scholarly journals Beliefs, values and practices of families in the care of hospitalized children: subsidies for nursing

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Dóris Helena Ribeiro Farias ◽  
Mauro Francisco Ferreira de Almeida ◽  
Giovana Calcagno Gomes ◽  
Valéria Lerch Lunardi ◽  
Maria Veraci de Oliveira Queiroz ◽  
...  
Keyword(s):  
Nursing Care ◽  
Participant Observation ◽  
Family Members ◽  
University Hospital ◽  
Care Practice ◽  
Hospitalized Children ◽  
Methodological Framework ◽  
Southern Brazil ◽  
New Paradigm ◽  
Cultural Care

ABSTRACT Objective: To know the beliefs, values and practices of families in the care of hospitalized children. Method: Qualitative study developed at the Pediatrics Unit of a University Hospital in southern Brazil through non-participant observation, participant observation and interview with children’s family members. The methodological framework of Ethnonursing was adopted. Data were coded, classified and scrutinized to identify saturation of similar or different ideas and patterns, and recoded by making theoretical formulations and recommendations. Results: Beliefs, values and practices of families depend on cultural references and are manifested in the care with feeding, clothing and hygiene, maintenance of sleep and rest, presence, care with medication and exercise of religious belief. Conclusion: Family members care for the hospitalized child based on their cultural reference and it is important that nurses take this aspect into consideration during care practice. Cultural care aggregates knowledge and can be considered a new paradigm for nursing care that allows an affective, reflective, human, empathic relationship between nurse/child/family.

scholarly journals Meanings attributed by family members in pediatrics regarding their interactions with nursing professionals

2015 ◽  
Vol 49 (6) ◽  
pp. 951-957 ◽  
Author(s):  
Giovana Calcagno Gomes ◽  
Daiani Modernel Xavier ◽  
Aline Campelo Pintanel ◽  
Dóris Helena Ribeiro Farias ◽  
Valéria Lerch Lunardi ◽  
...  
Keyword(s):  
Family Caregivers ◽  
Family Members ◽  
Hospitalized Children ◽  
Methodological Framework ◽  
Southern Brazil ◽  
Hospital Environments ◽  
The Family ◽  
Nursing Team ◽  
Objective Understanding ◽  
Nursing Professionals

Abstract OBJECTIVE Understanding the meanings attributed by family caregivers of children in hospital environments about their interactions with nursing professionals. METHODS This qualitative study used Symbolic Interactionism as a theoretical reference and Grounded Theory as the methodological framework. It was carried out in a Pediatrics Center in southern Brazil, in the first half of 2013. Participants were 15 family caregivers of hospitalized children. Data were collected through interviews and submitted to open and axial analysis. RESULTS Interactions with the nursing team enable family to trust or distrust in the provided child care and to positively evaluate the care received. CONCLUSION Interactions between family members and the nursing team contribute to the significance attributed by the family to the nursing care received by the child. Nurses should be aware of the attitudes of the nursing team regarding the child and their family, prioritizing humanized care.

scholarly journals Possibilities of care for serodiscordant couples for HIV who got pregnant

2017 ◽  
Vol 70 (6) ◽  
pp. 1199-1205 ◽  
Author(s):  
Tassiane Ferreira Langendorf ◽  
Ivis Emília de Oliveira Souza ◽  
Stela Maris de Mello Padoin ◽  
Cristiane Cardoso de Paula ◽  
Ana Beatriz Azevedo Queiroz ◽  
...  
Keyword(s):  
Reproductive Health ◽  
Nursing Care ◽  
Phenomenological Research ◽  
University Hospital ◽  
Care Planning ◽  
Methodological Framework ◽  
Heterosexual Couples ◽  
Southern Brazil ◽  
Objective Understanding ◽  
Phenomenological Interview

ABSTRACT Objective: Understanding the meaning of pregnancy for heterosexual couples facing serodiscordant situation for HIV, aiming at construction of care possibilities based on subjectivity. Method: Phenomenological research, theoretical-philosophical-methodological framework by Martin Heidegger. Research was conducted in a University Hospital in the countryside of Southern Brazil, from September 2013 to May 2014 through a phenomenological interview, with participation of eleven couples. Results: For the couples, pregnancy is part of life when they wish to have a child, even when one or both of them already have children from previous relationships. In addition, it is part of life when they consider the risks and do not want to have children in such circumstances anymore, but it happened unexpectedly. Conclusion: Understanding reproductive needs and demands of these couples is an aid for qualification and improvement of care as a contribution to nursing care planning towards reproductive health of these couples.

scholarly journals Barriers Present in the Process of Construction of the Cultural Family Care to the Child in the Hospital: Transcultural Approach

Aquichan ◽  
2019 ◽  
Vol 19 (1) ◽  
pp. 1-11
Author(s):  
Doris Helena Ribeiro Farias ◽  
Giovana Calcagno Gomes ◽  
Mauro Francisco Ferreira de Almeida ◽  
Valéria Lerch Lunardi ◽  
Daiani Modernel Xavier ◽  
...  
Keyword(s):  
Participant Observation ◽  
Family Care ◽  
Cross Cultural ◽  
University Hospital ◽  
Ethical Aspects ◽  
New Paradigm ◽  
Team Members ◽  
The Family ◽  
Cultural Care ◽  
South Of Brazil

Objective: To know the barriers in the process of building family cultural care for the child in the hospital. Methodology: This is a qualitative study with a cross-cultural theoretical reference of Madeleine Leininger, called Theory of Diversity and Cultural Universality of Care, and with a methodological reference of the ethno-inference. It was developed in 2017 at the pediatric unit of a university hospital in the south of Brazil, through non-participant observation, participant observation and interview with 15 family caregivers of hospitalized children. The data was coded, classified and scrutinized to identify the saturation of ideas and similar or different patterns; also, it was re-coded and the theoretical formulations and recommendations were performed. Ethical aspects were followed, according to the Resolution of the National Research Ethics Council 466/2012. Results: The data showed as a barrier the need for hospitalization as a factor of family vulnerability, control of the unit’s health team members, hospital norms and routines, and the need to transgress as a manifestation of family care. Conclusion: Cultural care is a process that aggregates knowledge and can be considered a new paradigm for the accomplishment of nursing care by providing the mutual growth and construction of new knowledge, an affective, reflexive, human and empathic relationship between the nurse, the child and the family.

scholarly journals Demonstrating nursing care as a social practice

2009 ◽  
Vol 17 (6) ◽  
pp. 988-994 ◽  
Author(s):  
Dirce Stein Backes ◽  
Alacoque Lorenzini Erdmann ◽  
Andreas Büscher
Keyword(s):  
Grounded Theory ◽  
Nursing Care ◽  
Health Professionals ◽  
Social Practice ◽  
Methodological Framework ◽  
New Paradigm ◽  
Systemic Thinking ◽  
Associative Networks ◽  
Social Actions ◽  
Structured Questionnaire

This study aimed to understand the meaning of nursing care as a social practice based on interactions and associations with complex-systemic thinking. Grounded Theory was the methodological framework used and 35 health professionals distributed in different sample groups were interviewed through a semi-structured questionnaire. Simultaneous data codification and analysis permitted the identification of the central category: "Evidencing nursing care as social practice". Nursing care as a social practice based on complex-systemic thinking constitutes a new paradigm of intervention, capable of strengthening social actions through interactive and associative networks, and of acting in a proactive, innovating and participative manner.

scholarly journals The experience of hospitalized children regarding their interactions with nursing professionals

2011 ◽  
Vol 19 (6) ◽  
pp. 1429-1436 ◽  
Author(s):  
Ana Lucía Noreña Peña ◽  
Luis Cibanal Juan
Keyword(s):  
Nursing Care ◽  
Critical Incident ◽  
Participant Observation ◽  
Critical Incident Technique ◽  
Hospitalized Children ◽  
Structured Interviews ◽  
Social And Emotional ◽  
Emotional Factors ◽  
Need To Evaluate ◽  
Nursing Professionals

The aim of this study is to describe the experience of children in their interactions with nursing professionals while in hospital. It is a qualitative study supported by the critical incident technique. Data was collected through participant observation and semi-structured interviews with thirty hospitalized children and teenagers between 8 and 14 years old. The results showed that children positively valued nursing care at the hospital and recognized that interactions with nursing staff included social and emotional factors. It is concluded that communication established with children plays a fundamental role to comprehend their experiences while in hospital. Therefore, nurses need to evaluate their strategies and relational skills used to interact with children at the hospital.

scholarly journals Family caregiver of older adults and Cultural Care in Nursing care

2018 ◽  
Vol 71 (3) ◽  
pp. 959-966 ◽  
Author(s):  
Alcimar Marcelo do Couto ◽  
Célia Pereira Caldas ◽  
Edna Aparecida Barbosa de Castro
Keyword(s):  
Older Adults ◽  
Home Care ◽  
Cultural Values ◽  
Nursing Care ◽  
Care Practice ◽  
Culture Care ◽  
Care Relationship ◽  
Cultural Care ◽  
Family Beliefs

ABSTRACT Objective: To analyze the experiences of family caregivers of dependent older adults, who show performance overload and emotional distress, using the Theory of Culture Care. Method: Qualitative study with nine caregivers of home care dependent older adults, based on Grounded Theory. Results: The findings allowed the identification of potentialities and frailties in the context of family home care and subsidizing the construction of a theoretical scheme resulting from the analysis of possibilities of the nursing care practice according to the culture, through the three modes of action: maintenance, adjustment and repatterning of cultural care. Final considerations: Respecting the cultural values and family beliefs, the nurse can help to institute mutually established changes, promoting a better quality in the nursing care relationship and a relief to the strain of the role of the caregiver.

scholarly journals Understanding the dramatic therapeutic play session: a contribution to pediatric nursing

2020 ◽  
Vol 73 (4) ◽  
Author(s):  
Vera Lucia Alves dos Santos ◽  
Fabiane de Amorim Almeida ◽  
Carina Ceribelli ◽  
Circéa Amália Ribeiro
Keyword(s):  
Nursing Care ◽  
Multiple Case Study ◽  
Symbolic Play ◽  
Care Practice ◽  
Hospitalized Children ◽  
Pediatric Nursing ◽  
Play Session ◽  
Multiple Case ◽  
Therapeutic Play

ABSTRACT Objectives: to understand how the dramatic therapeutic play session occurs within the care of hospitalized children. Methods: qualitative multiple case study, using theoretical references, such as symbolic interactionism and Vygotsky’s theory of symbolic play. Twenty play sessions performed with six children from 3 to 10 years old were analyzed, each corresponding to one case. Results: these sessions demonstrated that a dramatic therapeutic play session is a process of four interdependent and complementary steps: bonding, exploring, dramatizing, and play cessation. They also revealed the imaginary situations externalized by the child, the importance of the exploration step for which they manage the imaginary situation and catharsis, and how her higher psychological faculties are articulated during this process. Final Considerations: the results contribute to the understanding of the conduct and analysis of the dramatic therapeutic play session, reinforcing the importance of its use in pediatric nursing care practice.

scholarly journals CARE IN THE PARTURITION PROCESS FROM THE PERSPECTIVE OF NURSING PROFESSIONALS

2020 ◽  
Vol 29 ◽  
Author(s):  
Adriana Aparecida Piler ◽  
Marilene Loewen Wall ◽  
Tatiane Herreira Trigueiro ◽  
Deisi Cristine Forlin Benedet ◽  
Juliane Dias Aldrighi ◽  
...  
Keyword(s):  
Human Resources ◽  
Nursing Care ◽  
Thematic Analysis ◽  
Group Discussion ◽  
Qualitative Approach ◽  
University Hospital ◽  
Care Process ◽  
Southern Brazil ◽  
Convergence Group ◽  
Nursing Professionals

ABSTRACT Objective: to reflect on nursing care for women undergoing parturition from the perspective of nursing professionals. Method: this is a study with a qualitative approach based on Convergent Care Research. The participants were 36 nursing professionals, who developed assistance activities for women undergoing parturition in an Obstetric and Gynecological Surgical Center of a University Hospital in southern Brazil. For data collection, the convergence group discussion technique was used, through audio-recorded thematic workshops following the phases of the process called Four Rs (4Rs), from June to August 2017. The data were analyzed using the thematic analysis proposed by Creswell, supported by the Iramuteq software. Results: five classes emerged: weaknesses/limitations in the parturition process; ambience and human resources in the parturition process; imposition of care and lack of privacy for women in the parturition process; process of being born: the understanding of nursing professionals; and contributions in the care process for a better birth. Conclusion: the present study allowed understanding the relationships of the nursing care for women in the process of parturition, identifying the barriers and weaknesses in the care process, reflecting and discussing possibilities for the systematization of nursing care in the parturition process.

Family culture versus institutional hospital culture: a relation between two worlds

2021 ◽  
Vol 55 ◽  
Author(s):  
Dóris Helena Ribeiro Farias ◽  
Mauro Francisco Ferreira de Almeida ◽  
Giovana Calcagno Gomes ◽  
Valéria Lerch Lunardi ◽  
Evellym Vieira ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Cultural Context ◽  
Participant Observation ◽  
Family Care ◽  
Institutional Culture ◽  
Culture Method ◽  
Southern Brazil ◽  
Family Culture ◽  
Hospital Culture ◽  
Cultural Care

ABSTRACT Objective: To understand the relation between family culture and hospital institutional culture. Method: Qualitative study, carried out in 2017, with relatives of children admitted to a Hospital in southern Brazil. The study included non-participant observation, to gain familiarity with the investigated cultural context; participant observation, to know the respondents’ experiences; and interviews. The data were coded and theoretical formulations and recommendations were made. Results: Fifteen family members participated. Hospitalization is a time of encounter and interaction between family culture and institutional culture. Conclusion: Hospital culture is presented as an instrument of family care and adaptation and flexibility of norms and routines to humanize cultural care.

scholarly journals How Professionals Tinker With Ethical Tensions Collectively When Fostering Service User Autonomy: An Ethnographic Study In Long-term Care

2020 ◽  
Author(s):  
Marjolijn Heerings ◽  
Hester van de Bovenkamp ◽  
Mieke Cardol ◽  
Roland Bal
Keyword(s):  
Participant Observation ◽  
Family Members ◽  
Organizational Structures ◽  
Poor Quality ◽  
Ethnographic Study ◽  
Care Practice ◽  
Term Care ◽  
Depth Analysis ◽  
Housing Services ◽  
Care Practices

Abstract Background: The value of patient autonomy has become central in healthcare. However, care practices involve a plurality of possibly conflicting values. These values often transgress the borders of the individual professional-client relationship as they involve family members, other professionals and community organizations. Good care should acknowledge this complexity, which requires a collective handling of the tensions between values. To better understand this process, we draw on Mol (2008, 2010) by developing the notion of collective tinkering. Methods: Through ethnographic study in two teams in community housing services for people with intellectual disability and serious mental illness, we analyze how professionals tinker collectively. This research design enables in-depth analysis of care practices as they unfold in their situated context. Data were gathered by means of participant observation, interviews and focus groups with professionals, service users, peer support workers and family members. Results: Collective tinkering is analyzed 1) within teams of professionals working together with family members; 2) between professionals from different organizations providing care for the same client; and 3) in organizing practices for a collective of clients. Collective tinkering involves assembling values into a care practice, attentively experimenting with these care practices and adjusting care accordingly within a collective of those involved in care for a particular client or collective of clients. When collective tinkering does not occur, the stakeholders excluded from the tinkering (e.g. clients or family members) may experience poor quality of care.Conclusion: Collective tinkering differs from ‘individual’ tinkering between professionals and clients in several ways. First, by including stakeholders involved with the client, collective tinkering adds values and ontologies important in dealing with the situation and aids the creative process of inventing and experimenting with the care practices that assemble these values. Second, collective tinkering needs organizational structures beyond direct professional-client contacts. Structures that provide the time and space for the wider collective involved in care to come together, reflect and co-design care practices. The results also show that collective tinkering runs the risk of excluding clients in negotiating value tensions. Including clients should be carefully considered when structuring collective tinkering.

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