scholarly journals Nonverbal Communication through Touch: Meanings for Physical Therapists Working in a Hospital Environment

Aquichan ◽  
2019 ◽  
Vol 19 (4) ◽  
pp. 1-11
Author(s):  
Michelle Ferraz Martins Jamarim ◽  
Camila Zucato da Silva ◽  
Gerusa Marcondes Pimentel de Abreu Lima ◽  
Cibele Leite Siqueira ◽  
Claudinei José Gomes Campos

Objectives: To know the most used types of touch and understand their meanings for physical therapists working in a hospital environment, from the perspective of their feelings, attitudes and behaviors during care. Materials and methods: Qualitative case study conducted by physical therapists working at a hospital in Brazil. For data collection, participant observation and semi-structured interviews were used as techniques. Data were analyzed according to the thematic content analysis proposed by Minayo. Results: 16 physical therapists participated in the study and, from the analysis of the empirical material, four thematic categories emerged: Instrumental touch as a fundamental resource of hospital physical therapy assistance; expressive touch: Its little presence does not mean absence of affection; physical therapist’s feelings related to touch and difficulty talking about touch means that there is a deficiency in training. Conclusions: The underuse of expressive touch revealed the lack of knowledge and unpreparedness in the formation of the physical therapist, which, added to the lack of self-knowledge, hinders the affection and the creation of bonds in relationships. All of this justifies the rare studies on affective touch in health, which reflects an area to be explored and the need to sensitize professionals to influence the quality and humanization of care.

Author(s):  
Tamara Phelan

Purpose: The purpose of this study was to analyze how selected senior instructors in physical therapist educational programs define and seek to impart information on professional behavior. Methods: A qualitative case study approach was used to gather data from eight instructors teaching in four physical therapist educational programs in a selected region. Each interview was analyzed as an individual case study, followed by a cross case analysis to identify common themes. Results: Interpretational analysis using a process of constant comparison revealed nine common themes: 1) Instructors found it difficult to broadly define professional behavior. 2) Instructors expect students to be on time. 3) Instructors expect students to speak and act with courtesy and respect. 4) Instructors expect students to communicate appropriately. 5) Instructors expect students to dress appropriately. 6) Instructors expect students to participate in class. 7) Instructors consciously model professional behavior as a way to communicate their expectations. 8) Instructors give instructions and provide students with feedback about professional behavior. 9) Instructors do not attach a specific grade to professional behavior. Conclusions: Although instructors indicated a lack of confidence in consistency regarding professional behavior expectations, the themes that emerged in this study fit within existing descriptions of professional behavior for clinical physical therapists. Instructor perceptions of strategies for conveying information about professional behavior to students were consistent with existing literature on modeling and explicit teaching. .


2014 ◽  
Vol 35 (2) ◽  
pp. 79-85 ◽  
Author(s):  
Simone Coelho Amestoy ◽  
Vânia Marli Schubert Backes ◽  
Maira Buss Thofehrn ◽  
Jussara Gue Martini ◽  
Betina Hörner Schlindwein Meirelles ◽  
...  

This study aimed to understand the main conflicts experienced by nurses-leaders in the hospital environment, as well as the strategies adopted to face them. The study reflects a qualitative descriptive type approach, which was used in the case study as research strategy. The study included 25 nurses who worked in three hospitals in the city of Florianopolis, Santa Catarina. Information where obtained in the months of May to December of 2010 through semi-structured interviews, non-participant observation and dialogical workshops. Data were analyzed using the Thematic Analysis. The results demonstrated the predominant of interpersonal conflicts involving the multidisciplinary team, nurses and the nursing staff. Adopting a participatory leadership, based on dialogue emerges as a strategy for coping with conflicts in the hospital environment.


2017 ◽  
Vol 25 ◽  
pp. 114
Author(s):  
Rukmini Becerra Lubies ◽  
Simona Mayo González

The Intercultural and Bilingual Education program in Chile requires intercultural and bilingual preschools to work collaboratively with Mapuche communities to offer a relevant education for Indigenous children; however, no researchers have studied this partnership. In this context, the main objective of this study is to examine the relationships within the communities that have emerged around intercultural and bilingual preschools in Región Metropolitana, Chile. Using the notion of contact zone (Pratt, 1992) we analyze characteristics of the ties developed between members of the preschool institution and the participants of the Mapuche communities. To address this goal, we conducted a qualitative case study, and with ethnographic techniques we collected data using semi-structured interviews, participant observation and group conversations in two preschools; data were codified and categorized with thematic analysis. The main findings show that in this contact zone, the Mapuche communities participate primarily in cultural events, the Educators of Indigenous Language and Culture (ELCIs) are poorly valued and, outside the classrooms these partnerships are seen as learning spaces by the preschool teachers.


2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Rhyquelle Rhibna Neris ◽  
Márcia Maria Fontão Zago ◽  
Maria Ângela Ribeiro ◽  
Juliana Pena Porto ◽  
Anna Cláudia Yokoyama dos Anjos

Abstract Objective: To identify the meaning attributed to the experience of a spouse of a woman with breast cancer undergoing chemotherapy. Methods: Descriptive study, with a theoretical-methodological orientation based on medical anthropology and utilizing an ethnographic case study strategy. Data were collected through semi-structured interviews and participant observation. Results: The meanings revealed that the diagnosis cause suffering. Chemotherapy was seen as giving hope of healing the wife's cancer. During this process, the spouse had to deal with the strong adverse effects of the treatment and subordinate to his wife to reduce the conflict experienced by the couple, which violated the rules of his masculinity. Religion and family were important support networks on this path. Final considerations and implications for practice: The results showed the importance of considering cultural aspects of spouses when they are faced with disease in their wives. The way spouses deal with breast cancer will depend on their cultural systems. Nursing care must be comprehensive and extend to spouses whose wives have breast cancer.


2017 ◽  
Vol 30 (4) ◽  
pp. 703-713 ◽  
Author(s):  
Cássia Cristina Braghini ◽  
Fátima Ferretti ◽  
Lucimare Ferraz

Abstract Introduction: Since 2008, with the establishment of Family Health Support Centers (NASF), physiotherapists have been listed among professionals to be included in the team. Physical therapists have many assignments in the NASF, which are conducted through group sessions, in the households, with complementary and integrative practices, lectures and referrals to reference services. Objective: To analyze role and obstacles to the realization of the work of the physiotherapists in NASF. Methods: This is a qualitative research, guided by the case study method. The population was composed by eight physiotherapists active in NASF. Participant observation and semi-structured interviews with physiotherapists were used for data collection. Results: The actions performed by physiotherapists consist of group assistance, home visits, ear therapy and oxygen therapy and activities of health education and disease prevention. As for the barriers, these included lack of training to work at NASF; structural and organizational impediments; insufficient workload and fragility of professional training to work with public health. Conclusion: The role of physiotherapists is in line, in part, with the guidelines recommended by NASF, but principles as matrix support and collective pacts need to be strengthened.


2021 ◽  
Vol 16 ◽  
pp. 2099
Author(s):  
Márcio Jacometti ◽  
Ellen Correa Wandembruck Lago ◽  
Leandro Rodrigo Canto Bonfim

This article aims at understanding how institutional work influenced the implementation of the Tourist Route Senses of Countryside (TRSC), located in two cities in Paraná, Brazil, between 2009 and 2018. It is a descriptive qualitative case study, whose data were collected through semi-structured interviews, non-participant observation, and documents, which were analyzed using thematic content analysis. Results showed that the implementation of the route was based on creation, maintenance, and interruption of institutional work, and on alteration of the regulatory, normative, and cognitive pillars of the organizational field, involving different actors (public and private). The main theoretical contribution of the research was to identify the types of institutional work and to reconcile them with typologies of institutional pillars. Also, it has practical implications for public policymakers and organizational actors, intending to establish and institutionalize a tourism cluster in rural areas, considered a source of regional economic development.


2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Chiara Pomare ◽  
Kate Churruca ◽  
Janet C. Long ◽  
Louise A. Ellis ◽  
Jeffrey Braithwaite

Abstract Background Organisational change in health systems is common. Success is often tied to the actors involved, including their awareness of the change, personal engagement and ownership of it. In many health systems, one of the most common changes we are witnessing is the redevelopment of long-standing hospitals. However, we know little about how hospital staff understand and experience such potentially far-reaching organisational change. The purpose of this study is to explore the understanding and experiences of hospital staff in the early stages of organisational change, using a hospital redevelopment in Sydney, Australia as a case study. Methods Semi-structured interviews were conducted with 46 clinical and non-clinical staff working at a large metropolitan hospital. Hospital staff were moving into a new building, not moving, or had moved into a different building two years prior. Questions asked staff about their level of awareness of the upcoming redevelopment and their experiences in the early stage of this change. Qualitative data were analysed using thematic analysis. Results Some staff expressed apprehension and held negative expectations regarding the organisational change. Concerns included inadequate staffing and potential for collaboration breakdown due to new layout of workspaces. These fears were compounded by current experiences of feeling uninformed about the change, as well as feelings of being fatigued and under-staffed in the constantly changing hospital environment. Nevertheless, balancing this, many staff reported positive expectations regarding the benefits to patients of the change and the potential for staff to adapt in the face of this change. Conclusions The results of this study suggest that it is important to understand prospectively how actors involved make sense of organisational change, in order to potentially assuage concerns and alleviate negative expectations. Throughout the processes of organisational change, such as a hospital redevelopment, staff need to be engaged, adequately informed, trained, and to feel supported by management. The use of champions of varying professions and lead departments, may be useful to address concerns, adequately inform, and promote a sense of engagement among staff.


2021 ◽  
Vol VI (IV) ◽  
pp. 34-41
Author(s):  
Hina Iqbal ◽  
Muhammad Saeed

Academic writing plays a pivotal role in developing research proposals. The present study aimed to explore the grammatical errors that M.Phil/PhDs scholars commit in academic writing. The present study employed a qualitative case study designed to explore the challenges in the English language faced by the M.Phil and PhDs scholars. The 20 Ph.D. and 36 M.Phil scholars were selected by busing purposive sampling technique. Data were collected by using two self-developed semi-structured interviews protocol. Thematic analysis approach was employed for data analysis. The findings revealed that all the participants reported that correct use of tenses was a big hurdle that entailed the other grammatical mistakes and reduced the report quality because all the lexical aspects are linked with these mechanics. The study recommended that English language courses be offered to postgraduate, M. Phil and Ph.D. scholars to learn the technical aspects of the language and provide students with online interactive programming.


2017 ◽  
Vol 8 (1) ◽  
pp. 47
Author(s):  
Rosimere Vieira Souza ◽  
Luanna Carolina Alves ◽  
Lorena Lobo Leite Bhering Barra ◽  
Luiza Marques Fernandes ◽  
Patrícia De Oliveira Salgado ◽  
...  

Objetivo: conhecer a imagem do enfermeiro frente ao acadêmico de enfermagem. Metodologia: estudo de caso qualitativo fundamentado na Sociologia Compreensiva do Cotidiano, realizado com 26 participantes do 9º período de uma instituição de ensino superior. Os dados foram coletados por meio da entrevista individual e analisados segundo Análise de Conteúdo Temática. Resultados: a imagem se postula em um profissional essencial na área da saúde, que organiza o setor, gerencia ações, lidera a equipe, presta assistência aos pacientes e é referência para outros profissionais. Conclusão: a (des)valorização do profissional foi um dos aspectos na construção dessa imagem e na percepção positiva/negativa do acadêmico frente ao futuro na profissão.Descritores: Educação em Enfermagem, Imagem, Prática Profissional, Pessoal de Saúde, Enfermagem.IMAGE OF NURSE UNDER THE PERSPECTIVE OF THE NURSING ACADEMICObjective: to know the image of the nurse in front of the nursing academic. Methodology: a qualitative case study based on the Comprehensive Sociology of Daily Life, carried out with 26 participants from the 9th period of an institution of higher education. The datas were collected through the individual interview and analyzed according to the Thematic Content Analysis. Results: The image postulates itself in a essencial professional in the health area, which organizes the sector, manages actions, leads the team, provides assistance to patients and is a reference for other professionals. Conclusion: The (de) valuation of the professional was one of the aspects in the construction of this image and in the positive / negative perception of the academic towards the future in the profession.Descriptors: Education, Nursing, Image, Professional Practice, Health Personnel, NursingIMAGEN DE ENFERMERAS DE LA PERSPECTIVA DE ENFERMERIA ACADÉMICOObjetivo: conocer la imagen de la enfermera en el estudiante de enfermería. Metodología: estudio de caso cualitativo basado en la sociología comprensiva de la vida cotidiana, que se celebró con 26 participantes del noveno período de una institución de educación superior. Los datos fueron recolectados a través de entrevistas individuales y se analizaron mediante análisis de contenido temático. Resultados: La imagen se postula un profesional esencial en el campo de la salud, que organiza el sector, gestiona las acciones, dirige el equipo, ayuda a los pacientes y es un punto de referencia para otros profesionales. Conclusión: La (des) valoración profesional fue uno de los aspectos de la construcción de la imagen y la percepción positiva / negativa frente académico del futuro en la profesión.Descriptores: Educación en Enfermería, Imagen, Práctica Profesional, Personal de Salud, Enfermería.


2021 ◽  
Vol 2 (3) ◽  
pp. 218-237
Author(s):  
Rosyanne Louise Autran Lourenço ◽  
Eliana Barbosa dos Santos

Este artigo visa a apresentar, sob uma perspectiva ecológica de letramento, resultados da análise de práticas sociodiscursivas do processo de ensino-aprendizagem de Português Língua de Acolhimento, de imigrantes refugiados no Brasil, realizadas por meio do WhatsApp. Teoricamente, o estudo circunscreve-se às dimensões analíticas de letramento (MOREAU et al., 2013), sob a perspectiva ecológica dos estudos linguísticos (VAN LIER, 2004, 2010), fundamentando-se em pressupostos referentes aos recursos multimodais das tecnologias digitais (LEFFA, 2006; MORAN, 2013) e à função mediadora da linguagem (VIGOTSKI, 1971), em especial, do Português Língua de Acolhimento (BARBOSA; SÃO BERNARDO, 2017) e de suas implicações referentes à noção de afetividade (LEITE, 2012). Metodologicamente, trata-se de estudo qualitativo de caso (STAKE, 1994), de base etnográfica virtual (SANTOS; GOMES, 2013) cuja geração dos dados ocorreu por meio de observação participante (BOGDAN; BIKLEN, 1998) e notas de campo (FETTERMAN, 1998). Sua relevância reside na urgência no processo de imersão de imigrantes refugiados em práticas sociodiscursivas que viabilizem a obtenção de condições mínimas de vida digna e a garantia de autonomia em sua agência no país de destino (COSTA; TAÑO, 2018). Os resultados da pesquisa sugerem que a abordagem ecológica de práticas de letramento em ambiente virtual amplia a compreensão das articulações inerentes ao processo de ensino-aprendizagem de línguas, propiciando ao docente melhores condições de promover a autonomia dos estudantes, em contexto de imigração, na condução de soluções que atendam às suas necessidades mais prementes, voltadas para as práticas sociais de imersão no país de chegada.   This article aims to present, in the light of an ecological perspective of literacy, the results of the analysis of sociodiscursive practices of the teaching-learning process of Portuguese as a Host Language, through WhatsApp by refugee immigrants in Brazil. Theoretically, the study is limited to the ecological perspective of linguistic studies (VAN LIER, 2004, 2010) and analytical literacy dimensions (MOREAU ET AL., 2013) based on assumptions regarding the multimodal resources of digital technologies (LEFFA, 2006; MORAN, 2013) and the mediating function of language (VIGOTSKI, 2009) in particular the Portuguese Host Language (BARBOSA; SÃO BERNARDO, 2017) and its implications regarding the notion of affectivity (LEITE, 2012). Methodologically, it is a qualitative case study (STAKE, 1994) with a virtual ethnographic basis (SANTOS; GOMES, 2013) whose data generation occurred through participant observation (BOGDAN; BIKLEN, 1998) and field notes (FETTERMAN, 1998). Its relevance resides in the urgency in the process of refugee immigrants sociodiscursive practices that make it possible to obtain minimum conditions of dignified life and guarantee autonomy at their agency in the destination country (COSTA; TAÑO, 2018). The research results suggest that the ecological approach to literacy practices in a virtual environment broadens the understanding of the articulations inherent to the language teaching-learning process, providing the teacher better conditions to promote the autonomy of the students in the context of immigration, in driving solutions that meet their pressing sociodiscursive needs, focused on social immersion practices in the country of arrival.


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