Desenvolvimento do Cuidado em Equipe Interprofissional e da Identidade Profissional em Saúde: Graduação e Pós-Graduação como Janela de Oportunidade

This integrative review analyzes aspects of professional identity (PI) and its relationship with teamwork, with patient care and safety, in multidisciplinary health teams; from graduation, residency and professional performance. Twenty-two papers were studied, over a period of five years, from the Embase, Scopus and Web of Science databases, classified into eleven professional categories, resulting in six papers with undergraduate students, five with undergraduates in professional internships, and eleven with health professionals, including residents. The construction process of the PI of residents and professionals who work in the hospital environment was analyzed, noting that, for the medical profession, it is necessary to change the paradigm regarding PI and teamwork, while for the other professionals it is that It is necessary to develop the PI process from graduation onwards, as an important factor in the work environment, for the management of conflicts between members of the health teams.Esta revisión integradora analiza aspectos de la identidad profesional (IP) en equipos multiprofesionales de salud, desde la graduación. Se estudiaron veintidós artículos, en un período de cinco años, de las bases de datos Embase, Scopus y Web of Science, clasificados en once categorías profesionales, resultando seis artículos con estudiantes de pregrado, cinco con prácticas profesionales y once con profesionales de la salud. Se analizó el proceso de construcción de la IP de los residentes y profesionales que actúan en el ámbito hospitalario, observando que, para la profesión médica, es necesario un cambio de paradigma sobre la IP y el trabajo en equipo, mientras que para los demás profesionales es necesario desarrollar la Proceso de PI en el ambiente de trabajo, como factor importante para la gestión de conflictos entre los integrantes de los equipos de salud.Esta revisão integrativa analisa aspectos da identidade profissional (IP) em equipes multiprofissionais da saúde, desde a graduação. Foram estudados vinte e dois artigos, no período de cinco anos, das bases de dados Embase, Scopus e Web of Science, classificados em onze categorias profissionais, resultando em seis artigos com alunos de graduação, cinco com estágios profissionalizantes e onze com profissionais da saúde. Analisou-se o processo de construção da IP de residentes e profissionais que atuam no ambiente hospitalar, observando-se que, para a profissão médica é necessária a mudança de paradigma sobre IP e trabalho em equipe, enquanto que para os demais profissionais faz-se necessário desenvolver o processo de IP no ambiente de trabalho, como fator importante para a gestão de conflitos entre os integrantes das equipes de saúde

LOW DOSE CAPSULE BASED 13C-UREA BREATH TEST COMPARED WITH THE CONVENTIONAL 13C-UREA BREATH TEST AND INVASIVE TESTS

Context One of the limitations of 13C-urea breath test for Helicobacter pylori infection diagnosis in Brazil is the substrate acquisition in capsule presentation. Objectives The purpose of this study was to evaluate a capsule-based 13C-urea, manipulated by the Pharmacy Division, for the clinical practice. Methods Fifty patients underwent the conventional and the capsule breath test. Samples were collected at the baseline and after 10, 20 and 30 minutes of 13C-urea ingestion. Urease and histology were used as gold standard in 83 patients. Results In a total of 50 patients, 17 were positive with the conventional 13C-urea (75 mg) breath test at 10, 20 and 30 minutes. When these patients repeated breath test with capsule (50 mg), 17 were positive at 20 minutes and 15 at 10 and 30 minutes. The relative sensitivity of 13C-urea with capsule was 100% at 20 minutes and 88.24% at 10 and at 30 minutes. The relative specificity was 100% at all time intervals. Among 83 patients that underwent capsule breath test and endoscopy the capsule breath test presented 100% of sensitivity and specificity. Conclusions Capsule based breath test with 50 mg 13C-urea at twenty minutes was found highly sensitive and specific for the clinical setting. HEADINGS- Helicobacter pylori. Breath Test. Urea, analysis