Work with groups in family health: concepts, structure and strategies for transcultural care. A qualitative study

Information on family health-related quality of life (FHRQoL) among families of children with the coronavirus disease 2019 (COVID-19) is limited. This qualitative study explores the impact of pediatric COVID-19 on FHRQoL from the parents’ perspective. Semi-structured interviews were conducted with parents (n = 20) whose children had tested positive for the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). Inductive thematic analysis revealed the following 10 themes that represented parents’ perception of FHRQoL while taking care of a child with COVID-19: pediatric COVID-19 as a disease with many unknowns; emotional saturation; internal family relationships in the context of “a new experience”; routine household activities and daily regimen while family is in lockdown; plenty of free time; a wide social support network; social stigma associated with COVID-19; different options for work; savings and debts; challenges with family housing and transport availability. Our results show that parents experience multiple effects of pediatric COVID-19 with regard to FHRQoL.

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

Physis Revista de Saúde Coletiva ◽

10.1590/s0103-73312021310105 ◽

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.

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Hong Kong Chinese community leaders' perspectives on family health, happiness and harmony: a qualitative study

Health Education Research ◽

10.1093/her/cyr026 ◽

2011 ◽

Vol 26 (4) ◽

pp. 664-674 ◽

Cited By ~ 25

Author(s):

S. S. C. Chan ◽

K. Viswanath ◽

D. W. H. Au ◽

C. M. S. Ma ◽

W. W. T. Lam ◽

...

Keyword(s):

Hong Kong ◽

Qualitative Study ◽

Family Health ◽

Hong Kong Chinese ◽

Community Leaders ◽

Chinese Community

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Silenciamento dos enfermeiros sobre os motivos da não recomendação da amamentação cruzada

Enfermagem em Foco ◽

10.21675/2357-707x.2020.v11.n2.2224 ◽

2020 ◽

Vol 11 (2) ◽

Author(s):

Cristiane Santos Gomes ◽

Benedita Maria Rêgo Deusdará Rodrigues ◽

Patricia Lima Pereira Peres ◽

Lilian Koifman

Keyword(s):

Focus Group ◽

Qualitative Study ◽

Family Health ◽

Care Practice ◽

Health Strategy ◽

The Family ◽

Family Health Strategy ◽

Breastfeeding Counseling

Objetivo: identificar qual a conduta assistencial do enfermeiro frente à amamentação cruzada. Metodologia: estudo qualitativo, realizado com seis enfermeiras atuantes da Estratégia de saúde da família por meio de um grupo focal em de Duque de Caxias. Resultados: aponta a carência do aconselhamento na conduta assistencial frente à amamentação cruzada e o silenciamento sobre os motivos da não recomendação da mesma. Conclusão: Recomenda-se mudança nos discursos dos enfermeiros para a busca dos motivos que desencadearam a prática da amamentação cruzada para assim poderem intervir, visto que na maioria das vezes é praticada pela não efetividade de seus direitos.Descritores: Aleitamento materno; Aconselhamento; Enfermagem; Bioética. Objective: identify the nurse’s care practice towards cross-breastfeeding.Methodology: a qualitative study carried out with six nurses working in the Family Health Strategy through a focus group in Duque de Caxias. Results: points out the lack of counseling in the care practice regarding cross-breastfeeding and the silencing of the reasons for not recommending it.Conclusion: it is recommended to change the nurses’s discourses to search for the reasons that triggered the practice of cross-breastfeeding in order to intervene, considering that most of the time it is practiced for the non-effectiveness of their rightsKeywords: Breastfeeding; Counseling; Nursing; Bioethics. Objetivo: identificar cuál es la conducta asistencial del enfermero frente a la lactancia cruzada. Metodología: estudio cualitativo, realizado con seis enfermeras actuantes de la Estrategia de salud de la familia por medio de un grupo focal en el Duque de Caxias. Resultados: apunta la carencia del asesoramiento en la conducta asistencial frente a la lactancia cruzada y el silenciamiento sobre los motivos de la no recomendación de la misma. Conclusión: Se recomienda cambiar en los discursos de los enfermeros para la búsqueda de los motivos que desencadenaron la práctica de la lactancia cruzada para así poder intervenir, ya que la mayoría de las veces es practicada por la no efectividad de sus derechos.Descriptores: Lactancia Materna; Consejo; Enfermería; Bioética.

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Stratification of Happiness in Urban Areas in Mexico: A Qualitative Examination by Level of Marginalization

The Qualitative Report ◽

10.46743/2160-3715/2021.5045 ◽

2021 ◽

Author(s):

Oscar A. Martínez-Martínez ◽

Javier Reyes ◽

Eder Noda

Keyword(s):

Latin America ◽

Qualitative Study ◽

Thematic Analysis ◽

Urban Areas ◽

Family Health ◽

Economic Conditions ◽

Structured Interviews ◽

Social Stratum ◽

The Family ◽

Research Findings

Although Mexico presents high levels of poverty and marginalization, it is the second happiest nation in Latin America. This raises several questions about what factors are associated with happiness at each level of marginalization and how these factors vary according to marginalization levels. We conducted a qualitative study in urban municipalities in four Mexican states, using 184 semi-structured interviews and employing a thematic analysis approach. Results suggest that happiness is a multifactorial phenomenon. Factors such as the family, health, religion, friendships, economic conditions, and fulfillment of basic needs contribute to happiness, but each of these aspects has different importance and meaning based on the level of marginalization. Evidence also shows that unhappiness is more homogeneous, regardless of the level of marginalization; thus, we can find people in both low marginalized and high-marginalized contexts that are unhappy. The research findings are relevant for the design of public policies, because they show various unsatisfied needs by level of marginalization and how not having them may affect happiness in each social stratum.

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