La comunicación como instrumento de enfermería en el cuidado interpersonal del usuario

O objetivo é realizar um levantamento sobre os achados científicos quanto ao uso da comunicação como instrumento de enfermagem no cuidado interpessoal do usuário no período de 2015 a 2019. Realizou-se uma busca nas bases de dados BVS, Science Direct, Scopus e Pubmed. Selecionaram-se artigos na íntegra; em português, inglês e espanhol; publicados entre 2015 a 2019. Utilizou-se o CASP para análise de elegibilidade dos estudos, analisando-os de maneira descritiva. Os termos de pesquisa utilizados foram: “comunicação”, “relações interpessoais” e “enfermagem”. Treze artigos foram selecionados para este estudo. Mostrou-se, pelos resultados desta revisão, que o uso da comunicação pode influenciar positivamente no cuidado de enfermagem, com a explicitação de alguns elementos que efetivam a comunicação interpessoal entre os profissionais e o usuário, além de demonstrar que existem desafios e obstáculos encontrados pelos profissionais para efetivá-la, mas que podem ser superados pela adoção de ações e medidas necessárias na prática assistencial.The objective is to carry out a survey on the scientific findings regarding the use of communication as a nursing instrument in the user's interpersonal care in the period from 2015 to 2019. A search was conducted in the BVS, Science Direct, Scopus and Pubmed databases. Full articles were selected; in Portuguese, English and Spanish; published between 2015 to 2019. CASP was used to analyze the eligibility of studies, analyzing them in a descriptive manner. The search terms used were: “communication”, “interpersonal relationships” and “nursing”. thirteen articles were selected for this study. It was shown, through the results of this review, that the use of communication can positively influence nursing care, with the explanation of some elements that effect interpersonal communication between professionals and the user, in addition to demonstrating that there are challenges and obstacles encountered by professionals to carry it out, but which can be overcome by the adoption of actions and measures necessary in care practice.El objetivo es realizar una encuesta sobre los hallazgos científicos sobre el uso de la comunicación como instrumento de enfermería en el cuidado interpersonal del usuario en el período de 2015 a 2019. Se realizó una búsqueda en las bases de datos VHL, Science Direct, Scopus y Pubmed. Se seleccionaron artículos completos; en portugués, inglés y español; publicados entre 2015 y 2019. Se utilizó CASP para analizar la elegibilidad de los estudios, analizándolos de manera descriptiva. Los términos de búsqueda utilizados fueron: "comunicación", "relaciones interpersonales" y "enfermería". Se seleccionaron trece artículos para este estudio. Se demostró, a través de los resultados de esta revisión, que el uso de la comunicación puede incidir positivamente en el cuidado de enfermería, con la explicación de algunos elementos que inciden en la comunicación interpersonal entre los profesionales y el usuario, además de demostrar que existen desafíos y obstáculos encontrados por profesionales para llevarlo a cabo, pero que puede superarse mediante la adopción de acciones y medidas necesarias en la práctica asistencial.practice

Perception of Hospitalized Users About Humanized Nursing Care in a Municipal Hospital of Itaituba, Pará-Brazil.

Objective: to understand the perception of hospitalized users about humanized nursing care in a municipal hospital in Itaituba, Pará. Field study of exploratory and descriptive type of qualitative approach. Method and Procedures: The research was developed in a Municipal Hospital of Itaituba, Pará (HMI); 23 patients hospitalized in the medical and surgical clinic sector participated in the research. Data were collected by means of a semi-structured interview questionnaire made up of two parts: socioeconomic data from the survey participants and open questions on the perception of the hospitalized user about the humanized care received during hospitalization, which were collected using the saturation technique. The data analysis was performed using the Bardin technique. Results: 78% of the participants were female, 48% married, the prevailing age range was between 19 and 87 years old; 39% of the surveyed had incomplete primary education and 74% had income of up to one minimum wage. With the analysis of content three thematic categories emerged: "user perception of nursing care", "humanized care and its importance" and "evaluation and suggestions on nursing care". Conclusion: The great majority of participants of the survey showed to be satisfied with the care provided by nursing professionals, besides highlighting humanization as an important point for reestablishing health and highlighted the use of communication, attention and empathy for others as a factor of humanization

A síndrome de burnout em profissionais docentes: uma revisão integrativa da literatura / Burnout syndrome in teaching professionals: an integrative review of the literature

RESUMO Objetivo: verificar as evidências científicas sobre Síndrome de Burnout (SB) nos profissionais docentes, no período de 2014 a 2018. Método: Trata-se de uma pesquisa descritiva com abordagem qualitativa, através de uma Revisão Integrativa da Literatura (RIL). Nas bases de dados LILALCS e MEDLINE, incluindo artigos originais e de revisão, na língua portuguesa, publicados entre 2014 e 2018. Utilizou-se o protocolo de Ursi para a organização dos dados, e para a análise dos dados a análise de conteúdo de Bardin. Resultados: Buscou-se em 8 artigos, elencou-se duas categorias temáticas: A prevalência da SB em Docentes; Fatores associados ao desenvolvimento da SB nos docentes. Conclusão: A SB se apresenta em alta prevalência nos docentes, em especial os do ensino fundamental. Evidenciou-se fatores associados para o desenvolvimento da SB como: carga horária extensa de trabalho, falta de tempo para lazer e família, trabalhar sob pressão e ambiente hostil. 

protocolo de Revisão Integrativa tb2023.docx

Esta pesquisa tem como objetivo elucidar os impactos da COVID-19 no tratamento da TB nos serviços de atenção primária à saúde no período de 2020 a 2023, permitindo identificar as maiores dificuldades e descrever os mecanismos que foram usados para dar continuidade ao tratamento. Método: Trata-se de uma Revisão Integrativa (RI) de caráter descritivo com abordagem qualitativa. Os estudos foram selecionados através do Portal de Periódicos Capes, que permitiu o acesso às bases de dados: Medline, Scopus, Embase, WOS e Scielo. Resultados: foram analisados de acordo com a técnica de Análise de Dados de Bardin. Foram encontrados 264 artigos, dos quais, após a aplicação dos critérios de exclusão e inclusão, restaram 14 artigos para a revisão. A análise teve como finalidade realizar a comparação das informações obtidas com o objetivo aqui proposto, sendo, em seguida, segregada em três categorias no tópico a seguir: Desafios no tratamento da TB durante a pandemia da COVID-19 e a descontinuidade do tratamento; Medidas alternativas para a continuidade do tratamento e monitoramento da TB; Garantia do tratamento adequado. O presente estudo revelou que a pandemia da COVID-19 impactou de forma significativa o tratamento dos indivíduos na APS, devido à centralização do serviço de saúde para casos de COVID-19. Portanto, devido a essa problemática, é possível analisar o impacto que a TB poderá ter no futuro, permitindo o aumento significativo da doença e sua resistência ao tratamento.</p

Factors associated with Tuberculosis outcome in a hyperendemic city in the North of Brazil

This research was supported by funding from Evandro Chagas Institute (IEC), Secretariat for Science, Technology, Innovation and Strategic Health Inputs (SCTIE), Brazilian Ministry of Health (MS). Yan Corrêa Rodrigues scholarship is funded by PDPG—Pós-Doutorado Estratégico (PDPGPOSDOC), Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES/Edital 16/2022).State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.Department of Health of Pará State. EpiSUS Intermediário. Belém, PA, Brazil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Epidemiologia e Vigilância Sanitária. Ananindeua, PA, Brasil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Stellenbosch University. Faculty of Medicine and Health Sciences. Division of Molecular Biology and Human Genetics. Stellenbosch, South Africa.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Ananindeua city, State of Pará, North of Brazil, is a hyperendemic area for tuberculosis (TB), with a cure rate below the recommendation by the Brazilian Ministry of Health. We aimed to describe: (I) the TB incidence coefficient of Ananindeua municipality comparatively against Brazilian data; (II) TB treatment outcomes; (III) to compare the socioeconomic and epidemiological characteristics of abandonment versus cure outcome; and (IV) to evaluate the risk factors associated with TB treatment abandonment in Ananindeua city, from 2017 to 2021. This is a retrospective, descriptive, and crosssectional epidemiological study which used secondary TB entries. Data were analyzed by linear regression, descriptive statistics, and associations were made using the Chi-square test and G-test, followed by univariate and multivariate logistic regression analyses. Cure rates ranged from 28.7% to 70.1%, abandonment between 7.3% and 11.8%, deaths from the disease ranged from 0% to 1.6%, and drug-resistant tuberculosis (TB-DR) rates had frequencies from 0% to 0.9%. Patient transfer rates to other municipalities were between 4.9% and 12.5%. The multivariate analysis showed that alcohol is almost 2 times more likely to lead an individual to abandon treatment and use of illicit drugs was almost 3 times more likely. Individuals between 20 and 59 years of age were also more likely to abandon treatment almost twice as often. Finally, data obtained in the present report is of great relevance to strengthen epidemiological surveillance and minimize possible discrepancies between the information systems and the reality of public health in high endemicity areas

Factors Associated with Tuberculosis Outcome in a Hyperendemic City in the North of Brazil

Ananindeua city, State of Pará, North of Brazil, is a hyperendemic area for tuberculosis (TB), with a cure rate below the recommendation by the Brazilian Ministry of Health. We aimed to describe: (I) the TB incidence coefficient of Ananindeua municipality comparatively against Brazilian data; (II) TB treatment outcomes; (III) to compare the socioeconomic and epidemiological characteristics of abandonment versus cure outcome; and (IV) to evaluate the risk factors associated with TB treatment abandonment in Ananindeua city, from 2017 to 2021. This is a retrospective, descriptive, and cross-sectional epidemiological study which used secondary TB entries. Data were analyzed by linear regression, descriptive statistics, and associations were made using the Chi-square test and G-test, followed by univariate and multivariate logistic regression analyses. Cure rates ranged from 28.7% to 70.1%, abandonment between 7.3% and 11.8%, deaths from the disease ranged from 0% to 1.6%, and drug-resistant tuberculosis (TB-DR) rates had frequencies from 0% to 0.9%. Patient transfer rates to other municipalities were between 4.9% and 12.5%. The multivariate analysis showed that alcohol is almost 2 times more likely to lead an individual to abandon treatment and use of illicit drugs was almost 3 times more likely. Individuals between 20 and 59 years of age were also more likely to abandon treatment almost twice as often. Finally, data obtained in the present report is of great relevance to strengthen epidemiological surveillance and minimize possible discrepancies between the information systems and the reality of public health in high endemicity areas

Factors Associated with Tuberculosis Outcome in a Hyperendemic City in the North of Brazil

Ananindeua city, State of Par&aacute;, North of Brazil, is a hyperendemic area for tuberculosis (TB), with a cure rate below the recommendation by the Brazilian Ministry of Health. We aimed to describe: (I) the TB incidence coefficient of Ananindeua municipality comparatively against Brazilian data; (II) TB treatment outcomes; (III) to compare the socioeconomic and epidemiological characteristics of abandonment versus cure outcome; and (IV) to evaluate the risk factors associated with TB treatment abandonment in Ananindeua city, from 2017 to 2021. This is a retrospective, descriptive, and cross-sectional epidemiological study which used secondary TB entries. Data were analyzed by linear regression, descriptive statistics, and associations were made using the Chi-square test and G-test, followed by univariate and multivariate logistic regression analyses. Cure rates ranged from 28.7% to 70.1%, abandonment between 7.3% and 11.8%, deaths from the disease ranged from 0% to 1.6%, and drug-resistant tuberculosis (TB-DR) rates had frequencies from 0% to 0.9%. Patient transfer rates to other municipalities were between 4.9% and 12.5%. The multivariate analysis showed that alcohol is almost 2 times more likely to lead an individual to abandon treatment and use of illicit drugs was almost 3 times more likely. Individuals between 20 and 59 years of age were also more likely to abandon treatment almost twice as often. Finally, data obtained in the present report is of great relevance to strengthen epidemiological surveillance and minimize possible discrepancies between the information systems and the reality of public health in high endemicity areas

Spatial analysis of Tuberculosis patient flow in a neglected region of Northern Brazil

CAPES Foundation (Coordenação de Aperfeiçoamento de Pessoal de Nível Superior), which operates under the Brazilian Ministry of Education and was granted with the number 1660892.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil.Federal University of Pará. Graduate Program in Health, Environment and Society. Belém, PA, Brazil.Stellenbosch University. Faculty of Medicine and Health Sciences. Division of Molecular Biology and Human Genetics. SAMRC Centre for Tuberculosis Research. DSI-NRF Centre of Excellence for Biomedical Tuberculosis Research. South AfricaState University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil /Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Epidemiologia e Vigilância em Saúde. Ananindeua, PA, Brasil.State University of Pará. Program in Parasitic Biology in the Amazon Region. Belém, PA, Brazil / Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Ananindeua, PA, Brasil /Ministério da Saúde. Secretaria de Vigilância em Saúde e Ambiente. Instituto Evandro Chagas. Programa de Epidemiologia e Vigilância em Saúde. Ananindeua, PA, Brasil.Tuberculosis (TB) is still considered a priority due to its high incidence rate in Brazil. In this context, we aimed to evaluate the flow of care between the municipalities of patients diagnosed with TB through notification forms of the Information System for Diseases and Notifications (SINAN) in a neglected region of Northern Brazil, Ilha do Marajó, state of Para. For this, we performed a descriptive, retrospective study on data obtained from the National Register of Health Establishments and SINAN from 2013 to 2018. We used Pearson’s Chi-square and G Test with p-value < 0.05 for descriptive statistics and spatial analysis technique on flow network analysis. Of the 749 cases, 16.5% were notified in another municipality that was not the patient’s residence. Regarding diagnostic methods, a positive bacterioscopy was adopted for 56% of the patients; culture was not performed for 82% of cases. Histopathological examination was not performed in 90% of the individuals. Rapid molecular test (RMT) was performed in only six (5%) cases. The region needs greater attention focused on diagnostic tests, suggesting that the introduction of RMT and culture by Ogawa-Kudoh could improve the region’s health network to minimise patient displacement and thus avoid the increase in the transmission chain of TB

Spatial Analysis of Tuberculosis Patient Flow in a Neglected Region of Northern Brazil

Tuberculosis (TB) is still considered a priority due to its high incidence rate in Brazil. In this context, we aimed to evaluate the flow of care between the municipalities of patients diagnosed with TB through notification forms of the Information System for Diseases and Notifications (SINAN) in a neglected region of Northern Brazil, Ilha do Marajó, state of Para. For this, we performed a descriptive, retrospective study on data obtained from the National Register of Health Establishments and SINAN from 2013 to 2018. We used Pearson’s Chi-square and G Test with p-value < 0.05 for descriptive statistics and spatial analysis technique on flow network analysis. Of the 749 cases, 16.5% were notified in another municipality that was not the patient’s residence. Regarding diagnostic methods, a positive bacterioscopy was adopted for 56% of the patients; culture was not performed for 82% of cases. Histopathological examination was not performed in 90% of the individuals. Rapid molecular test (RMT) was performed in only six (5%) cases. The region needs greater attention focused on diagnostic tests, suggesting that the introduction of RMT and culture by Ogawa-Kudoh could improve the region’s health network to minimise patient displacement and thus avoid the increase in the transmission chain of TB

Surveillance Quality Indicators Highlight the Need for Improving Tuberculosis Diagnostics and Monitoring in a Hyperendemic Area of the Brazilian Amazon Region

The city of Ananindeua, State of Par&aacute;, Brazil, is a hyperendemic area for tuberculosis (TB). The present study describes the population characteristics and epidemiological indicators of TB cases from Ananindeua, from 2018 to 2020. The TB cases were screened from the Municipal Health Department of Ananindeua database, and the secondary data were obtained from the Brazilian Notifiable Diseases Information System (SINAN). A high percentage of cases did not undergo a rapid molecular test (74.9%) or culture (84.8%) for diagnosis of TB; a chest X-ray examination for diagnosis of TB was performed in 74.47% of new cases. The SINAN form data was incomplete on susceptibility test results (&lt;0.01&ndash;92.7). Sputum smear microscopy for monitoring treatment was recorded in the follow-up form in 34.3% and after the 6th month in 61.1% of cases. The cure rate (60.31%) was below the recommendation by the Brazilian Ministry of Health. The quality indicators showed many weaknesses: (I) lack of availability of smear microscopy as a diagnostic test in a hyper-endemic area; (II) low availability of specific exams such as culture and rapid molecular test (RMT); (III) low adherence to smear microscopy to monitor the evolution of cases during treatment; (IV) absence of drug susceptibility test data; (V) failure to fill in essential variables for TB surveillance