https://repositoriobce.fepecs.edu.br/handle/prefix/5 2026-08-06T06:12:16Z 2026-08-06T06:12:16Z Feitosa, Maria Jacinta Alves https://repositoriobce.fepecs.edu.br/handle/123456789/1715 2026-08-05T17:55:47Z 2026-05-14T00:00:00Z

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

2026-05-14T00:00:00Z Souza, JéssIca Tolentino https://repositoriobce.fepecs.edu.br/handle/123456789/1714 2026-08-05T17:57:08Z 2026-06-10T00:00:00Z

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

2026-06-10T00:00:00Z Souza Júnior, David Barbosa de https://repositoriobce.fepecs.edu.br/handle/123456789/1713 2026-08-05T17:51:22Z 2026-06-09T00:00:00Z

Título: Riscos psicossociais nas residências em medicina de família e comunidade do Distrito Federal Autor(es): Souza Júnior, David Barbosa de Primeiro Orientador: Salomon, Ana Lúcia Ribeiro Abstract: Introduction: Medical residency, recognized as the gold standard for specialized training in Brazil, is a setting for work-based learning, but also one marked by intense clinical, pedagogical, and subjective demands. In the field of Family and Community Medicine, the expansion of Network Residency Programs, especially within the Federal District State Health Secretariat, increased the number of positions and training settings while also revealing challenges related to working conditions, institutional organization, and the mental health of residents and preceptors. Exposure to psychosocial risk factors, such as overload, harassment, violence, imbalance between personal and professional life, emotional distress, and use of psychoactive substances, may affect training, professional performance, and the quality of health care. Objective: To analyze the psychosocial risks and work context of residents and preceptors in the Family and Community Medicine Residency Program who use training settings linked to the Federal District State Health Secretariat. Method: This was a descriptive, field-based, quantitative, exploratory cross-sectional study conducted with 109 participants, including 37 preceptors, 36 first-year residents, and 36 second-year residents. Data were collected using a structured, validated, and adapted electronic questionnaire administered through the REDCap® platform. Sociodemographic variables, working conditions, satisfaction with the specialty, work environment, exposure to harassment and violence, anxiety and depressive symptoms, psychosomatic complaints, suicidal ideation, professional activities outside residency, and use of psychoactive substances were investigated. The analysis included descriptive and inferential statistical procedures, with a 5% significance level. Results: A total of 109 participants took part in the study, with a predominance of women and heterosexual individuals. Differences were observed between groups regarding marital status and living arrangements, with a higher proportion of single residents and married or cohabiting preceptors. Compared with preceptors, residents reported greater dissatisfaction with the specialty, higher daily emotional exhaustion, anxiety symptoms, difficulty controlling worries, depressive feelings, and greater imbalance between professional and personal life. Physical aggression was more frequent among second-year residents, particularly when perpetrated by patients or accompanying persons. Consumption of energy drinks was higher among residents. Although no statistically significant differences were observed regarding suicidal ideation, its presence was identified in all groups. Psychosomatic complaints were high and similarly distributed among residents and preceptors. Conclusion: Residency in Family and Community Medicine in training settings linked to SES-DF is associated with important psychosocial risk factors, with greater vulnerability among residents, especially regarding emotional distress, dissatisfaction with the specialty, imbalance between work and personal life, and exposure to situations of violence. The findings indicate the need for ongoing institutional strategies to promote mental health, prevent violence, strengthen supervision, and expand psychosocial support, in order to improve the training and work environment, protect residents and preceptors, and contribute to safer, more ethical, and more humanized care within the Brazilian Unified Health System. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação

2026-06-09T00:00:00Z Silva, Ana Paula Alves da https://repositoriobce.fepecs.edu.br/handle/123456789/1712 2026-08-05T17:44:24Z 2026-05-11T00:00:00Z

Título: O uso de antipsicóticos no manejo de transtornos mentais crônicos graves e persistentes: uma revisão de escopo Autor(es): Silva, Ana Paula Alves da Primeiro Orientador: Novaes, Maria Rita Carvalho Garbi Abstract: Chronic severe and persistent mental disorders represent a significant public health challenge due to their high prevalence, prolonged course, substantial functional impairment, and the need for continuous follow-up within health care systems. In this context, antipsychotic medications constitute the main pharmacological class used in the clinical management of these conditions and are widely prescribed in the treatment of schizophrenia, schizoaffective disorder, and severe forms of bipolar disorder, both in psychiatric inpatient settings and in community mental health services. Despite their therapeutic relevance, the long-term use of these medications is marked by challenges related to drug selection, therapeutic regimens, safety, treatment adherence, metabolic and neurological adverse effects, as well as the frequent practice of antipsychotic polypharmacy. The general objective of this scoping review was to map and synthesize the scientific evidence published over the last ten years regarding the use of antipsychotics in the management of chronic severe and persistent mental disorders, with emphasis on psychiatric hospitalization and community-based mental health care settings. This is a qualitative, exploratory, and descriptive scoping review conducted in accordance with the methodological framework proposed by Arksey and O’Malley and the recommendations of the PRISMA Extension for Scoping Reviews (PRISMA-ScR). The literature search was carried out in the PubMed/MEDLINE, Virtual Health Library, Scopus, PsycINFO, Web of Science, and CAPES Journals Portal databases, in addition to grey literature sources, considering studies published between January 2015 and December 2024. Original articles, reviews, clinical guidelines, dissertations, and theses addressing the use of first- and/or second-generation antipsychotics in populations with chronic severe and persistent mental disorders were included. The results revealed substantial heterogeneity in antipsychotic use, both regarding pharmacological classes and therapeutic regimens. A predominance of second-generation antipsychotics was observed, mainly justified by their more favorable tolerability profile, although concerns regarding metabolic adverse effects remain prominent. Antipsychotic polypharmacy emerged as a recurrent practice in contexts of greater clinical severity, despite ongoing controversies surrounding its effectiveness and safety. In community mental health services, antipsychotics were identified as a central component of treatment, frequently associated with challenges related to treatment adherence, insufficient monitoring of adverse effects, and weaknesses in the integration of pharmacological management with psychosocial interventions. It is concluded that, although antipsychotics are essential in the management of chronic severe and persistent mental disorders, the scientific literature highlights relevant gaps concerning rational use, long-term treatment safety, and the integration of pharmacological care with psychosocial approaches. This scoping review allowed for the identification of trends, convergences, and challenges in the field, contributing to the improvement of clinical practice, the organization of mental health services, and the direction of future research. Editor: Escola Superior de Ciências da Saúde Tipo: Dissertação

2026-05-11T00:00:00Z