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Convalidação de curso em ambiente Virtual de Aprendizagem (AVA) sobre desenvolvimento de competências gerenciais na atenção primária à saúde

2026-08-05T17:55:47Z

Título: Convalidação de curso em ambiente Virtual de Aprendizagem (AVA) sobre desenvolvimento de competências gerenciais na atenção primária à saúde Autor(es): Feitosa, Maria Jacinta Alves Primeiro Orientador: Dutra, Adriana Haack de Arruda Abstract: Introduction: Managerial work in healthcare constitutes a central element for the organization of services, the qualification of work processes, and the assurance of public access to actions and services provided within the Brazilian Unified Health System (SUS). In Primary Health Care (PHC), this role becomes even more complex due to its coordinating function within the healthcare network, the need to integrate care, management, and territory, as well as the coordination of multidisciplinary teams in dynamic contexts often marked by structural limitations. In this scenario, managerial practice requires the development of specific competencies related to planning, decision-making, leadership, people management, and the use of health information. However, many professionals who assume managerial roles in PHC lack specific training for such responsibilities, which may compromise service efficiency and the quality of care provided. Despite advances in Permanent Health Education policies, gaps remain in the availability of structured, contextualized, and evidence-based training programs focused on the development of managerial competencies. Therefore, the following guiding question emerged: which competencies and content should compose a distance-learning management training program for managers and supervisors of Basic Health Units in the Federal District, and how can this content be validated regarding its clarity and relevance? Objective: To validate a distance-learning management training program designed for managers and supervisors of Basic Health Units in the Federal District, aiming to develop managerial competencies in Primary Health Care. Method: This is a methodological study aimed at the development and validation of an educational technical product. The research was conducted in three sequential and complementary stages. The first stage consisted of an exploratory literature review and course development. A bibliographic search was carried out in the PubMed, SciELO, LILACS, and VHL databases, including publications in Portuguese, English, and Spanish from the last ten years. Based on the findings, common themes, pedagogical strategies, and evaluation methods used in PHC management training were identified, supporting the pedagogical structure of the course according to Morrison’s instructional design model. The course was organized into four thematic modules, totaling 40 hours, and designed for distance learning through the ESP-DF platform. The second stage involved expert validation. Expert judges were selected using an adapted Fehring model, requiring a minimum score of five points according to academic qualifications, scientific production, and professional experience in PHC management or supervision. Ten experts participated in the validation process. Data collection was conducted using a structured four-point Likert-scale instrument assessing the clarity and relevance of the course content. The study was approved by the FEPECS Research Ethics Committee, and all participants signed an informed consent form. The third stage involved statistical analysis and content refinement. The Content Validity Index (CVI) was calculated, adopting a cutoff point of CVI ≥ 0.78 for item acceptance. Items scoring below the established threshold were reformulated based on qualitative feedback provided by the experts. Results: The panel of experts consisted of 10 judges, including PhD and postdoctoral professionals, all with recent experience in the Health Department of the Federal District (SES-DF) or educational institutions such as FEPECS and ESP-DF. The only item that did not achieve the minimum acceptability index was “Budget Management” (CVI = 0.70). Qualitative analyses supported the revision of this content, considering that Basic Health Unit managers in the Federal District do not directly manage financial resources, as budget execution is centralized. Suggestions provided by the experts led to the adaptation of the content toward resource management through the Progressive Decentralization Program for Health Actions (PDPAS), ensuring greater alignment with local governance practices. Even items with satisfactory CVI scores were refined based on expert recommendations. Adjustments included regionalization and technical refinement of the content, replacing concepts of direct financial management with approaches related to supply and logistics management, in accordance with the organizational structure of Basic Health Units within SES-DF. The final version of the course was structured for implementation on the ESP-DF virtual learning platform: https://ava.espdf.fepecs.edu.br/. Developed Products: Two products were developed as part of the study. Product 1 consisted of a scientific article entitled “Validation of Educational Technology for Managerial Competencies in Primary Health Care”, submitted to the Revista Gaúcha de Enfermagem, describing the process of development and validation of the educational technology. Product 2 corresponded to the Technical-Technological Product (TTP): a Virtual Learning Environment (VLE)-based course focused on the development of managerial competencies in Primary Health Care, structured into four thematic modules and offered through distance education for managers and supervisors of Basic Health Units in the Federal District. The course was adapted to the institutional reality of SES-DF and is suitable for implementation on the School of Public Health of the Federal District (ESP-DF) platform. Conclusion: This study demonstrated the feasibility of validating, with methodological rigor, a distance-learning educational technology aligned with the institutional specificities of Primary Health Care in the Federal District, presenting evidence of content validity obtained through expert evaluation. The educational material was technically validated, demonstrating coherence and practical applicability. The final version of the course is suitable for implementation on the ESP-DF platform, contributing to the continuing education of healthcare managers in the Federal District. This study is aligned with the research line “Quality in Adult and Elderly Health Care” of the Graduate Program in Health Sciences (PPCS/ESPDF-FEPECS). Editor: Escola de Saúde Pública do Distrto Federal Tipo: Dissertação

Tecnologias educativas para qualificação do cuidado farmacêutico na artrite reumatoide: desenvolvimento de materiais para profissionais e usuários do SUS

2026-08-05T17:57:08Z

Título: Tecnologias educativas para qualificação do cuidado farmacêutico na artrite reumatoide: desenvolvimento de materiais para profissionais e usuários do SUS Autor(es): Souza, JéssIca Tolentino Primeiro Orientador: Novaes, Maria Rita Carvalho Garbi Abstract: Medication dispensing within the Specialized Component of Pharmaceutical Assistance (CEAF) represents a strategic step to ensure access and continuity of treatment for individuals with chronic conditions and rare diseases within the Brazilian Unified Health System (SUS). This study aimed to analyze the weaknesses, strengths, opportunities, and threats related to the medication dispensing process at the CEAF of the Federal District (CEAF), based on the perceptions of pharmacists working in the service. This is a descriptive, qualitative study conducted through interviews with fifteen pharmacists, whose analysis was guided by the FOFA matrix (Strengths, Weaknesses, Opportunities, and Threats). The results identified strengths such as individualized pharmaceutical consultation during first dispensing, double-checking processes, and home delivery of medications. Weaknesses included medication shortages, shortage of human resources, inadequate infrastructure, and excessive documentation bureaucracy. Opportunities involved strengthening communication with users, advancing digital strategies, and decentralizing services, whereas threats included management issues, industrial discontinuity, misinformation, and economic barriers faced by users. It is concluded that dispensing in the CEAF shows relevant advances as a clinical practice but remains strongly conditioned by organizational and systemic limitations. Strengthening dispensing requires structural investments, integration of the healthcare network, continuing education, and governance strategies capable of articulating pharmaceutical care in a continuous, safe, and patient-centered manner. Editor: Escola de Saúde Pública do Distrito Federal Tipo: Dissertação

Internações por transtornos psiquiátricos em unidades de terapia intensiva: uma coorte multicêntrica em unidades privadas em Brasília - DF (2016-2024)

2026-05-28T19:32:45Z

Título: Internações por transtornos psiquiátricos em unidades de terapia intensiva: uma coorte multicêntrica em unidades privadas em Brasília - DF (2016-2024) Autor(es): Lima, Gabryel Cordeiro de Primeiro Orientador: Fagundes Junior, Antônio Aurélio de Paiva Abstract: Background: Intensive care unit (ICU) admissions with a primary psychiatric diagnosis represent a distinct care subgroup and may be associated with acute medical complications. Objective: To describe the clinical-epidemiological profile, temporal trends, and outcomes of ICU admissions with a primary psychiatric diagnosis in three tertiary hospitals within the supplementary health sector in the Federal District, Brazil (2015–2024). Methods: Multicenter retrospective cohort including adults (≥18 years), identified using ICD-10 codes and extracted from the Epimed Monitor® registry. Phase-based temporal analyses used pre-pandemic, pandemic, and post-pandemic periods defined by national regulatory milestones. The primary outcome was prolonged ICU length of stay (LOS ≥7 days); ICU mortality was a descriptive secondary outcome. Results: Among 47,400 ICU admissions, 2,159 (4.55%) had a primary psychiatric diagnosis; 1,348 comprised the final cohort. Most patients were women (71.88%), and self-harm/attempted suicide predominated (63.43%), followed by mood disorders (12.54%) and psychotic disorders (9.72%). LOS ≥7 days occurred in 133 admissions (9.87%). ICU mortality was 0.59% (n=8). In the multivariable model for LOS ≥7 days, higher odds were observed for uncomplicated diabetes (OR 3.26; 95% CI 1.62–6.12), prior stroke without sequelae (OR 7.05; 95% CI 1.16–41.38), focal neurological deficit (OR 6.00; 95% CI 1.94–16.84), pneumonia (OR 16.90; 95% CI 4.75–67.01), and parenteral nutrition (OR 45.07; 95% CI 6.59–886.16). Conclusion: Primary psychiatric ICU admissions were infrequent and had low ICU mortality; prolonged LOS was mainly associated with acute medical complications, and intensive support needs rather than the psychiatric diagnostic category itself. Editor: Escola Superior de Ciências da Saúde, Universidade do Distrito Federal Tipo: Dissertação

Validação de vídeo instrucional sobre o dispositivo intrauterino comcobre e do conteúdo do protótipo do aplicativo DIU conecta

2026-05-25T18:56:15Z

Título: Validação de vídeo instrucional sobre o dispositivo intrauterino comcobre e do conteúdo do protótipo do aplicativo DIU conecta Autor(es): Leão, Débora Aparecida de Oliveira Primeiro Orientador: Barros, Angela Barros Abstract: Introduction: Among sexual and reproductive rights, reproductive planning stands out because it implies respect for people’s freedom and autonomy to decide, freely and responsibly, whether or not they want to have children, how many they wish to have, and at what moment in their lives. This is aligned with Sustainable Development Goal (SDG) No. 5 of the 2030 Agenda — to achieve gender equality and empower all women and girls — which highlights the need to ensure universal access to sexual and reproductive health. Unplanned pregnancy is associated with an increased risk of maternal and fetal complications. In this context, the Brazilian Unified Health System (SUS) adopts as a strategy the expansion of women’s access to qualified information on contraceptive methods, encouraging informed choices aligned with individual needs. Among the contraceptive methods available in the SUS, the copper intrauterine device (IUD) is widely used worldwide and stands out for its effectiveness and safety. However, its uptake in Brazil remains low, which is associated with misinformation. This scenario highlights the importance of developing strategies that promote access to clear, accessible, and reliable information about the copper IUD. Objective: To validate the instructional video on the copper IUD and the prototype of the DIU ConecTa application. Method: This is a methodological study aimed at validating instructional technology in video format and the content of a mobile application prototype. The adopted methodology comprised the stages of evaluation, maintenance, and distribution. The previous stages — development; conceptual modeling, navigation, and interface; and implementation — were carried out in a prior research project by another master’s student from the same graduate program. Developed products: Product 1: Original article – Validation of an instructional video on the copper intrauterine device. Objective: To validate the content, appearance, and semantics of the instructional video on the copper IUD. Method: Content validation was conducted by expert judges using a structured and validated instrument, considering objectives, structure/presentation, and relevance. The appearance of the video was evaluated by other judges with training in design, communication, and related fields, who assessed shapes, colors, images, text, quantity, and size of figures, elements that may enhance the efficiency of the technology. Data were analyzed based on the Content Validity Index (CVI) and the Appearance Validity Index (AVI), with items achieving a minimum index of 0.80 considered valid. Semantic validation with the target audience was carried out with 30 pregnant women receiving care at the Maternal and Child Hospital of Brasília between January and April 2025. After signing the informed consent form, the video was presented to the participants, who subsequently completed an instrument assessing clarity, comprehension, and linguistic adequacy of the video. Results: In the first stage of content validation, a panel of judges was formed, selected based on academic background, professional experience, and involvement in the thematic area. Content validation was conducted in two Delphi rounds. Sixteen judges participated in the first round and fifteen in the second. The majority were female in both rounds, accounting for 93.8% in the first round and 93.3% in the second. All judges were nurses, with academic training time ranging from 3 to 29 years, with a mean of 17 and 17.4 years in each stage, respectively. Judges’ ages ranged from 25 to 57 years, with a mean age of 40.2 years in the first round and 40.6 years in the second. Regarding academic qualifications, 80% held a master’s or doctoral degree. Concerning professional practice, most participants — 15 (93.8%) in the first validation stage and 14 (93.3%) in the second — reported working directly in women’s health care. Most judges in both evaluation rounds had training in IUD insertion, totaling 75% (12) and 80% (12), respectively. Regarding undergraduate or graduate teaching/preceptorship, 12 (75%) judges reported experience in the area, ranging from two to twenty years. In the first stage of content validation, a mean CVI of 0.91 was observed. Five judges participated in the appearance validation, with a mean age of 35.4 years and an average of 13.2 years of professional training. At this stage, an AVI of 0.90 was identified. Suggestions from the judges in the first stage of content validation and in the appearance validation led to modifications in the video, resulting in a second version with a duration of five minutes and twenty-four seconds. In the second stage of content validation, a CVI of 0.97 was observed, demonstrating improved agreement among judges after the implemented changes. In the semantic validation, 30 women participated, and a CVI of 0.92 was identified. A one-sided binomial test was used for analysis, and results showed that eight out of ten items presented statistically significant agreement proportions (p < 0.05), particularly those related to language, clarity, and comprehension. This approach ensures the technical quality and pedagogical relevance of the developed material, guaranteeing alignment with the profile and needs of the target audience. Result: Version 2 of the video is available on the YouTube platform on the channel of the Graduate Program in Health Sciences at the following link: https://youtu.be/XawwBtBrmGo?si=G32RRc8MC82_rVWk. The video “Copper IUD – An effective choice to prevent pregnancy” was registered and holds a copyright certificate issued by the Brazilian Book Chamber as an intellectual work. Conclusion: The video presented satisfactory results in all stages of validation. Product 2: Content validation of the “DIU ConecTa” application prototype. Objective: To validate the content of the DIU ConecTa application prototype. Method: This is a methodological study focused on content validation of a mobile application prototype on the copper IUD named “DIU ConecTa.” A panel of judges was formed, selected based on predefined criteria related to academic background, professional experience, and involvement with the technology’s thematic area. Expert selection followed the snowball sampling method. Judges evaluated the technology items using a structured and validated instrument, considering three domains: objectives, structure/presentation, and relevance. Results: Data were analyzed based on the CVI, with items achieving a minimum index of 0.80 considered valid. The analysis demonstrated high agreement among participants, with CVI values ranging from 0.90 to 0.96 and a mean of 0.93, indicating a satisfactory degree of relevance, clarity, and adequacy. Suggestions were incorporated into the prototype content, resulting in a second version of the product. Conclusion: The DIU ConecTa application prototype also demonstrated satisfactory evidence of content validity. These materials are believed to contribute to expanding access to qualified information about the copper IUD, strengthening women’s empowerment in reproductive decision-making, and consequently promoting respect for their autonomy. The adopted methodology proved appropriate to ensure rigor, clarity, and relevance in the developed products and may help reduce informational gaps. This perspective directly aligns with Sustainable Development Goal No. 5, target 5.6, which emphasizes the importance of universal access to information and sexual and reproductive health services as an essential component of gender equality and women’s empowerment. The proposal is innovative in integrating accessible and easy-to-understand digital resources, contributing to expanded access to information on effective contraceptive methods and strengthening women’s autonomy in decision-making. Furthermore, the developed products demonstrate potential for practical application across different levels of health care, and may be incorporated into educational actions, training processes, and public policies related to reproductive planning. This initiative is relevant to Nursing and to the SUS, with real potential for positive impact on care practices and user experience. It is expected that the produced results may engage both the scientific community and public health managers, contributing to improved reproductive health actions and reaffirming Nursing’s role as a social transformation agent committed to rights, equity, and the promotion of autonomy. This project aligns with the research line Quality of Care in Women’s, Children’s, and adolescents’ Health. Editor: Escola de Saúde Pública do Distrito Federal Tipo: Dissertação