scholarly journals Designing animated pictorial instructions: A methodology proposed for the Open University of the Unified Health System in Brazil (UNA-SUS/UFMA)

2020 ◽  
Vol 2 (4) ◽  
pp. 42-51
Author(s):  
Carla Galvão Spinillo ◽  
Ana Emília Figueiredo de Oliveira ◽  
Katherine Marjorie ◽  
Camila Lima ◽  
Larissa Ugaya Mazza ◽  
...  
Keyword(s):  
Decision Making ◽  
Health System ◽  
Health Professionals ◽  
Open University ◽  
Online Questionnaire ◽  
Context Analysis ◽  
Unified Health System ◽  
Usability Tests ◽  
Educational Production ◽  
Pictorial Instructions

Animated pictorial instructions are effective resources for learning medical content (e.g., surgical procedures). Considering this, the Open University of the Unified Health System of the Federal University of Maranhão (UNA-SUS/UFMA) in Brazil employs animation in their distance learning courses. From 2009 to the present the UNA-SUS/UFMA has offered 48 e-courses to health professionals, reaching around 470,000 enrolments. The development of animated instructions at UNA-SUS/UFMA considers medical and pedagogical knowledge only, lacking information design expertise to reach communication effectiveness. Thus, a design methodology was proposed based on: (a) the results of an analytical study of 100 medical animations; (b) the outcomes of a context analysis of the UNA-SUS/UFMA design process through interviews with the heads of the educational production departments; and (c) the results of an online questionnaire with 1,735 health professionals. The methodology consists of three phases: (1) Structuring: identification and arrangement of different contents (introductory content, inventory information, steps, warnings), resulting in an animation script; (2) Representation: definition of the animation graphic appearance and technological resources (e.g., pictorial style, camera framing, interaction cues), resulting in a visual storyboard or mock-up/prototype that can be tested with users (e.g., comprehension, usability tests); and (3) Finalization: programming and production of the animation. For each phase, instruments/protocols were developed to aid decision-making (form, guidelines and checklist). To evaluate the methodology, a focus group was conducted with the animation stakeholders/developers of the UNA-SUS/UFMA. The results were positive, but suggestions were made to improve the decision-making instruments, which were considered in the methodology final design.

scholarly journals Evaluation of the Use of Shared Decision Making in Breast Cancer: International Survey

2021 ◽  
Vol 18 (4) ◽  
pp. 2128
Author(s):  
Marta Maes-Carballo ◽  
Manuel Martín-Díaz ◽  
Luciano Mignini ◽  
Khalid Saeed Khan ◽  
Rubén Trigueros ◽  
...  
Keyword(s):  
Breast Cancer ◽  
Decision Making ◽  
Shared Decision Making ◽  
Health Professionals ◽  
Cross Sectional Study ◽  
Shared Decision ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Professional Societies ◽  
New Policies

Objectives: To assess shared decision-making (SDM) knowledge, attitude and application among health professionals involved in breast cancer (BC) treatment. Materials and Methods: A cross-sectional study based on an online questionnaire, sent by several professional societies to health professionals involved in BC management. There were 26 questions which combined demographic and professional data with some items measured on a Likert-type scale. Results: The participation (459/541; 84.84%) and completion (443/459; 96.51%) rates were high. Participants strongly agreed or agreed in 69.57% (16/23) of their responses. The majority stated that they knew of SDM (mean 4.43 (4.36–4.55)) and were in favour of its implementation (mean 4.58 (4.51–4.64)). They highlighted that SDM practice was not adequate due to lack of resources (3.46 (3.37–3.55)) and agreed on policies that improved its implementation (3.96 (3.88–4.04)). The main advantage of SDM for participants was patient satisfaction (38%), and the main disadvantage was the patients’ paucity of knowledge to understand their disease (24%). The main obstacle indicated was the lack of time and resources (40%). Conclusions: New policies must be designed for adequate training of professionals in integrating SDM in clinical practice, preparing them to use SDM with adequate resources and time provided.

scholarly journals Training-professional profile of nurses teaching at the Technical Schools of the Unified Health System

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Juliana Costa Ribeiro-Barbosa ◽  
Gilberto Tadeu Reis da Silva ◽  
Vânia Marli Schubert Backes ◽  
Silvana Lima Vieira ◽  
Manuel Carlos Rodrigues Fernandes Chaves ◽  
...  
Keyword(s):  
Health System ◽  
Average Length ◽  
Descriptive Analysis ◽  
Online Questionnaire ◽  
Technical Schools ◽  
Descriptive Research ◽  
Unified Health System ◽  
Professional Profile ◽  
Quantitative Descriptive ◽  
Training Professional

ABSTRACT Objective: to describe the training-professional profile of nursing professors in the vocational course in nursing at the Technical Schools of the Unified Health System. Methods: a quantitative descriptive research, carried out with 61 nurses who are professors of technical courses in nursing at five technical schools in three Brazilian regions. Data were collected through an online questionnaire and submitted to descriptive analysis. Results: only 36% of teaching nurses were licensed and 80% had a specialization in nursing or health. Although 95.1% of participants considered training for teaching necessary, 44.2% did not have qualifications for this job. The average length of work in care was 8 years, focusing on the hospital network. Conclusion: the need for professor training and investment in it is evidenced, as the training of essential workers for nursing care and consolidation of the Unified Health System is on the agenda.

PP495 Addressing The Interactions Between Health Regulation And Health Technology Assessment In Brazil

2020 ◽  
Vol 36 (S1) ◽  
pp. 38-38
Author(s):  
Maíra Catharina Ramos ◽  
Margarete Martins de Oliveira ◽  
Erica Tatiane da Silva ◽  
Daniella Cristina Rodrigues Pereira ◽  
Flávia Tavares da Silva Elias
Keyword(s):  
Decision Making ◽  
Health Technology Assessment ◽  
Health System ◽  
Technology Assessment ◽  
Low Cost ◽  
Health Technology ◽  
Essential Medicines ◽  
Regulatory Interaction ◽  
Unified Health System ◽  
Post Marketing

IntroductionThe interaction of health technology assessment (HTA) and health regulatory agencies has been widespread, especially for decision-making in health system coverage. The objective of this paper is to report the HTA-regulatory interaction in Brazil.MethodsThis is a case study on the interaction between HTA and regulation in Brazil. Technical documents and Brazilian legislation on health regulation and HTA were analyzed. The study was conducted in July 2019.ResultsHTA-Regulatory Interaction in Brazil is still incipient. There is no responsible agency for interaction between agencies, as there is in Europe and Canada, for example. In the last 4 years, cooperation has started between the Brazilian Health Surveillance Agency (Anvisa) and the Oswaldo Cruz Foundation (Fiocruz) for post-registration monitoring of medicines. During this partnership, 170 post-marketing drug opinions were prepared, assisting the regulatory agency in decision-making.ConclusionsBrazil legislation guarantees essential medicines at low cost or free. The interaction between HTA and regulation has the potential to reduce the time taken to incorporate technology to the patient, in addition to ensuring greater safety for users of the Unified Health System. In this sense, it was observed that the interaction between health regulation and science and technology institutions has innovative potential in this approach.

Formative Second Opinion: Qualifying Health Professionals for the Unified Health System Through the Brazilian Telehealth Program

2015 ◽  
Vol 21 (2) ◽  
pp. 138-142 ◽  
Author(s):  
Ana Estela Haddad ◽  
Mary Caroline Skelton-Macedo ◽  
Verônica Abdala ◽  
Caren Bavaresco ◽  
Daniele Mengehel ◽  
...  
Keyword(s):  
Health System ◽  
Health Professionals ◽  
Second Opinion ◽  
Unified Health System

scholarly journals Mediate evaluation of replicating a Training Program in Nonverbal Communication in Gerontology

2015 ◽  
Vol 49 (2) ◽  
pp. 0309-0316 ◽  
Author(s):  
Teresa Cristina Gioia Schimidt ◽  
Yeda Aparecida de Oliveira Duarte ◽  
Maria Julia Paes da Silva
Keyword(s):  
Health System ◽  
Training Program ◽  
Interpersonal Communication ◽  
Nonverbal Communication ◽  
Health Professionals ◽  
Healthcare Professionals ◽  
Active Aging ◽  
Hospital Services ◽  
Unified Health System ◽  
Direct Administration

OBJECTIVE Replicating the training program in non-verbal communication based on the theoretical framework of interpersonal communication; non-verbal coding, valuing the aging aspects in the perspective of active aging, checking its current relevance through the content assimilation index after 90 days (mediate) of its application. METHOD A descriptive and exploratory field study was conducted in three hospitals under direct administration of the state of São Paulo that caters exclusively to Unified Health System (SUS) patients. The training lasted 12 hours divided in three meetings, applied to 102 health professionals. RESULTS Revealed very satisfactory and satisfactory mediate content assimilation index in 82.9%. CONCLUSION The program replication proved to be relevant and updated the setting of hospital services, while remaining efficient for healthcare professionals.

scholarly journals A human centred-design approach to a serious game in health training for the Open University of the Unified Health System (UNA-SUS/UFMA) in Brazil

2019 ◽  
Author(s):  
Luciane Maria Fadel ◽  
Daniella Rosito Michella Munhoz ◽  
Carla Galvão Spinillo ◽  
Ana Emília Figueiredo de Oliveira ◽  
Katherine Marjorie Mendonça de Assis ◽  
...  
Keyword(s):  
Health System ◽  
Serious Game ◽  
Design Approach ◽  
Open University ◽  
Health Training ◽  
Unified Health System ◽  
Human Centred Design

scholarly journals Decision-making and strategic planning in a public research organisation: The case of Fiocruz

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
V Ermida
Keyword(s):  
Decision Making ◽  
Strategic Planning ◽  
Health System ◽  
Industrial Democracy ◽  
Public Research ◽  
Health It ◽  
Unified Health System ◽  
Research Organisation ◽  
The Creation ◽  
Health Field

Abstract The study was drawn to investigate an unusual form of 'industrial democracy', in Fiocruz, the Brazilian public research organisation in the health field, linked to the Ministry of Health. It is a single case study research making use of two contrasting cases: Embrapa and Pasteur Institute. The former is the Brazilian public research organisation in the agriculture field, similar to Fiocruz in space; and the latter is the French public research organisation for health, similar to Fiocruz in the field. The investigation works with the triangulation of methods approach, combining the analysis of quantitative and qualitative methods aiming at an in-depth analysis of the decision-making and the strategic planning processes of these research-led organisations. For this purpose, two exclusive tools were created and applied to their management boards and key actors. The first tool, an online questionnaire, was applied to the management boards; the second tool, a face-to-face interview, was made with the key actors. The findings were examined considering the literature, whose results supported the analysis of the context of each organisation and their strategic plans. The research revealed an original approach to industrial democracy by Fiocruz, based on a concept postulated by Arouca, which underpinned the creation of SUS, the Brazilian National Unified Health System: 'Democracy is health'. It represents a paradigm shift in the way the health concept is addressed, by adding a political dimension to it, which includes the citizenship, the free self-determination, the capacity of mastering the future. This unique approach to industrial democracy underpins the decision-making and the strategic planning of Fiocruz, revealing that it is, in fact, a new type of public research organisation; thus, questioning the validity of the existing framework concerning such entities. Key messages Democracy is Health is an original conceptual approach postulated by Arouca, which underpinned the creation of the Brazilian National Unified Health System. Fiocruz is the Brazilian Public Research Organisation in the Health field, whose unique administration approach questions the literature in the field.

scholarly journals Congenital Zika Virus Syndrome: care in light of the Brazilian Unified Health System principles

2022 ◽  
Vol 75 (2) ◽  
Author(s):  
Gleice Kelli Santana de Andrade ◽  
Elen Ferraz Teston ◽  
Sonia Silva Marcon ◽  
Bianca Cristina Ciccone Giacon-Arruda ◽  
Milena Dalariva Amorim ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
Prior Knowledge ◽  
Health Professionals ◽  
Zika Virus ◽  
Therapeutic Interventions ◽  
Family Experiences ◽  
Unified Health System ◽  
Continuous Care ◽  
Specialized Service

ABSTRACT Objective: to know health professionals’ perceptions about care actions provided to children with Congenital Zika Virus Syndrome and their families. Methods: this is a qualitative study, carried out in a capital of center-western Brazil, based on the Unified Health System theoretical precepts. Data were collected in September and October 2020, through audio-recorded interviews with 12 health professionals from a specialized service and submitted to analysis of content, thematic modality. Results: the implementation of care actions with these children occurs through multidimensional assessment of children and their families, use of the Unique Therapeutic Project, therapeutic interventions for the development of children and the communication and exchange of interprofessional and family experiences, in addition to considering professionals’ prior knowledge and their search for it. Final considerations: children with CZS and their families need individualized, frequent, integrated and continuous care.

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