Objective: to assess the level of trust in health services during the COVID-19 pandemic in Brazil. Methods: A cross-sectional study, carried out between 2020 and 2021, among Brazilians over 18. Nonprobabilistic sampling was used. Descriptive and inferential statistics were applied, using the local bivariate Moran’s technique to verify the existence of spatial dependence between the incidence and mortality of COVID-19 and trust in health services. Furthermore, multinomial regression was also used to analyze the factors associated with the confidence level, with the calculation of the odds ratio and with a confidence interval of 95%. Results: A total of 50.6% reported trust in hospital services, while 41.4% did not trust primary health care services. With the application of the local bivariate Moran, both for the incidence and mortality of COVID-19, the trust in tertiary care and primary care services showed a statistically significant spatial association predominant in the Midwest (high–low) and North (low–high) regions of Brazil. The level of trust was associated with education, religion, region of the country and income. Conclusions: The level of trust in hospital services, more than primary health care services, may be related to the population’s culture of prioritizing the search for hospital care at the detriment of health promotion and disease prevention.

A atuação do enfermeiro do trabalho na assistência à saúde e prevenção da síndrome de Burnout em profissionais de saúde The role of the nurse's work on health care and prevention of Burnout syndrome in health professionals

A pandemia da doença pelo coronavírus impacta sobremaneira a sociedade, gerando desafios sem precedentes para a ciência, para os sistemas de saúde e para a Atenção Primária à Saúde, que foram rapidamente cobrados por respostas diversificadas para o enfrentamento desta emergência de saúde pública. O objetivo deste estudo foi avaliar a qualidade da APS segundo a perspectiva de pessoas acometidas pela COVID-19. Tratou-se de um estudo transversal com casos de COVID-19 em um município brasileiro. Utilizou-se um questionário eletrônico com características sociodemográficas e clínicas (de elaboração própria) e o Instrumento PCATool-Brasil -para pacientes adultos (versão reduzida), por meio do recurso KoBoToolbox. Após pré-teste e estudo piloto, a coleta de dados ocorreu entre 11 de janeiro e 05 de outubro de 2021. Utilizou-se estatística descritiva, sendo calculado o Escore Geral da APS -0 a 10 (média e desvios padrão). Os 91 participantes avaliaram os atributos/componentes da APS. O Escore Geral da APS (média) foi 4,4 (DP=1,9). Este baixo escore geral da APS obtido sinaliza para fragilidades na qualidade deste nível de atenção à saúde, nos primeiros seis meses da pandemia em 2020. É inédito escore tão baixo de qualidade da APS. Depreende-se que o resultado negativo no município estudado reflete o impacto da COVID-19 e as estratégias adotadas para o enfrentamento da pandemia disparada pelo SARS-CoV-2 no Brasil e no mundo.Palavras-chave: Avaliação em Saúde. Atenção à Saúde. Coronavirus. Pacientes. Inquéritos e Questionários. INTRODUÇÃOA pandemia da doença pelo coronavírus impacta sobremaneira a sociedade 1,2,3,4 , gerando desafios sem precedentes para a ciência e para os sistemas de saúde que foram rapidamente cobrados por respostas diversificadas para o enfrentamento desta emergência de saúde pública. Com isto, os sistemas e serviços de saúde pelo mundo precisaram se reorganizar, em todos os seus componentes 5 .

Background The crisis brought about by the COVID-19 pandemic brought a great connection with the population's level of trust in the governance of federative entities, in the intention of feeling supported and protected, whether at an individual or collective level. Here, we aimed to investigate the level of confidence of the Brazilian population in the governance of federative entities to combat COVID-19 and its associated factors. Methods A cross-sectional survey was developed, applied to the general Brazilian population, with a validated instrument, and a hybrid application online and in the field. Convenience sampling was used for recruitment using the snowball technique. Multinomial logistic regression was applied. Results The sample included 1,018 participants, with a mean age of 46.1 years, the majority being female (75.2%). Brazil has three levels of governance: the Federal, State, and Municipal Government. Residents in the Northeast and Central-West regions were more confident than those in the Southeast. The sources of information consulted by the participants were also associated with governance confidence. Conclusions The study advanced knowledge by showing that trust in governance capacity is socially determined and is crossed by forces that can lead to dissent, reducing the level of trust, especially in the Federal Government.