Navegando por Palavras-chave "equipe de assistência ao paciente"
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- ItemSomente MetadadadosA educação interprofissional na residência multiprofissional em saúde no estado de São Paulo(Universidade Federal de São Paulo (UNIFESP), 2016-09-11) Casanova, Isis Alexandrina [UNIFESP]; Brisola, Lidia Ruiz Moreno Brisola [UNIFESP]; Universidade Federal de São Paulo (UNIFESP)Objective: to analyze the principles, conceptions and possible practices of Interprofessional Education (EIP) present in Multiprofessional Health Residency Programs (PRMS) in the State of São Paulo. Methods: It is a study, with a quantitative and qualitative approach, carried out in two stages: documentary research and empirical research. The documentary analysis used the PP of the PRMS of the State of São Paulo and the empirical research consisted in the use of the instrument in a likert scale and open questions applied to the residents. Statistical validation was performed regarding dispersion and reliability for likert responses and content analysis, thematic type, for PP and open questions. From a universe of 14 HEIs with PRMS in operation in the State of São Paulo in 2014, two institutions, Famema and Unifesp, participated in the research, which hold 21 programs. Of these, 13 programs agreed to participate in a total of 121 residents, with 76 participating in the survey. Results: The analysis of the 13 PPs showed an approximation to the principles of the PIE with an emphasis on teamwork of a multiprofessional, interdisciplinary and interdisciplinary character in specific groups distributed in several practice scenarios, putting health needs at the center of the actions in the understanding of integral care And the design of the EIP, with the proposal to break paradigms of formation and fragmentation of knowledge. The emphasis on EIP collaboration in its conception was made explicit in only one PRMS, the others did not mention it. Statistical validation of the attitudinal instrument was performed on a Likert scale that resulted from the final reliability coefficient of 0.84 of the validated assertions. The responses of the Likert instrument demonstrate a high degree of favorable perception of the participants in the three dimensions studied with the averages, all located in the comfort zone: shared learning in RMS (3,20), training for teamwork (3,23) And development of skills for collaborative practices (3,31). From the thematic analysis of open questions, residents refer to positive aspects: RMS provides spaces for learning and shared practice, construction of knowledge, joint work force and planning of actions for integral care, but there are negative aspects: difficulty in sharing The knowledge on the part of the tutor and tutor, absence of the tutors and preceptors in the day to day; Lack of objectivity in the goals to be achieved in the quality of care provided, distortion of the egalitarian time between theory and practice; Ignorance of the work of the resident in the service and unprepared professionals; work overload; Specialized knowledge and service fragmentation. Conclusions: There was evidence of an approximation to the conceptions and principles of PPE in the PP and in the perceptions of the participants of the research, signaling the relevance of RMS to the professional qualification with a view to improving teamwork in the SUS. It is necessary to expand the studies in order to offer subsidies for the advancement of knowledge about PID and the deepening of the concepts and principles that define this approach.
- ItemAcesso aberto (Open Access)Initial experience with hand replantation after traumatic amputation in a nonspecialized center(Sociedade Brasileira de Angiologia e de Cirurgia Vascular (SBACV), 2006-12-01) Costa, Cleinaldo De Almeida [UNIFESP]; Cabral, Pedro Henrique Oliveira; Pinto, Paulo Laredo; Pinheiro Júnior, Manoel Jesus Coelho; Santos, Neivaldo José Nazaré Dos [UNIFESP]; Birolini, Dário; Universidade Federal de São Paulo (UNIFESP); Universidade do Estado do Amazonas; SBACV; Universidade Federal do Amazonas; Universidade de São Paulo (USP)Traumatic amputation of the hand is an incapacitating injury, requiring skilled surgical care. Achieving functional recovery in addition to salvage of the amputated extremity should be the goal of the patient care team, after the life of the patient is secured. This is a report of the first five cases of hand replantation after complete traumatic amputation in Manaus (Amazonas, Brazil), carried out at Hospital Pronto-Socorro Dr. João Lúcio Pereira Machado. The patients were all young males, mean age of 22.8 years, presenting at the emergency room with complete sharp amputation of the hand. After initial procedures according to the ATLS® protocol, the following surgical actions were taken: heparinization of the blood vessels of the amputated extremity, fixation of the bones, wide opening of the carpal tunnel, primary vascular anastomoses and repair of nerves and tendons. In four cases, viability and partial functional recovery of the replanted hands were achieved. The unsuccessful case was due to extensive venous thrombosis.Through this preliminary experience, we can state that hand replantation can be performed successfully in a nonspecialized hospital and that optimal results depend on adequate prehospital care, multidisciplinary surgical treatment and careful postoperative assistance.