Impacts of the infodemic on COVID-19 for Brazilian health professionals

This article aims to analyze the effects of the COVID-19 infodemic from the perspective of Brazilian health workers regarding the patients, measure the impacts of fake news on health professionals, and verify the perception of health multidisciplinary teams regarding the authorities' stance. This cross-sectional study is nested in the research "Health Professionals' Working Conditions in the Brazilian Context of COVID-19". The nationwide non-probability sampling included 15,132 professionals who worked in the COVID-19 frontline in health institutions of 2,200 Brazilian municipalities. Approximately 91% of respondents believed that fake news is an obstacle in fighting the SARS-CoV-2 virus; 76.1% declared they had seen patients who expressed faith in fake news about COVID-19; 29.3% agreed that the health authorities' stance about COVID-19 was consistent and enlightening, and 62.6% disagreed about this. The respondents believe that the COVID-19 infodemic confused patients, impaired adherence to PHC measures, and stirred people's negative behavior vis-à-vis the pandemic. The lack of clarity of the authorities' stance influenced the COVID-19 infodemic process.

Work conditions and biosafety of health professionals and invisible health workers in the context of COVID-19 in Brazil

The present article addresses the work conditions in health in the context of the COVID-19 pandemic in Brazil. This is a cross-sectional study that used data from the surveys "Working conditions of healthcare professionals in the context of Covid-19 in Brazil" and "Invisible healthcare workers: work conditions and mental health in the context of Covid-19 in Brazil", seeking to better understand the working conditions and biosafety of these two distinct and socially unequal professional contingents. Data analysis proves that work conditions were extremely affected due to inadequate infrastructures, strenuous work, biosecurity at risk, exhaustion, fear of contamination and death, strong signs of physical and mental exhaustion, among workers. It also points out the discrimination and inequalities of social rights and professional development that mark the worlds of work highlighted in the surveys, emphasizing the profound inequalities that exist in Brazil and in its regions. It concludes by showing the importance of formulating public policies within the scope of work management in SUS, which ensures the protection, appreciation and reduction of inequalities pointed out in this article.

Analysis of the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals

This article examines the association between levels of compassion fatigue and work engagement with COVID-19 in nursing professionals. A longitudinal, before-and-after study was conducted with nursing professionals working in the frontline in the pre-pandemic and pandemic periods. Our study applied the Brazilian versions of the Professional Quality of Life Scale and the Utrecht Work Engagement Scale. High levels of compassion satisfaction (≥43.0), low levels of burnout (<23.0) and secondary traumatic stress (<23.0), as well as high levels of vigor (≥4.0 and ≤4.99), absorption (≥4.0 and ≤4.99), and overall score (≥4.0 and ≤4.99) were observed. Moderate, negative, and significant correlations of burnout with vigor (r: -0.505; p-value: <0.001), in the pre-pandemic period; and with overall score, in the pre-pandemic (r: -0.543; p-value: <0.001) and pandemic periods (r: -0.458; p-value: <0.001), were also observed. No changes in levels of work engagement were found. Professionals with compassion fatigue showed decreased vigor, absorption, and overall score, rated as medium in the pandemic period (≥2.0 and ≤3.99), and an increased dedication, which was low (≥1.0 and ≤1.99) in the pre-pandemic period. It was concluded that there is no harmful association between compassion fatigue and work engagement with COVID-19 in nursing professionals.

Burnout Syndrome in Selectable Athletes for the Brazilian Handball Team-Children Category

To investigate the presence of burnout syndrome in child athlete tryouts for the Brazilian Handball Team, before and after the National Development and Technical Improvement Camp is of great interest. A correlational study, with longitudinal design of the before-and-after type, carried out with 64 male athletes in the children's category, immersed in the National Camp for Development and Improvement of Handball Technique, in the municipality of São Bernardo do Campo, São Paulo, Brazil, in December 2018. To evaluate burnout syndrome, we used the Athlete Burnout Questionnaire (ABQ). There was a statistically significant increase of the mean scores for burnout and dimensions (Physical and Emotional Exhaustion = 1.5 to 1.6; p-value < 0.001; Reduced Sense of Accomplishment = 2.7 to 2.9; p-value < 0.001; Sports Devaluation = 1.4 to 1.6; p-value < 0.001; and General Burnout = 1.9 to 2.0; p-value < 0.001). The athletes selected for the national team had lower mean scores for general burnout and dimensions (Physical and Emotional Exhaustion = 1.5; Reduced Sense of Accomplishment = 2.7; Sports Devaluation = 1.5; General Burnout = 1.9). The National Camp for Development and Technical Improvement can have a negative impact on the mental health of athletes. This event is important to select the competitors with greater ability to face the pressure and adversities present in the sport environment.

Estresse ocupacional e estratégias de enfrentamento entre médicos da Atenção Primária à Saúde

Objetivo: Avaliar os níveis de estresse ocupacional e as estratégias de enfrentamento entre médicos da Atenção Primária à Saúde. Materiais e Métodos: Estudo transversal, realizado com médicos das Unidades de Atenção Primária à Saúde de um município brasileiro de grande porte. Para a coleta dos dados utilizou-se um instrumento elaborado pelos pesquisadores, contendo variáveis sociodemográficas e profissionais; a Escala de Estresse no Trabalho e a Escala de Modos de Enfrentamento de Problemas. Os dados foram analisados em função do cálculo dos escores adequados às escalas, com tratamento estatístico apropriado, considerando-se nível de significância de 5%. Resultados: Houve predomínio do sexo feminino (59,4%), jornada de 40 horas semanais (59,4%) e tempo mediano de atuação na Atenção Primária de sete anos. Oito profissionais (25,0%) apresentaram escores compatíveis com estresse importante (>2,5). Os principais estressores foram: falta de perspectivas de crescimento na carreira (2,9; ±1,3); forma de distribuição das tarefas (2,7; ±1,0); deficiência nos treinamentos profissionais (2,7; ±1,2); tempo insuficiente para realizar o trabalho (2,6; ±1,2). O modo de enfrentamento com maior escore foi o focalizado no problema (3,75), seguido da busca por suporte social (3,17). Conclusão: As pressões do ambiente laboral na Atenção Primária favorecem o desenvolvimento de estresse pelos médicos. O desequilíbrio emocional direciona a estratégia de enfrentamento dos profissionais, reforçando a necessidade de se criar um ambiente laboral acolhedor, com equipes coesas, integradas e bem geridas, capazes de compartilhar emoções e engajadas em promover o apoio social.

Analysis of the Coping Strategies of Primary Health Care Professionals: Cross-Sectional Study in a Large Brazilian Municipality

Objective: To analyze the coping strategies used by primary healthcare (PHC) professionals. Methods: A cross-sectional, descriptive-analytical study realized with professionals working in primary healthcare units in São José do Rio Preto, a large city in the interior of São Paulo, Brazil. For data collection, we used an instrument developed by the researchers containing sociodemographic and professional variables, as well as the Problem Coping Modes Scale (EMEP). Results: We evaluated 333 PHC professionals. A difference was observed between the scores of the four coping strategies (p < 0.001), with the highest score for the problem-focused strategy (3.8) and the lowest score for the emotion-focused strategy (2.4). Physicians had the lowest scores in coping strategies focused on religious practices/fantastical thinking (p < 0.001) and pursuit of social support (p = 0.045), while community health agents had the highest scores in these coping strategies. Conclusions: Professionals working in PHC have different coping strategies for the problems and stressful situations experienced in the work environment. These strategies can involve more positive attitudes focused on confrontation and problem solving, and on emotional responses that involve attitudes of avoidance and denial of the problem.

Covid-19: Repercussions on the mental health of higher education students

ABSTRACT This article aimed to assess the repercussions of Covid-19 and social isolation on the mental health of higher education students in Ceará, Brazil. The sample consisted of 3,691 higher education students taking online classes from June to September 2020, who answered to two instruments: a sociodemographic and situational profile questionnaire concerning the pandemic/social isolation, and the Mental Health Inventory. The results showed that 21.2% of the students had their activities canceled, with no expected return. The majority, 77.2%, reported concern about the death of relatives and acquittances by Covid-19. The overall state of mental health average measured by the inventory was 48.8. This result suggests that students had their mental health affected by the conditions imposed by the pandemic. Therefore, edu- cational institutions should promote strategies to protect the mental health of the student community.

Covid-19: repercussões na saúde mental de estudantes do ensino superior

RESUMO Este artigo teve como objetivo avaliar as repercussões da Covid-19 e do isolamento social na saúde mental de estudantes do ensino superior no Ceará, Brasil. A amostra foi composta por 3.691 alunos do ensino superior participando de aulas on-line no período de junho a setembro de 2020, que responderam a dois instrumentos: um questionário sociodemográfico e situacional referente à pandemia/isolamento social e o Inventário de Saúde Mental. Os resultados mostraram que 21,2% dos alunos tiveram suas atividades canceladas, sem expectativa de retorno. A maioria, 77,2%, relatou preocupação com a morte de parentes e conhecidos pela Covid-19. O estado geral de saúde mental médio, medido pelo inventário, foi de 48,8. Esse resultado sugere que os alunos tiveram sua saúde mental afetada pelas condições impostas pela pandemia. Assim, as instituições de ensino devem promover estratégias para proteger a saúde mental da comunidade estudantil.

Occupational stress and work engagement among military police officers

This paper investigates the levels of occupational stress and work engagement among military police officers. This cross-sectional, descriptive, and analytical study was conducted with 268 police officers from the 3rd Military Police Battalion of Paraná state. We observed significant levels of occupational stress in 125 (46.7%) police officers. The main stressors were lack of career growth prospects (3.7; ±1.3); inadequate training (3.4; ±1.2); discrimination/favoritism in the work environment (3.1; ±1.4); long working hours (3.0; ±1.4); distribution of tasks (2.7; ±1.1); control type (2.7; ±1.1); gaps in disclosing information about organizational decisions (2.7; ±1.2); low valuation (2.7; ±1.2). Levels of work engagement ranged from 3.8 [medium] to 4.1 [high]. The correlation between occupational stress and work engagement was low for the dimensions of Absorption (r: -.284; p<0.001) and Overall Score (r: -0.393; p<0.001) and moderate for the dimensions Vigor (r: -0.422; p<0.001) and Dedication (r: -0.414; p<0.001). We concluded that an important number of police officers had shown occupational stress. However, they displayed good levels of work engagement and are enthusiastic, inspired, and proud of their work.

Vulnerability of the Brazilian LGBT population in HIV treatment

INTRODUCTION

Human immunodeficiency virus (HIV) infection affects the lesbian, gay, bisexual, transvestite, and transsexual (LGBT) population. We aimed to identify the indidual vulnerability profile of the LGBT population ling with H/acquired immunodeficiency syndrome (AIDS) and correlate it with the treatment situation.

METHODOLOGY

This cross-sectional study included 510 LGBT people living with HIV (PLHIV)/AIDS who attended the Complex of Chronic Communicable Diseases of the municipality of São José do Rio Preto, São Paulo, Brazil, between 2008 and 2015.

RESULTS

There was a predominance of indiduals who were white (70.2%), male (98.4%), single (87.1%), aged 25-44 years (70.0%), educated up to high school (47.7%), economically acte (91.2%), under treatment (80.8%), having CD4 > 350 cells/mm3 (77.1%), and having undetectable viral load (53.3%). HIV transmission was mainly sexual (97.0%) and most people used drugs (76.5%). There was a weak correlation between the variables 'in treatment' and acte occupation (r = 0.148, p = 0.001), single marital status (r = 0.128, p = 0.004), white race/colour (r = 0.117, p = 0.008), high school education (r = 0.111, p = 0.012), sexual transmission (r = 0.222, p = 0.000), drug use (r = 0.087, p = 0.049), and CD4 > 350 cells/mm3 (r = 0.118, p = 0.008); and strong correlation between the variables 'in treatment' and undetectable viral load (r = -0.937, p = 0.113).

CONCLUSIONS

The characteristics of the indidual vulnerability of LGBT people involve, among other aspects, issues of gender and social exclusion, a situation that is part of the daily life of PLHIV/AIDS in many scenarios and territories. This can be alleviated with a network of social and health support and effecte and efficient, protecte, attitudinal, and behavioural public policies.

Career commitment and career entrenchment among Primary Health Care workers

OBJECTIVE

Assess levels of career commitment and career entrenchment among Primary Health Care workers.

METHODS

This Cross-sectional study addressed 393 workers using the Brazilian versions of the Career Commitment Measure (CCM) and Career Entrenchment Measure (CEM).

RESULTS

Levels of Career commitment [75.5-77.5] were higher (p<0.001) than Career Entrenchment [66.7-69.2]. Identity levels [82.7-85.5] were higher (p<0.001) than Investment levels [60.4-65.0]. Career resilience levels [75.1-79.2] were higher (p<0.001) than Emotional costs [69.0-72.1]. Planning levels [64.2-67.1] were lower (p<0.001) than levels of limitedness of career alternatives [68.1-71.0].

CONCLUSION

The highest scores were obtained in Career commitment, showing the workers' identification and positive relationship with their careers, that is, these workers remain in Primary Health Care services because they identify themselves with their professions.

The infodemic transcends the pandemic

This paper highlights the advance of science in interpreting pandemics, in contrast to the failure of governments that politicized the approach to the global public health emergency resulting from the COVID-19 pandemic. This study reflects on cognitive dissonance caused by the infodemic. It addresses the need to apply infodemiology to mitigate the deleterious effects of fake news intentionally fabricated to confuse, mislead, manipulate, and deny the reality without losing sight of the fact that the roots of the problem are historical, circumstantial, profound, and challenging. This work reveals the impacts of this situation for health professionals and exposes the fine line between freedom of expression and the fundamental right to life, leading to the conclusion that wrong choices in public health can cause preventable deaths.

Reflections on Brazilian Nursing Education from the regulation of the Unified Health System

The paper reflected on the Brazilian Nursing education from the regulation of Unified Health System in a comparative historical perspective of the evolutionary processes of the Anglo-American and French schools, influencing Brazilian nursing education, as well as the guiding aspect of nursing education for the Unified Health System. Thus, nursing training initiatives guided by the National Curriculum Guidelines are developed to provide meaningful experiences in the Unified Health System's daily routine, as well as the transforming movement of Permanent Health Education in the context of the world of work. Therefore, overcoming training challenges must consider the social, political, and cultural path of the profession in order to allow changes that affect pedagogical projects, course offerings, teaching-learning methodologies, and daily work.

Nursing technician training: qualification profile

The identification of the current vocational training profile of nursing aides and technicians becomes a central element in understanding the dynamics of their qualification in several states, aiming to expose both the existence of trends for under- and overqualification and the participation of the public sector in the offer and expansion of nursing courses in the country. The article explores three relevant aspects of vocational training based on the results found in the research "Nursing Profile in Brazil (FIOCRUZ/COFEN)": the level of schooling/qualification; the geographical distribution and the governmental participation in the consolidation of the current situation. This is an analytical study based on the interpretation of indicators identified by Pearson's Asymmetry Coefficient. The study uses the database generated by the research, as well as data from MEC/Inep and IBGE. The achieved results establish relations between the characteristics of training, distribution of NA&T in all Brazilian states with the phenomenon of overqualification, besides revealing an apparent separation of the Federal Education Network from the actual demand for nursing technicians in the country.

Mapping nursing training in Brazil: challenges for actions in complex and globalized scenarios

The article discusses the professional formation of nurses, implications of the increase in the number of Higher Education Institutions and their distribution in Brazil. It considers the results of the Nursing Profile Survey in Brazil, carried out with 35,916 nursing professionals, in 2013. The analysis that characterizes the trajectory of undergraduate nursing in this article is structured in three dimensions: the increase in the number of undergraduate and postgraduate nursing education institutions; the boom in nursing schools and the public vs. private relationship; and the territorial distribution of the registered nurse in Brazil. The increase in the number of Nursing Education Institutions implies an exponential formation, with a predominance of private schools in undergraduate and postgraduate courses. The courses seek to align themselves with changes in health and society, but it is crucial to equalize the territorial asymmetries between the undergraduate and graduate training institutions, the overconcentration and care gaps resulting from the insufficiency of nurses per inhabitant, as well as to qualify the nurses for the exercise of their professional activities in the face of global changes.

Gestão da Educação e do Trabalho em Saúde no SUS: trinta anos de avanços e desafios

Resumo Este artigo faz uma análise histórica da Gestão do Trabalho e Educação na Saúde, nas três décadas do SUS, a partir do referencial da sociologia das profissões, abordando temas como: o mercado de trabalho, a evolução dos empregos de saúde, a força de trabalho em saúde, a regulação e a dinâmica das graduações em saúde. Analisa os momentos que caracterizam a área, desde o pré-SUS até os dias atuais. O período evidencia um “boom” de escolas de saúde, com participação majoritária do ensino privado; aumento da escolarização, iniquidade regional; surgimento perigoso da educação à distância no campo da saúde; desequilíbrio entre oferta e demanda de mão de obra; expansão da capacidade instalada; municipalização dos empregos de saúde; crescimento da equipe multiprofissional; precarização do trabalho; crescimento da informalidade dos vínculos empregatícios e deterioração salarial.

Migration, Quality of Life And Health of Brazilian Immigrants in Portugal

Background: Immigrants face many challenges when settling in a foreign country, numerous factors influence this immigrant experience including the resources they bring with them and those they find in the host society. The literature has indicated that a significant number of individuals migrate in search of a better quality of life. In this context, the objective of the study was to analyze the quality of life and health of Brazilian immigrants living in Portugal, using the "Medical Outcomes Study: 36-Item Short Form Survey" (SF-36). Methods and Results: A cross-sectional study with a quantitative approach developed under the project titled: Health status and quality of life of Brazilian immigrants in Portugal conducted in the first half of 2016, with 682 Brazilian immigrant women over 18 living in Portugal. This study adopted as reference SF-36, a generic instrument for the evaluation of Quality of Life. It can be affirmed that the quality of life and health of Brazilian immigrants living in Portugal is good, since all dimensions presented values above 50%. It was evidenced that Brazilian immigrants who live alone have lower levels of quality of life and health than those who live with someone and, that Brazilian immigrants who are unemployed, have low levels of quality of life and health compared to those who are in another employment situation, and Brazilian immigrants entering the labor market with a workload of more than 40 hours per week present similar levels of quality of life and health compared to those who work fewer hours. Conclusion: In general, one can affirm that the quality of life and health of Brazilian immigrants living in Portugal is good, but due to the particularities of the migration process in the current political and international context, a systematic monitoring of living conditions and health of this population is necessary. Keywords: Emigrants and Immigrants; Quality of life; Women, Mental health  

Clinical aspects and care production in a Brazilian psychosocial care center of alcohol and other drugs (CAPS AD)

The study aimed to analyze the clinical aspects of the treatment of crack cocaine and excessive alcohol users who were seen in a Psychosocial Care Center of Alcohol and Other Drugs (CAPS AD) in Sobral, Ceará, during the years 2010 and 2011. This is an exploratory descriptive and documentary study, with a retrospective quantitative approach. The sample was composed of 567 medical records of drug users, from which 291 were crack cocaine users, and 276 were alcohol users. For data collection, a form was developed based on the Care Script Service, the data from which was then used to populate a database in an EPI INFO 7, a statistics software system. In both groups of users, males were predominant (85%, n = 482), and were between the ages of 20 and 29 years for crack users (50.9%, n = 148), and between 30 and 39 years for alcohol users (31.9%, n = 88). There were significant differences between crack cocaine users and alcohol users in liver disorders (p < 0.01) and withdrawal syndrome (p < 0.05), however, there were similar signs and symptoms between users. Crack users hospitalized less frequently (OR 0.33 [95% CI 0.23 to 0.47 p < 0.01]). Suicidal ideation and suicide attempts were similar in both crack cocaine and alcohol users. Thus, this research will lead to new proposals for health care professionals in order to enhance and improve the care provided to service customers in CAPS AD.

[Quality of pre-natal care in Family Health Strategy in Sobral, CE, Brazil]

Face to public policies involving the quality of care for prenatal, the study aims to: assess the quality of prenatal care to the territories in the Family Health Strategy of the city of Sobral in the light of theoretical reference of Avedis Donabedian. This is a descriptive- exploratory study, developed by Family Health Units of Sobral, CE, Brazil. Of the fourteen Centers Health investigated, four were with appropriate indicators for prenatal care. But that although there are inadequacies in the physical structure, there are no impediments in order to provide a quality of care there is a view that the process and results also interfere with the quality of care.

Consulta de enfermagem ao portador de hanseníase no território da Estratégia da Saúde da Família: percepções de enfermeiro e pacientes

O presente estudo visa identificar as dificuldades do enfermeiro para que ele possa refletir e criar estratégias para melhorar a qualidade da consulta e acompanhamento de enfermagem aos portadores de hanseníase e conhecer a percepção do cliente em relação à estrutura do atendimento e o acompanhamento de enfermagem. A partir dos resultados notamos que na consulta de enfermagem busca-se criar um vínculo de confiança com cliente com objetivo do mesmo receber as informações sobre seu tratamento bem como sobre de incapacidades. No que diz respeito às dificuldades afirmadas pelas enfermeiras, elas estão relacionadas às condições de organização dos serviços de saúde o que acarreta uma alta demanda. Com relação à percepção dos pacientes quanto à consulta de enfermagem mostrou-se, no geral, bem satisfatória.

Auxiliares e técnicos de enfermagem na saúde da família: perfil sociodemográfico e necessidades de qualificação

Estudo exploratório-descritivo, realizado com 38 auxiliares e 17 técnicos de enfermagem que atuavam na Estratégia Saúde da Família (ESF), nos municípios de Acaraú, Chaval, Coreaú, Granja, Marco e Santana do Acaraú, no estado do Ceará, no período de março a abril de 2005, que objetivou traçar o perfil e as necessidades de qualificação desses profissionais. O perfil mostrou que, em sua maior parte, eram mulheres casadas, com idade entre 31 e 40 anos, ensino médio concluído, renda de um salário mínimo, atuando na área rural. Quanto s necessidades de qualificação por eles apontadas, destacam-se os temas biossegurança, internação domiciliar, métodos e técnicas de cuidados com feridas e sondas, esterilização, atividades educativas e acolhimento. A maior parte das necessidades referidas resume-se a técnicas e sugere deficiências na formação profissional. Enfatiza-se a importância de uma política de educação permanente, para melhor capacitação e melhoria na atuação deste segmento profissional na ESF.

Processo de ascenção ao cargo e as facilidades e dificuldades no gerenciamento do território na Estratégia Saúde da Família

O estudo objetiva caracterizar o processo pelos quais os gerentes de território da Estratégia Saúde da Família-ESF ascenderam ao cargo e os limites e/ou facilidades encontradas por este em seu processo de trabalho. A pesquisa é de abordagem predominantemente qualitativa, realizada em Sobral-Ceará, com 28 gerentes de território da ESF, no período de novembro de 2006 a junho de 2007. O processo que levou os gerentes ao cargo, não leva em consideração um perfil de competências, ocorrendo de maneira administrativamente artesanal. As principais facilidades no processo de trabalho dos gerentes se dão principalmente, pelo bom relacionamento com a equipe e o compromisso desta. Já as dificuldades referem-se a conciliação das atividades de enfermagem e gerenciamento e falta de capacitação para o gerenciamento.

Gerentes do território na Estratégia Saúde da Família: análise e perfil de necessidades de qualificação

O estudo objetivou elaborar o perfil sócio-demográfico e educacional dos gerentes de território da ESF e identificar os tipos de qualificação ou processo de educação permanente que tem ou estão inseridos os gerentes, o desenvolvimento científico-cultural dos mesmos. A pesquisa é do tipo exploratório-descritiva, realizada em Sobral - Ceará, com 28 gerentes de território da Estratégia Saúde da Família no período de novembro de 2006 a junho de 2007. Para coleta de dados foi utilizado um questionário e uma entrevista semi-estruturada. O perfil sócio-demográfico dos gerentes mostra que: 57,2% estão na faixa etária de 25 a 34 anos; 92,9% são do sexo feminino; 78,6% são casados; 57,2% têm renda mensal na ESF de R$ 1.800,00 a 2.000,00; 100% são enfermeiros; 71,4% possuem Especialização na modalidade de Residência Multiprofissional em Saúde da Família e 57,1% apresentam necessidade de qualificação em gestão em saúde e gestão de pessoas. Sugere-se que a Secretaria Municipal da Saúde e Ação Social poderá estabelecer as atribuições dos gerentes e avaliar o perfil dos gerentes durante a nomeação, e confrontá-lo com o perfil que o sistema exige.

Centro de Estudos e Pesquisa em Enfermagem (CEPEn): uma trajetória de 36 anos

O presente estudo trata dos destaques da trajetória do Centro de Estudos e Pesquisa em Enfermagem (CEPEn) da Associação Brasileira de Enfermagem no recorte temporal de 1971 a 2007. Estudo de cunho histórico social no qual utilizou-se o Catálogo Informações sobre Pesquisas e Pesquisadores em Enfermagem e os Relatórios dos Seminários Nacionais de Pesquisa em Enfermagem (SENPE). Os objetivos foram resgatar a trajetória do CEPEn e apresentar um dos eventos de maior importância para a Enfermagem Brasileira. A preocupação com o futuro e a necessidade de fortalecimento e enriquecimento, tanto dos docentes quanto dos profissionais do campo assistencial, é uma marca dos dias atuais e se coloca como desafio a ser enfrentado no presente.

[Nurses's view of their work process in medication prescription in the Family Health Strategy]

One of the advances in the Family Health Strategy (FHS) is the prescription of medication by nurses, which has brought the discussion together with the medical category. This study aimed at analysing nurse's perception about this act as well as its regulation. The study is of qualitative approach, having as subjects four Nurses who perform in FHS in Sobral, Ceará. A questionnaire and the technique of focus group were used to collect data. The totality of the sample works in the rural zone and that only two had specialization. Nurses reported they are unsatisfied and unsecure related to the act of prescribing medication since the municipal protocols did not correspond to local reality. A review of the current nursing protocol for the municipality is suggested, making it suitable to complaints in the community, but without abandoning the priority of the preventive and community model that nursing performs.

Competências gerenciais de enfermeiras: um novo velho desafio?

Artigo de reflexão sobre a atuação do enfermeiro como gerente da assistência de enfermagem no atual mundo globalizado e com enormes demandas. Discute a relevância do preparo deste profissional para exercer seu papel no contexto de competências gerenciais, hoje amplamente difundidas como modelo de gestão. Destaca a importância do desenvolvimento de competências gerenciais nos enfermeiros desde a formação na graduação e de forma contínua nos serviços.

Integralidade na assistência à mulher na prevenção do câncer cérvico-uterino: um estudo de caso

Realizou-se análise da gestão da atenção, com base na integralidade da assistência à saúde da mulher na prevenção do câncer cérvico-uterino, através de entrevista com duas pacientes atendidas em serviço de saúde da região nordeste do país. Consistiu num estudo de caso onde os dados foram analisados através do Fluxograma Analisador do Modelo de Atenção de um Serviço de Saúde. Em um caso identificou-se a integração dos pontos de atenção, com caráter integral e no outro a fragmentação total desta. No estudo é percebida a importância de maior atenção do gestor no sentido de melhor planejar, organizar e avaliar as ações nos serviços de atenção saúde da mulher, buscando a eficiência, a eficácia e a efetividade, assegurando que os princípios do Sistema Único de Saúde sejam respeitados.

Hanseníase: a realidade do ser adolescente

A hanseníase é uma doença contagiosa, estigmatizante, de grande potencial incapacitante, e os adolescentes por estarem numa fase de mudanças e de adaptação, esta doença pode interferir na construção de sua vida. O estudo objetiva caracterizar os adolescentes portadores de hanseníase segundo aspectos sócio-demograficos; realizar análise epidemiológico-operacional da hanseníase; verificar o conhecimento dos adolescentes sobre a hanseníase e as reações manifestadas pelos mesmos após sua descoberta; Identificar as mudanças ocorridas após a doença na vida do adolescente e as dificuldades vivenciadas pelo mesmo após a da doença. Trata-se de uma pesquisa exploratória e descritiva, constituída de 31 adolescentes portadores de hanseníase, assistido pela Estratégia Saúde da Família no Município de Sobral- Ceará. Os resultados sinalizam a necessidade de uma assistência integral e continuada ao adolescente portador de hanseníase, evitando que essa doença provoque mudanças significativas em sua vida, dificultando na construção de sua nova identidade.