Guide on safe vaccination in primary care: convergences for permanent health education

Submitted by Graziela Moura (mouragraziela691@gmail.com) on 2021-06-06T01:45:33Z No. of bitstreams: 3 Disserta????o_Guiasobrevacinacao.pdf: 1818299 bytes, checksum: 6bbc5687f2923560e42479b5527d4400 (MD5) CartaEncaminhamento.pdf: 521467 bytes, checksum: db671865a81a6a33790d5217b1eec25b (MD5) AtaDefesa.pdf: 192442 bytes, checksum: 641235e822e6987a6eef3187aad4d073 (MD5) Approved for entry into archive by Mestrado Profissional em Enfermagem no Contexto Amaz??nico PPGENF-MP (ppgemp@ufam.edu.br) on 2021-06-28T19:42:08Z (GMT) No. of bitstreams: 3 Disserta????o_Guiasobrevacinacao.pdf: 1818299 bytes, checksum: 6bbc5687f2923560e42479b5527d4400 (MD5) CartaEncaminhamento.pdf: 521467 bytes, checksum: db671865a81a6a33790d5217b1eec25b (MD5) AtaDefesa.pdf: 192442 bytes, checksum: 641235e822e6987a6eef3187aad4d073 (MD5) Approved for entry into archive by Divis??o de Documenta????o/BC Biblioteca Central (ddbc@ufam.edu.br) on 2021-06-28T21:07:07Z (GMT) No. of bitstreams: 3 Disserta????o_Guiasobrevacinacao.pdf: 1818299 bytes, checksum: 6bbc5687f2923560e42479b5527d4400 (MD5) CartaEncaminhamento.pdf: 521467 bytes, checksum: db671865a81a6a33790d5217b1eec25b (MD5) AtaDefesa.pdf: 192442 bytes, checksum: 641235e822e6987a6eef3187aad4d073 (MD5) Made available in DSpace on 2021-06-28T21:07:07Z (GMT). No. of bitstreams: 3 Disserta????o_Guiasobrevacinacao.pdf: 1818299 bytes, checksum: 6bbc5687f2923560e42479b5527d4400 (MD5) CartaEncaminhamento.pdf: 521467 bytes, checksum: db671865a81a6a33790d5217b1eec25b (MD5) AtaDefesa.pdf: 192442 bytes, checksum: 641235e822e6987a6eef3187aad4d073 (MD5) Previous issue date: 2021-05-06 The immunization is considered in public health as one of the most effective strategies in the prevention and control of immunopreventable diseases. The nursing needs to afford appropriate skills and tools that corroborate for safe vaccination practices. OBJECTIVE: To develop, together with nursing professionals from the National Immunization Program of the Municipal Health Department of Manacapuru, Amazonas a technological health product for the promotion of permanent education about safe vaccination. METHODOLOGY: qualitative study, based on Convergent Care Research, realized in the city of Manacapuru, Amazonas. Participated in the study six nurses and 13 nursing technicians with experience in immunization. The data collection took place in November 2020, through the Focus Group technique, as a convergence space. RESULTS: they are presented by means of two scientific articles and a Technological Product. ARTICLE 1- Integrative literature review, searching databases. Having with PICO ??? P: Nursing Professionals; I: Education Process in service/permanent/continuing; C: does not apply, since the comparison between care was not sought; O: use of educational technology in immunization, in the period from 2014 to 2019. Included three articles, publisheds in Brazil, in Kenya, in the United States and in Canada. The technologies used were: Update Course, training DVD, online course. The english language predominated in most articles. The review showed scarcity of publications relevant to the use of educational technologies related to the qualification of nursing workers focused on training on immunization. ARTICLE 2 - sought to identify, from the perspective of nursing professionals, Continuing Education in the context of safe vaccination, through a descriptive, qualitative study. In the data collection, was used a semi-structured instrument, containing open questions about the contributions of the educational experiences about immunization, being analyzed through the content analysis of Bardin. Emerged three categories: ???Distancing the nurse in the routine of the vaccination room???; ???Nursing technicians as protagonists in the vaccine room???; ???Continuing education as a tool for training nursing professionals in the field of immunization and its subcategories: lack of knowledge about safe vaccination to ensure the quality of care in the vaccination room and lack of adherence of nursing professionals) in the face of training in immunization. It is concluded that the little participation of nurses in the management of immunization actions can contribute to weakening the safe process in the practice of immunization. It becomes relevant the develop a guiding instrument for continuing education in immunization, considering the complexity of procedures related to nursing practice in immunization in the regional context of Amazonas. TECHNOLOGICAL PRODUCTION ??? Guide for strengthening Continuing Education about Safe Vaccination. It was developed together with the nursing professionals participating in the research, it will ensure the quality of health care in the context of immunization, as recommended by the Unified Health System. Prepared based on the results of the Integrative Literature Review, in spaces of convergence with the research subjects, in consultation with the guiding documents of national and international health agencies. CONCLUSION: Through the Convergent Care Research methodology, it was possible to build a Guide about safe vaccination for the Permanent Education Service of the Department of Health of the Municipality of Manacapuru, Amazonas, a Process Technology that will be a guide for the assistance and management practices of the nursing in the immunization process. The spaces of convergence of PCA are made explicit by the juxtaposition of practice with scientific investigation, concretized by dialogued exchange between professionals and researchers. It is expected that further studies are developed, as this is a topic of great global relevance in the control and promotion of vaccine-preventable diseases. The instrument will be validated in future researches. A imuniza????o ?? considerada na sa??de p??blica como uma das estrat??gias mais eficazes na preven????o e controle de doen??as imunoprevin??veis. A enfermagem precisa dispor de habilidades e ferramentas adequadas que corroborem para as pr??ticas de vacina????o segura. OBJETIVO: Desenvolver em conjunto com os profissionais de enfermagem do Programa Nacional de Imuniza????o da Secretaria Municipal de Sa??de de Manacapuru, Amazonas um produto tecnol??gico em sa??de para a promo????o da educa????o permanente sobre vacina????o segura. METODOLOGIA: estudo qualitativo, pautado na Pesquisa Convergente Assistencial, realizado no munic??pio de Manacapuru, Amazonas. Participaram do estudo 6 enfermeiros e 13 t??cnicos de enfermagem, com experi??ncia em imuniza????o. A coleta de dados ocorreu em novembro de 2020, por meio da t??cnica de Grupo Focal, como espa??o de converg??ncia. RESULTADOS: est??o apresentados por meio de dois artigos cient??fico e um Produto Tecnol??gico. ARTIGO 1- Revis??o Integrativa da literatura, com busca em bases de dados. Tendo com estrat??gia PICO - P: Profissionais de Enfermagem; I: Processo de Educa????o em servi??o/permanente/continuada; C: n??o se aplica, uma vez que n??o se buscou a compara????o entre os cuidados; O: uso de tecnologia educacional em imuniza????o, no per??odo entre 2014 a 2019. Inclu??dos tr??s artigos, publicados no Brasil, no Qu??nia, nos Estados Unidos e no Canad??. As tecnologias utilizadas foram: Curso de Atualiza????o, DVD de treinamento, curso online. A l??ngua inglesa predominou na maioria dos artigos. A revis??o mostrou escassez de publica????es pertinente ao uso de tecnologias educacionais relacionadas ?? qualifica????o de trabalhadores em enfermagem voltadas para a capacita????o sobre imuniza????o. ARTIGO 2 - buscou-se identificar na perspectiva dos profissionais de enfermagem a Educa????o Permanente no contexto da vacina????o segura, por meio do estudo descritivo, qualitativo. Na coleta de dados foi utilizado um instrumento semiestruturado, contendo perguntas abertas sobre as contribui????es das experi??ncias educativas sobre imuniza????o, sendo analisados por meio da an??lise de conte??do de Bardin. Emergiram tr??s categorias: ???Distanciamento do enfermeiro no cotidiano da sala de vacina????o???; ???T??cnicos de enfermagem como protagonistas na sala de vacina???; ???Educa????o permanente como ferramenta para capacita????o de profissionais de enfermagem no ??mbito da imuniza????o e suas subcategorias: desconhecimento sobre vacina????o segura para assegurar a qualidade da assist??ncia na sala de vacina????o e falta de ades??o dos profissionais de enfermagem) frente ??s capacita????es em imuniza????o. Conclui-se que a pouca participa????o do enfermeiro na gest??o nas a????es de imuniza????o poder?? contribuir para fragilizar o processo seguro na pr??tica da imuniza????o. Torna-se relevante a elabora????o de um instrumento norteador para a educa????o continuada em imuniza????o, considerando a complexidade dos procedimentos ligados ?? pr??tica de enfermagem em imuniza????o no contexto regional no Amazonas. PRODU????O TECNOL??GICA ??? Guia para o fortalecimento da Educa????o Permanente sobre Vacina????o Segura. Foi desenvolvido em conjunto com os profissionais de enfermagem participantes da pesquisa, assegurar?? a qualidade da assist??ncia ?? sa??de no ??mbito da imuniza????o, conforme preconiza o Sistema ??nico de Sa??de. Elaborado com base nos resultados da Revis??o Integrativa da Literatura, nos espa??os de converg??ncia com os sujeitos da pesquisa, na consulta dos documentos orientadores dos ??rg??os de sa??de nacionais e internacionais. CONCLUS??O: Por meio da metodologia da Pesquisa Convergente Assistencial foi poss??vel construir um Guia sobre vacina????o segura para o Servi??o de Educa????o Permanente da Secretaria de Sa??de do Munic??pio de Manacapuru, Amazonas, uma Tecnologia de Processo que ser?? um norteador para as pr??ticas assist??ncias e gerenciais da enfermagem no processo de imuniza. Os espa??os de converg??ncia da PCA s??o explicitados pela justaposi????o da pr??tica com a investiga????o cient??fica, concretizados pela troca dialogada entre os profissionais e os pesquisadores. Espera-se que outros estudos sejam desenvolvidos, por tratar-se de um tema de grande relev??ncia mundial no controle e promo????o de doen??as imunoprevin??veis. O instrumento ser?? validado em pesquisas futuras.