scholarly journals COMPREHENSIVE MEDICATION MANAGEMENT SERVICES IN A BRAZILIAN SPECIALITY PHARMACY: A QUALITATIVE ASSESSMENT

2017 ◽  
Vol 9 (3) ◽  
pp. 227 ◽  
Author(s):  
Kirla Barbosa Detoni ◽  
Mariana Martins Gonzaga Do Nascimento ◽  
Isabela Viana Oliveira ◽  
Mateus Rodrigues Alves ◽  
Manoel Machuca GonzÁles ◽  
...  
Keyword(s):  
Participant Observation ◽  
Patient Flow ◽  
Medication Management ◽  
Implementation Process ◽  
Ethnographic Study ◽  
Qualitative Assessment ◽  
Healthcare Team ◽  
Structured Interviews ◽  
Eligibility Criteria ◽  
Manager Support

Objective: To understand and describe the implementation process of a comprehensive medication management (CMM) service in a public speciality pharmacy in Brazil.Methods: Ethnographic study conducted over 17 mo (September 2014 to February 2016) in a public speciality pharmacy. Semi-structured interviews were conducted with twelve participants. Notes on field journals, resulting from participant observation conducted by the two pharmacists directly responsible for the service implementation, were also used as a source of data.Results: Ten important conditions to improve the success of CMM service implementation were identified: manager support; evaluation of physical and material resources; evaluation of human resources practitioners’ characteristics and knowledge about the theoretical framework of CMM services; time dedicated to CMM services; redefining the work process; defining patient eligibility criteria to CMM service; defining patient flow to CMM service; communication with healthcare team; integration with the staff; and marketing the service internally.Conclusion: The results unveiled by this article can be used by pharmacists and managers as a tool to optimize the implementation of CMM services in different healthcare settings. These conditions do not consist the only aspects necessary to ensure the success of the service; however, they can contribute to optimize the implementation process of the practice

scholarly journals "The group facilitates everything": meanings patients with type 2 diabetes mellitus assigned to health education groups

2014 ◽  
Vol 22 (6) ◽  
pp. 980-987 ◽  
Author(s):  
Lucas Pereira de Melo ◽  
Edemilson Antunes de Campos
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Health Education ◽  
Healthcare Workers ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Public Health Care ◽  
Structured Interviews

OBJECTIVE: to interpret the meanings patients with type 2 diabetes mellitus assign to health education groups.METHOD: ethnographic study conducted with Hyperdia groups of a healthcare unit with 26 informants, with type 2 diabetes mellitus, and having participated in the groups for at least three years. Participant observation, social characterization, discussion groups and semi-structured interviews were used to collect data. Data were analyzed through the thematic coding technique.RESULTS: four thematic categories emerged: ease of access to the service and healthcare workers; guidance on diabetes; participation in groups and the experience of diabetes; and sharing knowledge and experiences. The most relevant aspect of this study is the social use the informants in relation to the Hyperdia groups under study.CONCLUSION: the studied groups are agents producing senses and meanings concerning the process of becoming ill and the means of social navigation within the official health system. We expect this study to contribute to the actions of healthcare workers coordinating these groups given the observation of the cultural universe of these individuals seeking professional care in the various public health care services.

scholarly journals A Bridge to Portugal: Language and Identity in Bridgeport, CT

2020 ◽  
Vol 5 (2) ◽  
pp. 123-140
Author(s):  
Fabio Scetti
Keyword(s):  
Identity Construction ◽  
Language Contact ◽  
Language Use ◽  
Participant Observation ◽  
American English ◽  
Ethnographic Study ◽  
Language And Identity ◽  
Speech Community ◽  
Structured Interviews ◽  
The Status

Here I present the results of BridgePORT, an ethnographic study I carried out in 2018 within the Portuguese community of Bridgeport, CT (USA). I describe language use and representation among Portuguese speakers within the community, and I investigate the integration of these speakers into the dominant American English speech community. Through my fieldwork, I observe mixing practices in day-to-day interaction, while I also consider the evolution of the Portuguese language in light of language contact and speakers’ discourse as this relates to ideologies about the status of Portuguese within the community. My findings rely on questionnaires, participant observation of verbal interaction, and semi-structured interviews. My aim is to show how verbal practice shapes the process of identity construction and how ideas of linguistic “purity” mediate the maintenance of a link to Portugal and Portuguese identity.

scholarly journals TACTICS OF BORDER CROSSING MOVEMENT: EXPLORING THE MOBILITY OF BRAZILIANS THROUGH THE SCHENGEN AND UK AIRSPACE

2015 ◽  
Vol 3 (5) ◽  
pp. 216 ◽  
Author(s):  
Gustavo Dias
Keyword(s):  
Social Space ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Border Crossing ◽  
Structured Interviews ◽  
Main Research ◽  
Social Actors ◽  
Research Orientation ◽  
Definition Of ◽  
Embodied Practice

This paper addresses the relations between migrants, mobility, tactics, negotiation, and the contemporary definition of borders in the aftermath of 9/11.The empirical focus of this paper is how Brazilians from Alto Paranaiba journey through airports located in the Schengen area and in the British territory to London. As a main research orientation, I use the notion of journey as approached by mobility studies, where actions and skills remain an important link between the wayfarer and the social space in which s/he moves through, the embodied practice to how we grasp the world. Migrants deal and struggle against border regime, but they are not powerless social actors. They rather produce creative resistance to reinvent their journey through the surveillance apparatus, which manage and delimit places with targets and threats. In this process, I explore the notion of border crossing movement as a tactical mobility developed by migrants to overcome the border control imposed by governments in airports. The article was drawn through fieldwork conducted initially in London, between 2009 and 2013, and afterwards in Alto Paranaiba, during 2013. The ethnographic study consisted in semi-structured interviews, participant observation through snowball technique, which enabled me to access a considerable number of participants in these two regions explored. The argument that I develop is that migrants as social actors are part important in the dialogue produced between border crossing and border reinforcement.

Counting, Coping, and Navigating the Flux: A Focused Ethnographic Study of HIV and Diabetes Self-Management

2021 ◽  
pp. 104973232110642
Author(s):  
Chelsi W Ohueri ◽  
Alexandra A. García ◽  
Julie A. Zuñiga
Keyword(s):  
Management Practices ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Self Management ◽  
People Living With Hiv ◽  
Structured Interviews ◽  
Familial Support ◽  
Multiple Observations ◽  
Dual Diagnoses ◽  
Living With Hiv

Approximately 10–15% of people living with HIV are also diagnosed with diabetes. To manage their two chronic conditions, people must undertake certain activities and adopt behaviors. Due to overlapping symptoms, complex medication regimens, and heavy patient workloads, implementing these self-management practices can be difficult. In this focused ethnography, data were collected from semi-structured interviews and limited participant-observation with a selected subset of participants to gain insight into self-management challenges and facilitators. We conducted interviews and multiple observations with 22 participants with HIV+T2DM over the period of 9 months. Participants experienced numerous barriers to self-management in the areas of diet, medication adherence, and mental health. Social and familial support, as well as consistent access to care, were facilitators for optimal self-management. At the same time participants’ lives were in a unique flux shaped by the dual diagnoses, and therefore, required constant mental and physical adjustments, thus illustrating challenges of managing chronicity.

Peer coaching in a school in Cairo, Egypt

2019 ◽  
Vol 8 (1) ◽  
pp. 37-51 ◽  
Author(s):  
Steve Sider
Keyword(s):  
Peer Coaching ◽  
School Administrators ◽  
Participant Observation ◽  
Implementation Process ◽  
Global South ◽  
Successful Implementation ◽  
Structured Interviews ◽  
Content Type ◽  
Barriers And Opportunities ◽  
Key Aspects

Purpose The purpose of this paper is to examine how peer coaching was introduced in one school in Egypt and to identify barriers and opportunities for successful implementation. Design/methodology/approach The methodology included semi-structured interviews with eight teachers, participant observation of their classes and meetings, and three focus group meetings with teachers and school administrators. Findings Ladyshewsky’s (2017) five key aspects of peer coaching are considered in the findings: establishing peer partners, building trust between the partners, identifying specific areas to target for learning, training on non-evaluative questions and feedback, and supporting each other as new ideas are attempted. Each aspect of these is reviewed in light of the implementation process in the school. Practical implications The study provides practical suggestions for teachers and school administrators that include considerations for implementation. Numerous connections are made to research on peer coaching that is relevant to the implementation of peer coaching in schools in Egypt and other countries in the Global South. Originality/value The study provides an examination of the implementation of peer coaching in a school in Egypt. Thus, it contributes to the limited literature on peer coaching in the Global South. The discussion and conclusion sections consider further questions and research opportunities for effective practices in peer coaching in international contexts.

scholarly journals Geriatric care: ways and means of providing comfort

2017 ◽  
Vol 70 (4) ◽  
pp. 830-837 ◽  
Author(s):  
Patricia Cruz Pontifice Sousa Valente Ribeiro ◽  
Rita Margarida Dourado Marques ◽  
Marta Pontifice Ribeiro
Keyword(s):  
Older Adults ◽  
Participant Observation ◽  
Geriatric Care ◽  
Ethnographic Study ◽  
Personal Hygiene ◽  
Structured Interviews ◽  
Positive Interaction ◽  
The Family ◽  
The Moment ◽  
First Contact

ABSTRACT Objective: To know the ways and means of comfort perceived by the older adults hospitalized in a medical service. Method: Ethnographic study with a qualitative approach. We conducted semi-structured interviews with 22 older adults and participant observation of care situations. Results: The ways and means of providing comfort are centered on strategies for promoting care mobilized by nurses and recognized by patients(clarifying/informing, positive interaction/communication, music therapy, touch, smile, unconditional presence, empathy/proximity relationship, integrating the older adult or the family as partner in the care, relief of discomfort through massage/mobilization/therapy) and on particular moments of comfort (the first contact, the moment of personal hygiene, and the visit of the family), which constitute the foundation of care/comfort. Final considerations: Geriatric care is built on the relationship that is established and complete with meaning, and is based on the meeting/interaction between the actors under the influence of the context in which they are inserted. The different ways and means of providing comfort aim to facilitate/increase care, relieve discomfort and/or invest in potential comfort.

scholarly journals De Feira Nordestina a Centro de Tradições: a construção da identidade nordestina no Rio de Janeiro

ILUMINURAS ◽  
2020 ◽  
Vol 21 (54) ◽  
Author(s):  
Vitor Rebello Ramos Mello
Keyword(s):  
Rio De Janeiro ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Structured Interviews ◽  
Social Actors ◽  
Cultura Popular ◽  
Places Of Memory ◽  
Brazilian Northeast ◽  
The City ◽  
Made In

Resumo: Este estudo etnográfico discute o processo de construção de identidades dos migrantes nordestinos na cidade do Rio de Janeiro, tendo como referência a transformação da Feira de São Cristóvão no Centro Municipal Luiz Gonzaga de Tradições Nordestinas. Parte integrante da dissertação Memórias repentinas: a construção poética do Nordeste pelos repentistas da Feira de São Cristóvão (RJ) defendida no Programa de Pós-Graduação em Memória Social/ UNIRIO[1], a presente análise faz uso da ideia de sociodinâmica da estigmatização para compreender as relações estabelecidas entre cariocas e nordestinos, bem como utiliza o conceito de lugares de memória para entender a importância da Feira enquanto bastião da cultura para a população migrante. Para tanto, fez-se um trabalho de campo entre 2010 e 2012, realizando observação não-participante e entrevistas semiestruturadas com atores sociais locais, além de pesquisa na hemeroteca digital do Centro Nacional de Folclore e Cultura Popular e revisão bibliográfica sobre o tema. Palavras chave: Feira de São Cristóvão. Identidade Nordestina. Nordeste. Rio de Janeiro  FROM A REGIONAL FAIR INTO A CENTRE OF TRADITIONS: THE CONSTRUCTION OF THE BRAZILIAN NORTHEASTERN IDENTITY IN RIO DE JANEIRO.  Abstract: This ethnographic study discusses the process of northeastern migrants' construction identities in the city of Rio de Janeiro, taking as reference the change of the São Cristóvão Fair into the Luiz Gonzaga Municipal Centre of Northeastern Traditions. As part of the dissertation Sudden memories: the poetic construction of the northeast region by the troubadours of the São Cristóvão Fair (RJ) defended in the Post-Graduation Program in Social Memory / UNIRIO, the present analysis makes use of the ideia of the sociodinamic of stigmatization to understand the relationships established between cariocas and northeasterners, using as well the concept of places of memory to comprehend the importance of the Fair as a bastion of culture for the migrant population. To this end, a fieldwork was performed out between 2010 and 2012, with a non-participant observation and semi-structured interviews with local social actors. Besides, researches were made in the digital library of the National Center for Folklore and Popular Culture and a bibliographic review about the topic. Keywords: São Cristóvão Fair. Brazilian northeastern identity. Brazilian northeast. Rio de Janeiro [1] Esta pesquisa contou com bolsa de estudos da CAPES.

scholarly journals An Ethnographic Study of Edmonton Food Trucks

Spectrum ◽  
2020 ◽  
Author(s):  
Selina Ertman
Keyword(s):  
Case Studies ◽  
Participant Observation ◽  
Ethnographic Study ◽  
Urban Spaces ◽  
Structured Interviews ◽  
High Quality ◽  
Transnational Identities ◽  
Food Trucks ◽  
Relational Approach ◽  
Ethnographic Methodology

This article develops an anthropological understanding of the intersection between food and culture in Edmonton’s food truck industry. More specifically, I explore how Edmonton food trucks are able to connect local and global cuisines and cultures through the menu items they offer and images they present to customers, which are predominantly influenced by local, ethnic, authentic and fusion creations. I gained data for this study by employing an ethnographic methodology and relational approach, which involved conducting semi-structured interviews with Edmonton food truck vendors and customers, and engaging in participant observation from May through August of 2019. The following food trucks serve as case studies in my research: Explore India, Dosi Rock, Dedo’s Food Truck and Catering, Meat Street Pies and The Dog. My findings reveal how advertising themes common to Edmonton food trucks, which include notions of authenticity, traditionalism and high quality ingredients, contribute to the construction of a cultural “Other” for customer consumption. In addition, my findings reveal how Edmonton food truck vendors are inspired to develop menus and dishes rooted in and inspirited by their cultural heritages, transnational identities, world travels and movement across ethnoscapes. In conclusion, I argue that the globally inspired ethnocultural cuisines offered by Edmonton food truck vendors are “localized” in a variety of meaningful ways. This study contributes to an underrepresented literature on street food vending in Edmonton by analyzing how food truck move through, occupy, and create urban spaces in meaningful ways.

scholarly journals ‘The whole of Shirebrook got put on an ASBO’: The co-production of territorial stigma in a former colliery town

2021 ◽  
pp. 0308518X2110481
Author(s):  
James Pattison
Keyword(s):  
Participant Observation ◽  
Ethnographic Study ◽  
Structured Interviews ◽  
Mining Town ◽  
High Profile ◽  
Documentary Sources ◽  
Distribution Centre ◽  
Industrial Mining ◽  
The Uk ◽  
Post Industrial

This paper draws on data collected from a multimethod ethnographic study to contribute to debates on the production of territorial stigmatisation through the analysis of Shirebrook, UK: a small post-industrial mining town in Derbyshire, which now houses the distribution centre and warehouse of Sports Direct, recently the subject of high-profile scrutiny in the UK over working conditions. Combining semi-structured interviews, participant observation and the analysis of documentary sources, I argue that the territorial stigmatisation of Shirebrook does not emanate from a single source. Rather, multiple institutions and agents converge in the co-production of stigma. The analysis draws attention to local antagonisms and hierarchies in the production of stigma, demonstrating how relatively powerful actors ‘below’ do not simply resist or deflect stigma onto less powerful others, but influence the way that territorial stigma operates, problematising Wacquant's top-down conceptualisation.

scholarly journals IMPLEMENTATION AND SYSTEMATIZATION OF A COMPREHENSIVE MEDICATION MANAGEMENT (CMM) SERVICE DELIVERED TO WOMEN WITH BREAST CANCER

2018 ◽  
Vol 11 (1) ◽  
pp. 228 ◽  
Author(s):  
Maria Angela Ribeiro ◽  
Simone Araújo Medina Mendonça ◽  
Agnes Ribeiro Filardi ◽  
Anna Claudia Yokoyama Dos Anjos ◽  
Djenane Ramalho De Oliveira
Keyword(s):  
Breast Cancer ◽  
Action Research ◽  
Pharmaceutical Care ◽  
Driving Forces ◽  
Participant Observation ◽  
Medication Management ◽  
Research Process ◽  
Innovative Technology ◽  
Care Practice ◽  
Structured Interviews

  Objective: The aim of the present study was to describe the process of implementation and systematization of a comprehensive medication management (CMM) service, from the perspective of the participants involved, in a high complexity service that cares for women with breast cancer in Brazil.Methods: A qualitative study that utilized action research that followed the procedures proposed by Kurt Lewin and the ethical and clinical principles of pharmaceutical care practice. Data collection techniques were participant observation between August 2014 and December 2016, semi-structured interviews with eight pharmacists and pharmacy residents, field notes, and analysis of documents.Results: Six major themes emerged in four cycles of the action research process: (1) Resistance is human; the management of conflict is necessary; (2) insecurity with being a clinician; (3) management of change supported by driving forces; (4) pharmaceutical care fostering professionals’ self-efficacy; (5) documentation as the conducting wire of the practice; and (6) the advantages of a systematized practice.Conclusion: The study offered an understanding of the process of implementation of CMM services from the perspective of pharmacists. It produced knowledge on the experiences of pharmacists as they lived through the process of transformation of their professional practice to offer a patient-centered and systematized service. The framework of Lewin supported the introduction of a new work path for pharmacists, which could be operationalized as an innovative technology for the Brazilian health-care system: CMM services.

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