scholarly journals Nurses' perception on social network of children with chronic illness: qualitative study, Brazil

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M H N Souza ◽  
T J Santos ◽  
R N Vasconcellos ◽  
MM Costa ◽  
A S Lira ◽  
...  

Abstract Introduction The high prevalence of chronic diseases in childhood is a serious public health problem in Brazil. The family life of children with chronic illness is marked by numerous determinant and conditioning factors, whether they are biological, psychological, cultural and social. Such factors are more relevant in the absence of a social support network for care. Therefore, the greater the support offered by health professionals, the greater the resources available for the family to face vulnerability. Objectives describing primary care nurses' perception of the social network approach for children with chronic diseases. Methods Qualitative research conducted in October 2019 through an interview with ten nurses from family health units in the city of Rio de Janeiro, Brazil. The project was approved by the Ethics and Research Committees of the participating institutions. Thematic content analysis was used. Results For nurses, social network meant support from family members and from secondary and tertiary level services. In their practice, these professionals are often unaware of the health situation of children with chronic diseases, and they perceive lack of articulation in referral those children to other services of the Health Care Network. Conclusions There are gaps between knowledge and practice of these professionals on the social network approach. It is important to highlight frailties in comprehensive care of children with chronic illness and the service counter-referral to the family health unit. It is necessary to carry out training courses for professionals, helping them to belong to the social network of the family of the child with chronic disease. This strategy could implement effective approach of support, surveillance and health promotion of children. Key messages There is a gap in the knowledge of social network approach among primary care nurses. The social network approach of children with chronic diseases favors comprehensive care and implementation of effective strategies focused on supporting, monitoring and promoting child health.

2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Maria Helena do Nascimento Souza ◽  
Vanessa Medeiros da Nóbrega ◽  
Neusa Collet

ABSTRACT Objectives: To identify the knowledge and practice of primary care nurses about the social network approach for families of children with chronic diseases. Methods: Qualitative research, conducted by means of interviews with 23 family health nurses, from one municipality in Paraíba and one in Rio de Janeiro, from June to July of 2017. The data were interpreted using thematic analysis. Results: Social network meant institutional support offered by services outside the unit, and socioeconomic problems involved the family context. In practice, nurses find it difficult to provide comprehensive care and establish ties with families. When referring to other professionals, a weakness in the counter-referral to the family health unit is found. Final considerations: Some gaps were found regarding the knowledge and practice of nurses regarding the social network approach, which requires professional training to strengthen social relationships and the necessary support for families of children with chronic diseases.


2019 ◽  
pp. 81-93
Author(s):  
Iliya L. Musabirov ◽  

The article presents a description of the approach to the use of data visualization in various educational Analytics tools when building University courses. In addition to the analysis of educational behavior, socio-psychological approaches, including the theory of expectations and social values, and the social network approach, are separately considered as prospects for analysis. An example of designing training Analytics using modern data analysis and visualization tools is analyzed.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M H N Souza ◽  
T J Santos ◽  
R N Vasconcellos ◽  
M M Costa ◽  
A S Lira ◽  
...  

Abstract Introduction The family life of a child with chronic illness is marked by several determinants and demands for care. Within that context, the greater the support received, the greater the resources available to face vulnerability, and to respond positively to guidance and care. Objectives describing the social network of families of children with chronic illness, and understanding the meaning of the relationship of the family caregiver with the members of his/her social network. Methods Qualitative research with nineteen relatives of children with chronic diseases at a rehabilitation center in the city of Rio de Janeiro, Brazil. The theoretical framework of Sanicola's social network was used. Data were collected in November 2019 by semi-structured interviews and analyzed using the content analysis technique. The research was approved by the Ethics and Research Committee of the participating institutions. The social network map showed the presence of few members and mothers as the main caregivers. The main problems among children were: autism, Down syndrome, cognitive disorders and cerebral palsy. Among the most involved people with the caregivers, friends, sisters and grandparents stood out as the ones who offered material, financial and emotional support. Rehabilitation unit support (secondary level) and dissatisfaction with the primary health unit were mentioned. Conclusions The social network of children with chronic illness is a small family network marked by social vulnerability and the female gender as responsible for care. It is noteworthy that the weakness in the relationship with health professionals at primary care level can compromise care continuity. Therefore, it is recommended to professionals to know the social network of the clientele served, as well as interacting and strengthening this network in order to provide more effective actions for health protection, rehabilitation and supported self-care strategies. Key messages Chronic childhood disease is a major public health problem. Being aware of social network favors the implementation of more actions toward health protection, rehabilitation and supported self-care strategies.


2013 ◽  
Vol 21 (spe) ◽  
pp. 172-179 ◽  
Author(s):  
Ailton de Souza Aragão ◽  
Maria das Graças Carvalho Ferriani ◽  
Telma Sanchez Vendruscollo ◽  
Sinara de Lima Souza ◽  
Romeu Gomes

In Primary Care, the field of nursing comes face-to-face with the complexity of violence, leading these professionals to constantly re-evaluate their habitus. OBJECTIVE: to analyze how cases of violence against children and adolescents are approached by primary care nurses, identifying limits and possibilities for dealing with these cases. METHOD: a qualitative study, undertaken in 2011, through semi-structured interviews with 8 out of 48 nurses in the Family Health teams in the city of Uberaba in the state of Minas Gerais, the analysis of which followed the interpretation of meanings, based in dialectical hermeneutics. RESULTS: the following stand out: non-identification of violence as a problem for the nurses; denunciations and notifications as a role of the nurses; and the limits found in the face of violence. CONCLUSION: it is determined that the habitus of nursing directed at health promotion and prevention of violence must be restructured, overcoming the biomedical paradigm and involving intersectorial and multidisciplinary actions.


Author(s):  
Ellen Thallita Hill Araujo ◽  
Jnhessica Talita Da Silva Rodrigues ◽  
José Arnaldo Moreira de Carvalho Júnior ◽  
Geovani Ferreira de Sousa ◽  
Francisco Gaunié de Sousa Pessôa

Objective: to analyze the meanings attributed by primary care nurses about the fight against homophobia and suicide prevention among homosexuals. Method: descriptive and qualitative research performed with nurses who work in the Family Health Strategy of a city in Northeastern Brazil. A semi-structured script was used for interviews conducted in September and October 2018. The transcribed statements were processed in the IRaMuTeQ software and analyzed by the Descending Hierarchical Classification. Results: four classes were identified, named "Prevention of suicide among homosexuals in primary care", "Public policies focused on the homosexual population", "Reception of the homosexual population in primary care" and "Fighting homophobia in primary care" respectively. The meanings attributed by nurses were anchored in improving the reception of the lesbian, gay, bisexual, transvestite and transsexual population (LGBT). Conclusion: It is necessary to recognize the need to invest in studies that reinforce the expansion of humanized care and free of prejudice.


2017 ◽  
Vol 8 (3) ◽  
Author(s):  
Neuzileny Nery Ferreira Silva ◽  
Sandra Maria Cezar Leal ◽  
Daiane Trentin ◽  
Mara Ambrosina De Oliveira Vargas ◽  
Caroline Porcelis Vargas ◽  
...  

Objetivo: identificar como os enfermeiros da atenção básica atuam diante dos casos de mulheres em situação de violência, em um município no Pará. Método: estudo com abordagem qualitativa. Participaram 10 enfermeiras da Estratégia de Saúde da Família. Coleta por meio de Grupo Focal. Utilizou-se a análise de conteúdo, resultando em quatro categorias: silenciada e invisibilizada; o SIM da violência como questão de Saúde Pública; o desconhecimento da notificação; saindo de cena. Resultados: o tema da violência contra a mulher é complexo e de difícil abordagem nos serviços de saúde, requerendo dos enfermeiros maior interação e conhecimento sobre o assunto para qualificar a terapêutica dos casos. Conclusão: a pesquisa pode contribuir para a visibilização da violência contra a mulher, no contexto da Atenção Básica, da região em estudo.Descritores: Violência Contra a Mulher, Programa de Educação Permanente, Atenção Básica, Enfermagem.PRIMARY CARE NURSES’ PERFORMANCE WITH WOMEN IN SITUATIONS OF VIOLENCEObjective: To identify how primary care nurses act in the cases of women in situations of violence, in a municipality in Pará. Method: A study with qualitative approach. Participants included 10 nurses from the Family Health Strategy. Collection through Focus Group. Content analysis was used, resulting in four categories: Silenced and Invisible; The SIM of violence as a public health issue; The unawareness of the Notification; Leaving scene. Results: The issue of violence against women is complex and difficult to approach in the health services, requiring nurses to interact more and know more about the subject in order to qualify the treatment of the cases. Conclusion: The research can contribute to the visibility of violence against women, in the context of Primary Care, of the region under study.Descriptors: Violence Against Women, Permanent Education Program, Basic Attention, Nursing.ACTUACIÓN DE LOS ENFERMEROS DE LA ATENCIÓN BÁSICA ANTE MUJERES EN SITUACIÓN DE VIOLÊNCIAObjetivo: Identificar cómo los enfermeros de la atención básica actúan ante los casos de mujeres en situación de violencia, en un municipio en Pará. Método: Estudio con abordaje cualitativo. Participaron 10 enfermeras de la Estrategia de Salud de la Familia. Recolección por medio de un grupo focal. Se utilizó el análisis de contenido, resultando en cuatro categorías: Silenciada e Invisibilizada; El SIM de la violencia como cuestión de Salud Pública; El desconocido de la notificación; Saliendo de escena. Resultados: El tema de la violencia contra la mujer es complejo y de difícil abordaje en los servicios de salud, requiriendo de los enfermeros mayor interacción y conocimiento sobre el tema, para calificar la terapéutica de los casos. Conclusión: La investigación puede contribuir a la visibilización de la violencia contra la mujer, en el contexto de la Atención Básica, de la región en estudio.Descriptores: Violencia contra la Mujer, Programa de Educación Permanente, Atención Básica, Enfermería.


Sociologija ◽  
2007 ◽  
Vol 49 (2) ◽  
pp. 161-182
Author(s):  
Dalibor Petrovic

Traditional sociological theories are no longer fully capable of explaining social changes in the modern world. For this reason demands for new social theories is growing. In this article the author analyses one of these attempts, by reviewing new macro social network theories. Since our sociological community is not familiar enough with network theory, the first part of the paper is devoted to outlining the history of the social network approach in general. In the second part of the paper the more recent macro social network approach is discussed as represented by its most important proponents.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Kelly Cristina Gomes Alves ◽  
Rafael Alves Guimarães ◽  
Marta Rovery de Souza ◽  
Otaliba Libânio de Morais Neto

Abstract Background This cross-sectional study evaluated the adequacy of the Family Health Strategy for the primary care model for chronic noncommunicable diseases and the changes that occurred between the two cycles of external evaluations of the National Program for Improving Access and Quality of Primary Care, which took place in 2012 and 2014, in the higher coverage context of the Family Health Strategy of Brazil, in the state of Tocantins, Brazil. Methods The data source contained information on the infrastructure of the 233 Primary Health Units and on the work process of 266 health teams. The Principal Component Analysis for Categorical Data technique and the McNemar chi-squared statistical test for comparing paired samples were used, and a significance level of 5% with a 95% Confidence Interval was used. Results The analysis identified a low proportion of dispensing of medications for the treatment of chronic disease in both cycles. There was a significant increase in seasonal influenza vaccination, in the number of sterilization, procedure, dressings and inhalation rooms. There was a small but significant reduction in the materials for cervical cancer screening, although they are available in almost 90.0% of the PHUs. More than 70.0% of the health teams carried out additional health education activities, encouraged physical activity, registered schoolchildren with health needs for monitoring, evaluated user satisfaction and user referral. Conclusions The findings of this study highlighted the improvement of the structure of the Primary Health Units, but identified a low provision of medicines to treat chronic diseases. The health promotion was performed as the main work process tool of family health teams, but it was little focused on intersectoral actions and on actions with the population in the area or on the empowerment of users through self-management support for chronic diseases. Furthermore, it is critical that the Family Health Strategy in Tocantins be organized and focused on the care of chronic diseases to improve and adapt itself to a primary chronic care model.


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