scholarly journals DISCUSSING OBSTETRIC VIOLENCE THROUGH THE VOICES OF WOMEN AND HEALTH PROFESSIONALS

2017 ◽  
Vol 26 (2) ◽  
Author(s):  
Virgínia Junqueira Oliveira ◽  
Cláudia Maria de Mattos Penna
Keyword(s):  
Discourse Analysis ◽  
Health Professionals ◽  
Patient Relationship ◽  
Delivery Method ◽  
Public Network ◽  
The Public ◽  
West Region ◽  
Obstetric Violence ◽  
Maternity Hospitals ◽  
Childbirth Care

ABSTRACT Objective: to analyze the discourses of women and health professionals regarding care during childbirth, considering the situations experienced and the interactions between them during labor and delivery. Method: this is an interpretative study with a qualitative approach. Discourse Analysis was used as the research method. The research scenarios were seven maternity hospitals, belonging to the public network of the Central-West region of Minas Gerais. Interviews were conducted with 36 laboring mothers, 10 midwives and 14 obstetricians. The collected data were submitted to discourse analysis. Results: the data were organized into three categories: 1) Witnessed obstetric violence described in the discourse of the midwife: which discusses that even acknowledging the presence of this, they talk of the difficulty of guaranteeing the rights of the mother in labor in the scenario of childbirth; 2) Today everything is obstetric violence: it shows the denial of the existence of this phenomenon in the professional-patient relationship; 3) Here we have no voice: obstetric violence is present, but there is a certain consent the part of women who, in the presence of the birth, forget the way they received assistance. Conclusion: hostile treatment is one of the obstacles of the humanization of childbirth care, interfering with the choice of delivery method, and it is necessary to review the concept of obstetric violence, considering all its specifics and nuances.

scholarly journals Every birth is a story: process of choosing the route of delivery

2018 ◽  
Vol 71 (suppl 3) ◽  
pp. 1228-1236 ◽  
Author(s):  
Virgínia Junqueira Oliveira ◽  
Claudia Maria de Mattos Penna
Keyword(s):  
Discourse Analysis ◽  
Data Collection ◽  
Health Professionals ◽  
Methodological Approach ◽  
Public Network ◽  
Network Method ◽  
Pros And Cons ◽  
Route Of Delivery

ABSTRACT Objective: To analyze the discourses on the choice of the route of delivery from the perspective of women and health professionals in a public network. Method: The methodological approach is the discourse analysis. The data collection was through interviews and the treatment of the data was based on discourse analysis. Results: The categories were: 1- Between the preference and the decision there is no choice; 2- The complexity of the choice of the route of delivery; 3- It is necessary to legitimize the choice of the woman. Final considerations: From the perspective of women in labor the route of delivery is determined by the physician and women are not proactive. The nurses' performance is timid, although their presence is fundamental for stimulating the physiological delivery and promoting the autonomy of women. It identifies the need for the physician to adopt a welcoming attitude, informing the women about the pros and cons involved in choosing the route of delivery.

scholarly journals Profile of accidents with sharps among health professionals from a hospital of the public network at São Luís city / Perfil dos acidentes com material perfurocortante entre profissionais de saúde de um hospital da rede pública da cidade de São Luís

2018 ◽  
Vol 10 (4) ◽  
pp. 977
Author(s):  
Sandra Regina Santos ◽  
Cristiane De Oliveira Novaes
Keyword(s):  
Health Professionals ◽  
Public Network ◽  
The Public

Objetivo: realizar levantamento de acidentes com material perfurocortantes. Método: exploratório e documental com abordagem quantitativa com levantamento de fichas de notificação entre 2009 e 2015, em um hospital público em São Luís do Maranhão. Resultados: Predominou o sexo feminino, média de idade de 28 anos, ensino médio completo; os mais acometidos, técnicos de enfermagem e serventes de limpeza. Sangue é o material mais comum; descarte inadequado de material e punções venosas, como circunstâncias; agulhas e lâminas de bisturi, os mais envolvidos; exposição percutânea com grande incidência; EPIs são muito usados; na maioria, não houve necessidade de quimioprofilaxia; a Comunicação de Acidente de Trabalho foi emitida na maioria dos casos. Conclusão: Os dados permitiram identificar grupo de profissionais mais vulneráveis, exigindo maior atenção nas estratégias de prevenção de acidentes. Descritores: Riscos ocupacionais, Perfurocortante, Exposição à agentes biológicos, Saúde do trabalhador. Descritores: Riscos ocupacionais, Perfurocortante, Exposição à agentes biológicos, Saúde do trabalhador.

scholarly journals Cobertura Vacinal entre Acadêmicos de Enfermagem

2018 ◽  
Vol 19 (4) ◽  
pp. 268
Author(s):  
Rulio Glecias Marçal da Silva ◽  
Vagner Ferreira do Nascimento
Keyword(s):  
Social Sciences ◽  
Public Health ◽  
Health Professionals ◽  
Public Health Problem ◽  
Sao Paulo ◽  
São Paulo ◽  
The South ◽  
Public Network ◽  
The Public ◽  
South Zone

O estado vacinal dos profissionais de saúde é, atualmente, considerado um problema de saúde pública e diversos fatores corroboram para esse quadro, entre estes se destaca a falta de conhecimento adequado, problemas na distribuição das vacinas nos serviços da rede pública e as poucas ações do governo envolvendo esse público. Objetivou-se com esse estudo identificar a frequência de estudantes imunizados no Curso de Enfermagem de uma Universidade privada da zona sul da cidade de São Paulo, conforme preconização do Ministério da Saúde. Trata-se de uma pesquisa transversal, exploratória e descritiva realizada com 78 estudantes de uma faculdade privada localizada na Zona Sul de São Paulo. Os dados foram digitados, em Excel, e analisados no Statistical Package for Social Sciences - SPSS versão 22.0. Pode-se perceber que 100% da amostra tinha o cartão de vacinas e que 78,1% estavam atualizados. Entre os pesquisados se observou que houve associação estatisticamente significativa entre as variáveis: idade, cartão atualizado, vacinas assinaladas de forma errada como necessárias aos profissionais de saúde, conhecer o PNI e ser profissional de saúde. O profissional em formação precisa se conscientizar do seu papel como sujeito social a quem compete atuar no processo de promoção, prevenção e no sistema de vigilância em saúde, entendendo que a saúde individual reflete na saúde coletiva.Palavras-chaves: Saúde Pública. Imunização. Estudantes de Enfermagem.AbstractThe vaccination status of health professionals has currently been considered a public health problem and several factors corroborate thissituation, among them the lack of adequate knowledge, the absence of vaccines in the public network and the few actions of the public health system government involving this public. It was aimed to identify the frequency of immunized students in the Nursing Course of a private university in the South Zone of the city of São Paulo, according to the Ministry of Health. This is a transversal, exploratory and descriptive research carried out with 78 students from one private college located in the South Zone of São Paulo. The data were entered in Excel and analyzed in the Statistical Package for Social Sciences (SPSS) version 22.0. It can be seen that 100% of the sample had the vaccination card and that 78.1% were up to date. Among the respondents, it was observed that there was a statistically significant association among thevariables: age, updated card, vaccines marked in the wrong way as necessary for health professionals, knowing the PNI and being a health professional. The professional in training needs to be aware of his or her role as a social subject who is responsible for acting in the process of promotion, prevention and in the health surveillance system, understanding that individual health reflects on collective health.keywords: Public Health. Immunization. Nursing Students.

scholarly journals Violencia obstétrica: aproximación al concepto y Debate en relación a la terminología empleada

MUSAS ◽  
2019 ◽  
Vol 4 (2) ◽  
Author(s):  
Josefina Goberna-Tricas
Keyword(s):  
Health Professionals ◽  
Health Workers ◽  
Gender Violence ◽  
Disrespect And Abuse ◽  
Gender Ideologies ◽  
Obstetric Violence ◽  
Health Institutions ◽  
And Gender ◽  
Experiences Of Women ◽  
Childbirth Care

Introduction There is concern related to the mistreatment, lack of respect or violence that health institutions exert on women in childbirth care. There is no unanimity on the proper terminology to name it. This work aims to explore the meaning of the different terms used to define this situation. Methodology Review of the scientific literature. The keywords were: «disrespect», «abuse»; «dehumanized care or obstetric violence», «childbirth» and «birth»; and in Spanish: «abuso», «maltrato», «violencia obstrétrica», «violencia institucional», and «parto humanizado» or «parto respetado». Results and Discussion Bohren et al state that «mistreatment» is a more inclusive term than «obstetric violence», «dehumanized care» and «disrespect and abuse», since it encompasses the experiences of women and health professionals. However, Jewkes and Penn-Kekana claim that the definitions of these concepts may be too broad to be operational. Lukasse et al. use the term «abuse» and understand that the concept encompasses «negligence, verbal, physical and sexual abuse». Sadler establishes a clear link between obstetric violence and gender violence and looks for its origins in the birth of obstetrics as a discipline. Conclusions The concept of «obstetric violence» is closely related to politics and power relations that seek obedience and submission of the female body while it also reveals that the experience of motherhood is part of the domain of biopolitics. For health professionals to accept the term, it is important to recognize that health practices are developed in a social environment in which a historical framework has been built with a set of internal beliefs, rules and practices that reproduce gender ideologies in health workers.

Men's perception and understanding of male-factor infertility in the UK

2021 ◽  
Vol 30 (9) ◽  
pp. S8-S16
Author(s):  
Eleanor L Stevenson ◽  
Cheng Ching-Yu ◽  
Chang Chia-Hao ◽  
Kevin R McEleny
Keyword(s):  
Public Health ◽  
Emotional Support ◽  
Health Professionals ◽  
Male Fertility ◽  
Public Knowledge ◽  
Evidence Based ◽  
Male Factor Infertility ◽  
Male Factor ◽  
The Public ◽  
The Uk

Male-factor infertility is a common but stigmatised issue, and men often do not receive the emotional support and the information they need. This study sought to understand awareness of male fertility issues compared to female fertility among the UK general male public, and also what were perceived as being the optimum methods for providing support for affected men, emotionally and through information. Men feel that male infertility is not discussed by the public as much as female infertility. Lifestyle issues that affect male fertility are not well understood, and men affected by infertility desire more support, including online, from health professionals and through peer support. Health professionals, including those in public health, could offer evidence-based programmes to reduce stigma and increase public knowledge about infertility, as well as offer emotional support to men with infertility problems.

scholarly journals Re-defining gender as a heinous crime: A case study from the Brazilian Chamber of Deputies

2020 ◽  
pp. 095792652097721
Author(s):  
Janaina Negreiros Persson
Keyword(s):  
Discourse Analysis ◽  
Critical Discourse Analysis ◽  
Gender Ideology ◽  
Critical Discourse ◽  
Public Hearing ◽  
Rhetorical Invention ◽  
Social Actors ◽  
The Public ◽  
The Core

In this article, we explore how the discourses around gender are evolving at the core of Brazilian politics. Our focus lies on the discourses at the public hearing on the bill 3.492/19, which aimed at including “gender ideology” on the list of heinous crimes. We aim to identify the deputies’ linguistic representation of social actors as pertaining to in- and outgroups. In addition, the article analyzes through Critical Discourse Analysis how the terminology gender is represented in this particular hearing. The analysis shows how some of the conservative parliamentarians give a clearly negative meaning to the term gender, by labeling it “gender ideology” and additionally connecting it with heinous crimes. We propose that the re-signification of “gender ideology,” from rhetorical invention to heinous crime, is not only an attempt to undermine scientific gender studies but also a way for conservative deputies to gain more political power.

scholarly journals Regulating health professional scopes of practice: comparing institutional arrangements and approaches in the US, Canada, Australia and the UK

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Kathleen Leslie ◽  
Jean Moore ◽  
Chris Robertson ◽  
Douglas Bilton ◽  
Kristine Hirschkorn ◽  
...  
Keyword(s):  
Health Professional ◽  
Health Professionals ◽  
Swot Analysis ◽  
Institutional Arrangements ◽  
Scope Of Practice ◽  
Comparative Case Study ◽  
Specific Reference ◽  
The Public ◽  
The Us ◽  
The Uk

Abstract Background Fundamentally, the goal of health professional regulatory regimes is to ensure the highest quality of care to the public. Part of that task is to control what health professionals do, or their scope of practice. Ideally, this involves the application of evidence-based professional standards of practice to the tasks for which health professional have received training. There are different jurisdictional approaches to achieving these goals. Methods Using a comparative case study approach and similar systems policy analysis design, we present and discuss four different regulatory approaches from the US, Canada, Australia and the UK. For each case, we highlight the jurisdictional differences in how these countries regulate health professional scopes of practice in the interest of the public. Our comparative Strengths, Weaknesses, Opportunities, Threats (SWOT) analysis is based on archival research carried out by the authors wherein we describe the evolution of the institutional arrangements for form of regulatory approach, with specific reference to scope of practice. Results/conclusions Our comparative examination finds that the different regulatory approaches in these countries have emerged in response to similar challenges. In some cases, ‘tasks’ or ‘activities’ are the basis of regulation, whereas in other contexts protected ‘titles’ are regulated, and in some cases both. From our results and the jurisdiction-specific SWOT analyses, we have conceptualized a synthesized table of leading practices related to regulating scopes of practice mapped to specific regulatory principles. We discuss the implications for how these different approaches achieve positive outcomes for the public, but also for health professionals and the system more broadly in terms of workforce optimization.

scholarly journals Evaluation of Education for Public Health: A Practical Foundation for Solidarity

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
M Perkiö ◽  
R Harrison ◽  
M Grivna ◽  
D Tao ◽  
C Evashwich
Keyword(s):  
Public Health ◽  
Health Education ◽  
Health Workforce ◽  
Health Professionals ◽  
Public Health Education ◽  
Public Health Workforce ◽  
Rigorous Evaluation ◽  
The Public ◽  
Public Health Professionals

Abstract Education is a key to creating solidary among the professionals who advance public health’s interdisciplinary mission. Our assumption is that if all those who work in public health shared core knowledge and the skills for interdisciplinary interaction, collaboration across disciplines, venues, and countries would be facilitated. Evaluation of education is an essential element of pedagogy to ensure quality and consistency across boundaries, as articulated by the UNESCO education standards. Our study examined the evaluation studies done by programs that educate public health professionals. We searched the peer reviewed literature published in English between 2000-2017 pertaining to the education of the public health workforce at a degree-granting level. The 2442 articles found covered ten health professions disciplines and had lead authors representing all continents. Only 86 articles focused on evaluation. The majority of the papers examined either a single course, a discipline-specific curriculum or a teaching method. No consistent methodologies could be discerned. Methods ranged from sophisticated regression analyses and trends tracked over time to descriptions of focus groups and interviews of small samples. We found that evaluations were primarily discipline-specific, lacked rigorous methodology in many instances, and that relatively few examined competencies or career expectations. The public health workforce enjoys a diversity of disciplines but must be able to come together to share diverse knowledge and skills. Evaluation is critical to achieving a workforce that is well trained in the competencies pertinent to collaboration. This study informs the pedagogical challenges that must be confronted going forward, starting with a commitment to shared core competencies and to consistent and rigorous evaluation of the education related to training public health professionals. Key messages Rigorous evaluation is not sufficiently used to enhance the quality of public health education. More frequent use of rigorous evaluation in public health education would enhance the quality of public health workforce, and enable cross-disciplinary and international collaboration for solidarity.

Rhetorical strategies of political parties and organized movements

2009 ◽  
Vol 45 (3) ◽  
pp. 307-328 ◽  
Author(s):  
Peter Nugus
Keyword(s):  
Discourse Analysis ◽  
Political Parties ◽  
Deliberative Democracy ◽  
Political Communication ◽  
Cognitive Bias ◽  
Discursive Construction ◽  
Rhetorical Strategies ◽  
Political Language ◽  
The Public ◽  
The Republic

Research on the Australian monarchy—republican debate has considered arguments for and against the republic, the 1999 referendum and interpretations of the republic. Little attention has been paid to the debate’s discursive construction. Therefore, this article analyzes the rhetorical strategies with which political parties and organized movements sought to persuade the public to adopt their position in the debate in the 1990s. The article discerns and analyzes various rhetorical strategies in terms of the patterns in their use among these elites. In contrast to the cognitive bias of much research in political communication, the article accounts for the embeddedness of these strategies in their public political, national-cultural and popular democratic contexts. It shows that the use of such strategies is a function of the socio-political context of actors’ statuses as parties or movements. The article recommends combining deliberative democracy with discourse analysis to comprehend the dynamics of public political language.

The prevalence of the technocratic model in obstetric care from the perspective of health professionals

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Marli Therezinha Stein Backes ◽  
Karini Manhães de Carvalho ◽  
Larissa Nascimento Ribeiro ◽  
Tamiris Scoz Amorim ◽  
Evanguelia Kotzias Atherino dos Santos ◽  
...  
Keyword(s):  
Health Professionals ◽  
Scientific Evidence ◽  
Obstetric Care ◽  
Ethics Committees ◽  
Obstetric Nurses ◽  
Data Collection And Analysis ◽  
Maternity Hospitals ◽  
Theoretical Sampling ◽  
Centered Care ◽  
Nursing Professionals

ABSTRACT Objectives: to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals. Methods: Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration. Results: the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff. Final Considerations: obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.

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