Submitted by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-16T18:25:55Z No. of bitstreams: 1 MayaraCandidaPereiraDissertacao2017.pdf: 1645657 bytes, checksum: d6f53ba624ef817d635292c906de59f1 (MD5) / Approved for entry into archive by Sara Ribeiro (sara.ribeiro@ucb.br) on 2017-08-16T18:26:12Z (GMT) No. of bitstreams: 1 MayaraCandidaPereiraDissertacao2017.pdf: 1645657 bytes, checksum: d6f53ba624ef817d635292c906de59f1 (MD5) / Made available in DSpace on 2017-08-16T18:26:12Z (GMT). No. of bitstreams: 1 MayaraCandidaPereiraDissertacao2017.pdf: 1645657 bytes, checksum: d6f53ba624ef817d635292c906de59f1 (MD5) Previous issue date: 2017-01-01 / Population aging is associated with important social and economic transformations, as well as changes in the demographic and epidemiological profile. Such changes and transformations demand more from nursing and health services, opening new fields of work. Nursing professionals are currently the largest workforce in the healthcare area, having Resolution 311/2007 ruling their activities and they have COREN as a regulatory institution in all the states and the federal district in Brazil. Because of this scenario, the interest for this study arose. It aimed to describe ethical nursing occurrences involving elderly in the ethical processes judged by the Regional Nursing Council (COREN/DF), from 2005 to 2015. This work regards the profile of professionals involved, the denunciations and whistleblowers involved. Besides, it intended to analyze the main articles violated in the code of ethics, the penalties applied, the locations, and types of health institution with the greatest number of ethical occurrences. Method: A literature review was carried out addressing topics such as aging, vulnerability, the development of nursing, codes of ethics, nursing mistakes and their reflect in the field of civil and criminal law. Then, an active search was done in the finalized ethical processes involving elderly at COREN-DF from 2005 to 2015. They were collected through a data collection instrument. The results were worked out using descriptive statistics. Results: A total of 144 completed cases were found at COREN-DF and only 18 involved elderly patients, which were the ones that entered this study. Among the most relevant results, there was a high number of licensed practical nurses (LPN), with 12 offenders. In this percentage, there is a prevalence of professionals with short enrollment period at COREN-DF, who were 9 people. The majority of complaints were made by the elderly???s relatives, 8 of the total. The most evidenced iatrogenesis were negligence(8), followed by maltreatment(7). The most common place where the abuses took place was elderlies??? houses, standing out with 10 cases. Conclusion: It is understood from the data analysis that, fortunately, people are becoming more likely to report the ethical infractions they suffer. It is necessary to think, however, about the quantity of these infractions that are not reported. Through denunciations and studies like this, the nursing service can be improved and that???s why it???s important. Being LPN the most reported category, it is concluded that more work is needed in order to recycle learning and humanization. This work, of course, must be done not only with these professionals, but with everyone involved. It is believed that this study may instigate nursing professionals to think about their professional practice and about the possible ethical and legal implications of assisting the elderly, thus contributing to a more cautious and ethically responsible nursing practice. / O envelhecimento da popula????o ?? associado a importantes transforma????es sociais e econ??micas, bem como mudan??as no perfil demogr??fico e epidemiol??gico. Tais mudan??as e transforma????es refletem em demandas nos servi??os da enfermagem e sa??de por essa popula????o crescente, abrindo novos campos de trabalho para a enfermagem. Frente ao exposto, surgiu o interesse em se realizar este estudo, que teve como objetivo analisar os processos ??ticos de enfermagem envolvendo idosos no Conselho Regional de Enfermagem (COREN-DF), no per??odo de 2005 a 2015, quanto ao perfil dos profissionais envolvidos, as den??ncias e os denunciantes envolvidos. Al??m disso, pretendeu analisar os principais artigos violados do c??digo de ??tica, as penalidades aplicadas, os locais e tipos de institui????o de sa??de com maior n??mero de ocorr??ncias ??ticas. M??todo: Foi realizada uma revis??o de literatura abordando temas como envelhecimento, vulnerabilidade, o desenvolvimento da enfermagem, os c??digos de ??tica, os erros de enfermagem e seu reflexo no campo do direito civil e penal. Em seguida, foi realizada uma busca ativa nos processos ??ticos finalizados envolvendo idosos do COREN-DF, no per??odo de 2005 a 2015. Estes foram coletados por meio de instrumento de coleta de dados. Os resultados foram trabalhados em estat??stica descritiva. Resultado: Foram localizados 144 processos conclusos pelo COREN-DF e, destes, apenas 18 envolviam idosos e somente estes que entraram neste estudo. Dentre os mais relevantes resultados, destaca-se o elevado n??mero de t??cnicos de enfermagem, com 12 dos infratores. H??, nesse n??mero, preval??ncia de profissionais com menor tempo de inscri????o no COREN-DF, com 9. As den??ncias, em sua maioria, foram realizadas pelos familiares, em 8 dos casos. Os erros mais evidenciados foram: neglig??ncia, 8, seguidos de maus tratos, 7. Como local de ocorr??ncia da infra????o, destaca-se a resid??ncia dos idosos, 10. Conclus??o: Entende-se, a partir da an??lise dos dados, que, felizmente, a popula????o est?? come??ando a denunciar as infra????es ??ticas as quais s??o expostas. Deve-se pensar, entretanto, em quantas dessas infra????es n??o s??o reportadas. Atrav??s das den??ncias e de estudos como esse, o servi??o de enfermagem pode ser aperfei??oado, da?? sua import??ncia. Sendo t??cnicos de enfermagem a categoria mais denunciada, conclui-se que ?? necess??rio que sejam realizados mais trabalhos de educa????o continuada e humaniza????o. Trabalho esse que, claro, deve ser feito n??o s?? com esses profissionais, mas com todos os envolvidos. Acredita-se que este estudo possa instigar os profissionais de enfermagem a pensar acerca da sua pr??tica profissional e a respeito das poss??veis implica????es ??ticas e legais decorrentes da assist??ncia aos idosos, contribuindo para que a pr??tica de enfermagem seja mais cautelosa e eticamente respons??vel.

Submitted by Automa??o e Estat?stica (sst@bczm.ufrn.br) on 2017-02-13T20:50:59Z No. of bitstreams: 1 MariaAngelicaAiresGil_DISSERT.pdf: 1632949 bytes, checksum: 66ddf02c97fd5277e3a44ed1397816e1 (MD5) / Approved for entry into archive by Arlan Eloi Leite Silva (eloihistoriador@yahoo.com.br) on 2017-02-16T23:43:48Z (GMT) No. of bitstreams: 1 MariaAngelicaAiresGil_DISSERT.pdf: 1632949 bytes, checksum: 66ddf02c97fd5277e3a44ed1397816e1 (MD5) / Made available in DSpace on 2017-02-16T23:43:48Z (GMT). No. of bitstreams: 1 MariaAngelicaAiresGil_DISSERT.pdf: 1632949 bytes, checksum: 66ddf02c97fd5277e3a44ed1397816e1 (MD5) Previous issue date: 2016-05-30 / A incid?ncia de Infec??es Sexualmente Transmiss?veis (IST) ainda ? muito alta no Brasil, especialmente ? infec??o pelo V?rus da Imunodefici?ncia Humana (HIV), o que tem mobilizado governo e comunidade cient?fica para o controle dessas infec??es, pois se trata de um grave problema de sa?de p?blica. Estudos demonstram que no Brasil a clam?dia ? a IST mais incidente e que a AIDS e a s?filis s?o de notifica??o compuls?ria desde 1986. O objetivo ? analisar o conhecimento, atitudes e comportamentos da comunidade universit?ria relacionados ?s IST, para subsidiar a implanta??o de um Centro de Testagem e Aconselhamento (CTA) na Universidade Federal do Rio Grande do Norte (UFRN). Com abordagem quantitativa, delineamento descritivo transversal, do tipo levantamento de dados com amostragem estratificada proporcional, totalizando 305 question?rios autoaplicados, composto por 258 discentes, 8 docentes e 39 t?cnicos-administrativos. Os participantes apresentaram o seguinte perfil: maioria de mulheres, jovens e adultos, com ensino m?dio completo, solteiros e cat?licos. Os resultados demonstram que os participantes possuem um bom conhecimento sobre IST/HIV/AIDS, independentemente da escolaridade, havendo associa??es estat?sticas significativas entre tal conhecimento e escolaridade apenas para alguns itens, inferindo-se que o n?vel m?nimo de escolaridade apresentado pelos participantes foi suficiente para a difus?o da informa??o e do conhecimento. No que diz respeito aos comportamentos relacionados ? sa?de sexual, 84,3% dos participantes eram ativos sexualmente, e destes, 15,3% j? mantiveram rela??es sexuais com pessoas do mesmo sexo. A primeira rela??o sexual ocorreu em m?dia aos 16 anos para homens e aos 19 anos para mulheres. Verificou-se ainda que, independentemente da situa??o conjugal, a maioria (82,6%) n?o utilizava preservativo com os parceiros fixos. Quando o parceiro era ocasional, o uso do preservativo foi mais relatado (36,4%). No entanto, 33,8% das pessoas relatam n?o usar preservativo e ainda 14,1% n?o souberam ou n?o quiseram informar. Houve associa??o significativa entre usar preservativo com parceiros ocasionais e a situa??o conjugal, pois 18,9% dos participantes casados e 12,6% com uni?o est?vel, afirmaram ter usado preservativo, mas, 17,5% e 12,6% destes, n?o utilizaram. Praticamente metade dos participantes nunca realizou o teste de detec??o do HIV. A partir de 25 anos, as pessoas passam a fazer o teste. No entanto, depois dos 50 anos, h? uma invers?o, e tal como os jovens entre 16 e 25 anos, novamente h? uma divis?o entre os que fazem e os que nunca fizeram o teste. A respeito da atitude frente ? infec??o do HIV e da AIDS, 80% dos participantes revelaram que possuem medo de se relacionar com pessoas soropositivas, e essa vari?vel n?o se associou estatisticamente com nenhuma caracter?stica demogr?fica (sexo, idade, escolaridade, religi?o) ou laboral (v?nculo institucional), nos permitindo inferir que se trata de algo compartilhado pelos participantes. Os respondentes n?o vinculam a infec??o pelo HIV a grupos de risco como dependentes qu?micos e profissionais do sexo ou promiscuidade, revelando que sabem que a infec??o se relaciona com comportamentos de risco. Conclui-se que, embora a comunidade universit?ria participante tenha conhecimento sobre IST/HIV/AIDS, os comportamentos e atitudes n?o s?o consonantes com os mesmos, evidenciando vulnerabilidade. / The incidence of Sexually Transmitted Infections (STI) is still very high in Brazil, especially infection with Human Immunodeficiency Virus (HIV), which has mobilized government and scientific community to control these infections because it is a serious issue for the public?s health. Studies show that in Brazil chlamydia is the most frequent STI and AIDS and syphilis are notifiable since 1986. The objective is to analyze the knowledge, attitudes and behaviors of the university community related to STIs, to support the establishment of a Centre counseling and Testing (CTA) at the Federal University of Rio Grande do Norte (UFRN). With a quantitative approach, cross-sectional design, the kind data collection with proportional stratified sampling, totaling 305 self-administered questionnaires, composed of 258 students, 8 teachers and 39 administrative technicians. Participants presented the following profile: most women, youth and adults with high school education, single and Catholics. The results show that participants have a good knowledge of STI / HIV / AIDS, regardless of education, with significant statistical associations between such knowledge and education only for some items, inferring that the minimum level of education presented by the participants was enough to the dissemination of information and knowledge. With regard to behaviors related to sexual health, 84.3% of participants were sexually active, and of these, 15.3% have had sex with people of the same sex. The first sexual intercourse occurred on average at 16 years for men and 19 years for women. It was also found that regardless of the marital status, the majority (82.6%) didn?t use condom with fixed partners. When the partner was casual, condom use was most often reported (36.4%). However, 33.8% of people reported not using condoms and even 14.1% did not know or would not tell. There was a significant association between condom use with casual partners and marital status, as 18.9% of married participants and 12.6% with stable, said they used a condom, but 17.5% and 12.6% of those didn?t use. Nearly half of the participants never held an HIV detection test. From 25 years, people start to take the test. However, after 50 years, there is a reversal, and as young people between 16 and 25, again there is a division between those who do and those who have never been tested. Regarding the attitude to HIV infection and AIDS, 80% of participants revealed that have fear to relate to people living with HIV, and this variable was not statistically associated with any demographic characteristics (sex, age, education, religion) or labor (institutional link), allowing us to infer that it is something shared by the participants. Respondents do not bind the HIV infection risk groups such as drug addicts and sex workers or promiscuity, revealing that they know the infection is related to risk behaviors. We conclude that, although the participating university community has knowledge about STI/ HIV / AIDS, behaviors and attitudes are not in line with the same, showing vulnerability.