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O ACOLHIMENTO COMO BOA PRáTICA NA ATEN O BáSICA à SAúDE
Patricia Guerrero,Ana L cia Schaefer Ferreira de Mello,Selma Regina de Andrade,Alacoque Lorenzini Erdmann
Texto & Contexto - Enfermagem , 2013,
Abstract: Se objetivó comprender el acogimiento como buena práctica de salud en la atención primaria, tras la percepción de gerentes, profesionales y usuarios, teniendo en cuenta las dimensiones diálogo, postura y reorganización de los servicios. Es una investigación descriptiva-analítica, de naturaleza cualitativa y marco teórico-metodológico de la Teoría Fundamentada. Se obtuvieron los datos a partir de entrevistas con siete coordinadores, diez profesionales y doce usuarios de centros de salud de Florianópolis-SC. En vista de las buenas prácticas, el acogimiento se convierte en un punto de intersección entre los diferentes sujetos y las prácticas de cuidado en atención primaria en el desarrollo de las dimensiones acogimiento-diálogo, acogimiento-postura, y acogimiento-reorganización de los servicios. El acogimiento provoca cambios en el proceso de trabajo, en las relaciones establecidas y en la organización de los servicios. La interconexión de la tríada reconfigura las acciones y contribuye a la consolidación de este modelo de atención.
Living Conditions in the State of Paraná: Ecological Analysis Based on Variables of the 2000 Demographic Census Condi es de Vida no Estado do Paraná: Análise Ecológica com Base em Variáveis do Censo Demográfico de 2000
Selma Maffei de Andrade,Tiemi Matsuo,Darli Antonio Soares,Regina Kazue Tanno de Souza
Semina : Ciências Biológicas e da Saúde , 2004,
Abstract: Living conditions and social inequalities exert a strong influence on the health status of populations. As part of a research that analyzes the relationship between living conditions and mortality rate, this study puts forward a proposal to classify municipalities in the State of Paraná, according to their living conditionns. The classification was based on ten (10) variables of the 2000 Demographic Census, and on the analysis of the discriminatory power of the clusters developed by this study according to the municipality human development index (M-HDI). After having evaluated the municipalities main components and carried out a cluster analysis by the K-means method, five municipal clusters were developed, according to their living conditions. The comparative study of the clusters using the analysis of variance (ANOVA) and the post hoc Tukey test showed inequalities towards these municipalities urban infrastructure (water supply and garbage collection), and the social insertion of their population. Clusters followed a similar pattern when compared to the M-HDI. Those with increasing M-HDI were classified as having better living conditions, and with statistically significant differences, except for the “longevity” component. Results indicate that the clusters developed on the basis of the variables analyzed have a discriminatory power on their living conditions. As condi es de vida e as desigualdades sociais exercem poderosa influência nos níveis de saúde das popula es. Neste sentido, este estudo, como parte de uma pesquisa que visa a analisar a rela o entre condi es de vida e mortalidade, apresenta uma proposta de categoriza o dos municípios do Paraná segundo condi es de vida, com base em variáveis do Censo Demográfico de 2000, e analisa o poder discriminatório dos estratos definidos neste trabalho tendo por referência o índice de Desenvolvimento Humano (IDH-M). Foram utilizadas dez variáveis do Censo Demográfico de 2000 e, após a análise de componentes principais e análise de cluster pelo método k-means, construídos cinco estratos (clusters) de municípios segundo condi es de vida. Comparando os estratos, por meio de análise de variancia (ANOVA) e teste de Tukey post-hoc, observaram-se desigualdades relativas à infra-estrutura urbana dos municípios (abastecimento de água e coleta de lixo) e de inser o social de seus residentes (renda e escolaridade). Na compara o com o IDH-M, observou-se que os clusters seguem um padr o semelhante, com classifica o dos clusters em níveis mais altos de condi es de vida à medida que houve aumento do IDH-M,
Condi es de vida e mortalidade infantil no Estado do Paraná, Brasil, 1997/2001
Andrade Selma Maffei de,Soares Darli Antonio,Matsuo Tiemi,Souza Regina Kazue Tanno de
Cadernos de Saúde Pública , 2006,
Abstract: Com o objetivo de verificar se as condi es de vida e de infra-estrutura dos municípios do Estado do Paraná, Brasil, se relacionam com a taxa de mortalidade infantil e seus componentes, foi realizado estudo de agregados, com os 399 municípios do Estado agrupados em cinco clusters de condi es de vida. As taxas de mortalidade infantil, neonatal e pós-neonatal foram calculadas para o qüinqüênio 1997/2001. Observaram-se taxas médias de mortalidade infantil, neonatal e pós-neonatal no Estado de 19,3, 12,0 e 7,3 por mil nascidos vivos, respectivamente. A taxa de mortalidade infantil pós-neonatal variou de 8,7 (cluster de piores condi es) a 6,3 por mil nascidos vivos (cluster de melhores condi es de vida). Com rela o ao componente neonatal, os clusters de melhor e pior situa o apresentaram as menores taxas, com valores semelhantes: 11,8 e 11,4 por mil nascidos vivos, respectivamente. Conclui-se que o componente pós-neonatal ainda discrimina adequadamente as condi es de vida no Estado do Paraná, porém há necessidade de estudos complementares visando esclarecer as causas das taxas semelhantes de mortalidade neonatal dos clusters classificados como de melhores e de piores condi es de vida.
Produ o de teses e disserta o, sobre aleitamento materno, nos programas de pós-gradua o em enfermagem Producción de tesis de maestría y doctorado, sobre lactancia materna, en los programas de postgrado en enfermería Production of theses and dissertations about breastfeeding in graduate nursing programs
Giuliana Micheloto Parizoto,Alacoque Lorenzini Erdmann,Evanguelia Kotzias Atherino dos Santos,Selma Regina de Andrade
Acta Paulista de Enfermagem , 2012, DOI: 10.1590/s0103-21002012000400024
Abstract: OBJETIVO: Caracterizar as teses e disserta es na temática aleitamento materno produzidas nos Programas de Pós-Gradua o em Enfermagem do Brasil entre 1999 e 2010. MéTODOS: Estudo bibliométrico realizado por meio de consulta ao banco de teses da Coordenadoria de Aperfei oamento de Pessoal de Nível Superior, , localizando-se 96 teses e disserta es, das quais, 25% eram teses de doutorado, 75% disserta es de mestrado dentre estas, 93% de mestrado acadêmico e 7% de mestrado profissional. RESULTADOS: A concentra o da produ o reside nos Programas de Pós-Gradua o de Enfermagem das Regi es Sul e Sudeste. Três docentes orientaram 24,9% dos estudos. Ainda, 63,5%dos estudos eram de natureza qualitativa, 29,2% de natureza quantitativa e 7,3% utilizaram as duas abordagens. O referencial teórico-filosófico mais utilizado foi a fenomenologia e o metodológico, a análise de conteúdo. CONCLUS O: Os resultados mostraram a importancia desta temática em estudos avan ados. Superar dogmas e ideologias da amamenta o por posi es cientificamente fundamentadas é prioridade quando se prop em avan os no cuidado de enfermagem em aleitamento materno. OBJETIVO: Caracterizar las tesis de mestría y doctorado en la temática de lactancia materna producidas en los Programas de Postgrado en Enfermería del Brasil entre 1999 y 2010. MéTODOS: Estudio bibliométrico realizado por medio de consulta al banco de tesis de la Coordinación de Perfeccionamiento de Personal de Nivel Superior, localizándose 96 tesis y disertaciones, de las cuales, 25% eran tesis de doctorado, 75% disertaciones de maestría; de éstas, 93% de maestria acadêmica y 7% de maestría profesional. RESULTADOS: La concentración de la población reside en los Programas de Postgrado de Enfermería de las Regiones Sur y Sudeste. Tres docentes asesoraron 24,9% de los estudios. Aun, 63,5% de los estudios eran de naturaleza cualitativa, 29,2% de naturaleza cuantitativa y 7,3% utilizaron los dos abordajes. El referencial teórico-filosófico más utilizado fue la fenomenología y el metodológico, el análisis de contenido. CONCLUSIóN: Los resultados mostraron la importancia de esta temática en estudios avanzados. Superar dogmas e ideologías del amamantamiento por posiciones científicamente fundamentadas es una prioridad cuando se proponen avances en el cuidado de enfermería en lactancia materna. OBJECTIVE: To characterize the theses and dissertations with a breastfeeding theme in Brazilian post-graduate nursing programs, between 1999 and 2010. METHODS: A bibliometric study was conducted by consulting the thesis database of the Coordination
Influenza vaccination among nursing professionals: reality and challenges Vacunación contra la influenza en profesionales de enfermería: realidade y desafíos Vacina o contra Influenza em profissionais de enfermagem: realidade e desafios
Raquel Heloisa Guedes Vieira,Alacoque Lorenzini Erdmann,Selma Regina de Andrade,Paulo Fontoura Freitas
Acta Paulista de Enfermagem , 2012,
Abstract: OBJECTIVE: To determine the profile, vaccination status and the motivating factors that lead nurses of a university hospital to get vaccinated against influenza in order to maximize coverage through adequate operational/educational strategies. METHODS: Cross-sectional descriptive study with a sample size of 265 nurses. RESULTS: Vaccination coverage was found to be 49.8% in 2009, 92.4% in 2010 and 95.4% in 2011. The professional profile with better adherence to vaccination was the mid level, female, 41-50 years, separated/divorced, not living with people susceptible to influenza, except chronic patient, also with more than one employment bond, placed at emergency where they often have contact with patients, trained and working for over 20 years, vaccinated in their own work sector, motivated by self-protection. CONCLUSION: The coverage percentage of 92.5% in 2010 and 95.4% in 2011, were considered exceptional within the current global reality. Educational actions within the institution created an incorporated culture of biosafety related to the topic. OBJETIVO: Determinar el perfil, la situación de las vacunaciones y los factores motivadores que llevan a los profesionales de enfermería de un hospital universitario a vacunarse contra la Influenza con el objetivo de lograr la máxima cobertura por medio de estrategias operacionales/ educativas adecuadas. MéTODOS: Estudio transversal descriptivo realizado con una muestra de 265 profesionales de enfermería. RESULTADOS: La cobertura de vacunaciones encontrada fue del 49,8% en el 2009, 92,4% en el 2010 y 95,4% en el 2011. El perfil del profesional más adherente a la vacunación fue el de nivel medio, femenino, 41-50 a os, separado/divorciado, no cohabitante con susceptibilidad a la Influenza, excepto enfermo crónico, más de un vínculo laboral, repleto en la emergencia, contacto frecuente con pacientes, formado y trabajando hace más de 20 a os, vacunado en el propio sector del trabajo, motivado por autoprotección. CONCLUSIóN: Los porcentajes de cobertura del 92,5%, en el 2010, y del 95,4%, en el 2011, fueron considerados excepcionales dentro de la actual realidad mundial. Las acciones educativas crearon dentro de la institución una cultura de bioseguridad bien incorporada relacionada al tema. OBJETIVO: Determinar o perfil, a situa o vacinal e os fatores motivadores que levam profissionais de enfermagem de hospital universitário a se vacinarem contra Influenza visando à maximiza o da cobertura por meio de estratégias operacionais/ educativas adequadas. MéTODOS: Estudo transversal descritivo com amostra de 265 pr
Homicídios de homens de quinze a 29 anos e fatores relacionados no estado do Paraná, de 2002 a 2004
Andrade,Selma Maffei de; Soares,Darli Antonio; Souza,Regina Kazue Tanno de; Matsuo,Tiemi; Souza,Hiury Dutra de;
Ciência & Saúde Coletiva , 2011, DOI: 10.1590/S1413-81232011000700061
Abstract: homicides are the main cause of non-natural death in brazil and studies about them may contribute to their control. the objective of this study was to verify mortality rates due to homicides and legal interventions among young men in the state of paraná, brazil, and to identify correlated municipal characteristics. an ecological study was conducted, having the municipalities of the state as units of analysis. mortality rates of homicides and legal interventions among men from 15 to 29 years of age were calculated for the years 2002-2004 and demographic and social municipal indicators were obtained. mortality rate in the state was 94.8 per one hundred thousand. the size of the population, the proportion of young people aged 15 to 24 years, the proportion of enrollments in universities and the gini index were the main indicators correlated to homicide mortality (p<0.0001). mortality rates were highest in municipalities of metropolitan regions, in those located at the border with paraguay and in those located in the way between them and the southeast region of brazil. mortality rates and the proportion of deaths due to firearms increased with the size of the municipality. the greater number of youth and easier access to firearms and illicit drugs in such places may be influencing on these rates.
As organiza??es de saúde na perspectiva da complexidade dos sistemas de cuidado
Erdmann, Alacoque Lorenzini;Mello, Ana Lúcia Schaefer Ferreira de;Meirelles, Betina H?rner Schlindwein;Marino, Selma Regina de Andrade;
Revista Brasileira de Enfermagem , 2004, DOI: 10.1590/S0034-71672004000400016
Abstract: the construction of new practices of care presupposes a new look for the health organizations. the objective of this text is to interpret the complexity theme in health and in nurse fields in the care systems perspective, in order to promote a reflection of the practices of care in the health organizations context. the complex thought brings a new way to conceive the action and the human condition under different perspectives. it appears as a possibility for the visualization of a care system as a complex system in your structures and properties, in the movements of inter-retroactions in the organizational spaces and in possible auto-organizers processes. it is hoped a transforming action of the health organizations that considers the ambiguities, the uncertainties and the contemporary social dynamics for a healthier living.
Sorologia anti-HIV e aconselhamento pré-teste em gestantes na regi?o noroeste do Paraná, Brasil
Misuta, Norico Miyagui;Soares, Darli Ant?nio;Souza, Regina Kazue Tanno de;Matsuo, Tiemi;Andrade, Selma Maffei de;
Revista Brasileira de Saúde Materno Infantil , 2008, DOI: 10.1590/S1519-38292008000200007
Abstract: objectives: to analyze the coverage of counseling and anti-hiv testing, and to identify factors associated with testing during antenatal care. methods: cross-sectional study, with women identified through the information systems in five municipalities in the northwestern paraná, brazil, with deliveries between january to march, 2003. data was collected during home interviews and an hiv test was considered performed if it could be confirmed in the maternity card or in the reference laboratory records. the χ2 and fisher exact tests were used in the statistical analysis (α=0.05). results: all 435 women who were interviewed had attended prenatal visits, and hiv testing coverage was 89.6% [95%ci: 86.8-92.4]. no significant associations were found between hiv testing and variables related to socioeconomic conditions, vulnerability and prenatal care. although the majority was tested, only 13.6% reported they had received pretest counseling. conclusions: coverage of hiv testing during pregnancy was considered satisfactory. the lack of association between testing and the studied variables indicates that the test is being requested indistinctly, as the ministry of health recommends. however, the low frequency of counseling and delay in receiving the results may be a sign of problems during prenatal care.
Perfil dos egressos de gerenciamento de enfermagem dos programas da área de enfermagem da regi?o Sul
Erdmann, Alacoque Lorenzini;Andrade, Selma Regina de;Santos, José Luís Guedes dos;Oliveira, Roberta Juliane Tono de;
Revista da Escola de Enfermagem da USP , 2011, DOI: 10.1590/S0080-62342011000700003
Abstract: this is an exploratory-descriptive study, performed on a documental basis and using a quantitative approach. the objective was to describe the profile of graduates from the nursing graduate programs from southern brazil, from 2006 to 2009, which titles revealed they were in the lines of research regarding nursing management. the data was collected using the capes indicator books and searches on the graduates' curriculum lattes/cnpq. the nursing graduate programs in southern brazil totaled 409 students, 129 (31.5%) of which worked in the lines of research associated with nursing management/administration: 116 (89.9%) masters and 13 (10.1%) doctorates. most graduates currently work as faculty. of those with a master degree, two (1.7%) have already obtained a doctorate degree, and 39 (33.6%) are currently in the doctorate program. the intellectual production after obtaining the degree adds up to 501 published scientific articles, with an average 1.1 and 1.8 article/year among masters and doctorates, respectively. the study presents indicatives for the preparation of differentiated masters and doctorates to work in nursing and health management/administration.
Gest?o das práticas de saúde na perspectiva do cuidado complexo
Erdmann, Alacoque Lorenzini;Andrade, Selma Regina de;Mello, Ana Lúcia Schaefer Ferreira de;Meirelles, Betina H?rner Schlindwein;
Texto & Contexto - Enfermagem , 2006, DOI: 10.1590/S0104-07072006000300014
Abstract: advances in health care management practices implicate a reflection on new approaches in knowledge construction for the understanding of the human being as a being of care, in the perspective of complex care accomplished by interconnected and potentialized health teams for the best practices in the existing care systems. this article proposes a reflection on the health care management practices, starting from this way of thinking and seeing the being of care as cognoscente, complex, political, a health care worker, an actor, and a builder of relationships, interactions, and associations in the exercise of care for healthier living, health care promotion, and the valorization of life. addressing presuppositions constitutes a reference for health care management practices in the perspective of complex care.
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