Docente do Curso de Enfermagem da Universidade Estadual do Norte do Paraná (UENP) desde 2009, atualmente atua como docente permanente do Programa de Pós-Graduação Associado em Enfermagem em Atenção Primária à Saúde UENP/UNESPAR/UNICENTRO. É Mestre em Ensino em Saúde pela Faculdade de Medicina de Marília- FAMEMA (2014) e Doutora em Enfermagem pela Universidade Estadual Paulista "Júlio de Mesquita Filho"- UNESP (2020). Possui especialização em Urgência e Emergência e é integrante do grupo de estudos em Epidemiologia e Saúde Pública (GEESP) na UENP, bem como do Grupo de Pesquisa em Simulação e Ensino em Saúde e Enfermagem (GPESIM) UENP. Desenvolve pesquisas nas áreas de envelhecimento e atenção primária à saúde. Linha de pesquisa: Atenção integral á saúde aos usuários da Atenção Primária á saúde.
RESEARCH, TEACHING, or OTHER INTERESTS
Nursing, Critical Care Nursing, Gerontology
19
Scopus Publications
Scopus Publications
University students' experiences regarding elder abuse: Grounded Theory Juliana Ribeiro da Silva Vernasque, Maria Clara de Sousa Santos, Ana Laura Lopes Loosli, Larissa Rodrigues, Paula Sales Rodrigues, Fabiana Veronez Martelato Gimenez, Miriam Fernanda Sanches Alarcon, Maria José Sanches Marin Revista Brasileira De Enfermagem, 2026 Objectives: to interpret young university students’ experiences regarding elder abuse and develop a theoretical model. Methods: a qualitative study, based on Strauss’ approach of Grounded Theory and Bauman’s theoretical framework, with theoretical saturation sampling, in which 34 university students from different areas were interviewed. Data processing used NVivo software. The study was approved by the Research Ethics Committee. Results: participants highlighted different types of elder abuse as well as their invisibility and trivialization in society. Older adults’ frailty and vulnerability were identified as risk factors, suggesting preventive strategies, including the inclusion of the topic in academic curricula, the promotion of healthy aging, and the strengthening of public policies. Final Considerations: the theoretical model developed highlights the urgent need for educational interventions based on a critical understanding of this problem, with an emphasis on human sensitivity and the morality of social interactions.
Prevention of violence against elderly people: educational technology like bingo* Juliana Ribeiro da Silva Vernasque, Carolina Silva Falarino, Vanessa Masfély Rocha, Samara de Lima Silva, Miriam Fernanda Sanches Alarcon, Maria José Sanches Marin Cogitare Enfermagem, 2025 RESUMO Objetivo: desenvolver jogo educativo tipo bingo, referente à prevenção da violência contra pessoas idosas, e analisar a aprendizagem a partir da aplicação. Método: estudo qualitativo, realizado de dezembro de 2022 a agosto de 2024 na Rede de Atenção Primária de Marília/SP, Brasil, por estudantes de graduação em enfermagem e medicina, mestrandos e doutorandos, em que se formulou um jogo tipo bingo, constituído por 23 frases numeradas, contendo práticas de respeito e prevenção da violência, aplicado a dois grupos de pessoas idosas, somando 21 participantes. As discussões foram gravadas e transcritas para posterior análise de conteúdo. Resultados: o jogo possibilitou reflexão a respeito da violência contra a pessoa idosa, direitos e propostas de prevenção, com a participação ativa dos envolvidos, gerando trocas de informação e novas aprendizagens. Conclusão: o jogo possibilita identificar vivências de pessoas idosas e novas aprendizagens sobre o tema, mostrando-se como estratégia relevante para profissionais da enfermagem.
Transforming the identities of perioperative nurses during COVID-19: A grounded theory approach Léia Regina de Souza Alcântara, Laisa Polatri Piai, Aline Balandis Costa, Miriam Fernanda Sanches Alarcon, Wilza Carla Spiri, Silvia Cristina Mangini Bocchi, Marla Andreia Garcia de Avila Journal of Perioperative Nursing, 2025 Introduction: There is a need for a policy about endemic diseases and pandemics to increase the safety of healthcare professionals, especially nursing personnel. Studies on the impact of the COVID-19 pandemic on perioperative nurses’ work processes are scarce.Aim: The objectives of this study were to understand the work experience of Brazilian perioperative nurses at the beginning of the COVID-19 pandemic and to develop a theoretical model that represents this process.Method: This is qualitative research with theoretical saturation achieved through the analysis of the 19th interview with nurses who had experienced the phenomenon under study. The interviews were recorded using a conferencing system and then transcribed in full, after which they were analysed according to grounded theory.Results: Three subprocesses emerged from this analysis: the COVID-19 pandemic left nurses in unprepared surgical settings feeling less confident, nurses were protagonists of transformational leadership in the work process and in shaping their professional identity, nurses reflected on the impact of COVID-19 on their work process and professional identity while the pandemic continued. From the realignment of the components of these subprocesses, it was possible to abstract the core category (process), entitled ‘from fragility to transitional overcoming of epic protagonism of perioperative nurses during the COVID-19 pandemic: transformational leadership as an intervening component for professional identity’.Conclusion: The discovered theoretical model posits transformational leadership as a potential tool for reconstructing nurses’ professional identities. Finally, this research recommends the formulation of a global policy to support systematic, active and continuous organisational programs for the management of future epidemics and pandemics.
Prevention of violence against children and adolescents: development and validation of an educational game Aline Ramos Covo de Oliveira, Maria José Sanches Marin, Miriam Fernanda Sanches Alarcon, Geisa dos Santos Luz Revista Gaucha De Enfermagem, 2025 Objective: To develop and validate an educational game aimed at preventing violence against children and adolescents. Method: This is an applied methodological research conducted between April and August 2023. To develop the game, two workshops were initially held with 19 children and adolescents aged 10 to 14, participants in a social project within a community in a medium-sized city in the Midwest region of São Paulo state, Brazil. The workshops began with a screening of the short film LOU (Disney Pixar®), followed by expressive activities such as drawing and writing, as well as group discussions on the topic addressed. The game was developed by a research team comprising undergraduate and post-graduation students, based on data collected during the workshops with the target audience and a review of the relevant literature. This process highlighted different types of violence, reflections, and experiences shared by the participants, which directly contributed to defining the rules, characters, narrative, dynamics, and content of the game. Validation involved the participation of 12 expert judges, and a content validation index was used to measure agreement among evaluators. Results: A card game titled "Peacing: for a World without Violence" was developed and validated, achieving a Content Validation Index of 0.99 in the second validation round, indicating significant agreement among the judges. Conclusion: The educational game was considered validated by expert judges and proved to be an interactive and engaging tool with the potential to prevent violence among children and adolescents.
The effect of an educational intervention for university students on violence against the elderly using gamification: a non-randomized clinical trial Juliana Ribeiro da Silva Vernasque, Miriam Fernanda Sanches Alarcon, Daiana Bonfim, Paula Sales Rodrigues, Eduardo Federighi Baisi Chagas, Maria José Sanches Marin Revista Latino Americana De Enfermagem, 2025 Objective: to evaluate the impact of a gamified educational intervention on violence against the elderly on the knowledge, perceptions and attitudes of university students. Method: a non-randomized clinical trial involving 44 university students from the health sciences, humanities and exact sciences, with 22 in the intervention group and 22 in the control group. The intervention group participated in hybrid activities on gamification applied to the topic of violence against the elderly. The evaluation was conducted using thematic cases validated by experts, with statistical analysis using Chi-square and Student’s t tests. Results: the intervention promoted significant differences between the groups in attitudes and perceptions about violence against the elderly. Students in the intervention group were more likely to report cases of neglect and were more aware of how to prevent abuse in public spaces. Conclusion: the gamified intervention was effective in stimulating protective attitudes and ethical perceptions of violence against the elderly, but there was no significant association with the knowledge variable. There is a need for more comprehensive studies that can provide complementary evidence to the results of this study.
The effect of an educational intervention for university students on violence against the elderly using gamification: a non-randomized clinical trial* Juliana Ribeiro da Silva Vernasque, Miriam Fernanda Sanches Alarcon, Daiana Bonfim, Paula Sales Rodrigues, Eduardo Federighi Baisi Chagas, Maria José Sanches Marin Revista Latino Americana De Enfermagem, 2025 Objetivo: evaluar el impacto de una intervención educativa gamificada sobre violencia contra las personas mayores en el conocimiento, percepción y actitud de estudiantes universitarios. Método: ensayo clínico no aleatorizado con 44 estudiantes universitarios de ciencias de la salud, humanidades y ciencias exactas, 22 en el grupo de intervención y 22 en el grupo de control. El grupo de intervención participó en actividades híbridas de gamificación aplicadas al tema de la violencia contra las personas mayores. La evaluación se realizó mediante cases temáticos validados por expertos, con análisis estadístico mediante pruebas Chi-cuadrado y t de Student. Resultados: la intervención promovió diferencias significativas entre los grupos en cuanto a actitudes y percepciones sobre la violencia contra las personas mayores. Los estudiantes del grupo de intervención eran más propensos a denunciar casos de abandono y eran más conscientes de cómo prevenir el maltrato en los espacios públicos. Conclusión: la intervención gamificada fue eficaz para estimular las actitudes protectoras y la percepción ética de la violencia contra las personas mayores, pero no hubo una asociación significativa con la variable conocimiento. Se necesitan estudios más exhaustivos que puedan aportar pruebas complementarias a los resultados de este estudio.
ELDERLY WOMEN’S LEADING ROLE IN REPORTING VIOLENCE: A GROUNDED THEORY Daniela Garcia Damaceno, Miriam Fernanda Sanches Alarcon, Mara Quaglio Chirelli, Carlos Alberto Lazarini, Maria José Sanches Marin Texto E Contexto Enfermagem, 2024 Objective: to interpret the experience of empowering elderly women to report domestic violence and develop a theoretical model that explains it. Method: a qualitative study, carried out using Grounded Theory. Between February 2018 and January 2020, semi-structured interviews were conducted with 21 elderly women who filed police reports. Also, nine professionals working at the Women’s Defense Station of the Civil Police of the State of São Paulo, Brazil, located in a medium-sized city in the countryside of São Paulo, were interviewed. Results: the phenomenon identified as “Taking the lead in coping with violence”, based on the categories, revealed that elderly women experience multiple conditions of vulnerability resulting from the situation of dependency, conflicts in relationships and unfavorable living conditions. Even so, the impacts of this violence generate the need to take action against it and to be empowered to report it. After reporting it, they experience the complexity of it and find ways to deal with the situation. Conclusion: violence reporting by elderly women derives from the individual empowerment process, driven by the decision to stop the abuse, even with possible consequences, thus awakening critical awareness based on self-perception of the context of life.
DOMESTIC VIOLENCE AGAINST WOMEN: EXPERIENCES OF PRIMARY HEALTH CARE PROFESSIONALS Paula Sales Rodrigues, Laissa Figueredo Araujo, Juliana Ribeiro da Silva Vernasque, Aline Pereira de Souza, Miriam Fernanda Sanches Alarcon, Elza de Fátima Ribeiro Higa, Maria José Sanches Marin Texto E Contexto Enfermagem, 2024 Objective: to analyze how Primary Health Care professionals experience domestic violence against women. Method: qualitative research, conducted from January to June 2023, through interviews with 20 Primary Health Care professionals, in a medium-sized municipality in the state of São Paulo, Brazil. The data obtained were interpreted using the Content Analysis Technique, thematic modality. Results: professionals emphasize the need for a sensitive approach and early identification, expressing feelings of perplexity and powerlessness during care. The impacts of violence are perceived by the victims, families, and society, causing physical, psychological, and social consequences. Challenges include lack of training, fear of reprisals, and lack of institutional support. The limitations faced by women in confronting violence are linked to lack of information, financial and emotional dependence, generating fear and insecurity. Conclusion: professionals experience the complexity of providing health care to women who are victims of domestic violence, and it is inferred that investments in professional training, institutional protection, and the creation of spaces that can support women are necessary to prevent re-victimization.
UNDERSTANDING OF ELDERLY WOMEN ABOUT VIOLENCE Ademara Aparecida de Oliveira, Maria José Sanches Marin, Carlos Alberto Lazarini, Miriam Fernanda Sanches Alarcon, Magali Aparecida Alves de Moraes, Elza de Fátima Ribeiro Higa New Trends in Qualitative Research, 2023 Introdução: no contexto atual do país, quanto mais a população envelhece, mais feminina se torna, fenômeno esse definido como a feminização da velhice. Em contrapartida a esta maior expectativa de vida, estudos apontam que, entre as pessoas idosas, as mulheres seriam mais vulneráveis e sofreriam mais violência do que os homens. Esse fato destaca a relevância em se considerar o gênero na temática de violência, haja vista a desigualdade presente nas relações sociais entre homens e mulheres. A violência contra as pessoas idosas em nosso país é considerado um problema de saúde pública, sendo que a Atenção Primária à Saúde por oferecer atendimento a maioria, é uma importante fonte de dados para o estudo. Objetivos: explorar a compreensão de mulheres idosas sobre a violência nesta faixa etária, visando a elaboração de estratégias de prevenção da violência para esta parcela da população. Métodos: pesquisa de campo qualitativa, fundamentada nos pressupostos da Hermenêutica – Dialética. Foram realizadas 40 entrevistas com mulheres acima de 60 anos de idade, em quatro unidades que compõem a Rede de Atenção Primária à Saúde. Os dados obtidos foram analisados à luz da Hermenêutica-Dialética. Resultados: emergiram três categorias analíticas: 1. Compreensão acerca da violência; 2. Visão da violência contra as mulheres idosas; 3. Sugestões de ações para evitar a violência contra a mulher idosa. Conclusões: foi possível apresentar a compreensão das mulheres idosas acerca da violência contra as idosas além de apreender de suas falas sugestões para evitar tal violação. Destaca-se que a temática violência contra a mulher idosa precisa ganhar mais espaço no campo da pesquisa e divulgação dos achados.
FEELINGS EXPERIENCED BY THE ELDERLY IN SITUATION OF VIOLENCE Sarah Giovana Giolo Fernandes Dias, Edna Aparecida Lopes Bezerra Katakura, Maria José Sanches Marin, Miriam Fernanda Sanches Alarcon Revista Baiana De Enfermagem, 2023 Objetivo: compreender os sentimentos vivenciados por pessoas idosas em situação de violência. Método: estudo exploratório de abordagem qualitativa, realizado a partir de entrevistas com 15 pessoas idosas que realizaram a denúncia de violência na Delegacia da Mulher, de uma cidade do interior paulista, entre janeiro e dezembro de 2018. Os dados foram analisados e interpretados por meio da técnica da análise de conteúdo. Resultados: o estudo revelou que a violência contra as pessoas idosas, perpetrada por familiares ou cuidadores, é uma realidade.Contudo, as pessoas idosas enfrentam dificuldades em admitir o ocorrido devido aos laços afetivos ou sanguíneos. Os sentimentos vivenciados por elas após a violência, incluem tristeza, decepção, raiva, injustiça, angústia e revolta. Considerações Finais: percebeu-se a ocorrência da violência praticada pelo familiar ou cuidador. No entanto, houve dificuldade, por parte da vítima, em admitir o ocorrido. Há necessidade de abordagens sensíveis e eficazes, incluindo conscientização, capacitação de profissionais e implementação de políticas protetivas. Descritores: Idoso. Violência. Envelhecimento. Emoções. Agressão. Abuso de Idosos
VIOLENCE AGAINST ELDERLY WOMEN Ademara Aparecida de Oliveira, Carlos Alberto Lazarini, Maria José Sanches Marin, Miriam Fernanda Sanches Alarcon, Magali Aparecida Alves de Moraes, Elza de Fátima Ribeiro Higa Cogitare Enfermagem, 2023
Elder abuse: actions and suggestions by Primary Health Care professionals Miriam Fernanda Sanches Alarcon, Daniela Garcia Damaceno, Bruna Carvalho Cardoso, Luzmarina Aparecida Doretto Braccialli, Viviane Boacnin Yoneda Sponchiado, Maria José Sanches Marin Revista Brasileira De Enfermagem, 2021
The elderly's perception about the experience violence Miriam Fernanda Sanches Alarcon, Daniela Garcia Damaceno, Bruna Carvalho Cardoso, Viviane Boacnin Yoneda Sponchiado, Luzmarina Aparecida Doretto Braccialli, Maria José Sanches Marin Revista Baiana De Enfermagem, 2020
