Psychodynamic analysis of work: the experiences of pleasure and pain of psychologists emergency room of Rio Branco, Acre, Brazil

2011 ◽  
Vol 5 (8) ◽  
pp. 2066
Author(s):  
Fabiane Da Fontoura Messias De Melo ◽  
Melissa Andrea Vieira de Medeiros
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Qualitative Study ◽  
Theoretical Basis ◽  
Ethics Committee ◽  
Point Of View ◽  
Structured Interviews ◽  
Defense Strategies ◽  
Thematic Content Analysis ◽  
Salud Mental

ABSTRACTObjective: to investigate the experiences of pleasure and pain at work of the psychologists of Hospital de Urgencia e Emergencia of Rio Branco, Acre, Brazil, and to identify the defense strategies used by these professionals. Method: this is a qualitative study, as it prioritizes observation and listening to the worker's point of view according to her/his uniqueness. Study approved by the Research Ethics Committee of Universidade Federal do Acre (Protocol 23107.020349/2010-55), on November 2010. For carrying out the research observations, notes in field diary, and individual semi-structured interviews were used, which underwent thematic content analysis later. The theoretical basis adopted for interpreting the health/illness and work issue was the Christophe Dejours’ Work Psychodynamics. Results: due to the lack of researches in the Amazon region, it is expected to contribute to the development of new studies on the psychologist’s mental health and allow reflections on the current meanings of work and the notion of health/illness from the perspective of psychologists. Descriptors: work; pleasure; psychology; mental health.RESUMOObjetivo: investigar as vivências de prazer e sofrimento no trabalho dos psicólogos do Hospital de Urgência e Emergência de Rio Branco-AC e identificar as estratégias de defesa utilizadas por esses profissionais. Método: trata-se de estudo qualitativo, pois prioriza a observação e a escuta do trabalhador do ponto de vista de sua singularidade. Estudo aprovado pelo Comitê de Ética em Pesquisa da Universidade Federal do Acre (Protocolo n. 23107.020349/2010-55), em novembro de 2010. Para a pesquisa foram realizadas observações, registro em diário de campo e entrevistas individuais semiestruturadas, as quais foram posteriormente submetidas à análise de conteúdo temática. O referencial teórico adotado para a interpretação da problemática saúde/ doença e trabalho foi a Psicodinâmica do Trabalho de Christophe Dejours. Resultados: diante da escassez de pesquisas na região amazônica, espera-se contribuir para o fomento de novos estudos sobre a saúde mental do psicólogo e possibilitar reflexões sobre as significações existentes do trabalho e a noção de saúde/doença a partir da perspectiva dos psicólogos. Descritores: trabalho; prazer; psicologia; saúde mental.RESUMENObjetivo: investigar las experiencias de placer y sufrimiento en el trabajo de los psicólogos del Hospital de Urgência e Emergência de Rio Branco, Acre, Brasil, y identificar las estrategias de defensa usadas por eses profesionales. Método: esto es un estudio cualitativo, pues prioriza la observación y la escucha del trabajador desde el punto de vista de su singularidad. Estudio aprobado por el Comité de Ética en Investigación de la Universidade Federal do Acre (Protocolo 23107.020349/2010-55), en noviembre de 2010. Para la investigación se llevaron a cabo observaciones, registro en diario de campo y entrevistas individuales semi-estructuradas, que más tarde fueron sometidas a análisis de contenido temático. El referencial teórico para la interpretación de la problemática salud/enfermedad y trabajo fue la Psicodinámica del Trabajo de Christophe Dejours. Resultados: frente a la escasez de investigaciones en la región amazónica, se espera contribuir al desarrollo de nuevos estudios acerca de la salud mental del psicólogo y posibilitar reflexiones sobre las posibles significaciones del trabajo y la noción de salud/enfermedad desde la perspectiva de los psicólogos. Descriptores: trabajo; placer; psicología; salud mental.

scholarly journals Ways of coping with AIDS: opinion of mothers with HIV children

2008 ◽  
Vol 16 (2) ◽  
pp. 260-265 ◽  
Author(s):  
Richardson Augusto Rosendo da Silva ◽  
Vera Maria da Rocha ◽  
Rejane Marie Barbosa Davim ◽  
Gilson de Vasconcelos Torres
Keyword(s):  
Content Analysis ◽  
Data Analysis ◽  
Qualitative Study ◽  
Public Hospital ◽  
Hiv Positive ◽  
Structured Interviews ◽  
Ways Of Coping ◽  
Thematic Content Analysis ◽  
The Public ◽  
Hiv Positive Women

The research aims at identifying strategies of coping with AIDS used by mothers of HIV positive children to live better with their children's disease. The method used was a descriptive qualitative study. Thirty-three structured interviews were conducted with HIV positive women voluntaries and registered as users in the clinic of the public hospital of reference for the treatment of AIDS in Natal/RN. For data analysis, the method used was thematic content analysis. From the analysis, prevalent categories regarding forms of facing AIDS came up, they were: overprotection and fear; donation; hope; religious belief; underestimation of HIV; hiding the diagnosis; and resignation. This study shows that despite AIDS limitations and barriers, relatives develop strategies that make it possible to face every day problems and live better with it.

scholarly journals O manejo da dor em crianças percebido pela equipe de enfermagem [Pain management in children as perceived by the nursing team] [El manejo del dolor en niños, percibido por el equipo de enfermería]

2017 ◽  
Vol 25 ◽  
pp. e15379
Author(s):  
Larissa De Oliveira Ulisses ◽  
Lorena Fernanda Nascimento Santos ◽  
Cristina Nunes Vitor Araújo ◽  
Elenilda Farias de Oliveira ◽  
Climene Laura de Camargo
Keyword(s):  
Content Analysis ◽  
Pain Management ◽  
Qualitative Study ◽  
Ethics Committee ◽  
University Hospital ◽  
Assessment Instruments ◽  
Structured Interviews ◽  
Pharmacological Interventions ◽  
Scientific Training ◽  
Nursing Team

Objetivo: descrever o manejo da dor em crianças pela equipe de enfermagem. Metodologia: estudo qualitativo, realizado em unidade pediátrica de hospital universitário na cidade de Salvador, Bahia, em 2012. Participaram do estudo três enfermeiras, duas técnicas e duas auxiliares de enfermagem. Foram realizadas entrevistas semiestruturadas, analisadas por meio da técnica de análise de conteúdo, emergindo três categorias: Identificação da dor na criança internada; Instrumentos de avaliação da dor; Prevenção e Tratamento da dor, após aprovação do estudo pelo Comitê de Ética em Pesquisa da instituição, sob o parecer de número 79/11. Resultados: foram evidenciadas intervenções prioritariamente farmacológicas em detrimento das não-farmacológicas, intervenções insuficientes e pouco resolutivas, não utilização dos instrumentos adequados, além da não participação dos pais nesse cenário. Conclusão: percebe-se a necessidade de aprofundamento científico entre a equipe para o manejo da dor, além da reprodução do modelo biomédico no que concerne ao tratamento medicamentoso.ABSTRACTObjective: to describe pain management in children by the nursing team. Methodology: this qualitative study in a pediatric unit of a university hospital in Salvador, Bahia, was conducted in 2012, after approval by the research ethics committee (Opinion No. 79/11). Three nurses, two technicians and two nursing auxiliaries participated in the study. Semi-structured interviews were carried out and analyzed using content analysis, from which three categories emerged: identifying pain in the hospitalized child; pain assessment instruments; preventing and treating pain. Results: findings included pharmacological interventions prioritized over non-pharmacological interventions; insufficient and ineffective interventions; failure to use appropriate instruments; and parental non-participation in this scenario. Conclusion: the team needed more in-depth scientific training in pain management, beyond reproduction of the biomedical drug treatment model.RESUMEN: Objetivo: describir cómo el equipo de enfermería maneja el dolor en niños. Metodología: estudio cualitativo, realizado en unidad pediátrica de hospital universitario en la ciudad de Salvador, Bahía, en 2012. Participaron del estudio tres enfermeras, dos técnicas y dos auxiliares de la enfermería. Se realizaron entrevistas semiestructuradas, analizadas por medio de la técnica de análisis de contenido. Surgieron tres categorías: identificación del dolor en el niño internado; instrumentos de evaluación del dolor; prevención y tratamiento del dolor, tras la aprobación del estudio por el Comité de Ética en Investigación de la institución, bajo el parecer de número 79/11. Resultados: se evidenciaron intervenciones prioritariamente farmacológicas en detrimento de las no farmacológicas, intervenciones insuficientes y poco resolutivas, no utilización de los instrumentos adecuados, además de la no participación de los padres en ese escenario. Conclusión: se percibe la necesidad de profundización científica entre el equipo para el manejo del dolor, además de la reproducción del modelo biomédico en lo respecta al tratamiento medicamentoso. DOI: http://dx.doi.org/10.12957/reuerj.2017.15379

scholarly journals ACOLHIMENTO COM CLASSIFICAÇÃO DE RISCO: QUE LUGAR É ESSE?

2016 ◽  
Vol 7 (2) ◽  
pp. 52
Author(s):  
Hosana Ferreira Rates ◽  
Marília Alves ◽  
Ricardo Bezerra Cavalcante
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Emergency Nursing ◽  
Emergency Unit ◽  
Systematic Observation ◽  
Structured Interviews ◽  
Proper Place ◽  
Thematic Content Analysis ◽  
Thematic Content ◽  
The Subject

Objetivo: conhecer o Acolhimento com Classificação de Risco (ACCR) como lugar próprio e espaços criados pelos sujeitos. Metodologia: estudo de caso de abordagem qualitativa. Realizaram-se entrevistas semiestruturadas com 20 enfermeiros e observação assistemática em uma Unidade de Pronto Atendimento, em 2015. Os dados foram submetidos à Análise de Conteúdo Temática. Resultados: o ACCR vai além de um ambiente ou uma postura adotada pelos profissionais, é um lugar próprio, pois é delimitado por normatizações, regras previamente estabelecidas que intentam circunscrever os sujeitos e isolá-los. Além disso, nesse lugar próprio, os espaços são delimitados a partir do caminhar que cada profissional e usuário empreendem no âmbito do ACCR. Cada qual tem o seu fazer, a sua intencionalidade, a sua vivência estimulada por situações que circunstanciam aquele ambiente. Conclusão: o Acolhimento como lugar próprio-espaço deve ser considerado, visando intervenções sobre a sua realidade.Descritores: Enfermagem em emergência; Triagem; Serviços médicos de emergênciaUSER EMBRACEMENT WITH RISC CLASSIFICATION: WHAT IS THIS PLACE?Objective: to know the User embracement with Risk Classification (ACCR) as the proper place and spaces created by the subjects. Methodology: the type is a case qualitative study. There were semi-structured interviews with 20 nurses and no systematic observation in an Emergency Unit, in 2015. The data were submitted to Thematic Content Analysis. Results: it was found that the ACCR goes beyond an environment or posture adopted by professionals, is a proper place it is delimited by norms, rules, previously established that attempt to circumscribe the subject and isolate them. Moreover, in this own place, the spaces are delimited from the walk that every professional and user undertaking under the Emergency Triage. Each one has its making, its intentionality, its experience stimulated by situations which circumstance that environment. Conclusion: the conformation of the triage while own place-space should be considered targeting interventions on their reality.Descriptors: Emergency nursing; Triage; Emergency medical servicesACOGIMIENTO CON CALIFICACIÓN DE RIESGO: ¿QUÉ ES ESTE LUGAR?Objetivo: conocer el Acogimiento con Calificación de Riesgo como el lugar proprio y espacios creados por los sujetos. Metodología: estudio de caso cualitativo. Hubo entrevistas semiestructuradas con 20 (veinte) enfermeras y observación no sistemática en un servicio de emergencia en el año 2015. Los datos fueron sometidos a Análisis de Contenido Temático. Resultados: el Acogimiento va más allá de un ambiente o una postura adoptada por los profesionales, es un lugar apropiado, es delimitada por las normas, las reglas establecidas con anterioridad que el intento de circunscribir el sujeto y aislarlos. Por otra parte, este lugar en sí, los espacios están limitados por el caminar de el profesional y usuario en el Acogimiento. Cada uno tiene su hacen, su intencionalidad, su experiencia estimulada por el situaciones que circunstancian ese entorno. Conclusión: acogimiento como el lugar propio en el espacio debe ser considerado con el fin de intervenir sobre su realidad.Descriptores: Enfermería de urgencias; Triaje; Servicios médicos de urgencia

scholarly journals Social support from the perspective of adolescent victims of domestic violence

2014 ◽  
Vol 48 (4) ◽  
pp. 610-617 ◽  
Author(s):  
Diene Monique Carlos ◽  
Maria das Graças Carvalho Ferriani ◽  
Michelly Rodrigues Esteves ◽  
Lygia Maria Pereira da Silva ◽  
Liliana Scatena
Keyword(s):  
Social Support ◽  
Domestic Violence ◽  
Content Analysis ◽  
Qualitative Study ◽  
Interpersonal Relationships ◽  
Extended Family ◽  
Structured Interviews ◽  
The Social ◽  
Sources Of Support ◽  
Adolescent Victims

Objective: Assess the understanding of adolescents regarding the social support received in situations of domestic violence. Method: A qualitative study with data collection carried out through focus groups with 17 adolescent victims of domestic violence, institutionally welcomed in Campinas-SP, and through semi-structured interviews with seven of these adolescents. Information was analyzed by content analysis, thematic modality. Results: Observing the thematic categories it was found that social support for the subjects came from the extended family, the community, the Guardianship Council, the interpersonal relationships established at the user embracement institution and from the religiosity/spirituality. Conclusion: The mentioned sources of support deserve to be enhanced and expanded. With the current complexity of the morbidity and mortality profiles, especially in children and adolescents, the (re)signification and the (re)construction of health actions is imperative.



scholarly journals Religious Jewish Mothers’ Perspective of Their Daughters’ Continuing Singlehood

2018 ◽  
Vol 8 (1) ◽  
pp. 148
Author(s):  
Asnat Dor
Keyword(s):  
Content Analysis ◽  
Qualitative Study ◽  
Middle Class ◽  
Social Expectations ◽  
Structured Interviews ◽  
Social Expectation

This qualitative study is an examination of the attitudes of national religious Jewish Israeli mothers toward their daughters’ singlehood. The daughters were in their mid to late twenties, when the religious and social expectation is that they be married. The study is designed to explore the main issues faced by the mothers, including perceived difficulties and advantages of their daughters' unmarried status. Semi-structured interviews were conducted with 18 middle-class mothers, whose responses underwent content analysis and revealed a combination of traditional ideas with modern, liberal, and feminist values: internal and external concerns on behalf of the mothers, together with listing advantages and mothers supporting the daughters not to rush into marriage. The findings reveal that confronting social expectations means coping with the old norms while being aware of new possibilities and opportunities. Limitations of the study are discussed.

scholarly journals Different forms of informal coercion in psychiatry – a qualitative study

2019 ◽  
Author(s):  
Veikko Pelto-Piri ◽  
Lars Kjellin ◽  
Ulrika Hylén ◽  
Emanuele Valenti ◽  
Stefan Priebe
Keyword(s):  
Mental Health ◽  
Content Analysis ◽  
Focus Group ◽  
Qualitative Study ◽  
Mental Health Professionals ◽  
Health Professionals ◽  
Qualitative Content Analysis ◽  
Focus Group Interviews ◽  
Informal Coercion ◽  
Group Interviews

Abstract Objectives The objective of the study was to investigate how mental health professionals describe and reflect upon different forms of informal coercion. Results In a deductive qualitative content analysis of focus group interviews, several examples of persuasion, interpersonal leverage, inducements, and threats were found. Persuasion was sometimes described as being more like a negotiation. Some participants worried about that the use of interpersonal leverage and inducements risked to pass into blackmail in some situations. In a following inductive analysis, three more categories of informal coercion was found: cheating, using a disciplinary style and referring to rules and routines. Participants also described situations of coercion from other stakeholders: relatives and other authorities than psychiatry. The results indicate that informal coercion includes forms that are not obviously arranged in a hierarchy, and that its use is complex with a variety of pathways between different forms before treatment is accepted by the patient or compulsion is imposed.

scholarly journals Referral and counter-referral for the integrality of care in the Health Care Network

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza
Keyword(s):  
Health Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Health System ◽  
Family Health ◽  
Ethics Committee ◽  
The State ◽  
Healthcare Network ◽  
Unified Health System ◽  
Health Care Network

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.

scholarly journals Nurses’ performance in palliative care: spiritual care in the light of Theory of Human Caring

2022 ◽  
Vol 75 (1) ◽  
Author(s):  
Carla Braz Evangelista ◽  
Maria Emília Limeira Lopes ◽  
Solange Fátima Geraldo da Costa ◽  
Patrícia Serpa de Souza Batista ◽  
Marcella Costa Souto Duarte ◽  
...  
Keyword(s):  
Palliative Care ◽  
Content Analysis ◽  
Qualitative Study ◽  
Spiritual Care ◽  
Structured Interviews ◽  
Spiritual Dimension ◽  
Nurses Role ◽  
Theory Of Human Caring ◽  
Process Elements ◽  
Human Caring

ABSTRACT Objectives: to analyze nurses’ role in assisting patients in palliative care, with emphasis on the spiritual dimension, in the light of Theory of Human Caring. Methods: this is an exploratory, qualitative study, carried out in a hospital in João Pessoa, Paraíba, between August and December 2019, with 10 nurses. For data collection, semi-structured interviews were used. For analysis, we opted for content analysis. Results: the spiritual dimension of care is contemplated by several religious and spiritual practices. These are respected and encouraged by nurses, although there is difficulty in providing care for the spiritual dimension. Final Considerations: nurses have attitudes consistent with Jean Watson’s Theory and apply the Caritas Process elements during assistance to patients’ spiritual dimension in palliative care.

Psychological Distress in Iranian Military Personnel: A Qualitative Study

2020 ◽  
Author(s):  
Azizeh Alizadeh1 ◽  
Behnaz Dowran ◽  
maryam azizi ◽  
Seyed -Hossein Salimi
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Qualitative Study ◽  
Military Personnel ◽  
Mental Health Problems ◽  
Structured Interviews ◽  
Military Organization ◽  
Military Members ◽  
Data Saturation ◽  
The Military

Abstract Background: Military personnel are likely to encounter mental health problems due to High-risk occupations associated with significant levels of psychological distress. The aim of the present study was to explore psychological distress experienced by Iranian military personnel. Methods: The present qualitative study was conducted on 15 Iranian military personnel. Purposeful sampling was used to select the participants and continued until data saturation was reached. Data were collected using semi-structured interviews and then the qualitative data were analyzed through direct content analysis. Results: By analyzing show 395 primary codes, 2 main categories, including demands and resources were extracted from the experiences of military members. The categories included several sub-categories, which were classified according to their significant characteristics. Findings of this study ascertain that different factors affect the military member’s psychological distress.Conclusions: Military organization and leaders should consider the factors of psychological distress that raised by specialists, and assign policies to improve their mental health. According to the present results, it is recommended that the process of psychological distress in military members be investigated further.

scholarly journals Personality disorder co-morbidity in primary care ‘Improving Access to Psychological Therapy’ (IAPT) services: a qualitative study exploring patient perspectives on treatment experience

2020 ◽  
pp. 1-15
Author(s):  
Gary Lamph ◽  
John Baker ◽  
Tommy Dickinson ◽  
Karina Lovell
Keyword(s):  
Mental Health ◽  
Primary Care ◽  
Personality Disorder ◽  
Qualitative Study ◽  
Patient Group ◽  
Stepped Care ◽  
Research Approach ◽  
Structured Interviews ◽  
Framework Analysis ◽  
Co Morbidity

Abstract Background: High numbers of people present with common mental health disorders and co-morbid personality disorder traits in primary care ‘Improving Access to Psychological Therapies’ (IAPT) services in England and they receive sub-optimal treatments. No previous studies have explored the treatment experiences or needs of this patient population in England. Aims: This qualitative study explored the treatment experiences of patients (n = 22) with common mental health difficulties and co-morbid personality disorder as indicated by a score of 3 or more on the ‘Standardised Assessment of Personality – Abbreviated Scale’ (SAPAS) in receipt of primary care-based IAPT treatment. Method: A qualitative health research approach was used. Qualitative individual face-to-face semi-structured interviews were conducted. All interviews were audio recorded, data were transcribed verbatim and analysed using a framework analysis approach. Results: Findings revealed a need to adapt away from prescriptive cognitive behavioural therapy (CBT) treatment models towards more flexible, personalised and individualised treatment with this patient group. Time to emotionally offload, build a therapeutic relationship and link past experiences to presenting problems were highlighted as important. Conclusions: For the first time, the needs and treatment experiences of this patient group have been explored. This paper provides a unique patient experience insight that should be considered when exploring new approaches to working with and developing effective interventions via a stepped care approach.

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