https://rd.uffs.edu.br/handle/prefix/9019 2026-08-29T10:45:02Z https://rd.uffs.edu.br/handle/prefix/9454 Title: Construção e validação de simulador de baixo custo para treinamento de punção do port-a-cath Author: Auda, Jéssica Maria de First advisor: Massaroli, Aline Abstract: This study aimed to construct and validate a low-cost simulator for Port-a-Cath puncture training. It was a methodological study structured in three stages: planning, implementation, and simulator evaluation and validation. Fifteen experts were selected for the final stage. Data collection involved administering a participant characterization questionnaire, a questionnaire to validate functionality and appearance, and another to evaluate the low-cost simulator. Data collection took place between December 2025 and February 2026. Data analysis employed descriptive and inferential statistics—including absolute and relative frequencies, mean and median—as well as the Content Validity Index (CVI), Kappa coefficient, internal consistency, and Cronbach's alpha. The research was approved by the Human Research Ethics Committee (CAAE: 91523025.5.0000.5564). A low-cost Port-a-Cath puncture simulator was developed, enabling the execution of all procedural steps in a manner similar to those performed on a real patient; this included palpating the device through artificial skin, puncturing the device with observed venous reflux, and the capability for medication infusion. Fifteen nurses experienced in puncturing this device participated in the simulator's evaluation and validation; the majority (53.3% or 8 nurses) held a residency in oncology. Results from the Port-a-Cath puncture simulator appearance and functionality assessment instrument showed mean response scores ranging from 3.7 to 4.0, with a median of 4 for all items and low data dispersion, indicating high agreement among the experts. All items achieved an Item-level Content Validity Index (I-CVI) of 1.00, demonstrating that 100% of the experts considered the items appropriate. Regarding the Low-Cost Simulator Evaluation Instrument, responses generally showed high scores on the rating scale, with means ranging from 3.60 to 5.00 and a median of 5 for most items, indicating a predominantly favorable perception of the characteristics analyzed. The CVI-Ave of 0.94 indicates a high level of content validity for the factors assessed by the instrument. Notably, the low-cost Port-a-Cath simulator stood out; its production cost was approximately R$ 211.13—six times lower than that of commercially available models— while also offering a favorable cost-benefit ratio. It is concluded that the use of the Port-a- Cath puncture training simulator has the potential to assist students and professionals in developing their technical and cognitive skills. Thus, its use can help promote patient safety within healthcare institutions by fostering the development and enhancement of the professional competencies required for the safe management and puncture of Port-a-Cath devices. Publisher: Universidade Federal da Fronteira Sul Type: Dissertação 2026-01-01T00:00:00Z https://rd.uffs.edu.br/handle/prefix/9380 Title: Metodologias ativas na graduação em enfermagem: potencialidades e dificuldades na perspectiva dos docentes enfermeiros Author: Borille, Dayane Carla First advisor: Fonsêca, Graciela Soares Abstract: The use of active learning methodologies in educational processes has been a topic of discussion in health-related academic programs, including undergraduate Nursing courses. This project aims to identify the potential benefits and challenges associated with the implementation of active methodologies by nurse educators in an undergraduate Nursing program in a city in the mid-west region of Santa Catarina. This descriptive, qualitative study was conducted with six nurse educators from the undergraduate program between May and August 2025. The study involved analyzing course syllabi for specific Nursing subjects using a pre-designed data collection tool and conducting semi-structured interviews with the nurse educators. Minayo’s thematic content analysis was used to process and analyze the data. A document analysis of 27 syllabi—comprising 15 from the second semester of 2024 and 12 from the first semester of 2025—revealed that the most frequently cited teaching strategies were interactive lectures, case studies, mind maps/concept maps, educational seminars, simulations, flipped classrooms, project-based learning, games (e.g., Kahoot, flashcards), practical classes, guest lectures by specialists, peer/group discussions, guided visits, and problem-based learning (PBL). Six female nurse educators participated in the study for the development of thematic categories; they were aged between 34 and 52, were employed on an hourly basis, and had graduated between 10 and over 20 years prior. Regarding the cited teaching strategies, a combination of traditional methods and active methodologies was observed, indicating a gradual transition from the traditional teaching model toward more participatory, student- centered approaches. The findings suggest that the implementation of active methodologies in Nursing education is part of an ongoing process of constructing pedagogical content knowledge, as proposed by Shulman. Publisher: Universidade Federal da Fronteira Sul Type: Dissertação 2026-01-01T00:00:00Z https://rd.uffs.edu.br/handle/prefix/9340 Title: Profilaxia pré-exposição ao vírus HIV (PrEP): representações sociais de profissionais de saúde, gestores(as) e usuários LGBTQIAPN+ Author: Silva, Eduarda Luiza Maciel da First advisor: Silva Filho, Cláudio Claudino da Abstract: In response to the Human Immunodeficiency Virus (HIV) and Acquired Immunodeficiency Syndrome (AIDS) epidemic, the Brazilian government, in conjunction with civil society organizations and social movements, developed strategies to combat the infection, including the provision of Pre-Exposure Prophylaxis (PrEP) to HIV within the Unified Health System (SUS). PrEP consists of the combined use of antiretroviral medications capable of significantly reducing the risk of HIV acquisition, and has been gradually incorporated into Specialized Care Services (SAE) for HIV/AIDS in Brazil since 2017. In the municipality where the research was conducted, the implementation of this strategy only occurred in 2023, making it a recent service in the territory. In this context, the present study aimed to analyze the social representations of health professionals from the HIV/AIDS Specialized Care Service (SAE HIV/AIDS) and Basic Health Units (UBS), LGBTQIAPN+ users who use PrEP, and SUS (Brazilian Public Health System) managers regarding the use of PrEP in a municipality in the state of Santa Catarina. This is a qualitative, descriptive, and exploratory study based on the Theory of Social Representations (TSR). Data collection was carried out through semi-structured interviews, and the data were analyzed using thematic analysis as proposed by Braun and Clarke, employing data triangulation. The study included 8 PrEP users, 14 managers, and 11 healthcare professionals linked to the HIV/AIDS Specialized Care Service (SAE) and Primary Health Care. The results showed that PrEP is primarily represented by users as a strategy associated with safety, tranquility, and HIV prevention, while professionals and managers highlighted challenges related to the organization of services and access to prophylaxis. Among the main weaknesses identified were the centralization of PrEP dispensing in the SAE, as well as barriers related to prejudice and misinformation about the LGBTQIAPN+ population in health services. On the other hand, potential opportunities were also identified related to the role of healthcare professionals, especially nurses, in guiding, monitoring, and encouraging the use of prophylaxis, as well as in promoting safer and more comprehensive care. It is concluded that the implementation of PrEP represents an important advance in HIV prevention strategies; however, challenges remain related to expanding access, decentralizing the provision of services, and improving the quality of care provided. Publisher: Universidade Federal da Fronteira Sul Type: Dissertação 2026-01-01T00:00:00Z https://rd.uffs.edu.br/handle/prefix/9338 Title: Entre saberes e resistências: relações de poder na comunicação em saúde da prática clínica na atenção primária Author: Etges, Alexia Tailine First advisor: Geremia, Daniela Savi Abstract: Primary Health Care (PHC) is the structuring axis of the Brazilian Unified Health System, and communication is one of its greatest contemporary challenges, aggravated by the proliferation of fake news and the infodemic. This research aimed to understand how professionals working in PHC in Santa Catarina perceive, experience, and manage the power relations established in clinical health practices during consultations with patients, especially in addressing health misinformation, through the lens of Foucault's assumptions about power relations. The study aligns with Sustainable Development Goal (SDG) 16 of the 2030 Agenda, specifically target 16.10, by discussing the importance of public access to qualified information and the strengthening of health institutions in tackling disinformation. This is a qualitative, exploratory, and descriptive-analytical study, conducted in the field and anchored in the Foucauldian theoretical-epistemological perspective. Data collection took place between September 2025 and January 2026, with 18 professionals (9 physicians and 9 nurses) from the nine macro-regions of health in Santa Catarina, selected by convenience sampling from municipalities in stratum 4 of the Index of Health Development and with larger populations. Inclusion criteria were: having at least three years of professional experience in primary health care and having performed, in the last six months, direct care activities for family health service patients, including medical or nursing consultations. Professionals who worked exclusively in service management, without direct patient care, as well as those linked to secondary or specialized care services, were excluded. Data collection involved semi-structured individual interviews, a visual activity of technical/practical skills, and notes in field diaries. Data were processed using IRaMuTeQ software and analyzed through the lens of Minayo’s thematic analysis to identify thematic units (nuclei of meaning), although the central analytical framework was Foucauldian, aiming to understand the power dynamics present in the participants' discourses. The results reveal that communication in primary health care is not neutral, but operates as a device of governance. The emphasis on dialogue and active listening often masks a regulatory function, in which the professional acts as a mediator of scientific truths to neutralize divergent knowledge and reinscribe the patient within the institutional norm. Misinformation was identified as functioning as a "regime of competing truth" challenging state control and the authority of biomedical knowledge. The study indicates that when patients seek information online or resort to popular knowledge (such as the use of herbal teas), they exercise freedom and counter-conduct, ceasing to be passive objects and becoming subjects who question the norm. It is inferred that confronting misinformation in the microphysics of the clinical encounter depends less on hierarchical authority and more on the professional's negotiation skills, requiring access to the patient's symbolic universe to reorient care practices and strengthen the bond within the Brazilian Unified Health System. Publisher: Universidade Federal da Fronteira Sul Type: Dissertação 2026-01-01T00:00:00Z