scholarly journals Terapia Nutricional Enteral Domiciliar em tempos de isolamento social devido à pandemia de COVID-19

2020 ◽  
Vol 35 (3) ◽  
pp. 199-203
Author(s):  
Emilaine Ferreira dos Santos ◽  
Estela Iraci Rabito ◽  
Caryna Eurich Mazur ◽  
Rubia Daniela Thieme ◽  
Maria Eliana Madalozzo Schieferdecker
Keyword(s):  
Health Services ◽  
Enteral Nutrition ◽  
Social Distance ◽  
Health Professionals ◽  
Care Service ◽  
Specific Treatment ◽  
Monitoring And Evaluation ◽  
The Social ◽  
Work Routine ◽  
Coronavirus Infection

Home enteral nutrition (HEN) provides care for the special need for food at home. Although the majority of patients in HEN is clinically stable, support from health professionals, and monitoring and evaluation for maintenance or evolution of therapy are necessary. However, the current pandemic situation of COVID-19 and the lack of specific treatment for coronavirus infection have led to changes in the health services work routine. The social distance recommendation to contain the progress of COVID-19 interferes with the home care service. Thus, in order to provide assistance effectively and safely to the patient, family members and health professionals, adaptations can be made. Therefore, the objective of this manuscript is to discuss elements and recommendations that contribute to HEN care during the COVID-19 pandemic.

scholarly journals Barriers to disclosure of violence against women in health services in Palestine:  qualitative interview-based study

2020 ◽  
Author(s):  
maggie evans ◽  
Amira Shaheen ◽  
gene feder ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Health Services ◽  
Violence Against Women ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Violence against women (VAW) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of VAW have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced violence from their husbands. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about VAW. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for VAW is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between VAW and many common presentations such as depression, to ask sensitively about VAW in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in VAW.

scholarly journals Barriers to women's disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
Suzy Ashkar ◽  
Abdulsalam Alkaiyat ◽  
Loraine Bacchus ◽  
Manuela Colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically.Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to disclosure of domestic violence in health services in Palestine:  qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to women’s disclosure of domestic violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Vol 20 (1) ◽  
Author(s):  
Amira Shaheen ◽  
Suzy Ashkar ◽  
Abdulsalam Alkaiyat ◽  
Loraine Bacchus ◽  
Manuela Colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 months' period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Domestic violence: from the visible to the invisible

2007 ◽  
Vol 15 (2) ◽  
pp. 275-281 ◽  
Author(s):  
Marta Angélica Iossi Silva ◽  
Maria das Graças Carvalho Ferriani
Keyword(s):  
Domestic Violence ◽  
Health Services ◽  
Social Workers ◽  
Health Professionals ◽  
Physical Violence ◽  
Qualitative Approach ◽  
Regional Health ◽  
Social Agents ◽  
Violence Against Children ◽  
The Social

This study aimed to identify and analyze notifications of domestic violence against children registered at the Regional Health Services in Guarulhos, São Paulo, Brazil; the limitations imposed to health professionals' actions and the meaning of domestic violence against children in the health professionals' routine. The notifications registered between 2001 and 2002 were characterized in order to better understand this reality and also to support the collected data through the qualitative approach. There is a predominance of negligence cases 45%, while 26% of the notifications related to physical violence and 14% to suspected sexual violence. Social workers registered the highest number of notifications, 46%. Based on the social agents' discourse, we identified two empirical categories: "interfaces of the violence" and "fear".

scholarly journals Barriers to women's disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background: Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods: In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results: Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.Conclusions: Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Mobile pre-hospital care reorganization during the COVID-19 pandemic: experience report

2022 ◽  
Vol 75 (suppl 1) ◽  
Author(s):  
Daniela Aparecida Morais ◽  
Cíntia Maria Guedes de Moraes ◽  
Karina Mara de Souza ◽  
Roger Lage Alves
Keyword(s):  
Hospital Care ◽  
Care Service ◽  
Monitoring And Evaluation ◽  
Descriptive Study ◽  
Experience Report ◽  
Management Tool ◽  
Care Protocol ◽  
Work Routine ◽  
Evaluation And Monitoring ◽  
Quality Tool

ABSTRACT Objective: To describe the reorganization of Belo Horizonte’s Mobile Emergency Care Service during the new coronavirus pandemic using the Plan Do-Check-Act quality tool. Methods: Descriptive study, of the experience report type, on the reorganization of care in a mobile pre-hospital care service during the new coronavirus pandemic, from March to July 2020. The Plan-Do-Check-Act quality tool was applied for the process. Results: Preparation of care protocol, meetings, training, addition of ambulances, hiring of professionals, and other actions were carried out, with subsequent evaluation and monitoring. When failures or new needs were identified, actions and changes were implemented while keeping monitoring and evaluation during the work routine. Final considerations: The reorganization of the service through the construction of a protocol and using the Plan-Do-Check-Act as a management tool was essential to promote safe care for professionals and patients.

scholarly journals Barriers to women's disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract Background: Domestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women. Methods: In-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. Results: Women encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence. Conclusions: Palestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

scholarly journals Barriers to disclosure of Domestic Violence in health services in Palestine: qualitative interview-based study

2020 ◽  
Author(s):  
Amira Shaheen ◽  
suzy ashkar ◽  
abdulsalam alkaiyat ◽  
loraine bacchus ◽  
manuela colombini ◽  
...  
Keyword(s):  
Health Care ◽  
Domestic Violence ◽  
Health Services ◽  
Health Professionals ◽  
Care Service ◽  
Health Care Service ◽  
Global Public Health ◽  
Public Health Response ◽  
Palestinian Women ◽  
Lack Of Knowledge

Abstract BackgroundDomestic violence (DV) damages health and requires a global public health response and engagement of clinical services. Recent surveys show that 27% of married Palestinian women experienced some form of violence from their husbands over a 12 month’s period, but only 5% had sought formal help, and rarely from health services. Across the globe, barriers to disclosure of DV have been recorded, including self-blame, fear of the consequences and lack of knowledge of services. This is the first qualitative study to address barriers to disclosure within health services for Palestinian women.MethodsIn-depth interviews were carried out with 20 women who had experienced DV. They were recruited from a non-governmental organisation offering social and legal support. Interviews were recorded, transcribed and translated into English and the data were analysed thematically. ResultsWomen encountered barriers at individual, health care service and societal levels. Lack of knowledge of available services, concern about the health care primary focus on physical issues, lack of privacy in health consultations, lack of trust in confidentiality, fear of being labelled ‘mentally ill’ and losing access to their children were all highlighted. Women wished for health professionals to take the initiative in enquiring about DV. Wider issues concerned women’s social and economic dependency on their husbands which led to fears about transgressing social and cultural norms by speaking out. Women feared being blamed and ostracised by family members and others, or experiencing an escalation of violence.ConclusionsPalestinian women’s agency to be proactive in help-seeking for DV is clearly limited. Our findings can inform training of health professionals in Palestine to address these barriers, to increase awareness of the link between DV and many common presentations such as depression, to ask sensitively about DV in private, reassure women about confidentiality, and increase awareness among women of the role that health services can play in DV.

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