scholarly journals CHALLENGES FOR PRIMARY HEALTHCARE PROFESSIONALS IN CARING FOR WOMEN WITH POSTPARTUM DEPRESSION

2015 ◽  
Vol 24 (3) ◽  
pp. 706-712 ◽  
Author(s):  
Bianca de Macêdo Meira ◽  
Pauliany Alencar de Souza Pereira ◽  
Maria de Fátima Araújo Silveira ◽  
Dulce Maria Rosa Gualda ◽  
Hudson Pires Oliveira Santos Jr

ABSTRACT The aim of this study was to explore the challenges for primary healthcare professionals in caring for women with postpartum depression, in order to learn which tools are used for the identification of these women, as well as ways of working to restore their health. This qualitative descriptive study was conducted in healthcare units in Campina Grande, Paraíba. Data were collected by field observation and a semi-structured interview, which was administered to 16 healthcare professionals. The results describe healthcare professionals' difficulties in identifying and treating women with postpartum depression, because of the limited focus on physiological developmental aspects of gestation and postpartum. The professionals reported limited knowledge on how to assess emotional changes related to the postpartum period. Primary healthcare professionals need to be educated to identify and treat women with postpartum depression, and practice guidelines and protocols must be established to guide evidence-based practice.

2021 ◽  
pp. 135910532098832
Author(s):  
Rachel Dieterich ◽  
Judy Chang ◽  
Cynthia Danford ◽  
Paul W Scott ◽  
Caroline Wend ◽  
...  

Weight stigmatization is related to emotional and psychological distress including low self-esteem, body image dissatisfaction, depression, and anxiety; all linked with suboptimal breastfeeding outcomes. This qualitative descriptive study explored postpartum individuals’ recalled experiences of weight stigma during interactions with perinatal healthcare professionals and its perceived influence on their breastfeeding experiences. Semi-structured phone interviews were conducted with (n= 18) participants. Three themes emerged: (1) “Size Doesn’t Matter: They Looked Beyond the Scale,” (2) “My Self-Confidence and Desire to Breastfeed is More Important than Weight,” and (3) “I Was on My Own”— Limited Social Support not Weight Stigma Influenced Breastfeeding.


BMC Nursing ◽  
2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Gunilla Borglin ◽  
Miia Eriksson ◽  
Madeleine Rosén ◽  
Malin Axelsson

Abstract Objective This study aimed to describe registered nurses’ (RNs) experiences of providing respiratory care in relation to hospital acquired pneumonia (HAP), specifically among patients with acute stroke being cared for at in-patient stroke units. Background One of the most common and serious respiratory complications associated with acute stroke is HAP. Respiratory care is among the fundamentals of patient care, and thus competency in this field is expected as part of nursing training. However, there is a paucity of literature detailing RNs’ experiences with respiratory care in relation to HAP, specifically among patients with acute stroke, in the context of stroke units. As such, there is a need to expand the knowledge base relating to respiratory care focusing on HAP, to assist with evidence-based nursing. Design A qualitative descriptive study. Method Eleven RNs working in four different acute stroke units in Southern Sweden participated in the current study. The data were collected through semi-structured interviews, and the transcribed interviews were analysed using inductive content analysis. Results Three overarching categories were identified: (1), awareness of risk assessments and risk factors for HAP (2) targeting HAP through multiple nursing care actions, and (3) challenges in providing respiratory care to patients in risk of HAP. These reflected the similarities and differences in the experiences that RNs had with providing respiratory care in relation to HAP among in-patients with acute stroke. Conclusions The findings from this study suggest that the RNs experience organisational challenges in providing respiratory care for HAP among patients with acute stroke. Respiratory care plays a vital role in the identification and prevention of HAP, but our findings imply that RNs’ knowledge needs to be improved, the fundamentals of nursing care need to be prioritised, and evidence-based guidelines must be implemented. RNs would also benefit from further education and support, in order to lead point-of-care nursing in multidisciplinary stroke teams.


2016 ◽  
Vol 16 (1) ◽  
Author(s):  
Grete Oline Hole ◽  
Sissel Johansson Brenna ◽  
Birgitte Graverholt ◽  
Donna Ciliska ◽  
Monica Wammen Nortvedt

2018 ◽  
Vol 12 (7) ◽  
pp. 1870
Author(s):  
Daniela Pereira Martins ◽  
Fernanda Garcia Bezerra Góes ◽  
Fernanda Maria Vieira Pereira ◽  
Laura Johanson da Silva ◽  
Liliane Faria da Silva ◽  
...  

RESUMOObjetivo: descrever o conhecimento e as dúvidas de nutrizes sobre o aleitamento materno. Método: estudo qualitativo, do tipo descritivo, desenvolvido com 20 nutrizes do Alojamento Conjunto de um hospital municipal localizado em Rio das Ostras/RJ, Brasil, a partir de um roteiro de entrevista semiestruturado cujos dados foram submetidos à análise temática. Resultados: as nutrizes reconhecem que o aleitamento materno é benéfico para imunidade/prevenção de doenças, nutrição, crescimento e desenvolvimento da criança. Contudo, existe um misto de saberes e dúvidas relacionado à duração, exclusividade e manejo prático da amamentação, envolvendo tempo entre mamadas, pega, posição e cuidados com as mamas. Conclusão: existe deficit no conhecimento de nutrizes sobre o aleitamento materno.  As implicações dos achados do estudo recaem para o necessário investimento em estratégias educativas dialógicas que possibilitem ao enfermeiro reconhecer as dúvidas maternas para a promoção de apoio e orientação efetivos. Descritores: Criança; Aleitamento Materno; Enfermagem; Educação em Saúde; Conhecimento; Período Pós-Parto. ABSTRACT Objective: to describe the knowledge and doubts of mothers about breastfeeding. Method: this is a qualitative, descriptive study, developed with 20 nursing mothers of the Joint Housing of a municipal hospital located in Rio das Ostras/RJ, Brazil, from a semi-structured interview script, whose data were submitted to thematic analysis. Results: nurses recognize that breastfeeding is beneficial for immunity/disease prevention, nutrition, and child growth and development. However, there is a mix of knowledge and doubts regarding the duration, exclusivity and practical management of breastfeeding, involving time between breastfeeding, nursing, position and breast care. Conclusion: there is a lack of nursing mothers' knowledge about breastfeeding. The implications of the study findings lie in the necessary investment in dialogic educational strategies that allow nurses to recognize maternal doubts to promote effective support and guidance. Descriptors: Child; Breast Feeding; Nursing; Health Education; Knowledge; Postpartum Period. RESUMEN Objetivo: describir el conocimiento y las dudas de nutrices sobre la lactancia materna. Método: estudio cualitativo, del tipo descriptivo, desarrollado con 20 nutrices del Alojamiento Conjunto de un hospital municipal localizado en Rio das Ostras/RJ, Brasil, a partir de una guía de entrevista semi-estruturada, cuyos datos fueron sometidos a análisis temático. Resultados: las nutrices reconocen que la lactancia materna es benéfica para inmunidad/prevención de enfermedades, nutrición y crecimiento y desarrollo del niño. Con todo, existe un mixto de saberes y dudas relacionado a la duración, exclusividad y manejo práctico del amamantamiento, envolviendo tiempo entre mamadas, tomadas, posición y cuidados con las mamas. Conclusión: existe déficit en el conocimiento de nutrices sobre la lactancia materna.  Las implicaciones de los hallados del estudio recaen para la necesaria inversión en estrategias educativas dialógicas que posibiliten al enfermero reconocer las dudas maternas para la promoción de apoyo y orientación efectivos. Descriptores: Niño; Lactancia Materna; Enfermería; Educación en Salud; Conocimiento; Periodo Posparto. 


Author(s):  
Restuning Widiasih ◽  
Dini Hidayat ◽  
Hasballah Zakaria ◽  
Dody Qori Utama ◽  
Maria Komariah ◽  
...  

Pregnant women are expected to have a high level of awareness when it comes to checking their fetal health and ensuring their welfare. This study explored the experiences of pregnant women in Indonesia who were monitoring their fetal wellbeing during the COVID-19 pandemic. A qualitativedescriptive study design with a constructivist paradigm was used. Twenty-two pregnant women were recruited and participated in a semi-structured interview. Analysis of the transcribed interviews used a content, thematic and comparative process. Three themes emerged from the analysis: feelingsand responses, changes to the ante natal care service during the COVID-19 pandemic, and the fetal wellbeing monitoring, tools, and methods used. Advice on how pregnant women should conduct fetal wellbeing monitoring during COVID-19 is urgently needed. The results of this study indicate there is a need for interventions to help pregnant women carry out self-fetal wellbeing monitoring in times where they have fewer contacts with health professionals such as during the COVID-19 pandemic.


2018 ◽  
Vol 12 (4) ◽  
pp. 865
Author(s):  
Sâmia Jucá Pinheiro ◽  
Juliany Kelly Moreno ◽  
Vanessa Peres Cardoso Pimentel ◽  
Maria Gabriela Bezerra Gomes Moura ◽  
Lívia Braga Costa de Oliveira ◽  
...  

RESUMOObjetivo: identificar os riscos da Síndrome de Burnout e fatores de estresse em enfermeiros nefrologistas. Método: estudo qualitativo, descritivo, realizado em clínicas de nefrologia em Fortaleza-Ceará. Foi aplicada uma entrevista semiestruturada com os enfermeiros nefrologistas. Resultados: após a coleta de dados, organização e análise, foram elaboradas cinco categorias para a descrição e a compreensão dos resultados. 1) Esgotamento físico e emocional; 2) frustração; 3) tensão; 4) sobrecarga de trabalho desencadeando conflitos de funções e 5) convivência diária com situações críticas. Conclusão: há existência de sinais e sintomas da Síndrome de Burnout e fatores de estresse nas enfermeiras nefrologistas entrevistadas apresentando, principalmente, fatores estressores como tensão, medo e cansaço. Observou-se que esses fatores são decorrentes da sobrecarga de trabalho e da convivência diária com situações conflituosas. Descritores: Saúde Mental; Esgotamento Profissional; Nefrologia; Enfermagem em Nefrologia; Cuidados de Enfermagem; Enfermeiras e Enfermeiros.ABSTRACTObjective: to identify the risks of Burnout Syndrome and stress factors in nephrologist nurses. Method: qualitative, descriptive study, performed at nephrology clinics in Fortaleza-Ceará. A semi-structured interview with the nephrologist nurses was applied. Results: After data collection, organization and analysis, five categories were elaborated to describe and understand the results. 1) Physical and emotional exhaustion; 2) frustration; 3) tension; 4) work overload triggering conflicts of functions and 5) daily coexistence with critical situations. Conclusion: There are signs and symptoms of Burnout Syndrome and stress factors in the nephrologist nurses interviewed, mainly presenting stressors such as tension, fear and fatigue. It was observed that these factors are due to the work overload and the daily coexistence with conflicting situations. Descriptors: Mental Health; Burnout, Professional; Nephrology; Nephrology Nursing; Nursing care; Nurse.RESUMEN Objetivo: identificar los riesgos del Síndrome de Burnout y factores de estrés en enfermeros nefrologistas. Método: estudio cualitativo, descriptivo, realizado en clínicas de nefrología en Fortaleza-Ceará. Se aplicó una entrevista semiestructurada con los enfermeros nefrologistas. Resultados: después de la recolección de datos, organización y análisis, se elaboraron cinco categorías para la descripción y comprensión de los resultados. 1) Agotamiento físico y emocional; 2) la frustración; 3) tensión; 4) sobrecarga de trabajo desencadenando conflictos de funciones; y 5) convivencia diaria con situaciones críticas. Conclusión: existen señales y síntomas del Síndrome de Burnout y factores de estrés en las enfermeras nefrologistas entrevistadas, presentando, principalmente, factores estresores, como: tensión, miedo y cansancio. Se observó que estos factores se debían a la sobrecarga de trabajo y la convivencia diaria con situaciones conflictivas. Descriptores: Salud Mental; Agotamiento Profesional; Nefrología; Enfermería en Nefrología; Atención de Enfermería; Enfermeros.


2016 ◽  
Vol 15 (2) ◽  
Author(s):  
Bruna Celia da Silva Lima ◽  
Magna Maria Alves Ribeiro ◽  
Elizabeth Rose Costa Martins ◽  
Raquel Conceição de Almeida Ramos ◽  
Marcio Tadeu Ribeiro Francisco ◽  
...  

Aim:  to  describe  how  high-risk  pregnant  women  experienced  theinduction  of  labor  and  to  discuss  the  feelings  arising  during  that  moment.  Methods:  a descriptive  study  with  a  qualitative  approach,  conducted  with  10  high-risk  puerperae who had labor induced in a university hospital located in the city of Rio de Janeiro. Data collection  took  place  between  March  and  April  of  2015  through  a  semi-structured interview. Thematic Content Analysis was used to analyze the data. Results: the feelings revealed  were  acceptance,  resignation,  pain,  fear  and  dissatisfaction.  Positive  feelings, such as love and belief, emerged regarding the child's birth. Conclusion: the puerperae mostly  present  feelings  of  resignation,  suffering  and  dissatisfaction  when  experiencing labor  induction.  The  practices  adopted  do  not  help  to  establish  the  caring  relationship needed  at  this  unique  and  feminine  moment,  leading  to  a  requirement  for  greater monitoring by the nursing staff and other healthcare professionals.


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