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Dissertations |
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NÍVIA VANESSA CARNEIRO DOS SANTOS
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Bourdian analysis of the professional identity of nurses in Primary Health Care.
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Advisor : DEYBSON BORBA DE ALMEIDA
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COMMITTEE MEMBERS :
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MICHEL NICOLAU NETTO
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DEYBSON BORBA DE ALMEIDA
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GILBERTO TADEU REIS DA SILVA
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TATIANE ARAUJO DOS SANTOS
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Data: Jan 11, 2021
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Show Abstract
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This research has aims to analyze the nurse's professional identity in primary health care and as specific objectives: to relate primary socialization with the nurse's professional identity in primary health care; identify nurses' self-representations and their impacts on professional identity; discuss the provisions incorporated by the nurse in primary health care and present the practice systems of nurses in primary health care. This is a qualitative research developed with nine nurses, in a city in inland Bahia - Brazil. Data collection occurred through semi-structured interviews and data were processed by N-vivo software 10 and analyzed according to thematic analysis. The rules of Resolution n. 466 of 12 December 2012, of the National Health Council were followed in all research steps (CAAE: 95311918.4.0000.0053). Three categories of analysis were identified, each with three subcategories: (1) Representations of themselves: identity perspective of nurses in Primary Health Care, which is related to individual and collective perceptions, supporting positive or negative value, with an impact on Habitus and identity. This category generated three subcategories: Management, Professional Dilemmas and Health Practices. (2) Incorporated provisions: the subjective space between the I and the other, integrated with Habitus from a system prone to organizing the interactions and perceptions of individuals to society and their mode of reaction to that system. This category gave rise to three subcategories: Feeling of Excessive Accountability, Feeling of Obligation to do even without structural conditions and Work Overload. (3) System of practices of primary health care nurses, generated from the “practical Habitus” as it promotes the reproduction of regularities and objective conditions, but conditioning the social and situational requirements. Three subcategories were developed from this category: Prevention Practices, Individual-Clinical Practices and Standardization of Assistance. The habitus of the primary health care nurse is dissolved and interconnected with hegemonic practices and conditioned to a field that generates disputes and regulated by a controlled autonomy with dichotomized practices. In this context, nurses, in an attempt to legitimize their identity and understand themselves, assume multiple functions, in order to add symbolic, social and economic capital, contributing to the rupture of their work process and professional identity. Dynamic and unfinished professional identity is tied to a forged Habitus, from the primary socializations that condition individual and social perspectives, through the embedding of unconscious dispositions that influence the understanding of one another, the conception of professional belonging and representation for society. The internalized Habitus has repercussions on one’s exteriorization and can add or decrease symbolic capital, giving rise to a system of fragmented and mischaracterized practices, conditioned and conditioning, in the field of Primary Health Care.
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2
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NADJANE REBOUÇAS GOMES
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Association between family violence and sociodemographic, clinical, behavioral factors and Common Mental Disorder in school adolescents.
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Advisor : RIDALVA DIAS FELIX MARTINS
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COMMITTEE MEMBERS :
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CLAUDIA GEOVANA DA SILVA PIRES
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CLAUDIA NERY TEIXEIRA PALOMBO
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RIDALVA DIAS FELIX MARTINS
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RITA DE CASSIA MASKELL RAPOLD
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ROSANA SANTOS MOTA
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Data: Feb 4, 2021
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Show Abstract
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GOMES, Nadjane Rebouças. Association between family violence and sociodemographic, clinical, behavioral factors and Common Mental Disorder in school adolescents, 2021, p 87f. Dissertation (Master in Nursing and Health). Postgraduate Program in Nursing and Health, Federal University of Bahia, Salvador, 2021.
To investigate the association between intrafamily violence and sociodemographic, clinical, behavioral factors and Common Mental Disorder in school adolescents; To outline the sociodemographic profile and lifestyle of school adolescents experiencing intrafamily violence. Refers to a cross-sectional study, carried out in a public school, in the city of Salvador, Bahia, Brazil. The study sample consisted of 230 school adolescents, ranging in age from 10 to 19 years old, according to the World Health Organization (WHO) categorization. The sample calculation was produced with the statistical package R, version 3.3.1, conceiving the margin of error of 5%, the significance level of 5% and replacement of 20%. A form containing the variables and an SRQ-20 scale was used to assess the CMT. The data were processed using the Stata Program, version 12. The results of the dissertation were presented in 2 manuscripts. Manuscript 1 entitled “Factors associated with the experience of violence in the family by adolescents” is linked to objective 1 of the dissertation: To investigate the association between intrafamily violence and sociodemographic, clinical, behavioral factors and CMD in school adolescents. This population is composed mainly of adolescents aged between 10 and 14 years old (50.9%), self-declared black (78.7%), female (57.8%), who declared they did not have a boyfriend. The study showed a positive association, although without significance between the experience of violence and the following variables: female gender; having a boyfriend; the teenager contributes to the support of the family. The experience of intrafamily violence had a positive association with statistical significance between the variables: CMD and the use of alcohol at some time in life. There is also a positive association, without statistical significance with the variables: alcohol use in the last month; use of cigarettes at some time in life; cigarette use in the last month; use of illicit drugs. In the multivariate analysis there was no positive association, with significance, in any of the variables, however, in the final model the study identified a significant association between the experience of intrafamily violence and the following variables, respectively: CMD and alcohol use at any time. Manuscript 2 entitled “Profile of adolescents experiencing intrafamily violence” is linked to objective 2 of the dissertation: To outline the socio-demographic profile and lifestyle of school adolescents experiencing intrafamily violence. The study population consisted of 145 adolescents, with experience of intrafamily violence, with girls, the group most exposed to the problem (62.1%), self-declared black (77.9%), does not have a boyfriend. According to the behavioral characteristics and lifestyle of these adolescents, 63.5% had CMD, 75.2% stated that they had consumed alcohol (sometime in their lives). The study revealed the profile of adolescents most susceptible to the situation of violence in the domestic environment and even though these (s) adolescents with experience of intrafamily violence are more likely to use alcohol and have CMD compared to those (s) who did not experience the injury, showing the importance of an early action to avoid or mitigate the impacts caused, especially to the mental health of adolescents.
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3
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JESSICA ALVES SACRAMENTO DE MORAES
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The meaning of the error in the administration of medicines in pediatrics from the nurses' perspective.
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Advisor : CLIMENE LAURA DE CAMARGO
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COMMITTEE MEMBERS :
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CLIMENE LAURA DE CAMARGO
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HANDERSON SILVA SANTOS
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MARIA CECILIA LEITE MORAES
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RIDALVA DIAS FELIX MARTINS
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Data: Feb 24, 2021
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Show Abstract
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MORAES, Jéssica Alves Sacramento de Moraes. The meaning of the error in the administration of medicines in pediatrics from the nurses' perspective. 2021. Thesis advisor: Climene Laura de Carvalho. 73 fl. Thesis (Master’s in Nursing and Health). School of Nursing, Federal University of Bahia, Salvador. 2021. The administration of medications is a routine action during health care, where any failure can result in significant health problems, being a challenge for the pediatric population. Nurses play a crucial role in this process, making it necessary to analyze how these professionals perceive the medication error. Objetivo: Apreender os significados acerca do erro na administração de medicamentos em pediatria, elaborados por enfermeiras; Descrever os fatores que influenciam na ocorrência de erros de administração de medicamentos em pediatrias; Descrever ações para minimizar o erro na administração de medicamentos em pediatria. Methodology: A qualitative descriptive exploratory study guided by Symbolic Interactionism was conducted in a philanthropic hospital in the city of Salvador, Bahia. Participated 11 nurses The research complies with the Guidelines and Standards for Research Involving Human Beings of Resolution 466/2012 of the National Health Council /Ministry of Health. Data were collected between July and November 2020. The appreciation of the data was performed from the content analysis Results: They will be presented by means of two manuscripts. The first one entitled: "Perception of nurses about the error in medication administration in pediatrics" showed that nurses mean the error in medication administration prevailing aspects related to the culture of fear, punishment and blame, the participants also identify factors related to the occurrence of error as well as possible actions to reduce failures related to medication administration. The second manuscript, "Nurses' actions to minimize the error in the administration of medications in pediatrics" brings actions instituted by professionals to reduce the occurrence of error through actions that involve changes in work routines and training and qualification actions of the team, which is related to the institutional demands for professional qualification based on continuing education in health. Conclusion: Nurses perceive the error considering individual aspects, being fundamental the development of safe acts in all stages of the drug administration process. Discussing the occurrence of error during the provision of care is an opportunity to reflect on the professional practice, rethinking strategies to improve the quality of care provided to hospitalized children.
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4
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GEORGIANE SILVA MOTA
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Social determinants of health and risk factors for syphilis in women from a rural community.
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Advisor : JEANE FREITAS DE OLIVEIRA
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COMMITTEE MEMBERS :
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CLAUDIA GEOVANA DA SILVA PIRES
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CLEUMA SUELI SANTOS SUTO
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JEANE FREITAS DE OLIVEIRA
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MIRIAN SANTOS PAIVA
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Data: Feb 24, 2021
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Show Abstract
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MOTA, G.S. Social determinants of health and risk factors for syphilis in women from a rural community. 2021. 79 f. Dissertation (M.Sc in Nursing) – Nursing School at the Federal University of Bahia (UFBA), Salvador, 2021.
The social determinants of health are a set of factors that represent the particularities of individuals and make up a heterogeneous network of factors that harm, promote or protect health. According to the Health Ministry, syphilis remains as a public health problem for Brazil today. Among its risk factors in women from rural communities, the following stand out: restricted access to health services, delayed diagnosis and early intervention, unprotected sex and lack of knowledge about syphilis, directly affecting the social impacts of these women and the social determinants of health with regard to inequalities based on the conditions of daily life. The research objectives are: to identify the social determinants of health and the risk factors for syphilis in women from a rural community; to verify the association between social determinants of health and risk factors for syphilis in women from a rural area. This is a cross-sectional study conducted with 259 women from a rural community of Camaçari-BA. The data were collected from July 2019 to January 2020, by applying a form that contemplated sociodemographic characteristics and general health conditions. The SPSS statistical software, version 21.0, was used to process and analyze the data. Descriptive analysis was performed by using absolute numbers and percentage indices. To verify the association between social determinants of health and risk factors for syphilis, Pearson's Chi-square test was used, considering statistical significance when p <0.05, and multiple logistic regression analysis to determine which variables could be considered predictors of syphilis. There was a predominance of women over 30 years old (61.4%), black / brown (89.2%), with no previous history of chronic diseases (60.2%), with sexual onset after 16 years old (57.7%), with 1 to 3 sexual partners in life (72.9%), who used contraceptive methods (67.6%), without using condoms in all sexual relations (62.2%), knew about transmission and prevention of STIs (89.8%), have already gestated (91.5%) and have not aborted (74.1%). They had a religious belief (75.7%), lived with a partner (71.4%), had a child (89.6%), did not have a support group (57.1%), even had elementary school (47, 1%), engaged in paid activity (34.3%), resided in their own or ceded home (86.1%), received less than a minimum wage (33.7%), partially financially dependent on someone (39.4% ), does not receive government assistance (51.4%) and exclusively access public health services (53.3%). A statistically significant association was identified between: the use of condoms during sexual intercourse and the use of contraceptive methods with the housing situation (p = 0.03); number of income dependent (p = 0.01) and access to health services (p = 0.03). With regard to knowledge about the transmission and prevention of STIs and religious beliefs (p = 0.02), there was a significant association, as well as having children (p = 0.02), education (p <0.01) and monthly income (p = 0.02). The data revealed social inequalities that can interfere with the health of rural women, thus enabling the expansion of health actions and strategies in order to meet the needs of the population.
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5
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FERNANDA MOREIRA RIBEIRO FRAGA
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Community of teaching-care practice as a permanent education strategy in hospital care training in nursing:
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Advisor : VANIA MARLI SCHUBERT BACKES
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COMMITTEE MEMBERS :
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VANIA MARLI SCHUBERT BACKES
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GILBERTO TADEU REIS DA SILVA
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SILVANA LIMA VIEIRA
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SIMONE COELHO AMESTOY
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KATHERI MARIS ZAMPROGNA
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Data: Feb 26, 2021
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Show Abstract
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Fraga, Fernanda Moreira Ribeiro. Community of teaching-care practice as a permanent education strategy in hospital care training in nursing: A Theoretical Approach. 2021. 103f. Dissertation (Master In Nursing) - School Of Nursing, Federal University Of Bahia, Salvador, 2021 Professional training in nursing relies on the active participation of the hospital, the faculty member, the supervising nurse and the student, establishing a symbiotic relationship and knowledge sharing. understanding the importance of teaching-service integration, the necessary pedagogical preparation to act in training, the community of practice as a viable space for the collective development of teaching-assistance, this study of theoretical approach. Had as objectives: to know the potential and challenges of permanent health education in hospital care and analyze the contributions of communities of practice to teacher training and practice, with a view to valuing the teaching-care performance in the qualification of professional training in nursing, defending the community of teaching-care practice as a strategy for permanent health education in hospital care. With the bibliographic research method, characterized as a qualitative, descriptive study, a narrative review of the literature was developed, with 18 documents captured by google scholar contemplating productions from 2005 to 2020, on permanent health education in hospital care , and an integrative literature review on the contributions of the community of practice, consisting of 27 articles, identified through searches in the MEDLINE, LILACS, BDENF, CINAHL AND ERIC databases, between april and june 2020, allowing access to recent studies of the themes on the agenda, and a reflective and critical interpretation. The results showed that studies on permanent education showed themes such as: historical contextualization of permanent health education; survey of needs and obstacles for permanent health education in hospital care; development of proposals for permanent health education; role of permanent health education in hospital care; and permanent health education promoting the integration of teaching and service. In relation to the contributions of the communities of practice, the following stand out: collaborative learning; transformative pedagogical space; strategy for the production of innovative knowledge; and approaching professionals from regional, national and international borders through virtual resources. It was concluded that the theoretical approach used evidenced the contributions that the development of communities of teaching-assistance practice in hospital care allows advancing in the pedagogical knowledge of these actors as a permanent education strategy in hospital organizations and to value the teaching-assistance integration, qualifying the training professional and health care.
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6
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LUCINÉIA SANTOS DA SILVA
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Factors associated with ischemic stroke in children and adolescents with tetralogy of Fallot.
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Advisor : RIDALVA DIAS FELIX MARTINS
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COMMITTEE MEMBERS :
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CLAUDIA GEOVANA DA SILVA PIRES
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FRANSLEY LIMA SANTOS
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MARIA CAROLINA ORTIZ WHITAKER
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RIDALVA DIAS FELIX MARTINS
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Data: Mar 23, 2021
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Show Abstract
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SILVA, Lucinéia Santos da. Factors associated with ischemic stroke in children and adolescents with tetralogy of Fallot. 2021. 89 p. Dissertation (Master) - Nursing Course, School of Nursing, Federal University of Bahia, Salvador, 2021. The general objective was to verify the factors associated with stroke in children and adolescents with tetralogy of Fallot in an outpatient clinic specialized in pediatric cardiology and cardiovascular surgery in Northeast Brazil and outlined three specific objectives: 1st: Estimate the prevalence of T4F in children and adolescents with congenital heart disease; 2nd: Estimate the prevalence of stroke in children and adolescents with T4F and 3rd: Characterize children and adolescents with T4F and the complications found in relation to clinical and demographic variables. This is a quantitative, cross-sectional, descriptive study, carried out in an outpatient clinic specialized in pediatric cardiology and cardiovascular surgery in Northeast Brazil. It included a sample represented by all children and adolescents aged zero to 19 years with a diagnosis of tetralogy of Fallot monitored in this specialized outpatient clinic. The data were obtained through the consultation of electronic medical records, and guided by an own elaboration form. Initially, a univariate descriptive analysis of the clinical and demographic variables of children and adolescents with T4F was performed: absolute and relative frequencies for categorical variables; median and interquartile range for numerical variables. In the second stage, a bivariate analysis was performed, which consisted of verifying the factors associated with ischemic stroke in children and adolescents with T4F and Pearson's Chi-square and Fisher's exact tests were applied. All variables worked on in the bivariate analysis were included in the multivariate model of logistic regression. Those that remained in the final model were those that proved to be significant (p < 0.05). The results were described in two manuscripts that contemplated the objectives. Manuscript 1: Answered the three specific objectives of the dissertation. Of the 104 (15.5%) of the children and adolescents treated at this clinic, they have the diagnosis of tetralogy of Fallot, the majority were male (59.6%) and aged between 10 and 19 years (49%). Complications such as: ischemic stroke (6.7%), endocarditis (2.9%) and heart failure (1.9%) were evidenced. Manuscript 2: Directly answered the general objective of the dissertation. Presence of clinical factors, such as thrombophilia and polycythemia and, as a complication, cardiorespiratory arrest are independent predictors for ischemic stroke in children and adolescents with T4F. There was a high prevalence of T4F and complications resulting from this heart disease. Thus, it is essential that health professionals and services are prepared to care for these children and adolescents and, above all, public policies aimed at the children and adolescents with congenital heart disease urgently implemented, in order to promote the improvement of care and access to health care. diagnosis and treatment.
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7
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EMANUELA SANTOS OLIVEIRA
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Nurse care for the elderly with a permanent cardiac pacemaker during the hospital-home transition.
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Advisor : TANIA MARIA DE OLIVA MENEZES
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COMMITTEE MEMBERS :
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ADRIANA VALERIA DA SILVA FREITAS
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ANA LUIZA BARRETO DE OLIVEIRA CERQUEIRA
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CLAUDIA GEOVANA DA SILVA PIRES
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TANIA MARIA DE OLIVA MENEZES
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Data: Mar 29, 2021
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Show Abstract
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Oliveira, Emanuela Santos. Nurse care for the elderly with a permanent cardiac pacemaker during the hospital-home transition. 2021. 60f. Dissertation (Master in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2021. The growing rate of cardiovascular diseases in Brazil expands the number of hospitalizations and cardiac pacemaker implants. The importance of patient orientation regarding care after the pacemaker implantation is emphasized. In this sense, the transition of care has been highlighted as one of the ways to guarantee continuity of care. The objectives of this research were: General: To apprehend how the nurse's care occurs to the elderly person with a definitive cardiac pacemaker in the hospital-home transition; Specific: 1. Identify which care guidelines the nurses provide the elderly person with a definitive cardiac pacemaker, family and / or caregivers during hospitalization; 2. Identify how nurses insert the family in the guidelines on hospital-home transition care; 3. Describe the facilities and difficulties of the service in the planning and implementation of hospital / home transition care for the elderly with a cardiac pacemaker, family members and / or caregivers. This is a qualitative research, carried out in a philanthropic hospital, in the city of Salvador-BA. The participants were 14 nurses who work in the inpatient units with a surgical and cardiological profile. To collect the testimonies, the semi-structured interview technique was used. The findings were discussed using the collective subject discourse technique. The nurses' insipient knowledge about transition care was identified, and from the perspective of these professionals, the main care related to the elderly with pacemaker consists of guidelines on the use of the pacemaker identification card and care for the surgical wound, disregarding the surgical wound. The other aspects that make up the individual's integrality. It was observed that discharge planning is not initiated at the time of admission by all nurses. From the perspective of the interviewees, the importance of the participation of the family member / caregiver in the care guidelines stands out. It was found that the nursing discharge report is a facilitating instrument for the transition of care. Nurses must be trained with theoretical and practical basis, based on specific knowledge about this implantable electronic cardiac device, in order to minimize the implications regarding the physical, emotional and social aspects involved in the pacemaker implantation process. Thus, the nurse must offer a qualified care transition, aiming to reduce risks, complications and hospital readmissions.
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8
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JACINTA MARTA TAVARES LEIRO
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The Calafate Women's Collective does not address violence against women.
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Advisor : NADIRLENE PEREIRA GOMES
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COMMITTEE MEMBERS :
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NADIRLENE PEREIRA GOMES
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DÁLIA COSTA
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JORDANA BROCK CARNEIRO
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MARIA DEOLINDA ANTUNES DA LUZ LOPES
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NORMELIA MARIA FREIRE DINIZ
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Data: Mar 31, 2021
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Show Abstract
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LEIRO, Jacinta Marta Tavares. The Calafate Women's Collective does not address violence against women. 2021. 88f. Dissertation (Master in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador. 2021. The aforementioned project aimed to learn about the contributions of the Calafate Women's Collective in tackling violence against women. The reality of violence against women experienced by women from the Calafate Women's Collective is a situation that invites us to understand the relevance of feminist organizations for the strengthening of women in situations of domestic violence for the purpose of a life free from this phenomenon and motivated to expand and propagate the role of the CMC for more than 25 years of activity. This is a qualitative research, chosen because it is a research that will need to rescue elements related to the experiences and interactions of members in a social organization and their struggle to face violence against women in its various expressions.It made it possible to know the contributions of the Collective of Women of Calafate to confront violence against women. It points to the importance of self-managed initiatives by popular and black women for the achievement of personal and collective conquests, overcoming the challenges of violent daily life and social vulnerability and offers subsidies for targeting other social organizations that work or intend to act to face the problem. problematic of Violence Against Women.
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9
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JAQUELINE ALVES PIRES
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Experience of women with molar pregnancies.
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Advisor : TELMARA MENEZES COUTO
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COMMITTEE MEMBERS :
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TELMARA MENEZES COUTO
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LILIAN CONCEICAO GUIMARAES DE ALMEIDA
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TANIA CHRISTIANE FERREIRA BISPO
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JORDANA BROCK CARNEIRO
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Data: Apr 15, 2021
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Show Abstract
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PIRES, Jaqueline Alves. Experience of women with molar pregnancies. 2021. 62f. Dissertation (Master in Nursing and Healt) - School of Nursing, Federal University of Bahia, Salvador, 2021. Considered a complication of pregnancy and classified as a hemorrhagic syndrome of the first half of pregnancy, hydatidiform mole or molar pregnancy is a problem with a low rate in Brazil and in the world. When diagnosed with such a pathology, women may suffer from the impacts that this disease is capable of causing to their health, especially in the psychological sphere. This study aims to understand the experience of women with molar pregnancy. This is a descriptive research project, with a qualitative approach, linked to a matrix project entitled “Obstetric syndromes with hemorrhagic potential and their implications for women's health”. This project is linked to the Study Group on Women's Health in Pregnancy and Childbirth at the School of Nursing at the Federal University of Bahia. The work was carried out at the reference clinic for hydatidiform mole of a teaching maternity hospital in the city of Salvador, Bahia, Brazil. The collaborators were 16 women with a history of hydatidiform mole. Data were obtained through individual interviews with the help of a semi-structured form. The speeches were recorded using a digital recorder and transcribed in full. The organization and analysis of data took place through content analysis guided by Bardin. The research meets the ethical requirements that regulate the development of research involving human beings and is approved by the research ethics committee under opinion number 3,426,869. Eight categories emerged from the study: Discovery of pregnancy and molar pregnancy; Lack of knowledge about molar pregnancy; Obstacles to service; Search for knowledge about molar pregnancy; Feelings related to the diagnosis of molar pregnancy; Construction of a support network and the subcategories: Support from family, friends and religion and Support from health professionals; Perceptions about the treatment; Perceptions about self after molar pregnancy. The research allowed knowing the experience of women diagnosed with hydatidiform mole. Therefore, the participants pointed out the discovery of molar pregnancy as a moment that generates intense expectations and frustration, as a result of the interruption of pregnancy. Women were unaware of molar pregnancy, which contributed to the emergence of questions about the development of the fetus. Furthermore, the women experienced obstacles in the care provided at the health services, which were related to scheduling appointments for monitoring molar pregnancy; difficulties in scheduling the curettage, in displacement and delay in the adjustment service. We highlight the importance of qualitative scientific research that explores the emotional and psychological barriers that women can present with a molar pregnancy, in order to offer changes in institutional care considering this health condition based on biological, psychological and social factors.
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10
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DHULIANE MACÊDO DAMASCENA
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Conditions of error production in nursing work.
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Advisor : CRISTINA MARIA MEIRA DE MELO
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COMMITTEE MEMBERS :
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CRISTINA MARIA MEIRA DE MELO
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TATIANE ARAUJO DOS SANTOS
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JONAS SAMI ALBUQUERQUE DE OLIVEIRA
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SOSTENES ERICSON VICENTE DA SILVA
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Data: Apr 16, 2021
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Show Abstract
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DAMASCENA, Dhuliane Macedo. Conditions of error production in nursing work. 2021. 134 f. Dissertation (Master's degree in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2021. The aim of this research was to analyze conditions of error production in ethical-disciplinary processes processed, judged and filed in the Regional Nursing Councils of the Brazilian Nordeste. This is an analytical study with a qualitative approach. The location of the study were the Regional Councils of Bahia, Alagoas, Sergipe and Rio Grande do Norte. The research included disciplinary ethical proceedings, lawsuits and filed in the period from 2000 to 2018. For data analysis, the Thematic Content Analysis proposed by Bardin was used. The analytical process was based on the Theory of Social Production interpreted by Carlos Matus, considering three spaces for the production of error in nursing work: general space , private space and singular space. In the period investigated, 19 processes were identified with complaint of error in nursing work, involving 26 workers. The results showed that the authorship of the error in nursing work is frequent among nursing technicians and auxiliaries, and the nature of the work they perform, predominantly care activities. The most recurrent error was medication in the hospital environment. The most frequent error production conditions in nursing work were identified in the general space or error determination (74.52%), with emphasis on the precarious nature of work, revealed by the intensity of work, by the disposal of labor law and for the precarious working conditions. In the general space, it is also evidence for the hierarchical model of organization of the work process in health and absence of work instruments, as conditions of error production in nursing work. In the particular space, the conditions of error production identified were related to the organization of the nursing work process (15.09%). In the singular space, which situates the singularities of nursing workers, such as knowledge, skill and attitude, were expressed less frequently (10.3%) error production conditions. It is concluded that the conditions of error production were identified more frequently in the general space, of the determinants for the occurrence of error, and the precariousization of the work was the most recurrent condition. The singularities of nursing workers, situate din the singular space, are less frequently the conditions of error production, demonstrating that these workers did not err on their own and nor were their singularities predominantly causes of error.
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11
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ROSINETE SOUZA BARATA
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Moral and / or ethical problems experienced by members of ethics committees in research.
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Advisor : DARCI DE OLIVEIRA SANTA ROSA
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COMMITTEE MEMBERS :
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ANA ANGÉLICA LEAL BARBOSA
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DARCI DE OLIVEIRA SANTA ROSA
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KARLA FERRAZ DOS ANJOS
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KLEVERTON BACELAR SANTANA
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Data: Apr 27, 2021
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Show Abstract
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BARATA, Rosinete Souza. Moral and / or ethical problems experienced by members of ethics committees in research. 2021. 139f. Dissertation (Master’s degree in Nursing - Nursing School of the University Federal of Bahia, Salvador, Bahia, Brazil, 2021. In the exercise of their duties, members of the research ethics committees experience moral and / or ethical problems, but this is a topic that has not been investigated much. In this sense, this study has the general objective: to analyze the moral and / or ethical problems experienced by members of the research ethics committee during their activities and on which they are based to solve these problems. This is a descriptive study, with a qualitative approach, whose participants were 39 people who served on research ethics committees in a city in the state of Bahia, Brazil. Data were collected, in October 2020, through a self-administered questionnaire on the Google Forms platform. The questionnaire was accessed through a link inserted in the invitation sent to each member of the research ethics committee, inviting them to participate in the research. Descriptive data were analyzed by simple frequency and calculated percentage; the qualitative data were analyzed according to the content analysis from the perspective of the Humanistic, Existential, Personalistic Triadic Configuration. The study made it possible to characterize the ethics committees as having been in place for more than eight years; composed of more than seven members, whose mandate varies between 2 and 3 years and with the right to reappoint. With regard to its members, the study showed that there was a majority of females and masters; people without initial training and acting on the same ethics committee where they work, no exchange of experiences between members of different ethics committees and no incentives. About the problems experienced were described: conflict of interest between members of the ethics committees and between researcher, participant and financier; conflict of member values among themselves and between members and researchers; ethical dilemmas related to the suggestions / recommendations made to the researcher and the waiver of an informed consent form. To solve these problems, these members are based on: the norms of the National Research Ethics Commission, laws, bioethics, principles and values and adopt strategies such as exchanging experiences, sharing ideas and opinions among themselves and among members of other ethics committees. We conclude that there is a need for: adequacy in the composition of ethics committees, incentives for members, promotion of initial training and continued training of members and promotion of discussions on research ethics for researchers and academics. The study contributed to produce scientific knowledge on the subject and, with its dissemination, will provide an opportunity to understand the moral and ethical problems experienced by members of ethics committees and enable reflection on the importance of conducting research according to the assumptions basic human rights.
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12
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MILLER FONTES BRANDÃO
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Image of the Nurse in the newspaper O Estado de São Paulo.
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Advisor : GILBERTO TADEU REIS DA SILVA
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COMMITTEE MEMBERS :
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GILBERTO TADEU REIS DA SILVA
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LEONARDO FERNANDES NASCIMENTO
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FERNANDO PORTO
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LUCIANA BARIZON LUCHESI
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Data: May 21, 2021
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Show Abstract
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BRANDÃO, Miller Fontes. Image of the Nurse in the newspaper O Estado de São Paulo. 2021. 72f. Dissertation (Master in Nursing) – School of Nursing, Federal University of Bahia, Salvador. 2021. This is a qualitative, documentary, exploratory research with an approach based on the process of historical investigation that aimed to analyze the image of the nurse published in the newspaper O Estado de São Paulo from 1970 to 1999. We used all the data as source of data. editions published by the newspaper in the 30 years between 1970 and 1999, totaling 10,950 editions published in the studied time frame. Data collection was performed using web scraping techniques, a prominent technique for automated online data collection. We adopted, as an inclusion criterion, the mention of the terms "nurse" or "nurse", as well as both words in their respective plurals, at any time in the text. Thus, the corpus of analysis was composed of 2,528 news items. We identified an average of seven news per month about the nurse. However, in 90.3%, the nurse was only mentioned in the text, with no emphasis or relationship to the main news. In addition, most of the articles were published in the classified section, in the form of an article or column, which, by constitutive characteristic, brings the opinion of the author on a given topic. In the news in which he was the secondary or main figure, we identified characteristics that refer to the cognitive dimension of the image that were grouped in the analysis categories: Submission to the medical category; Dichotomous representations: from angels to demons; The devaluation of the nurse's work; The professional nurse; The nurse is aware of her political role. We can infer, based on the analyzed data, that despite the significant amount of news published on the topic during the analyzed period, this contributed little to the construction of the image of the nurse as a health professional in Brazilian society because most of the news only mentioned the nurse in the text or used the term to characterize an object or situation. In addition, the characteristics of nurses presented in the analyzed news refer to an image that is still romanticized and distant from the reality of the world of work experienced by nurses, reinforcing old stereotypes related to women and domestic work. We argue that it is necessary to open paths to strengthen the image of this professional as a worker who plays a central role in any health system. They are professionals who are present in almost all health services, on a continuous basis, every day of the week. They represent the link between the various health professionals in the conduct of care processes and increasingly occupy spaces in the management of health services and systems.
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13
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VERÔNICA OLIVEIRA DA SILVA HELENO
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Challenges of managers of the brazilian nursing and patient safety network/polo bahia to promote patient safety during the covid-19 pandemic.
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Advisor : ROSANA MARIA DE OLIVEIRA SILVA
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COMMITTEE MEMBERS :
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ANA LUCIA ARCANJO OLIVEIRA CORDEIRO
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CLAUDIA SILVA MARINHO
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GISELLE ALVES DA SILVA TEIXEIRA
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ROSANA MARIA DE OLIVEIRA SILVA
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Data: Jun 21, 2021
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Show Abstract
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HELENO, V.O.S. CHALLENGES OF MANAGERS OF THE BRAZILIAN NURSING AND PATIENT SAFETY NETWORK/POLO BAHIA TO PROMOTE PATIENT SAFETY DURING THE COVID-19 PANDEMIC. 2021. 106f. Dissertation (Master in Nursing) - School of Nursing, Federal University of Bahia, Salvador. 2021. This study aims to analyze the challenges of the managers of the Brazilian Network of Nursing and Patient Safety (REBRAENSP) Polo Bahia to promote patient safety during the COVID-19 pandemic and as specific objectives to identify and describe the challenges of managers of REBRAENSP Polo Bahia for the promotion of patient safety during the COVID-19 pandemic. This is a descriptive-exploratory study with a qualitative approach. Twelve nurses who act as managers of REBRAENSP Polo Bahia and of Nucleos Salvador, Reconcavo da Bahia, Feira de Santana, Itabuna and Lauro de Freitas took part in it, comprising 05 coordinators, 04 vice coordinators and 03 secretaries. The inclusion criterion for the study was to be a manager - coordinator, vice coordinator and/or secretary - of REBRAENSP Polo Bahia and/or its Nuclei, which were chosen because they are directly involved in the management, planning, organization and promotion of activities aimed at patient safety in the context of the pandemic. The exclusion criteria were managers of Nuclei created after the onset of the COVID-19 pandemic, considered in this study, from March 1, 2020. For data collection, the semi-structured interview technique was used. between December 30, 2020 and January 21, 2021 and carried out, due to the pandemic, on a virtual basis, via the Zoom® digital platform. The interviews were recorded in audio and video, and the organization and analysis of the data took place using the Bardin Content Analysis technique and was structured through the formation of categories and subcategories. The participants were predominantly women, between 24 and 66 years old, with an average age of 46.7 years, all postgraduates, with an average time since graduation of 22.2 years. Most of them have only one employment relationship, and are mostly public servants with public service exams with heterogeneous areas of activity. About the time of participation in the Network, half joined more than 05 years ago and took over as manager for about 01 year. Based on the analysis of the interviews, 03 categories emerged, one of which originated 04 subcategories. The first category was Keeping Network Activities and its subcategories were: Performing Distance Activities; Reconcile Service Work with Network Activities; Implement a New Plan of Activities and Develop Activities in a Scenario of Fear, Insecurity and Stress. The second category was Using Digital Resources and the third Recognizing Fake News. It was concluded that maintaining the continuity of the Network's activities, using digital resources and identifying fake news were the challenges faced by the Network's managers to support the health system in the promotion and guarantee of patient safety during a health emergency.
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14
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PEDRO HENRIQUE COSTA SILVA
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Mobility of hospitalized older people: a estudy of social representations.
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Advisor : LARISSA CHAVES PEDREIRA SILVA
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COMMITTEE MEMBERS :
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JULIANA BEZERRA DO AMARAL
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LARISSA CHAVES PEDREIRA SILVA
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MIRIAN SANTOS PAIVA
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VALDENIR ALMEIDA DA SILVA
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Data: Jun 29, 2021
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Show Abstract
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SILVA, Pedro Henrique Costa. Mobility of hospitalized older people: a estudy of social representations. 2021. 81 f. Master dissertation (Master degree in Nursing) – Federal University of Bahia, Nursing School, Salvador, 2021. The research was developed based on the problem that hospitalization, even unintentionally, favors the occurrence of risks and when it comes to elderly people, can generate physical, psychological and social problems that could be avoided by encouraging mobility. Objective: to apprehend the social representations of the nursing team about the phenomenon of the hospitalized elderly's movement. This is a descriptive-exploratory research with a qualitative approach, based on the principles of the Theory of Social Representations, with a focus on the structural approach. The studied social group was composed of 100 professionals from the nursing team that works in open units for the care of the elderly, from a university hospital, in the city of Salvador, Bahia, Brazil. For data collection, techniques of free association of words and unstructured interviews were used. The data of the free association of words were processed by the EVOC software that determined the structure of the social representation through the frame of four houses. The corpus of characteristics was analyzed in line with the thematic content analysis. In the frame of four houses, considering the frequency and the average order of evocations, the terms “fall, bedridden and care” and made up the central nucleus. The set of terms included in the framework of four houses of resonance in the new categories and enabled the construction of three thematic categories: Care involving risks, care aimed at maintaining independence and attention to deal with barriers to mobility. The nursing team, when exposing a structure represented in front of the analyzed object, makes it clear that it is not limited only to the execution of care, it goes further when thinking about the mobilization security of the elderly. A specific team that works with a focus on this domain of management of the limiting factors brought on the board, could be concerned with thinking about the operationalization of these strategies, providing people, equipment, materials and other needs. Although the research is limited to a group of professionals, it is necessary to deepen the studies and analyze how the elements do among themselves, in addition to other research in the area to better elucidate the relationship that health professionals establish as a priority in the recovery of mobility of the elderly. hospitalized.
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15
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AIMONE CARNEIRO DE OLIVEIRA
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Nursing care facing thermal instability in premature newborns from the perspective of the complex adaptive system.
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Advisor : CLIMENE LAURA DE CAMARGO
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COMMITTEE MEMBERS :
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CLIMENE LAURA DE CAMARGO
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JOSIELSON COSTA DA SILVA
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MARCIA MARIA CARNEIRO OLIVEIRA
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LUCAS AMARAL MARTINS
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MARIA CECILIA LEITE MORAES
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Data: Jun 30, 2021
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Show Abstract
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OLIVEIRA, AC. Nursing care facing thermal instability in premature newborns from the perspective of the complex adaptive system. Dissertation. 2021 [Masters in Nursing and Health]. School of Nursing, Federal University of Bahia, Salvador. 2021.
This study aims to describe the care provided by nurses regarding the thermal instability of the PTNB: To identify, in the nurses' perception, the factors that are present in the care given the thermal instability of the PTNB. This is a descriptive and exploratory study with a qualitative approach. Data were collected from September to December 2020. For data analysis, the Content Analysis method was used. Thus, the results showed a description of the care provided by nurses in face of the thermal instability of the PTNB with the organization of the unit, in addition to 18 actions performed during the admission and hospitalization of the newborn in the NICU. Furthermore, it showed that the factors present in the care of nurses in controlling the thermal instability of premature newborns in the NICU are related to environmental conditions, institutional factors and factors related to the professional. In short, the research findings reveal the care provided by nurses facing the thermal instability of the PTNB that starts even before their arrival at the NICU with the organization of the unit to receive them, as well as the direct and indirect care that prevent thermal instability and maintains the temperature of the PTNB during their arrival and stay in the NICU. It appears that the assistance of nurses to the PTNB takes place through the performance of multiple actions considering the particularities of each of them in different contexts, which makes decision-making independent and, at the same time, linked to environmental conditions and interactions that occur with the multidisciplinary team.
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16
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JULIANA MACIEL MACHADO PAIVA
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Professional trajectory of graduates of technical courses in nursing in the integrated modality.
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Advisor : GILBERTO TADEU REIS DA SILVA
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COMMITTEE MEMBERS :
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ELAINE KELLY NERY CARNEIRO ZUNINO
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GILBERTO TADEU REIS DA SILVA
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JULIANA COSTA RIBEIRO BARBOSA
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ROSANA MARIA DE OLIVEIRA SILVA
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Data: Jul 19, 2021
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Show Abstract
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PAIVA, Juliana Maciel Machado. Professional trajectory of graduates of technical courses in nursing in the integrated modality. 110 p. Dissertation (Masters in Nursing and Health), Federal University of Bahia, Salvador, 2021. In the scenario of technical training in nursing, there is a considerable distance between professional choice and the consolidation of that choice through acting in the profession. This gap is permeated by a series of facilitating and challenging elements that impact on guaranteeing the performance of these professionals as nursing technicians. Therefore, the main objective of this study is to analyze the professional trajectory of graduates of nursing technician courses in the integrated modality in Bahia. And as specific objectives: to characterize the graduates of technical training in nursing in the integrated modality; identify the elements that facilitated the professional trajectory of graduates of technical training in nursing in the integrated modality and identify the challenges faced by alumni of technical training in nursing in the integrated modality in their professional trajectory. This is a descriptive-exploratory study, conducted through interviews with 19 graduates who completed the technical course in nursing in the integrated modality between 2015 and 2018. The research had as co-participating institutions 3 schools in the state of Bahia. Data collection was carried out in person and at a distance with the support of technologies. These data were handled with the support of qualitative analysis software. 84.2% of the graduates were female; the age groups between 21 and 30 years old and between 31 and 40 years old represent 36.8% of the graduates; 63.2% were single, and 57.9% brown. Through the speeches of the graduates, it was possible to list the elements that facilitate insertion into the world of work, with items such as professional training, experience provided by internships and practical classes, previous professional experiences, government initiatives and network of indications being highlighted; Challenges were also identified: lack of experience in the profession, limitations of government initiatives, low supply of vacancies in the interior of the state, network of indications and precariousness of bonds.
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17
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RAILENE PIRES EVANGELISTA
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Fatherhood in the puerperium in the context of COVID 19: experience of men who received prenatal.
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Advisor : EDMEIA DE ALMEIDA CARDOSO COELHO
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COMMITTEE MEMBERS :
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ANDERSON REIS DE SOUSA
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EDMEIA DE ALMEIDA CARDOSO COELHO
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JAMILE GUERRA FONSECA
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LARISSA SILVA DE ABREU RODRIGUES
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Data: Jul 30, 2021
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Show Abstract
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EVANGELISTA, R. P. Fatherhood in the puerperium in the context of COVID 19: experience of men who received prenatal care.. 2021. Dissertation (Masters in Nursing) - School of Nursing, Federal University of Bahia, Salvador, 2021. ABSTRACT The theme of paternity and care has become increasingly stronger in society and one of the initiatives in Brazil was the creation of partner prenatal care, in which the man is welcomed and cared for at the time he is inserted in pregnancy and co-responsibility with care since the puerperium. The new coronavirus pandemic changed the dynamics of care for women during pregnancy and puerperium and the partner's prenatal care. It also highlighted socioeconomic segregation, so that men are affected according to their social stratification. The research aimed to analyze the experience of fatherhood in the puerperal period in the context of the COVID-19 pandemic among men from different social strata and who had their partner's prenatal care. It is a qualitative research with a descriptive and exploratory approach. It was developed with men who had their partner's prenatal care, users of a Family Health Unit and with men who received private care. Data production took place in April and May 2021. Study participants were 11 men who met the following inclusion criteria: being 18 years old or older; having performed the partner's prenatal care and experiencing the puerperium period from 1 month to 6 months postpartum. The empirical material was produced online through semi-structured interviews and analyzed using the discourse analysis technique. The results show that the prenatal consultation is the starting point for building the feeling of paternity. The responsibility and concern to meet the new demands of the baby appear in a striking way, but among those interviewed by the SUS, family provision is visible as a concern and a burden. The pandemic changed the family dynamics, with the privilege of participating users of the private network, who managed to maintain formal work at regular hours and in the home office and have greater involvement in the routine of care for the baby. SUS users remained in the model of the provider man, with long hours away from home, at work or in search of him, which limited their availability for more participatory fathering. Gender issues were redefined in the men's experience, but there is a strong influence of the SARS COV-2 pandemic, with the characteristics of the work being decisive as to the greater or lesser participation of the father in the care of the baby, which unfolds in partner support. Finally, the results of this study showed the complexity of the experience of fatherhood, which appears associated with subjective aspects and the social context in which this man is inserted. Studies that monitor paternity at different stages of the children's lives deserve to be expanded.
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18
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CLEA CONCEICAO LEAL BORGES
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Analysis of men's health situation and the direction of Primary Care: Implications for Nursing.
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Advisor : ALVARO PEREIRA
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COMMITTEE MEMBERS :
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ALVARO PEREIRA
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FERNANDA MATHEUS ESTRELA
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FRANSLEY LIMA SANTOS
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TELMARA MENEZES COUTO
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Data: Jul 30, 2021
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Show Abstract
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BORGES, C.C.L. Analysis of men's health situation and the direction of Primary Care: Implications for Nursing. 2021. 101f. Dissertation (Masters in Nursing and Health) – Postgraduate Program in Nursing and Health, School of Nursing, Federal University of Bahia. Salvador – Ba, 2021. ABSTRACT To analyze the configuration of the men's health situation and the direction of government actions in Primary Health Care, in Brazil, and the implications of government actions aimed at men's health in the professional practice of Nursing in PHC. Descriptive study based on scientific literature using two strategies: scope review in bibliographic databases specialized in Nursing BDENF, COCHRANE, Scientific Electronic Library Online, LILACS, linked to the VHL, from nine published articles, from from 2000 to 2020, guided by the Joanna Briggs Institute methodology and documental analysis with data obtained in 31 government actions from 2009 to 2021, extracted from official databases hosted on the internet, from agencies related to the health sector and related areas from the federal government of Brazil: Ministry of Health website, legislation portal, Ministry of Health archives portal and others, obtaining laws, plans, technical notes, technical manuals, guidance and educational/instructional guides as primers, posters, flyers. The findings were discussed with the current scientific literature on the subject, in line with PNAISH principles and guidelines. The health situation of men in PHC is permeated by the concentration of barriers to access and demand for services, which are implied in this adherence: the clinical modalities; fear, family provision, invulnerability, self-medication and the feminization of health services. The main demands were related to pain, fever, musculoskeletal problems and the needs of oral, sexual and mental health and the prevention and control of neglected diseases and Chronic Non-Communicable Diseases. Social markers and the social construction of masculinities effectively influence the health situation and self-perception of health, which also contributes to the search for more specialized services. Men, despite the reduced frequency of consultations and adherence to therapies, participate in health education groups. As for the federal government actions related to the health situation of men, they express a focus of focus at each historical and political time, and are revealed by the deliberation of normative actions with a focus on the legislation of health care for men in the country, anchored in a political agenda to face the high morbidity and mortality of the male public and the expansion and strengthening of men's access to health services, with a focus on training, training and professional improvement of health teams, managers and technical supporters at the national level. Government actions are still not very expressive, as they do not cover all the PNAISH axes, such as the mental, spiritual, contexts of vulnerability such as the prison situation, sexual and gender diversity and ethnicity, culture and territories. It is necessary to insert the nurse, as a member of the multidisciplinary team working within the FHS, using tactics that provide the insertion of men in health services, pointing out the need for continuing education and training of these professionals to act in front of the PNAISH, in consolidating the construction knowledge about the relationship between gender and health.
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19
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DIANA SANTOS SANCHEZ
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Experience of women in the treatment of vaginal infections: partner and health service participation.
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Advisor : EDMEIA DE ALMEIDA CARDOSO COELHO
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COMMITTEE MEMBERS :
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ANDIARA RODRIGUES BARROS
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CLEUMA SUELI SANTOS SUTO
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EDMEIA DE ALMEIDA CARDOSO COELHO
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MARIZA SILVA ALMEIDA
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Data: Jul 30, 2021
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Show Abstract
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SANCHEZ, Diana Santos. Experience of women in the treatment of vaginal infections: partner and health service participation. 2021. Dissertation (Masters in Nursing and Health) – School of Nursing, Federal University of Bahia, 2021. 67p Gynecology care is an opportunity to track the vulnerabilities of women arising from sexual experiences. Sexually Transmitted Infections are considered a public health problem, mainly due to the consequences related to sexual and reproductive health. For women, preserving health is a challenge and sexual abstinence during the treatment of genital infections can generate conflicts in the face of inequalities in the relationship with the partner due to the asymmetry in decision-making. The study had as general objective to analyze the experience of women in the treatment of genital infections considering the relationship with their partners and with health services. This is an exploratory study with a qualitative approach. It was carried out through face-to-face and virtual interviews, from November 2020 to June 2021, with 13 women of reproductive age, linked to a Family Health Unit in the Sanitary District of Subúrbio Ferroviário of Salvador-Ba. The analysis of the empirical material was performed using the discourse analysis technique. The research meets the ethical requirements contained in the resolutions of the National Health Council, 466/2012 and 510/2016. The results of this study show that women are attentive to the correct treatment of gynecological infections and some partners participate respecting the necessary sexual abstinence or counteracting it with power and seduction games. They are entirely exempt from liability for the occurrence of gynecological infections, treatment and vulnerability of women. The vulnerabilities are consolidated in the relationship with the partners, but the health service participates, as, despite the preventive guidelines, they do not involve the partner, and the continuity of misinformation is predominant for women as well.
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20
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ISABELA DE JESUS GONÇALVES
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Conditions for transition from hospital-home care for the elderly the light of Afaf Meleis
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Advisor : JULIANA BEZERRA DO AMARAL
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COMMITTEE MEMBERS :
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JULIANA BEZERRA DO AMARAL
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LARISSA CHAVES PEDREIRA SILVA
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ROSANA MARIA DE OLIVEIRA SILVA
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VALDENIR ALMEIDA DA SILVA
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Data: Sep 15, 2021
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Show Abstract
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GONÇALVES, Isabela de Jesus. Conditions for transition from hospital-home care for the elderly the light of Afaf Meleis' Theory. 66 f. ll. Dissertation (Masters in Nursing and Health) – School of Nursing, Federal University of Bahia, Salvador, 2021. ABSTRACT Objective: To analyze the enabling and inhibiting conditions in the transition process of hospital-home care for the elderly in the light of Afaf Meleis' theory. Method: This is a qualitative, descriptive research, carried out with family caregivers of elderly people who participated in the Research and Extension Project entitled Transition Care at the Federal University of Bahia School of Nursing in Salvador, Bahia, Brazil. The inclusion criteria were being a family caregiver and answering the telephone call after returning home. Exclusion criteria were: family caregiver in which the elderly person died, wrong or non-existent contacts, not responding to telephone contact attempts, they were unable to respond.Data collection occurred between January and May 2021, through telephone contact via mobile phone device, where a semi-structured interview was conducted, guided by open questions, which were audio-recorded and transcribed in the integration for further analysis. Nine family caregivers of elderly people who had already been discharged from the hospital were interviewed. Data analysis was carried out through content analysis, considering the assumptions of Afaf Meleis' Theory of Transitions. Results: The facilitating conditions for the hospital-home transition of the elderly were the positive meaning for returning home after hospitalization, spirituality/religiosity to face the established health/disease condition, financial stability, preparation for care management in the home and available social and community support network. The inhibiting conditions for the hospital-home transition were the negative meaning for the return to the home, the elderly person's deficit for self-care, financial insecurity, the lack of preparation for care at home and the absence of the social support network and community. Conclusion: The study data allow us to conclude that the hospital-home transition process for the elderly is complex and subjective. Therefore, nurses must direct their attention to conditions with an interest in promoting interventions that enhance facilitators and mitigate inhibitors, thus contributing to achieving the healthy transition for the elderly.
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21
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KELLY CRUZ PIMENTEL SAMPAIO
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Nurses’ decision making in the Embracement with Risk Classification in Emergency Care Unit.
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Advisor : DARCI DE OLIVEIRA SANTA ROSA
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COMMITTEE MEMBERS :
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DARCI DE OLIVEIRA SANTA ROSA
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KARLA FERRAZ DOS ANJOS
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MARIA TERESA BRITO MARIOTTI DE SANTANA
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MARLUCE ALVES NUNES OLIVEIRA
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Data: Sep 17, 2021
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Show Abstract
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SAMPAIO, Kelly Cruz Pimentel. Nurses’ decision making in the Embracement with Risk Classification in Emergency Care Unit. 2021. 94s. Dissertation (MSc in Nursing and Health). Nursing School, Federal University of Bahia, Salvador, 2021. Nurses’ decision-making is a constant action in their professional performance, in particular in the Embracement with Risk Classification, in which the decision needs to be ethical, and targeted by the clinical condition of users seeking the Emergency Care Units of the Unified Health System. The objective of this study is to understand the process of decision-making of nurses in the Embracement with Risk Classification in an Emergency Care Unit. This is a descriptive study with a qualitative approach, which had as participants 19 nurses who worked in an Emergency Care Unit in Salvador, Bahia, Brazil. The instrument for data collection, a Google Forms online questionnaire was used in two parts: Characterization of research participants and nurse’s decision-making in the Embracement with Risk Classification in the Emergency Care Unit. Data collection occurred in the period from 07 June to June 27, 2021 and was organized according to the six steps of the humanist-existential-personist triad configuration, with a reasoned analysis in the interpretation of the content described by the participants, associated with the ethics and bioethics, the nurse’s decision-making, as well as manuals and ordinances of the Ministry of Health. Ethical aspects were guaranteed based on Resolution 466/2012 of the National Health Council. The research project was approved by the Ethics Committee of the Nursing School of the Federal University of Bahia Caae n. 44202721.0.0000.5531. From the analysis, three empirical categories emerged: Nurse's decision-making in the Embracement with Risk Classification; Humanized care of nurses in the Embracement with Risk Classification; Nurse's decision-making in the Embracement with Risk Classification to the user with suspected Acute Myocardial Infarction. The study allowed identifying that nurses acting on Risk Classification make programmed and non-programmed decisions, which are based on institutional protocols/flowcharts, qualified listening, in the objective and subjective data of users and technical-scientific knowledge they have, to identify the severity and, consequently, the clinical priority of each patient. Moreover, nurses, when caring for a user with suspected Acute Myocardial Infarction, make decisions based on the main complaint, signs and symptoms, vital signs, Infarction protocol and classify the risk of this patient as yellow, orange and/or red. The findings of this study showed that nurses exercise a quality care practice in their daily life, through respect, humanization, ethics and responsibility to users met in an Emergency Care Unit.
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22
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FLÁVIA SILVA FERREIRA
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Factors associated with high time spent in sedentary behavior in undergraduate nursing students.
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Advisor : FERNANDA CARNEIRO MUSSI
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COMMITTEE MEMBERS :
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THIAGO FERREIRA DE SOUSA
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FERNANDA CARNEIRO MUSSI
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JULES RAMON BRITO TEIXEIRA
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MARIANA DE ALMEIDA MORAES
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Data: Sep 27, 2021
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Show Abstract
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FERREIRA, Flávia Silva. Factors associated with high time spent in sedentary behavior in undergraduate nursing students. 2021. 60 f. Dissertation (Nursing Masters) – School of Nursing, Federal University of Bahia, Salvador, 2021.
Sedentary behavior (SB) has been associated with chronic disease and all-cause mortality even in sufficiently active people. College students are referred to as a group exposed to SB, but little is known about this behavior in nursing undergraduate students. The aim of the research was to estimate the time nursing undergraduates spend in SB in their daily lives and to examine the association between time in SB and sociodemographic, academic, and behavioral variables. The cross-sectional study was conducted with 286 undergraduate nursing students from a public University, in Bahia. In data collection, a questionnaire was applied to characterize the variables of interest and the International Physical Activity Questionnaire. The cutoff point ≥8h/day was adopted for high time in SB. The variables were analyzed in absolute and relative frequencies, and age was also analyzed in mean and standard deviation. Prevalence ratios (PR) with 95% confidence interval (CI) were used to analyze the association between the variables of interest and SB. In the bivariate analysis, Pearson's chi-square test or Fisher's exact test were also used. The variables with p value ≤0.20 were inserted in the Multiple Logistic Regression model. In the modeling, the backward procedure was used and in the choice of the best model, Akaike's information criterion (AIC) with the lowest value was used. Since high SB time is common in the sample, the Delta estimation method was used for risk correction, obtaining the PR estimates and respective CIs (95%). A statistical significance of 5% was adopted. The prevalence of SB time ≥8h/day was 53.5%. In the bivariate analysis, Pearson's chi-square or Fisher's exact test was also used. The variables with p value ≤0.20 were inserted in the Multiple Logistic Regression model. In modeling, the backward procedure was used and in choosing the best model, Akaike's information criterion (AIC) with the lowest value was used. Since high SB time is common in the sample, the Delta estimation method was used for risk correction, obtaining the PR estimates and respective CIs (95%). A statistical significance of 5% was adopted. The prevalence of SB time ≥8h/day was 53.5%. In multivariate analysis, college students aged ≥25 years spent 33.0% less time in SB ≥ 8h compared with those aged 18-24 years, those with ≥3 hours dedicated to extracurricular studies spent 1.23 times more time in SB ≥ 8h compared with those spending <3 hours, and those taking ≥4 courses in the current semester spent 1.58 times more time in SB ≥ 8h compared with those taking ≤ 3 courses. Furthermore, those who engaged in physical activity <150 min/week spent 1.25 times more time in SB ≥ 8h than those who met the recommendation of ≥150 min/week, and those who used sleep medications spent 1.46 times more time in SB ≥ 8h than those who did not use these drugs. The results highlight the importance of developing health promotion strategies and policies to combat SB in college students, especially for younger students, with a greater accumulation of concomitant subjects, more hours of out-of-class study, insufficient level of physical activity, and taking sleeping medication.
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23
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MILENA ARÃO DA SILVA OLIVEIRA
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Perceptions and experiences of men in criminal proceedings for domestic violence about paternity.
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Advisor : ALVARO PEREIRA
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COMMITTEE MEMBERS :
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ALVARO PEREIRA
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ANDERSON REIS DE SOUSA
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ANDREY FERREIRA DA SILVA
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JÚLIA RENATA FERNANDES DE MAGALHÃES
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NADIRLENE PEREIRA GOMES
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Data: Dec 2, 2021
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Show Abstract
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OLIVEIRA, Milena Arão da Silva. Perceptions and experiences of men in criminal proceedings for domestic violence about paternity. 2021. Dissertation (Masters in Nursing and Health) – School of Nursing, Federal University of Bahia, 2021. 82p To analyze the perception and experiences of men in criminal proceedings for domestic violence about paternity. Exploratory study, with a qualitative approach, linked to the matrix project "Confronting domestic violence within the scope of the Unified Health System: Social technology involving women, men and primary care professionals", funded by the Foundation for Research Support of the State of Bahia (FAPESB). The project in question was developed with men who, during the course of the research, responded to a lawsuit for conjugal violence in the 1st and 2nd Courts of Justice for domestic and family violence in Salvador, Bahia, Brazil. The selection of participants was intentional, respecting the following inclusion criteria: being responding to criminal proceedings for marital violence in the aforementioned Court, having children with an ex-partner, being away from the children as a result of the protective measure and having visibly stable psycho-emotional conditions for the interview. Data collection took place between the months of October and December 2019, through semi-structured interviews with closed and open questions. Data were systematized based on the categorical thematic content analysis proposed by Franco (2012) and ethical aspects were respected. The study showed that the male perception and experience of fatherhood is related to the example given to their children, expressed in honest behavior and accountability for commitments. In addition, the narratives unveil paternity seized and reproduced hegemonically, marked by the figure of the father who provides food and clothing, however, without time for affective bonds with his offspring. Regarding the repercussions, the study reveals that the father-child separation as a result of the urgent protective measure leads to the rupture of the paternal bond, promoting the development of psycho-emotional problems, such as anxiety, depression and suicidal ideation, often somatized and expressed since headache to conditions that require hospital care. Therefore, it is defended the need to reframe paternity in order to positively influence the education of children, reproducing in paternal relationships a father model based on affection and love and on equitable relationships between men and women, transforming the generations of fathers.
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24
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GLEICE DE OLIVEIRA SANTOS
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Women's experiences of ectopic pregnancy.
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Advisor : TELMARA MENEZES COUTO
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COMMITTEE MEMBERS :
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GILVANIA PATRICIA DO NASCIMENTO PAIXAO
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ISA MARIA NUNES
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RIDALVA DIAS FELIX MARTINS
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TELMARA MENEZES COUTO
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Data: Dec 13, 2021
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Show Abstract
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SANTOS, Gleice de Oliveira. Women's experiences of ectopic pregnancy. 2021. 50f. Dissertation (Master's in Nursing and Health) - School of Nursing of the Federal University of Bahia, Salvador, 2021.
Ectopic pregnancy presents itself as one of the types of hemorrhages that affect women during the first half of the gestational period, which in turn is characterized as pregnancy outside the uterine cavity, has a high number of maternal morbidity and mortality, and an exponential growth in the uterine cavity. cases becoming a major public health issue worldwide. In Brazil, its occurrence affects 2% of pregnancies. The early and accurate diagnosis of ectopic pregnancy consequently favors the choice, management and effectiveness of treatment. The present study aims to analyze the perceptions of women who experience ectopic pregnancy. This is a descriptive research, with a qualitative approach, linked to a matrix project entitled “Obstetric syndromes with hemorrhagic potential and their implications for women's health”. The work was carried out in a maternity school in the city of Salvador, Bahia, Brazil. The collaborators were women aged 18 years or older with a history of ectopic pregnancy. Women who were experiencing ectopic pregnancy during the collection period were excluded. Data were obtained through semi-structured virtual interviews. The speeches were recorded and transcribed in full. The organization and analysis of data took place through content analysis guided by Bardin. The research meets the ethical requirements contained in the resolutions of the National Health Council, 466/2012 and 510/2016, which govern the development of research involving human beings, respecting the principles of bioethics. The results were initially presented with the characterization of the study participants, describing from sociodemographic data to data referring to the gynecological-obstetric characteristics of the participants. From the results obtained, the main category emerged, which is the Experience of Ectopic Pregnancy, and its subcategories. The study contributes with relevant information for the early identification of this pathology, identifying the lack of knowledge of women about this type of pregnancy, alerting health professionals, especially nurses who work directly in this assistance, about their qualification and promotion of care more targeted and humanized. In addition to contributing to increase the collection of studies related to this relevant theme.
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25
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VERONICA MATOS BATISTA
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Care provided by the nursing team to patients undergoing palliation in the intensive care unit.
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Advisor : TANIA MARIA DE OLIVA MENEZES
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COMMITTEE MEMBERS :
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TANIA MARIA DE OLIVA MENEZES
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LARISSA CHAVES PEDREIRA SILVA
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JORGAS MARQUES RODRIGUES
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RAUL FERNANDO GUERRERO CASTÂNEDA
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Data: Dec 17, 2021
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Show Abstract
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BATISTA, Verônica Matos. Care provided by the nursing team to patients undergoing palliation in the intensive care unit: a look at the Peaceful End-of-life Theory. 81 f. 2021 Master's thesis thesis. Postgraduate in Nursing and Health. Federal University of Bahia. Salvador, 2021. With the increase in life expectancy in recent years, there was the emergence of chronic diseases and out of therapeutic possibilities, which resulted in an increase in the number of admissions to the Intensive Care Units. However, even with so much technological arsenal in this unit, the cure at certain times becomes impossible, and in this scenario the philosophy of Palliative Care emerges, which through the actions of a multidisciplinary team, seeks to offer quality of life to this patient, relief from suffering and dignified care until the moment of his death. In view of these events, nursing professionals are faced with a reality that is different from the usual one, where care in a more sensitive way becomes essential so that the moments experienced by the patient in palliation become comfortable in all its dimensions. In this context, the research has as general objective: To apprehend the care provided by the nursing team to patients undergoing palliative care in the Intensive Care Unit. Specific objectives: 1. Identify the knowledge of the nursing team about palliative care; 2. Describe actions that the nursing team performs and considers as belonging to palliative care in intensive care; 3. Describe the actions of the nursing team so that patients in palliative care have greater proximity to their family, friends and/or people who care for them; 4. Know the facilities and difficulties of the nursing staff in caring for patients undergoing palliative care in the Intensive Care Unit. This is an exploratory descriptive research with a qualitative approach, carried out in an Intensive Care Unit of a large philanthropic hospital in the city of Salvador, Bahia. The participants were 14 nurses and 21 nursing technicians who work in this sector. Data collection took place after approval by the Ethics Committee. Data were obtained through a sociodemographic questionnaire and an interview with a semi-structured script. After the interview, the testimonies were analyzed using Bardin's content analysis technique and the results discussed in the light of the Final Theory of Peaceful Life. The following categories emerged:1. Knowledge of the nursing team about Palliative Care, 2. Actions promoted by the nursing team to promote comfort to patients undergoing palliative care; 3. Actions promoted by the nursing team to facilitate family proximity; 4. Difficulties and facilities in nursing care for patients undergoing palliation in the ICU; 5. Spiritual care for patients undergoing palliation; 6. Unpreparedness of the nursing team to offer emotional care. There was an incipient knowledge of the nursing team about Palliative Care. It is highlighted in the interviews that nurses and nursing technicians provide biopsychosocial and spiritual comfort to the patient during care, they welcome family members and patients in times of fear and anxiety, but lack of family understanding, fragile communication, difficulty in dealing with death and the lack of preparation in the provision of emotional care makes it difficult to carry out Palliative Care. The nursing team needs training since its formation so that the care provided to family and patients promotes quality of life in all dimensions.
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26
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MÁRCIO SOARES DE ALMEIDA
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Men's health situation in medium and high complexity care and the implications for nursing care.
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Advisor : ALVARO PEREIRA
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COMMITTEE MEMBERS :
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ALVARO PEREIRA
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FRANSLEY LIMA SANTOS
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JULES RAMON BRITO TEIXEIRA
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NUNO DAMÁCIO DE CARVALHO FÉLIX
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Data: Dec 28, 2021
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Show Abstract
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ALMEIDA, Marcio Soares de. Men's health situation in medium and high complexity care and the implications for nursing care. 2021. Dissertation (Masters in Nursing and Health) – School of Nursing, Federal University of Bahia, 2021, 122p
Studying men's health is a continuous and necessary challenge. Several studies around the world have shown that the male population underuses health services, especially those that prioritize preventive actions. The study has the general objective: To analyze the health situation of men in medium and high complexity care and the implications for nursing care. Specifics: Map the scenario of men's health in medium and high complexity care; to analyze the health situation of men in medium and high complexity care based on social determinants and conditions; To analyze the Basic Human Needs in the health care of men in medium and high complexity care. This is a multi-method study and a scope review was chosen to explore the existing literature on the subject, using the methodology of the Joanna Briggs Institute, carried out through search strategies in six relevant databases in the health are. The review included primary and secondary studies, with a quantitative or qualitative approach, in English, Spanish and Portuguese, with no time limit for the inclusion of studies. Regarding the qualitative analysis, a study was conducted with adult men, cisgender, residing in a municipality in Bahia, Brazil, who attend health services in medium and high complexity. A semi-structured individual interview was carried out, submitted to the methodological analysis of the Grounded Theory. The data were interpreted based on the Dahlgren and Whitehead Model and on the theory of Basic Human Needs, by Wanda de Aguiar Horta. The matrix project was approved by the Research Ethics Committee of the UFBA School of Nursing, under opinion number: 3,313,517/2019. Fifteen studies were included in the review, revealing domains in the men's health scenario, including physical, sexual, reproductive, mental and social health. Psychosocial, cultural and behavioral factors were highlighted; habits of life and social life, working conditions, income distribution, access and use of health services and medicines, as the main determinants of men's health in the context of medium and high complexity of care. The health care of the clientele of this investigation was derived from the Basic Human Needs, with greater notoriety in the involvement of diseases and injuries and the imbalances reflected, especially, in the physical body. The philosophy of life directed towards spirituality also emerged as a necessity in the Psychospiritual domain. It is necessary to improve the resolution of the main diseases preventable by primary care and the obstacles encountered in the articulation of care networks. It is healthy to understand the social determinants that are linked to the context of being a man and the broader view of the needs of this public and the consequent care based on processes that make it possible to assist the male population in its entirety.
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Thesis |
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1
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Lázaro Souza da Silva
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Professional insertion of nurses discharged from multiprofessional and professional residency programs.
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Advisor : JOSICELIA DUMET FERNANDES
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COMMITTEE MEMBERS :
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JOSICELIA DUMET FERNANDES
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ANA LUCIA ARCANJO OLIVEIRA CORDEIRO
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GILBERTO TADEU REIS DA SILVA
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GISELLE ALVES DA SILVA TEIXEIRA
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SILVANA LIMA VIEIRA
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MARIA NATÁLIA DE CARVALHO ALVES
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Data: Jan 7, 2021
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Show Abstract
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SILVA, Lázaro Souza da. Professional insertion of nurses discharged from multiprofessional and professional residency programs. 2021. 144 f. Thesis (Doctorate in Nursing) – Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2021. This study addresses the professional insertion of nurses who graduated from multidisciplinary residency programs and in a professional area in the job market. Its general objective is to analyze the professional insertion of nurses who graduated from the Multiprofessional Residency Programs and in the Professional Health Area. As specific objectives: Identify the nurses who graduated from the Residency Programs; To characterize the nurses who left the Residency Programs; To highlight the determining factors for the professional insertion of nurses who have graduated from the Residency Programs; and, Describe the standard pathways for professional insertion of nurses who graduated from the Residency Programs. It is a cross-sectional, exploratory-explanatory and documentary research, with a qualitative approach. The Theory of Professional Insertion proposed by Natália Alves is used as a theoretical support. The empirical research field had as references the Universities, University Centers and Hospitals of the State of Bahia where the Multiprofessional Residency and Health Professional Commissions (COREMUs) were based, but the collection took place in the workplaces of the graduates and, also, in other spaces at a distance, through platforms suggested by the graduates, such as messaging or video applications such as Skype® and Whatsapp®, and also by means of a mobile phone with a call recorder. 35 graduates were interviewed, certified in the period from 2007 to 2017. A script and a form were used to collect the information, which was applied in the semi-structured interview and documentary data collection, respectively, recorded, transcribed and submitted to Analysis. of Bardin Content. Three categories of analysis and respective subcategories were constructed: Standard Routes of Professional Insertion of Graduated Nurses (Routes of Stability in Precariousness and Precarious Insertion, Route of rapid insertion in a stable job with a period of experience; The Residency Program as a determining factor for the professional insertion of nurses in the labor market; Individual strategies used by nurses for professional insertion (Self-promotion for the construction of personal Marketing, Direct job search by means of curriculum delivery, Creation of the Networking network in practice scenarios); Retention of resident professionals by the health institutions participating in the residency program; The expectation of nurses graduating from residency programs regarding their professional insertion in the labor market We conclude that nurses graduating from residency programs are quickly inserted into the labor market, however o, this insertion proves to be precarious even in stable jobs. This insertion is enhanced by the individual determinants of each graduate to promote their personal networking and marketing and to be retained by the health organizations themselves, which were scenarios of their practice, but which are influenced by the economy, institutional and political sectors of the State, and, despite Most of the graduates showed that they were frustrated, since the completion of the course did not reflect better salaries and professional valorization, and that their specialized workforce was misused in health services.
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2
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ANDERSON REIS DE SOUSA
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Men's health in the context of the covid-19 pandemic in Brazil: an analysis in the light of Charles Rosenberg's theory.
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Advisor : ALVARO PEREIRA
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COMMITTEE MEMBERS :
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AILTON DA SILVA SANTOS
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ALVARO PEREIRA
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EVANILDA SOUZA DE SANTANA CARVALHO
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JULES RAMON BRITO TEIXEIRA
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LUCIANO GARCIA LOURENÇÃO
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NADIRLENE PEREIRA GOMES
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RICHARDSON AUGUSTO ROSENDO DA SILVA
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ÁLVARO FRANCISCO LOPES DE SOUSA
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Data: Jan 15, 2021
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Show Abstract
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SOUSA, Anderson Reis de. Men's health in the context of the covid-19 pandemic in Brazil: an analysis in the light of Charles Rosenberg's theory. 2021. 205f. Thesis (PhD in Nursing and Health). School of Nursing, Federal University of Bahia, Salvador, Bahia, Brazil, 2021.
This study aims to understand the health situation of men from the perspective of the historical socio-framework of the Covid-19 pandemic in Brazil. Qualitative study, conducted with 200 men living in Brazil in the context of the Covid-19 pandemic. An online survey was conducted in all regions of Brazil. To this end, a semi-structured form, hosted in Google Forms, was applied. The seized data were organized, processed in support software and submitted to analysis by the Collective Subject Discourse method and interpreted in the light of Charles Rosenberg's reference that proposes the framing of epidemic disease. The findings were structured in five scientific articles, including: Article 01: framing of the Covid-19 in view of the explanation performed by men living in Brazil, with the objective of revealing the framework of Covid-19 in Brazil performed by men living in this country; Article 02: conspiracy theories in the context of Covid-19 in Brazil: a threat to the health of men, whose objective was to apprehend the male discourse about the conspiracy theories for explanation of Covid-19 and its potential of health threat; Article 03: feelings and emotions of men in the framework of the disease Covid-19, in which the objective sought to understand how the feelings and emotions of men contribute to the framing of the Disease Covid-19 in Brazil; Article 04: historical socio-analysis of normative patterns of masculinity in the Covid-19 pandemic: impacts on men's health, in which the objective was to analyze socio-historically how the normative standards of hegemonic masculinity generate deleterious impacts on men's health in the context of the Covid-19 pandemic; and Article 05: Sars-cov-2 in Brazil and the psychosocial repercussions for men: a socio-historical study, which aimed to know the psychosocial repercussions of the Covid-19 pandemic for men living in Brazil. The Covid-19 pandemic has impacted the health situation of men in Brazil and exposed previous and latent structural conjuncture social problems, which were generating significant psychosocial repercussions. From the experience of the pandemic, men revealed the representative acts that comprised the defining characteristics and symbolic elements of the disease in The Brazilian territory. This framework was composed of the initial denial of Covid-19, with subsequent progressive revelation of the existence and understanding of the disease, management of individual and collective responses with the public of its social cycle, with the inclusion of television media, the Internet and digital social networks, only then to adopt coping measures, self-management of health, self-care and the care about the other and establish reflections and learning.
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3
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JOSIELSON COSTA DA SILVA
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Technological innovation for the treatment of complex wounds in newborns.
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Advisor : CLIMENE LAURA DE CAMARGO
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COMMITTEE MEMBERS :
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CLIMENE LAURA DE CAMARGO
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EVANILDA SOUZA DE SANTANA CARVALHO
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HANDERSON JORGE DOURADO LEITE
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LEILA BLANES
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MARCIA MARIA CARNEIRO OLIVEIRA
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MARIA CAROLINA ORTIZ WHITAKER
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ROSE ANA RIOS DAVID
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Data: Feb 3, 2021
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Show Abstract
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SILVA, Josielson Costa da. Technological innovation for the treatment of complex wounds in newborns. 2021. 223f. Thesis (Doctorate in Nursing and Health). School of Nursing, Federal University of Bahia, Salvador, Bahia, Brazil, 2021. Develop a device for treating complex wounds in newborns through Negative Pressure Therapy. Technological study aimed at the development of a device that will use negative pressure for the treatment of complex wounds in newborns, here called "Babytec". It is structured in two phases. Phases of this study are considered: Phase I, qualitative, involves the stages of integrative reviews, previous research on intellectual property, quality research involving professionals, construction of the Quality House and structuring of the Quality Function Deployment - QFD. Phase II, quali / quantitative and operational, involves the assembly and detailing of the QFD, construction of the equipment prototype and creation of the cover, adaptation to safety standards and evaluation of the initial tests performed on bench and finally, the writing of patents. The results were presented in five articles. Manuscript 1: Advanced practices in the treatment of complex wounds in newborns: Integrative review; most articles (55%) describe the treatment of complex wounds resulting from malformation of the abdominal wall in newborns; 25% of the articles address the healing of wounds resulting from cardiac surgery due to congenital heart disease; 10% of the studies describe the treatment of ulcerated infantile hemangioma and finally, 10% of the articles address the treatment of necrotic enterocolitis. Manuscript 2: Construction of a device to treat complex wounds in newborns in the light of the Qualit Function Deployment method: The study identifies three important phases for the construction of equipment, they are: opinion poll with specialists, a second phase involving market research, predominantly the functional and structural characteristics of devices, the construction of the quality matrix that underlies the development of the new resource created. Manuscript 3: Coverings and products for the treatment of wounds in newborns: Integrative review: 16 articles were identified that addressed products and coverings for the treatment of wounds in the newborn, 11 types of coverings / products and a device that uses therapy by negative pressure. Manuscript 4: Strategy and method aimed at developing coverage applied to complex wounds in the newborn: The study involved 20 health professionals working in the field of neonatology. 80% nurses, 10% neonatal doctors and 10% pediatric surgeons. 87.5% of nurses and 100% of doctors and surgeons considered the ability of a dressing to absorb exudate relevant, guarantee the pressure applied on the wound and have impermeability to bacteria. Manuscript 5: Technological innovation and patent writing in the field of nursing: device to treat complex wounds in the newborn: A total of 12,307 patent registrations were found on international bases. The writing of the patent involves the presentation of a title writing clear data with the objectives of the invention, the descriptions of the solutions, as well as the claims, must be described and finally the objective drawings and the final summary. The treatment of wounds in newborns is possible to be carried out using equipment that uses negative pressure. The nurse develops actions relevant to the process, ranging from the idealization, development, assembly and use of devices that treat complex wounds in the neonatal population.
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4
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GABRIELA CARDOSO MOREIRA MARQUES
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Intergenerational reproductive autonomy in quilombola women.
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Advisor : SILVIA LUCIA FERREIRA
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COMMITTEE MEMBERS :
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MIRIAN SANTOS PAIVA
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EMANUELLE FREITAS GOES
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EVANILDA SOUZA DE SANTANA CARVALHO
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LILIAN CONCEICAO GUIMARAES DE ALMEIDA
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MARIA DE FATIMA MANTOVANI
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MARIA ENOY NEVES GUSMAO
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SILVIA LUCIA FERREIRA
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Data: Feb 10, 2021
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Show Abstract
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MARQUES, Gabriela Cardoso Moreira Marques. Intergenerational reproductive autonomy in quilombola women. 227f. Thesis (Doctorate in Nursing). Nursing School, Federal University of Bahia, Salvador, 2021. Reproductive autonomy is defined as the power that each woman has to decide and control issues associated with her body, regarding the use of contraceptives, pregnancy and motherhood. Sexual and reproductive practices are interlaced by socioeconomic and cultural matters, gender asymmetries by race / ethnicity and patriarchal patterns, diversifying by beliefs and knowledge lived in different times and historical contexts. This research aimed to analyze the reproductive autonomy in quilombola women and the factors that interfere in the intergenerational transmission between mothers and daughters; to analyze the reproductive practices of quilombola women and factors that interfere in different generations; to verify the association between reproductive autonomy and sociodemographic, sexual and reproductive characteristics in quilombola women and to verify the association between sexual and reproductive health profile and sociodemographic characteristics in quilombola women. This is an analytical cross-sectional study. The research was carried out in quilombola communities in a municipality in the southwest of Bahia with 160 women (80 mothers and 80 daughters) of reproductive age from 18 to 49 years. We opted for a stratified sampling study. Data were collected through interviews, using two instruments: a semi-structured questionnaire from the National Health Survey adapted for the study and the Reproductive Autonomy Scale. Data analysis was performed using descriptive statistics procedures to express results such as frequencies, measures of central tendency, dispersion and minimum and maximum values. In order to assess the intergenerational transmission of reproductive autonomy and sexual and reproductive characteristics, each daughter was paired with her mother. To compare sociodemographic characteristics, the chi-square test was used for qualitative variables and the Mann-Whitney test for quantitative variables. The ethical aspects set out in Resolution 466/2012 of the National Health Council were respected. The results showed that the lives of quilombola women are marked by difficulties in information and access to health services, which implies limitations in reproductive planning and practices. The group of mothers had a higher frequency of women who were married or with a partner (66.2%), who were currently working (51.2%), higher income (median = R $ 358) and higher frequency of cytopathological examination of the uterine cervix (72 , 5%). On the other hand, the daughters had more years of study (10.5 years), more frequent participation in a family planning group (37.2%) and use of contraceptive method (80.5%). Quilombola women showed high reproductive autonomy, especially in the decision-making domains (2.33) and lack of coercion (3.40), with single or unmarried women having greater general reproductive autonomy (3.07), compared to women married or with companions (2.93). Intergenerational transmission between quilombola mothers and daughters was identified mainly in the areas of lack of coercion and communication. The results offer elements for the construction of strategies to improve the quality of life and sexual and reproductive health guaranteed when public policies guarantee individual freedoms considering the social dimensions that these quilombola women are inserted in order to recognize them by their singularities.
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5
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RENATA DA SILVA SCHULZ
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Effects of health education on the prevention of diabetic foot: Systematic review with meta-analysis.
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Advisor : DARCI DE OLIVEIRA SANTA ROSA
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COMMITTEE MEMBERS :
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DARCI DE OLIVEIRA SANTA ROSA
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MARIA DE FATIMA MANTOVANI
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MARIA ENOY NEVES GUSMAO
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TANIA FRAGA BARROS
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MARIA TERESA BRITO MARIOTTI DE SANTANA
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ROSE ANA RIOS DAVID
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ALMERINDA ROSALIA LUEDY REIS
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Data: Feb 12, 2021
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Show Abstract
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SCHULZ, Renata da Silva. Effects of health education on the prevention of diabetic foot: Systematic review with meta-analysis. 2021. 98 f. Thesis (Doctorate in Nursing) - Postgraduate in Nursing, School of Nursing, Federal University of Bahia, Salvador, 2021. To analyze the effect of health education actions for foot care, compared to conventional treatment, aimed at people with Diabetes mellitus. A systematic review with meta-analysis were performed. The following information bases were searched: National Library of Medicine (Pubmed), Scientific Electronic Library Online (SCIELO), Central Register of Controlled Trials (Cochrane), Web of Science and Latin American and Caribbean Literature in Sciences (Lilacs). The descriptors used were: "Nursing", "Self care", "Disease Prevention" and "Diabetic Foot" associated with their respective Mesh and the Booleans operators AND and OR. Inclusion criteria: randomized, quasi-experimental, experimental, controlled, prospective studies that evaluate the use of health education for foot care of people with DM. For the exclusion criteria: worsening of the diabetic foot, duplicate or complementary studies. The final data collection resulted in 10 articles. For descriptive analyzis, the following graphical display were used: graph in forest and funnel, covariance ratio, Cook distance and Baujat analysis. There was a predominance of females in the samples. The compiled analysis of the outcomes of the articles shows that the Standard Mean Difference (SMD) between the groups went from -1.56 (-4.0; 0.9) in the first assessment, to 14.1 (9.3; 18.9) in the final behavior assessment; for knowledge it went from -0.2 (-0.6; 0.2) to 2.4 (1.2; 3.7) in the final assessment and in self-efficacy it went from 0.6 (-1.1; 2.3) to 9.6 (7.2; 12) in the final assessment. All these evaluations point to significant improvement in the behavior, knowledge and self-efficacy of patients with health education for the feet. The studies were developed in different countries like: USA, Mexico, Iran, Indonesia, Malaysia, Vietnam and Turkey. This shows how the foot complications are worrying in several regions of the world. The health education interventions were diverse and mixed and were applied in the Face-to-face, pamphlet / booklet and via message / telephone call formats. Interventions with direct interaction between participants and professionals were the most used, and the internet was not present as a source intervention. The presence of theoretical foundation mainly of Bandura on social learning stands out and there was mention to Dorothea Orem, the studies corroborate that the foot care involves internal and external aspects in the care process, being similar among the participants who receive individual care and group. It is understood that reinforcing skills, with dialogic education and stimulation of individual participation can favor the acquisition of self-care. There was a positive effect of health education actions on knowledge, behavior and self-efficacy in foot care in people with diabetes, which can reduce the incidence of foot ulceration and lower limb amputation.
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6
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ANA CARLA PETERSEN DE OLIVEIRA
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Institutional violence to children hospitalized in perspective of health professionals and caregivers
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Advisor : CLIMENE LAURA DE CAMARGO
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COMMITTEE MEMBERS :
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CLIMENE LAURA DE CAMARGO
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RIDALVA DIAS FELIX MARTINS
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NADIRLENE PEREIRA GOMES
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MARIA CAROLINA ORTIZ WHITAKER
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CLAUDIA NERY TEIXEIRA PALOMBO
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VANIA NORA BUSTAMANTE DEJO
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NORMELIA MARIA FREIRE DINIZ
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Data: Feb 26, 2021
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Show Abstract
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SANTOS, A.C.P.O. Institutional violence against hospitalized children from the perspective of companions and health professionals. 2021. 199f. Thesis (Doctorate in Nursing) - School of Nursing, Federal University of Bahia, Salvador, 2021. Institutional violence (VI) is defined as that exercised in / by institutions providing services in the area of health, justice, education, which includes an action or omission, from the lack of access to the poor quality of these services, having as main cause the asymmetric power relations between users and professionals. When the victim is a child, the phenomenon becomes even more serious, considering the child's vulnerable condition, causing problems that may have an impact on child development. This research has the general objective: To understand the institutional violence experienced by hospitalized children from the perspective of companions and health professionals. This is a qualitative study that used approximations with Foucauldian thinking, carried out in a large university hospital in Salvador-Bahia. Data collection took place from November 2018 to October 2019. 10 companions (mothers) and 39 health professionals (social worker, nurses, pharmacists, physiotherapists, speech therapists, doctors, nutritionists, psychologists and nursing technicians) participated in the research). As collection instruments, a semi-structured interview script, observation notebook and an information folder were used. The data were analyzed in two stages. In the first stage, the content analysis technique was used, using the NVIVO12 software to help categorize the data. In the second stage, the data were analyzed by discourse analysis. The research respected the criteria contained in resolution 466/2012 and in resolution 510/2018, being approved by the Research Ethics Committee, opinion: CAEE nº 99681518.0.0000.5531. According to the results obtained by the content analysis, it was evidenced that the companions and professionals of the different categories recognize the VI to the hospitalized child in a different way. The VI was recognized by the participants through three main elements: problems in the hospital structure; problems in the relationship between health professionals, children and family; problems related to health practices in child care. It was also identified that some professionals and companions do not recognize the presence of VI to the child in hospital care, in addition to the fact that a large part of the nursing professionals claimed to be unaware or partially know about children's rights. According to the discourse analysis, the VI to the hospitalized child was understood as a phenomenon marked by invisibilities. Foucault's thinking contributed to better understand the gear of power games behind these invisibilities. Whether in the low supply of services, in care focused on norms and routines, or by the discomfort of hospital facilities, abuse of power and loss of autonomy, it was possible to recognize the presence of power technologies such as discipline and biopolitical discourse influencing the actions that permeate child care. It is urgent to consider the need to expand discussions about VI to hospitalized children so that quality care can be offered. Therefore, professionals, managers, the academic community and users must expand their knowledge about this type of violence, so that the health service is not a producer, but an ally in its confrontation.
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7
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MARIANA DE ALMEIDA MORAES
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Association of the arrival time to a reference hospital in neurology with the length of stay, disability and mortality of people with ischemic stroke.
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Advisor : FERNANDA CARNEIRO MUSSI
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COMMITTEE MEMBERS :
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FERNANDA CARNEIRO MUSSI
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CLAUDIA GEOVANA DA SILVA PIRES
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ELIEUSA E SILVA SAMPAIO
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PEDRO ANTONIO PEREIRA DE JESUS
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CAMILA ROSÁLIA ANTUNES BACCIN
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CARLOS ANTONIO DE SOUZA TELES SANTOS
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GLICIA GLEIDE GONCALVES GAMA
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Data: Apr 28, 2021
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MORAES, Mariana de Almeida. Association of the arrival time to a reference hospital in neurology with the length of stay, disability and mortality of people with ischemic stroke. 155 f. Thesis (Nursing Doctorate) – Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2021. The general objective of this study was to identify the association between the arrival time to a reference hospital in neurology (ATRH) with the length of stay (LS), the disability and the mortality of people with ischemic stroke. And the specifics were: Estimate the ATRH for people with stroke; Identify clinical and sociodemographic variables, the occurrence of hospitalization in the Stroke Unit (SU) at the study site and the previous search for health services by these people; Check the LS in a referral hospital in neurology for them; and Describe functional disability and mortality up to 90 days from stroke for these people. Prospective cohort with 308 people hospitalized in Salvador-BA. Data collection took place from 03/2019 to 01/2020. Descriptive and inferential statistics were used. In the multivariate analysis, linear regression was used for the LS outcome and logistic regression for the disability and mortality outcomes. The modifying variables between ATRH and the different outcomes separately and the confounding ones were verified in the models. The Akaike information criterion was used for the model choice, and a 5% statistical significance chosen. For the outcomes disability and mortality, the risks were corrected by the Robust Poisson Model. Most participants arrived before 4.5 hours of symptom onset or Wake up Stroke at the reference hospital. The relation between ATRH and LS was modified by income. In the complete multivariate model, stratified by income, a longer ATRH was associated with a longer LS, but there was no statistically significant difference when adjusted by level of education, NIHSS score, and thrombolysis. In the stratified by income (≤3 minimum wages) model, higher NIHSS scores, and not having performed thrombolysis were associated with a bigger LS. The majority of the sample (51.7%) presented Rankin from 3 to 5 after 90 days of ictus. In the multivariate model ATRH>4.5h and females were associated with greater functional disability. The death outcome was found for 19.4% within 90 days after the event. The NIHSS variable was a modifier of the association between death and ATRH, observing in the multivariate model stratified by NIHSS≥14 that ATRH>4.5h was associated with lower mortality and age≥60 years and having AF the highest mortality. In the model stratified by NIHSS≤13, Rankin prior to stroke≥3 and having AF were predictors of mortality. Thrombolysis and high NIHSS scores were associated with LS in the income stratified model; income, sex and ATRH>4.5 hours to greater functional disability; and age≥60 years, previous Rankin≥3 and diagnosis of AF mortality after stroke in NHISS-statified models. The study shows the need for advances in the health care network, ensuring the early access of people with stroke to specialized units, with the availability of a greater number of beds, expansion of the offer of thrombolysis and effective treatments, and the importance of primary prevention of Stroke to minimize the negative repercussions on the lives of individuals and families.
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8
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JULIANA COSTA RIBEIRO BARBOSA
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Nursing teaching training at SUS Technical Schools: possibilities in a Community of Practice.
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Advisor : GILBERTO TADEU REIS DA SILVA
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COMMITTEE MEMBERS :
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GILBERTO TADEU REIS DA SILVA
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Daniela Maysa de Souza
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FRANCISCO ANTÔNIO LOIOLA
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Adriana Katia Corrêa
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MANUEL CARLOS RODRIGUES FERNANDES CHAVES
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MARIA LUIZA CARVALHO DE OLIVEIRA
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SILVANA LIMA VIEIRA
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Data: Apr 30, 2021
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RIBEIRO-BARBOSA, Juliana Costa. Nursing teaching training at SUS Technical Schools: possibilities in a Community of Practice. 2021. 206 p. Thesis (Doctorate in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2021. A qualitative study of action-research type aimed at understanding how nurses develop their training for teaching in technical education in nursing at Technical Schools of the Unified Health System in the light of Lee S. Shulman’s theoretical framework. The five Technical Schools of the Unified Health System of three Brazilian regions were the scenario where the classes of the technical course in nursing took place, located in Acre, Amazonas, Ceará, Paraná and Santa Catarina. The study was developed in two phases: diagnosis, which aimed to establish a comprehensive overview about the object, contemplating the five schools mentioned, and participatory, with action-research, whose scenario was the school in Ceará. The participants were the teachers of the course in above mentioned and pedagogical coordinators of the schools. As for data collection instruments and techniques, an on-line questionnaire with the teaching nurses was employed in the diagnostic phase, in which questions were related to their training-professional profile. Also, a script was used to conduct a semi-structured interview with the pedagogical coordinator to obtain information concerning the pedagogical spaces constituted by schools for teacher training. In the participatory phase, the Focus Group technique was applied, guided by a script with questions on the knowledge of teachers’ reality, their difficulties and needs related to teacher training, as well as the possibility of developing a Community of Practice in the perspective of continuing education for teachers. For systematization and analysis of the data collected through a questionnaire, we used descriptive statistics and analysis. For the data collected through the interviews and the Focus Group, thematic content analysis was used according to Bardin, supported by the Qualitative Data Analysis Software. Findings show that the minority of nurse professors was licensed and most had a specialization in nursing/health. Although most considered training necessary for teaching, almost half were not qualified for this job. The average experience providing care was longer than in management, focusing on the hospital institution. Still, the pedagogical spaces established by the technical schools for teacher training are focused on pedagogical meetings that take place before the teacher’s performance, during and at the end of this performance. It was also proved that the paths for the teaching education of nurses run through their motivation for insertion and performance in teaching and through training itself. The need for training was found and granted through institutional qualifications and a personal search for specialization courses. Finally, possibilities for the development of a community of teaching practice were identified through the perception of the need for teacher training, difficulty in reconciling work and study and the feasibility of promoting this group training. The training of nurses for teaching and the investment in teaching is crucial, as the training of essential workers for nursing care is on the agenda. Thus, it is necessary (re)formulating policies that consider the complexity and professionalism of teaching, with a view to training and teaching as an expert and strengthening the Unified Health System.
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9
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ELAINE KELLY NERY CARNEIRO ZUNINO
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Integrated Teaching in Technical Education in Nursing: (Un) Constructed Paths.
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Advisor : GILBERTO TADEU REIS DA SILVA
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COMMITTEE MEMBERS :
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ISABEL MARIA RIBEIRO FERNANDES
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GILBERTO TADEU REIS DA SILVA
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GISELLE ALVES DA SILVA TEIXEIRA
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LILIANA SANTOS
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MARIA DE FATIMA MANTOVANI
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SILVANA LIMA VIEIRA
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SIMONE COELHO AMESTOY
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Data: May 20, 2021
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Show Abstract
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CARNEIRO-ZUNINO, Elaine Kelly Nery. Integrated Teaching in Technical Education in Nursing: (Un) Constructed Paths. Advisor: Gilberto Tadeu Reis da Silva. Co-Supervisor: Vânia Marli Shubert Backes. 2021. 205f. Thesis (Doctorate in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2021. The general objective of the research is to analyze the (un)constructed paths of integrated secondary education in nursing in schools in the state of Bahia from the perspective of a liberating education. Specific objectives 1) Identify the schools offering technical training in nursing in the integrated mode in State of Bahia; 2) Know the theoretical-methodological institutional documents of technical training in nursing in the integrated modality, identifying elements of the liberating practice; 3) Know the didactic-pedagogical methods and resources used in the training process in the integrated course in nursing technicians; 4) Explain advances, limits and challenges of the integrated modality for nursing education; 5) Reflect on the contribution of integrated secondary education in nursing in liberating training. It was an exploratory and documentary research, of the type of multiple case study, with a quantitative-qualitative approach, whose theoretical-philosophical framework used was Paulo Freire. The scenario of the documentary research was the website of the National Information System for Professional and Technological Education and the field research were schools in the state of Bahia. A triangulation of data collection was carried out, through semi-structured interviews with educators and managers, questionnaires to students in the last year of the technical nursing course in the integrated modality and documentary analysis of the course plan and curriculum of that course. Documentary research data were collected from May 2018 to April 2019. Data from questionnaires and interviews were collected in person or remotely using the Google forms® platform, and the MP3 Skype Recorder application and were collected in the period from August to October 2019. For the analysis of data from documentary research and questionnaires, support from the Microsoft Excel® Program was used and the interviews were recorded and submitted to Bardin's thematic content analysis, with the support of the WebQda® software. The results were presented in four article and one book chapter: We show a modality with low capillarity in Brazil and greater adherence in the Northeast; Students aim for integrated training to enter the labor market, and have superficial knowledge of the potential of the integrated modality; Multiple pedagogical conceptions were identified during the formative process and convergences with the traditional teaching model, in addition to showing curricular integration as a specific strategy and not as a guiding axis of the teaching-learning process. Regarding the approximation with the theoretical framework, two categories emerged from the content analysis: the movement of dialogue within the formative process and the pedagogical practice in integrated nursing training, with the following elements of this practice structured in subcategories: problematization, participation, reading, research, contextualization and integration. From the analysis of the data, we found that the proposal of integrated education shows weaknesses in the incorporation of the practice to the theory discussed in the course plans, but we have evidenced important advances and possibilities for the construction of a technical professional training in integral, human and transforming nursing. Thus, with this approach of training integrated to the teachings of Paulo Freire, we contribute to the construction of an unprecedented viable within nursing education.
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10
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LUCAS AMARAL MARTINS
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Protocol for the prevention of hypothermia in newborns in the perioperative period.2021.
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Advisor : CLIMENE LAURA DE CAMARGO
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COMMITTEE MEMBERS :
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CLIMENE LAURA DE CAMARGO
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MARIA CAROLINA ORTIZ WHITAKER
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CLAUDIA NERY TEIXEIRA PALOMBO
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RIDALVA DIAS FELIX MARTINS
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AISIANE CEDRAS MORAIS
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DENISE MARIA GUERREIRO VIEIRA DA SILVA
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DENISE SANTANA SILVA DOS SANTOS
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Data: May 21, 2021
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Show Abstract
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MARTINS, Lucas Amaral. Protocol for the prevention of hypothermia in newborns in the perioperative period.2021. 183f. Thesis (PhD in Nursing and health) - School of Nursing, Universidade Federal da Bahia, Salvador, Brazil, 2021. Maintaining newborns’ (NB) thermal stability is a challenge for health professionals and requires accurate practice, as the performance of invasive and surgical procedures predisposes these patients to hypothermia. It is the most reported adverse event in neonatal units. The general objective was to build and validate a protocol for the prevention of hypothermia in NBs in the perioperative period; the specific objectives were: to identify the strategies that have been used to prevent hypothermia in NBs in the perioperative period; identify the factors that predispose to hypothermia in NBs in the perioperative period, from the perspective of health professionals who are part of the care team; describe care strategies for the prevention of hypothermia in NBs in the perioperative period; and perform content and structure validation of a protocol for the prevention of hypothermia in NBs in the perioperative period. The literature review addressed interventions to control hypothermia in NBs. The theoretical framework cuts across: thermoregulation of surgical NBs; patient safety when approaching surgical NBs; and environmental theory anchoring neutral thermal care to NBs. As a methodological framework, Convergent Care Research (PCA) was chosen, with the setting of a private maternity hospital in the capital of Bahia, developed in two phases: in the first, construction of the protocol with the triangulation of data from the theoretical framework, literature review, observation, interviews and a convergence group, with 21 health professionals as participants; in the second phase, content validation was carried out, guided by the Delphi method, comprising 12 judges. The interpretation of qualitative data was guided by the analysis model proposed by PCA, and in the analysis of quantitative data, the individual and general content validation index was used. The results show that, among the strategies identified in the scientific literature for the prevention of hypothermia, the following stand out: room temperature control; humidification establishment and cleaning quality of the air conditioning; use of an incubator or heated crib; use of thermal mattress; use of caps and blankets; heated fluids; temperature monitoring; coverage of abdominal organs. Factors that predispose to hypothermia are: immaturity of the thermoregulatory system; temperature of the surgical environment; intra-hospital transport; cold liquids; inadequacy in the use of technological resources; non-recognition of hypothermia as a health problem; and failure in continuing education. With data triangulation, a protocol was built and divided into three operative periods, pre, intra and post; each period consisted of five domains, 48 objectives with justification, and 85 care strategies. In validation, a general Content Validation Index of 0.94 was obtained. It can be concluded that the protocol proved to be a novel, judicious, valid and reliable instrument for use in the prevention of hypothermia in NBs in the perioperative period. It is believed that this technology makes it possible to reduce risks, injuries and damage to health, as well as to qualify assistance, based on patient safety policy and environmentalist strategies implemented by Nightingale. In this way, it will make it possible to improve the care provided to NBs’ health, as it can redirect assistance actions and contribute to the reduction of neonatal morbidity and mortality.
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11
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LETICIA DA SILVA CABRAL
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LESBIAN WOMEN'S HEALTH DEMANDS: building foundations for care.
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Advisor : EDMEIA DE ALMEIDA CARDOSO COELHO
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COMMITTEE MEMBERS :
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EDMEIA DE ALMEIDA CARDOSO COELHO
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CLEUMA SUELI SANTOS SUTO
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SIMONE BRANDÃO SOUZA
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ANDREA ALICE RODRIGUES SILVA
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RAIMUNDO AUGUSTO MARTINS TORRES
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Data: Jun 28, 2021
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Show Abstract
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CABRAL, Letícia da Silva Cabral. LESBIAN WOMEN'S HEALTH DEMANDS: building foundations for care. 138f. Thesis (Doctorate in Nursing and Health) – Federal University of Bahia, School of Nursing, 2021. Recognizing the health demands of lesbian women is an important step to foster discussions about care and enable or enhance actions in health services. There are specificities in the social sphere and in health care, with determining factors for the difficulty of accessing and welcoming these women. The uniqueness of lesbian women demands specific attention. However, prejudice and violence in different spaces make this group move away from health services and have less access to consultations, tests and screenings, increasing vulnerabilities. This research aimed to understand the demands for care according to the reality experienced by lesbian women in their personal experience and in their relationship with health services; analyze the experiences of lesbian women with health services in the context of attention to their demands for care; present strategies for care in the health network according to the view of lesbian women about their demands. This is a study with a qualitative approach carried out in three municipalities in the state of Bahia, which are small, medium and large. Data production was based on focus groups and semi-structured interviews, in addition to a form for sociodemographic information. The point of view theory was used as a theoretical framework and the empirical material was analyzed using the discourse analysis technique, with gender and integrality as the analytical category. The standards of Resolution 466/12 were met at all stages of the research. The results show different confrontations that shape the experiences initiated in the relationship with the family and continue to assert themselves as a lesbian as a political act for social visibility, while they begin to live with the fear of violence. In the search for care, stereotypes and prejudices about those who oppose heteronormativity feed the health care model, conveying established powers and truths. There is an invisibility of the lesbian existence and, as a result, of the demands for care, along with constraints for those who assume their gender identity. This reality keeps lesbian women as a vulnerable population. The participants point to changes in the way of overcoming: education for sexual health on an emancipatory basis, professional training and permanent education under new pillars and new skills, inclusive and intersectional health policies, comprehensive care with an emphasis on welcoming, use of social networks such as space for support and political action. It is urgent that space be guaranteed in the care network for the care of women in same-sex relationships and that policies are effectively implemented by professionals qualified to care for lesbian women, recognizing them as people with rights with power over their bodies and over theirs life.
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12
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CRISTINA NUNES VITOR DE ARAUJO
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Nurses’ resistance strategies: a Foucauldian study.
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Advisor : ALVARO PEREIRA
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COMMITTEE MEMBERS :
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VALÉRIA LERCH LUNARDI
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ALVARO PEREIRA
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DEYBSON BORBA DE ALMEIDA
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GILBERTO TADEU REIS DA SILVA
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MARA AMBROSINA DE OLIVEIRA VARGAS
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MARIA ANGÉLICA DE ALMEIDA PERES
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MIRIAN SANTOS PAIVA
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Data: Aug 12, 2021
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Show Abstract
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ARAUJO, Cristina Nunes Vitor de. Nurses’ resistance strategies: a Foucauldian study. 2021. 217f. Thesis (Doctorate in Nursing) - School of Nursing, Federal University of Bahia, Salvador, 2021 The movement of conceptualization of modern Brazilian nursing occurred through its insertion in struggles for its political-professional awareness, the interests of the category and the concern to constitute itself as an autonomous, regulated and ethical profession. The regulation of medicine in 2013 represented one of these struggles in which nurses experience the emergence of historical and discursive events that mark their sociopolitical performance in defense of the profession and the health law of users. From this scenario, this study aimed to analyze the resistance strategies of nurses, based on their discursive practice, in the face of struggles in the professional and health field, proposed by the regulation of the medical act in Brazil. Using Michel Foucault’s philosophical theoretical framework, this study is part of a qualitative, interpretative and documentary proposal that analyzed texts published in the news of the Website of the Federal Nursing Council from an archaeological methodological perspective and a theoretical triangulation exercise with critical discourse studies. Data collection occurred during March and April 2019, through the clipping of news about the regularization of the medical act in Brazil, resulting in 49 news that make up the discursive corpus of the study. The discourses were organized and coded with the aid of Atlas.ti software and their interpretation resulted in four manuscripts. The first performs an archeogenealogy description of utterances and demonstrates a discursive practice of nurses who take the health discourse as a right of all as a strategy by defending that, in Brazil, this right is effected through a public policy and that nurses are the condition of existence of the Unified Health System. The second analyzes the discourses and tactics that emerged from the collective action of nurses, through the mobilization of public and institutional spaces, the establishment of alliances and the intense movement around presidential vetoes. In the third, we identified the emergence of three subjectivities: the subject of morality, the subject of ascitic practices and the subject of resistance that militates for his profession and for himself constituting his êthos. In the latter, Teun Van Dijk's analytical categories for analysis of discursive manipulation evidenced and the existence of a manipulative discourse in the cognitive, episodic and social dimensions, based on a textually oriented analysis. In conclusion, we expanded and confirmed the initial thesis that nurses exercise resistance in the face of power relations, a practice that has given them their social role in the professional and health field, in the light of Michel Foucault and these resistances have a character of maintaining the structures and power relations experienced. It is expected that this study can contribute to thinking about the nurse's profession based on limitations in their professional practice and the establishment of resistance strategies to overcome them. Since it is a regulated profession, it is essential to exercise autonomous practices and self-recognition as the protagonist of actions in the Brazilian health system.
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13
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CARLA CRISTINA OLIVEIRA DE JESUS LIMA
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Association between witnessed and experienced intrafamily violence and Common Mental Disorder in school adolescents.
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Advisor : RIDALVA DIAS FELIX MARTINS
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COMMITTEE MEMBERS :
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CLAUDIA GEOVANA DA SILVA PIRES
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JOSIELSON COSTA DA SILVA
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LUCAS AMARAL MARTINS
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MARCIA MARIA CARNEIRO OLIVEIRA
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RIDALVA DIAS FELIX MARTINS
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RITA DE CASSIA MASKELL RAPOLD
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ROSANA SANTOS MOTA
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Data: Oct 25, 2021
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Show Abstract
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LIMA, Carla Cristina Oliveira de Jesus. Association between witnessed and experienced intrafamily violence and Common Mental Disorder in school adolescents. 2021, 92f. Thesis (Doctorate in Nursing). School of Nursing at the Federal University of Bahia, Salvador, 2021. Intra-family violence is considered a violation of the right and has become a public health problem, affecting different vulnerable groups, especially children and adolescents who witness and experience the phenomenon. Such injury produces numerous consequences, as well as the Common Mental Disorder. The study aims to: Carry out sociodemographic characterization of school adolescents; estimate the frequency of intrafamily violence witnessed and/or experienced by school adolescents; characterize intrafamily violence witnessed and/or experienced in school adolescents; and estimate the frequency of CMD in these adolescents. This is a cross-sectional research, whose sample consisted of 230 school adolescents. Common mental disorder was used as dependent variable. The independent variables were: witnessed/experienced psychological violence, witnessed/experienced physical violence and witnessed/experienced sexual violence. Data were collected using a standardized form, in November 2018. These were stored in the Excel program, and later transported to the Stata software version 13, for analysis. At first, an exploratory analysis was carried out in order to characterize the study population. Aiming to investigate the association between witnessed and/or experienced intrafamily violence and CMD, the Prevalence Ratio (PR) and the X2 test (chi square) will be used, the latter being used to verify the statistical differences between the groups; the RP sampling variation will be evaluated using the 95% Confidence Interval (CI) calculation. The study evidenced a positive association between common mental disorder and intrafamily violence, regardless of the way experienced. Students who experienced sexual violence were 11 times more likely to have CMD (PR=11 and 95%CI=1.39-86.7), followed by experiencing psychological violence with 4.8 times more likely to report the disorder (PR= 4.8% and 95%CI = 2.67 - 8.45) and physics with 2.2 times more chances (RP= 4.8% and 95%CI = 1.31 - 3.78). In view of the findings that lead to the mental suffering of adolescents in situations of violence, the study can contribute to the development of educational actions in order to prepare family members and professionals who work with this audience, especially in education and health, in order to understand the interface between the experience of abuse and CMD and devising strategies for early identification and coping with the problem.
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14
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MELISSA ALMEIDA SILVA
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Aspects of nursing undergraduates' mental health and measures to reduce suffering.
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Advisor : RIDALVA DIAS FELIX MARTINS
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COMMITTEE MEMBERS :
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RIDALVA DIAS FELIX MARTINS
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CLAUDIA GEOVANA DA SILVA PIRES
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KARINA ARAUJO PINTO
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MARIA ENOY NEVES GUSMAO
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RITA DE CASSIA MASKELL RAPOLD
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Data: Dec 6, 2021
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Show Abstract
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SILVA, Melissa Almeida. Aspects of nursing undergraduates' mental health and measures to reduce suffering. Advisor: Ridalva Martins. 2021. 83s. ill. Thesis (Doctor in Nursing and Health) – Postgraduate Program in Nursing and Health, Nursing School, Universidade Federal da Bahia, Salvador, Bahia, 2021.
The mental health of university students has been the subject of a growing number of researches. Some studies point to a higher prevalence of anxiety and depression symptoms among undergraduate students in the health area and, in particular, in Nursing, requiring adoption and coping strategies by higher education institutions. In adverse situations, such as the new coronavirus pandemic, which required a change in routine, adaptation to remote education, social distance, threats to the economic situation, among others, these symptoms tend to increase. Thus, the aim of this study was to investigate the symptoms of anxiety and depression among Nursing undergraduates during the New Coronavirus (SARS-COV II) pandemic, as well as the coping measures adopted by higher education institutions around the world to reduce symptoms associated with psychological distress. To this end, 3 articles were prepared entitled: a) Symptoms of anxiety and depression among Nursing students during the Covid-19 pandemic. b) Strategies for promoting mental health among students of Health Sciences: a systematic review c) Letter to the editor: institutional strategies for coping with mental suffering among undergraduate nursing students. The last one is derived from a cross-sectional survey carried out with 73 students, with data collection via the Internet from July to September 2020, through a structured questionnaire, elaborated from Beck's Anxiety and Depression inventories. The research was approved by the Research Ethics Committee. The result of the review showed that the most common interventions are courses for psychoeducation, and promotion of self-care and meditation practices. Only one of the fifteen interventions identified did not show positive outcomes at the end. The cross-sectional research showed a high frequency of symptoms of anxiety and depression, positively correlated with female gender, lower income, longer semester, singles, who do not receive financial assistance. It is concluded that symptoms of anxiety and depression were high during the pandemic and that there are feasible strategies for coping with the problem by universities.
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15
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CAROLINA BARBOSA SOUZA SANTOS
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Impact of a Telemedicine Intervention on the Control of Severe Asthma: Randomized Clinical Trial.
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Advisor : CAROLINA DE SOUZA MACHADO
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COMMITTEE MEMBERS :
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ANDREIA GUEDES OLIVA FERNANDES
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CAROLINA DE SOUZA MACHADO
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CLAUDIA GEOVANA DA SILVA PIRES
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ELIEUSA E SILVA SAMPAIO
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MARIA ENOY NEVES GUSMAO
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PAULA CRISTINA ANDRADE ALMEIDA
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RIDALVA DIAS FELIX MARTINS
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Data: Dec 17, 2021
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Show Abstract
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SANTOS, Carolina Barbosa Souza. Impact of a Telemedicine Intervention on the Control of Severe Asthma: Randomized Clinical Trial. 2021. 204p. Thesis (Doctorate in Nursing and Health) – School of Nursing at the Universidade Federal da Bahia, Salvador, Bahia, 2021.
This work aimed to evaluate the impact of a telemedicine intervention in the control of severe asthma in adults followed at a referral centre. This is a randomized clinical trial of a telemedicine intervention performed in adults with severe asthma. Participants were divided into Intervention Group (IG; n = 66) and Control Group (CG; n = 73) and evaluated at baseline (V0), 90 days (V90) and 180 days (V180) after the start of the intervention. The intervention consisted of weekly phone calls made by nurses between visits, in which the monitoring of symptoms and health education for asthma were addressed. The results of this work were: Article 1. Cost-effectiveness of telemedicine in the follow-up of asthmatics: systematic review – Systematic review in the PUBMED/MEDLINE, BIREME and Central Cochrane databases. Telemedicine costs were similar or slightly lower compared to usual treatments. Telemedicine interventions showed an effect on other asthma outcomes, such as disease control (1 of 5 studies), quality of life (3 of 5 studies), and hospitalizations (1 of 5 studies). Article 2. Telemedicine protocol for monitoring people with severe asthma in a developing country - a protocol was created with guiding questions that allow for clinical monitoring of asthma signs and symptoms, as well as health education for individuals. Article 3. Impact of a Telemedicine Intervention on the Control of Severe Asthma: Randomized Clinical Trial – a statistically significant difference in asthma control was observed after 180 days of intervention for the IG (p = 0.013) when compared to the values at the baseline, but it was not possible to confirm a significant improvement in asthma control in the IG compared to the CG, which was the primary outcome. Article 4. Telemedicine in Asthma Care: Reflections on the Covid-19 Pandemic – there was an increase in the use of telemedicine during the COVID-19 pandemic, demonstrating that these can be complementary strategies for prevention, monitoring and education in asthma aimed at minimizing geographic barriers, manage the disease and improve the quality of care, especially in unusual and challenging periods such as a pandemic. We conclude that for the sample studied, a six-month telemedicine intervention, based on weekly calls, guided by a specific protocol, had a statistically significant impact on the outcomes of correct use of inhaler devices, knowledge of asthma, and hospitalizations and emergency room visits. There was no impact on asthma control assessed by the ACQ6 (Asthma Control Questionnaire). Telemedicine interventions can be useful when combined with treatment and regular follow-up.
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16
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ELAINE ANDRADE LEAL SILVA
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Interprofessional collaboration in the education through work for health program/Interprofessionality.
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Advisor : ROSANA MARIA DE OLIVEIRA SILVA
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COMMITTEE MEMBERS :
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GILBERTO TADEU REIS DA SILVA
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GISELLE ALVES DA SILVA TEIXEIRA
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JOSICELIA DUMET FERNANDES
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MARCELO VIANA DA COSTA
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ROSANA MARIA DE OLIVEIRA SILVA
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SILVANA LIMA VIEIRA
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SYLVIA HELENA DA SILVA BATISTA
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Data: Dec 20, 2021
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Show Abstract
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LEAL SILVA, Elaine Andrade. Interprofessional collaboration in the education through work for health program / Interprofessionality. 2021, 200 f. Thesis (Doctorate) –Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2021.
The study is about Interprofessional Collaboration in the Work Education Program for work in Health (PET-Saúde) Interprofessionality (IP), and the general objective was to analyze how the development of interprofessional collaboration occurs in PET-Saúde IP. The specific objectives were: to describe characteristics of PET-Saúde IP; to analyze elements of the interprofessional collaborative dimension contained in PET-Saúde IP projects; to describe interprofessional collaboration (IPC) developed by PET-Saúde IP preceptors and tutors; to analyze dimensions of IPC in PET-Saúde IP activities. This was a qualitative research, which scenario was composed by five Federal Universities that develop activities of PET-Saúde IP in Northeastern Brazil and that participated in the program in the calls for proposals numbers 14/2013 and 13/2015 on the same campus. The sources of information were five PET-Saúde IP projects and 44 participants – tutors and preceptors – who worked in PET-Saúde IP for more than 12 months. After approval by the research ethics committee, information was collected between July and October 2020, using a document matrix and an online questionnaire. The documents and the answers to the questionnaires via Google Forms®, with the help of the WebQDA® software, were treated by content analysis and conducted by the theoretical framework of the collaboration model of D'Amour and other authors. The analysis categories were: 1) Characteristics of PET-Saúde IP; 2) elements of IPC in projects of education through work for health; 3) IPC in Health: performance of preceptors and tutors in PET-Saúde; 4) collaborative dimensions of interprofessionality: inductive practices in health training programs. The results reveal that the development of IPC occurs in PET-Saúde IP in a program that has characteristics related to inter-institutionality, connectivity among participants, and articulation between courses, being constituted by experienced and qualified nurses who acted as preceptors and tutors in the elaboration and realization of the program's action plan. The elements that make up the dimensions of IPC contained in the projects are related to doing together to produce a collective action. The IPC developed by preceptors and tutors appears in the identification and sharing of common objectives, internalization of interdependence among professionals, and adjustments to carry out the IPC. It is present in PET-Saúde IP and occurs in a favorable environment, in which there is availability for interaction between health professionals and students, production of collective actions and adjustments of behaviors for a collaborative practice. The dimensions of IPC in PET-Saúde IP activities are connected to instructional, formative and experiential practices, standing out more in the relational scope. It is concluded that the IPC in PET-Saúde was planned and applied with greater emphasis on the dimensions related to interactions and internalization of collective action, being necessary to advance to operational and organizational actions.
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PRISCILLA NUNES PORTO
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Sexual and reproductive behavior and drug consumption pattern of a rural community.
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Advisor : JEANE FREITAS DE OLIVEIRA
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COMMITTEE MEMBERS :
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CATIA SUELY PALMEIRA
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CLEUMA SUELI SANTOS SUTO
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DEJEANE DE OLIVEIRA SILVA
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JEANE FREITAS DE OLIVEIRA
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MARIZA SILVA ALMEIDA
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MIRIAN SANTOS PAIVA
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Data: Dec 27, 2021
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Show Abstract
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PORTO, Priscilla Nunes. Sexual and reproductive behavior and drug consumption pattern of a rural community. Thesis (Doctorate degree in Nursing Practice and Healthcare). Universidade Federal da Bahia, Escola de Enfermagem, 2021. (Counselor Professor Doctor Jeane Freitas de Oliveira).
However, the rural environment takes over new settings, resulting from the influence of social and gender constructions. In this context, emphasis is given to rural women, characterized by exclusion, depreciation, tough working hours, subordination, among other factors that have contributed toward health risks and diseases. In addition, in view of the context in which they live, many resort to alcohol and other drugs as a means to face their social condition. Thus, the present paper is based on the assumption that rurality interferes in the social context and health and illness process, mainly in relation to the exercise of one’s sexuality and consumption of alcohol and other drugs. Accordingly, the present research had the following objectives: to establish a health diagnosis in relation to the sexual and reproductive behavior and the consumption of alcohol and other drugs of women from a rural community; analyze the sociodemographic profile of women living in a rural community; characterize sexual and reproductive behavior; verify the consumption pattern of alcohol and other drugs; develop actions for health promotion, protection and recovery. There were 259 women who took part in the study, living in the Monte Gordo, Camaçari-Ba. rural community. The data were organized and processed in the software Statistical Package of Social Science (SPSS) version 20.0, where descriptive and inferential analyses were carried out. The results identified during the diagnostics phase indicate that the women were mostly of ages between 30 and 49 years (48.3%), black or brown (89.2%), catholic or evangelical (74.5%), with up to 9 years of schooling (46.3%), and family income of up to one minimum wage (68%). In relation to sexual and reproductive behavior, there was a higher proportion of women had already given birth (91.9%), used some form of contraceptive method (67.2%), who did not know how transmission of sexually transmitted infections occur (62.2%) and who are not aware of counseling and testing services for infections (65.6%). As to the pattern of consumption of alcohol and other drugs, the substances most commonly used were alcohol (83.4%) and tobacco (36.7%), followed by sedatives/hypnotics (7.7%), marihuana (5.4%), and amphetamines (5.4%). It was necessary to adapt the action phase due to the fact that collective activities were not possible due to the COVID-19 Pandemic in Brazil and worldwide. Thus, priority was given to individual health education for women and their partners, with a higher offer of contraceptive methods, cervical-vaginal tests and complementary exams. Educational materials were produced related to sexually transmitted infections, on how to render the use of preservatives more pleasurable and on mechanisms for Damage Mitigation. The findings contribute towards enhancing the outlook on the specificities of rural women, considering the impacts that rural settings have on social, family and health aspects for these women. Accordingly, the study collaborates towards knowledge in Nursing and Healthcare, enabling the sharing of elements that guarantee the integrality of healthcare, contributing towards mitigating vulnerabilities regarding this population.
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LUANA MOURA CAMPOS
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Sexuality of women with a history of conjugal violence: understanding the phenomenon from a Grounded Theory.
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Advisor : NADIRLENE PEREIRA GOMES
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COMMITTEE MEMBERS :
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DÁLIA MARIA DE SOUSA GONÇALVES DA COSTA
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ANDERSON REIS DE SOUSA
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ANDREY FERREIRA DA SILVA
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GILVANIA PATRICIA DO NASCIMENTO PAIXAO
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JOSÉ LUÍS GUEDES DOS SANTOS
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NADIRLENE PEREIRA GOMES
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TANIA CHRISTIANE FERREIRA BISPO
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Data: Dec 28, 2021
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Show Abstract
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CAMPOS, Luana Moura. Sexuality of women with a history of conjugal violence: understanding the phenomenon from a Grounded Theory. 2021. 202p. Thesis (Doctorate) - School of Nursing, Federal University of Bahia, Salvador, 2021.
The study aims to understand the sexuality experienced by women with a history of conjugal violence. This is a qualitative research, guided by the theoretical framework of gender and patriarchy by Kate Millett and methodological by Grounded Theory, specifically the Straussian strand. Following the assumptions of the Theoretical Sampling, the first sample group consisted of 17 women assisted by the Ronda Maria da Penha da Bahia Operation and the second group of 10 health professionals from the Family Health Strategy, with semi-structured interviews being carried out with both. Data were organized using the software NVIVO10, at which time they were analyzed and open, axial and integration coding were applied. It is worth mentioning that the understanding of the sexuality of the women studied was elucidated from the phenomenon that emerged from the application of the stages of the Paradigmatic Model, whose elements are action-interaction, condition and consequence. The research respected the ethical aspects contained in Resolution 466/2012 of the National Health Council. Regarding the results, the phenomenon “Building female sexuality through the assumptions of the sexist culture with repercussions for life and health” was pointed out. This emerged from the analysis and integration of data that composed the following categories: (Not) masturbating; (Not) experiencing satisfying sexual relationships, which correspond to action-interaction; (Not) learning about sexuality; Believing that it is the responsibility of the woman to satisfy the man sexually; Recalling the sexual abuse experienced as a result of the Condition and Experiencing the health repercussions and Experiencing the repercussions on the relationship, which reveal the Consequences. In this sense, the study points out that the sexuality experienced by women with a history of conjugal violence permeates the action-interaction process with their bodies and with the other's, which points to the (im)possibility of masturbating, due to triggers of memory related to sexual abuse and limitations in the exercise of sexual relations. These experiences are related to the fragility of sex education, based on a sexist and patriarchal model, which guides women towards the duty of meeting male sexual impulses, which also culminates in impacts on these women's health and relationships.
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