Enfermagem - Mestrado Profissional

URI Permanente desta comunidade

http://repositorio.ufes.br/handle/10/17580
Programa de Pós-Graduação em Enfermagem

Centro: CCS
Telefone: (27) 3335 7280
URL do programa: http://www.enfermagem.vitoria.ufes.br/pt-br/pos-graduacao/PENF

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Navegando Enfermagem - Mestrado Profissional por Autor "Almeida, Márcia Valéria de Souza"

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    Consulta de enfermagem à pessoa vivendo com HIV/AIDS : uma proposta de instrumento para coleta de dados
    (Universidade Federal do Espírito Santo, 2021-11-25) Araujo, Clarissa Eudoxio da Silva de; Prado, Thiago Nascimento Do; https://orcid.org/0000000181326288; http://lattes.cnpq.br/6388559394015871; https://orcid.org/0000-0002-0739-5960; http://lattes.cnpq.br/4439677091406408; Vieira, Anne Caroline Barbosa Cerqueira; https://orcid.org/0000-0003-2464-6423; http://lattes.cnpq.br/4055120283760991; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Maciel, Paulete Maria Ambrosio; https://orcid.org/0000-0002-2141-7732; http://lattes.cnpq.br/7171160815622678
    Introduction: The introduction of technological advances in the treatment of HIV/AIDS has contributed to an increase in the survival of people living with HIV. However, the change in the profile of the disease to a chronic condition brought several new challenges to be faced, such as the impact of antiretroviral therapy and the development of comorbidities, which can hinder adherence to treatment. In this sense, instrumentalizing nursing care focused on the specific needs of persons living with HIV/AIDS contributes to improving the quality of care provided, and may bring benefits to the professional, to the patients and to the institution. Objectives: To develop and validate the content of an instrument for the nursing consultation with people living with HIV/AIDS, based on Wanda Aguiar Horta's Theory of Basic Human Needs. Methodology: This is a methodological study that was developed in three stages. First stage: a) identification of empirical indicators of basic human needs of the person living with HIV/AIDS through an integrative literature review, and b) construction of the initial instrument of the study containing the empirical indicators according to the levels of Basic Human Needs, as presented by Horta. Second stage: content validation by nurses working in the care of persons living with HIV/AIDS. Third stage: construction of the data collection instrument for the nursing consultation with the person living with HIV/AIDS, including the indexes validated by the nursing judges. Results: 158 empirical indexes were identified and, after the validation of the initial instrument by the judges, 126 indexes reached the weighted average ≥0.80, being 72 (57.14%) of the psychobiological needs, 52 (41.27%) of the psychosocial needs and 2 (1.59%) of the psychospiritual needs. Thus, the final version of the data collection instrument for the nursing consultation with the person living with HIV/AIDS was created, structured according to Wanda Horta's Theory of Basic Human Needs. Product: A data collection instrument for the nursing consultation with the person living with HIV/AIDS. Conclusion: The data collection instrument for the nursing consultation with the person living with HIV/AIDS enables the identification of the altered needs of these patients, according to the levels of need described by Wanda Horta, grounding the nurse's clinical practice and favoring the adequate planning of the nursing assistance. The instrument will be adopted to the clinical practice of nurses working in the reference centre for sexually transmitted infections in the municipality of Vitória
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    Desenvolvimento de um agente conversacional para orientação e incentivo ao exame preventivo do câncer do colo do útero
    (Universidade Federal do Espírito Santo, 2025-05-23) Fernandes, Renata Esteves Palacio; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Freitas, Paula de Souza Silva; https://orcid.org/0000-0001-9066-3286; http://lattes.cnpq.br/6676352092840927; https://orcid.org/0009-0000-5707-9950; http://lattes.cnpq.br/0546774908623667; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Carmona, Ana Paula; https://orcid.org/ 0000-0002-6750-0187; ; Primo, Cândida Caniçali ; https://orcid.org/0000-0001-5141-2898 ; http://lattes.cnpq.br/4739920753105018; Nunes, Elisabete Maria Garcia Teles; https://orcid.org/0000-0001-7598-0670;
    Introdução: No Brasil, um dos mais graves problemas relacionados à saúde da mulher ainda é o câncer do colo do útero, e quanto mais precoce a sua detecção, maiores são as chances de cura e reabilitação. Portanto, o acesso ao exame citopatológico do câncer de colo de útero é decisivo para o enfrentamento dessa problemática de saúde pública. Apesar dos avanços para aumentar a cobertura do exame no país, ainda há baixa procura, muitas vezes relacionada à falta de conhecimento das mulheres sobre o exame, dificuldade de acesso à Estratégia Saúde da Família, de agendamentos dos exames, quantidade insuficiente de materiais para coleta, de profissionais capacitados e, ainda, pelos sentimentos que esse exame causa nas usuárias. Desse modo, emergiu a ideia de criar um “chatbot” como agente educacional sobre câncer do colo do útero e facilitador na procura do exame citopatológico. Objetivos: Desenvolver e avaliar um chatbot orientativo sobre a prevenção do câncer do colo do útero. Metodologia: pesquisa aplicada de desenvolvimento tecnológico, realizada na Estratégia Saúde da Família do Município de Muqui, Espírito Santo. O estudo consiste no desenvolvimento de um chatbot orientativo sobre o exame citopatológico do câncer do colo do útero, dividido em quatro etapas para sua implementação. Na primeira etapa, foi elaborado o conteúdo sobre o câncer do colo do útero por meio de pesquisa bibliográfica, a partir das recomendações estabelecidas nas Diretrizes Brasileiras para o Rastreamento do câncer do colo do útero (2018). Na segunda etapa, foi organizado o roteiro do chatbot e realizada a contratação de empresa de tecnologia para o seu desenvolvimento. Na terceira etapa, a avaliação da usabilidade do chatbot foi realizada com usuárias cadastradas na Estratégia Saúde da Família Camará, que não haviam realizado o exame citopatológico nos últimos 3 anos. As participantes foram captadas pelo prontuário eletrônico, uma plataforma de tecnologia em software que atende todas as estruturas de saúde pública do município. A seleção das participantes foi feita de forma aleatória, garantindo que fossem escolhidas de maneira imparcial, com base em um número amostral para assegurar a representatividade dos resultados. O convite foi feito pela autora por meio de solicitação na residência das mulheres, em conjunto com a Agente Comunitária de Saúde responsável. Após aceitarem participar, foi disponibilizado um link para acesso à tecnologia, permitindo que as usuárias interagissem com o agente conversacional. Em seguida, foi aplicado um questionário que avaliou a usabilidade da tecnologia por meio da Escala de Usabilidade do Sistema. Na quarta etapa, foi iniciado o processo de implementação do chatbot com base nos resultados da análise dos requisitos. Resultados: Foram elaborados os diálogos e a estruturação do fluxograma e das telas. Para o desenvolvimento da tecnologia, foram considerados cinco momentos: conteúdo, agente, roteirização, conversação e revisão do diálogo. A elaboração do chatbot envolveu a construção cuidadosa de diálogos sobre o câncer do colo do útero por meio de pesquisa bibliográfica, a estruturação dos fluxogramas, a construção do chatbot e a avaliação da tecnologia, O produto resultante consiste em uma ferramenta digital acessível e interativa, disponibilizada diretamente nos dispositivos móveis das usuárias. Trata do chatbot Flora, desenvolvido com o objetivo de oferecer orientações sobre a prevenção do câncer do colo do útero, além de disponibilizar a funcionalidade de agendamento de consultas. Conclusão: O estudo viabilizou o desenvolvimento e a avaliação de um chatbot orientativo, projetado para fornecer informações sobre o câncer do colo do útero e facilitar o agendamento de exames citopatológicos. Esse recurso inovador representa um marco na aplicação de tecnologia à saúde pública, com potencial para ampliar a eficiência e a acessibilidade dos serviços. Além de facilitar o acesso a informações e procedimentos, a ferramenta contribuiu para a educação e conscientização sobre a relevância do exame citopatológico. Ao promover uma abordagem mais organizada e centrada no paciente, o chatbot também tem o potencial de otimizar o processo de trabalho dos profissionais de saúde, fortalecendo a integração entre tecnologia e cuidado
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    Efeitos da auriculoterapia nos níveis de ansiedade e nos sinais e sintomas de estresse e depressão em gestantes atendidas em pré-natal de baixo risco
    (Universidade Federal do Espírito Santo, 2016-12-20) Silva, Hercules Luz da; Almeida, Márcia Valéria de Souza; Amorim, Maria Helena Costa; Leite, Franciéle Marabotti Costa; Luciano, Luzimar dos Santos
    Objectives: To evaluate the effects of auriculotherapy on the levels of anxiety, stress and signs and symptoms of depression in low-risk prenatal pregnant women with sociodemographic, clinical-obstetric variables; Elaborate an educational technology in the form of a Comic Book: Auriculotherapy in Prenatal; Elaborate an educational technology in the form of a Folder: Auriculotherapy or Auricular Acupuncture. Method: A randomized controlled clinical study with a sample of 50 pregnant women, divided into control and experimental groups, attended at a low risk prenatal outpatient clinic. To collect the data, we used the interview technique with form registration, Trait-State of Anxiety Inventory (IDATE), List of Signs and Symptoms of Stress (LSS / VAS) and Edinburgh's Puerperal Depression Scale (EPDS). The variables were tested using chi-square and Fisher's exact test. The comparison between groups of anxiety, stress and depression levels was performed using Student's t-test for independent and paired samples.
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    Protocolo para aleitamento materno do recém-nascido prematuro e de baixo peso
    (Universidade Federal do Espírito Santo, 2023-08-24) Cunha, Camila Medeiros Cruvinel; Lima, Eliane de Fátima Almeida; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Primo, Cândida Caniçali; https://orcid.org/0000000151412898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/0000-0003-1520-886X; http://lattes.cnpq.br/2192198903103844; Galvão, Dulce Maria Pereira Garcia ; https://orcid.org/0000-0002-2496-2162; Pontes, Mônica Barros de; https://orcid.org/0000-0003-3629-236X; http://lattes.cnpq.br/2027806297684753; Fonseca, Luciana Mara Monti; https://orcid.org/0000-0002-5831-8789; http://lattes.cnpq.br/2405356819478086; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767
    The establishment and maintenance of breastfeeding in premature and low birth weight newborns are complex, presenting greater challenges than in full-term and healthy newborns, as the breastfeeding process can be interrupted indefinitely. This project aims to address an institutional demand for improvements in breastfeeding assistance for premature infants and is aligned with the research line of organization and evaluation of healthcare systems. Overall Objective: To contribute to the improvement of the quality of breastfeeding management in premature and low birth weight newborns. Specific Objectives: Determine the current compliance with best practice recommendations; Identify barriers and facilitators to improve compliance with best practice recommendations; Implement strategies to address areas of non-compliance; Evaluate changes in compliance with evidence-based practice recommendations after the implementation of strategies. Methodology: Participatory research that used the implementation science framework and the JBI's audit and feedback tools named PACES and GRiP. The study was conducted in a university hospital in southeastern Brazil, with the participation of the multidisciplinary team and managers. The study was organized following the steps: situational diagnosis; protocol development; training; protocol implementation; monitoring and protocol review. Data were analyzed through descriptive statistics and content analysis. Results: Seven audit criteria were listed based on national and international guidelines, WHO and Ministry of Health manuals, and JBI Summaries. These criteria were assessed for compliance with evidence-based best practices. In the baseline audit, three of these criteria were found to be compliant, while the other four were non-compliant. Based on the situational diagnosis and baseline audit, barriers were identified, and eleven strategies were developed with the resources described for their execution. After the training, all the audited criteria showed compliance in the first follow-up audit, and five out of the seven audited criteria were compliant in the second follow-up audit. Products: Protocol for breastfeeding premature and low birth weight newborns. Flowcharts, process mappings, and infographics to guide staff work and parents' involvement in this process. Multidisciplinary and intersectoral training. Final Considerations: This project achieved the goal of improving evidence-based practice among the multidisciplinary team and enabled the development and implementation of the institution's first protocol for breastfeeding assistance to premature and low birth weight newborns, facilitated by the implementation of multifaceted strategies targeted at the identified barriers. The protocol and products are already implemented and generating positive impacts in the institution. This research has the potential to be applied at the regional and national levels as it systematically describes an innovative method with the necessary steps and resources for the implementation of the best scientific evidence. The research influenced changes in practice, but the maintenance of evidence-based care and adherence to the protocol require ongoing education for the neonatal team and other involved sectors to achieve better results.
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    Sistematização da assistência de enfermagem e processo de enfermagem: desenvolvimento de um guia para implementação e avaliação
    (Universidade Federal do Espírito Santo, 2021-06-09) Almeida, Susana Lamara Pedras; Primo, Candida Canicali; https://orcid.org/0000000151412898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/0000-0003-1501-7481; http://lattes.cnpq.br/8825724891395416; Freitas, Paula de Souza Silva; https://orcid.org/0000000190663286; http://lattes.cnpq.br/6676352092840927; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Lucena, Amália de Fátima; https://orcid.org/0000-0002-9068-7189; http://lattes.cnpq.br/8621458206410223
    Introduction: The Systematization of Care and the Nursing Process are themes of daily work and show quality and safe care for people who benefit from technicalscientific care. However, among the main difficulties in complying with the legislation in relation to the Nursing Process, the lack of theoretical knowledge, practical exercise and resources stands out, as well as the lack of time for its realization, making it routine, without sufficient scientific backing. In line with the Organization and Evaluation of Health Care Systems research line, this project sought to meet a demand for the production of new tools that result in changes in practices and work contexts. Objectives: To develop and evaluate the content of a digital guide on the systematization of nursing care and the nursing process. Method: This is applied research on technological development, developed in three stages: 1) Preparation of content through a scope review. 2) Content evaluation that followed the online Delphi Panel methodology, with a minimum agreement of 80%. And it was evaluated by 46 nurses on the "ability to express the content", "organization (order) of content", "relevance to the theme", "language adequacy", "image adequacy and clarification", "organization, sequence and structure”. 3) Organization and layout of the digital guide. Results/Products: The technical production was a digital guide organized in 03 parts: 1) Defining concepts: which presents the concepts of systematization of care and nursing process, and discusses methods, staff dimensioning and instruments; 2) Nursing Process: Steps, Consultation, Concepts and Theories, Process Records and Nursing Classifications; 3) Strategies for implementing the nursing process. In addition to the textual content, 31 illustrations were created, which seek to exemplify, reinforce and self-explain the relevant content. As for the 46 nurses, 67.49% were under 40 years old, 82.6% were female; they had between 1 and 47 years of professional training, and in relation to the degree, 41.3% had a master's degree, 41.3% a specialization and 13% a doctorate. The experts assessed that the content is pertinent, clear, objective, organized, with adequate and scientifically coherent language and images, and has a coherent and pertinent organization, sequence and structure. The judges' agreement index ranged between 89.1% and 100%. Conclusion: This guide contributes to the execution and implementation of the NP in the different scenarios of nursing practice, enabling quick, simple, direct and qualified access to fundamental knowledge, which will help in professional practice with more security and legitimacy. The digital guide is relevant for scientific and technological development, having the potential to generate impact and be applied at local, regional and national level, as it is available online on a website and can be used in teaching-learning as support for nurses and students and to bring subsidies for advancing the implementation of the nursing process/consultation. The guide was sent to the Regional Council of Nursing, Department of Nursing at UFES and the Nursing Care Systematization Commission at the university hospital.
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    Tradução do conhecimento em amamentação : protocolo para prática clínica no alojamento conjunto
    (Universidade Federal do Espírito Santo, 2024-10-30) Salgueiro, Michele Anne de Oliveira Batista; Freitas, Paula de Souza Silva ; https://orcid.org/0000-0001-9066-3286; http://lattes.cnpq.br/6676352092840927; Primo, Cândida Caniçali ; https://orcid.org/0000-0001-5141-2898; http://lattes.cnpq.br/4739920753105018; https://orcid.org/0000-0003-0258-1913; http://lattes.cnpq.br/6066168606171161; Lima, Eliane de Fátima Almeida ; https://orcid.org/0000-0001-5128-3715; http://lattes.cnpq.br/4640538188376728; Galvão, Dulce Maria Pereira Garcia; https://orcid.org/0000-0002-2496-2162; http://lattes.cnpq.br/; Almeida, Márcia Valéria de Souza; https://orcid.org/0000-0002-1318-7084; http://lattes.cnpq.br/9372951429429767; Paula, Cristiane Cardoso de ; https://orcid.org/0000-0003-4122-5161; http://lattes.cnpq.br/8247264269439154
    Introduction: Breastfeeding is a complex, dynamic, and interactive process that depends on several factors that can influence it positively or negatively. This project aims to meet an institutional demand for improvements in breastfeeding care for newborns in rooming-in facilities, and is aligned with the research line on the organization and evaluation of health care systems. Objectives: To describe the knowledge and care practices of health professionals on breastfeeding. To develop a multidisciplinary protocol on breastfeeding. To implement the multidisciplinary care protocol on breastfeeding in the maternity ward. To evaluate changes in compliance with recommendations for evidence-based practices after the implementation of the protocol. Methodology: Participatory research, which used the Knowledge to Action Cycle model to implement a Knowledge Translation project. The study was carried out in a university hospital in Espírito Santo, Brazil, with the participation of the interprofessional team of the rooming-in facility and milk bank. In the knowledge cycle, the existing knowledge was assessed using the self-assessment questionnaire of the Baby-Friendly Hospital Initiative (BFHI); To develop the knowledge tool, a working group was formed with the interprofessional team, and the clinical protocol was developed based on the synthesis of knowledge. In the action cycle, theoretical and practical training was carried out; the protocol was implemented; the barriers and facilitators of the implementation process were assessed; and the impact was assessed through 3 strategies: 1) assessment of care indicators; 2) assessment of the knowledge and skills of health professionals; and 3) self-assessment as recommended in the IHAC self-assessment questionnaire; maintenance of the use of knowledge will be done through continuing education actions and events in Golden August. To analyze the qualitative data, the recordings of the groups were transcribed using an online tool, read exhaustively, and submitted to categorical content analysis. Results: Products: Protocol for breastfeeding premature and low-weight newborns. Flowcharts, process maps, and infographics to guide the work of employees and the role of parents in this process. Multidisciplinary and intersectoral training. Final considerations: This project achieved the objective of improving the evidence-based practice of the multidisciplinary team and enabled the development and implementation of the first protocol for breastfeeding care for newborns cared for in the institution's shared accommodation. The protocol and products have already been implemented and are generating positive impacts in the institution. This research has the potential to be applied at regional and national levels, as it systematically describes an innovative method with the steps and resources necessary for the implementation of the best scientific evidence. The research influenced changes in practice, but maintaining evidence-based care recommended in the protocol requires ongoing education of the neonatal team and other sectors involved to assist in adherence and better results