Objective: to analyze the occurrence of late diagnosis of infection by the Human Immunodeficiency Virus and its associated factors. Method: this is an epidemiological, cross-sectional and analytical study, carried out with 369 people followed-up by Specialized Assistance Services, undergoing anti-retroviral treatment, and interviewed by means of a questionnaire. Univariate analysis was performed using Pearson’s chi-square test or Fisher’s exact test and Kruskall-Wallis test, and multivariate analysis using the ordinal logistic regression model of proportional odds. Results: the occurrence of 59.1% for late diagnosis of the infection was observed; the probability of later diagnosis is greater among people who have a steady partnership, when compared to those who do not; with increasing age, particularly above 35 years old; among those with lower schooling; for those who seek the health services to have an HIV test when they feel sick; and for those who test HIV less often or never do it after sex without a condom with a steady partner. Conclusion: the knowledge on the high proportion of late diagnosis and its associated factors verified in this study make the planning and implementation of new policies and strategies aimed at the timely diagnosis of the infection imperative.
Objective: to analyze the management process in Nursing of human resources, in the Family Health Strategy, from the perspective of nurses. Method: this is a qualitative, descriptive study performed with nurses from Family Health Units. The study sample was delimited by the saturation technique, and consists of nine nurses who work in family health units. As a data collection technique, the interview, guided by a semi-structured script, was used as the data analysis technique, the Content Analysis, in the Thematic modality. Results: it is reported that the activities considered by the interviewees as part of the human resources management were: the team meeting; the delegation of activities; teamwork; the planning; coordination; continuing education and supervision. It is shown that the strategies pointed out by the nurses in the delegation of activities were the dialogue, the team meeting and qualified listening. It should be emphasized that, in relation to the types of leaders mentioned, the articulator, the liberal, the integrative and the democratic are pointed out. Conclusion: it was concluded that the nurses demonstrated several weaknesses in the management of human resources in Primary Health Care, which highlights the urgent need to better qualify them for managerial practices. Descriptors: Nursing; Human resource Management; Leadership; Primary Health Care; Family Health Strategy; Qualitative research.RESUMOObjetivo: analisar o processo de gestão em Enfermagem de recursos humanos, na Estratégia Saúde da Família, na perspectiva de enfermeiros. Método: trata-se de estudo qualitativo, descritivo, realizado com enfermeiros de Unidades de Saúde da Família. Delimitou-se a amostra do estudo pela técnica de saturação, sendo constituída por nove enfermeiros que atuam em unidades de saúde da família. Utilizou-se, como técnica de coleta de dados, a entrevista, norteada por roteiro semiestruturado, e, como técnica de análise dos dados, a Análise de Conteúdo, na modalidade Temática. Resultados: informa-se que as atividades consideradas pelos entrevistados como parte da gestão de recursos humanos foram: a reunião em equipe; a delegação de atividades; o trabalho em equipe; o planejamento; a coordenação; a educação permanente e a supervisão. Mostra-se que as estratégias apontadas pelos enfermeiros na delegação de atividades foram o diálogo, a reunião em equipe e a escuta qualificada. Ressalta-se que, quanto aos tipos de líderes referidos, apontam-se o articulador, o liberal, o integrativo e o democrático. Conclusão: conclui-se que os enfermeiros demonstraram diversas fragilidades na gestão de recursos humanos na Atenção Primária à Saúde, o que ressalta a necessidade urgente de maior qualificação dos mesmos para as práticas gerenciais. Descritores: Enfermagem; Administração de Recursos Humanos; Liderança; Atenção Primária à Saúde; Estratégia Saúde da Família; Pesquisa Qualitativa.RESUMENObjetivo: analizar el proceso de gestión en Enfermería de recursos humanos, en la Estrategia Salud de la Familia, en la perspectiva de enfermeros. Método: se trata de un estudio cualitativo, descriptivo, realizado con enfermeros de Unidades de Salud de la Familia. Se delimitó la muestra del estudio por la técnica de saturación, constituida por nueve enfermeros que actúan en unidades de salud de la familia. Se utilizó, como técnica de recolección de datos, la entrevista, guiada por guión semiestructurado, y, como técnica de análisis de los datos, el Análisis de Contenido, en la modalidad Temática. Resultados: se informa que las actividades consideradas por los entrevistados como parte de la gestión de recursos humanos fueron: la reunión en equipo; la delegación de actividades; el trabajo en equipo; la planificación; la coordinación; la educación permanente y la supervisión. Se muestra que las estrategias apuntadas por los enfermeros en la delegación de actividades fueron el diálogo, la reunión en equipo y la escucha calificada. Se resalta que, en cuanto a los tipos de líderes referidos, se apunta el articulador, lo liberal, lo integrativo y lo democrático. Conclusión: se concluye que los enfermeros demostraron diversas fragilidades en la gestión de recursos humanos en la Atención Primaria a la Salud, lo que resalta la necesidad urgente de mayor calificación de los mismos para las prácticas gerenciales. Descriptores: Enfermería; Administración de Personal; Liderazgo; Atención Primaria de Salud; Estrategia de Salud Familiar; Investigación Cualitativa.
Objective: To analyze the representations constructed by people living with HIV on the infection and their influence on the late search for diagnosis. Method: A qualitative study, conducted through an open interview with people who had a late diagnosis of HIV infection. The theoretical framework adopted was the Theory of Social Representations based on a critical approach. For data analysis, was used the Structural Analysis of Narration method and the MAXQDA 12® software. Results: Eighteen people participated in the study. The following original representations were unveiled: AIDS as a transmissible and dangerous disease; disease of the other; severe, incurable and deadly disease; and denial of risk due to trust in a steady partner. These representations contributed to the late search for diagnosis, either because of the attitude of distance from susceptible people, or because they did not perceive or deny the risks to which they were exposed in their life trajectories. Conclusion: Understanding the reasons that lead people to a late diagnosis of HIV is imperative in the current epidemic scenario for the planning and implementation of new strategies and policies for the timely diagnosis of the infection.
Objetivo: mapear as tecnologias educacionais utilizadas para apoiar o ensino de semiologia e semiotécnica em enfermagem durante o distanciamento social ocasionado pela pandemia de COVID-19. Métodos: realizou-se revisão integrativa da literatura por meio de busca nas bases de dados MEDLINE, CINAHL, Scopus e Library, information Science & Technology Abstract, com a questão norteadora: quais as tecnologias educacionais utilizadas para apoiar o ensino de semiologia e semiotécnica durante o distanciamento social? Resultados: a amostra foi composta por sete artigos, quanto ao tipo de tecnologia, vídeos educativos foram predominantes, acerca dos conteúdos abordados, encontrou-se cuidado de feridas, aplicação de injeção intramuscular ventroglútea, medida indireta da pressão arterial, banho no leito, estratégias efetivas de prevenção, manejo, tratamento e controle da hipertensão arterial, pensamento crítico por meio da aplicação do processo de enfermagem, habilidades de segurança do paciente. Considerações finais: as tecnologias educacionais utilizadas para apoiar o ensino de Semiologia e Semiotécnica durante o distanciamento social foram imprescindíveis para continuidade do processo de ensino-aprendizagem, evidenciando a continuidade do ensino para formação de futuros profissionais de enfermagem através da ampliação do acesso e das ferramentas tecnológicas para o processo de ensino-aprendizagem.
Objective: to understand the representations about sexuality of people diagnosed late with HIV infection and its implications in the delayed search for diagnosis. Methods: this is a qualitative study, whose theoretical and methodological framework was Social Representation Theory. The research was carried out with 18 people diagnosed late with HIV infection through an open interview. For data analysis, Structural Narration Analysis was used, with support from MAXQDA 12®. Results: representations about sexuality contributed to delayed diagnosis, such as trust in a fixed partnership, sexual intercourse is natural, sexuality as a taboo, search for pleasure in sexual intercourse, regardless of risks, denial of risk for HIV infection. Final considerations: representations about sexuality participate in a web of stereotypes and riskier ways of living, which contribute to delayed diagnosis. Sexual health education remains necessary and essential throughout people’s lives.
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