26 research outputs found
Information Systems Evaluation: A Study in Hospital Organizations
Given increasing demand for timely and accurate information to support decision making, hospitals, a particularly complex type of service organization, have increasingly resorted to a wide range of tools such as the Clinical Information Systems (CIS). However, research has shown that such systems do not always meet hospital managers’ needs, and assessment processes are necessary both before and after CIS implementation. Aiming to identify whether the CIS do meet hospital managers’ information needs and do fit in the specificities of such organizations, this paper reports on the assessment of four CIS based on the perspective of their users in four hospitals in the Metropolitan Region of Belo Horizonte, State of Minas Gerais, Brazil. The data was collected by means of semi-structured interviews and non-obtrusive observation. On the one hand, the result shows that the four organizations have difficulties in using their systems, such as accessibility problems, inadequate training and system underutilization. On the other hand, they also benefit from such systems, as they make processes faster and enable information control. One can say that the results from this research contribute to a better understanding of evaluating information systems in hospitals. Managers of such organizations can benefit from these results when seeking to evaluate and improve their information systens
The therapeutic potential of a workshop in the territory: autonomy and sense of belonging
Objective: This study describes the therapeutic potential of a workshop in the territory for users of the Psychosocial Care Center and discuss the proposed therapy workshop and user interaction with the territory. Methods: Descriptive and exploratory research. The data resulted from participant observation and interviews as two coordinators. Thematic kind of content analysis was used for data processing. Results: As a result we obtained two thematic categories: Pool and the territory, and Benefits of a Pool Workshop. Conclusion: The workshop held in the territory allows the user to see himself/herself as part of it, and also reframe the ways of living in that territory. The notion of belonging, social acceptance and citizenship are keys in building the social subject
O potencial terapêutico de uma oficina no território: autonomia e noção de pertença The therapeutic potential of a workshop in the territory: autonomy and sense of belonging
Objetivo: Descrever o potencial terapêutico de uma oficina no território, para os usuários de saúde mental e discutir a proposta terapêutica da oficina e a interação dos usuários com o território. Método: Trata-se de estudo descritivo-exploratório. Os dados resultaram da observação participante e das entrevistas com os coordenadores, sendo utilizada a Análise de Conteúdo do tipo Temática para o tratamento dos dados, Resultados: Apresentou-se duas categorias temáticas: Piscina e o território; e Os benefÃcios da Oficina de Piscina. Conclusão: A oficina realizada no território permite que o usuário se perceba parte dele e ainda, ressignificar as formas de viver naquele território, bem como a noção de pertença, de aceitação social e cidadania que são fundamentais na construção do sujeito social.
Covid 19 e o Brasil no caminho de volta ao mapa da fome: Covid 19 and Brazil in the path back of to the hunger map
Objetivo- Este estudo teve como objetivo identificar correlacionando os fatores que influenciaram a volta do Brasil ao mapa da fome; e levantando as possÃveis soluções para a melhora da alimentação dos brasileiros. Métodos – Usando os descritores para encontrar estudos na Biblioteca Virtual em Saúde Brasil (BVS) e em Descritores em Ciência da Saúde (DeCS), foram escolhidos artigos de 2018 a 2022. Resultados- Foram identificados uma série de fatores que foram agravados pelo como, o fechamento dos comércios, desemprego, inflação dos produtos alimentÃcios, isolamento social. O colapso causado pela pandemia do Sars Cov-2 que fez com que grande parte da população brasileira fosse exposta a fome, fazendo com que os padrões de fome no paÃs fossem semelhantes aos padrões anteriores ao ano de 2014, ano em que o Brasil saiu do mapa da fome. Conclusão- Conclui-se que o Brasil já passava por uma desordem econômica nos últimos anos, e com a pandemia do Sars Cov-2 causou fechamento do comercio e um declÃnio do desenvolvimento econômico nacional, fazendo com que milhares de famÃlias fossem expostas ao risco de fome
Rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART): Study protocol for a randomized controlled trial
Background: Acute respiratory distress syndrome (ARDS) is associated with high in-hospital mortality. Alveolar recruitment followed by ventilation at optimal titrated PEEP may reduce ventilator-induced lung injury and improve oxygenation in patients with ARDS, but the effects on mortality and other clinical outcomes remain unknown. This article reports the rationale, study design, and analysis plan of the Alveolar Recruitment for ARDS Trial (ART). Methods/Design: ART is a pragmatic, multicenter, randomized (concealed), controlled trial, which aims to determine if maximum stepwise alveolar recruitment associated with PEEP titration is able to increase 28-day survival in patients with ARDS compared to conventional treatment (ARDSNet strategy). We will enroll adult patients with ARDS of less than 72 h duration. The intervention group will receive an alveolar recruitment maneuver, with stepwise increases of PEEP achieving 45 cmH(2)O and peak pressure of 60 cmH2O, followed by ventilation with optimal PEEP titrated according to the static compliance of the respiratory system. In the control group, mechanical ventilation will follow a conventional protocol (ARDSNet). In both groups, we will use controlled volume mode with low tidal volumes (4 to 6 mL/kg of predicted body weight) and targeting plateau pressure <= 30 cmH2O. The primary outcome is 28-day survival, and the secondary outcomes are: length of ICU stay; length of hospital stay; pneumothorax requiring chest tube during first 7 days; barotrauma during first 7 days; mechanical ventilation-free days from days 1 to 28; ICU, in-hospital, and 6-month survival. ART is an event-guided trial planned to last until 520 events (deaths within 28 days) are observed. These events allow detection of a hazard ratio of 0.75, with 90% power and two-tailed type I error of 5%. All analysis will follow the intention-to-treat principle. Discussion: If the ART strategy with maximum recruitment and PEEP titration improves 28-day survival, this will represent a notable advance to the care of ARDS patients. Conversely, if the ART strategy is similar or inferior to the current evidence-based strategy (ARDSNet), this should also change current practice as many institutions routinely employ recruitment maneuvers and set PEEP levels according to some titration method.Hospital do Coracao (HCor) as part of the Program 'Hospitais de Excelencia a Servico do SUS (PROADI-SUS)'Brazilian Ministry of Healt
O DIREITO FUNDAMENTAL AO MEIO AMBIENTE ECOLOGICAMENTE EQUILIBRADO: INTERFACES ENTRE DIREITOS HUMANOS E PROTEÇÃO AMBIENTAL
Este artigo cientÃfico tem como objeto discorrer sobre o direito fundamental ao meio ambiente
ecologicamente equilibrado, analisando as interfaces entre Direitos Humanos e a proteção ambiental,
buscando identificar de que forma o princÃpio do direito fundamental ao ambiente ecologicamente equilibrado
está inserido no ordenamento jurÃdico internacional e nacional. Para tal utilizou-se o método
indutivo, operacionalizado pelas Técnicas do Referente4 , da Categoria5 , do Conceito Operacional6 e da
Pesquisa Bibliográfica. Para alcançar os objetivos propostos, a abordagem do tema se inicia a partir das
diferentes Conferências Internacionais, seguindo-se para uma análise da legislação infraconstitucional e
constitucional brasileira, com enfoque na tutela conferida aos Direitos Humanos como preceito fundamental
ao ambiente ecologicamente equilibrado. Identificou-se, assim, a existência de vários modelos
instituÃdos, que visam garantir tal princÃpio, dentre os quais encontra-se o Estado de Direito Ambiental7 ,
que busca a proteção do meio ambiente, conseqüentemente a garantia dos Direitos Humanos