INTRODUÇÃO: As intervenções de promoção da saúde mental avançam e atividades não medicamentosas ganham espaço. Neste sentido, estudos apontam a atenção plena (mindfulness) como estratégia integrativa para o enfrentamento do estresse e de transtornos mentais comuns, bem como para obtenção do autocuidado. Mindfulness é referido no contexto laico contemporâneo como um estado mental presente em todos os indivíduos em maior ou menor intensidade que pode ser cultivado diariamente através de práticas meditativas. OBJETIVO: Descrever o nível da autopercepção de comportamentos relacionados à Mindfulness em profissionais da saúde de um Hospital Terciário e analisar a associação dos níveis de mindfulness autopercebidos com determinados indicadores das condições de vida e saúde. MÉTODO: Foi realizado um estudo transversal com 97 profissionais da saúde que compõem o complexo do Hospital das Clínicas - FMUSP por via de caracterização Sociodemográfica, da Escala Filadélfia de Mindfulness (EFM) e de um Questionário de Saúde Geral (General Health Questionnaire -12). Todos os questionários foram aplicados no período de fevereiro/novembro de 2014. RESULTADO: Na EFM, o escore médio apresentado foi maior para o componente \"Consciência\" (média 29,9; desviopadrão 0,62) do que para \"Aceitação\" (média 15,7; desvio-padrão 0,86), sendo a média 45,6 e desvio-padrão 1,1 para o Escore Total (componente \"consciência\" somada a \"aceitação\"); Verificou-se número significativo de indivíduos (41%) com suspeita de transtornos mentais comuns (TMC), aqueles que apresentaram um escore de três ou mais no GHQ-12. Em análise mais detalhada (Teste t e ANOVA) observou-se associações fortemente significantes (p < 0,01) entre maiores níveis de mindfulness autopercebido com o gênero masculino, estado civil casado/amigado, maior satisfação no trabalho, negar uso de medicamentos, sono satisfatório, lazer frequente e ausência de TMC. Na análise da associação GHQ-12 com Mindfulness estratificada por profissão verificou-se escores menores no grupo das categorias \"psicólogo, assistente social, profissional de educação física, biólogo, fisioterapeuta, farmacêutico e profissional administrativo\" com TMC; na análise da associação GHQ-12 com Mindfulness estratificada por tipo de doença concluiu-se que existem diferenças significantes (p < 0,01) no grupo das categorias \"mais de uma doença, neurológica ou psiquiátrica\", das quais o escore \"Total\" e \"Aceitação\" foram menores para quem apresenta TMC. A presença de TMC (referido pelo GHQ-12) está associada a menores escores de Mindfulness, indicando uma possível correlação negativa que se deve ao domínio de \"Aceitação\" CONCLUSÃO: Os níveis de comportamentos autopercebidos à atenção plena apontaram associações significantes com uma variedade de indicadores das condições de vida e saúde nos profissionais de saúde. Sugerindo assim, uma mesma direção de evidências científicas recentes de que mindfulness pode fazer parte de fatores de proteção à saúde favorecendo também o autocuidado e a qualidade de vida / INTRODUCTION: The Mental Health Promotion interventions advance and non-drug activities gain ground. In this case, studies show meditation as an opportunity to cope with stress and the common mental disorders, as well as to obtain self-care. Mindfulness is referred in contemporary laic context as a present mental state in all individuals in greater or lesser degree which can be daily cultivated through meditative practices. OBJECTIVE: This study aimed to describe the self-perceived level of Mindfulness-related behaviors in health care professionals of a tertiary care hospital as well as to analyze the association of self-perceived mindfulness levels with certain indicators of living conditions and health. METHOD: A cross-sectional study is proposed with 97 health professionals who make up the University Hospital complex - FMUSP via Socio Demographic characterization, a study of the Philadelphia Mindfulness Scale (PMS) and a Questionnaire of General Health (General Health Questionnaire -12). All interviews were conducted between February and November/ 2014. RESULT: In PMS, the average score was higher for the component \"awareness\" (mean 29.9, SD 0.62) than for \"acceptance\" (mean 15.7, SD 0.86), with an average 45.6 and SD 1.1 for the Total Score (component \"awareness\" added to \"acceptance\"); There was a significant number of individuals (41%) with suspected common mental disorders (CMD), those with a score of three or higher in the GHQ-12. In a more detailed analysis (T-Test and ANOVA) it was observed strongly significant associations (p < 0.01) with higher levels of self-perceived mindfulness in the masculine gender, married / living together unmarried, greater job satisfaction, not in use of medicinal drugs, satisfactory sleep, frequent leisure and no presence of CMD. In the analysis of the GHQ-12 association with Mindfulness stratified by profession it was observed that the scores were lower for the group of the categories \"psychologist, social worker, physical education professional, biologist, physiotherapist, pharmacist and administrative professional\" with CMD; in the analysis of the GHQ-12 association with Mindfulness stratified by disease type the results showed that there are significant differences (p < 0.01) for the group of the categories \"more than one disease, either neurological or psychiatric\", of which the score \"Total\" and \"Acceptance\" were lower for those who had CMD. The presence of CMD (referred by the GHQ-12) is associated with lower scores of Mindfulness, indicating a possible negative correlation due to the domain of \"Acceptance\". CONCLUSION: The levels of self-perceived behaviors to mindfulness showed significant associations with a variety of indicators of living conditions and health among health care professionals. Suggesting, thus, the same direction of recent scientific evidences that mindfulness may be part of health protective factors also favoring self-care and quality of life

Indiana University-Purdue University Indianapolis (IUPUI) / African American adolescents have inadequate self-management behaviors, particularly during middle adolescence (14-16 years of age). Inaccurate beliefs, degree of asthma impairment (well controlled or not well controlled), and gender could influence asthma self-management (symptom management, medication management, and environmental control). The researcher used the illness representations concept from the common sense self-regulation model as the framework for this study. The descriptive correlational study explored (1) differences in illness representations (cognitive and emotional) and self-management behaviors by gender, asthma impairment, and gender by asthma impairment of African American adolescents with asthma; and (2) relationships between illness representations and asthma self-management behaviors, gender, and asthma impairment in 133 African American adolescents with asthma. Data were collected using the Asthma Control Test, the Illness Perceptions Questionnaire-Revised, and the Asthma Self-Care Practice Instrument. Data were analyzed using ANOVA, MANOVA, Pearson correlations, and multiple regressions. Findings indicated that females whose asthma was not well controlled had more beliefs about the chronicity of their asthma than those who were well controlled. However, there were no differences in such beliefs among males whose asthma was not well controlled from those who were well controlled. Well controlled adolescents differed from not well controlled adolescents for cognitive representations of cyclic timeline, treatment control, psychological attributes, and consequences as well as for emotional representations. There were no significant differences in the means of the self-management behaviors by gender, by asthma impairment, or by gender by asthma impairment. A significant bivariate relationship was found between representations of identity, consequences, treatment control, and symptom management. In the multiple regression model, representations of treatment control and consequences contributed to variances in symptom management; however, no other representations, gender, or asthma impairment variables were statistically significant. The representations, gender, and asthma impairment variables did not contribute to variances in medication management or environmental control. Limited studies have been conducted with African American adolescents with asthma; therefore, the findings will contribute information to the literature on their illness representations and self-management behaviors. The findings also contribute to the literature information based on adolescents' genders and levels of asthma impairment.

Indiana University-Purdue University Indianapolis (IUPUI) / A move toward care of residents in nursing homes where they are respected and heard is finally emerging. Common strategies used in nursing homes to improve quality of care for residents are integration of person-centered care and assessing care using satisfaction surveys. Although approaches of integrating person-centered care and satisfaction surveys have been valuable in improving nursing home quality, strategies of care that include things that matter from residents’ perspectives while living in nursing homes need investigation. The purpose of this qualitative descriptive study was to describe things that residents age 65 and older state matter to them while living in the long-term care sections of nursing homes. A qualitative mode of inquiry using purposeful sampling led to a natural unfolding of data that revealed things that mattered to residents. Content analysis was used to reduce the data in a manner that kept the data close to the context yet moved the data toward new ideas about including things that mattered to residents in nursing care. The findings revealed residents’ positive and negative experiences and addressed the question: How can nurses manage residents’ positive and negative aspects of care in nursing homes? This study substantiated the importance of developing nursing care strategies derived from residents’ descriptions of care. Finding ways to promote nurses’ investment in attitudes about a person-centered care philosophy is essential for successful person-centered care implementation. Enhancing nurses’ knowledge, skills, and attitudes with an investment in person centeredness will be more likely to put nurses in a position to role-model care that is person-centered from residents’ perspectives.

Indiana University-Purdue University Indianapolis (IUPUI) / A significant body of literature has accumulated in the last decade that provides evidence of the growing health care disparities among racial and ethnic groups in the United States. The literature suggests that Black adults share a disproportionate burden in death, disability, and disease. In 2002, the Institute of Medicine report, Unequal Treatment, showed that racial-ethnic disparities in health cannot be entirely attributed to problems of health care access, clinical performance, or patients’ personal characteristics. Many studies have shown that institutional and individual level discrimination that Blacks face in the health care system impacts their health status. This study used secondary data analysis to examine how primary care experience impacts self-reported health status and health care utilization among Black adults. Data were from the Medical Expenditure Panel Survey (MEPS) implemented by the Agency for Healthcare Research and Quality (AHRQ). Specifically, MEPS Panel 10 (2005-2006) and Panel 11 (2006-2007) data were used in the analyses. The final sample comprised of N=15,295 respondents ages 18 and over. Logistic regression analyses were carried out using Stata Statistical Software, version 11. The study results reflect the disparities among Blacks and Whites on self-reported health and health care utilization. Blacks were 15% less likely to report good health status compared to Whites and had 0.11 less expected office-based doctor visits. Respondents who had better primary care experience had 0.05 times higher expected office-based doctor visits than respondents who did not have good primary care experience. Health care Social Workers should advocate for structural changes in health policy that will take into account the historical marginalization and contemporary inequities that continue to encompass the lives of many Black Americans.

Health practitioners collect health data on a daily basis at health facility levels in order to monitor and evaluate the performance of priority national health programmes (District Health Plan 2012:6). Routine data quality for health programmes monitoring need a collective intervention to ensure clear understanding for what data to be collected at primary health care setting. The aim of the study is to explore the understanding of routine health data, determine the use of routine data and feedback mechanism at primary health care clinic setting. Quantitative descriptive research design was used to answer the research question on this research study. Structured data collection questionnaire was used for the study to accomplish the research purpose and reach the study objectives. A total of 400 participants was sampled, and 247 responded. One of the findings was that the understanding of routine health data by Health Practitioners was at 82.6% (% = f/n*100, f= 3242 and n= 3926). / Health Studies

Health practitioners collect health data on a daily basis at health facility levels in order to monitor and evaluate the performance of priority national health programmes (District Health Plan 2012:6). Routine data quality for health programmes monitoring need a collective intervention to ensure clear understanding for what data to be collected at primary health care setting. The aim of the study is to explore the understanding of routine health data, determine the use of routine data and feedback mechanism at primary health care clinic setting. Quantitative descriptive research design was used to answer the research question on this research study. Structured data collection questionnaire was used for the study to accomplish the research purpose and reach the study objectives. A total of 400 participants was sampled, and 247 responded. One of the findings was that the understanding of routine health data by Health Practitioners was at 82.6% (% = f/n*100, f= 3242 and n= 3926). / Health Studies