scholarly journals Fostering Holistic Hand Therapy: Emergent Themes of Client Experiences of Mind–Body Interventions

2019 ◽  
Vol 40 (2) ◽  
pp. 122-130
Author(s):  
Sandy C. Takata ◽  
Mark E. Hardison ◽  
Shawn C. Roll

Mind–body interventions are a viable holistic approach to rehabilitation; however, evidence for mind–body approaches in hand therapy is lacking. This study explored the experiences of clients with musculoskeletal disorders undergoing two mind–body interventions within hand therapy. Qualitative data were obtained from clients who received mindfulness meditation and sonographic biofeedback as part of hand therapy. Semi-structured interviews conducted after four therapy sessions elicited participants’ experiences and acceptability. Emergent themes were identified through an iterative, qualitative descriptive process. The following three themes emerged as results: insight on the body, relaxation and relief, and I am in control. A fourth theme was identified in the acceptability data, that is, mindfulness as a meaningful activity. At least one of the interventions was acceptable to each participant. Positive participant experiences support further consideration of mind–body interventions as a useful holistic approach in hand therapy to support wellness, quality of care, and participation in recovery.

2009 ◽  
Vol 14 (1) ◽  
pp. 10-18 ◽  
Author(s):  
Jeffrey M. Greeson

Objective: To briefly review the effects of mindfulness on the mind, the brain, the body, and behavior. Methods: Selective review of MEDLINE, PsycINFO, and Google Scholar databases (2003—2008) using the terms ``mindfulness,'' ``meditation,'' ``mental health,'' ``physical health,'' ``quality of life,'' and ``stress reduction.'' A total of 52 exemplars of empirical and theoretical work were selected for review. Results: Both basic and clinical research indicate that cultivating a more mindful way of being is associated with less emotional distress, more positive states of mind, and better quality of life. In addition, mindfulness practice can influence the brain, the autonomic nervous system, stress hormones, the immune system, and health behaviors, including eating, sleeping, and substance use, in salutary ways. Conclusion: The application of cutting-edge technology toward understanding mindfulness— an ``inner technology''—is elucidating new ways in which attention, awareness, acceptance, and compassion may promote optimal health—in mind, body, relationships, and spirit.


Revista Foco ◽  
2019 ◽  
Vol 12 (3) ◽  
pp. 78
Author(s):  
Regiane Freires Dos Santos ◽  
Sabrina Bianca Regis Rocha ◽  
Daniele Oliveira Dos Santos ◽  
Gustavo Yuho Endo ◽  
Alvaro Costa Jardim Neto

A qualidade de vida dentro do ambiente organizacional não tem refletido de forma positiva para as pessoas com deficiência, pois além de suas características comuns, portam outras que as limitam a executar tarefas que são simples para as demais. Nesse sentido, o estudo tem como objetivo geral analisar a qualidade de vida no trabalho das pessoas com deficiência em instituição de ensino privado. A pesquisa tem caráter qualitativo, descritiva e comparativa. Os dados foram coletados por meio de entrevista semiestruturada, participaram da pesquisa três instituições públicas de ensino e uma instituição privada de ensino. Os principais achados foram que nas instituições públicas de ensino não haviam pessoas com deficiência, não podendo assim analisar a qualidade de vida dos mesmos nessas instituições. Já na instituição privadas existem pessoas com deficiência, ter esse tipo de colaborador é de iniciativa da organização e não somente pelo fato de existirem leis que as obrigam ter uma percentagem desse tipo de colaborador. Esse tipo de colaborador é tratado como os demais colaboradores, desde a etapa de recrutamento e seleção até a avaliação de desempenho. Porém, os mesmos sofrem preconceitos de alunos e colaboradores da própria instituições de ensino. Para que isso diminuía, são propostas ações internas de conscientização.  The quality of life within the organizational environment has not reflected positively on people with disabilities, because in addition to their common characteristics, they carry others that limit them to perform tasks that are simple for others. In this sense, the study aims to analyze the quality of life at work of people with disabilities in private school. The research has qualitative, descriptive and comparative character. Data were collected through semi-structured interviews. Three public educational institutions and one private educational institution participated in the research. The main findings were that in public educational institutions there were no people with disabilities, so they could not analyze their quality of life in these institutions. In the private institution there are people with disabilities, having this type of employee is the initiative of the organization and not only because there are laws that require them to have a percentage of this type of employee. This type of employee is treated like other employees, from the recruitment and selection stage to the performance evaluation. However, they suffer prejudice from students and employees of the educational institutions themselves. To reduce this, internal awareness actions are proposed.


2014 ◽  
Vol 1 (1) ◽  
Author(s):  
Josée Lachance ◽  
Pierre Paillé ◽  
Jean-François Desbiens ◽  
Marianne Xhignesse

Background: Developed in Europe in the 1980’s, somatic psychopedagogy (SPP) is a formative practice geared toward care giving and support. Characterized as a type of mind-body medicine, it examines how the use of the body and its movement allows for the development of one’s conscience, one’s sense of self and of others, which are all desirable qualities for professionals within the health care sector.Purpose: To explore if and how SPP training followed by nurses modifies their perception of the quality of their self awareness, their presence in regard to others, as well as their relationship with respect to health and their professional practice.Methods: Qualitative research based on two types of semi-structured interviews: comprehensive and elicitation. Exploratory interviews with three nurses trained (or in training) in SPP. The content of the interviews was first analyzed thematically then grouped by categories.Findings: The three participants perceived a change in the quality of their presence with respect to themselves and to others as well as changes within the nature of their relationships with their patients, colleagues and healthcare team members. Content analysis of the interviews has allowed us to conclude that relationships with the health care team evolved into a better ability to give recognition and a better quality of interaction between members. Participants also reported an increased ability to express their opinions in both their personal and professional lives. A second level of analysis has allowed for the identification of differences between nurses just finishing their first year of training and those having completed the full four-year course.Conclusion: Interesting transformations are reported at different levels confirming the relevance of a second phase of the project. The latter will permit to identify whether physicians trained in SPP experience changes similar to those of the nurses, and if so, whether they perceive these as having an impact on their practice.


2021 ◽  
Vol 20 (4) ◽  
pp. 131-169
Author(s):  
Ana Lilia Souza Barbosa Barbosa ◽  
Alef Diogo da Silva Santana ◽  
Ednaldo Cavalcante de Araújo ◽  
Paula Daniella de Abreu ◽  
Marcos Soares de Lima ◽  
...  

Objetivo: Identificar las representaciones sociales de las trabajadoras sexuales travestis sobre la calidad de vida. Material y Método: Estudio cualitativo, descriptivo, exploratorio, basado en la Teoría de las Representaciones Sociales, desarrollado con siete travestis trabajadoras sexuales. La producción de los datos se llevó a cabo con entrevistas semiestructuradas y posteriormente se transcribieron, validaron y analizaron a partir del Análisis de contenido temático.Resultados: Surgieron tres clases: 1) Acceso a la salud como principio de calidad de vida; 2) El apoyo de las organizaciones no gubernamentales en la visibilidad y respeto a las demandas de las personas trans y 3) Los vínculos sociales como herramienta útil en el sentido de la calidad de vida.Consideraciones finales: Las representaciones se ubican en la necesidad de acceso a servicios de salud libres de prejuicios; el apoyo de las organizaciones no gubernamentales en el reconocimiento de sus potencialidades y singularidades mediante el establecimiento de vínculos afectivos, solidarios, leales y de confianza, y en el establecimiento de lazos sociales producidos con vecinos y amigos para afrontar las dificultades vividas cotidianamente. Objective: To identify the social representations of transvestite sex professionals regarding quality of life.Material and Method: A qualitative, descriptive, exploratory study, anchored in the Theory of Social Representations, developed with seven professional transvestites of sex. The data production was carried out with semi-structured interviews and later transcribed, validated and analyzed from the Thematic Content Analysis.Results: Three categories emerged: 1) Access to health as a principle to quality of life; 2) Support of non-governmental organizations in the visibility and respect to the demands of the trans population and 3) Social ties as a propositional tool in the meaning of quality of life.Final considerations: The representations are located in the need to access health services free of prejudice; in the support of non-governmental organizations in the recognition of their potentialities and singularities, establishing affective bonds of support, loyalty and trust; and in the establishment of social bonds produced with neighbors and friends to face the difficulties experienced daily. Objetivo: identificar as representações sociais de travestis profissionais do sexo sobre qualidade de vida. Material e Método: Estudo qualitativo, descritivo, exploratório, ancorado na Teoria das Representações Sociais, desenvolvido com sete travestis profissionais do sexo. A produção dos dados foi realizada com entrevistas semiestruturadas e posteriormente transcritas, validadas e analisadas a partir da Análise de Conteúdo Temática. Resultados: Emergiram-se três categorias: 1) O acesso à saúde como princípio à qualidade de vida; 2) Apoio das organizações não governamentais na visibilidade e respeito às demandas das pessoas trans e 3) Os laços sociais como ferramenta propositiva no significado da qualidade de vida.Considerações finais: As representações estão situadas na necessidade de acesso aos serviços de saúde livre de preconceitos; no apoio das organizações não governamentais no reconhecimento de suas potencialidades e singularidades estabelecendo vínculos afetivos, de apoio, lealdade e confiança; e no estabelecimento dos laços sociais produzidos com vizinhos e amigos para o enfrentamento das dificuldades vivenciadas diariamente.


2020 ◽  
Vol 10 (4) ◽  
pp. 453-456
Author(s):  
Zhanna Prokhorova ◽  
Vladimir Polyakov ◽  
Lyubov Rychkova

The purpose of our study was to develop and test a program for treating anxiety and hostility in adolescents with psychosomatic diseases (PSDs) by means of art therapy. Methods and Results: This study included 20 patients with PSDs aged between 15 years and 17 years. The patients’ examination included clinical data analysis, using standard records, and testing, using a questionnaire to reveal the severity of psychopathological symptoms (SCL–90–R, adapted by Tarabrina et al. 1997) and the Bekhterev Institute Personality Questionnaire (BIPQ, 1980). Art therapy sessions were conducted from 11:00 a.m. till 1:00 p.m., which coincides with the transition in the daily rhythm of autonomic nervous system activity and is more suitable for the reserve capabilities of the body. The course consisted of 10 daily 1.5-hour procedures. The controlled study duration was 10±2 days. The examination showed that adolescents with PSDs had an above-normal "Anxiety" (ANX) indicator, according to the SCL-90-R method, and a high score for the "Anxious" type (AT) of attitude toward the disease, according to the Bekhterev Institute Personality Questionnaire (BIPQ). Conclusion: Art therapy for treatment of adolescents with PSD contributed to a normalization of their emotional state, helped them gain new experience in solving problems, and improved the quality of life.


2019 ◽  
Vol 13 (4) ◽  
pp. 1071
Author(s):  
Caroline Salvador ◽  
Emilli Viana ◽  
Patricia Fernanda Dorow ◽  
Rita De Cássia Flôr ◽  
Laurete Medeiros Borges ◽  
...  

RESUMOObjetivo: identificar os cuidados de Enfermagem Oncológica em Radioterapia. Método: trata-se de um estudo qualitativo, descritivo, realizado em um centro de tratamento oncológico referência com três enfermeiras. Coletaram-se os dados mediante entrevistas semiestruturadas por meio de um roteiro e analisados a partir da técnica de Análise de Conteúdo. Resultados: extraíram-se as expressões-chave e ideias centrais, emergiram três categorias que desenharam a atuação do enfermeiro: a) Equipe multidisciplinar envolvida na radioterapia; b) O processo de trabalho das enfermeiras em radioterapia; e, c) As práticas para amenizar os efeitos colaterais da radioterapia Conclusão: ressaltam-se que os cuidados oncológicos em radioterapia consistem em ações individualizadas que, auxiliam diretamente na prevenção, minimização e/ou tratamento das reações adversas causadas pelo tratamento, articulados promovem melhor qualidade de vida do paciente oncológico. Descritores: Enfermagem Oncológica; Cuidados de Enfermagem; Radioterapia; Enfermagem Radiológica e de Imagem; Cuidados com a Pele; Qualidade de Vida. ABSTRACT Objective: to identify the care of Oncology Nursing in Radiotherapy. Method: this is a qualitative, descriptive study performed at a referral center for cancer treatment with three nurses. The data were collected through semi-structured interviews through a script and analyzed using the Content Analysis technique. Results: key expressions and central ideas were extracted, three categories emerged that designed the nurse's performance: a) Multidisciplinary team involved in radiotherapy; b) The work process of the nurses in radiotherapy; and c) Practices to mitigate the side effects of radiotherapy Conclusion: it is emphasized that oncological care in radiotherapy consists of individualized actions that directly aid in the prevention, minimization and / or treatment of the adverse reactions caused by the treatment, articulations promote better quality of life of cancer patients. Descriptors: Nursing Oncology; Nursing care; Radiotherapy; Radiological and Image Nursing; Skin care; Quality of Life.RESUMEN Objetivo: identificar los cuidados de Enfermería Oncológica en Radioterapia. Método: se trata de un estudio cualitativo, descriptivo, realizado en un centro de tratamiento oncológico referencia con tres enfermeras. Se recolectaron los datos mediante entrevistas semiestructuradas por medio de un guion y analizados a partir de la técnica de Análisis de Contenido. Resultados: se extrajeron las expresiones clave e ideas centrales, surgieron tres categorías que diseñaron la actuación del enfermero: a) Equipo multidisciplinario involucrado en la radioterapia; b) el proceso de trabajo de las enfermeras en radioterapia; y c) las prácticas para amenizar los efectos colaterales de la radioterapia Conclusión: se resalta que los cuidados oncológicos en radioterapia consisten en acciones individualizadas que, auxilian directamente en la prevención, minimización y / o tratamiento de las reacciones adversas causadas por el tratamiento, articulados promueven mejor calidad de vida del paciente oncológico. Descritores: Enfermería Oncológica; Cuidado de Enfermera; Radioterapia; Enfermería Radiológica y de Imágenes; Cuidado de la Piel; Calidad de Vida.


Healthcare ◽  
2021 ◽  
Vol 9 (3) ◽  
pp. 265
Author(s):  
Shelley Roberts ◽  
Zara Howard ◽  
Kelly A. Weir ◽  
Jennifer Nucifora ◽  
Nadine Baker ◽  
...  

Urinary incontinence (UI) affects many women and impacts quality of life. Group-based interventions may be an effective and efficient method for providing UI care; however, interventions must be acceptable to patients to have an impact. This study aimed to explore patients’ perceptions of an exercise training and healthy eating group program (ATHENA) for overweight and obese women with UI. This qualitative descriptive study involved semi-structured interviews with a subset of participants sampled from a feasibility study of ATHENA. The ATHENA intervention was co-developed with end-users and implemented in Women’s Health Physiotherapy services at an Australian hospital. Interviews were recorded, transcribed and analysed thematically. Eleven female patients participated (mean ± SD age 54.2 ± 9.9 years; body mass index 30.5 ± 3.25 kg/m2). Participants found ATHENA highly acceptable, with three themes emerging from interviews: (1) Participants’ journey of change through ATHENA, describing the shifts in knowledge, attitudes, behaviours and symptoms participants experienced; (2) High satisfaction with ATHENA, including educational content, exercise components and delivery style; and (3) Group setting integral to ATHENA’s success, with participants providing support, building friendships, and facilitating each other’s learning. Overall, ATHENA was acceptable to participants, who provided each other with peer support; an unexpected moderator to ATHENA’s success.


2014 ◽  
Vol 21 (8) ◽  
pp. 902-915 ◽  
Author(s):  
Mona Pettersson ◽  
Mariann Hedström ◽  
Anna T Höglund

Background: Within oncology and hematology care, patients are sometimes considered to have such a poor prognosis that they can receive a do not resuscitate order from the physician responsible, stipulating that neither basic nor advanced coronary pulmonary rescue be performed in the event of a cardiac arrest. Studies on do not resuscitate decisions within oncology and hematology units, focusing on the specific role of the nurse in relation to these decisions, are scarce. Objective: The aim of this study was to investigate hematology and oncology nurses’ experiences and perceptions of do not resuscitate orders, in order to achieve a deeper understanding of the nurses’ specific role in these decisions. Research design: A qualitative, descriptive methodology with individual semi-structured interviews was used. Participants and research context: A total of 15 nurses from eight hematology/oncology wards in four hospitals in Sweden were interviewed individually. Ethical considerations: In accordance with national regulations, an ethical review was not required for this study. The research followed international guidelines for empirical research, as outlined in the Helsinki Declaration. Findings: The nurses strived for good nursing care through balancing harms and goods and observing integrity and quality of life as important values. Experienced hindrances for good care were unclear and poorly documented decisions, uninformed patients and relatives, and disagreements among the caregivers and family. The nurses expressed a need for an ongoing discussion on do not resuscitate decisions, including all concerned parties. Conclusion: In order to provide good nursing care, nurses need clear and well-documented do not resuscitate orders, and patients and relatives need to be well informed and included in the decisions. To increase the understanding for each other’s opinions within the medical team, regular ethical discussions are required.


2020 ◽  
Vol 14 ◽  
Author(s):  
Gabryelle De Lima Silva ◽  
Kelly Cristiane Rocha Lemos ◽  
Analúcia Oliveira Barbosa ◽  
Gabrielle Morgana Rodrigues dos Santos

Objetivo: identificar a percepção de pacientes com doença renal crônica em hemodiálise sobre transplante renal. Método: trata-se de um estudo qualitativo, descritivo, exploratório, com 20 pacientes submetidos à hemodiálise em um hospital público por meio de entrevistas semiestruturadas, que, em seguida, foram transcritas e submetidas à técnica de Análise de Conteúdo na modalidade Análise Categorial. Resultados: emergiram-se as categorias << Perspectivas sobre o transplante renal >>; << Transplante renal: a chance de uma nova vida >>; << Por trás do transplante renal: incertezas e frustrações >> e << Comunicação como instrumento de cuidado >>. Conclusão: constatou-se que a percepção dos entrevistados sobre o transplante renal se relacionou à mudança de vida, garantindo sensação de liberdade em relação a outras terapias e aumento da expectativa de vida. Apresentou-se, ainda assim, para alguns entrevistados, como mais uma opção de tratamento, não sendo associado à cura e, devido aos casos de insucesso e longo tempo de espera para realizá-lo, provoca frustrações e incertezas a respeito dessa terapia. Identificou-se, também, a importância da educação em saúde, sobretudo pela Enfermagem, influenciando o esclarecimento e diminuição dos anseios diante do transplante. Descritores: Falência Renal Crônica; Transplante de Rim; Diálise Renal; Educação em Saúde; Qualidade de Vida; Enfermagem.AbstractObjective: to identify the perception of patients with chronic kidney disease undergoing hemodialysis about kidney transplantation. Method: this is a qualitative, descriptive, exploratory study, with 20 patients undergoing hemodialysis in a public hospital through semi-structured interviews, which were then transcribed and submitted to the Content Analysis technique in the Category Analysis mode. Results: the following categories emerged: << Perspectives on kidney transplantation >>; << Kidney transplantation: the chance for a new life >>; << Behind the kidney transplant: uncertainties and frustrations >> and << Communication as a care tool >>. Conclusion: it was found that the interviewees' perception of kidney transplantation was related to life change, guaranteeing a sense of freedom in relation to other therapies and increased life expectancy. It was presented, however, to some interviewees, as another treatment option, not being associated with a cure and, due to the cases of failure and long waiting time to perform it, it causes frustrations and uncertainties regarding this therapy. It was also identified the importance of health education, especially by Nursing, influencing the clarification and reduction of anxieties regarding transplantation. Descriptors: Chronic Kidney Failure; Kidney Transplantation; Renal Dialysis; Health Education, Quality of Life; Nursing.ResumenObjetivo: identificar la percepción de pacientes con enfermedad renal crónica sometidos a hemodiálisis sobre trasplante renal. Método: este es un estudio cualitativo, descriptivo, exploratorio con 20 pacientes sometidos a hemodiálisis en un hospital público a través de entrevistas semiestructuradas, que luego fueron transcritas y sometidas a la técnica de Análisis de Contenido en la modalidad de Análisis Categorial. Resultados: surgieron las siguientes categorías: << Perspectivas sobre el trasplante de riñón >>; << Trasplante de riñón: la oportunidad de una nueva vida >>; << Detrás del trasplante de riñón: incertidumbres y frustraciones >> y << La comunicación como herramienta de atención >>. Conclusión: se encontró que la percepción de los entrevistados sobre el trasplante de riñón estaba relacionada con el cambio de vida, lo que garantiza una sensación de libertad en relación con otras terapias y una mayor esperanza de vida. Sin embargo, se presentó a algunos entrevistados como otra opción de tratamiento, ya que no se asocia con una cura y, debido a los casos de fracaso y el largo tiempo de espera para realizarlo, causa frustraciones e incertidumbres con respecto a esta terapia. También se identificó la importancia de la educación para la salud, especialmente de enfermería, influyendo en la aclaración y reducción de las ansiedades con respecto al trasplante. Descriptores: Fallo Renal Crónico; Trasplante de Riñón; Diálisis Renal; Educación en Salud; Calidad de Vida; Enfermería.


2019 ◽  
Vol 13 ◽  
Author(s):  
Thiala Maria Carneiro de Almeida ◽  
Rose Manuela Marta Santos ◽  
Daniela Márcia Neri Sampaio ◽  
Alba Benemérita Alves Vilela

Objetivo: analisar a educação permanente como apoio para o Programa de Melhoria do Acesso e Qualidade da Atenção Básica em um município de pequeno porte. Método: trata-se de um estudo qualitativo, descritivo e exploratório em que os dados foram provenientes de entrevistas semiestruturadas com 11 profissionais de nível superior, analisados a partir da técnica de Análise de Conteúdo na modalidade Análise Temática Transversal. Resultados: identificaram-se, a partir da análise, como núcleos relevantes: (1) Conhecimento dos profissionais sobre educação permanente; (2) O desenvolvimento do PMAQ no município de pequeno porte e (3) Ações de educação permanente e suas contribuições para o PMAQ. Revela-se que os profissionais percebem a potencialidade da educação permanente para a indução de mudanças no processo de trabalho das equipes e das práticas de saúde, todavia, enfrentam dificuldades de vislumbrar dispositivos que poderiam ser utilizados como instrumento de educação permanente e com o desenvolvimento das ações no PMAQ no município. Conclusão: a educação permanente não tem contribuído de forma idealizada pelo PMAQ. Descritores: Educação Continuada; Avaliação em Saúde; Políticas de Saúde; Saúde da Família; Atenção Primária à Saúde; Sistema Único de Saúde.AbstractObjective: to analyze permanent education in support of the Program for Improving Access and Quality of Primary Care in a small municipality. Method: this is a qualitative, descriptive and exploratory study in which the data came from semi-structured interviews with 11 higher level professionals, analyzed using the technique of Content Analysis in the Cross-Thematic Analysis modality. Results: from the analysis, were identified as relevant nuclei: (1) Knowledge of professionals about permanent education; (2) The development of PMAQ in the small municipality; and (3) Permanent education actions and their contributions to PMAQ. It is revealed that professionals realize the potential of permanent education to induce changes in the work process of teams and health practices, however, face difficulties to envision devices that could be used as a permanent education instrument and with the development of actions in the PMAQ in the municipality. Conclusion: permanent education has not contributed in an ideal way by the PMAQ. Descriptors: Permanent Education; Health Evaluation; Health Policy; Family Health; Primary Health Care; Unified Health System.ResumenObjetivo: analizar la educación permanente en apoyo del Programa para Mejorar el Acceso y la Calidad de la Atención Primaria en un pequeño municipio. Método: este es un estudio cualitativo, descriptivo y exploratorio en el que los datos provienen de entrevistas semiestructuradas con 11 profesionales de nivel superior, analizados utilizando la técnica de Análisis de Contenido en la modalidad de Análisis Temático Cruzado. Resultados: a partir del análisis, identificamos como núcleos relevantes: (1) Conocimiento de profesionales sobre educación permanente; (2) El desarrollo de PMAQ en el pequeño municipio, y (3) Acciones de educación permanente y sus contribuciones a PMAQ. Se revela que los profesionales se dan cuenta del potencial de la educación permanente para inducir cambios en el proceso de trabajo de los equipos y las prácticas de salud, sin embargo, enfrentan dificultades para visualizar dispositivos que podrían usarse como un instrumento de educación permanente y con el desarrollo de acciones en el PMAQ en el municipio. Conclusión: la educación permanente no ha contribuido de manera ideal por el PMAQ. Descriptores: Educación Continua; Evaluación en Salud; Política de Salud; Salud de la Familia; Atención Primaria de Salud; Sistema Único de Saúde; Sistema Único de Salud.


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