scholarly journals Experience of the spouse of a woman with breast cancer undergoing chemotherapy: a qualitative case study

2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Rhyquelle Rhibna Neris ◽  
Márcia Maria Fontão Zago ◽  
Maria Ângela Ribeiro ◽  
Juliana Pena Porto ◽  
Anna Cláudia Yokoyama dos Anjos

Abstract Objective: To identify the meaning attributed to the experience of a spouse of a woman with breast cancer undergoing chemotherapy. Methods: Descriptive study, with a theoretical-methodological orientation based on medical anthropology and utilizing an ethnographic case study strategy. Data were collected through semi-structured interviews and participant observation. Results: The meanings revealed that the diagnosis cause suffering. Chemotherapy was seen as giving hope of healing the wife's cancer. During this process, the spouse had to deal with the strong adverse effects of the treatment and subordinate to his wife to reduce the conflict experienced by the couple, which violated the rules of his masculinity. Religion and family were important support networks on this path. Final considerations and implications for practice: The results showed the importance of considering cultural aspects of spouses when they are faced with disease in their wives. The way spouses deal with breast cancer will depend on their cultural systems. Nursing care must be comprehensive and extend to spouses whose wives have breast cancer.

Aquichan ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 1-11
Author(s):  
Michelle Ferraz Martins Jamarim ◽  
Camila Zucato da Silva ◽  
Gerusa Marcondes Pimentel de Abreu Lima ◽  
Cibele Leite Siqueira ◽  
Claudinei José Gomes Campos

Objectives: To know the most used types of touch and understand their meanings for physical therapists working in a hospital environment, from the perspective of their feelings, attitudes and behaviors during care. Materials and methods: Qualitative case study conducted by physical therapists working at a hospital in Brazil. For data collection, participant observation and semi-structured interviews were used as techniques. Data were analyzed according to the thematic content analysis proposed by Minayo. Results: 16 physical therapists participated in the study and, from the analysis of the empirical material, four thematic categories emerged: Instrumental touch as a fundamental resource of hospital physical therapy assistance; expressive touch: Its little presence does not mean absence of affection; physical therapist’s feelings related to touch and difficulty talking about touch means that there is a deficiency in training. Conclusions: The underuse of expressive touch revealed the lack of knowledge and unpreparedness in the formation of the physical therapist, which, added to the lack of self-knowledge, hinders the affection and the creation of bonds in relationships. All of this justifies the rare studies on affective touch in health, which reflects an area to be explored and the need to sensitize professionals to influence the quality and humanization of care.


2017 ◽  
Vol 25 ◽  
pp. 114
Author(s):  
Rukmini Becerra Lubies ◽  
Simona Mayo González

The Intercultural and Bilingual Education program in Chile requires intercultural and bilingual preschools to work collaboratively with Mapuche communities to offer a relevant education for Indigenous children; however, no researchers have studied this partnership. In this context, the main objective of this study is to examine the relationships within the communities that have emerged around intercultural and bilingual preschools in Región Metropolitana, Chile. Using the notion of contact zone (Pratt, 1992) we analyze characteristics of the ties developed between members of the preschool institution and the participants of the Mapuche communities. To address this goal, we conducted a qualitative case study, and with ethnographic techniques we collected data using semi-structured interviews, participant observation and group conversations in two preschools; data were codified and categorized with thematic analysis. The main findings show that in this contact zone, the Mapuche communities participate primarily in cultural events, the Educators of Indigenous Language and Culture (ELCIs) are poorly valued and, outside the classrooms these partnerships are seen as learning spaces by the preschool teachers.


2007 ◽  
Vol 24 (3) ◽  
pp. 291-298 ◽  
Author(s):  
Morten Hulvej Jørgensen ◽  
Tine Curtis

Aim The paper examines teenage alcohol use from an intergenerational perspective through an ethnographic case study of interaction between teenagers and adults. Methods Two periods of ethnographic fieldwork were conducted in a rural Danish community of approximately 6000 inhabitants. The fieldwork included 50 days of participant observation among 13–16-year-olds (n=93) as well as semi-structured interviews with small self-selected friendship groups. The present paper presents an analysis of field notes from a night of participant observation that is used as an emblematic example of informants' alcohol use and their interaction with adults. Theoretically, the paper adopts French philosopher Michel de Certeau's conceptual framework for understanding the practice of everyday life, in particular his distinction between strategic and tactical action. Results Two scenarios are described and taken to represent two different adult approaches to teenage drinking. In Scenario I, adults accept a group of teenagers' drinking in the home, and in Scenario II adults create an alcohol-free space which they guard against the intrusion of intoxicated teenagers. In both cases, however, adults use their intergenerational position in order to strategically contain teenage drinking. Meanwhile, teenagers act tactically by adjusting their alcohol use in time and space. Further, the use of alcohol marks a shift in the interaction between adults and teenagers in so far as it enables teenagers to create and control a place of their own and hence signal their independence from adults. Conclusion The paper points to the creative, tactical agency of teenagers in response to adult strategies. It is illustrated how teenage alcohol use becomes a transformative factor for adult–teenager relationships, and in particular how teenagers rework intergenerational power differences by taking on drinking.


2018 ◽  
Vol 68 (669) ◽  
pp. e293-e300 ◽  
Author(s):  
Helen Atherton ◽  
Heather Brant ◽  
Sue Ziebland ◽  
Annemieke Bikker ◽  
John Campbell ◽  
...  

BackgroundNHS policy encourages general practices to introduce alternatives to the face-to-face consultation, such as telephone, email, e-consultation systems, or internet video. Most have been slow to adopt these, citing concerns about workload. This project builds on previous research by focusing on the experiences of patients and practitioners who have used one or more of these alternatives.AimTo understand how, under what conditions, for which patients, and in what ways, alternatives to face-to-face consultations present benefits and challenges to patients and practitioners in general practice.Design and settingFocused ethnographic case studies took place in eight UK general practices between June 2015 and March 2016.MethodNon-participant observation, informal conversations with staff, and semi-structured interviews with staff and patients were conducted. Practice documents and protocols were reviewed. Data were analysed through charting and the ‘one sheet of paper’ mind-map method to identify the line of argument in each thematic report.ResultsCase study practices had different rationales for offering alternatives to the face-to-face consultation. Beliefs varied about which patients and health issues were suitable. Co-workers were often unaware of each other’s practice; for example, practice policies for use of e-consultations systems with patients were not known about or followed. Patients reported benefits including convenience and access. Staff and some patients regarded the face-to-face consultation as the ideal.ConclusionExperience of implementing alternatives to the face-to-face consultation suggests that changes in patient access and staff workload may be both modest and gradual. Practices planning to implement them should consider carefully their reasons for doing so and involve the whole practice team.


2021 ◽  
Vol 16 ◽  
pp. 2099
Author(s):  
Márcio Jacometti ◽  
Ellen Correa Wandembruck Lago ◽  
Leandro Rodrigo Canto Bonfim

This article aims at understanding how institutional work influenced the implementation of the Tourist Route Senses of Countryside (TRSC), located in two cities in Paraná, Brazil, between 2009 and 2018. It is a descriptive qualitative case study, whose data were collected through semi-structured interviews, non-participant observation, and documents, which were analyzed using thematic content analysis. Results showed that the implementation of the route was based on creation, maintenance, and interruption of institutional work, and on alteration of the regulatory, normative, and cognitive pillars of the organizational field, involving different actors (public and private). The main theoretical contribution of the research was to identify the types of institutional work and to reconcile them with typologies of institutional pillars. Also, it has practical implications for public policymakers and organizational actors, intending to establish and institutionalize a tourism cluster in rural areas, considered a source of regional economic development.


2021 ◽  
pp. 204275302098892
Author(s):  
Liudmila Shafirova ◽  
Kristiina Kumpulainen

Online collaboration has become a regular practice for many Internet users, reflecting the emergence of new participatory cultures in the virtual world. However, little is yet known about the processes and conditions for online collaboration in informally formed writing spaces and how these create opportunities for participants’ identity work. This ethnographic case study explores how four young adults, fans of the show My Little Pony: Friendship is Magic (bronies), negotiated a dialogic space for their online collaboration on a fan translation project and how this created opportunities for their identity work. After a year of participant observation, we collected interviews, ethnographic diaries and participants’ chats, which were analysed with qualitative content and discourse analysis methods. The findings showed how the Etherpad online writing platform used by the participants facilitated the construction of dialogic space through the visualization of a shared artefact and adjustable features. It was in this dialogic space where the participants negotiated their expert identities which furthered their discussions about writing, translating and technological innovations. The study advances present-day knowledge about online collaboration in affinity groups, engendering the construction of a dialogic space for collaborative writing and participants’ identity work.


2018 ◽  
Vol 56 (5) ◽  
pp. 519-532
Author(s):  
Roozbeh Shirazi

Purpose The purpose of this paper is to examine how the exercise of administrative authority to suspend the Muslim Student Association (MSA), an affinity group at a suburban Midwestern high school, was experienced and perceived by affected students. Notably, it traces the mobilization of the MSA students to challenge the principal’s authority through formal channels within the district to reopen the affinity group. In doing so, the students’ activism represents an example of dissensus, or mode of political engagement that challenges top-down models of fostering equity and diversity in schools. Design/methodology/approach The data are drawn from a nine-month ethnographic case study at an inner-ring suburban school in a large Midwestern metropolitan area. Data include participant observation of classrooms and affinity group meetings, semi-structured individual and group interviews, informal conversation and analytical memos synthesizing ethnographic fieldnotes. Findings Though the school and district have made different investments in strengthening equity and diversity at the school, transnational and minoritized Muslim students report a school climate that is characterized by exclusion and racialized surveillance. The principal’s decision to suspend the MSA was characterized by a narrow understanding of the purpose of the group and the identities of the student members. The decision to suspend the MSA, however, produced conditions centering the agentive potential of marginalized and minoritized students. Originality/value This paper opens up the tensions challenges of incorporating student voice into educational decision making. Notably, it highlights important possibilities for political action students when their voices cannot or will not be heard by those who make decisions on their behalf.


2021 ◽  
Vol VI (IV) ◽  
pp. 34-41
Author(s):  
Hina Iqbal ◽  
Muhammad Saeed

Academic writing plays a pivotal role in developing research proposals. The present study aimed to explore the grammatical errors that M.Phil/PhDs scholars commit in academic writing. The present study employed a qualitative case study designed to explore the challenges in the English language faced by the M.Phil and PhDs scholars. The 20 Ph.D. and 36 M.Phil scholars were selected by busing purposive sampling technique. Data were collected by using two self-developed semi-structured interviews protocol. Thematic analysis approach was employed for data analysis. The findings revealed that all the participants reported that correct use of tenses was a big hurdle that entailed the other grammatical mistakes and reduced the report quality because all the lexical aspects are linked with these mechanics. The study recommended that English language courses be offered to postgraduate, M. Phil and Ph.D. scholars to learn the technical aspects of the language and provide students with online interactive programming.


Author(s):  
Khalilah Zakariya ◽  
Zumahiran Kamarudin ◽  
Nor Zalina Harun

The development of a public market in the city planning is pivotal in supporting the growth of the local economy. The market is also a place where the culture of the locals evolves daily. However, the unique qualities of the market are vulnerable to the redevelopment process. This study examines the cultural aspects of Pasar Payang in Terengganu, Malaysia, as one of the well-known markets among the locals and the tourists, which will soon be redeveloped. The aim of this paper is to identify the tangible and intangible qualities of the market, so that it can sustain its cultural qualities in the future. The methods adopted for this study comprise of conducting a survey among 497 visitors, and semi-structured interviews among 19 market vendors. The findings reveal that the cultural vitality of the market can be sustained by strengthening its local identity through its products and culture, providing spaces that can facilitate tourist activities and cultural participation, and enhancing the development of the local businesses.


2021 ◽  
Vol 2 (3) ◽  
pp. 218-237
Author(s):  
Rosyanne Louise Autran Lourenço ◽  
Eliana Barbosa dos Santos

Este artigo visa a apresentar, sob uma perspectiva ecológica de letramento, resultados da análise de práticas sociodiscursivas do processo de ensino-aprendizagem de Português Língua de Acolhimento, de imigrantes refugiados no Brasil, realizadas por meio do WhatsApp. Teoricamente, o estudo circunscreve-se às dimensões analíticas de letramento (MOREAU et al., 2013), sob a perspectiva ecológica dos estudos linguísticos (VAN LIER, 2004, 2010), fundamentando-se em pressupostos referentes aos recursos multimodais das tecnologias digitais (LEFFA, 2006; MORAN, 2013) e à função mediadora da linguagem (VIGOTSKI, 1971), em especial, do Português Língua de Acolhimento (BARBOSA; SÃO BERNARDO, 2017) e de suas implicações referentes à noção de afetividade (LEITE, 2012). Metodologicamente, trata-se de estudo qualitativo de caso (STAKE, 1994), de base etnográfica virtual (SANTOS; GOMES, 2013) cuja geração dos dados ocorreu por meio de observação participante (BOGDAN; BIKLEN, 1998) e notas de campo (FETTERMAN, 1998). Sua relevância reside na urgência no processo de imersão de imigrantes refugiados em práticas sociodiscursivas que viabilizem a obtenção de condições mínimas de vida digna e a garantia de autonomia em sua agência no país de destino (COSTA; TAÑO, 2018). Os resultados da pesquisa sugerem que a abordagem ecológica de práticas de letramento em ambiente virtual amplia a compreensão das articulações inerentes ao processo de ensino-aprendizagem de línguas, propiciando ao docente melhores condições de promover a autonomia dos estudantes, em contexto de imigração, na condução de soluções que atendam às suas necessidades mais prementes, voltadas para as práticas sociais de imersão no país de chegada.   This article aims to present, in the light of an ecological perspective of literacy, the results of the analysis of sociodiscursive practices of the teaching-learning process of Portuguese as a Host Language, through WhatsApp by refugee immigrants in Brazil. Theoretically, the study is limited to the ecological perspective of linguistic studies (VAN LIER, 2004, 2010) and analytical literacy dimensions (MOREAU ET AL., 2013) based on assumptions regarding the multimodal resources of digital technologies (LEFFA, 2006; MORAN, 2013) and the mediating function of language (VIGOTSKI, 2009) in particular the Portuguese Host Language (BARBOSA; SÃO BERNARDO, 2017) and its implications regarding the notion of affectivity (LEITE, 2012). Methodologically, it is a qualitative case study (STAKE, 1994) with a virtual ethnographic basis (SANTOS; GOMES, 2013) whose data generation occurred through participant observation (BOGDAN; BIKLEN, 1998) and field notes (FETTERMAN, 1998). Its relevance resides in the urgency in the process of refugee immigrants sociodiscursive practices that make it possible to obtain minimum conditions of dignified life and guarantee autonomy at their agency in the destination country (COSTA; TAÑO, 2018). The research results suggest that the ecological approach to literacy practices in a virtual environment broadens the understanding of the articulations inherent to the language teaching-learning process, providing the teacher better conditions to promote the autonomy of the students in the context of immigration, in driving solutions that meet their pressing sociodiscursive needs, focused on social immersion practices in the country of arrival.


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