DSpace Coleção:
https://repositorio.ufms.br/handle/123456789/3617
2024-03-28T11:50:37ZEFICIÊNCIA DA LIMPEZA E DESINFECÇÃO DE COLCHÕES HOSPITALARES: CONTRIBUIÇÃO PARA SEGURANÇA DO PACIENTE
https://repositorio.ufms.br/handle/123456789/8600
Título: EFICIÊNCIA DA LIMPEZA E DESINFECÇÃO DE COLCHÕES HOSPITALARES: CONTRIBUIÇÃO PARA SEGURANÇA DO PACIENTE
Abstract: Mattresses, often considered non-critical surfaces, can harbor harmful microorganisms
due to direct contact with patients and exposure to bodily fluids, which makes them
potential sources of infection. The high microbial load in these mattresses increases
the risk of spreading pathogens between patients and healthcare professionals unless
cleaning practices are effective. This study aims to analyze the effectiveness of
cleaning and terminal disinfection practices for hospital mattresses, focusing on patient
safety. The study adopted a cross-sectional and analytical approach conducted from
October to December 2021 in a philanthropic hospital in the interior of the State of
Mato Grosso do Sul, Brazil. The evaluation of the effectiveness of cleaning and
disinfection of 40 mattresses used two monitoring methods: fluorescent marker,
applied at six points before the cleaning and disinfection process, and microbiological
culture, which involved counting colony forming units (CFU) at three points, both before
and after the cleaning and disinfection process, carried out in three distinct areas of
each mattress (top, middle and bottom). Overall, there was a statistically significant
difference in the microbial count of mattresses after cleaning and terminal disinfection
(p<0.001). There were no significant differences (p=0.050) when comparing the
variation in microbial counts between the surgical and the clinical unit, indicating that
the mattress cleaning and disinfection process was equally effective in both locations.
Both in the global context (p<0.001) and specific collection areas (surgical unit;
p=0.002 and clinical unit; p<0.001), there was a significant increase (p<0.05) in the
proportion of approved areas— surfaces that had a microbial count of less than 60
CFU/cm2. Using this method, 36 (90%) mattresses were approved after cleaning and
disinfection. Concerning the fluorescent marker, the results of the proportion test
demonstrated that the number of mattress areas considered approved was
significantly higher when compared to the areas that failed (p=0.022). Considering
approval with the total removal of the marker, 17 (42.5%) mattresses were approved
after cleaning and disinfection. Besides, no significant relationship was identified
between the microbial counting and fluorescent marker methods (p=0.185). These
results highlight the importance of rigorous cleaning and disinfection protocols for
hospital mattresses to prevent the spread of pathogens and promote patient safety.
The use of monitoring methods, such as fluorescent markers and microbiological
analyses, can be essential to guarantee the effectiveness of these processes and
reduce the risks of hospital infections. Therefore, these findings demonstrate direct
implications for clinical practice, providing valuable guidance for improving the quality
of care in hospital settings.
Tipo: Dissertação2023-01-01T00:00:00ZCADA PARTO É UMA HISTÓRIA: ELABORAÇÃO E EVIDÊNCIAS DE VALIDADE DEUMA CARTILHA EDUCATIVA COMO INSTRUMENTO PARA (RE) SIGNIFICAR O PARTO E O NASCIMENTO
https://repositorio.ufms.br/handle/123456789/8593
Título: CADA PARTO É UMA HISTÓRIA: ELABORAÇÃO E EVIDÊNCIAS DE VALIDADE DEUMA CARTILHA EDUCATIVA COMO INSTRUMENTO PARA (RE) SIGNIFICAR O PARTO E O NASCIMENTO
Abstract: The objective of this research was to develop an educational booklet aimed at pregnant women
about the stages of labor. This is a study with a methodological approach, for the validation of
an educational booklet. The construction and validation will be developed in four stages: 1.
bibliographic survey; 2. Preparation of illustrations, layout, design and texts; 3. face and content
validation of the educational material by expert judges on the subject; and 4. Validation of the
material by representatives of the target audience. This study may prove to be a good tool for
promoting the health of pregnant women, contributing as a tool for future studies related to the
implementation of new actions, policies and strategies that promote the improvement of care
services for pregnant women. The booklet constructed was titled “Each Childbirth is a Story,
guidelines and tips on the stages of labor”, containing the stages of labor'', in addition to
information on non-pharmacological methods of pain relief, obstetric violence and time
Golden. For appearance and content validation, 22 content judges with teaching and care
experience were contacted; all selected by snowball sampling, following pre-established
criteria. For validation by the target audience, 22 pregnant women from 5 Family Health
Strategies located in Três Lagoas-MS were selected for convenience. The data collection period
with judges and pregnant women took place between July and December 2022 and January and
March 2023. Two instruments were used for data collection: one for the judges and one for the
target audience. The Microsoft Excel program, version 2016, was used for data organization
and analysis. The research was approved by the Research Ethics Committee of the Federal
University of Mato Grosso do Sul. As for the validation of the first version of the booklet, the
content judges attributed a good overall CVI of 0.919 In the evaluation carried out with the
Suitability Assessment of Material, the target audience, pregnant women, validated the second
version of the booklet with an excellent overall CVI of 0.913, classifying the booklet as
“adequate” with an average of 90.0%. The final version was completed with 46 pages, based
on the suggestions made by the content judges, technical judges and target audience. It is
concluded that the educational booklet “Each Childbirth is a Story, guidelines and tips on the
stages of labor” was considered valid in terms of content and appearance, and is therefore
considered a relevant educational technology to be used by pregnant women.
Tipo: Dissertação2023-01-01T00:00:00ZLETRAMENTO EM SAÚDE EM PESSOAS IDOSAS: REVISÃO SISTEMÁTICA E RELAÇÃO COM A PROBABILIDADE DE ÓBITO
https://repositorio.ufms.br/handle/123456789/8510
Título: LETRAMENTO EM SAÚDE EM PESSOAS IDOSAS: REVISÃO SISTEMÁTICA E RELAÇÃO COM A PROBABILIDADE DE ÓBITO
Abstract: ABSTRACT
Introduction: Health literacy is an important variable to be evaluated in older adults, as it is
related to several health outcomes and also to specific personal characteristics, such as
increasing age. Identifying the possible relationship between health literacy and the probability
of death in older adultos can help in planning interventions before adverse outcomes occur.
Objective: To identify in the literature the factors associated with low health literacy in older
adults; and to evaluate the relationship between health literacy and the probability of death in
older adults registered in Primary Health Care centers. Two studies were carried out. Article 1.
Methods: A systematic literature review was conducted in the Pubmed, Web of Science,
Scopus, PsycInfo, Embase, and LILACS databases. The descriptors used were “Aged” and
“Health Literacy”, with the Boolean operator “AND”. Articles published in English, Portuguese
or Spanish were selected, with no time limit. This review was registered in PROSPERO - CRD:
42022350140. Results: 23,500 articles were identified in the databases and 176 were selected
to compose the review. Several factors are associated with low health literacy in older people,
such as sociodemographic aspects (i.e., older age, low educational level, not being white and
others); social (i.e. lack of social/family support, loneliness, social isolation, few social
activities, few social contacts and others); economic (i.e., lower income and/or lower
socioeconomic level) and health (i.e., worse health, chronic conditions, worse mental health,
hospitalizations, frailty, physical inactivity, worse cognition, low adherence to treatment and
others). Article 2. Methods: Cross-sectional and quantitative study, carried out with 200 older
adults registered in Family Health Units in the city of Naviraí, Mato Grosso do Sul, Brazil. A
sociodemographic and health characterization was carried out and the Test of Functional Health
Literacy in Adults (TOFHLA) and the Suemoto Index were applied. For the analyses,
correlation tests and linear regression models were used. All ethical precautions were observed.
Results: The majority of participants were male, aged between 60-69 years, with a partner, with
more than four years of education, retired, using medication, had not been hospitalized or
suffered a fall in the last year and declared themselves very satisfied with life. The average
TOFHLA score was 47.7 points, with 2.5% of participants classified as having adequate
literacy, 25.0% with limited literacy and 72.5% with inadequate literacy. The older the age, the
worse the health literacy. The average probability of death in 10 years was 35.4%, being higher
for men, with higher age, who use medication, were hospitalized and fell in the last year. A
weak and inversely proportional correlation was identified between health literacy and
probability of death. Health literacy was associated with the probability of death, regardless of
age, sex, number of medications and recent hospitalization. Conclusions: It was possible to
identify factors related to low health literacy, which are sociodemographic, social, economic
and health. There is a relationship between health literacy and the probability of death. Health
literacy, as well as demographic and health variables, influence the probability of death. The
results can support health education interventions aimed at improving the literacy of older
adults, especially in Primary Health Care, where the bond with patients is greater. The nurse,
as a member of the team, plays a fundamental role in this process that can reduce the probability
of death in older adults and improve their quality of life.
Keywords: Geriatric Nursing; Aged; Health Literacy; Death; Systematic Review
Tipo: Dissertação2024-01-01T00:00:00ZRepresentações Sociais de Enfermeiros da Atenção Primária à Saúde Sobre os Usuários de Substâncias Psicoativas
https://repositorio.ufms.br/handle/123456789/6696
Título: Representações Sociais de Enfermeiros da Atenção Primária à Saúde Sobre os Usuários de Substâncias Psicoativas
Abstract: Primary Health Care has a significant role in the comprehensive and humanized approach to alcohol and other drug users. other drugs. Through a comprehensive and multidisciplinary perspective, PHC seeks to offer health promotion, preventive care and treatment for those who face challenges related to the use of psychoactive substances. Among the professionals in the team are nurses who, through a humanized approach and attentive listening, carry out preventive actions, appropriate treatment and ongoing monitoring. Given the importance of social representation of these professionals in PHC, this study aimed to nurses' social representations of alcohol and other drug users. users of alcohol and other drugs. This is a social research, based on a qualitative and exploratory approach. approach, which involved the construction of a manuscript, with a theoretical reference theoretical framework based on theTheory of Social Representations. Twenty nurses working in Primary Health Care in the municipality of Três Lagoas, located in the eastern region of Mato Grosso do Sul, Brazil. Data was collected through semi-structured interviews. The data was analyzed in the light of the Theory of Social Representations, using the software IRaMuTeQ (Interface de R pour les
Analyses Multidimensionnelles de Textes et de Questionnaires), version 0.7 alpha 2. The Descending Hierarchical Classification (DHC) was used, from which the following categories emerged: (1) Antagonism in the perception of prejudice; (2) (Un)assistance to users of psychoactive substances; (3) Photography of users of psychoactive substances from the nurses' perspective. It was observed that alcohol and drug users continue to be socially stigmatized and that prejudice on the part of nurses is a pertinent and worrying issue that deserves attention in the health context. One of the factors contributing to stigma and prejudice is a lack of knowledge and understanding about the complex nature of drug addiction. Nurses may not be adequately qualified to deal with issues related to alcohol and other drug abuse and, therefore, their practices may be based on misconceptions. In view of the above, the nurses' Social Representations point to the need to strengthen training processes, with the aim of creating an inclusive environment, since nurses can play a fundamental role in reducing stigma and promoting more humane and effective care for users of alcohol and other drugs who are inserted in the territory of Primary Health Care teams.
Tipo: Dissertação2023-01-01T00:00:00Z