Educação permanente como estratégia para a consulta de enfermagem ao paciente com tuberculose na Atenção Primária à Saúde

• Ano de defesa: 2018
• Autor(a) principal: Oliveira, Déborah Raquel Carvalho de
• Tipo de documento: Tese
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Brasil; UFRN; PROGRAMA DE PÓS-GRADUAÇÃO EM ENFERMAGEM
• Palavras-chave em Português: Enfermagem; Processos de Enfermagem; Educação permanente; Atenção Primária à Saúde; Tuberculose; CNPQ::CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufrn.br/jspui/handle/123456789/26801

This study aimed to develop and verify the content of a proposal of Permanent Education for Nursing Consultation to the patient with Tuberculosis in Primary Health Care. This is a methodological study, with a qualitative approach, developed in the Municipality of Parnamirim, Rio de Janeiro Grande do Norte with primary health care nurses. The research was approved by the Ethics Committee of the Federal University of Rio Grande do Norte with CAAE 73737417.2.0000.5537 and opinion number 2.247.426. The study was carried out in three stages: in the first, the nurses, through focus groups, participated in a situational diagnosis about the context of consultation with the patient with tuberculosis, to a reality estrangement; in the second stage the development of a proposal of permanent education for the nursing consultation to the patient with Tuberculosis occurred; and, in the third, verification of the content of the proposal by expert members. Nurses' choice for the first stage was by intentional sampling. The construction of the permanent education proposal was made by the principal researcher, using results obtained from the data that emerged in the first stage and relevant literature. The qualitative approach was based on the meeting of selected experts with established criteria: nurses and doctors, who were involved in areas of study interest. At all stages, the focus groups were conducted by semi-structured interviews, voice-recorded and mediated by the researcher, with the observer's support. After all the steps, the interviews were transcribed in full and analyzed through the content analysis method, with thematic / categorial analysis technique. In the reality estrangement phase, data from the focus groups with nurses led to the emergence of four themes: 1. Context of actions to control Tuberculosis in Primary Health Care; 2. Stigmas related to tuberculosis illness; 3. Nursing visits to the patient with Tuberculosis; 4. Perceptions about the Nursing Assistance Systematization and strategies for its implementation in the Nursing Consultation for the patient with Tuberculosis in Primary Health Care. The verification by members of the content of the proposal that pointed to data that suggested the following categories: 1. The Problematization Method as a pedagogical basis for the foundation of the teaching and learning process; 2. The aesthetic and methodological aspects of structuring the proposal of Permanent Education in Health. The study confirmed the thesis and, as it proposes an educational technology as a strategy to promote the permanent education of nurses, it opens space for the advancement in the reflection and the decisions by the professional and the management regarding the Nursing Consultation to the patient with Tuberculosis and can broaden the discussion for the whole context of Primary Health Care.