scholarly journals O manejo da dor em crianças percebido pela equipe de enfermagem [Pain management in children as perceived by the nursing team] [El manejo del dolor en niños, percibido por el equipo de enfermería]

2017 ◽  
Vol 25 ◽  
pp. e15379
Author(s):  
Larissa De Oliveira Ulisses ◽  
Lorena Fernanda Nascimento Santos ◽  
Cristina Nunes Vitor Araújo ◽  
Elenilda Farias de Oliveira ◽  
Climene Laura de Camargo
Keyword(s):  
Content Analysis ◽  
Pain Management ◽  
Qualitative Study ◽  
Ethics Committee ◽  
University Hospital ◽  
Assessment Instruments ◽  
Structured Interviews ◽  
Pharmacological Interventions ◽  
Scientific Training ◽  
Nursing Team

Objetivo: descrever o manejo da dor em crianças pela equipe de enfermagem. Metodologia: estudo qualitativo, realizado em unidade pediátrica de hospital universitário na cidade de Salvador, Bahia, em 2012. Participaram do estudo três enfermeiras, duas técnicas e duas auxiliares de enfermagem. Foram realizadas entrevistas semiestruturadas, analisadas por meio da técnica de análise de conteúdo, emergindo três categorias: Identificação da dor na criança internada; Instrumentos de avaliação da dor; Prevenção e Tratamento da dor, após aprovação do estudo pelo Comitê de Ética em Pesquisa da instituição, sob o parecer de número 79/11. Resultados: foram evidenciadas intervenções prioritariamente farmacológicas em detrimento das não-farmacológicas, intervenções insuficientes e pouco resolutivas, não utilização dos instrumentos adequados, além da não participação dos pais nesse cenário. Conclusão: percebe-se a necessidade de aprofundamento científico entre a equipe para o manejo da dor, além da reprodução do modelo biomédico no que concerne ao tratamento medicamentoso.ABSTRACTObjective: to describe pain management in children by the nursing team. Methodology: this qualitative study in a pediatric unit of a university hospital in Salvador, Bahia, was conducted in 2012, after approval by the research ethics committee (Opinion No. 79/11). Three nurses, two technicians and two nursing auxiliaries participated in the study. Semi-structured interviews were carried out and analyzed using content analysis, from which three categories emerged: identifying pain in the hospitalized child; pain assessment instruments; preventing and treating pain. Results: findings included pharmacological interventions prioritized over non-pharmacological interventions; insufficient and ineffective interventions; failure to use appropriate instruments; and parental non-participation in this scenario. Conclusion: the team needed more in-depth scientific training in pain management, beyond reproduction of the biomedical drug treatment model.RESUMEN: Objetivo: describir cómo el equipo de enfermería maneja el dolor en niños. Metodología: estudio cualitativo, realizado en unidad pediátrica de hospital universitario en la ciudad de Salvador, Bahía, en 2012. Participaron del estudio tres enfermeras, dos técnicas y dos auxiliares de la enfermería. Se realizaron entrevistas semiestructuradas, analizadas por medio de la técnica de análisis de contenido. Surgieron tres categorías: identificación del dolor en el niño internado; instrumentos de evaluación del dolor; prevención y tratamiento del dolor, tras la aprobación del estudio por el Comité de Ética en Investigación de la institución, bajo el parecer de número 79/11. Resultados: se evidenciaron intervenciones prioritariamente farmacológicas en detrimento de las no farmacológicas, intervenciones insuficientes y poco resolutivas, no utilización de los instrumentos adecuados, además de la no participación de los padres en ese escenario. Conclusión: se percibe la necesidad de profundización científica entre el equipo para el manejo del dolor, además de la reproducción del modelo biomédico en lo respecta al tratamiento medicamentoso. DOI: http://dx.doi.org/10.12957/reuerj.2017.15379

Psychodynamic analysis of work: the experiences of pleasure and pain of psychologists emergency room of Rio Branco, Acre, Brazil

2011 ◽  
Vol 5 (8) ◽  
pp. 2066
Author(s):  
Fabiane Da Fontoura Messias De Melo ◽  
Melissa Andrea Vieira de Medeiros
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Qualitative Study ◽  
Theoretical Basis ◽  
Ethics Committee ◽  
Point Of View ◽  
Structured Interviews ◽  
Defense Strategies ◽  
Thematic Content Analysis ◽  
Salud Mental

ABSTRACTObjective: to investigate the experiences of pleasure and pain at work of the psychologists of Hospital de Urgencia e Emergencia of Rio Branco, Acre, Brazil, and to identify the defense strategies used by these professionals. Method: this is a qualitative study, as it prioritizes observation and listening to the worker's point of view according to her/his uniqueness. Study approved by the Research Ethics Committee of Universidade Federal do Acre (Protocol 23107.020349/2010-55), on November 2010. For carrying out the research observations, notes in field diary, and individual semi-structured interviews were used, which underwent thematic content analysis later. The theoretical basis adopted for interpreting the health/illness and work issue was the Christophe Dejours’ Work Psychodynamics. Results: due to the lack of researches in the Amazon region, it is expected to contribute to the development of new studies on the psychologist’s mental health and allow reflections on the current meanings of work and the notion of health/illness from the perspective of psychologists. Descriptors: work; pleasure; psychology; mental health.RESUMOObjetivo: investigar as vivências de prazer e sofrimento no trabalho dos psicólogos do Hospital de Urgência e Emergência de Rio Branco-AC e identificar as estratégias de defesa utilizadas por esses profissionais. Método: trata-se de estudo qualitativo, pois prioriza a observação e a escuta do trabalhador do ponto de vista de sua singularidade. Estudo aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Acre (Protocolo n. 23107.020349/2010-55), em novembro de 2010. Para a pesquisa foram realizadas observações, registro em diário de campo e entrevistas individuais semiestruturadas, as quais foram posteriormente submetidas à análise de conteúdo temática. O referencial teórico adotado para a interpretação da problemática saúde/ doença e trabalho foi a Psicodinâmica do Trabalho de Christophe Dejours. Resultados: diante da escassez de pesquisas na região amazônica, espera-se contribuir para o fomento de novos estudos sobre a saúde mental do psicólogo e possibilitar reflexões sobre as significações existentes do trabalho e a noção de saúde/doença a partir da perspectiva dos psicólogos. Descritores: trabalho; prazer; psicologia; saúde mental.RESUMENObjetivo: investigar las experiencias de placer y sufrimiento en el trabajo de los psicólogos del Hospital de Urgência e Emergência de Rio Branco, Acre, Brasil, y identificar las estrategias de defensa usadas por eses profesionales. Método: esto es un estudio cualitativo, pues prioriza la observación y la escucha del trabajador desde el punto de vista de su singularidad. Estudio aprobado por el Comité de Ética en Investigación de la Universidade Federal do Acre (Protocolo 23107.020349/2010-55), en noviembre de 2010. Para la investigación se llevaron a cabo observaciones, registro en diario de campo y entrevistas individuales semi-estructuradas, que más tarde fueron sometidas a análisis de contenido temático. El referencial teórico para la interpretación de la problemática salud/enfermedad y trabajo fue la Psicodinámica del Trabajo de Christophe Dejours. Resultados: frente a la escasez de investigaciones en la región amazónica, se espera contribuir al desarrollo de nuevos estudios acerca de la salud mental del psicólogo y posibilitar reflexiones sobre las posibles significaciones del trabajo y la noción de salud/enfermedad desde la perspectiva de los psicólogos. Descriptores: trabajo; placer; psicología; salud mental.

scholarly journals Social support from the perspective of adolescent victims of domestic violence

2014 ◽  
Vol 48 (4) ◽  
pp. 610-617 ◽  
Author(s):  
Diene Monique Carlos ◽  
Maria das Graças Carvalho Ferriani ◽  
Michelly Rodrigues Esteves ◽  
Lygia Maria Pereira da Silva ◽  
Liliana Scatena
Keyword(s):  
Social Support ◽  
Domestic Violence ◽  
Content Analysis ◽  
Qualitative Study ◽  
Interpersonal Relationships ◽  
Extended Family ◽  
Structured Interviews ◽  
The Social ◽  
Sources Of Support ◽  
Adolescent Victims

Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.



scholarly journals Religious Jewish Mothers’ Perspective of Their Daughters’ Continuing Singlehood

2018 ◽  
Vol 8 (1) ◽  
pp. 148
Author(s):  
Asnat Dor
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Middle Class ◽  
Social Expectations ◽  
Structured Interviews ◽  
Social Expectation

This qualitative study is an examination of the attitudes of national religious Jewish Israeli mothers toward their daughters’ singlehood. The daughters were in their mid to late twenties, when the religious and social expectation is that they be married. The study is designed to explore the main issues faced by the mothers, including perceived difficulties and advantages of their daughters' unmarried status. Semi-structured interviews were conducted with 18 middle-class mothers, whose responses underwent content analysis and revealed a combination of traditional ideas with modern, liberal, and feminist values: internal and external concerns on behalf of the mothers, together with listing advantages and mothers supporting the daughters not to rush into marriage. The findings reveal that confronting social expectations means coping with the old norms while being aware of new possibilities and opportunities. Limitations of the study are discussed.

scholarly journals Referral and counter-referral for the integrality of care in the Health Care Network

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Health System ◽  
Family Health ◽  
Ethics Committee ◽  
The State ◽  
Healthcare Network ◽  
Unified Health System ◽  
Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

scholarly journals Nurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Carla Braz Evangelista ◽  
Maria Emília Limeira Lopes ◽  
Solange Fátima Geraldo da Costa ◽  
Patrícia Serpa de Souza Batista ◽  
Marcella Costa Souto Duarte ◽  
...  
Keyword(s):  
Palliative Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Spiritual Care ◽  
Structured Interviews ◽  
Spiritual Dimension ◽  
Nurses Role ◽  
Theory Of Human Caring ◽  
Process Elements ◽  
Human Caring

ABSTRACT Objectives: to analyze nurses’ role in assisting patients in palliative care, with emphasis on the spiritual dimension, in the light of Theory of Human Caring. Methods: this is an exploratory, qualitative study, carried out in a hospital in João Pessoa, Paraíba, between August and December 2019, with 10 nurses. For data collection, semi-structured interviews were used. For analysis, we opted for content analysis. Results: the spiritual dimension of care is contemplated by several religious and spiritual practices. These are respected and encouraged by nurses, although there is difficulty in providing care for the spiritual dimension. Final Considerations: nurses have attitudes consistent with Jean Watson’s Theory and apply the Caritas Process elements during assistance to patients’ spiritual dimension in palliative care.

scholarly journals Factors Affecting Nurses’ Perceived Organizational Commitment: A Qualitative Study

2019 ◽  
Vol 18 (2) ◽  
pp. 303-311 ◽  
Author(s):  
Faribah Sepahvand ◽  
Foorozan Atashzadeh Shoorideh ◽  
Soroor Parvizy ◽  
Mansoureh Zagheri Tafreshi
Keyword(s):  
Content Analysis ◽  
Organizational Commitment ◽  
Qualitative Study ◽  
Nurse Managers ◽  
Qualitative Content Analysis ◽  
Medical Science ◽  
Organizational Factors ◽  
Structured Interviews ◽  
Factors Affecting ◽  
Clinical Nurses

Objective: Nurses’ organizational commitment is one of the most important factors that facilitates their professional evolution and influences the method of care provision, quality of care, and patients’ satisfaction. The aim of this study was identified the factors that affect nurses’ perceived organizational commitment. Material and Methods: This qualitative study, conducted on 16 clinical nurses employed in Social Security Hospital of Khorramabad, Iran, during five months from May to September 2015, used deep semi-structured interviews. Purposive sampling method was used for the selection of nurses and the data were analyzed using conventional qualitative content analysis. Lincoln & Guba’s criteria were used to secure data accuracy and stability. Results: Sixteen subcategories, five categories, and three themes were distilled during content analysis process. The abstracted themes included “organizational factors”, “occupational challenges”, and “contributory management”. Conclusion: Our findings showed that numerous factors present in nurses’ profession and work environment may influence the rate of nurses’ interest and commitment in the hospital and the related organization. Hence, nurse managers can foster the promotion of nurses’ organizational commitment through creating the required suitable conditions. Bangladesh Journal of Medical Science Vol.18(2) 2019 p.303-311

Spiritual self-care in adolescents: a qualitative study

2020 ◽  
Vol 0 (0) ◽  
Author(s):  
Nafiseh Hekmati Pour ◽  
Gholam Reza Mahmoodi-Shan ◽  
Abbas Ebadi ◽  
Nasser Behnampour
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Self Care ◽  
Spiritual Needs ◽  
Religious Activities ◽  
Spiritual Beliefs ◽  
Structured Interviews ◽  
Purposeful Sampling ◽  
Spiritual Self ◽  
Age Range

AbstractObjectivesOne of the existential questions during adolescence is about the ambiguity in spiritual realms. Adolescents at this age not only have the spiritual, psychological, and unique needs, but also have spiritual needs that help them to relax and solve problems. Therefore, this qualitative study aimed to understand the concept of spiritual self-care in Iranian adolescents in 2019.MethodsThis qualitative study with content analysis approach was conducted on 14 adolescents with the age range of 14–20 years, who had been selected by purposeful sampling method. Data were collected by semi-structured interviews which were carried out between 4 March 2019 and 20 August 2019.ResultsThe interviews were transcribed immediately after the recording, and then were analyzed using direct content analysis. A total of 252 primary codes related to the adolescents’ spiritual self-care were extracted from the analysis, which determined 4 main aspects of spiritual self-care (spiritual belief, spiritual experience, social-religious activities, and spiritual growth).ConclusionsThe findings of this study showed that, spiritual self-care is a form of self-care by which a person uses his or her spiritual beliefs, teachings, and experiences as a source of control over stress and crises, and will be able to cope with problems.

scholarly journals Psychological distress among Iranian health-care providers exposed to coronavirus disease 2019 (COVID-19): a qualitative study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Azizeh Alizadeh ◽  
Hamid Reza Khankeh ◽  
Mohammad Barati ◽  
Yazdan Ahmadi ◽  
Arash Hadian ◽  
...  
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Health Care Providers ◽  
Care Providers ◽  
Structured Interviews ◽  
Personal Support ◽  
Corona Virus ◽  
Organizational Demands

Abstract Background Novel corona virus, named COVID-19, has spread rapidly to other countries like Italy, Iran and South Korea and affected all people, especially health-care providers. Therefore, due to the rapid spread of the disease in Iran, the aim of the present study was to explore psychological distress experienced by Iranian health-care providers in the first few weeks of the corona virus outbreak. Methods The present qualitative study was conducted on 18 Iranian health-care providers exposed to COVID − 19 using a content analysis method. Purposeful sampling was used to select the participants and continued until data saturation was reached. Data were collected using semi-structured interviews and then the qualitative data were analyzed through direct content analysis. Results By analyzing 236 primary codes, two main categories were extracted from the experiences of health-care providers during corona virus outbreak. The first category included Occupational demands with three sub-categories: nature of illness, Organizational demands and social demands. The second category was Supportive resources included personal support and social support. Conclusions The results of this study found that there were some barriers and challenges to medical personnel exposed to COVID-19 that caused psychological distress. Some of these problems related to the nature of illness, others related to social and organizational demands and some of supportive resources buffer the relationship between occupational demands and psychological distress.

scholarly journals Introduction of the School Health Program in the city of Cascavel, Paraná State: report of nurses

2018 ◽  
Vol 71 (suppl 4) ◽  
pp. 1540-1547 ◽  
Author(s):  
Maria Aparecida Baggio ◽  
Rosilene Berres ◽  
Bruna Penteado Silva Gregolin ◽  
Solange Aikes
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
School Health ◽  
Health Program ◽  
Health Problems ◽  
Structured Interviews ◽  
Material Resources ◽  
School Health Program ◽  
Health Assessments ◽  
The City

ABSTRACT Objective: to understand the introduction of the School Health Program in the city of Cascavel, Paraná State, as opposed to the report of nurses. Method: a qualitative study with fifteen participants. The data were collected from April to August 2015, through semi-structured interviews, analyzed by content analysis and thematic modality. Results: the category “Introduction process” of the School Health Program integrates the subcategories “Identified health problems” and the “Challenges of intersectoriality”. The program was implemented quickly, with a fragile training of professionals to perform in the phases that compose it. Structural conditions of schools, human and material resources, and emerging intersectoral interaction were identified obstacles. The integration of the health, school, and family constitutes the program’s potentiality. Final considerations: it is understood that the actions of the program were based on health assessments of students, and it is necessary for professionals and managers to discuss and analyze the obstacles identified to achieve all the proposed objectives.

scholarly journals Contribution of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonates

2017 ◽  
Vol 27 (3) ◽  
pp. 262
Author(s):  
Erika Silva Dittz ◽  
Claudia Regina Lindgren Alves ◽  
Elysângela Dittz Duarte ◽  
Lívia De Castro Magalhães
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Maternal Care ◽  
Participant Observation ◽  
Preterm Neonates ◽  
Preterm Newborn ◽  
Structured Interviews ◽  
Daily Care ◽  
Behavioral Observations ◽  
Preterm Newborns

Introduction: In the care of preterm newborn, practices that favor the participation of mothers in care are recommended. The use of appropriate instruments by professionals can contribute to strengthen maternal participation.Objective: To analyse the contributions of the use of the Newborn Behavioral Observations (NBO) for the maternal care of preterm neonates.Methods: Descriptive qualitative study, using participant observation and semi-structured interviews with 14 mothers of preterm newborns who underwent NBO. Data was submitted to content analysis, assinted by the software MAXQda 12.Results: It was found that the mothers' prior perceptions of the newborn´s capacities or how they react to environmental stimuli do not differ from what was observed and reported by them after NBO. However, it was verified that NBO confirms this perception and broadens the mothers' understanding of the meaning of the newborn's behavior. Participating in the NBO helped the mothers to identify strategies to find the needs of the newborn, qualifying the care already performed by them and opening new possibilities for maternal care.Conclusions: The NBO is an instrument that favors the mother's learning about the behavior of the newborn and contributes to the construction of practices with potential to be used by them within daily care. This allows us to consider it as a tool that favors the mother-baby relationship, contributes to the mother's participation in the care, and supports the mother in the construction of her autonomy for the continuity of the newborn's care after hospital discharge.

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