As intervenções obstétricas e o domínio do corpo feminino transferem para o cenário do parto e nascimento o modelo de atenção cercado por tecnologia, com consequente perda do protagonismo da mulher sobre o fenômeno da parturição. Nesse contexto, o Brasil passou direcionar políticas públicas com o foco na humanização do parto e autonomia da mulher, a fim de reduzir práticas intervencionistas, como o Programa de Humanização do Parto e Nascimento. Tais mudanças proporcionaram a inserção da Enfermagem como importante agente de transformações, uma vez que tem por sua essência uma assistência holística baseada em práticas não intervencionista, porém, ainda é constatado que o protagonismo da mulher no parto não é uma realidade hegemônica, ocasionando prejuízos na saúde materna e neonatal. O objetivo deste estudo é favorecer o protagonismo da mulher no parto através da educação em saúde frente à equipe de enfermagem atuante na assistência ao parto em uma maternidade pública no estado do Amapá. Trata- se de uma pesquisa abordagem quali-quantitativa, pois possibilitou a compreensão de significados considerando as subjetividades presentes, ao passo que permitiu classificá-los e analisá-los. A intervenção permitiu reflexão da equipe a respeito da temática, e espera-se que se fomentem qualificações na assistência obstétrica, bem como que o processo de educação em saúde aos trabalhadores do SUS se torne mais concreto na instituição estudada.
The nursing team of an Intensive Care Unit is subjected to several injuries related to their physical and mental health. The large number of stressors present in this environment predispose to conditions in which they can affect the quality of care provided by these professionals, their interpersonal relationships and their quality of life. Therefore, it is intended to report an educational action on self-care as a strategy for the prevention of Burnout Syndrome in nursing professionals in an adult ICU. An activity was carried out, product of the problematization theory, to socialize knowledge about Burnout Syndrome, which is still little known by professionals, encouraging them to carry out self-care practices. During the time of socialization, the professionals were free to express their feelings about their work environment. Among the reports, can be highlighted the difficulty in self-perception, intra and interprofessional relationships, failures in effective communication and problems of managerial and bureaucratic nature. Such feelings externalize issues that directly and indirectly corroborate physical and mental exhaustion, high levels of tension and risks to the health of the professional and the quality of care. Through this work, it is noted that the Burnout Syndrome is a topic of great relevance for these professionals, whose work scenario requires resilient psychosocial conditions in the face of adversities, and who propose to these actors of care a special attention focused on their assistance and self-care.
The World Health Organization (WHO) characterizes elderly people who are 60 years old or older in developing countries and 65 years old in developed countries. In Brazil, it is considered elderly from 60 years, based on the Elderly Statute and public policies related to aging (Santa Catarina, 2018). The objective of this study is to analyze the profile of hospitalizations of the elderly in the State of Amapá.Retrospective study with a quantitative approach on the profile of hospitalizations of elderly people in the State of Amapá, from April 2018 to April 2019, as a data source, DATASUS was used. The results show that in the period between April 2018 and April 2019, there were 4,453 hospitalizations in the state of Amapá for elderly people over 60 years of age, representing 10.60% of total hospitalizations. The main causes of hospitalizations are diseases of the circulatory system, with (24%), followed by 14% of diseases of the respiratory system. In addition to finding that 46.4% (2,067) of hospitalizations for pathologies and injuries are in the age range between 60 and 69 years. It concludes that the state of Amapá with its local health system needs to reorganize its hospital structures, with the insertion of indicators that favor actions to improve the quality of care. Evidencing primary care as a gateway for this population, in order to improve the quality of life of these people and reduce the burden on hospital institutions.
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