scholarly journals Spiritual care performed in a drug user clinic

2020 ◽  
Vol 41 (spe) ◽  
Author(s):  
Charlise Pasuch de Oliveira ◽  
Alessandra Mendes Calixto ◽  
Mitieli Vizcaychipi Disconzi ◽  
Leandro Barbosa de Pinho ◽  
Marcio Wagner Camatta
Keyword(s):  
Spiritual Care ◽  
Health Workers ◽  
Care Practice ◽  
Ethical Values ◽  
Structured Interviews ◽  
Addictive Disorders ◽  
Beliefs And Values ◽  
12 Steps ◽  
Practice Method ◽  
Care Practices

ABSTRACT Objective: To know the spiritual care practices of health workers in the context of an inpatient unit for the treatment of addictive disorders, aiming to incorporate an expanded care practice. Method: Qualitative study considering the Convergent Care Research theoretical framework. The data collection occurred using semi-structured interviews, with three rounds of conversations and informal chats with 14 health professionals, from July to November 2017. The analysis followed the steps of apprehension, synthesis, theorization and transference. Results: Four categories emerged: respect for user ethical values; addressing the beliefs and values of professionals; the health professional-user relationship; and collective spiritual care. The main actions highlighted were individual (relaxation and prayer) and collective (meditation, spirituality and the 12 steps). Conclusion: The rounds of conversations carried out in this research allowed workers to talk about spiritual care in addiction, to better understand its relevance to meet the needs of the patient.

scholarly journals Nursing care practices for people with Chronic Noncommunicable Diseases

2018 ◽  
Vol 71 (suppl 6) ◽  
pp. 2643-2649 ◽  
Author(s):  
Renata Machado Becker ◽  
Ivonete Teresinha Schülter Buss Heidemann ◽  
Betina Horner Schlindwein Meirelles ◽  
Maria Fernanda Baeta Neves Alonso da Costa ◽  
Fabiano Oliveira Antonini ◽  
...  
Keyword(s):  
Family Health ◽  
Noncommunicable Disease ◽  
Noncommunicable Diseases ◽  
Care Practice ◽  
Structured Interviews ◽  
Individual Care ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Care Practices ◽  
Primary Health Care Nurses

ABSTRACT Objective: To understand care practices for people with Chronic Noncommunicable Disease, developed by Primary Health Care nurses in a municipality in southern Brazil. Method: Qualitative study, developed through the Discourse of the Collective Subject. Twenty-three nurses from the Family Health Strategy participated. Data were collected through semi-structured interviews and analyzed by the health promotion framework. Results: Nurses care practices for people with chronic disease present themselves through the home visit, individual care and collective care. These, eventually, have an extended character, advocating the promotion of health, at other times it is restrictive, returning to be a traditional and biologicalist practice. Final considerations: The nurse acts in a diversified way in this field, being present in the lives of people with chronic diseases. However, it is necessary to move forward, especially in the search for the constant and continuous development of an extended and welcoming care practice.

scholarly journals Eye Care Practices, Knowledge and Attitude of Glaucoma Patients at Community Eye Screening Outreaches in Nigeria.

2020 ◽  
Author(s):  
Olusola Olawoye ◽  
Olufunmilayo Fawole ◽  
Adeyinka Ashaye
Keyword(s):  
Health Workers ◽  
Structured Interviews ◽  
Eye Care ◽  
Cross Sectional Survey ◽  
Cross Sectional ◽  
The Past ◽  
Knowledge And Attitudes ◽  
South West ◽  
Main Hospital ◽  
Care Practices

Abstract Purpose: To assess the eye care practices, knowledge and attitudes of glaucoma patients identified at community eye outreaches (CEO) in Nigeria. Methodology: This was a mixed method study. The quantitative component was a cross sectional survey of patients with suspected glaucoma identified at routine CEO in South West Nigeria. Surveys were administered by trained personnel and gathered information on knowledge and attitudes toward glaucoma. The qualitative component consisted of structured interviews with providers to assess their knowledge and perspectives of glaucoma patients’ attitudes and behaviors. Results: A total of 1881 patients were screened at 24 outreaches in South West Nigeria, among which 120 glaucoma cases/suspects were identified. Fifty-six (46.7%) of the glaucoma patients were aware of glaucoma and only 39 (32.5%) patients could answer at least one knowledge question correctly. Predictors of awareness of glaucoma were minimum of secondary school education (adjusted odds ratio [OR] 9.76; 95% confidence interval [CI] 3.18-29-92) and having had an eye check-up in the past (adjusted OR 6.22; 95% CI 1.96 – 19.78). More than half 55.8% had attended an eye outreach in the past and 34.2% did not follow up at the main hospital. Patients said cost and ‘not knowing the disease was serious’ were reasons for not following up at the main hospital. Health workers interviewed said cost and poor knowledge were the main reasons glaucoma patients frequently attended free screening outreach events rather than seeking definitive care.Conclusion: Although community eye outreaches improves access to eye care, provision of appropriate health education programs and strengthening of the health insurance scheme are needed to improve its impact in glaucoma care.

Becoming a Channel of God: How Faith Community Nurses Develop Their Spiritual Practice

2020 ◽  
pp. 089801012097732
Author(s):  
Denise LeBlanc-Kwaw ◽  
Kathryn Weaver ◽  
Joanne Olson
Keyword(s):  
Spiritual Care ◽  
Nursing Practice ◽  
Faith Community ◽  
Holistic Care ◽  
Spiritual Needs ◽  
Social Psychological ◽  
Beliefs And Values ◽  
Care Practices ◽  
Expert Theory ◽  
Glaserian Grounded Theory

Purpose: This study explored the underlying process faith community nurses (FCNs) experience in developing their spiritual nursing practice. Design: A qualitative, exploratory design was used. Method: Data from interviews with six FCNs were generated and analyzed using Glaserian grounded theory. Findings: The basic social psychological process, cultivating the soul to become a channel of God, explains the steps these nurses take to achieve stages of presence. Going through these stages of presence, FCNs develop a foundation of God-related beliefs and values, presence with self, presence with God, presence with others, presence with God and others, and become a channel of God. Conclusions: Developing spiritual care competence in assessing and meeting clients’ spiritual needs is necessary to enhance person-centered practice, a vital aspect of holistic care. The model of presence can inform the development of spiritual care competencies and link to other nursing theories including Watson’s theory of caring and Benner’s novice to expert theory. Workplace support is needed for nurses to refine spiritual nursing care practices and integrate spiritual care into practice. Further research regarding the stages of presence could foster deeper understanding of how foundations of God-related values develop.

scholarly journals Nurses’ Perception of Spiritual Care Practices Among Hospitalized Patients: A Basis for a Program

2019 ◽  
Vol 7 (1) ◽  
pp. 207-217
Author(s):  
FISKVIK BOAHEMAA ANTWI ◽  
Vivian Ofosu Asiama
Keyword(s):  
Registered Nurses ◽  
Spiritual Care ◽  
Sampling Technique ◽  
Hospitalized Patients ◽  
Care Practice ◽  
Spiritual Support ◽  
Spiritual Assessment ◽  
Significant Difference ◽  
Care Practices ◽  
Spiritual Communication

Abstract Introduction: Throughout hospitalization, patients place emphasis on health professionals to meet their spiritual and emotional needs. Since 1998, the National Inpatient Priority Index ranked emotional and spiritual needs as the patient's second priority. With evidence that shows the importance of spirituality in patient’s health, nurses have a pivotal role in providing spiritual care. The purpose of this study was to examine the perception of nurses of spiritual care practice among hospitalized patients. Methodology: The study used a descriptive research design to examine nurses’ perception of spiritual care practices among hospitalized patients. The study was conducted among registered nurses (RN) working in Ghana. Convenient sampling technique was used to select 180 registered nurses. The study adopted and modified Nurse Spiritual Care Therapeutic Scale developed by Mamier and Taylor (2015). Results: The respondents sometimes practice spiritual (m = 3.12, SD = 0.85). They often practice spiritual communication (m = 3.55, SD = 0.69). They sometimes render spiritual support (m = 2.67, SD = 0.88). Discussion: It can be concluded that spiritual care in terms of spiritual assessment and spiritual support was inadequate. Nurses provided adequate spiritual communication with the patients by actively listening to the patient’s illness story. A program under the theme Beyond the Physical was developed to address the problem of spiritual care among nurses. It is therefore recommended that further studies be done to examine whether the personal profile has a significant difference in the use of spiritual care.

scholarly journals Practices in the healthcare of children and adolescents with leprosy: the discourse of professionals

2020 ◽  
Vol 41 ◽  
Author(s):  
Joana D’arc Conceição Pinheiro de Oliveira ◽  
Maria Wanderleya de Lavor Coriolano Marinus ◽  
Estela Maria Leite Meirelles Monteiro
Keyword(s):  
Health Care ◽  
Children And Adolescents ◽  
Health Professionals ◽  
Best Practice ◽  
Care Practice ◽  
Structured Interviews ◽  
Health Care Practice ◽  
Practice Recommendations ◽  
Health Care Practices ◽  
Care Practices

ABSTRACT Objective: To analyze the health care practices of children and adolescents with leprosy from the speeches of health professionals. Method: Qualitative research conducted with 23 health professionals who attended children and adolescents with leprosy in primary and secondary care in a municipality in the state of Pernambuco, from April to July 2018, through semi-structured interviews. Data were subjected to content analysis. Results: The practice of health care was apprehended from the following categories of analysis: "Embracement in leprosy", "Clinical practice" and "Education in Health", with limitations in meeting the particularities of the studied population. Conclusions: Limiting aspects in health care practice contribute to the difficulties in controlling the disease, requiring the development of best practice recommendations that address the needs of children and adolescents.

scholarly journals Building managed primary care practice networks to deliver better clinical care: a qualitative semi-structured interview study

2017 ◽  
Vol 67 (664) ◽  
pp. e764-e774 ◽  
Author(s):  
Jasmine Pawa ◽  
John Robson ◽  
Sally Hull
Keyword(s):  
Primary Care ◽  
Clinical Care ◽  
Structured Interview ◽  
Care Practice ◽  
Structured Interviews ◽  
London Borough ◽  
Practice Performance ◽  
Care Practices ◽  
Primary Care Practices

BackgroundPrimary care practices are increasingly working in larger groups. In 2009, all 36 primary care practices in the London borough of Tower Hamlets were grouped geographically into eight managed practice networks to improve the quality of care they delivered. Quantitative evaluation has shown improved clinical outcomes.AimTo provide insight into the process of network implementation, including the aims, facilitating factors, and barriers, from both the clinical and managerial perspectives.Design and settingA qualitative study of network implementation in the London borough of Tower Hamlets, which serves a socially disadvantaged and ethnically diverse population.MethodNineteen semi-structured interviews were carried out with doctors, nurses, and managers, and were informed by existing literature on integrated care and GP networks. Interviews were recorded and transcribed, and thematic analysis used to analyse emerging themes.ResultsInterviewees agreed that networks improved clinical care and reduced variation in practice performance. Network implementation was facilitated by the balance struck between ‘a given structure’ and network autonomy to adopt local solutions. Improved use of data, including patient recall and peer performance indicators, were viewed as critical key factors. Targeted investment provided the necessary resources to achieve this. Barriers to implementing networks included differences in practice culture, a reluctance to share data, and increased workload.ConclusionCommissioners and providers were positive about the implementation of GP networks as a way to improve the quality of clinical care in Tower Hamlets. The issues that arose may be of relevance to other areas implementing similar quality improvement programmes at scale.

Spiritual Needs of Iranian Cancer Patients

2009 ◽  
Vol 24 (S1) ◽  
pp. 1-1 ◽  
Author(s):  
M. Karimollahi ◽  
M. Rostamnejad ◽  
H.A. Abedi
Keyword(s):  
Spiritual Care ◽  
Holistic Approach ◽  
Spiritual Needs ◽  
Transcultural Nursing ◽  
Structured Interviews ◽  
Islamic Philosophy ◽  
Nursing Knowledge ◽  
Care Practices ◽  
Diverse Cultures ◽  
Minimal Information

Introduction:Until the last 2 decades, spiritual care was a vital, but invisible, aspect of nursing care. Spirituality and spiritual care have entered the mainstream, and the literature in this area has burgeoned. In addition, there is minimal information in the literature documenting the expressed spiritual needs of patients in general and specific subgroups of patients in particular, thus this article aimed to present spiritual needs of Iranian Muslim patients. Therefore, this study is of significance to nursing in general and to transcultural nursing in particular because of the high priority associated with increasing the nursing knowledge through research that investigates and describes care practices in diverse cultures. This paper reports an investigation into the spiritual needs of hospitalized Iranian Muslim patients.Method:A qualitative study with a sample of 24 patients using semi-structured interviews. The sample selected from three different cities of Iran.Findings:Although not clearly distinguishable, we found two main spiritual needs include religious and existential needs in Iranian Muslim patients.Conclusion:With regard to holistic approach in Islamic philosophy, holism is a relevant concept in the care of Iranian patients.

STUDI KUALITATIF : KEBUTUHAN IBU HAMIL DENGAN DIABETES MELITUS GESTASIONAL DI KABUPATEN KARANGANYAR JAWA TENGAH

2020 ◽  
pp. 17-26
Author(s):  
Arista Apriani ◽  
M Mufdlilah ◽  
Menik Sri Daryanti
Keyword(s):  
Social Support ◽  
Pregnant Women ◽  
Health Center ◽  
Blood Sugar ◽  
Interpretative Phenomenological Analysis ◽  
Health Workers ◽  
Phenomenological Analysis ◽  
Lifestyle Changes ◽  
Structured Interviews ◽  
Diabetes Melitus

ABSTRAK GDM dapat berpotensi menimbulkan komplikasi serius yang dapat mengakibatkan risiko kesehatan jangka pendek dan jangka panjang bagi ibu dan bayinya. diagnosis GDM menimbulkan efek emosional yang negatif. Persepsi ibu hamil tentang GDM dapat memengaruhi perubahan gaya hidup. Garis pertama penatalaksanaan DMG yaitu dengan perubahan gaya hidup. Tujuan menggali secara mendalam kebutuhan ibu dengan diagnosis diabetes melitus gestasional. Metode penelitian kualitatif dengan pendekatan  fenomenologi. Lokasi di Kabupaten Karanganyar yaitu Puskesmas Jaten I, Puskesmas Matesih dan RSUD Kabupaten Karanganyar, pada bulan Oktober 2019 - Januari 2020. Sampel secara criterion sampling Pengumpulan data dengan semistructure interview dengan one on one interview. Uji Keabsahan Data dengan Credibility pada penelitian ini menggunakan strategi validitas triangulasi, Tranferability, Dependability, Confirmability. Analisis data dengan Interpretative Phenomenological Analysis (IPA). Hasil penelitian kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga dalam hal mengontrol pola makan, mengatarkan periksa ke tenaga kesehatan, dan mengingatkan untuk aktifitas olah raga. Dukungan sosial, yaitu cara mengontrol gula darah. Dukungan tenaga kesehatan, yaitu saran dan motivasi untuk mengontrol gula darah. Informasi mendapat saran atau perawatan DMG dalam kehamilan adalah dari tenaga kesehatan yaitu bidan, dokter, serta selain tenaga kesehatan dari teman dan internet. Kesimpulannya kebutuhan ibu hamil dengan DMG teridentifikasi empat tema, yaitu dukungan keluarga, dukungan sosial, dukungan tenaga kesehatan dan informasi.   Kata kunci: diabetes melitus gestasional, kehamilan, kebutuhan.   ABSTRACT GDM can overcome serious problems that can overcome short-term and long-term health problems for mother and baby. a diagnosis of GDM has a negative emotional effect. Pregnant women 's perception of GDM can affect lifestyle changes. The first line of management of DMG is lifestyle changes. Diagnosis of gestational diabetes mellitus. Qualitative research methods by studying phenomenology. Locations in Karanganyar Regency are Jaten I Health Center, Matesih Health Center and Karanganyar District Public Hospital, in October 2019 - January 2020. Sample sampling criteria Data collection by semi-structured interviews with one-on-one interviews. Data Validity Test with Credibility in this study using the triangulation validity strategy, Transparency, Dependability, Confirmability. Data analysis with Interpretative Phenomenological Analysis (IPA). The results of the study of the needs of pregnant women with DMG identified four themes, namely supporting the family in terms of controlling diet, sending check to health workers, and reminding for sports activities. Social support, which is a way to control blood sugar. Support of Health Workers, namely advice and motivation to control blood sugar. The information obtained from DMG advice or treatment in the assessment is from health workers, namely midwives, doctors, and also health workers from friends and the internet. In conclusion, the needs of pregnant women with DMG identified four themes, namely family support, social support, support of health workers and information.  

scholarly journals Clinical effectiveness and cost effectiveness of individual mental health workers colocated within primary care practices: a systematic literature review

BMJ Open ◽  
2020 ◽  
Vol 10 (12) ◽  
pp. e042052
Author(s):  
Jean-Baptiste Woods ◽  
Geva Greenfield ◽  
Azeem Majeed ◽  
Benedict Hayhoe
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Cost Effectiveness ◽  
Health Worker ◽  
Health Workers ◽  
Risk Of Bias ◽  
Mental Health Workers ◽  
Mental Health Worker ◽  
Care Practices ◽  
Primary Care Practices

ObjectivesMental health disorders contribute significantly to the global burden of disease and lead to extensive strain on health systems. The integration of mental health workers into primary care has been proposed as one possible solution, but evidence of clinical and cost effectiveness of this approach is unclear. We reviewed the clinical and cost effectiveness of mental health workers colocated within primary care practices.DesignSystematic literature review.Data sourcesWe searched the Medline, Embase, PsycINFO, Healthcare Management Information Consortium (HMIC) and Global Health databases.Eligibility criteriaAll quantitative studies published before July 2019 were eligible for the review; participants of any age and gender were included. Studies did not need to report a certain outcome measure or comparator in order to be eligible.Data extraction and synthesisData were extracted using a standardised table; however, pooled analysis proved unfeasible. Studies were assessed for risk of bias using the Risk Of Bias In Non-randomised Studies - of Interventions (ROBINS-I) tool and the Cochrane collaboration’s tool for assessing risk of bias in randomised trials.ResultsFifteen studies from four countries were included. Mental health worker integration was associated with mental health benefits to varied populations, including minority groups and those with comorbid chronic diseases. Furthermore, the interventions were correlated with high patient satisfaction and increases in specialist mental health referrals among minority populations. However, there was insufficient evidence to suggest clinical outcomes were significantly different from usual general practitioner care.ConclusionsWhile there appear to be some benefits associated with mental health worker integration in primary care practices, we found insufficient evidence to conclude that an onsite primary care mental health worker is significantly more clinically or cost effective when compared with usual general practitioner care. There should therefore be an increased emphasis on generating new evidence from clinical trials to better understand the benefits and effectiveness of mental health workers colocated within primary care practices.

scholarly journals Neonatal care practices in Buikwe District, Uganda: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Marte Bodil Roed ◽  
Ingunn Marie Stadskleiv Engebretsen ◽  
Robert Mangeni
Keyword(s):  
Health Workers ◽  
Post Partum ◽  
Newborn Care ◽  
Neonatal Care ◽  
Sub Saharan Africa ◽  
Cord Clamping ◽  
Care Practices ◽  
Sub Saharan ◽  
Skin To Skin ◽  
User Perspectives

Abstract Background Sub-Saharan Africa is the region with the highest neonatal mortality rate, with Uganda reporting 20 deaths per 1000 live births. The Uganda Clinical Guidelines (UCG) from 2016 have detailed descriptions on care for mothers and their newborns during pregnancy, delivery and the post-partum period. The objective of the study was to identify provider and user perspectives regarding the knowledge of and adherence to the UCG recommendations in aspects of delivery and newborn care, both in cases of normal as well as complicated births. Methods The study used qualitative methods with data collection from participant observations, interviews with key-informants and focus group discussions. Malterud’s Systematic Text Condensation (STC) was used for analysis. Results The study found low knowledge about the UCG among the health workers. Various discrepancies between performed hands-on-procedures and the UCG were found related to neonatal care practices, including low use of partograms, uncertainty around timing for cord clamping, routine oronasopharyngeal suction of newborns and inadequate implementation of skin-to-skin care. Conclusions Continued focus on systemic strategies for further implementation of the UCG is recommended.

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