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A espiritualidade na formação médica: elaboração de um guia didático a partir da autopercepção de alunos da graduação
(Centro Universitário do Estado do Pará, 2019) Pereira, Ângela Regina Rosa Corrêa; Barreto, Bruno Acatauassú Paes; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; http://lattes.cnpq.br/4741205865293040
Introduction: Spirituality is an intangible way of seeking meaning in life. However, religiosity runs through a concrete system based on doctrines or cults that aims to attain the Sacred from behavioral, social and moral values. In this context, there is currently an important involvement between health and spirituality. Since 1988, the World Health Organization involves the spiritual dimension in the concept of health. Scientific research on the subject is still incipient, but with relevant results. Medical education in the field of humanistic skills is instigated to promote training for teachers and students on the subject. Objective: To develop a pedagogical guide on Spirituality and clinical practice based on the perception of the subject in undergraduate medical students. Methods: This is a descriptive, observational, cross-sectional study with a qualitative and quantitative approach. Self-assessment of medical students was carried out (n = 233). A selfapplied questionnaire, of the Brief Multidimensional Measure of Religiousness and Spirituality (BMMRS protocol) validated for the Portuguese language - Brazil. Results: The profile of the population ranged from 18 to 49 years (median: 21), most of whom were single (n = 222), of the female gender, and when they were grouped by semesters, the female gender was also predominant. The religious distribution shows a majority of Catholics (65%), followed by evangelicals (9.8%), which predominates over spiritist (5.1%). In relation to the spiritual dimensions analyzed: spiritual experiences, beliefs and values, religious overcoming and organizational religiosity, were more valued (greater percentage) by the group of students of the first semester compared to the twelfth semester in all variables. However, when the global selfassessment dimension was analyzed, students in the last semester of the course feel more religious and more spiritual. As for the qualitative analysis of the responses related to spirituality and the medical course, using the criterion of Bardin 2011. The comparison of the responses of the groups particularly values this research because it reflects in the first group a probable expectation of the subject to be approached and for the complete a record of the subject in medical training. Conclusion: The students' perception about spirituality and graduation, brings us to propose a didactic guide on spirituality and clinical practice. A large part of the studied population favored the subject in the medical course. It is necessary, however, more research proposing ways to address this dimension of health in medical education.
A importância de uma sessão clínico-radiológica no curso de graduação médica
(Centro Universitário do Estado do Pará, 2017) Silva, Alex Cezar Massoud Salame da; Gomes, Patrick Abdala Fonseca; Castro, Sinaida Maria Vasconcelos de; http://lattes.cnpq.br/4767038085471534; http://lattes.cnpq.br/6060836341247026; Tuji, Fabrício Mesquita; http://lattes.cnpq.br/8122254353290848; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Reis Junior, Leandro Passarinho; http://lattes.cnpq.br/8106073837131437
Introduction and objectives: Medical training has been the topic of intense debates and reveals itself as a subject of extreme importance nowadays. It is imperative to qualify professionals from all health categories to provide comprehensive care, humanized and with responsibility for the continuity of the provided care. New learning scenarios currently recommended by the National curricular guidelines for medical courses propose, among some issues, the formation of a professional with critical and reflexive attitude facing their practice. On this new panorama of Brazilian medical education, there is a need to insert appropriate educational tools that can contribute to the development of a new medical practice. The teaching technique task-based simulation in Radiology and Diagnostic Imaging is more widespread and used in postgraduate teaching, particularly in medical residency. The objective of the study was to implement a methodological proposal for the teaching of Radiology in medical graduation, based on radiological interpretation, from clinical cases in a clinical-radiological session, using the most common imaging exams these days. Methods: 72 students distributed between the eighth and ninth semester of CESUPA (Centro Universitário do Estado do Pará) medical course were submitted to some questions (appendix I) after answering the Informed Consent Form (ICF). The eighth semester students were asked questions prior to any formal Radiology class. Those ones in the ninth semester replied after formal Radiology classes in the eighth semester and after two consecutive clinical sessions where some real cases with several associated imaging exams were discussed. Results: most of the students did not mention mammography or densitometry as a radiological imaging method. Several and complex clinical indications were cited, but some simpler and more common ones, such as, headache, sinusitis and cholelithiasis received almost no citations. 40% of the students did not know to conceptualize appropriately a radiological signal and 54% of them requested an examination without placing any patient’s clinical information. Regarding the risks and benefits of the imaging tests, the answers were divided between confirmation of clinical diagnosis, anaphylactic shock/ contrast, and ionizing radiation. Conclusion: The study showed that the current teaching method of Radiology and Imaging Diagnosis does not fully satisfy the need of scholars about the knowledge of imaging methods, its indications and limitations, its risks and the most alarming is about the request for examinations: they have not done correctly. The proposed clinical-radiological session aimed to fill part of this gap obtaining relative success in improving the interpretation of the imaging tests and contributing to radiological exams request in a clearer and concise way.
A morte na formação médica: oficina de leitura literária como estratégia humanística no ensino em saúde
(Centro Universitário do Estado do Pará, 2020) Sakai, Ana Paula Ferreira Silva; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Moraes, Niele Silva de; http://lattes.cnpq.br/1140706468939596; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Conde, Simone Regina Souza da Silva; http://lattes.cnpq.br/3375802140515152; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678
Introduction: Death and the process of dying permeate the daily lives of many health professionals, who are usually in contact with patients at the end of their lives and who die under their care, constituting one of the most challenging clinical experiences. Thus, the reflexive exercise should be stimulated from graduation, so that academics become doctors capable of recognizing their attitudes and building integrated technical knowledge, through activities that stimulate the cognitive, affective and psychic domains, leading to humanization practices. Objectives: To carry out the workshop of literary reading with academics of Medicine, as a strategy to humanize and promote changes in the conception about Death and the process of dying of patients. Method: A transversal, observational, descriptive study, with a qualitative approach, with the realization of the workshop of literary reading of the book "Death is a day worth living", by Ana Claudia Quintana Arantes. For data collection, semi-structured interviews were used, individually, before and after the workshop, recorded and transcribed for analysis purposes. The workshop and the interviews took place at the Medical Course of CESUPA, from June to September of 2019, after the approval of the project by the Research Ethics Committee of CESUPA. Medical scholars attending the seventh, ninth and eleventh periods were included, after signing the Free and Informed Consent Term and their names were preserved by codenames. Results: The interview before the workshop defined six thematic categories (definition of death, dignified death, preparation during graduation to deal with death, art in medical training, reading habit and acceptance); the post-workshop interview defined five thematic categories (definition of death, dignified death, literary workshop in academic training, the workshop experience, suggestions for the workshop). Correlated to these two moments, the most significant results were: difficulty in defining death, which occurred more safely after the workshop, with changes in conceptions on the subject; about dignity when dying (without feeling pain, without suffering from obstinacy in prolonging life at all costs, with technical and humanized assistance, good doctor-patient relationship, having self-knowledge and self-control to take care of the other, exercising the patient's right to information); about the preparation during graduation to deal with death (the subject of death is little addressed); about the contribution of the workshop to the academic formation (perceived as important, especially by the way the book was read: shared reading); about the contribution of art to medical formation (art is positive and collaborative); about the habit of reading (the medical course takes up a lot of life time and most of the reading is technical); everyone expressed their desire for its curricular implementation of the workshop, with extension of the time for discussions and conversation wheel. Conclusion: the workshop on literary reading proved to be a methodological strategy potentially promoting the sensitization of academics to the humanization in health, in the context of Death and end of life care.
A percepção do docente do curso de bacharelado em educação física sobre as metodologias ativas como estratégias no processo de ensino
(Centro Universitário do Estado do Pará, 2020) Silva, Moisés Costa da; Gomes, Patrick Abdala Fonseca; http://lattes.cnpq.br/6060836341247026; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Dias, Biatriz Araújo Cardoso; http://lattes.cnpq.br/6691738832729865
Active methodologies come to present an innovative way of learning, in order to change the perspective within the classroom, the goal is that the teacher leaves the center of knowledge, and the student becomes active in the teaching-learning process. Therefore, the objective of the present study was to evaluate the perception of the teacher of the bachelor's degree in physical education about active methodologies as strategies in the teaching process. This is a descriptive cross-sectional and analytical study, with a quantitative approach carried out through the application of a structured questionnaire with closed questions to the professors of a private college in Belém-PA. Excel® 2010 software was adopted for data entry and table preparation, as well as BioEstat 5.0 for statistical analysis. Categorical variables were presented as frequencies and numerical variables using measures of central tendency and dispersion. The Chi-square test and the G test (Adherence) were used to verify the significance of the data, adopting an alpha level of 5% (p≤0.05). Participated in the research 14 teachers, of both sexes, where the predominance of the feminine sex was observed (57.1%), being the majority of the professors with master's degree (64.3%), 50% of the professors affirm to have received some type of training or qualification of the Higher Education Institution (HEI), only 28.6% of the teachers have a good concept in relation to the students' perception when using some active methodology strategy, 64.3% of the teachers feel partially prepared for the exercise of a new pedagogical project that establishes the use of active methodologies in the training of physical education professionals, most teachers like and use active strategies with the traditional as a teaching method in the classroom. It is concluded that although teachers use active methodology, a greater mastery of the tools is necessary, through the search for the professional himself, but also in the contribution of the HEI regarding the promotion of training and continued qualification.
A tecnologia da informação e comunicação na estratégia de prevenção do câncer de colo uterino em Unidade Básica de Saúde no estado do Pará
(Centro Universitário do Estado do Pará, 2022) Silva, Elyene Elene Meireles da Rocha; Matos, Haroldo José de; Rocha, Marco José de Sousa; http://lattes.cnpq.br/9830983900880582; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Sousa, Maisa; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040
Cervical cancer is a public health problem that affects each region of Brazil differently, with the north and northeast regions being the most affected when comparing the number of deaths from this pathology compared to other regions. The objective of this research was to investigate statistical data to determine the possible causes, and deficiencies in the prevention of this disease in the state of Pará, and with that to specify an application that favors the qualification of the attendance of the preventive service of the uterine cervix. The methodology consisted of an ecological, descriptive study with a quantitative approach. The acquisition of statistical data took place between the year 2010 and 2022. Data analysis and product creation was carried out with the support of the Excel 2016 program, libreOffice 7.2 libreOffice Draw, the Rational Unified Process method, and with articles related to with the theme. The analyzed indicators point to a deficit in the target to be reached of coverage of the programs to combat this pathology in the northern region, State of Pará and Municipality of Belém. There is a need to strengthen the local management of cervical cancer control programs, as well as to invest in the quality of services, as the current situation provides an ideal scenario for this technological advance. This work also points out the importance of using the application that allows the user to obtain all the necessary information, to plan the days in which she will go to the basic health unit in her coverage area with effective communication, to contribute to the tracking, giving the same convenience, ease and practicality. In addition to the proposed functionality, it allows contacting health professionals registered in the application to obtain clarification and also establish a link of trust in relation to the service. For the health team involved in the process, there will be availability to record the entire process, that is, attendance of its users with dates for the Pap smear and updated agenda, for example. In addition to the application specifications, this work also presents user interface sketches of the technical feasibility study.
Análise comparativa de perfil epidemiológico e imuno-histoquímico em pacientes jovens com câncer de mama em clínica privada
(Centro Universitário do Estado do Pará, 2019-05-29) Neiva, Christianne Gomes Barros; Miranda, Ariney Costa de; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; http://lattes.cnpq.br/0967752058385887; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Bacelar, Herick Pampolha Huet de; http://lattes.cnpq.br/3310315262508382
Breast câncer in Young people is considered an uncommon disease accounting for less than 7% for all women diagnosed with câncer in developed countries. In the last decade, there have been fundamental changes in the understanding of the biology of breast cancer, which has come to be understood as a group of diseases with different molecular characteristics identified by gene expression profiles. This was a longitudinal retrospective case-control study in which 60 patients with a diagnosis of breast cancer, 20 young patients (≤ 40 years), Case group (Gca) and 40 patients (contro lgroup - CG) were evaluated, These groups were subdivided into two age groups: Groups 1 (GC1) with patients aged 41-59 years and Control groups 2 (GC2) with patients aged 60 or over. The patients underwent oncologic surgery, in the period between May/2013 and October/2018. The mean age of the participants was 34.2 years; 85% had symptomatic diseases; the mean tumor size was 2.6cm; 20% had a first-degree family history, and 35% had loco regional lymph nodes in the study. Histopathological examination. Regarding Postoperative Staging, 1A was more frequent. The luminal profile A was found in 38.8% of the patients, followed by luminal B in 33.3% and triple in 27.8% in the case group. Differing from the literature, in which predominance of the B-luminal profile occurs. We conclude that the sample studied presented fewer aggressive cases than found in the literature in this age group. The diagnosis of breast câncer is a challenge in this age group because women do not usually do mammographic screening before 40 years. With the purpose of drawing attention and orientation regarding breast cancer in Young women and guiding health professionals, a primer was produced with the purpose of encouraging, whenever possible, the early diagnosis and better therapeutic conduct of the patients.
Atenção à saúde mental em estudantes de uma universidade rural
(Centro Universitário do Estado do Pará, 2019) Filgueiras, Sandra Maria Macedo Gonçalves; Carvalho, Ana Emília Vita; Furlaneto, Ismarini Perini; http://lattes.cnpq.br/9542085122721945; http://lattes.cnpq.br/1981562999898097; Bittencourt, Ruth Helena Falesi Palha de Moraes; http://lattes.cnpq.br/7928651517044344; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Gomes, Patrick Abdala Fonseca; http://lattes.cnpq.br/6060836341247026
Research points to university life as a phase of great changes in the development of subjects, requiring adaptations to the new reality, which often favors illness. The objective of this research is to describe the perception of the students regarding the quality of life and emotional indicators in students of a rural university in the city of Belém. Method: the study took place at the Federal Rural University of Amazonia (UFRA) and had a descriptive and analytical design. . Eighty-one students participated in the research, distributed in the courses: Agronomy, Forest Engineering, Fishery Engineering, Veterinary Medicine; Data were collected through WHOQOL-Bref, EADS and a sociodemographic questionnaire. The study was approved by CESUPA's Research Ethics Committee. The results found in this research show concerns about the quality of life of university students, there was greater participation of students of the veterinary medicine course, the emotional indicators and the variables of the courses indicate levels of anxiety and depression among the students who reported not feeling supported by As well as the family income indicators found from one to two minimum wages, which makes it difficult to access health goods and services, we highlight the importance of developing prevention and mental health promotion actions for university students. Conclusion: When mental health is impaired it naturally makes it difficult for students to perform their teaching and learning activities as well as their social relationships. It is important for universities to promote health education and student well-being, basic conditions for efficient learning and success in academic life. The product of this research was the elaboration of a Sponsorship Program that consists of the reception, accompaniment and support during the stay in the university, focusing the quality of life in the physical and mental scope of the academic, promoting preventive actions and aiming at well-being and care. permanent with health.
Atenção primária em saúde: guia para o uso do IRAMUTEQ em pesquisa qualitativa
(Centro Universitário do Estado do Pará, 2020-10-29) Moura, Glaucia Margarete Nascimento Pereira da; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Vaz, Andréa Luzia Paes; http://lattes.cnpq.br/4364540186589331
IRAMUTEQ is a software for analyzing qualitative content of texts and data tables, inscribed under the python language. This operating system proposes a set of statistics and utilities to assist in the description and analysis of texts and data matrices of the individual/character type, that is, with data record type of contingency tables. The principle of functionality of IRAMUTEQ, is based on establishing an interface with the R software and prepares a multidimensional analysis of the texts and questionnaires, its operability being based on preparing data and writing the scripts that are read and analyzed by the R software. Qualitative research in the health area has been strengthening and seeks consolidation in recent years, in which professionals and researchers who make this approach option seek to understand the perspective of the research participants. Therefore, this study demonstrated, through an integrative review, the use of the IRAMUTEQ program in qualitative analysis works in primary health care, in addition a guide to the use of IRAMUTEQ for qualitative research in primary care was developed. The integrative review brought together 10 (ten) Brazilian studies, selected based on the criterion of using lexical content analysis and the IRAMUTEQ software, with the exception of 1 article that used the ALCESTE software. It was observed that in the last years the use of software, especially of IRAMUTEQ, is growing and it is important to obey criteria for preparing the content for analysis, and to be aware of the methods that IRAMUTEQ used for analysis, so that the results are true. The IRAMUTEQ Usage Guide explains in detail how to do content analysis using Reinert's method. The use of IRAMUTEQ in research in primary health care, can promote the objective and faster analysis of texts, in addition to analyzing research with patients and improving the daily lives of both health professionals and their patients.
Avaliação da aceitação de instrumento técnico auxiliar no manejo da sífilis em gestantes
(Centro Universitário do Estado do Pará, 2018) Silva, Silvana Cristina Rodrigues da; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Araújo, Eliete da Cunha; http://lattes.cnpq.br/5906453187927460; Rojas, Márcia de Fátima Maciel de; http://lattes.cnpq.br/1926263861110172; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582
INTRODUCTION. Every year, all around the world, the number of Congenital Syphilis (CS) is increasing. Last 2018 Epidemiological Bulletin of Brazil presented the national incidence rate of CS in 8,6 cases for every thousand born alive, very far from the target set by the American Health Organization (PAHO) that is 0,5 cases of CS for every thousand born alive up to 2015. Adequate and early treatment in pregnants is the most efficient manner to prevent CS. With the implementation of rapid test for syphilis in Basic Health Units (UBS), Ministry of Health (MH) aims to avoid diagnostic opportunities loss and adequate the treatment. Searching for improving health professional atuation who accomplish prenatal and favor doctor and nurse from Family Health Strategies (FHS) to answer doubts related to the management of syphilis in pregnant women, a technical instrument in disk form was developed, denominated “Disc for Diagnosis and Treatment of Syphilis in Pregnant Women”, based on MH flowcharts Protocols. Objective. Evaluate the technical instrument acceptance from medical professionals and nurses who perform prenatal care at the FHS in Belém city. Methodology. Research of descriptive character, qualitativequantitative in the management of syphilis specifically in pregnant women. Two different questionnaires were used for data collection, the first one was answered before the disk delivery in period of February and March 2018 with questions containing variables as professional position, sex, graduated time, level of study, and others related to the MH Protocol and syphilis in pregnant women. 156 questionnaires were answered followed by the delivery of 156 Discs. Second questionnaire was answered 4 months after Disc delivery, containing questions about the opportunity of using the instrument and as variables about its acceptance. Statistical Package for Social Sciences (SPSS) software was used, associations were calculated using the Chi-square test of adhesion and independence, interest variables, with significance level of 5%, to predict the result of Disc usage by professionals with the variables that proved to be significant in the tests. Results. In relation to questionnaire I from a total universe of 224 professionals, 156 questionnaires were filled out, majority of participants are nurses 24.4% and doctors 14.7%, female gender predominates 68.6% among both doctors and nurses with a general average of 7.5 years of graduated in both categories but with a slightly lower prenatal accomplishment experience, an average of 6.2 years. 115 (75%) reported have ever had doubts about a syphilis suggestive result in pregnant women and most said they do not know how to proceed with altered results for Sifilis. In questionnaire II, 50 questions were answered, being a sample with predominance of the feminine gender 30 (60%) and nurses 37 (74%), similar to the first phase, 70% of respondents said they had no difficult to handle the disc, 90% considered the disc useful or very useful, 95% affirmed that the disk contains all informations for proper diagnosis and treatment of syphilis in pregnant women, 94% would recommend its use to other professionals. Conclusion. Results demonstrate that the instrument created was well accepted by the surveyed professionals, and seems to fulfill the larger goal by which it was created, to be a tool for decision-making, improving the diagnosis of a pregnant woman with syphilis.
Avaliação do processo ensino-aprendizagem do eletrocardiograma na graduação médica
(Centro Universitário do Estado do Pará, 2021) Holanda, Vitor Bruno Teixeira de; Miranda, Ariney Costa de; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; http://lattes.cnpq.br/0967752058385887; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Bacelar, Herick Pampolha Huet de; http://lattes.cnpq.br/3310315262508382; Portella, Marcia Bitar; http://lattes.cnpq.br/9865172579876286
Medical teaching of the electrocardiogram is a worldwide challenge, there is still no methodology considered as the “gold standard”. With the advent of the new National Curricular Guidelines, the need to learn basic diagnostic methods is clear. General Objective: Evaluation of the methodology applied for teaching electrocardiogram interpretation, in the undergraduate medical course at Centro Universitário do Pará. Specific Objectives: To identify the teaching-learning process of the electrocardiogram in the 3rd semester of the CESUPA Medicine course. Describe, from observation, the methods used by teachers to teach the electrocardiogram within the Medical Pedagogical Project of CESUPA in the Clinical Skills Module of the 3rd semester. Develop an illustrated script based on the results obtained, which facilitates the understanding and learning of the ECG. Methodology: This is a descriptive, cross-sectional observational study, with a quantitative and qualitative approach. The present study observed a group from the Clinical Skills Discipline of the Medical Course of the University Center of the State of Pará (CESUPA), from the academic period of the 3rd semester, in which the teaching of the electrocardiogram is introduced. Data collection was performed through the application of the semi-structured, quantitative and qualitative questionnaire based on the Likert scale. The applied method was the triangulation of the perception of the observer, teachers and students. Results: In the students' responses, it can be seen that the percentage regarding the statement “if active methodology was applied during the teaching-learning process”, obtained a greater amount of concordant response 5 (63%) and 4 (15.79%). A higher percentage was obtained among the concordant responses, 5 (35.09) and 4 (31.58%), for the statement "there are stimuli for memorizing the measurement values", calling attention to the percentage of responses "I do not know how to give an opinion. as for the answers to affirmative “there is an emphasis on understanding the stimuli that give rise to electrocardiographic waves”, there was 91.22% disagreement. In the teachers' reply “was an active methodology applied during the teaching-learning process?”, There was a 100% response, I totally agree, and we had two justifications. The responses to statement 5 demonstrated the perception of not achieving the ideal result in the teaching-learning objective of the electrocardiogram. As for the observer: there was complete agreement with statements 2 and 3 only, completely disagreeing with the statement “the students demonstrate the ability to assess whether the ECG was well performed”. Conclusions: The search for better efficiency was evident, mixing traditional and active methods and tools, in the quest to achieve the pedagogical objectives. However, in the identification of the teaching-learning process, the ability to stimulate creation and evaluation in Bloom's taxonomy was lacking.
Avaliação do uso da metodologia de problematização pelos docentes do módulo de interação em saúde na comunidade
(Centro Universitário do Estado do Pará, 2017) Pereira, Cybelle Cristina; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Ikuta, Yuji Magalhães; http://lattes.cnpq.br/8464078836149569; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297
Introduction: Historically, the teaching of the medical profession was based on the eminently practical nature of the doctor-patient relationship, in which health problems are sought to be solved; this reality led to the teaching of problematizing methodologies. In the perspective of the socio-educational context within the health area, it is perceived that the Problem-solving Methodology emerges as a pedagogical strategy of possible efficacy by providing a connection and approximation of teaching with the reality lived in the health services. The Methodology of Problematization, based on the Arch of Maguerez, according to Bordenave and Pereira, presupposes a sequence of five stages which are interconnected: Observation of Reality, Key Points, Theorization, Solution Hypotheses and Application to Reality. Objective: To analyze the use of the methodology of problematization in the practice of the professors of the Module of Interaction in Health in the Community. Methodology: Consisted on a transversal study, with a qualitative approach through content analysis, with the help of Iramuteq software. Twenty professors from the Community Health Interaction Module of CESUPA participated in the study. Results and Discussion: After analyzing the four categories presented by the content analysis, it was possible to verify that the teachers understand in general the stages of the Arch of Maguerez and the necessity of the intervention of the students in the reality to be transformed. In addition, they perceive limitations and advantages in the use of the Problem-solving Methodology, but also present some hazy concepts regarding the use of the methodology. Conclusion: It is concluded that the MISC professors have knowledge and professional experience in relation to the application of the Problem Methodology, but it is necessary to have a higher qualification in relation to the subject, besides new studies that can deepen the teaching of Problematization in medical education.
Avaliação interpares: experiência de avaliação formativa no curso de enfermagem em uma instituição de ensino superior de Belém
(Centro Universitário do Estado do Pará, 2020) Santos, Isabela Bonfim; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Peixoto, Ivonete Vieira Pereira; http://lattes.cnpq.br/0072766773987067; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Reis Junior, Leandro Passarinho; http://lattes.cnpq.br/8106073837131437
This research questioned the theme Educational Evaluation, specially evaluation in superior degree learning. In academic scenery highlighted three functions from de evaluation to the learning: the diagnostic, the total amount and the formation. The formative evaluation aims to develop the constructive action and compromised to the learning, content in the evaluation inter-pairs the possibility to share responsibilities and work on the mobilization of the knowledge handling it to the abilities and attitudes. Objectives: valid a form of inter-pair evaluation aim to contribute to the practice of formative evaluation in the nursery course. Apply the instrument of inter-pair evaluation in hospital nursery module in the range; to know the students` perceptions about the tools of inter-pair evaluations. Problems searched: How do inter-pair evaluation might help in the development of effective and collaborative learning from the perception of the students? How does it characterize the perception of the students about inter-pair evaluation as part of the evaluation? Methodology: descriptive qualitative research in which the participants were students of 4th period of the course. Presenting the following methodological stages: presentation of the project to the group, conversation exposing what is formative evaluation, with the focus on the inter-pairs evaluation: accompanying classes with active methodologies and application of questionnaire to students, in which data will be submitted to analyses of the content. Results: most of the students (55,6%) believe in the potential of formative evaluation, but there are still many challenges to overcome, what leads to not always to feel safe to give feedback to the colleagues. 38,9% totally agree that feelings, such as feel safe, motivation, trust are demonstrated in contacts with colleagues, sharing knowledge and experience in a collaborative activity. although after passing through the process of inter-pairs evaluation after the use of active methodologies 38,9 experienced aversive feelings when faced the responsibilities about the learning of the other participants of the group. 50% agreed to have facilities to identify the deficiencies and potencies of their colleagues because the use of active methodologies help to individualize the needs of the students when working in groups, become easier the interaction student - teacher. Conclusion: we concluded that the way the students evaluate themselves, noticed that their learning, refer to the progresses, related to the objectives of learning, and drew new steps to learning constituted, the first references about the applications of tools of inter-pairs evaluation in the course and what it is capable to mobilize when we want a shared responsible learning. The scientific experience of the present study, the references in which we observed the effects of formative evaluation and the validation of the inter-pairs evaluation forms aim to contribute to the nursery course aiming the logic dialogical capable to recognize the potentialities, the fragilities and the possibilities of changing in the learning process.
Cartilha sem letras para idosos com hipertensão arterial sistêmica: uma estratégia de ensino para adesão ao tratamento
(Centro Universitário do Estado do Pará, 2018) Ribeiro, Márcia Regina Mota; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Rojas, Márcia de Fátima Maciel de; http://lattes.cnpq.br/1926263861110172; Ikuta, Yuji Magalhães; http://lattes.cnpq.br/8464078836149569
This is a cross-sectional and descriptive study aimed at validating a letter-free booklet for elderly patients with systemic arterial hypertension (SAH) as a teaching strategy to enable adherence to treatment. The research protocol was approved, in its ethical aspects, by the Committee of Ethics in Research (CEP) of CESUPA, under the number 2,910,589, CAEE 96407118.5.0000.5169. The Validation of the Research Protocol was done by experienced professionals who work in basic attention in teaching and research. The evaluation topics considered by the judges were elaborated in a modified Likert scale questionnaire format. Elderly people with SAH, lucid and able to respond consistently to the data collection instruments, were residents of the institution Abrigo João de Deus. The study has been developed consisted of five phases: 1) Elaboration of the Primer; 2) Validation by the judges; 3) Lecture for the institutionalized elderly; 4) Application of the booklet to the elderly; 5) satisfaction index of the blooket. In the public selected to act as judges, 12 (70.6%) responded in a timely manner to the scale elaborated for evaluation. The general evaluation carried out by the judges reached a score of 85.0% with a very good concept. While population`s target reached 15 (71.4%) elderly people with SAH participated in the phases were the use of the booklet was involved. The creation of the booklet has been occurring to facilitate health care actions that recognize the true needs of the elderly and caregivers, promoting changes in behavior and the care offered, facilitating the work of the multidisciplinary team, with the recommendations suggested by the judges, a attractive booklet, objective and non-extensive shown itself a usefull toll, so that the elderly know the importance of non-pharmacological treatment of hypertension.
Competências clínicas essenciais em endocrinologia e metabologia para o médico generalista
(Centro Universitário do Estado do Pará, 2021) Bastos, Fabíola de Arruda; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Libonati, Rosana Maria Feio; http://lattes.cnpq.br/3818175484709618; Conde, Simone Regina Souza da Silva; http://lattes.cnpq.br/3375802140515152; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
Introduction: Teaching by Competencies mobilizes Knowledge, Skills and Attitudes. In the medical field, it is important to define the competences necessary for a general practitioner, contributing to the training of professionals more prepared for the job. A competence matrix expresses the collective consensus about the essential content for the student, being an instrument able to guide the teaching-learning processes. Objective: To develop a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabolism for the General Practitioner, to be achieved at the end of the undergraduate course in Medicine. Methodology: For the accomplishment of this work, the Delphi methodology was applied, in order to obtain consensus about the Essential Clinical Competencies. The study was divided into four phases: bibliographic survey and construction of the Pilot Matrix; opinion consultation with 07 local judges; analysis of the results obtained after the 1st evaluation cycle and elaboration of a questionnaire for a 2nd evaluation cycle; application of the questionnaire, analysis of responses and preparation of the Final Competency Matrix. Results: The Pilot Matrix was composed of 23 competencies, defined based on the main sub-areas of Endocrinology and Metabology, covering Knowledge, Skills and Attitudes. After the 1st evaluation cycle, alterations were suggested in 14 competences, totaling 22 alteration proposals. After the 2nd evaluation cycle, there was consensus on 16 of the 22 suggested changes, 05 for Increasing the Complexity of Competence, 07 for Reducing the Complexity of Competence and 04 for Changing the Competence. There was no situation of Exclusion from Competence. Conclusion: The elaboration of a proposal for a Matrix of Essential Clinical Competencies in the Area of Endocrinology and Metabology for the General Practitioner, to be achieved at the end of the graduation in Medicine, is fundamental, due to the increasing frequency of endocrine and metabolic diseases in the world population, the shortage of specialists and the reduced amount of adequate material on the subject. In this way, the Matrix proposal contributes to contemporary medical education based on Competencies, as well as to the qualified teaching of Endocrinology in undergraduate Medicine.
Competências na coleta do exame preventivo do câncer do colo uterino de graduandos do curso de enfermagem
(Centro Universitário do Estado do Pará, 2020) Olivi, Clara Ozeny Lima; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Pereira, Cynthia Mara Brito Lins; http://lattes.cnpq.br/3186657130674078; Dantas, Elza Ezilda Valente; http://lattes.cnpq.br/3951303999926297; Santana, Mary Elizabeth de; http://lattes.cnpq.br/6616236152960399
As a result of the screening of the precursor lesions of uterine cancer being the responsibility of the nurse in Primary Care, it is essential to deepen and appropriate the correct examination technique that detects the injury early. Therefore, when nursing students graduate, they should be able to perform the oncotic colpocytology exam. The oncotic colpocytology exam is useful in screening for cervical cancer lesions. Exam collection requires manual skill through practice and mastery of the correct technique. Therefore, the importance of the nursing student having a supervised internship in Primary Health Care to have the opportunity to acquire learning and minimal skills to perform the exam. The general objective of the present study was to identify the level of competence in the collection of the preventive exam of cervical cancer among Nursing students taking the supervised internship. Method: The study presented a quantitative approach and performed in the year 2019. 80 (eighty) students from the 9th semester of the Nursing Course at the University of the Amazon participated during three months of supervised internship in Primary Health Care. Twenty-one competencies in the collection of oncotic colpocytology exam. From the application of a checklist during the supervised internship, each student was evaluated five times. Results: The evolution of the minimum competencies of the nursing student during the five collections of the oncotic cytology exam was notorious. From the third collection, it was observed that 41.3% of students with unsatisfactory performance, there was a reduction to 5% in the fourth collection. In the fifth collection of the exam, 92.5% of students reach a satisfactory exam technique. Therefore, it suggested implementing the checklist during the collection of the oncotic cytology exam in the supervised internship, so that each student has the opportunity to make at least five collections.
Conhecimento de profissionais de saúde na mobilização de paciente politraumatizado no âmbito hospitalar
(Centro Universitário do Estado do Pará, 2022) Maciel, Flávia Lobato; Caldato, Milena Coelho Fernandes; Costa, Leonardo Ramos Nicolau da; http://lattes.cnpq.br/0412027987799407; http://lattes.cnpq.br/9477878606835309; Miranda, Ariney Costa de; http://lattes.cnpq.br/0967752058385887; Silva, Dayse Danielle de Oliveira; http://lattes.cnpq.br/1634835938202657; Ferreira, Ilma Pastana; http://lattes.cnpq.br/1650337093024641; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Souza, Givago da Silva; http://lattes.cnpq.br/5705421011644718
This is a cross-sectional study of a quantitative nature. Physiotherapists, Nurses and nursing technicians who work in the adult Intensive Care Unit (ICU) of the trauma urgency and emergency referral hospital. The professionals participating in the research answered a questionnaire on a virtual platform about the mobilization of polytrauma patients. 31 professionals participated, among them, 6 physiotherapists (19.4%), 6 nurses (19.4%) and 19 nursing technicians (61, 3%). It is evident that 77.4% of the professionals participating in the research did not obtain training or qualification courses to mobilize polytraumatized patients. 64.5% of the participants claim that there are no mobilization protocols in their service and also 96.8% of the professionals assign importance to training and participation in the elaboration of mobilization protocols and 100% accept to participate in an improvement. Finally, the final product was the construction of a didactic material for virtual support, video-class, for the management and mobility in bed of patients with polytrauma sequelae, aiming to contribute to the scientific technical improvement and to provide security in the mobilization of these patients.
Construção de instrumento de avaliação das habilidades comportamentais em simulação realística na graduação em medicina
(Centro Universitário do Estado do Pará, 2019) Andrade, Selma Parente Sousa; Miranda, Ariney Costa de; Pinto, Ana Rachel; http://lattes.cnpq.br/2268370803567328; http://lattes.cnpq.br/0967752058385887; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Corrêa, Cláudio Eduardo Teixeira; http://lattes.cnpq.br/7448998858430931; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945
Introduction: Adequate training of the technical, and non-technical medical students skills is required, especially in a medical emergency situation, since training suitable professionals how to conduct serious cases significantly reduces the occurrence of mistakes and damages to the patient. Real-simulation-based learning allows the trainee to be prepared on how to deal with critical situations before contacting actual patients, particularly during the emergency context. Some non-technical or behavioral skills can be especially hard to be taught and trained. For this reason, the use of specific tools like behavioral checklists or scripts, become relevant to favor this task. It is crucial to mention that such tools should also be linked to the student's reality. However, as such tools are currently unavailable in our teaching institution, we have chosen to build one, based on existing scales in the literature. Objective: The aim of this study was to create a behavioral checklist applied to the realistic simulation environment of the urgency and emergency module from CESUPA medical course. Methods: For this reason, a literature review was carried out on the undergraduate competences and currently validated scales in the health area that addressed the main behavioral skills of the medical professional. From then on, the checklist developed was evaluated by four judges and applied to the students of the boarding school in Emergency and Emergence of CESUPA. The analyzed data was treated using descriptive statistics, expressed as median, interquartile range, percentiles and 95% Confidence Interval. Results: The generated checklists have been filled by a total of 30 students, from which 28 have been selected. Attitudes related to 'communication' skills have been significantly more frequent than those related to 'teamwork'; when students' performance involved 'airways' (p = 0.0195),' polytrauma '(p = 0.0011) and 'acute coronary syndrome' (p = 0.0490). In simulated cases of 'thoracic drainage' the frequency of ‘leadership’ behavior have shown to be significantly higher than those of ‘teamwork’ (p = 0.0022). Conclusion: 1. Communication, leadership and teamwork were considered three essential behavioral skills to be applied in our tool (checklist), in order to aid realistic high fidelity simulation activities at the urgent and emergency internship of CESUPA’s medical school. 2. The checklist built as a product of this work will be used as an auxiliary tool in our scenarios for analysis and behavioral discussion during debriefing and it may also be modified, adapted and improved for posterior use in different activities in our institution. 3. We believe those studied behavioral skills might have their anticipated training in related activities through in diverse contexts in order to provide greater mastery from our students.
Construção de uma tecnologia classificadora para atendimento de urgência geriátrica destinada aos cuidadores de idosos
(Centro Universitário do Estado do Pará, 2021) Sousa Júnior, José Ronaldo Teixeira de; Magno, Ismaelino Mauro Nunes; Costa, Tanise Nazaré Maia; http://lattes.cnpq.br/4471975369870057; http://lattes.cnpq.br/3841081216551678; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Miranda, Ariney Costa de; http://lattes.cnpq.br/0967752058385887; Brilhante, Vânia Cristina Ribeiro; http://lattes.cnpq.br/4814378694550204; Figueiredo, Fernanda Andreza de Pinho Lott; http://lattes.cnpq.br/7138897986179124; Furlaneto, Ismari Perini; http://lattes.cnpq.br/9542085122721945
The profession of caregiver for the elderly is an emerging profession, since the demand is due to the growing elderly population in the world. According to projections in 2060, the Brazilian elderly population should triple and represent about 25% of the population. However, the presence of caregivers who do not have qualifications is a problem, as this directly reflects on the ability to assess and diagnose the situation in which the elderly person is. Therefore, this study aimed to develop a printed instrument classifier for geriatric emergency care for caregivers of the elderly. The methodology of this study took place through a literature review of the last 10 years, aiming to elucidate the theme and thus based on the information obtained to build the printed instrument. The results showed that the applicability of educational instruments in health is of paramount importance, even for those who do not have training in the area, as is the reality of many caregivers in the country, so the instrument built was based on colors already used for a better understanding of the tool. We conclude that the applicability of the tool is easy to understand and can assist in the assessment and decision-making of caregivers, thus preventing the elderly from having adequate care and prognosis promptly.
Construção e validação de manual educativo para o uso no processo de aprendizado acadêmico em fisioterapia após artroplastia total do joelho
(Centro Universitário do Estado do Pará, 2017-12-18) Esteves, Tiago Costa; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Cavalcante, Érica Gomes do Nascimento; http://lattes.cnpq.br/6296398919595807; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Rocha, Rodrigo Santiago Barbosa; http://lattes.cnpq.br/4119162366965074; Domingues, Robson José de Souza; http://lattes.cnpq.br/9892890507517226
Introduction: The growth of the elderly population in Brazil has increased the cases of degenerative diseases such as osteoarthrosis, and in more severe cases the treatment is performed through knee total arthroplasty surgery. Physical therapy is extremely important for the return of functional activities of these patients. Objective: this research is the construction and validation of an orientation manual applied to total knee arthroplasty for the students of the Physiotherapy course. Materials and Methods: This is a cross-sectional, descriptive study whose sample consisted of 139 students from the Physiotherapy course of the University of Amazônia (UNAMA) and 11 judges. In the first moment studies were carried out that subsidized the construction of the manual; in the second, for validation of the content of the manual, the judges received a questionnaire with 7 closed questions referring to the primordial items of the manual with scores according to the modified Likert scale, which proposes five levels of answers and in the third one, the manual to students through an expository class for analysis performed through a questionnaire with closed questions containing 07 objective questions of multiple choice based on a modified Likert scale with five levels of answers. Results: For the descriptive representation of the data, tables were elaborated, using the Microsoft Word® Software, representing the absolute and relative frequencies of the categorical variables. The preparation of the manual was based on the illustrative and textual description of the protocol of physiotherapeutic intervention in patients submitted to total knee arthroplasty including in the hospital and outpatient phases. Discussion: The opinions of the judges regarding the items contained in the manual on physiotherapeutic interventions and the student satisfaction index were compatible with data from other studies that used the same methodological tool. Conclusion: in light of the results and the discussion, it is concluded that the manual developed as didactic resource can be considered valid by the specialists, as well as by the students, making possible the contribution in the teaching-learning process during the academic training of these future health professionals.
Construção e validação de um instrumento para orientação pós alta hospitalar para pacientes que sofreram traumatismo crânioencefálico
(Centro Universitário do Estado do Pará, 2023-03-23) Lopes, Nayan Leonardo Sousa; Barreto, Bruno Acatauassú Paes; http://lattes.cnpq.br/4741205865293040; Teixeira, Claúdio Eduardo Corrêa; http://lattes.cnpq.br/7448998858430931; Magno, Ismaelino Mauro Nunes; http://lattes.cnpq.br/3841081216551678; Silva, Dayse Danielle de Oliveira; http://lattes.cnpq.br/1634835938202657; Moraes, Lienne Silveira de; http://lattes.cnpq.br/6168418820721633; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675
Traumatic brain injury (TBI) is physical injury to brain tissue, with disruption of normal brain function that can be caused by blunt trauma to the head or penetrating injury to brain tissue. TBI has a great impact on the health of the general population, having a clear influence on both morbidity and mortality worldwide, representing 10% of all victims aged between 5 and 44 years in the world, being more prevalent in young people males, causing enormous socioeconomic damage to society. The objective of this work was the elaboration of an informative material (booklet) to help patients who suffered TBI in the post discharge care of Hospital Metropolitano de Urgência e Emergência (HMUE). A methodological study was carried out in 4 stages: bibliographic survey; elaboration of the material (booklet); evaluation of the provisional material by the residency program preceptors and validation of the information booklet by specialists in the subject (judges). The booklet was evaluated by judges, being approved and validated, with the final title: “Post discharge guidance booklet for patients who suffered Traumatic Brain Injury”.

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