http://bdtd.uftm.edu.br/handle/tede/500 Pós-graduação stricto sensu Wed, 23 Sep 2026 23:46:32 GMT 2026-09-23T23:46:32Z http://bdtd.uftm.edu.br/handle/123456789/2142 Título: Práticas de governança e inovações para o enfrentamento da resistência antimicrobiana em hospital público de ensino Abstract: Objective: To develop an empirical theoretical model of governance practices and innovations to address antimicrobial resistance in a public teaching hospital. Theoretical basis: Tackling antimicrobial resistance is a global public policy concern. A worsening of the situation has been observed as a result of the Covid-19 pandemic. In addition to infection control challenges, the ability of public teaching hospitals to respond in their governance system has been questioned. Methodology: This is the elaboration of an empirical theoretical model resulting from the triangulation of the findings of an action research conducted by Convergent Care Research. A hospital documentary analysis of public governance practices in tackling antimicrobial resistance in a teaching hospital of the single health system was carried out between March and April/23. A scoping review was conducted according to the international PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) protocol with the following question: 'What strategic innovations are being implemented in the management of AMR in teaching hospitals', using the databases Lilacs, PubMed, Cochrane Library, Embase, Web Of Science and Scopus, carried out in March/23. In addition, semi-structured interviews using a qualitative approach following contextualised content analysis were conducted with hospital stakeholders, characterised by 13 leaders working in mandatory and advisory hospital committees, between September and November 2023, asking: 'What are the challenges for hospital leadership in tackling antimicrobial resistance?' And: 'What are the prospects for innovation in hospital governance in tackling antimicrobial resistance?' Results: Document analysis: Results A total of 1,567 documents were analysed, 86 of which contained content related to the fight against antimicrobial resistance.We found that the Hospital de Clínicas da Universidade do Triângulo Mineiro uses governance practices to combat AR. Scoping review: the research resulted in a final sample of 17 articles published in indexed health journals that can support the dissemination and uptake of innovations in the management of antimicrobial resistance in teaching hospitals and have an impact on the better development of local, national and global policies, contributing to the policy agenda for tackling antimicrobial resistance. Semi-structured interviews: resulted in broad stakeholder engagement The following were highlighted: a) Challenges: promoting strategic management involving dialogue within and outside the public teaching hospital; developing the hospital's health teams to promote leadership in tackling antimicrobial resistance; and innovation in processes, routines and products in the face of risk management for the sustainability of the institution. B) Innovations: evidence-based decision making in the service; use of research in practice; antimicrobial stewardship; development of healthcare teams; patient-centred and timely care. In this way, the triangulation of findings supported the construction of the theoretical model, which has as its inputs (strategic management; internal and extramural dialogic management; leadership development; training of health care teams; innovations; risk management and economic sustainability; evidence-based decision-making in the service; use of research in practice; antimicrobial stewardship; development of health care teams; patient-centred and timely care); institutional plan/strategic master plan; institutional committees for prescription control; quality indicators; timely diagnostic detection; information technology; professional education and training; reinforcement of precautions; cleaning and disinfection), outputs (practices related to responsiveness, evidence-based practices and innovations, and hospital practices and routines) and controls (overall infection rate and clean surgery, ICU wound density and adult ICU antimicrobial resistance profile) Originality and Relevance: There are important gaps in the governance of public teaching hospitals, particularly in the integrated health system. The development of the theoretical-empirical model made it possible to identify important aspects of hospital governance in a real context The results of this dissertation, in terms of originality, are organised into a published scientific article on innovations in the management of antimicrobial resistance and a technical scientific report describing the action research (convergent care research) that culminated in the development of the theoretical-empirical model. Practical contributions: The important potential of this research was that the combination of methods made it possible to understand the local context and its relevance to the current global challenges of antimicrobial resistance. It also allowed local leaders (stakeholders) to present their perspectives - so that the model was built closer to the real scenario than the ideal - a contextualised model By getting closer to the scenario, it was possible to identify expanded practices and innovations in hospital governance In general, the content analysed contributes to guiding local hospital response capacity and potentially to aligning the network of teaching hospitals in the Unified Health System in terms of their governance challenges Thus, it contributes to strengthening the political agenda, global and local greements in the face of this growing global health threat. Tipo: Dissertação Thu, 12 Dec 2024 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2142 2024-12-12T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2129 Título: Clínica psicanalítica na era digital: produção de conteúdo e divulgação profissional em mídias sociais Abstract: Social media have become increasingly integrated into people's daily lives, and their use intensified during the COVID-19 pandemic, a period in which the internet became an essential tool for everyday and professional activities. In the field of Psychology, there was a significant increase in both the demand for and the provision of online psychological services, as well as in the dissemination of psychology. Therefore, the general objective of this dissertation was to investigate and analyze the experiences of psychoanalytically oriented psychologists who use social media to promote their work and psychoanalysis through Instagram and podcasts. The dissertation consists of two studies. Study 1 investigated the experiences of psychologists who use Instagram to promote psychological services, whereas Study 2 analyzed the experiences of psychologists in producing podcasts as a strategy for disseminating psychoanalysis. Both studies are characterized as qualitative, cross-sectional research inspired by Turato's clinical-qualitative method. Each study included 12 psychologists as participants, and the data were generated through semi-structured remote interviews and analyzed using content analysis based on the clinical-qualitative approach. The results of Study 1 indicate that promoting professional work on Instagram is permeated by tensions between the desire to build a clinical practice and the demands of entering the labor market. Although Instagram promotes the strengthening of professional support networks, the maintenance of the psychoanalytic tripod, and the dissemination of psychological knowledge, it also imposes demands related to productivity, algorithmic dynamics, and exposure to violence, such as sexual and moral harassment, particularly against women. The results of Study 2 demonstrate that psychoanalysis podcasts emerged mainly during the COVID-19 pandemic and that their production is sustained by the podcasters' desire and contributions from their clinical experiences, constituting an important means of democratizing psychoanalysis. This dissertation contributes to broadening discussions on the presence of psychoanalytically oriented psychologists on social media, as well as to understanding the impact of these technologies on professional training, the development of clinical practice, the ethical promotion of psychological services, and the production of podcasts on psychoanalysis. The limitations include the absence of participants from all five regions of Brazil, the exclusion of podcasts affiliated with psychoanalytic associations, and the predominance of psychologists who graduated during the COVID-19 pandemic. Tipo: Dissertação Fri, 14 Aug 2026 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2129 2026-08-14T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2110 Título: Descarte de produtos farmacêuticos de uso cotidiano e o ensino de solubilidade Abstract: This study aimed to develop and implement a Didactic Sequence (DS) focused on diversified and contextualized activities related to the theme of everyday pharmaceutical products, with an emphasis on teaching the concept of solubility. The research, with a qualitative and quantitative approach, was carried out with 30 second-year high school students from a public school located in the city of Valparaíso de Goiás (GO), during the second academic semester. The DS, as an educational product, was based on the TPM methodology, associated with the thematic approach and the dialogical-problematizing perspective. In the first pedagogical moment (1PM), a diagnostic questionnaire with four questions was applied to identify students' prior knowledge regarding the disposal of pharmaceutical products. Two videos addressing the topic were also shown, emphasizing the environmental consequences of improper disposal. In the first two lessons of the second pedagogical moment (2PM), the teacher-researcher presented concepts such as solubility, polarity, intermolecular interactions, types of mixtures, solutions, and the classification of organic and inorganic compounds, using slides in an expository class. In the third lesson, an experiment was carried out using pharmaceutical products familiar to students, aiming at a practical understanding of solubility in different solvents.In the third pedagogical moment (3PM), an educational game was used as an assessment tool, along with a questionnaire to evaluate students’ perceptions regarding the application of the DS and the use of the game as a didactic resource. The data revealed student engagement, active participation, and an increased mastery of the subject matter, with improved articulation between theory and practice. The pedagogical proposal also promoted meaningful reflections on the improper disposal of pharmaceutical products and their implications, leading to the understanding of the concept of solubility, as environmental contamination often occurs through the solubilization of these substances. The DS structured around the TPM, along with the activities and didactic materials developed (game, cards, and questionnaires), proved to be effective in facilitating the Chemistry teaching and learning process, particularly regarding the topic of solubility. Tipo: Dissertação Sun, 20 Jul 2025 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2110 2025-07-20T00:00:00Z http://bdtd.uftm.edu.br/handle/123456789/2109 Título: Ensino investigativo de Química com arduíno: abordagem da conversão de gases em catalisadores automotivos Abstract: This study presents the results of an investigation in the teaching of Chemistry, developed and anchored in the objects of knowledge related to the conversions of gases that occur in automotive catalysts and that are contemplated by the study of chemical kinetics. Among its fundamentals, the principles of investigative activities that are employed in Problem-Based Learning (PBL) stood out in a perspective that included, for this foundation, the Theory of Meaningful Learning (TML). The study also had a CTSA approach, based on the mediation of learning, proposed by Vygotsky. The research presented a mechanism for monitoring the gases related to the catalysts and at the same time analyzed the impacts on student learning. To this end, it included practical activities with emphasis on the use of Arduino — a hardware and software platform that enabled experiments aimed at analyzing gas emissions in combustion engine exhaust systems. The results showed that the integration between PBL and CTSA, combined with the use of technological tools, such as Arduino in the mediation of learning, enabled the consolidation of knowledge that was qualified according to the understanding of concepts appropriated by the target audience. Therefore, the good evaluation result demonstrated that the strategy is promising for the teaching of Chemistry, filling possible existing gaps. However, it is important to point to the need for new evaluative studies, using the methodology adopted in different learning contexts, to assess its effectiveness in science education. Tipo: Dissertação Mon, 09 Feb 2026 00:00:00 GMT http://bdtd.uftm.edu.br/handle/123456789/2109 2026-02-09T00:00:00Z