Aim: to report the experience of scholarship students participating in the project "Building concepts in undergraduate nursing education in the light of the theory of meaningful learning: construction of concept maps using the Cmap Tools® software". Method: report of experience of scholarship students about a project included in the Integrated Action Notice published by an institution of higher education and developed between the months of January to September 2013. Results: these are presented in three axes proposed by the project: teaching, research and extension. Thus, there was a minicourse on conceptual maps and instruction on the software, the production of scientific
Introdução: O Programa Nacional de Controle da Tuberculose Brasileiro foi criado no intuito de preconizar e direcionar ações clínicas, das configurações organizacionais, de sistemas de informações e vigilância da tuberculose. O processo de implantação das ações de controle na Atenção Primária ocorreu em diversos formatos e com resultados diferenciados, devido às influências da configuração organizacionais locais. Objetivo: Identificar as facilidades e dificuldades referidas por enfermeiros na implantação do Programa de Controle da Tuberculose na Atenção Primária à Saúde. Métodos: Estudo descritivo, realizado de forma transversal, com abordagem quantitativa, conduzido no município de Natal, a partir de dados coletados entre novembro de 2017 a fevereiro de 2018, com 80 enfermeiros da Atenção Primária à Saúde, mediante questionário estruturado. Os dados foram categorizados de acordo com critérios de semelhança e analisados por meio da estatística descritiva. Resultados: Verificou-se que a disponibilidade do enfermeiro para atuação no programa (47,5%) e a presença de materiais (31,2%) foram as facilidades mais frequentemente referidas. As dificuldades mais referidas foram: adesão ao tratamento (21,2%) e a realização de exames complementares (15,0%). Conclusão: Os achados do estudo podem contribuir para reflexão e planejamento das ações pelas equipes de saúde, bem como ferramenta para os gestores locais organizarem seus serviços, no intuito de garantir à pessoa com tuberculose um cuidado integral.
Objective: To identify the quality of care indicators in pre-hospital mobile emergency services. Methods and Results:This study is a systematic review conducted in December/2015 in eight databases using the keywords: quality indicators in health care; pre-hospital care; and quality, access, and evaluation of the health care. Seventeen studies were selected and the following indicators were identified: conservation of the ambulances; physical structure; comfort in the ambulance; material resources; safety for the patient/professional; continuing education; response time; professional remuneration; professional/patient satisfaction; access; host; humanization; performed service; safety demonstrated by the team; privacy to the patient; guidelines on care; relationship between the professional/patient; opportunity of the patient to complaint. Conclusion:The establishment the of the quality of care indicators the in mobile emergency services will allow the construction of instruments to evaluate this type of service to search for excellence results in mobile emergency services.
Objective: To propose a care protocol for the care of the person with a venous ulcer in highly complex services.
Objetivo: Analisar o conceito da vulnerabilidade de pessoas em situação de rua que vivem com tuberculose. Método: Trata-se de uma revisão integrativa da literatura, fundamentada no modelo de Análise de Conceito proposto por Walker e Avant. Foram utilizadas as bases de dados: LILACS, PUBMED, Web of Science e Scopus, utilizando os descritores: pessoas em situação de rua, tuberculose e vulnerabilidade nas línguas portuguesa, inglesa e espanhola. Resultados: Fizeram parte da amostra final 9 artigos, os atributos identificados para vulnerabilidade a tuberculose foram: pobreza, difícil acesso aos serviços de saúde, populações carentes, falta de moradia e desigualdades de saúde. Além disso, foi construído caso modelo, caso contrário e evidenciado os antecedentes e consequentes. Conclusão: A realização deste estudo pode contribuir para o refinamento e aprimoramento da visão dos profissionais de saúde em relação à vulnerabilidade de pessoas em situação de rua que vivem com tuberculose, e, portanto, contribuir para a prática mais humanizada e de forma integral.
Objective: To clinically characterize some cases of lamellar keratoplasty performed in a referral center of Rio Grande do Norte state.Methods: This is a cross-sectional, retrospective study, which is the review of the medical records of 18 patients who underwent keratoplasty of lamellar type in a referral service in Natal/RN.Results: it was found that of 18 patients who underwent keratoplasty, 55.56% were male, being all patients with deep anterior lamellar. Regarding the age group, 66.67% were thirty years old or less. The corneal vascularization of tissue was a factor receptor absent in 77.78% of cases. The main indication for lamellar keratoplasty were keratoconus (66.66%). Of the cases in which transplantation was done with urgency, ocular diagnoses were not infectious ulcerative keratitis (50%), corneal degeneration (25%) and leukoma (25%). Conclusion:it is cocluded that the main indicator condition for lamellar keratoplasty was keratoconus. Patients who underwent the procedure were 30 years old or less, with minimum level of corneal vascularization and absence of glaucoma. Furthermore, the surgical technique predominantly used for lamellar transplantation was the deep lamellar keratoplasty due to its advantages over penetrating keratoplasty.
O objetivo do estudo é analisar a participação de enfermeiros em capacitações sobre Tuberculose e a sua associação com as competências desenvolvidas no controle da doença na Atenção Primária à Saúde. Estudo analítico, de abordagem quantitativa, desenvolvido no município de Natal, realizado com 80 enfermeiros da Atenção Primária à Saúde, utilizando questionário com 62 questões, entre novembro de 2017 a março de 2018. Os dados foram analisados através da estatística descritiva e inferencial (Testes Qui-quadrado e Exato de Fisher). Verificou-se associação estatística entre a participação dos enfermeiros em capacitações e o acompanhamento clínico das pessoas com Tuberculose; a existência de um responsável pelo controle da Tuberculose na unidade; a busca ativa de pessoas com Tuberculose e a solicitação de exames para os contatos. A participação em capacitações está associada a competências importantes no controle da tuberculose, sendo necessárias no processo de trabalho dos profissionais que assistem pessoas com a doença.Descritores: Atenção Primária à Saúde, Tuberculose, Enfermeiras e Enfermeiros. Tuberculosis training and association with developed skills in disease controlAbstract: The objective of the study is analyze the participation of nurses in training on tuberculosis and its association with the developed skills in the control of the disease in Primary Health Care. Analytical study, quantitative, developed in Natal city, conducted with 80 nurses from Primary Health Care, using a questionnaire with 62 questions, from November 2017 to March 2018. Data were analyzed using descriptive and inferential statistics (Chi-square and Fisher's Exact Tests). There was a statistical association between the participation of nurses in training and the clinical follow-up of people with tuberculosis; the existence of a responsible for tuberculosis control in the unit; the active search for people with tuberculosis and the request for exams for contacts. Participation in training is associated with important skills in tuberculosis control, being necessary in the work process of professionals who assist people with the disease.Descriptors: Primary Health Care, Tuberculosis, Nurses. Asociación de capacitación en tuberculosis con habilidades desarrolladas en el control de enfermedadesResumen: El objetivo del estudio es analizar la participación de enfermeras en la capacitación sobre tuberculosis y su asociación con las competencias desarrolladas en el control de la enfermedad en Atención Primaria de Salud. Estudio analítico, con enfoque cuantitativo, desarrollado en la ciudad de Natal, realizado con 80 enfermeras de Atención primaria de salud, utilizando un cuestionario con 62 preguntas, de noviembre de 2017 a marzo de 2018. Los datos se analizaron mediante estadísticas descriptivas e inferenciales (Chi-cuadrado y pruebas exactas de Fisher). Hubo una asociación estadística entre la participación de enfermeras en la capacitación y el seguimiento clínico de las personas con tuberculosis; la existencia de responsables del control de la tuberculosis en la unidad; la búsqueda activa de personas con tuberculosis y la solicitud de exámenes para contactos. La participación en la capacitación se asocia con habilidades importantes en el control de la tuberculosis, siendo necesaria en el proceso de trabajo de los profesionales que ayudan a las personas con la enfermedad.Descriptores: Atención Primaria de Salud, Tuberculosis, Enfermeras y Enfermeros.
With the development of new surgical techniques, instrumentation and pharmacological advances, corneal transplant procedures can undergo changes directly in the clinical profile of patients with the indication for penetrating keratoplasty technique. The aim of this study was to identify the clinical profile of patients undergoing penetrating keratoplasty and the main indicating conditions at a university hospital in Northeast Brazil. This is an epidemiological, cross-sectional, descriptive study performed using data from medical records of 241 patients who underwent keratoplasty between January/2010 and December/2014. From the total keratoplasties performed in the hospital during the study period, 88.37% were carried out by penetrating technique. Of these, 50.44% were performed in male patients with an average age of 55.2 years. The main indications were keratoconus, followed by bullous keratopathy and keratitis. Preexisting clinical conditions for penetrating keratoplasty were found, such as changes in vascularization, glaucoma, previous surgery, aphakic and pseudophakic eyes and keratoplasties combined with other types of surgeries. Knowledge of the clinical profile of patients who underwent penetrating keratoplasty enabled identification of the main ocular diagnoses that result in this type of transplant as a therapeutic indication. From this, it is possible to point out the main pre-existing medical conditions of penetrating keratoplasty that may represent potential risk factors for complications in the postoperative period and even lead to graft failure. We suggest that further studies be carried out on a thematic.
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