scholarly journals Specificities of the nursing work in the mobile emergency care service of Belo Horizonte

2013 ◽  
Vol 22 (1) ◽  
pp. 208-215 ◽  
Author(s):  
Marília Alves ◽  
Thays Batista da Rocha ◽  
Helen Cristiny Teodoro Couto Ribeiro ◽  
Gelmar Geraldo Gomes ◽  
Maria José Meneses Brito

This is a descriptive qualitative case study aimed at understanding the perception of nurses regarding their work in the mobile emergency care service of Belo Horizonte. Study subjects were 12 nurses and data were collected through interviews and subjected to content analysis. Results showed positive aspects of the work: service resolvability and dynamism, visibility in the care network, opportunity to deliver care and satisfaction with the work. The negative aspects involved poor knowledge of the population regarding the organization and operation of the mobile emergency care service, exposure to environmental and physical risk factors, violence in suburbs, and difficulties receiving patients in the fixed health units. It is possible to observe that the positive aspects are related to the work content and its purpose, whereas the negative ones are related to work conditions.

2014 ◽  
Vol 23 (3) ◽  
pp. 538-546 ◽  
Author(s):  
Isabela Silva Cancio Velloso ◽  
Meiriele Tavares Araújo ◽  
Jéssica Dias Nogueira ◽  
Marília Alves

The aim of the present study was to discuss the way visibility constitutes a power device in the everyday practice of the Mobile Emergency Care Service in Belo Horizonte, Minas Gerais, Brazil. A qualitative case study was developed and data were collected through semi-structured interviews with 31 workers of the service (five physicians, 11 nurses, seven nursing assistants and eight ambulance drivers) and submitted to discourse analysis. The analysis of power relations in the service allowed to verify that there is not an only one source from which the power emanates in this organizational structure. Power is exercised through many techniques and their sources are scattered, diffuse, interchangeable and even confusing. Although there is a hierarchical structure formally established, a parallel network to this structure is formed. It was also observed that the visibility generated by radio communication provides constant supervision, which generates tension within the team.


ISRN Nursing ◽  
2013 ◽  
Vol 2013 ◽  
pp. 1-12 ◽  
Author(s):  
Mervi Flinkman ◽  
Ulpukka Isopahkala-Bouret ◽  
Sanna Salanterä

In a time of global nursing shortages an alarming number of young registered nurses have expressed a willingness to leave the profession. In this qualitative case study we investigate in depth why young nurses leave nursing profession and reeducate themselves for a new career. The study is based on longitudinal interviews of three young registered nurses in Finland. These nurses were first interviewed between December 2006 and May 2007, when they were 29–32 years old and having an intention to leave the profession. The second interview took place four years later, from January 2011 to March 2011 when all of them had made the transition to a new career. Data were analyzed in two stages. In the first stage, comprehensive career story narratives were formed on the basis of the interviews. In the second stage, emerging themes in these stories were compared, contrasted, and interpreted in the context of the overall career histories. Nursing as a second career choice and demanding work content as well as poor practice environment and the inability to identify with the stereotypical images of nurses were main themes that emerged from these career stories. The results of this interpretative qualitative study reflect a shift toward insights into understanding professional turnover as a complex and long-lasting process.


Author(s):  
Steven Dodd ◽  
Nancy Preston ◽  
Sheila Payne ◽  
Catherine Walshe

Background: Innovative service models to facilitate end-of-life care for older people may be required to enable and bolster networks of care. The aim of this study was to understand how and why a new charitably funded service model of end-of-life care impacts upon the lives of older people. Methods: A multiple exploratory qualitative case study research strategy. Cases were 3 sites providing a new end-oflife service model for older people. The services were provided in community settings, primarily providing support in peoples own homes. Study participants included the older people receiving the end-of-life care service, their informal carers, staff providing care within the service and other stakeholders. Data collection included individual interviews with older people and informal carers at 2 time points, focus group interviews with staff and local stakeholders, nonparticipant observation of meetings, and a final cross-case deliberative panel discussion workshop. Framework analysis facilitated analysis within and across cases. Results: Twenty-three service users and 5 informal carers participated in individual interviews across the cases. Two focus groups were held with an additional 12 participants, and 19 people attended the deliberative panel workshop. Important elements contributing to the experience and impacts of the service included organisation, where services felt they were ‘outsiders,’ the focus of the services and their flexible approach; and the impacts particularly in enriching relationships and improving mental health. Conclusion: These end-of-life care service models operated in a space between the healthcare system and the person’s life world. This meant there could be ambiguity around their services, where they occupied a liminal, but important, space. These services are potentially important to older people, but should not be overly constrained or they may lose the very flexibility that enables them to have impact.


2016 ◽  
Vol 54 (2) ◽  
pp. 163-176 ◽  
Author(s):  
Mohsen ZARE ◽  
Agnes MALINGE-OUDENOT ◽  
Robert HÖGLUND ◽  
Sophie BIAU ◽  
Yves ROQUELAURE

2020 ◽  
Vol 73 (5) ◽  
Author(s):  
Lilian Cristina Rezende ◽  
Carolina da Silva Caram ◽  
Beatriz Santana Caçador ◽  
Maria José Menezes Brito

ABSTRACT Objectives: to understand Family Health Strategy nurses’ practices in the context of quilombola communities with an interface for cultural and political competences. Methods: a single integrated, qualitative case study carried out on seven Family Health Strategies located in the Metropolitan Region of Belo Horizonte, state of Minas Gerais. Seven nurses and 59 quilombolas participated. Data were collected through individual interviews with nurses, collective interviews with quilombolas and observation. For analysis, the thematic content analysis was adopted. Results: the results revealed structural and territorial problems, which are configured as barriers for professional-user encounter as well as for professional practice performance. Final Considerations: it is necessary that Family Health Strategy nurses, based on political and cultural competences, create strategies that minimize the difficulties found in the implementation of health actions directed to quilombolas. Such strategies anchored in inclusive public policies.


2017 ◽  
Vol 20 (5) ◽  
pp. 643-649
Author(s):  
Marcela Andrade Rios ◽  
Alba Benemérita Alves Vilela ◽  
Adriana Alves Nery

Abstract The present study aimed to verify the health and work conditions of seven elderly workers carrying out informal labor activities in a municipal market and to describe the accidents they suffered at work. A qualitative case study was carried out with seven elderly butcher workers from a municipal market in Bahia, Brazil. The participants were men and women with limited schooling (up to high school level in one case), who lived with others at home and had worked for an average of 31 years in the butcher business. Despite the stress involved, such as uncomfortable physical positioning and few days off, all the participants said they were satisfied with their jobs. They were affected by chronic diseases, especially arterial hypertension, and said they were aware of the risks involved in their work. They had suffered accidents at work from finger cuts to amputation. Such workers require activities that promote health and protection from work-related accidents and injuries to avoid the problems that transform the process of senescence into senility.


2015 ◽  
Vol 25 (1) ◽  
pp. 39-45 ◽  
Author(s):  
Jennifer Tetnowski

Qualitative case study research can be a valuable tool for answering complex, real-world questions. This method is often misunderstood or neglected due to a lack of understanding by researchers and reviewers. This tutorial defines the characteristics of qualitative case study research and its application to a broader understanding of stuttering that cannot be defined through other methodologies. This article will describe ways that data can be collected and analyzed.


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