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 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.

The process of transfer: The micro-influences of power, time and learning

2019 ◽  
Vol 35 (4) ◽  
pp. 445-464 ◽  
Author(s):  
David Peter Dolowitz ◽  
Rodica Plugaru ◽  
Sabine Saurugger
Keyword(s):  
Empirical Study ◽  
Transfer Process ◽  
Policy Transfer ◽  
Interactive Effects ◽  
Dynamic Effects ◽  
Governance Framework ◽  
Theoretical Assumptions ◽  
Hospital Construction ◽  
Micro Level ◽  
Over Time

To date, there have been a number of studies that have examined how policies move from one jurisdiction to another. However, few of these studies have examined the micro-interactive effects of actors. This is necessary to understand how actors shape outcomes over time. The aim of this paper is to engage with this micro-level literature through an empirical study of policy transfer in the field of architectural norms in hospital construction in post-Soviet states. To do this, we generate several theoretical assumptions to link the transfer literature to wider debates in the governance framework. The goal is to discover how the power of actors interacts in the policymaking processes to influence outcomes over time and in light of learning. What we hope to do is bring the interactive and dynamic effects that occur between agents attempting to shape the transfer process back into the transfer picture. The aim is to show that power flows and that these flows alter the shape and outcome of the transfer process.

scholarly journals Nursing-Related Barriers to Children’s Pain Management at Selected Hospitals in Ghana: A Descriptive Qualitative Study

2020 ◽  
Vol 2020 ◽  
pp. 1-7 ◽  
Author(s):  
Abigail Kusi Amponsah ◽  
Evans Frimpong Kyei ◽  
John Bright Agyemang ◽  
Hanson Boakye ◽  
Joana Kyei-Dompim ◽  
...  
Keyword(s):  
Pain Management ◽  
Qualitative Study ◽  
Developed Countries ◽  
Assessment Tools ◽  
Pediatric Care ◽  
Material Resources ◽  
Management Interventions ◽  
Communication Difficulties ◽  
Children's Pain ◽  
Descriptive Qualitative

Staff shortages, deficient knowledge, inappropriate attitudes, demanding workloads, analgesic shortages, and low prioritization of pain management have been identified in earlier studies as the nursing-related barriers to optimal children’s pain management. These studies have mainly been undertaken in developed countries, which have different healthcare dynamics than those in developing countries. The current study, therefore, sought to identify and understand the nursing-related barriers to children’s pain management in the Ghanaian context. A descriptive qualitative study was conducted among 28 purposively sampled nurses working in the pediatric units of five hospitals in the Ashanti region of Ghana. Over the course of three months, participants were interviewed on the barriers which prevented them from optimally managing children’s pain in practice. Recorded interviews were transcribed verbatim and deductively analysed based on a conceptual interest in pain assessment and management-related barriers. NVivo 12 plus software guided data management and analyses. The mean age of participating nurses was 30 years, with majority being females (n = 24). Participants had worked in the nursing profession for an average of five years and in the pediatric care settings for an average of two years. The nursing-related barriers identified in the present study included communication difficulties in assessing and evaluating pain management interventions with children who have nonfunctional speech, insufficient training, misconceptions on the experience of pain in children, lack of assessment tools, and insufficient number of nurses to manage the workload and nurses’ inability to prescribe analgesics. The present study revealed some barriers which prevented Ghanaian nurses from optimally managing children’s pain. Nurses should be educated, empowered, and supported with the requisite material resources to effectively manage children’s pain and improve outcomes for families, healthcare systems, and the nation. Future studies should explore the facilitators and barriers from other stakeholders involved in pediatric pain management.

scholarly journals The experiences and strategies of parents’ of adults with anorexia nervosa or bulimia nervosa: a qualitative study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Jannike Karlstad ◽  
Cathrine Fredriksen Moe ◽  
Mari Wattum ◽  
Berit Støre Brinchmann
Keyword(s):  
Eating Disorders ◽  
Anorexia Nervosa ◽  
Qualitative Study ◽  
Health Services ◽  
Bulimia Nervosa ◽  
Professional Support ◽  
Adult Daughters ◽  
Main Concern ◽  
The Core ◽  
Core Category

Abstract Background Caring for an individual with an eating disorder involves guilt, distress and many extra burdens and unmet needs. This qualitative study explored the experiences of parents with adult daughters suffering from anorexia nervosa or bulimia nervosa and the strategies they adopted. A subsidiary aim of the study was to explore the relationship between the caregivers’ perceived need for professional support and the support they reported receiving in practice from the health services. Methods Semi-structured interviews were conducted with 11 mothers and fathers from across Norway. Data collection, coding and analysis was conducted using the principles of constructivist grounded theory in an iterative process. The main concern shared by participants was identified by this process and their “solution” to the main concern then formed the content of the core category. Results ″Wearing all the hats″ emerged as the core category, indicating that the parents have to fulfil several roles to compensate the lack of help from health services. The three subcategories: “adapting to the illness”, “struggling for understanding and help” and “continuing to stay strong” described how the participants handled their situation as parents of adult daughters with eating disorders. Conclusions In daily life, the parents of adults with eating disorders have to attend to a wide range of caregiver tasks to help their ill daughters. This study suggests that the health services that treat adults with eating disorders should be coordinated, with a professional carer in charge. The parents need easy access to information about the illness and its treatment. They also need professional support for themselves in a demanding situation.

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