scholarly journals Geriatric care: ways and means of providing comfort

2017 ◽  
Vol 70 (4) ◽  
pp. 830-837 ◽  
Author(s):  
Patricia Cruz Pontifice Sousa Valente Ribeiro ◽  
Rita Margarida Dourado Marques ◽  
Marta Pontifice Ribeiro
Keyword(s):  
Older Adults ◽  
Participant Observation ◽  
Geriatric Care ◽  
Ethnographic Study ◽  
Personal Hygiene ◽  
Structured Interviews ◽  
Positive Interaction ◽  
The Family ◽  
The Moment ◽  
First Contact

ABSTRACT Objective: To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Method: Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. Results: The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort. Final considerations: Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort.

Peregrinação Acadêmica: A mulher Romeira do Bom Jesus da Lapa

2020 ◽  
Author(s):  
Sandra Célia Coelho Gomes da Silva
Keyword(s):  
Gender Identity ◽  
Social Reproduction ◽  
Participant Observation ◽  
Female Gender ◽  
Age Group ◽  
Structured Interviews ◽  
The West ◽  
Patriarchal Family ◽  
The Family ◽  
West Part

This work is the result of the doctoral thesis entitled Pilgrimage of Bom Jesus da Lapa: Social Reproduction of the Family and Female Gender Identity, specifically the second chapter that talks about women in the Pilgrimage of Bom Jesus da Lapa, emphasizing gender relations, analyzing the location of the pilgrimage as a social reproduction of the patriarchal family and female gender identity. The research scenario is the Bom Jesus da Lapa Pilgrimage, which has been held for 329 years, in that city, located in the West part of Bahia. The research participants are pilgrim women who are in the age group between 50 and 70 years old and have participated, for more than five consecutive years in the Bom Jesus da Lapa Pilgrimage, belonging to five Brazilian states (Bahia, Minas Gerais, São Paulo, Espírito Santo and Goiás) that register a higher frequency of attendance at this religious event. We used bibliographic, qualitative, field and documentary research and data collection as our methodology; we applied participant observation and semi-structured interviews as a technique. We concluded that the Bom Jesus da Lapa Pilgrimage is a location for family social reproduction and the female gender identity, observing a contrast in the resignification of the role and in the profile of the pilgrim women from Bom Jesus da Lapa, alternating between permanence and the transformation of gender identity coming from patriarchy.

scholarly journals COMPREHENSIVE MEDICATION MANAGEMENT SERVICES IN A BRAZILIAN SPECIALITY PHARMACY: A QUALITATIVE ASSESSMENT

2017 ◽  
Vol 9 (3) ◽  
pp. 227 ◽  
Author(s):  
Kirla Barbosa Detoni ◽  
Mariana Martins Gonzaga Do Nascimento ◽  
Isabela Viana Oliveira ◽  
Mateus Rodrigues Alves ◽  
Manoel Machuca GonzÁles ◽  
...  
Keyword(s):  
Participant Observation ◽  
Patient Flow ◽  
Medication Management ◽  
Implementation Process ◽  
Ethnographic Study ◽  
Qualitative Assessment ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Eligibility Criteria ◽  
Manager Support

Objective: To understand and describe the implementation process of a comprehensive medication management (CMM) service in a public speciality pharmacy in Brazil.Methods: Ethnographic study conducted over 17 mo (September 2014 to February 2016) in a public speciality pharmacy. Semi-structured interviews were conducted with twelve participants. Notes on field journals, resulting from participant observation conducted by the two pharmacists directly responsible for the service implementation, were also used as a source of data.Results: Ten important conditions to improve the success of CMM service implementation were identified: manager support; evaluation of physical and material resources; evaluation of human resources practitioners’ characteristics and knowledge about the theoretical framework of CMM services; time dedicated to CMM services; redefining the work process; defining patient eligibility criteria to CMM service; defining patient flow to CMM service; communication with healthcare team; integration with the staff; and marketing the service internally.Conclusion: The results unveiled by this article can be used by pharmacists and managers as a tool to optimize the implementation of CMM services in different healthcare settings. These conditions do not consist the only aspects necessary to ensure the success of the service; however, they can contribute to optimize the implementation process of the practice

scholarly journals "The group facilitates everything": meanings patients with type 2 diabetes mellitus assigned to health education groups

2014 ◽  
Vol 22 (6) ◽  
pp. 980-987 ◽  
Author(s):  
Lucas Pereira de Melo ◽  
Edemilson Antunes de Campos
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Education ◽  
Healthcare Workers ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Public Health Care ◽  
Structured Interviews

OBJECTIVE: to interpret the meanings patients with type 2 diabetes mellitus assign to health education groups.METHOD: ethnographic study conducted with Hyperdia groups of a healthcare unit with 26 informants, with type 2 diabetes mellitus, and having participated in the groups for at least three years. Participant observation, social characterization, discussion groups and semi-structured interviews were used to collect data. Data were analyzed through the thematic coding technique.RESULTS: four thematic categories emerged: ease of access to the service and healthcare workers; guidance on diabetes; participation in groups and the experience of diabetes; and sharing knowledge and experiences. The most relevant aspect of this study is the social use the informants in relation to the Hyperdia groups under study.CONCLUSION: the studied groups are agents producing senses and meanings concerning the process of becoming ill and the means of social navigation within the official health system. We expect this study to contribute to the actions of healthcare workers coordinating these groups given the observation of the cultural universe of these individuals seeking professional care in the various public health care services.

scholarly journals A Bridge to Portugal: Language and Identity in Bridgeport, CT

2020 ◽  
Vol 5 (2) ◽  
pp. 123-140
Author(s):  
Fabio Scetti
Keyword(s):  
Identity Construction ◽  
Language Contact ◽  
Language Use ◽  
Participant Observation ◽  
American English ◽  
Ethnographic Study ◽  
Language And Identity ◽  
Speech Community ◽  
Structured Interviews ◽  
The Status

Here I present the results of BridgePORT, an ethnographic study I carried out in 2018 within the Portuguese community of Bridgeport, CT (USA). I describe language use and representation among Portuguese speakers within the community, and I investigate the integration of these speakers into the dominant American English speech community. Through my fieldwork, I observe mixing practices in day-to-day interaction, while I also consider the evolution of the Portuguese language in light of language contact and speakers’ discourse as this relates to ideologies about the status of Portuguese within the community. My findings rely on questionnaires, participant observation of verbal interaction, and semi-structured interviews. My aim is to show how verbal practice shapes the process of identity construction and how ideas of linguistic “purity” mediate the maintenance of a link to Portugal and Portuguese identity.

scholarly journals TACTICS OF BORDER CROSSING MOVEMENT: EXPLORING THE MOBILITY OF BRAZILIANS THROUGH THE SCHENGEN AND UK AIRSPACE

2015 ◽  
Vol 3 (5) ◽  
pp. 216 ◽  
Author(s):  
Gustavo Dias
Keyword(s):  
Social Space ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Border Crossing ◽  
Structured Interviews ◽  
Main Research ◽  
Social Actors ◽  
Research Orientation ◽  
Definition Of ◽  
Embodied Practice

This paper addresses the relations between migrants, mobility, tactics, negotiation, and the contemporary definition of borders in the aftermath of 9/11.The empirical focus of this paper is how Brazilians from Alto Paranaiba journey through airports located in the Schengen area and in the British territory to London. As a main research orientation, I use the notion of journey as approached by mobility studies, where actions and skills remain an important link between the wayfarer and the social space in which s/he moves through, the embodied practice to how we grasp the world. Migrants deal and struggle against border regime, but they are not powerless social actors. They rather produce creative resistance to reinvent their journey through the surveillance apparatus, which manage and delimit places with targets and threats. In this process, I explore the notion of border crossing movement as a tactical mobility developed by migrants to overcome the border control imposed by governments in airports. The article was drawn through fieldwork conducted initially in London, between 2009 and 2013, and afterwards in Alto Paranaiba, during 2013. The ethnographic study consisted in semi-structured interviews, participant observation through snowball technique, which enabled me to access a considerable number of participants in these two regions explored. The argument that I develop is that migrants as social actors are part important in the dialogue produced between border crossing and border reinforcement.

Counting, Coping, and Navigating the Flux: A Focused Ethnographic Study of HIV and Diabetes Self-Management

2021 ◽  
pp. 104973232110642
Author(s):  
Chelsi W Ohueri ◽  
Alexandra A. García ◽  
Julie A. Zuñiga
Keyword(s):  
Management Practices ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Self Management ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Familial Support ◽  
Multiple Observations ◽  
Dual Diagnoses ◽  
Living With Hiv

Approximately 10–15% of people living with HIV are also diagnosed with diabetes. To manage their two chronic conditions, people must undertake certain activities and adopt behaviors. Due to overlapping symptoms, complex medication regimens, and heavy patient workloads, implementing these self-management practices can be difficult. In this focused ethnography, data were collected from semi-structured interviews and limited participant-observation with a selected subset of participants to gain insight into self-management challenges and facilitators. We conducted interviews and multiple observations with 22 participants with HIV+T2DM over the period of 9 months. Participants experienced numerous barriers to self-management in the areas of diet, medication adherence, and mental health. Social and familial support, as well as consistent access to care, were facilitators for optimal self-management. At the same time participants’ lives were in a unique flux shaped by the dual diagnoses, and therefore, required constant mental and physical adjustments, thus illustrating challenges of managing chronicity.

scholarly journals The purpose of the communication process of group activities in the Family Health Strategy

2011 ◽  
Vol 19 (2) ◽  
pp. 396-402 ◽  
Author(s):  
Leticia Silveira Cardoso ◽  
Marta Regina Cezar-Vaz ◽  
Mara Regina Santos da Silva ◽  
Valdecir Zavarese da Costa
Keyword(s):  
Qualitative Content Analysis ◽  
Participant Observation ◽  
Work Organization ◽  
Family Health ◽  
Communication Process ◽  
Structured Interviews ◽  
Group Activities ◽  
Health Strategy ◽  
The Family ◽  
Family Health Strategy

This study identified the purposes of the communication process in the group activities of the Family Health strategy from the perspective of nurses. Semi-structured interviews were conducted and recorded with 60 nurses and non-participant observation with 19 group activities, analyzed according to qualitative content analysis. Five categories emerged: Health education, Clinical follow-up, Co-responsibilization of patients, Team-Community Interaction, and Work Organization. These categories revealed that the establishment of reciprocal interactions among professionals, patients and families favor health promotion because it encourages the exchange of knowledge among the participants concerning their health experiences.

scholarly journals PET VISITATION AS NARRATIVE CARE FOR OLDER ADULTS IN THERAPEUTIC SETTINGS

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S867-S867
Author(s):  
Jill Yamasaki ◽  
Kelley Murfin
Keyword(s):  
Older Adults ◽  
Los Angeles ◽  
Participant Observation ◽  
Ways Of Knowing ◽  
Well Being ◽  
Structured Interviews ◽  
Term Care ◽  
Personalized Care ◽  
Healing Relationships ◽  
Therapeutic Settings

Abstract A growing body of research highlights the physiological and psychosocial benefits of pet visitation programs in therapeutic settings. These programs utilize the profound connection between humans and animals to promote holistic healing, foster greater quality of life, and influence meaningful communication between patients and providers. For older adults in hospitals or long-term care, these benefits are often correlated with moments of pleasure, comfort, relaxation, and entertainment. The current study builds on this prior knowledge by examining pet visitation programs as a novel form of narrative care that can also help preserve biographical continuity and promote the sharing of lived stories. We worked with two volunteer pet visitation programs in Houston and one in Los Angeles. Our research included a variety of ethnographic methods, including participant observation; informal interviews with providers, patients (or residents, depending on the context), and their families; semi-structured interviews with volunteers; and discourse review of organizational materials. We employed a method of constant comparison to identify and thematically analyze recurrent patterns of behavior and overarching meanings across the data. Three primary themes emerged from the data: (a) compassion, (b) connection, and (c) response. Collectively, the presence of pets prompted stories and behaviors that foster healing relationships characterized by empathy and mutual understanding between patients (or residents), family members, and providers. Pet visitation programs facilitate storied conversations, increased autonomy, and alternative ways of knowing that promote greater understandings of the patient’s (or resident’s) psychosocial context and biographical history, leading to more personalized care and improved well-being.

scholarly journals De Feira Nordestina a Centro de Tradições: a construção da identidade nordestina no Rio de Janeiro

ILUMINURAS ◽  
2020 ◽  
Vol 21 (54) ◽  
Author(s):  
Vitor Rebello Ramos Mello
Keyword(s):  
Rio De Janeiro ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Structured Interviews ◽  
Social Actors ◽  
Cultura Popular ◽  
Places Of Memory ◽  
Brazilian Northeast ◽  
The City ◽  
Made In

Resumo: Este estudo etnográfico discute o processo de construção de identidades dos migrantes nordestinos na cidade do Rio de Janeiro, tendo como referência a transformação da Feira de São Cristóvão no Centro Municipal Luiz Gonzaga de Tradições Nordestinas. Parte integrante da dissertação Memórias repentinas: a construção poética do Nordeste pelos repentistas da Feira de São Cristóvão (RJ) defendida no Programa de Pós-Graduação em Memória Social/ UNIRIO[1], a presente análise faz uso da ideia de sociodinâmica da estigmatização para compreender as relações estabelecidas entre cariocas e nordestinos, bem como utiliza o conceito de lugares de memória para entender a importância da Feira enquanto bastião da cultura para a população migrante. Para tanto, fez-se um trabalho de campo entre 2010 e 2012, realizando observação não-participante e entrevistas semiestruturadas com atores sociais locais, além de pesquisa na hemeroteca digital do Centro Nacional de Folclore e Cultura Popular e revisão bibliográfica sobre o tema. Palavras chave: Feira de São Cristóvão. Identidade Nordestina. Nordeste. Rio de Janeiro  FROM A REGIONAL FAIR INTO A CENTRE OF TRADITIONS: THE CONSTRUCTION OF THE BRAZILIAN NORTHEASTERN IDENTITY IN RIO DE JANEIRO.  Abstract: This ethnographic study discusses the process of northeastern migrants' construction identities in the city of Rio de Janeiro, taking as reference the change of the São Cristóvão Fair into the Luiz Gonzaga Municipal Centre of Northeastern Traditions. As part of the dissertation Sudden memories: the poetic construction of the northeast region by the troubadours of the São Cristóvão Fair (RJ) defended in the Post-Graduation Program in Social Memory / UNIRIO, the present analysis makes use of the ideia of the sociodinamic of stigmatization to understand the relationships established between cariocas and northeasterners, using as well the concept of places of memory to comprehend the importance of the Fair as a bastion of culture for the migrant population. To this end, a fieldwork was performed out between 2010 and 2012, with a non-participant observation and semi-structured interviews with local social actors. Besides, researches were made in the digital library of the National Center for Folklore and Popular Culture and a bibliographic review about the topic. Keywords: São Cristóvão Fair. Brazilian northeastern identity. Brazilian northeast. Rio de Janeiro [1] Esta pesquisa contou com bolsa de estudos da CAPES.

scholarly journals FIRST-CONTACT ACCESSIBILITY ATTRIBUTE IN PRIMARY HEALTH CARE SERVICES AND CARE PRACTICES: CONTRIBUTIONS TO ACADEMIC EDUCATION FOR NURSES

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Gabriela Fávero Alberti ◽  
Maria Denise Schimith ◽  
Maria de Lourdes Denardin Budó ◽  
Gabriela Leal Neves ◽  
Laís Fuzer Rosso
Keyword(s):  
Nursing Education ◽  
Health Care Services ◽  
Participant Observation ◽  
Family Health ◽  
Academic Education ◽  
Structured Interviews ◽  
Care Services ◽  
Primary Health Care Services ◽  
Care Practices ◽  
First Contact

ABSTRACT Case study that aimed to identify the care practices of nurses from a Family Health Unit related to the first-contact accessibility attribute and the contributions to academic nursing education. The data is an excerpt from a database, collected from February to July 2012. Semi-structured interviews were conducted with nurses, participant observation of the care practices took place and a document search was undertaken, analyzed according to the operation proposal. The first contact can be initiated by the demand of the user himself or staff meetings based on the cases shared by the community health agents. The nurses' behavior restricts user access and excludes the possibility of welcoming. Academic training should insert and integrate the students into different scenarios and knowledge; foster human understanding based on the opening to new sensibilities and unpredictability, besides instigating the authentic participation of the student in his learning process.

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