Experiencias del equipo de salud en la aplicación del contacto piel con piel

Introducción: La Organización Panamericana de la Salud refiere que a nivel mundial pocos son los países que aplican el contacto piel con piel cuando lo realizan es por un tiempo inadecuado a pesar de los múltiples beneficios para la madre y el recién nacido. Objetivo: Describir la aplicación del contacto piel con piel desde la experiencia del equipo de salud en un centro materno infantil del sector público en Perú. Métodos: Investigación cualitativa con diseño descriptivo, de tipo estudio de caso, en una muestra no probabilística de 10 integrantes del equipo de salud, elegidos por conveniencia y determinado por saturación y redundancia. Los datos se recolectaron a través de la entrevista semiestructurada en línea. La información se procesó de manera manual, mediante el análisis de contenido temático. Resultados: Se obtuvieron tres categorías: a) aplicación del contacto piel con piel en la atención inmediata del recién nacido, b) estrategias implementadas para la aplicación del contacto piel con piel y c) barreras afrontadas por el equipo de salud para aplicar el contacto piel con piel. Conclusiones: Desde la experiencia del personal de salud, es posible aplicar el contacto pial a piel previa capacitación y sensibilización al equipo de salud, y acondicionamiento del ambiente, a fin de implementarlo como política del establecimiento de salud.

Introduction: The Pan American Health Organization reports that few countries worldwide apply skin-to-skin contact and when they use it is during an inadequate amount of time despite the multiple benefits for the mother and the newborn. Objective: To describe the application of skin-to-skin contact from the experience of the health team in a public maternal and child center in Peru. Methods: A qualitative research with a descriptive design, case study, was carried out in a non-probabilistic sample of 10 members of the health team, chosen by convenience and determined by saturation and redundancy. Data were collected through semi-structured online interviews. The information was processed manually, through thematic content analysis. Results: Three categories were obtained: a) application of skin-to-skin contact in the immediate care of the newborn, b) strategies implemented for the application of skin-to-skin contact, and c) barriers faced by the health team to apply skin-to-skin contact. Conclusions: From the experience of health personnel, it is possible to apply skin-to-skin contact after training and sensitization to the health team and conditioning of the environment, in order to implement it as a policy of the health facility.

"hoje eu sei": experiências racializadas com docentes e pesquisadores da psicologia social / "hoy lo sé": experiencias racializadas con docentes e investigadoras de psicología social / Now i know": racialized experiences with social psychology professors and researchers

Resumo Neste estudo tivemos como objetivo investigar experiências racializadas com docentes e/ou pesquisadoras/es que atuam ou atuaram com Psicologia Social. O enfoque metodológico foi colaborativo com o apoio de elementos da pesquisa narrativa, o que implica um tipo de relação de pesquisa em que as pessoas entrevistadas e a pesquisadora se tornam cocontadoras de histórias em busca de compreender como construíram a experiência racial. Foram realizadas 15 entrevistas narrativas sem restrições de gênero, raça/etnia, idade, com o objetivo de alcançar maior diversidade de histórias. A análise dialógico-performativa foi utilizada como ferramenta para interpretação do material empírico das entrevistas. As experiências narradas são racializadas, entretanto, existem nuances, que se relacionam à singularidade da vida das/os participantes. As narrativas expuseram que aspectos como território, classe, gênero, idade refletem na experiência com a raça. A mestiçagem ainda é um território em construção, ambíguo, mas com potencial de expansão para além da binaridade negro/branco.

Resumen En este estudio tuvimos como objetivo investigar experiencias racializadas con profesoras e investigadoras que trabajan o han trabajado con Psicología Social. El enfoque metodológico fue colaborativo, apoyado en elementos de investigación narrativa, o que implica un tipo de relación de investigación en la que las personas entrevistadas y el investigador se convierten en co-narradores de historias. Se realizaron quince entrevistas narrativas sin restricción de género, raza/etnia, edad, para lograr una mayor diversidad de relatos. Se utilizó como herramienta de interpretación del material empírico de las entrevistas el análisis dialógico-performativo. Las experiencias narradas son racializadas, sin embargo, existen matices, que se relacionan con la singularidad de la vida de los participantes. Las narrativas expusieron que aspectos como el territorio, la clase, el género, la edad reflexionan sobre la experiencia con la raza. El mestizaje es todavía un territorio ambiguo en construcción, pero con el potencial de expandirse más allá del binario blanco/negro.

Abstract In this study we aimed to investigate racialized experiences with professors and/or researchers who work or have worked with Social Psychology. The methodological approach was collaborative, supported by elements of narrative research, which implies a type of research relationship in which the people interviewed and the researcher become co-tellers of stories, seeking to understand how they built the racial experience. Fifteen narrative interviews were carried out with no restriction on gender, race/ethnicity, age, to achieve greater diversity of stories. Dialogic-performative analysis was used as a tool for interpreting the empirical material of the interviews. The narrated experiences are racialized, however, there are nuances, which are related to the singularity of the participants' life. The narratives exposed that aspects such as territory, class, gender, age reflect on the experience with race. Moreover, miscegenation is an ambiguous territory under construction, but with the potential to expand beyond the black/white binary.

La experiencia de la persona adulta con la infección por virus del papiloma humano: una revisión panorámica / The experience of the adult with human papillomavirus infection: A scoping review

Resumen Objetivo: explorar qué se ha investigado sobre la experiencia de ser diagnosticado y el vivir con la infección por Virus del Papiloma Humano (VPH) en personas adultas. Metodología: se realizó una revisión de literatura basada en el diseño de scoping review de Arksey y O´Malley. Resultados: la experiencia de la persona adulta con la infección por VPH implica considerar principalmente cuatro áreas: la psicosocial, la sexual, la cognitiva y la atención a la salud. Discusión: aunque la mayoría de los hallazgos se centran en aspectos negativos del VPH, algunos muestran evidencia de beneficios o aspectos positivos a partir del diagnóstico. Conclusiones: el VPH conlleva un impacto considerable desde el momento de su detección hasta el tratamiento, lo que implica afecciones en las distintas áreas de la vida de las personas que van desde cuestiones emocionales hasta el seguimiento adecuado del proceso de atención.

Abstract Objetivo: Explore what has been investigated about the experience of being diagnosed and living with Human Papillomavirus (HPV) infection in adults. Metodología: A literature review was done based on the scoping review design of Arksey and O'Malley. Resultados: The experience of the adult with HPV infection involves mainly considering four areas: psychosocial, sexual, cognitive and health care. Discusión: Although most of the findings focus on negative aspects of HPV, some show evidence of benefits or positive aspects from the diagnosis. Conclusiones: HPV carries a considerable impact from the time of its detection until the treatment, which implies affections in the different areas of the life of patients ranging from emotional issues to the adequate follow-up of the care process.

La religión, una dimensión inexplorada en personas con cáncer avanzado al término de la vida / Religion, an unexplored dimension in people with advanced cancer at the end of life

RESUMEN Este trabajo investigó la transformación de la experiencia de las personas que padecen de cáncer avanzado. Objetivos I) describir y analizar la transformación del cuerpo de las personas con cáncer avanzado y II) describir y analizar la influencia de la religión en la transformación de dicha experiencia de vida. Métodos Se realizó una etnografía en un hospital público de la ciudad de México en la alcaldía de Iztacalco. Se empleó la narrativa como herramienta para explorar las emociones, el cuerpo y la experiencia. Discusión El análisis interpretativo se basó en las teorías de la fenomenología de la percepción, la teoría de la performatividad, el concepto de habitus y la noción de globalización. Conclusiones El cuerpo es un campo de transformación continuo desde el cual se construyen los significados sociales y globales en torno al cáncer que influyen en la atención médica.(AU)

ABSTRACT This work investigates the transformation of people experience with advanced cancer. Objectives I) describe and analyze the transformation of the body of people with advanced cancer and II) describe and analyze the influence of religion in the transformation of that experience. Methods An ethnography was carried out in a public hospital in Mexico City in Iztacalco city hall. Narrative was used as a tool to explore emotions, body and experience. Discussion The theoretical discussion was based on the theories of the phenomenology of perception, the theory of performativity, the concept of habitus and the notion of globalization. Conclusions The body is a continuous field of transformation from which the social and global meanings around cancer are constructed and influence the medical care.(AU)

Understanding bereavement experiences of mothers facing the loss of newborn infants / Experiências de luto das mães frente à perda do filho neonato

Abstract Objective: to understand mothers' bereavement experiences regarding the loss of their newborn child in the Neonatal Intensive Care Unit of a Brazilian university hospital. Methods: the study was designed by the clinical-qualitative method to understand the meaning of the emerging relationships of health scenarios. Sample consisted of six mothers. The sufficiency of the sample was verified through the saturation of the data. The data collection instrument was a semistructured interview with script of open questions, the collected material was recorded and transcribed in full. Thematic analysis was performed by two independent authors. Results: feelings and perceptions of the grieving process gave rise to three categories: 1. Guilt and fantasy of bereavement related to the death and grief for their children; 2. Relationships and ambiguities - the relationship between internal concerns and perception of external relations; 3. Fear, disbelief, abandonment and loneliness - questions about perception of the external environment. Conclusions: mothers' bereavement experience is mainly permeated by loneliness and abandonment related to feelings of guilt for not being able to keep their children alive. The difficult and definitive separation in the postpartum period, caused by death, brings fantasies of reunion with their child. Women show the need to realize grief, especially by recognizing their baby's identity.

Resumo Objetivo: compreender experiências de luto das mães frente à perda do filho neonato na Unidade de Terapia Intensiva Neonatal de um hospital universitário brasileiro. Métodos: o estudo foi desenhado pelo método clínico-qualitativo que propõe a compreensão do sentido das relações emergentes nos cenários de saúde. A amostra foi composta por seis mães e sua suficiência foi verificada através da saturação de dados. O instrumento de coleta de dados foi uma entrevista semiestruturada com roteiro de questões abertas, o material coletado foi gravadoe transcrito na íntegra. A análise temática foi realizada por dois autores independentes. Resultados: os sentimentos e as percepções do processo de luto deram origem a três categorias: 1. Culpa e fantasia das mulheres enlutadas relacionadas com a morte e luto por seus filhos; 2. Relacionamentos e ambiguidades - a relação entre preocupações internas e a percepção de relações externas; 3. Medo, descrença, abandono e solidão - questões sobre a percepção do ambiente externo. Conclusões: a experiência de luto das mães é permeada sobretudo, por solidão e abandono relacionados com sentimento de culpa por não poder manter o filho vivo. A separação no período de puerpério, provocada pela morte, é difícil, definitiva e traz fantasias de reencontro com o filho. As mulheres mostram a necessidade de concretizar o luto especialmente através do reconhecimento da identidade de seu bebê.

Win-Win Partnership in the Clinical Setting: Female Nurses' Adaptive Experience to Male Nurses / 간호행정학회지

PURPOSE: The present study was done to provide understanding of how female nurses adapt to male nurses and to derive an entity concept that explains the experience process for female nurses. METHODS: Data were collected through in-depth interviews with 16 female nurses who had work experience with male nurses. Collected data were analyzed using the grounded theory methodology of Strauss and Corbin. RESULTS: The core category found in the adjustment experience of female nurses to male nurses was “win-win partnership with male nurses who struggle to keep up in the clinical setting”. The central phenomenon was “unprepared meeting with male nurses who are different from us”. The action/interaction strategies the participants used were “recognition of differences,”, “positive approach,” and “acceptance as a colleague.” CONCLUSION: The results showed that female nurses tried to have a win-win partnership with male nurses by using several strategies. This result broadened the range of understanding of female nurses' adjustment to male nurses and provides new information on their adaptation to practical work.

Life experience of 1 angiosarcoma patient with amputation who possesses "strong trait" / 中国实用护理杂志

Objective By interview with 1 young angiosarcoma and amputated patient who has"strong trait", the resonance of the patients with the same situation was aroused and it is helpful for the clinical nursing staff to give the patient's comprehensive and pertinent guidance. Methods One case of young angiosarcoma and amputation who has "strong trait" were interviewed and the interview data were analyzed by the method of narrative study in qualitative study. Results A total of 4 themes were summed up: to be optimistic in the life, rational acceptance the fact of illness; by "strong trait" to shape tough will; gratitude and strong pluralistic support; and the right way of life. Conclusions The 4 subjects have a positive impact on improving the quality of life of the young angiosarcoma. At the same time, it can make the clinical nurses actively guide the other young angiosarcoma and set up a correct life attitude so as to get out of the shadow of the disease.

The quality of life of post-discharge patients carrying drainage tube after PTBD: a qualitative study / 介入放射学杂志

Objective To make a further recognition of the real quality of life of post-discharge patients who carry a percutaneous transhepatic biliary drainage (PTBD) tube due to malignant obstructive jaundice in order to formulate the corresponding scheme of health education and continued nursing. Methods By using qualitative research with phenomenological method, the interventional specialized nurse made a indepth interview with the post-discharge patients who carried a PTBD tube due to malignant obstructive jaundice. Colaizzi seven-step analysis method was adopted to collate and analyze the clinical data. Results A total of 10 patients were finally enrolled in this study. The main considerations of patients carrying a PTBD tube in daily life included the changes of self-care ability in daily life, intensification or absence of a patient's role; worrying about prolapse and infection of the tube; disordered self-image and social phobia; different degrees of physical discomfort and negative emotion with psychological pressure; hoping improvement of the drainage bag and fixed materials and way; hoping more convenient way of dressing, etc. Conclusion The post-discharge patients carrying a PTBD tube live in different levels of stress. The medical staff should carry out targeted health education and extension care to help them and make research to improve equipment, so as to improve self-care ability, reduce complications as well as psychological pressure, thus, to improve the quality of life.

Voces de adolescentes gestantes solteras en la experiencia de cuidado familiar / Voices of single pregnant teenagers in the family care experience

INTRODUCCIÓN. Diariamente en el mundo se dan 20 mil nacimientos de madres adolescentes, conllevando a repercusiones biológicas, psicológicas y sociales. México es el primer país con natalidad adolescente de los países que integran la Organización para la Cooperación y el Desarrollo Económicos. De acuerdo a evidencia científica, el cuidado familiar puede fungir como un factor protector para la vulnerabilidad y estigma social que representa la maternidad en condición de soltería. Sin embargo, son nulos los estudios encaminados a develar las voces de adolescentes gestantes solteras en la experiencia de cuidado familiar. Consiguiente se plantea la pregunta cómo es la experiencia de las adolescentes gestantes solteras (AGS) en cuidado familiar? OBJETIVO GENERAL. Interpretar la experiencia de AGS en cuidado familiar. METODOLOGÍA. Estudio cualitativo, fenomenológico hermenéutico. Selección de participantes por criterio de conveniencia y saturación de datos. Recolección de datos a través de cedula de datos sociodemográficos, diario de campo, visitas domiciliarias y entrevista en profundidad, duración promedio 80 minutos y dos sesiones, audio grabada previo consentimiento informado doble rubrica. Posterior transcripción fidedigna de datos, codificación, reducción y análisis. RESULTADOS. Del análisis emanan: Categoría 1. El mundo interior de la AGS, subcategorías: 1.1 El miedo, 1.2 La tristeza, 1.3 La alegría. Categoría 2. Experimentando el cuidado familiar, subcategorías: 2.1 Dinámicas familiares cambiantes, 2.2 Tipos de cuidado familiar. CONCLUSIÓN. La experiencia de gestación temprana en condición de soltería resulta un fenómeno complejo, social, transgeneracional y cultural que "multi-violenta" a las AGS. A pesar del cuidado familiar que perciben, son el rechazo, angustia y vergüenza los sentimientos que imperan en su experiencia. La ponderación social antes que personal del fenómeno, les ubica en el llamado "se dice" (Heidegger) resultando un Dasein inauténtico. Comprender la experiencia de las AGS en cuidado familiar, para enfermería, aproxima a un cuidado holístico.

INTRODUCTION. Every day in the world there are 20 thousand births of adolescent mothers, leading to biological, psychological and social repercussions. Mexico is the first country with an adolescent birth rate in the countries that make up the Organization for Economic Cooperation and Development. According to scientific evidence, family care can serve as a protective factor for the vulnerability and social stigma that represents single motherhood. However, studies aimed at revealing the voices of single pregnant teenagers in the family care experience are null. The question arises as to what is the experience of unmarried pregnant women (AGS) in family care? GENERAL OBJECTIVE. Interpret the AGS experience in family care METHODOLOGY. Qualitative, phenomenological hermeneutic study. Selection of participants by criterion of convenience and data saturation. Data collection through socio-demographic data, field diary, home visits and in-depth interview, average duration 80 minutes and two sessions, recorded audio prior double informed consent. Positive transcript of data, coding, reduction and analysis. RESULTS. From the analysis emanate: Category 1. The inner world of the AGS, subcategories: 1.1 The fear, 1.2 The sadness, 1.3 The joy. Category 2. Experiencing family care, subcategories: 2.1 Changing family dynamics, 2.2 Types of family care. CONCLUSION. The experience of early gestation in singles condition is a complex, social, transgenerational and cultural phenomenon that ""multi-violent"" to the AGS. Despite the family care they perceive, they are rejection, anguish and shame the feelings that prevail in their experience. The social rather than personal weighting of the phenomenon places them in the socalled ""is said"" (Heidegger) resulting in an inauthentic Dasein. Understanding the AGS experience in family care, for nursing, approximates holistic care.

Turnover Experience of Male Nurses

PURPOSE: The aim of this study was to identify turnover experiences of men in nursing and to derive a substantive theory on the turnover experience of men who are nurses. METHODS: Data were collected through in-depth interviews with 13 men who had worked as a nurse for 1 year or more, and had a turnover experience during that period. Collected data were analyzed on the basis of Strauss and Corbin's grounded theory. RESULTS: The core category in the turnover experiences of the respondents was ‘seeking a stable place for me’. In the analysis of the core category, types of ‘contentment’, ‘seeking’, ‘survival’ and ‘confusion’ were identified. The sequential stages of these nurses’ turnover experience were ‘confrontation’, ‘incertitude’, ‘retrying’ and ‘realization’. However, when a problem arose in the process, they returned to the stage of confusion. Thus, these stages could occur in a circular fashion. CONCLUSION: These findings provide a deep understanding of the turnover experience of men in nursing and offers new information about how they adapt to nursing practice. The findings should be useful as foundational data for men who hope to become nurses and also for managers responsible for nurses who are men.

A Review of Qualitative Research in Korea: The Life Experiences of Diabetes Patients / 임상당뇨병

Qualitative research methodology has become more recognized and valued in diabetes behavioral research in recent years. Qualitative research is very rare in Korea, especially for diabetes; on the other hand, qualitative research is increasing abroad. This paper reviews qualitative research on the life experiences of diabetes patients in Korea. Drawing on advanced research, it is helpful to know the essence of such experiences and the exact phenomena diabetes patients face as revealed in their own voices. Also, understanding of and interest in the subjective experiences of diabetes patients will inform the development of new intervention methods.

Experience of Becoming a Father of a High Risk Premature Infant

PURPOSE: This study was performed to identify the experience of becoming a father of a high risk premature infant. METHODS: Grounded theory was used for this research. The participants were 12 fathers who had premature infants lighter than 2,500g of birth weight, less than 37 weeks of gestational age and having stayed 2 weeks or longer in a NICU right after birth. Theoretical sampling was done to identify participants and indepth interviews were done for the data collection. For data analysis, the process suggested by Corbin and Strauss was used. RESULTS: For these participants the core phenomenon of the experience of becoming a father of a high risk premature infant was ‘striving through with belief and patience’. The phenomenon was ‘being frustrated in an unrealistic shock’. Contextual conditions were ‘uncertainty in the health status of the premature baby’ and ‘no one to ask for help’ and intervening conditions were ‘possibility in the health recovery of the premature baby’ and ‘assistance from significant others’. Action/interaction strategies were ‘withstanding with belief in the baby’ and ‘enduring with willpower as head of the family’ and the consequence was ‘becoming a guardian of the family’. CONCLUSION: For the participants, the process of becoming the father of a high risk premature infant was striving through the situation with belief in their babies' ability to overcome the crisis and waiting for the babies' recovery with patience.

El bien vivir: ¿cuidado de la salud o proyecto vital? Segunda parte / To live well: health care or life project? Part II

Resumen: El sentido de la vida, la razón profunda del anhelo de vivir y la motivación para actuar en consecuencia, es el antecedente del proyecto vital (PV). Se argumenta cómo la lucha por la dignidad es el verdadero derrotero de superación de la condición humana y el eje de PV que aspiran al bien vivir. El PV que se propone es una aventura cognitiva que trasciende el consumismo, el individualismo y la pasividad en la búsqueda de otro mundo hospitalario e incluyente, donde tenga viabilidad la superación espiritual, intelectual y moral de la dignidad humana. Este PV entraña: a) una necesidad primaria: vincularse con otras subjetividades afines; b) un núcleo: la lucha incesante por la dignidad sublimada; c) un desiderátum: el bien vivir de las mayorías y d) un propósito indeclinable: la edificación sobre otros basamentos éticos, políticos, jurídicos, cognitivos y ecológicos, de un mundo propicio para el bien vivir. Se arguye acerca de la superioridad de proyectos vitales altruistas en la consecución del bien vivir comunitario, sobre los afanes centrados en la preservación y el cuidado de la salud que favorecen el individualismo, la pasividad y el statu quo. La búsqueda del "bien morir" es el mejor ejemplo de la influencia benéfica de este tipo de proyectos en el cuidado de la salud.

Abstract: On the basis that life project as the driving force behind the life experience, the quest for human dignity is the way for true progress and the improvement of human condition. It's pointed out the need to be aware of the meaning of life understanding the motives behind our will to live that is the antecedent of life project. The proposed life project is a cognitive adventure, capable of transcending consumerism, individualism and passivity, toward the creation of a more inclusive world where the improvement spiritual, intellectual and moral can be viable. Said life project entails: a) A primary need: to link oneself with like-minded people that synergize against the prevailing order b) A core: The everlasting struggle for sublimated dignity c) A desideratum: The well-being of the majority d) An unavoidable purpose: The creation of a suitable world build on different ethical, political, lawful, cognitive and ecological foundations. In conclusion, this paper analyzes the influence of projects with an alternate proposal to the endeavors centered in healthcare that favor individualism, passivity and the current status quo. The best example of said alternate proposals is the commonly called "good death".

The Experience of Illness in Non-Hodgkin Lymphoma Patients

PURPOSE: The purpose of the study was to explore the illness experiences of Korean patients with non-Hodgkin lymphoma. METHODS: Data were collected through individual in-depth interviews with 9 patients. Thematic analysis was used to analyze the data. RESULTS: Five themes emerged as a result of the analysis. "Embarrassment from unfamiliar diagnosis and rapid progression" delineates lymphoma as a very cancer. "Maelstrom in dilemma of cancer treatment" describes suffering due to side effects and complications with lack of information about treatments. "Rearrangement of relationships due to social prejudice" describes interpersonal relationships with others and family members. "Keeping psychological stability through balancing alertness and oblivion" illustrates strategies to overcome the fear of recurrence. "A new life obtained by introspection" delineates the outcome of overcoming cancer through self-reflection. CONCLUSION: Patients with non-Hodgkin lymphoma experienced tremendous physical and psychosocial problems. There are significant knowledge gaps between patients and health professionals. Based on the results of the study, health professionals could develop effective nursing interventions to improve the quality of life of non-Hodgkin lymphoma patients.

Cidade com comunidade / Town with the community / Ciudad con la comunidad

Buscamos dar visibilidade às lutas cotidianas através das experiências de vida das comunidades pobres, uma diferença na cidade. Temos uma preocupação: criticar o ato de silenciar as diferenças, buscando responder a uma questão: como ressignificar a diferença vista como negativa? Apostamos num poder comum de agir, trabalho - arte das comunidades pobres que maquinam por um constante vir a ser da cidade. Este trabalho mostra submissões, mas também mostra resistência e liberdade como seus fundamentos materiais que implicam numa produção de subjetividades.

We seek to give visibility to the daily challenges through the life experiences of poor communities, a difference in the city. We have a concern: to criticize the act of silencing the diversity, trying to answer a question: how to reframe the difference, viewed as negative? We believe in a common power to act, working - the art of the poor communities that plot a constant state of "will be" of the city. This work shows subjections, but it also shows resistance and freedom as its material bases that imply a production of subjectivities.

Buscamos dar visibilidad a las luchas cotidianas a través de las experiencias de vida de las comunidades pobres, una diferencia en la ciudad. Tenemos una preocupación: criticar el acto de silenciar las diferencias, tratando de responder a una pregunta: ¿cómo replantear la diferencia, visto como algo negativo? Creemos en un poder común para actuar, trabajar - el arte de las comunidades pobres que conspiran por una ciudad-devenir. Este trabajo muestra el sometimiento, pero también muestra la resistencia y la libertad como sus materiales fundadores que implican una producción de subjetividades.

An investigation of the effects of living with the elderly on nursing students' willingness engaging in aged nursing and attitude towards the elderly / 中国实用护理杂志

Objective To know the effects of living with the elderly on nursing students' willingness engaging in aged nursing and attitude towards the elderly so as to provide references for nurturing professionals for caring for the aged.Methods 231 nursing students were surveyed.The questionnaire included four parts,general information,life experience with the elderly,willingness engaging in aged nursing,attitude towards the elderly and cognition of aging.Results 45.9 percent of the nursing students were willing to engage in aged nursing.Living with elderly and relationship with the elderly affected their willingness.Conclusions Creating more opportunities for nursing students in touch with the elderly can help nursing students to have a good impression of the elderly and stimulate them to choose aged nursing.

The Experiences of Adolescents' Suffering from Cancer: Breaking out of the withdrawn Ego

PURPOSE: The purpose of this study was to describe and explore the experience of adolescents with cancer. METHODS: This study was based on the grounded theory by Strauss & Corbin (1998). The subjects were 13 adolescents including in and out-patients of a university hospital diagnosed with cancer. RESULTS: 'Getting changed' and 'getting deviated' were found to be the causal conditions. 'Inclination', 'self-reliance', and 'hope' were identified as contextual conditions, 'shrinking feeling' as the core phenomenon, 'awareness of disease', 'self-consciousness', and 'getting understanding and love' as intervening conditions, 'negligence', 'separation', 'self-management', and 'inspiration' as the strategies and 'being shirk', 'getting back', and 'going forward' as consequences. 'Breaking out of the withdrawn ego' was the core category in this study. CONCLUSION: This study provides a framework for the development of individualized nursing interventions for 'Breaking out of the withdrawn ego' to care for adolescents with cancer. Finally adolescents with cancer are 'reborn' with a more mature ego.

Significado de las vivencias de niños y niñas afectados por el VIH/SIDA, adscritos a un centro de atención y apoyo / Meaning of the live experiences of children suffering of HIV/AIDS, care for a support center

Esta investigación de corte cualitativo con diseño fenomenológico, buscó a través de los talleres lúdicos, la observación participante y la entrevista semiestructurada, comprender el significado de las vivencias de niños y niñas de 7 a 16 años de edad afectados por el VIH/SIDA, adscritos a un centro de atención y apoyo para el VIH/SIDA, entendiendo la vivencia como el resultado de la relación del sujeto con los diversos objetos y eventos que constituyen los aspectos dinámicos de su mundo y que componen su historia. Los significados de estos niños/as acerca de la vivencia de estar afectados por el VIH/SIDA giran en torno al señalamiento, la discriminación, el ser portador social del virus, miedo de revelar la condición en la escuela por el rechazo que puede causarles, la no satisfacción de sus demandas ontológicas por su institucionalización y la resignificación de sus vivencias que los lleva a tener conductas preventivas y ser educadores de la enfermedad.

This qualitative research with a phenomenological design, searched throughout playful workshops, partaker observation and semi-structured interview, understand the meaning of the experiences of children from 7 to 16 years old affected by HIV/AIDS, care for a support center for HIV/AIDS. Understanding the experience as the result of the subject's relationship with the different objects and events that constitute the dynamic aspects of their world and that comprise their story. The meanings of these children on the experience of being affected by HIV/AIDS revolve around tagging, discrimination, carrying the virus socially, fear to reveal the condition at school that can cause rejection, the failure to meet their ontological demands for their institutionalization and the significance of their experiences that leads to preventive behaviors and develop educators of the disease.

A experiência de crescer com fibrose cística / The experience of growing up with cystic fibrosis / La experiencia de crecer con fibrosis quística

Onze pessoas com fibrose cística (FC) foram entrevistadas a respeito de suas experiências com a doença. Os seus testemunhos foram analisados em três etapas: descrição, redução e interpretação. A etapa de descrição apontou para a dificuldade de conciliar o tratamento da doença com demandas de escola e trabalho. Já a redução evidenciou um fenômeno central das experiências dos pacientes: o choque com o diagnóstico e a dificuldade de aceitação da doença. A análise crítica levou ao entendimento de que crescer com fibrose cística é uma experiência única, embuída de múltiplas aceitações e de desenvolvimento de estratégias de adaptação à doença. Diagnóstico tardio, apoio familiar, a revelação da doença e procura de trabalho são questões constantes na trajetória dos pacientes. Políticas de saúde pública direcionadas à real necessidade dos pacientes portadores de FC e seus familiares devem ser o centro das estratégias para a promoção da saúde e qualidade de vida.

Eleven persons with cystic fibrosis (CF) were interviewed about their experience of growing up with the disease. The testimonies were analyzed in three steps: description, reduction, and interpretation. The description pointed out the difficulty in performing the treatment in accordance to work and study demands. The reduction stressed that the shock with the diagnosis and the difficulty to disclose the disease are a central phenomena of the patients’ experience. Critical analysis led us to interpret that growing up with CF is a unique experience, reflected in multiple acceptance and adaptation strategies to the disease. Late diagnosis, family support, disease disclosure and the search for a job represent transversal issues in the patients’ experience. Public health policies should be the cornerstone of strategies promoting health and quality of life designed to meet the true needs of both patients and families.

Once personas con fibrosis quística (FQ) fueron entrevistadas sobre sus experiencias con la enfermedad. Sus testimonios fueron analizados en tres pasos: descripción, reducción e interpretación. Descripción paso señaló la dificultad de conciliar el tratamiento de la enfermedad con las exigencias de la escuela y el trabajo. La reducción mostró un fenómeno central de las experiencias de los pacientes: el impacto del diagnóstico y la dificultad en la aceptación de la enfermedad. La revisión dio lugar a la constatación de que crecer con la fibrosis quística es una experiencia única, imbuida de múltiples aceptaciones y de desarrollo de estrategias de adaptación a la enfermedad. El diagnóstico tardío, el apoyo familiar, la revelación de la enfermedad y la busca de trabajo son temas constantes en la trayectoria de los pacientes. Las políticas públicas de salud dirigidas a las necesidades reales de los pacientes con FQ y sus familias deben ser el centro de las estrategias para promover la salud y la calidad de vida.

Life Experience of Inpatients with Recurrent Breast Cancer

PURPOSE: Understanding daily life experiences of patients admitted to hospital with recurrent breast cancer. METHODS: The grounded theory method was used for this study. RESULTS: Consistent comparative analysis was used throughout the study to obtain the results. Results showed that inpatients with recurrent breast cancer experience 'a co-existence of life suffering and fear of death'. The causal condition of this result was determined to be 'patient's response to cancer recurrence (acceptance/despair)', including contextual conditions such as, 'previous experience with cancer treatment', 'patient's current physical condition', and 'treatment methods for recurrent cancer'. Intervening conditions, such as 'a strong will to live', 'family support', 'moral support providers', and action/interaction strategies were found to provide patients with 'a strength to live'. Shown in these results, inpatients with recurrent breast cancer were seen to have a simultaneous 'hope for life and fear of death'. CONCLUSION: When providing nursing services to inpatients with recurrent breast cancer, people must recognize there is a notable difference between individual patients' contextual conditions and interactive strategies. Henceforth, proper cognitive nursing must be provided which encourages patients to maintain a strong will to overcome the many hardships of treatment as well as physical nursing, such as management of side effects caused by chemotherapy.