scholarly journals Estratégias de treinamento admissional da equipe de Enfermagem de um Cancer Center durante a pandemia do COVID-19

2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Maria Das Graças Silva Matsubara ◽  
Regina Claudia Soares ◽  
Estela Ferreira da Silva ◽  
Fernanda Cascapera ◽  
Daiane Arruda Saraiva ◽  
...  
Keyword(s):  
Blended Learning ◽  
Hybrid Model ◽  
Learning Strategy ◽  
Sao Paulo ◽  
Cancer Center ◽  
São Paulo ◽  
High Complexity ◽  
Teaching Learning ◽  
Nursing Professionals ◽  
The City

Objetivo: Descrever a elaboração da estratégia de ensino-aprendizagem adotada durante a pandemia do COVID-19, utilizando modelo híbrido (blended learning), tendo como proposta o treinamento de profissionais da Enfermagem recém admitidos, para atuar em Oncologia; apresentar os resultados da avaliação de aprendizagem dos programas educativos utilizando o modelo híbrido (blended learning), aplicados para os profissionais da Enfermagem recém admitidos; apresentar a percepção dos profissionais da Enfermagem recém admitidos sobre um programa educativo utilizando o modelo híbrido (blended learning). Metodologia: Estudo descritivo tipo relato de experiência, realizado num hospital de alta complexidade em Oncologia da cidade de São Paulo, no período de março a maio de 2020, tendo como participantes, enfermeiros e técnicos em enfermagem recém-admitidos na instituição. Descrição da experiência: Ações educacionais foram realizadas durante a pandemia do COVID-19 e tiveram como referência a estratégia baseada no modelo híbrido (based learning) com a finalidade de treinar enfermeiros e técnicos de enfermagem para atuar na área de oncologia. Conclusão: O modelo híbrido demonstrou ter sido relevante no aprendizado dos alunos que demonstraram níveis elevados de satisfação após a intervenção proposta. Esta modelo demonstrou ser uma ferramenta importante e efetiva para o ensino no contexto da pandemia do COVID-19.Descritores: Educação em Enfermagem; Serviço Hospitalar de Oncologia; Infecções por Coronavirus. Admission training strategies of the nursing team of a Cancer Center during the COVID-19 pandemic Objective: To describe the elaboration of a teaching-learning strategy adopted during the COVID-19 pandemic. The hybrid model (blended learning) was applied and it has a purpose of training nursing professionals newly admitted to work in the oncology field. To present the perception of nursing professionals newly admitted about an educational program using the hybrid model (blended learning). Methods: This is a descriptive study. An experience report was conducted in a hospital of high complexity which is reference in oncology in the city of São Paulo. Participants were composed of nurses and nursing technicians  newly admitted in the analyzed institution. This research was conducted between March and April, 2020. Experience description: Educational actions were made during the COVID-19 pandemic.  The hybrid model (based-learning) was applied as a reference for this strategy. This intervention had the purpose of training nurses and nursing technicians to work in the oncology field. Conclusion: The hybrid model has shown to be relevant in the student's learning. Students reported that they have achieved high levels of satisfaction after the proposed intervention. This model has demonstrated to be an important and effective tool for teaching in the context of COVID-19 pandemic.Descriptors: Education in nursing; Hospital Service in Oncology; Coronavirus Infections. Estrategias de capacitación de admisión del equipo de Enfermeria de un Centro de Cancer durante la pandemia de COVID-19 Objetivo: Describir el desarrollo de la estrategia de la enseñanza y aprendizaje adoptada durante la pandemia COVID-19, utilizando un modelo híbrido (aprendizaje combinado), con la propuesta de capacitar a profesionales de enfermería recién ingresados para trabajar en oncología; presentar los resultados de la evaluación del aprendizaje de los programas educativos utilizando el modelo híbrido (aprendizaje combinado), aplicado a los profesionales de enfermería recién ingresados; presentar la percepción de los profesionales de enfermería recientemente admitidos acerca de un programa educativo que utiliza el modelo híbrido (aprendizaje combinado). Metodología: Este es un informe descriptivo de tipo de estudio de experiencia, realizado en un hospital de oncología de alta complejidad en la ciudad de São Paulo, de marzo a abril de 2020, con participantes, enfermeras y técnicos de enfermería recientemente ingresados en la institución.  Conclusión: Se realizaron acciones educativas durante la pandemia COVID-19. El modelo híbrido (aprendizaje combinado) se aplicó como referencia para esta estrategia. Esta intervención tenía el propósito de capacitar a enfermeras y técnicos de enfermería para trabajar en el campo de la oncología. Principales resultados alcanzados: El modelo híbrido ha demostrado ser relevante en el aprendizaje del alumno. Los estudiantes informaron que han alcanzado altos niveles de satisfacción después de la intervención propuesta. Este modelo ha demostrado ser una herramienta importante y efectiva para la enseñanza en el contexto de la pandemia de COVID-19.Descriptores: Educación en Enfermería; Servicio de oncología hospitalaria; Infecciones por coronavirus.

scholarly journals Health system financing paradigm in the state of São Paulo

2019 ◽  
Vol 53 ◽  
pp. 39
Author(s):  
Adilson Soares
Keyword(s):  
Public Health ◽  
Health Care ◽  
Sao Paulo ◽  
The State ◽  
São Paulo ◽  
High Complexity ◽  
Primary Health ◽  
Capita Spending ◽  
Per Capita ◽  
The City

OBJECTIVE: To analyze the allocation of financial resources in the Brazilian Unified Health System (SUS) in the state of São Paulo by level of care, health region, source of funds and level of government. METHODS: This is an exploratory study based on 2014 data extracted from the Public Health Budget Database, presented in absolute terms, relative terms and per capita. RESULTS: In 2014, R$52.1 bi were spent on public health, 58.0% having corresponded to the expenditures of the municipalities and 42.0% to those of the state government. Regional per capita spending varied from R$561.75 to R$824.85. As for the per capita spending on primary health care, which represented 37.5% of the municipalities’ total expenditure, the lowest value was found in the city of São Paulo and the highest, in Araçatuba. Campinas had the highest per capita expenditure on medium and high complexity care, while Presidente Prudente had the lowest. The highest regional percentage of the current net revenue spent on health was verified in Registro, and the lowest, in the city of São Paulo. CONCLUSIONS: The paradigm of the health sector’s financing in São Paulo revealed that the expenditure on primary health care, level elected by health policy as strategic because it depends on coordination and integral health care in the attention networks, was not considered a priority in relation to the expenditure with the medium and high complexity, exposing the iniquities in the state’s regions.

scholarly journals Percepções dos enfermeiros sobre o conceito de assédio moral

2018 ◽  
Vol 12 (3) ◽  
pp. 738
Author(s):  
Ellen Maria Hagopian ◽  
Genival Fernandes Freitas ◽  
Thais Araújo Silva ◽  
Marcus Vinícius Lima Oliveira ◽  
Kleber Souza Costa
Keyword(s):  
Content Analysis ◽  
Exploratory Study ◽  
Concept Formation ◽  
Private Hospital ◽  
Sao Paulo ◽  
São Paulo ◽  
De Se ◽  
Qualitative Descriptive ◽  
Nursing Professionals ◽  
The City

RESUMOObjetivo: identificar as percepções dos enfermeiros de um hospital privado do município de São Paulo com relação ao conceito do assédio moral. Método: estudo qualitativo, descritivo e exploratório, do qual participaram 11 enfermeiros. A coleta de dados foi realizada por meio de entrevistas com questões norteadoras posteriormente analisadas pela técnica de Análise de Conteúdo, na modalidade Categorização Temática. Resultados: a partir dos depoimentos dos enfermeiros, foi possível verificar as diversidades, divergências e dificuldades dos mesmos em definir corretamente o conceito de assédio moral. Conclusão: o estudo aponta para a importância de se criar espaços de discussão sobre o assédio moral no trabalho por causa da dificuldade que os profissionais enfermeiros têm em conceituar o termo assédio moral. Descritores: Enfermagem; Assédio não Sexual; Conflito; Comportamento Social; Formação de Conceito; Moral.ABSTRACT Objective: to identify the perceptions of the nurses of a private hospital in the city of São Paulo in relation to the concept of moral harassment. Method: qualitative, descriptive and exploratory study, in which eleven nurses participated. Data collection was done through interviews with guiding questions later analyzed by the technique of Content Analysis, in the Thematic Categorization modality. Results: from the nurses' testimonies, it was possible to verify the diversities, divergences and difficulties of the same in correctly defining the concept of moral harassment. Conclusion: the study points to the importance of creating spaces for discussion about Harassment at work because of the difficulty that Nursing professionals have in conceptualizing the term moral harassment. Descriptors: Nursing; Non-sexual Harassment; Confict; Social Behavior; Concept Formation; Moral.RESUMEN Objetivo: identificar las percepciones de los enfermeros de un hospital privado del municipio de São Paulo con relación al concepto del acoso moral. Método: estudio cualitativo, descriptivo y exploratorio, del cual participaron 11 enfermeros. La recolección de datos fue realizada por medio de entrevistas con cuestiones orientadoras posteriormente analizadas por la técnica de Análisis de Contenido, en la modalidad Categorización Temática. Resultados: a partir de los testimonios de los enfermeros, fue posible verificar las diversidades, divergencias y dificultades de los mismos en definir correctamente el concepto de acoso moral. Conclusión: el estudio apunta a la importancia de crear espacios de discusión sobre el acoso moral en el trabajo, debido a la dificultad que los profesionales enfermeros tienen en conceptualizar el término acoso moral. Descriptores: Enfermeira; Acoso no Sexual; Conflito; Conducta Social; Formación de Concepto; Moral.

scholarly journals CONHECIMENTO DA EQUIPE DE ENFERMAGEM SOBRE ERROS DE MEDICAÇÃO: ESTUDO SURVEY DESCRITIVO

2018 ◽  
Vol 9 (1) ◽  
Author(s):  
Elena Bohomol ◽  
Cristiane Batista De Oliveira
Keyword(s):  
Medication Errors ◽  
Research Group ◽  
Descriptive Study ◽  
Sao Paulo ◽  
São Paulo ◽  
Event Reporting ◽  
Nursing Team ◽  
Nursing Professionals ◽  
The City ◽  
Hospital General

Objetivo: Verificar o conhecimento da equipe de enfermagem sobre erros de medicação. Método: Estudo survey descritivo, realizado em hospital geral de pequeno porte no município de São Paulo, com 170 profissionais da equipe de enfermagem. Os participantes responderam a um questionário contendo duas questões fechadas e cinco cenários que envolviam erros de medicação. Resultados: 132 (79,5%) profissionais afirmaram que na maioria das vezes têm certeza do que é um erro de medicação e 134 (80,2%) referiram não os notificar por temerem represálias. Em quatro cenários os profissionais referiram tratar-se de erros de medicação, deveriam ser notificados ao enfermeiro e médico e os relatórios de ocorrências preenchidos. Conclusão: O grupo pesquisado tem conhecimento do que sejam os erros de medicação, no entanto devem ser discutidas estratégias para melhorar as notificações dos eventos.Descritores: Erros de medicação. Equipe de enfermagem. Segurança do paciente.KNOWLEDGE OF THE NURSING TEAM ABOUT MEDICATION ERRORS: A DESCRIPTIVE STUDY.Objective: To verify the knowledge of the nursing team about medication errors. Method: A descriptive study, conducted in a small general hospital in the city of São Paulo, with 170 nursing professionals. Participants answered a questionnaire containing two closed questions and five scenarios involving medication errors. Results: 132 (79.5%) professionals answered that most of the time they are sure of a medication error and 134 (80.2%) affirmed not reporting them for fear of reprisal. In four scenarios, the professionals believed they were medication errors, they should be notified to the nurse and physician and to report of the occurrences. Conclusion: The research group has knowledge of medication errors, however, strategies to improve event reporting should be discussed.Descriptors: Medication Errors. Nursing, Team. Patient Safety.CONOCIMIENTO DEL EQUIPO DE ENFERMERÍA SOBRE ERRORES DE MEDICACIÓN: ESTUDIO SURVEY DESCRIPTIVO.Objetivo: Verificar el conocimiento del equipo de enfermería sobre errores de medicación. Método: Estudio survey descriptivo, realizado en un hospital general de pequeño porte en el municipio de São Paulo, con 170 profesionales del equipo de enfermería. Los participantes respondieron a un cuestionario que contenía dos cuestiones cerradas y cinco escenarios que implicaban errores de medicación. Resultados: 132 (79,5%) profesionales afirmaron que la mayoría de las veces están seguros de lo que es un error de medicación y 134 (80,2%) mencionaron no notificar por temor a represalias. En cuatro escenarios los profesionales creyeron que se trataba de errores de medicación, deberían ser notificados al enfermero y médico y los informes de ocurrencias rellenadas. Conclusión: El grupo investigado tiene conocimiento de lo que son los errores de medicación, pero deben ser discutidas estrategias para mejorar las notificaciones de los eventos. Descriptores: Errores de Medicación; Grupo de Enfermería; Seguridad del PacienteDescriptores: Processo de Enfermagem, cuidados de enfermería, en funciones legislación.

scholarly journals Barriers and Facilitators of the Teaching-Learning Process of Medical Students in Primary Care in the City of São Paulo

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Moniquelly Barbosa da Silva ◽  
Izabel Rios ◽  
Pedro Félix Vital Júnior ◽  
Andréa Tenório Correia da Silva
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Learning Process ◽  
Sao Paulo ◽  
Educational Institutions ◽  
São Paulo ◽  
Primary Care Clinics ◽  
Care Workers ◽  
Teaching Learning ◽  
The City

Abstract: Introduction: Although Primary Health Care (PHC) is essential for medical students’ training, the perceptions of primary care workers about the teaching-learning process have been overlooked, particularly in municipalities where PHC management is performed by a private organization instead of the government, such as in the city of São Paulo. Objective: to analyze the perceptions of primary care workers about barriers and facilitators of medical students’ teaching-learning process in PHC in the city of São Paulo. Method: we conducted a qualitative research. We performed in-depth interviews with 12 primary care workers from the family health teams (four physicians, four nurses and four community health workers), who worked in primary care clinics in the east region of the city and received medical students, from 1st-year to internship students. The interviews were recorded, transcribed and afterwards, they were repeatedly read. We identified thematic units following the content analysis principles. Results: the barriers to medical students’ teaching-learning process in PHC were the following: (1) excessive number of scheduled patients and scarcity of time for discussion; (2) inadequate infrastructure of primary care clinics; (3) lack of training; and (4) ineffective integration among faculty, healthcare workers, managers and the assisted population. The facilitating factors of the teaching-learning process were: (1) high quality of healthcare services; (2) integration among primary care teams, interdisciplinary teams, and students; and (3) well-trained medical preceptors. Conclusions: our results have implications for PHC professionals, educational institutions, and managers. The improvement of the integration among educational institutions, health services managers, primary care workers, and the population is a condition to reach the effectiveness in the teaching-learning process, and to ensure the development of essential competencies for PHC assistance quality. Thus, the training of health professionals, improving the primary care clinic infrastructure, and creating strategies to ensure enough time for discussion and feedback could contribute to mitigate barriers to medical students’ teaching-learning process in PHC.

scholarly journals Barreiras e Facilitadores do Processo Ensino-Aprendizagem de Estudantes de Medicina na Atenção Primária, no Município de São Paulo

2020 ◽  
Vol 44 (2) ◽  
Author(s):  
Moniquelly Barbosa da Silva ◽  
Izabel Rios ◽  
Pedro Félix Vital Júnior ◽  
Andréa Tenório Correia da Silva
Keyword(s):  
Primary Care ◽  
Medical Students ◽  
Learning Process ◽  
Sao Paulo ◽  
Educational Institutions ◽  
São Paulo ◽  
Primary Care Clinics ◽  
Care Workers ◽  
Teaching Learning ◽  
The City

Abstract: Introduction: Although Primary Health Care (PHC) is essential for medical students’ training, the perceptions of primary care workers about the teaching-learning process have been overlooked, particularly in municipalities where PHC management is performed by a private organization instead of the government, such as in the city of São Paulo. Objective: to analyze the perceptions of primary care workers about barriers and facilitators of medical students’ teaching-learning process in PHC in the city of São Paulo. Method: we conducted a qualitative research. We performed in-depth interviews with 12 primary care workers from the family health teams (four physicians, four nurses and four community health workers), who worked in primary care clinics in the east region of the city and received medical students, from 1st-year to internship students. The interviews were recorded, transcribed and afterwards, they were repeatedly read. We identified thematic units following the content analysis principles. Results: the barriers to medical students’ teaching-learning process in PHC were the following: (1) excessive number of scheduled patients and scarcity of time for discussion; (2) inadequate infrastructure of primary care clinics; (3) lack of training; and (4) ineffective integration among faculty, healthcare workers, managers and the assisted population. The facilitating factors of the teaching-learning process were: (1) high quality of healthcare services; (2) integration among primary care teams, interdisciplinary teams, and students; and (3) well-trained medical preceptors. Conclusions: our results have implications for PHC professionals, educational institutions, and managers. The improvement of the integration among educational institutions, health services managers, primary care workers, and the population is a condition to reach the effectiveness in the teaching-learning process, and to ensure the development of essential competencies for PHC assistance quality. Thus, the training of health professionals, improving the primary care clinic infrastructure, and creating strategies to ensure enough time for discussion and feedback could contribute to mitigate barriers to medical students’ teaching-learning process in PHC.

Seasonal Variation of Suicide in the City of São Paulo, Brazil, 1996–2010

Crisis ◽  
2014 ◽  
Vol 35 (1) ◽  
pp. 5-9 ◽  
Author(s):  
Daniel Hideki Bando ◽  
Fernando Madalena Volpe
Keyword(s):  
Seasonal Pattern ◽  
Total Sample ◽  
Sao Paulo ◽  
Seasonal Patterns ◽  
São Paulo ◽  
Health Statistics ◽  
Males And Females ◽  
June July ◽  
The City ◽  
Over Time

Background: In light of the few reports from intertropical latitudes and their conflicting results, we aimed to replicate and update the investigation of seasonal patterns of suicide occurrences in the city of São Paulo, Brazil. Methods: Data relating to male and female suicides were extracted from the Mortality Information Enhancement Program (PRO-AIM), the official health statistics of the municipality of São Paulo. Seasonality was assessed by studying distribution of suicides over time using cosinor analyses. Results: There were 6,916 registered suicides (76.7% men), with an average of 39.0 ± 7.0 observed suicides per month. For the total sample and for both sexes, cosinor analysis estimated a significant seasonal pattern. For the total sample and for males suicide peaked in November (late spring) with a trough in May–June (late autumn). For females, the estimated peak occurred in January, and the trough in June–July. Conclusions: A seasonal pattern of suicides was found for both males and females, peaking in spring/summer and dipping in fall/winter. The scarcity of reports from intertropical latitudes warrants promoting more studies in this area.

scholarly journals AEROSOLS OBSERVATIONS BY AN ELASTIC LIDAR SYSTEM OVER THE CITY OF SÃO PAULO, BRAZIL

2001 ◽  
Vol 32 ◽  
pp. 407-408
Author(s):  
E. LANDULFO ◽  
A. PAPAYANNIS ◽  
A. ZANARDI DE FREITAS ◽  
M.P.P.. M. JORGE ◽  
N.D. VIEIRA JÚNIOR
Keyword(s):  
Sao Paulo ◽  
São Paulo ◽  
Lidar System ◽  
The City

scholarly journals The Impact of COVID-19 on Urban Agriculture in São Paulo, Brazil

2021 ◽  
Vol 13 (11) ◽  
pp. 6185
Author(s):  
André Ruoppolo Biazoti ◽  
Angélica Campos Nakamura ◽  
Gustavo Nagib ◽  
Vitória Oliveira Pereira de Souza Leão ◽  
Giulia Giacchè ◽  
...  
Keyword(s):  
Urban Agriculture ◽  
Technical Assistance ◽  
Community Gardens ◽  
Sao Paulo ◽  
Food Chains ◽  
São Paulo ◽  
Sales Channels ◽  
Paulo State ◽  
The Impact ◽  
The City

During the initial months of the COVID-19 pandemic, farmers worldwide were greatly affected by disruptions in the food chain. In 2020, São Paulo city experienced most of the effects of the pandemic in Brazil, with 15,587 deaths through December 2020. Here, we describe the impacts of COVID-19 on urban agriculture (UA) in São Paulo from April to August 2020. We analyzed two governmental surveys of 2100 farmers from São Paulo state and 148 from São Paulo city and two qualitative surveys of volunteers from ten community gardens and seven urban farmers. Our data showed that 50% of the farmers were impacted by the pandemic with drops in sales, especially those that depended on intermediaries. Some farmers in the city adapted to novel sales channels, but 22% claimed that obtaining inputs became difficult. No municipal support was provided to UA in São Paulo, and pre-existing issues were exacerbated. Work on community gardens decreased, but no garden permanently closed. Post COVID-19, UA will have the challenge of maintaining local food chains established during the pandemic. Due to the increase in the price of inputs and the lack of technical assistance, governmental efforts should be implemented to support UA.

Preliminary studies of the effect of aerosols on nitrogen dioxide photolysis rates in the city of São Paulo, Brazil

2005 ◽  
Vol 75 (1-2) ◽  
pp. 135-148 ◽  
Author(s):  
Regina Maura de Miranda ◽  
Maria de Fátima Andrade ◽  
Artemio Plana Fattori
Keyword(s):  
Nitrogen Dioxide ◽  
Sao Paulo ◽  
São Paulo ◽  
Photolysis Rates ◽  
The City
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