scholarly journals EVALUATION OF CARE FOR CHILDREN AND ADOLESCENTS USERS OF PSYCHOACTIVE SUBSTANCES: POTENTIALITY AND FRAGILITIES

2019 ◽  
Vol 28 ◽  
Author(s):  
Ângela Gonçalves da Silva Pagliace ◽  
Mariluci Alves Maftum ◽  
Maria Ribeiro Lacerda ◽  
Luciane Prado Kantorski ◽  
Miriam Aparecida Nimtz ◽  
...  
Keyword(s):  
Children And Adolescents ◽  
Participant Observation ◽  
Comparative Method ◽  
Physical Space ◽  
Fourth Generation ◽  
Psychoactive Substances ◽  
Individual Interviews ◽  
Treatment Services ◽  
Study Type ◽  
Fourth Generation Evaluation

ABSTRACT Objective: to evaluate the care to the child and the adolescent in treatment in the general hospital for mental and behavioral disorders due to the use of psychoactive substances, from the perspective of the Nursing. Method: evaluative study, of the case study type, with the use of the theoretical-methodological reference of the Fourth Generation Evaluation. The group of interest was composed of 19 professionals of the Nursing team of a Unit allocated in a general and teaching hospital of the West of Paraná. Data were collected from June 2015 to February 2016 through 410 hours of non-participant observation, individual interviews, following the hermeneutic-dialectical circle and a negotiation meeting. Data analysis was performed using the Constant Comparative Method. Results: three categories emerged from the analysis: nursing care for children and adolescents, Potential care and Fragility in care. the interest group reported a differentiated care of the other units of the institution, expressing the concern to care in a global and humanized way. They pointed out the development of meetings of agreement between the scenario of the study and the municipalities as one of the facilities for the care and, as greater fragility, the lack of physical space. Conclusion: It is hoped that the results of this study may instigate and provide critical reflection of professionals who develop their practice with children and adolescents who use or abuse psychoactive substance in the various health treatment services.

scholarly journals NURSING PRACTICE AT A PSYCHIATRIC EMERGENCY SERVICE: EVALUATION USING FOURTH GENERATION ASSESSMENT

2016 ◽  
Vol 25 (1) ◽  
Author(s):  
Aline Aparecida Buriola ◽  
Luciane Prado Kantorski ◽  
Catarina Aparecida Sales ◽  
Laura Misue Matsuda
Keyword(s):  
Emergency Service ◽  
Participant Observation ◽  
Comparative Method ◽  
Family Members ◽  
Service Evaluation ◽  
Psychiatric Emergency ◽  
Fourth Generation ◽  
Psychiatric Emergency Service ◽  
Individual Interviews ◽  
Service Data

Qualitative study that used the framework of Fourth Generation Assessment and aimed to apprehend the perception of professionals, users and family members, about the nurse's practice at a psychiatric emergency service. Data were collected from February to June 2014, involving with 15 professionals, nine users and six family members. In the data collection, non-participant observation, participant observation and individual interviews were held, using hermeneutic-dialectic circle, with analysis by the constant comparative method. The results were grouped into two main themes: The nurse as a facilitator of multidisciplinary and humanized care and; activity accumulation: limitation for nurses to work at the psychiatric emergency service. It was concluded that the use of Fourth Generation Assessment reveals the empowerment of stakeholders as protagonists of change and that the nurse's practice is essential for the humanization of care and the dynamics of multidisciplinary work.

scholarly journals MENTAL HEALTH AMBULATORY: WEAKNESSES POINTED OUT BY PROFESSIONALS

2016 ◽  
Vol 25 (3) ◽  
Author(s):  
Marcelle Paiano ◽  
Mariluci Alves Maftum ◽  
Maria do Carmo Lourenço Haddad ◽  
Sonia Silva Marcon
Keyword(s):  
Mental Health ◽  
Human Resources ◽  
Evaluation Method ◽  
Participant Observation ◽  
Physical Structure ◽  
Fourth Generation ◽  
Health Network ◽  
Healthcare Network ◽  
Fourth Generation Evaluation

ABSTRACT The aim of this study was to identify the weaknesses of the mental health ambulatory service from the professionals' perspective. This was a qualitative study, developed by the Fourth Generation Evaluation method. Data were collected during February and March 2013 with the use of non-participant observation, individual opened interviews and group technique for the negotiation session. The informants were 12 working professionals at the ambulatory. The results pointed out weaknesses in the organizational structure of the healthcare network in mental health, especially regarding accessibility, physical structure and the presence of extensive waiting list for care. Regarding human resources, issues included: ignorance of the operation of the mental health network and of the activities performed, medical turnover, deficiency in training and continuous education and professional devaluation. It is necessary to reflect on the real role of ambulatories within the mental health network and its effectiveness in providing care.

scholarly journals Evaluation of elderly care dynamics in an emergency care unit

2019 ◽  
Vol 72 (suppl 2) ◽  
pp. 161-168
Author(s):  
Leidyani Karina Rissardo ◽  
Luciane Prado Kantorski ◽  
Lígia Carreira
Keyword(s):  
Emergency Care ◽  
Emergency Services ◽  
Participant Observation ◽  
Elderly Care ◽  
The Elderly ◽  
Fourth Generation ◽  
Social Actors ◽  
Study Evaluation ◽  
Fourth Generation Evaluation

ABSTRACT Objective: understand elderly care dynamics of an emergency care unit. Method: this is a case study evaluation, using a qualitative approach and the theoretical-methodological reference of a fourth generation evaluation. Data collection was conducted between February and September 2017, through 460 hours of participant observation, interviews with 33 social actors among health professionals, elderly people and their relatives of an emergency care unit located in a municipality in the northwest of Paraná, as well as negotiation meetings with participants. Results: the evaluation showed the elderly care dynamics is mainly influenced by nursing actions that articulate care practices based on priority, frailty, autonomy, independence and family context of the elderly patients. Final considerations: an evaluation of how the emergency care unit operates helps improve elderly care in urgent and emergency services.

scholarly journals Assessment of components of crack users’ attention network

2020 ◽  
Vol 73 (1) ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Christine Wetzel ◽  
Jacó Fernando Schneider ◽  
Agnes Olschowsky ◽  
Marcio Wagner Camatta ◽  
...  
Keyword(s):  
Care Service ◽  
Comparative Method ◽  
Family Members ◽  
Fourth Generation ◽  
Attention Network ◽  
Constant Comparative Method ◽  
The Military ◽  
Fourth Generation Evaluation ◽  
Crack Users ◽  
Crack User

ABSTRACT Objective: Assess components of the Psychosocial Attention Network (RAPS) in crack user care in a Rio Grande do Sul municipality. Method: Qualitative study based on Fourth Generation Evaluation. Data collection occurred in 2014, through participating observation and interviews based on the Hermeneutic-Dialectic Circle. Ten uses, eleven family members, seven managers and eight workers at a Psychosocial Attention Center participated. The Constant Comparative Method was used for data analysis. Results: Difficulties were observed in the network articulation with the general hospital, due to prejudice and the lack of structure of the team. SAMU’s (Mobile Emergency Care Service) dependence on the Military Brigade for the service indicates a frailty of the network. The need to re-think the way therapeutic farms operate in the network is a consensus. Conclusion: RAPS is being implemented and its concretization depends on the involvement of professionals, managers and social control of users and family members.

scholarly journals Stigma and prejudice: the experience of crack users

2016 ◽  
Vol 24 (0) ◽  
Author(s):  
Nathália Duarte Bard ◽  
Beatriz Antunes ◽  
Cristine Moraes Roos ◽  
Agnes Olschowsky ◽  
Leandro Barbosa de Pinho
Keyword(s):  
Comparative Method ◽  
Evaluation Process ◽  
Fourth Generation ◽  
Social Imaginary ◽  
Chemically Dependent ◽  
The Social ◽  
Constant Comparative Method ◽  
Formal Employment ◽  
Fourth Generation Evaluation ◽  
Crack Users

Objective to evaluate the stigma and prejudice experienced by crack users in their social context. Method a qualitative study developed through the Fourth Generation Evaluation, conducted with four interest groups (ten users, eleven families, eight employees, and seven managers), components of the mental health care network. For data collection, we used observation and individual interview. The analysis was performed through the constant comparative method. Results crack users suffer prejudice and are stigmatized as those who do not fit in the systems established by society (without family links, formal employment and dwelling), and are thus excluded. They exhibit undisciplined behavior and, therefore, are discriminated, marginalized and considered as criminals, losing their uniqueness and living in vulnerable situations. Conclusion the evaluation process emphasized the need to demystify the social imaginary that demonizes the chemically dependent, being thus important to develop public policies with actions focused on health, prevention, information and combat to stigma.

scholarly journals Operation of a hospital palliative care service: a fourth-generation evaluation

2019 ◽  
Vol 72 (2) ◽  
pp. 383-390 ◽  
Author(s):  
Carla Simone Leite de Almeida ◽  
Sonia Silva Marcon ◽  
Laura Misue Matsuda ◽  
Luciane Prado Kantorski ◽  
Bianca Sakamoto Ribeiro Paiva ◽  
...  
Keyword(s):  
Palliative Care ◽  
Care Service ◽  
Comparative Method ◽  
Interpersonal Relationship ◽  
Care Home ◽  
Palliative Care Service ◽  
Surgical Oncology ◽  
Fourth Generation ◽  
Structured Interviews ◽  
Fourth Generation Evaluation

ABSTRACT Objective: Qualitatively evaluate the operation of a palliative care service in oncology. Methodology: Qualitative study conducted in a service in southern Brazil based on a fourth generation evaluation. Between September 2014 and June 2015, 460 hours of operation were observed, and 45 semi-structured interviews and five negotiation meetings were conducted; data were analyzed using the constant comparative method. Results: Potential services are: provision of outpatient palliative care, home and inpatient care provided by a multidisciplinary and support team, meeting the patient’s biological, psychological, social and spiritual needs. Study limitations: ineffective communication between clinical and surgical oncology and palliative care sectors, lack of specialized training for professionals and in interpersonal relationship issues among team members. Final Consideration: For palliative care progress in the service, some arrangements are required to enhance integrality of care.

scholarly journals Evaluation of intersectoral resources in the composition of care networks for crack users

2017 ◽  
Vol 21 (4) ◽  
Author(s):  
Leandro Barbosa de Pinho ◽  
Christine Wetzel ◽  
Jacó Fernando Schneider ◽  
Agnes Olschowsky ◽  
Marcio Wagner Camatta ◽  
...  
Keyword(s):  
Comparative Method ◽  
Psychosocial Care ◽  
Metropolitan Region ◽  
Fourth Generation ◽  
Community Resources ◽  
Structured Interviews ◽  
The Public ◽  
The Military ◽  
Fourth Generation Evaluation ◽  
Crack Users

Abstract Objective: To evaluate the intersectoral resources in the composition of care networks for crack users. Method: Evaluative, qualitative study based on the Fourth Generation Evaluation. The participants were 10 users, 11 family members, eight workers, and seven managers from a municipality in the metropolitan region of Porto Alegre/Rio Grande do Sul, Brazil. Data were collected in 2014 through observation and semi-structured interviews. The analysis occurred by the constant comparative method. Results: Stakeholders have discussed how the Public Prosecutor's Office and the Military Brigade are inserted in the network, since they carry out actions that often are not compatible with the psychosocial care proposal. The need for expansion and maintenance of liaisons with community resources was identified. Conclusion: It is noted the need for sector integration and participation of all social agents from different spheres in order to promote and evaluate the practices and policies of care for crack users.

English Vocabulary in the Mind of Student

2019 ◽  
Vol 7 (2) ◽  
pp. 150-159
Author(s):  
Suharyanto H Soro
Keyword(s):  
Data Collection ◽  
Foreign Language ◽  
Participant Observation ◽  
Teaching English ◽  
Individual Interviews ◽  
English Class ◽  
Actual Application ◽  
Concrete Form ◽  
The Many ◽  
The Mind

Lecturer plays an important role in teaching Englishas a foreign language, in spite of the success of teaching English itself depends on the many factors, one of them is students’ participation in the English class. In the other words, the teaching of English becomes useful and more systematically when the lecturer is fully aware of the aims and values of teaching of English subject since the core principle of any teaching  is “know what you do and only do what you know”. Hence it is essential to understand the aims and values of teaching English. In linguistics study,performance and competence are different, competence is study about language rules in the abstract form or one’s capacity to use a language, while performance is the application of one’s ability in the concrete form, or the actual application of this competence in speaking or listening. Chomsky (1965:18) said that  performance is the effect or the application of competence. Further he said that clearly, the actual data of linguistic performance will provide much evidence for determining the correctness of hypotheses about underlining linguistic structure. Notice the following figure. The data collection procedures in the present study are based on classroom participant observation, student interviews, and questionnaire  are the primary sources of data collection. As a point of departure, unstructured interviews conducted with English and students to gain initial understanding of the learning English as a foreign language. This also serves as a pilot study, paving the way for designing the guidelines for the semi structured individual interviews. Notes taken in these unstructured interviews were included in the data analysis. Taking lecture involves the lecturer and the students in formal setting. Lecturer is one who transfers special knowledge (English teaching materials) to his students in form of academic setting. They are engaged in academic norms, for example lecturer has qualified education (magister or doctorate degree) and the students  have already registered their status as a university student. The lecturer’s function is threefold. In the presentation stage of the material, the lecturer serves as a model, setting up situations in which the need for the target structure is created and modeling the new structure for students to repeat. The lecturer was required to be skillful manipulator, using questions, commands, and other cues to elicit correct sentences from the students. The students wanted the lecturer to give more opportunities for English practice. They can learn from mistakes and develop in real situation. Role play is one of methods can be applied in teaching English. The students like this methods (96%) because they can imitate and practice their English pronunciation.

scholarly journals Institutional care for children and adolescents that use drugs

2021 ◽  
Vol 38 ◽  
Author(s):  
Julia Corrêa GOMES ◽  
Fernanda Kimie Tavares MISHIMA-GOMES ◽  
Clarissa Mendonça CORRADI-WEBSTER
Keyword(s):  
Children And Adolescents ◽  
Thematic Analysis ◽  
Social Vulnerability ◽  
Participant Observation ◽  
Institutional Care ◽  
Psychosocial Care ◽  
Care Providers ◽  
Structured Interviews ◽  
Specific Population ◽  
A Current

Abstract The literature highlights the existence of weaknesses in the psychosocial care network, especially in the treatment of children and adolescents that use drugs. The study aimed to comprehend, based on the Winnicottian theoretical framework, how a Residential Care Unit has been providing care to children and adolescents with needs arising from drugs use in situations of social vulnerability. Semi-structured interviews, with eight care providers, and 65 hours of participant observation were carried out. From the thematic analysis, three themes were constructed: (1) Setting: regarding attention to basic needs and construction of a routine; (2) View: regarding empathy and expansion of perspectives; (3) Aggressiveness: regarding new ways of relating. Important actions are aimed at constructing care for this specific population, as this is a current theme with recent and weakly structured public policies.

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