scholarly journals Therapeutic follow-up and network intervention as a strategy in psychosocial care

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Felipe Kaê Martins Prado ◽  
Marcelo Augusto de Medeiros Lourenço ◽  
Larissa Barros de Souza ◽  
Aline Ferreira Placeres ◽  
Fernanda Carla de Assis Cândido ◽  
...  
Keyword(s):  
Social Network ◽  
Participant Observation ◽  
Care Center ◽  
Psychosocial Care ◽  
Study Data ◽  
Ethnographic Study ◽  
Structured Interviews ◽  
Community Activities ◽  
Network Intervention

ABSTRACT Objective: to analyze Therapeutic Follow-Up (TF) and Network Intervention (NI) as devices for social network/Psychosocial Care Center (CAPS - Centro de Atenção Psicossocial) user staff construction. Method: an ethnographic study. Data collection instruments were participant observation, field diary, semi-structured interviews and Sluzki’s Minimal Map of Relationships. The research site was at a CAPS II of the city of São Paulo. Participants were CAPS user, their family network, professionals and other users. Data analysis took place through Minayo’s thematic content analysis framework and Sluzki’s personal maps. Results: TF and NI led to greater social participation, autonomy and reorganization of family roles and treatment in CAPS. Conclusion: the TF associated with NI was potent in strengthening the user’s personal/social network and in including them in community activities.

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 Institutional care for children and adolescents that use drugs

2021 ◽  
Vol 38 ◽  
Author(s):  
Julia Corrêa GOMES ◽  
Fernanda Kimie Tavares MISHIMA-GOMES ◽  
Clarissa Mendonça CORRADI-WEBSTER
Keyword(s):  
Children And Adolescents ◽  
Thematic Analysis ◽  
Social Vulnerability ◽  
Participant Observation ◽  
Institutional Care ◽  
Psychosocial Care ◽  
Care Providers ◽  
Structured Interviews ◽  
Specific Population ◽  
A Current

Abstract The literature highlights the existence of weaknesses in the psychosocial care network, especially in the treatment of children and adolescents that use drugs. The study aimed to comprehend, based on the Winnicottian theoretical framework, how a Residential Care Unit has been providing care to children and adolescents with needs arising from drugs use in situations of social vulnerability. Semi-structured interviews, with eight care providers, and 65 hours of participant observation were carried out. From the thematic analysis, three themes were constructed: (1) Setting: regarding attention to basic needs and construction of a routine; (2) View: regarding empathy and expansion of perspectives; (3) Aggressiveness: regarding new ways of relating. Important actions are aimed at constructing care for this specific population, as this is a current theme with recent and weakly structured public policies.

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.

scholarly journals Working conditions of a nursing team in mental health facility

2021 ◽  
Vol 74 (suppl 3) ◽  
Author(s):  
Aline Silvia Esteves Morais ◽  
Gisele Fernandes Tarma Cordeiro ◽  
Angela Aparecida Peters ◽  
Tatiana Marques dos Santos ◽  
Rosa Gomes dos Santos Ferreira ◽  
...  
Keyword(s):  
Mental Health ◽  
Working Conditions ◽  
Care Center ◽  
Psychosocial Care ◽  
Structured Interviews ◽  
Nursing Services ◽  
Nursing Team ◽  
Analytical Research ◽  
Interdisciplinary Partnership ◽  
Nursing Professionals

ABSTRACT Objective: To analyze how the nursing team from a Psychosocial Care Center II relates its insertion in the service with the work process. Methods: Descriptive, analytical research outlined as a case study with a qualitative approach. The data were collected through semi-structured interviews with nursing professionals and went through content analysis subsidized by Bardin’s work. Results: Two thematic categories emerged: a) Ways of intake in the nursing services at the Psychosocial Care Center; b) Setbacks in nursing routine at the Psychosocial Care Center. Final considerations: The fact that the professionals have not planned to work in mental health nor have training impacts the rhythm of psychosocial care development at the Psychosocial Care Center, forcing them to seek training in the field after admission. Unmotivated by the working conditions, the nursing team suffers from the absence of an interdisciplinary partnership and goes to great lengths to approach psychosocial care.

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 Care through cohort studies: sociological survey of the PROOF cohort study on vascular and cognitive aging

2020 ◽  
Vol 42 (4) ◽  
pp. 740-747
Author(s):  
A Savall ◽  
R Charles ◽  
T Bujon ◽  
F Roche ◽  
J C Barthélémy ◽  
...  
Keyword(s):  
Cohort Studies ◽  
Health Research ◽  
Cognitive Aging ◽  
Research Laboratory ◽  
Participant Observation ◽  
Structured Interviews ◽  
Daily Lives ◽  
Expected Benefits ◽  
French Cohort

Abstract Background The success of health research depends on the involvement of participants. Few studies have examined the participation of subjects in cohorts. Drawing on a sociological survey on a French cohort around aging, this study proposes to question the nature of interactions between researchers and subjects that would help to understand the motivations of subjects to participate and remain in health research studies. Methods Qualitative study combining participant observation within the research laboratory that conducted the cohort and semi-structured interviews with subjects included in the cohort and with members of the research team. Results This study highlights the existence of two-way care: from the laboratory to the subjects and from the cohort to researchers. Health research seems to correspond to a complex association between subjects concerned with aging and the expected benefits of exceptional monitoring. Research is incorporated into subjects’ daily lives, allowing a shift in the purpose of research from overmedicalization to medical safety that subjects experienced as a form of care. Conclusions In cohort studies, care is understood as a form of attention to the person through high-quality medical follow-up. Aging is turned into a matter of concern that subjects, in collaboration with researchers, strive to control.

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.

scholarly journals Assessment of stigma and prejudice in the organization of care networks for drug users

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Elitiele Ortiz dos Santos ◽  
Leandro Barbosa de Pinho ◽  
Aline Basso da Silva ◽  
Adriane Domingues Eslabão
Keyword(s):  
Continuing Education ◽  
Thematic Analysis ◽  
Drug Users ◽  
Participant Observation ◽  
Psychosocial Care ◽  
Rio Grande ◽  
Rio Grande Do Sul ◽  
Structured Interviews ◽  
Open Forum ◽  
Organization Of Care

ABSTRACT Objective: To assess stigma and prejudice in the organization of the Psychosocial Care Network for drug users. Methods: this is a qualitative study, developed through Empowerment Assessment. The survey was conducted in a municipality in Rio Grande do Sul, with 42 network workers. For data collection, participant observation, semi-structured interviews and open forum were used. For data analysis, thematic analysis was used. Results: the network’s mission involved a proposal for care without prejudice and judgments for drug users. It was identified that the composition of the network with training in multidisciplinary residency and psychiatry facilitates achieving the mission, and among the difficulties, the challenges to overcome prejudice were analyzed. Strategies for continuing education, seminars, and user empowerment in the community are suggested. Final considerations: stigma and prejudice need to be problematized in the networks for the organization of more inclusive and rehabilitating psychosocial care.

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