scholarly journals Relações interpessoais no centro cirúrgico sob a ótica da enfermagem:estudo exploratório

2017 ◽  
Vol 16 (2) ◽  
pp. 159
Author(s):  
Maria De Fátima Cordeiro Trajano ◽  
Daniela Tavares Gontijo ◽  
Monique Wanderley Da Silva ◽  
Jael Maria De Aquino ◽  
Estela Maria Leite Meireles Monteiro

Objective:  to  identify  how  nursing  workers  perceive  interpersonal relationships established within the multiprofessional team working in a surgical center. method:  qualitative,  descriptive  and  exploratory  study  conducted  in the  surgical  center of  a  large  university  hospital  located  in  recife,  pernambuco,  brazil. twenty-five  nursing workers  participated in the  study  through  semi-structured  interviews.  content  thematic analysis was used to treat the data. results: three thematic categories emerged, namely: conception  of  interpersonal  relationships;  factors  that  negatively  impact  interpersonal relationships;  and  attitudes  and  practices  that  strengthen  interpersonal  relationships. conclusion:  reflecting  upon  the  interpersonal  relationships  established  among  the workers  in  the  surgical  center  can  provide  tools  for  managers  to  establish  coping strategies and ensure a harmonious work environment to favor integral, humanized and safe care for patients in critical conditions.

2019 ◽  
Vol 29 (3) ◽  
Author(s):  
JUAN CARLOS QUINTERO VÉLEZ ◽  
JAVIER MIGNONE ◽  
LISARDO OSORIO QUINTERO ◽  
CARLOS ROJAS ARBELÁEZ

Abstract Introduction: In 2006 and 2008 there were two lethal outbreaks of rickettsioses in the rural areas of Urabá, characterized by the lack of immediate diagnosis and antibiotic treatment. Objective: Describe sociocultural aspects about knowledge, attitudes and practices in relation to febrile syndromes and “tick fever” in rural areas of Urabá. Materials and methods: We conducted an exploratory study using knowledge, attitudes, and practices questionnaires and semi-structured interviews about febrile syndromes and “tick fever”. We surveyed 246 heads of households and interviewed nine individuals. Results: We observed that people tended to identify febrile syndromes with signs and clinical symptoms of dengue, malaria, leptospirosis and rickettsioses. A considerable proportion of individuals (32.93%) knew very little about “tick fever”, thinking that is was transmitted by mosquitos. They mentioned intestinal parasitoids, malaria, dengue, and “evil eye” among the causes of febrile syndromes. “Tick fever” is linked by its name to the bite of the tick. Furthermore, the treatments for febrile syndromes mentioned by interviewees are associated to those commonly used in western medicine and medicinal plants. Conclusions: There is a need for educational programs in rural areas, to raise awareness about these potential lethal conditions that can be effectively treated.


2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Vanêska Brito Ferreira ◽  
Simone Coelho Amestoy ◽  
Gilberto Tadeu Reis da Silva ◽  
Letícia de Lima Trindade ◽  
Ises Adriana Reis dos Santos ◽  
...  

ABSTRACT Objective: to understand the challenges and strategies adopted by nurses for the exercise of Transformational Leadership in a university hospital. Methods: qualitative and exploratory study, in which 25 nurses working in a university hospital in the state of Bahia, Brazil participated. Data collection took place through semi-structured interviews and categorized according to Thematic Analysis, using Nvivo software. Results: The prevalent challenges involved: lack of encouragement from the institution for the training of leaders; professional inexperience and young age; resistance to leadership and insubordination. The strategies adopted by nurses consist of acting as team examples and establishing dialogic relationships. Final considerations: The practice of Transformational Leadership has been relevant in the daily lives of nurses and contributes to the quality of care.


2020 ◽  
Vol 24 (1) ◽  
Author(s):  
Lana Jocasta de Souza Brito ◽  
Silvia Helena Henriques ◽  
Cléria Bragança ◽  
Laura Andrian Leal

Abstract Objectives: To characterize the in-service training process of health workers from federal prison units. Method: This is a qualitative descriptive-exploratory study. The information was collected through semi-structured interviews with professionals of the referred services, from June to October 2018. Results: Data analysis revealed that health professionals were unaware of the work performed within these establishments and that the concern of these institutions by the improvement of these workers is recent and marked by isolated actions. Of the courses offered, few contemplate the reality of prison health causing the server to seek knowledge on their own. Due to the violent and confining environment, the health team lacks courses such as defense and weaponry. Conclusions and implications for practice: The study reveals flaws in the training strategies offered by the organization and incipient managerial awareness about the professional and emotional preparation of these workers.


2020 ◽  
Vol 14 ◽  
Author(s):  
Mariana Moreira Kirchner ◽  
Rafael Rodrigo da Silva Pimentel ◽  
Thamires Fernandes Cardoso da Silva Rodrigues ◽  
Cremilde Aparecida Trindade Radovanovic ◽  
Márcia Glaciela da Cruz Scardoelli

Objetivo: identificar os motivos que levam os usuários a buscar o tratamento para a dependência de crack e os que os levam à recaída. Método: trata-se de um estudo qualitativo, descritivo, exploratório, com 21 usuários de crack que estiveram hospitalizados para o tratamento da dependência de drogas. Realizou-se a coleta de dados por meio de entrevistas semiestruturadas gravadas, transcritas na íntegra, empregando-se a técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: emergiram-se duas categorias empíricas: Determinantes que propulsionam a recaída em usuários de crack após o tratamento para dependência e Motivações para o tratamento. Conclusão: revela-se que os motivos que propiciam a recaída são: uso de múltiplas drogas, ambientes que favoreçam o consumo e relações familiares conflituosas. Destaca-se quanto aos motivos para procurar o tratamento: desejo de reestabelecer as relações intrafamiliares e reduzir problemas oriundos ou agravados pelo uso das drogas. Descritores: Cocaína; Crack; Transtornos Relacionados ao Uso de Substâncias; Usuários de Drogas; Drogas Ilícitas; Comportamento de Procura de Droga.AbstractObjective: to identify the reasons that lead users to seek treatment for crack addiction and those that lead to relapse. Method: this is a qualitative, descriptive, exploratory study, with 21 crack users who were hospitalized for the treatment of drug addiction. Data were collected through recorded semi-structured interviews, transcribed in full, using the Content Analysis technique, in the Thematic Analysis modality. Results: two empirical categories emerged: Determinants that propel relapse in crack users after treatment for addiction and Motivations for treatment. Conclusion: it is revealed that the reasons for relapse are: the use of multiple drugs, environments that favor consumption and conflicting family relationships. It stands out as to the reasons for seeking treatment: desire to reestablish intrafamily relationships and reduce problems arising or aggravated by the use of drugs. Descriptors: Cocaine; Crack; Substance-Related Disorders; Drug users; Street Drugs; Drug-Seeking Behavior.ResumenObjetivo: identificar las razones que llevan a los usuarios a buscar tratamiento para la adicción al crack y aquellos que los llevan a una recaída. Método: este es un estudio cualitativo, descriptivo, exploratorio, con 21 usuarios de crack que fueron hospitalizados para el tratamiento de la drogadicción. La recolección de datos se realizó a través de entrevistas semiestructuradas grabadas, transcritas en su totalidad, utilizando la técnica de Análisis de Contenido, en la modalidad de Análisis Temático. Resultados: surgieron dos categorías empíricas: Determinantes que impulsan la recaída en usuarios de crack después del tratamiento para la adicción y Motivaciones para el tratamiento. Conclusión: se revela que las razones de la recaída son: el uso de múltiples drogas, entornos que favorecen el consumo y las relaciones familiares conflictivas. Destaca por las razones para buscar tratamiento: el deseo de restablecer las relaciones intrafamiliares y reducir los problemas que surgen o se agravan por el uso de drogas. Descriptores: Cocaína; Crack; Trastornos Relacionados con Sustancias; Consumidores de Drogas; Drogas Ilícitas; Comportamiento de Búsqueda de Drogas.


2012 ◽  
Vol 1 (2) ◽  
pp. 3-12
Author(s):  
Lucy Aphramor

Background Dietetics relies on a conventional weight-centred paradigm that attributes disease risk to fatness and encourages weight loss. This research examines the impact that this weight-centred paradigm has on the health, health-seeking behaviours, and everyday experiences of women who self-identify as large. Methods This was a qualitative, community-based study using semi-structured interviews and focus groups. The participants were 18 women who self-identified as being large, either previously or currently, where large was understood among participants as an appropriate descriptor for fatness. Interviews and focus groups were recorded and transcribed verbatim and data were manually sorted. Coding categories were developed and participants' quotes were assigned to these using thematic analysis. The study had ethics approval. Results Participants described that health professionals’ assumptions and recommendations about their weight negatively affected psychosocial variables and behaviours known to impact on health, such as depression, self-esteem, eating/exercise habits and interpersonal relationships. The assumptions of a weight-centred paradigm underpinned experiences of size discrimination outside the clinic. Conclusions The conventional position towards weight results in attitudes and practices that negatively impact on health and health-seeking behaviour through a range of interlinked pathways. A professional commitment to reappraising the weight-centred paradigm is required to promote good health and avoid overt and inadvertent size discrimination.


2020 ◽  
Author(s):  
Kumiko Hada ◽  
Mitsuko OHIRA ◽  
Mikiya NAKATSUKA

Abstract Background: Miscarriage or stillbirth is an experience of losing a child. However, in a clinical setting, men are positioned to support women. Therefore, mental support for men is insufficient. It is predicted that marital mourning in men will affect marital relations if it does not go smoothly. This study aimed to clarify the experiences of husbands in couples suffering from recurrent pregnancy loss (RPL) in Japan and clarify the support based on the husband’s needs.Methods: Semi-structured interviews were conducted with 14 husbands attending the outpatient treatment for RPL at visiting clinic of a University Hospital A in City A. The interview data were analyzed using a qualitative descriptive approach.Results: The husbands’ experiences were classified into 13 categories. Based on the interview data, the husbands felt shock of first pregnancy loss, and then while experiencing lingering anxiety regarding pregnancy loss and feeling less grief over subsequent pregnancy losses, they made an effort to accept recurrent loss. Husbands were feeling apologetic to one’s wife, resulting in prioritizing one’s wife and performing actions toward wife with good intentions. Moreover, after experiencing repeated pregnancy losses, husbands felt feelings of hopelessness caused by RPL, while craving for a child and giving up on having a child, and experiencing difficulty faced in sexual relations while maintaining a distant but steady marital relationship. Husbands were hoping that family members would quietly offer support and engaged in stance at work of not wanting people to mention RPL.Conclusions: The husband with RPL supported his wife while suffering from the mental burden of a miscarriage or stillbirth and was isolated in a relationship. Medical professionals should be able to advocate for husbands in couples suffering from RPL to help them voice their feelings to their wives; moreover, frameworks need to be established to support good marital relationships and psychologically support the husbands of such couples.


2019 ◽  
Vol 27 ◽  
pp. e45298
Author(s):  
Ana Luiza Rimoli Hormain Barcellos ◽  
Daniele Ferreira Acosta ◽  
Daiane Porto Gautério Abreu ◽  
Suelen Gonçalves de Oliveira

Objetivo: analisar a percepção de homens, candidatos à esterilização, sobre a vasectomia e identificar os motivos que os levaram a escolher tal procedimento. Método: pesquisa qualitativa descritiva, realizada com 14 homens em um hospital universitário, do município do Rio Grande/RS, em 2019. Foram realizadas entrevistas semiestruturadas, submetidas à análise de conteúdo. Estudo aprovado pelo Comitê de Ética em Pesquisa. Resultados: a idade média foi de 31,8 anos, e a maioria tinha filhos com a atual e com ex-parceiras. O conhecimento vago sobre vasectomia foi reforçado após encontro com assistente social. A influência de conhecidos foi positiva na tomada de decisão. A proteção da saúde da esposa foi um dos motivos para a realização do procedimento. O histórico de vida cercado por violência na infância também serviu como motivação. Conclusão: é preciso um olhar ampliado, dos profissionais da saúde sobre o tema; considerando o contexto e o projeto de vida do cliente nas situações de planejamento familiar.ABSTRACTObjective: to analyze the perception of men, candidates for sterilization, about vasectomy and to identify the reasons that led them to choose the method. Method: qualitative descriptive research, carried out with 14 men in a university hospital, in the municipality of Rio Grande/RS, in 2019. Semi-structured interviews were carried out, submitted to content analysis. Study approved by the Research Ethics Committee. Results: the average age was 31.8 years, and most had children with the current and former partners. Knowledge about vasectomy was reformed after meeting with a social worker. A known influence was positive in decision making. The protection of the wife's health was one of the reasons for carrying out the procedure. The life history surrounded by childhood violence also serves as an individual motivation. Conclusion: an expanded look is needed by health professionals, taking into account the context and the life project in family planning situations.RESUMENObjetivo: analizar la percepción de los hombres, candidatos a la esterilización, sobre la vasectomía e identificar las razones que los llevaron a elegir el método. Método: investigación descriptiva cualitativa, realizada con 14 hombres en un hospital universitario, en el municipio de Rio Grande/RS, en 2019. Se realizaron entrevistas semiestructuradas, sometidas a análisis de contenido. Estudio aprobado por el Comité de Ética en Investigación. Resultados: la edad promedio fue de 31.8 años, y la mayoría tenía hijos con las parejas actuales y anteriores. El conocimiento sobre la vasectomía se reformó después de reunirse con un trabajador social. Una influencia conocida fue positiva en la toma de decisiones. La protección de la salud de la esposa fue una de las razones para llevar a cabo el procedimiento. La historia de la vida rodeada de violencia infantil también sirve como una motivación individual. Conclusión: los profesionales de la salud necesitan una mirada más amplia, teniendo en cuenta el contexto y el proyecto de vida en situaciones de planificación familiar.


2014 ◽  
Vol 35 (1) ◽  
pp. 47-54 ◽  
Author(s):  
Roberta Juliane Tono de OLIVEIRA ◽  
Fernanda Hannah da Silva COPELLI ◽  
Aline Lima PESTANA ◽  
José Luís Guedes dos SANTOS ◽  
Vitória Regina Petters GREGÓRIO ◽  
...  

Governance refers to all processes that grant nurses autonomy, control and authority over the nursing practice. The aim of this study was to identify intervening conditions on governance of nursing practice at an obstetrics centre. This is a qualitative study based on the Grounded Theory method. Data were collected between January and May 2013 by means of semi-structured interviews with 27 participants of a university hospital in southern Brazil, divided into four sampling groups. Data were analysed using open, axial and selective coding. Governance is reinforced by experience and professional autonomy, coordination of the care and management dimension, interpersonal communication, satisfaction and engagement with the profession. It is limited by difficulties with interpersonal relationships, work overload and precarious physical structure of the maternity units. This study provides arguments for the discussion on improvements in healthcare and the professional satisfaction of nurses and nursing teams.


2018 ◽  
Vol 12 (12) ◽  
pp. 3239
Author(s):  
Cristiane Martins Da Rocha ◽  
Giovana Calcagno Gomes ◽  
Juliane Portella Ribeiro ◽  
Marlise Capa Verde Almeida de Mello ◽  
Adriane Maria Netto De Oliveira ◽  
...  

RESUMO Objetivo: conhecer os cuidados de Enfermagem relacionados à administração segura de medicamentos em Neonatologia e Pediatria. Método: trata-se de estudo qualitativo, descritivo e exploratório com 23 trabalhadores das equipes de Enfermagem por meio de entrevistas semiestruturadas, submetendo-as à técnica de Análise de Conteúdo na modalidade Análise Temática. Resultados: referiram-se, como cuidados, à supervisão pelo enfermeiro da equipe de Enfermagem, à identificação dos cinco certos preconizados (criança, leito, medicação, dose e horário), ao registro da medicação administrada em uma planilha de cuidados, à realização do cálculo milimétrico das doses, à checagem da validade da medicação, à não aplicação, no mesmo horário, de medicamentos incompatíveis quimicamente, à garantia da assepsia do local da administração, ao cuidado com a temperatura adequada para o armazenamento, à utilização dos medicamentos e ao esclarecimento das dúvidas existentes antes da administração dos fármacos. Conclusão: conclui-se que a segurança do paciente em relação à administração de medicamentos nas Unidades de Neonatologia e Pediatria é complexa exigindo, dos profissionais da equipe de Enfermagem, habilidades e competências para o seu enfrentamento. Descritores: Segurança do Paciente; Criança; Erros de Medicação; Enfermagem; Cuidado de Enfermagem; Sistemas de Medicação.ABSTRACT Objective: to know Nursing care related to the safe administration of medications in Neonatology and Pediatrics. Method: it is a qualitative, descriptive and exploratory study with 23 workers of the Nursing teams through semi-structured interviews, subjecting them to the technique of Content Analysis in the Thematic Analysis modality. Results: they referred to the supervision by the Nursing staff of the Nursing team, the identification of the five recommended ones (child, bed, medication, dose and schedule), the registration of the medication administered in a care plan, the millimetric calculation of doses, checking the validity of the medication, non-application of chemically incompatible drugs at the same time, ensuring the asepsis of the administration site, taking care of the temperature appropriate for storage, use of medicines and doubts prior to the administration of the drugs. Conclusion: it is concluded that patient safety in relation to medication administration in the Neonatology and Pediatrics Units is complex, requiring the professionals of the Nursing team, skills and competencies to cope with them. Descriptors: Patient Safety; Child; Medication Errors; Nursing; Nursing Care; Medication Systems.RESUMENObjetivo: conocer los cuidados de enfermería relacionados con la administración segura de medicamentos en Neonatología y Pediatría. Método: se trata de un estudio cualitativo, descriptivo y exploratorio con 23 trabajadores de los equipos de Enfermería por medio de entrevistas semiestructuradas, sometiéndolos a la técnica de Análisis de Contenido en la modalidad Análisis Temático. Resultados: se refirieron, como cuidados, a la supervisión por el enfermero del equipo de Enfermería, a la identificación de los cinco ciertos preconizados (niño, lecho, medicación, dosis y horario), al registro de la medicación administrada en una hoja de cuidados, el cálculo milimétrico de las dosis, el chequeo de la validez de la medicación, la no aplicación, al mismo tiempo, de medicamentos incompatibles químicamente, a la garantía de la asepsia del local de la administración, al cuidado de la temperatura adecuada para el almacenamiento, la utilización de los medicamentos y aclaración de las dudas existentes antes de la administración de los fármacos. Conclusión: se concluye que la seguridad del paciente en relación con la administración de medicamentos en las Unidades de Neonatología y Pediatría es compleja exigiendo, de los profesionales del equipo de Enfermería, habilidades y competencias para su enfrentamiento. Descriptores: Seguridad del Paciente; Niño; Errores de Medicación; Enfermería; Atención de Enfermería; Sistemas de Medicación.


2019 ◽  
Vol 13 ◽  
Author(s):  
Magda Kelanny Costa de Oliveira Silva ◽  
Luana Cavalcante Costa Ferraz ◽  
Marcela Barbosa de Farias ◽  
Jéssyca Karen Campos Januário ◽  
Ana Carolina Santana Vieira ◽  
...  

RESUMOObjetivo: descrever a percepção da equipe multiprofissional sobre a utilização do lúdico e dos fatores que interferem na sua prática no contexto do cuidado à criança hospitalizada. Método: trata-se de estudo qualitativo, descritvo, exploratório realizado na Clínica Pediátrica de um hospital universitário, com 18 profissionais, por meio de entrevista semiestruturada e emprego da técnica de Análise de Conteúdo. Resultados: revela-se que os profissionais percebem como o lúdico ajuda a modificar o ambiente hospitalar, os sentimentos e o processo de comunicação com a criança, influencia na adesão às terapêuticas, à socialização, à promoção de vínculos e à colaboração com a equipe, ainda que nem todos se sintam preparados para incorporá-lo à sua rotina de trabalho. Conclusão: depara-se a equipe com dificuldades relacionadas aos recursos humanos e materiais, embora haja benefícios; contudo, investe para que a atenção integral à criança seja mediada de forma humanizada, na capacitação da equipe e modificação da prática de cuidados no hospital. Descritores: Jogos e Brinquedos; Criança; Hospitalização; Equipe de Assistência ao Paciente; Saúde da Criança; Enfermagem Pediátrica. ABSTRACT Objective: to describe the perception of the multiprofessional team about the use of play and the factors that interfere in their practice in the context of the care of hospitalized children. Method: this is a qualitative, descriptive, exploratory study carried out in the Pediatric Clinic of a university hospital, with 18 professionals, through a semi-structured interview and using the Content Analysis technique. Results: it is revealed that the professionals perceive how play help to modify the hospital environment, the feelings and the process of communication with the child, influences adherence to therapies, socialization, the promotion of bonds and collaboration with the team, even though not everyone feels prepared to incorporate it into their work routine. Conclusion: the team faces difficulties related to human and material resources, although there are benefits; however, it invests so that the child's integral care is mediated in a humanized way, in the qualification of the team and modification of the practice of care in the hospital. Descriptors: Games and Toys; Child; Hospitalization; Patient Assistance Team; Child Health; Pediatric Nursing. RESUMEN Objetivo: describir la percepción del equipo multiprofesional sobre la utilización del lúdico y de los factores que interfieren en su práctica en el contexto del cuidado al niño hospitalizado. Método: se trata de un estudio cualitativo, descriptivo, exploratorio realizado en la Clínica Pediátrica de un hospital universitario, con 18 profesionales, por medio de entrevista semiestructurada y empleo de la técnica de Análisis de Contenido. Resultados: se revela que los profesionales perciben cómo el lúdico ayuda a modificar el ambiente hospitalario, los sentimientos y el proceso de comunicación con el niño, influye en la adhesión a las terapias, a la socialización, a la promoción de vínculos y a la colaboración con el equipo, aunque no todos se sienten preparados para incorporarlo a su rutina de trabajo. Conclusión: se encuentra el equipo con dificultades relacionadas con los recursos humanos y materiales, aunque hay beneficios; sin embargo, invierte para que la atención integral al niño sea mediada de forma humanizada, en la capacitación del equipo y modificación de la práctica de cuidados en el hospital. Descritores: Juego e Implementos de Juego; Niño; Hospitalización; Grupo de Atención al Paciente; Salud del Niño; Enfermería Pediátrica.


Sign in / Sign up

Export Citation Format

Share Document