Evaluating the quality of medical care.

The intent of this study (registration ACTRN12608000625370) was to investigate the effects of Relational Music Therapy (RMT) in verbal, nonverbal and social communication of children with autism spectrum disorders (ASDs). A randomized controlled trial (RCT) with 24 boys from the Programme for Invasive Developmental Disorders (Porto Alegre City, Brazil), was designed to compare individuals treated with music therapy (n = 12) and standard treatment (clinical routine activities including medical examinations and consultations, n = 12). The outcomes were assessed by two blind evaluators, before and after interventions, through the verbal, nonverbal and social communication scores of Brazilian version of the Childhood Autism Rating Scale (CARS-BR). The CARS-BR scores in T1 and T2 did not show a statistically significant difference in the three measured outcomes. However, the study found a positive statistically significant difference on subgroup analysis of nonverbal communication among patients with autistic ...

https://www.tandfonline.com/doi/pdf/10.1080/08098131.2011.566933

Effects of relational music therapy on communication of children with autism: a randomized controlled study

This study aims to identify and analyze users’ demands to emergency services, as well as to examine the work organization to welcome them in the health system. We carried out a case study with a qualitative approach. Data were collected through free observation by time sampling. Observation focused on the organization of the work process and on the care given to users who received some kind of care at the emergency service, highlighting their demands and their acceptance in the system. Users who demanded health services displayed different needs, ranging from the simple to the more complexes level. The work process was organized to meet some of these needs, aiming, within certain limits, to treat the main complaint and follow the health system hierarchy. Healthcare users were responsible for obtaining integral care. They journeyed alone, at their own risk, through different services, with no guidance or help from the healthcare system, as would be expected.

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Demandas de usuários a um serviço de pronto atendimento e seu acolhimento ao sistema de saúde

Este estudo, de carater descritivo, identificou os acidentes do trabalho ocorridos com trabalhadores de enfermagem de uma unidade de terapia intensiva, correlacionando-os com o procedimento que estava sendo executado pelo trabalhador no momento do acidente. Os dados foram coletados por meio de entrevista individual, realizado com 68 trabalhadores, no ano de 2001. Constatou-se que os acidentes ocorreram, predominantemente, devido ao contato da pele e da mucosa com sangue e secrecoes, ferimento por material perfurocortante, queda e lesoes na coluna vertebral. Os acidentes acontecidos estavam relacionados aos procedimentos de aspiracao de tubo orotraqueal, manuseio de excretas/secrecoes, preparo de medicacao, coleta de sangue arterial, piso molhado e transporte de paciente. Concluiu-se que sao necessarias mudancas no ambiente de trabalho e programas de prevencao, para minimizar os acidentes em procedimentos de assistencia aos pacientes.

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Ocorrência de acidente do trabalho em uma unidade de terapia intensiva

JESUS, L.C. Religious and spiritual coping among nursing professionals who work in emergency units. 2011. 83p. Dissertation (MA) – Ribeirão Preto College of Nursing, University of São Paulo, Ribeirão Preto, 2011. Researches published in the area of spiritual/religious coping (SRC) still not addressed this issue related to nursing professionals who are submitted to different stress factors arising not only from their work practice, but also from their everyday life outside the workplace. This study aimed to verify if nursing staff (assistants, technicians and nurses) uses the spiritual/religious coping to deal with the stress factors experienced both at work and in private life. It is a cross-sectional, descriptive, and quantitative study in which all nurses of the Emergency Unit of the Hospital das Clínicas of the University of São Paulo at Ribeirão Preto Medical School were invited to participate, obtaining a sample of 126 participants who were given an envelope containing a free consent form, the General Questionnaire, and the Spiritual Religious Coping Scale (SRCOPE Scale), which were completely filled out by the participants out of the workplace and then returned to the researcher. The results showed that the SRC average was 3.66, the positive SRC average was 3.11, the negative SRC average was 1.78, and that women make more use of positive spiritual/religious coping than men. Regarding the situation of stress mentioned by the participants, it was found that the majority reported having experienced a stressful situation in the family setting (61.1%); 25.4% reported having experienced a stressful situation in the workplace; 2.4% reported having experienced stressful situations in both environments; and 10.3% reported not having experienced any stressful situation during the period of the study. Only 0.8% of the participants did not answer the questions. The results obtained through the index of the SRC Scale were expected in view of the religiosity of the Brazilian people, especially the religiosity of Brazilian women, however, it was not seen the impact of the use of spiritual/religious coping for the health of this professional category, which warrants further studies, particularly with respect to the impact of the use of negative dimension of the SRC, which, although it was rarely used by the participants in this study, it is an important information that can affect the health of those who make its use, leaving it to future researchers in this area also investigate possible ways to work to achieve the promotion of the spiritual dimension of nursing professionals.

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Universidade de são paulo escola de enfermagem de ribeirão preto

This study aims to reflect on humanization in health care, recovering the history of understanding about mankind, the human and humanity, until humanization in humanity and health. We discuss the national humanization program in hospital care and reflect on this proposal and on the issue of humanization in Brazilian health care nowadays. Communication is indispensable to establish humanization, as well as technical and material conditions. Both users and health professionals need to be heard, building a network of dialogues to think and promote singular humanization actions. For this process to take effect, there is a need to involve the whole that makes up the health service. This group involves different professionals, such as managers, public policy makers, professional councils and education institutions.

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A humanização na assistência à saúde

This study searches to gather the knowledge of the hospitalar health workers in relationship their own health in the development of their activities. The study was accomplished in a general hospital, of medium load, with medicine service occupational functioning. The way gone through is the presentation of the subject in study and the theoretical foundation as a way of basing the analysis of the datas, gathered through the questionaire, to apprehend the worker's knowledge about the relationship work-health-disease. The result evidenced the workers' generic knowledge concernig the prevention of accidents and occupational diseases.

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Acidentes de trabalho e doença ocupacional: estudo sobre o conhecimento do trabalhador hospitalar dos riscos à saúde de seu trabalho

INTRODUCAO: Estudar as causas de hospitalizacao de criancas auxilia na compreensao do perfil de adoecimento e na elaboracao de planos de atencao a saude para prevenir o agravamento das doencas e evitar as internacoes hospitalares. OBJETIVO: Identificar nos dados oficiais causas de hospitalizacao em criancas de zero a quatro anos, para compreender quais doencas as tem levado a hospitalizacao no Brasil. METODO: Pesquisa de abordagem quantitativa, descritiva, exploratoria e inferencial, cujos dados foram colhidos do site do DATASUS, no periodo compreendido entre os anos de 1998 a 2007. Os dados foram transcritos em tabelas, organizados de forma quantitativa, analisados em estatistica descritiva e inferencial. RESULTADOS: Indicam uma distribuicao heterogenea da morbidade entre as regioes do pais, prevalecendo como primeira causa de internacao hospitalar em criancas de zero a quatro anos as doencas do aparelho respiratorio, seguidas das doencas infecciosas e parasitarias. CONCLUSAO: Esses dados permitem refletir sobre a maneira em que os servicos de saude podem se organizar para implementar a integralidade na atencao a saude para esse grupo etario, com foco na atencao primaria, com prioridade na prevencao dos agravos respiratorios e das doencas infecciosas e parasitarias, pois esses dois agrupamentos sao considerados parte das doencas cujo acometimento se da por causas sensiveis a atencao ambulatorial e podem ser evitados e/ou minimizados pelas acoes de atencao basica.

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Causas de hospitalização no SUS de crianças de zero a quatro anos no Brasil

The aim in this study is to understand the child hospitalized family perceptions about the psychic suffering, to identify the presence of situation in the childcare that caused the stress and the defensive strategies used by the family. The data was obtained with semi-structured interview. The qualitative analysis followed the texts interpretation. The mother is exposed to different pressures that created the psychic suffering; this suffering is expressed by aggressive attitudes, feelings of fault, worries and fear. The psychic suffering occurred to derive as much as physical structure by the work organization. The defensives strategies used are to avoid talk about the hospitalization; to cry; to talk about the situation; move away itself of the place that create the suffering. Noticed in this study the need to create new conducts in the work organization for build a care that intends the family and child necessities.

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Sofrimento psíquico da família de crianças hospitalizadas

Este trabalho objetivou verificar a percepcao da mae que tem seu filho doente hospitalizado, sobre a importância de sua permanencia durante o periodo de internacao para manutencao do vinculo afetivo crianca-familia. Os dados empiricos foram coletados com maes de criancas hospitalizadas, que nao estavam acompanhando a internacao do seu filho, num hospital publico em Cascavel - Parana, utilizando-se entrevista semi-estruturada. A analise dos dados demonstrou que as maes reconhecem a importância em permanecer com seu filho num periodo de estresse como o da hospitalizacao, porem, os fatores externos que influenciam seu cotidiano, muitas vezes nao permitem que exercam sua vontade de ficar com seus filhos.

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Beatriz Rosana Gonçalves de Oliveira

Papers

A humanização na assistência à saúde

Acidentes de trabalho e doença ocupacional: estudo sobre o conhecimento do trabalhador hospitalar dos riscos à saúde de seu trabalho

Causas de hospitalização no SUS de crianças de zero a quatro anos no Brasil

Sofrimento psíquico da família de crianças hospitalizadas

Criança hospitalizada: percepção das mães sobre o vínculo afetivo criança-família