scholarly journals MANAGERS' DISCOURSE ABOUT INFORMATION AND KNOWLEDGE RELATED TO DIRECTLY OBSERVED TREATMENT OF TUBERCULOSIS

2016 ◽  
Vol 25 (2) ◽  
Author(s):  
Rita de Cassia Cordeiro de Oliveira ◽  
Karinne Dantas de Oliveira Adário ◽  
Lenilde Duarte de Sá ◽  
Arieli Rodrigues Nóbrega Videres ◽  
Sérgio Augusto Freire de Souza ◽  
...  
Keyword(s):  
Discourse Analysis ◽  
Qualitative Study ◽  
Continuing Education ◽  
Tuberculosis Control ◽  
Work Process ◽  
Professional Qualification ◽  
Directly Observed Treatment ◽  
The City

ABSTRACT Qualitative study that aimed to analyze the discourse of 15 district managers about knowledge and information related to the transfer of the Directly Observed Treatment of Tuberculosis policy in the city of João Pessoa, Paraíba, Brazil. The empiric material, collected in May and June 2013 through interviews, was analyzed according to Michel Pêcheux's Discourse Analysis. Despite contradictions, misunderstandings and silences observed in some discourse about this policy, the interviewees value the matricial support and the shared discussions involving the professionals, the management and the users, with emphasis on the rearrangement of the service in operating the Directly Observed Treatment of Tuberculosis. The need for investments in professional qualification is clear, with a view to refining the work process through the reorientation of practices from the perspective of continuing education, which represents a strong device for the exchange of knowledge and innovative proposals with a view to effective tuberculosis control.

scholarly journals Planning pathways in the transfer of Directly Observed Treatment of Tuberculosis

2018 ◽  
Vol 26 (0) ◽  
Author(s):  
Rarianne Carvalho Peruhype ◽  
Fernando Mitano ◽  
Juliana Feliciati Hoffmann ◽  
Catiucia de Andrade Surniche ◽  
Pedro Fredemir Palha
Keyword(s):  
Discourse Analysis ◽  
Strategic Planning ◽  
Qualitative Study ◽  
Diffusion Process ◽  
Theoretical Framework ◽  
Political Organization ◽  
Tuberculosis Control ◽  
Control Programs ◽  
Directly Observed Treatment ◽  
South Of Brazil

ABSTRACT Objective: to investigate the planning pathways in the transfer of Directly Observed Treatment of tuberculosis. Method: a qualitative study conducted using interviews and a semi-structured guide, administered to five subjects who were among the coordinators and managers of the tuberculosis control programs, and the secretary of health of a municipality in the south of Brazil. Situational Strategic Planning and Discourse Analysis of the French matrix were the theoretical and analytical references used, respectively. Results: three reflexive axes were identified: weaknesses in the process of planning the Directly Observed Treatment transfer, antagonism between planning and daily requirements and formulation of planning and execution. Lack of systematization regarding the planning and execution for transfer the Directly Observed Treatment policy, demonstrates the fragility and incipience of this activity, and the possibility of its non-existence. Conclusion: the urgent need for managers and coordinators to better appropriate the theoretical framework for changing public policies, and the related planning mechanisms, includes a proposal for reorganization and qualification of the diffusion process, both practical-operative and political-organization.

scholarly journals Beyond DOTS (Directly Observed Treatment Short-Course) in tuberculosis' control: interfacing and sharing needs

2009 ◽  
Vol 17 (5) ◽  
pp. 689-694 ◽  
Author(s):  
Alba Idaly Muñoz Sanchez ◽  
Maria Rita Bertolozzi
Keyword(s):  
Treatment Adherence ◽  
Health Workers ◽  
Disease Process ◽  
Structured Interview ◽  
Ethics Committee ◽  
Health Needs ◽  
Tuberculosis Control ◽  
Short Course ◽  
Directly Observed Treatment ◽  
The City

This study analyzes meanings that health workers attribute to DOTS and points out alternatives that contribute to its performance. After the Research Ethics Committee approved the project, a semi-structured interview was applied to 15 health workers from the central region of the city of São Paulo, SP, Brazil between August and December 2004. This study used hermeneutic-dialectic reference and the theory of social determinants of the health-disease process. DOTS contributes to treatment adherence and promotes interfacing in encounters and conversations between workers and users at the institutional and territorial levels, which permits identifying health needs and implementing appropriate interventions. One of the main challenges to its implementation is to become a space that enables grasping, decoding and reconstructing meanings in relation to the health-disease process including the treatment and life projects of patients with tuberculosis.

scholarly journals Amamentação cruzada no cenário da precarização do trabalho em saúde: atuação do enfermeiro [Cross-breastfeeding in the scenario of health work precarization: nurse's role] [Lactancia cruzada en el escenario de precarización del trabajo de salud: papel de la enfermera]

2020 ◽  
Vol 28 ◽  
pp. e35224
Author(s):  
Cristiane Santos Gomes ◽  
Midian Oliveira Dias ◽  
Benedita Maria Rêgo Deusdará Rodrigues ◽  
Patricia Lima Pereira Peres ◽  
Poliana Coeli Costa Arantes ◽  
...  
Keyword(s):  
Discourse Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Current Issue ◽  
Work Organization ◽  
Health Work ◽  
Work Process ◽  
Nursing Mother ◽  
Nurses Role ◽  
Professional Conflicts

Objetivo: investigar a atuação dos enfermeiros frente à amamentação cruzada e correlacionar com a atual questão da precarização do trabalho. Método: estudo qualitativo do tipo descritivo com base metodológica de análise do discurso, realizado com seis enfermeiras da Estratégia de Saúde da Família (ESF) por meio de um grupo focal. Resultados: o tema amamentação cruzada é apresentado como um indicador de conflitos ético-profissionais no processo de trabalho, expressando-se nos seguintes aspectos: conhecimento das prescrições de contraindicação, sensação de dificuldade em intervir e transferência à nutriz por qualquer dano à saúde da criança. Conclusão: no cotejo entre esses resultados e uma organização de trabalho com normas e rotinas institucionalizadas, discutem-se como efeitos da não utilização de técnicas de aconselhamento, a fragilização da autonomia da nutriz, de forma imperceptível, reproduzidas por enfermeiros na assistência.ABSTRACTObjective: to investigate nurses’ role related to cross-breastfeeding and to correlate with the current issue of precarious work.Method: descriptive and qualitative study based on methodological discourse analysis, carried out with six nurses from Estratégia de Saúde da Família (ESF) Program through a focus group. Results: cross-breastfeeding topic is presented as an indicator of ethical-professional conflicts in the work process, expressing itself in the following aspects: knowledge of prescriptions of contraindication, feeling of difficulty in intervening and transference to the nursing mother for any harm to the child's health. Conclusion: in the comparison between these results and a work organization with institutionalized norms and routines, we discuss the effects of not using counseling techniques, the fragility of nurses' autonomy, imperceptibly reproduced by nurses in care.RESUMENObjetivo: investigar el papel de las enfermeras relacionadas con la lactancia cruzada y su correlación con el tema actual del trabajo precario. Método: estudio descriptivo y cualitativo basado en el análisis metodológico del discurso, realizado con seis enfermeras del Programa Estratégia de Saúse da Familia (ESF). a través de un grupo focal. Resultados: el tema de la lactancia cruzada se presenta como un indicador de conflictos ético-profesionales en el proceso de trabajo, expresándose en los siguientes aspectos: conocimiento de prescripciones de contraindicación, sensación de dificultad para intervenir y transferencia a la madre lactante por cualquier daño a la madre. salud del niño Conclusão: en la comparación entre estos resultados y una organización de trabajo con normas y rutinas institucionalizadas, discutimos los efectos de no utilizar técnicas de asesoramiento, la fragilidad de la autonomía de las enfermeras, reproducida imperceptiblemente por las enfermeras bajo cuidado.

scholarly journals Policy transfer of the directly observed treatment of tuberculosis: speeches of health managers

2021 ◽  
Vol 42 ◽  
Author(s):  
Karinne Dantas de Oliveira Adário ◽  
Rita de Cassia Cordeiro de Oliveira ◽  
Arieli Rodrigues Nóbrega Videres ◽  
Amanda Haissa Barros Henriques ◽  
Pedro Fredemir Palha ◽  
...  
Keyword(s):  
Discourse Analysis ◽  
Qualitative Study ◽  
Health Services ◽  
Transfer Process ◽  
Social Vulnerability ◽  
Policy Transfer ◽  
Material Resources ◽  
Financial Investments ◽  
Directly Observed Treatment ◽  
Health Managers

ABSTRACT Objective: To analyze the effects of meanings produced by the speechess of health managers about the Policy Transfer of Directly Observed Treatment of Tuberculosis. Method: Qualitative study developed in 2017 with six managers working in health services located in municipalities in the state of Paraíba. The corpus, constituted by interviews, was analyzed by Discourse Analysis. Results: The speeches expressed aspects favorable to the operationalization of the policy transfer process, such as investing in human, technological, physical and material resources; coordinating management in the organization of the network and raising the awareness of the professionals involved. Barriers were identified, such as the prevalence of cases in the Reference Unit; professional turnover; prejudice and social vulnerability. Conclusions: The study showed that financial investments, government pacts and commitment of the actors involved in the production of care are necessary to carry out the policy transfer process in the municipalities investigated.

scholarly journals Directly Observed Treatment: planning perspectives, improvisation and transfer of policy

2018 ◽  
Vol 71 (4) ◽  
pp. 1940-1948
Author(s):  
Rarianne Carvalho Peruhype ◽  
Simone Gomes Costa ◽  
Juliana Feliciati Hoffmann ◽  
Karen Bissell ◽  
Fernando Mitano ◽  
...  
Keyword(s):  
Planning Process ◽  
Negative Association ◽  
Point Of View ◽  
Operational Planning ◽  
Tuberculosis Control ◽  
Structured Interviews ◽  
Political Will ◽  
Control Programs ◽  
Directly Observed Treatment ◽  
Contextual Change

ABSTRACT Objective: to investigate the possibilities of positive and negative association of improvisation and the understanding of what will be the planning by managers and coordinators of tuberculosis control programs, in a context of transference of the Directly Observed Treatment policy. Method: this is a qualitative study, developed through semi-structured interviews analyzed in the light of French Discourse Analysis. Results: there was a weakening of the constructive and operational planning process, which is at the mercy of political will and the need of putting out fires. This, in turn, along with achômetro (Brazilian popular expression used on unsubstantiated point of view or opinion that is based solely and exclusively on the intuition of the person who says it), composed the metaphor of improvisation in its negative perspective, understood by automatism and unsystematization process. Improvisation, however, emerged as a representation of innovation, creativity, and contextual change. Final considerations: both the planning and the transfer of public policies constitute processes that need to be strengthened and qualified in the field of public health.

Embracing a New Day

2021 ◽  
Vol 2 (2) ◽  
pp. 10-38
Author(s):  
Phillip Joy ◽  
Matthew Numer ◽  
Sara F. L. Kirk ◽  
Megan Aston
Keyword(s):  
Body Image ◽  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Queer Theory ◽  
Gay Men ◽  
Hegemonic Masculinity ◽  
Critical Discourse ◽  
Structured Interviews ◽  
The City

The construction of masculinities is an important component of the bodies and lives of gay men. The role of gay culture on body standards, body dissatisfaction, and the health of gay men was explored using poststructuralism and queer theory within an arts-based framework. Nine gay men were recruited within the city of Halifax, Nova Scotia, Canada. Participants were asked to photograph their beliefs, values, and practices relating to their bodies and food. Semi-structured interviews were conducted, using the photographs as guides. Data were analyzed by critical discourse analysis and resulted in three overarching threads of discourse including: (1) Muscles: The Bigger the Better, (2) The Silence of Hegemonic Masculinity, and (3) Embracing a New Day. Participants believed that challenging hegemonic masculinity was a way to work through body image tension.

scholarly journals Experience of nurses in the process of donation of organs and tissues for transplant

2014 ◽  
Vol 22 (2) ◽  
pp. 226-233 ◽  
Author(s):  
Edvaldo Leal de Moraes ◽  
Marcelo José dos Santos ◽  
Miriam Aparecida Barbosa Merighi ◽  
Maria Cristina Komatsu Braga Massarollo
Keyword(s):  
Qualitative Study ◽  
Healthcare Professionals ◽  
Phenomenological Approach ◽  
Individual Interviews ◽  
Donation Process ◽  
Tissue Procurement ◽  
The City

OBJECTIVE: to investigate the meaning of the action of nurses in the donation process to maintain the viability of organs and tissues for transplantation.METHOD: this qualitative study with a social phenomenological approach was conducted through individual interviews with ten nurses of three Organ and Tissue Procurement Services of the city of São Paulo.RESULTS: the experience of the nurses in the donation process was represented by the categories: obstacles experienced in the donation process, and interventions performed. The meaning of the action to maintain the viability of organs and tissues for transplantation was described by the categories: to change paradigms, to humanize the donation process, to expand the donation, and to save lives.FINAL CONSIDERATIONS: knowledge of the experience of the nurses in this process is important for healthcare professionals who work in different realities, indicating strategies to optimize the procurement of organs and tissues for transplantation.

scholarly journals Molecular diversity of Mycobacterium tuberculosis strains in a slum area of Rio de Janeiro, Brazil

2008 ◽  
Vol 34 (12) ◽  
pp. 1063-1068 ◽  
Author(s):  
Joycenea Matsuda Mendes ◽  
Silvia Maria Almeida Machado ◽  
Maria Cristina Lourenço ◽  
Rosa Maria Carvalho Ferreira ◽  
Leila de Souza Fonseca ◽  
...  
Keyword(s):  
Mycobacterium Tuberculosis ◽  
Rio De Janeiro ◽  
Insertion Sequence ◽  
Fragment Length Polymorphism ◽  
Control Program ◽  
Molecular Study ◽  
Tuberculosis Control ◽  
Primary Resistance ◽  
The City ◽  
Insight Into

This retrospective molecular study involving restriction fragment length polymorphism, using insertion sequence 6110 as a marker, was conducted in order to provide an initial insight into the genetic diversity of Mycobacterium tuberculosis strains isolated in the slums of the Complexo de Manguinhos, located in the city of Rio de Janeiro, Brazil. Of the 67 strains evaluated, 23 (34.3%) were found to belong to clusters (total clusters, 10). Household and social chains of transmission were associated with clustering, in 20% and 60%, respectively. Living in the Conjunto Habitacional Programado 2 slum was associated with clustering. Although not significant, it is relevant that 26% of the clustered strains presented primary resistance. These findings, although possibly underestimating the prevalence due to the failure to analyze all strains, could help improve the local tuberculosis control program.

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