Bullying escolar é definido como comportamentos negativos e/ou agressivos de intimidação que são realizados intencionalmente e repetidamente, marcado pelo desequilíbrio de poder entre vítimas e agressores. Sem motivação aparente, o fenômeno pode se manifestar nas formas física, verbal e/ou psicológica, implicando diretamente o desenvolvimento dos estudantes devido aos seus efeitos negativos e a suas altas taxas de ocorrência. Ele é caracterizado, ainda, como grave problema de Saúde Pública. Assim, o objetivo deste estudo foi analisar os efeitos de uma intervenção educativa na ocorrência do bullying entre adolescentes escolares de Cuiabá-MT, por meio de oficinas de dramatização baseadas na metodologia do Teatro do Oprimido. Trata-se de um estudo quase experimental, em que oficinas foram realizadas com um grupo (grupo- intervenção) e se estabeleceu um grupo-comparação. Participaram do estudo adolescentes que estudavam no 1º Ano do Ensino Médio de duas escolas públicas de Cuiabá-MT, selecionados a partir de resultados de pesquisa anterior. Em uma escola ocorreu a intervenção e na outra se constituiu o grupo-comparação. Os dois grupos foram avaliados três vezes para obter os seguintes índices: 1) base de referência antes da intervenção, 2) medida de primeiro efeito ao final da intervenção (pós-intervenção), e 3) medida após seis meses do fim da intervenção (follow up), totalizando um acompanhamento total de oito meses. Na intervenção, os adolescentes vivenciaram jogos grupais, propostos e criados por Augusto Boal e participaram da organização e apresentação de uma encenação de Teatro Fórum. Na coleta de dados, utilizou-se um questionário de caracterização sociodemográfica e a Escala de Agressão e Vitimização entre Pares. Para análise dos dados foi realizado teste de qui-quadrado para as variáveis sociodemográficas, teste t para comparação entre os grupos-intervenção e comparação, frequência e porcentagem para descrever as variáveis entre os tempos e foi considerado nível de significância de 5% (p>0,05). Os resultados apontaram que, logo após a intervenção, a vitimização física direta reduziu significativamente. No seguimento (follow up), essa redução foi identificada na agressão e vitimização físicas diretas. Destaca-se, também, que a escola-comparação apresentou aumento significativo do bullying, em todas suas formas de manifestação, no momento do follow up. No que diz respeito à forma de manifestação da agressão física direta, a intervenção foi mais eficaz na redução significativa do ato de xingar e provocar colegas, enquanto a vitimização física direta de ser xingado por colegas, na fase pós-intervenção, e de ser provocado por colegas, apenas revelou eficácia no período de seguimento (follow up). O presente estudo se apresenta como a primeira intervenção antibullying pautada em oficinas de dramatização, com a técnica do Teatro do Oprimido, no cenário nacional. Desse modo, na pesquisa em tela, pôde-se confirmar a tese de que adolescentes estudantes do Ensino Médio que participaram de uma intervenção educativa de dramatização, com base no Teatro do Oprimido, apresentaram melhor enfrentamento do bullying, com resultados positivos na redução de sua ocorrência / School bullying is defined as negative and / or aggressive behaviors of bullying that are carried out intentionally and repeatedly, marked by the imbalance of power between victims and aggressors. Without apparent motivation, the phenomenon can manifest itself in physical, verbal and / or psychological forms, directly implying student development due to its negative effects and high occurrence rates. It is also characterized as a serious public health problem. Thus, the objective of this study was to analyze the effects of an educational intervention on the occurrence of bullying among school adolescents in Cuiabá-MT, through drama workshops based on the methodology of the Theater of the Oppressed. It is a quasi-experimental study, in which workshops were carried out with a group (intervention group) and a comparison group was established. The study included adolescents who studied in the 1st Year of High School of two public schools in Cuiabá-MT, selected from previous research results. In one school the intervention occurred and in the other the comparison group was constituted. The two groups were evaluated three times to obtain the following indices: 1) baseline before intervention, 2) first-effect measure at the end of the intervention (postintervention), and 3) measured after six months of the end of intervention ( follow up), totaling a total of eight months. In the intervention, the adolescents experienced group games, proposed and created by Augusto Boal and participated in the organization and presentation of a Theater Forum staging. In the data collection, a sociodemographic characterization questionnaire and the Aggression and Victimization Scale among Peers were used. The chi-square test was used for sociodemographic variables, t-test for comparison between intervention groups and comparison, frequency and percentage to describe the variables between the times, and a significance level of 5% (p> 0.05). The results showed that, shortly after the intervention, direct physical victimization reduced significantly. In follow-up, this reduction was identified in direct physical aggression and victimization. It is also worth noting that school-comparison showed a significant increase in bullying, in all its forms of manifestation, at the time of follow up. Regarding the form of manifestation of direct physical aggression, the intervention was more effective in reducing significantly the act of cursing and provoking colleagues, while the direct physical victimization of being cursed by colleagues in the postintervention phase and of being provoked by colleagues, only showed efficacy in the follow-up period. The present study is presented as the first antibullying intervention based on drama workshops, with the technique of the Theater of the Oppressed, in the national scenario. Thus, in the screen survey, it was possible to confirm the thesis that adolescents of high school students who participated in an educational intervention of dramatization, based on the Theater of the Oppressed, presented a better confrontation of bullying, with positive results in the reduction of their occurrence

Submitted by Edineia Teixeira (edineia.teixeira@unioeste.br) on 2018-02-19T12:22:33Z No. of bitstreams: 2 daniele _dondoni2016.pdf: 1556891 bytes, checksum: 1352ecfc5c2b08e97169c2ff56cbaaad (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-02-19T12:22:33Z (GMT). No. of bitstreams: 2 daniele _dondoni2016.pdf: 1556891 bytes, checksum: 1352ecfc5c2b08e97169c2ff56cbaaad (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-06-13 / The School Health Program (PSE) was established in the year 2007, and as an Interministerial Program of the Health and Education sectors, aimed to promote actions to improve the quality of life and the health and education conditions of children, adolescents and youngsters from the public school system in the country. For the achievement of its components I, II, III, the program envisioned the use of school space for the practices of promoting and preventing health, as well as building a culture of peace, citizenship development and qualification of Brazilian policies (BRAZIL, 2012a). This research therefore sought to answer the following question: What is the intention underlying the health and education intersectoriality in the School Health Program (PSE) proposed from the Booklets issued by the Ministries of Health and Education? In order to answer the research problem the following PSE Booklets were selected: Primary Care Booklet No. 24: Health in School (2009); Step by Step PSE - School Health Program: Weaving paths for intersectoriality (2011a); Health in School (2012e); Instructive Manual Health in School (2013c); and PSE Manager‟s Booklet (2015a). The methodological approach to the PSE Booklets‟ analysis involved reading to understand the categories of study related to the intention underlying the Health and Education Intersectoriality. With the research, it was possible to identify that the concept of Health and Education Intersectoriality in the PSE ranges from the process of Federal Management to the health and education actions carried out in schools. Intersectorial activities related to health and education required the study of the PSE and its relation with the concept of Health Promotion and the expanded and restricted concepts of health. Thus, it was concluded that although the Health and Education Intersectorial work approach in the PSE supports the practice of Health Promotion with an enlarged view, there is individual responsibility for incorporating health practices through the concepts of empowerment and autonomy, as recommended by the analyzed Booklets / O Programa Saúde na Escola (PSE) foi instituído no ano de 2007 e, enquanto Programa Interministerial dos setores de Saúde e de Educação, teve o intuito de promover ações para a melhoria da qualidade de vida e das condições de saúde e educação de crianças, adolescentes e jovens da rede pública de ensino do país. Vislumbrou, para a realização de seus componentes I, II, III, o aproveitamento do espaço da escola para as práticas de promoção, prevenção da saúde e construção de uma cultura de paz, desenvolvimento da cidadania e da qualificação das políticas brasileiras (BRASIL, 2012a). Esta pesquisa, portanto, visou responder à seguinte problemática: Qual a intenção subjacente à Intersetorialidade Saúde e Educação do Programa Saúde na Escola (PSE), proposta a partir dos Cadernos emitidos pelos Ministérios da Saúde e da Educação? Para responder ao problema de pesquisa, foram selecionados os seguintes Cadernos do PSE: Caderno de Atenção Básica nº 24: Saúde na Escola (2009); Passo a Passo PSE - Programa Saúde na Escola: Tecendo caminhos da intersetorialidade (2011a); Saúde na Escola (2012e); Manual Instrutivo Saúde na Escola (2013c); e o Caderno do Gestor do PSE (2015a). O percurso metodológico de análise dos Cadernos do PSE envolveu a leitura para apreender as categorias de estudo referentes à intenção subjacente à Intersetorialidade Saúde e Educação. Com a investigação, foi possível identificar que o conceito de Intersetorialidade Saúde e Educação do PSE compreende desde o processo de Gestão Federal até as ações de saúde e educação realizadas nas escolas. As atividades intersetoriais relativas à saúde e à educação demandaram o estudo do PSE e sua relação com o conceito de Promoção de Saúde e com os conceitos ampliado e restrito de saúde. Com isso, pode-se concluir que, embora a abordagem do trabalho intersetorial em saúde e educação do PSE sustente a prática da Promoção de Saúde com uma visão ampliada, há a responsabilização individual pela incorporação das práticas de saúde por meio dos conceitos de empoderamento e autonomia, conforme preconizados pelos Cadernos analisados.

Submitted by Neusa Fagundes (neusa.fagundes@unioeste.br) on 2018-06-28T14:10:50Z No. of bitstreams: 2 Manoela_Mello2018.pdf: 2917178 bytes, checksum: 4fa0c7b70a92d6ccdcb100bf072cc690 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) / Made available in DSpace on 2018-06-28T14:10:50Z (GMT). No. of bitstreams: 2 Manoela_Mello2018.pdf: 2917178 bytes, checksum: 4fa0c7b70a92d6ccdcb100bf072cc690 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2018-03-16 / The School Health Program was established by Presidential Decree No 6,286 issued on December 5th, 2007, which aims to organize and implement health care for school children through health promotion actions and prevention of oncoming diseases based on strategies agreed between educators and health professionals who have searched for the development of intersectoral actions that may boost practices concerning the integral development and facing any vulnerabilities that may affect the development of these individuals. This program is based on three components: in component I, actions regarding the evaluation of the health conditions of the students are developed. Further, in component II, actions about health promotion and disease prevention are dealt with and lastly there is component III, which concerns training manager and the health and education staff that has conducted the program. The main question of this term paper intends to uncover the actions carried out by the School Health Program in a city located on the West of Paraná in the year of 2015 presenting the health diagnosis of the school population, the actions dealing with health promotion, the prevention of injuries and the specific training for action in this program.As for the specific objectives, these would achieve the overall goal: 1. to identify the actions developed by the School Health Program; 2. to describe health problems that have been found throughout evaluations; 3. to identify activities to promote health and prevent severe diseases; 4. to describe the measures taken in order to prepare the individuals involved in the program. For the development of this research, a descriptive study with a quantitative approach has been conducted. The research was carried out in the City of Cascavel-PR and it was led according to the data obtained by the School Health Program in 2015, therefore accessed in the database of the Municipal Health Department, where the corresponding actions for component I and the Simec website, which shares information related to components II and III, are registered. As stated in the data provided by SESAU, city of Cascavel, 28.930 students agreed to be assisted by activities related to component I. It has been shown that 24,084 out of these went through health assessments. Regarding nutritional diagnosis, Cascavel presented that 1.33% of the individuals were underweight, 4.49% were considerably underweight, 70.73% of the individuals were eutrophic, 21.64% were overweight and 1.75% of the data were not sampled. In relation to oral health, the municipal index of oral alterations was on 36.88%. Regarding eye health, 12.81% of the students had vision problems. As we analyze the results of component II, the mandatory subjects to be worked on health promotion have been offered to more than 90% of the students involved in the research. It has been confirmed that the actions related to component III were not carried out or were not registered in the Simec website. Thus, there is a need for measures to promote health and prevent diseases, so that the rates of change may decrease. Hence, it is suggested that the school health policy would be expanded in order to reach higher numbers of schoolchildren. Finally, especially important will be the investment in training and training for the program, and these should be planned and executed with the expectation that the program will reach its objectives and will effectively be applied. / O Programa Saúde na Escola (PSE) foi instituído pelo Decreto Presidencial nº 6.286, de 5 de dezembro de 2007, visando organizar e implementar a assistência à saúde de escolares, por meio de ações de promoção da saúde e da prevenção a possíveis agravos, fundamentadas por estratégias pactuadas entre educadores e profissionais de saúde no desenvolvimento de ações intersetoriais, impulsionando práticas voltadas ao desenvolvimento integral, objetivando o enfrentamento das vulnerabilidades que possam comprometer o desenvolvimento desse público. O PSE se desenvolve estruturado em três componentes. No componente I, são desenvolvidas as ações de avaliação das condições de saúde dos escolares; no componente II, as de promoção da saúde e da prevenção de agravos, e o componente III está relacionado à formação de gestores e de equipes de educação e saúde envolvidos no programa. A questão central deste trabalho intenciona revelar as ações realizadas pelo PSE em um município do Oeste do Paraná, no ano de 2015, expondo o diagnóstico de saúde da população escolar, as ações de promoção da saúde, prevenção de agravos e as de formação para atuação no PSE. Apresenta como objetivos específicos: identificar as ações desenvolvidas pelo PSE; descrever os problemas de saúde encontrados nas avaliações; identificar as atividades de promoção a saúde e prevenção de agravos desenvolvidos; caracterizar as ações realizadas para formação dos sujeitos envolvidos no PSE. Para o desenvolvimento desta pesquisa, foi realizado um estudo descritivo com abordagem quantitativa. A pesquisa foi realizada no Município de Cascavel-PR, utilizando dados produzidos pelo PSE em 2015, que foram acessados no Banco de dados da Secretaria Municipal de Saúde (SESAU), em que estão registradas as ações correspondentes ao componente I e no site do Simec, no qual estão registradas as ações correspondentes aos componentes II e III. Segundo dados fornecidos pela Sesau de Cascavel, 28.930 alunos foram pactuados para serem atendidos por atividades referentes ao componente I, destes 24.084 passaram por avaliações em saúde. No caso do diagnóstico nutricional, Cascavel apresentou 1,33% dos indivíduos com muito baixo peso, 4,49% com baixo peso, 70,73% dos indivíduos se encontravam eutróficos, 21,64% estavam com peso elevado e 1,75% dos dados não foram amostrados. Com relação à saúde bucal, o índice municipal de alterações bucais foi de 36,88%. No que compete à saúde ocular, 12,81% dos alunos avaliados apresentaram problemas de visão. Compreendendo resultados do componente II, os temas trabalhados sobre promoção da saúde, foram ofertados para mais de 90% dos alunos pactuados. Verifica-se que as ações relacionadas ao componente III não foram realizadas ou não foram registradas no site do Simec. Constata-se a necessidade de medidas de promoção a saúde e prevenção de agravos, para que os índices de alterações encontrados diminuam. Sugere-se que haja a ampliação desta política de saúde escolar com intuito de alcançar números maiores de escolares. Especialmente importante será o investimento na formação e treinamento para a atuação no programa, devendo estas, serem planejadas e executadas na expectativa de que o programa atinja seus objetivos e, de fato seja efetivado.

Introdução: A anemia ferropriva tem uma distribuição universal e atinge a população em geral acarretando conseqüências importantes para as condições de vida, em especial para grupos vulneráveis entre os quais estão os escolares. Objetivo: Identificar a ocorrência de anemia e seus fatores associados em alunos ingressantes no ensino fundamental de escolas públicas do município de São Bernardo do Campo. Metodologia: Este estudo utilizou dados secundários da pesquisa: "Contribuição para a promoção da saúde infantil em uma comunidade". A população foi constituída por uma amostra probabilística de 613 escolares com idades entre 5 e 9 anos. A caracterização demográfica e socioeconômica da população foi obtida por meio de um questionário estruturado. Para a avaliação do consumo alimentar foi utilizado um Questionário de Freqüência Alimentar (QFA). A estimativa da prevalência de anemia foi realizada pela dosagem de hemoglobina em sangue venoso. Foram considerados anêmicos os escolares com valores de hemoglobina abaixo de 11,5g/dL. Resultados: A prevalência média de anemia para o grupo estudado foi de 5,71% não havendo diferenças dessa deficiência entre meninos e meninas. A anemia mostrou-se associada à baixa escolaridade materna, situação de trabalho do chefe da família e ao maior número de irmãos, moradia com um único cômodo e ausência de água na residência. Os alimentos mais representativos como fonte de ferro foram: carnes, feijão e pão. Frutas e carnes, que auxiliam a absorção do mineral foram consumidas pela maioria dos escolares estudados. O Programa Nacional de Alimentação Escolar (PNAE), popularmente conhecido como "merenda escolar" mostrou-se representativo no fornecimento do mineral na alimentação dos escolares, e supre 50% do ferro total necessário. Conclusões: A alimentação referida no domicílio contém os itens de uma alimentação saudável. A alimentação fornecida às crianças pelo PNAE que anteriormente à fortificação das farinhas de trigo e milho não era representativa em ferro, atualmente supre 50% das recomendações diárias explicando a baixa prevalência de anemia encontrada. / The iron deficiency anemia has an universal distribution and it reaches some population groups with important consequences for their life conditions, specially for vulnerable groups as students ranged from 6 to 12 years. Objective: To identify the anemia occurrence and its factors associate in elementary beginner students of public schools in São Bernardo do Campo. Methods: This study had used some secondary data from: "Contribution to promote the children's health in a community". The population was constituted by a probabilistic sample of 613 students ranged from 5 to 9 years. The demographic, social and economic population shape had been known by a structure questionnaire. The Food Frequency Questionnaire (FFQ) was used to evaluate the food intake. The hemoglobin dosage in venous blood was used to estimate the anemia prevalence. The hemoglobin values under 11,5g/dL. Results: The anemia average prevalence for all groups that had been studied was 5,71%. There was no difference between the sexes. The anemia was associated with low school maternal knowledge, the family boss situation, and the biggest number of brothers and sisters, as well as a big association between the water supply and the kind of housing. The most representative food intakes as ferrous source were: meat, bean and bread. The auxiliaries to its absorptions were: fruits and meats. The school lunch had been showed a good representative as the mineral supplier for the students. It supplies 50% of the necessary and bio available ferrous. Conclusions: The food practical has been adequate. Previously the school lunch feeding wasn't representative in ferrous, but now, it supplies 50% of the recommendation, and it's the reason for the low prevalence of anemia that has been gotten in this study.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2015-12-07T13:53:41Z No. of bitstreams: 1 Carlos Marcelo Balbino.pdf: 888634 bytes, checksum: 63d15127e09766591fe375e6a7bb9a6c (MD5) / Made available in DSpace on 2015-12-07T13:53:41Z (GMT). No. of bitstreams: 1 Carlos Marcelo Balbino.pdf: 888634 bytes, checksum: 63d15127e09766591fe375e6a7bb9a6c (MD5) Previous issue date: 2010 / Instituto de Cultura Técnica / Mestrado Profissional em Enfermagem Assistencial / Dissertação de Mestrado Profissional em Enfermagem Assistencial, desenvolvido no Programa de Pós-Graduação Strictu senso em Enfermagem da Escola de Enfermagem Aurora Afonso Costa – Universidade Federal Fluminense e patrocinado pelo Instituto de Cultura Técnica. Objetivo Geral: Planejar e implementar um espaço de cuidar em saúde, para atendimento de intercorrências a alunos do Instituto de Cultura Técnica na Cidade de Volta Redonda no Estado do Rio de Janeiro. Objetivos específicos: Identificar a demanda de atendimento da comunidade escolar; e planejar e implementar um espaço de cuidar em saúde, conforme necessidade da comunidade escolar. Pesquisa de caráter exploratório, com abordagem quantitativa. Utilizado como instrumento de coleta de dados um formulário que concentrou todos os dados dos atendimentos realizados pelo enfermeiro à comunidade escolar, contemplando as seguintes variáveis: idade, sexo, curso, tipo de intercorrência em saúde, no ano de 2008 e tratamento dos dados através do Epi-Info versão 3.32. O cenário foi o Instituto de Cultura Técnica (ICT) de Volta Redonda, situado no Estado do Rio de Janeiro, e os sujeitos foram os alunos, funcionários e usuários que procuraram atendimento de saúde no ICT e tiveram seu atendimento cadastrado. Pesquisa aprovada pelo Comitê de Ética em Pesquisa da Faculdade Sul Fluminense (FASF) sob o nº PP006/2009. Resultados: Os dados foram agrupados e apresentados, atendendo aos objetivos da pesquisa, em: I. Contextualização do local de realização da pesquisa, II. Perfil da demanda do atendimento à comunidade escolar, III. Perfil das intercorrências do atendimento à comunidade escolar e IV. Planejamento do espaço de cuidar em saúde, conforme necessidade identificada. A população do ICT no ano de 2008 contava com 3064 alunos matriculados e 380 funcionários, 21 cursos, sendo de nível fundamental, médio e superior. Foram realizados 486 atendimentos devido à intercorrências em saúde, sendo 470 relacionados a alunos. Os motivos pelos quais os atendimentos se originaram foram diversos, contudo a maior incidência foi dor de cabeça com 131 casos, mal-estar com 110 casos, cólicas, dor de estômago, dor de garganta, dor abdominal, enjôo. O espaço de cuidar em saúde será implantado em uma área de aproximadamente 110 m2, situado no pavimento térreo do ICT. Realizado levantamento dos recursos materiais: de consumo, equipamentos, mobiliário, recursos financeiros e humanos. Pretende-se com este estudo contribuir para um adequado atendimento, fornecendo aos usuários do espaço de cuidar em saúde implantado no ICT um cuidado livre de riscos com vista à promoção da sua saúde / Dissertation of Professional Nursing Care, developed at the Graduate Program in the strictu senso in the Nursing School of Nursing Aurora Afonso Costa in the Universidade Federal Fluminense and sponsored by the Instituto de Cultura Técnica. General Objective: to plan and implement an area of health care for complications of the students of the Instituto de Cultura Técnica in the City of Volta Redonda in the state of Rio de Janeiro. Specific Objectives: To Indentify the demand for care of the school community and plan and implement an area of health care, as required per the school community. Exploratory research with a quantitative approach. Used as an instrument of data collection a concentrated form that all data for care provided by nurses to the school community, considering the following variables: age, gender, course, type of health complication, in 2008 and processing of the data through the Epi-Info version 3.32. The scene was in the Office of the Instituto de Cultura Técnica (ICT) in Volta Redonda, located in the state of Rio de Janeiro, and the subjects were the students, staff and users seeking health care in ICT that had their visit registered. Research was approved by the Committee of Ethics in Research of the Faculdade Sul Fluminense (FASF) under the provision no. PP006/2009. Results: The data were groupped and presented, given the research objectives, in: I. Context of the site for the research, II. Profile of the demand of the school community service, III. Profile for complications of care from the school community, and IV. The location of planning in health care, as identified by their need. The population of the ICT in 2008 was 3064 enrolled students, 380 employees with 21 courses of primary, secondary and higher education. 486 calls were made due to health complications where 470 were related to students. The reasons for the calls were diverse, yet the highest incidence was headache with 131 cases and nausea with 110 cases, where cramps, stomach pain, sore throat, abdominal pain, and feeling notious were minimal. The area of health care will be allocated in a site of approximately 110 m2 situated on the ground floor of ICT. A survey of material resources: disposable materials, equipment, furniture, financial and human. I hope that this study contributes to all appropriate services, providing users of the area of health care from ICT in a risk-free environment to promote their health

Sammanfattning Bakgrund: Sverige har aldrig tidigare tagit emot så många flyktingar under så kort period som man gjorde under 2015. Många av dessa flyktingar kommer från länder med krig och förföljelse. Skolsköterskan möter flyktingbarnen och deras hälsorelaterade problem i skolan. Studien handlar om skolsköterskans upplevelser och erfarenheter av arbetet med och kring flyktingbarnen. Syfte: Syftet är att belysa skolsköterskans erfarenheter av arbetet med flyktingbarn inom skolhälsovården. Metod: Studien genomfördes med en kvalitativ induktiv ansats med semistrukturerade intervjufrågor. Sex skolsköterskor intervjuades från Kalmar och Nybro kommun i södra Sverige. Data analyserades med en kvalitativ innehållsanalys. Resultat: Skolsköterskorna hade erfarenheter av att arbetet med flyktingbarnen påverkade och förändrade deras arbetssituation. Det som utmärkte sig i skolsköterskornas erfarenheter av arbetet med flyktingbarnen var dels ett ökat arbete med journalgranskning inför vaccinationer. Det framkom också att skolsköterskorna hade erfarenheter av ökade behov av hälsovårdande insatser inom följande områden hos flyktingbarnen: svårtolkade uttrycksformer från flyktingbarnen för olika hälsotillstånd, kulturella skillnader i attityder om hälsa och egenvårdsråd, brister i tolksituationen, samt att de önskade mer utbildning kring arbetet med flyktingbarn, framförallt inom psykisk ohälsa.   Slutsats: Skolsköterskans arbete med flyktingbarnen utmärkte sig genom en ökad arbetsbelastning. Det ställdes nya krav på skolsköterskornas kompetens och arbete då andra uttrycksformer och attityder till hälsa och ohälsa gestaltades från flyktingbarnen än de som skolsköterskan tidigare var vana vid. Även brister i tolksituationen framkom. Detta var faktorer som påverkade arbetssituationen för skolsköterskorna och det framkom flera idéer om förbättring inom området. / Abstract Background: Sweden has ever received as many refugees as during the year of 2015. Many refugees migrate from countries with war and persecution. The nurses meet the refugee children on a regular basis and are confronted with their health-related problems in school. This study investigates the experience of the nurses related to their work with these children. Aim: The aim is to highlight the experience from the school nurses perspective of working with refugee children within school health care. Method: The study was conducted by using a qualitative inductive approach with semi- structured interview questions. Six school nurses were interviewed from Kalmar and Nybro, cities in the south of Sweden. Data was analyzed with a qualitative content analysis. Results: The school nurses generally felt that the work with the refugee children affected their work situation. It was also found that the school nurses experienced these children were in need of an increased amount of health care attention. The results of this study showed that the nurses needed to spend more time on reading the medical records before vaccination appointments with refugee children, as well as it was time consuming to read up on the need of supplementary vaccinations. Moreover, they found that the refugee children had different ways of communicating health care related problems and had different perspective on self-care advices. Honor-related complications as well as lingual misunderstandings were some of the new challenges for the nurses. Finally, the nurses signaled that they wanted to learn more about the work with refugee children, especially within the field of mental illness. Conclusion: The school nurse's work with the refugee children was characterized by a workload. The nurses experienced that the refugee children were communicating health care related problems differently from what the nurses were used to. There were also shortcomings in the interpretation situation. This was all factors which changed their work tasks and work situation.  The study revealed several areas of improvement regarding the school nurse's work with refugee children. These were factors that affected the workforce of the school nurses

Introduction: Burnout is an occupational condition characterized by emotional exhaustion, depersonalization, and a low sense of personal accomplishment. While medical students begin schooling with mental health profiles similar to or better than peers who pursue other careers, there is a downward trajectory throughout school suggesting this phenomenon often originates in medical school. For physicians and residents, burnout has been linked to poor outcomes such as patient safety, might contribute to suicidal ideation and substance abuse, and may undermine professional development. Furthermore, there is a lack of surveillance of the prevalence of medical student burnout in a small-sized school setting. Methods: The Maslach Burnout Inventory (MBI), a 22-question survey, is largely accepted as the gold standard for assessment; however, we utilized the 7-question, Well-Being Index (WBI), which has been shown equal efficacy as the full MBI. Eligible participants were currently enrolled in their respective class at the East Tennessee State University Quillen College of Medicine. Each year, a participant was given a WBI survey during the winter season (overall response rate 83%, n = 239). Results: Overall the self-reported burnout rate over the two-year study period was 65.2% and was significantly higher in those reporting as female (71%). There was also variation tracking the class from one year to the next. The second year at this institution showed the highest reported amount of burnout (75%, n=145) while the lowest amount of burnout reported was during the fourth year at 47%. Conclusions: Burnout experienced at this institution was reportedly higher than national average. There are limitations to this study as the periods in which medical students were asked to answer the survey were consistently at the same time in the calendar year, but the host institution’s curriculum had been changed so that it might not match up accordingly. Furthermore, class sizes changed from year to year and might skew the data. This information suggests that burnout prevalence is higher at Quillen College of Medicine and intervention strategies to address burnout should be pursued.

This diploma thesis Healthy lifestyle of pupils of the second grade of selected Prague primary school was prepared with the aim of finding out the healthy lifestyle of the pupils of the given group that is, pupils of the second grade of the Prague school. The standard CINDI Health Monitor method was used for this finding, thanks to which it is possible to compare healthy people's lifestyles across age groups. This method includes a standard set of questions to which probands answer dichotomously or yes-no. Our research has been supplemented by questions specific to our age group. These questions were evaluated by the percentage of positive answers and compared with previous surveys across age groups. Specifically with a group of students and adults over the age of 25. In terms of statistics, a correlate was also used, which better captured the relationship between the given age groups. Another goal of this work was to establish recommendations for the recovery of the health style of students who were the subject of this work, based on the intersection of the results with theoretical background. The selected group of pupils has a good health style, which may be due to the location of the school and also its culture, as there are many sports students. The main recommendation for pupils is to limit...

Moving to a pass/fail curriculum has generally been associated with decreased levels of stress and increased medical student well-being. However, not much research has been done to identify the specific effect of retaining class rank in a pass/fail curriculum and how this might affect student stress levels. The purpose of the current study was to fill in current research gaps in this area and to provide further insight into some of the factors that contribute to medical student burnout. The study was carried out using the Medical Student Well-Being Index (MSWBI), a self-reported survey that evaluates medical student fatigue, depression, burnout, anxiety/stress, and mental/physical QOL on a weighted and unweighted basis. Additionally, a set of add-on questions developed by the research team were distributed to participants along with the MSWBI. These questions asked the students to determine whether the change to a pass/fail curriculum increased, decreased, or did not change their perceived stress levels and to identify the major sources of their perceived stress. Participants were full-time medical students enrolled at ETSU Quillen College of Medicine from the Fall 2019 to Spring 2020 terms. They were divided by graduation year and asked to complete the MSWBI and IRB-approved add-on questions once per school year during this period. The number of add-on question respondents from each class reporting an increased or unchanged level of stress since switching to a pass-fail system encompassed 62.6% of all respondents. The most common reason provided by respondents for either increased or unchanged levels of stress after switching to a pass/fail curriculum was the continued reporting of class rank. This work will be useful in determining the true sources of student stress within the medical education system. While a pass/fail curriculum may reduce medical students’ perceived stress, this data indicates that class rank remains burdensome for many. Understanding the underlying factors that influence poor medical student well-being can lead to better targeted interventions.

The author has tried to emphasize the importance of the health of the school child and of a good health program in the public school. Realizing that most school administrators have very limited knowledge regarding the establishment of a program of this nature, it has been the purpose of this paper to set up a basic structure that may serve as a guide to the school in building its school health education program. Although this is written specifically for the school at Warrington, Florida, it is felt that this program may be of some benefit to other schools that would like to establish a better health program. / Typescript. / "August, 1950." / "Submitted to the Graduate Council of Florida State University in partial fulfillment of the requirements for the degree of Master of Science." / Includes bibliographical references (leaves 38-39).