Atividades de extensão universitária em comitê de prevenção de mortalidade infantil e estatísticas de saúde

Abstract

São descritas atividades de extensão no Comitê de Prevenção da Mortalidade Infantil da 15ª Regional de Saúde do Paraná e a aproximação com estatísticas de saúde. O projeto articula parceria entre o Departamento de Enfermagem da Universidade Estadual de Maringá e Secretaria de Saúde do Estado com inserção de alunos de enfermagem. São apresentadas as atribuições do Comitê, avanços desde o inicio do projeto, como a compreensão dos sistemas de informação e importância da investigação do óbito infantil, mas existem desafios, como melhorar a qualidade do preenchimento da ficha de investigação. A parceria ensino/serviço aprimora a qualidade do trabalho, dos Sistemas de Informação, amplia a visão do aluno sobre desigualdades intraurbanas e acesso, incentivando seu comprometimento com a saúde coletiva.

Um olhar sobre a vigilância dos óbitos fetais do Jaboatão dos Guararapes, Pernambuco, Brasil, em 2014

“…Similarly, there are evidences that barriers to access to the patient medical records and to the death certificate contributed to the delay in the conclusion of the case within the established period 12 . Also, it is possible that obstacles arise for carrying out of the home interview, due to refusal by the family, change of address or non-existence of the address, as stated in studies on child deaths carried out in the Northeast 13,14 . The time of investigation higher than that specified works against appropriateness of the information for decision on actions for intervention and improvement of care, as well as contributing to abandonment of the investigative process, since at every moment new cases arise that need to be given priority.…”

Aspectos da mortalidade infantil, conforme informações da investigação do óbito

“…Although, because of the way the results of this investigation are presented, a large number of variables without information also draws attention, despite a slight improvement from the first to the second biennium being observed. Lack of information in the investigation form may reflect difficulties found by the committee during the search for information, having to deal with a lack of information in medical files, unreadable data and notes, a lack of home visits due to the families' refusal or address changes, incompatibility between information provided in the medical files and that provided in interviews with families, among others (21) . Even though there was some increase in the quantity of data reported on the investigation forms, some information important to characterizing not only infant death but also to outline an epidemiological profile of these families exposed to risk conditions, continue to be lacking, such as family income, data from the first prenatal consultation, why the pregnancy was considered to be at risk, and also whether the newborn was considered to be at risk.…”

“…Even though there was some increase in the quantity of data reported on the investigation forms, some information important to characterizing not only infant death but also to outline an epidemiological profile of these families exposed to risk conditions, continue to be lacking, such as family income, data from the first prenatal consultation, why the pregnancy was considered to be at risk, and also whether the newborn was considered to be at risk. The absence of data in documents indicates there is the possibility that professionals, both in primary health care and in more complex health care levels, have difficulty understanding the importance of properly reporting data, whether it is due lack of training, lack of time, or even due to difficulty to acknowledge the need of good recording as part of the process to understand reality to provide care to the family and child and prevent infant death (21) . The nursing team and nurses are in constant contact with patients whether through home visits within the FHS, PHC consultations, hospital interventions or in health programs implemented in the community.…”

“…' On the other hand, the employment of data resulting from analyses of the committees investigating deaths add important information to data already used in studies addressing infant mortality. For that, one needs to improve the quality of documents as well as how data are gathered to investigate deaths, in addition to correctly filling in the blanks available in the documents for analysis (21) .…”

Produções tecnológicas em enfermagem em um curso de mestrado

“…1 Para isso, se faz necessário uma parceria entre o mundo do trabalho e o mundo da escola, já que intercâmbios de profissionais das universidades e dos serviços em ambiente propício favorece que os problemas da prática cotidiana sejam incorporados às atividades de pesquisa, ao mesmo tempo em que os resultados de pesquisas acadêmicas podem ser utilizados para aprimoramento das políticas e práticas dos serviços de saúde. 2 Isso implica compreender que há de se estabelecer uma real parceria enfermagem/ clientela/ serviços, de modo a construir novas maneiras de intervenção na realidade -quer no ensino, quer no cuidado de enfermagem, com tecnologias que respondam aos requerimentos do contexto em que se inserem. Novas tecnologias de ensino e de cuidado precisam ser experimentadas, adequando-as as necessidades específicas e particulares de cada contexto, embora muito frequentemente sejam inspiradas em experiências já realizadas.…”