Comparison of anesthesia professionals' preferences of delivery method with other health professionals

RESUMOObjetivo: conhecer a percepção do acompanhante quanto ao seu acolhimento durante o trabalho de parto e parto. Método: trata-se de estudo qualitativo, descritivo, exploratório e transversal desenvolvido com 25 acompanhantes de parturiente. Os instrumentos de coleta de dados foram um formulário e a entrevista semiestruturada. Os dados foram analisados utilizando-se a Análise de Conteúdo, na modalidade Análise Categorial. Resultados: identificaram-se as categorias “Acolhimento adequado às necessidades do acompanhante” e “Acolhimento inadequado às necessidades do acompanhante”. Conclusão: a maioria dos acompanhantes sentiu-se acolhida, ficou satisfeita com a atenção que recebeu dos profissionais de saúde, com as explicações e informações adequadas dos procedimentos, intervenções realizadas com a parturiente e relatou que a ambiência da maternidade atendeu às suas necessidades de conforto. Porém, alguns entrevistados apontaram que o acolhimento não foi bom, que as informações e esclarecimentos não foram suficientes ou não existiram, por parte dos profissionais de saúde, contribuindo para uma percepção negativa do acolhimento. Os resultados deste estudo contribuem com as políticas e programas voltados para a assistência humanizada no processo gravídico-puerperal. Descritores: Trabalho de parto; Parto; Acolhimento; Saúde da mulher; Humanização; Parto Humanizado.ABSTRACT Objective: to know the attendant's perception of their reception during labor and delivery. Method: this is a qualitative, descriptive, exploratory and cross-sectional study developed with 25 parturient companions. The instruments of data collection were a form and the semi-structured interview. The data was analyzed using the Content Analysis, in the Analysis category. Results: the categories "Adequate accompaniment to the needs of the companion" and "Inappropriate accompaniment to the needs of the companion" were identified. Conclusion: most of the caregivers felt welcome, were satisfied with the care they received from the health professionals, with the explanations and adequate information of the procedures, interventions performed with the woman patient and reported that the maternity environment met their comfort needs. However, some interviewees pointed out that the reception was not good, that the information and clarifications were not enough or did not exist, on the part of the health professionals, contributing to a negative perception of the reception. The results of this study contribute to policies and programs aimed at humanized care in the pregnancy-puerperal process. Descriptors: Labor, Obstetric; Parturition; User Embracement; Women’s Health; Humanizing Delivery.RESUMEN Objetivo: conocer la percepción del acompañante en cuanto a su acogida durante el trabajo de parto y parto. Método: se trata de un estudio cualitativo, descriptivo, exploratorio y transversal, desarrollado con 25 acompañantes de parturienta. Los instrumentos de recolección de datos fueron un formulario y la entrevista semiestructurada. Los datos fueron analizados utilizando el Análisis de Contenido en la modalidad Análisis Categorial. Resultados: se identificaron dos categorías: “Acogida adecuada a las necesidades del acompañante” y “Acogida inadecuada a las necesidades del acompañante”. Conclusión: la mayoría de los acompañantes se sintió acogida, se quedó satisfechos con la atención que ha recibido de los profesionales de salud, con las explicaciones e informaciones adecuadas de los procedimientos, intervenciones realizadas con la parturienta y relató que el ambiente de la maternidad atendió a sus necesidades de confort. Sin embargo, algunos entrevistados apuntaron que la acogida no fue buena, que las informaciones y aclaraciones no fueron suficientes o no existieron, por parte de los profesionales de salud, contribuyendo a una percepción negativa de la acogida. Los resultados de este estudio contribuyen con las políticas y programas dirigidos a la asistencia humanizada en el proceso gravídico-puerperal. Descriptores: Trabajo de parto; Parto; Acogimiento; Salud de La Mujer; Parto Humanizado.

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DISCUSSING OBSTETRIC VIOLENCE THROUGH THE VOICES OF WOMEN AND HEALTH PROFESSIONALS

Texto & Contexto - Enfermagem ◽

10.1590/0104-07072017006500015 ◽

2017 ◽

Vol 26 (2) ◽

Cited By ~ 2

Author(s):

Virgínia Junqueira Oliveira ◽

Cláudia Maria de Mattos Penna

Keyword(s):

Discourse Analysis ◽

Health Professionals ◽

Patient Relationship ◽

Delivery Method ◽

Public Network ◽

The Public ◽

West Region ◽

Obstetric Violence ◽

Maternity Hospitals ◽

Childbirth Care

ABSTRACT Objective: to analyze the discourses of women and health professionals regarding care during childbirth, considering the situations experienced and the interactions between them during labor and delivery. Method: this is an interpretative study with a qualitative approach. Discourse Analysis was used as the research method. The research scenarios were seven maternity hospitals, belonging to the public network of the Central-West region of Minas Gerais. Interviews were conducted with 36 laboring mothers, 10 midwives and 14 obstetricians. The collected data were submitted to discourse analysis. Results: the data were organized into three categories: 1) Witnessed obstetric violence described in the discourse of the midwife: which discusses that even acknowledging the presence of this, they talk of the difficulty of guaranteeing the rights of the mother in labor in the scenario of childbirth; 2) Today everything is obstetric violence: it shows the denial of the existence of this phenomenon in the professional-patient relationship; 3) Here we have no voice: obstetric violence is present, but there is a certain consent the part of women who, in the presence of the birth, forget the way they received assistance. Conclusion: hostile treatment is one of the obstacles of the humanization of childbirth care, interfering with the choice of delivery method, and it is necessary to review the concept of obstetric violence, considering all its specifics and nuances.

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Reimbursement and Telepractice

Perspectives on Telepractice ◽

10.1044/teles3.2.35 ◽

2013 ◽

Vol 3 (2) ◽

pp. 35-40

Author(s):

Carol Dudding

Keyword(s):

Service Delivery ◽

Healthcare Services ◽

Speech Language Pathology ◽

Delivery Method ◽

Quality Healthcare ◽

Service Delivery Models ◽

Private Lives ◽

Language Pathology ◽

Delivery Models

Whether in our professional or private lives, we are all aware of the system wide efforts to provide quality healthcare services while containing the costs. Telemedicine as a method of service delivery has expanded as a result of changes in reimbursement and service delivery models. The growth and sustainability of telehealth within speech-language pathology and audiology, like any other service, depends on the ability to be reimbursed for services provided. Currently, reimbursement for services delivered via telehealth is variable and depends on numerous factors. An understanding of these factors and a willingness to advocate for increased reimbursement can bolster the success of practitioners interested in the telehealth as a service delivery method.

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BREATHE: A Pilot Study of a One-Day Retreat to Reduce Burnout Among Mental Health Professionals

Yearbook of Psychiatry and Applied Mental Health ◽

10.1016/j.ypsy.2011.07.092 ◽

2012 ◽

Vol 2012 ◽

pp. 356-357

Author(s):

J.C. Ballenger

Keyword(s):

Mental Health ◽

Pilot Study ◽

Mental Health Professionals ◽

Health Professionals

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Arbeitsengagement und Belastungserleben von Health Professionals in Zeiten der Corona-Pandemie

Pflege ◽

10.1024/1012-5302/a000759 ◽

2020 ◽

Vol 33 (5) ◽

pp. 299-307

Author(s):

Domenika Wildgruber ◽

Jana Frey ◽

Max Seer ◽

Kristina Pinther ◽

Clemens Koob ◽

...

Keyword(s):

Health Professionals ◽

Soziale Medien

Zusammenfassung. Hintergrund: Die Corona-Pandemie führte zu einer starken Beanspruchung von Health Professionals, deren allgemeine berufliche Situation mit einem hohem Belastungserleben verbunden ist. Quantitative Daten zum Belastungserleben der im Gesundheitswesen Tätigen in der Corona-Pandemie und mögliche Auswirkungen auf das Arbeitsengagement fehlen bis dato für Deutschland. Methode: Mittels einer Querschnittsbefragung wurden das Stresserleben, die Sorge um die Gesundheit und das Arbeitsengagement von Health Professionals deutschlandweit erhoben. Das „snapshot survey“ nutzte neben selbst entwickelten Fragen Items eines validierten Instrumentes zur Erfassung des Arbeitsengagements. Über soziale Medien wurden in Form einer Gelegenheitsstichprobe Health Professionals zur Teilnahme eingeladen. Es konnten 1168 gültige Fälle ausgewertet werden. Die Teilnehmenden waren mehrheitlich Pflegende (80 %, n = 855). Ergebnisse: Es zeigt sich, dass Health Professionals mit Direktkontakt zu COVID-19-Erkrankten im Gegensatz zu Befragten ohne Kontakt ein höheres Stresslevel angeben (MW = 3,81, SD = 1,09 vs. MW = 3,44, SD = 1,12, t(1062) = 5,40, p < 0,001; ε = 0,33), sich am meisten Sorgen um die Gesundheit ihrer Angehörigen sowie von Freundinnen und Freunden machen und dass diese Sorgen größer als bei Health Professionals ohne Kontakt sind (MW = 4,45, SD = 0,84 vs. MW = 4,19, SD = 0,94, t(1062) = 4,74, p < 0,001; ε = 0,29). Die Korrelationsanalysen (r = –0,182, p < 0,001) und die multiple Regressionsanalyse (β = –0,182, p < 0,001) ergaben, dass das Arbeitsengagement mit steigendem, pandemiebedingtem Stress abnimmt. Diskussion: Es zeigen sich theoriekonforme Zusammenhänge zwischen Anforderungen, Stresserleben und Arbeitsengagement. Im Vergleich zu früheren Studien ist das Arbeitsengagement in der Stichprobe gering. Zur Reduktion psychischer Belastungsfaktoren in einer Pandemie liegen vielfältige Empfehlungen vor, die nun auch in der Breite für Deutschland zur Anwendung kommen sollten. Hierzu zählen beispielsweise pandemiespezifische Präventionspläne oder die Schaffung eines sanktionsfreien Arbeitsumfeldes.

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Stakeholder Perspectives on the Stigma of Suicide Attempt Survivors

Crisis ◽

10.1027/0227-5910/a000413 ◽

2017 ◽

Vol 38 (2) ◽

pp. 73-81 ◽

Cited By ~ 31

Author(s):

Lindsay L. Sheehan ◽

Patrick W. Corrigan ◽

Maya A. Al-Khouja ◽

Keyword(s):

Suicide Attempt ◽

Health Professionals ◽

Attempted Suicide ◽

Community Based Participatory Research ◽

Public Stigma ◽

Suicide Method ◽

Community Based ◽

Stakeholder Perspectives ◽

Personal Experiences ◽

Prejudice And Discrimination

Abstract. Background: Past scholarly efforts to describe and measure the stigma surrounding suicide have largely viewed suicide stigma from the perspective of the general public. Aims: In the spirit of community-based participatory research (CBPR), the current study brought together a diverse stakeholder team to qualitatively investigate the suicide stigma as experienced by those most intimately affected by suicide. Method: Seven focus groups (n = 62) were conducted with suicide attempt survivors, family members of those who died by suicide, and suicide loss therapists. Results: Themes were derived for stereotypes (n = 30), prejudice (n = 3), and discrimination (n = 4). People who attempted suicide were seen as attention-seeking, selfish, incompetent, emotionally weak, and immoral. Participants described personal experiences of prejudice and discrimination, including those with health professionals. Conclusion: Participants experienced public stigma, self-stigma, and label avoidance. Analyses reveal that the stigma of suicide shares similarities with stereotypes of mental illness, but also includes some important differences. Attempt survivors may be subject to double stigma, which impedes recovery and access to care.

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Facing a Patient Who Seeks Help After a Suicide Attempt

Crisis ◽

10.1027/0227-5910/a000242 ◽

2014 ◽

Vol 35 (2) ◽

pp. 110-122 ◽

Cited By ~ 15

Author(s):

Inês Areal Rothes ◽

Margarida Rangel Henriques ◽

Joana Barreiros Leal ◽

Marina Serra Lemos

Keyword(s):

Health Professionals ◽

Suicide Attempts ◽

Self Report ◽

Suicidal Patient ◽

Emotional Difficulties ◽

Specific Training ◽

Patient Suicide ◽

Professional Groups ◽

Professional Characteristics ◽

Suicidal Patients

Background: Although intervention with suicidal patients is one of the hardest tasks in clinical practice, little is known about health professionals’ perceptions about the difficulties of working with suicidal patients. Aims: The aims of this study were to: (1) describe the difficulties of professionals facing a suicidal patient; (2) analyze the differences in difficulties according to the sociodemographic and professional characteristics of the health professionals; and (3) identify the health professionals’ perceived skills and thoughts on the need for training in suicide. Method: A self-report questionnaire developed for this purpose was filled out by 196 health professionals. Exploratory principal components analyses were used. Results: Four factors were found: technical difficulties; emotional difficulties; relational and communicational difficulties; and family-approaching and logistic difficulties. Differences were found between professionals who had or did not have training in suicide, between professional groups, and between the number of patient suicide attempts. Sixty percent of the participants reported a personal need for training and 85% thought it was fundamental to implement training plans targeted at health professionals. Conclusion: Specific training is fundamental. Experiential and active methodologies should be used and technical, relational, and emotional questions must be included in the training syllabus.

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