Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-13T14:15:28Z No. of bitstreams: 1 AdrianaTorquatoDaSilva_DISSERT.pdf: 4802911 bytes, checksum: 94d7a16df5fbb789540c23c8ae0b352e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-26T11:48:41Z (GMT) No. of bitstreams: 1 AdrianaTorquatoDaSilva_DISSERT.pdf: 4802911 bytes, checksum: 94d7a16df5fbb789540c23c8ae0b352e (MD5) / Made available in DSpace on 2017-01-26T11:48:41Z (GMT). No. of bitstreams: 1 AdrianaTorquatoDaSilva_DISSERT.pdf: 4802911 bytes, checksum: 94d7a16df5fbb789540c23c8ae0b352e (MD5) Previous issue date: 2016-05-30 / No Brasil do s?culo XXI, vinte e sete anos ap?s a promulga??o da Constitui??o Federal, ainda ? desafio a concretiza??o dos direitos fundamentais sociais, onde por excel?ncia, encontra-se o direito ? sa?de. A crescente busca do cidad?o pela aten??o integral em sa?de prometida pela Constitui??o de 1988 evidenciou as dificuldades encontradas entre a promessa constitucional e a capacidade pol?tica, administrativa e financeira do Estado brasileiro em cumpri-la. Os cidad?os que n?o encontram nas redes de aten??o resposta para suas necessidades de a??es e servi?os de sa?de buscam, atrav?s da interven??o do Poder Judici?rio, a solu??o para o seu problema, o que tem resultado em fen?meno denominado de ?Judicializa??o da Sa?de?. Paralelo a esse fen?meno outra situa??o se confirmou: as dificuldades pr?prias do sistema de justi?a em lidar com os direitos sociais. O modelo de justi?a apresenta-se incompat?vel com a natureza de urg?ncia que envolve as a??es judiciais em sa?de, desafiando a criatividade dos operadores do direito, profissionais de sa?de e gestores na busca de solu??es alternativas para lidar com a complexidade do tema. Esta pesquisa teve o objetivo de analisar a tecnologia social da media??o aplicada ao fen?meno da judicializa??o da sa?de como solu??o extrajudicial de conflitos, a partir da experi?ncia do Programa SUS MEDIADO NATAL. A pesquisa, de abordagem qualitativa, realizou an?lise documental dos registros do Programa e entrevistas com atores envolvidos no mesmo - operadores do Direito, representantes da Magistratura, t?cnicos colaboradores do Programa e gestores do SUS, das esferas municipal e estadual. O per?odo do estudo incluiu os anos de 2012 a 2014. Foi realizado um perfil da demanda e encaminhamentos realizados, no per?odo estudado, em rela??o aos quantitativos de atendimentos, acordos, a??es propostas pela DPE, encaminhamentos de a??es ? DPU, ?ndice de resolutividade e ?ndice de demandas n?o ajuizadas contra estado e munic?pio, e percep??es sobre as pr?ticas vivenciadas pelos atores envolvidos. Os resultados demonstraram que as percep??es dos atores ligados ao Direito e ? Sa?de s?o contradit?rias quanto ao fen?meno da judicializa??o da sa?de, entre aspectos negativos e positivos. No que se refere ? cria??o e desenvolvimento do Programa SUS MEDIADO em Natal houve consenso de que o mesmo ajudou a concretizar o direito ? sa?de. Quanto ? media??o foram identificadas vis?es semelhantes considerando que ? uma ferramenta adequada para se lidar com a judicializa??o, pois reduz o n?mero de a??es propostas no Judici?rio, direciona melhor as compet?ncias aos entes federativos, enquanto busca a solu??o administrativa dos casos. Foi observado que os problemas que permeiam a media??o s?o praticamente os mesmos identificados no funcionamento do Sistema de Sa?de: insufici?ncia de ofertas, dificuldade do acesso a novas tecnologias, d?ficit e necessidade de uma melhor capacita??o de recursos humanos, dificuldades na organiza??o dos processos de trabalho. Conclui-se que para essas quest?es nem a judicializa??o nem a media??o se apresentar?o como resposta resolutiva. Considera-se, por fim, o potencial educativo da media??o como importante contribui??o do Programa, na medida em o di?logo sobre as quest?es do sistema de sa?de permitem uma orienta??o ao usu?rio e, ao mesmo tempo, divulga positivamente o SUS junto ao cidad?o, reconciliando-o com o sistema de sa?de. Essa comunica??o ? cara ao SUS e poder? contribuir, simultaneamente, na otimiza??o da Justi?a e da Gest?o da Sa?de, e em avan?os na cidadania e na efetiva??o de direitos sociais. / In Brazil of the twenty-first century, twenty seven years after the promulgation of the Constitution, the achievement of fundamental social rights it is challenging, where par excellence, is the right to health. The growing demand of citizens to full health care promised by the Constitution of 1988, highlighted by the difficulties between the constitutional promised and the political, administrative and financial capacity of the Brazilian State to fulfill it. Citizens who do not find the answer to your attention needs actions and health services networks seek, through the judiciary intervention, the solution to your problem, which has resulted in a phenomenon called "Legalization of Health." Parallel to this phenomenon other situation was confirmed: the difficulties of the justice system in dealing with social rights. The model of justice shows to be incompatible with the urgent nature involving lawsuits in Health, challenging the creativity of legal professionals, health professionals and managers in the search for alternative solutions to deal with the complexity of the issue. This research aimed to analyze the social technology of mediation applied to the phenomenon of legalization of health as an extrajudicial settlement of conflicts, from the experience of SUS MEDIATED NATAL Program. The research, in its qualitative approach, accomplished documentary analysis of the Program records and interviews with people involved in the same - Law operators, representatives of the Magistracy, technical colaborators and SUS program managers, the municipal and state sphere. The study period included the years 2012 to 2014. This was a profile and referrals made during the period studied, in relation to quantitative consultations, agreements, actions proposed by the DPE, referrals actions to DPU, resoluteness index and demands index not filed against state and county, and perceptions about the practices experienced by the people involved. The results showed that the perceptions of people linked to the field of Law and Health are contradictory as to the legalization of health phenomenon, between negative and positive aspects. In regards to the creation and development of the program SUS MEDIATED NATAL, there was a consensus that it helped to realize the rights to health. As far as the mediation, similar views were identified considering that it is an appropriate tool to deal with the legalization, because it reduces the number of actions proposed in the Judiciary, directs better the competence of the federative while searching the administrative resolution of the cases. It was noted that the problems that pervade the mediation are much the same identified in the operation of the Health System: insufficient offers, difficulty of access to new technologies, deficit and need for better training of human resources, difficulties in the organization of work processes. It is concluded that for these issues neither the legalization nor mediation will provide a resolute response. It is considered, finally, the educational potential of mediation as an important contribution of the Program, as the dialogue on the health system issues allow the user orientation and at the same time, positively discloses SUS to the citizen, reconciling it with the health system. This communication is expensive to SUS and can contribute simultaneously to the optimization of Justice and Health Management, and advances in citizenship and the affecteviness of social rights.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-13T14:15:29Z No. of bitstreams: 1 IsisCristianeBezerraDeMeloCarvalho_DISSERT.pdf: 5032090 bytes, checksum: af6f72d632d3881cb23969bdd8a646ca (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-26T12:31:35Z (GMT) No. of bitstreams: 1 IsisCristianeBezerraDeMeloCarvalho_DISSERT.pdf: 5032090 bytes, checksum: af6f72d632d3881cb23969bdd8a646ca (MD5) / Made available in DSpace on 2017-01-26T12:31:35Z (GMT). No. of bitstreams: 1 IsisCristianeBezerraDeMeloCarvalho_DISSERT.pdf: 5032090 bytes, checksum: af6f72d632d3881cb23969bdd8a646ca (MD5) Previous issue date: 2016-08-30 / A mortalidade materno-infantil ainda ? um grave problema de sa?de p?blica no Brasil, apesar do amplo acesso a partos institucionalizados. A Organiza??o Mundial da Sa?de desenvolveu o Safe Childbirth Checklist, uma tecnologia potencialmente ?til para melhorar a qualidade da assist?ncia durante o parto e favorecer melhores resultados em sa?de. O objetivo deste trabalho ? adaptar culturalmente e validar a Lista de Verifica??o para o Parto Seguro da OMS para os hospitais brasileiros, pois a simples tradu??o entra em choque com pr?ticas cl?nicas nacionais consolidadas. Ap?s tradu??o para o portugu?s do Brasil, houve tr?s etapas de adapta??o e valida??o: 1- grupo nominal com painel de especialistas, sendo tr?s enfermeiras obstetras e seis m?dicas (tr?s obstetras e tr?s pediatras), que se realizou de forma presencial (duas primeiras vota??es) e finalizou a dist?ncia (vota??o final); 2- Confer?ncia de Consenso em dois Hospitais Universit?rios, em reuni?es ampliadas para todos os profissionais que utilizariam a lista; e 3- question?rio estruturado aos profissionais de sa?de (n=40) ap?s estudo piloto de 30 dias utilizando a lista. Os crit?rios da valida??o foram a validade de face e conte?do da lista, adequa??o aos protocolos nacionais, terminologia e viabilidade no contexto local. Na primeira etapa, todos os 29 itens foram aprovados ap?s 3 rodadas e algumas adapta??es nacionais (ex. teste r?pido para HIV em vez de CD4). Na segunda etapa, ocorreu acr?scimo de 24 itens e modifica??es em itens iniciais. Na terceira etapa, ocorreu a exclus?o de 3 itens n?o vi?veis, 2 itens sofreram jun??o e 1 item foi acrescentado devido a sua import?ncia cl?nica no contexto brasileiro. O processo de valida??o possibilitou a disponibiliza??o de uma Lista de Verifica??o para o Parto Seguro de 49 itens potencialmente ?til para o contexto brasileiro, apresentando ind?cios de validade e viabilidade para o contexto nacional que devem ser confirmados em estudos futuros com foco na efetividade ou validade de crit?rio. / Maternal and infant mortality is still a serious public health problem in Brazil, despite the broad access to institutionalized deliveries. The World Health Organization has developed the Safe Childbirth Checklist, a potentially useful technology to improve the quality of care during labor and to promote better health outcomes. The objective of this work is culturally adapt and validate the Checklist for the WHO Safe Childbirth for Brazilian hospitals, for the simple translation collides with consolidated national clinical practice. After translation into Portuguese of Brazil, there were three stages of adaptation and validation: 1 nominal group panel of experts, three obstetricians and six medical nurses (three obstetricians and three pediatricians), held in person (first two polls ) and completed the distance (final vote); 2 Consensus Conference in two University Hospitals, in extended meetings for all professionals who would use the list; and 3 structured questionnaire for health professionals (n = 40) after 30-day pilot study using the list. The criteria for validation were the face validity and list content, suitability for national protocols, terminology and viability in the local context. In the first stage, all 29 items were approved after 3 rounds and some national adaptations (eg. Rapid test for HIV instead of CD4). In the second stage, there was an increase of 24 items and changes in initial items. In the third stage, was the exclusion of nonviable 3 items, 2 items were joint and 1 item has been added due to their clinical importance in the Brazilian context. The validation process enabled the provision of a Checklist for Safe Childbirth 49 potentially useful items for the Brazilian context, with evidence of validity and feasibility of the national context which must be confirmed in future studies focused on the effectiveness or validity of criterion.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-01-13T14:15:30Z No. of bitstreams: 1 MeilyDeMelloSousa_DISSERT.pdf: 1949115 bytes, checksum: 115e868d8ae987df28b3b33a612fe3fd (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-01-26T12:46:42Z (GMT) No. of bitstreams: 1 MeilyDeMelloSousa_DISSERT.pdf: 1949115 bytes, checksum: 115e868d8ae987df28b3b33a612fe3fd (MD5) / Made available in DSpace on 2017-01-26T12:46:42Z (GMT). No. of bitstreams: 1 MeilyDeMelloSousa_DISSERT.pdf: 1949115 bytes, checksum: 115e868d8ae987df28b3b33a612fe3fd (MD5) Previous issue date: 2016-06-21 / Este trabalho buscou identificar a preval?ncia do uso e o padr?o de consumo de insumos preventivos em sa?de bucal pela popula??o de duas cidades com caracter?sticas demogr?ficas similares e quadros de sa?de bucal distintos, bem como os fatores associadas ao uso dos mesmos. O estudo foi individuado, observacional e seccional anal?tico com grupo de compara??o. A pesquisa foi realizada nas cidades do Natal/RN e Florian?polis/SC. A amostra foi composta por 963 indiv?duos, divididos entre ambas cidades, com idade igual ou maior que 20 anos. A amostragem foi por cotas e a coleta se deu atrav?s de question?rios estruturados, com informa??es das caracter?sticas socioecon?mico-demogr?ficas, h?bitos de uso e consumo de insumos preventivos em sa?de bucal e poss?veis fatores associados. As entrevistas ocorreram em pontos de grande movimento em ambas cidades. Os dados foram submetidos ao teste estat?stico qui-quadrado e regress?o log?stica do tipo stepwise forward. Para todos os testes foi adotado um n?vel de signific?ncia de 5%. O uso de escova dent?ria e dentifr?cio foi feito por 100% da amostra e cerca de 70,0% os utilizam 3 ou mais vezes ao dia. O uso de fio dent?rio foi de 66,0% para Natal/RN e 81,5% para Florian?polis/SC. J? o uso de enxaguante bucal foi 52,9% e 59,3% para Natal/RN e Florian?polis/SC, respectivamente. A frequ?ncia predominante de uso em ambos os casos foi uma vez ao dia. Os resultados de Florian?polis/SC foram melhores nos quesitos condi??o socioecon?mica e h?bitos de higiene. Observou-se associa??o entre o uso de fio dent?rio e o fato dos indiv?duos residirem em Florian?polis/SC, serem do sexo feminino, estado civil casado, estarem na faixa et?ria de 40-49 anos, possu?rem maior n?vel de escolaridade, frequentarem o servi?o odontol?gico privado, realizarem higieniza??o bucal mais vezes diariamente e n?o relatarem dor de dentes nos ?ltimos seis meses. As vari?veis que se associaram ao uso de enxaguante foram predominantemente aquelas que representavam a condi??o socioecon?mica do indiv?duo, sendo aqueles com melhor situa??o, os que mais utilizavam esse insumo. Conclui-se nesta pesquisa que a condi??o socioecon?mica dos indiv?duos, representadas pelo acesso a servi?os de sa?de e a escolaridade, foram os principais determinantes sobre os h?bitos de higiene bucal da amostra estudada. / This study aimed to identify the prevalence of the use and the consumption pattern of oral health preventive supplies by the population of two cities with similar demographic characteristics and different oral health status, as well as factors associated with their use. The study was individual, observational and analytical sectional with comparison group. The survey took place in the cities of Natal/RN and Florian?polis/SC. The sample consisted of 963 individuals, divided between both cities, from the age of 20 and up. The sampling was by quotas and the collection was through questionnaires structured with information of socioeconomic and demographic characteristics, usage habits and consumption of oral health preventive supplies and possible associated factors. The interviews took place in busy locations in both cities. The data were submitted to chi-square statistical test and logistic regression type stepwise forward. For all tests it was adopted a 5% significance level. The use of toothbrush and dentifrice was made by 100% of the sample and about 70.0% use them 3 or more times daily. The use of dental floss was 66.0% for Natal/RN and 81.5% for Florian?polis/SC. And the use of mouthwash was 52.9% and 59.3% for Natal/RN and Florian?polis/SC, respectively. The predominant frequency of use in both cases was once a day. The results of Florian?polis/SC were better in the categories socioeconomic status and hygiene habits. There was an association between the use of dental floss and the fact that individuals resided in Florian?polis/SC, were female, were married, were in the age group of 40-49 years, had a higher level of education, attended private dental service, performed oral hygiene more times daily and did not report toothache in the previous six months. The variables associated with the use of mouthwash were predominantly those representing the socio-economic condition of the individual, those in better condition were the ones who most used this product. In conclusion, the socioeconomic status represented by yhe access to health services and the education level, were the main determinants of the oral hygiene habits of the sample.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-13T20:40:15Z No. of bitstreams: 1 AnneKarelyneDeFariaFurtunato_DISSERT.pdf: 5076263 bytes, checksum: 087970c61bd6fd25e45643be3cba6c34 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-16T22:09:32Z (GMT) No. of bitstreams: 1 AnneKarelyneDeFariaFurtunato_DISSERT.pdf: 5076263 bytes, checksum: 087970c61bd6fd25e45643be3cba6c34 (MD5) / Made available in DSpace on 2017-02-16T22:09:32Z (GMT). No. of bitstreams: 1 AnneKarelyneDeFariaFurtunato_DISSERT.pdf: 5076263 bytes, checksum: 087970c61bd6fd25e45643be3cba6c34 (MD5) Previous issue date: 2016-06-10 / Trata-se de um estudo descritivo, do tipo pesquisa-a??o, utilizando a abordagem quantitativa para caracteriza??o dos profissionais e de abordagem qualitativa, utilizando o recurso metodol?gico relato de experi?ncia realizado com profissionais que atuam numa equipe da Estrat?gia Sa?de da Fam?lia (ESF) e no N?cleo de Apoio ? Sa?de da Fam?lia (NASF) e com idosos residentes em uma institui??o de longa perman?ncia para idosos (ILPI) localizada na sua ?rea de abrang?ncia. O estudo tem como objetivo geral cconhecer as condi??es de sa?de de idosos institucionalizados no munic?pio de Pombal ? PB e sua rela??o com a ESF na perspectiva de propor estrat?gias de melhoria da assist?ncia junto a equipe de sa?de. A popula??o do estudo ? constitu?da por doze idosos residentes em uma ILPI, e para a identifica??o das a??es realizadas pela ESF com os idosos residentes na institui??o a popula??o ? constitu?da pelos profissionais que atuam na ESF Kellyson Ramalho, perfazendo um total de dezesseis profissionais. Foram aplicados dois instrumentos de coleta de dados: um instrumento aplicado aos idosos residentes em uma ILPI e outro para os profissionais da ESF e NASF para a identifica??o de a??es desenvolvidas pela ESF junto a tais idosos. O instrumento aplicado aos idosos consta de um formul?rio para caracteriza??o s?cio demogr?fica, condi??es de sa?de, al?m de conter a escala de Katz e o Mini-mental. O instrumento de coleta de dados aplicado aos profissionais consta de quest?es de m?ltiplas escolhas contendo informa??es referentes ao perfil do profissional, servi?os de aten??o ao idoso, conhecimento acerca da legisla??o destinada ? pessoa idosa e a??es desenvolvidas em institui??es de longa perman?ncia para idosos. Os dados coletados foram agrupados por categorias de sujeitos (idosos e profissionais) e analisados separadamente. O armazenamento dos dados foi feito no programa Microsoft Excel, sendo estes confrontados e corrigidos se apresentarem erros e inconsist?ncias. Os dados foram discutidos ? luz da literatura pertinente ao tema. O projeto foi submetido ao Comit? de ?tica em Pesquisa do Hospital Universit?rio Onofre Lopes e aprovado sob parecer de n? 1.144 em 09 de julho de 2015. Foi verificado o d?ficit em conhecimento sobre idosos institucionalizados por parte dos profissionais, as a??es de cunho pontual realizadas com os idosos participantes do estudo. Desse modo, foi ministrada uma oficina sobre as especificidades da pessoa idosa institucionalizada aos profissionais, a qual foi registrada por meio de di?rios de campo, tendo como produto um instrumento de avalia??o multidimensional para o idoso institucionalizado. O instrumento j? est? sendo utilizado pelos profissionais da ESF, considerado de grande import?ncia para o planejamento do cuidado destinado aos idosos, servindo de refer?ncia n?o para a popula??o idosa usu?ria da ESF. / This was a descriptive, action research study, with a qualitative approach, in which it was used a quantitative approach in order to characterize the professionals. It was also carried out an experience report with the professionals who work at the Family Health Strategy (FHS) and at the Family Health Support Nucleus (FHSN) as well as with elderly people who reside at a long-term care institution in the area. The objective of this study was to be aware of the health condition of institutionalized elderly in the city of Pombal, in Para?ba and its relation with the FHS, with a perspective of proposing strategies to improve the assistance of the healthcare staff. The sample of the study was constituted by all the elderly who reside in the long-term care institution and for the identification of the actions carried out by the FHS, the sample was constituted by the professionals who work at the FHS Kellyson Ramalho, totalizing sixteen professionals. It was used two instruments for data collection: one for the elderly and another one for the professionals in order to identify the actions which were being developed for these elderly people. The instrument used with the elderly was a form for social ? demographic characterization, health status, which contained the Katz scale and the Mini-mental. The instrument used with the professionals was a form containing multiple choice questions related to the professional profile, elderly care service, knowledge about the legislation destined to the elderly person and actions developed in long-term care institutions. The data collected was divided by categories of subjects (elderly and professionals) and analyzed separately. The data was stored on the Microsoft Excel program, and they were compared and corrected in case of errors and inconsistences. The data was discussed based on the existent literature. The project was submitted to the Research Ethic Committee of the Onofre Lopes University Hospital and approved under the position number 1.144 on 9th July, 2015. It was verified a deficit on the knowledge by the professionals about the institutionalized elderly. Thus, it was carried out a workshop about the specificities of the institutionalized elderly person, which was registered through diaries, and having as a product an instrument of multidimensional evaluation for the elderly. The instrument is already being used by the professionals of the FHS, and it is considered of highly importance for the elderly care.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-13T20:53:00Z No. of bitstreams: 1 SabrinnaFernandaDeAndradeArruda_DISSERT.pdf: 1742784 bytes, checksum: 189d657745595402af18e25964aab555 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-16T23:54:02Z (GMT) No. of bitstreams: 1 SabrinnaFernandaDeAndradeArruda_DISSERT.pdf: 1742784 bytes, checksum: 189d657745595402af18e25964aab555 (MD5) / Made available in DSpace on 2017-02-16T23:54:02Z (GMT). No. of bitstreams: 1 SabrinnaFernandaDeAndradeArruda_DISSERT.pdf: 1742784 bytes, checksum: 189d657745595402af18e25964aab555 (MD5) Previous issue date: 2016-08-31 / Introdu??o: A diabetes mellitus se constitui como um importante problema de Sa?de P?blica atualmente, apresentando alta morbimortalidade e perda significativa na qualidade de vida. Seu car?ter cr?nico, a gravidade das complica??es e os recursos necess?rios para cont?-las, tornam a diabetes uma doen?a muito onerosa n?o apenas para os sujeitos afetados e seus familiares, mas tamb?m para os sistemas de sa?de em diferentes pa?ses. O cuidado relacionado a diabetes ? complexo e envolve uma variedade de aspectos que v?o al?m do simples controle glic?mico e do uso de f?rmacos hipoglicemiantes. Um amplo compilado de evid?ncias apoia diversas interven??es para melhorar os desfechos macro e microvasculares no DM. Objetivos: Avaliar e melhorar a assist?ncia prestada aos diab?ticos mediante a utiliza??o do ciclo de melhoria da qualidade em uma Unidade B?sica de Sa?de. Metodologia: Trata-se de um estudo quantitativo e retrospectivo, desenvolvido atrav?s da aplica??o de um ciclo interno de melhoria da qualidade, realizado em uma unidade b?sica de sa?de. O n?vel de qualidade foi avaliado atrav?s de 9 crit?rios de qualidade constru?dos e validados localmente. Foram feitas duas avalia??es em dois momentos diferentes. Para quantificar a efetividade da interven??o, calculou-se a melhoria absoluta e relativa, al?m da significa??o estat?stica da melhoria absoluta mediante o teste unilateral do valor de z. Resultados: Ap?s a interven??o, a melhoria relativa variou entre 50% e 76%, sendo muito significativa (p <0,001) na maioria deles. A frequ?ncia absoluta de n?o conformidades diminuiu de 593 (primeira avalia??o) para 214 (segunda avalia??o), o que corresponde a uma melhoria de 379 no n?mero de n?o cumprimentos. Conclus?es: O ciclo de avalia??o interna mostrou-se ?til e efetivo como instrumento de gest?o da qualidade do processo assistencial avaliado, apesar de n?o ter atingido o n?vel de qualidade ?timo, ou seja, a aus?ncia de n?o conformidades de todos os crit?rios analisados. / Introduction: Mellitus diabetes is constituted as an important public health problem nowadays, featuring high morbidity and mortality and significant loss on quality of life. Its chronic condition, the severity of complications and the resources needed to hold back them, make the diabetes a very costly disease not only for the affected individuals and their families, but also for health systems in different countries. The care related to diabetes is complex and it involves a variety of aspects that go beyond blood glucose control and the use of hypoglycemic drugs. A compilation of evidence support a range of interventions in order to improve the macro and microvascular outcomes on DM. Goals: Evaluating and improving the care provided to diabetics by using the quality improvement cycle in a Basic Health Unit. Methodology: This is a quantitative and retrospective research, developed through application of an internal quality improvement cycle, carried out in a basic health unit. The quality level was evaluated by 9 quality criteria developed and validated locally. Two evaluations were made at two different times. To quantify the effectiveness of the intervention, it was calculated the absolute and relative improvement, besides the statistical significance of the absolute improvement through unilateral test of value z. Results: After intervention, the relative improvement varies between 50% and 76%, considering highly significant (p <0.001) in most of these criteria. The absolute frequency of non-compliance decreased from 593 (first evaluation) to 214 (second evaluation), corresponding to an improvement of 379 in total of non-compliance of the criteria evaluated. Conclusions: The internal evaluation cycle proved to be useful and effective as a quality management instrument of care process evaluated, despite not having reached the level of great quality, in other words, the absence of non-compliances of all the analyzed criteria.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:08Z No. of bitstreams: 1 AnnaCristinaDaCruzBezerra_DISSERT.pdf: 1559083 bytes, checksum: d1906c8d5f52eaa7dd39047859b70d24 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T00:24:05Z (GMT) No. of bitstreams: 1 AnnaCristinaDaCruzBezerra_DISSERT.pdf: 1559083 bytes, checksum: d1906c8d5f52eaa7dd39047859b70d24 (MD5) / Made available in DSpace on 2017-03-07T00:24:05Z (GMT). No. of bitstreams: 1 AnnaCristinaDaCruzBezerra_DISSERT.pdf: 1559083 bytes, checksum: d1906c8d5f52eaa7dd39047859b70d24 (MD5) Previous issue date: 2016-08-01 / O acesso e a qualidade do cuidado na primeira inf?ncia, no contexto brasileiro da Aten??o Prim?ria em Sa?de (APS) s?o influenciados pelos princ?pios do Sistema ?nico de Sa?de (SUS) e principais pol?ticas de sa?de da crian?a, representadas pelo Estatuto da Crian?a e do Adolescente (ECA), a Pol?tica Nacional de Sa?de da Crian?a e o marco legal da primeira inf?ncia. A Estrat?gia de Sa?de da Fam?lia (ESF) tem um papel central na reorienta??o do modelo de aten??o voltado para a integralidade e melhor desempenho do cuidado infantil. O presente estudo tem como objetivo avaliar o cuidado ? sa?de da crian?a na APS, na perspectiva do acesso e da qualidade da aten??o, em oito regi?es de sa?de do Estado do Rio Grande do Norte. Foram analisados 13 aspectos essenciais do cuidado infantil, nos componentes da oferta, da busca ativa e do registro, em dois momentos hist?ricos, a partir do banco de dados da pesquisa multic?ntrica do Programa Nacional de Melhoria do Acesso e da Qualidade da Aten??o B?sica/PMAQ/AB. O PMAQ, lan?ado no ano de 2011, configura uma nova estrat?gia para melhoria assistencial atrav?s de avalia??o, coordena??o de a??es e certifica??o enfocando o trabalho de equipes de Aten??o B?sica. Trata-se de um estudo avaliativo, descritivo transversal, com abordagem quantitativa, realizada com dados secund?rios do PMAQ/AB, do primeiro e segundo ciclos do programa, realizados em 2011 a 2014. O universo desta pesquisa compreende 407 equipes de sa?de da fam?lia de 112 munic?pios do Rio Grande do Norte que fizeram parte dos dois momentos da pesquisa. A an?lise dos dados foi desenvolvida quantitativamente, atrav?s do Statistical Package for Social Sciences (SPSS?) na vers?o 22.0, com posterior linkage dos dois bancos de dados criados, um para o 1? ciclo e outro para o 2? ciclo. Realizado o linkage dos bancos, os dados foram analisados por meio do teste Mcnemar, por tratar-se de dados pareados, cujas vari?veis estudadas s?o de natureza dicot?mica (sim/n?o). Em todas as compara??es, o n?vel de signific?ncia de 5% fora utilizado (p<0,05). Os principais resultados demonstram heterogeneidades regionais, com similaridades e especificidades, com tend?ncias de amplia??o do acesso e qualidade do cuidado na primeira inf?ncia no ?mbito da APS das 8 regi?es de sa?de. Por?m, com desafios na busca ativa e na aten??o aos grupos mais vulner?veis, como crian?as prematuras, que podem ser determinantes para o crescente aumento da mortalidade neonatal. O aumento das viol?ncias e acidentes na primeira inf?ncia demonstra uma qualifica??o da APS neste registro, por?m revela a necessidade de qualifica??o da oferta e da atua??o dos profissionais de sa?de para interven??es preventivas e de promo??o da sa?de voltadas para a primeira inf?ncia no contexto familiar e comunit?rio, frente a suas realidades locais. O desempenho quanto ao acesso e qualidade do cuidado na APS, na perspectiva do PMAQ, mostra um quadro diferenciado que revela a necessidade de serem adotadas interven??es precoces e oportunas para a primeira inf?ncia, apresentadas neste estudo. / Access and quality of care in early childhood, in the Brazilian context of Primary Health Care (PHC) are influenced by the principles of the Unified Health System (SUS) and the main health policies of the child, represented by the Children and Adolescents Statute (CAS), the National Children Health Policy and the early childhood legal milestone. The Family Health Strategy (FHS) plays a central role in reorienting the model of care toward the integrity and improved performance of child care. This study aims to evaluate the health care of children in APS, from the perspective of access and quality of care in eight health regions of the State of Rio Grande do Norte. 13 essential aspects of child care were analyzed, in the components of supply, of active search and registration throughout two historical moments, from the multicenter research database of the National Program for Improving Access and Quality Primary Care / PMAQ / PC. The PMAQ, launched in 2011, sets up a new strategy for improving care through assessment, coordination of actions and certification focusing on the work of primary care teams. It is an evaluative study, cross-sectional, with a quantitative approach, performed with secondary data from PMAQ / PC, the first two cycles of the program, carried out from 2011 to 2014. The universe of this research includes 407 family care teams, from 112 municipalities of Rio Grande do Norte who were part of the two phases of the research. Data analysis was developed quantitatively through the Statistical Package for Social Sciences (SPSS) version 22.0, with subsequent linkage of the two created databases, one for the 1st cycle and one for the 2nd cycle. As data is paired, after having performed the linkage, data was analyzed using the McNemar test, whose variables are dichotomous nature (yes/no). In all comparisons, the 5% significance level was used (p <0.05). The main results demonstrate regional heterogeneities, with similarities and specificities, expanding trends of access and quality of care in early childhood within the APS of 8 health regions. However there has been challenges in the active search for and attention to the most vulnerable groups such as premature infants, which could have been decisive for the increasing neonatal mortality. The increase in violence and accidents in early childhood shows a qualification of APS on this record, but reveals the need for qualification of supply and health professionals acting for preventive interventions and health promotion focused on early childhood in the family and community context face to their local realities. The performance in access and quality of care in PHC, from the perspective of PMAQ, shows a different picture that reveals the desirability of adopting precocious and timely interventions for early childhood, presented in this study.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:08Z No. of bitstreams: 1 AnneChristineDeMacedoSilvaGomes_DISSERT.pdf: 3602113 bytes, checksum: 0d646ecc7ff7b09df17b0cab12c49ee2 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T00:29:57Z (GMT) No. of bitstreams: 1 AnneChristineDeMacedoSilvaGomes_DISSERT.pdf: 3602113 bytes, checksum: 0d646ecc7ff7b09df17b0cab12c49ee2 (MD5) / Made available in DSpace on 2017-03-07T00:29:57Z (GMT). No. of bitstreams: 1 AnneChristineDeMacedoSilvaGomes_DISSERT.pdf: 3602113 bytes, checksum: 0d646ecc7ff7b09df17b0cab12c49ee2 (MD5) Previous issue date: 2016-07-29 / As pessoas com defici?ncia apresentam, de modo geral, mais problemas de sa?de bucal do que aquelas sem essa condi??o. Tais problemas tornam-se mais graves em pacientes com comprometimento motor ou intelectual, fazendo-se necess?rio, portanto, o aux?lio de cuidadores para a realiza??o da higiene bucal di?ria. O objetivo desse estudo foi identificar a percep??o de cuidadores de pessoas com defici?ncia acerca da sa?de bucal; conhecer sua condi??o de sa?de bucal e os impactos sobre sua qualidade de vida, al?m de verificar as a??es de higiene bucal realizadas, por eles, junto aos pacientes sob seus cuidados. Trata-se de uma pesquisa explorat?ria, seccional, com enfoque quantitativo e qualitativo realizada no munic?pio de Currais Novos/RN. A amostra foi composta por 50 cuidadores que acompanhavam pacientes em tratamento odontol?gico no Centro de Especialidades Odontol?gicas do munic?pio. Para a coleta de dados utilizou-se question?rios e entrevistas. O question?rio OHIP-14 buscou identificar o impacto dos problemas bucais sobre a qualidade de vida dos cuidadores e as entrevistas visaram conhecer a percep??o de sa?de bucal dos mesmos. Os dados quantitativos foram analisados atrav?s do programa estat?stico SPSS 22.0 e os dados qualitativos foram submetidos ? t?cnica de an?lise de conte?do ? luz do referencial te?rico de Minayo, originando tr?s categorias tem?ticas: concep??o de boca saud?vel, formas de cuidar da boca, concep??o acerca do edentulismo. Os resultados apontam que os cuidadores apresentam uma condi??o de sa?de bucal ruim, com repercuss?es negativas sobre sua qualidade de vida. Tal condi??o ? corroborada por percep??es de sa?de bucal centradas na doen?a, isto ?, aus?ncia de dor e presen?a de afec??es bucais. Pode-se inferir que tal percep??o compromete a higiene e os cuidados bucais das pessoas com defici?ncia sob seus cuidados. Fica clara a necessidade de implementa??o de programas educativos e motivacionais, com o uso de metodologias ativas, que permitam aos cuidadores se apropriarem de conhecimentos necess?rios ? manuten??o da sa?de bucal dos pacientes sob sua responsabilidade e deles pr?prios. / People with deficiency feature, generally, more problems of oral health than those without this condition. Such problems become more severe in patients with motor and intellectual commitment, making it necessary, therefore, the help of caregivers for the realization of daily oral hygiene. The objective of this study was to identify the perception of caregivers of disabled people about oral health; know your oral health condition and the impacts on their quality of life, besides checking the oral hygiene actions taken by them to the patients under their care. It is an exploratory research, sectional, with quantitative and qualitative approach conducted in Currais Novos/RN city. The sample was consisted of 50 caregivers that accompanying patients in dental treatment at Dental Specialty Center of the city. For data collection, it was used questionnaires and interviews. OHIP-14 questionnaire sought to identify the impact of oral problems on the quality of caregivers?s life, and the interviews aimed to know their perception about oral health. Quantitative data were analyzed using SPSS 22.0 and qualitative data were subjected to content analysis technique based on the theoretical framework of Minayo, resulting in three thematic categories: design healthy mouth, ways to take care of the mouth and conception of the edentulous. The results point that carers have a bad oral health condition, with negative repercussions on their quality of life. This condition is supported by perceptions of oral health focused on disease, this is, absence of pain and presence of oral disease. It can be inferred that surch perception compromises hygiene and oral care of people with disabilities in their care. It is clear the necessity to implement educational and motivational programs, using active methodologies that allow caregivers to appropriate knowledge necessary to maintain the oral health of patients under their responsibility, as well as their own.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:09Z No. of bitstreams: 1 ValeskaCahuFonsecaDaNobrega_DISSERT.pdf: 879533 bytes, checksum: c2ea1faa499fd48ffc6d037810a73aba (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T20:59:51Z (GMT) No. of bitstreams: 1 ValeskaCahuFonsecaDaNobrega_DISSERT.pdf: 879533 bytes, checksum: c2ea1faa499fd48ffc6d037810a73aba (MD5) / Made available in DSpace on 2017-03-07T20:59:51Z (GMT). No. of bitstreams: 1 ValeskaCahuFonsecaDaNobrega_DISSERT.pdf: 879533 bytes, checksum: c2ea1faa499fd48ffc6d037810a73aba (MD5) Previous issue date: 2016-08-31 / A pesquisa discorre sobre as Redes Sociais de Apoio ao aleitamento materno (AM) em uma Unidade de Sa?de da Fam?lia (USF) a partir de aportes te?ricos sobre as Redes Sociais, considerada como teia de rela??es estabelecidas entre as pessoas e suas consequ?ncias nos comportamentos individuais e coletivos e a teoria da d?diva que desvenda a compreens?o sobre intera??es sociais, v?nculos, trocas e reciprocidades que fazem circular bens simb?licos essenciais ? constitui??o de la?os fortalecendo a rede e a pr?tica da amamenta??o. Teve como objetivo geral analisar as Redes Sociais de apoio para o estimulo ao AM e desenvolver a??es na perspectiva do seu fortalecimento; e como objetivos espec?ficos: mapear as Redes Sociais de Apoio de mulheres no ciclo grav?dico puerperal, desenvolver a??es educativas para o est?mulo ao AM envolvendo as Redes Sociais de Apoio e analisar os resultados das a??es educativas conforme a vis?o dos participantes. A pesquisa foi do tipo pesquisa a??o desenvolvida em quatro fases: a fase explorat?ria, a fase de planejamento, a fase da a??o e a fase de avalia??o, com abordagem qualitativa. Teve como cen?rio a ?rea adstrita a USF ? Centro, no munic?pio de Parnamirim, estado do Rio Grande do Norte, e os sujeitos da pesquisa foram constitu?dos por oito mulheres em fase de amamenta??o exclusiva. Os dados foram coletados nas diferentes fases atrav?s de entrevistas, registros do di?rio de campo e grupo focal. Foram analisados atrav?s da elabora??o de ecomapa; relato das a??es desenvolvidas e utiliza??o da t?cnica de analise tem?tica de conte?do. Os resultados revelaram que a fam?lia nuclear possui uma rela??o muito forte com as nutrizes destacando o parceiro (pai) e a m?e (av?) como integrantes mais influentes na rede social das mesmas. As a??es educativas realizadas se constitu?ram de tr?s tipos de atividades que se complementaram: as visitas domiciliares, as rodas de conversas e a intera??o de um grupo virtual com a utiliza??o do aplicativo WhatsApp que foram motivadoras do fortalecimento da rede, contribuindo para incentivar a continuidade do aleitamento materno. A an?lise das vozes dos sujeitos participantes afirmou a import?ncia da Rede de Apoio para a pr?tica do aleitamento materno, envolvendo rela??es de trocas e pessoalidade nas quais circularam d?divas positivas, gerando sentimentos de reconhecimento, afeto, solidariedade e satisfa??o por terem vivenciado a experi?ncia. / The research discusses the social networks of support to breastfeeding in a Family Health Unit from theoretical contributions on the social networks, considered as a web of established relationships between people and their consequences on individual and collective behavior, and the theory of the gift that reveals the comprehension of social interactions, bonds, exchange and reciprocity that circulate symbolic goods essential to the establishment of ties strengthening the network and the practice of breastfeeding. The general objective was analyze the social networks of support for encouraging the breastfeeding and develop actions in view of its strengthening; and as specific objectives: to map the social networks to support women in pregnancy and post childbirth, develop educational activities for stimulating BF involving social support networks and analyze the results of educational activities from the perspective of the participants. The research type was the action developed, divided in four phases: the exploratory phase, the planning phase, the action phase and the evaluation phase, with a qualitative approach. Took place at an area next to the Family Health Unit - Center in the city of Parnamirim, state of Rio Grande do Norte, and the research subjects consisted of eight women in exclusive breastfeeding. Data were collected at different phases through interviews, field diary records and focus groups. Were analyzed by developing ecomap; report of the actions developed and use of the thematic analysis technique content. The results revealed that the nuclear family has a very strong relationship with the mother, highlighting the partner (father) and mother (grandmother) as most influential members of the social network. The educational activities consisted of three types of activities that are complementary: home visits, conversations circles and interaction of a virtual group using the app WhatsApp, that were motivating strengthening of the network, helping to encourage the continuation of breastfeeding. The analysis of the voices of the subjects participants affirmed the importance of the support network for the practice of breastfeeding, involving relations of exchange and personhood in which circulated positive gifts, generating feelings of recognition, affection, solidarity and satisfaction for having lived the experience.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T23:36:52Z No. of bitstreams: 1 JanaineMariaDeOliveira_DISSERT.pdf: 1361256 bytes, checksum: d5e8f48759f866c073ff84c1e160458a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-24T23:23:52Z (GMT) No. of bitstreams: 1 JanaineMariaDeOliveira_DISSERT.pdf: 1361256 bytes, checksum: d5e8f48759f866c073ff84c1e160458a (MD5) / Made available in DSpace on 2017-03-24T23:23:52Z (GMT). No. of bitstreams: 1 JanaineMariaDeOliveira_DISSERT.pdf: 1361256 bytes, checksum: d5e8f48759f866c073ff84c1e160458a (MD5) Previous issue date: 2016-07-29 / O processo de se pensar e fazer sa?de passou por grandes mudan?as desde a cria??o do Sistema ?nico de Sa?de, o que, consequentemente, impulsionou mudan?as nos processos de forma??o profissional em sa?de, movidas pela necessidade de ter profissionais com uma vis?o voltada para a integralidade do cuidado em sa?de. A partir dessa necessidade, a inser??o do estudante nos servi?os de sa?de passa a ser mais valorizada. Tendo assim o preceptor um papel fundamental na aproxima??o do estudante com a popula??o e o territ?rio, na consolida??o da integra??o ensino-servi?o-comunidade. Diante dessa import?ncia, esse estudo foi impulsionado a questionar quais os sentidos que levam os profissionais do servi?o a exercem a preceptoria? Eles t?m dimens?o do seu papel como articulador desse processo de integra??o? O que motiva esse profissional e quais suas fragilidades? Com essas quest?es em mente, este estudo objetivou investigar os sentidos de ser preceptor nas experi?ncias de integra??o ensino-servi?o-comunidade, a partir dos discursos dos profissionais preceptores na ESF, O estudo utilizou a abordagem qualitativa com alicerce na produ??o de sentidos presentes nos discursos dos profissionais preceptores, e tem como base te?rica a abordagem das pr?ticas discursivas no referencial construcionista e teve como atores 20 profissionais preceptores na ESF que recebem estagi?rios de gradua??es da sa?de de institui??es de ensino p?blica e privadas. Foram realizadas entrevistas semiestruturadas, posteriormente transcritas e analisadas, permitindo a constru??o dos sentidos do ser preceptor a partir de 4 eixos anal?ticos, a saber: 1. Motiva??es e potencialidades; 2. Limita??es e cr?ticas; 3. Rela??o ensino-servi?o-comunidade; e 4. Ser preceptor. Como resultados foi percebido que o preceptor exerce a fun??o de educador na sua atua??o pr?tica. Entretanto tem dificuldade de atribuir-se a fun??o de educador e, apesar de limita??es t?cnicas e educacionais, ele desempenha com compromisso a preceptoria, desejando qualifica??o e organiza??o dessa pr?tica de modo a n?o sobrecarregar seu trabalho na ESF. Percebeu-se tamb?m que o ser preceptor envolve o trabalho de articula??o ensino servi?o, mas n?o na sua dimens?o coletiva e tamb?m sem a articula??o com a comunidade e o territ?rio como contexto fundamental no processo sa?de-doen?a. Conclui-se que na luta para normaliza??o da fun??o de preceptoria ainda h? muito o que avan?ar, faz-se necess?rio, por?m, refletir sobre os caminhos a serem trilhados no enfrentamento dos obst?culos, com estudos que venham a suscitar solu??es para essa problem?tica, assim como progredir no sentido da qualifica??o do profissional preceptor para que este possa vim a cumprir essa fun??o com maior propriedade, contribuindo para o fortalecimento do SUS e reafirma??o da ESF como cen?rio para forma??o em sa?de. / Since de creation of the Health Unic System, the process of to do and to think health has been for big changes. Consequently, this drove changes on the formation process in the health, driven by need of to tue professionals with the vision to turned for the integrality of the health care. Starting from this need, the student insertion on the health services it?s more valued, where the preceptor has a fundamental paper in the aproximation between student, population and territory and in the consolidation for the integration between teaching, service and community. From that importance, this study was boosted for to question what are the feelings that lead the professionals of the service for exercised the preceptory? They are dimension for the your paper into articulation on the process of integration? Whats motivates this professiona and are they your frailties? Whith this questions on the mind, this study objected to investigate the feelings and directions from to be preceptor in the experiences for the integration between teaching, service and community, starting from the speeches of the preceptors professionals in the Family Health Strategy. This study used the qualitative approach, subatantiated in the senses productions on the speeches for the preceptors professionals and has with theoretical basis the approach of the discursive practices on the construction referential and participated 20 preceptors professionals from de Famlily Health Strategy who receive interns from the private and public graduation institutions. Were are realized interviews, transcribed and analyzed, which allowed the construction of the preceptors feelings from for 4 axes for analysis: 1. Motivations and potentialities; 2. Reviews and limitations; 3. Relationship between teaching, service and community; and 4. To be preceptor. The results showed what the preceptor has exercised your educator function in your practice, but has difficulty in to feel this function. Although for techniques and educacional limitations, plays with commitment the preceptor function and want organization and qualification of that practice for don?t overload your job in the Family Health Strategy. Besides that, the preceptor involves the articulation between teaching and service, but not in your collective dimension as well as articulation with community and territory as fundamental context in the health and disease process. This study concluded that in the struggle for standardization for the preceptor function there is so much to evolve. It?s required reflexion on the ways threshed on the obstacles, with studies that to arouse solutions for this problem, it?s required progression in the professional qualification for the preceptor exercise this function with biggest property and to contribute for the fortification of the Heath Unic System and the Family Health Strategy as scenario from health formation.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T23:36:53Z No. of bitstreams: 1 JeaneOliveiraRamosDaSilva_DISSERT.pdf: 2214082 bytes, checksum: 353f7c0de8e55756bbd9c67108c73372 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-24T23:32:25Z (GMT) No. of bitstreams: 1 JeaneOliveiraRamosDaSilva_DISSERT.pdf: 2214082 bytes, checksum: 353f7c0de8e55756bbd9c67108c73372 (MD5) / Made available in DSpace on 2017-03-24T23:32:25Z (GMT). No. of bitstreams: 1 JeaneOliveiraRamosDaSilva_DISSERT.pdf: 2214082 bytes, checksum: 353f7c0de8e55756bbd9c67108c73372 (MD5) Previous issue date: 2016-08-31 / Considerando a reforma Sanit?ria brasileira, que institucionalizou atrav?s do Sistema ?nico de Sa?de - SUS a Aten??o Integral ? Sa?de, a Portaria GM/MS N? 971/2006, que implantou as Pr?ticas Integrativas e Complementares (PICs) no SUS, e a necessidade dos usu?rios do SUS, dos profissionais de sa?de e da gest?o de utiliza??o de pr?ticas integrativas promotoras da sa?de no servi?o, este estudo, do tipo Pesquisa A??o Existencial-PAE, visa a analisar e descrever, ? luz da abordagem Sociopo?tica, como os Ateli?s de Dan?a Circular para profissionais de sa?de poder?o promover sa?de, e contribuir com o reconhecimento e expans?o desta pr?tica na rede de servi?os do SUS. A pesquisa foi desenvolvida na cidade de Natal/RN com um grupo de 15 profissionais de sa?de do SUS. Os dados foram coletados atrav?s de tr?s instrumentos metodol?gicos: question?rios, di?rio vivencial e grupo focal. Visou-se conhecer as sensa??es e emo??es expressadas pelos profissionais da sa?de participantes dos Ateli?s de Dan?a Circular; identificar a influ?ncia das Dan?as Circulares na promo??o da sa?de das participantes; e avaliar como as experi?ncias vivenciadas na Roda de Dan?a Circular poder?o contribuir para o reconhecimento e a expans?o desta pr?tica como uma PIC no ?mbito da rede municipal de sa?de de Natal. Como principal referencial te?rico, foram utilizados o Paradigma da Salutog?nese e a Vis?o Sist?mica da vida. Conclui-se que um conjunto de fatores salutog?nicos presentes no Ateli? Dan?a Circular promoveram a sa?de dos profissionais de sa?de ao proporcionarem: equil?brio, expans?o da consci?ncia, ludicidade e criatividade. Al?m disso, expandiu-se a utiliza??o e reconhecimento da Dan?a Circular como Pr?tica Integrativa e Complementar na rede de servi?os do SUS, possibilitando a continuidade com a implanta??o da roda permanente de Dan?a Circular da SMS - Natal/RN: Roda Mandala de Luz. / Concerning the Brazilian health reform, which institutionalized, through the Unified Health System (SUS), the full healthcare assistance, the ordinance GM/MS N? 971/2006, which implemented the integrative and complementary practices (PICs) into SUS, and the need of SUS users, health professionals, and managers, this paper, as a PAE (Existential Action Research), aims at analyze and describe through the Sociopoetic approach (how Circle Dance workshops for health professionals can provide health, and contribute to the divulgation and development of this practice. The present research was conducted in Natal-RN, involving 15 health professionals who work for SUS. Data were collected using three methodological tools: surveys, daily notes and focal group. Aimed to know the feelings, thoughts, emotions expressed by health professionals participating in the Circle Dance workshops, identifying its influences in the participant?s health, and evaluating how their experiences during the dance perhaps contributes to the divulgation and development of this practice as a PIC in Natal. Studies about the Circle Dance, The Salutogenesis Paradigm, Health Promotion Politics, Integrative Practices, and Worker Health were used as theoretical background. This work concludes that Circle Dance workshops led to a health environment, which improved health, besides providing moments of consciousness expansion that deepened the understanding of important human values for a healthy daily living, such as equality, cooperation, unity, peace and respect for diversity. Moreover, it expanded the use and recognition of Circle Dance as an Integrative and Complementary Practice in the Unified Health System (SUS), enabling the continued with the establishment of permanent Circle Dance of the SMS - Natal / RN: Roda Mandala de Luz.