Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-10T23:03:02Z No. of bitstreams: 1 NayaraSantosMartinsNeivaDeMelo_DISSERT.pdf: 5023154 bytes, checksum: 833b61e4305f432d45a3c999dc89bab4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-18T20:09:52Z (GMT) No. of bitstreams: 1 NayaraSantosMartinsNeivaDeMelo_DISSERT.pdf: 5023154 bytes, checksum: 833b61e4305f432d45a3c999dc89bab4 (MD5) / Made available in DSpace on 2016-03-18T20:09:52Z (GMT). No. of bitstreams: 1 NayaraSantosMartinsNeivaDeMelo_DISSERT.pdf: 5023154 bytes, checksum: 833b61e4305f432d45a3c999dc89bab4 (MD5) Previous issue date: 2014-11-24 / Os mestrados profissionais foram criados no Brasil na d?cada de 1990 em resposta ?s transforma??es sociais ocorridas no mundo do trabalho e t?m como objetivo formar profissionais de alto n?vel com perfil pr?prio para diversas atividades da sociedade e para o setor produtivo. Constituem-se na mais inovadora modalidade da p?s-gradua??o brasileira e carecem, portanto, de legitima??o de sua identidade, o que suscita a necessidade de discuss?es para obter maiores esclarecimentos e delinear as caracter?sticas dessa modalidade de p?s-gradua??o. Deseja-se construir novos entendimentos sobre suas peculiaridades partindo da ?tica dos discentes do curso de Mestrado Profissional em Sa?de da Fam?lia da Rede Nordeste de Forma??o em Sa?de da Fam?lia, e n?o apenas de acordo com as semelhan?as e diferen?as em rela??o ao mestrado acad?mico. O presente estudo tem como objetivo apreender os significados atribu?dos pelos mestrandos ? forma??o no referido curso e trata-se de um estudo qualitativo e explorat?rio. Os sujeitos s?o os 100 discentes em forma??o no ano de 2013, distribu?dos entre as seis institui??es nucleadoras da Rede Nordeste de Forma??o em Sa?de da Fam?lia. Para a coleta de informa??es foi realizada pesquisa documental nos registros institucionais de todos os discentes, assim como entrevistas. Foram entrevistados 15 discentes, distribu?dos nas seis institui??es nucleadoras. As informa??es obtidas por meio de entrevistas gravadas foram transcritas e resultaram em dois corpus de an?lise, posteriormente submetidos ao software Alceste? 4.9 para identifica??o das classes sem?nticas. Pode-se concluir que o curso proporcionou uma ressignifica??o de pr?ticas profissionais na Estrat?gia Sa?de da Fam?lia, considerando o contexto organizacional da Aten??o B?sica na regi?o Nordeste e as especificidades do trabalho em sa?de. Mesmo diante de dificuldades do alunado relacionadas ? apropria??o dos m?todos de pesquisa e ? pr?pria metodologia ativa da aprendizagem baseada em problemas, o curso contribuiu efetivamente para o aprimoramento dos processos de trabalho na Aten??o B?sica, valorizando o trabalho em equipe e permitindo a aquisi??o de novos conhecimentos cient?ficos. / Professional masters were created in Brazil in the 1990s in response to social changes in the world of work and aim to train high-level professionals with own profile for various activities of society and the productive sector. They are up in more innovative mode of graduate studies in Brazil, and therefore lack of legitimacy of their identity, which raises the need for discussions to get further information and outline the characteristics of this postgraduate modality. You want to build new understandings about their peculiarities starting from the perspective of students from the Professional Masters in Health Net Northeast Family Training in Family Health, and not only according to the similarities and differences with the academic master. This study aims to understand the meanings attributed by masters training in that course. This is a qualitative, exploratory study. The subjects are 100 students in training in 2013, distributed among the six institutions nucleation Network Northeast Training in Family Health. To collect information desk research was conducted in institutional records of all students, as well as interviews. We interviewed 15 students, distributed in the six nucleation institutions. Information obtained through recorded interviews were transcribed and resulted in two analytical corpus subsequently submitted to Alceste ? 4.9 software for identification of semantic classes. It can be concluded that the course provided a redefinition of professional practices in the Family Health Strategy, considering the organizational context of primary care in the Northeast and the specifics of the health work. Even before the student body difficulties related to ownership of research methods, and the very active methodology of problem-based learning, the course effectively contributed to the improvement of work processes in primary care, valuing teamwork and allowing the acquisition of new scientific knowledge.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-10T23:03:02Z No. of bitstreams: 1 NeumaMarinhoDeQueirozSantos_DISSERT.pdf: 2679730 bytes, checksum: cf3f33476fbabb4c9117e7fbf53ae4a4 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-18T20:23:33Z (GMT) No. of bitstreams: 1 NeumaMarinhoDeQueirozSantos_DISSERT.pdf: 2679730 bytes, checksum: cf3f33476fbabb4c9117e7fbf53ae4a4 (MD5) / Made available in DSpace on 2016-03-18T20:23:33Z (GMT). No. of bitstreams: 1 NeumaMarinhoDeQueirozSantos_DISSERT.pdf: 2679730 bytes, checksum: cf3f33476fbabb4c9117e7fbf53ae4a4 (MD5) Previous issue date: 2014-12-19 / Diante de um cen?rio repleto de cr?ticas a um modelo m?dico que privilegia a doen?a e n?o o doente s?o muitos os argumentos que defendem a necessidade de resgatar a rela??o humanizada entre m?dico e paciente. Tornou-se imprescind?vel formar durante a gradua??o m?dica um profissional capaz de realizar um cuidado integral, menos instrumental e mais humanizado. No entanto, apesar dos avan?os do projeto pedag?gico do curso de Medicina, ainda nos deparamos com in?meros desafios no processo de forma??o. Este estudo teve como objetivo geral compreender se a viv?ncia do estudante de Medicina com a Terapia Comunit?ria Integrativa (TCI) na Aten??o Prim?ria- APS /Estrat?gia Sa?de da Fam?lia- ESF, apresenta potencial para se configurar enquanto estrat?gia de ensino-aprendizagem para o cuidado integral e humanizado. Realizou-se uma pesquisa qualitativa com estudantes do curso de Medicina do d?cimo ao d?cimo segundo per?odo que tiveram viv?ncia com a TCI como parte do Internato de Medicina de Fam?lia e Comunidade - MFC. Utilizamos entrevistas em profundidade com roteiro e recorremos, para an?lise das narrativas, ? Hermen?utica Gadameriana. Foi poss?vel constatar que at? ingressarem no internato de MFC os estudantes desconheciam a TCI, e suas preconcep??es revestiam-se de car?ter depreciativo. A viv?ncia com a TCI possibilitou a ressignifica??o dos preconceitos e constru??o de novos conceitos. Estagiar na ESF e participar da TCI revelou potencialidades para o aprendizado do Cuidado Humanizado por meio do exerc?cio pr?tico com experi?ncias que privilegiam a constru??o de v?nculos; a autonomia do paciente; a realiza??o da longitudinalidade no cuidado do paciente; o reconhecimento do poder de resili?ncia dos pacientes, na for?a do coletivo, no compartilhar das dores, na for?a de uma boa comunica??o, nos ganhos do exerc?cio da escuta qualificada. A aus?ncia de modelos do que fazer foi substitu?da por viv?ncias de dores e alegrias no aprendizado do tornar-se m?dico. As dores falavam das dificuldades estruturais (insumos), no lidar com as vulnerabilidades sociais dos usu?rios e a dificuldade de realizar uma boa comunica??o com os pacientes. As alegrias foram experimentadas na constata??o do exerc?cio do Cuidado Humanizado. Quest?es como dificuldades estruturais, baixo n?mero de pessoas com forma??o em TCI, e pouco tempo de viv?ncias com a TCI, aparecem como limita??es para sua utiliza??o como ferramenta pedag?gica. Por sua vez, o potencial reflexivo e capaz de provocar ressignifica??es sobre o saber fazer diante da dor do outro est? muito presente nas narrativas, sinalizando o potencial de aprendizado com a TCI. Portanto, este estudo advoga que a participa??o dos alunos na TCI, al?m de poder oferecer aos estudantes uma estrat?gia de ensino-aprendizagem para o Cuidado Humanizado, representa a possibilidade de ampliar os horizontes destes futuros m?dicos em um olhar bem mais consciente das dificuldades e potencialidades de um profissional na ESF, contribuindo para a forma??o de profissionais mais sensibilizados e preparados para realizar uma abordagem integral e humanizada da pessoa e de sua comunidade, contribuindo para uma APS/ESF, mais resolutiva e gratificante para todos. / Before the scenario full of criticism about a medical model that gives privilege to the diseases and not to the diseased, there are many arguments that defend the need of redeem the humanized relationship between doctor and patient. It became indispensable to mold during the medical graduation a professional capable of perform a special care, less instrumental and more humanized; however, even though the advances of the pedagogical program of the medical graduation, we still face numerous challenges in the process of molding. This study has as general goal to understand if the students medicine experience with the Integrative Community Therapy (TCI) at the Primary Attention ? APS/Family Healthy Strategy-ESF, presents potential to configure itself while strategy of teaching-learning to the integral and humanized care. It was held a qualitative research with the students of the medical graduation from the tenth to the twelfth semester that had experience with the TCI, as part of the Boarding of Family and Community Medicine ? MFC. We used interviews with script and we resorted to analyze the narratives to Gadamerian Hermeneutics. It was possible to find that before join the boarding of MFC, the students were unaware the TCI and their preconceptions lined up with depreciated character. The experience with the TCI enabled the reframing of the prejudices and the build of new concepts. Internship in ESF and participate of TCI revealed potential to learning of the humanized care by the practical exercise with experiences that privilege the built of ties; the autonomy of the patient; the fulfillment of the longitudinality at the care of the patient; the acknowledgment of the power of resilience of the patients, at the strength of the collective, at the pain sharing, at the strength of a good communication, at the gains of qualified listening exercise. The absence of models of what to do was replaced by experiences of pains and joys at the learning of becoming a doctor. The pains spoke of the structural difficulties (inputs), at the get along with the socials vulnerabilities of the users and the difficult of perform a good communication with the patients. The joys were experienced at the finding of the humanized care exercise. Questions as structural difficulties, low number of people with TCI degree, a shortly experience of with TCI, show up as limitations to its utilization as pedagogical tool. In turn, the reflective potential is capable of cause resignifications about the know-how before the pain of the other being very much present at the narratives, signaling the potential of the learning of TCI. Therefore, this study advocate that the participation of the students at the TCI, beyond the power of offering the students a teaching-learning strategy to the humanized care, represents the possibility of enlarge the horizons of those future doctors at a glance much more conscious of the difficulties and potential of a professional at the ESF, contributing to the graduation of more sensitized professionals and prepared to perform an integral and humanized approach of the person and his/her community, contributing to an APS/ESF more resolute and rewarding to everyone.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-04-01T19:24:53Z No. of bitstreams: 1 KeliennyDeMenesesSousa_DISSERT.pdf: 2912927 bytes, checksum: da3fe5f8dccb691c767772b606f08085 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-04-06T22:26:10Z (GMT) No. of bitstreams: 1 KeliennyDeMenesesSousa_DISSERT.pdf: 2912927 bytes, checksum: da3fe5f8dccb691c767772b606f08085 (MD5) / Made available in DSpace on 2016-04-06T22:26:10Z (GMT). No. of bitstreams: 1 KeliennyDeMenesesSousa_DISSERT.pdf: 2912927 bytes, checksum: da3fe5f8dccb691c767772b606f08085 (MD5) Previous issue date: 2015-06-01 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Os servi?os de Reabilita??o F?sica (RF) t?m import?ncia fundamental no enfrentamento da epidemia global dos Acidentes de Tr?nsito (AT). Considerando as in?meras sequelas f?sicas e sociais dos sobreviventes, problemas de qualidade no acesso ? RF constituem um agravo ? recupera??o das v?timas. Faz-se necess?rio implementar a gest?o da qualidade destes servi?os, avaliando dimens?es priorit?rias e intervindo nos seus fatores determinantes, a fim de garantir RF dispon?vel em tempo e condi??es oportunas. Objetivou-se identificar barreiras de acesso ? RF considerando a percep??o das v?timas de AT e dos profissionais de sa?de, bem como estimar o acesso ? RF e seus fatores associados. Trata-se de uma pesquisa quali-quantitativa de natureza explorat?ria desenvolvida em Natal/RN com entrevistas semiestruturadas a 19 profissionais de sa?de e de inqu?rito telef?nico a 155 v?timas de AT. Para explorar as barreiras de acesso os discursos foram transcritos e analisados com o software Alceste, vers?o 4.9. Durante as entrevistas utilizou-se a seguinte pergunta norteadora: ?Que barreiras dificultam ou impedem o acesso ? reabilita??o f?sica para v?timas de acidentes de tr?nsito??. A denomina??o das classes e eixos resultantes do Alceste foi realizada por consulta ad hoc a tr?s pesquisadores externos com posterior consenso da denomina??o mais representativa. Realizou-se an?lise multivariada da influ?ncia das vari?veis do acidente, sociodemogr?ficas, cl?nicas e assistenciais sobre o acesso ? RF. As associa??es que apresentaram p<0,20 na an?lise bivariada foram submetidas ? regress?o log?stica, passo a passo, com p<0,05 e Intervalo de Confian?a (IC) de 95%. As principais barreiras identificadas foram: ?Regula??o burocr?tica do acesso?, ?Demora para o acesso?, ?N?o encaminhamento p?s-cirurgia? e ?Inefici?ncia dos servi?os p?blicos?. Essas barreiras foram distribu?das em um modelo te?rico constru?do a partir do diagrama de causa-efeito, no qual se observou que o acesso insuficiente ? RF ? produto das causas associadas ? estrutura organizacional, processos de trabalho, profissionais e usu?rios. Constru?ram-se dois modelos de regress?o: ?Acesso geral ? RF? e ?Acesso ao servi?o p?blico de RF?. Obtiveram acesso ? RF 51,6% dos usu?rios, sendo 32,9% na rede p?blica e 17,9% no servi?o privado. O modelo de regress?o ?Acesso Geral ? RF? foi composto pelas vari?veis ?Renda Familiar? (OR: 3,7), ?Trabalhador informal? (OR: 0,11), ?Desempregado? (OR: 0,15), ?Necessidade percebida de RF? (OR:10,0) e ?Encaminhamento para RF? (OR: 27,5). O modelo ?Acesso ? RF no servi?o p?blico? foi representado pelo ?Encaminhamento para RF? (OR: 23,0) e ?Plano Privado de Sa?de? (OR: 0,07). Apesar da conhecida influ?ncia dos determinantes sociais sobre o acesso aos servi?os de sa?de, situa??o de dif?cil controle pela gest?o p?blica, este estudo encontrou que os processos organizativos e burocr?ticos estabelecidos na assist?ncia em sa?de determinam sobremaneira o acesso ? RF. As falhas no acesso sinalizam a import?ncia do problema, e os fatores associados apontam para interven??es na gest?o do cuidado integral, a fim de melhorar a qualidade e o acesso ? reabilita??o f?sica e evitar prolongamento desnecess?rio do sofrimento dos sobreviventes da epidemia de AT. / The Physical Rehabilitation services (PR) are of fundamental importance in combating the global epidemic of Traffic Accidents (TA). Considering the numerous physical and social consequences of the survivors, quality problems in access to PR are a hazard to recovery of victims. It is necessary to improve the management of quality of services, assessing priority dimensions and intervening in their causes, to ensure rehabilitation available in time and suitable conditions. This study aimed to identify barriers to access to rehabilitation considering the perception of TA victims and professionals. The aim is also to estimate the access to rehabilitation and their associated factors. This is a qualitative and quantitative study of exploratory nature developed in Natal / RN with semi-structured interviews with 19 health professionals and telephone survey to 155 victims of traffic accidents. To explore barriers to access the speeches were transcribed and analyzed using the Alceste software (version 4.9). During the interviews used the following guiding question: ?What barriers hinder or prevent access to physical rehabilitation for victims of traffic accidents??. The names of classes and axes resulting from Alceste was performed by ad hoc query to three external researchers with subsequent consensus of the most representative name of analysis. We conducted multivariate analysis of the influence of the variables of the accident, sociodemographic, clinical and assistance on access to rehabilitation. Associations with p <0.20 in the bivariate analysis were submitted to logistic regression, step by step, with p <0.05 and confidence interval (CI) of 95%. The main barriers identified were: ?Bureaucratic regulation?, ?Long time to start rehabilitation?, ?No post-surgery referral? and ?inefficiency of public services?. These barriers were divided into a theoretical model built from the cause-effect diagram, in which we observed that insufficient access to rehabilitation is the product of causes related to organizational structure, work processes, professional and patients. Was constructed two logistic regression models: ?General access to rehabilitation? and ?Access to rehabilitation to public service?. 51.6% of patients had access to rehabilitation, and 32.9% in public and 17.9% in the private sector. The regression model ?General access to rehabilitation? included the variables Income (OR:3.7), Informal Employment (OR:0.11), Unemployment (OR:0.15), Perceived Need for PR (OR:10) and Referral (OR: 27.5). The model ?Access to rehabilitation in the public service? was represented by the ?Referral to Public Service? (OR: 23.0) and ?Private Health Plan? (OR: 0.07). Despite the known influence of social determinants on access to health services, a situation difficult to control by the public administration, this study found that the organizational and bureaucratic procedures established in health care greatly determine access to rehabilitation. Access difficulties show the seriousness of the problem and the factors suggest the need for improvements in comprehensive care for TA survivors and avoid unnecessary prolongation of the suffering of the victims of this epidemic.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-06-06T22:31:08Z No. of bitstreams: 1 GelsaPedroCampelo_DISSERT.pdf: 1791157 bytes, checksum: cf1c75f51f8ae22fe8b7222adbf3e1b3 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-06-09T20:33:03Z (GMT) No. of bitstreams: 1 GelsaPedroCampelo_DISSERT.pdf: 1791157 bytes, checksum: cf1c75f51f8ae22fe8b7222adbf3e1b3 (MD5) / Made available in DSpace on 2016-06-09T20:33:03Z (GMT). No. of bitstreams: 1 GelsaPedroCampelo_DISSERT.pdf: 1791157 bytes, checksum: cf1c75f51f8ae22fe8b7222adbf3e1b3 (MD5) Previous issue date: 2015-07-31 / Condi??es de trabalho desfavor?veis constituem um dos fatores que podem contribuir para o desencadeamento de transtornos ps?quicos e comportamentais nos trabalhadores. Nesse sentido, esta pesquisa objetivou caracterizar as condi??es de trabalho dos servidores t?cnico-administrativos, especificamente dos auxiliares e assistentes em administra??o do campus central da Universidade Federal do Rio Grande do Norte - UFRN, Natal, Brasil, bem como, identificar a incid?ncia de sofrimento ps?quico nesse grupo de servidores. Enquanto estrat?gia, optou-se por um estudo de caso do tipo multim?todo, de natureza descritiva com etapas quantitativa e qualitativa sequenciais. Para isso, foi realizada inicialmente pesquisa documental atrav?s do levantamento de dados epidemiol?gicos relativos ?queles servidores lotados no campus central, visando identificar as principais enfermidades apresentadas durante o per?odo de janeiro de 2011 a junho de 2014. Em seguida, procedeu-se a etapa de diagn?stico dos aspectos relacionados ao trabalho, atrav?s da aplica??o online e in loco do Question?rio de Condi??es de Trabalho (j? validado por Borges et al., 2013a) em 11 setores selecionados de acordo com os seguintes crit?rios: maior n?mero de servidores por unidade organizacional e maiores e menores percentuais de afastamentos para tratamento de sa?de por CID-F (conforme registros da Diretoria de Aten??o ? Sa?de do Servidor ? DAS). No tratamento dos dados foram utilizados os softwares editor de planilhas Microsoft Office Excel; estat?stico SPSS? Statistical Package for the Social Sciences e realizou-se an?lise de conte?do de tipo classificat?rio das quest?es abertas. Participaram do estudo de caso 174 servidores e os resultados obtidos mostram predomin?ncia de afastamentos por transtornos mentais ou comportamentais (CID F), doen?as do sistema osteomuscular (CID M) e do aparelho respirat?rio (CID J). Entre os fatores que apresentaram signific?ncia est?o ? jornada de trabalho (contratuais e jur?dicas); exig?ncia de esfor?o f?sico (M=2,59) e espa?o de trabalho (M=2,58) ? condi??es f?sicas e materiais; est?mulo ? colabora??o (M=3,5) - processos e caracter?sticas do trabalho; e participa??o (M=1,78) - ambiente sociogerencial. Logo se infere a exist?ncia de rela??o entre esses fatores e alguns dos motivos de afastamento relatados pelos participantes. Sugere-se ainda a amplia??o da presente investiga??o com estudos envolvendo outras categorias profissionais (incluindo bolsistas e terceirizados) e setores espec?ficos. / Unfavorable working conditions constitute one of the factors that may contribute to cause psychic suffering and behavioral disorders in workers. This research aimed to characterize the working conditions public servant technical- administrative , specifically the auxiliaries and assistants in administration of the Federal University of Rio Grande do Norte ? UFRN, Natal, Brasil, as well to identify the incidence of psychic suffering in this group of public servants. As a strategy, we chose a case study of multi-method type, descriptive with quantitative and qualitative sequential steps. For this, it initially performed desk research by surveying epidemiological data for these public servants working in central campus, to identify the major diseases presented in the period from January 2011 to June 2014. Then, we proceeded to diagnostic step of the aspects related to work, by applying online and in loco of Working Conditions Survey (already validated by Borges et al., 2013a) in 11 sectors selected according to the following criteria: high number of workers public servants and major and minor percentage of absences for health care for ICD-F (according to records of Sector of Workers Health Care - DAS). In the treatment of the data the spreadsheet editor software Microsoft Office Excel and statistical SPSS Statistical Package for Social Sciences were used and made qualifying type of content analysis of open questions. Applied to this study 174 public servants and the results show a predominance of absenteeism due to mental or behavioral disorders (ICD F), musculoskeletal diseases (ICD M) and respiratory system (ICD J). Among the factors that were significant are the working hours (contractual and legal); Physical Effort (M = 2.59) and workspace (M = 2.58) - physical and material conditions; encouraging collaboration (M = 3.5) - processes and characteristics of the work; and participation (M = 1.78) - social-management environment. Therefore, it infers the existence of a relationship between these factors and some of the reasons for absenteeism reported by participants. It is suggested the expansion of this research with studies involving other professionals (including scholarship workers and contractors) and specific sectors.

Made available in DSpace on 2014-12-17T14:52:54Z (GMT). No. of bitstreams: 1 GilbertoLC_DISSERT.pdf: 553680 bytes, checksum: a487625dbb06141225a1e3383ed00cfb (MD5) Previous issue date: 2008-12-11 / The commitment assumed by Brazil to ILO in order to pursue actions toward the ILO/OSH-2001 adoption in the country poses the issue of modeling the institutional arrangement the set roles and relationship between government, standards organizations, health and safety organizations, professionals and other institutions to deploy the ILO/OSH-2001. This Thesis develop institutional arrangement models based on the current model and also in the ISO 9000 scheme and others. It is studied the US case with OSHA and VPP, the OHSAS 18001 and ANSI/AIHA Z-10, in addition to actual context of the regulating norms NR s. The scenarios developed are put to evaluation on feasibility, potential changes and effects on current MTE auditors work scheme. The main results are five scenarios developed and that the MTE auditors tend to be reactive to the change toward the ILO/OSH-2001. / A assinatura em 2005 de Termo de compromisso do Brasil em adotar a Diretriz de Sistema de Seguran?a e Sa?de Ocupacional da Organiza??o Internacional do Trabalho denominada ILO/OSH 2001 coloca o problema de modelar arranjos que definam pap?is e intera??es de governo, organiza??es de normas e de seguran?a e sa?de ocupacional, profissionais da ?rea e outras institui??es para implementar essa Diretriz. Nesta disserta??o investigam-se modelos alternativos de arranjos institucionais baseados seja em uma adapta??o direta do atual modelo normativo e de controle existente baseado no Minist?rio do Trabalho e Emprego, seja nos modelos existentes de certifica??o ISO 9000, e outros. O estudo investigou os modelos de Sistema de Gest?o de Seguran?a e Sa?de Ocupacional, dentre eles os modelos do Voluntary Protection Program da OHSA, a OHSAS 18001, ANSI/AIHA Z-10, al?m do contexto atual das Normas Regulamentadoras- NR?s. V?rios modelos de arranjos s?o desenvolvidos e avaliados conforme crit?rios. Adicionalmente, uma consulta explorat?ria com auditores-fiscais de seguran?a do trabalho do Minist?rio do Trabalho e Emprego foi realizada. Os principais resultados apontam para cen?rios que podem ser ?teis para a adequa??o do Brasil ao compromisso com a OIT e que os auditoresfiscais do MTE tendem a ser reativos a essa mudan?a

Made available in DSpace on 2014-12-17T15:30:50Z (GMT). No. of bitstreams: 1 LailsonSL.pdf: 806488 bytes, checksum: 9c6790615be4d8d2d3b2adaa92646828 (MD5) Previous issue date: 2007-08-28 / The hospitalization is an event that can attack any person, independent of gender, race, social and economical condition. Last year, the prevalence of hospitalization was 8.1 for 100 inhabitants and the average time of hospitalization was 8.5 days for each patient one in Natal city. Therefore, an important point is whether the attention to the patients during the permanence in these health establishments incorporates the health integral model suggested by the principles proposed by the National Health System in Brazil (SUS), with actions of promotion and protection by different kinds of professionals, beside those called convalescence. Then, the aim of this study was to evaluate the patient s oral health conditions hosted in public hospitals of the Natal city, looking for to establish its relationship with several risk factors by two dimensions: the characteristics of the hospitalization and the patient s general and economical conditions. We accomplished a cross-sectional study with 205 patients distributed among the hospitals Onofre Lopes, Giselda Trigueiro and Monsenhor Walfredo Gurgel, looking for to know the socio-demographic characteristics, the food habits and of oral hygiene and the conditions of oral health, through the Visible Plaque Index and Gingival Bleeding Index. We observed that the conditions of the patient s oral health interned at public hospitals of reference of the municipal district of Natal is bad, existing accumulation of dental plaque and, consequently, a great number of patients with gingival bleeding. However, the time of hospitalization and its reason, the type of medicine used in this time and the toothbrush frequency were not configured as risk factors for this oral health condition / A hospitaliza??o ? um evento que pode atingir qualquer indiv?duo, independente de sexo, ra?a, condi??o social e econ?mica. Em 2006, no munic?pio de Natal, a preval?ncia de internamento foi de 8,1 internamentos para cada 100 habitantes e uma m?dia de perman?ncia no ambiente hospitalar de 8,5 dias para cada paciente. Diante disso, nos questionamos se os cuidados com a Sa?de Bucal dos pacientes durante a estadia nestes estabelecimentos de sa?de incorpora o modelo integral ? sa?de sugerido pelo reordenamento dos servi?os e a??es em sa?de proposto pelo SUS, existindo a??es multiprofissionais de promo??o e de prote??o da Sa?de, ao lado daquelas propriamente ditas de recupera??o. Assim, a proposta deste estudo foi a de avaliar a situa??o de higiene bucal a partir da quantidade de biofilme acumulado das superf?cies dent?rias e da quantidade de sangramento gengival de pacientes hospitalizados em hospitais p?blicos da cidade do Natal. Al?m disto, buscamos estabelecer a associa??o entre a situa??o de sa?de bucal com as caracter?sticas da interna??o e com as condi??es socioecon?micas do paciente. Para isto, realizamos um estudo epidemiol?gico do tipo transversal com 205 pacientes distribu?dos entre os hospitais Onofre Lopes, Giselda Trigueiro e Monsenhor Walfredo Gurgel, buscando conhecer as caracter?sticas s?cio-demogr?ficas, os h?bitos alimentares e de higiene bucal e as condi??es de sa?de bucal, atrav?s dos ?ndices de Placa Vis?vel (IPV) e de Sangramento Gengival (ISG). Observamos que, de uma maneira geral, as condi??es de sa?de bucal dos pacientes internados em hospitais p?blicos de refer?ncia do munic?pio de Natal s?o prec?rias, existindo grande ac?mulo de biofilme dent?rio (placa bacteriana) e, conseq?entemente, um grande n?mero de pacientes com sangramento gengival. Entretanto, o tempo de internamento, o motivo da hospitaliza??o, o tipo de medicamento utilizado e a freq??ncia de escova??o n?o se configuraram como fatores associados com a piora das condi??es de sa?de bucal, sendo necess?rios estudos mais adequados para o estudo desta rela??o

Made available in DSpace on 2014-12-17T15:30:50Z (GMT). No. of bitstreams: 1 JoseFLJ.pdf: 489038 bytes, checksum: 731141dec4f591b581277507990e3a2c (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This work aims at investigating the surgeons-dentists acceptability in the field of public health in the city of Natal, State of Rio Grande do Norte, about the possibility of medicinal plants insertion in basic attencion of health. Moreover, it searchs to know if during their professinal formation it had some theoretician-pratical basement on this subject, as well as investigating their confidence on the medicinal plants. The basic motivation for developing this study is the possibility of contributing to the insertion of a tradicional health pratical at public assistance scope, endorsed by popular use, but now scientifically proven. For in a such way, the medicinal plants use is emphasized as a way to be followed to increase basic pharmaceutical assistance, improving the acess to the medicine and diminish expenses. Following this logic, family health program constitutes the way through which this pratical will be available to the users of health services. The research was done over thirty surgeonsdentists, all ofthem pertaining to public service ofNatal, state ofRio Grande do Norte. It was used, as research instrument, semi-estructured interview associated with methodological analysis user s speeches. On this form, this work is inserted in a trend observed nowadays not only in Brazil, where the use of the medicinal plants has been stimulated and defended to be inserted at programs ofprimary attenction of health / Este trabalho tem por objetivo conhecer a aceitabilidade dos cirurgi?es-dentistas da assist?ncia p?blica na cidade de Natal/RN em rela??o ? possibilidade de inser??o da fitoterapia na aten??o b?sica de sa?de. Al?m disso, busca conhecer se durante a forma??o profissional deles houve algum embasamento te?rico-pr?tico sobre este assunto, bem como investigar a confian?a que eles atribuem aos fitoter?picos. A motiva??o b?sica para a realiza??o desse estudo est? na possibilidade de contribuir com a inser??o de uma pr?tica de sa?de tradicional no ?mbito da assist?ncia p?blica, respaldada pelo uso popular, por?m ? luz do conhecimento cient?fico. Para tanto, a fitoterapia ? enfatizada como um caminho a ser seguido com vistas a incrementar a assist?ncia farmac?utica b?sica, aumentando o acesso ao medicamento e minorando gastos. Seguindo esta l?gica, o PSF constitui o caminho atrav?s do qual esta pr?tica poder? chegar at? o usu?rio do servi?o de sa?de. A popula??o estudada foi composta de trinta cirurgi?es-dentistas vinculados ao servi?o p?blico de Natal-RN. O instrumento utilizado foi um roteiro de entrevista semi-estruturada, com a t?cnica de an?lise das pr?ticas discursivas. Nesse sentido, este trabalho se insere dentro de uma tend?ncia que se v? atualmente n?o s? no Brasil, onde a utiliza??o das plantas medicinais tem sido incentivada, estimulada e defendida para ser inseri da dentro dos programas de aten??o prim?ria ? sa?de. Palavras-chaves: Fitoterapia; servi?os p?blicos de sa?de; sa?de bucal; aten??o b?sica

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:08Z No. of bitstreams: 1 JulianaFerreiraLemos_DISSERT.pdf: 4050338 bytes, checksum: 586ea0bf6224152fc32c27e02474b252 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T00:38:19Z (GMT) No. of bitstreams: 1 JulianaFerreiraLemos_DISSERT.pdf: 4050338 bytes, checksum: 586ea0bf6224152fc32c27e02474b252 (MD5) / Made available in DSpace on 2017-03-07T00:38:19Z (GMT). No. of bitstreams: 1 JulianaFerreiraLemos_DISSERT.pdf: 4050338 bytes, checksum: 586ea0bf6224152fc32c27e02474b252 (MD5) Previous issue date: 2016-08-02 / O Programa Mais M?dicos ? uma iniciativa do governo brasileiro para minimizar a escassez de m?dicos em locais de prioridade. V?rios pa?ses apresentam dificuldades no recrutamento de profissionais de sa?de para ?reas vulner?veis, lan?ando m?o de diferentes estrat?gias, dentre elas, o chamamento de estrangeiros. O objetivo do trabalho foi elaborar e validar o conte?do dos indicadores para avalia??o da efetividade do componente de provimento emergencial de m?dicos para a Aten??o Prim?ria ? Sa?de, um dos eixos do PMM. O estudo foi metodol?gico, realizado em Natal, Brasil, entre mar?o e julho de 2016. A amostra foi de 10 especialistas em avalia??o de Aten??o Prim?ria ? Sa?de; e de 9 profissionais do programa, com 6 m?dicos de diferentes nacionalidades, 2 supervisores e 1 tutor. A t?cnica de valida??o foi Delphi em 3 etapas e com uso de escala psicom?trica 0 a 10 para relev?ncia atribu?da a cada item, com c?lculo da m?dia das opini?es e desvio padr?o para o grau de consenso entre os especialistas. Os pontos de corte foram M?dia ? 7 e Desvio Padr?o ? 1. Para verificar a compreens?o e clareza do instrumento, realizou-se o estudo piloto em cidade pr?xima. O instrumento final validado, com 37 quest?es, cont?m as dimens?es: Motiva??o, Fixa??o e Inova??o; Processo de Trabalho; Gest?o, Especializa??o, Supervis?o, Tutoria, Facilidades e Dificuldades. Apresentou-se como uma alternativa de f?cil compreens?o e aplica??o para avalia??o das potencialidades e desafios do Programa, com subs?dios para gestores, m?dicos e outros profissionais. A aplica??o generalizada do instrumento requer outros tipos de valida??o, al?m da de conte?do. / The More Doctors Program is an initiative of the brazilian government to minimize the shortage of doctors in priority locations. Several countries have difficulties in the recruitment health professionals to vulnerable areas, making use of different strategies, among them, the call of foreign. The aims was to develop and validate the content indicators for evaluation of the effectiveness of the emergency provision of medical component for Primary Health Care, one of the axes of the program. The study was methodological, held in Natal, Brazil, between march and july 2016. The sample consisted of 10 experts in primary health care evaluation; and 9 professional of Program, with 6 doctors of different nationalities, 2 supervisors and 1 tutor. The validation technique was Delphi in 3 rounds and use of psychometric scale 0 to 10 relevance assigned to each item, with the average of the opinions and standard deviation for the degree of consensus among experts. Cutoffs were Average ? 7 and Standard Deviation ? 1. To check the understanding and instrument clarity, it was held the pilot study in the next town. The final validated instrument with 37 questions, has the dimensions: Motivation, Fixation and Innovation; Work Process; Management, Specialization, Supervision, Mentoring, Facilities and Difficulties. Proved as an alternative for easy understanding and application to assess the potential and challenges of the Program with subsidies for managers, doctors and other professionals. The widespread application of the instrument requires other types of validation, as well as content.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-14T23:22:22Z No. of bitstreams: 1 AlexandreBezerraSilva_DISSERT.pdf: 1026302 bytes, checksum: f4efa97fc986a6976890ff746b3f0332 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-16T21:51:50Z (GMT) No. of bitstreams: 1 AlexandreBezerraSilva_DISSERT.pdf: 1026302 bytes, checksum: f4efa97fc986a6976890ff746b3f0332 (MD5) / Made available in DSpace on 2017-03-16T21:51:50Z (GMT). No. of bitstreams: 1 AlexandreBezerraSilva_DISSERT.pdf: 1026302 bytes, checksum: f4efa97fc986a6976890ff746b3f0332 (MD5) Previous issue date: 2016-09-09 / A elevada incid?ncia e mortalidade por c?ncer cervicouterino, no Brasil, justificam a implanta??o de estrat?gias efetivas de controle da doen?a por meio de a??es de promo??o ? sa?de, preven??o e detec??o precoce de les?es, tratamento e cuidados paliativos, quando forem necess?rios. Este estudo teve como objetivo analisar se os enfermeiros da Estrat?gia Sa?de da Fam?lia (ESF) do munic?pio de Ass?/RN desenvolvem a??es de preven??o e detec??o precoce do c?ncer cervicouterino. Para tanto, se investigou a realiza??o de busca ativa de mulheres na faixa et?ria de maior risco para c?ncer cervicouterino e a oferta de a??es de educa??o em sa?de ofertadas ?s mulheres residentes na ?rea adstrita a Estrat?gia Sa?de da Fam?lia. Trata-se de um estudo explorat?rio de natureza qualitativa, realizado junto a 11 enfermeiros que comp?em as equipes de Sa?de da Fam?lia do munic?pio de Ass?. O material foi coletado atrav?s de entrevistas e submetido ? an?lise de conte?do tem?tico proposto por Bardin e sistematizada por Minayo. As falas foram codificadas e sistematizadas por aproxima??o sem?ntica produzindo quatro categorias de an?lise: a??es de preven??o do c?ncer cervicouterino; motivos que levam a realiza??o do exame; realiza??o do exame Papanicolau e atitudes/situa??es de risco que contribuem para o c?ncer cervicouterino. Os resultados apontam que as a??es do enfermeiro da ESF ainda s?o incipientes, n?o havendo rastreamento do c?ncer de colo uterino na faixa et?ria recomendada pelo Minist?rio da Sa?de. H? desconhecimento sobre a preven??o do c?ncer do colo do ?tero, por parte das mulheres, se constituindo em importante fator para o aumento de casos desse tipo de c?ncer. Por fim, faz-se necess?rio que as a??es dos enfermeiros e das equipes da ESF sejam mais resolutivas no que concerne a detec??o precoce e ao rastreamento do c?ncer do colo do ?tero e que a educa??o em sa?de seja efetivada de forma a promover o empoderamento das mulheres com vistas ao autocuidado e a promo??o da sa?de. / The high incidence and mortality from cervical cancer in Brazil, justify the implementation of effective strategies to control the disease through health promotion, prevention and early detection of lesions, treatment and palliative care, when needed. This study aimed to examine whether nurses of the Family Health Strategy (FHS) in the municipality of Assu / RN develop prevention and early detection of cervical cancer. Therefore, we investigated the performance of active search for women in the age group most at risk for cervical cancer and the provision of health education activities offered to women living in an area linked to the Family Health Strategy. This is an exploratory qualitative study, carried out among 11 nurses who make up the Health teams Ass? county family. The material was collected through interviews and submitted to thematic content analysis proposed by Bardin and systematized by Minayo. The speeches were codified and systematized by semantic approach producing four categories of analysis: action to prevent cervical cancer; reasons that the examination; realization of Pap smear and attitudes / risk situations that contribute to cervical cancer. The results indicate that the FHS nurses' actions are still incipient, with no trace of cervical cancer in the age range recommended by the Ministry of Health. There is lack of knowledge about the prevention of cervical cancer for women, constituting an important factor for the increase in cases of this cancer. Finally, it is necessary that the actions of nurses and the FHS teams are more resolving regarding early detection and screening for cervical cancer and health education to take effect in order to promote the empowerment of women with a view to self-care and health promotion.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-03-20T23:36:54Z No. of bitstreams: 1 SamiramisSimoneDeSousaRezende_DISSERT.pdf: 2175208 bytes, checksum: c923108adb6186846957ad058622905e (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-27T18:17:03Z (GMT) No. of bitstreams: 1 SamiramisSimoneDeSousaRezende_DISSERT.pdf: 2175208 bytes, checksum: c923108adb6186846957ad058622905e (MD5) / Made available in DSpace on 2017-03-27T18:17:03Z (GMT). No. of bitstreams: 1 SamiramisSimoneDeSousaRezende_DISSERT.pdf: 2175208 bytes, checksum: c923108adb6186846957ad058622905e (MD5) Previous issue date: 2016-09-30 / No Brasil, apesar da expans?o dos servi?os de sa?de bucal ocorrida nos ?ltimos anos, a organiza??o da demanda e o acesso ? aten??o integral ainda s?o desafios no SUS. Esta pesquisa teve como objetivo analisar o acesso ?s a??es de sa?de bucal na aten??o b?sica e compor estrat?gias de interven??o na perspectiva de sua melhoria. O estudo adotou abordagem qualitativa, de car?ter interventivo, e foi realizado com uma equipe de sa?de da fam?lia, em uma unidade da rede b?sica do munic?pio de Jaboat?o dos Guararapes, Pernambuco - Brasil. Nas estrat?gias metodol?gicas, inicialmente, usou-se a t?cnica do c?rculo hermen?utico dial?tico (CHD), para investigar como os profissionais da equipe de sa?de entendem a tem?tica abordada. Foram constru?dos/reconstru?dos novos e velhos conceitos, a partir dos quais se definiram tem?ticas para aprofundamento. Foram realizadas oficinas, com o intuito de dialogar com os participantes e buscar ferramentas/instrumentos que pudessem contribuir para melhorar o processo de trabalho no que diz respeito ao acesso ao cuidado integral ? sa?de bucal. Os dados foram registrados por meio do Di?rio de Pesquisa e por grava??o de ?udio previamente autorizada. As atividades propostas se desenvolveram de forma compartilhada com profissionais da equipe, e as estrat?gias de a??es foram compostas pelos participantes com base na literatura, considerando seus saberes e experi?ncias pr?ticas. A an?lise se produziu em processo din?mico e de constru??o coletiva de estrat?gias para qualificar a assist?ncia em sa?de. Os participantes conclu?ram que, para prestar assist?ncia qualificada em sa?de bucal, n?o poderiam atuar isoladamente e que mudan?as necess?rias para melhorar o acesso ? sa?de bucal devem incluir vis?o ampliada do cuidado integral e a??o compartilhada entre sujeitos nos processos de trabalho, com a utiliza??o da estrat?gia de acolhimento com classifica??o de risco. Os resultados da pesquisa indicam que o acesso ? sa?de bucal n?o se restringe ? atua??o do profissional/equipe dessa ?rea, mas tamb?m se amplia e se articula ? atua??o de demais profissionais da equipe de sa?de da fam?lia e ? implica??o de todos envolvidos nos processos de trabalho em sa?de: trabalhadores, usu?rios e gestores. / In Brazil despite the expansion of oral health services occurred in recent years, the organization of demand and access to comprehensive care are still challenges in the SUS. The purpose of this study was to analyze the access to oral health actions in primary care and compose intervention strategies with a view to its improvement. This study adopted a qualitative approach in an interventionist character and was conducted with a family health team in a basic unit network from of the city of Jaboat?o dos Guararapes, Pernambuco, Brazil. Regarding the methodological strategies, initially, the dialectical hermeneutic circle (HDC) technique was used, to investigate how the professionals of the health team understand the thematic approach. New and old concepts have been constructed / rebuilt, from which themes have been defined for further study. Workshops were held in order to dialogue with the participants and seek tools / instruments that could contribute to improve the work process with regard to access to comprehensive oral care. The data were recorded through the Research Journal and previously authorized audio recording. The proposed activities have developed on a shared basis with the professional team and the strategies of action were made by the participants based on the literature, considering their knowledge and practical experience. The analysis was produced in dynamic analytical process and collective construction of strategies to qualify health care. All participants concluded that in order to provide skilled oral health care, they could not act alone and that changes needed to improve the access to oral health, should include an expanded view of comprehensive care and shared action among subjects in work processes, using strategy with risk classification. The survey results of the research indicate that access to oral health is not restricted to the performance of the professional / team in this area, but also extends and articulates with the work of other professionals in the family health team and the implication of all involved in the processes of Health work: workers, users and managers.