Leadership and Management, Health Professions, Health Policy, Social Sciences
22
Scopus Publications
Scopus Publications
Healthcare quality assessment: an integrative review José Auricélio Bernardo Cândido, Josênaria Bezerra Da Silva, Antonio Germane Alves Pinto, Evanira Rodrigues Maia Meta Avaliacao, 2025 A avaliação da Atenção Primária à Saúde é essencial não por si mesma, mas porque fornece subsídios para a melhoria contínua da qualidade e da eficácia dos serviços de saúde. Objetivou-se analisar as evidências da literatura científica sobre avaliação da qualidade da assistência na perspectiva dos profissionais de saúde. Trata-se de uma revisão integrativa da literatura a partir de artigos científicos indexados em bases de dados. A estratégia de identificação e seleção dos estudos aconteceu no período de março a abril de 2023. Após busca integrada avançada e utilização dos critérios de inclusão e exclusão, foram selecionados 13 artigos para o estudo. A partir da avaliação, evidenciou-se que o PCATool-Brasil é um instrumento adequado para avaliação da Atenção Primária à Saúde devido a sua funcionalidade, reprodutibilidade e comparabilidade e contribui para o planejamento de estratégias da Atenção Primária à Saúde.
Validation of nursing educational technology for neurogenic bowel rehabilitation in people with spinal cord injury , Geyslane Pereira Melo de Albuquerque, Fabiana Faleiros, , Letícia Noelle Corbo, , Luís Sousa, , Evanira Rodrigues Maia, , Inácia Sátiro Xavier de França, , Simone Maria Muniz da Silva, , Alexsandro Silva Coura, and Revista Cuidarte, 2024 Introduction: Considered an unpredictable and recurring problem, Neurogenic Bowel does not resolve over time and progressively worsens, translating into a physical and psychological challenge, significantly reducing Quality of Life. Objective: To construct and validate the face and content of an educational technology for use by nurses in the rehabilitation of Neurogenic Bowel in people with Spinal Cord Injury. Materials and Methods: A methodological, quantitative study developed in two stages: the construction of an educational technology on the Canvas platform based on a literature review based on Wanda Horta's Theory of Human Needs and its validation by expert judges. The validation process included nurses with ability in neurogenic bowel in teaching, research or care. The criterion for validation was agreement of over 80%, analyzed using the Content Validation Index and binomial test with confidence intervals of 95.00% (p<0.05). Results: The integrative literature review proved necessary for the construction of the proposed educational technology and covered characteristics of the Neurogenic Bowel, bowel emptying techniques, guidelines and the systematization of nursing care. The protocol was validated by ten expert judges who had graduated in nursing for more than 10 years (100.00%), with an average age of 41.8 years, female (60.00%) and an average training period of 18.6 years. An overall Content Validation Index of 0.96 (p≤0.001) was obtained for the items assessed (objective, content, relevance, functionality, efficiency and appearance/diagramming). Discussion: The implementation of an intestinal rehabilitation program aims, above all, to achieve frequent, regular and consistent stools in people with spinal cord injury and nurses, as multipliers of knowledge, can be facilitators in the teaching-learning process for carers, people with this condition and other members of the healthcare team. Conclusion: It can be concluded that the educational technology has been validated and could help the teaching-learning process for nurses in the clinical practice of caring for people with Neurogenic Bowel Disease.
How is Violence Themed in Nursing Education? Curricular Components in Northeastern Brazil Beatriz de Castro Magalhães, Caik Ferreira Silva, José Adelmo da Silva Filho, Antonio Germane Alves Pinto, Evanira Rodrigues Maia, Maria do Socorro Vieira Lopes, Grayce Alencar Albuquerque Journal of Interpersonal Violence, 2022 It aims to identify how the phenomenon of violence is themed in the curricular components of undergraduate nursing courses of public and private higher education institutions in Northeastern of Brazil. This is a descriptive and exploratory study, with documentary design and qualitative approach, based on the identification of the terms violence/aggression/abuse/aggressive/abusive in discipline menus available online from higher education institutions in northeastern Brazil. The data were organized and processed by the IraMuTeQ software and analyzed in the light of the relevant literature. In total, 412 nursing graduate institutions were found, in which 49 had documents available online, and, of these, 21 had the term violence. The processing of the syllabuses in the program resulted in significant use (79.37%) originating from the Descending Hierarchical Classification, seven classes that reveal the highlight of the approach of violence directed at the female public and in this context, the approach to violence against women was associated with sexual and reproductive aspects, and in a secondary way, it integrated the perspective of female vulnerabilities, power relations, consequences of violence and nursing care to cope with the phenomenon. Violence against children and adolescents and the discussion of violence in the contexts of collective health and health promotion were also approached in a less intense way. There was a predominance of the approach to violence aimed at women’s health, under a biological approach, with a deficit in the transversality of the contents. However, it is important to highlight potentialities associated with the approach and teaching of contents that stimulate the critical thinking of the student before female vulnerabilities and power relations between the sexes, which can contribute to the reformulation and reorientation of nursing curricula, restraining deficits, and optimizing the potentialities.
Cultural competence in nursing care for disabled people: notes on nursing education Josefa Fernanda Evangelista de Lacerda, Evanira Rodrigues Maia, Maria Rosilene Cândido Moreira, Paula Suene Pereira dos Santos, Andreia Chaves Farias Interface Communication Health Education, 2022 O objetivo do presente estudo foi analisar a formulação de competência cultural para o cuidado de Enfermagem à pessoa com deficiência. Trata-se de um estudo descritivo e documental realizado por meio da análise de projetos pedagógicos de cursos de graduação em Enfermagem. Os dados foram analisados no software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnairese, associado ao referencial teórico Transcultural Interprofessional Practice. A classificação hierárquica descendente originou duas classes, abordando o desenvolvimento da competência cultural para o cuidado de enfermagem individual e coletivo da pessoa com deficiência por meio de evidências científicas nos diferentes ciclos de vida e níveis de atenção, com ênfase na reabilitação e comunicação no processo saúde-doença. A formulação da competência cultural foi abordada de modo amplo e inespecífico, requerendo inclusão nos currículos de disciplinas que abordem a temática.
Outlining the therapeutic itineraries of children with disabilities in the professional health care subsystem Andreia Chaves Farias, Evanira Rodrigues Maia, Milena Silva Costa, Maria Rosilene Cândido Moreira, Joseph Dimas de Oliveira, Antonio Germane Alves Pinto Revista Brasileira De Enfermagem, 2022 Objectives: to identify the outlining of therapeutic itineraries of families of children with disabilities in the professional health care subsystem. Methods: qualitative research carried out in two specialized services in the state of Ceará, with 41 family members interviewed using the life path technique and reports submitted to descending hierarchical classification and similitude analysis, with the help of the IRaMuTeQ software and the theoretical framework of health care systems. Results: the classes described the families’ itineraries in five paths, related to faith, support structures, medical behaviors, professionals, and health services. The professional subsystem stood out as deficient in outlining the therapeutic itinerary for access to health care for children with disabilities, without promoting integration between services in the Care Network. Final considerations: the families’ therapeutic itineraries showed homogeneous discourse with themes related to the care of professionals and spiritual aspects.
Videos about Covid-19 for People with Disabilities: Contributions of the analysis in the light of the Cognitive Theory of Multimedia Learning Milena Silva Costa, Evanira Rodrigues Maia, Maria Rosilene Cândido Moreira, Andreia Chaves Farias, Joseph Dimas de Oliveira, Antonio Germane Alves Pinto New Trends in Qualitative Research, 2021 Introduction: The dissemination of videos based on protection and prevention against Covid-19 for people with disabilities can generate benefits in the sense of mitigating cases of the disease in this public. Objective: Analyze videos released by government institutions related to the protection and prevention of Covid-19 in people with disabilities, under Cognitive Theory of Multimedia Learning perspective. Methods: Documentary study, through access to the official websites of Brazilian government institutions and YouTube video sharing platform. Results: It were produced 33 videos by government institutions during the first year of the pandemic. They had understandable language, good quality visuals effects, clear and varied colors, with no virtual figures or animations. The Libras interpreter was present in 29 videos and a video presented audio description of the images. In 25 videos there was subtitles in Portuguese. The principles of Cognitive Theory of Multimedia Learning were present. The contents were about the protective measures of Covid-19, through the creation of programs, projects and services that benefited people with disabilities in situations of social and economic vulnerability, mobility in traffic and projects for their insertion and maintenance in the labor market. . The videos also covered the preventive measures for Covid-19, such as hand washing, respiratory label, wearing a mask, cleaning support equipment, recommendations for caregivers / family members and the services available for support. Conclusions: The TCAM principles have contributed satisfactorily to the visual materials published about Covid-19 for people with disabilities, however, this type of communication requires greater reach to the interested public.
Construction and validation of a booklet for self-efficacy of zika virus prevention Ítala Keane Rodrigues Dias, Maria do Socorro Vieira Lopes, Emanuella Silva Joventino Melo, Evanira Rodrigues Maia, Rosa Maria Grangeiro Martins Texto E Contexto Enfermagem, 2021 Objective: to describe the construction and validation of a booklet for the Zika virus prevention. Method: this is a methodological research, carried out in four stages. In the first, the research project was elaborated. In the second stage, data were collected from an integrative review and a qualitative research using three focus groups. In the third stage, the booklet’s content and script were developed. In the fourth stage, there was validation by expert judges and by the target audience, Unified Health System users. Results: an illustrated, colorful booklet was built, containing comic books and informative texts. Twenty-three expert judges and 31 people participated in validation, Unified Health System users. In the first cycle of validation by judges, an overall Content Validity Index of 0.79 was obtained, and in the second, the index increased to 0.85. The average percentage of agreement of the target audience corresponded to 99%. In the final version, the booklet has 28 pages. Conclusion: the validated booklet presents potential elements to improve Zika prevention and other arboviruses that have similar forms of prevention.
Health promotion conceptions and expressions in the training process of the multi-professional residency Lucas Dias Soares Machado, Samyra Paula Lustoza Xavier, Evanira Rodrigues Maia, Maristela Inês Osawa Vasconcelos, Maria Rocineide Ferreira da Silva, Maria de Fátima Antero Sousa Machado Texto E Contexto Enfermagem, 2021 Objective: to analyze the conception and manifestation of health promotion in the training process of the multi-professional residency in health. Method: a qualitative study anchored in the Theory of Social Representations, carried out from the collection of documentary data and from interviews with 13 professionals from the faculty of five multi-professional residency programs in health in Ceará, from March to July 2017. For data analysis, lexical analysis was performed using the ALCESTE software, with emphasis on the significance and correlation of the terms, through the chi-square test. Results: the training process of the multi-professional residency points to the overcoming of the biomedical model, with health promotion being understood as a training strategy and objective, since it is expressed in a transversal manner in the entire training process, by means of activities with emphasis, among others, in territorialization, health planning, teamwork, popular education, participation and social control. Conclusion: there is an alignment between the adopted and expressed conception of health promotion in the training process of the professional residency, representing advances in health practices and training.
Obstetric violence in the light of the theory of culture care diversity and universality , Bruna Larisse Pereira Lima Melo, Felice Teles Lira dos Santos Moreira, Rayane Moreira de Alencar, Beatriz de Castro Magalhães, Edilma Gomes Rocha Cavalcante, Evanira Rodrigues Maia, Grayce Alencar Albuquerque Revista Cuidarte, 2021 Introdução: A violência obstétrica pode ser do tipo física, verbal, psicológica, sexual e negligência da assistência. Não utilização de medicação analgésica, tratamento grosseiro, privação do direito de acompanhante durante o parto, procedimento sem o consentimento da parturiente são exemplos de violência, que está cada vez mais presente e de forma velada nos serviços de saúde brasileiro. Objetivou-se analisar relatos de puérperas sobre violência obstétrica à luz da Teoria da Diversidade e Universalidade do Cuidado Cultural. Materiais e Método: Estudo transversal, abordagem qualitativa, desenvolvido em estratégias de Saúde da Família com 10 puérperas. A coleta de dados foi realizada através de entrevista semi-estruturada cujos resultados foram organizados e adaptados ao modelo Sunrise. Resultados: A maioria das participantes eram jovens, casadas/união estável, primíparas e com parto vaginal. Na adaptação do modelo, considerando seus conceitos, observou-se ausência de conhecimento do parto/trabalho de parto; medo; violência perpetrada contra as mulheres resultantes da ausência de comunicação, desumanização, exposição do corpo e desconforto, repercutindo em cuidado fragilizado, com insatisfação frente ao serviço de saúde. Discussão: A violência obstétrica é comum no cenário brasileiro, acontecendo muitas vezes de forma velada, pois as parturientes não conhecem sobre o assunto, bem como, seus direitos. Conclusão: A violência obstétrica aconteceu por meio do caráter sexual, físico, psicológico e institucional, tornando o ato de parir algo temoroso, resultante do medo, falhas na comunicação e cuidado fragilizado.
Social representations on diabetic foot: Contributions to phc in the Brazilian northeast Geysa Santos Góis Lopes, Isaura Leticia Tavares Palmeira Rolim, Renata de Sousa Alves, Talitha Rodrigues Ribeiro Fernandes Pessoa, Evanira Rodrigues Maia, Maria do Socorro Vieira Lopes, Ana Patrícia Pereira Morais, Rejane Christine de Sousa Queiroz Ciencia E Saude Coletiva, 2021
