O processo de trabalho em um ambulatório de oncologia na percepção dos técnicos de enfermagem / El proceso de trabajo en un ambulatorio oncología en la percepción del personal de enfermería / The process of working in an oncology outpatient clinic in the perception of the nursing technical team

Objective: to describe how the technical nursing staff perceives and describes the work process in an Oncology Clinic. Method: A qualitative study. Data was obtained through the use of focus groups and analyzed using content analysis method Result: From the analysis of the participant’s reports emerged the following category: (re)organization of team work. The units of analysis were established to organize and sequence discussions: Barriers in health care network; Work organization focused on professional; Assistance provided to the patientas the central character; Difficulty in linking the micro processes carried out at the Clinic. Conclusion: It is concluded that the work is exercised in a fragmented way and that the work process reorganizes, changing its components, but maintaining the same product.

Objetivo: descrever como a equipe técnica de enfermagem percebe e relata o processo de trabalho em um ambulatório de oncologia. Método: Estudo qualitativo. Os dados foram obtidos por meio da utilização de grupo focal e analisados através da modalidade de Análise de Conteúdo. Resultado: A partir da análise dos relatos das participantes emergiu a seguinte categoria: (re)organização do trabalho em equipe. Foram estabelecidas as unidades de análise para organizar e sequenciar as discussões: Entraves na rede de atenção à saúde; Organização do trabalho centrado no profissional; Assistência fornecida ao paciente como personagem central; Dificuldade na articulação entre os microprocessos realizados no ambulatório. Conclusão: Conclui-se que o trabalho é exercido de forma fragmentada e que o processo de trabalho se reorganiza, alterando seus componentes,porém mantendo o mesmo produto.

Objetivo: describir cómo la técnica del personal de enfermería percibe y describe el proceso de trabajo en una Clínica de Oncología. Método: Estudio cualitativo. Los datos fueron obtenidos por medio del uso de grupos de enfoque y analizados a través del Análisis del Contenido. Resultado: A partir del análisis de los informes de los participantes surgieron las siguientes categorías: (re)organización del trabajo en equipo. Se establecieron las unidades de análisis para organizar y secuenciar discusiones: Barreras en la red de atención de la salud; La organización del trabajo se centró en profesional; La asistencia prestada al paciente como el personaje central; Dificultad en la vinculación de los procesos micro realizadas en la Clínica. Conclusión: Se concluye el trabajo que se lleva a cabo de una manera gradual y que el proceso de trabajo se reorganiza cambiando sus componentes, manteniendo al mismo tiempo el mismo producto.

Evaluation of diagnostic tests for Wuchereria bancrofti infection in Brazilian schoolchildren

Introduction Since the launch of the Global Programme to Eliminate Lymphatic Filariasis, more than 70% of the endemic countries have implemented mass drug administration (MDA) to interrupt disease transmission. The monitoring of filarial infection in sentinel populations, particularly schoolchildren, is recommended to assess the impact of MDA. A key issue is choosing the appropriate tools for these initial assessments (to define the best intervention) and for monitoring transmission. Methods This study compared the pre-MDA performance of five diagnostic methods, namely, thick film test, Knott's technique, filtration, Og4C3-ELISA, and the AD12-ICT card test, in schoolchildren from Brazil. Venous and capillary blood samples were collected between 11 pm and 1 am. The microfilarial loads were analyzed with a negative binomial regression, and the prevalence and associated 95% confidence intervals were estimated for all methods. The accuracies of the AD12-ICT card and Og4C3-ELISA tests were assessed against the combination of parasitological test results. Results A total of 805 schoolchildren were examined. The overall and stratified prevalence by age group and gender detected by Og4C3-ELISA and AD12-ICT were markedly higher than the prevalence estimated by the parasitological methods. The sensitivity of the AD12-ICT card and Og4C3-ELISA tests was approximately 100%, and the positive likelihood ratios were above 6. The specificity of the Og4C3-ELISA was higher than that of the AD12-ICT at different prevalence levels. Conclusions The ICT card test should be the recommended tool for monitoring school-age populations living in areas with ongoing or completed MDA. .