https://repositorio.ufba.br/handle/ri/9270 2026-04-17T03:36:42Z 2026-04-17T03:36:42Z Ribeiro, Thais de Sena https://repositorio.ufba.br/handle/ri/44012 2026-02-05T14:26:31Z 2025-08-25T00:00:00Z

Título: Práticas assistenciais e experiências de gestantes em Centro de Parto Normal Peri Hospitalar (CPNp): análise de conformidade com diretrizes nacionais e internacionais Autor(es): Ribeiro, Thais de Sena Primeiro Orientador: Couto, Telmara Menezes Abstract: Childbirth care practices in Brazil are diverse and often marked by interventions that influence and shape the experiences of pregnant women. However, in Peri-Hospital Birth Centers (CPNp), childbirth tends to respect both the physiological process and women’s autonomy. Therefore, this study aimed to analyze whether women's experiences and the care practices provided during labor and birth in a CPNp are in compliance with national and international guidelines. A mixed-methods approach was adopted, specifically a convergent parallel design, using secondary data extracted from the database of the study "Being Born in Birth Centers in Brazil", at the local level. Data collection took place in a CPNp located in the city of Salvador, Bahia, from May to September 2023. For qualitative analysis, Thematic Content Analysis as proposed by Bardin was employed. Quantitative data were analyzed using a framework of variables that presented care practices across the different stages of labor, based on recommended guidelines, along with descriptive statistics. The results revealed a high degree of alignment, indicating that both the women's reported experiences and the care practices at the CPNp were consistent with established guidelines. Of the 173 women who participated in the study, 94 shared their experiences; 87.9% of them were Black, aged between 20 and 34 years, and had no comorbidities. From the qualitative data, the following category emerged: Women's experiences during labor in a Peri-Hospital Birth Center in relation to the care received. All participants were admitted during the active phase of labor; 93.6% did not undergo amniotomy, 92.5% did not receive oxytocin, 99.4% did not undergo episiotomy, and skin-toskin contact was performed in 95.4% of newborns. It is concluded that the care practices in the Peri-Hospital Birth Center (CPNp) occurred with a frequency exceeding 80%, in accordance with the recommended guidelines, aligning with the women's reports, who perceived the care as attentive and described their experiences as positive. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Dissertação

2025-08-25T00:00:00Z Figueredo, Wilton Nascimento https://repositorio.ufba.br/handle/ri/43373 2025-11-03T17:24:49Z 2019-12-20T00:00:00Z

Título: Formação docente pela competência didático- pedagógica na pós-graduação stricto sensu na área das Ciências da Saúde: o caso do Pró-Ensino na Saúde Autor(es): Figueredo, Wilton Nascimento Primeiro Orientador: Silva, Gilberto Tadeu Reis da Abstract: The Pró-Ensino na Saúde program aimed to improve and stimulate teacher education in postgraduate programs (GP). The general objective of this thesis was to analyze the teacher education by the competence provided by the Pró-Ensino na Saúde to the stricto sensu graduate in the Health Sciences area. The specifcs objectives: to characterize the GP participants of the Pró-Ensino na Saúde, as to the areas of concentration, lines of research and the curriculum proposal for the development of didactic-pedagogical competence; to investigate the scientific production of dissertations and theses from the Pró-Ensino na Saúde program from the perspective of didactic-pedagogical competence; and to examine the perception of the scholarship alumni about teacher training by the didactic-pedagogical competence promoted by the Pró-Ensino na Saúde program. The theoretical framework was based on the discussion about competences of teachers according to Perrenoud (2000) and Masetto (2012). Exploratory, descriptive, analytical, mixed approach and case study research. The sample consisted of 80 graduating students, their 25 respective GP and 72 course completion works from the 19 projects approved by the Pró-Ensino na Saúde. Data were collected through documents and questionnaire, and analyzed by descriptive statistics and lexical analysis, from the perspective of content analysis, with the support of SPSS and Iramuteq software. The results were presented in the format of scientific articles. The first article showed that the majority of GP (56%) has a concentration area with themes related to clinical, pathological, dental and pharmacological research. 13 didactic-pedagogical research lines were located. When analyzing the curriculum components, it was noticed a reduced number of compulsory subjects and most of the optional type, is entitled “Teaching Internship”. The second article evidenced the predominance of dissertations and theses with qualitative approach in the curriculum theme and teaching-learning process in undergraduate Health, as well as diverse and non-priority themes according to the objectives of Pró-Ensino na Saúde. The dissertations and theses that opted for the theme teacher education focused on technological competence. The third article showed that 76.3% of the research participants were women from the bachelor of Nursing degree, with a master's degree and between 31 and 40 years old. 76.3% perceived positively the didactic-pedagogical training provided by the Pró-Ensino na Saúde. The average of positive perception among the 26 teaching competences acquired during the postgraduate course was higher than 76%. This acquisition was mainly extra-curricular, such as participation in events and congress on the subject of teacher education. The competences related to the planning, management and evaluation of teaching-learning activities presented greater negativity of the answers. It is concluded that the Pró-Ensino na Saúde stimulated the teacher formation, but there was little adhesion of the GP in continuing the formative processes and curricular components for the development of the didactic-pedagogical competence. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Tese

2019-12-20T00:00:00Z Costa, Jessica Santos https://repositorio.ufba.br/handle/ri/43372 2025-11-03T17:18:33Z 2025-06-17T00:00:00Z

Título: Percepção de pessoas idosas sobre alimentação saudável e envelhecimento Autor(es): Costa, Jessica Santos Primeiro Orientador: Menezes, Tânia Maria de Oliva Abstract: The perception of aging among older adults is considered a good indicator of healthy aging. The aging process is complex and associated with many changes. In this context, nutrition is one of the fundamental factors for healthy aging. The objectives of this research were: General: to understand older adults' understanding of healthy eating and aging. Specific: to identify the factors related to nutrition that influence aging; to determine what dietary changes occur with aging; to identify how food is prepared during aging; and to reveal the importance of nutrition in aging. This is an exploratory, descriptive study with a qualitative approach, conducted with older adults attending a day center at a Geriatric and Gerontological Center in Salvador, Bahia. Participants were older adults aged 60 or older, lucid, globally oriented (time, space, and situation), and capable of verbal communication. The data collection was conducted using a sociodemographic questionnaire and semi-structured interviews between July and August 2024. The data were analyzed using Bardin's Content Analysis technique. This research complied with all ethical requirements, in accordance with the requirements set forth in Resolution No. 466/12. The analysis of the data enabled the understanding of the following categories: 1. Older adults' perceptions of healthy eating and aging; 2. Healthy eating and socioeconomic conditions; 3. Food preparation; 4. Changes in diet with aging; 5. Importance of healthy eating for aging. The study found that older adults perceive healthy eating as an important factor in aging. Maintaining a healthy diet establishes a relationship of prevention and health promotion for older adults. Factors such as socioeconomic conditions directly impact participants' food choices and aging processes. Given the context of rapid population aging and the need for greater training of health professionals and services, the study will contribute to a better understanding of the dietary patterns of elderly people by nutritionists, as well as by health professionals who work with this population segment. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Dissertação

2025-06-17T00:00:00Z Pereira Filho, Edilson da Silva https://repositorio.ufba.br/handle/ri/43316 2025-10-28T16:32:57Z 2025-08-28T00:00:00Z

Título: Avaliação da Rede de Atenção às Urgências e Emergências na Assistência ao Infarto Agudo do Miocárdio à Liz da Teoria Donabediana Autor(es): Pereira Filho, Edilson da Silva Primeiro Orientador: Teixeira, Giselle Alves da Silva Abstract: This dissertation aimed to evaluate the effectiveness of the Emergency Care Network in the assistance provided to acute myocardial infarction, based on Donabedian’s theory structured in the dimensions of structure, process, and outcomes. It is an evaluative study, with a qualitative and descriptive approach, conducted through the analysis of secondary data extracted from the Department of Informatics of the Unified Health System, the National Registry of Health Establishments, and the State Health Plan of Bahia. The timeframe covered the period from 2013 to 2023, enabling the analysis of a decade of network evolution through indicators of coverage, access, care processes, and outcomes related to acute myocardial infarction. The object of study is part of the cardiovascular line of care, defined as a priority by the National Policy for Emergency Care due to the high mortality of ischemic heart diseases and the timedependent condition of acute myocardial infarction. The choice of this condition as a tracer event was based on its epidemiological relevance and the possibility of measuring objective indicators of the network’s response. The theoretical model adopted was Donabedian’s structure–process–outcome triad, which allows the articulation of available material and organizational conditions, the way services are delivered, and the effects generated on the population’s health, composing a comprehensive evaluation of the network’s effectiveness. The results revealed both advances and weaknesses. In the dimension of structure, the presence of bases of the Mobile Emergency Care Service, Emergency Care Units, and referral hospitals was identified, although unevenly distributed, which highlighted important care gaps. Shortages of intensive care unit beds and coronary care units, along with the concentration of hemodynamic services in Salvador, compromised territorial equity. Regarding care processes, the gradual incorporation of clinical protocols, the implementation of risk classification, and the regulatory role of the mobile emergency service contributed to improving the network’s response. However, failures persisted in the integration between care points, heterogeneous response times, limited availability of pre- and in-hospital thrombolysis, the absence of primary angioplasty in the territory, and reduced articulation with primary health care. These factors compromise the comprehensiveness of care and the full achievement of effectiveness. In terms of outcomes, a paradox was observed: the Northeast Regional Health District presented lower hospital morbidity rates for acute myocardial infarction and, simultaneously, mortality rates also lower than the state average. These findings, although they may indicate resolvability in certain cases, raise the hypothesis of underreporting and flaws in the recording of health information systems, pointing to the need to improve data quality. The critical analysis demonstrated that, although the objectives were achieved by mapping the network, measuring indicators, and discussing its effectiveness structural and organizational limitations persist, revealing a mismatch between the normative design of the policy and its implementation in the territories. In the Northeast Regional Health District of Bahia has achieved significant advances but has not yet reached full effectiveness. More than the existence of isolated services or indicators, effectiveness translates into the ability to provide timely, integrated, and resolutive responses to the population’s needs. The evaluation carried out reaffirms the importance of evaluative research as a scientific and political tool, essential to strengthening the Unified Health System as a public, universal, and equitable system. Editora / Evento / Instituição: Universidade Federal da Bahia Tipo: Dissertação

2025-08-28T00:00:00Z