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Formação docente pela competência didático- pedagógica na pós-graduação stricto sensu na área das Ciências da Saúde: o caso do Pró-Ensino na Saúde

2025-11-03T17:24:49Z

Título: Formação docente pela competência didático- pedagógica na pós-graduação stricto sensu na área das Ciências da Saúde: o caso do Pró-Ensino na Saúde Autor(es): Figueredo, Wilton Nascimento Primeiro Orientador: Silva, Gilberto Tadeu Reis da Abstract: The Pró-Ensino na Saúde program aimed to improve and stimulate teacher education in postgraduate programs (GP). The general objective of this thesis was to analyze the teacher education by the competence provided by the Pró-Ensino na Saúde to the stricto sensu graduate in the Health Sciences area. The specifcs objectives: to characterize the GP participants of the Pró-Ensino na Saúde, as to the areas of concentration, lines of research and the curriculum proposal for the development of didactic-pedagogical competence; to investigate the scientific production of dissertations and theses from the Pró-Ensino na Saúde program from the perspective of didactic-pedagogical competence; and to examine the perception of the scholarship alumni about teacher training by the didactic-pedagogical competence promoted by the Pró-Ensino na Saúde program. The theoretical framework was based on the discussion about competences of teachers according to Perrenoud (2000) and Masetto (2012). Exploratory, descriptive, analytical, mixed approach and case study research. The sample consisted of 80 graduating students, their 25 respective GP and 72 course completion works from the 19 projects approved by the Pró-Ensino na Saúde. Data were collected through documents and questionnaire, and analyzed by descriptive statistics and lexical analysis, from the perspective of content analysis, with the support of SPSS and Iramuteq software. The results were presented in the format of scientific articles. The first article showed that the majority of GP (56%) has a concentration area with themes related to clinical, pathological, dental and pharmacological research. 13 didactic-pedagogical research lines were located. When analyzing the curriculum components, it was noticed a reduced number of compulsory subjects and most of the optional type, is entitled “Teaching Internship”. The second article evidenced the predominance of dissertations and theses with qualitative approach in the curriculum theme and teaching-learning process in undergraduate Health, as well as diverse and non-priority themes according to the objectives of Pró-Ensino na Saúde. The dissertations and theses that opted for the theme teacher education focused on technological competence. The third article showed that 76.3% of the research participants were women from the bachelor of Nursing degree, with a master's degree and between 31 and 40 years old. 76.3% perceived positively the didactic-pedagogical training provided by the Pró-Ensino na Saúde. The average of positive perception among the 26 teaching competences acquired during the postgraduate course was higher than 76%. This acquisition was mainly extra-curricular, such as participation in events and congress on the subject of teacher education. The competences related to the planning, management and evaluation of teaching-learning activities presented greater negativity of the answers. It is concluded that the Pró-Ensino na Saúde stimulated the teacher formation, but there was little adhesion of the GP in continuing the formative processes and curricular components for the development of the didactic-pedagogical competence. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Tese

Protocolo de cuidados de enfermagem para pessoas com disfunção neurológica do trato urinário inferior pelo vírus linfotrópico de células t humana: à luz da teoria do autocuidado

2025-09-29T13:54:54Z

Título: Protocolo de cuidados de enfermagem para pessoas com disfunção neurológica do trato urinário inferior pelo vírus linfotrópico de células t humana: à luz da teoria do autocuidado Autor(es): Paranhos, Rayssa Fagundes Batista Primeiro Orientador: Sousa, Anderson Reis de Abstract: Technology in health is a product created with the objective of transforming, improving and bringing solutions to real problems of daily health care. It arises from the experiential need, from the scarcity in the literature of something scientific that supports care, constituting itself as something innovative, dynamic, applicable and replicable to the environment to which it is proposed, legitimized by a methodology that validates it. To construct and validate a nursing care protocol for people with neurological dysfunction of the lower urinary tract living with human T lymphotropic virus type 1: in light of the Self-Care Theory. To conduct a systematic review of the literature on conservative care and treatment actions for people with urinary incontinence living with human T-lymphotropic virus type 1; To know the self-care actions and self-care deficit developed by these people and to relate the Systems Theory with nursing actions. Methodological study, using the Praxic Model for the Development of Technologies that consists of 4 phases: Pragmatic, in which a systematic review of the literature was carried out that followed the Cochrane Library methodology and qualitative field research with people with the virus and complaints of neurological dysfunction, in this stage the data collection took place through focus group and individual interview. The data were imported into the WebQDA software for content organization and exploration and submitted to thematic content analysis. In the Artistic Productive phase, the protocol was built, based on the data collected in the pragmatic phase. In the Experimental phase of the method, the protocol underwent content validation, in the first round evaluated by 12 expert judges and in the second, by 08 judges who were part of the first. The entire process was conducted from the perspective of Self-Care Theory, Self-Care Deficit and Systems Theory. In the pragmatic phase, five articles were selected from the systematic review and in the interviews and focus groups were selected reports of self-care experiences, self-care deficit and levels of dependence. In the artistic production phase, the Clinical Protocol for neurological dysfunction of the lower urinary tract in people with human T-cell lymphotropic virus was developed, divided into three blocks: 1: nursing actions in primary health care; 2: care actions in clean intermittent bladder catheterization and 3: nursing actions in secondary health care. The technology was validated, in the first round, by 12 expert evaluators with a content validity index of 0.87 and an interclass correlation coefficient of 0.88 (95% CI: 0.76 – 0.96; p<0.001). After suggested modifications and adaptations for the second round, 8 judges evaluated and increased the score to 0.91 and the ICC to 0.90 (95% CI: 0.76-0.98; p<0.001), demonstrating strong agreement between the evaluations globally. The objectives were achieved, and the results published. The protocol establishes guidelines to guide clinical practice based on the scientific literature. It is an efficient and qualified instrument for the professional's decision-making; defines limits of action; reduces variability in care; risks of misconduct; promoting safety for professionals and users of the Unified Health System. It promotes an expansion in the area of activity of nurses in pelvic dysfunctions; It directs care actions in primary and secondary health units and consolidates it in the scientific literature, as an unprecedented material to be consulted scientifically and in clinical practice by health professionals. It presented limitations for not implementing the last phase of the model, the Revolutionary, as a final part of the methodology. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Tese

Fatores associados à infecção e hospitalização pela Covid-19 em trabalhadoras em enfermagem

2025-09-01T15:40:54Z

Título: Fatores associados à infecção e hospitalização pela Covid-19 em trabalhadoras em enfermagem Autor(es): Oliveira, Jones Sidnei Barbosa de Primeiro Orientador: Mussi, Fernanda Carneiro Abstract: The new coronavirus pandemic has revealed the importance of nursing workers in providing care to people suspected of being infected with SARS-CoV-2, highlighting their greater exposure to infection and hospitalization. To investigate the association between sociodemographic and occupational variables and SARS-CoV-2 infection, as well as between sociodemographic, clinical and occupational variables and hospitalization for COVID-19 among nursing workers. This is a retrospective cohort of 15,936 nursing workers from the Bahia State Health Department who underwent diagnostic tests for the infection. The department's secondary database was used, built with variables collected in the process of monitoring workers during the pandemic, from March to October 2020. The data was analyzed in terms of absolute and relative frequencies, means and standard deviation. Pearson's chi-square test or Fisher's exact test were used in the bivariate analyses, and variables with a p-value ≤0.20 were subjected to multiple analysis using the Robust Poisson Regression and Logistic Regression models. Statistical significance of 5% was adopted at this stage. The backward procedure was used and Akaike Information Criterion was applied to choose the best model, the one with the lowest value. The research was approved by two Research Ethics Committees. Of the 15,936 workers, there was a predominance of females (87.3%), 31-59 year olds (80.3%), brown race/color (63.4%), nursing technicians and/or assistants (69.6%), jobs in the care area (95.1%), outsourced jobs (70.1%) and single jobs (78.2%). Previous contact with people with COVID-19 was reported by 37.3% and 25.5% had their infection confirmed. A total of 48 workers (1.4%) were hospitalized. In the bivariate analyses, the following variables were associated with the infection outcome: male gender (p= 0.131), age group 18 to 30 years (p= 0.001), black race (p= 0.030), contact with people with COVID-19 (p= 0.016) and more than one employment relationship (p= ≤ 0.001). In the multivariate analysis, the 31-59 age group (RR=1.33), black race/color (RR=1.15), more than one employment relationship (RR=1.23) and contact with a confirmed case (RR=1.11) increased the risk of infection. The outcome hospitalization, in the bivariate analyses, was associated with age group greater than or equal to 60 years (p= ≤ 0.001), type of employment status (p= 0.003), systemic arterial hypertension (p= ≤ 0.001), diabetes mellitus (p= 0.014), obesity (p= 0.010), cardiovascular disease (p= 0.077), kidney failure (p= 0.068), fever (p= 0.026), cough (p= 0.003), loss of taste (p= 0.012) and shortness of breath (p= ≤ 0.001). In the multiple analysis, kidney failure (OR=24.60), obesity (OR=4.43), difficulty breathing (OR=6.39), age group between 31 and 59 years (OR=8.38) and 60 years or older increased the chances of hospitalization. The incidence of infection was high and the risk higher for adult and older workers who were black, had more than one job and had contact with infected people. There was a greater chance of hospitalization for those who were older, had comorbidities and difficulty breathing. Measures to reduce exposure in the workplace and actions to prevent and control risk factors for illness and mitigate occupational and psycho- emotional stressors are essential. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Tese

Os entraves no atendimento jurídico-policial às mulheres em situação de violência conjugal

2025-07-14T17:35:21Z

Título: Os entraves no atendimento jurídico-policial às mulheres em situação de violência conjugal Autor(es): Telles, Sabrina de Oliveira Silva Primeiro Orientador: Gomes, Nadirlene Pereira Abstract: Considering the magnitude and complexity of conjugal violence, which is sustained by historically legitimized power asymmetries between men and women, various institutional achievements express progress in tackling this phenomenon. Attentive and assertive assistance and care is essential to intervene in the cycle of abusive relationships, which have implications for women's physical, emotional and social health. In this regard, the objective of this study was to understand the obstacles to legal-police assistance for women in situations of marital violence. This is a qualitative study carried out with 11 women with a history of marital violence assisted by the Special Operation Ronda Maria da Penha, located in the city of Lauro de Freitas, Bahia, Brazil. Semi-structured interviews were carried out between March and May 2023, with data categorization based on Bardin's Content Analysis and analysis anchored in the gender perspective. The categories that emerged from the study were: sociocultural obstacles, expressed by the fear of the author of the violence and the discouragement of people from the socio-family; and institutional obstacles, which are manifested by the slowness in providing assistance, the lack of communication between the services, the divergence between the domestic and family violence court and the failure to guarantee compliance with the emergency protective measure. The multiple obstacles are intertwined in a complex way and manifest themselves both in the initial search for care and in the way the services work, showing structural flaws, intersectoral disarticulation and gaps between what is provided for in the legislation and what is actually offered to women. It is argued that the obstacles to legal-police assistance for women in situations of conjugal violence express a fragmented and insufficient state response, which does not take into account the complexity of gender inequalities and the social markers that traverse the experience of violence.; Considerando la magnitud y complejidad de la violencia conyugal, sustentada en asimetrías de poder históricamente legitimadas entre hombres y mujeres, diversos logros institucionales expresan avances en el abordaje de este fenómeno. La atención atenta y asertiva es fundamental para intervenir en el ciclo de relaciones abusivas, que tienen implicaciones en la salud física, emocional y social de las mujeres. Teniendo esto en cuenta, el objetivo de este estudio fue conocer los obstáculos a la asistencia jurídica y policial de las mujeres en situación de violencia conyugal. Se trata de un estudio cualitativo realizado con 11 mujeres con historia de violencia conyugal atendidas por la Operación Especial Ronda Maria da Penha, localizada en la ciudad de Lauro de Freitas, Bahia, Brasil. Se realizaron entrevistas semiestructuradas entre marzo y mayo de 2023, con categorización de datos basada en el Análisis de Contenido de Bardin y análisis anclado en la perspectiva de género. Las categorías que surgieron del estudio se enumeraron como: obstáculos socioculturales, expresados por el miedo al autor de la violencia y la desmotivación de las personas de la vida social y familiar; y obstáculos institucionales, manifestados por la lentitud en la atención, la falta de comunicación entre los servicios, la divergencia entre el juzgado de violencia doméstica y familiar y la falta de garantía del cumplimiento de la medida cautelar de urgencia. Los múltiples obstáculos se entrecruzan de manera compleja y se manifiestan tanto en la búsqueda inicial de atención como en el funcionamiento de los servicios, mostrando fallas estructurales, desarticulación intersectorial y brechas entre lo previsto en la legislación y lo efectivamente ofrecido a las mujeres. Se argumenta que los obstáculos para la asistencia jurídico-policial de las mujeres en situación de violencia conyugal expresan una respuesta estatal fragmentada e insuficiente que no tiene en cuenta la complejidad de las desigualdades de género y los marcadores sociales que atraviesan la experiencia de la violencia. Editora / Evento / Instituição: UNIVERSIDADE FEDERAL DA BAHIA Tipo: Tese