Processo de trabalho na Estratégia de

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Objective:to analyze elements of the nursing work process in the Street Medical Offices, highlighting the challenges and potentialities of care for homeless people. Method:this is an exploratory research of qualitative nature supported by the perspective of the health work process. The study was conducted through semi-structured interviews with nurses from the teams of the street medical offices at the city of Maceió and data were analyzed according to the content analysis technique, approaching issues related to the object, instruments and purposes of the nursing work process. Results:the identified themes were: Need for health care in the context of social and health vulnerability; Strategic planning and teamwork as tools for organizing the work process; Purposes and products of work: guaranteeing the right to access and care. . Before a work object designed by serious health needs resulting from the social vulnerability of this population, nurses use different instruments in their work process: strategic planning, acting in multiprofessional team and valorization of the light technologies of reception and bonding. Conclusion:apart from the difficulties, the study presents a successful experience that explores the potentiality of sharing relationships of humanized care.

RESUMOObjetivo: relatar a experiência de estudantes de graduação em enfermagem na proposição, fundação, implantação e consolidação de uma Liga Acadêmica. Método: estudo descritivo do tipo relato de experiência abrangendo desde a fundação à consolidação da Liga Acadêmica de Saúde Coletiva da Universidade Federal de Alagoas (LASC/UFAL). Resultados: a proposição deu-se a partir da visão de estudantes de graduação em enfermagem, das Ligas Acadêmicas, como espaço de relevância no processo de formação, imersão estudantil e militância. O processo de fundação da Liga caracterizou-se pela reunião dos membros fundadores, definição de objetivos e confecção do estatuto, culminado com a sua implantação. O processo de consolidação teve como marco a realização da I Cerimônia de Posse da LASC/UFAL. Conclusão: a autonomia, o protagonismo e o engajamento estudantil foram marcos presentes durante todo o processo, ultrapassando o paradigma tradicional do processo de ensino-aprendizagem. Descritores: Estudantes de Enfermagem; Educação em Enfermagem; Capacitação de Recursos Humanos em Saúde; Relações Comunidade-Instituição; Saúde Pública; Tomada de Decisões. ABSTRACT Objective: to report the experience of undergraduate nursing students in the proposition, foundation, implementation and consolidation of an Academic League. Method: a descriptive study of the type experience report ranging from the foundation to the consolidation of an Academic League of Public Health at the Federal University of Alagoas (LASC/UFAL). Results: the proposition came from the point of view of undergraduate students of Nursing from Academic Leagues as a space of relevance in the process of training, student immersion and militancy. The process of foundation of the league was characterized by the meeting of the founding members, setting goals and making the statute, culminating with its deployment. The process of consolidation has had as marco held the 1st Ceremony of LASC/UFAL. Conclusion: the autonomy, the role and the student engagement were present during the entire process, beyond the traditional paradigm of the teaching-learning process. Descriptors: Students of Nursing; Nursing Education; Health Human Resource Training; Community-Institutional Relations; Public Health; Decision Making.RESUMEN Objetivo: reportar la experiencia de estudiantes de enfermería de pregrado en la proposición, fundación, la implementación y la consolidación de una Sociedad Académica. Método: se realizó un estudio descriptivo del tipo experiencia informe, desde la fundación para la consolidación de la Liga Académica de Salud Pública de la Universidad Federal de Alagoas (LASC/UFAL). Resultados: la propuesta llegó desde el punto de vista de los estudiantes de pregrado en enfermería de Ligas Académicas como un espacio de relevancia en el proceso de formación del estudiante, la inmersión y la militancia. El proceso de fundación de la sociedad se caracteriza por la reunión de los miembros fundadores, estableciendo metas y haciendo el estatuto, culminando con su implementación. El proceso de consolidación ha tenido como marco llevado a cabo la Primera Ceremonia de LASC/UFAL. Conclusión: la autonomía, la función y la participación del alumno estuvieron presentes durante todo el proceso, más allá del paradigma tradicional del proceso de enseñanza-aprendizaje. Descriptores: Estudiantes de Enfermería; Educación en Enfermería; Capacitación de Recursos Humanos en Salud; Relaciones Comunidad-Institución; Salud Pública; Toma de Decisiones.

Our aim was to systematically review data about the risk of sexually transmitted infections (STI) and bacterial vaginosis among lesbian women and to suggest strategies to improve prevention, diagnosis and treatment. A search strategy for lesbian, STI and bacterial vaginosis was applied to PubMed, LILACS and BDENF databases. Of 387 unique references retrieved, 22 fulfilled the inclusion criteria (cross-sectional studies reporting prevalence for 8 STIs/bacterial vaginosis and history of a STI). The most frequent infection reported was bacterial vaginosis, and none study reported data on hepatitis B. A wide range of prevalence was observed for most infections. In terms of risk factors, the number of sexual partners, the past or current smoking, a history of forced sex and sexual stigma seem to increase the risk of STI and bacterial vaginosis. The findings of this review are discussed considering guidelines directly addressing the LGBT community’s health and relevant studies investigating both safe sexual practices and the intricate relationship between LGBT people and their care providers. A set of recommendations to improve preventive care for lesbian women is proposed. Affirming that little is known about the extent of STIs and bacterial vaginosis transmission in female-to-female sexual activities or about the risk factors for STI and bacterial vaginosis among lesbian women is reasonable. In fact, the overall quality of the studies was low or very low with significant uncertainty around their findings. However, we consider that the available knowledge indicates some paths to be followed by care providers and policy decision-makers to improve their actions towards better sexual health of lesbian women.