scholarly journals ATENCIÓN DE CALIDAD A PACIENTES CON DEFICIENCIA AUDITIVA Y VERBAL, POR PARTE DEL PERSONAL DE ENFERMERÍA DEL HOSPITAL GENERAL SANTO DOMINGO

Author(s):  
Walter Patricio Castelo Rivas ◽  
Karla Karolina Chavarría Zambrano ◽  
Carla Mishell Vaicilla Vega ◽  
Joselyn Brigitte Vanegas Viñan

Introducción: La atención que se brinda a los pacientes sordomudos depende de la relación y comunicación entre el personal de enfermería y los usuarios, pero a pesar de que se trata de una población en ascenso progresivo, existe un déficit de formación, por lo que la atención lo convierte en un desafío para estos. profesionales. Objetivo: Analizar la calidad de atención brindada a las personas sordomudas, en base al desempeño de los profesionales de Enfermería. Métodos: Se utilizó un enfoque cualitativo y diseño fenomenológico. La población escogida fue de 12 enfermeros/as, 9 que laboraban en el área de emergencias y 3 en consulta externa del Hospital General Santo Domingo, utilizando el tipo de muestreo por conveniencia se seleccionó a una muestra de 8 profesionales, se utilizó entrevistas semiestructuradas, las cuales permitieron ahondar en la percepción de los enfermeros/as ante el tema. El análisis de datos se realizó mediante la aplicación Atlas ti Versión 9. Resultados: Se evidenció que, en la atención a personas sordomudas, la comunicación enfermero-paciente tiene muchas falencias, las cuales complican el acceso a la salud de esta población debido a que no se logra comprender completamente las necesidades que mantienen estos usuarios, o a su vez se necesita de terceros para llegar al individuo. Además, existe desinterés de los enfermeros/as, universidades e instituciones de salud en cuanto a la formación integral profesional. Conclusiones: La atención de calidad se ve influenciada negativamente debido a la complejidad de la comunicación entre el enfermero y el paciente sordomudo. Palabras claves: personal de enfermería; pérdida auditiva; trastornos del desarrollo del lenguaje; comunicación; calidad de la atención de salud. ABSTRACT Introduction:  The care provided to deaf-mute patients depends on the relationship and communication between the nursing staff and the users, but despite the fact that it is a population in progressive ascent, there is a training deficit, so the care is makes it a challenge for them. professionals. Objective:  To analyze the quality of attention given to deaf-mutes, based on the performance of the professionals in Nursing.  Methods:  A qualitative focus and phenomenological design were used.  The population chosen was of 12 male/female nurses, nine of which worked in the emergency area and three in the outpatient area of the General Hospital of Santo Domingo, using a type of convenience sampling, a sampling of eight professionals was selected, semi-structured interviews were used, of which allowed for a deepening of the perception of male/female nurses on this subject.  The data analysis was done with the support of the application Atlas ti Version 9.  Results:  It was evidenced that, in the attention given to deaf-mute people, the communication nurse-patient has many flaws, those of which complicate access to health on the part of this population due to the fact that the needs of these service users cannot be fully understood. At the same time, third parties are needed in order to reach the individual.  Besides, there exists a lack of interest on the part of the male/female nurses, universities, and health institutions regarding the integral professional performance.  Conclusions:  Quality attention is seen to be negatively influenced due to the complexity of the communication between the nurse and the deaf-mute patient. Keywords:  nursing personnel; auditory loss; language development disorders; communication; quality in the attention to health.

2017 ◽  
Vol 19 (1) ◽  
pp. 77-88 ◽  
Author(s):  
Heidi Trivasse

Purpose The purpose of this paper is to fulfil national guidelines for greater participation of young people within Children’s Services and specifically explored young offenders’ (YOs) views and experiences of the Youth Justice Service (YJS). Design/methodology/approach Semi-structured interviews were used to gather qualitative evidence regarding the experiences of 11 YOs. The interviews were created with four subsections: demographic information, positive and negative aspects of the YJS, feelings regarding YJS involvement, and hindsight and future plans. Interview transcripts were analysed using thematic analysis. Findings Two main themes arose: how participants perceived their journey through the YJS, and the relationships participants had with both the professionals and activities. Overall, the genuineness and parental quality of the relationships between YOs and YJS workers, and the personal relevance of the work, both appeared more important than formal interventions. Practical implications Implications for YJS practice suggest the need to create a context of genuine care. This includes building a relationship with, and working collaboratively with the YO, the provision of structure and boundaries, ensuring clarity in service provision and tailoring work to the individual and the offence. Originality/value This work satisfies Children’s Services guidance to obtain the view of the young person. It evaluates work within a specific YJS and provides implications for altering the focus of this work. The outcomes offer wider implications for all YJS provisions.


2021 ◽  
Vol 20 (4) ◽  
pp. 131-169
Author(s):  
Ana Lilia Souza Barbosa Barbosa ◽  
Alef Diogo da Silva Santana ◽  
Ednaldo Cavalcante de Araújo ◽  
Paula Daniella de Abreu ◽  
Marcos Soares de Lima ◽  
...  

Objetivo: Identificar las representaciones sociales de las trabajadoras sexuales travestis sobre la calidad de vida. Material y Método: Estudio cualitativo, descriptivo, exploratorio, basado en la Teoría de las Representaciones Sociales, desarrollado con siete travestis trabajadoras sexuales. La producción de los datos se llevó a cabo con entrevistas semiestructuradas y posteriormente se transcribieron, validaron y analizaron a partir del Análisis de contenido temático.Resultados: Surgieron tres clases: 1) Acceso a la salud como principio de calidad de vida; 2) El apoyo de las organizaciones no gubernamentales en la visibilidad y respeto a las demandas de las personas trans y 3) Los vínculos sociales como herramienta útil en el sentido de la calidad de vida.Consideraciones finales: Las representaciones se ubican en la necesidad de acceso a servicios de salud libres de prejuicios; el apoyo de las organizaciones no gubernamentales en el reconocimiento de sus potencialidades y singularidades mediante el establecimiento de vínculos afectivos, solidarios, leales y de confianza, y en el establecimiento de lazos sociales producidos con vecinos y amigos para afrontar las dificultades vividas cotidianamente. Objective: To identify the social representations of transvestite sex professionals regarding quality of life.Material and Method: A qualitative, descriptive, exploratory study, anchored in the Theory of Social Representations, developed with seven professional transvestites of sex. The data production was carried out with semi-structured interviews and later transcribed, validated and analyzed from the Thematic Content Analysis.Results: Three categories emerged: 1) Access to health as a principle to quality of life; 2) Support of non-governmental organizations in the visibility and respect to the demands of the trans population and 3) Social ties as a propositional tool in the meaning of quality of life.Final considerations: The representations are located in the need to access health services free of prejudice; in the support of non-governmental organizations in the recognition of their potentialities and singularities, establishing affective bonds of support, loyalty and trust; and in the establishment of social bonds produced with neighbors and friends to face the difficulties experienced daily. Objetivo: identificar as representações sociais de travestis profissionais do sexo sobre qualidade de vida. Material e Método: Estudo qualitativo, descritivo, exploratório, ancorado na Teoria das Representações Sociais, desenvolvido com sete travestis profissionais do sexo. A produção dos dados foi realizada com entrevistas semiestruturadas e posteriormente transcritas, validadas e analisadas a partir da Análise de Conteúdo Temática. Resultados: Emergiram-se três categorias: 1) O acesso à saúde como princípio à qualidade de vida; 2) Apoio das organizações não governamentais na visibilidade e respeito às demandas das pessoas trans e 3) Os laços sociais como ferramenta propositiva no significado da qualidade de vida.Considerações finais: As representações estão situadas na necessidade de acesso aos serviços de saúde livre de preconceitos; no apoio das organizações não governamentais no reconhecimento de suas potencialidades e singularidades estabelecendo vínculos afetivos, de apoio, lealdade e confiança; e no estabelecimento dos laços sociais produzidos com vizinhos e amigos para o enfrentamento das dificuldades vivenciadas diariamente.


2021 ◽  
Vol 12 (2) ◽  
pp. 178-186
Author(s):  
Atefeh Noorizadeh Ghasri ◽  
Seyyed Aliakbar Famil Rouhany ◽  
Nasrolah Erfani

Background and Objectives: Elderly people need to pay more attention to promoting health promotion and improving quality of life in comparison with other people. On the other hand, the interest and desire to work with the Internet and social networks of internet plays an indelible role in improving the health literacy of the community. This study was carried out with the aim of evaluation the subjective explanation of health literacy through social networks for retired of fund beneficiaries. Material and Methods: The present study is a phenomenological study with emphasis on Van Mennen's perspective to discover the experiences of retirees from the phenomenon of health literacy through social networks. The data were collected through a deep interview. Semi-structured interviews were conducted with 15 retirees of the State Pension Fund in Tehran in 2020 using purposive sampling. All interviews were recorded and implemented and the theme analysis method was used to analyze the interviews. Results: Data analysis resulted in the extraction of 71 primary codes and 33 sub-themes, which was classified in four main themes of experience in the field of "access to health information", experience in the field of "understanding health information" "Experience in the field of" health information evaluation ", experience in the field of" application of health information ". Conclusion: Retirees, who make a large part of the country's elderly population, are embedded in social networks, and all organizations that play a role in the health and education of retirees can create rich educational content and using Simple, understandable multimedia content by social networks as well as the introduction of networks with reliable information for retirees, to improve the level of health literacy and increase useful health information for them, which is an effective factor in maintaining health and increasing the quality of life.


Healthcare ◽  
2021 ◽  
Vol 10 (1) ◽  
pp. 14
Author(s):  
Brenda M. Uribe-Morales ◽  
Pablo A. Cantero-Garlito ◽  
Carmen Cipriano-Crespo

Objective: to explore the perception and experience of fathers of children with disabilities in caring for their children; to know their role and how these tasks impact their daily life, health and physical, mental and/or emotional well-being. Methodology: qualitative approach study with phenomenological design. The sample consisted of seven young fathers of underage children with various diagnoses. The data were collected through semi-structured interviews; the discourse analysis was carried out through open and axial coding processes. Three themes emerged from the results of the analysis: (1) shared responsibilities, (2) somewhat difficult to fit in, and (3) either you join or you split. Results: Fathers must readjust their work schedule, reduce their working hours, or give up their job altogether to take care of their children, as well as give up their social life. They lack time to enjoy their leisure time, to spend time with their partner, to take care of themselves. This involvement in caregiving generates an important occupational imbalance that has repercussions above all on their mental health. Conclusions: The sharing of caregiving tasks also impacts significantly on parents’ lives, it also takes away time and opportunities, and sometimes health and quality of life.


2019 ◽  
pp. 1-21
Author(s):  
Leigh Anne Hale ◽  
Matthew Lee Jenkins ◽  
Beth Mayland ◽  
Yvette Buttery ◽  
Pauline Norris ◽  
...  

Abstract Considering the important role that paid support workers play in care of older people with dementia, it is vital that researchers and relevant organisations understand the factors that lead to them feeling valued for the work that they do, and the consequences of such valuing (or lack thereof). The current study employed semi-structured interviews to understand the individual experiences of 15 support workers based both in residential care homes and private homes. The General Inductive Approach was used to analyse the interview transcriptions and to develop a conceptual model that describes the conditions that lead to support workers feeling valued for the work that they do. This model consists of organisational or individual strategies, the context in which support work takes place, and various interactions, actions and intervening conditions that facilitate or prevent support workers feeling valued. A significant finding in this research was the role of interpersonal relationships and interactions which underlie all other aspects of the conceptual model developed here. By understanding the importance of how employers, families of older adults with dementia and peers interact with support workers, we may promote not only the quality of work that support workers deliver, but also the wellbeing of the support workers themselves.


2015 ◽  
Vol 2 (2) ◽  
Author(s):  
Gede Indra Surya Lasmawan ◽  
Tience Debora Valentina

Over time, drugs abuse in various parts of the world increase widely. Similarly in Indonesia, the results of a survey conducted by the National Narcotics Agency revealed that there are 3.8 million people in Indonesia are drugs user in 2013. Various cases showed that the impact of drugs abuse seen in the loss of materials and non-materials, and can even cause death. Therefore, people who addicted to drugs should immediately stop consuming and required to undergo a recovery process. Therapeutic method with medical approaches recognized until now are diversion programs to substitute drugs or other substance called methadone therapy (Puspita, 2008). Although there are many positive benefits that make the patient to function normally, but methadone therapy also cause side effects and dependence that can psychologically affect the quality of life of patients (Maeyer, 2011). This makes the researcher interested in studying the quality of life of former drugs addicts undergo methadone treatment.   This study used a qualitative method with a phenomenological design with interview and observation as data collection techniques. Respondents were four patients who involve in methadone therapy. Results of the study shows that methadone helps individuals in various aspects of quality of life such as physical health aspect, where the individual can return to normal activities. In the psychological aspects, the individual has motivation to reach higher accomplishment and not mired in regret. Relate to aspects of social relations, family members give support and motivation. Furthermore, environmental aspect showed that individuals have their own work to fulfill their necessary.   Keywords: quality of life, former drugs addicts, methadone therapy  


Author(s):  
Shamona Maharaj ◽  
Ty Lees ◽  
Sara Lal

Nurses remain at the forefront of patient care. However, their heavy workload as a career can leave them overworked and stressed. The demanding nature of the occupation exposes nurses to a higher risk of developing negative mental states such as depression, anxiety, and stress. Hence, the current study aimed to assess the prevalence and risk factors of these mental states in a representative sample of Australian nurses. The Depression Anxiety Stress Scale was administered to 102 nurses. Information about demographic and work characteristics were obtained using lifestyle and in-house designed questionnaires. Prevalence rates of depression, anxiety, and stress were found to be 32.4%, 41.2%, and 41.2% respectively. Binominal logistic regressions for depression and stress were significant (p = 0.007, p = 0.009). Job dissatisfaction significantly predicted a higher risk of nurses developing symptoms of depression and stress respectively (p = 0.009, p = 0.011). Poor mental health among nurses may not only be detrimental to the individual but may also hinder professional performance and in turn, the quality of patient care provided. Further research in the area is required to identify support strategies and interventions that may improve the health and wellbeing of nursing professionals and hence the quality of care delivered.


2020 ◽  
pp. 174239532091049
Author(s):  
J Dixon ◽  
FS Cardwell ◽  
Ann E Clarke ◽  
SJ Elliott

Objectives Individuals with systemic lupus erythematosus experience considerable economic challenges. The aim of this research is to qualitatively investigate experiences of the lifecosts (direct and indirect economic costs and beyond) to those with systemic lupus erythematosus in Canada. Methods Using a biopsychosocial conceptual framework and integrated knowledge translation approach, qualitative semi-structured interviews were conducted with 3 physicians, 5 representatives from systemic lupus erythematosus advocacy groups, and 29 adult systemic lupus erythematosus patients. Themes emerged deductively and inductively, and the theme code set was used to code all transcripts. Results Three dominant themes emerged: (1) impacts of systemic lupus erythematosus on quality of life, relationships, and health; (2) costs linked to healthcare; and (3) impacts of living with systemic lupus erythematosus on employment/economic standing. Discussion Whereas previous work has focused almost exclusively on the direct, individual costs of systemic lupus erythematosus, the biopsychosocial approach taken here emphasizes not only the individual and intermediate factors (such as the workplace and family), but also the system-level factors (i.e. system-level policies) that influence quality of life, healthcare, and employment/economic experiences of those with systemic lupus erythematosus. Results indicate a need to target interventions beyond the individual and their immediate context, and recognize that lifecosts are shaped significantly by systems-level action.


2021 ◽  
pp. 1-10
Author(s):  
Pauline M. Geuijen ◽  
Esther Pars ◽  
Joanneke M. Kuppens ◽  
Aart H. Schene ◽  
Hein A. de Haan ◽  
...  

<b><i>Introduction:</i></b> Substance use disorders (SUDs) among physicians affect their health, quality of life, but potentially also their quality of care. Despite the availability of effective specific Physician Health Programs (PHPs), physicians with SUD often experience barriers when seeking professional help. Therefore, we studied barriers and facilitators when seeking help for SUD among physicians from a multiple perspective approach. <b><i>Methods:</i></b> A qualitative design was adopted for 2 sub-studies. First, answers of 2 open-ended questions (about anticipated barriers and facilitators) of an existing questionnaire were analyzed. This questionnaire was filled out by 1,685 general physicians (response rate = 47%). The answers of these open-ended questions were coded inductively. Second, 21 semi-structured interviews (about experienced barriers and facilitators) were performed with physician SUD-patients, significant others, and PHP employees. Themes identified in the first sub-study were used to deductively code the interview transcripts. Results were reported in accordance with the Consolidated Criteria for Reporting Qualitative Research guidelines. <b><i>Results:</i></b> Barriers were found at the level of the individual physician (negative feelings and lack of disease awareness), whereas facilitators were found at the level of social relationships (confrontation with SUD and social support) and health services (supportive approach, good accessibility, and positive image of services). The interviews emphasized the importance of nonjudgmental confrontation by social relationships in the process of seeking help for SUD. <b><i>Conclusion:</i></b> Physicians with SUD face barriers when seeking help for SUD mostly at the level of the individual physician. Health services and people around physicians with SUD could facilitate the help-seeking process by offering confidential and nonpunitive support. Future studies should explore whether the barriers and facilitators identified in this study also hold for other mental health issues.


2020 ◽  
Vol 2 (2) ◽  
pp. 101-110
Author(s):  
Imre Fenyő ◽  
Dávid Rábai

In the course of our research, we surveyed the educational programmes of the football academies of Hungary. We wished to reveal the educational aspects of the life of the students at the football academies. The purpose of our project is to comparatively analyse the formal and conceptual dimensions of the educational programmes of the academies through an analysis of the documents of the academies concerned. We also conducted semi-structured interviews with the heads of the social- and educational sections of the academies (N=6). We used the results of the interviews to check–confirm or refute–the results we found. We believe that the findings of our research make it possible for us to better understand the elements and value-based components of the educational dimensions of the football academies. In this way, our survey is similar to the projects of researchers who worked with local educational programmes (for example, Brezsnyánszky et al., 2000). As a conclusion of our research, we may point out that both the formal and conceptual dimensions of the educational programmes of the individual football academies are strongly heterogeneous, and the quality of their pedagogical programmes is often questionable. The results yielded by the analysis of the interviews suggest that although an educational-social department is present at each of the academies, some our former conclusions in connection with the general standards of the educational work were confirmed by the answers we received from our respondents. The academies, almost without an exception, produce their own educational programmes and carry out their educational work individually, and do not cooperate with the other institutions. There is, consequently, no uniform and standard educational work, and there is no professional documentation of the work going on either. In this way, the quality of educational work is not really able to improve.


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