Made available in DSpace on 2014-12-17T15:43:49Z (GMT). No. of bitstreams: 1 GlaudeniaAM_DISSERT.pdf: 2134728 bytes, checksum: f418d9786b3ab74e5c06ca33dab9e66a (MD5) Previous issue date: 2012-12-19 / The Psychiatric Reform has brought profound changes in assistance to people affected by mental disorders and behavior. In this context, mental health workers have played decisive roles of great impact, acting driving the process. Objective: To evaluate the impact felt by working professionals, because of the daily work with people who have psychiatric disorders. Methodology: This is a search field, a quantitative approach, sectional, descriptive and applied. Data collection occurred through the Assessment Scale Impact of Working in Mental Health Services (IMPACT-BR) applied to mental health researchers city Mossor? - RN. Results: Participants in this study 87 professionals, mostly female married, which took charge of higher education, working on a single service, working in the area for more than six years, aged between 25 and 64 years. There were a low effect of overloading the professionals surveyed. Discussion: Our results corroborate findings in other surveys conducted previously, not identifying large impact load at work among professionals of mental health teams studied. Subscales studied the highest score was observed in measuring the impact of work on team functioning. It was observed that the greater age and duration of action, reduced the emotional impact at work, suggesting that the experience enhances safety in decisions made and the possibility of greater control over the demands of work. Final Thoughts: The work presented showed that the interactive relationships between professionals and users are not the causes of greatest impact in the workplace, although it revealed overload in relation to specific aspects such as: fear of being assaulted by a patient and the feeling of physical exhaustion the end of the workday. Further investigations should be conducted on this topic in order to contribute to the implementation of psychiatric reform proposed by advances both in terms of assistance to individuals and the quality of life in the work of the professionals involved / A Reforma Psiqui?trica trouxe profundas modifica??es na assist?ncia ?s pessoas acometidas por transtornos mentais e de comportamento. Nesse contexto, os trabalhadores de sa?de mental desempenharam pap?is decisivos de grande repercuss?o, atuando de forma impulsionadora do processo. Objetivo: Avaliar o impacto laboral sentido pelos profissionais de sa?de, em virtude do trabalho di?rio com pessoas que apresentam dist?rbios psiqui?tricos. Metodologia: Trata-se de uma pesquisa de campo, numa abordagem quantitativa, seccional, descritiva e aplicada. A coleta de dados ocorreu por meio da Escala de Avalia??o do Impacto do Trabalho em Servi?os de Sa?de Mental (IMPACTO-BR), aplicada aos profissionais de Sa?de Mental da cidade de Mossor? - RN. Resultados: Participaram desse estudo 87 profissionais, em sua maioria do sexo feminino casados, que assumiam cargo de n?vel superior, trabalhando em um ?nico servi?o, atuando na ?rea h? mais de seis anos, com idade entre 25 e 64 anos. Foi observado um baixo efeito de sobrecarga nos profissionais pesquisados. Discuss?o: Os resultados encontrados corroboram com resultados encontrados em outras pesquisas realizadas anteriormente, n?o identificando grande carga de impacto no trabalho entre os profissionais das equipes de sa?de mental estudadas. Das subescalas estudadas a maior pontua??o foi observada na que mede o impacto do trabalho no funcionamento da equipe. Observou-se que quanto maiores a idade e o tempo de atua??o, menor o impacto emocional no trabalho, o que sugere que a experi?ncia aumenta a seguran?a nas decis?es tomadas e a possibilidade de um maior controle sobre as demandas de trabalho. Considera??es finais: O trabalho apresentado demonstrou que as rela??es interativas entre os profissionais e os usu?rios n?o s?o as causas de maior impacto no trabalho, embora tenha revelado sobrecarga em rela??o a aspectos pontuais como: receio de ser agredido por um paciente e a sensa??o de cansa?o f?sico ao fim do expediente. Novas investiga??es nessa tem?tica devem ser realizadas a fim de colaborar para a efetiva??o dos avan?os propostos pela Reforma Psiqui?trica tanto no que se refere ? assist?ncia aos sujeitos quanto na qualidade de vida no trabalho dos profissionais envolvidos

Made available in DSpace on 2014-12-17T14:46:54Z (GMT). No. of bitstreams: 1 SilvanaHNM_DISSERT.pdf: 798862 bytes, checksum: 714b2d8c0e6e3e7bcaa68e2efa23df0f (MD5) Previous issue date: 2011-12-15 / The demographic and epidemiological transition process caused by a declining in birth rates and in mortality, also changes occurred in morbidity and mortality is represented by the increasing of the aging population and the raising of chronic diseases. These diseases are characterized by multiple etiologies, risk factors, long latency period, a prolonged evolution, non-infectious origin and it has association with functional impairment and disability. Thus, elderly with chronic non-communicable disease has priority because they belong to a vulnerable group to get affection of comorbidities in aging, with increased demand and spending on health services. This study is aimed to analyse the understanding of elderly people with chronic non comunicable disease in the medium complexity service as a contribution to the improvement of health care in the city of Natal / RN. This is a descriptive and exploratory study with a quantitative approach, carried out at the Specialized Center for Elderly Health Care and at the Pescadores Hospital. The population was composed of 4,180 persons with a sample of 124 elderly aged above 60 years, attended in these medium complexity services. The instrument, a structured form, adapted from a questionnaire for monitoring risk and protective factors for chronic disease of the Ministry of Health. To collect data was was used the interview form containing demographic data, habits, health status and health care services. The results were processed using the Statistical Package for Social Science, version 18.0, analyzed by simple statistics. It was found that most seniors were female, predominantly between 70 and 74 years old, married, with a brown skin tone and Catholic religion, more than half had incomplete basic education, family income between one to two minimum wages and living with their families. Regarding the interviewers lifestyle, 94.4%, of them ate chicken and 97.6%, fruits, it was observed a reduction in smoking, alcoholism habits and physical activity according to the increasing age, 58.1 and 18.5% had insomnia18,5 % used sleeping pills. The elderly (51.6%) reported using services in times of sickness, seeking primary care at first (30.6%), 52% did not receive referral and was looking for free demand (38.7%). The most reported morbidity was hypertension, followed by musculoskeletal disorders. Regarding the difficulties in seeking health services, the delay in treatment and the waiting line were the most cited by the elderly. Almost all of them reported no activities to promote health in these services and those who received individual counseling on chronic diseases. Almost always, the health professionals who care of them, were mostly doctors followed by nurses. Based on the results presented, it is considered that the health services of medium complexity must undergone a more continuous dialogue with other attention level and focus on actions of health promotion and prevention. It is also recommended the necessity for qualified professionals to delivery health care to elderly and the implementation of protocols by a multidisciplinary health team, intending to provide better and continous care for the elderly with chronic diseases. The healthcare professionals who served them, were mostly physicians, followed by nurses. Through the results presented, it is considered that the medium complexity healthcare services need to perform a more continuous dialogue with the other levels of attention focusing attention to the health promotion and prevention actions. It is also recommended the necessity for qualified professionals to delivery healthcare for the elderly, in addition, a protocol implementation for the multidisciplinary health care team, to provide better care, and also the care continuity to elderly with chronic diseases / O processo de transi??o demogr?fica e epidemiol?gica causado pela diminui??o dos ?ndices de natalidade e mortalidade e modifica??o do perfil de morbimortalidade ? representado pelo aumento da popula??o idosa e das doen?as cr?nicas n?o transmiss?veis. Estas doen?as caracterizam-se por etiologia m?ltipla, fatores de risco, per?odo longo de lat?ncia, curso prolongado, origem n?o infecciosa e associa??o com defici?ncias e incapacidades funcionais. Desse modo, a pessoa idosa com doen?a cr?nica n?o transmiss?vel encontra-se em prioridade por tratar-se de um grupo vulner?vel para essas comorbidades no envelhecimento, com aumento da procura e gastos nos servi?os de sa?de. O objetivo deste estudo ? analisar o perfil da pessoa idosa com Doen?a Cr?nica N?o Transmiss?vel atendida em servi?os de m?dia complexidade. Trata-se de um estudo descritivo e explorat?rio, com abordagem quantitativa, realizado no Centro Especializado de Aten??o ? Sa?de do Idoso e no Hospital dos Pescadores. A popula??o foi de 4180 pessoas e com uma amostra aleat?ria simples de 124 idosos com idade igual ou acima de 60 anos, atendidos nesses servi?os de m?dia complexidade. O instrumento, um formul?rio estruturado, adaptado do question?rio de monitoramento para fatores de risco e prote??o para doen?a cr?nica do Minist?rio da Sa?de. Na coleta de dados usou-se a entrevista acompanhada de formul?rio contendo dados sociodemogr?ficos, h?bitos e condi??o de sa?de e o atendimento nos servi?os de sa?de. Os resultados foram processados no programa Statistical Package for the Social Science, vers?o 18.0, analisados atrav?s da estat?stica simples. Identificou-se que a maioria dos idosos era do sexo feminino, com predom?nio entre 70 e 74 anos, casados, de cor parda e cat?licos; mais da metade tinha ensino fundamental incompleto; renda familiar entre 1 a 2 sal?rio m?nimo e residia com a fam?lia. Quanto aos h?bitos de vida, 94,4% consumiam frango e, 97,6% frutas; observou-se haver redu??o do tabagismo, do alcoolismo e da atividade f?sica; 58,1% possu?am ins?nia e 18,5% utilizavam rem?dios para dormir. A procura pelo servi?o de sa?de deu-se devido adoecimento (51,6%), buscando a aten??o prim?ria no primeiro momento (30,6%); 52% n?o receberam encaminhamento e a procura era por livre demanda (38.7%). A morbidade mais referida foi a hipertens?o, seguida das doen?as musculoesquel?ticas. Sobre as dificuldades na procura pelos servi?os de sa?de, a demora no atendimento e as filas foram citadas pelos idosos. Quase todos relataram n?o haver atividades de promo??o ? sa?de nesses servi?os e que recebiam orienta??o individual sobre as doen?as cr?nicas. Os profissionais de sa?de que os atendiam, em sua maioria eram m?dicos, seguidos dos enfermeiros. Mediante os resultados apresentados, considera-se que os servi?os de sa?de de m?dia complexidade precisam exercer de forma mais cont?nua a interlocu??o com os demais n?veis de aten??o e enfocar no atendimento as a??es de promo??o e preven??o ? sa?de. Recomenda-se tamb?m a necessidade de qualifica??o dos profissionais para o atendimento ? pessoa idosa e a implanta??o de protocolos pela equipe multiprofissional de sa?de, de modo a proporcionar melhor atendimento e continuidade do tratamento ? pessoa idosa com doen?as cr?nicas n?o transmiss?veis

Submitted by Jos? Henrique Henrique (jose.neves@ufvjm.edu.br) on 2018-07-30T20:50:26Z No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) marisa_resende_parreira.pdf: 2105579 bytes, checksum: fbcfdd776f589313c461f62c6a25f031 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2018-10-01T17:46:44Z (GMT) No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) marisa_resende_parreira.pdf: 2105579 bytes, checksum: fbcfdd776f589313c461f62c6a25f031 (MD5) / Made available in DSpace on 2018-10-01T17:46:44Z (GMT). No. of bitstreams: 2 license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) marisa_resende_parreira.pdf: 2105579 bytes, checksum: fbcfdd776f589313c461f62c6a25f031 (MD5) Previous issue date: 2017 / A Rede de Aten??o Psicossocial (RAPS) se insere como uma das redes indispens?veis do cuidado nas Redes de Aten??o ? Sa?de (RAS) com a finalidade de criar, ampliar e articular os pontos de aten??o ? sa?de para pessoas com sofrimento ou transtorno mental e com necessidades decorrentes do uso de crack, ?lcool e outras drogas. Neste sentido, o funcionamento desta rede depender? da articula??o dos trabalhadores com outros que est?o inseridos nos diversos espa?os, bem como na comunidade. O presente estudo buscou analisar a RAPS do munic?pio de Diamantina, estado de Minas Gerais e sua funcionalidade. Trata-se de uma pesquisa com abordagem qualitativa que utilizou como recurso metodol?gico a Hist?ria Oral. Entrevistou-se os coordenadores e/ou colaboradores dos componentes da RAPS pactuados no munic?pio. A coleta de dados foi baseada com a pergunta norteadora: Relate como o servi?o em que voc? trabalha desempenha com outros servi?os da rede, a??es de assist?ncia ao usu?rio da sa?de mental? Os dados coletados foram transcritos e constitu?ram em material de an?lise de conte?do, originando-se assim tr?s eixos tem?ticos: 1) ?Rede existe, mas fragmentada?, resultando das subcategorias: os servi?os n?o se comunicam e aus?ncia de um sistema de governan?a; 2) ?Dificuldade de a??es de sa?de mental na APS? como consequ?ncia de aus?ncia de apoio matricial e triagem inadequada; 3) ?Acolhimento do usu?rio?, decorrentes das subcategorias car?ncia de recursos humanos e demanda excessiva de usu?rios. Os resultados desta investiga??o permitiram identificar aspectos que podem favorecer a consolida??o da RAPS, assim como, os seus principais desafios. A constru??o de redes apresentou-se como uma tarefa complexa, fazendo-se necess?rio, para sua consolida??o a??es em conex?o com outros servi?os e atores. Notou-se ainda que ? de fundamental import?ncia, para garantir o cuidado, que os profissionais desta rede compreendam seus prop?sitos e funcionalidades, fazendo necess?rio o retorno do apoio matricial e de um gestor municipal da sa?de mental que atue nas politicas p?blicas, coordena??o, planejamento e monitoramento das a??es, assim atrav?s da atua??o interdisciplinar que a Rede de Aten??o psicossocial se fortalecer? uma vez que j? existe. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2017. / The Psychosocial Care Network (PCN) is one of the indispensable networks of care in the Health Care Networks (HCN) in order to create, expand and articulate the points of health care for people in pain or with mental disorder because of crack, alcohol and other drugs abuse. Thus, the operation of this network will depend on the articulation between workers with others inserted in the different fields, as well as in the community. In this work a description of PCN of Diamantina city in the state of Minas Gerais ? Brazil and its functionality were evaluated. It is a qualitative research with Oral History as methodology. The coordinators and/or collaborators of the PCN components agreed in the municipality were interviewed. Data collection was based on the guiding question: Relate how the service you work plays with other services of the network actions of assistance to the user of mental health? The collected data were transcribed and were constituted in material of content analysis, leading to three thematic axes: 1) the network exists, but it is fragmented. The interviewees consider that the lack of communication, absence of a system of governance and regulation can be a fragmentation factor; 2) difficulty of mental health actions in PHC was identified as a consequence of inadequate screening and absence of matricial support and; 3) incomplete crew and excessive demand of users are pointed as impediments of accessibility and resolution of actions. The results of this investigation allowed the identification of possible aspects that support the consolidation of PCN, as well as its main challenges. The construction of networks is a complex task, and actions in connection with other services and actors are necessary for its consolidation. It is of fundamental importance to insure that the care that the professionals of this network understand its purposes and functionalities. Therefore, it will be through interdisciplinary action that the Psychosocial Support Network will build articulation strategies that promote the strengthening of care and health production.

RONCALLI, Angelo Giuseppe. A organiza??o da demanda em servi?os p?blicos de sa?de bucal: universalidade, eq?idade e integralidade em Sa?de Bucal Coletiva. ra?atuba, 2000. 238p. Tese (Doutorado em Odontologia Preventiva e Social). Faculdade de Odontologia, Universidade Estadual Paulista ?J?lio de Mesquita Filho? / Submitted by clediane guedes (clediane@bczm.ufrn.br) on 2010-09-24T17:09:47Z No. of bitstreams: 1 2000Tese_AngeloRoncalli.pdf: 1582617 bytes, checksum: 16e0777917ab5dec57d67280765be46e (MD5) / Approved for entry into archive by clediane guedes(clediane@bczm.ufrn.br) on 2010-09-24T17:10:07Z (GMT) No. of bitstreams: 1 2000Tese_AngeloRoncalli.pdf: 1582617 bytes, checksum: 16e0777917ab5dec57d67280765be46e (MD5) / Made available in DSpace on 2010-09-24T17:10:07Z (GMT). No. of bitstreams: 1 2000Tese_AngeloRoncalli.pdf: 1582617 bytes, checksum: 16e0777917ab5dec57d67280765be46e (MD5) / Este trabalho objetivou discutir, ? luz de algumas experi?ncias municipais de organiza??o da demanda por servi?os odontol?gicos, a incorpora??o das diretrizes do Sistema ?nico de Sa?de, as quais apontam para a estrutura??o de um modelo assistencial com base na universalidade e na integralidade da aten??o e na eq?idade no acesso aos servi?os. A an?lise foi feita em tr?s experi?ncias distintas, em Ara?atuba (SP), Belo Horizonte (MG) e Curitiba (PR), tendo como base a an?lise documental e entrevistas com informantes-chave. Em Ara?atuba ainda ? mantido um modelo de corte tradicional, com um sistema de assist?ncia a escolares e uma rede b?sica com prioridade para a faixa et?ria de 0 a 18 anos e de gestantes. Apesar de contar com uma rede de servi?os que permitiria ampla cobertura, ainda mant?m, para a popula??o adulta, somente atendimento emergencial. Em Belo Horizonte, alguns avan?os foram obtidos a partir do in?cio dos anos 1990, com uma reestrutura??o dos servi?os com base numa rede regionalizada e hierarquizada e uma invers?o no modelo assistencial, antes centrado na assist?ncia a escolares. O munic?pio de Curitiba implantou, a partir de 1995, um modelo de Sa?de da Fam?lia com a??es de Sa?de Bucal e vem mantendo, desde a d?cada de 1980, a proposta de um modelo territorializado. O que pudemos apreender, a partir das discuss?es colocadas ao longo deste trabalho, ? que as iniciativas que, minimamente, apontaram para modelos mais universais e eq?itativos o fizeram como parte de uma estrat?gia ampla, n?o restrita ao setor odontol?gico, que aliou vontade pol?tica e capacidade t?cnica ______________________________________________ABSTRACT The aim of this work was to analyse some experiences of organization of demand for oral health in municipal health care models. The center of discussion was the incorporation of National Health System principles, i.e., universality and integrality of care and the equity in access of health services by the oral health care system. The study was carried out in three different municipalities: Ara?atuba (SP), Belo Horizonte (MG) and Curitiba (PR). The method used was the analyse of papers and interview with staff. Ara?atuba maintain a traditional model yet, with a school-based oral health care system and another system where the priority is children and adolescent (0-18 years old) and pregnants. Despite of its structure of services, the adult population receive only emergencial treatment. Belo Horizonte has changed oral health services at early 1990?s, implanting sanitary disctrict system and an inversion of oral health care system, that was school-based. Curitiba implanted, at 1995, a Family Health Care Service, where oral health care has been included. Besides, since 1980?s has been maintained a sanitary district system. After discussion of the results, we concluded that the municipalities where, at the least, implanted universal oral health care systems, worked with a global estrategy, not restricted to oral health, and combined political involvement with technical capacity

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-02-29T22:37:42Z No. of bitstreams: 1 RafaellaLeiteFernandes_TESE.pdf: 10270831 bytes, checksum: 460644c61d2f43c0dd371b684936103a (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-02T00:32:08Z (GMT) No. of bitstreams: 1 RafaellaLeiteFernandes_TESE.pdf: 10270831 bytes, checksum: 460644c61d2f43c0dd371b684936103a (MD5) / Made available in DSpace on 2016-03-02T00:32:08Z (GMT). No. of bitstreams: 1 RafaellaLeiteFernandes_TESE.pdf: 10270831 bytes, checksum: 460644c61d2f43c0dd371b684936103a (MD5) Previous issue date: 2014-12-12 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior - CAPES / Este estudo emergiu do intuito de conhecer a realidade assistencial da sa?de mental do Rio Grande do Norte (RN) diante dos avan?os e desafios na pactua??o de caminhos intersetoriais e da consolida??o da Rede de Aten??o Psicossocial (RAPS) do Estado. Definiu-se como objetivos, a partir da problem?tica e das inquieta??es: Identificar o conhecimento dos gestores do Rio Grande do Norte sobre a Pol?tica Nacional de Sa?de Mental (PNSM) no estado do RN; Descrever as atividades desenvolvidas pelos profissionais de sa?de no atendimento individual realizado nos Centros de Aten??o Psicossocial (CAPS) do RN; Compreender a rela??o do conhecimento dos gestores sobre a Pol?tica Nacional de Sa?de Mental na pr?tica dos profissionais que atuam nos CAPS do interior do RN. Estudo descritivo com abordagem quanti-qualitativa, realizado em 30 CAPS do interior do RN, onde 183 profissionais dos servi?os responderam a um question?rio estruturado com quest?es fechadas a respeito do trabalho que desenvolvem no atendimento individual; e 19 coordenadores de sa?de mental dos munic?pios e o coordenador estadual da RAPS foram entrevistados a respeito do seu conhecimento sobre a Pol?tica de Sa?de Mental. Coletou-se os dados ap?s aprova??o do Comit? de ?tica e Pesquisa da Universidade Federal do Rio Grande do Norte, sob o parecer n? 508.430 CAAE: 25851913.7.0000.5537, nos meses de agosto a outubro de 2014 nos 26 munic?pios do interior do Estado que disp?em de CAPS. Os dados quantitativos foram tabulados e analisados pela estat?stica descritiva com o aux?lio do software Statistical Package for the Social Scienses (SPSS) vers?o 20.0, enquanto os dados qualitativos foram preparados em um corpus e analisados com o aux?lio do software Analyse Lexicale par Contexte d?um Ensemble de Segments de Texte (ALCESTE) que permite realizar an?lises estat?sticas textuais e categoriza??o das falas dos sujeitos, submetidos a an?lise de conte?do de Bardin. Cinco categorias foram geradas com enfoques no conhecimento dos gestores, denominadas: De volta ? sociedade: protagonismo e autonomia dos usu?rios; Distanciamento entre a pol?tica e a pr?tica; Entraves que afetam o servi?o; Estrutura??o da Rede de Aten??o Psicossocial; Equipe multiprofissional: atribui??es e atividades. As idades dos profissionais dos CAPS variaram de 20 a 58 anos, com preval?ncia do sexo feminino, com 76,5% do total, destaca-se em sua maioria de assistentes sociais (16,8%), psic?logos (15,3%), enfermeiros (14,8%) e t?cnicos de enfermagem (14,8%). Evidenciou-se precariza??o na assist?ncia no que diz respeito a elevada carga hor?ria de trabalho e dos baixos sal?rios dos profissionais dos CAPS e p?de-se observar grande envolvimento dos profissionais na assist?ncia, mesmo diante das dificuldades encontradas nos servi?os. Constatou-se pouco conhecimento dos gestores a respeito da Pol?tica Nacional de Sa?de Mental tendo como causas dessa realidade a m? forma??o e capacita??o desses profissionais. A resposta dos profissionais que trabalham na assist?ncia revela uma maior coer?ncia com o que se espera de um servi?o de aten??o psicossocial. Aponta-se como tese deste estudo que a Reforma Psiqui?trica e a Pol?tica de Sa?de Mental no Rio Grande do Norte caminham num processo de expans?o estrutural, por?m com precariza??o dos servi?os a partir de uma gest?o ainda despreparada para atuar num contexto psicossocial. / This study arose from an interest in knowing the reality of mental health care in Rio Grande do Norte (RN) on the advances and challenges in the intersectoral agreements paths and consolidation of the Psychosocial Care Network (RAPS) from the state. Considering problematic and concerns were defined as objectives: Identify the knowledge of managers of Rio Grande do Norte on the National Mental Health Policy (PNSM) in the RN State; Describe the activities developed by health professionals in the individual service offered in the CAPS from RN; Understanding the relationship of managers? knowledge on national mental health policy in professionals? practice working in the the CAPS from the countryside. It is a descriptive study with a quantitative and qualitative approach, carried out in 30 CAPS from RN?s countryside, where 183 professionals answered a structured questionnaire with closed questions about the activities they do in individual care; and 19 mental health coordinators of municipalities and the state coordinator of RAPS were interviewed about their knowledge on the Mental Health Policy. Data were collected after approval by the Research Ethics Committee of the Federal University of Rio Grande do Norte, with the number 508.430 CAAE: 25851913.7.0000.5537 from August through October of 2014 in 26 municipalities with CAPS from the state. Quantitative data were tabulated and analyzed using a descriptive statistics aided by the software Statistical Package for the Social Scienses (SPSS) version 20.0. The qualitative data were prepared in a corpus and analyzed through software Analyse Lexicale par Contexte d?um Ensemble de Segments de Texte (ALCESTE) that allow to perform textual statistical analysis and categorization from their comments, submitted to Bardin content analysis. Five categories were generated approaching the managers? knowledge, namely: Back to society: leadership and users? role and autonomy; The gap between policy and practice; Barriers that affect the service; Structuring the Psychosocial Care Network; Multidisciplinary team: attribuitios and activities. The CAPS professionals? ages ranged from 20 to 58 years, prevailing females, with 76.5% of the total, the majority were social workers (16.8%), psychologists (15.3%), nurses (14.8%) and nursing technicians (14.8%). The results showed precariousness in care associated with physical workload regard to high workload and low wages of the CAPS professionals' and, also, it was possible to observe a large involvement of professionals in care delivery, despite the difficulties encountered in services. It was found little knowledge in managers regarding the National Mental Health Policy having as causes of this reality the poor education and training of these professionals. The responses of professionals working in care reveals strong consistency with what is expected of a psychosocial care service. Points up as a thesis of this study that the psychiatric reform and mental health policy in Rio Grande do Norte is following a structural expansion process, but with precariousness of services from a still unprepared management to act in a psychosocial context.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-03-03T20:30:22Z No. of bitstreams: 1 LigianaNascimentoDeLucena_DISSERT.pdf: 1542246 bytes, checksum: 220be98593938a4347b783b7f6131add (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-03-08T22:27:49Z (GMT) No. of bitstreams: 1 LigianaNascimentoDeLucena_DISSERT.pdf: 1542246 bytes, checksum: 220be98593938a4347b783b7f6131add (MD5) / Made available in DSpace on 2016-03-08T22:27:49Z (GMT). No. of bitstreams: 1 LigianaNascimentoDeLucena_DISSERT.pdf: 1542246 bytes, checksum: 220be98593938a4347b783b7f6131add (MD5) Previous issue date: 2014-08-29 / A Pol?tica Nacional de Humaniza??o (PNH), que visa ? humaniza??o das rela??es entre profissionais e usu?rios, orienta-se pela proposta da cl?nica ampliada e prop?e o acolhimento como um dos dispositivos para sua viv?ncia. O acolhimento requer uma atitude que garanta a escuta qualificada, a oferta de tecnologias adequadas e o estabelecimento de v?nculos para melhor resolubilidade dos problemas de sa?de dos usu?rios. Este estudo teve por objetivo avaliar a satisfa??o dos usu?rios da Estrat?gia Sa?de da Fam?lia (ESF) no tocante ao acolhimento na perspectiva da escuta qualificada e da produ??o de v?nculos, no munic?pio de Recife-PE. Trata-se de um estudo quantitativo e qualitativo, avaliativo e transversal. Foram entrevistados 297 usu?rios, nos seis distritos sanit?rios do munic?pio, que fazem uso dos servi?os ofertados pela ESF. Para a coleta dos dados foi utilizada a Escala de Avalia??o da Satisfa??o dos Usu?rios com os Servi?os de Sa?de Mental - Satis-BR-forma abreviada, adaptada para o tema do acolhimento. Os dados quantitativos foram analisados com o auxilio dos softwares Statistical Package for Social Science (SPSS) 17.0, calculando-se as frequ?ncias absolutas e relativas. Os dados qualitativos foram trabalhados atrav?s da an?lise de conte?do de Bardin com a elabora??o de categorias tem?ticas. Os resultados apontam que os usu?rios, em sua grande maioria, est?o satisfeitos com o acolhimento ofertado pelas equipes. Em torno de 66% afirmam ser muito ou bastante escutados pelos profissionais; 80,2% referem ter obtido alguma ou muita ajuda quando procuraram o acolhimento; 64,6% apontam que a acolhida ? amig?vel ou muito amig?vel. Nos quesitos da ambi?ncia, 55,9% dos usu?rios demonstram indiferen?a e insatisfa??o com o aspecto do conforto e apar?ncia; no quesito das instala??es gerais do servi?o, 69,4% consideram de regular a p?ssimo. Das falas emergiram tr?s categorias tem?ticas: satisfa??o com o acolhimento, insatisfa??o com a ambi?ncia e sugest?es de melhorias no acolhimento e servi?o. Esse estudo contribuiu para o entendimento de que a escuta e o v?nculo t?m presen?a no acolhimento do munic?pio e para demonstrar que a ambi?ncia ? uma poss?vel fragilidade na opini?o dos usu?rios. / The objective of the National Humanization Policy (NHP) is to humanize relations between professionals and users. It is guided by the proposal of expanded clinic and proposes the embracement as a strategy for its existence. The embracement requires qualified hearing, the provision of adequate technologies and the establishment of relations for better solving health problems of users. The objective of this study was to evaluate user satisfaction of the Family Health Strategy (FHS) regarding the embracement from the perspective of qualified hearing and improved relations in the city of Recife- PE. In this quantitative, qualitative, evaluative and cross-sectional study, 297 users of the services offered by the FHS were interviewed in six health districts of the city. For data collection, the Satisfaction Rating Scale of users with Mental Health Services - Satis-BR- abbreviated and adapted to the subject embracement was used. Quantitative data were analyzed by using the software Statistical Package for Social Science (SPSS) 17.0, calculating the absolute and relative frequencies. Qualitative data were analyzed by content analysis of Bardin with the elaboration of thematic categories. The results indicate that most users are satisfied with the embracement offered by the teams. About 66% reported being very or fairly heard by professionals; 80.2% reported to have obtained some or much help when searched for embracement; 64.6% indicated that the embracement is friendly or very friendly. Regarding ambience, 55.9% of users demonstrated indifference and dissatisfaction with comfort and appearance; regarding general facilities of the service, 69.4% reported as regular to awful. Three thematic categories were revealed by the speeches: satisfaction with embracement, dissatisfaction with the ambience, and suggestions for improvements in embracement and service. This study contributed to the understanding that both the hearing and relations are present in the embracement of the city and also to demonstrate that the ambience is a possible weakness in the opinion of the users.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-07-26T20:16:38Z No. of bitstreams: 1 LucianaMargaridaDeSantanaMadruga_DISSERT.pdf: 1140259 bytes, checksum: a7e8c8271357445327738406b8a08df8 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-08-08T22:04:38Z (GMT) No. of bitstreams: 1 LucianaMargaridaDeSantanaMadruga_DISSERT.pdf: 1140259 bytes, checksum: a7e8c8271357445327738406b8a08df8 (MD5) / Made available in DSpace on 2016-08-08T22:04:38Z (GMT). No. of bitstreams: 1 LucianaMargaridaDeSantanaMadruga_DISSERT.pdf: 1140259 bytes, checksum: a7e8c8271357445327738406b8a08df8 (MD5) Previous issue date: 2016-02-04 / O paradigma de sa?de, consolidado no s?culo passado, direcionou a forma??o dos profissionais de sa?de, educados sob a ?gide do modelo de forma??o flexneriano, fragment?rio e hospitaloc?ntrico. Contudo, este provou ser insuficiente para atender as demandas do Sistema ?nico de Sa?de (SUS) e da popula??o. Nesse sentido, as Diretrizes Curriculares Nacionais (DCN) para os Cursos de Gradua??o em Sa?de despontam como marco normativo na proposi??o de um novo perfil profissional, como tamb?m na recomenda??o de estrat?gias para a reestrutura??o dos curr?culos e das pr?ticas pedag?gicas, e uma delas ? a integra??o ensino-servi?o. Portanto, o objetivo do presente estudo foi investigar o processo de forma??o dos acad?micos do Curso de Fisioterapia da Universidade Federal da Para?ba (UFPB), tendo como eixo orientador a integra??o ensino-servi?o, considerando as DCN. Para tanto, o m?todo escolhido foi o estudo de caso, com abordagem qualitativa. A amostra foi do tipo intencional, incluindo todos os docentes do quadro permanente do Departamento de Fisioterapia da UFPB, vinculados a componentes curriculares cujos cen?rios de pr?tica ocorrem na rede de servi?os do SUS e com tempo de atividade superior a um ano naquele componente. A t?cnica de coleta de dados foi a entrevista semi-estruturada. A an?lise dos dados foi realizada por meio da t?cnica de an?lise de conte?do. Foram consideradas as seguintes categorias: Forma??o Profissional para o SUS, A integra??o dos estudantes aos servi?os Rede SUS, A rela??o teoria e pr?tica na forma??o do fisioterapeuta, Parceria docente-profissional de sa?de no processo de ensino-aprendizagem e Os Programas de Reorienta??o da Forma??o e sua integra??o com o Curso. Os resultados permitiram identificar como potencialidades no processo de integra??o ensino-servi?o: reconhecimento da import?ncia das atividades de integra??o entre a universidade e os servi?os de sa?de a partir da valoriza??o da inser??o do estudante na rede, da atua??o conjunta com os profissionais de sa?de do servi?o e da oportunidade de trabalhar em equipe interprofissional; exist?ncia da Rede Escola estruturada e organizada; participa??o de estudantes e docentes em programas governamentais que oferecem a experi?ncia de inser??o no universo do trabalho. Como fragilidades da integra??o se sobressa?ram: dificuldades nos processos de pactua??o, planejamento e avalia??o das atividades junto ao servi?o; descompasso entre atividades te?ricas e pr?ticas; indefini??o dos papeis do docente e do profissional de sa?de do servi?o no processo de forma??o e fr?gil rela??o dos programas de reorienta??o da forma??o profissional com as atividades curriculares do Curso. A integra??o ensino-servi?o, como eixo orientador da an?lise da forma??o do profissional fisioterapeuta revela limites e possibilidades para uma forma??o que atenda as necessidades de sa?de da popula??o. Assim, o posicionamento e as escolhas das institui??es de ensino frente ao modelo assistencial exercem influ?ncia nas pr?ticas em sa?de, bem como o compromisso firmado pela gest?o e servi?os e a permeabilidade ?s inst?ncias de controle social contribuem decisivamente para a orienta??o da forma??o dos futuros profissionais de sa?de. Logo, ? indispens?vel o comprometimento de todos os atores envolvidos para a efetiva mudan?a do processo de forma??o e do paradigma de sa?de. / The health paradigm, consolidated in the last century, directed the training of health professionals, educated under the aegis of the Flexnerian training, fragmentary and hospital-centered model. However, it proved to be insufficient to meet the demands of the Unified Health System and the population. In this sense, the National Curriculum Guidelines for Undergraduate health courses emerge as a normative framework in proposing a new professional profile, as well as the recommendation of strategies for the restructuring of curricula and teaching practices, and one of them is the teaching-service integration. Therefore, the aim of this study was to investigate the process of training of Physiotherapy course students of the Federal University of Para?ba with the guiding principle of teaching-service integration, considering DCN. In this sense, the chosen method was a case study with qualitative approach. The sample was intentional, including all faculty members of the permanent staff of the Department of Physiotherapy at UFPB, linked to curriculum components whose practice scenarios occur in the SUS network and time longer than one year in that component. The data collection technique was the semi-structured interview. Data analysis was performed using the content analysis technique. The following categories were considered: professional training for SUS, integration of students to the SUS network services, the relationship between theory and practice in the training of physiotherapists, teaching and health professional partnership in the teaching-learning process and programs of training reorientation and their integration with the course. The results allowed identifying positive points in the teaching-service integration: recognition of the importance of integration activities between university and health services based on the insertion of students in the network, the combined actuation with health service professionals and the opportunity to work in a multidisciplinary team; the existence of structured and organized School Network; participation of students and teachers in government programs that offer the experience of insertion in the labor market. The following weaknesses stood out: difficulties in agreement, planning and evaluation of activities by the service; gap between theoretical and practical activities; lack of definition of roles of teacher and health service professionals in the training process and the fragile relationship of reorientation of vocational training programs with the curricular activities of the course. The teaching-service integration as a guiding principle in the analysis of the formation of physiotherapists reveals limits and possibilities for training that meets the health needs of the population. Thus, the choices of educational institutions regarding the care model have an influence on health practices, as well as the commitment by management and services and the permeability to social control instances decisively contribute to the improvement in the training of future professionals. Thus, the commitment of all involved for the effective change in the training process of health paradigm is indispensable.

Made available in DSpace on 2014-12-17T14:53:18Z (GMT). No. of bitstreams: 1 PauloRCB.pdf: 649782 bytes, checksum: 7b869bb155abf3578ea09e633db4f807 (MD5) Previous issue date: 2006-05-19 / Coordena??o de Aperfei?oamento de Pessoal de N?vel Superior / This work presents a study in quality of health care, with focus on consulting appointment. The main purpose is to define a statistical model and propose a quality grade of the consulting appointment time. The time considered is that from the day the patient get the appointment done to the day the consulting is realized. It is used reliability techniques and functions that has as main characteristic the analysis of data regarding the time of occurrence certain event. It is gathered a random sample of 1743 patients in the appointment system of a University Hospital - the Hospital Universit?rio Onofre Lopes - of the Federal University of Rio Grande do Norte, Brazil. The sample is randomly stratified in terms on clinical specialty. The data were analyzed against the parametric methods of the reliability statistics and the adjustment of the regression model resulted in the Weibull distribution being best fit to data. The quality grade proposed is based in the PAHO criteria for a consulting appointment and result that no clinic got the PAHO quality grade. The quality grade proposed could be used to define priority for improvement and as criteria to quality control / Este trabalho apresenta um estudo sobre qualidade em servi?os de sa?de, com enfoque para o atendimento ambulatorial. Determinar o melhor modelo estat?stico e a proposi??o de um padr?o de qualidade para o tempo agendado para consulta ambulatorial, ? o objetivo do presente estudo. Para isso, foram utilizadas as t?cnicas de confiabilidade que tem como principal caracter?stica a an?lise de dados referente ao tempo de ocorr?ncia de determinado evento. Observou-se dados de 1.743 pacientes que agendaram consulta no Hospital Universit?rio Onofre Lopes - Natal/RN, onde coletou-se informa??es referentes ao tipo de tratamento, especialidade, tipo de marca??o e o tempo at? o atendimento ambulatoria1. Os dados foram analisados segundo os m?todos n?o param?tricos da estat?stica de confiabilidade e atrav?s do ajuste do modelo de regress?o. Concluiu-se que as covari?veis que influenciam o tempo at? o atendimento ambulatorial ? o tipo de marca??o e a especialidade, o modelo que melhor se adequa aos dados ? o Weibull e 20,83% das especialidades enquadram-se no padr?o B de qualidade, sendo este o melhor padr?o obtido

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2016-10-27T00:21:29Z No. of bitstreams: 1 NayaraPriscilaDantasDeOliveira_DISSERT.pdf: 1338360 bytes, checksum: e4a924e9aed2ef9db758540f32e2a83f (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2016-12-27T20:05:19Z (GMT) No. of bitstreams: 1 NayaraPriscilaDantasDeOliveira_DISSERT.pdf: 1338360 bytes, checksum: e4a924e9aed2ef9db758540f32e2a83f (MD5) / Made available in DSpace on 2016-12-27T20:05:19Z (GMT). No. of bitstreams: 1 NayaraPriscilaDantasDeOliveira_DISSERT.pdf: 1338360 bytes, checksum: e4a924e9aed2ef9db758540f32e2a83f (MD5) Previous issue date: 2016-04-20 / O c?ncer de mama apresenta altas taxas de incid?ncia e atualmente observa-se aumento consider?vel na taxa de sobrevida, de modo que a qualidade desta sobreviv?ncia passa a ser considerada uma importante quest?o de sa?de p?blica. O objetivo do estudo foi verificar a preval?ncia de incapacidade funcional e seus fatores associados em mulheres sobreviventes ao tratamento do c?ncer de mama. Trata-se de um estudo transversal, realizado com 101 mulheres residentes no munic?pio de Natal-RN com diagn?stico de neoplasia maligna da mama, que foram submetidas ao tratamento oncol?gico h? no m?nimo um ano e que ainda permanecem em acompanhamento cl?nico na Liga Norte Riograndense contra o C?ncer. O estudo foi composto por duas fases de coleta de dados, realizadas com o acesso aos prontu?rios das pacientes e com entrevistas individuais. A capacidade funcional foi aferida por meio do instrumento Disabilities of the Arm and Shoulder (DASH). Coletaram-se tamb?m vari?veis relacionadas ?s caracter?sticas socioecon?micas, h?bitos de vida, condi??es de sa?de, hist?rico ginecol?gico e obst?trico, caracter?sticas cl?nicas do tumor e abordagem terap?utica. A an?lise bivariada foi realizada por meio do teste teste Qui-quadrado de Pearson (Exato de Fisher). A an?lise multivariada foi feita por meio da Regress?o de Poisson com vari?ncia robusta. Considerou-se o n?vel de confian?a de 95%. A idade m?dia das mulheres inclu?das no estudo foi de 56,19 anos (?10,6), com renda m?dia mensal de 3,88 (?4,5) sal?rios m?nimos e com acesso ao servi?o de sa?de p?blico predominante (50,5%). Em sua maioria, as pacientes foram submetidas ? abordagem cir?rgica conservadora (53,5%). A preval?ncia de incapacidade funcional foi de 22,8% (IC95%: 13,9-31,6). A capacidade funcional mostrou-se associada de maneira estatisticamente significativa ? idade e ao tipo de acesso ao servi?o de sa?de. Pode-se concluir que as pacientes mais jovens sofreram maior impacto do tratamento do c?ncer de mama na funcionalidade quando comparadas ?s mulheres mais idosas. Quanto ao acesso ao servi?o de sa?de, as mulheres que receberam acompanhamento cl?nico p?blico apresentaram maior ocorr?ncia de incapacidade funcional, o que aponta para a necessidade de servi?os de sa?de mais organizados na sua rede assistencial, menos burocr?ticos e efetivamente resolutivos, minimizando os impactos do tratamento oncol?gico nas condi??es de vida e sa?de das sobreviventes do c?ncer de mama. / Breast cancer shows high incidence and mortality rates. However, a considerable increase in the survival rate is observed, so that the quality of life is now considered an important public health issue. The goal of this study is to determine the prevalence of disability and associated factors in women undergoing treatment for breast cancer. It is a cross-sectional study made with 101 women living in a city named Natal, in the state of Rio Grande do Norte, diagnosed with malignant neoplasm of the breast, who underwent cancer treatment for at least one year and still remain in clinical attendance in the Northern League against cancer. The study consisted of two phases of data collection, performed with access to the medical records of patients and individual interviews. The functional capacity was measured by a questionnaire called DASH. Variables related to socioeconomic characteristics, lifestyle, health, gynecological and obstetrical history, clinical characteristics of the tumor and therapeutic approach were also collected. The bivariate analysis was performed using Pearson's chisquare test (Fisher's Exact), calculating the prevalence ratio with an interval of confidence of 95%. The multivariate analysis was performed by Poisson regression with strong variance. It was considered the statistical significance level of 0.05. The average age of the women included in the study was 56,19 years (? 10,6), which in majority were white, married or in stable relationship, with high levels of education, with an average monthly income of 3 , 88 (? 4.5) times the minimum wage and access to the overriding public health service (50.5%). The prevalence of disability was 22,8% (95% CI 13,9 to 31,6). The ductal carcinoma was the most common diagnosis among women, affecting 78,2% of the sample. Most of the patients underwent conservative surgical approach (53,5%) with axillary approach (92,1%). Late postoperative complications were reported by 71,3% of the interviewed women. Functional capacity was associated with a statistically significant manner to the age and type of access to health services. It can be concluded that younger patients had a greater impact of the treatment of breast cancer in functionality when compared to older women. About the access to health services, women who received public clinical monitoring reported higher rates of disability, which points to the need for health services more organized in your care network, less bureaucratic and effectively resolving capacity, minimizing the impact of treatment cancer in living conditions and health of survivors of breast cancer.

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.