Maguerez Arch Research Articles

Gamificação na prevenção de queimaduras: desenvolvimento de um jogo infantil

Burns are a public health problem and result in physical, psychological as well as social repercussions, leading to death. The objective of this study is to develop a game that can distribute information, with the focus on burn prevention and serving as an alternative for health education. This is technological research for the experimental development of a game focusing on the prevention of childhood burns and using the problematization method based on the Maguerez Arch. Gamification is an innovative alternative for training and for behavioral changing and health education is a strategic tool that helps and strengthens care. The game was made for children aged six to ten years old and will be made available in a virtual environment for Android devices. Assistance from a programming language professional was required to program the game. Nowadays, it is necessary to keep up with innovations and technologies, improving interaction with children.

Continuous six-month follow-up of patients with diabetes and hypertension: how to bring those people to the health unit?

Affecting almost 20% of the population, Systemic Arterial Hypertension is a chronic disease characterized by high blood pressure levels, influenced by genetic, epigenetic, social and environmental factors. Diabetes Mellitus (DM) is characterized by insufficient production and/or malabsorption of insulin. Both are directly related, especially when without good control, with poor outcomes in several other pathologies. This is a descriptive study, of the experience report type, developed at the Basic Health Unit Metódio de Araújo Leitão, in the Municipality of Patos-PB, in the second half of 2022, using the problematizing method proposed by Arco de Charles Maguerez as a guide. After applying the method, it was seen that there was a deficit in the unit in the performance indicators proposed by the Ministry of Health, regarding the monitoring of hypertensive and diabetic patients, and this was the key point of application of the work, in order to bring these patients for follow-up in the unit. Focusing mainly on our initial problem, related to hypertensive and diabetic patients, we saw a jump in the period in question with the application, leaving a follow-up percentage of 30% for hypertensive and 34% for diabetics in the month of June 6/2022, with a peak in the month of August 8/2022, when we reached 53% of hypertensives and 56% of hypertensives, maintaining good levels until the end of the year. Thus, the Arch of Maguerez proved to be, as a method, resolving issues such as the one we applied, mainly due to its steps of easy application and systematization. As well as we saw that the active search is the main way to bring these patients to age for follow-up, as well as the need for participation of the entire team.

Problematization methodology's impact on nursing and medical students' knowledge about hypodermoclysis: quasi-experimental study.

to analyze the problematization methodology impact on the knowledge of nursing and medical students about hypodermoclysis. quasi-experimental study conducted with 22 undergraduate nursing and medical students from a public Brazilian higher education institution. The students participated in the educational intervention using the problematization methodology based on the Arch of Maguerez. A previously validated questionnaire was used to determin' the students' knowledge level about hypodermoclysis. This instrument was applied before and after the educational intervention. The results were compared by McNemar's test and Student's t test for paired samples. when comparing the correct answers before and after the intervention, there was a significant increase in 75% of the questions (p<0.05), including theoretical and practical aspects of hypodermoclysis. The mean score on students' self-assessment of the ability to explain (0.9 versus 5.9 points) and perform hypodermoclysis (1.9 versus 5.0) was significantly higher after applying the problematization methodology (p<0.001). the problematization methodology had a positive impact on the students' knowledge about hypodermoclysis. The number of correct answers after the educational intervention was higher than the initial assessment. The problematization methodology can be incorporated into the teaching-learning process of nursing and medical students for teaching procedures such as hypodermoclysis. (1) The problematization methodology had a positive impact on students' knowledge. (2) The number of correct answers after the educational intervention increased. (3) Problematization can be incorporated into the teaching of nursing and medicine. (4) The teaching-learning process through active methodologies should be encouraged. (5) Problematization has the potential to develop cognitive and attitudinal skills.

Permanent education in nursing care in the maintenance of the central venous catheter of peripheral insertion

Objective: To report a continuing education activity on the maintenance of PICC developed by nurses and nursing students in an oncology hospital. Methods: This is a study of the type of experience report based on Problematization following the five stages of the Maguerez Arch. In the observation, the use of PICC was verified in the hospital therapy protocol, and the complexity of its use was considered, focusing on the need for updating on care. For the theorization, a literature review was performed. In the fourth stage, a permanent education was defined as an approach with professionals. The activity occurred with the realization of a Quiz and explanation of the content with the didactic material produced. Results: Quiz questions and material targeted activity. The team demonstrated to know the answers, and it was up to the mediator to complement the subject. The activity has given way to the standardization of catheter procedures and care, in addition to the sharing of experience among professionals. Conclusion: In the use of PICC, improving care promotes the prevention of complications and effective care. The continuity of developing the theme is necessary, because the improvement of the professional needs to be continuous.

Programa Saúde na Escola: projeto de intervenção contra a dengue em Matinhos-PR

ABSTRACT The School Health Program (PSE) aims to promote health actions in schools through pedagogical tools developed between health and education. A study was carried out in the city of Matinhos, State of Paraná, Brazil, by the PSE within the scope of the Luiz Carlos dos Santos municipal school including 60 students from the 5th grades, from March to August 2019. Characteristics of participatory action-research and problematization methodology were used, being a type of social and qualitative study. For data collection, the method of Charles de Maguerez Arch was used. As research result, a pedagogical tool was developed at school and in the community’, the intervention project ‘School, health, environment, and community mobilized against the Aedes aegypti’. The study proved that the application of existing public policies such as the PSE, through intersectoriality, environmental health education, and mechanical vector control actions, without applicability of poison, are appropriate actions for the disease prevention, such as the elimination of vector breeding sites; thus, making effective the use of environmental health education in schools as a health promotion strategy.

Care relationships and the autonomy of people with physical disabilities.

As a form of functional diversity, spinal cord injury expressed by tetraplegia is one of the most serious events that can impact people, affecting their family and socioeconomic life. The type of care relationship established in these cases will be essential for preserving autonomy. The objective of this study was to understand how care relationships influence the autonomy of people with tetraplegia and the dynamics that trigger practices of autonomy violation, maintenance and promotion.This research is inspired by problematization as a methodology using the Arch of Maguerez as an analytical approach strategy that enables an engagement between empirical and theoretical data. Some models of care relationships identified in this study either promote or violate autonomy: the protectionist model, based on the biomedical interpretation model of disability and the bodily impediments caused by spinal cord injury; the participatory model, involving the patient's interest in adapting to their new condition of family and community life, seeking to understand the practical aspects of daily life; the sharing model, in which the complicity and understanding of new forms of bodily expression allow the caregiver to be almost an extension of the tetraplegic person's body; the delegate model, which occurs in relationships with professional caregivers; and the emancipatory model, which seeks to empower the patient, highlight potentialities, and encourage autonomy. The key components of these conceptual care models guided the elaboration of hypotheses for intervention with the objective of maintaining and promoting the autonomy of people with tetraplegia through supported care.

Projeto de Educação Ambiental desenvolvido por estudantes do ensino médio no ensino remoto e híbrido.

This report presents an Environmental Education project developed jointly by students-teachers and teacher-student, throughout a school semester, in 2021, in the context of Emergency Remote Education and Hybrid Education, at a private high school with social purposes. Thus, the objective of this experience report is to disseminate a practice aligned with a critical perspective of education. The project, guided by the perspectives of Liberating Education, Critical Environmental Education and Problem-posing Methodology with the Arch of Maguerez, culminated in the investigation of Generative Themes in micro and macro scale and the production of educommunicative materials, digitally disseminated by the collective. By analyzing the process, we consider that it was possible to develop a critical educational process, based on dialogue and problem-posing, despite the adversities imposed by Remote and Hybrid Education, and by the pandemic. Furthermore, we consider that it was possible to promote a reflection not only by the students-teachers themselves and the teacher-student involved, but to expand and transform it into praxis, through Educommunication, amplifying its reach and power to transform reality. We also consider important and necessary the experience of appropriating Information and Communication Technologies – dominated by the hegemonic discourse of technical-instrumental rationality and technological determinism – through a critical perspective.

ARCO DA PROBLEMATIZAÇÃO PARA PLANEJAMENTO EDUCATIVO EM SAÚDE NA PERCEPÇÃO DE ESTUDANTES DE ENFERMAGEM

ABSTRACT: The study aimed to show the perception of Nursing students on the use of the Problematization Arch in the teaching of educational health planning. This is a descriptive qualitative study carried out with 15 undergraduate nursing students, developed at a public university in the Northern region of Brazil from April to May 2019. The researched subject is part of the second year of the Nursing degree and focuses on the development of health education. We collected data through a semi-structured interviews with guiding questions. We used the data analysis technique of Grounded Theory, separating, conceptualizing, and interconnecting the data with each other through open and axial coding. This process was developed with the help of the trial version of the program Atlas TI®. Three categories emerged from the analysis: Understanding of Active Methodology and the Arch of Maguerez; Educational Health Planning: knowledge and experience; and Arch of Maguerez in the teaching of educational health planning. Students understand and perceive the Arch of Maguerez as an eligible strategy for educational planning in health, as they ackowledge a relationship between the tools and consider that the arch proposes democratic teaching-learning relationships, values previous knowledge, and dialogues with the reality of the target audience.

Papanicolau e a saúde da mulher: importância do fomento à prevenção do câncer de colo uterino

O câncer cervical é uma neoplasia maligna que ocupa um lugar de destaque, chamando a atenção da comunidade científica, das autoridades médicas e governamentais de vários países, dentre eles, o Brasil. Dada as altas taxas de prevalência do câncer de colo uterino, a realização periódica do Papanicolau é considerada a melhor estratégia para a sua prevenção. O objetivo deste estudo é relatar a vivência de discentes do curso de enfermagem decorrida em uma unidade de Estratégia Saúde da Família da cidade de Belém, Pará, ocorrida através da efetuação de uma atividade de educação em saúde sobre o exame Papanicolau. Trata-se de um estudo descritivo com abordagem qualitativa, do tipo relato de experiência, onde a metodologia adotada perpassou pela Teoria da Problematização através da utilização do Arco de Maguerez. Evidenciou-se que algumas das mulheres participantes desconheciam o exame, outras já sabiam de sua existência, mas ainda não entendiam a importância de sua realização. Dentre as participantes, poucas já haviam realizado o exame, sendo que ainda apresentavam algumas dúvidas sobre ele. Acredita-se que que o objetivo da ação foi alcançado, uma vez que as mulheres que participaram destas atividades foram sensibilizadas quanto a relevância da realização do exame, bem como acerca da autonomia em saúde e da importância de um autocuidado diligente e eficaz para a manutenção da saúde e qualidade de vida.

Effectiveness of the Maguerez Arch in nursing teaching on vesical catheterism: an almost experimental study.

To evaluate the effectiveness of the Arco de Maguerez in teaching nursing students about the Bladder Catheter. Quasi-experimental study conducted at a public university in northeastern Brazil, with 29 students, in a single group, in the period of october 2018. Data were collected before and after using the Arco de Maguerez in educational intervention, using validated instruments, referring to knowledge and practice. IBM SPSS Statistics software version 24 was used for statistical analysis. The level of significance was set at 5% and the 95% confidence interval. Data analysis was performed using the McNemar and Mann-Whitney test. The median of correct answers for knowledge was 7, in the pre-test, and 9 in the post-test (p> 0.001). Regarding practice, in the pre-test the median of correct answers was 28 and, in the post-test, it went to 36, p> 0.001. The academics explained that the AM technology based on the problematization of a fictitious clinical case made learning about Bladder Catheterization Delay clear and feasible. The Arco de Maguerez was effective in improving the knowledge and skill of nursing students regarding the Bladder Catheter.

Experiência de Implantação de um Programa de Educação Alimentar e Nutricional para Pré-escolares

Food and Nutrition Education (FNE) promotes healthy eating habits starting from the first years of life, which is a fundamental part in programs for the prevention and control of childhood obesity. In this context, in addition to the family, the school is an ideal environment, as it is a conducive place for learning, and where children spend most of their time, as well as eat their meals. The objective of this study was to implement the “Grow Healthy at School” Program through problematization methodologies using the Charles Maguerez Arch (CMA), for preschoolers in a school for early childhood education (SP/SP). The study design is longitudinal in nature, qualitative, and quantitative. The sample consisted of 151 children, 4-6 years old, after parental consent, during 2018-2019. The steps of the CMA comprise observation of reality, identification of key points, theorization, formulation of hypotheses, and application in reality. Therefore, 39 FNE activities were applied, and a portion of fruit was offered weekly while educational messages were sent to parents about healthy eating, biweekly. As a result, the children participated with great enthusiasm and interest, and accepted the fruits very well. Although, there is a limitation in measuring the results related to food consumption, as they are perceived in the long term, the children were very interested and willing to replicate the knowledge learned, demonstrating that this Program has practical applicability and can be repeated in other schools. Thus, permanent resources and continuous methodologies are needed that address the awareness of the school community, as well as the planning and the regular consumption of healthy foods by students.

Estresse ocupacional em profissionais de uma Unidade de Pronto-Atendimento (UPA): práticas interventivas de educação em saúde

Objetivo: O objetivo do presente estudo é relatar a experiência dos acadêmicos, perante a aplicação de práticas de Educação em Saúde em profissionais atuantes em uma Unidade de Pronto Atendimento, sobre os riscos do estresse profissional, desenvolvimento da Síndrome de Burnout e prevenções para tal. Relato de experiência: Trata-se de um estudo do tipo relato de experiência, feito por discentes de um curso de graduação em enfermagem. Para a realização da ação interventiva, fora utilizada a metodologia da problematização, em consonância com o arco de maguerez. O planejamento e execução da ação foram divididos em cinco etapas, sendo elas: observação da realidade, identificação de pontos-chave, teorização, hipóteses de solução e aplicação à realidade. Na aplicação, a ação deu-se em três momentos: a realização da palestra informativa sobre o estresse ocupacional; a execução de uma prática lúdica com os profissionais locais; e finalizando com uma canção em homenagem aos servidores e em valorização à vida. Considerações finais: As práticas aqui relatadas demonstraram retorno ao atingir e conscientizar os profissionais, estes os quais, relataram identificação com os sintomas expostos, além de correlacionarem os motivos ocupacionais que levem a tal. De tal forma, as práticas tiveram êxito em seus resultados.

Dupla excepcionalidade no filme “O Som do Coração”: uma reflexão sob a perspectiva neuropsicológica

A arte cinematográfica permite os mais diversos cenários da vida real. Com isto, o cinema tem abordado questões da clínica neuropsiquiátrica de diversas maneiras. No filme “O Som do Coração”, os diretores abordam a temática das Altas Habilidades/Superdotação. Portanto, o objetivo deste estudo é analisar os comportamentos característicos desta condição que são retratados no filme através da perspectiva neuropsicológica. Além disso, foram analisados comportamentos enquadrados em uma possível dupla excepcionalidade. O método utilizado para a análise baseou-se na Metodologia do Arco de Charles Maguerez. Foi observado que algumas características entre as Altas Habilidades/Superdotação podem ser tanto confundidas quando interrelacionadas com o Transtorno do Déficit de Atenção com Hiperatividade, o que torna difícil o diagnóstico desta comorbidade, conforme já descrito na literatura. O estudo da análise fílmica possibilitou associar os comportamentos do personagem com a literatura acerca de Altas Habilidades/Superdotação.

Hanseníase: educação em saúde frente ao preconceito e estigmas sociais

O objetivo principal do artigo é relatar a experiência de acadêmicos de enfermagem em uma ação de educação em saúde sobre hanseníase, com idosos, numa Unidade Municipal de Saúde. A metodologia consistiu em um estudo qualitativo com uma abordagem descritiva do tipo relato de experiência, tendo como instrumento base de elaboração da pesquisa o Arco de Maguerez, o qual é composto por cinco etapas, a saber: a) Observação da Realidade; b) Levantamento de Pontos-Chave; c) Teorização; d) Hipóteses de Solução; e) Retorno à Realidade. O resultado se deu por meio da educação em saúde, sanando inúmeras dúvidas que os usuários apresentavam sobre hanseníase, contribuindo com a promoção e prevenção à saúde da população, possibilitando a execução de práticas preventivas e de adesão ao tratamento. Consideramos que este estudo possa contribuir para outras pesquisas voltadas a essa abordagem e servir de incentivo para mais ações em saúde sobre essa doença, tendo como base o enfrentamento de preconceitos, tabus e estigmas sociais, cumprindo-se assim, de forma efetiva e responsável.

Problematização no ensino de gestão em serviços de saúde: experiência de construção de tecnologia de educação

Objetivo: Descrever experiência prática da construção de uma tecnologia de educação para gestantes utilizando uma metodologia problematizadora. Relato da experiência: Trata-se de um estudo do tipo relato de experiência desenvolvido através da metodologia problematizadora do Arco Maguerez; seguindo as etapas de observação da realidade, identificação de pontos-chaves, teorização, hipótese de solução e aplicação na realidade proposta pelos pontos de assistência da rede cegonha. A observação sucedeu através do levantamento de dados do sistema de informação, diálogos com gestores, usuários e profissionais de saúde e revisão de protocolos. Os pontos-chaves configuraram a fragilidade do acesso à assistência, desconhecimento das gestantes quanto à maternidade conforme classificação de risco; demanda equivocada entre a classificação de risco e complexidade do serviço. A teorização se verificou pelo levantamento de evidências científicas, manuais, normas e portarias para mensurar e explicar o problema. A intervenção foi a elaboração e aplicação de uma cartilha sobre os fluxos da rede cegonha com base na realidade local. Considerações finais: A experiência proporcionou aos discentes reflexões sobre o cotidiano da gestão, atenção e educação na saúde no seu território e contexto nacional ao passo que corrobora a necessidade do docente ao conhecimento, integração e articulação fomentadoras de intervenções em problemas reais.

O perfil psicossocial de pessoas vivendo com HIV/AIDS em uma unidade de acompanhamento em Belém-PA: Relato de Experiência

Objetivo: Descrever a vivência de acadêmicos durante uma atuação em um campo psicossocial, expondo observações e intervenções realizadas junto a usuários com HIV/AIDS. Relato da Experiência: Estudo qualitativo do tipo relato de experiência desenvolvido através das etapas do Arco de Maguerez em uma unidade de saúde em de Belém no Pará. Desenvolveu-se uma ação com usuários de um serviço de apoio e tratamento a pessoas com HIV/AIDS, com foco na orientação, auxílio psicossocial e emocional, com atividades lúdicas. A partir das etapas constatou-se que os usuários que participaram da pesquisa encontravam-se afetados por sentimentos impostos por estigmas sociais, gerando conflitos nas relações interpessoais. Após a ação notou-se a melhora pontual do diálogo e a promoção de sentimentos de autonomia, aceitação, empoderamento e incentivo mútuo. Considerações Finais: Compreende-se que o objetivo foi alcançado e a contribuição dos profissionais de enfermagem foi de suma importância no processo de fortalecimento social e na construção de competências e habilidades necessárias ao atendimento integral e humanizado dos indivíduos

MAGUEREZ ARCH AS A METHODOLOGY FOR APPLICABILITY OF ACTIONS IN ADHESION TO ALCOHOL TREATMENT

Introduction The active methodology is an educational conception that stimulates critical-reflexive teaching-learning processes. Objective to apply the Arco de Maguerez in the Jardim Oasis community, in the municipality of Iguatu-CE. Methodology The first method was applied to the Hanlon method, in which priorities were established, based on the criteria of magnitude, severity, effectiveness and feasibility. Each criterion was analyzed using numerical score scores: magnitude (1-10); severity (1-10), effectiveness (0.5-1.5) and feasibility (0 or 1). It was through the observational analysis that the problematization “difficulty in adhering to the treatment of alcoholism” was highlighted. As a methodological framework, he used the Maguerez Arch based on “five steps”: observation of reality; key points of the problem; theorization; hypotheses of solution; application of action in reality. Results First Step – Observation of Concrete Reality. Second Step – Determination of Key Posts Third Step – Theorizing: There is a consensus in the literature on the low adherence rate of dependents, the dropout rates are generally above 50%. The literature found that more than 50% of patients evade in the first month. Fourth Step – Solution Hypotheses: Establish Links; inform; use harm reduction policy. Step Five – Application to Reality; Action plans to improve the problem in the reference territory. Conclusion It was understood that despite being a pedagogical instrument focused on the teaching – learning process, it can be fully applied in the daily routine of health services, starting from a social reality up to the moment of effective

BUILDING SOLUTIONS FOR THE SAFETY OF THE PATIENT WITH HEART DISEASE USING WARFARIN: A QUALITATIVE STUDY

ABSTRACT Objective: to identify with the nursing team strategies to promote the safety of the patient with heart disease using warfarin. Method: an exploratory and descriptive research with a qualitative approach, developed in clinical/surgical inpatient units at a public referral hospital in cardiovascular care. The participants were 20 professionals from the nursing team who work in these sectors. Data collection took place in May and June 2017, through discussion groups and covered the five stages of the Maguerez Arch, which were held in a single meeting that was repeated four times in order to involve the largest number of professionals. The obtained data were submitted to thematic analysis. Results: two categories emerged: Recognizing the problem and identifying its causes; and Building hypotheses of solution to the problem. The results showed that the group recognizes the use of oral anticoagulant as a risk factor for serious adverse events. Strategies such as knowing the target international normative relationship of each patient, providing information on the use of anticoagulant to patients and their families, among others, can contribute to make this care safer. Conclusion: the moments of discussion favored by this study served as learning to continue the future implementation of the strategies pointed out by the group and thus increasingly improve the care provided to patients with heart disease and their families.

Um estudo pela perspectiva da psicologia cognitiva acerca do filme “Divertida Mente”

Este trabalho refere-se a uma análise do filme Divertida Mente (2015) diante do ponto de vista da Psicologia, com o intuito de destacar os conteúdos estudados na disciplina de Processos Básicos. Tem como objetivo examinar o filme, destacar seus principais processos, para assim compreender o caso e aplicar à prática, apresentando-o em um fórum clínico, sob a perspectiva da Psicologia Cognitivista. Utilizaram-se as cinco etapas metodológicas do Arco de Marguerez para a análise do filme. Também foi feita uma pesquisa bibliográfica, sendo que a coleta de dados t foi realizada nas bases de dado eletrônica Biblioteca Eletrônica Científica Online (Scielo), também material bibliográfico encontrado na biblioteca da universidade e os conteúdos teóricos e aulas práticas tratados em aula. Os resultados dessa pesquisa indicam que em todas as circunstâncias experienciadas, usufrui-se de diversas emoções, dessa forma, o filme ilustra a personagem principal entrando em um quadro depressivo decorrente da ausência de emoções e dos processos internos desarmônicos. Conclui-se assim, que a terapia cognitivo-comportamental seria a melhor forma de tratamento, e ainda, para que haja qualidade de vida, é preciso ter equilíbrio entre todas as emoções.

Metodologia da problematização: uma possibilidade para o desenvolvimento de competências crítico-reflexivas em contextos curriculares tradicionais

O objetivo deste artigo é socializar uma situação de ensino-aprendizagem problematizadora na formação superior em saúde. A situação socializada foi desenvolvida com uma turma de 36 estudantes de um Curso de Nutrição em Santa Catarina, de organização pedagógica tradicional. Foi adotada a metodologia da problematização com o arco de Maguerez. Os estudantes, em disciplina de 40 horas/aula, dividiram-se em grupos, escolhendo uma parcela da realidade para realização das atividades, mediadas por tutoria semanal da professora. Pondera-se que os estudantes desenvolveram a capacidade de leitura de mundo, mobilizaram conhecimentos e articularam teoria e prática.Conclui-se que a metodologia contribuiu para o desenvolvimento de competências crítico-reflexivas, de autonomia e de trabalho em equipe, representando oportunidade de aprendizagem significativa de aplicação viável em contextos curriculares tradicionais.