http://bdtd.uftm.edu.br/handle/tede/10 Fri, 06 Nov 2026 16:09:00 GMT 2026-11-06T16:09:00Z http://bdtd.uftm.edu.br/handle/123456789/2178 Título: Produção de um vídeo educativo como estratégia de educação permanente sobre referência e contrarreferência com foco na atenção terciária Abstract: Reference and counter-reference function as organizational tools that guide the practice of healthcare teams. These tools enable the structured referral of users between the various service points of the Healthcare Network (RAS), facilitating access to services according to the complexity of each situation and ensuring continuity and comprehensiveness of care. This study aimed to develop a video as an intervention strategy for continuing health education in tertiary care, focusing on the reference and counter-reference process for nurses and physicians. It consisted of a multimethod research approach, developed in three stages: identifying the needs and perceptions of nurses and physicians regarding reference and counter-reference in their professional routines, combined with an integrative review of the scientific literature; designing and validating the script and storyboard for an educational video on reference and counter-reference; and producing the video as an intervention strategy for continuing health education in tertiary care. A total of 45 professionals (33 nurses and 12 physicians) were interviewed. The characterization of participants revealed a predominance of women (73.3%), with ages ranging from 30 to 49 years (75.7%). The most prevalent professional experience was 21 years or more (37%), and 51.1% of participants held a specialization. Regarding work experience, 33.3% of professionals had between 6 and 10 years of experience. The qualitative results were presented through evidence extracted using the Collective Subject Discourse (CSD) method, highlighting central ideas related to the need for changes in reference and counter-reference actions and the importance of continuing education activities on these processes. The perceptions and suggestions provided by professionals included continuous training to enhance the understanding of reference and counter-reference flows and concepts, the implementation of continuing education programs incorporating clinical case simulations, and practical training through lectures, educational videos, and short courses. Ensuring continuity of care requires an improvement process involving trained, empowered, confident, and motivated professionals, along with active and committed management. Therefore, the development of a video as an educational strategy is relevant, as it serves as a technological resource capable of enhancing professionals' knowledge with a focus on transforming healthcare practices. Tipo: Dissertação Fri, 21 Feb 2025 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2178 2025-02-21T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2177 Título: Impacto da vacinação contra meningites ACWY em adolescentes no Brasil Abstract: Introduction: Invasive meningococcal disease (IMD) is a serious acute bacterial infection caused by Neisseria meningitidis, which colonizes the human nasopharynx and is transmitted through respiratory droplets from asymptomatic or symptomatic carriers. In its invasive form, it is characterized by one or more clinical syndromes, with meningococcal meningitis being the most frequent and meningococcemia the most severe form. Meningococcemia is considered a public health priority due to its rapid onset, high mortality rate, and irreversible sequelae among survivors. Vaccination is considered the most effective way to prevent IMD, with specific serogroups used routinely for immunization and outbreak control. The MenACWY conjugate vaccine has been used in Brazil in adolescents since 2020, as they are important carriers of the etiological agent in the nasopharynx. Due to the global expansion and the serious and unpredictable nature of meningococcal disease, continuous surveillance is necessary to monitor the epidemiology of the disease in each country and region for rapid outbreak detection and monitoring of disease behavior over time. Objective: To evaluate the impact of ACWY meningitis vaccination in adolescents aged 11 to 14 years in Brazil and Brazilian regions, between 2015 and 2023. Method: This is a comparative study of the incidence of meningococcal meningitis in Brazil between the pre-vaccination (2015 to 2019) and post-vaccination (2020 to 2023) periods. Results: From 2015 to 2023, 9083 notification forms from SINAN were analyzed, obtaining 498 cases with a specific diagnosis of meningococcal disease and/or meningococcemia, with 233 serogrouped cases. Of these, 14.6% resulted in death due to meningococcal disease. The highest incidence was of serogroup C, followed by serogroup B. There was a reduction in incidence, mortality, and case fatality rates for MD in adolescents in Brazil from 2015 to 2023. Vaccination coverage in the 11-year-old age group was 32.48%. Conclusion: The study highlighted the weakness of notifications regarding meningococcal serotyping and many unfilled fields in the Notification Form. Time series analysis showed a significant decrease in IMD cases from 2018 onwards; however, it is not possible to infer that this occurred due to the introduction of vaccines for adolescents, since social isolation measures and mask use occurred during this same period due to the COVID-19 pandemic. Studies evaluating the behavior of IMD over a longer period are necessary. Although the benefits of the vaccine are known, they can be improved by increasing vaccination coverage and introducing the vaccine to children under 5 years of age, including protection against serogroup B. Future studies are recommended to assess the impact of its effects on the disease burden in the country. Tipo: Dissertação Mon, 15 Dec 2025 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2177 2025-12-15T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2176 Título: Validação de um Design Simulado para o ensino e aprendizagem da Restrição de Movimento da Coluna Vertebral (RMC) na assistência pré-hospitalar Abstract: The Spinal Motion Restriction (SMR) technique in prehospital care for trauma victims is extremely important and relevant, as its application requires rigorous evaluation to reduce the harm caused by SMR devices in patients without risk of spinal injury. Therefore, nursing students and professionals must develop the skills to correctly assess the need for its application. From a teaching-learning perspective on this topic, clinical simulation stands out for providing a safe and controlled environment for the development of clinical competencies, cognitive, psychomotor, and attitudinal skills. Given the scarcity of studies addressing validated simulated scenarios on SMR, this study aimed to develop and validate a simulation design for teaching and learning SMR in prehospital care. This is a methodological study supported by two stages: development of the clinical simulation design, and the clinical simulation validation process. The research was conducted at the Federal University of Triângulo Mineiro. Experts in simulation and emergency care were recruited for the validation process. Data were collected using forms that sought to assess the experts' characterization, face and content validation of the clinical simulation, a psychomotor and attitudinal skills checklist, a decision-making flowchart, and the cognitive skills test. The Content Validity Index (CVI) was used to analyze agreement among the experts. The final sample consisted of ten experts, six (60%) female and four (40%) male, with a mean age of 42.2 years. The CVI obtained "near-perfect agreement" in almost all categories evaluated, demonstrating that the simulated scenario is valid, clear, and consistent with the teaching objectives. Therefore, the simulated design can contribute to the teaching and learning process of nursing students and professionals regarding the application of CMR in prehospital care settings. Tipo: Dissertação Thu, 31 Jul 2025 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2176 2025-07-31T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2175 Título: Caracterização das notificações de violência contra a mulher no Brasil Abstract: Introduction: Women of all ages, cultures and socioeconomic groups are victims of violence. Cases of violence against women are prevalent in low- and middle-income countries and commonly occur within the family context. It is estimated that worldwide one in three women have experienced physical and/or sexual violence at least once in their lifetime from a partner or sexual violence by third parties. Objective: To describe reports of self-inflicted and interpersonal violence against women in Brazil between 2011 and 2022. Method: This is a descriptive, retrospective and quantitative study, which uses data from the Department of Information Technology of the Unified Health System and the Information System for Notifiable Diseases. The software used for data analysis and visualization was Microsoft Office Excel© 2016. Descriptive statistics resources were used, with the generation of the distribution of absolute and relative frequencies, in addition to measures of central tendency, mainly averages and temporal estimates, such as trend and seasonality. Results: A total of 1,657,786 reports of violence against women were identified in Brazil between 2011 and 2022, with the highest incidence in 2022. Most victims lived in the Southeast region, especially in the state of São Paulo. The North region had the lowest reporting rates, with Amapá standing out, which recorded the lowest number of cases. The main victims were between 18 and 29 years old, were not pregnant, were white or brown, had completed high school, and were married or living in a consensual union. Most cases of violence occurred between 6:00 p.m. and 11:59 p.m., in the home environment, and were recurrent. The most frequently reported forms of violence were physical and psychological/moral, with physical force/beating and threats being the main means of aggression used. In cases of sexual violence, rape was the most frequent type, followed by sexual harassment. As for the likely aggressor, the highest frequency was observed among male perpetrators, aged between 25 and 59 years. The main aggressors were the victim herself, followed by spouses and ex-spouses. Conclusion: The results show a growing increase in reports of violence against women in Brazil, with the majority of perpetrators being men close to the victim's home, and the home being the main location of the attacks. The data reinforce the importance of training health professionals to improve the reporting process as a care tool, in addition to contributing to the implementation of more effective public policies. Tipo: Dissertação Mon, 21 Jul 2025 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2175 2025-07-21T00:00:00Z