Mestrado Profissional em Ensino em Saúde - Educação Médica

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Navegando Mestrado Profissional em Ensino em Saúde - Educação Médica por Assunto "Atenção primária à saúde"

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    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.
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    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.
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    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.
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    Elaboração e implementação de um guia didático para construção compartilhada de projeto terapêutico singular (PTS) no ensino médico
    (Centro Universitário do Estado do Pará, 2024) Gaia, Gabriel Nogueira; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Brito, Caio Vinicius Botelho; http://lattes.cnpq.br/9231585273571040; Del Nero, Luciana Brandão Carreira; http://lattes.cnpq.br/5056614008350803
    The Singular Therapeutic Project is an instrument used in the Family Health Strategy in Primary Health Care in Brazil, as well as in other countries, in order to understand the family composition, its interactions between family members and with members that make up its social nucleus and expectations regarding the illness process. The objectiveof this study was to propose and apply a matrix tool to ensure dialogue between the different levels of the health care network, the interdisciplinary team and, above all, guarantee the user's autonomy and protagonism in their health-disease process. A descriptive study was carried out, with a qualitative approach, based on the elaboration of a systematized instrument, a guide for the construction of a Unique Therapeutic Project with undergraduate medical students, directed towards the Community Health Care Interaction Module and Integrative and Complementary Health Practices workshop in the State of Pará, Brazil, in addition to students from the medical residency program in family and community medicine, highlighting the protagonism of the user so that it can be possible to coordinate and matrix care. The study resulted in the development of a guide titled “EDUCATIONAL GUIDE FOR SHARED CONSTRUCTION IN NETWORK CARE MANAGEMENT”, focusing on the role of the user and the attributions of each actor. In conclusion, the primary use of the Singular Therapeutic Project served to achieve the proposed objectives - to coordinate and matrix care and ensure the user's role in their health-disease process, noting that the use of this method is positive for clinical practice through the Person-centered clinical approach.
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    O uso de plantas medicinais e fitoterapia na atenção básica: uma revisão integrativa
    (Centro Universitário do Estado do Pará, 2019) Sodré, Évila Fernanda Lameira de Melo; Matos, Haroldo José de; http://lattes.cnpq.br/9830983900880582; Carvalho, Ana Emília Vita; http://lattes.cnpq.br/1981562999898097; Nunes, Leonardo Mendes Acatauassú; http://lattes.cnpq.br/3512764081076675; Paes, Andréa Luzia Vaz; http://lattes.cnpq.br/4364540186589331
    Phytotherapy is a treatment method that uses medicinal plants in its various ways of preparation, constituting an integrative and complementary therapy modality, and its use has been increasing in several countries. In Brazil there are national policies, created in 2006, that encourage the implementation of this therapy in Primary Health Care, such as the National Policy of Medicinal Plants and Phytotherapy (NPMPP) and the National Policy of Integrative and Complementary Practices (NPICP). In this context, the objective was to investigate through an integrative literature the knowledge and the use of the main medicinal and phytotherapeutic plants used in basic care in Brazil, in order to propose the application of a MINI COURSE to assist physicians, residents of Family Medicine and Community as well as the medical professors and other health professionals in order to enable them to correct guidance on this therapeutic option. Documents were searched in the Research Portal of the Virtual Health Library, in the following databases: Medline, Lilacs, Scielo, among other bases of this portal. The key words used were: medicinal plants, phytotherapy, primary health care, Unified Health System, professional qualification in Portuguese, Spanish and English language with available text published between January 2013 and November 2018. Based on the eligibility criteria, 7 articles were selected for the integrative review of this study based on the evidence criteria of the PRISMA consensus. The results indicated that in general there is a certain "sympathy" for phytotherapy in primary care, but on the other hand there is still very little knowledge and even some restrictions on its use by health professionals, and this is one of the difficulties encountered in practice in Primary Care. Facing to this scenario it is concluded that although the use of medicinal plants is frequent in the general population, the health professional, due to lack of information, does not use this resource in an adequate way, so that this reality is modified and the correct indication of this therapeutic practice occurs as well as the consolidation of this Integrative Therapy in the Primary Attention to Health, it is necessary to train the professionals, residents and academics of the health courses.
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    Tecnologia educacional sobre medicina do estilo de vida para profissionais de atenção primária à saúde de comunidades ribeirinhas
    (Centro Universitário do Estado do Pará, 2023-12-11) Lucena, Lílian Grace Moura de; Matos, Haroldo José de; Lobato, Edienny Augusta Viana Santos; http://lattes.cnpq.br/8177968072238226; http://lattes.cnpq.br/9830983900880582; Domingues, Robson José Souza; http://lattes.cnpq.br/9892890507517226; Taquette, Stella Regina; http://lattes.cnpq.br/0311106771021992; Caldato, Milena Coelho Fernandes; http://lattes.cnpq.br/9477878606835309
    This study focused on the development of an educational technology aimed at promoting the principles of Lifestyle Medicine (LM) in Primary Health Care of a Basic Health Unit (BHU) in the region of Ilha das Onças, Barcarena, Pará. The study highlighted the importance of LM as an evidence-based clinical discipline that promotes a healthy lifestyle. Considering the efficiency in providing public services, especially in the health area, as a constitutional principle, the proximity of the BHU services is highlighted as the only access of the riverside population to public health services. The research focused on the Ribeirinha Vital Costa Gouvêa BHU, located in an Amazonian area classified as high social vulnerability. The objectives included the development of an educational technology, analysis of the integration of LM principles in professional practice, identification of challenges and opportunities, and creation of instructional material to empower health professionals. The study was exploratory cross-sectional, using Focus Group sessions with four groups of BHU professionals and Content Analysis was applied through the IRaMuTeQ software, following the Reinert Method in the analysis of collected data. As a result, instructional materials and a teaching plan were developed for a workshop, addressing essential topics such as food pattern, physical activity, sleep, stress control, use of toxic substances, social connection, and motivational interview. These were developed based on the observations and theoretical-conceptual gaps identified by professionals during interactions with patients and discussions of focus groups, aiming to fill these gaps through permanent health education. The conclusion highlighted the need for educational strategies that incorporated both the technical approach and the emphasis on human interaction, promoting a holistic view in fostering healthy habits. The importance of effective communication, supported by Continuing Education and educational technology, was emphasized to optimize patient follow-up at the BHU.