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 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 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 Exploring patient-provider interactions and the health system’s responsiveness to street-connected children and youth in Kenya: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Embleton Lonnie ◽  
Shah Pooja ◽  
Gayapersad Allison ◽  
Kiptui Reuben ◽  
Ayuku David ◽  
...  
Keyword(s):  
Qualitative Study ◽  
Health System ◽  
Health Systems ◽  
Cultural Context ◽  
Healthcare Providers ◽  
Children And Youth ◽  
Economic Factors ◽  
Health Coverage ◽  
Socially Constructed ◽  
Prompt Attention

Abstract Background In Kenya, street-connected children and youth (SCY) have poor health outcomes and die prematurely due to preventable causes. This suggests they are not accessing or receiving adequately responsive healthcare to prevent morbidity and mortality. We sought to gain insight into the health systems responsiveness to SCY in Kenya through an in-depth exploration of SCY’s and healthcare provider’s reflections on their interactions with each other. Methods This qualitative study was conducted across 5 counties in western Kenya between May 2017 and September 2018 using multiple methods to explore and describe the public perceptions of, and proposed and existing responses to, the phenomenon of SCY in Kenya. The present analysis focuses on a subset of data from focus group discussions and in-depth interviews concerning the delivery of healthcare to SCY, interactions between SCY and providers, and SCY’s experiences in the health system. We conducted a thematic analysis situated in a conceptual framework for health systems responsiveness. Results Through three themes, context, negative patient-provider interactions, and positive patient-provider interactions, we identified factors that shape health systems responsiveness to SCY in Kenya. Economic factors influenced and limited SCY’s interactions with the health system and shaped their experiences of dignity, quality of basic amenities, choice of provider, and prompt attention. The stigmatization and discrimination of SCY, a sociological process shaped by the social-cultural context in Kenya, resulted in experiences of indignity and a lack of prompt attention when interacting with the health system. Patient-provider interactions were highly influenced by healthcare providers’ adverse personal emotions and attitudes towards SCY, resulting in negative interactions and a lack of health systems responsiveness. Conclusions This study suggests that the health system in Kenya is inadequately responsive to SCY. Increasing public health expenditures and expanding universal health coverage may begin to address economic factors, such as the inability to pay for care, which influence SCY’s experiences of choice of provider, prompt attention, and dignity. The deeply embedded adverse emotional responses expressed by providers about SCY, associated with the socially constructed stigmatization of this population, need to be addressed to improve patient-provider interactions.

scholarly journals Dignity Therapy for End-of-Life Care Patients: A Literature Review

2021 ◽  
Vol 8 ◽  
pp. 237437352199695
Author(s):  
Pearl Ed Cuevas ◽  
Patricia Davidson ◽  
Joylyn Mejilla ◽  
Tamar Rodney
Keyword(s):  
Palliative Care ◽  
End Of Life ◽  
End Of Life Care ◽  
Cultural Context ◽  
Age Groups ◽  
Empirical Support ◽  
Family Care ◽  
Life Care ◽  
Dignity Therapy ◽  
Meta Analyses

Dignity therapy as an intervention has been used for individuals receiving palliative care. The goal of this review is to explore the current state of empirical support to its use for end-of-life care patients. Data sources were articles extracted from search engines PubMed, Cochrane, Embase, CINAHL, Web of Science, and PsycINFO. The years searched were 2009 to 2019 (10-year period). The review process was guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses. Results revealed the feasibility, acceptability, satisfaction, and effectiveness of dignity therapy for life-limiting cases/conditions of patients in different age groups. It also highlighted the importance of the therapy setting and the need to apply this in the cultural context. The meaning of dignity therapy to patients and their family care members also emerged. Findings showed most patients displayed the need to leave a legacy and from this their core values surfaced. In conclusion, this review highlighted the contribution of dignity therapy to the holistic care of patients who hope to leave a legacy. The therapy was also relevant to decrease the anxiety; depression, and burden of family members throughout the palliative care period of their loved ones.

Language as Symbol System: Islam, Javanese Muslem and Cultural Diplomacy

2019 ◽  
Author(s):  
Mochammad Arief Wicaksono ◽  
Keyword(s):  
Cultural Context ◽  
Cultural Diplomacy ◽  
Participant Observation ◽  
Research Participant ◽  
Symbol System ◽  
Symbolic System ◽  
The Past ◽  
Nahdlatul Ulama ◽  
Great Tradition ◽  
Linguistic Aspect

Islamic diaspora throughout the world has its own characteristics depending on cultural context in each region. Observing the characteristics of the entry process and the rise of Islam in Java in the past, Indonesia can be viewed significantly through a linguistic perspective. By focusing on the narratives of how Islam was constructed in Java by kiai, we will be able to understand that the pattern of the entry process and the rise of Islam in Java emerged through“language diplomacy.” There are various symbols which later became the symbol system in Islamic languages that were contextualized to Javanese language and knowledge systems. In other words, I see that language in this context is a symbol system. These symbols are a strategy of how Islam was “planted” and developed in Java. I will compare the symbol system of the language in the Quran as the Great Tradition of Islam with a symbol system on the narratives that a kiai expressed in Javanese society as the Little Tradition. By taking some narratives that the kiai gave to the Javanese Moslems in East Java region, this paper argues that the linguistic aspect in some narratives and Quran recitation which has the symbolic system of the language have an important role in planting and developing Islam in Java. This paper is based on ethnographic research-participant observation among Nahdlatul Ulama Muslim society in East Java, Indonesia and reviews Islamic narratives in society as an important unit of analysis.

scholarly journals Expressed emotion and socio-demographic and clinical factors in families of Brazilian patients with schizophrenia

2018 ◽  
Vol 65 (1) ◽  
pp. 56-63 ◽  
Author(s):  
Ana Carolina Guidorizzi Zanetti ◽  
Kelly Graziani Giacchero Vedana ◽  
Camila Corrêa Matias Pereira ◽  
João Mazzoncini de Azevedo Marques ◽  
Amanda Heloisa Santana da Silva ◽  
...  
Keyword(s):  
Cultural Context ◽  
Expressed Emotion ◽  
Family Care ◽  
Clinical Factors ◽  
Related Factors ◽  
Family Dynamic ◽  
Mental Health Clinics ◽  
Health Clinics ◽  
Brazilian Version ◽  
Improve Patient

Background: Families are the main caregivers of people with schizophrenia. Family dynamic and expressed emotion (EE) of relatives are fundamental determinants on the course of schizophrenia. Method: This study analyzed socio-demographic and clinical factors related to EE components. A total of 94 dyads (patients with schizophrenia and their relatives) were recruited from three mental health clinics. A form containing socio-demographic and clinical variables and the Brazilian version of Family Questionnaire were used and the data were analyzed through regression model. Results: Results showed that factors such as patients’ occupation status and patients’ age, as well as relatives’ gender and the degree of relatedness, were related to emotional overinvolvement and critical comments levels. Conclusion: This is the first study in the Brazilian cultural context that evaluates EE components and related factors on families of patients with schizophrenia. Other studies concerning EE on different cultural contexts and possible interventions must be carried out to help health professionals to improve patient and family care.

scholarly journals Dificuldades na aplicação do checklist cirúrgico: estudo qualitativo de abordagem ecológica restaurativa

2018 ◽  
Vol 16 (4) ◽  
pp. 448
Author(s):  
Nery José de Oliveira Junior ◽  
Ana Maria Müller de Magalhães
Keyword(s):  
Patient Safety ◽  
Qualitative Study ◽  
Focus Groups ◽  
Ecological Approach ◽  
Medical Team ◽  
Southern Brazil ◽  
Safe Surgery ◽  
Time Out ◽  
Main Factors

Aim: analyze the application of the safe surgery checklist, seeking to describe the main factors that can affect its completion and follow-up, according to the perception of nursing technicians. Method: this is a qualitative study performed with nursing technicians from an outpatient surgical center in southern Brazil. The data were collected through focus groups and photographic methods, from the perspective of ecological and restorative thinking. Results: three categories emerged from the information grouping: Checklist for patient safety – still a challenge; difficulty of adherence to the safe surgery checklist; and Checklist Steps. Discussion: the data indicate that some stages of this process are still not met and there is difficulty of adherence by the teams. Conclusions: among the main failures is the low adherence of the medical team to perform the time out and to the confirmation of the place and the procedure. The restorative ecological approach made it possible to engage professionals.

scholarly journals Campur Kode dalam Komunikasi Santri di Pondok Pesantren Al-Hikmah Sukoharjo

2018 ◽  
Vol 2 (1) ◽  
pp. 24-37
Author(s):  
Ferdian Achsani ◽  
Hilmi Mahya Masyhuda
Keyword(s):  
Data Collection ◽  
Qualitative Study ◽  
Multicultural Education ◽  
Data Reduction ◽  
Participant Observation ◽  
Boarding School ◽  
Education Level ◽  
Code Mixing ◽  
Collection Data ◽  
Main Factor

The purpose of the research is to describe code mixing or billingualisme in communication among students of Al Hikmah Sukoharjo Islamic Boarding School. Daily conversation among students was analyzed as data of the research. This is descriptive qualitative study which use participant observation technique. technique of analysis was used by the researcher before, during, and after research in the field. This technique emphasize several stages namely data collection, data reduction, display data and conclusion. Data collection was obtained in two weeks then classified  into sub category then drawn conclusion. The findings showed that some code mixings were used by students frequently were Javannese, Indonesia and arabic. The findings showed that billingualism wudu consists of  1) word insertion, 2) phrases insertion, 3) clauses insertion, and 4) idiom insertion.The main factor in using billingualism in communication among students is multicultural, education level of speaker and purpose of speech. Keywords: Code mixing, billingualism and communication

scholarly journals NILAI-NILAI SUFISME DALAM JAMAAH SHALAWAT WAHIDIYYAH DI KEDIRI DAN MALANG

2017 ◽  
Vol 1 (2) ◽  
pp. 1-28
Author(s):  
Fatkhul Wahab ◽  
Ahmad Bukhori ◽  
Athiyah
Keyword(s):  
Data Analysis ◽  
Qualitative Study ◽  
Data Reduction ◽  
Participant Observation ◽  
Religious Tradition ◽  
Analysis Techniques ◽  
Muslim Communities ◽  
The Right ◽  
Depth Interviews

Among Muslim communities, love of the Prophet Muhammad embodied in a religious tradition known as shalawāh tradition. Shalawāh is an expression of deep gratitude for the guidance to Muslims on the right path. Sufism that emphasizes reading Shalawāh of the Prophet Muhammad as dhikr primarily is Shalawāh Wāhidiyah. The main purpose of Shalawāh Wāhidiyah is to alleviate people from the shirk and return to the straight and true that by pleasing Allah. The focuses of this study are: (1) how do the precepts and values of Sufism in the Jamaat Shalawāh Wāhidiyah? (2)  How do the precepts and values are promoted and practiced by Jamaat Shalawāh Wāhidiyah? (3)  How does the experience of spirituality Jamaat Shalawāh Wāhidiyah? This study is a qualitative study by using a naturalistic paradigm and phenomenology approach. The data were collected by in-depth interviews, participant observation, and documentary in the form of journals, magazines and so on. While the data analysis techniques include data reduction, presentation of data, the validity of the data and drawing conclusions. The results of this study indicate that: (1) Shalawāh Wāhidiyah precepts include: a. li Allāh, bi Allāh; b. li al-RasÅ«l, bi al-RasÅ«l; c. li al-ghauts bi al-ghauts; d. yu'thÄ« kull dzÄ« ḥaqq; e. taqdÄ«m al-hamm tsumm al-hamm, fa al-fa’ tsumm al-fa'. The values contained in Shalawāh Wāhidiyah Sufism, among others: taubah, ikhlāsh, syukr, mahabbah. (2) Socialization Shalawāh Wāhidiyah precepts are done by 1. individual, 2. packaged in a formal form as mujāhadah nishf al-sanah and mujāhadah kubrā, 3. through dreams, 4. implemented in the form of books, magazines, newsletters, and CDs. While this practice Shalawāh Wāhidiyah carried out in different ways mujāhadah usbÅ«'iyyah, mujāhadah syahriyyah, mujāhadah rub’ al-sanah, mujāhadah nishf al-sanah, and so forth. Keywords: The values of Sufism, Shalawāh Wāhidiyah

Sign in / Sign up

Export Citation Format

Share Document