RESUMO: Objetivo: relatar a experiência na aplicação de uma metodologia ativa de ensino e aprendizagem na atenção básica com discentes de enfermagem. Método: relato de experiência. Participaram oito discentes e um docente, em uma manhã de atividade prática num Centro de Saúde de Florianópolis, Santa Catarina, Brasil. A metodologia foi aplicada em oito fases distintas, sequenciais e complementares. Resultados: inicialmente, os discentes foram estimulados a representar uma situação de saúde/doença e buscar apoio no Centro de Saúde como usuários, posteriormente observaram a estrutura física da Unidade e socializaram as vivências individuais. Durante todo processo, estimulou-se o discente a refletir e compartilhar suas experiências, discutir o funcionamento do serviço e papéis dos profissionais. Considerações Finais: foi uma importante experiência pela forma diferenciada de ensinar e aprender, que envolveu tanto o docente quanto os discentes. Descritores: Enfermagem; Educação em enfermagem; Educação superior; Atenção primária à saúde. ABSTRACT: Aim: to report the experience of applying an active methodology of teaching and learning with nursing students in primary health care. Method: experience report. Eight students and one teacher participated, in a morning of practical activity of a health unity in Florianopolis, Santa Catarina, Brazil. The methodology was applied in eight distinct, sequential and complementary phases. Results: the students were initially stimulated to represent a situation of health/disease and seek support at the Health Centre as users, posteriorly they observed the facility structure and socialized the individual experiences. During the whole process, the students were stimulated to reflect and share their experiences, to discuss the functioning of the service and the professionals' roles. Final Considerations: it was an important experience in different ways of teaching and learning that involved both teachers and students. Descriptors: Nursing; Education nursing; Education higher; Primary health care. RESUMEN: Objetivo: presentar la experiencia de la aplicación de una metodología activa de enseñanza y aprendizaje con estudiantes de enfermería de la atención primaria.
Objectives: to evaluate, with users, the responsiveness of the embracement with risk classification in an emergency care unit and to analyze the association between socio-demographic and care variables with the evaluation of responsiveness. Method: quantitative, correlational study approach, developed in an emergency care unit in Santa Catarina (Brazil) with 459 users. A validated questionnaire was applied, with 25 questions, evaluated by Likert scale and organized in the domains: dignity, communication, agility, social support and facilities. The data were organized and processed with the Epi Info software and OpenEpi, using descriptive statistics and chi-square test. Results: the domains that stood out with good responsiveness were dignity (97.8%), communication (93.9%) and facilities (91.1%). Agility obtained the lowest percentage (56.6%). The overall mean of good responsiveness of the user embracement with Risk Classification was 82.1%. There was a significant statistical difference in the characteristics of users' profile (gender, age, marital status and schooling) and the number of times the user was attended in the service with good responsiveness. Conclusion: the user embracement with risk classification presented good responsiveness; however, there is a need for improvements, especially related to the agility of care. The evaluation of responsiveness by users is associated with socio-demographic and care variables.
Objectives: to develop a best practices document with facilitating components and processes for simulation management. Methods: the methodological research was conducted between April and October 2017, using four approaches: observational research, conducted in an international simulation institution; Definition of theoretical framework, from the International Nursing Association for Clinical Simulation and Learning; integrative literature review, in international databases; and comparative analysis. It used Bardin's analysis for the categorization of the information. Results: creation of a document with good practices in simulation regarding management and practice in simulation and management of resources and data, highlighting the use of technology and the training of professionals as the most important allies for overcoming the main limitations found. Final Considerations: the product of this study is a compilation of strategies for simulation management as a tool to enhance the application of the method with greater effectiveness.
Introdução: o comportamento suicida é um problema de saúde pública, portanto é essencial a oferta de recursos para prevenção e amparo da pessoa em sofrimento Objetivo: identificar funcionalidades em aplicativos de smartphone internacionais para criação de aplicativo brasileiro para prevenção do comportamento suicida. Método: revisão de aplicativos de smartphone, identificação de funcionalidades manualmente, envio das funcionalidades encontradas a especialistas para avaliação da aplicabilidade em protótipo. Resultados e Discussão: das 71 funcionalidades avaliadas, 14 obtiveram consideração de 80% dos experts como adequadas ao protótipo. Destas, três foram consideradas adequadas por 100% dos avaliadores. Oito são consideradas funcionalidades de autogestão do cuidado e 6 de gestão compartilhada com serviços e/ou profissionais de saúde. Conclusão: identificadas 14 funcionalidades na revisão integrativa de literatura, e consulta à especialistas na prevenção ao suicídio. Indicou-se modelo para posterior desenvolvimento de aplicativo de smartphone para a prevenção do comportamento suicida no Brasil. Por fim, reconhece-se que este aplicativo poderá fazer parte de pesquisas futuras sobre a prevenção do comportamento suicida.
Background: Autonomous Medication Management Group (GGAM) is a group approach for users of psychiatric drugs to share experiences so that they can be protagonists and co-responsible for the decisions relating to their treatment. Objective: To describe the experience of the participants of the GGAM in a psychosocial care center in Brazil. Methodology: The study is qualitative, exploratory, and descriptive, using the structured interview method whose analysis followed the theoretical framework proposed by Minayo. The multidisciplinary team indicated 6 users with a mental disorder, who were prescribed psychotropic drugs for more than 6 months and who participated in the GGAM. Results: Categories emerged such as Context, Experience, and Effects of the experience of participants in the GGAM. The description of their experiences showed that the group is regarded as a space for talking and listening. Conclusion: The participation in the GGAM provided increased knowledge about psychiatric medication, help in dealing with treatment, strengthened relationships, protagonism and autonomy, and contribution to the appropriateness of the singular therapeutic project.
Estudo com o objetivo de relatar a contribuição das estratégias de acompanhamento e efetivação do fluxo de atenção para os egressos de internação em hospital psiquiátrico no Centro de Atenção Psicossocial (CAPS). Nos resultados, 496 usuários egressos de internação psiquiátrica foram contatados, destes 95 compareceram ao CAPS, 22 reinternaram-se, 108 compareceram a outro ponto da Rede de Saúde, 89 foram internados por problemas relacionados ao uso e abuso de substâncias psicoativas, 19 recusaram-se a comparecer ao CAPS II, 93 telefones não foram atendidos, e 70 outros casos. Conclui-se que a efetivação do fluxo para acompanhamento de egressos necessita de inovação com planos de gestão em saúde mental que incluam este tema, construções coletivas de instrumentos com indicadores de acompanhamento no sistema de informação, inovação na elaboração de recursos tecnológicos como plataforma digital com acesso em tempo real pelos profissionais de serviços distintos e envolvidos.
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