mobile Emergency Care Service in the metropolitan region of Natal/RN, in order to identify the knowledge of the multidisciplinary team about the rules of standard precautions and worker safety, to identify occupational hazards peculiar to the activities of this service; characterize work-related accidents (WRA) and know the procedures adopted after each WRA. The population consisted of 162 professionals and data were collected between the months of November and December 2010. As for personal and professional characteristics, of the 162 professional, 12,96% were physicians; 6,79%, nurses; 33,95%, nursing technicians, 46,29%, conductors; 74,70% were male; 43,21% were between 31 and 40 years old; 69,33% lived in Natal/RN, 50,00% had completed high school; 58,64% were married; 69,75% had children, 46,91% were between 1 and 4 years of training; 61,73% had improvement courses; 59,25% had 3 to 4 years of service; 54,32%, with 1-4 years experience in emergency; 44,44% received 1-2 minimum wages; 78,40% received insalubrity premium; 67,28% worked in Basic Support Unit (BSU); 83,95% had journey on SAMU Metropolitano of 31-40 hours per week; 52,47% had other employments. As for knowledge of rules of standard precautions, safety and occupational hazards, 99,38% knew what it was WRA; 62,96% gave incomplete answers; 74,07% knew the rules of prevent WRA; 46,67% acquired this knowledge in lectures; 53,09% knew Personal Protective Equipment (PPE); 71,60% gave incorrect answers about the importance of standard precautions; 45,06% never received an educational intervention on this issue; 89,51% said that educational interventions in the prevention of WRA are very important; 90,12% pointed out this as a very important issue in the workplace; 27,00% suggested guidance on the topic in the workplace; regarding the physical hazards, 34,57% considered noise as the most important; about chemical hazards, 78,40% chose the gases and smoke; for biological hazards, 48,77% reported contact with the blood; for mechanical hazards, 80,86% said that were transport accidents; about ergonomic risks, 40,12% say it is the tension/stress in the care of critically ill, psychiatric and aggressive patients; and there was an average of 4,5 to the feeling of safety in the workplace. Regarding the data on the WRAs occurred, 31,48% experienced at least one accident event; 72,55% did not notify it; 60,98% answered that there was no routine for notification; 56,86% were performing patient transportation; 49,02% were hurt in the Basic Support Unit/Rescue Unit (BSU/RH); 60,78% occurred during the day; 96,08% of professionals were in normal work schedule (24 hours on duty); 31,37% had contusion; 58.82% had damage to members/pelvic girdle; 43,14% had traffic accidents. About the evolution of the WRA, 62,75% did not have to take time away from work; 76,47% had no sequelae; 88,24% did not require rehabilitation; no professional had a change of occupation. And by means of univariate logistic regression, showed that the nurses and male sex were risk factors for the occurrence of WRA. We conclude that there were gaps in the knowledge of staff regarding WRA, emphasizing the need for continuing education in biosafety in the service. / Estudo explorat?rio, descritivo, quantitativo e dados prospectivos, realizado no Servi?o de Atendimento M?vel de Urg?ncia da Regi?o Metropolitana de Natal/RN, com vistas a identificar o conhecimento da equipe multiprofissional acerca das normas de precau??es padr?o e seguran?a do trabalhador; identificar os riscos ocupacionais peculiares ?s atividades desenvolvidas nesse servi?o; caracterizar os acidentes de trabalho (AT) e conhecer os procedimentos adotados ap?s cada AT. A popula??o constou de 162 profissionais e os dados foram coletados entre os meses de novembro e dezembro de 2010. Quanto ? caracteriza??o pessoal e profissional, dos 162 profissionais, 12,96% eram m?dicos; 6,79%, enfermeiros; 33,95%, t?cnicos de enfermagem; 46,29%, condutores; 74,70% do sexo masculino; 43,21% tinham entre 31 e 40 anos; 69,33% residiam em Natal/RN; 50,00% possu?am o ensino m?dio completo; 58,64% casados; 69,75% tinham filhos; 46,91% tinham entre 1 e 4 anos de forma??o; 61,73% possu?am cursos de atualiza??o; 59,25% estavam com 3 a 4 anos de servi?o; 54,32%, com 1 a 4 anos de experi?ncia na urg?ncia; 44,44% recebiam de 1 a 2 sal?rios; 78,40% recebiam insalubridade; 67,28% atuavam na USB; 83,95% tinham jornada no SAMU Metropolitano de 31 a 40 horas semanais; 52,47% possu?am outro v?nculo empregat?cio. Quanto ao conhecimento sobre normas de precau??es padr?o, seguran?a e riscos ocupacionais, 99,38% sabiam o que era AT; 62,96% deram respostas incompletas; 74,07% conheciam as normas de AT; 46,67% adquiriram esse conhecimento em palestras; 53,09% conheciam os EPIs; 71,60% deram respostas incorretas sobre a import?ncia das PPs; 45,06% nunca receberam interven??o educativa sobre essa tem?tica; 89,51% disseram serem muito importante as interven??es educativas na preven??o de ATs; 90,12%, apontaram como muito importante este tema no ambiente de trabalho; 27,00% sugeriram a orienta??o sobre o tema no pr?prio local de trabalho; dentre os riscos f?sicos, 34,57% consideraram os ru?dos como o mais importante; dos riscos qu?micos, 78,40% referiram os gases e fuma?a; dos riscos biol?gicos, 48,77% citaram o contato com o sangue; dos riscos mec?nicos, 80,86% disseram que eram os acidentes de transporte; dos riscos ergon?micos, 40,12% afirmaram ser a tens?o/estresse no atendimento aos pacientes graves, psiqui?tricos e agressivos; e houve uma m?dia de 4,5 para o sentimento de seguran?a no ambiente de trabalho. Em rela??o aos dados sobre os ATs ocorridos, 31,48% sofreram pelo menos um evento acident?rio; 72,55% n?o notificaram; 60,98% responderam que n?o existia rotina para notifica??o; 56,86% estavam realizando o transporte de pacientes; 49,02% se acidentaram na USB/UR; 60,78% aconteceram durante o dia; 96,08% dos profissionais estavam em escala de trabalho normal (plant?o 24hs); 31,37% sofreram contus?o; 58,82% les?es nos membros/cintura p?lvica; 43,14% foram acidentes de transporte. Quanto ? evolu??o do AT, 62,75% n?o precisaram de afastamento do trabalho; 76,47% n?o tiveram sequelas; 88,24% n?o precisaram de reabilita??o; nenhum profissional precisou mudar de ocupa??o. E, por meio da regress?o log?stica univariada, evidenciou-se que os enfermeiros e o sexo masculino eram fatores de risco para a ocorr?ncia de AT. Conclu?mos que havia lacunas no conhecimento da equipe no que concerne aos AT, enfatizando-se a necessidade da educa??o permanente em biosseguran?a no servi?o.

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2017-03-17T19:22:31Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ariane_goncalves_oliveira.pdf: 1863224 bytes, checksum: 4295821735b48afb31676da9dd939d09 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2017-04-20T14:51:34Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ariane_goncalves_oliveira.pdf: 1863224 bytes, checksum: 4295821735b48afb31676da9dd939d09 (MD5) / Made available in DSpace on 2017-04-20T14:51:34Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) ariane_goncalves_oliveira.pdf: 1863224 bytes, checksum: 4295821735b48afb31676da9dd939d09 (MD5) Previous issue date: 2016 / Instituto Federal do Norte de Minas Gerais (IFNMG) / A forma??o profissional na ?rea da sa?de apresenta como um dos desafios atuais a necessidade de integra??o entre ensino, servi?o e comunidade. Alguns estudos e experi?ncias profissionais no munic?pio de Janu?ria mostram que os cursos e os servi?os de sa?de nem sempre trabalham de forma integrada. Levantou-se ent?o o problema: Como acontece a integra??o ensino-servi?o entre o Curso T?cnico em Enfermagem do Instituto Federal do Norte de Minas Gerais e os servi?os de sa?de do munic?pio de Janu?ria-MG? Quais os desafios e as facilidades? O objetivo geral do estudo foi conhecer o processo de integra??o ensino-servi?o entre o curso referido e os servi?os de sa?de de Janu?ria-MG. Definiu-se abordagem qualitativa para o estudo, cujo cen?rio foi o munic?pio de Janu?ria, seus servi?os de sa?de e o Curso T?cnico em Enfermagem do Instituto Federal do Norte de Minas Gerais. Os sujeitos foram enfermeiros dos servi?os de sa?de que s?o cen?rios de pr?tica do curso t?cnico em estudo, docentes e discentes do curso. Para coleta de dados, foram realizados grupos focais, dois com discentes, um com os docentes e um com enfermeiros assistenciais. Os dados foram analisados de acordo com a an?lise de conte?do de Bardin. A partir da an?lise foram definidas unidades tem?ticas que constitu?ram tr?s artigos. O primeiro artigo trata sobre a caracteriza??o da integra??o ensino-servi?o no munic?pio de Janu?ria. Observou-se que a integra??o ensino-servi?o em Janu?ria ? incipiente, e destaca-se na fala dos discentes um conceito de integra??o reduzido ? aplica??o da teoria na pr?tica nos campos de est?gio. O segundo artigo abordou a tem?tica das facilidades e desafios para integrar trabalho e a forma??o em sa?de. Como potencialidades foram apontados o reconhecimento dos servi?os de sa?de como espa?o de aprendizagem e o relacionamento interpessoal entre os atores da integra??o ensino-servi?o. Al?m da atua??o humanizada junto ao usu?rio, a boa intera??o e comunica??o entre estagi?rios, docentes e equipe de sa?de pode interferir tanto no aprendizado como na articula??o das tarefas nas unidades de sa?de. Quanto aos desafios, evidenciou-se a dist?ncia entre a teoria e a realidade nos cen?rios de pr?tica, e a escassez de recursos. Outras quest?es apontadas: matriz curricular n?o contextualizada aos servi?os, equipes com profissionais resistentes ao estagi?rio e a mudan?as de rotina, n?o envolvimento dos gestores no processo, e dist?ncia entre enfermeiros docentes e assistenciais. No terceiro artigo foram apresentadas propostas para efetivar a integra??o como estrat?gia de reorienta??o na forma??o em sa?de. Considera-se necess?ria a formaliza??o da parceria entre servi?o e escola, com a participa??o dos gestores nesse v?nculo, e sugere-se a constitui??o de uma comiss?o no munic?pio para discuss?o da tem?tica integra??o ensino-servi?o. Sugere-se tamb?m a realiza??o de mais estudos sobre a forma??o do profissional de sa?de de n?vel t?cnico ? luz das pol?ticas de integra??o ensino-servi?o. Por fim, espera-se a partir deste estudo, elaborar a??es e documentos que favore?am melhorias nos servi?os de sa?de prestados ? comunidade atrav?s da Integra??o Ensino-Servi?o, al?m de novas reflex?es sobre o Projeto Pol?tico Pedag?gico do Curso T?cnico em Enfermagem. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2016. / Professional training in the health area presents as one of the current challenges the need for integration between teaching, service and community. Some studies and professional experiences in the municipality of Janu?ria show that courses and health services do not always work in an integrated way. The problem then arose: How is the teaching-service integration between the Nursing technical course of the Federal Institute of North Minas Gerais and the health services of the municipality of Janu?ria-MG? What are the challenges and the facilities? The general objective of the study was to know the process of teaching-service integration between the referred course and the health services of Janu?ria-MG. A qualitative approach was defined for the study, whose setting was the municipality of Janu?ria, its health services and the nursing course of the Federal Institute of the North of Minas Gerais. The subjects were nurses of the health services that are scenarios of practice of the technical course under study, teachers and students of the course. For data collection, focus groups were held, two with students, one with teachers and one with nurse assistants. The data were analyzed according to the Bardin content analysis. From the analysis, thematic units were defined that constituted three articles. The first article deals with the characterization of teaching and service integration in the municipality of Janu?ria. It was observed that the integration of service teaching in Janu?ria is incipient, and it emphasizes in the students' speech a concept of integration reduced to the application of theory in practice in the fields of internship. The second article addressed the theme of facilities and challenges to integrate work and health training. As potentialities were pointed out the recognition of health services as a space for learning and the interpersonal relationship between the actors of teaching and service integration. In addition to the humanized interaction with the user, good interaction and communication between trainees, teachers and health staff can interfere both in learning and in the articulation of tasks in health units. As for the challenges, the distance between theory and reality in the practice scenarios, and the scarcity of resources, was evidenced. Other issues pointed out: curricular matrix not contextualized to services, teams with professionals resistant to the trainee and routine changes, non-involvement of managers in the process, and distance between teaching and healthcare nurses. In the third article, proposals were presented to effect integration as a reorientation strategy in health education. It is considered necessary the formalization of the partnership between service and school, with the participation of the managers in this link, and it is suggested the constitution of a commission in the city to discuss the thematic integration education and service. It is also suggested that further studies be carried out on the training of health professionals at a technical level in the light of integration policies for teaching and service. Finally, it is expected from this study, to elaborate actions and documents that favor improvements in the health services provided to the community through the Teaching-Service Integration, as well as new reflections on the Pedagogical Political Project of the Nursing Technical Course.