http://www.bdtd.uerj.br/handle/1/3546 2026-04-16T17:21:55Z 2026-04-16T17:21:55Z Lopes, Luciana Herdy http://www.bdtd.uerj.br/handle/1/25428 2026-03-09T14:03:03Z 2025-04-01T00:00:00Z

Título: Representações sociais e experiências de cuidado de saúde aos pacientes com COVID-19 em unidade de terapia intensiva entre profissionais de saúde Autor: Lopes, Luciana Herdy Primeiro orientador: Oliveira, Denize Cristina de Abstract: The general objective of this study was to analyze the social representations and experiences of healthcare for patients with COVID-19, experienced by healthcare professionals working in the ICU. This is a descriptive field research, with a qualitative approach, based on the Theory of Social Representations, using the procedural approach. The study was developed in an ICU, located in a large reference University Hospital, located in the metropolitan region of Rio de Janeiro. At the time, the ICU consisted of 10 beds that served patients hospitalized with COVID-19. Twenty-three healthcare professionals from different professional backgrounds who provided healthcare to people with COVID-19 in the ICU participated in the study, by invitation from among the total number of professionals working in the unit chosen for the study and who met the inclusion criteria. The following inclusion criteria were taken into account for the selection of participants: people aged 18 to 75, who worked in the ICU during the pandemic. The collection took place through semi-structured interviews and was analyzed using the IRAMUTEQ software.The analysis resulted in 5 classes: Experience of home self-care and family care; Experience of vaccination against COVID-19 and the political context; Experience of difficulties for care and self-care in the ICU; Experience and daily routine of professional care in the ICU; Experience of relational and affective care in the ICU. The importance of understanding the perceptions and lived experiences of care and self-care and the difficulties faced by health professionals during the COVID-19 pandemic became evident. Understanding the care experience experienced by health professionals can contribute to safer health care practices for both professionals and patients, especially in contexts of difficulties experienced by health services, by identifying the problems faced. Additionally, observing the importance of relational care in critical situations can provide greater focus on this type of care, which is rarely mentioned in everyday care situations.It is believed that this dissertation may contribute to the reflection on the complexity of the experiences of health care for patients, experienced by health professionals working in ICUs, in the context of a health crisis such as the one observed. These experiences speak of the past, but also of a probable future of a new pandemic with global repercussions. The contributions of this work also lie in the improvement of care practices in public health and nursing, through the continuing education of nurses and other professionals focused on care, and with SUS users. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação

2025-04-01T00:00:00Z Teixeira, Alessandra http://www.bdtd.uerj.br/handle/1/25122 2025-12-04T17:36:58Z 2025-03-21T00:00:00Z

Título: Vivência das técnicas de enfermagem negras sobre violências relacionadas ao trabalho no ambiente hospitalar Autor: Teixeira, Alessandra Primeiro orientador: Progianti, Jane Márcia Abstract: This is a descriptive qualitative study of Black nursing technicians’ violence-related experiences in hospital work. The purpose was to describe the experiences of Black nursing technicians working in hospitals and to discuss the violence experienced by Black nursing technicians in the hospital setting. This is a qualitative, descriptive study whose data were collected from February to April 2024 through semi-structured individual interviews with 27 nursing technicians from the state of Rio de Janeiro, which were analyzed using the thematic-content analysis method. The results were divided into two categories: “Experiences of Black nurses in their work in hospitals” and "Violence in the work of black nurses in hospitals". The first category, which generated two subcategories, dealt with “Black nurses’ experiences regarding their professional performance” and their interpersonal relationships at work. The second category produced two subcategories: “Violence perpetrated by the work organization that is not perceived as violence by the nursing technicians” and “Psychological violence: threats, harassment and racism”. The respondents perceived their work as essential, rewarding and praiseworthy, but devalued, with their opinions not being listened to. The violence identified was work overload, inadequate human resources and excessive working hours. In terms of psychological violence, they identified threats, racism and harassment in their work. It can be concluded that the black technicians interviewed face threats, harassment and racism in their daily work; however, they feel joy and satisfaction in their work as they provide direct patient care. Therefore, it is of utmost importance to raise staff awareness to mitigate violence and implement institutional policies that promote a safe environment for professionals. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação

2025-03-21T00:00:00Z Medaber, Cinthia Cristine Rosa Campos http://www.bdtd.uerj.br/handle/1/24888 2025-10-17T12:34:45Z 2025-04-29T00:00:00Z

Título: Abordagem de conteúdos relacionados à área de estomaterapia nos cursos de graduação em enfermagem Autor: Medaber, Cinthia Cristine Rosa Campos Primeiro orientador: Souza, Norma Valéria Dantas de Oliveira Abstract: This dissertation addresses the contents related to the area of stomatherapy in undergraduate nursing courses. Objectives: to identify the methodologies and pedagogical strategies for the development of contents related to stomatherapy in undergraduate nursing courses and to analyze the contents related to stomatherapy addressed in undergraduate nursing courses. Methodology: qualitative, descriptive and exploratory. This study was conducted with eleven coordinators of undergraduate nursing courses from public and private educational institutions in the state of Rio de Janeiro. Data were collected through semi-structured interviews and processed using the IraMuTeQ® software. Results: from the analysis of the interviews, the descending hierarchical classification (DHC) originated four classes, organized in two blocks. In the first, "Fundamentals for teaching care in stomatherapy", the analysis revealed a structured and gradual training, where learning begins with theoretical bases in Anatomy, Human Physiology and Pathophysiology, evolving to practical skills in Semiology and Semiotechnics. The second block, "Implementation of the teaching of stomatherapy in undergraduate nursing courses", evidenced that the approach to the contents begins in the first years of training, going through the third to the tenth periods, in mandatory disciplines. It was learned that the integration between theory and practice is essential for qualified training. Lectures represent the main method for the transmission of theoretical contents, while realistic simulation laboratories, as part of active methodologies, complement practical learning. The acquisition of essential technical competencies and skills also takes place during internships. The use of diversified teaching strategies is highlighted, such as lectures, audiovisual resources, mannequins, realistic simulation laboratory, skills laboratory, internships and seminars. The teaching of stomatherapy occurs through disciplines such as Adult and Elderly Health and Nursing Fundamentals, with a progressive approach to topics such as wounds, ostomies, incontinence, fistulas, drains and catheters. Conclusion: the results show the need to broaden and deepen the contents of stomatherapy in undergraduate nursing programs. The importance of integrating the development of these contents throughout the basic and professional cycles is highlighted, ensuring a balanced approach between the disciplines. In this way, the omission or repetition of certain contents is avoided, promoting a more cohesive, efficient and aligned training with the demands of professional practice. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação

2025-04-29T00:00:00Z Eloi, Giullia Victoria Menezes de Aquino http://www.bdtd.uerj.br/handle/1/24826 2025-10-03T12:59:57Z 2025-03-27T00:00:00Z

Título: Mortalidade de pacientes oncológicos com sepse como ferramenta para prática de enfermagem em terapia intensiva: estudo de coorte Autor: Eloi, Giullia Victoria Menezes de Aquino Primeiro orientador: Henrique, Danielle de Mendonça Abstract: This study focuses on the mortality of cancer patients diagnosed with sepsis as a tool for monitoring and guiding nursing practice in intensive care units. Cancer patients are more likely to develop sepsis compared to the general population. The mechanisms underlying increased mortality in patients with cancer and sepsis are multifactorial in nature. Cancer treatment can alter the host's immune response, which can result in a greater predisposition to infection. When correlated with cancer patients, the risk of sepsis can be increased tenfold when compared to patients without cancer. Objective: To analyze the mortality of cancer patients diagnosed with sepsis compared to those without sepsis admitted between 2020 and 2023 in the intensive care unit from the perspective of nursing practice. Method: This is an observational study with a cohort design, carried out using data from the Intensive Care Unit of a University hospital located in Rio de Janeiro, RJ, Brazil. The inclusion criteria were patients aged 18 years or over, diagnosed with a solid, hematological and/or metastasis tumor. The sociodemographic and clinical characterization was demonstrated through absolute (n) and relative frequency (%). Data collection between February and May 2024. This study was approved by the Research Ethics Committee. Results: 1249 cancer patients were analyzed, of which 866 (69.33%) did not have a diagnosis of sepsis and 382 (30.67%) had sepsis described in their medical records. The mortality rate in the general population of cancer patients was calculated at 26.60%. When this outcome was observed in relation to the presence of sepsis, it was observed that in cancer patients with sepsis the mortality rate was 52.62%. The relationship between comorbidities and mortality in cancer patients identified a greater chance of death in the presence of Chronic Obstructive Pulmonary Disease (Odds Ratio 79.3%) and smoking (Odds Ratio 76.9%). Dialysis patients have a 2.4 times greater chance of death regardless of the presence of sepsis. Diabetes Melitus was evidenced as a comorbidity that increases the chance of death in cancer patients with sepsis by 46.3%. Conclusion: In intensive care units, nursing plays a crucial role in the early detection of sepsis. Constant monitoring of patient-specific signs, evaluation of laboratory parameters and careful observation of clinical changes. Despite improvements in the survival of cancer patients, mortality for those diagnosed with sepsis is still significantly high. Early detection and quick decision-making affect the patient's prognosis. Instituição: Universidade do Estado do Rio de Janeiro Tipo do documento: Dissertação

2025-03-27T00:00:00Z