Submitted by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:23Z No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:59Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:25:49Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Approved for entry into archive by Rodrigo Martins Cruz (rodrigo.cruz@ufvjm.edu.br) on 2015-01-07T15:26:50Z (GMT) No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) / Made available in DSpace on 2015-01-07T15:26:50Z (GMT). No. of bitstreams: 3 petrina_macedo_figueiredo_elementos_pre_textuais.pdf: 225076 bytes, checksum: b53a479c80bc3b0013feff8c05fbd0c2 (MD5) petrina_macedo_figueiredo_texto.pdf: 444718 bytes, checksum: c8b48b5e37d3c3cbfb9f58e668f59e9a (MD5) license_rdf: 23898 bytes, checksum: e363e809996cf46ada20da1accfcd9c7 (MD5) Previous issue date: 2014 / Foi realizada uma revis?o integrativa no intuito de identificar, na literatura, a import?ncia da Vigil?ncia Epidemiol?gica ? VE na forma??o acad?mica em Enfermagem. A pesquisa envolveu publica??es nacionais e internacionais dispon?veis na Biblioteca Virtual em Sa?de. Os resultados detectam escassez de estudos sobre a tem?tica, enfatizaram a import?ncia da V Neste sentido, este trabalho objetiva estudar a import?ncia da VE na forma??o acad?mica da enfermagem. Neste sentido, prop?e-se um instrumento de estudo - Check-list - da forma??o profissional dos acad?micos do curso de gradua??o em enfermagem em rela??o ?s a??es de VE e promo??o ? sa?de; j? validado com modifica??es relacionadas ? proposta sugerida. Espera-se com este instrumento, o apontamento das vulnerabilidades nessa forma??o, indicar as quest?es a serem esmeradas no servi?o de sa?de, bem como subsidiar a??es para melhorias no Plano Pedag?gico de Enfermagem. / Disserta??o (Mestrado) ? Programa de P?s-gradua??o em Ensino em Sa?de, Universidade Federal dos Vales do Jequitinhonha e Mucuri, 2014. / ABSTRACT We performed an integrative review in order to identify, in the literature, the importance of Surveillance - VE in nursing. The research involved national and international publications available on the Virtual Health Library. The results detected lack of studies on the subject, stressed the importance of VE. This work aims to study the importance of VE in nursing. In this sense, we propose a tool to study - Checklist - to study training of students of nursing school in relation to the shares of VE and health promotion; this tool already validated and had changes to get the suggested proposal. It is hoped that this instrument, appoint the vulnerabilities of formation in nusing, and will indicate the issues in the health service, and support actions to improve the Plan Teaching.

Made available in DSpace on 2014-12-17T14:46:47Z (GMT). No. of bitstreams: 1 LucianaMR_DISSERT.pdf: 3077063 bytes, checksum: 33dba30f3f983ca2c3893ca88edc953a (MD5) Previous issue date: 2010-10-07 / This is an exploratory descriptive study with quantitative approach, aiming to verify the nurses' knowledge concerning the epidemiological surveillance activities at the Onofre Lopes hospital (HUOL), in Natal, Rio Grande do Norte. The study was performed with 63 nurses from the hospital and the data were collected through a questionnaire. All data were analyzed using descriptive statistics. The results were discussed and organized into four sections: nurses' knowledge on hospital epidemiological surveillance; procedures of the professional nurse through compulsory notification diseases; difficulties found by nurses to register the compulsory notification diseases and suggestions of strategies to joint epidemiological surveillance service with the care practices of nurses. The results showed that 55.55% of nurses know the main action of epidemiological surveillance, compulsory notification of diseases, and that 42.86% reported to the Hospital Epidemiology Center , while 57.14% did not allocate the information for this service. Most nurses found it difficult to perform notification for not knowing its flow; for the surveillance service does not operate 24 hours and for vagueness on diagnostic of disorders. Suggestions of strategies to improve the quality of epidemiological information are focused on training of nurses in hospital epidemiological surveillance; working in partnership with the surveillance center; diffusion of information on surveillance and conducting a daily active search. It comes to conclusion that most nurses don't notify the Surveillance Center about Compulsory Notification Diseases and it wasn't observed the incorporation of integrality values between the hospital surveillance and all nurses, since this principle guides the actions of health services based on dialogue, listening, ethical commitment, sharing of knowledge among professionals of various services and respect towards other professionals. Therefore, the integrality gap in the actions of the nurses studied, as well as in the surveillance service does not mobilize the potential of such services to changes in the sense of achievement of practices aimed at a special attention model that combines preventive and corrective actions, proposed and desired by SUS. Through the difficulties presented, it becomes important to recommend educational processes with strategy to transform the conducts, besides proposing actions under the principle of integrality provide responses agile and effective, as the purpose of VE hospital emergency care by the current epidemic / Trata-se de um estudo descritivo explorat?rio com abordagem quantitativa, com objetivo de verificar o conhecimento dos enfermeiros sobre as a??es de vigil?ncia epidemiol?gica no Hospital Universit?rio Onofre Lopes (HUOL), no Munic?pio de Natal, Estado do Rio Grande do Norte. O estudo foi desenvolvido com 63 enfermeiros do referido hospital e os dados foram coletados atrav?s de um question?rio. Todos os dados foram analisados atrav?s de estat?stica descritiva. Os resultados foram organizados e discutidos em quatro se??es: conhecimento dos enfermeiros sobre vigil?ncia epidemiol?gica hospitalar; procedimentos do profissional enfermeiro mediante as doen?as de notifica??o compuls?ria; dificuldades dos enfermeiros para registrar as doen?as de notifica??o compuls?ria e as sugest?es de estrat?gias para articular o servi?o de vigil?ncia epidemiol?gica com as pr?ticas assistenciais dos enfermeiros. Os resultados mostraram que 55,55% dos enfermeiros conhecem a principal a??o de vigil?ncia epidemiol?gica, a notifica??o compuls?ria de doen?a, e que 42,86% notificaram ao N?cleo Hospitalar de Epidemiologia, enquanto 57,14% n?o destinaram as informa??es para esse servi?o. A maior parte dos enfermeiros revelou dificuldades para realizar notifica??o por desconhecerem o fluxo de notifica??o; pelo servi?o de vigil?ncia n?o funcionar 24 horas e por indefini??o diagn?stica das doen?as. As sugest?es de estrat?gias para melhorar a qualidade da informa??o epidemiol?gica est?o voltadas para capacita??o do enfermeiro em vigil?ncia epidemiol?gica hospitalar; trabalho em parceria com o n?cleo de vigil?ncia; divulga??o das informa??es sobre vigil?ncia e realiza??o de busca ativa di?ria. Conclu?-se que a maioria dos enfermeiros n?o notifica ao N?cleo de Vigil?ncia as Doen?as de Notifica??o Compuls?ria e n?o se percebe a incorpora??o dos valores da integralidade entre a VE hospitalar com todos os enfermeiros, posto que este princ?pio norteia a??es dos servi?os de sa?de fundamentadas no di?logo, na escuta, no comprometimento ?tico, compartilhamento de saberes entre os profissionais dos diversos servi?os e respeito quanto ao trabalho dos outros profissionais. Assim, a lacuna da integralidade nas a??es dos enfermeiros estudados, bem como no servi?o de VE n?o mobiliza o potencial desses servi?os para mudan?as, no sentido de realiza??o de pr?ticas voltadas para um modelo de aten??o integral que articula a??es preventivas e curativas, proposto e desejado pelo SUS. Mediante as dificuldades apresentadas torna-se importante recomendar processos educativos com estrat?gia de transforma??o das pr?ticas, al?m de proposta de a??es ? luz do princ?pio da integralidade possibilitando respostas ?geis e efetivas, conforme prop?sito da VE hospitalar mediante as urg?ncias e emerg?ncias epidemiol?gicas atuais

Made available in DSpace on 2014-12-17T14:46:44Z (GMT). No. of bitstreams: 1 AlineCMM_DISSERT.pdf: 1984168 bytes, checksum: cdfabc6da5b0a2c127bfdcc6151e09a1 (MD5) Previous issue date: 2010-10-08 / The Hospital Epidemiology Nucleus (NHE) is a structure that has a specific organizational climate, which influence the level of job satisfaction among professionals working in it. This is a descriptive study with a quantitative approach, aimed to identify the relationship between organizational climate in the NHE regulated in the city of Natal / RN and the job satisfaction among its professionals from the perspective of theoretical issues about Organizational Development. The research was carried out in 13 hospitals with different kinds of sponsorship, 9 public, 3 philanthropic and 1 private. Data were collected using the instrument "organization in hospitals: issues relating to climate and job satisfaction , with 33 professionals appointed and active on NHE. This study obtained an appropriate consent of the Research Ethics Committee of the Hospital of Pediatrics Professor Heriberto Ferreira Bezerra, from the Riograndense Northern League Against Cancer and the Federal University of Rio Grande do Norte. Data collected were organized and treated with simple descriptive statistics. It was observed that from 33 of surveyed people, 93% was female, had an average of 40 years old age, with activity duration between 1 and 2 years (84.9%). Furthermore, 45.5% of industry professionals were nurses. It was identified that professionals working in NHE perceive and experience its work environment as an Organization Structure in construction. It was found that with the exception of the aspects "working life", "socio-cultural" and "organizational culture , the other internal and external factors to the NHE does not have strong expression in the forming of an organizational climate conducive to the development of the sector. It was found that 70% of interviewed perceive the organizational climate as favorable for the industry's progress. Regarding the job level of satisfaction, respondents feel fairly satisfied with the organizational structure. Therefore, the results of this study are suggestive that there is some factor that is greatly contributing to a healthy organizational climate that encourages the industry team members of the NHE present behaviors that identify them as actors committed and satisfied with the work, even face of all obstacles to implementation of epidemiological surveillance. Thus, it is suggested for futures studies to seek to determine how the organizational culture, while significant internal factor, influencing the organizational climate establishment of NHE and therefore the level of job satisfaction and well-being of each members of the team / O N?cleo Hospitalar de Epidemiologia (NHE) constitui em uma organiza??o que apresenta um clima organizacional espec?fico, o qual contribui para o n?vel de satisfa??o laboral dos profissionais que nele atuam. Este estudo consiste em um trabalho descritivo, com abordagem quantitativa, que teve por objetivo identificar a rela??o entre o clima organizacional nos NHE regulamentados na Cidade do Natal/RN e a satisfa??o laboral dos profissionais que neles trabalham, sob a perspectiva dos aportes te?ricos acerca do Desenvolvimento Organizacional. A pesquisa foi desenvolvida em 13 hospitais com caracter?sticas mantenedoras diversas, 9 p?blicos, 3 filantr?picos e 1 privado. Os dados foram coletados, atrav?s do instrumento Organiza??o hospitalar: aspectos inerentes ao clima e a satisfa??o laboral , junto a 33 profissionais nomeados e atuantes nos NHE. O estudo recebeu parecer favor?vel dos Comit?s de ?tica em Pesquisa do Hospital de Pediatria Professor Heriberto Ferreira Bezerra, da Liga Norte Riograndense Contra o C?ncer e da Universidade Federal do Rio Grande do Norte. Os dados obtidos foram organizados e tratados com estat?stica descritiva simples. Constatou-se que dos 33 pesquisados, 93,9% eram do sexo feminino, tinham uma m?dia de 40 anos de idade, com um tempo de atua??o entre 1 e 2 anos (84,9%). Al?m disso, 45,5% dos profissionais do setor eram enfermeiros. Identificou-se que os profissionais que atuam no NHE percebem e vivenciam o seu ambiente de trabalho como uma estrutura organizacional em desenvolvimento. Verificou-se que, com exce??o dos aspectos vida profissional , n?vel s?cio-cultural e cultura organizacional , os demais fatores internos e externos ao NHE n?o apresentam forte express?o na conforma??o de um clima organizacional favor?vel ao desenvolvimento do setor. Constatou-se que 70% dos participantes percebem o clima organizacional como favor?vel ao progresso do setor. Com rela??o ao n?vel de satisfa??o laboral, os respondentes sentem-se bastante satisfeitos com a estrutura organizacional. Portanto, os resultados desta pesquisa s?o sugestivos de que existe algum fator que esteja de sobremaneira contribuindo para que o clima organizacional saud?vel do setor estimule os membros das equipes do NHE a apresentarem comportamentos que os identificam como atores comprometidos e satisfeitos com o trabalho desenvolvido, mesmo diante de todos os entraves para realiza??o da Vigil?ncia Epidemiol?gica. Com isso, sugere-se a realiza??o de estudos que busquem verificar de que forma a cultura organizacional, enquanto fator interno expressivo, influencia o estabelecimento do clima organizacional do NHE e, por conseguinte, o n?vel de satisfa??o laboral e bem-estar individual dos membros de sua equipe

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-22T19:29:09Z No. of bitstreams: 1 LaiannyKriziaMaiaPereira_DISSERT.pdf: 9818445 bytes, checksum: 954e6f134945a37d566a84b637781174 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-03-07T19:59:33Z (GMT) No. of bitstreams: 1 LaiannyKriziaMaiaPereira_DISSERT.pdf: 9818445 bytes, checksum: 954e6f134945a37d566a84b637781174 (MD5) / Made available in DSpace on 2017-03-07T19:59:33Z (GMT). No. of bitstreams: 1 LaiannyKriziaMaiaPereira_DISSERT.pdf: 9818445 bytes, checksum: 954e6f134945a37d566a84b637781174 (MD5) Previous issue date: 2016-08-05 / A Taxa de Mortalidade Infantil (TMI) constitui-se num dos indicadores mais comumente empregados para a an?lise da situa??o de sa?de da popula??o. A identifica??o de fatores de risco relacionados a essa mortalidade pode auxiliar no planejamento de a??es para a reestrutura??o e melhoria da assist?ncia materno-infantil, visando ? redu??o dessas mortes. Trata-se de um estudo de car?ter descritivo, dentro de uma abordagem quantitativa, com objetivo geral de analisar a qualidade da investiga??o dos ?bitos infantis e fetais no contexto do munic?pio de Caic?/RN. Como participantes da pesquisa, foram inclu?dos todos os ?bitos infantis e fetais (N=55) de residentes no munic?pio de estudo, notificados e investigados no Sistema de Informa??o sobre Mortalidade - SIM no per?odo de 2010 a 2015. Foram utilizados dados secund?rios sobre os ?bitos infantis e fetais, provenientes do setor de vigil?ncia de ?bito do munic?pio e do SIM. Para melhor an?lise das investiga??es, a pesquisa seguiu dentro das seguintes dimens?es: Completude, Consist?ncia, Classifica??o de Evitabilidade e Tempo de Investiga??o, cada uma com as vari?veis de estudo correspondentes. Os dados foram analisados atrav?s de frequ?ncias absolutas e relativas utilizando-se o programa estat?stico Statistical Package for the Social Sciences (SPSS) vers?o 22.0. Os resultados do estudo evidenciaram um baixo percentual de investiga??o (45,3%) no recorte temporal, com predomin?ncia de investiga??es ocorrendo muito ap?s o prazo oportuno, estipulado pelo MS. Estas n?o foram realizadas de forma efetiva, uma vez que foi constatado uma baixa completude e presen?a de v?rias inconsist?ncias. Do total de ?bitos infantis e fetais investigados, predominaram neste estudo (64,8%) as causas evit?veis por a??es dos servi?os de sa?de e, apenas 13,7% possu?ram concord?ncia quando comparados os resultados com base na classifica??o da Lista Brasileira de Evitabilidade e os obtidos na investiga??o realizada pelo munic?pio. De modo geral, o estudo apontou a fragilidade da vigil?ncia do ?bito no munic?pio de Caic?, principalmente no contexto do fechamento das investiga??es. Sendo assim, ? importante refor?ar o papel do comit? na investiga??o e ainda, destacar as fichas de investiga??o, como importantes ferramentas para a gest?o na tomada de decis?es e monitoramento da mortalidade infantil, necessitam de investimentos adicionais, como capacita??o dos profissionais de sa?de, com vista ? supera??o dos problemas identificados. / The Infant Mortality Rate (IMR) is one of the most common factors used to analyze the health situation of a population. Therefore, the mortality investigation has been used as an instrument to identify the risk factors related to it in order to assist in the action planning which aims to restructure and improve child and maternal assistance, with the objective to reduce deaths and contribute to the qualification of health information. In light of this, the present study which has a descriptive nature and used a quantitative approach, aims, in a general way, to analyze the quality of infant and fetal mortality investigations in the city of Caic?/RN and as a specific objective, to identify the proportion of investigated and notified infant and fetal death, on the Mortality Information System (SIM) from the Municipal Health Office of Caic?/RN; calculate the average number of days until the conclusion of the process of investigation of infant and fetal death; analyze the completeness and consistency of the data found on infant and fetal death certificates (DO) as well as on the investigation files; classify infant and fetal deaths according to the Brazilian Evitability List; and compare, taking into account the evitability potential, the classification of infant and fetal deaths according to the Brazilian Evitability List and the results obtained after the investigation carried out by the municipality. As participants of the study, it was included all infant and fetal deaths (N=55) from residents of the city concerned, which were notified and investigated on the Mortality Information System (SIM) in the period between 2010 and 2015. It was used secondary data about infant and fetal deaths which came from the death surveillance sector of the city and of the SIM. In order to achieve a better analysis of the investigations, the study followed some dimensions: Completeness, Consistency, Evitability Classification and Time of Investigation, each one of these with its corresponding variables. The data was analyzed through absolute and relative frequencies using the program Statistical Package for the Social Sciences (SPSS) in the 22.0 version. The results showed a low percentage of the investigation (45, 3%), with the predominance of the investigations occurring after 120 days (82,7%). Concerning the completeness of the data of the instruments which were used in the investigations, the worst ones, for the stillbirth, refer to out-patient files (78,2%) and home interview (78,4%), whilst for the deaths of children under one year old, they are represented for hospital files (70,1%). 75,7% of the fetal cases and 92% of infant cases which were analyzed, showed factors which compromised the consistency of the investigation. Considering the total of infant and fetal deaths, it was predominant in this study (64, 8%) the causes which are evitable by the health care services and only 13, 7% were in accordance when compared to the results based on the classification of the Brazilian Evitability List and the ones obtained in the investigation carried out by the city in question. In general, the study highlighted the fragility of death surveillance in the city of Caic?, in special at the end of the investigations. Therefore, it is important to acknowledge the fact of the relevance of the investigation to be aware of infant and fetal mortality, this way being an important tool for the management of decision making and monitoring infant death with the objective to transform this reality. It is necessary to reinforce the role of the investigation committee and mobilize the managers and health teams to overcome the problems which were found.