scholarly journals Assessment of components of crack users’ attention network

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Christine Wetzel ◽  
Jacó Fernando Schneider ◽  
Agnes Olschowsky ◽  
Marcio Wagner Camatta ◽  
...  
Keyword(s):  
Care Service ◽  
Comparative Method ◽  
Family Members ◽  
Fourth Generation ◽  
Attention Network ◽  
Constant Comparative Method ◽  
The Military ◽  
Fourth Generation Evaluation ◽  
Crack Users ◽  
Crack User

ABSTRACT Objective: Assess components of the Psychosocial Attention Network (RAPS) in crack user care in a Rio Grande do Sul municipality. Method: Qualitative study based on Fourth Generation Evaluation. Data collection occurred in 2014, through participating observation and interviews based on the Hermeneutic-Dialectic Circle. Ten uses, eleven family members, seven managers and eight workers at a Psychosocial Attention Center participated. The Constant Comparative Method was used for data analysis. Results: Difficulties were observed in the network articulation with the general hospital, due to prejudice and the lack of structure of the team. SAMU’s (Mobile Emergency Care Service) dependence on the Military Brigade for the service indicates a frailty of the network. The need to re-think the way therapeutic farms operate in the network is a consensus. Conclusion: RAPS is being implemented and its concretization depends on the involvement of professionals, managers and social control of users and family members.

scholarly journals Stigma and prejudice: the experience of crack users

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Nathália Duarte Bard ◽  
Beatriz Antunes ◽  
Cristine Moraes Roos ◽  
Agnes Olschowsky ◽  
Leandro Barbosa de Pinho
Keyword(s):  
Comparative Method ◽  
Evaluation Process ◽  
Fourth Generation ◽  
Social Imaginary ◽  
Chemically Dependent ◽  
The Social ◽  
Constant Comparative Method ◽  
Formal Employment ◽  
Fourth Generation Evaluation ◽  
Crack Users

Objective to evaluate the stigma and prejudice experienced by crack users in their social context. Method a qualitative study developed through the Fourth Generation Evaluation, conducted with four interest groups (ten users, eleven families, eight employees, and seven managers), components of the mental health care network. For data collection, we used observation and individual interview. The analysis was performed through the constant comparative method. Results crack users suffer prejudice and are stigmatized as those who do not fit in the systems established by society (without family links, formal employment and dwelling), and are thus excluded. They exhibit undisciplined behavior and, therefore, are discriminated, marginalized and considered as criminals, losing their uniqueness and living in vulnerable situations. Conclusion the evaluation process emphasized the need to demystify the social imaginary that demonizes the chemically dependent, being thus important to develop public policies with actions focused on health, prevention, information and combat to stigma.

scholarly journals Evaluation of intersectoral resources in the composition of care networks for crack users

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Christine Wetzel ◽  
Jacó Fernando Schneider ◽  
Agnes Olschowsky ◽  
Marcio Wagner Camatta ◽  
...  
Keyword(s):  
Comparative Method ◽  
Psychosocial Care ◽  
Metropolitan Region ◽  
Fourth Generation ◽  
Community Resources ◽  
Structured Interviews ◽  
The Public ◽  
The Military ◽  
Fourth Generation Evaluation ◽  
Crack Users

Abstract Objective: To evaluate the intersectoral resources in the composition of care networks for crack users. Method: Evaluative, qualitative study based on the Fourth Generation Evaluation. The participants were 10 users, 11 family members, eight workers, and seven managers from a municipality in the metropolitan region of Porto Alegre/Rio Grande do Sul, Brazil. Data were collected in 2014 through observation and semi-structured interviews. The analysis occurred by the constant comparative method. Results: Stakeholders have discussed how the Public Prosecutor's Office and the Military Brigade are inserted in the network, since they carry out actions that often are not compatible with the psychosocial care proposal. The need for expansion and maintenance of liaisons with community resources was identified. Conclusion: It is noted the need for sector integration and participation of all social agents from different spheres in order to promote and evaluate the practices and policies of care for crack users.

scholarly journals Operation of a hospital palliative care service: a fourth-generation evaluation

2019 ◽  
Vol 72 (2) ◽  
pp. 383-390 ◽  
Author(s):  
Carla Simone Leite de Almeida ◽  
Sonia Silva Marcon ◽  
Laura Misue Matsuda ◽  
Luciane Prado Kantorski ◽  
Bianca Sakamoto Ribeiro Paiva ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Service ◽  
Comparative Method ◽  
Interpersonal Relationship ◽  
Care Home ◽  
Palliative Care Service ◽  
Surgical Oncology ◽  
Fourth Generation ◽  
Structured Interviews ◽  
Fourth Generation Evaluation

ABSTRACT Objective: Qualitatively evaluate the operation of a palliative care service in oncology. Methodology: Qualitative study conducted in a service in southern Brazil based on a fourth generation evaluation. Between September 2014 and June 2015, 460 hours of operation were observed, and 45 semi-structured interviews and five negotiation meetings were conducted; data were analyzed using the constant comparative method. Results: Potential services are: provision of outpatient palliative care, home and inpatient care provided by a multidisciplinary and support team, meeting the patient’s biological, psychological, social and spiritual needs. Study limitations: ineffective communication between clinical and surgical oncology and palliative care sectors, lack of specialized training for professionals and in interpersonal relationship issues among team members. Final Consideration: For palliative care progress in the service, some arrangements are required to enhance integrality of care.

scholarly journals EVALUATION OF CARE FOR CHILDREN AND ADOLESCENTS USERS OF PSYCHOACTIVE SUBSTANCES: POTENTIALITY AND FRAGILITIES

2019 ◽  
Vol 28 ◽  
Author(s):  
Ângela Gonçalves da Silva Pagliace ◽  
Mariluci Alves Maftum ◽  
Maria Ribeiro Lacerda ◽  
Luciane Prado Kantorski ◽  
Miriam Aparecida Nimtz ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Participant Observation ◽  
Comparative Method ◽  
Physical Space ◽  
Fourth Generation ◽  
Psychoactive Substances ◽  
Individual Interviews ◽  
Treatment Services ◽  
Study Type ◽  
Fourth Generation Evaluation

ABSTRACT Objective: to evaluate the care to the child and the adolescent in treatment in the general hospital for mental and behavioral disorders due to the use of psychoactive substances, from the perspective of the Nursing. Method: evaluative study, of the case study type, with the use of the theoretical-methodological reference of the Fourth Generation Evaluation. The group of interest was composed of 19 professionals of the Nursing team of a Unit allocated in a general and teaching hospital of the West of Paraná. Data were collected from June 2015 to February 2016 through 410 hours of non-participant observation, individual interviews, following the hermeneutic-dialectical circle and a negotiation meeting. Data analysis was performed using the Constant Comparative Method. Results: three categories emerged from the analysis: nursing care for children and adolescents, Potential care and Fragility in care. the interest group reported a differentiated care of the other units of the institution, expressing the concern to care in a global and humanized way. They pointed out the development of meetings of agreement between the scenario of the study and the municipalities as one of the facilities for the care and, as greater fragility, the lack of physical space. Conclusion: It is hoped that the results of this study may instigate and provide critical reflection of professionals who develop their practice with children and adolescents who use or abuse psychoactive substance in the various health treatment services.

scholarly journals Nursing practices in a psychological care center

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Elitiele Ortiz dos Santos ◽  
Adriane Domingues Eslabão ◽  
Luciane Prado Kantorski ◽  
Leandro Barbosa de Pinho
Keyword(s):  
Comparative Method ◽  
Care Center ◽  
Psychosocial Care ◽  
Fourth Generation ◽  
Structured Interviews ◽  
Pharmacy Staff ◽  
Constant Comparative Method ◽  
Care Models ◽  
Evaluative Research ◽  
Nursing Professionals

ABSTRACT Objective: To analyze the practices developed by nursing professionals in a Psychosocial Care Center (CAPS). Method: A qualitative and evaluative research based on the Fourth Generation Assessment and conducted in a CAPS II of Santa Catarina State in 2014. For data collection, semi-structured interviews, field observation, and data recycling group were used with workers. Constant Comparative Method was used for data analysis. Results: Practices aimed at the subject and their clinical, social, prevention, treatment and articulation with the health network were identified. Medication care is a specificity of nursing that aims to promote autonomy and social reintegration. There is a need for greater articulation between the nursing and pharmacy staff, as well as creating spaces for users to talk about medication. Conclusion: Nursing practices are focused on biopsychosocial care, aiming to deconstruct care models focused on the disease and symptoms.

scholarly journals Portraits on the crack user built by the media

2018 ◽  
Vol 71 (suppl 5) ◽  
pp. 2237-2242
Author(s):  
Cristine Moraes Roos ◽  
Nathália Duarte Bard ◽  
Aline Basso da Silva ◽  
Agnes Olschowsky ◽  
Leandro Barbosa de Pinho
Keyword(s):  
Mental Health ◽  
Health Service ◽  
Qualitative Study ◽  
User Profile ◽  
Fourth Generation ◽  
Field Observations ◽  
Porto Alegre ◽  
The Media ◽  
Fourth Generation Evaluation ◽  
Crack User

ABSTRACT Objective: evaluate how the crack user is portrayed by the media. Method: qualitative study, using fourth generation evaluation. The data were collected in interviews and field observations in a mental health network service of the Porto Alegre-RS metropolitan area. The participants were 10 users, 11 family members, 08 health service professionals and 07 managers. Results: the findings revealed that media relates the crack user profile to violence, crime and disease, which does not correspond to the reality experienced in the health service. This image disregards the different ways of using the drug and the different productions of life of these individuals, increasing social exclusion and stigma. Final considerations: The challenge is to build shared, integrated, clear and honest information.

scholarly journals NURSING PRACTICE AT A PSYCHIATRIC EMERGENCY SERVICE: EVALUATION USING FOURTH GENERATION ASSESSMENT

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Aline Aparecida Buriola ◽  
Luciane Prado Kantorski ◽  
Catarina Aparecida Sales ◽  
Laura Misue Matsuda
Keyword(s):  
Emergency Service ◽  
Participant Observation ◽  
Comparative Method ◽  
Family Members ◽  
Service Evaluation ◽  
Psychiatric Emergency ◽  
Fourth Generation ◽  
Psychiatric Emergency Service ◽  
Individual Interviews ◽  
Service Data

Qualitative study that used the framework of Fourth Generation Assessment and aimed to apprehend the perception of professionals, users and family members, about the nurse's practice at a psychiatric emergency service. Data were collected from February to June 2014, involving with 15 professionals, nine users and six family members. In the data collection, non-participant observation, participant observation and individual interviews were held, using hermeneutic-dialectic circle, with analysis by the constant comparative method. The results were grouped into two main themes: The nurse as a facilitator of multidisciplinary and humanized care and; activity accumulation: limitation for nurses to work at the psychiatric emergency service. It was concluded that the use of Fourth Generation Assessment reveals the empowerment of stakeholders as protagonists of change and that the nurse's practice is essential for the humanization of care and the dynamics of multidisciplinary work.

Linking Trajectories of Illness and Dying

2001 ◽  
Vol 42 (4) ◽  
pp. 293-308 ◽  
Author(s):  
Karin L. Olson ◽  
Janice M. Morse ◽  
Jane E. Smith ◽  
Maria J. Mayan ◽  
David Hammond
Keyword(s):  
Palliative Care ◽  
Qualitative Study ◽  
Comparative Method ◽  
Family Members ◽  
Theoretical Work ◽  
Physical Deterioration ◽  
Constant Comparative Method ◽  
Constant Comparative ◽  
New Phase

Despite the large number of theories regarding illness and dying, there is an absence of theoretical work that follows the trajectory from the onset of illness to death. This qualitative study expanded the illness constellation model to include the experience of dying. Following unstructured interviews with 41 individuals (15 ill individuals receiving palliative care, 13 family members of individuals receiving palliative care, and 13 palliative care nurses), data were transcribed and analyzed using NUD*IST 4.0 and the constant comparative method. Until they begin to experience rapid physical deterioration, the response of individuals receiving palliative care to illness is remarkably similar to the experience of other ill individuals. As the ability to maintain self-integrity is lost, however, ill individuals enter a new phase (enduring to die), characterized by progressive withdrawal, not previously outlined in the illness constellation model.

Quality in residential care: exploring residents’, family members’, managers’ and staff perspectives

2016 ◽  
Vol 17 (4) ◽  
pp. 253-262 ◽  
Author(s):  
Chrystal Jaye ◽  
June Tordoff ◽  
Mary Butler ◽  
Beatrice Hale ◽  
Roz McKechnie ◽  
...  
Keyword(s):  
Residential Care ◽  
Comparative Method ◽  
Family Members ◽  
Health And Safety ◽  
Aged Care ◽  
Structured Interviews ◽  
Content Type ◽  
Safety Standards ◽  
Safe Environment ◽  
Constant Comparative Method

Purpose The purpose of this paper is to explore the indicators of quality in care for people working and living in aged residential care (ARC) settings. Design/methodology/approach This research was conducted using an ethnographic design in two distinct ARC facilities in a New Zealand city, a large facility with residential, dementia and hospital level care, and a small family owned facility providing residential care only. In total, 50 hours of observational data were collected, and semi-structured interviews were conducted with 21 people, including managers, careworkers, nurses, family members and residents. These data were thematically analysed using the constant comparative method. Findings The main indicators of quality for staff, family and residents included: a home-like, friendly and safe environment; good medical and personal care; respect for the residents; and good staff. Participants also acknowledged the need for adjustments by residents to living in aged care; and the challenges of caring for increasingly frail residents. Originality/value Findings support the growing recognition of a need for resident-centred approaches to ARC that are reflected in government policy and regulatory apparatus. Managers in ARC facilities must balance adherence with health and safety standards, and providing an environment where their residents can enjoy a meaningful life that has purpose and value.

Patient, family member, and clinician perspectives on advance care planning (ACP) in hematology and hematopoietic stem cell transplantation (HSCT).

2016 ◽  
Vol 34 (26_suppl) ◽  
pp. 7-7
Author(s):  
Reanne Booker ◽  
Jessica Simon ◽  
Shelley Raffin Bouchal ◽  
Keyword(s):  
Comparative Method ◽  
Treatment Options ◽  
Family Members ◽  
Structured Interviews ◽  
Related Factors ◽  
Treatment Expectations ◽  
Hematopoietic Stem ◽  
Constant Comparative Method ◽  
Clinician Perspectives ◽  
Advance Care

7 Background: Studies have found that ACP engagement remains low in patients undergoing HSCT in spite of the high risks of treatment-related morbidity and mortality. Methods: This qualitative study used Thorne’s Interpretive Description methodology. Participants were accrued from hematological malignancy outpatient clinics at a tertiary oncology center and underwent audio-recorded semi-structured interviews. Analysis involved meticulous review of interview transcripts. The constant comparative method was utilized; data collection occurred concurrently with analysis until saturation of themes was achieved. Results: The study involved 6 patients, 5 family members and 8 clinicians (physicians, nurses, social worker). Participants thought that ACP was both acceptable and important yet many had not engaged in ACP. Perceived barriers to ACP included: system-related barriers such as lack of process for ACP, lack of time and/or resources; patient-related factors such as lack of understanding of disease, prognosis and/or expectations of HSCT, lack of patient/family understanding of ACP, a desire to ‘focus on positives’; and disease/treatment-related factors such as unpredictability of the disease and treatment trajectories in hematology and HSCT. Potential facilitators identified by participants included: integrating ACP as part of routine HSCT care, involving the multidisciplinary team in ACP, and introducing ACP early and revisiting frequently. Conclusions: This study revealed various barriers and facilitators related to participation in ACP. We are using the results of this study to inform and tailor interventions on ACP at our center. Introducing ACP as part of standard care in HSCT and providing ongoing facilitation of ACP, including discussion of disease and treatment expectations at the outset, and when complications arise, may assist patients and families in recognizing how ACP fits into their care. Given the inherent unpredictability in this population, we suggest revisiting ACP frequently to optimize patient experience and ensure patients and family members are aware of other treatment options including supportive and palliative care.

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