PPGSCOL/FACISA - Mestrado em Saúde Coletiva
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Master Thesis Linhas de cuidado do sobrepeso e obesidade no SUS: sistematização de conhecimentos e desenvolvimento de ferramenta de apoio à organização do cuidado(Universidade Federal do Rio Grande do Norte, 2025-11-24) Queiroga Júnior, Ubiratan Matias de; Medeiros, Anna Cecilia Queiroz de; Garcia, Ligia Rejane Siqueira; https://orcid.org/0000-0002-6039-481X; http://lattes.cnpq.br/9480599528581047; https://orcid.org/0000-0002-7664-4959; http://lattes.cnpq.br/6897910777769874; https://orcid.org/0000-0002-8629-1931; http://lattes.cnpq.br/8135738467721121; Rolim, Ana Carine Arruda; https://orcid.org/0000-0002-0447-9683; http://lattes.cnpq.br/9471678445935347; Reis, Erika Cardoso dos; https://orcid.org/0000-0003-4459-9345; http://lattes.cnpq.br/8593119206782533INTRODUCTION: Excess weight is a chronic condition that represents one of the main challenges for Brazil’s Unified Health System (SUS). As a strategy to organize care for individuals with overweight and obesity, the Ministry of Health established the Care Lines for Overweight and Obesity (LCSO). However, more than a decade after the publication of the first regulations on the topic, not all Brazilian states have formalized LCSO, suggesting weaknesses in the implementation of this strategy. OBJECTIVE: To analyze the scientific literature on LCSO within the SUS and to develop a checklist to support the evaluation and development of state and regional LCSO. METHODS: The study was conducted in two stages. The first stage consisted of an exploratory rapid scoping review, following methodologies from the Joanna Briggs Institute and PRISMA-ScR, with evidence analysis guided by the SWOT framework. The second stage involved developing a checklist for evaluating and improving LCSO, based on a documentary review, followed by assessment of the instrument by an Expert Committee using the Content Validity Index (CVI). RESULTS: The literature search identified 1,136 records, of which 26 documents were selected for analysis. The SWOT analysis revealed the following strengths of the LCSO: multiprofessional action, user protagonism, and continuing education practices; as opportunities, national policies and programs, intersectoral initiatives, and the use of information technology; as weaknesses, management challenges, insufficient infrastructure, and gaps in professional training and practice; and as threats, limited funding, obesity being treated as an "invisible" health condition, and stigma and fatphobia within health services. Based on the documentary review, the instrument “Quality Verification and Support Checklist for Qualification and Support for the Development of State and Regional Care Lines for People with Overweight and Obesity” was developed. In the expert committee evaluation, all proposed items were deemed valid, and the checklist achieved an overall CVI > 0.80. The final version contains 47 items distributed across eight domains (Population identification; Responsibilities and mapping of available structures; Care provided across points of care, regulation, and care pathways; Clinical Protocols and Therapeutic Guidelines; Monitoring and evaluation; Continuing Education; Funding; and Critical points and improvement needs). CONCLUSION: The literature review provided an overview of the strengths and weaknesses of the LCSO, highlighting the need to integrate this topic into planning and management tools, as well as to expand the research agenda on LCSO to support improvement and evaluation processes. In this context, the validated checklist represents a potentially useful tool to support the enhancement and assessment of LCSO and to improve care for people with obesity.Master Thesis Envolvimento do público na co-construção de uma cartilha para o sono saudável na adolescência(Universidade Federal do Rio Grande do Norte, 2025-05-30) Pereira, Thais Kamilla Alves; Souza, Jane Carla de; Moura, Isabelly Cristina Rodrigues Regalado; http://lattes.cnpq.br/6776595559146210; https://orcid.org/0000-0002-8769-4273; http://lattes.cnpq.br/5997878957114840; https://orcid.org/0000-0003-0029-286X; http://lattes.cnpq.br/6707409446515853; Sousa, Klayton Galante; https://orcid.org/0000-0002-7710-7522; http://lattes.cnpq.br/3976136492048222; Quental, Ocilma Barros de; https://orcid.org/0000-0002-4075-2755; http://lattes.cnpq.br/1673713633025582Introduction: Adolescence is a phase of transitions with new responsibilities, more autonomy, and emotional, financial and biological changes, such as alterations in the "biological clocks" that regulate the sleep-wake cycle (SWC). Despite the importance of non-pharmacological strategies to improve sleep, many young people neglect sleep hygiene. It is therefore essential to involve them in the development of materials and interventions aimed at promoting healthy sleep. Active public participation in research has brought science and practice closer together and facilitated engagement with evidence-based interventions. Objective: To co-construct a booklet for sleep healthy in adolescence with the involvement of the target audience in all phases of the research. Method: Participatory action research with 5 adolescents in the 2nd year of high school, their guardians (4 mothers, 1 aunt), 3 teachers and 3 sleep specialists. The study was carried out at the IFRN in Santa Cruz/RN. A sociodemographic questionnaire was administered to the adolescents and a sleep knowledge assessment form was administered to the adolescents and their families, as well as a semi-structured questionnaire to the teachers about some aspects in the classroom. Next, for the dialogue and co-construction groups, the Involvement Matrix (IM) was used as a systematized tool to facilitate the participants' engagement in decision-making and the distribution of roles in the research. In the dialog groups, discussions were held to identify the difficulties faced by adolescents in maintaining healthy sleep and, in a collaborative way, to design an intervention booklet that reflected the preferences of the target audience. Results: The adolescents were between 16 and 18 years old, four females and one male, from the same class. The guardians were between 37 and 49 years old, most of whom had completed elementary school. Two specialists had doctorates and one had a master's degree, with an average of 6.33 ± 4.16 years of experience. There were five meetings: presentation of the ME and roles (1st), discussion of strategies (2nd to 4th), and coconstruction and validation of the booklet (5th). Adolescents reported excessive screen use, difficulty sleeping, irregular sleep patterns, tiredness, and drowsiness during the first classes. Teachers reported that adolescents showed signs of irritability and lack of concentration in class. Those responsible for the adolescents expressed concern about excessive use of electronic devices and reported being unaware of sleep hygiene practices. In the co-construction process, the adolescents proposed strategies such as reducing the use of digital devices, especially before bedtime, adopting a routine for eating and organizing school and household tasks; legal guardians contributed with insights about the home routine, such as turning off the TV close to bedtime and adopting habits recommended for quality sleep, in order to set an example for adolescents. The experts guided the discussions to ensure that the strategies presented could be compiled into accessible support material for adolescents, in addition to contributing to the content of the booklet. In the final stage of evaluating the booklet, all participants expressed satisfaction with the co-created material. Conclusions: This study highlighted the perceived effectiveness of the co-construction model and the participatory approach, which facilitated the development of a booklet for sleep disorders and healthy sleep with the specific needs of adolescents and their families, increasing its relevance and acceptability.Master Thesis Narrativas maternas em fóruns on-line brasileiros: experiências de não querer e não conseguir amamentar(Universidade Federal do Rio Grande do Norte, 2025-11-26) Batista, Mayra Shamara Silva; Medeiros, Anna Cecilia Queiroz de; Queiroz, Pablo Vicente Mendes de Oliveira; http://lattes.cnpq.br/1860289409399187; https://orcid.org/0000-0002-7664-4959; http://lattes.cnpq.br/6897910777769874; http://lattes.cnpq.br/6215353551981871; Abreu, Eloá Losano de; http://lattes.cnpq.br/7638785489894819; Rêgo, Francisco Cleiton Vieira Silva do; https://orcid.org/0000-0002-8852-6212; http://lattes.cnpq.br/4438529628551741Introduction: Breastfeeding, although widely recommended and associated with numerous benefits, can constitute a complex experience, permeated by difficulties and ambivalences. In the current sociocultural context of constant transformation, this experience takes on new dimensions and challenges, whose understanding is essential to guide health care practices. Objective: To explore, in Brazilian online forums, how the experiences of “not being able to breastfeed” and “not wanting to breastfeed” are expressed and perceived. Methodology: This cross-sectional qualitative study adopted an exploratory and descriptive design. Data were collected from online forums on the BabyCenter (Brazil) platform between 2023 and 2024, identified through searches using the terms “I can’t breastfeed” and “I don’t want to breastfeed.” The retrieved texts (topics and comments) were organized into three corpora: two related to the “cannot” axis and one to the “do not want” axis. The material was analyzed using Descending Hierarchical Classification (DHC) with the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRaMuTeQ). The results of the automated lexical classification were validated through interpretative coding conducted by three independent researchers. Results: Three textual corpora were analyzed. IRaMuTeQ divided the first corpus into five lexical classes, the second into three, and the third into five lexical classes. The two corpora related to the “cannot breastfeed” axis were organized into eight lexical classes in total, highlighting physical difficulties, pain, insecurity, emotional impact, bonding, and support strategies. The corpus related to the “do not want to breastfeed” axis generated five lexical classes organized around maternal trajectory, breastfeeding mediation resources, lactation interruption, maternal autonomy, and guarantee of rights. In both cases, the forums functioned as spaces for support, information exchange, and validation of maternal trajectories. Final Considerations: This study broadens the discussion on not breastfeeding by recognizing that this experience is shaped by emotional, social, and cultural factors, extending beyond biological aspects. Virtual forums emerge as ecosystems of support and information where normative discourses are questioned and maternal autonomy is fostered. The findings highlight the importance of care practices that support and acknowledge diverse ways of mothering, in alignment with public policies promoting breastfeeding.Master Thesis Desvelando o controle social no SUS: uma análise do funcionamento dos conselhos municipais de saúde na 5ª região (Trairi) do estado do Rio Grande do Norte(Universidade Federal do Rio Grande do Norte, 2025-12-08) Moura, Marília Jacqueline Ferreira de; Almeida Júnior, José Jailson de; https://orcid.org/0000-0001-7448-0703; http://lattes.cnpq.br/8768677759534396; https://orcid.org/0009-0001-8134-8476; http://lattes.cnpq.br/4252301590721214; Silva, Catarine Santos da; https://orcid.org/0000-0002-2120-9730; http://lattes.cnpq.br/5420075210935645; Morais, Ildone Forte de; http://lattes.cnpq.br/4105309896093472; Telles, Maurício Wiering Pinto; https://orcid.org/0000-0002-5568-6877; http://lattes.cnpq.br/3146268167204989Introduction: This dissertation, organized as a collection of scientific articles, analyzes the exercise of social control in the Unified Health System through the functioning of the Municipal Health Councils (CMS) of the 5th Health Region – Trairi, in the state of Rio Grande do Norte. The CMS are collegiate bodies for deliberation, oversight, and formulation of public policies, as established by Law No. 8.142/1990, and constitute essential pillars of participatory democracy in the SUS. The study begins by recognizing these councils as instruments of social control and spaces for dialogue between the state and society, while also identifying challenges related to the autonomy, representativeness, and effectiveness of their actions. Objective: To analyze the functioning of the Municipal Health Councils of the 5th Region of Trairi, Rio Grande do Norte, revealing their practices, limitations, and potential for strengthening social control and popular participation in the Unified Health System. Methodology: This is a qualitative study conducted between 2024 and 2025, involving 47 councilors from seven municipalities in the 5th Health Region (Trairi), representing the segments of users, workers, and managers/service providers. Data were produced through focus groups, subsequently transcribed, and subjected to Content Analysis (Bardin, 1977; 2016) with the support of IRaMuTeQ software. The empirical corpus, composed of 429 texts and 999 text segments, was processed and resulted in three thematic classes, which gave rise to the three scientific articles that comprise this collection. Results: The results indicate that the Municipal Health Councils in the Trairi region play a relevant role in the participatory management of the Unified Health System , although they present political, formative, and structural weaknesses that limit their performance. The first article addresses social representations, the length of participation, and the relationship with municipal management, highlighting the challenges of political autonomy and the influence of local administrations. The second article analyzes the internal organization of the CMS, focusing on committees and boards of directors, highlighting processes of centralization and weaknesses in the implementation of deliberative parity. The third article discusses popular participation and social communication, highlighting the distance between councilors and the community, as well as the lack of strategies for mobilization and social dialogue. Taken together, the findings demonstrate that, despite their limitations, the CMS constitute legitimate spaces for representation, political learning, and the exercise of citizenship. Final Considerations: It is concluded that strengthening social control in the SUS requires investment in continuing education, ensuring institutional autonomy, improving information flows, and expanding communication channels with civil society. Despite facing structural and political challenges, the Municipal Health Councils (CMS) of the 5th Trairi Region reveal democratic potential and practices of resistance that contribute to the consolidation of social participation in the Unified Health System . This dissertation, by bringing together three complementary articles, reaffirms the importance of these councils as mediating spaces between the State and society and as fundamental instruments for improving participatory management and social oversight in health.Master Thesis Comportamento alimentar e percepção sobre o apoio familiar no tratamento da obesidade em mulheres(Universidade Federal do Rio Grande do Norte, 2025-09-30) Silva, Franciane Pereira da; Freitas, Rafaela Carolini de Oliveira; Silva, Catarine Santos da; https://orcid.org/0000-0002-2120-9730; http://lattes.cnpq.br/5420075210935645; https://orcid.org/0000-0003-0644-668X; http://lattes.cnpq.br/4017906740512071; Oliveira, Kalyane Kelly Duarte de; https://orcid.org/0000-0001-7713-3264; http://lattes.cnpq.br/4437324318943452; Orange, Luciana Gonçalves de; http://lattes.cnpq.br/0614700156868857Obesity is a highly relevant topic in public health due to its growing impact and the common comorbidities associated with it. The stigma surrounding obesity hinders treatment, with women suffering considerably more than men, primarily due to aesthetic pressures. This study aimed to analyze the eating behavior of women receiving care in primary health services and their perceptions of the influence of family support on obesity treatment. It is a mixed-methods, observational, cross-sectional study conducted in the municipalities of Tenório (PB) and Parelhas (RN), using a convenience sample. Data collection included a socioeconomic questionnaire, application of the Three-Factor Eating Questionnaire – R21 (TFEQ-21), semistructured interviews, and the development of genograms and ecomaps. A total of 53 adult women diagnosed with obesity (BMI ≥ 30 kg/m²) were evaluated, predominantly young and middle-aged, mostly Black or Brown, and showing relevant tendencies toward uncontrolled eating, emotional eating, and cognitive restraint. Perceptions of family support were contradictory: in some cases, spouses and support networks acted as protective factors, favoring lifestyle changes, while in others, they represented barriers through criticism and lack of participation in the treatment process. Genograms and ecomaps highlighted the importance of emotional, financial, and practical support, as well as the influence of the broader social environment, including extended relatives, friends, and the internet. In conclusion, addressing obesity in women requires a multidimensional approach that considers socioeconomic, family, and emotional factors, with interventions aimed at strengthening support networks and reducing stigma, thereby enabling greater adherence to treatment.Master Thesis Vigilância Popular em Saúde: a tradução do conhecimento na construção dialógica de uma tecnologia educacional(Universidade Federal do Rio Grande do Norte, 2025-11-26) Lopes, Pablo Matheus da Silva; Guedes, Dimitri Taurino; Silva, Mercês de Fátima dos Santos; https://orcid.org/0000-0002-1818-7665; http://lattes.cnpq.br/7575524707167845; http://lattes.cnpq.br/1813083811932848; Silva, José Marcos da; Telles, Mauricio Wiering Pinto; https://orcid.org/0000-0002-5568-6877; http://lattes.cnpq.br/3146268167204989Introduction: Popular Health Surveillance emerges as a political and pedagogical practice built from community organization, popular education, and the production of situated knowledge, in response to socioenvironmental inequities experienced in territories and to the invisibilization of illness processes produced by structural inequality. This study is situated within this debate by understanding the territory as a living space for the production of meaning, care, and resistance, in which surveillance is not limited to technical monitoring but is constituted as a collective action oriented toward the defense of life. Objective: the study aimed to develop and validate a self-instructional educational technology, territorially grounded, designed to strengthen practices of social mobilization, collective care, and participatory monitoring of health and the environment. Additionally, it sought to critically reflect on the formative pathway that preceded the development of the material, highlighting the production of Popular Health Surveillance conducted by the subjects and social movements involved in the project. Materials and methods: the research adopted a methodological development design articulated with participatory action research, assuming a processual, formative, and dialogical character. The methodological pathway included a literature review and prior field activities, such as articulation workshops, Culture Circles, talking maps, and other participatory methodologies, which constituted the formative process itself and generated theoretical, methodological, and experiential inputs for the design of the guide. The development of the material considered accessible language, territorially grounded iconography, and coherence with the principles of popular education. Validation occurred in two stages, one with consultants who had scientific production and experience in the field of Popular Health Surveillance, using the Content Validity Index, and another with the participant public, aiming to assess comprehension, cultural relevance, and practical applicability of the educational technology. Results: the expert validation process resulted in an overall Content Validity Index of 0.80, accompanied by substantive revisions that enhanced intercultural translation, conceptual consistency, and the mobilizing potential of educational technology. The participatory stage with the intended audience, conducted through a discussion circle, confirmed a favorable consensus regarding the usefulness of the material and its cultural representativeness, demonstrating recognition of its alignment with concrete territorial needs and its capacity to support collective practices for addressing socioenvironmental problems. Final consideration:. it is concluded that Popular Health Surveillance is affirmed as a practice that articulates knowledge, strengthens community bonds, and expands the autonomy of subjects, surpassing the technicist logic of traditional surveillance. The dissertation contributes to the conceptual and methodological advancement of the field and provides a validated educational technology with the potential to qualify professional practices and to strengthen emancipatory processes guided by the ethics of popular education.Master Thesis Acesso, cuidado compartilhado e participação do parceiro na gestação de alto risco no Sistema Único de Saúde(Universidade Federal do Rio Grande do Norte, 2025-11-24) Araújo, Maria Juliana da Silva Rocha; Bay Júnior, Osvaldo de Goes; https://orcid.org/0000-0002-1017-2346; http://lattes.cnpq.br/2537976144708382; http://lattes.cnpq.br/8688434479400685; Marinho, Cristiane da Silva Ramos; http://lattes.cnpq.br/6533587332872383; Silva, Cícera Renata Diniz Vieira; https://orcid.org/0000-0002-0928-8368; http://lattes.cnpq.br/8842460114307022; Rêgo, Francisco Cleiton Vieira Silva do; https://orcid.org/0000-0002-8852-6212; http://lattes.cnpq.br/4438529628551741Introduction: Maternal Mortality (MM) is a persistent indicator of social inequity and systemic failures in public health. High-Risk Prenatal Care (HRPC) is a crucial strategy for its reduction, requiring coordinated, continuous, and specialized assistance. Objective: In this context, the present study aimed to analyze the perceptions of high-risk pregnant women regarding barriers to access, shared care, and partner involvement in the Brazilian Unified Health System (SUS). Method: The research adopted a qualitative, descriptive, and exploratory approach, conducted in a maternity hospital in the interior of Rio Grande do Norte. Sampling was by convenience, with the final analysis comprising 19 participants. Data collection occurred between October and November 2024 through recorded semi-structured interviews. Data analysis utilized Bardin's Content Analysis (2011) and the Atlas.ti software, and the study was approved by the Research Ethics Committee (CEP) of FACISA-UFRN. Results: Results revealed that although the structural model of shared care between Primary Health Care (PHC) and specialized services is established and seeks integrality with multidisciplinary teams, its efficacy is undermined by operational failures in network management. Institutional disarticulation leads to critical scheduling delays (return extended beyond one month), transforming clinical risk into managerial risk. The main obstacles cited are the demands of the work routine and the impossibility of taking time off for appointments, incompatible schedules, lack of interest, and marital conflicts. This absence, often restricted to ultrasound exams, highlights a discrepancy between the woman's expectation and the reality, generating frustration, insecurity, and a feeling of affective neglect. This male absence is reinforced by an exclusionary cultural logic that devalues the man's role in care, limiting him to financial provision. The fragility of this conjugal support intensifies maternal stress and anxiety, potentially aggravating the high-risk condition. Conclusion: It is concluded that the ideal HRPC structure is doubly compromised by administrative inefficiency (systemic failure) and limited partner participation (socio-cultural barrier), collectively transforming operational obstacles into clinical risk and socioeconomic vulnerability. There is an urgent need for the administrative improvement of the network so that inter-federative co-management translates into efficiency, and for the implementation of intersectoral policies (health, work, and education) to promote the effective inclusion of partners, ensuring equity, integrality, and the reduction of preventable maternal morbidity and mortality.Master Thesis Prevenção de lesão por pressão em pessoas idosas acamadas: guia para profissionais de enfermagem da atenção primária à saúde(Universidade Federal do Rio Grande do Norte, 2025-11-19) Souza, Paloma da Silva Alves de; Oliveira, Luciane Paula Batista Araújo de; Lino, Cristiane Ribeiro de Melo; https://orcid.org/0000-0002-8684-4065; http://lattes.cnpq.br/4601757822031286; https://orcid.org/0000-0003-1629-8991; http://lattes.cnpq.br/6856229797544372; https://orcid.org/0000-0001-5342-1595; http://lattes.cnpq.br/5059195859522832; Barros, Wanessa Cristina Tomaz dos Santos; https://orcid.org/0000-0002-1924-3278; http://lattes.cnpq.br/1499146101830829; Pontes, Maria de Lourdes de Farias; https://orcid.org/0000-0002-5187-6876; http://lattes.cnpq.br/8451475270151725Pressure injury (PI) is a prevalent condition among bedridden older adults, negatively affecting quality of life, patient safety, and healthcare costs. In Primary Health Care (PHC), effective prevention requires systematic practices, continuous risk assessment, and ongoing training of the nursing team. This methodologicalstudy aimed to develop a practical, evidence-based guide to support nursing professionals in preventing PI in bedridden older adults receiving home care. The study was conducted in two stages: an integrative literature review carried out in the BVS, SciELO, and CAPES Portal databases between 2017 and 2025, following the PRISMA 2020 guidelines, which resulted in the selection of 38 scientific articles; and the subsequent development of the guide, grounded in the findings of the review and in official documents such as those from ANVISA and the NPIAP. The analysis revealed a high vulnerability of older adults to PI and the absence of standardized tools specifically adapted to the PHC context. It also highlighted risk factors associated with immobility, inadequate nutrition, excessive moisture, skin fragility, and caregiver overload. These findings supported the construction of a structured guide containing updated definitions and classifications of PI, instructions for applying the Braden Scale, evidence-based preventive strategies, educational recommendations for caregivers, and guidelines for documentation and monitoring. Ethical considerations were ensured, as thisstudy relied exclusively on publicly available bibliographic data. The developed guide represents an important educational technology to standardize care, strengthen patient safety, and support clinical nursing practice in PHC, with the potential to reduce the occurrence of PI and improve home care for bedridden older adults.Master Thesis Equidade no trabalho em saúde: um olhar interseccional sobre a realidade de agentes de saúde de um município do nordeste brasileiro(Universidade Federal do Rio Grande do Norte, 2025-11-06) Silva, Leticia Luana Claudino da; Telles, Mauricio Wiering Pinto; Almeida Júnior, José Jailson de; https://orcid.org/0000-0001-7448-0703; http://lattes.cnpq.br/8768677759534396; https://orcid.org/0000-0002-5568-6877; http://lattes.cnpq.br/3146268167204989; https://orcid.org/0009-0005-9536-1080; http://lattes.cnpq.br/4803862764961945; Magalhães, Adriana Gomes; https://orcid.org/0000-0002-0279-5930; http://lattes.cnpq.br/5918222264099117; Almeida, Erika Rodrigues de; http://lattes.cnpq.br/3923118246437283Introduction: Equity in health is one of the fundamental principles of the Brazilian Unified Health System (SUS), being an essential condition for ensuring the universal right to health and the consolidation of social justice. Guaranteeing equitable conditions within the SUS is not limited to institutional organization but also represents a political and ethical commitment to social justice. Understanding how inequalities manifest in the daily practices of health professionals, especially those on the front lines of care, is essential for consolidating a fairer and more humanized system. Objectives: This study aimed to analyze, from an intersectional perspective, the perceptions of Community Health Workers (CHWs) and Endemic Disease Control Workers (EDCWs) from a municipality in Northeastern Brazil regarding the inequities experienced in their daily work. Methodology: This is a qualitative and exploratory study conducted with 15 participants. The study population consisted of CHWs and EDCWs working in the SUS of a Northeastern Brazilian municipality. Data were collected through semistructured interviews and processed using the iRaMuTeQ software, analyzed according to Bardin’s Content Analysis technique. The interpretation of the results was guided by the theoretical framework of intersectionality and the concept of equity in health. Results: The findings revealed that experiences of inequality intersect through social markers such as gender, race, class, age, and sexuality, showing that inequities go beyond the sphere of user care and also affect health workers. The thematic categories addressed disrespect toward identities and diversity, institutional and territorial barriers to healthcare access, precarious working conditions, and emotional overload, especially among women. It was also observed that the naturalization of these inequalities compromises the full realization of the principle of equity within the SUS. Final considerations: Promoting equity in healthcare work requires recognizing and confronting the multiple dimensions ofstructural inequalities that permeate the daily lives of health workers. It was found that weaknesses in work management and health education policies aggravate these inequalities, limiting opportunities for professional development, recognition, and the promotion of healthy work environments. Intersectionality proved to be a powerful framework for understanding the invisible layers of inequality within healthcare work and, at the same time, for indicating paths of transformation. The strengthening of public policies and continuing education initiatives is emphasized as a strategy in the pursuit of more equitable and humanized healthcare work.Master Thesis Saúde e sentido profissional dos sepultadores da região do Trairi Potiguar(Universidade Federal do Rio Grande do Norte, 2025-08-28) Silva, Josefa Eucliza Casado Freires da; Guedes, Dimitri Taurino; Agra, Glenda; http://lattes.cnpq.br/4881187066358568; https://orcid.org/0000-0002-1818-7665; http://lattes.cnpq.br/7575524707167845; https://orcid.org/0000-0003-1066-0574; http://lattes.cnpq.br/4515080147724811; Lucena, Eleazar Marinho de Freitas; http://lattes.cnpq.br/6188571106198506; Neves, Robson da Fonseca; https://orcid.org/0000-0002-3889-560X; http://lattes.cnpq.br/1106268293952370Introduction: Gravediggers play a fundamental role in cemetery activities, as assistants to the funeral service. These professionals are responsible for building, cleaning, opening, and closing graves, as well as performing burials, exhumations, and cremations of corpses. Although this work has deep roots in human history, the field of undertakers remains in need of significant improvements to ensure their rights, social appreciation, and recognition of the complexities involved in their work. Objective: To analyze the work experiences of undertakers in the Trairi Potiguar region and their repercussions on health. Method: This is a qualitative study with an exploratory approach, conducted in cemeteries in the Trairi Potiguar region, in the state of Rio Grande do Norte. Eight gravediggers aged 18 years or older were included. The data collection instrument was a semi-structured script with questions regarding the working conditions, health, and professional experience of gravediggers. The interviews were conducted between November 14, 2024, and January 16, 2025, with each interview lasting approximately 30 minutes. For data analysis, Content Analysis was used with the aid of IRaMuTEQ® software, which enables the analysis of the textual corpus with a simple and understandable interface. Results and discussion: The resulting textual corpus consisted of 8 texts divided into 408 textual segments, of which 310 were processed by the software, with a utilization rate of 75.98%. The study resulted in a sample of gravediggers, with active employment, between temporary contracts and civil service exams, working in municipal cemeteries in the Trairi Potiguar region. The analysis allowed for the construction of thematic categories according to the Descending Hierarchical Classification (DHC), which express dimensions of the gravediggers' experience, namely: Class 1- The dead body as an object of work and the symbolic emptying of mourning (24.8%); Class 2- Invisible routine and excessive working hours (25.8%); Class 3- Technical execution and little social recognition (23.2%); and Class 4- Precarious employment relationship (26.1%). The Similarity Tree revealed four major clusters: Cluster 1 - “grave”; Cluster 2 - “cemetery”; Cluster 3 - “gravedigger”; 4 - “family.” The triangulation of the CHD and the Similarity Tree demonstrates consistency between the highlighted clusters and the thematic categories. Final considerations: The association between the study evidence and the thematic categories reveals that gravediggers face a cycle of invisibility and precariousness at work, suffering in silence and without institutional recognition.Master Thesis Impactos do programa de monitoria na formação acadêmica e profissional de enfermagem(Universidade Federal do Rio Grande do Norte, 2025-10-29) Souza, Suelly Araújo de; Valença, Cecilia Nogueira; https://orcid.org/0000-0003-3998-3983; http://lattes.cnpq.br/2788316719185705; http://lattes.cnpq.br/6001382702769609; Freitas, Rafaela Carolini de Oliveira; https://orcid.org/0000-0003-0644-668X; http://lattes.cnpq.br/4017906740512071; Lucena, Silvia Kalyma Paiva; http://lattes.cnpq.br/2095279974807713Introduction: the Academic Mentorship Program (or Academic Tutoring Program), offered by Higher Education Institutions (HEIs) and Technical Level Institutions, occurs concurrently with the curriculum and consists of activities related to the three pillars of teaching, research, and outreach/extension. The objective is to integrate the student-mentor into teaching practice in a specific subject area. These student-mentors are supervised by faculty advisors (or teachersupervisors) who may confer increasing degrees of independence, allowing the student-mentors to plan, execute, and evaluate educational activities that facilitate the teaching and learning process of the mentored students (or student-tutees).Objective: to analyze the perception of faculty advisors and student-tutors regarding the contributions of academic tutoring to the teaching-learning process in nursing education. Materials and Methods: this is a descriptiveexploratory study with a qualitative approach, conducted with faculty advisors and studenttutors from an undergraduate Nursing program between January and July 2025. Data were collected through individual semi-structured interviews. Data analysis utilized the Content Analysis method proposed by Bardin, with the aid of the IRaMuTeQ ® software. Results: the final sample consisted of 12 participants: 8 student-tutors and 4 faculty advisors. From the students' perspective, the academic tutoring program impacted the teaching-learning process by promoting: improved public speaking, deeper knowledge of the discipline, the adoption of new personal and study routine habits, development of pedagogical skills, knowledge and practice of new teaching methodologies, the awakening or confirmation of interest in a teaching career, and valuable experience for future academic and career opportunities. From the faculty advisors' perspective, the selection of tutors integrates a broader assessment of competencies and interests, in addition to analyzing academic performance. They also highlight the importance of planning, continuous monitoring, and evaluation for the project's success, as well as the need to incorporate new technologies and encourage greater faculty involvement in tutoring as a measure for improvement. The accounts converge in affirming the transformative impact on the tutors' academic performance and professional profile, and in consolidating tutoring as a strategy to encourage interest in a teaching career. Conclusions: the reports reveal, in the perception of the interviewees, that the experiences within the academic tutoring project brought positive repercussions for academic performance, contributing to the student formation process and encouraging interest in a teaching career.Master Thesis O ensino em saúde coletiva à luz do modelo de ação e raciocínio pedagógico de Lee Shulman(Universidade Federal do Rio Grande do Norte, 2025-09-29) Oliveira, Samara Barreto de; Telles, Mauricio Wiering Pinto; Almeida Júnior, José Jailson de; https://orcid.org/0000-0001-7448-0703; http://lattes.cnpq.br/8768677759534396; https://orcid.org/0000-0002-5568-6877; http://lattes.cnpq.br/3146268167204989; https://orcid.org/0000-0001-6238-5928; http://lattes.cnpq.br/6726953502848560; Severo, Ana Kalliny de Sousa; https://orcid.org/0000-0002-9548-6394; http://lattes.cnpq.br/5170430928839162; Lima, Bárbara Patrícia da SilvaTeaching Public Health in higher education constitutes a strategic field for training critical, reflective health professionals capable of responding to the complex demands of the Brazilian Unified Health System (SUS). However, teaching in this area still faces weaknesses related to pedagogical training, institutional conditions, and curricular integration. In light of this scenario, this research aimed to understand the nature of the faculty working in public health at a public higher education institution in Rio Grande do Norte, as well as to analyze their pedagogical practices, strengths, and challenges, using Lee Shulman's Pedagogical Reasoning and Action Model as a theoretical framework. This is a descriptive qualitative investigation conducted with faculty members affiliated with the Trairi School of Health Sciences (FACISA) through document analysis and semi-structured interviews. The results revealed a predominantly female faculty, with multidisciplinary training and temporary positions, revealing a heterogeneous profile that brings together different perspectives on public health, but also expresses instability and precarious work. Content selection and organization were described as guided by the curriculum's structuring elements and core competencies, but also influenced by the student profile and the professor's domain knowledge. A growing appreciation for active methodologies was noted, associated with student leadership, practical involvement in practical scenarios, and the use of digital technologies. However, traditional practices still persist in certain contexts, denoting connections between innovation and the reproduction of pedagogical models. Among the strengths, collective planning, interdisciplinarity, and the use of diverse resources in the knowledge representation stage stood out, which fosters meaningful learning. Challenges, however, were related to structural and territorial limitations, insufficient workload, low student participation, and the lack of institutional pedagogical support. Faculty reported difficulties in sharing teaching control, work overload, and training gaps in didactics and pedagogy, factors that weaken the consolidation of more critical and reflective practices. The conclusion is that Public Health teaching at the institution under study is intentionally organized and aligns with Shulman's premises, but faces structural, pedagogical, and institutional barriers that compromise its effectiveness. This reinforces the urgent need for investment in teacher training, strengthening working conditions, and encouraging scientific debates to improve teaching skills and enhance the development of professionals capable of transformative work in the field of public health.Master Thesis Acolhimento e vínculo na atenção primária à saúde: percepções de profissionais de saúde(Universidade Federal do Rio Grande do Norte, 2025-10-29) Lima, Larissa Rafaelly Pereira; Valença, Cecilia Nogueira; https://orcid.org/0000-0003-3998-3983; http://lattes.cnpq.br/2788316719185705; https://orcid.org/0000-0002-1763-3918; http://lattes.cnpq.br/3688786356083814; Freitas, Rafaela Carolini de Oliveira; https://orcid.org/0000-0003-0644-668X; http://lattes.cnpq.br/4017906740512071; Lucena, Silvia Kalyma Paiva; http://lattes.cnpq.br/2095279974807713Introduction: Reception in Primary Health Care (PHC) is a practice based on qualified listening, respect, and shared responsibility, and is essential for building bonds between professionals and patients. Therefore, by promoting attentive listening and strengthening bonds, reception becomes an indispensable strategy for ensuring patients seek health services and effectively addressing their needs. Objective: To understand health professionals' perceptions of the importance of reception and connection in the context of PHC care. Methodology: This is a qualitative study with a descriptive-exploratory design. Data collection took place from February 2025 to July 2025. The study population consists of health professionals working in PHC in the municipality of Santa Cruz, Rio Grande do Norte. Considering the qualitative nature of the research, the sample size was determined based on data saturation. Data collection was conducted using an individual semi-structured questionnaire, and data were analyzed using Bardin's content analysis technique. Once the corpus was formatted, the data were processed in IRaMuTeQ® (version 0.8a7), and Descending Hierarchical Classification (DHC), word cloud analysis, and similarity graph analysis were requested. Expected results: Nine healthcare professionals were interviewed. The interviewees perceived welcoming as an essential tool in the PHC context and favors the development of professional-patient bonds. Categorization was performed by integrating the research objectives with Bardin's content analysis and the IRaMuTeQ® DHC results. The DHC generated seven classes. These classes were subsequently grouped into two broad categories: one related to social interactions in the care process and the other related to the organization/structure of services. The seven classes are: "Aspects involved in care"; "Feelings related to welcoming"; "Actions for effective welcoming"; "Organization and flow in the unit"; "Bonding and continuity of care"; "Care and listening"; "Communication and qualified listening." Thus, the classes highlight the aspects that permeate the context of user care, with an emphasis on actions that strengthen the relationship between users and professionals. The word cloud also highlighted the "patient" as the center of these actions. Furthermore, through analysis of the participants' statements, it was possible to identify how these practices are understood and applied, and the challenges professionals face in implementing them. Final considerations: This study proposes a reflection on welcoming and bonding in PHC, considering the importance of these elements for the humanization and effectiveness of care. By recognizing these elements ascentral to strengthening PHC, the research findings prompt reflections on the importance of welcoming and how this principle impacts the process of user care.Master Thesis Fadiga materna e determinantes do cuidado no ciclo gravídico-puerperal: interfaces entre rede Alyne, OMS e realidade local(Universidade Federal do Rio Grande do Norte, 2025-09-26) Feitoza, Ilana Bruna de Lima; Magalhães, Adriana Gomes; https://orcid.org/0000-0002-0279-5930; http://lattes.cnpq.br/5918222264099117; http://lattes.cnpq.br/4182182504015085; Almeida Júnior, José Jailson de; https://orcid.org/0000-0001-7448-0703; http://lattes.cnpq.br/8768677759534396; Nascimento Júnior, Leonildo Santos do; http://lattes.cnpq.br/2458971770021915Maternal fatigue is a condition that requires comprehensive care strategies involving the physical, psychological, and social dimensions of the pregnant woman. This study aims to analyze maternal fatigue during labor, based on the recommendations of the Alyne Network and the World Health Organization (WHO), considering clinical, sociodemographic, and obstetric factors that influence care throughout the pregnancy–puerperal cycle. This is an observational study with a quantitative approach, conducted with women in labor in the interior of the state of Rio Grande do Norte, including 83 participants. Sociodemographic, obstetric, anthropometric, prenatal care, and childbirth data were collected, as well as maternal evaluations of fatigue during labor and newborn information. The inclusion criteria were: low-risk pregnant women aged 18 years or older, able to understand and answer the questions, and who completed the maternal fatigue assessment included in the evaluation questionnaire. Exclusion criteria included: women who did not respond to the maternal fatigue questionnaire, those with clinical instability during the study, and those who withdrew at any stage. Descriptive analysis with non-parametric tests was performed. Subsequently, Spearman’s correlation test and the Mann–Whitney comparison test were applied to examine relationships between fatigue and sociodemographic and obstetric variables, using the SPSS statistical software, version 25. The study was submitted to and approved by the Research Ethics Committee (CEP) of the Faculty of Health Sciences of Trairi, Federal University of Rio Grande do Norte, under CAAE: 69296623.2.0000.5568. The median age of participants was 26 years, the median gestational age was 39 weeks and 5 days, and the median number of prenatal consultations was 10. It was found that 95.2% of participants presented low fatigue during labor, while 4.8% presented high fatigue. A positive correlation was identified between the total maternal fatigue score and obstetric variables such as the number of pregnancies (p = 0.001), number of previous deliveries (p = 0.001), and history of abortion (p = 0.010). There was also a significant correlation between fatigue scores in the latent and active phases of labor (p = 0.034) and with the Visual Analogue Scale for pain (p = 0.001). No significant correlation was observed with the Bologna score. The chi-square test of association between fatigue levels (high and low) and sociodemographic, obstetric, and care-related variables did not reveal statistically significant associations (p > 0.05). Maternal fatigue during labor was shown to be associated with specific obstetric factors, with a positive correlation between the total fatigue score and the number of pregnancies, previous deliveries, and history of abortion. These results suggest that women with greater obstetric experience may exhibit higher levels of physical and emotional exhaustion during childbirth. Therefore, it is recommended that health professionals consider the obstetric profile of each woman as a central element in developing humanized care strategies, respecting individual particularities and promoting interventions that minimize physical and emotional strain during labor.Master Thesis Orientações para o acolhimento às mulheres em situação de violência psicológica na atenção primária à saúde(2025-09-29) Desidério, Bárbara Monique Alves; Severo, Ana Kalliny de Sousa; https://orcid.org/0000-0002-9548-6394; http://lattes.cnpq.br/5170430928839162; https://orcid.org/0009-0008-7435-0747; http://lattes.cnpq.br/6321878965739431; Nagashima, Alynne Mendonça Saraiva; https://orcid.org/0000-0002-7939-3059; http://lattes.cnpq.br/8869678305441029; Ferreira Júnior, Antonio RodriguesThe National Policy for Confronting Violence Against Women established a network of public services to address violence, encompassing healthcare, public security, justice, and social assistance. However, Primary Health Care, as the entry point to the Unified Health System and the network for confronting violence against women, becomes a privileged setting for addressing the physical and psychological harm resulting from such violence. Therefore, it is essential that its professionals are qualified in psychological violence to enhance the effectiveness of the actions they can undertake. These actions include mandatory reporting, referral to specialized services, the collection and recording of epidemiological data, and knowledge production for public policy formulation. Consequently, this research aimed to analyze the guidelines for welcoming women experiencing psychological violence in Primary Health Care through two qualitative, descriptive, and exploratory multi-method studies. The first study is an "on-paper" Institutional Analysis, which aims to identify gaps in the guidelines for professional practices within Primary Health Care for welcoming women in situations of psychological violence. These guidelines are contained within three volumes of the National Policy for Confronting Violence Against Women Collection. The second study is a scoping review that followed the methodological recommendations of the Joanna Briggs Institute Manual for Evidence Synthesis 2024 and the Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews - PRISMA-ScR. The screening of records was conducted using the Intelligent Systematic Review software - Rayyan© 2016, with the objective of identifying the scope and relevance of studies and research on professional practices that guide Primary Health Care in welcoming women experiencing violence, specifically within the realm of psychological violence. Both studies highlight the central role of Primary Health Care in early identification and adequate support, pointing to the urgent need for developing specific protocols, continuous training, and strengthening intersectoral and territorially-based coordination among the services within the network for confronting violence against women. They also emphasize the need for collective knowledge construction to qualify professional practices. By recognizing psychological violence as a complex and multidetermined phenomenon, this research proposes integrated approaches that transcend the biomedical model. It contributes to Collective Health by strengthening comprehensive and equitable care and by collaborating with the formulation of contextualized public policies. This promotes the safety and agency of vulnerable women, helps overcome structural inequalities, and guarantees the rights and dignity of women victims of psychological violence, incorporating interdisciplinary approaches that consider the social, economic, and cultural determinants of gender violence.Master Thesis O cuidado às mulheres em situação de violência: desenvolvimento de uma intervenção na atenção primária à saúde(Universidade Federal do Rio Grande do Norte, 2025-08-29) Soares, Victoria Celeste Sena; Rolim, Ana Carine Arruda; https://orcid.org/0000-0002-0447-9683; http://lattes.cnpq.br/9471678445935347; http://lattes.cnpq.br/1837829687081781; Oliveira, Ana Luiza de Oliveira e; https://orcid.org/0000-0001-9537-1979; http://lattes.cnpq.br/8648769154718062; Araújo Júnior, David Gomes; https://orcid.org/0000-0003-0755-2118; http://lattes.cnpq.br/9797576329756949INTRODUCTION: This study addresses violence against women as a public health issue, focusing on the role of Primary Health Care (PHC) professionals and the challenges that hinder the provision of comprehensive care for women experiencing violence within the health system. OBJECTIVE: To analyze the impact of a Permanent Health Education (PHE) workshop for PHC professionals on the topic of violence against women. METHODOLOGY: This is an exploratory and descriptive methodological study aimed at the design and implementation of a permanent education workshop for health professionals on violence against women in PHC in Assú/RN. The training activities took place between October 8 and 29, 2024, and were conducted by the author of the study. To evaluate the workshop’s impact, an instrument based on the document “Guidelines for monitoring and evaluation of permanent education policy actions” published in 2022 by the Brazilian Ministry of Health was applied. Data were organized and systematized in Microsoft Excel 2013 spreadsheets. In addition, the researcher’s field diary was used for qualitative analysis, recording perceptions, interactions, difficulties, and subjective aspects of the process, analyzed under the PHE framework. The study was approved by CEP-HUOL/UFRN under opinion no. 7.059.963. RESULTS AND DISCUSSION: Thirteen PHC professionals from the municipality of Assú/RN participated in the activities, all of them female. Most participants were under 30 years old and worked as nurses. It was found that the indicators Satisfaction and Performance, assessed in the dimensions “Evaluation of the perception of the educational activity” and “Evaluation of learning,” respectively, showed positive results. In addition, difficulties in the implementation of the workshop were identified, particularly the transition between administrations and the low participation of professionals. FINAL CONSIDERATIONS: The workshop enabled PHC professionals to develop flowcharts for action with women in situations of violence, strengthening municipal strategies. However, structural challenges persist, such as the centralization of care within social assistance and the weak articulation of the Health Care Network (HCN).Master Thesis Avaliação da completude dos registros obstétricos e da adesão às boas práticas na assistência ao parto(Universidade Federal do Rio Grande do Norte, 2025-09-19) Medeiros, Tayná Martins de; Magalhães, Adriana Gomes; https://orcid.org/0000-0002-0279-5930; http://lattes.cnpq.br/5918222264099117; https://orcid.org/0000-0002-1067-8187; http://lattes.cnpq.br/1547778822490660; Diniz, Fernanda; Tinôco, Jéssica Dantas de Sá; http://lattes.cnpq.br/2880143838500945Assistance during labor and delivery is fundamental to maternal and neonatal health and represents one of the greatest challenges for health systems. However, even with the advances made in recent years, maternal morbidity and mortality remain a serious global public health problem. The quality of this assistance depends on systematic monitoring of labor, adequate recording of clinical information, and the adoption of good practices. This study aimed to analyze the completeness and quality of obstetric records, as well as adherence to good practices in childbirth care. This is a documentary, cross-sectional, quantitative study conducted in a maternity hospital in the interior of Rio Grande do Norte, with 88 medical records of women who gave birth between July 2023 and February 2024. Data analysis was performed using Statistical Package for the Social Sciences, version 22.0, using descriptive statistics, with calculations of absolute and relative frequencies. To assess the completeness of the records, the Romero and Cunha scoring system was used, which were grouped into adequate completeness (<10% incompleteness) and inadequate completeness (>10% incompleteness). The quality of care was assessed using the Bologna Score, composed of five indicators: presence of a companion, use of a partogram, absence of labor stimulation, non-supine delivery position, and skin-to-skin contact. The results showed that incompleteness rates were above 50% in essential variables of the risk stratification forms and partogram, in addition to significant failures in the checklists for safe delivery, in which 14 medical records had no registered checklist, resulting in inconsistencies in the application of safety protocols. Among the deliveries analyzed, 48.9% were cesarean sections, and only 33.3% achieved the maximum score on the Bologna Score, reflecting partial adherence to good practices. It is concluded that the study highlights weaknesses in the adherence to best practices and the completeness of obstetric records, demonstrating a misalignment with national and international guidelines. The integrated analysis of these aspects is essential to improve the quality of childbirth care, promote maternal and neonatal safety, and contribute to the reduction of maternal and neonatal mortality.Master Thesis Controle glicêmico no diabetes mellitus tipo 2: associações com fatores cronobiológicos, clínicos e sociodemográficos(Universidade Federal do Rio Grande do Norte, 2025-06-26) Costa, Kahula Câmara da; Souza, Jane Carla de; https://orcid.org/0000-0002-8769-4273; http://lattes.cnpq.br/5997878957114840; http://lattes.cnpq.br/2805746537587140; Medeiros, Anna Cecilia Queiroz de; https://orcid.org/0000-0002-7664-4959; http://lattes.cnpq.br/6897910777769874; Menezes, Rísia Cristina Egito de; https://orcid.org/0000-0003-1568-2836; http://lattes.cnpq.br/2620402923993971INTRODUCTION: Type 2 diabetes mellitus (T2DM) represents a major public health challenge, particularly due to the chronic complications associated with poor glycemic control. Evidence suggests that clinical factors (e.g., obesity, duration of diagnosis, insulin use, and gastrointestinal symptoms) and sociodemographic variables (e.g., sex, race/ethnicity, socioeconomic status, and healthcare access) may influence glycemic regulation in individuals with T2DM. Additionally, irregular sleep/wake patterns and poor chrononutritional behaviors—such as skipping breakfast and late-night eating—have been linked to worse glycemic outcomes in the general population. However, studies investigating these factors in Brazilian populations with T2DM remain scarce. OBJECTIVE: To analyze bivariate associations between glycemic control and chronobiological, clinical, and sociodemographic factors in individuals with T2DM in Santa Cruz, RN, Brazil. METHODS: This cross-sectional observational study included adults (≥ 18 years) with T2DM. Participants underwent anthropometric assessment (weight, height and waist circumference) and completed five assesments: (1) Socioeconomic and Health Parameters; (2) International Physical Activity Questionnaire (short version); (3) Gastrointestinal Symptom Rating Scale; (4) Chrononutritional Profile Questionnaire; and (5) Munich Chronotype Questionnaire. Glycemic control was assessed via glycated hemoglobin (HbA1c), categorized according to the Brazilian Diabetes Society guidelines. The Mann–Whitney test was used to compare medians between groups with adequate and inadequate glycemic control, while Pearson’s chi-square or Fisher’s exact test compared gastrointestinal symptom prevalence. A 5% significance level was adopted. RESULTS: Among 85 participants (78.8% female, median age 59 years), most had low education (91.8%) and a per capita income below one minimum wage (63.5%). Excess weight was observed in 69.4%, and 91.2% had elevated cardiometabolic risk based on waist circumference. Regarding chrononutritional behaviors, 7.1% had eating jetlag ≥1 hour, and 5.9% reported skipping breakfast. Most participants (90.6%) considered lunch their main meal, and 96.5% had eating windows ≥10 hours. Median sleep duration was 7.5 hours, with no social jetlag; the sleep-corrected midpoint (MSFsc) was 2:00 a.m., showing no significant association with glycemic control. Inadequate glycemic control (60.0%) was significantly associated with male sex (*p*=0.031), insulin use (*p*=0.001), nighttime eating (*p*=0.037), and higher gastrointestinal symptom scores (*p*=0.014), particularly reflux (*p*=0.022) and diarrhea (*p*=0.041). CONCLUSION: The study found a high prevalence of inadequate glycemic control, associated with male sex, insulin use, nighttime eating, and gastrointestinal symptoms. These findings highlight the need for multidimensional approaches in T2DM management and further research on the role of chronobiological factors in glycemic regulation.Master Thesis Estresse ocupacional em profissionais de enfermagem em contextos de recursos limitados no interior paraibano(Universidade Federal do Rio Grande do Norte, 2025-09-08) Beserra, José Marcelo de Azevedo; Valença, Cecilia Nogueira; https://orcid.org/0000-0003-3998-3983; http://lattes.cnpq.br/2788316719185705; https://orcid.org/0009-0002-9329-8477; http://lattes.cnpq.br/8090612355725805; Marinho, Cristiane da Silva Ramos; http://lattes.cnpq.br/6533587332872383; Albuquerque, Adriana Montenegro de; https://orcid.org/0000-0002-2589-0324; http://lattes.cnpq.br/9436680537304914Introduction: Occupational health encompasses a set of measures to protect workers from the risks present in their workplace. In recent years, occupational stress has emerged as a relevant phenomenon, associated with physical and mental reactions triggered by the demands and circumstances of the workplace, potentially leading to a range of health problems, both physical and psychological. In this context, professionals such as nurses are particularly susceptible to occupational stress due to the demanding and emotionally challenging nature of their work. Objectives: To analyze occupational stress and associated factors in nursing professionals working in resource-limited settings in the interior of Paraíba. Methodology: An exploratory and descriptive study with a quantitative approach was conducted in health units in the municipalities of Sossego and Areia, Paraíba. The target population consisted of 18 nurses. The 51-item Nurse Stress Scale (NSS) was administered in person as a data collection instrument. Statistical analysis was performed using SPSS, with results presented in tables with numbers and percentages. Results and discussion: Nursing teams are predominantly female (72.2%), between 31 and 40 years old (55.6%), and recently graduated (2 to 5 years) (66.7%). Stress is primarily linked to administrative demands, tight deadlines, and communication with support departments. Communication with supervisors and administration generates moderate to high stress. Routine clinical activities are mildly stressful (admission 22.2%; physical examination 11.1%; prescription 33.3%), but emergencies, death, and contact with critical family members cause high stress (44.4% and 44.4%), respectively. Noise in the hospital environment was considered very stressful by 50% of participants. These factors negatively impact the team's mental health and the quality of care. Conclusions: It was evident that although routine activities are low in stress, emergency situations, contact with family members, and patient death generate significant stress, affecting the mental health of professionals. This highlights the need for institutional interventions that promote psychological support, improve working conditions, and encourage continuing education, aiming to enhance the value of nursing and the quality of care provided.Master Thesis Cultura de segurança do paciente e prática dos cuidadores no âmbito do cuidado domiciliar: uma revisão de escopo(Universidade Federal do Rio Grande do Norte, 2025-07-25) Paiva, Fabianne Christine Lopes de; Oliveira, Luciane Paula Batista Araújo de; Diniz, Fernanda; https://orcid.org/0000-0003-1629-8991; http://lattes.cnpq.br/6856229797544372; https://orcid.org/0000-0002-7288-842X; http://lattes.cnpq.br/3211334482982703; Almeida Júnior, José Jailson de; https://orcid.org/0000-0001-7448-0703; http://lattes.cnpq.br/8768677759534396; Nascimento Júnior, Leonildo Santos do; http://lattes.cnpq.br/2458971770021915INTRODUCTION: The home environment, as well as any healthcare establishment, presents specific risks and conditions that must be carefully observed to ensure patient safety. The common perception that the home environment constitutes a space of less vulnerability to unsafe practices is mistaken, but it is in this context that primary care is carried out most frequently and where a large part of health actions are developed. In this sense, it is essential to recognize the potential risks present at home and adopt appropriate behaviors to prevent them, promoting safe and effective care. The incorporation of a patient safety culture in the context of home care demands a careful look at the multiple dimensions of care, with special emphasis on the qualification and preparation of caregivers. OBJECTIVE: To map existing evidence in the literature on the patient safety culture with an approach to the caregiver and their practice, within the scope of home care. METHODOLOGY: This is a scoping review, conducted based on the Joanna Briggs Institute (JBI) methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMAScR) checklist. To elaborate the research question, the mnemonic conceptual model Population, Concept and Context (PCC) was considered, in which “population” corresponded to caregivers; “concept”: patient safety and “context”: home care. The searches were carried out in six databases in September 2024 and the research protocol was registered on the Open Science Framework (OSF) platform. The publications found were exported to the Rayyan® software and duplicates were removed. A pilot test was performed before blind screening began in order to reduce bias. Then, the selection and inclusion of studies continued, being carried out independently in a double-blind screening according to the established eligibility criteria. The screening process was divided into two levels. In the second level of screening, the studies that were pre-selected by reading the title, abstract and keywords (108) were read in full by the reviewers, identifying their relevance to the research more precisely. The conflicts without consensus recorded between the reviewers were resolved by a third reviewer. Relevant data related to the included studies were independently extracted by pairs using a data extraction form according to the JBI template. The process of selection, eligibility and refinement of publications were referred to in a PRISMA flowchart. RESULTS: Of the 1,818 records found, 40 studies were included in the scoping review. The prevalence of female caregivers (formal and informal) corresponded to 72.5% of the selected publications. The United States (20%), Brazil (17.5%) and Canada (17.5%) had the highest number of publications. Regarding the type of care provided, professional or formal care predominated among the studies (42.5%), followed by the combination of professional/formal and informal care (35%) and only informal care (22.5%). Several risks were identified, covering: physical, economic, emotional and relational damages, which involved multiple dimensions: physical and environmental, social, mental/psychological and emotional, interpersonal, technological and functional of home care. As well as risks of a chemical, biological nature and related to violence. Regarding the difficulties perceived by caregivers, many challenges were identified regarding the organizational dimension of care, behavioral and cognitive limitations of patients and family members, as well as vulnerabilities in the management and safe administration of medications, structural difficulties and unsanitary home environments, which were highlighted by caregivers as significant barriers to continuity of care and patient safety. FINAL CONSIDERATIONS: Patient safety has gradually gained its space in this care scenario, which despite the expansion of home health care, many barriers and weaknesses permeate understanding the risks encountered and the predictive implementation of practical safety strategies and measures. The results of this study reveal the level of consolidation of the patient safety culture among caregivers, highlighting the importance of important investments in the training of caregivers, which also includes health professionals, as well as attention to elements inherent to the specificity of care in this scenario — such as ambience, delimitation of duties and responsibilities, in addition to adapting norms and routines to the particularities of the homes. Such factors are fundamental to guarantee the effectiveness of safety actions and the qualification of care provided in this context, directly reflecting on health work processes. The relevance and findings of this study are reaffirmed by its potential contribution to the formulation and strengthening of strategies that promote a more solid, effective and external safety culture in this care scenario, since the global panorama involving patient safety at home is recent and permeated by many institutional and political challenges.