Objetivo: analisar os sentimentos vivenciados pelos acadêmicos no último semestre da graduação em Enfermagem, durante o estágio com supervisão indireta. Metodologia: estudo qualitativo, realizado com 27 alunos, que responderam a uma entrevista semiestruturada. Resultados: os alunos vivenciam dificuldades diversas durante o estágio, que geram sofrimento e desgaste, relatando hostilidade de profissionais e supervisores, e muitas vezes essas situações não são relatadas aos professores e coordenação. O conhecimento adquirido durante o estágio indireto é imensurável, e inclusive as situações negativas são vistas como fonte de aprendizado. Conclusão: é necessário fortalecer o vínculo entre Universidade e campos de estágio, investindo em ações que melhorem a relação entre professores, alunos e trabalhadores de saúde.Descritores: Educação em Enfermagem, Estágio, Estudantes de Enfermagem.Objective: to analyze the feelings experienced by the students during the last semester of Nursing graduation during the internship with indirect supervision. Methodology: qualitative study conducted with 27 students through a semi-structured interview. Results: students experience several difficulties during the internship, which generate suffering and attrition, reporting hostility of professionals and supervisors, and often these situations are not reported to teachers and coordination. The knowledge acquired during the indirect internship is immeasurable, and even negative situations are seen as a source of learning. Conclusion: it is necessary to strengthen the link between the University and internship fields, investing in actions that improve the relationship between teachers, students and health workers.Descriptors: Nursing Education, Internships, Nursing Students.Objetivo: analizar los sentimientos vivenciados por los académicos en el último semestre de la graduación en Enfermería, durante la etapa con supervisión indirecta. Metodologia: estudio cualitativo, realizado con 27 alumnos, que respondieron a una entrevista semiestructurada. Resultados: los alumnos vivían dificultades diversas durante la etapa, que generan sufrimiento y desgaste, relatando hostilidad de profesionales y supervisores, y muchas veces esas situaciones no son relatadas a los profesores y coordinación. El conocimiento adquirido durante la etapa indirecta es inmensurable, e incluso las situaciones negativas son vistas como fuente de aprendizaje. Conclusión: es necesario fortalecer el vínculo entre Universidad y campos de práctica, invirtiendo en acciones que mejoren la relación entre profesores, alumnos y trabajadores de salud.Descriptores: Educación en Enfermería, Pasantías, Estudiantes de Enfermería.

Objective: To analyze the vulnerability of non-institutionalized elderly persons. Method: A cross-sectional, descriptive and analytical study was carried out using data of the City Health Department of Palmas, Paraná, Brazil, and the Vulnerable Elders Survey (VES-13) instrument. The questionnaires of people aged over 60 years who had answered the VES-13 questionnaire between January 2016 and December 2017 were included. The quantitative data were analyzed by the Student’s T-Test and the categorical data by the Chi-square and Fisher’s Exact Test. The correlation between the quantitative variables was performed by the Pearson correlation coefficient. Results: A total of 1,062 questionnaires were analyzed, of which 57.3% were female, with a mean age 69 (±7.8) years. In total 427 individuals (40.2%) were vulnerable and 635 (59.8%) were not vulnerable according to VES-13 score. A total of 635 (59.8%) elderly persons were classified as robust, 176 (16.6%) as at risk of frailty and 251 (23.6%) as frail. Women and those over 75 years were more vulnerable (p<0.001). Conclusion: Vulnerability was related to the female sex, age over 75 years and the presence of chronic diseases, with these being the priority groups for the elaboration of intervention strategies in the health of the elderly.

RESUMO: Objetivou-se analisar o aspecto nutricional de pacientes oncológicos em atendimento ambulatorial, em Joaçaba-SC. Estudo transversal, que utilizou a avaliação subjetiva global produzida pelo paciente e questionário de consumo alimentar, do Ministério da Saúde. Participaram 70 pacientes, idade média 60,3±13,9 anos, 38 (54,3%) homens, 57 (81,4%) sem acompanhamento nutricional, 48 (68,6%) com alimentação regular, 16 (22,9%) alimentação adequada e seis (8,6%) boa alimentação. O fumo teve associação com câncer de pulmão e orofaringe e o consumo de carne com câncer de intestino. A redução de peso foi elevada, 36 (52,2%) reduziram mais de 5% do peso corporal. Pessoas bem nutridas reduziram menos o peso comparado às desnutridas, tiveram melhor aceitação da dieta e menos queixas alimentares. Desnutridos totalizaram 58 indivíduos (83%), todos em estágio avançado da doença. A desnutrição teve elevada prevalência neste estudo, devendo ser implantadas estratégias de acompanhamento eficazes com equipe multiprofissional para melhorar o tratamento nutricional desta população. DESCRITORES: Desnutrição; Oncologia; Avaliação nutricional; Serviço hospitalar de nutrição; Nutrição de grupos de risco. AVALIAÇÃO NUTRICIONAL DE PACIENTES COM CÂNCER EM ATENDIMENTO AMBULATORIAL NUTRITIONAL ASSESSMENT OF CANCER PATIENTS IN OUTPATIENT CARE ABSTRACT:The objective was to analyze the nutritional aspect of cancer patients in outpatient care in Joaçaba-SC. Cross-sectional study using global subjective assessment by the patient and the food consumption questionnaire of the Brazilian Health Department. Seventy patients participated with a mean age of 60.3±13.9 years, 38 (54.3%) men, 57 (81.4%) without nutritional monitoring, 48 (68.6%) with a regular diet, 16 (22.9%) appropriate diet and (8.6%) good diet. Smoking was associated with lung and oropharyngeal cancer and meat consumption with bowel cancer. The weight reduction was high, as 36 (52.2%) lost more than 5% of their body weight. Well-nourished people lost less weight when compared to malnourished individuals, accepted the diet better and had less food complaints. In total, 58 individuals (83%) were malnourished, all of them in the advanced stage of the disease. The prevalence of malnourishment was high in this study. Effective monitoring strategies need to be implemented with a multiprofessional team to improve the nutritional treatment in this population. DESCRIPTORS: Malnutrition; Oncology; Nutrition assessment; Food service, hospital; Nutrition for vulnerable groups. EVALUACIÓN NUTRICIONAL DE PACIENTES CON CÁNCER EN ATENCIÓN AMBULATORIARESUMEN: La finalidad fue analizar el aspecto nutricional de pacientes oncológicos en atención ambulatoria en Joaçaba-SC. Estudio transversal, que utilizó la evaluación subjetiva global producida por el paciente y cuestionario de consumo alimentario del Ministerio de la Salud brasileño. Participaron 70 pacientes, promedio de edad 60,3±13,9 años, 38 (54,3%) hombres, 57 (81,4%) sin seguimiento nutricional, 48 (68,6%) con alimentación regular, 16 (22,...

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Introduction: Stress can lead to negative health consequences, like stress and burnout. Objective: this study analyses the overall level of stress, the main stressors sources, and presence of Burnout syndrome. Materials and methods: cross-sectional study, with professionals of a family health strategy of Santa Catarina, Brazil, using the instruments Maslach Burnout Inventory and the Stress Questionnaire for Health Professionals. Results: 38 professionals participated, data show that 34% are very stressed, 61% with moderate stress and 5% with little stress. The career and remuneration were the most relevant stressors, followed by dealing with customers. The favoritism and/or discrimination at work were considered by 84% professionals as the greater generating source of stress and pressure. Results revealed that 34.2% have burnout and 8% are with high stress. Conclusion: Considering the number of professionals affected by stress and burnout, emphasized the importance of the implementation of preventive activities that improve the well-being at work and reinforces the need for psychological monitoring to those professionals.