Service Science and Management

  • Assessment of Nurses’ Knowledge and Utilization of Evidence Based Practice and its Associated Factors

    Background: Evidence based practice is conscientious, clear and judicious use of current best evidence in making decisions about the care of patient. It is becoming a worldwide concern for nurses, doctors and administrators at various level of health care settings considered as critical element to improve quality of health care services. Currently one of the major barriers to utilize Evidence-based practice is knowledge deficit especially in developing countries like Ethiopia. Objective: the aim of this study was to assess nurses’ knowledge and utilization of evidence-based practice and its associated factors in selected hospitals of three zones of SNNPR, South Ethiopia. Methods: setting: the study was carried out in a sample of three zonal and secondary hospitals because evidence based practice are more implemented at hospital settings. Study design and period: Facility-based descriptive cross-sectional study design was conducted among nurses working in selected hospitals of three zones of south region from March 30 to May 1, 2017. A total of 208 nurses answered a self-reported questionnaire and selected by using convenient sampling technique. Descriptive statistics, Bi-variate and multivariate logistic regression were used to analyze the data. A statistical significance was declared at p value

  • Brazil Big Quilombo: Experiencing Experience in Pernambuco Quilombola Community

    Introduction: Marked by exclusion and isolation from society over the years, quilombola communities in Brazil are kept invisible in the various social spheres. Based on the knowledge of the National Health Policy of the Black Population, its importance and the objectives that emphasize the prioritization of the reduction of ethnic-racial inequalities, against racism and discrimination in health institutions and services, it is necessary to know the particularities of this public with regard to health care offered. Objective: With the desire to know the current structure of a quilombola community this work brings the report of the experience to a remnant quilombo community in the interior of the state of Pernambuco by a group of collective health residents. Methods: Experience report on a visit to a remaining quilombo community, located in the district of São Lourenço, in the municipality of Goiana, in the Zona Norte Mata de Pernambuco, where a discussion was then held with the residents’ association president and the religious leadership of the community. Results and Discussion: The quilombo was certified in 2005, with a remnant of 3,500 people with more or less 900 families, predominantly urban, still preserving brands of their ancestors in the ways of working, clothing, food and forms of health care, with diseases prevalent in the community such as: Leprosy, tuberculosis, sickle cell anemia. The visit brought a different look to this population that still suffers from prejudice, racism and human violence, has also helped us to reflect the weaknesses of health practices in the municipality and throughout the Brazilian territory. Conclusion: Given the experience, it was possible to observe that there is still a predominance of prejudice by the community itself in its identification as a quilombola and, above all, the insertion of new health and cultural practices, highlighting the violence and fragility of…

  • Scenario of Insertion Of Nutritionist Professionals in Health Services In Recife – Pernambuco

    Introduction: The topic of Human Resources has been occupying space in the researches related to Collective Health due to the importance of the workforce for health services in contributing to the execution of a health system based on Primary Care, such as the Brazilian National Health Service (SUS). Objective: To describe the scenario of the insertion of nutrition professionals in health services in Recife – Pernambuco. Methodology: This is a descriptive study with quantitative approach. This research was carried out with secondary data from the National Registry of Health Facilities (CNES). The population of study are nutrition professionals registered at CNES until December 2016 in the city of Recife, Pernambuco. To select the sample, the EpiInfo program was used. Thus, 219 out of 1077 nutritionists registered in the CNES database were selected to be part of the study, SPSS Statistics 22 was used for the presentation and analysis of the data. Results and Discussion: Among the 219 professionals analyzed, 95% (207) are female and 5% (12) are male. 15.52% (34) of these are registered in other cities besides Recife. Regarding their workplace, 66.5% (145) worked in hospitals, 15.1% (33) in specialized services, 12.8% (28) in Primary Care services and 5.5% (12) in management, 86.7% (189) provide services to SUS. The average workload among the professionals studied was 43 hours per week in SUS services. The sample was quite heterogeneous, regarding the sex and the insertion scenario. Conclusion: Nutritionists in the municipality of Recife are mostly female. Regarding the insertion scenario, the hospital and specialized services area correspond to the main services where this professional is inserted, surpassing Primary Care services, requiring further studies that clarify this limbo of professionals in this level of attention.

  • Instrumenting Community Health Agents to Address Child and Youth Violence at Home

    Introduction: This is an experience report of a descriptive nature related to the project of university extension, developed by two professors and four undergraduate students in Nursing at the Federal Institute of Education, Science and Technology / IFPE, Campus Pesqueira. This research is linked to the extension project entitled “Child and adolescent as victims of domestic violence: sensitization workshops with Community Health Agents (ACS) of the municipality of pesqueira – PE to recognize and cope with child and juvenile violence.” Objectives: The objective of this study was to use the ACS through awareness-raising workshops to recognize cases of domestic violence against children and to adopt means to confront this event. Methodology: The methodology was adopted focusing on the interests and knowledge of the participants, aiming at empowering the individuals’ autonomy and emancipation. The study was carried out between February and October 2017 and had a weekly workload of twenty hours. For the development of the activities, the Family Health Strategies of the Municipality of Pesqueira-PE were selected, justifying the choice of the fact that these units present socio-economic vulnerability; as well as because it has already been a scenario of research on domestic accidents with children, thus characterizing itself as a context of teaching, research and extension experiences. Results and discussion: The sample consisted of 31 ACS, and guiding questions were elaborated to to construct a plan of intervention in the face of a case of violence, guaranteeing the continuity of care in the primary care network. Conclusion: The research becomes relevant as the ACS are aware of the occurrences of child and juvenile violence and the subjects involved can reflect on the importance of adopting preventive behavior to minimize these cases.

  • Assess the level of knowledge about sustainability, appreciation of popular knowledge and the concept of health of children, pre-teenagers and teenagers from low-income community of the neighborhood Pina, Recife-PE

    This study aimed to review three activities undertaken by the Group of Biological Sciences, Federal University of Pernambuco (UFPE) with young people between 2 and 14 years of the NGO in Recife-PE, in search of each methodology effect applied to learning students. In the days of group visits, the activity was applied at three different times relative to the time that young people are playing football, and analyzed how they behaved in relation to the activity brought. It was observed more interest and curiosity in applied after the game, where children and adolescents were already filled, and able to do something different. Observed indicates that in addition to the theme of a dynamic, the occasion and the way it will be displayed directly influences the knowledge that students can absorb a day of visits to the project.

  • Health Education in the Construction Of Knowledge about Trichomoniasis for Students of the Areas of Engineering and Geosciences of the Federal University of Pernambuco

    Introduction: According to National Policy for Integral Attention to Men’s Health, the male teenager is risk group for health problems by not adopting preventive practices. This program includes the prevention of sexually transmitted infections (STI). Trichomoniasis is a non-viral STI widely disseminated. However, 92% of cases are registered in women. Overall, man presents with asymptomatic. When affected the man may develop secretion urethral, lesions in the seminal vesicle, penis, prostate and urethra. This framework directs man as responsible for transmission of parasitosis. Additionally, Trichomoniasis is risk factor for HIV, HPV, herpes, gonorrhea, chlamydia and syphilis. Objetive: To build knowledge about trichomoniasis among male students of the courses of engineering and geosciences. Methodology: It’s a research-extension quantitative, descriptive and transversal what happened during the 2nd semester of 2017 in the hall do Centro de Tecnologia e Geociências-UFPE. The strategy of educational intervention was based on wheels of conversations. We set up a stand with billboards and posters and activities were conducted about the epidemiology, transmission, pathogenesis, prevention and treatment of trichomoniasis. we proceeded with caution, respect and consider individuality. Results and Dsicussion: Intervention reached 513 students with an average age of 22.16±3.53 (minimum 15 and maximum 40). Of these, 91.6% reported not knowing what is trichomoniasis. Leaflets on Trichomonas vaginalis and trichomoniasis were distributed. In addition to this material, we distributed leaflets, acquired in partnership with the State Health Secretariat, on HIV / AIDS, Syphilis, Hepatitis A, B and C. The students were instructed on the correct use of condoms and we distribute about 1.500 male condoms, 100 female condoms and 500 sachets of lubricating gel. Conclusion: Our educational intervention come to contribute with programs sensitization of STIs and made possible the construction of knowledge about trichomoniasis. Our results indicate that male students of engineering and geosciences deserve attention in sex…