http://repositorio.ufc.br/handle/riufc/11274 Mon, 14 Sep 2026 10:26:59 GMT 2026-09-14T10:26:59Z http://repositorio.ufc.br/handle/riufc/87939 Título: Plano de minimização de risco de prescrição de medicamentos potencialmente inapropriados para idosos na atenção primária à saúde Autor(es): Nunes, Marcelo Sousa Oliveira Abstract: Population aging imposes complex challenges on pharmacotherapeutic safety, particularly regarding the prescription of Potentially Inappropriate Medications (PIM) for the elderly in Primary Health Care (PHC). This investigation originated from the need to address how to qualify geriatric prescribing in the city of Fortaleza-CE by creating an evidence-based clinical decision support tool. The general objective was to develop a technical product proposal entitled Risk Minimization Plan (PMR) for PIM prescriptions, based on the 2023 Beers Criteria and an analysis of the Municipal Essential Medicines List (REMUME). The methodology was characterized as analytical documentary research of the 2025-2026 REMUME. Analysis procedures involved a rigorous technical filtering of 258 unique pharmacological items, excluding non-medicinal supplies and therapeutic redundancies to ensure the reliability of statistical denominators. Results evidenced the presence of 65 PIM in the municipal network, representing 25.19% of the total available therapeutic arsenal. The distribution by pharmaceutical assistance components revealed that the basic component concentrates the highest risk burden (55.38%), with a marked prevalence of drugs acting on the central nervous system, covering more than 60% of the mapped substances. Qualitative analysis identified 16 PIM with absolute contraindications and 49 with relative contraindications, requiring specific clinical surveillance. Conclusions indicate that the Fortaleza-REMUME is a comprehensive and diverse list, offering safe therapeutic alternatives for most identified risks within the municipal network itself. The applicability of the PMR lies in its operational feasibility and low cost, integrating the use of the Elderly Person’s Health Handbook as a central instrument for monitoring falls and cognitive decline. This work consolidates itself as a living instrument of clinical governance and active pharmacovigilance, promoting a culture of evidence-based deprescribing and the mitigation of the iatrogenic cascade in the health network. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87939 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87924 Título: Construção de um protocolo gráfico para engajamento masculino na atenção primária: estudo metodológico Autor(es): Albuquerque, Hugo Juliano Matos de Abstract: INTRODUCTION. The male population has remained distant from primary care, even though it is conceived as the initial access route to the Unified Health System (SUS). Historical social constructs corroborate this behavior, the consequences of which are reflected in male health indicators, where preventable and external causes fill the morbidity and mortality statistics. Efforts to support actions aimed at the male population were outlined by the Ministry of Health following the advent of the National Program for Comprehensive Men's Health Care (PNAISH), but its implementation faces great difficulties and does not inspire the same motivation as other health programs aimed at other population groups. From a scientific point of view, and although it is not anew phenomenon, there is still an insufficient number of studies that address this problem. Finding strategies that can mitigate obstacles, so that men can feel better welcomed in the environment of basic health units, can contribute to the transformation of this paradigm, with positive implications for men's health. OBJECTIVE. This study aims to develop a graphic protocol with strategies for engaging men in preventive actions developed within the scope of primary health care. METHODOLOGY. This is a methodological study with a mixed-methods approach, encompassing a scope review in the scientific databases CINAHL, MEDLINE, LILACS, SCOPUS, Web of Science, and COCHRANE, based on the recommendations of the international PRISMA-ScR guideline and the method proposed by the Joanna Briggs Institute Reviewers (2020), in addition to articles from the so-called grey literature. Data extraction was performed using an adapted form, assigning levels of evidence. The analysis of the extracted data used the qualitative thematic analysis technique proposed by Braun & Clarke. The second stage consisted of conducting a focus group formed by professionals from various categories working in primary care in different municipalities of the State of Ceará, through an online platform. The content of their speeches was transcribed, analyzed, and categorized according to Bardin's content analysis method. This entire process culminated in the creation of a graphic protocol based on Pimenta's model, which uses geometric figures to guide the conduct to be followed. CONCLUSION. The contributions of those involved in the focus group demonstrated an awareness of male absenteeism as a reality in primary care. The professionals presented suggestions consistent with what is found in the studies reviewed but showed little awareness of the possibility of their protagonism. However, they offered an important contribution to composing a feasible instrument to be used by the Family Health Strategy teams. As weaknesses of the study, we can point to the limited number of studies addressing this topic, as well as the resistance of some professionals to engage in initiatives that converge towards changes in the health realities of the population Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87924 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87859 Título: Diagnóstico situacional do programa de controle do tabagismo em unidades de atenção primária à saúde Autor(es): Guia, Liliane Oliveira Abstract: ABSTRACT Introduction: Tobacco use is the leading preventable global cause of morbidity and mortality, constituting a major public health problem. Primary Health Care (PHC) occupies a privileged and strategic position for tobacco control within the Brazilian Unified Health System (SUS), as it is the main gateway to the health system and allows greater territorial and population coverage. Objective: To diagnose the situation of the Tobacco Control Program (TCP) in Primary Health Care Units (PHCUs) in the municipality of Fortaleza. Methodology: This was a mixed-methods study. The study population consisted of municipal technical coordinators of the TCP and professionals responsible for tobacco control groups in PHCUs in the municipality. Data collection was carried out through interviews with municipal technical coordinators and questionnaires administered to professionals responsible for the groups. Quantitative data were analyzed using descriptive statistics, while qualitative data were analyzed through Bardin‘s Content Analysis. Results: The provision of structured group-based therapeutic counseling was restricted to 33 PHCUs, corresponding to less than one quarter of the units in the municipality. A predominance of physicians, dentists, and nurses was observed in conducting the groups, with a high proportion of participants previously trained to work in the program. Regarding therapeutic strategies, there was a predominance of the structured cognitive-behavioral approach and pharmacotherapy for individuals with higher levels of nicotine dependence, in addition to the use of Integrative and Complementary Health Practices, with emphasis on auriculotherapy. Weekly sessions predominated in tobacco control groups, and only one third of the units followed the model recommended by the National Tobacco Control Program. The results also showed that the implementation of program activities depended on a limited number of professionals, with repercussions for the continuity of actions in the context of workforce turnover and the healthcare demands of the units. The main barriers identified were related to user adherence, longitudinal follow-up, availability of human resources, team engagement, structural conditions of the units, availability of medications, organization of the work process, and monitoring of program information. From the perspective of the municipal technical coordinators, difficulties related to professional engagement, workforce turnover, consolidation of information, and monitoring of activities were highlighted, as well as the need to expand training activities, strengthen program dissemination, and improve integration between management and healthcare teams. Conclusion: The TCP is implemented within PHC in the municipality. However, its expansion and consolidation remain dependent on the sustainability of actions, the organization of the work process, and the conditions necessary for its incorporation into the routine of health services. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87859 2026-01-01T00:00:00Z http://repositorio.ufc.br/handle/riufc/87686 Título: Gentileza no cuidado em saúde: concepções e práticas de gestores, trabalhadores e usuários de unidade de atenção primária Autor(es): Távora, Alexandra Carvalho Pontes Abstract: The aim was to analyze the conceptions and practices of health workers, managers, and users of Primary Health Care regarding kindness in health care and its relationship with incivility and patient safety. This is a convergent, qualitative research study, grounded in the theoretical framework of the Ethics of Alterity, the construct of Kindness in Health Care, and the principles of the National Humanization Policy. It was conducted in a Primary Health Care Unit in Fortaleza-CE, between November 2025 and May 2026. Data collection methods were triangulated, employing semi-structured interviews, systematic observation, and focus groups. A total of 37 people participated in the study: two managers, 19 health professionals, and 16 users. Categorical Thematic Content Analysis was adopted, using the MAXQDA® software. The findings were presented in tables, figures, and code maps. The study was approved by the Research Ethics Committee (Opinion No. 7,814,388/2025). As a result, four central categories were identified: 1. “Courtesy and Incivility in Primary Health Care: conceptions and practices,” which highlighted how courtesy and incivility are conceived and practiced in the daily routine of Primary Health Care, encompassing attributes of courtesy and conceptions about the concept of incivility as a normalized practice and its impacts. The second category, “The Work Ecosystem in the Family Health Strategy: conditioning factors and interpersonal relationships,” helps to explain the institutional conditioning factors of courtesy and incivility, in addition to addressing the role of the territory and its vulnerability. Participants demonstrated that interpersonal relationships and the production of care in Primary Health Care cannot be understood in isolation from the conditions under which health work is carried out. Category 3, "The Care Encounter in Primary Health Care: Bonding, Subjectivity, and Burnout," addressed the professional-user relationship, encompassing conflicts of expectations, reactive behavior, rupture of bonds, and satisfaction with the service; in addition to emphasizing the emotional cost of caregiving. Category 4 addressed the "Impacts of Kindness on the Quality of Care and Promotion Strategies," including the promotion of practices based on kindness and the construction of more welcoming, humanized, and safe environments. Finally, a Kind Care Program was proposed, with objectives, structuring axes, tools, indicators, and an implementation schedule. It is concluded that the routine of Primary Care is marked by strong tension in the relationship between professionals and users, where episodes of incivility are very present and generate an emotional cost for those who work there. All of this is shaped by structural conditions, organizational climate, and the vulnerability of the territory. In response to this pain, the study mapped the attributes of kindness and their impacts as tools for transforming this ecosystem. Tipo: Dissertação Thu, 01 Jan 2026 00:00:00 GMT http://repositorio.ufc.br/handle/riufc/87686 2026-01-01T00:00:00Z