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SANTOS, Joana D'arc Ferreira Lopes. Repercussions of paternal withdrawal as a result of the judicial process for domestic violence for children and adolescents. 2023, 87f. Dissertation (master’s in nursing and Health) – School of Nursing, Federal University of Bahia, 2023.

Intrafamily violence is a tangled public health problem that affects all people involved, whether witnessing or experiencing it globally. Such impacts point to the urgency of care procedures that choose tactics for coping with the problem, especially for children and adolescents who are in full biopsychosocial development and need a favorable environment to reach all their potential. The study aimed to reveal the repercussions of parental withdrawal as a result of the judicial process for domestic violence for children and adolescents. Qualitative research with a descriptive-exploratory nature carried out in partnership with the 2nd Court of Domestic and Family Violence and the Ronda Maria da Penha Operation with eight women in situations of violence. It was adopted as an inclusion criterion the mothers having daughters under 18 years of age as a result of this relationship and the father being away from the family life due to the judicial process for domestic violence. As an exclusion criterion, not attending the interviews scheduled three times or showing emotional stability for the interview, according to the psychologist's evaluation. In the data collection, a semi-structured interview was used, which contained sociodemographic data and the following guiding questions: Tell me about the process of separation from the father to his/her daughter and tell me about your relationship with your daughter(s) before and after the marital violence lawsuit? After transcribing the interviews in full, they were organized and analyzed according to Bardin's content analysis proposal. It should be noted that this research respected the ethical precepts of bioethics with regard to autonomy, justice, beneficence and non-maleficence. The maternal narratives revealed that their children experienced emotional, behavioral and psychic repercussions, as well as revealing alterations in the fundamental rights of children and adolescents after parental separation in the context of violence, which suggests an amplified look at this population, with the aim of mitigating the suffering experienced and creating coping strategies for the phenomenon

The Therapeutic Itinerary (TI) can be characterized as the set of care practices and strategies adopted by people and families, encompassing the motivation that directs the search for care, which is associated with the sociocultural context and the availability of resources. To describe the TI of quilombola people with signs and symptoms suggestive of Covid-19. This is a descriptive study, with a qualitative approach, which had Madeleine Leininger's Transcultural Theory of Care as theoretical support. To contextualize the object of study, we sought to deepen the themes: Therapeutic Itinerary in the search for health care, living conditions and health of the black population in Brazil. The study was carried out in the quilombola community of Praia Grande, located on Ilha de Maré, in Salvador-BA, with twenty-six respondents who showed signs and symptoms suggestive of Covid-19. Data were collected from December/2021 to January/2022 through semi-structured interviews, after approval of the research by the Research Ethics Committee of the Federal University of Bahia, under protocol No. 5,138,214. For data processing, Bardin's thematic content analysis technique was used. The perceptions about the flu symptoms presented in the pandemic period are plural and range from biological factors to problems and needs related to the social and geographic context of the community, which also influence the construction of the IT. With this study, we allowed the Quilombo population to share their experiences and express the difficulties faced in accessing health services in the formal subsystem, which served as a diagnosis of the weaknesses and inadequacies of this subsystem. There is a need to develop public policies that guarantee the quilombola community of Praia Grande full access to services offered by the formal system, enabling the achievement of congruent care referred to by Leininger.

ARAÚJO, Ranna Danielle Dória de. Coping strategies used by transgender people in childhood facing the experience of violence. 2023. 121 f. Dissertação (Mestrado em Enfermagem e Saúde) – Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2023.

Introduction: The term transgender is used to refer to people who temporarily or persistently identify with a gender other than the one assigned at birth. Transgender people are the target of marginalization and stigmatization, facing various humiliating situations, experiencing this transphobia in different environments, whether among family members or in the school environment. However, there are elements internal and external to individuals that serve as tools for self-defense, protection, or even coping with the various situations called coping or “coping strategies”. Objective: To describe the coping strategies used by transgender people in childhood when facing the experience of violence. Methodology: qualitative study that used the oral history method through individual interviews under the support of Folkman's theoretical-philosophical framework; Lazarus. Data collection was carried out in a public outpatient service between March and June 2022, with 21 selfdeclared transgender people. The project was approved by the Ethics and Research Committee under opinion n° 5,242,557. The interviews were submitted to Bardin's thematic content analysis technique. Results: two categories emerged: 1) Experiences of violence in childhood by transgender people: trans people suffered violence in childhood such as: psychological, sexual, bullying (motivated by gender, racial and fatphobia violence), physical violence and neglect; and 2) Coping strategies used in childhood by trans people: social support, escape-avoidance, withdrawal, confrontation, selfcontrol and problem solving. Final considerations: this will contribute to support child care policies, and may serve in the future as a guide in the training/preparation of the multidisciplinary team. In addition, the results of this study will be published in order to contribute to the technical/scientific knowledge of all who need it, preserving the veracity of the information and without any manipulation, omission or distortion of data by the author. In addition, the study will contribute to the deconstruction of social stigmas and the fight against prejudice and other types of violence.

MORAIS, Andréia Vanessa Carneiro de. Narratives of Transgender Women about care after Sex Reassignment Surgery. 179 f. 2023. Dissertação (Mestrado) – Programa de Pós Graduação em Enfermagem e Saúde, Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2023

Sex Reassignment Surgery (CRS) involves a series of procedures that culminate in the formation of a neovagina and require lifelong post-operative care. Trans women are the main executors of this care in their daily lives and through their network. The objective was to know the practices and care circuits of transgender women after Sex Reassignment Surgery. This is a qualitative, exploratory research, which used the theory of Life Narratives, proposed by Daniel Bertaux. To approximate and select the participants, according to previously established criteria, the “virtual snowball” sampling technique was used. Fifteen semi-structured interviews were conducted with transgender women who had already undergone Sex Reassignment Surgery. The content of the interviews was transcribed in full, organized and processed in the IRAMUTEQ software. Data analysis was based on sociodemographic data and life history narratives of the participants, in line with the Descending Hierarchical Classification, generated by the software, resulting in 2 categories: Care associated with Sexual Reassignment Surgery techniques and Care reinvented in everyday life and online. The narratives showed long routes and trajectories that transgender women need to go through to access body modifications. Along the way, in an attempt to take care of themselves, transgender women built knowledge, shared among peers, which is important in post-CRS care. It is hoped that the data will contribute to qualifying the performance of professionals at all levels of health care and propose public policies that seek to meet the demands of these women based on comprehensive care.

The objective was to build, with nurses, a social technology for tracking the risk of foot ulcers in diabetic people, in the context of Primary Health Care and with specific objectives: Knowing how nurses have carried out screening for the risk of ulcers on foot of diabetic people; To reveal which care(s) have been provided by nurses regarding the prevention of foot ulcers in diabetic people; Discuss with nurses about possible social technologies for tracking the risk of foot ulcers in diabetic people; To plan with nurses the construction of a social technology for tracking the risk of foot ulcers in diabetic people. This is an action-research, with an exploratory-descriptive character and a qualitative approach, in 11 Family Health Units in the Sanitary District of Subúrbio Ferroviário in the city of Salvador – BA. Developed in 4 phases: the first, through conducting an interview guided by a semi-structured form, containing objective and subjective questions, about knowledge about the prevention of foot at risk in diabetic people; the second phase, of planning, was the moment of defining the actions that contributed to the analysis and solution of the detected problems; the third phase refers to the actual execution of previously planned actions, which were carried out online and in person, considering the Covid-19 pandemic; in the evaluation, considered the last phase of the action research, the organization and the preliminary analysis on positive changes in the tracking of the foot at risk in diabetic people were verified; a survey of suggestions was also carried out for the following meetings and/or to correct th1e direction of the action-research, in order to improve the developed method. In the data analysis, a comprehensive evaluation of the results achieved was carried out, focusing on the situational diagnosis; of the process, with the support of the NVIVO® and based on the categorical thematic content analysis proposed by Bardin, at that moment, the findings that guide the comprehensive screening of the foot at risk in diabetic people were also identified.

SERRA, I. V. S. The lived experience in the formative process of resident nurses in Mental Health. 2023. 166p. Master's thesis (Master in Nursing and Health) – Nursing School, Universidade Federal da Bahia, Salvador. 2023.

The present study had as its research theme the lived experience of the formative process of resident nurses in Mental Health. This is a qualitative research built through the theoretical framework of phenomenology from the situated phenomenon. It aimed to understand the meanings attributed by resident nurses in the formative process in the Multiprofessional Integrated Residency Program. To this end, I sought in the speeches of the six resident nurses their lived experiences, through the following guiding question: “Tell me about the experience of your formative process as a resident in the Mental Health concentration area.” From the participants' descriptions, three open categories emerged: “Experiencing the daily life of the residency”; “Learning to be Mental Health nurses”, “Meaning the Mental Health residency”. It is perceived that the multiprofessional residency reveals itself as an opportune strategy to (re)think and/or reorient health training/practices in nursing in the mental health field, besides providing autonomy to the professional in the production of their work process; although, as a counterpoint, it was observed that the emphasis of the training takes place in the hospital environment. Given this aspect, the challenge is to bring the Pedagogical Project (PP) closer to the model at issue, and also to the Deinstitutionalization paradigm, arising from the Psychiatric Reform in Brazil. In this sense, the training process of this multiprofessional health residency can enhance the production of the subjectivation of the actors involved, not only crossed by the principles of the Brazilian Unified Health System (SUS), and by the knowledge of the professional nuclei, but also by the practice fields.

AZEVEDO, Gabriela Nunes. Decision-making by nurses in the care of prenatal women during the COVID-19 pandemic. 2023. 80f. Dissertation (Master in Nursing). Nursing school. Federal University of Bahia. Salvador, 2023.

This study aims to understand the nurse's decision-making in the care of women in prenatal care in the Family Health Strategy, during the COVID-19 pandemic. This is a qualitative research, carried out in a municipality in the southwest of Bahia. Data collection took place in August and September 2022. The semi-structured interview technique was used with 10 nurses, working in the Family Health Strategy units in the urban and rural areas. Data collection began after approval by the Research Ethics Committee of the School of Nursing of the Federal University of Bahia under CAAE nº 59477222.9.0000.5531 and Embodied Opinion nº 5.538.245. The data treatment and analysis processes were guided by Vietta's Humanist - Existential - Personalist Triadic Configuration method and adapted by Santa Rosa. As a result of the analysis, three empirical categories emerged: a) Prenatal nurse's responsibility in caring for pregnant women during COVID-19, b) Ways in which prenatal nurses started to make decisions during COVID-19 and c) Difficulties experienced by nurses during prenatal care during COVID-19. The synthesis of the empirical categories made it possible to understand that nurses during the COVID-19 pandemic, when providing prenatal care to women in the Family Health Strategy, make decisions based on ethical principles and cite responsibility as the guideline of this decision-making process. They consider reception and health education as strategies to improve care and encourage pregnant women to vaccinate against COVID-19. During the COVID-19 pandemic, nurses made decisions based on constantly published manuals and protocol updates, since there were no previous references. In this process, they encountered difficulties due to the lack of knowledge about a new disease and how they should deal with it, in addition to the potential fear of pregnant women during childbirth. The study demonstrated that of the difficulties faced in the COVID-19 pandemic, decision-making was based on ethical principles, following manuals and the care provided with reception, humanization and responsibility during prenatal care for pregnant women.

SANTOS, Alexandre Silva. Power relations in a university hospital: a reading in Mintzberg. 153f. 2023. Dissertation (Master in Nursing and Health) - Nursing School, Federal University of Bahia, Salvador. 2023.

INTRODUCTION: This study aimed to analyze the power relations among managers of a university hospital in Salvador, Bahia, Brazil. Mintzberg's Theory of Organizational Power was used as a theoretical reference. The complexity that develops in hospital organizations requires the healthcare manager to be able to create a dynamic work environment and inspire the team to achieve the organization's goals and objectives. OBJECTIVE: To analyze how power relations are configured among managers of service production units of a University Hospital. METHODOLOGY: This is a descriptive-exploratory study, with a qualitative approach, whose method was the case study, which consists of a comprehensive empirical research, which investigates a contemporary phenomenon in its context. Data collection occurred through semi-structured interviews in February and March 2022. The data were systematized and interpreted using the Content Analysis proposed by Bardin. The project was approved by the Ethics in Research Committee under Opinion No. 4.562.421 of February 26, 2021. Nine professionals who act as managers in the units that make up the health care management of the hospital participated in the study, as they have competencies with respect to coordinating the planning, organization, and administration of management and care services. RESULTS: The findings demonstrate that the configuration of instrument power, autocracy, meritocracy, and political arena predominates. They contributed to understanding the various faces of power in the university hospital, highlighting that the hierarchical structure presents the distribution of power vertically, from top to bottom. It was also observed that the presence of political issues can significantly influence the decision-making process, the presence of conflicts and the preponderance of power of the position of physician and the functional insertion of the UFBA. FINAL CONSIDERATIONS: The study revealed the importance of understanding power relations as an influential factor in organizational development. The conscious decentralization of power gives way to more strategic professional relationships for the benefit of the organization and those involved, consequently improving the quality of services offered to users. As a contribution, it is expected to stimulate further research, with a view to deepening the knowledge about organizational dynamics in the hospital context and health management.

MOITA, C. E. Remote teaching in undergraduate nursing courses in the context of the covid-19 pandemic from the perspective of teachers. 2023. 166f. Dissertation (Master in Nursing and Health) - Graduate Program in Nursing and Health, School of Nursing, Federal University of Bahia. Salvador – Ba, 2023.

The study aims to analyze remote teaching in undergraduate Nursing courses in the COVID-19 pandemic from the perspective of professors. This is an exploratory study with a qualitative approach, carried out in two higher education institutions with face-to-face undergraduate nursing courses, one public and the other private, in a municipality in a state in northeastern Brazil. Nineteen professors were interviewed, who actively experienced the development process of remote teaching in the year 2020. The inclusion criteria were professors graduated in Nursing, with or without an employment relationship; and exclusion criteria: professors who were on leave for any reason during 2020 or at the time of the interview. The collection technique was used, the interview, with the aid of a semi-structured form, with closed questions to characterize the participants and two guiding open questions, with the information being exhaustively analyzed according to the precepts of Bardin's Content Analysis. As a result, four categories were identified, category I - use of digital tools, subdivided into: subcategory I - synchronous digital tools, and subcategory II - asynchronous digital tools, with four synchronous digital web conferencing tools and one videoconferencing tool used for communication of text messages; and two asynchronous digital tools, in order to ensure the teaching-learning process. Category II - experience of facilities and facing challenges and/or difficulties by teachers, subdivided into: subcategory I - facilities experienced by teachers, and subcategory II - challenges and/or difficulties faced by teachers , revealing some facilities, such as teacher training for the development of skills with technologies, participation of professionals from other places and discovery of student potential, but also difficulties such as remote work overload, reduction of teaching workload, layoffs and reduction of salary. Category III – need for teacher training; and finally, category IV - use of didactic-pedagogical strategies, which identified different innovative didactic-pedagogical strategies used and applied to students, however, it did not guarantee the quality of this process, as there were obstacles such as, for example, teacher demotivation during remote classes due to low student participation in synchronous classes. From the above results, the study is relevant for contributing to the higher education of undergraduate nursing courses, regarding teaching experiences in public and private institutions for the development of remote teaching, in the face of its adversities and technological mediation, in order to serve as a reference in facing and overcoming moments of crisis in the educational system, to favor the professional training of nurses.

This dissertation aimed to evaluate how the elements of the work context contributed to the exposure of workers in the field of nursing in the State Unified Health System (SUS) network of Bahia to the Coronavirus. This research is part of the macro study “Working conditions, illness due to Covid-19 and life habits of workers in the field of Nursing of the State Department of Health of Bahia”. This is a cross-sectional, retrospective, analytical research with a quantitative approach. Data collection was carried out from the extraction of information, from the Bank of Psychosocial Risks of SESAB, composed of two categories. 1 - result of the adaptation of the Work Context Assessment Scale (EACT); It is. 2-questions adapted from the Negative Acts Questionnaire Revised (NAQ-R) scale. Association analysis was performed between labor variables through network analysis using the JASP statistical program. The results were divided into two articles “Article 1 - Nursing work in the Covid-19 pandemic: network analysis” and “Article 2 - Occupational violence in the field of nursing during the pandemic: network analysis”. The identified problems are not new in the work scenario of these workers, however the way in which the data were analyzed highlights the key points (nodes) to be considered in the mitigation strategies of the complex and multifactorial factors that collaborate in the illness of the workers: problems organizational and structural (excessive work pace, lack of support from superiors, precarious working conditions and inadequate job/station to carry out tasks), as well as subjective problems concerning the relationship within the institutions (Work-Related Harassment , Personal Harassment and Physical Intimidation).

LAGO, Aldina de Santana. Domestic violence against women: a study of social representations with military police. 2023. 114p. Dissertation (Master in Nursing and Health) – School of Nursing, Federal University of Bahia, 2023.

Violence is a complex socio-historical phenomenon that affects the world's population, especially women who experience domestic violence. Also known as gender violence, it is a social phenomenon, structured on disrespect for rights and aggression against women. In view of this, the organization and struggle of women's and feminist movements resulted in historical milestones such as the implementation of Law 11.340/2006 "Maria da Penha" and the National Policy to Combat Violence against Women, with a view to involving the various sectors of society. society and services, among which the one carried out by the police. This study aims to apprehend the structure of the Social Representations (SR) of military police officers about domestic violence against women. This is a qualitative study, based on the structural approach of the Theory of Social Representations (SRT). The study included 110 military police officers from an operational unit of the Military Police, Salvador, Bahia. To collect the evocations, the Free Word Association Test (TALP) was applied to the inducing stimuli: violence; Domestic violence against women; and what other people think about domestic violence against women; and, interviews. The corpus with the evocations and interviews were processed in the program adapted from the Ensemble de programs permettant L'analyse des Evocations (openEvoc) and in the software Interface de R pourles Analyses Multidimensionnelles de Textes et de Questionnaires (IRaMuTeQ), resulting in a table of four boxes and in the maximum similarity tree, respectively. Sequentially, the 22 interviews were submitted to lexical analysis and descending hierarchical classification (CHD). The study complied with Ethical and Bioethical principles, in accordance with Resolutions 466/2012 and 510/2016. The participants were mostly soldiers, young adults, black and with higher education. The social representations of military police officers objectify domestic violence as a result of “machismo” and “dependence” which in turn generates: “disrespect”, “power”; the elements “alcohol” and “drugs” emerge as precipitators of violence; “aggression”, “cowardice”, “fear” and “impunity” express the concepts and feelings identified in the practices of dealing with incidents by the police. For the investigated group, the structure of the social representation of domestic violence is anchored in terms that refer to a historical social and cultural construction centered on machismo, and that cause situations that make it difficult for women to face violence. The police officers' speeches indicate that the assistance to women by the police is permeated by sexist thoughts and conduct. The word classes identified in the CHD indicate that the children who grow up in this experience tend to reproduce the behavior of their parents, and the fear felt by women makes it difficult to denounce the aggressor and face the violence. In this sense, the majority of male police officers report that in their daily routine they adopt an impartial attitude and take the couple to the police station. The study may direct educational actions and public policies to improve military police officers regarding gender issues and the (re)signification of care, favoring the improvement of services and the reduction of harm to women's health.

The concept of professional practice environment refers to the perception of characteristics that can favorably or unfavorably influence the achievement of results for patients, professionals and health organizations. It can also be defined as the characteristics that facilitate or hinder the development of professional activities in a given workspace. Several national and international studies highlight the importance of evaluating the nursing practice environment for improvements in the work environment and care practices. OBJECTIVE: To evaluate the professional nursing practice environment in the ICU of a university hospital in the context of the COVID-1 pandemic. Evaluate the professional nursing practice environment in the ICU of a university hospital in the context of the COVID-19 pandemic.This is a descriptive study, with a quantitative approach, carried out in the Intensive Care Units of a university hospital in Salvador/BA. in the ICU, from March 2020 to February 2022, in order to cover the most critical periods of the pandemic in the state of Bahia. Nurses, nursing technicians/assistants answered the Practice Environment Scale instrument. The data obtained were entered into an Excel® spreadsheet and analyzed using the SPSS Statistics v.20 software. The study is part of the multicenter project Evaluation of nursing care for patients with COVID-19 in Brazilian university hospitals”, approved by the Ethics Committee. The environment of nursing practice was considered mixed. The sample consisted of 68 participants, nursing technicians and nursing assistants (n= 25) and nurses (n= 31), with a predominance of females (83.8%). The ICUs were evaluated as a work environment favorable to the professional practice of nursing with scores above 2.5 in all other subscales “Fundamentals of nursing focused on the quality of care” (2.6),” Skill, leadership and support from nursing coordinators/supervisors to nurses and staff” (3.0) and “Collegial relations between nursing professionals and physicians” (3.1), considering it to be a good practice environment. The item “Adequate support services that allow me to dedicate time to patients”, was the one that presented one of the lowest average in the answers obtained (1.96). Among the professional categories showed that the unfavorable perception was proportionally higher among nurses. The hospital has defined care protocols, has an adequate number of people, good professionals who were well evaluated among their peers, but there is a need for the top management to listen to the workers. The nursing practice environment was considered favorable by both nurses and nursing assistants/technicians. The nursing dimension adopted by the ICUs is sufficient to meet the demands of patients.

Leprosy is a tropical, chronic, infectious and contagious disease, caused by the bacterium Mycobacterium leprae (M. leprae), transmitted through the upper respiratory tract, having as attraction the Schwann cells that are located in the neurons of the peripheral nervous system. The disease still has high detection rates for diagnosing children and adolescents with physical disabilities, which negatively affect development, stigmatizing, causing psychological and social repercussions, reducing entry into the job market in the future. Given this context, this dissertation aims to describe the therapeutic itinerary of children and adolescents diagnosed with leprosy. This is a qualitative, exploratory and descriptive study, which seeks to identify and describe the itinerary of children and adolescents under 15 years of age as a diagnosis for health services for the diagnosis of leprosy and its treatment, carried out in the city of Salvador - Bahia, in the health district of Itapuã. Data collection was carried out through individual interviews with mothers or family members, guided by a semi-structured questionnaire with sociodemographic data and guiding open questions about the object of study, with the inclusion criteria: age over 18 years; being a mother or family member of children and adolescents up to fourteen years of age. 05 interviews were carried out, which are represented by (03) three categories that respond to the objective of the work: Perception of clinical signs and suspicion of the disease by family members; Trajectory taken to access the health service and Difficulties encountered in the health service. It was observed in this study that leprosy continues to affect children and adolescents predominantly brown and black and with late diagnosis, with transmissible classification and with thickened nerves that increases the incidence
of physical disabilities portraying a greater risk of vulnerability. Ignorance and lack of information for late diagnosis lead to lack of access to information, which becomes an obstacle to early detection of the disease. The time lost between diagnosis and initiation of treatment is crucial to preventing disabilities. This itinerary requires the availability of specialized services for clinical management in parallel with primary health care services. It is necessary to invest in an active search for people with signs and symptoms suggestive of leprosy, through campaigns that involve not only patients but also health professionals, education and other sectors to develop new strategies to capture individuals affected by the disease early, avoiding disabilities; Train health professionals for the early identification of the disease; structure the Health Units to carry out specific exams, such as: clinical exams with sensitivity tests; bacilloscopy and biopsy. In this way, the population affected by leprosy, mainly children and adolescents, could be identified and treated early.

The general objective of the present study is to analyze in the national scientific production the elements that reveal the objectives and strategies for implementing the PNSP in health organizations. This research consists of an integrative review of the literature. Thus, full publications were included based on research developed in Brazil in information sources/databases: SCIELO (Scientific Electronic Library Online), MEDLINE (Comprehensive Medline), LILACS (Literature Latinoamericana y del Caribe de Información en Ciencias de La Health), WEB OF SCIENCE. Publications found on the CAPES Portal were also included, studies produced on the National Patient Safety Program between 2013 and 2022. The data was tabulated in a Microsoft Office Excel 2019 spreadsheet and analyzed. 178 studies were identified, whose thematic analysis of the corpus of this study revealed 12 categories. From the point of view of the types of study designs, the cross-sectional, observational and descriptive ones stand out. In relation to the year of publication, 2019 was the most significant year with 31 (17.3%) publications. The studies analyzed recognize that it is still necessary to advance further in security practices in healthcare organizations. Although it is relevant, there are many factors linked to fragile working conditions, which make it difficult to comply with the safety actions implemented by the PNSP since 2013 in health organizations, capable of impacting the implementation of safe practices, where it is noticeable that care is unsafe and errors in the workplace still occur.

ANDRADE, I.C.S. Family dynamics of people with suicidal behavior: application of the calgary evaluation model. 2023. 240f. Thesis (Doctorate in Nursing and Health) – Graduate Program in Nursing and Health, School of Nursing, Federal University of Bahia. Salvador – Ba, 2023.

INTRODUCTION: The high rates and repercussions of suicidal behavior make the phenomenon a serious public health problem, which requires coping prevention strategies. Considering the importance of the family as a component of social support, there is an urgent need to understand the dynamics of family relationships in the context of suicidal ideation. Thus, this thesis addresses the following chapters to compose the history of art: I- Suicidal behavior: from historical roots to the rhizome of contemporaneity (Suicidal behavior: a web of complexus; -Global overview of suicidal behavior as a public health problem: Epidemic silent?); II-From the parts to the whole: the family as a (non)functional system (Psychiatric reform and family: visibility and participation of the family system of the person with psychological distress; Family and suicidal behavior) and III-The covid-19 pandemic and psychic suffering. OBJECTIVE: To understand the family dynamics of people with suicidal behavior. METHODOLOGY: This is a study with a qualitative approach, based on the theoretical-methodological framework of the Calgary Family Assessment Model (MCAF), which refers to a family assessment model that encompasses the structure, development and functionality of the family system . Regarding the place of study, this was developed at the Nucleus for the Study and Prevention of Suicide (NEPS), an outpatient service specialized in caring for people with suicidal behavior in the state of Bahia. With regard to the study participants, there were 07 families and 09 family members of patients with suicidal behavior followed at NEPS. Inclusion criteria were as follows: spouses, consanguineous relatives or family members with affection ties of users in regular follow-up at NEPS; be aged 18 years and/or older and be in an emotional and cognitive condition. In the first stage of the study, in a virtual meeting with the users, to get to know their family members beforehand, the genogram and ecomap were constructed. The first is a family tree that includes additional information about relationships between people, while the ecomap, a complement to the genogram, consists of a graphic representation of the relationships and contacts between family members, the community, health services and other institutions, allowing assess their networks and social supports. For this construction, GenoPro® software was used, developed by GenoPro SDK with the objective of helping data storage, construction and presentation of family genealogies. RESULTS AND DISCUSSION: Four manuscripts emerged from this thesis, namely: Structural assessment in families of people with suicidal behavior: Application of the Calgary Model; Developmental assessment in families of people with suicidal behavior: Application of the Calgary Model; Functional assessment in families of people with suicidal behavior: Application of the Calgary Model and Expressions of care in the family dynamics of people with suicidal behavior. Thus, the discussion revolved around the structure of generations of people with suicidal behavior, which is marked over time by stories and adverse life events. The reports of relatives of people with suicidal behavior that also showed that the events that took place in the family nucleus, profoundly marked the stages of the family's life cycle. In addition, the results revealed how intense and diverse the functionality of each family nucleus is. This is because there are many ways that each one finds to remain structured and resilient despite the obstacles encountered, including psychological illness and the suicidal behavior of one of its members. FINAL CONSIDERATIONS: Elucidating the structure, development and functionality of families of people with suicidal behavior makes it possible to bond, understand 13 and intervene in conflicts, (dis)harmony and disarrangement of the family nucleus. This is because with the application of the Calgary Model for the Evaluation of families of people with suicidal behavior, it allows the professional to organize and improve the care and follow-up of this family, as well as to use all these tools as protective factors for suicide attempts. Going further, it is important to point out that the cyclic action of suicide prevention is also a way to reduce illness, stress and strain in the family nucleus. Thus, with this study, the MCAF of families of people with suicidal behavior is registered, opening paths and spaces for studies with the application of the Calgary Intervention Model. In this way, this movement can make the family act in a positive and resilient way and act as the main support in the lives of people with suicidal behavior.

FREITAS, Raniele Araújo de. Implementation of diagnoses and nursing care to the spiritual dimension of the person with cancer. 167f. Thesis (Doctorate in Nursing) - School of Nursing, Federal University of Bahia, Salvador, 2023.

Cancer is still considered a feared and stigmatized disease, causing biopsychosocial-spiritual maladjustment, even with advanced treatment mechanisms. The nurse has the responsibility to evaluate the spiritual needs and to promote spiritual care, being the multidimensional understanding of the human being indispensable for the professional practice and systematization of care in its entirety. The study had the general objective of participatively implementing nursing diagnoses and care focused on the spiritual dimension of the person living with cancer. Qualitative research, with Action Research procedures as a methodological reference. The participants were nurses and nursing technicians of the Oncohematology and Bone Marrow Transplantation Unit of a University Hospital in the Northeast of Brazil, who met the inclusion criteria of the study. For data collection we used: a questionnaire to characterize the participants, the Talking Map technique, pedagogical workshops, and a logbook. The speeches were recorded through a digital device and organized and coded with the help of Maxqda software, submitted to Braun and Clarke's thematic analysis, and interpreted in the light of Paulo Freire's constructs. The research was conducted in accordance with the precepts of Resolutions 466/12, 510/16 and 580/18 of the National Health Council, and approval of the Research Ethics Committee of the Hospital. The study was divided into four phases: phase 1 - previous diagnosis, through the talking map; phase 2 - shared diagnosis and planning of the actions to be performed; phase 3 - intervention, marked by the development of educational workshops with the proposals prioritized by the participants and phase 4 - evaluation, which aimed to show, through the participants' reports, how the educational actions contributed to the implementation of the diagnoses and care of the spiritual dimension of the person with cancer. In phase 1 the participants' profile was identified, as well as their previous knowledge about the theme; in phase 2, proposals for actions guided by the spiritual care organized in the Nursing Process emerged; in phase 3 of intervention, the actions were implemented: In phase 4, through the final evaluation, carried out in a procedural manner and through a workshop three months after the intervention, it was possible to verify in the medium term, through the participants' reports, the transformations that had occurred with the proposed implementation. It is concluded that the realization of educative actions and problematizing education with nurses and nursing technicians who care for people with cancer enables strategies for the ass

OLIVEIRA, Cleise Cristine Ribeiro Borges. LEVEL OF PHYSICAL ACTIVITY AMONG MILITARY POLICE OFFICERS: predictive factors and nursing care intervention protocol. 152 f. Tese (Doutorado) – Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2023.

Among professions worldwide, that of military police is top range as most susceptible to developing serious diseases, such as chronic non-communicable diseases. This is due to high exposure to psychological and physical risks involving this professional activity, possibly hindering the participation of military police in social and leisure activities, like performing physical activities. To assess any association between the level of physical activities and factors associated to the time spent seated in the study sample; to verify the association between clinical and sociodemographic variables and the level of physical activities among military police officers and present and intervention protocol to stimulate such physical activities. A quantitative, observational, cross-sectional study performed with 432 military police officers from all units of the Eastern Regional Police Command of the Military Police of Feira de Santana. Data collection occurred between August and December 2022 through a Google Form with the International Physical Activity Questionnaire and a questionnaire on sociodemographic data and clinical variables. Predominance was of men (82.35%), race/color black (87.04%), educational level of the head of the household completed higher education (47.69%), with partner (81.94%). The risk of sedentarism is lower among male officers (IRR < 1). Increased age is associated to lower risk of sedentarism (IRR < 1) and increase in the likelihood of being more active. Male police officers presented higher changes of being more active in the labor, transport and leisure domains. Women police officers without coronary arterial diseases presented higher chances of being more active in the home. Police officers without coronary arterial diseases, as well as those without arterial hypertension, had greater chances of being more active. Development of an intervention protocol adopting the Theory of Planned Behavior and offer of information on physical activities through mobile messaging, to be developed during a two-month period, in three phases: situational diagnosis; action planning and monitoring of the participants. Male police officers are more active in their labor, transport and leisure domains and are less exposed to the risk of sedentary behavior in the time spent sitting down. According to the age of the police officer, the greater the likelihood of being active and the lower the risk of sedentarism in the time spent sitting down. Police officers with coronary arterial diseases and arterial hypertension have lower chances of being active. However, police officers with irregular practice of physical activities are more susceptible to the development of chronic non-communicable diseases allied to the risk factors. The nursing care intervention protocol represents a feasible alternative capable of gathering data in relation to the level of physical activities among military police officers, and of contributing towards awareness for keeping up with these behaviors to improve health and quality of life. Monitoring the health of military police officers is relevant in order to consider and apply health promotion actions and prevention of health problems.

Moral sensitivity is highlighted as an individual ability of nurses to recognize the moral dimension of situations that involve caring for a person, as well as the ethical consequences of actions. This study aims to understand how moral sensitivity is experienced by nurses who work in the context of emergency. This is a mixed methods study initially using a quantitative approach with the participation of 422 nurses from emergency care services, with the analysis being performed based on a psychometric, cross-sectional study, and followed by a qualitative study with the participation of 15 nurses from emergency care services with a descriptive-comprehensive approach. A sequential explanatory strategy was chosen to integrate the methods, with integration of quantitative and qualitative data in the interpretation of results. The study was approved by the Research Ethics Committee. The results are presented in manuscript formats to be submitted to a scientific journal: “Moral sensitivity in nursing and interactions with care: integrative review”, which presents evidence on the use of the Moral Sensitivity Questionnaire instrument to deepen the study on moral sensitivity in nursing, in which the instrument was evaluated, with an assessment of moral sensitivity and its interactions with other phenomena; “Validity evidence of the moral sensitivity questionnaire for emergency nurses”, in which the instrument applied to nurses in the emergency context was evaluated in terms of Item Response Theory and also in terms of Confirmatory Factor Analysis, with emphasis on the use of the briefest instrument with 19 items; “Moral sensitivity and profile of emergency care nurses: A cross-sectional study”, highlights some characteristics which are related to moral sensitivity dimensions; “Moral sensitivity experienced by emergency care nurses: A mixed methods study” presents how moral sensitivity is experienced by emergency service nurses, with emphasis on: recognizing guiding principles of the care relationship; the moral significance of actions related to care quality; patient improvement, in which they seek to adopt behaviors that they judge to be best for the person; experience of conflicts which are internal or interpersonal; and relying on technical, scientific and ethical knowledge when dealing with morally sensitive situations. The results converge to understand moral sensitivity as an important component of moral competence to deal with the complexities inherent to care, particularly evidenced by: issues that reflect vulnerabilities for the person under care; the concept of sensitivity, which can be observed from the description of nurses’ experiences when recognizing limits, vulnerabilities and the need to provide knowledge and feelings in care. The novelty of the study of the moral sensitivity phenomenon in the context of Brazilian emergencies stands out. It presents contributions for nursing by deepening the moral sensitivity knowledge in emergency services. For research, it presents the Moral Sensitivity Questionnaire to evaluate moral sensitivity attitudes in the relationship between nurses and patients. Finally, for society, as nurses’ moral sensitivity can be related to a willingness to qualify care.

CRUZ, Moniky Araújo da. Experience of sons and mothers with parental leave due to conjugal violence: maternal speech. 2021. Dissertation (Masters in Nursing and Health) – School of Nursing, Federal University of Bahia, 2021. 

Intrafamily violence is a reality present in the daily lives of many children and adolescents, who witness and/or experience various expressions of abuse in their own homes. This situation, which compromises the health and human development of these individuals, is even more intense in the face of situations such as separations and complaints of conjugal violence, which tend to intensify marital conflicts and, in turn, family conflicts, whose understanding is essential. to think of strategies for the protection of these minors. The study aimed to: understand how daughters and mothers experience paternal separation due to conjugal violence and as specific objectives: to reveal how children/adolescents experience paternal estrangement due to conjugal violence and; to reveal the relationship of mothers with their children in the context of parental estrangement due to conjugal violence. research with a qualitative descriptive-exploratory approach developed in a Court of Domestic and Family Violence and within the scope of the Ronda Maria da Penha Special Operation with eight women involved in situations of violence. Adopted as inclusion criteria, being in a lawsuit for domestic violence, having children under the age of 18 with the defendant in the process, who is away from home and, exclusion, missing the scheduled interview more than three times or not showing emotional stability according to the psychologist's assessment. The data collection technique was the guided interview based on a semi-structured form that includes sociodemographic aspects and the following guiding questions: Tell me about the process of separation from the father to his/her daughter and tell me about your relationship with your child before and after the court case for domestic violence? The interviews were recorded, transcribed in full and organized based on the content analysis proposed by Franco. The ethical precepts of bioethics regarding beneficence, non-maleficence, justice and autonomy according to the National Health Council were respected. protection of the female figure, while, with the father, the children/adolescents showed resentment in parallel with nostalgia for the relationship that once existed, in addition to revealing hope for the reconstruction of the family nucleus. This experience for mothers in relation to offspring was expressed through concerns about the emotional, the provision and maintenance of the child's routine, as well as the fear with the relationship between father and daughter. The study allowed us to understand that the experiences of children and their mothers are permeated by feelings that can represent illness in both or even trigger a toxic relationship that compromises healthy development.

MUNIZ, L. S. Factors associated with decision time to seek health services by people with Ischemic stroke. Master's thesis. Graduate Program in Nursing and Health, Federal University of Bahia. Salvador, 2022.

Introduction: The neurological deficits resulting from ischemic stroke (CVA) have an important impact on human life and the early decision to seek health services by people with acute stroke has the potential to reduce morbidity and mortality, enabling therapies timedependent. Objectives:1. Estimate the decision time of people with stroke to seek a health service after the onset of symptoms or wake up stroke; 2.Verify the association between sociodemographic, clinical, environmental, cognitive and emotional factors and the decision time for seeking a health service after the onset of symptoms or Wake up stroke in people with ischemic stroke. Methods: A cross-sectional study, carried out with 304 people with acute stroke treated at a Public Hospital of reference for treatment, in Salvador-BA. Data were collected through interviews and medical records from March to October 2019 and analyzed using descriptive and inferential statistics. In the bivariate analyses, to investigate the association between the independent variables and the DT, robust linear regression was used, with the DT analyzed as a geometric mean due to its asymmetric distribution.The variables whose associations showed p-value ≤ 0.20 were taken to the multivariate analysis, initially performed in blocks (sociodemographic, clinical, environmental, cognitive and emotional). Subsequently, the analysis of the complete model was carried out with all the independent variables of the referred blocks, using the Multiple Linear Regression. The goodness of fit of the model was evaluated by the Akaike Information Criterion, selecting the one with the lowest value as the final model. The adopted statistical significance was 5%. Multicollinearity was evaluated in the adjustment of the model by the variance inflation factor and STATA version 12 was used. Results: The minimum value of the TD was 0.02 h (1.5 min) and the maximum value of 118 h (7,080 min). The geometric mean of the DT was 0.30 h (95% CI 0.23-0.39), which corresponded to a mean of 18 min for participants to decide to seek care after the onset of stroke or wake up stroke symptoms. The final model explained DT in 41%, showing an increase in DT in 0.5 min for participants with arterial hypertension, in 10.8 min for those who waited for symptoms to improve, in 1.4 min for those who were alone. at the onset of symptoms, in 2.1 min for those on the street/public road, in 3.2 min at work and in 3.9 min at home. Conclusions: Participants took an average of 18 min to decide to seek care at a health service and DT was influenced by variables of a clinical nature (having arterial hypertension), environmental (being alone or in an environment other than a health service) and cognitive and emotional (expect the improvement of symptoms). It is important to consider, in health education activities aimed at people with risk factors for stroke and aimed at the community in general, the variables that contributed to greater TD.

MEIRA, Mariana do Valle. Dignity Therapy in the care of a person with Amyotrophic Lateral Sclerosis: Case Study. 2022. 88p. Dissertation (Master’s in Nursing and Health) – Universidade Federal da Bahia, Nursing School, Salvador, 2022.

The existential, psychosocial, and physical suffering experienced by the person with Amyotrophic Lateral Sclerosis stems from the emotional burden generated by hopelessness and helplessness, resulting from the rapid evolution on the disease, leading to total functional dependence. When faced with the fragility of dignity, Dignity Therapy emerges as an intervention capable of reaffirming the dignity of people in the process of dying. The aim to the study was to understand the effects of Dignity Therapy on the physical, existential, and psychosocial symptoms of people with Amyotrophic Lateral Sclerosis. This is a case study, exploratory and descriptive, with a mixed approach, using the concomitant triangulation strategy, in which multiple cases were used from the application of Dignity Therapy in people with Amyotrophic Lateral Sclerosis. Three participants were selected, over 18 years old, two male and one female, after applying inclusion criteria. Qualitative and quantitative data were collected simultaneously and independently. For the qualitative collection, a semi-structured interview instrument was used, contemplating social data and three evaluative questions about the therapy, in addition to the intervention with Dignity Therapy. Quantitative data were collected at three moments called moment zero, moment one and moment two corresponding to intervals of 0, 7 and 28 days based on the application of the intervention – Dignity Therapy, when the following scales were applied: Dignity Inventory of the Patient, Hospital Anxiety and Depression Scale, Spiritual Well-Being Scale, and the Edmonton Symptom Scale. The project was evaluated and approved by the Ethics and Research Committee of the School of Nursing of the Federal University of Bahia, receiving approval number 4.952.826. The results were presented from the description of the three case studies considering the description of each one of them and the three moments of application of the scales highlighting the particularities related the physical, social, emotional, spiritual, and existential dimensions based on the intervention – Dignity Therapy. The comparative analysis of the scales that aimed to understand the effects of Dignity Therapy indicated how favourable the intervention was for the participants of the case studies and how the intervention can contribute to the rescue of dignity in people in the process of finitude, being viable its application in diverse environments. It is hoped that further studies can be carried out and the therapy introduced in palliative care services in Brazil.

SOUSA, Tamires Jesus. Vulnerability of automotive maintenance professionals in the development of occupational dermatoses. 2022. Dissertation (Masters in Nursing and Health) - School of Nursing, Universidade Federal da Bahia, 2022. 74p.

The profession of Automotive Mechanic has existed since the emergence of the first automobiles, more than 100 years ago in Brazil. The activities performed by mechanical workshops expose these workers to several types of occupational risks through direct contact with chemical, physical and biological substances. This exposure increases the risks for the development of occupational dermatoses in these professionals. This study has as its object the "exposure to petroleum-derived substances and possible vulnerabilities of automotive maintenance professionals to the development of occupational dermatoses". The objective was to know how automotive maintenance professionals expose themselves to petroleum-derived substances and the possible vulnerabilities to the development of occupational dermatoses. This is an exploratory study with a qualitative approach, which had as population automotive mechanics professionals in three localized workshops named Company 1, Company 2 and Company 3, located in the city of Salvador, Bahia, Brazil, whose collection was performed after approval by the CEP, according to the Consent Opinion No. 5.327.439 and then the collection was performed both in April 2022. The qualitative analysis process followed the steps of Amedeo Giorgi's method, adapted by Viêtta and Santa Rosa with a view to understanding the phenomenon. As results, 10 auto mechanics participated in the study, all males, mostly brown, aged between 18 and 59 years, with work experience varying between 2 and 33 years of activity, all of them exposed to petroleum-derived chemicals from 2 to six hours a day. Three categories and eight thematic subcategories emerged from the interviews.It is understood that automotive maintenance professionals expose themselves to grease,kerosene, contact cleaner, decarbonizer, diesel oil, degreaser, and gasoline, petroleum-derived substances, with daily exposure, without the use of PPE as recommended by the Material Safety Data Sheet (MSDS), Petrobras, 2019. The vulnerabilities express conditions related to the mechanic's own actions, in the inadequate use of PPE, in the lack of hand care, with carelessness in protecting the skin of the hands after the use of substances and also of the identification of initial injuries. For the lesions, they use creams and ointments according to their colleagues' recommendations, and none of the participants sought health care professionals for skin care. We conclude that auto mechanics are a group of workers vulnerable to skin lesions such as irritation, redness, pimples, dryness, wounds on the hands, skin and between the fingers, and itching due to the inadequate use of PPE when in contact with chemical substances in their work routine.

ALMEIDA, Ana Raquel Lima Peralva. ICNP® Terminological Subset for people with chronic kidney disease on hemodialysis based on the theory of transitions. 2022. Dissertação (Mestrado em Enfermagem e Saúde). Escola de Enfermagem. Universidade Federal da Bahia. Salvador, 2022.

People with Chronic Kidney Disease and who are undergoing renal replacement treatment, live daily with the challenges imposed by the disease and treatment. Knowing these challenges and understanding that the nurse is a fundamental part in the care of these patients, the present study has the general objective of developing an ICNP® Terminological Subset for people with chronic kidney disease, covering diagnoses/results and nursing interventions, based on the Theory of Transitions. And as specific objectives: Identify nursing interventions for a set of nursing diagnoses for people with chronic kidney disease; Validate nursing interventions based on the set of nursing diagnoses for people with chronic kidney disease; Structure the ICNP® Terminological Subset for people with chronic kidney disease based on the Theory of Transitions. This is a non-experimental, methodological study that is part of a larger project that included the structuring of the Terminological Subset. Nursing interventions that met the nursing diagnoses/outcomes and their respective operational definitions were identified. Subsequently, these interventions were organized in an online form for validation by experts, which took place in two moments, using a Linkert-type scale. The agreement between the experts was assessed using the Content Validation Index (CVI), and those with CVI ≥ 0.80 were considered relevant and relevant. Of these, 125 statements were sent for validation, 104 were validated at the first moment, five were eliminated because they did not meet the established CVI and 16 were sent for a new evaluation moment. In the second moment, of the 16 nursing interventions sent, 10 were validated and six were eliminated because they did not reach the established CVI. The total number of validated nursing interventions (114) were organized together with the Nursing Diagnoses/Outcomes (23), according to the Theory of Transitions, in an ICNP® Terminological Subset for people with Chronic Kidney Disease. This can help the nurse, together with her team, in the operationalization of the Nursing Process, using clinical and therapeutic judgment, provide care to the person with CKD in an organized way, meeting their real needs and providing means and tools for the health-disease transition is experienced in a positive way.

RIBEIRO, Rafaela Nascimento. Strategies to support nursing professionals as second victims during the covid-19 pandemic. Dissertation (Master's in Nursing and Health) - School of Nursing, Federal University of Bahia. Salvador, p.92. 2022.

This study addresses the strategies of support to nursing professionals as second victims during the covid-19 pandemic. Its general objective is: To analyze the strategies adopted by nursing managers to support the second victims in the hospital assitencial context of the pandemic by coronavirus. And as specific objectives: To identify the strategies adopted by nursing managers to support the second victims in the hospital assitencial context of the pandemic by coronavirus; Describe the strategies adopted by nursing managers to support the second victims in the hospital assitencial context of the pandemic by coronavirus. This is a field research, of exploratory character, with a qualitative approach. The empirical research field had as reference two health organizations located in Salvador, Bahia, Brazil. The collection was performed exclusively by the main researcher, and occurred in places chosen by the interviewees. Eight managers were interviewed between January and April 2022. A script and a form were used as an instrument to collect information, which was applied in the semi-structured interview, being recorded through the mobile phone in the voice recorder feature, transcribed and submitted to Bardin Content Analysis. Three categories of analysis and respective subcategories were constructed: Category I: Recognition of the professional's emotional condition by managers; Reception of the professional as a second victim; Referral of the professional as the second victim for psychological support. Category II: Analysis of the care incident through the notification of events; Category III: Training and (re)guidance of the professional as a second victim. The recognition, by the manager, of the emotional condition of the second victim is necessary, being decisive in the outcome of the event, since the emotional condition of the professional, when not valued or neglected, can trigger psychological, physical problems, and negative feelings of fear, sadness, shame and dissatisfaction with work. It is understood that the reception to the professional as the second victim, needs to be developed in practice in an empathic way, based on effective communication, active listening, and the deconstruction of the culture of punishment, being replaced by a fair and safe culture.

CALDAS, Mariana de Oliveira Lima. Factors Associated with Surgical Site Infection in Neonates: emphasis on perioperative hypothermia. 60f. 2022. Dissertation (Master's in Nursing) - School of Nursing, Federal University of Bahia. Salvador-BA, 2022. (Advisor Prof. Dr. Darci de Oliveira Santa Rosa).
Health care-related infections (HAI) are considered one of the most frequent adverse events related to health care and a serious public health problem, affecting more than 30% of neonates. Among the topographies of HAIs, Surgical Site Infection (SSI) is directly related to surgical procedures, being considered an HAI of great relevance. Some risk factors are considered predisposing to the occurrence of SSI in the neonate, among them hypothermia can be an important contributing factor to morbidity and mortality since it worsens or favors metabolic disorders, respiratory distress, necrotizing enterocolitis, intracranial hemorrhage, and site infection surgical. The present study aims to analyze the factors associated with SSI, with emphasis on perioperative hypothermia, in neonates at a public pediatric hospital in the Northeast region. This is an epidemiological, case-control, paired, retrospective study whose data source is the medical records of newborn patients from a hospital specializing in pediatrics in the State of Bahia from 2017 to 2020. Data were collected through of an instrument elaborated for this purpose and typed in a Microsoft Excel program bank, later exported to the R software for statistical analysis. Quantitative variables were analyzed using absolute and relative frequencies. For the analysis of the measures of association of the possible risk factors involved with the outcome variable (ISC), a bivariate analysis of the data was performed. The measurement of the strength of association was performed using the Odds Ratio (OR) and its 95% confidence interval (CI). It was possible to verify that the degree of moderate hypothermia presented after surgery was associated with SSI. Most patients were male, were classified as full-term in terms of their gestational age, normal birth weight, and had discharge as an outcome. The surgeries of the gastrointestinal system were the most frequent and the ones that presented the most clinical evolution of surgical site infection and hypothermia in the perioperative period of neonates. It is extremely important that the health team, especially nurses, recognize hypothermia and know how to act in order to control the occurrence of thermal instability and its repercussions for the morbidity and mortality of the neonate, as well as the factors that can lead to the occurrence of SSI in the newborn. neonate.

CIDREIRA, Lídia Cíntia Silva. Association of sociodemographic and occupational characteristics with perceived stress in mototaxi drivers. 2022. Dissertation (Master in Nursing) - Nursing School, Federal University of Bahia, Salvador, 2022.
Objective: To investigate the association of sociodemographic and occupational characteristics with the level of perceived stress in mototaxi drivers. Method: Cross-sectional study carried out with mototaxi drivers who answered instruments about socio-demographic and occupational variables and the Scale of Perceived Stress. In the analysis, we used descriptive statistics, Pearson's Chi-square test and Poisson Regression with robust variance. The statistical significance was 5%. Results: Of the 800 motorcycle taxi drivers, 46.8% showed high level of perceived stress. In the multivariate analysis the factors that contributed to the high level of stress were low control over work (RR=7.76; 95%CI=5.19-11.61), low social support at work (RR=3.87; 95%CI=2.95-5.08), work day longer than eight hours per day (RR=1.47; 95%CI=1.21-1.78) and monthly income less than or equal to two minimum wages (RR=1.34; 95%CI=1.13-2.58). Conclusion: Long working hours, occupational stressors and low income were associated with high levels of perceived stress. Public policies and interventions to minimize occupational stressors are essential.

JESUS, Belayrla Cerqueira de. Return to work of nurses post-infection by Covid-19. 2022. 53 f. Dissertation (Master's in Nursing and Health). School of Nursing, Federal University of Bahia. 2022

This study addresses the return to work of nurses after Covid-19 infection. With the general objective of describing the return to work of nurses after infection by Covid-19. As specific objectives: Characterize the nurses who were removed from work after infection by Covid-19 and Identify how the return to work of nurses after infection by Covid-19 occurred. This is an exploratory and descriptive research, which used the qualitative research method. The study was carried out in two large public teaching hospitals in the city of Salvador, Bahia. The study included 10 nurses who returned to work after being infected with Covid-19, positive through RT-PCR, from March 2020 to March 2022. Two instruments were used to collect the information: a form and a script . After the nurses were identified through the Occupational Health Service of the institutions, contact data (telephone/electronic correspondence) was collected and the invitation was made online through a free messaging application (WhatsApp) and telephone call, in some cases, for research participation. Upon acceptance for participation, the interviews were scheduled according to the availability of each professional, ensuring the privacy criterion. The remote interview was recorded with the participant's authorization, with the date and time also sent to their WhatsApp/phone, as well as the informed consent form. For the qualitative approach, Bardin's thematic content analysis method was used. Afterwards, two categories were constructed: Return to work with manifestation of signs and symptoms of post-covid syndrome and two subcategories: Manifestation of tiredness and fatigue and manifestation of emotional disorders and the category Welcoming the service on the return of nurses to work. Activities that were once considered routine became major challenges, because the feeling of tiredness and fatigue was very present. In the nurses' report, it was as if they were doing an activity far superior to what they were used to. The occurrence of emotional disturbances was cited in most of the interviews, which were mainly observed through anxiety and fear. It was possible to observe that the reception of the team is fundamental for the recovery of the professionals, as well as for the gradual return due to the symptoms and/or sequelae of Covid-19. It was possible to perceive through the reports, how challenging it was to return to work after infection by Covid-19. Some professionals returned with both physical and emotional symptoms, and this varied regardless of hospital unit and degree of training. The Covid-19 pandemic, associated with the illness of nurses and subsequent return to work, can be seen as an opportunity to transform our vulnerability into strength to expand the need for reception and care with regard to the illness of nurses during their process of work.

VIDAL, Daniela Barbosa Neiva. TRAGIC TRIAD IN SCIENTIFIC PRODUCTION IN NURSING ON HOSPITALIZED PERSON WITH CANCER: SCOPE REVIEW. 2022. 87 pages. Dissertation (Master in Nursing and Health) – School of Nursing, Federal University of Bahia, Salvador, 2022.

The diagnosis of a life-threatening disease generates profound existential changes in the human being. The person hospitalized with cancer experiences the elements of the tragic triad (suffering, guilt and death) during their illness and it is up to the nurse to make this nursing care more humanistic, existentialist and integral. In this context, the study presents the following research question: What is the scientific evidence of the tragic triad (suffering, guilt and death) on nursing care for the person hospitalized with cancer? And the objective is to map the scientific evidence of the tragic triad (suffering, guilt and death) on nursing care for the person hospitalized with cancer. This is a Scoping Review research that followed the methodological recommendations of the Joanna Briggs Institute (JBI), carried out using PubMed databases and the Virtual Health Library (VHL) platform. The collection period of the articles was from April 2022 to June 2022. For the selection of studies, texts in English, Portuguese and Spanish were used as inclusion criteria; and the PCC (Population, Concept and Context), being Population: texts that approach people with cancer; Concept: elements of the tragic triad (suffering, guilt and death) in nursing care; Context: hospital environment. Duplicate studies, not available in full for free, and those that do not respond to the central question or the objective, were excluded. The sample consisted of 17 studies which were analyzed analytically and synthesized in two categories: Evidences about the meaning of life and the tragic triad in nursing publications about hospitalized cancer patients; and nursing care in the process of death and end of life of people hospitalized with cancer in nursing publications. There is a large number of studies using the theoretical framework of Viktor Frankl, but few directed to the area of nursing. The studies recommend the need for more research covering this topic. Thus, it can contribute to the great challenge of the professional nurse, which is to work with the elements of the tragic triad within the nursing process, providing quality care.

SACRAMENTO, Marcela Luz. SOCIODEMOGRAPHIC FACTORS AND COMPLICATIONS OCCURRING IN PREGNANCY IN WOMEN WITH SICKLE CELL DISEASE: AN INTEGRATIVE REVIEW. 2022. 69f. Dissertation (Master in Nursing) - School of Nursing, Federal University of Bahia, Salvador, 2022.

The study aims to analyze sociodemographic factors and complications vaso-occlusive crisis, urinary tract infection and acute chest syndrome during pregnancy in women with Sickle Cell Disease. The method used was Integrative Literature Review (ILR) conducted by the following research question: What is the importance of sociodemographic factors in the occurrence of vaso-occlusive crisis, urinary tract infection and acute chest syndrome during pregnancy in women with Sickle Cell Disease? For this study, as it is a non-clinical research, we used the PICo strategy where the Population (P) included women with Sickle Cell Disease who were pregnant; the Phenomenon of Interest (I) are the vaso-occlusive crisis, urinary tract infection and acute chest syndrome, and the Context (Co) referred to sociodemographic factors. Data were collected from July to August 2022 through a search in the Brazilian Digital Library of Theses and Dissertations of the Brazilian Institute of Information in Science Technology (IBCT), in the Virtual Health Library (BVS) and Pubmed. The following descriptors were used: “Pregnancy”, “Anemia, Sickle Cell”, “Race Factors”, “Social Class”, “Socioeconomic Factors”, “Social Support”, “Educational Status”, “Age Distribution” “Acute Chest Syndrome”, “Acute Pains”, “Urinary Tract Infections” and their correlates. Inclusion criteria were: articles published in Portuguese, English and Spanish; full-text articles/theses/dissertations available for free and articles published and indexed in these databases in the years 2010-2020, with human beings. Nine studies were selected for analysis. Results: Regarding the characterization of the participants, what we found is that they are black women, who live with their partners, and most of them have low income and schooling. The analysis of the selected studies showed that ACS and vaso-occlusive crises occur mostly in black to brown women. As for UTI and race, it seems that there is no negative association. There is a lack of studies that address the relationship between social support and the occurrence of clinical complications during the pregnancy of women with SCD, as well as they do not correlate or assess differences in social classes and their occurrence. Gaps in knowledge about the sociodemographic risk characteristics and social support associated with complications of vaso-occlusive crisis, infections and acute chest syndrome in pregnancy of women with Sickle Cell Disease remain, since few studies were found. Well-designed research studies are needed to promptly address these gaps in knowledge.

SANTOS, Alexsandra Almeida dos. Coping with the pandemic: Restructuring for COVID-19 Intensive Care Units. 2022. 90f. Dissertation (Master in Nursing) School of Nursing, Federal University of Bahia, Salvador, 2022.
Restructuring is a form of organizational change that made it possible for intensive care units to face the COVID-19 pandemic. The general objective of this study was to analyze the restructuring for ICU COVID-19 in the face of the pandemic and the specific objectives: To identify the elements of restructuring of the ICU in the face of the COVID-19 pandemic; Describe how the changes were implemented in the ICU in the context of the COVID-19 pandemic. This is a study with a qualitative and exploratory approach developed in 05 COVID-19 ICUs of public hospitals in the city of Salvador-Bahia. The study participants were 17 nurses who performed care and management positions. Data collection took place after the opinion of the Ethics Committee in the period from December 2021 to June 2022 through a semi-structured interview whose instrument consisted of two parts, the first with initial information on the characterization of the participants, which contained the gender, age, training time, employment relationship, position, double occupation, weekly workload, time of experience in the ICU, existence of postgraduate studies. The second part is a script with semi-structured questions based on the recommendations of the World Health Organization, which links the strengthening of the health system in response to COVID-19 to “4 S” (S for Space or space/structure; S for Staff, or team; S for Supplies, or supplies; S for Systems, or systems). Bardin's content analysis (2016) was used. As a result of the analysis of the corpus of the interviews, four categories and 05 subcategories were built for analysis: Category I - Modifications of the physical space - Subcategory I - adaptation of the physical space to care for COVID-19 patients and subcategory II - expansion of the number of ICU beds for the care of patients with COVID-19; Category II - management of the nursing team - subcategory I Training of the team to meet the new patient profile; subcategory II - (re)sizing of staff in the COVID-19 ICU and subcategory III - Increase in mental disorders in health professionals at the COVID-19 ICU; Category III- Availability of hospital supplies - supply and demand of hospital supplies in the COVID -19 ICU; Category IV - Changes in processes - Modifications management systems in response to the COVID -19 pandemic. We conclude that the intensive care units were restructured to meet the demand of patients generated by an unprecedented health crisis with a profile of patients with a high degree of severity imposed by COVID-19. In this sense, there were many difficulties and problems in the implementation of the restructuring so that the care and management process took place in a fair and safe way, since it involved issues of staff dimensioning, supplies, insecurity and illness of the team that caused a high rate of leave and turnover. of staff.

OLIVEIRA, Monique Carolinne Macêdo. Strategies for returning face-to-face visits in a long-stay institution for the elderly in southern Bahia. Project Masters dissertation. Graduate in Nursing and Health. Federal University of Bahia. Salvador, 2021.

The new coronavirus (SARS-CoV2) is responsible for Covid-19. The elderly are among the age group that had the most complications in the face of infection with the new coronavirus, being the institutionalized elderly considered more vulnerable to this disease due to several factors inherent to the senescence process, sometimes senility, for living in an environment collective, among other factors. The general objective of this research is to: return visit strategies in long-stay institutions for the elderly. You specific objectives are: 1. Check, together with the nursing team and caregivers, how they work on the proposal to return visits to Long Stay Institutions for the Elderly; two. Knowing the difficulties and facilities of the nursing team and caregivers for the return visits to Long Stay Institutions for the Elderly; 3. Raise, together with the nursing and caregivers, strategies for returning visits to long-term institutions Stay for the Elderly; 4. Propose a prevention model for the return of visits face-to-face regarding Covid-19. This is a qualitative research, which will be carried out in a Long Stay Institution for the Elderly inserted in the Intersectoral Commission of Follow-up of Long Stay Institutions for the Elderly in a municipality in the south of the state of Bahia. Participants will be professionals from the nursing team and

Institution caregivers. Data collection will take place after approval by the Ethics Committee.

Data will be obtained through the Focal Group technique, where four focus groups. After conducting the focus groups, the testimonies will be analyzed through the Bardin's content analysis technique.

SANTOS, J. R. L. S. Construction and validation of an instrument for telemonitoring women in situations of domestic violence in the context of a pandemic. 2021. 99f. Dissertation (Masters in Nursing and Health) – Postgraduate Program in Nursing and Health, School of Nursing, Federal University of Bahia. Salvador – Ba, 2022.
Domestic violence against women is considered a public health problem of high complexity and magnitude, being intensified during the pandemic period. In this context, telehealth can represent a care strategy for women with a history of domestic violence. In view of this, this study aims to build and validate an instrument for telemonitoring women in situations of domestic violence in the context of a pandemic. This is a methodological study developed by a group of researchers from the School of Nursing at the Federal University of Bahia in partnership with the Ronda Maria da Penha Operation. Five steps were followed, namely: Establishment of the conceptual structure, definition of the instrument's objectives and the population involved; Construction of items and response scales; Selection and organization of items and structuring of the instrument; Pretest; and Content Validity. For the content validation process, the Delphi technique was used. Ethical aspects were complied with and the project was approved by the research ethics committee under opinion number 4,933,325. The elaborated instrument has five domains that deal with the presentation of the telemonitor, signs and symptoms of Covid-19, investigation of other health situations, prevention guidelines and referrals. The validation process took place in two rounds, achieving CVI = 1. This research can support the care of women in situations of violence, but it also helps health professionals to address the issue. Furthermore, it can be adapted to be used in other populations.

GOES, Roberta Pereira. Construction and Validation of the Hospital Resource Assessment Scale for the Preservation of Urinary Continence in the Elderly. Doctoral Thesis. Advisor: Larissa Chaves Pedreira. 149p.

Objective: To develop and validate a scale for evaluating hospital resources for the preservation of urinary continence in the elderly, based on the structure component of the Donabedian triad. Methodology: Methodological study divided into four stages: (1) Construction and validation of instrument content using the Delphi technique; (2) Validation of its internal structure through Exploratory Factor Analysis performed in FACTOR software, using the tetrachoric correlation matrix, Parallel Analysis optimized for factor retention, the Robust Promin technique for factor rotation, and the Robust Diagonally Weighted Least technique Square (RDWLS) for factorial extraction; (3) Assessment of instrument reliability evidence through composite reliability, the H-latent index and the test-retest technique; and (4) Analysis of the structural overview of the units where the instrument was applied. Results: The construction of the instrument was based on the Donabedian theoretical support and evidence obtained through an integrative review, resulting in an initial version with 13 items grouped into three dimensions. Through the Delphi technique (two rounds), validation of its content was obtained with contributions from six expert judges on the subject, reaching consensus on the empirical version consisting of 24 items to be answered in dichotomous variables format. When applied to the target population (assistant nurses from three hospitals), a response rate of 56.6% (n:124) was obtained. In this version, the Exploratory Factor Analysis did not allow obtaining a factorable model, due to the physical structure dimension. There was a strong interdependent nature of the variables of this dimension that did not have enough covariance to form a factor, thus deciding to remove it from the instrument and assume it as a complementary checklist. From the exploratory factor analysis with the remaining 14 items, a two-factor model was obtained with Kaiser Meyer Olkin (KMO) and Bartlett's test of sphericity indicating adequacy of the sample for the interpretability of the matrix. From the analysis of this matrix, three variables presented problematic indicators, which were then removed. The final factorial model of the 11 items presented two factors with a total explained variance of 60.51%, being called “Hospital resources assessment scale for the preservation of urinary continence in the elderly” (REHOSP-CUI-11). Factor 1, called support for human resources (five items), presented factor loadings that ranged from 0.41 to 1.00; and factor 2 called material resources (six items) presented factor loadings that ranged from 0.38 to 0.86. Composite reliability was 0.84 in factor 1 and 0.88 in factor 2; the H-latent index was 0.998 in factor 1 and 0.937 in factor 2. The testretest results showed a high percentage of intraobserver agreement (above 70%) and acceptable Intraclass Correlation Index values (overall ICC: 0.781; ICC factor 1: 0.718, and ICC factor 2: 0.676). Conclusion: A valid and reliable scale for structural assessment of wards is available that can identify weaknesses and/or strengths related to indicators of support for human resources and material resources available for the preservation of urinary continence in elderly people in wards of hospital institutions.

ALVES, Manuela Bastos. Nursing Care Model for the elderly at the end of life in longstay institutions. 142f. Tesis (Doctorado en Enfermería) – Universidade Federal da Bahia, Escola de Enfermagem, 2022.

Caring for the person in the process of dying implies ensuring the dignity and comfort of the individual until the last minute of life. For this to be achieved, there must be a welcoming environment that contributes to minimizing pain, relieving anguish and reducing avoidable damage. In addition, it is expected to promote attentive care to the person who is in progressive decline in the advanced stage of the disease and who urges care in the face of the need for a serene crossing, which is a practice of end-of-life care. When the difficulties of family members in maintaining care for the elderly person arise or when they do not have the support of people close to them, Long Stay Institutions for the Elderly emerge as an alternative institution that provides formal care. In this context, it is expected that these institutions assume the role of a new family, a new space of care for these people, it is often a unique possibility to build new affective bonds, providing an environment for socialization, appreciation of independence and autonomy, preserving the individuality and respect for the residents' identity. In view of this, the study has as its guiding question: What constitutive elements of the Peaceful End of Life Theory and the philosophical principles of palliative care mark end-of-life care for elderly people in Long-Term Institutions? Its object is: Endof-life care for elderly people in Long-Term Care Institutions according to the Peaceful Endof-Life Theory and the philosophical principles of palliative care. General objective: To understand how care is given to elderly people at the end of life residing in long-stay institutions and as specific objectives: Interpret how end-of-life care is provided to elderly people in long-stay institutions for the elderly from the perspective of the team's professionals; To develop a theoretical model of nursing care for the elderly at the end of life in the context of Long Stay Institutions for the Elderly. This is a descriptive and interpretative study of a qualitative clinical nature, based on the Theory of the Peaceful End of Life and on the philosophical principles of palliative care and a theoretical study for the development of a model of nursing care, carried out in a Long-Term Care Institution. Permanence for the Elderly in Bahia. Data were collected in May and June 2021 from semistructured interviews, with the participation of twelve professionals working in the institution and were interpreted in the light of the Theory of the Peaceful End of Life, developed by nurses Cornelia Ruland and Shirley Moore and the philosophical principles of palliative care. Ethical aspects were respected according to Resolution No. 466/2012 of the National Health Council. The research revealed that the health team of the Long-Term Institution, scenario of the study, demonstrates that caregivers and health professionals demand knowledge and evidence-based technical training on the subject of palliative care. Pain control and physical and spiritual comfort were the most present categories regarding the provision of end-of-life care to the elderly. Finally, the development of a model of nursing care for elderly people at the end of life was presented, which aims to contribute to the improvement of care implemented for these people in the context of Long-Term Care Institutions for the Elderly, aimed at preserving autonomy, dignity and comfort in the process of dying and dying.

DE GÓIS, Rebecca Maria Oliveira. Nurse's supervision process: contributions to the development of autonomy in the hospital environment. 2022. 172.f. Thesis (PhD) – Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2022.

The process of supervising nurses in the hospital environment undergoes changes, thus passing from the character of control and supervision, elements of its essence, through transformations that come to meet the current contexts of each reality of health/nursing organizations. The object of this research is seen from the perspective of more modern conceptions of Social Supervision and under Paulo Freire's constructs. To formulate the guiding question, the acronym PCC (Population, Concept and Context) was used, (P): nurses (C): Supervision process and the development of professional autonomy; and (C): hospital environment. Having as a guiding question: “How does the nursing supervision process constitute a contribution to the development of professional autonomy in a hospital environment in three Ibero-American countries?. This is a qualitative research, which is part of a multicenter study of University Hospitals in three countries, Portugal, Spain and Brazil. This research was approved by the Research Ethics Committee. The research had as participants the assistant nurses and heads of the inpatient units, nursing coordination, managers and supervisors. Semi-structured interviews and systematic observation were used. This data collection took place from 2019 to 2020. For the systematization of the data, webQDA® and NVivo® software were used, for the analysis method, Minayo's content analysis was used. This study analyzed the nursing supervision process in hospital organizations in three countries. Five articles, a bibliometrics and a scope review study on hospital supervision were built, carried out with the objective of mapping the evidence on the subject. Field research data are presented in three articles, one that addresses the characterization of the nurses' supervision process in the three investigated scenarios; another on the interface of supervision and the development of autonomy in the three countries and the last on the use of quality tools in a hospital in Brazil. The study points to the movements of breaking paradigms related to the adopted management model and to the weaknesses, such as insufficient dimensioning of nursing workers and fragile understanding of the supervision process. The rethinking of managerial practices in the sense of basing the process of supervision of nurses in the hospital environment for the perspective of Social Supervision, in which there is an understanding of the need to break paradigms and to get rid of a model focused on control, identification of failures and increased productivity under the influence of Administrative Theories in Nursing. The nursing supervision process constitutes a contribution to the development of the construction/strengthening of professional autonomy, as it is a powerful space for professional and knowledge development, in the construction of political action aligned with the production of care, which seeks to guarantee safety. patient and worker satisfaction.

LIRIO, Josinete Gonçalves dos Santos. Factors associated with Common Mental Disorder in Women in situations of domestic violence. 119page. Thesis (Doctorate in Nursing and Health) – School of Nursing, Federal University of Bahia, Salvador. 2022.
The experience of conjugal violence is a public health problem and causes numerous repercussions for the lives of women who experience it. In view of this, knowledge about who the women in situations of domestic violence are and the factors that are associated with Common Mental Disorder, in this group, is of paramount importance to protect them and develop prevention and coping strategies, especially for those who are more vulnerable. In view of this, the general objective was: To investigate the factors associated with Common Mental Disorder in women in situations of domestic violence assisted by the Ronda Maria da Penha Operation. Method: This is a study with a quantitative approach, of the cross-sectional type, whose sample consisted of 231 women in situations of domestic violence with an Emergency Protective Measure who are accompanied by the Ronda Maria da Penha Operation. In order to achieve the objectives, the following dependent variable was adopted: Common Mental Disorder. The independent variables were: Sociodemographic, expressions of experiencing violence in childhood, experiencing marital violence in adult life, drug use and comorbidities. Data were collected using a structured form, from January to May 2021. They were organized using the Microsoft Office Excel program and subsequently transferred to STATA version 12 for analysis. Initially, an exploratory analysis was performed using descriptive statistics to characterize the studied sample. Then, the bivariate analysis was performed to verify the association between the independent variables and the Common Mental Disorder, for which the prevalence ratio (PR) was calculated. The level of statistical significance adopted in all analyzes was 5% (α  0.05) and 95% CI. The p-value was obtained by Pearson's chi-square or Fisher's Exact. Results: The study showed an association between sociodemographic factors, experiencing marital violence and Common Mental Disorder. Noting that there was a statistically significant association (p 0.05) between the Disorder and the following variables: length of experience in a violent relationship (PR = 1.21), having experienced psychological violence (PR = 2.78), sexual violence (PR = 1.41) and the five expressions of violence (PR = 1.22). There was also a statistically significant association between the experience of violence in childhood/adolescence and the outcome, with women who witnessed physical violence (PR=1.20; p=0.04) and those who suffered both psychological violence (PR=1. 32; p=0.01) and physical (PR=1.25; p=0.016) were more likely to develop the Common Mental Disorder than those who did not witness, or did not suffer this type of injury, in this phase of life. life. These results highlight the group of women in situations of domestic violence that are more likely to develop a Common Mental Disorder, thus showing the need to direct care actions to this group that is more vulnerable.

SANTOS, Alana Libania de Souza Santos. Meaning of life of elderly people at the Open University for the Elderly in the face of COVID-19. 2022. Thesis (Doctorate in Nursing and Health) Federal University of Bahia, Salvador/BA, 2022.
The current COVID-19 pandemic is a concrete situation that brings experiences that mark people for a lifetime. With regard to the elderly, finding the meaning of life in this experience was a challenge. This study aims to understand the meaning of life of elderly people at the Open University for Seniors in the face of the COVID-19 pandemic. This is a qualitative, descriptive, exploratory research, anchored in the Existential Analysis of Viktor Emil Frankl. It was carried out in an Open University program for the Elderly linked to a public university in the city of Guanambi in Bahia, with fourteen elderly people of both sexes, aged between 60 and 82 years. Information was collected through semi-structured interviews, from April to July of 2022, and analyzed based on the thematic-categorical content analysis technique. The categories and subcategories unveiled were:1 Meaning of the COVID-19 pandemic for the elderly at the Open University for Seniors, 1.1 Unveiling the noodynamics: dichotomy between feelings of tension and content of meaning in life; 2 Challenges experienced by the elderly at the Open University for Seniors during the COVID-19 pandemic, 2.1 Living with prison, the threat of autonomy, and the loss of social interaction, religious practice in the church and voluntary work, 2.2 Unveiling experiences with the triad tragic: suffering, guilt and fear of death; 3 Meaning of life, despite everything, the elderly people of the Open University for Seniors said yes to life, 3.1 Revealing tragic optimism during the COVID-19 pandemic, 3.2 Expressing contents of meaning through the experience of values of attitude and creation. It was understood that the elderly people of the Open University for the Elderly found meaning in the face of the crisis situation of the COVID-19 pandemic, revealing optimism in the face of the tragic triad unveiled, and the positive attitude of saying yes to life despite the size Suffering. It is concluded that the elderly person is capable of experiencing challenges and suffering in an affirmative, creative and supportive way, supported by love for the family, good health, and above all by faith. They are capable of transforming the negative aspects of life into learning, by assuming a positive attitude of coping and transcending themselves in helping those who need it most. They are able to find meaning in the midst of a crisis by experiencing creative and attitudinal values.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

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.

a violência sexual no cenário da conjugalidade é um fenômeno ainda velado,
devido a naturalização em torno da subserviência feminina ao homem, o que dificulta o
entendimento de que as ações do parceiro com fins na imposição de manter a relação
sexual configuram-se enquanto ato criminoso. Esse contexto é permeado pela
complexidade o que requer dos profissionais de saúde maior conhecimento acerca deste
evento. Objetivo: desvelar a vivência de violência sexual por mulheres em situação de
violência conjugal. Metodologia: trata-se de uma pesquisa exploratório-descritiva com
abordagem qualitativa. Foram realizadas entrevistas com 16 mulheres acompanhadas pela
Operação Ronda Maria da Penha da Bahia, Brasil, cenário do estudo. Os dados foram
coletados de setembro a outubro de 2019. Os dados foram organizados com o suporte do
software NVIVO 10 e direcionados pela análise de conteúdo proposta por Bardin.
Resultados: o estudo identificou que, durante a vivência de violência sexual os homens
utilizam de estratégias como cobrança pela obrigação sexual na relação conjugal,
perpassando pela coerção física e aterrorização, com fins na relação sexual. Tais
situações, ocorrem de forma rotineira e vivencia-las, trazem implicações para a saúde
física e mental das mulheres. Considerações Finais: o estudo sinaliza para a necessidade
de intervenção dos profissionais, sobretudo, no que diz respeito a identificação das ações
praticadas pelo homem para violentar sua companheira, além do reconhecimento das
implicações atreladas a essa vivência favorecendo pensar em estratégias efetivas para
minimização do fenômeno.

CONCEIÇÃO, Marimeire Morais da. Sexual violence against children and adolescents: perceptions of health professionals. 2020. 188 f. Dissertation (Master in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2020.

Sexual violence against children and adolescents is a public health problem, which can cause irreversible physical, emotional, psychological and social damage to victims and their families, reflecting across society. Hospital care for these victims and family members causes different feelings to health professionals, which can influence the quality of care provided. Describe the perceptions of health professionals about sexual violence against children and adolescents. This is a qualitative, exploratory study carried out through the use of semi-structured interviews, between June and July 2019, with 30 women, health team professionals who have been working for more than a year in a public hospital in Bahia. The project was approved by the Ethics and Research Committee under opinion number 3,383,906. The participants signed the Free and Informed Consent Form, the interviews were recorded, transcribed, analyzed using the content analysis technique. From the analysis of the interviews, four categories emerged: 1) Perceptions about reactions manifested by children, adolescents, family members and members of the multiprofessional team: feelings, behaviors and attitudes of the victims, family members and professionals suggest that the juvenile sexual violation shocks everyone, generating: emotional shock, revolt/indignation and fears that result in suffering, silence, empathy and involvement in care; 2) Perceptions about the social reality of children and adolescents who suffered sexual violence: the victims were aged between 0 and 17 years old, most were girls, black. Teenagers were poorly developed physically and emotionally. The children had mothers absent from their homes or were daughters of multiparous adolescents. Most of the victims belonged to families with dysfunctional dynamics, some of whom were subjected to situations of neglect and abandonment; 3) Perceptions about the clinical condition of children and adolescents who were sexually victimized: child and juvenile victims had serious physical injuries and mental disorders, others showed no signs of violence, and some of them died as a result of the abuse they suffered. Have had sexual initiation with adult men and / or experienced childhood marriage and 4) Perceptions about contradictions / denial of the problems experienced by the children and adolescents attended: the situations of sexual violence known to those responsible contribute to the elucidation of the facts. However, some family members are immersed in the possibility of denying the occurrence and hiding the identity of the aggressor. FINAL CONSIDERATIONS: Reactions manifested by the multiprofessional team show an impacting field that results in emotional mobilization, when faced with complex social realities, serious clinical contexts and reactions that are difficult to approach.

GÓES, Melicia Maria da Conceição Silva Reis. Methodology for monitoring Labor Management and Health Education Centers. 2020. 75f. Master thesis (Master of Nursing and Health) – Escola de Enfermagem da Universidade Federal da Bahia, Salvador, 2020.

The general objective of the dissertation is to elaborate a logical mark for the monitoring of the attributions of Centers for Work Management and Health Education. The specific objectives are: build theoretical flow to support the elaboration of the Logical Mark and elaborate Matrix of Indicators. The Center for Labor Management and Health Education is a strategy of the Unified Health System to qualify the processes of labor management and health education in the state and municipal health Secretariats. This is an evaluative research of the type interested, because it makes it possible to detect difficulties, obstacles or constraints; produce recommendations or correct processes, in addition to detecting factors that along the implementation facilitate or hinder the management capacity, in the case of work management and health education in SUS. The elaboration of the Logical Mark and the Matrix of Indicators accomplished the following steps: review of the literature on management of work and education in health, review of normative documents of Health Secretariats and of the Ministry of Health, exploratory interviews with workers of Labor Management and Education in Health, elaboration of diagram for the creation and validation of the Logical Mark and elaboration and validation of the Matrix of Monitoring Indicators. The elaboration of the Logical Mark involved the construction of the guiding concept and the choice of the representative model and its components, based on the observations made by the experts who evaluated it and the matrix of indicators and the literature consulted, as well as the work experience of the researcher. A drawing was used that contemplated its components and subcomponents. The validation was done by researchers in the field of evaluation and work management workers in two rounds, with attribution of grades and justification on each indicator. The Logical Mark has as components Work Management and Education Management, and as subcomponents, inspired in the Donabedian triad: Structure, People Management, Negotiation Table, Labor Regulation, Permanent Education in Health and Integration, Teaching, Service and Community, as well as Objectives, Actions, Intermediate Results and Final Results. The central focus is an operational model that encompasses the basic conditions for the implementation and operation of the Centers. The Indicator Matrix for Monitoring Centers for Labor Management and Health Education was composed of 14 indicators in the Labor Management component and 15 indicators in the Health Education Management component. The choice of indicators is based on the availability of data and feasibility, given the incipient stage of implementation and implementation of the Centers for Labor Management and Health Education, and may be adapted to suit the context of each application site. The monitoring of the Centers can contribute to improve the management and implementation of the Work Management and Health Education policy.

SANTOS, Jacilene Santiago do Nascimento Trindade. Needs of the family caregiver of the elderly under palliative and hospitalized care. 2020. 83 sheets. Thesis (Mastership in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2020.

The elderly raises the statistics of hospital occupation, becoming one of the main users of health services, regarding hospitalization. In it, the elderly remains most of the time in bed in the face of a chronic illness. It is important that the responsible family member be included in the routines and hospital demands regarding patient care, in addition to the need to enable them to be discharged from the hospital, respecting their limits and needs expressed in the provision of patient care. But it is necessary that he is also seen and cared for. Objectives: To analyze the needs presented by family caregivers of elderly people under hospitalized palliative care. Specific: to characterize the sociodemographic and health profile of family caregivers of elderly people in hospitalized palliative care; identify the main needs of the family member as a caregiver; identify the factors associated with the main needs presented by family caregivers of elderly people in palliative care. Method: This is a descriptive and analytical study of a quantitative approach. The study included 205 family caregivers of elderly people under palliative and hospitalized care who met the inclusion criteria. The study was carried out in a public and philanthropic hospital in the city of Salvador, Bahia, Brazil. Data collection was performed in August and September 2019, and a questionnaire was applied that consisted of sociodemographic questions and those related to the needs expressed by the family caregivers, considering the four integrative dimensions of the human being. It was approved by the Research Ethics Committee of the locus institution under Opinion N 3,455,910. For data analysis, the Statistical Package for Social Sciences (SPSS) software was used, version 21 for Windows by descriptive and inferential statistics. Results: They are presented in the format of articles, to respond to the specific objectives. Article 1 has the title: Profile of family caregivers of elderly people under palliative care and Article 2: Factors associated with the needs of family caregivers of elderly people in palliation. Conclusion: the family caregiver is mostly female, aged over 50 years old, married, of social class “C” and predominantly black race/color. He has been dedicating himself to the care of his elderly patient under palliative care for less than two months and, with a reasonable state of health, most of them do not have a fixed work relationship. Regarding the time-dispensed factor for the provision of care to the patient under palliation, there was an association with five needs presented by the family caregivers, namely: emotional control, minimize conflicts with oneself, leave home, make future plans and be able to carry them and the economic and financial need. It is expected that the reality described, the result of social constructions, will be transformed by the awareness of the need to create processes of caring for the elderly, recognizing, valuing, respecting and above all caring for their family caregiver.

SANTANA, Jéssica Damasceno de. Marital rape: Coping strategies used by women. 2020. 60 f. Dissertation (Master in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador. 2020.
The aim of this study is to unveil the coping strategies used by women in the face of the experience of marital rape. This is a descriptive study with a qualitative approach, using the Coping theory proposed by Folkman and Lazarus. The research was developed in the field of Operation Ronda Maria da Penha, linked to the Military Police of the State of Bahia, with 16 women experiencing conjugal violence interviewed individually using a semi-structured form. Of the participants, all were black, aged between 24 and 51 years old and 13 had completed high school, six of whom attended higher education. Considering the analysis of the empirical material in line with the assumptions of Folkman and Lazarus, it was possible to identify the Coping strategies adopted by the collaborators, in the face of the experience of marital rape and to represent them from the following categories: escape-avoidance, self-control, withdrawal , acceptance of responsibility, confrontation, problem solving, social support and positive reassessment. It is concluded that in the face of marital rape, women use Coping strategies to deal with this stressful event, handling emotions, and thus reducing the impacts of suffering, in order to direct actions to solve the problem with the purpose of breaking the problem. abuse.

The making of an intestinal stoma can become an impacting condition in the life of the
obliged, generating changes in the physical and bodily dimensions, and psychic-social, and
may reflect negatively on their sexuality, as it does not fit the socially constructed standards.
This study aimed to apprehend the feelings and practices about sexuality of ostomized men.
This is a qualitative, historical-analytical and comprehensive-exploratory study, carried out
with thirty adult men, aged 20 to 59 years old, and registered in a Health Care Service for
People with Ostomy, in the city of Salvador / Bahia. For data collection, an individual
interview was conducted, guided by a semi-structured script, collected between the period of
June to September of the year 2019. The criteria for data collection and analysis were
followed using the thematic oral history method, the interpretation of data based on Agnes
Heller “Teoría de los sentimentos”, and for the systematization of the collected material, the
NVIVO 12 ® software was used. The result of the study revealed that: adult men with
intestinal ostomy experience superiors linked to their sexuality, among them, the impulsive,
emotional, affective and orientative ones, associated with the limitations in sexual practices,
the stigmas of the ostomy, altered body image and as difficulties of the establishment of
affective relationships. The assumptions of the study were confirmed with the analysis of the
data: the intestinal stoma reflects in the way the man sees his body and behaves about his
emotions and affective relationships, since the new identity means restrictions on sexual
relations, and at the same time, it constitutes a change in habits rooted in their environment
and culture in the face of the old way of manifesting their sexuality. It highlights a type of
specialized nursing specialty and a multidisciplinary team to better meet the demands of
sexual health , which are intertwined with psychic-social health, to men experiencing an
intestinal stoma.
.

SOARES, Daianne Teixeira. Sociodemographic and clinical factors associated with postpartum haemorrhage in women attended at a maternity. 2020. 57f. Dissertation project (Master degree) - School of Nursing, Federal University of Bahia, Salvador, 2020.

Postpartum hemorrhage is a serious public health problem that is on the rise, affecting the community, which is increasingly common in health systems and represents the most important cause of maternal death in the world. The general objective of the study was to investigate the sociodemographic and clinical factors associated with postpartum hemorrhage in a maternity hospital. This is a cross-sectional, from January to December 2018, developed in a maternity hospital in Salvador / BA. The sample consisted of 83 women, with data collected through collection in medical records. For the processing and treatment of data, the software Statistical Package for the Social Sciences, version 23.0, and STATA, version 14, is used. Pearson's Chi- square or Fisher's Exact tests were sent, with a significance level of 5% making it possible to estimate prevalence. The measure of association used was the prevalence ratio (PR) with a 95% confidence interval (95% CI). Results: The prevalence of PPH was 38.6%, with causes attributed to atony (25.6). In the multivariate analysis, adjusting for schooling, an association with postpartum hemorrhage, multiparous women and those who did not breastfeed in the first hour of life was identified. Conclusion: The data found in this study confirm the magnitude of the frequency of postpartum hemorrhage, making women increasingly vulnerable to the occurrence of this condition despite the use of a prophylactic protocol. This study highlights the monitoring of multiparous women with social disadvantage due to education and an important incentive to exclusive breastfeeding in the first hour of life as measures that can contribute to reducing the frequency of postpartum hemorrhage and its complications in this maternity hospital.

TORRES, Claudia Almeida Ribeiro. Impact of Telemedicine Remote Monitoring on Morbidity Indicators in Serious Asthmatic Patients. 2020. 109p. Dissertação (Mestrado em Enfermagem) – Escola de Enfermagem da Universidade Federal da Bahia, Salvador, Bahia, 2020.

Introduction: Asthma is a chronic disease recognized as a worldwide public health problem, with high prevalence, morbidity and mortality. Hospitalization rates show the most serious episodes of the disease, representing a relevant indicator of uncontrolled asthma burden. Telemedicine is an effective method of educational intervention to complement the usual treatment with the potential to increase the effectiveness of asthma control and thereby reduce non-elective visits, hospitalizations and emergency visits for asthma. Objectives: To estimate the occurrence of asthma morbidity indicators in severe asthmatic patients followed up at a referral center (PROAR - UFBA) after monitoring by Telemedicine. Secondary: Regarding the use of telemedicine as a tool to reduce hospitalization of asthmatic patients (- Literature review - Impact of Remote Monitoring by Telemedicine on Hospitalization of Asthmatic Patients): Review the literature on the use of telemedicine and its impact on hospitalization of Reflect on how telemedicine can enhance asthma control by complementing conventional treatment and reducing hospitalization. Relating to the impact of remote telemedicine monitoring on indicators of the occurrence of morbidity in critically ill asthma patients (Descriptive original article): Describe the profile socio-demographic and clinical characteristics of the sample; Estimate the indicators of morbidity: visits to the health service; hospitalization and emergency service assistance; Estimate adherence to pharmacological treatment in severe asthmatics; Identify the frequency of use of the action plan by the research subjects, when necessary; Associate the variables gender, self-reported color, education, rhinitis, childhood asthma, lifestyle (smoking), physical activity; adherence, correct use of inhalation devices, action plan, regular use of medication to indicators of morbidity. Methods: Article 1 - Systematic review: search for data in the PUBMED / MEDLINE, BIREME databases, without time limit. Article 2 - Results of the Randomized Clinical Trial, 2020. Results: The results of the studies presented in this master's thesis showed reductions in the morbidity indicators in the groups submitted to telemedicine intervention. General Conclusion: Telemedicine interventions can be used to reduce indicators of asthma morbidity, especially those most in need of regular specialized follow-up. Telemedicine intervention, using phone-based applications can be a useful and easily accessible tool, viable and serving for greater access to specialized treatment for asthma and treatment adherence, as well as minimizing asthma morbidity rates when associated regular treatment and attendance.

MOREIRA, Fabiana Araújo. Nursing technician care for palliative patients in the
intensive care unit: Final Theory of Peaceful Life. 62p. 2020. Dissertation (Master in
Nursing). School of Nursing, Federal University of Bahia, Salvador. 2020.

The population life expectancy with chronic diseases has increased in recent years due to the
advancement of medical technologies. Therefore, assistance model that contemplates the end
of life is necessary. The knowledge about palliative care is essential for a better quality of life
during sicken and death. Nursing, as a professional area in care, needs to establish itself role in
this kind of assistance. The research has as general goal to apprehend the nursing patient’s
technician cares to patients in palliation inside an intensive care unit and specific objectives: 1.
To identify the knowledge of the nursing team about palliative care in the Intensive Care Unit;
2. Know how the nursing team cares for patients in palliative care inside the Intensive Care
Unit; 3. Identify the facilities and difficulties of nursing team in caring for patients in palliation
at the Intensive Care Unit. This is an exploratory, descriptive research, with qualitative
approach, carried out in Intensive Care Unit of a large private hospital into Salvador city, BA.
The participants were nurse technicians who are part of the nursing team of Intensive Care Unit.
Data collection was carried out through a socio-demographic characterization questionnaire and
interview with a semi-structured script. The testimonies were analyzed by Bardin’s content
analysis technique and discussed with the theory: Pacific End of Life by Ruland and Moore
(1998). The apprehended categories were: 1. Understanding palliative care and the dying
process; 2. The Nursing Technician prioritizes comfort in providing care. 3. Communication
deficit between the multiprofessional team and insecurity in the care provision; 4. The nursing
technician care for the patient to achieve peace; 5. The Nursing Technician allows the family
to be close; 6. Difficulties and facilities of the nursing technician in patient care in palliative
care in the intensive care unit. Final Considerations: The nursing technician care in the intensive
care unit is essential and adds the multidisciplinary team to a full assistance, being able to meet
the biopsychosocio-spiritual needs and demands presented by patients in palliative care.

SANTOS, Fernanda Cajuhy. Nursing care related to the cognition of elderly patients at an Intensive Care Unit. Dissertation (Nursing Master’s Degree). Universidade Federal da Bahia. Salvador, 2020. 110f. (Counselor Dr.Larissa Chaves Pedreira)                                        

The elderly population in Brazil is increasing in an accelerated pace, and elderly have significant hospitalization rates, especially in the Intensive Care Units.  The critical environment and the routine within these units are comprised of factors that can impair the maintenance of cognition.   Accordingly, interventions guided towards cognitive stimulation in the Intensive Care Units become a priority and the nursing team stands out in the execution of these interventions, once it is the category that has the greatest participation in the care of the elderly patient.  With the objective of analyzing how nursing care in relation to stimulating cognition of the elderly patients hospitalized in the Intensive Care Units occurs. A study was conducted a qualitative, descriptive, exploratory study, carried out in two intensive care units of a university hospital located in the city of Salvador-Ba., between December 2019 and February 2020. Data collection occurred in two phases:  the first in the patient records of the elderly patients hospitalized in one of the locus units, and secondly from the focal groups with the nursing team. Data analysis was performed using Bardin content analysis and the study complied with the Brazilian standards under Resolution 466/12, having been approved by the Research Ethics Committee. 132 nursing prescriptions, 16 clinical backgrounds, 132 evolutions and 264 nursing notes were monitored. The most identified nursing diagnoses were fall hazard with the related factors: extreme ages (38.9%), neurological impairment (16.7%) and impaired mobility (11.1%); followed by the diagnosis of acute pain: development of the disease (11.1%). Emphasis in the nursing prescription were: sensorial assessment (62.5%) and communicating signs of pain (56.3%).  The problems described in the development and notes of the nurses were: monosyllabic verbal contact, having as intervention cognitive stimulation, with aggression to the team, requiring mechanical contention and use of medication.  Some of the reported problems did not have any registered interventions. In relation to the focal group meetings, three categories appeared: nursing care related to the cognition of elderly patients in the Intensive Care Units; factors positively influencing nursing care in stimulating cognition of the elderly in the Intensive Care Units and factors negatively influencing nursing care in stimulating cognition of the elderly in the ICU.  The results demonstrated that the nursing team performs relevant actions towards stimulating the cognition of the elderly patients in the Intensive Care Units, however, this care is performed in a sporadic manner and poorly recorded.  The team needs to raise awareness in relation to this matter and it is indispensable that educational strategies be implemented as well as new studies on the cognition of the elderly in Intensive Care Units.

Hypertension is a multicausal disease that, in addition to the biological condition, can also be explained by the socioeconomic contexto and lifestyle of individuals. It is responsible for the highest mortality rate among cardiovascular diseases and generates disabilities worldwide. Aspects related to lifestyle influence with the prevention and control of the disease. The objective was to verify the association between sociodemographic factors, sedentary pattern and excessive alcohol consumption in people with hypertension. Cross-sectional study conducted with 220 hypertensive patients. IPAQ and AUDIT were used for data collection and the SPSS statistical program for data treatment. Prevalence ratios and 95% confidence intervals were calculated using a robust Poisson regression model for the standard physical activity outcome and Odds Ratio calculation and 95% confidence intervals with a logistic regression model for the consumption outcome excessive alcohol. The sedentary pattern prevailed in all sections os the IPAQ. At work, the sedentary pattern was prevalent in males and in participants aged ≥ 60 years. At home, the male gender was 16.0% more sedentary, age ≥ 60 years old had 13.0% more sedentary pattern and black race 43.0% more sedentary pattern. There was statistical significance between the higtest risk zone of alcohol and self-declared participants of the non-black race IC( 0.053 – 0.628) and with minimum wage > one, , IC (0.059-0.669). An association was observed between the  variables sex, age and race, in the house indicator; and sex and age age, in the work dimension. An association was observed between the non-black  race and income> minimum wage and the higest risk areas for acohol, however, there were no significant differences between the other sociodemographic variables investigated.

NASCIMENTO, D. F. B. Association between sociodemographic factors and alcohol consumption in women at a rural community. 2020. 76 f. Dissertation (Master’s Degree in Nursing) – Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2020.

 The purpose of the study was to investigate the association between sociodemographic factors and alcohol consumption in women at a rural community.  A cross-sectional study, of a quantitative/descriptive approach, developed at a rural community located in the municipality of Camaçari.  For data collection, a sociodemographic form and the Alcohol Use Disorders Identification Test were applied.  Descriptive analyses of the sociodemographic characteristics were used for processing the data.  To estimate the independent contribution of each variable as to the probability of the outcome related to alcohol consumption, measures of association with multiple logistic regression analysis were performed.  For bivariate analyses, the Pearson chi-square or Fisher Exact tests were applied.  The differences among the groups were also demonstrated using the odds ratio.  The level of statistical significance adopted was of 5%. The sample was comprised of 259 women. Predominance was for the age group of between 30 and 49 years (47.5%), self-declared as black (89.2%), with religious belief (74.5%), with partner (64.4%), complete secondary education (53,7%), remunerated activity (67.6%), receiving under one minimum wage (34.4%), financially dependent (64.5%) and living in own or ceded residence (85.3%). Prevalence was observed of 50.2% in alcoholic consumption, and of 56.2% of abusive usage. For measures of association, the relationship between age and use of alcoholic beverages evidenced the statistically significant association between the age group of 30 to 49 years and risk zone I (p=0.043), the consumption of alcoholic beverages and income for Zone I (p=0.081) and Zone IV (p=0.049). Considering the abusive use of alcoholic beverages, religious belief was characterized as a protection factor (OR= 0.15; CI 95% -0.07; 0.36). For the Zone I outcome, the resident variable was classified as a risk factor (OR= 2.19; 1.10; 4.34), as well as getting hurt due to having consumed alcohol (OR= 21.7; 5.21; 91.03) and having religious belief (OR= 8.43; 4.21; 16.88). For the Zone II outcome, religious belief was classified as a protection factor (OR= 0.26; 0.13; 0.52). Zone III, not getting injured after having consumed alcohol, is established as a protection factor (OR= 0.04; 0.00; 0.20) and in Zone IV, religion is established as a protection factor (OR= 0.11; 0.018; 0.713), as well as not getting injured after having consumed alcohol (OR= 0.03; 0.005; 0.174).  The conclusion reached is that sociodemographic factors, such as age group and income, were associated to the use and consumption of alcoholic beverages in women at a rural community and over half of the sample consumed alcohol and in an abusive manner, however, not dependent use.

JESUS, Marília Emanuela Ferreira de. Drug theme in the nursing teaching-learning process: a case study. 2020. 112 f. Dissertation (Masters) – School of Nursing, Federal University of Bahia, Salvador, 2020.

The problem of drugs is complex, multifaceted and can have individual, collective and social repercussions that affect people's health. Therefore, the theme deserves to be discussed in professional training, especially in the area of health. Therefore, it requires individual and collective efforts so that the discussion is free from stereotypes and stigmas. In this context, the objective of this research was: to identify if/and how the theme of drugs is addressed in the teaching-learning process in an undergraduate nursing course. Descriptive, exploratory research, with a qualitative approach, such as a case study, whose data were produced from institutional curricular documents and scientific productions about the theme of drugs produced in the period from 2010 to 2020, by the investigated institution. The process took place through the documentary analysis of the Pedagogical Project and the curricular component menus and lexical content analysis of the abstracts of 27 scientific productions, processed by the IRAMUTEQ software, which generated the conformation of the word cloud, maximum similarity tree and the descending hierarchical classification. In the official documents, no explicit evidence was identified on the approach to the theme of drugs in the teaching-learning process of nursing education. The scientific productions analyzed were essentially about care as a guide for Nursing actions, addressed issues related to the consumption of legal drugs in vulnerable groups, with emphasis on women and adolescents, revealing different forms of women's involvement with the drug problem and highlighting the importance of contemplating the person, the context and the drug in care actions.

The acute diarrheal disease (ADD) is a global public health problem, being
characterized as one of the main causes of morbimortality among children under five years of
age, mainly in developing countries and communities with precarious sanitary conditions, such
as the quilombola communities. Considering the epidemiological importance of diarrheal in
childhood, is necessary the development of actions in health that promote the prevention of this
problem and allow the adequate handle when the disease is already installed, avoiding the infant
deaths secondary to dehydration, which is the main complication of acute diarrheal. Objectives:
The general objective was to carry out a research-action about prevent and home handle of
ADD in children of quilombola community. Were presented as specific objectives the
following: 1) to seize the perception of responsible to quilombola children about the relation
between sanitation conditions and occurrence of diarrhea; 2) to identify which preventive
measures are adopted by responsible to prevent the diarrhea in child; 3) to verify which care
pertinent to informal subsystem are provided to child with diarrhea in a traditional community;
4) to seize how the responsible to children with ADD identify the signs of dehydration and
which are the care provided to children in these cases; 5) to investigate the knowledge of
responsible to quilombola children about the preparation of sugar/salt solution; 6) to outline the
therapeutic itinerary of child with diarrhea in that community; 7) to describe how occurs the
management of acute diarrheal in child in quilombola community in the light of Madeleine
Leininger’s theory; 8) to plan interventions to prevention and home management of ADD in
children from quilombola community; 9) to carry out actions of health education to preparation
of sugar/salt solution in the domicile of participants; 10) to perform the project “Give a slipper
and help to combat the child diarrhea”; 11) to socialize knowledges about prevention and cares
to child with ADD; 12) to carry out interventions to prevent and care of child with diarrhea;
and 13) to evaluation immediately and mediately, the knowledge and practices of participants
about the preparation of sugar/salt solution, prevention measures and home management of
child diarrhea after interventions. Method: It was carried out a research-action which was
theoretically supported the Transcultural Care Theory of Madeleine Leininger. The scenario of
study was the quilombola community of Praia Grande, located on Maré Island, in Salvador,
Bahia. The participants were 64 individuals of both sexes, responsible for children under five
years old who have already presented any episode of diarrheal. Data were collected from
November 2017 to March 2020 through technique of interview and the instrument was a
structured script (elaborated after the accomplishment of three pilot studies), after approval by
the Research Ethics Committee under the number of protocols 3.471.347. The quantitative data
were computed and processed in Epinfo Program version 3.5.1. To analysis of this data were
used the descriptive statistics, using absolute and relative frequencies of nominal quantitative
variables. In the treatment of qualitative data were used the technique of thematic analysis of
Bardin. Results: This research is described in two moments: the first one pertains to the
application of a structured script, about the cares to child with ADD (exploratory phase of
research-action) and the accomplishment of a health education to demonstrate how to prepare
the sugar/salt solution, done immediately after the application of structured script and planned
in accord with the participants when was observed in the first phase of research-action the
necessity of intervention in concerning to qualification of care to child with diarrhea. In the
phase of planning were articulated with participants the activities pertaining to the second
moment of research, which includes the application of a second structured script (pre-test),

SANTOS, D.S.S dos. Birth conditions and childcare in prison. 2020. Thesis (Doctorate in Nursing and Health) – School of Nursing, Federal University of Bahia, Salvador.

The number of children who are born and raised in the context of prison has increased proportionally to that of women of childbearing age, who experience a situation of prison in the country. This study aimed to analyze the care provided to children from 0 to 6 months of age who experienced the prison environment. The specific objectives were: to characterize sociodemographically pregnant and lactating women, who are in the prison context in the state of Bahia; describe the birth conditions of children in the prison context; apprehending the care provided to children aged 0 to 6 months by mothers, health professionals and prison officers; and, to identify the factors that interfere in the care provided to children from 0 to 6 months in the prison context. Qualitative research of exploratory descriptive nature, with an ethnographic approach. The study was carried out in two female prison units in the state of Bahia, which had a nursery unit. The research subjects were six deprived mothers, nine prison officers and 15 health professionals. The research was approved by the Ethics and Research Committee (CEP) of the Federal University of Bahia (UFBA), under protocol No. 2,876,907. For data collection, a form, semi-structured interview and participatory observation were used. The data were analyzed according to the “content analysis” technique, constituting five thematic categories: 1) The child in the context of vulnerability in prison; 2) Women in puerperal pregnancy - situation of vulnerability in prison; 3) Conditions for gestating, giving birth and being born in the context of the prison system; 4) Child care in prison - perceptions of health professionals; and, 5) Attention to the child in the prison context - a look from the prison staff. The results showed that prison is a place of vulnerability and violation of children's rights. Regarding the profile of women who experienced motherhood in prison, it was identified that they are young, black, poor and with low education. In relation to the birth conditions of children in the prison system, there were evidences of precarious situations of infrastructure in the prison unit, difficulties in transporting pregnant women during labor, and difficulties for mothers to provide care for their children after returning to prison - due to the scarcity of inputs and installation. Regarding the care for children provided by professionals in the prison context, daily care performed in prison, care during child complications and the challenges in providing care to children in prison were described. Finally, it was revealed that the surveillance system and the conduct of disciplinary practices in prison have an impact on the lives of babies. With this study, we allowed mothers, health professionals and prison staff to reveal child care within the prison system, highlighting the main difficulties for the development of child care. The data of this research point to the need for the elaboration of public policies, which guarantee children and their mothers, who live in the prison context, comprehensive care and congruent to their situation of vulnerability

OLIVEIRA, Ana Luíza Barreto de. The experience of the elderly person waiting for the regulation of the emergency unit. 2020. 96f. Thesis Project (PhD in Nursing) - Postgraduate Program in Nursing, Federal University of Bahia, Salvador, 2020.

The continuous increase in people aged 60 or over is a reality not only in developed countries, but also in developing countries, such as Brazil. As this population segment grows, the chances for emergency care and hospital admission increase. Regulation represents a mediating tool in the health care network, by guaranteeing care at different levels of complexity in the Unified Health System network. When talking about the elderly person who expects regulation to other levels of health care, the factor Time is important, not only from a chronological point of view, but also to understand the meaning that this waiting represents in the life of the aging person and how it relates to their health. Thus, it aimed to: Understand the experience of the elderly person while waiting for regulation in an emergency care unit. It is a qualitative field study, based on the phenomenological analysis proposed by Martin Heidegger, linked to the Center for the Study and Research of the Elderly-NESPI.The testimony collection was carried out in the Emergency Care Unit of size III of the Municipality of Salvador after approval by the Ethics Committee, under the opinion of No. 3,246,039 / 2019, between the months of April and October 2019. In the ontic primacy, understanding the way in which the elderly person was willing to wait for regulation occurred in the following units of meaning: The meaning of what is lived by waiting for regulation for the elderly person; The anguish and fear constituting the willingness to be elderly while waiting for regulation in an emergency care unit; The improper elderly being suppressed while waiting for regulation; The elderly being himself unveiled in the existential modality of being for death. Such dispositions made it possible to arrive at an ontological hermeneutics about being in the Unit of meaning: Healing as a being of the presence of the elderly person awaits regulation. The meanings allowed us to understand an elderly being who, due to fear and anguish, overlaps the rules of his surrounding world, pointing to a distance / escape from his being-himself, for living in the facticity of existing, not being present in his own way in seeking to improve their health condition. However, the meaning of immersing oneself in anguish, does not allow a denial of the elderly being in its entirety and allows a questioning of his own being, which means an authentic existence manifested by the original desire to reestablish his health to return to his mundane facticity. Thus, in order to improve health care for the elderly, it is necessary to make them aware of their health condition, so that this is part of their own way of being present in the world. The nurse, through effective and clear communication, can include the elderly person as a co-participant in the care of their health.

MAGALHÃES, Júlia Renata Fernandes de. Intra-family violence in childhood and/or adolescence: experiences of men in criminal process conjugal violence. 118p. 2020. Thesis (Doctorate in Nursing). School of Nursing, Federal University of Bahia, Salvador. 2020.

Intrafamily violence against children and adolescents is a historical phenomenon that has been perpetuated throughout the generations, mainly by the reproduction of the relationship models experienced in childhood and / or adolescence. This reproduction can be understood from Symbolic Interactionism, which starts from the premise that human behavior emerges from the way people signify their experiences. Thus, it was adopted as a general objective: To analyze intrafamily violence experienced in childhood and / or adolescence by men in criminal proceedings for conjugal violence and as specific objectives: 1. Identify the meanings of intrafamily violence experienced in childhood and / or adolescence by men in criminal proceedings for conjugal violence; 2. Unveiling the immediate repercussions of a childhood permeated by conjugal violence; 3. Analyze the meanings attributed to family dynamics by men who reproduced the domestic violence experienced in childhood. This is a qualitative research, based on Oral Thematic History and interpreted in the light of Symbolic Interactionism. The participants were six men who responded criminally for conjugal violence at the 2nd Court of Justice for Peace at Home in the city of Salvador, Bahia, Brazil, and who had experienced intrafamily violence in childhood and / or adolescence. The approach to the participants was favored by their participation in Reflective Groups promoted by the Research Laboratory on Violence, Health and Quality of Life at the Federal University of Bahia. Data were collected through semi-structured interviews covering issues related to the theme, in addition to socioeconomic aspects. These were recorded, transcribed, textualized and transcribed, and at the end of this process, validated by the interviewees. The speeches were organized with the support of the NVIVO® 11 software and systematized according to the Thematic Content Analysis. It is noteworthy that the ethical aspects recommended by Resolution 466/2012 of the National Health Council were respected. From the speeches it was possible to infer that, despite the context of physical and psychological aggression in childhood, most of the interviewees did not perceive themselves as victims violence, meaning it as an educational tool. Understanding as inappropriate conduct only emerged when the interaction between father and son was marked by practices considered extreme, as in cases of using a firearm. Even with the naturalization of violent family relationships, it was found that living with conjugal violence caused negative repercussions in childhood, such as fear, impotence and despair, triggering actions in defense of the mother considered risky for her age, as well as the incorporation of aggressiveness. The interpretation of these experiences, in turn, directed the construction of the meanings that the family dynamics must be delineated in the sense that the man is rude to his children and has control over the woman. Considering that behavior is guided by the way people signify their experiences and that these meanings are subject to change, it is believed that the development of educational strategies by nurses and educators that promote reflection on the context experienced in childhood, is a path promising to break the cycle of intrafamily violence.

TORRES, Raimeyre Marques. Type 2 diabetes mellitus in a population with asthma: a study on the occurrence and associated factors. 2020. 164 f. Thesis (PhD in Nursing). Nursing School, Federal University of Bahia, Salvador, 2020.

Introduction: Type 2 diabetes mellitus (T2DM) is a multifactorial disease, characterized by a defect in insulin secretion and / or a decrease in insulin sensitivity and inflammation. Asthma is a heterogeneous disease, characterized by chronic inflammation and airway hyperresponsiveness. The association between asthma and T2DM has become increasingly frequent and requires certain control measures as these are two very complex chronic conditions that point to a worse outcome in asthma.Methods: Cross-sectional study of data collected for a case-control study entitled “Risk factors and biomarkers for severe asthma” conducted between 2013-2015 in the Asthma Control Program (ProAR), with 996 patients diagnosed with asthma, in city of Salvador-BA. The definition of T2DM considered pre-defined criteria. All participants answered a questionnaire to assess sociodemographic and clinical characteristics, performed body mass index and waist circumference (WC), laboratory tests and spirometry. Categorical variables were expressed as absolute frequency and percentages and continuous variables as mean and standard deviation. The univariate analysis was performed using the chi-square and Student's t tests. The data were analyzed using the STATA version 12.0. The factors associated with the occurrence of T2DM in asthma were inserted in a multivariate logistic regression model in which the raw Odds Ratioswere calculated and adjusted to 95% of confidence interval. In all analyzes, p values less than 0.05 were considered significant. Results: This thesis was composed of a review article and two original articles. Article 2: 122 (12.2%) patients met the criteria for T2DM. After adjusting for confounding factors, having hypertension and WC above normal parameters doubles the chances of developing T2DM, while participants with dyslipidemia twice the chance to develop T2DM compared to their peers. It has been observed that uncontrolled asthma increases the chance of developing T2DM by 65%. Article 3: When comparing asthmatics with and without T2DM, the group with T2DM showed impaired lung function.Conclusions: Article 2: It is important that health professionals identify the factors associated with the occurrence of T2DM in asthma and thus can intervene in the coexistence between these two chronic conditions, focusing onproper management of both, aiming to improve the management and control of asthma, decreasing respiratory morbidity and mortality.Article 3: Asthmatics with concomitant diabetes had lower lung function and poor asthma control when compared to asthmatics without diabetes. It is important to expand the diagnosis of diabetes, promote the appropriate management of blood glucose, control weight and improve weighting in relation to the use of inhaled insulins, in order to reduce the additional impact on lung function in patients with asthma.

The informal caregiver is the main source of help for the dependent elderly or those with functional limitations. This plays its role with or without an emotional bond and, in addition to overload, demonstrates unpreparedness for the act of caring, lack of guidance and social support. Various needs and limitations appear with the caregivers that justify the importance of guidance and care that can be articulated from a support network available to this public. This study has the general objective of: Articulating, through an intervention in a community in the interior of Bahia, social support and network health strategies for informal home caregivers of elderly people. This is an action research divided into four stages, with a qualitative approach, developed in a basic health unit in Vitória da Conquista - Bahia, between December 2018 and August 2020. The study participants were informal caregivers of elderly people with addiction at home, volunteers and community leaders, health staff, including nurses and community health workers, as well as capable and interested elderly people. The study was divided into four phases, phase 1: previous diagnosis; phase 2: shared diagnosis and planning, for discussion and formulation of the actions to be carried out, phase 3: intervention, marked by the development of actions according to the proposals prioritized by the participants and phase 4: evaluation, short-term evaluation, which had the objective of detecting, through the participants' reports, how the articulation of the social and health support network contributed to changes in the community and impacted the routine of the elderly person's informal caregiver. The study had its phases structured in the theoretical framework of Paulo Freire's emancipatory pedagogy. Phase 1 identified the profile of overworked caregivers, with psychological and health complaints, socially isolated who have limited support from the church and the basic health unit and use spirituality and family as resilience strategies to face the exhaustive routine of caution; in phase 2: proposals for actions based on spirituality, psychological support, basic care guidelines and leisure activities for caregivers emerged; in phase 3: intervention, the actions proposed and prioritized by the participants were implemented: group of caregivers, training of health professionals, specific home visits, in addition to leisure activities and religious group in the homes; In phase 4, with procedural assessment carried out during all phases, the participants mentioned an improvement in terms of well-being, safety and support. Through the final evaluation, carried out eight months after the intervention, it was possible to detect in the short term, through the participants' reports, the changes that occurred from the construction of the care network. It is concluded that the articulation of an available and active social and health network can transform the arduous care routine and contribute to the well-being and decrease the burden of caregivers of dependent elderly people.

SILVA, Fernanda Rios da. Decision making for nurses in clinical practice considering deontological regulations. 2019. 116 pgs. Dissertation (Masters in Nursing and Health) - Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2019.

Decision-making for nurses is a relevant act for nursing care in the National Health System (NHS), nevertheless, there are few investigations in Brazil dealing with this phenomenon in the context of the clinical practice in primary healthcare. This study has the purpose of analyzing how nurses take decisions in the face of ethical dilemmas and conflicts experienced during clinical practice in the Family Health Strategy, considering deontological regulations that govern the profession. This is a descriptive study, of a qualitative approach, with the participation of 14 nurses working in six Family Health Strategies, located in the municipality of Salvador, in Bahia. For data collection a form was used with information for profiling the participants and interview technique containing an ethical-clinical situation and a leading question. The data collected during, the months of June to August 2018, was organized in accordance with the six moments contained in the Triad Configuration: Humanist-ExistentialPersonal and the analysis was theoretically based on two deontological standards relevant to nurses during the professional practice, these being: The Professional Code of Ethics for Nurses issued by the International Council of Nurses and the Code of Ethics for Nursing Professionals in Brazil. The 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, through CAAE 88488418.0.0000.5531. From the analysis it was possible to understand the structure of the phenomenon represented by four empirical categories, these being: shared decision making by the nurses during clinical practice at the Family Health Strategy; actions and strategies carried out by nurses when dealing with ethical challenges in their daily practice; decision-making by nurses during clinical practice at the Family Health Strategy and; perceptions and feelings of nurses in situations involving action/decision and their professional duty. The study enabled us to understand that nurses, when faced in their clinical practice with ethical dilemmas and/or conflicts, seek to obtain new insights by sharing the situation with their peers, triggering health and social resources, carrying out actions such as listing, offering support, guidance and indication on the use of contraceptive methods, empowerment and counseling, as well as using strategies such as household visits, a fin de in order to creating bonds and encompassing the family in the nursing care plan. The study permitted to disclose how nurses take decisions, elements that influence their practice in the Family Health Strategy, barriers encountered, perceptions, feelings and the professional duty of acting in situations of social vulnerability and violence. This research addressed only one aspect of the phenomena, so that other angles still need to be explored in order to improve education, research and clinical practice of Brazilian nurses, in relation to decision-making.

Suicidal behavior is a multifactorial global phenomenon that causes
high rates of morbidity and mortality. Considering that social support represents a
protective element in favor of caring for the person at risk for suicide, it is necessary for
health professionals to jump to the understanding about the support of family and
friends. OBJECTIVE: To apprehend the discourse of people with suicidal behavior
about the social support of family and friends. METHODOLOGY: This is an
exploratory-descriptive research with a qualitative approach. Interviews were conducted
with 18 users of the Center for Study and Prevention of Suicide (NEPS), linked to the
Antivenous Information Center of Bahia, Brazil, the study scenario. Data were collected
from April to August 2018. The organization of the findings was guided by the
methodological reference of the Discourse of the Collective Subject. RESULTS: The
existence of social support runs through experiences that outline the interruption of care
after the suicide act and others that this occurred due to the suicide attempt. Such
support has occurred in adverse situations, ranging from the total absence of support
throughout the life to the experience of the care of continuous form. It was evidenced
that the support of family and friends can be favored through the existence of an
affective bond with the person with suicidal behavior, previous experience of psychic
suffering, empathy and understanding about suicidal behavior. CONSIDERATIONS: In
revealing the importance of social support by family members and friends to people
with suicidal behavior, as well as evidence that this may (not) exist in different life
situations, regardless of the risk for suicide, the study allows reflections about an
attention psychosocial approach articulated to a broad proposal of social support.

FREITAS, Raniele Araújo de. Sense of spirituality and religiosity in the experience of the elderly person with cancer. 137 f. yl. 2019. Dissertation (Master in Nursing and Health) - School of Nursing, Federal University of Bahia, Salvador, 2019.

Spirituality and religiosity have been highlighted as strategies in coping with situations that can not be modified in the daily life of the elderly, as in cases of cancer diagnosis, which, when they become aware of the transience of life, are challenged by the responsibility of changing oneself. Thus, this process is accompanied by transformations that reorient the life trajectory, leading to a re-signification of the present, past and future, and can develop a new sense of life. The study aimed to reveal the meaning of spirituality and religiosity in the lived experience of the elderly with cancer. It is a qualitative research, with a phenomenological approach, based on Viktor Frankl's Existential Analysis. t was performed at the Oncology Clinic unit of a hospital referred to in oncology in the city of Salvador, Bahia. Participants in the study were 20 elderly people with cancer who attend the unit and who met the inclusion criteria of the study. After the approval of the Research Ethics Committee, the phenomenological interview for data collection was used, which occurred between august and october 2018. The statements were analyzed by the empirical-phenomenological method of Giorgi, adapted by Vietta, and interpreted light of Viktor Frankl's theoretical-philosophical reference. The vague and average understanding of shared experiences allowed the construction of six categories, that is, the elderly person with cancer showed himself to be a person who: 1. Understands spirituality and religiosity through experiential and attitudinal values; 2. It presents difficulties in conceptualizing spirituality; 3. Experience spirituality/religiosity in the face of the tragic triad and existential emptiness; 4. Uses meanings for future projection; 5. Uses spirituality/religiosity as a strategy of resilience; 6. Experience positive changes and diverse care. After the stages of apprehension of the ontic aspects, it was revealed the sense of spirituality and religiosity in the lived of the elderly person with cancer in its ontological aspects. The participants experience suffering, guilt and death, sometimes denying the existence of the disease and losing the stimulus to live. Some people design the future with leisure activities and work with the job. There were speeches about the valuation of life and the family, as possibilities to resignify the lived. The being-person-elderly-with cancer, allowing to reveal in his speech what was hidden in his experience, shows that spirituality/religiosity influences health, quality of life, acceptance of disease, and the resignification of meaning for the life. The lived faith and religious practices demonstrated be important strategies of resilience in coping with the unstable daily, being able to bring inner peace, comfort, and influence adherence to treatment. In this context, health professionals, especially the nurse, should address in their care practices, issues regarding spirituality/religiosity in the elderly person's life with cancer, due to the relevance that the theme presents in the life of this being.

Although guaranteed by the Companion Law (Law 11,108, of April 7, 2005) many people are prevented from being with the woman in the process of childbirth. Their presence in the birth process is still criticized by a large number of health professionals and their experiences not reported in the literature. This research aims to know the experience of companions in the process of childbirth. This is a descriptive, exploratory qualitative approach carried out with 10 accompanying women in the process of giving birth at a public maternity hospital in Salvador, Bahia. The data collection took place in the period from April to November of 2018, through the interview with semi-structured form. The speeches of the participants were recorded, after signing the Informed Consent Term, and transcribed. For analysis of the utterances, the Categorical Thematic Content Analysis proposed by Franco was used. Regarding the characterization of the participants, the majority belonged to males (07) and only 03 females. Regarding age, the majority were in the age group of 18 to 34 years (06), 04 in the age group of 35 to 59 years and there was no participant above 60 years. All the participants declared themselves of the black race, that is, black and / or brown. As to the level of schooling, 04 people had incomplete elementary education, 01 complete fundamental, 04 complete secondary education and only 01 complete higher education. In relation to the degree of kinship / affinity with the women who accompanied 07 men marital relationship; among the 03 female companions, 02 were mother and 01 sister of the woman who accompanied. In the total of escorts only 01 accompanied the process of delivery more than once, all others were the first time; of these, 07 were only women's choice, 01 said to have been the choice of both, 01 reported self-interest to accompany and 01 claimed to have been women's choice, but also, a need of the moment. In relation to the analysis of the speech, four categories and three subcategories emerged related to the experiences of the companions of women in the process of childbirth: The experience of another social role; A unique experience (permeated by emotion, multiple feelings and sensations, permeated by pain and suffering, permeated by the perception of risk in which the woman is exposed in relation to the capacity of the service); The experience of the host permeated by the importance of information and the experience of expectation by the way of childbirth. These categories provided the knowledge of the experiences linked to the role of another social role, reported as unique, surrounded by emotion, feelings and feelings that vary depending on the outcome of childbirth; it also allows for a perception of the risk to which the woman is. To experience the process of childbirth is to perceive the reception and importance of the information and to create an expectation by means of delivery. In addition to being told the role of the companion and the importance of the same in the process of childbirth with the woman is expected that the knowledge of these experiences help professionals, health units and managers in understanding the difficulties in reconciling personal demands with the social support role of women in childbirth



Companion of patients, social support, labor, delivery, obstetric nursing

Chronic Non-Transmissible Diseases bring with them a new health care environment, requiring new ways of approaching the elderly. Chronic Renal Insufficiency appears in this context asking for changes in several aspects, which makes this whole process more painful and difficult to manage. Spirituality / religiosity enters this context as an important tool in coping with the disease. Also, it allows a new meaning for the life of the elderly person. The nursing team must be able to meet this new demand during the provided care. This dissertation shows a qualitative study, considering a phenomenological approach and theoretical referential of Viktor Emil Frankl, which is based on the search for the meaning of the life. The objective of this study was to reveal the meaning of spirituality /religiosity in the elderly’s daily life with chronic renal insufficiency. The study included 20 elderly people, aged 60 to 79 years, who undergo hemodialysis at a reference unit in Nephrology in the city of Salvador, Bahia. The aim of the interview was to analyze the meaning of spirituality for the elderly person with chronic renal insufficiency, and it started after the approval of the Committee for Ethics in Research at the study's local hospital. The analysis and interpretation of the statements was carried out using a theoretical-methodological framework based on the Triadic-Humanist-Existential-Personalist configuration, through the adaptation of the Giorgi Model proposed by Vietta. The vague and meditative understanding of the interviews made it possible to construct the following categories and subcategories: Definitions of Spirituality; A new daily life in the face of illness; Greater family dependency; The finitude of freedom; The encounter with a new alimentary habit; Religious routines modified by hemodialysis; Modes of confrontation with IRC; The restlessness with the disease; Social support for life; Belief in something greater than oneself; Faith as a resource for existence; Faith as the precursor of the meaning of life; Faith related to the sacred; Religiousness as the mainstay of life; Religious life in the elderly person with CRI; Repercussions of religiosity in the elderly’s daily life with CRI; Spirituality as a support for living with CRI; God as a source of strength; The tragic triad present in the lived experience of the elderly person with CRI. From these categories and subcategories emerged the following unit of categoria meaning: "The spirituality / religiosity in the living of the elderly person with CRI and a new meaning of life". It was revealed by the elderly person with CRI that spirituality / religiosity acts as a source of strength, support and overcoming so that they could resignify their lives in the face of all the demands imposed by the illness, and realize that faith, especially in God, is part of the their daily lives and is the intrinsic characteristic so that they can continue fighting for their lives. In this sense, the health team responsible for the care of these individuals, especially the nursing professional, should be able to approach the spiritual dimension of the elderly person with CRI, providing them with subsidies so that they can live out their ideals, their beliefs and creed.

ediatric Early Warning Score is a tool that helps health’s team to identify the signs of clinical deterioration on hospitalized children so an early intervention can be provide avoiding the worsening of the patient’s clinical condition and the development of associated complications. Goal: To implant a translated, adapted and validated version of the Brighton Pediatric Early Warning Score to the Brazilian context (BPEWS-Br) in a hospital’s unit of pediatric care. Method: It’s a research based on qualitative character with research-action as the methodological strategy done on a public teaching hospital in Salvador, Bahia, Brazil. The data collection was done by the application of a semi-structured interview and audio records of educational workshops done with a nurse’s team of an open pediatric unit. It was used the technique of content analyzes by Bardin to categorize the workshop’s content. The ethical aspects were based on the norms of Resolution 466/12 and 510/16, the work was submitted and approved by the Research Ethics Committee of EEUFBA, CAAE: 83915318.0.3001.0049. Results: After the first analysis, it was identified a difficult of the nurse team to recognize the clinical deterioration in hospitalized children. Thus, Pediatric Early Warning Score, as well as its attendance flow chart, was implanted trough educational interventions on a 5 stages process: situational analysis, awareness, training, implementation and review. Theoretic training and realistic simulations were part of the process to supply the nurse team’s needs. Conclusion: The use of educational interventions was fundamental to BPEWS-Br implantation, support and involvement of the pediatric unit’s nurse professionals. There is a belief that the steps towards the implantation of the score allowed self-criticism, decision making, empowerment and sense of co-responsibility among the participants of the process.

SANTOS, Victor Porfirio Ferreira Almeida. Image of the nurse published in the Bahian media press between the years of 1936 to 1956. 73 p. Dissertation (Master in Nursing andHealth), Federal University of Bahia, Salvador, 2019. 

It is a historical, documentary, descriptive and exploratory research that had the purpose of describing the image of the nurse published in the Bahian print media between the years of 1936 to 1956. Regarding the historical study between the years of 1936 to 1956, it was possibleto investigate four moments to be analyzed serially, World War II and the Red Cross; It was Vargas; the creation of EEUFBA and the National Department of Public Health. The data analyzed were through the surveys of journalistic materials found in the Digital Collection of the newspaper A TARDE, because it was the most relevant of the Soterapolitan region. The data were collected in the journal's digital collection, searching for the terms "Nurse" and "Nurses", in all the journal's books, published in the period from 1936 to 1956. For the data analysis, Atlas TI (Archivfuer Technik, Lebenswelt und Alltagssprache Textual Interpretation), and the UH of the study was composed of 540 reports. The analysis of the publications of the database with the use of the software was used from the codification of the journalistic excerpts, with emphasis on terms, nurse or nurses. From this, the codification was done in the Atlas IT, being the Quotes classified according to the Codes. Thus, the emerging categories of the study were: the religious imagery of the nurse: charity, benevolence and vocation; the military nurse image; image of the nurse and its articulation with public health. The insertion of the nurse and her articulation in the public health brought recognition and minimization of the medical resistance, before the assistance recommended in the prevention and promotion. Besides that, the technical division of labor is seen in the new organization of the department, due to the historical and cultural way of working of the nurse. In this regard, the incorporation of women into military services during warfare was associated with nursing, constituting the image of the military nurse constituted by signs of the heroic woman and the determinants of the nursing context, and was one of the ways of female emancipation and in the process of professionalization of nursing. The publications of the imagery nurse religious history brings the precepts of charity, humanitarian and angelic. Thus, the study made it possible to carry out a critical reflection on the constitution of the nurse's image in the face of the historical facts divulged from the point of view of journalism. When thinking about the image of the nurse, it is important to deconstruct the determinants of context that are present in the profession, for its recognition and appreciation. Knowledge about the nurse image and its visibility should make a critical and reflective reading of the profession, in order to educate professionals about their social role in health, relevance of their work and the formation of professional identity.

To identify the prevalence of Common Mental Disorder and associated factors. Methods: A cross-sectional study was conducted in the city of Salvador, Brazil, with 230 students aged 10 to 19 years. A form containing variables and evaluative scale of Common Mental Disorder was used as instruments. Data were processed with the help of Stata version 12. Results: The prevalence of Common Mental Disorder in schoolchildren was 52.2%. The multivariate analysis identified a positive association with statistical significance between the Common Mental Disorder and the variables female gender (PR = 3.06 and 95% CI: 1.77-5.4), black race (RP = 2.08 and 95% CI: (RP = 2.07 and 95% CI: 1.06 - 4.03) and cigarette use once in life (RP = 2.88 and 95% CI: 1.31 - 6.31). Conclusion: Girls, black girls, who have a boyfriend and smoke are more exposed to CMD, as opposed to higher schooling, which proved to be a protective factor for the disease. 

Sexual violence against children and adolescents constitutes a contravention of the Federal Constitution and the Statute of the Child and Adolescent. Recognized worldwide as a serious public health problem, this can endanger the lives and health of the victims by causing physical, psychological, emotional and social damages. It is estimated that one in five children in the world has already been the victim of this type of aggression, but the difficulty in recognizing the occurrence of this phenomenon and the factors that may be associated are barriers to interruption of the cycle of sexual violence. The objective of this study was to analyze the occurrence, spatial distribution and socioeconomic determinants of sexual violence against children and adolescents in the state of Bahia, between 2014 and 2016. This is an ecological study, based on secondary data that analyzed the occurrence of sexual violence in the municipalities of the state, through the reported cases. The data were obtained through the Notification of Injury Information System, provided by the Ministry of Health upon request in the Electronic Information System for Citizens. Descriptive analysis was performed through frequency and central tendency measurements, the Moran I statistic and the linear regression were used for spatial analysis. The project was approved by the Ethics and Research Committee of the UFBA School of Nursing. The study identified a higher frequency of female victims (85.2%), mean age 12 years and browns (60.1%) in the characterization of the occurrence; the main aggressor was of someone known (44.2%), among the relatives, father (10.3%) and stepfather (8.6%) and the place of greatest occurrence residence (59.1%). In the spatial analysis, the incidence of the phenomenon was observed in almost all (96%) of the municipalities of Bahia with high-clusters in 6%. In relation to the characterization of municipalities, using social indicators, the spatial variability of income was observed; concentration of lower illiteracy rate in the metropolitan region, municipalities with low Human Development Index in the central and northern regions, and the unemployment rate in the metropolitan and concave regions. In the regression model, the variable tha degree of urbanization showed direct association illiteracy rate inverse association with the outcome. These findings point to the overlap between sexual and intrafamily violence, since the environment of greater occurrence and attachment to aggressor coincide. The identified clusters suggest that the data are not randomly distributed in space. And the highest incidence of the phenomenon was observed in geographic areas with better socioeconomic indicators. That said, this study can serve to guide interventions focused on these geographic spaces and actions with a focus on the family.

To demonstrate positive results in the care provided to the child, to the companion and the
safety of the patient, it is essential to have a scientific and practical knowledge of peripheral
venous puncture (PIP). The objective of this study was to investigate the demographic and
clinical factors associated with failure in peripheral intravenous punctures of children and
adolescents admitted to a public hospital of reference for paediatrics in Bahia, and as specific
objectives: To characterize the demographic and clinical profile of children and adolescents
submitted to peripheral intravenous puncture in a public hospital; To estimate the frequency of

failure in peripheral intravenous punctures in these children and adolescents. This is a cross-
sectional study, carried out with secondary data, with a sample of 411 children and adolescents,

totaling 723 peripheral intravenous punctures, since some children have been submitted to more
than one puncture. The instrument for data collection was elaborated containing information
through the demographic and clinical characteristics of children and adolescents, clinical
history related to IVT, variables related to IPT and complications related to IPT. For this
analysis, it was considered as a dependent variable the success of the AVP, categorized in yes
and no. The collected data were tabulated in electronic spreadsheets with the help of the
Statistical Package for the Social Sciences (SPSS), version 15.0, and analyzed through STATA,
version 13, which was prepared for a descriptive analysis, after calculating the absolute and
relative frequencies and measures of central tendency (mean and median) and measures of
dispersion (standard deviation). To verify the association between outcome and exposure, a
bivariate analysis was performed from the Pearson Chi-Square Test and Fisher's Test,
considering a p-value ≤ 0.05 for a statistically significant association. For the multiple analysis,
the OR was transformed into Prevalence Ratio (PR) through robust Poisson regression. For the
estimation of the adjusted PR, the hierarchical stepwise regression regression model was used
to insert the variables. In the final model observed, the permanence of statistical significance
obtained values of descriptive levels equal to or lower than 5%. The matrix project was
submitted to the Ethics Committee in Research of the State University of Feira de Santanta,
being approved with opinion no 841.612 / 2014. The findings show a frequency of 89.21%
success in PIP, in relation to the multiple model. The factors independently associated with
successful punctures were: for the visible vein, 3.44 times (95% CI: 2.27-5.24; p-value <0.001),
the prevalence of success for those who did not have a visible vein. Regarding puncture
characteristics, the number of trials was associated with success, with only one trial showing a
prevalence of success 10.96 times the prevalence of success in two or more trials (95% CI: 5.35
- 22.45 ; p-value <0.001), as well as punctures performed in the upper limbs (PR = 3.59, 95%
CI: 2.29-5.62, p-value <0.001), directly (PR = 2.59 , 95% CI: 1.66 - 4.04, p-value <0.001) with
22-gauge docateter use (RP = 2.29, 95% CI: 1.44-3.65, p-value <0.001). It is worth highlighting
the strengthening and re-adaptation of evidence-based practices to strengthen the factors that
are related to the success of the PIP and guarantee the quality and safety of the patient.

The elderly population is more vulnerable and has a higher risk of functional decline
during and after admission to the Intensive Care Unit (ICU). This fact makes the
presence of the family in their care essential, as they play an important role in
monitoring their loved one, facilitating communication with the health team, providing
emotional support and participating in decision-making. The general objective of the
study was to understand how the inclusion of the family in the care of the elderly in the
ICU occurs. The specific objectives are: 1. To identify the participation of the family in
the care of the elderly in the ICU; 2. Identify the factors that interfere with the inclusion
of the family in the care of the elderly in the ICU. Descriptive, exploratory study with a
qualitative approach, carried out between October 2018 and January 2019, in three large
hospitals of different managements, federal, private and philanthropic, in the city of
Salvador / Bahia. Data were collected through observation in a field diary and through a
semi-structured script. To organize and systematize the data, the Qualitative Data
Analysis Software (webQDA) was used, and the analysis was based on the Content
Analysis Technique proposed by Minayo. Ethical and legal care was respected. 06 nurse
coordinators and sixteen assistants from critical units participated. Four thematic
categories were identified: (a) Releasing family permanence, as a companion and / or
extended visit; (b) Family participation in caring for the elderly in the intensive care
unit, with the subcategories: (b.1) Stimulating family participation centered on the
provision of the diet; (b.2) The family as an observer of technical procedures; (b.3)
Recognition of the care provided by the family; (c) The elderly person better accepts
care in the presence of the family; (d) Intervening factors perceived by nurses, for the
inclusion of the family in caring for the elderly in intensive care, with the subcategories:
(d.1) Factors that facilitate the inclusion of the family in caring for the elderly in
intensive care, and (d. 2) Factors that hinder the inclusion of the family in caring for the
elderly in intensive care. The results showed that releasing the family member to stay in
the ICU as a companion was the main strategy outlined by nurses to include the elderly
in care. In addition, the effective participation of the family in caring for the elderly
focuses mainly on the offer of the diet, facilitating its acceptance and adherence to
treatment. In addition, family members assume the role of observers, when present in
technical procedures. The positive and negative intervening factors are directly related
to the physical structure, performance of the multidisciplinary team and the
organizational structure of the institutions.

This research aimed to analyze the perspective of the Nursing Undergraduate Teachers
about the development of leaders of a Federal University located in the State of Bahia, Brazil.
This is a research with qualitative approach, descriptive and exploratory case study method. For

data collection we used semi-structured interview techniques and document analysis. Semi-
structured interviews were conducted, in which 35 research professors who work in the

undergraduate nursing course constitute the research participants. Data were analyzed
according to thematic content analysis. The interviews were conducted in a reserved
environment, with a pre-established date and time, according to previous contact with each
participant, through individual interviews, followed by a semi-structured script. Afterwards,
there was a documental analysis of the Course Plans, totaling 14 disciplines addressed by the
Nursing Graduation, and its analysis was performed in the first semester of 2019.1. The research
is part of a macro project funding and is approved by the Research Ethics Committee under n°.
1.479.217. Three categories emerged, which signaled teachers' perceptions about teaching
leadership, the pedagogical practices adopted by teachers and facilitating strategies in the
development of leaders, revealing an approach of active methodologies, through dialogic
classes, critical and problematizing discussions, and realistic simulations. among others, which
make it possible to strengthen the teaching-learning process regarding the theme. The research
also signaled that the course plans have characteristics that converge with the statements shown
by the teachers, both seeking to follow the changes of the Curriculum Guidelines of the Nursing
Undergraduate Course, and in both made possible to relate with the concepts of Paulo Freire.
Pointing as challenging for teachers the implementation of different methodologies that can
encompass discussions that permeate the teaching of nurse leadership. Further research is
suggested in order to deepen the theme, expanding new scenarios, both in public and private
institutions. Thus, it reinforces how important it is to research and debate about the teaching of
leadership in nursing, seeking to highlight it in the curriculum of nursing, developing the
leadership capacity of nurses and contributing to quality in health care.

The woman and her family, since the discovery of pregnancy, create expectations in relation
to the moment of delivery, and hope that it will occur in the best possible way. This moment
generates significant experiences for a portion of women and expectations regarding it may
become an influencing factor in the experience related to childbirth, such as motherhood.
Therefore, it was necessary to apprehend the experience of women who had a childbirth
process different from their expectations through an exploratory descriptive study with a
qualitative approach with 18 women, between 18 and 42 years old who experienced the
childbirth process in a public maternity. federal. Data were collected from May to July 2019
through an open interview using a semi-structured form, after the women's prior consent and
signing the informed consent form. Being structured and analyzed under the framework of the
categorical thematic analysis proposed by Bardin. Respecting the ethical aspects based on
CNS resolutions 466/12 and 580/18. The participants were characterized according to: race /
color, education, family income, occupation and gynecological-obstetric characteristics. As
for the content analysis of the statements, the five categories emerged: Experience related to
the gestational period of delivery; Experience related to the place of delivery; Experience
related to the mode of delivery; Experience related to the assistance received in the maternity
hospital; and the experience related to the companion in the delivery process. The results of
this study allowed to apprehend the experience of women who had a childbirth process
different from the expectation elaborated during the gestational period. Most women
experienced the process of frustration in relation to the expectation of delivery, reported
feelings of fear, nervousness and tension. Most of these feelings were linked to inadequate
and / or inefficient communication and information during prenatal care and even during
labor. Women who had a different birth place than expected reported the weakness of health
and care services in the places of origin, however, satisfaction in the current place of birth
stood out, especially with the care received, with emphasis on nursing. The interviewees
reaffirmed the importance of effective communication and the presence of the companion in
the delivery process, as evidenced by the evidence. There is also an important gap between
the expectation and the real experience of childbirth and birth by women in health services,
and this study demonstrated the importance of understanding these experiences as a way of
restructuring health care services and networks with a view to these expectations.

The objective was to investigate the association of socioeconomic factors with anthropometric measures, physical activity and salt consumption in people with systemic arterial hypertension. A cross-sectional study, descriptive and exploratory, performed in a healthcare center in the city of Salvador/Bahia, in 2017, on 220 people with medical diagnosis of systemic arterial hypertension. Data collection was by means of interviews with validated instruments in relation to socioeconomic factors, salt consumption, the practice of physical activities and anthropometrics measures. Descriptive and exploratory analyzes were performed, followed by bivariate analyzes applying the Pearson Chi-Square and/or Fisher Exact tests. The level of statistical significance adopted was of 5%. A multiple logistic regression analysis was performed with variables that in the bivariate analysis presented p values ≤ 0.20. The adjustment variables considered were: age, schooling and income. The backward modeling approach was used. For the prevalence ratio and 95% confidence interval the robust Poisson regression model was used. There was a predominance of women (78.6%), of age ≥ 60 years (53.6%), color black and brown (91.4%), complete secondary education (55.0%), with family income per month of one to two minimum wages (48.6%) with partner (77.7%). It was verified that there was a higher proportion of people with obesity (40.0%) followed by overweight people (37.7%); statistical significance for people of age ≥ 60 years (p=0.007) and with partner and overweight (OR=1.75; CI= 0.48 – 6.34); people with complete secondary education and obesity (OR= 1.16; CI= 0.53 – 2.56) and with partner and obesity (OR= 2.31; CI= 0.62 – 8.55). Predominance was for women (p=0.004) and people with complete secondary education (p=0.028) with inappropriate waist circumference and women (p=0.000) and people with complete secondary education (p=0.002) with inappropriate values of waist-hip ratio. There was a predominance of race/color white, yellow or indigenous (p=0.031) associated to salt consumption in quantities greater than one coffee spoon full. There was a prevalence of sedentary lifestyle/insufficiently active behavior in all of the physical activity indicators: at work (93.6%), during transport (98.2%), at home (86.0%), during leisure (100.0%) and during the time spent sitting down (84.5%). There was statistical significance for women (p=0.044) and age ≥ 60 years (p=0.013) and sedentary lifestyle/insufficiently active behavior in the physical activity context at work. Predominance was for women and sedentary lifestyle/insufficiently active behavior in the physical activity context during transport (OR=1.10; CI= 0.10 – 11.35). Prevalence was for men (p= 0.029) and people of age ≥ 60 years (p=0.010) for sedentary lifestyles/insufficiently active behavior in the physical activity context at home. There was statistical significance for women (OR=1.87; CI= 0.77 – 4.57), people with partners (p=0.075) and sedentary lifestyles/insufficiently active behavior in the time spent sitting down. An association between socioeconomic factors and anthropometric measures, physical activity and salt consumption was observed in the studied population, evidencing potential results contributing towards the lack systemic arterial hypertension control. Accordingly, the perspective, considering such findings, is to care for the studied population and apply interventions with increased monitoring and further educational strategies in order to, respectively, better understand the magnitude of the associations and modify unhealthy behaviors that are predominant among those with systemic arterial hypertension. 

Masculinity should be understood as a symbolic space, where values, behaviors and emotions structure male identity. These attributes are often based on patriarchal and sexist precepts, provoking the existence of a relational gulf between genders, making the relationship between men and women based on male power and domination, reflecting directly on the conjugal sphere when, notably, it is anchored in violence practices. That said, we assume that the way male subjectivity is constructed integrates the symbolic network that produces the naturalization of violence in conjugal relations. OBJECTIVE: To understand what elements constitute the masculinity of men in criminal proceedings for conjugal violence. METHODOLOGY: This is an exploratory study with a qualitative approach, which will use the Oral History of Life method. The scenario of this research was the 2nd Stick of Domestic and Family Violence Against Women of the city of Salvador and the participants were 13 men who integrate the reeducation space in the Reflective Group with Men. Data were collected through an open interview guided by a form containing participants' socio-demographic information, contact and interview data, progress data for the stages and guiding questions: “Tell me about your childhood and adolescence, focusing on your upbringing” and “From what you were taught in childhood and adolescence, did you reproduce any element in your behavior?”. All interviews were recorded, transcribed, textualized and transcribed. At the end of this process, the material was validated by the interviewee. Data were organized according to categorical thematic content analysis and interpreted in the light of the theoretical framework of gender studies. RESULTS: The narratives reveal that the childhood / adolescence of men in situations of conjugal violence was permeated by constructs of masculinity, mostly introjected by the father figure. They are: distancing from female play, affective dullness, infidelity, family provision, and domination and intrafamily violence. In addition, the study found that the research participants learned and reproduced constructs of “being a man”, such as: infidelity, overvaluation of work, provision of the house; imposition of family rules and possession of power over the spouse. Such constructs, when used in a toxic manner, end up causing the practice of violence in conjugality, making all family members vulnerable to physical and mental illness. 

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CONCLUSION: Therefore, it is concluded that the constitutive elements of masculinity are introjected in the creation of men, from an early age, from the observation and experience of such models in their family, which are reproduced during adolescence and adulthood. often to the practice of violence in conjugality.

Women’s reproductive rights allow women have reproductive autonomy, once those rights amplify their freedom of speech. However, socioeconomic and cultural issues, as well as structural gender inequality, affect their well-being and quality of life, mainly women who belong to lower-income social groups, such as quilombola communities. This article aimed at analyzing the reproductive autonomy of those women and specifically at describing their socio-demographic and sexual health reproductive aspects; identify their reproductive autonomy level and associate it with social demographics issues. Besides, adressing how the quilombola communities’ social life conditions interfere in their reproductive autonomy. In this paper a qualitative and quantitative approach was adopted. The research was performed in quilombola communities located in cities from the territory identified as Sertão Produtivo, in the state of Bahia, Brazil. Women aged between18-49 years old living in quilombola communites who authorized and signed the term of free and informed consent (TCLE in Portuguese) partipated in this study. The data was collected in two steps: the fisrt one used the Reproductive Autonomy Scale and a semi- structured form from Health National Survey (adapted); in the second step, there were two meeting with two focus groups. The informations and data from the Scale and adapted form were used and processed in the SPSS statistical program (version 22.0). The descriptive statistic was used in order to reveal the results such the mean, standard deviation and minimun and maximun scores. The link between Reproductive autonomy and socio demographic and reproductive aspects were tested by Mann-Whitney, Kruskal-Wallis tests and Spearman correlation. The significance level adopted by study was 5% (α= 0,05). For the data from focus groups was used a thematic analysis proposed by Bardin: NVivo software also was used for qualitative data organization. The study followed the ethical Standards recommended by Resolution 466/2012. The results revealed, in the most cases, that the quilombola community women interviewed were married, black, low education levels, farm worker women or housewives  with 32 years age and montly income around 329.20 Brazilian Real. The mean age at menarche was 13 years old, the most women had sexual intercourse, multigravida and did not participate of Family planning group in the past 12 months. Almost half of the women interviewed have never been under cervical exam in the last 2 years, and they did not use any birth control method. The overall autonomy score median score was 2,06. It was possible to verify the link between decision making score and marital status. The “overall reproductive autonomy” was linked to birth control method use. Besides, participants’ reproductive autonomy is affected by patriarchy, but it has been changing through financial Independence of some women. In spite of the advances, there is much to do in order to guarantee the effectiveness of the health services for women, in special, for those women who are living in social vulnerability, such as quilombola women.

SUTO, Cleuma Sueli Santos. Sexuality of women from different generations after HIV diagnosis. 200f. Thesis (Doctorate Degree in Nursing) - Federal University of Bahia, School of Nursing, 2019.
This research addresses the sexuality of women of different generations after the diagnosis of HIV, understanding that sexuality is founded on experience and available and complex cultural representations. The outlined objectives of the study were: to understand the social representations, in different generations of women, on sexuality after HIV diagnosis. And, analyze the social representations on sexuality according to women diagnosed with HIV, considering generational characteristics. A qualitative research, with a multi-method concept and methodological approach on the Theory of Social Representations, developed in a specialized service in Feira de Santana-BA, having as inclusion criteria women of ages equal to or over 18 years, living with the seropositive diagnosis for over six months and using antiretroviral therapy. The exclusion criterion was of women using medication as a preventive measure. Data collection instruments were semistructured interviews and free association test, with three inductive terms. For the purpose of analysis: the structural approach comprised nine tables of four houses, using the EVOC software; the interviews and evocations, using the Iramutq software, generated the as Factorial Analysis of Correspondence and Descending Hierarchical Classification, Maximum Similitude Tree and Word Clouds; the Discourse Analysis, as technique, permitted semantic, syntactic and logical operations that revealed the in interaction by means of three categories.  For ethical purposes, the research project was approved by the Research Ethics Committee of Escola de Enfermagem at UFBA number 2.776.570/2017. The results disclosed that sexuality is conceived, by the 191 participants, as something difficult to be specified, associated to sexual practice requiring preventive care to be experienced and/or that needed to be warded off, in view of the serostatus. In light of the dialogic approach, fear was revealed to be incorporated and inhibiting them to experience sexuality when they are seropositive. When forming the generational sub-groups, young women, after discovering they are seropositive, remain faithful to one emotional-sexual relationship, not always satisfactory; the need for taking medication is vital, prejudice is difficult to be faced, and the concerns related to the desire of being a mother is present in their representations; adult and middleaged women outline stories of remorse, suffering, fear and jealousy of the partner; the manner admitted by them to deal with their present condition is to maintain their focus on self-care and on their maternal role, distancing themselves from their loved ones; elderly women focus their attention on the child/infection binomial and reveal the painful difficulty of making visual their sexuality in a nuance of denial and self-censorship. Generational issues present small divergences, occupying distinctive spaces in the different types of analyses, ratifying the need for new studies that address the theme, privileging the category of generation. The social representations analyzed permit a reflection on the attempt of demonstrating what lies behind and what motivates the discursive action on sexuality by seropositive women and revealing shared knowledge, anchored on fear, from a denied sexuality that needs to be maintained a secret, which shapes a field for female vulnerabilities, producing the demand for care.

The Pró-Ensino na Saúde program aimed to improve and stimulate teacher education in
postgraduate programs (GP). The general objective of this thesis was to analyze the
teacher education by the competence provided by the Pró-Ensino na Saúde to the stricto
sensu graduate in the Health Sciences area. The specifcs objectives: to characterize the
GP participants of the Pró-Ensino na Saúde, as to the areas of concentration, lines of
research and the curriculum proposal for the development of didactic-pedagogical
competence; to investigate the scientific production of dissertations and theses from the
Pró-Ensino na Saúde program from the perspective of didactic-pedagogical competence;
and to examine the perception of the scholarship alumni about teacher training by the
didactic-pedagogical competence promoted by the Pró-Ensino na Saúde program. The
theoretical framework was based on the discussion about competences of teachers
according to Perrenoud (2000) and Masetto (2012). Exploratory, descriptive, analytical,
mixed approach and case study research. The sample consisted of 80 graduating students,
their 25 respective GP and 72 course completion works from the 19 projects approved by
the Pró-Ensino na Saúde. Data were collected through documents and questionnaire, and
analyzed by descriptive statistics and lexical analysis, from the perspective of content
analysis, with the support of SPSS and Iramuteq software. The results were presented in
the format of scientific articles. The first article showed that the majority of GP (56%)
has a concentration area with themes related to clinical, pathological, dental and
pharmacological research. 13 didactic-pedagogical research lines were located. When
analyzing the curriculum components, it was noticed a reduced number of compulsory
subjects and most of the optional type, is entitled “Teaching Internship”. The second
article evidenced the predominance of dissertations and theses with qualitative approach
in the curriculum theme and teaching-learning process in undergraduate Health, as well
as diverse and non-priority themes according to the objectives of Pró-Ensino na Saúde.
The dissertations and theses that opted for the theme teacher education focused on
technological competence. The third article showed that 76.3% of the research
participants were women from the bachelor of Nursing degree, with a master's degree and
between 31 and 40 years old. 76.3% perceived positively the didactic-pedagogical
training provided by the Pró-Ensino na Saúde. The average of positive perception among
the 26 teaching competences acquired during the postgraduate course was higher than
76%. This acquisition was mainly extra-curricular, such as participation in events and
congress on the subject of teacher education. The competences related to the planning,
management and evaluation of teaching-learning activities presented greater negativity
of the answers. It is concluded that the Pró-Ensino na Saúde stimulated the teacher
formation, but there was little adhesion of the GP in continuing the formative processes
and curricular components for the development of the didactic-pedagogical competence.

Esta disertación trae como tema central el crecimiento y desarrollo de lactantes con síndrome congénito del zika virus. El objetivo de esta investigación pretendía verificar los parámetros del crecimiento y desarrollo y su relación con la positividad para infección en lactantes con el síndrome congénito del zika virus. La investigación de naturaleza cuantitativa, corte transversal, generó los datos a partir de las encuestas domiciliarias, aplicación del test de denver II y examen físico realizados con los sujetos de la investigación. Los principales resultados apuntan tres diferentes aspectos, a saber: el perfil sociodemogáfico, antropométrico y del desarrollo neuropsicomotor. El perfil sociodemográfico de las familias más acometidas por el síndrome congénita del zika virus eran negras, los padres estaban casados legalmente, con la media de 6 años de estudio y desempleados. El perfil antropométrico, aunque la mayoría de los lactantes nacieron con los parámetros de peso por debajo de lo esperado, después de la primera consulta de seguimiento, alcanzaron un peso adecuado para la edad, pero los datos antropométricos de estatura y perímetro cefálico continuaron en déficit y, estos parámetros alterando directamente todo el crecimiento y el desarrollo infantil. Además, en relación al desarrollo neuropsicomotor, los lactantes evaluados por el test de denver II tuvieron alteraciones en todas las áreas evaluadas (lenguaje, motor fino, motor grueso y personal / social). Estas diferencias se evaluaron en relación con el estado de infección y positividad para la serología del zika virus. Esta realidad no demostró diferencias significativas entre los lactantes que dieron serias positivas a las que resultaron negativas. Sin embargo, debido a los desafíos en el resultado de laboratorio para la infección materna y congénita, todos los lactantes fueron evaluados, independientemente del status de infección. Aún se necesitan nuevos estudios para ampliar investigaciones que traigan resultados a largo plazo, tanto para el crecimiento y para el desarrollo neuropsicotmor infantil. Palabras 

SANTOS, Alana Libania de Souza Santos. Life Project of Elderly People Participating in the Open University for Third Age. 2018. 86pp. Thesis (Masters in Nursing and Health) Universidade Federal da Bahia, Salvador/BA, 2018.
The process of human aging is accompanied by transformations that redirect the path of life, leading to an intimate reflection on the present, past and future. The accentuated growth of the elderly population brings demands for care strategies for an active and healthy aging. In this sense, the existence of a life project during the aging process is shown as a mental health promoting factor, and the participation in educational projects, as a strategy of positive impact on the health of this population. This study had as general aim: To apprehend the life projects of elderly people who attend the Open University for Third Age that works in a public university. As specific aims: 1. To know the life project of the elderly person; 2. To identify possible relationships between the life project of elderly people with the participation in the Open University for Third Age; 3. To describe what the elderly person has done to achieve their life project. This is a descriptive, exploratory study with a qualitative approach, anchored in the Activity Theory proposed by Robert Havighurt. It was conducted on Campus XII at Universidade do Estado da Bahia, from October to December 2017. 11 women and 4 men aged 60 years and over participated in the study, totaling 15 participants who attend the program of the Open University for Third Age. Data was collected through individual interview and analyzed based on the thematic content analysis technique of Laurence Bardin. The study was approved by the Research Ethics Committee of the Nursing School of Universidade Federal da Bahia. The results showed that the age ranged from 60 to 82 years, predominantly women, retired, Catholic, with complete primary education. Two categories emerged from the statements: 1. Contributions of social participation in the project of life of the elderly, sustained in three subcategories: a. The importance of informal social relations in motivation for life; b. The Open University for Third Age in the promotion of active and healthy aging; c. Volunteer and religious work is a source of gratification and happiness in old age; 2. Active and healthy aging: the elderly person's life project, anchored in two subcategories: a. Health as a priority desire; b. Activity in old age is a synonymous of autonomy and independence. It is concluded that the elderly have future prospects for a good old age, they want to remain active, independent and autonomous. The university has a range of resources that need to be better explored, in order to contribute to the realization of the life projects of the elderly, as well as the construction of new projects.

SANTOS, Jessica Lane Pereira. Adjustment of elderly in the domicile after hospitalization in the intensive care unit. 105f. 2018. Dissertation (Master degree) - School of Nursing, Federal University of Bahia, Salvador. 2018.


INTRODUCTION: As a result of the demographic transition and the aging of the population, an increase in the proportion of elderly, frequency of comorbidities and the incidence of functional decline attributed to this age group is observed, which may lead to a need for hospitalization. It is increasingly common the admission of elderly patients in the Intensive Care Unit (ICU), and it is fundamental to plan and perform health actions for these patients during and after hospitalization. After hospital discharge, the elderly person may present fragility and a high degree of dependence and loss of autonomy when returning to the domicile. Such limitations may be permanent or transient, and in both situations, performing routine activities of daily living can become a challenge to the elderly and their relative. OBJECTIVES: To know the adaptation of the elderly in the domicile, after hospitalization in the ICU; apprehend facilities, difficulties and needs related to daily life, in the domicile, after hospitalization in the ICU. METHODOLOGY: This is a descriptive study, with a qualitative approach, performed with elderly who were hospitalized in the ICU of a public hospital in the Southwest of Bahia. The data collection took place through an open interview, from October 2017 to February 2018. The research was conducted in two places: data were initially collected in the records of patients hospitalized in the ICU of the hospital to identify those aged 80 years or more, who were hospitalized for more than 24 hours and were already discharged of the hospital. After that, a telephone call was made to schedule a visit to the domicile of the elderly identified in the ICU and who were already discharged from hospital. After that, an interview was made with the elderly people in their domiciles. For the procedure of data analysis the principles of content of Bardin, based in the light of the Theory of Adaptation of Callista Roy, were used. The project was approved by the Research Ethics Committee under Opinion no. 2.266.652 of 9/11/2017 and the ethical and legal care based on Resolution 466/12 of the National Health Council were strictly respected during all phases of the research. RESULTS: A total of 11 elderly subjects participated in the study, six females and five males, aged 80 to 94 years. From the participants' statements, two categories emerged: Stimuli experienced by the elderly in the domicile after hospitalization in the ICU and behavioral responses of the elderly in the domicile after ICU hospitalization. CONCLUSION: The study showed that the main stimuli that contributed to an adaptive behavior of the elderly were the return to their home and family support. On the other hand, the stimuli that negatively affect adaptation were fear, lack of information and difficulties in the continuity of care. Behavioral responses were related to the physiological and psychosocial modes, which culminated in dependence and loss of autonomy to perform basic life activities, as well as feelings of sadness and dissatisfaction.

To describe the global stress level in nursing students by the Nursing Student Stress Assessment Scale (AEEE); to compare the level of stress, by domain of the EEAE, according to the training phase; and to verify sociodemographic and academic factors associated to the global stress level. Method: Cross-sectional study with 287 university students. The instrument was applied for sociodemographic and academic characterization and the AEEE Scale. Data were analyzed in proportions, means and standard deviation. In order to verify the association between the global stress level and the variables of interest, Pearson's Chi-square test or Fisher's exact test was used. The variables with a value of p ≤ 0.20 entered the multivariate analysis using the Poisson Logistic Regression Model. In the analysis of the model, a statistical significance of 5% was adopted. Results: A higher proportion of university students presented a medium / high level of global stress. Students in the 6th to 10th semesters presented higher levels of stress compared to the 1st to 5th semesters in the areas of practical activities, professional communication (p = 0.014), environment (p = 0.053) and professional training (p = 0.000). In the multivariate analysis, the variables that contributed the highest average / high level of stress were the 6th to 10th semester, female, monthly income equal to or less than a minimum wage and insufficient income. Conclusion: Students in the 6th to 10th training period, women, low monthly income and considered insufficient contribute to a higher level of stress in nursing 

VERAS, Sylvia Maria Cardoso Bastos. Nurse Care to the spiritual dimension of the hospitalized elderly person. 103 p. 2018.Thesis (Masters).Nursing School, Universidade Federal da Bahia, Salvador. 2018.

Spiritual care is inserted in the multidimensionality of the human being, especially the elderly person who lives the process of illness and hospitalization, and it is up to the nurse to work on the subjectivity and specificity of this individual in order to promote comfort and well-being. The research aimed to analyze the care of the nurse to the spiritual dimension of the hospitalized elderly person.This is a research with a qualitative approach, based on Jean Watson's theory of Transpersonal Human Caring. Study participants were 17 nurses working in a geriatric center in Salvador - Ba. The reports were collected in the period from January to April of 2018, through a semi-structured and recorded interview. The data were systematized through the Content Analysis proposed by Bardin. From the reports, the following categories emerged: 1. Definition of Spirituality; 2. Definition of Religiosity; 3. Difficulties and facilities in caring for the spiritual dimension; 4. Identification of spiritual needs in response to the manifestation of the elderly person; 5. The care of the nurse to the spiritual dimension of the elderly person. It was noticed that the participants brought the concept of spirituality more fluidly, but in expressing the concept of religiosity, there was a certain insecurity, association with religion, or the overlapping of them. Among the difficulties, it was evidenced lack of preparation in the approach to the spiritual dimension due to the confrontation of beliefs, demand of attributions, lack of time, assistance with the focus on biological aspects, and others. Among the facilities are working in a religious institution, the religiosity of the elderly, the influence of spirituality and professional belief, moment of fragility of the elderly. In the identification of the spiritual needs of the elderly person, it emerged sadness, affliction, manifestations of faith and belief, as well as the use of images of saints, bibles, rosaries, as well as requests for religious rituals and use of radio / television. As for spiritual care, dialogue, referral to religious service, encouragement and respect for religious activities, authorization of rituals and musical instruments, reception and empathy were observed. Final Considerations: Spirituality is a dimension of human and holistic nursing care. Caring for the spirit contributes to foster transpersonal care. The difficulty in providing this care may be in the lack of preparation of the nurse, so it is necessary for the nurse to cultivate and live her own spirituality, transmitting her understanding in each relationship ofcare.

BARRAL, Fanny Eichenberger. Women’s perception about assistance in the process of cesarean delivery. 69p. 2018. Dissertation (Master degree) - Nursing School, Federal University of Bahia, Salvador, 2018.

Brazil is one of the countries where the number of cesarean deliveries is higher than vaginal birth, condition that comes to be considered an epidemic, this is due to a hegemonic obstetric model that privileges the risk in detriment of the physiology, marked by series of interventions, often unnecessary. In this sense, the research aimed to know the perception of women about the assistance in the cesarean delivery process. This is a descriptive and exploratory research with a qualitative approach, carried out in a maternity school in the city of Salvador / BA. It complies with Resolution 466/12 of the National Health Council and respects the principles of bioethics. Ten women, over 18 years of age, who were hospitalized and within 48 hours after cesarean delivery participated in the study. Data collection took place in the period from May 2017 to January 2018, using the technique guided by a semistructured script. Data analysis has been done according to Bardin’s perspective, and the following categories emerged: Perception linked to professional performance, with subcategories assistance pertaining to humanization and elderly welcoming, assistance permeated by affection and assistance permeated by communication; Perception related to the procedures performed; Perception of the assistance related to the decision process and Perceives the cesarean section as a moment of assistance to the new born. These categories provided the approximation and knowledge regarding the care during cesarean section, from the perspective of puerperal women who experienced it. In this sense, can see the way to a quality assistance, permeated by humanization, provided by professionals who care about the well-being of these women and provide comfort and tranquility.

SOUZA, Marcela da Silva. Studies on adherence to pharmacological treatment in severe asthmatics monitored by telemedicine. 2018. 124p. Dissertation (Master in Nursing) - School of Nursing, Federal University of Bahia, Salvador, Bahia, 2018.

Introduction: Asthma is a chronic disease that can be controlled, with a high rate of morbidity and low adherence to treatment. Telemedicine is a technology commonly used in the treatment of chronic diseases such as asthma and can raise the rate of adhesion. Objectives: To evaluate the impact of telemedicine monitoring in adhering to the treatment of people with severe asthma. Secondary: On the use of telemedicine as an adjunct to adherence to treatment in asthma (review of literature and commentary): review the literature on the costs and / or effectiveness of telemedicine actions for asthma; reflect on how telemedicine can act as a tool to increase care and improve adherence to treatment in asthma; regarding treatment adherence in severe asthmatics accompanied in specialized service (original descriptive article): describe the socio-demographic and clinical profile of the sample; describe the ability to use inhaled devices in severe asthmatics; to estimate adherence to pharmacological treatment in severe asthmatics; to associate asthma control with adherence to pharmacological treatment in severe asthmatics. Regarding the impact of a telemedicine action on adherence to pharmacological treatment (preliminary analysis - 3 months - Brief Report): comparing the ability to use the devices in the intervention and control groups of participants with severe asthma, as well as in the pre- and post-monitoring periods by telemedicine; adherence to pharmacological treatment in severe asthmatics in the intervention and control groups of participants with severe asthma, as well as in the pre- and post-telemedicine monitoring periods. Methods: Article 1 - Systematic review: search of data in the PUBMED / MEDLINE, BIREME and Cochrane Central databases, from 2005 to 2018. Article 2 - Brief comments on the applicability of telemedicine in developing countries such as Brazil, improving adherence of severe asthma patients. Article 3 - This is a preliminary analysis of half protocol of a randomized clinical trial (RCT). Article 4 - Preliminary analysis of 3/6 months of the randomized clinical trial by means of verification of measures of effect between IG and GC. Results: The results of the studies presented in this dissertation suggest that telemedicine can be used as a tool to reduce health costs and better pharmacological adherence. Conclusion: Telemedicine interventions can be used to improve pharmacological adherence in the followup of asthmatics, especially those who lack specialized regular follow-up. Telemedicine has been shown to be cost-effective for asthma control, quality of life, and hospitalizations for asthma in developed countries. ECR showed that the totality of the sample studied were partially or totally adhered to the treatment of asthma. In phase 3/6 we observed an improvement in the maneuvers of the inhalation devices and in the control of the disease, in a tenuous way in the intervention group.

CARVALHO, Danuza Jesus Mello de. Contributions of the multiprofessional residency program´s for the professional insertion of nurses. 2018. 115 f. Dissertação (Master's degree in nursing). Nursing School of the Federal University of Bahia. 2018.

The general objective: To analyze the contributions of the multiprofessional residency program for the professional insertion of nurses. As specific objectives: to characterize the graduates of the multiprofessional residency course and to identify the contributions of the multiprofessional residency program for the professional insertion of nurses. Method: This is an exploratory study with a qualitative approach. As participants in this research, nineteen egresses from residency programs that concluded from the year 2007 to 2017 were constituted. For the application of the interview script, the semi-structured interview technique was used. Data collection was performed in the months of May through December 2017 and January 2018, in the six Multiprofessional Residency Commissions in Health or Professional Health Area, in the city of Salvador, in the state of Bahia. The interviews were recorded and submitted to the Bardin Content Analysis. Results: The contributions of the multiprofessional residency program for the professional insertion of nurses, identified in this study, revealed by the graduates were: the practice of Personal Marketing through the construction of the Network in the teaching and learning scenarios, and the training of professionals valued by the labor market. Conclusion: I conclude that the course provides the egress an opportunity to intentionally disclose their image to the group, to build relationships that make it possible to project their image to other spaces and form professionals valued by the labor market favoring their insertion.

SILVA, Iranete Almeida Sousa. Teaching if Nursing process in undergraduate: social representatins of professor and students. 2018. 208 f. Thesis (Doctorate in Nursing) –Escola de Enfermagem, Universidade Federal da Bahia, Salvador, 2018.
This thesis deals with the Teaching of the Nursing Process subsidized by the Social Representations Theory. The aim was to apprehend and analyze the social representations of teachers and students of undergraduate nursing courses on the teaching of the nursing process of the city of Salvador, from the constituent elements of its structure, in terms of content and process, considering meanings and convergences. This is an analytical study with a multimethod approach, conducted in higher education institutions of Salvador offering undergraduate nursing degree. Three institutions denominated public were chosen intentionally and one of them community, and four privates, by lot. 100 teachers and 154 students who met the criteria and signed the informed consent form participated in the study. For data collection, the free word association test and semi-structured interview, recorded with the consent of the participants, were used. Two inductive terms were used: nursing process and teaching of the nursing process applied with all teachers and students and of these, 28 were interviewed, with 14 interviews in each group. The evocations were processed in Evoc and Tri-deux-mots software. For the corpus of the interviews, it was applied the technique of content analysis and after categorization, the chi-square test was applied to highlight the convergent. Evoc results showed that teachers consider as central elements; Systematization of Nursing Care, stages of the process and organization for care and in the Peripheral System as important, fundamental, patient safety, professional identity and professional attributes. From the factorial analysis of correspondence, a set of oppositions between F1 and F2 factors of the fixed and opinion variables that were most significant in relation to the stimuli was evidenced. From the analysis of the interviews, three convergent categories were highlighted: Necessary Requirements and Attributes and Psychosocial Aspects arising from the teaching of the nursing process. It is concluded that the nursing process and the systematization of nursing care are distinct terms, and when they are understood as identical make the nursing process subsumed to the systematization before the understanding of obligatoriness to the detriment of the distinction and empowerment that the process offers to the profession. Such an understanding may imply a distancing of the essential and identity character of the Nursing Process. In the convergences, the elements of the opinion variables were confirmed, highlighting the need of theoretical knowledge of the teacher about the nursing process, and the students with limitation of this knowledge accentuated by the fragmentation of the teaching of the process throughout the course and its application in the field of practice. It revealed the interaction, responsibility and commitment as fundamental in the teaching of the process, in addition to the psychosocial aspects, satisfaction and frustration, which generated expectations related to: transversality of teaching of the nursing process in the course, qualified training, encouragement to the student protagonist of himself, pedagogical project approach with emphasis on nursing theories and its application through the nursing process and in the influence of the role of the teacher in ministering the topic.

Unwanted pregnancy and the abortion outcome is a reality all over the world. Countries with restrictive laws like Brazil lead women to the clandestine construction of abortive itineraries and expose them to risk, causing impact on maternal mortality. This research had the following objectives: To describe the construction of abortive routes for women in Bahia cities; and analyze the experience experienced by women on abortion itineraries, according to the social reality in which they are inserted. This is a qualitative research, developed in three small, medium and large cities. 18 women participated in the study. The empirical material was produced in 2017, per interview; electronic letters and aussies via whatsapp the latest ones suggested by women. The snowball technique was used to access women from the informal social network of the researcher. The empirical material was analyzed by the discourse analysis technique, using gender as an analytical category. The norms of Resolution 466/12 were met and the project was approved by the Research Ethics Committee, opinion number 2,161,994. The results reaffirmed abortion as a public health problem, revealed social and gender disparities, and denial of reproductive rights. Reactions to pregnancy were similar among women in the three municipalities as well as factors that participated in the abortion decision: social, economic and cultural in the face of insecurity about family acceptance and not partner support. They searched for abortive methods and methods with friends and / or partners, achieving with herbalists, pharmacy clerks or hospital employees. The herbs were used in the three municipalities and only women from the large municipality sought private clinics and abortion homes. The cytotec was successfully used, with little need to finish the abortion in hospital In the medium-sized municipality, invasive methods that expose women to death risk are highlighted. In the health services the attention was given under value judgments, characterizing obstetric violence. Private clinics offered technical, resolutive actions, but without guarantee of the reception of the woman. In the post-abortion period there was an exacerbation of moral values that generated guilt, regret, remorse and suffering in the majority of women in the three municipalities. The partner present in some situations almost always disrupted the relationship after the abortion, putting the woman in abandonment affective. Health policies need to be implemented in the direction of reproductive planning, as well as to avoid recurrence of abortion; health education with problematization of realities and gender inequalities with young people in schools and in the health network with users, as well as the elaboration of strategies of care by health teams that protect women from physical and emotional damages. We suggest that the Ministry of Health invest in professional training to overcome paradigms that criminalize abortion and to revise abortion laws in Brazil, with a view to respecting the reproductive rights of women and their citizenship. 

Marital violence is a public health problem with serious repercussions on the health of the whole family and should therefore be prevented and addressed. Considering the social construction of gender, which normalizes male power over the feminine, the challenge of this reality permeates the transformation of men. It was a study linked to action research entitled "Re-education of men and women involved in criminal prosecution: strategy to combat marital violence," with the general objective of: Developing social technology for men aimed at preventing marital violence. It was an exploratory-descriptive research and a qualitative approach. The setting was the 1st and 2nd House Justice for Peace. The collaborators of the study were 44 men in legal proceedings for marital violence with the referred Varas. In order to create a social technology for prevention / coping with conjugal violence, action research was used, which is divided into five phases: diagnosis, action planning, action execution, evaluation and data analysis. Data collection used interviews and workshops called Reflective Groups. For the organization of the empirical material the Collective Subject Discourse was used. The data were systematized concurrently with their capture, interpreted and later based on Paulo Freire. This research followed the basic references of autonomy, non-maleficence, beneficence and justice and ethical aspects as set forth in Resolution 466/2012 of the National Health Council (CNS), which regulates practices in human research. For the development of technology to prevent marital violence, the study presents the following requirements: definition of the didactic-methodological project; obtaining human, material and financial resources; choice of space for the development of the reflective group; and capture of the target audience. The social technology was organized in eight meetings, the first one to welcome the participants and presentation of the group's proposal, the last one with an evaluative character and the other themes that encourage reflection on everyday life, aiming at the creation and recreation of male praxis conflicts. The discourses of men in legal proceedings for conjugal violence pointed out the contributions with the participation in the reflective groups, which enabled them to share: their experiences; perception of their disrespectful and violent attitudes, liable to criminal responsibility; formulation of strategies for a harmonious married life; training of multipliers through the socialization of the information and knowledge that emerged in the group. Considering the possibility of replication in different scenarios, mainly due to low cost, the use of technology will enable the prevention of conjugal violence from the male transformation. 

RODRIGUES, Larissa Silva de Abreu. Health demands in middle-aged women´s experience. 140 sheets. Thesis (PhD). Nursing School, Federal University of Bahia, Salvador, 2018. The middle age corresponds to the period from 45 to 59 years, according to the World Health Organization and, as in other phases, women present demands inserted in social and cultural dynamics. However, in the health services, the offer is limited to programs and protocols with a focus on the reproductive period, and the attention in the middle age is centered on diseases and organic changes underestimating contexts and life experiences. This research aimed to discuss health care demands of middle-aged women through problematization and to analyze demands meanings expressed by users and health professionals. It is a qualitative study of the Convergent Care Research type, which enables the construction of knowledge and care. Integrality and gender were used as theoretical reference. Integrality is translated into welcoming, sensitive listening, bonding and effective resolutive actions, considering the context in which the women´s demands are inserted. Gender constitutes a social-historical-cultural construction, which delimits hierarchical social roles for women and men, with implications in the health demands configuration. The research was performed in a southwestern municipality of Bahia with thirteen middle-aged women and eighteen health professionals from a Family Health Unit and a Family Health Support Unit.The empirical material was produced through reflection workshops and interview. The workshops provide space for reflection, sharing experiences and collective construction of knowledge and they were carried out with each group of participants at different times. The interviews were a conversation interview type proposed by the Convergent Care Research and they made possible to obtain information for the research and care. Data analysis was performed through Fiorin discourse analysis, for which the discourse is a social position with ideological formations materialized in the language. The ethical aspects in the 466/2012 Resolution of the National Health Council were respected. The results showed that in middle age, women reaffirm themselves as people who assume their children and grandchildren demands, become invisible to themselves, with a strong incorporation of domestic work and family care as responsibility, in an unfavorable socioeconomic context, with repercussions on their health. Emotional demands stem from family and gender relations, along with physical pain were also highlighted by them, Menopause and associated alterations are cited and distance themselves from medicalization with alternative management measures. They emphasize the presence of insomnia that they associate, above all with the life contexts. They seek the preventive care and the disease control services under ministerial programs. Health professionals seemed to be sensitive to the context of women's lives, recognizing that differentiated care, group work, leisure and integrative practices are necessary but they also claimed not to know how to deal with those demands. There are also structural difficulties credited to problems of the health system management. The results offer subsidies for care proposals oriented by gender and completeness and they can subsidize the implementation of care proposals during women´s middle-age in undergraduate and postgraduate courses in health and related fields.

In experiencing a chronic wound the individual under goes changes in life that go be yond the loss of skin integrity. It causes pain, doubt, anguishes regarding treatment, expectation of improvement, shame, changes in the pattern of sleep, appetite, libido, restrictions on the ability for family, professional and social activities. To the man, these changes may affect the performance of his sexually determined role in society. It is known that in health services female public presence is always higher, which makes unique studies that try to understand the man's health, especially when using the gender perspective. The experiences of life of a group or individual, what other people think about the man what they think about themselves contribute to the elaboration of social representations (SRs) of them. This is a qualitative study based on the Social Representation Theory, which is concerned to explore practical knowledge and common sense. This option is due to the fact that knowledge elaborated in common sense for individuals is the driver guide of their attitudes. The survey aimed to: identify the social representations of body and sexuality of men with chronic wounds; investigate the implications of social representations in practices related to sexuality and daily life of participants. The participants were 17 men with wounds for more than a month, users of the Brazilian Unified Health System (SUS), registered in the center of attention people with diabetes mellitus and/or hypertension who were under the nursing staff care of the wound care sector. The participants represent their bodies as fragile, dependent of care and unsuited for work, which makes them experiences sadness and concerns due to realizing the loss of public life, economic dependency and reverse positions with the women within family. Men represent sexuality as a synonym for sex and give a focus on sexual impotence. Despite sex being represented as something good and representing life, sex with a wounded body is seen as something forbidden. SRs and gender relations brought up values, ideas and practices of chronically wounded men. The already constructed knowledge, presented by them, under the influence of social and gender relations, form a web of information from which the representations of this group of belonging emerge. These representations guide practices as not seeking sexual intercourse, not looking women in the streets, not leaving home, not wearing shorts, always being with socks on.