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1.
Soins ; 65(845): 14-19, 2020 May.
Artículo en Francés | MEDLINE | ID: mdl-32862957

RESUMEN

The purpose of this article is to describe and analyse the work of nurses practising in the prison environment when distributing treatments. Based on an ethnographic approach, observations of healthcare spaces in prisons and interviews were carried out with health professionals and sick prisoners. The analysis of the distribution of treatments is an interesting activity to highlight the role of nurses in a confined space. It appears that their work is punctuated by surveillance activities, in particular on the cell threshold where opportunities for interaction that shape the status of prisoner and/or patient play out. The therapeutic relationship is difficult to establish and often remains tainted by suspicion, which partly prevents the deployment of nursing care.


Asunto(s)
Atención de Enfermería , Prisiones , Antropología Cultural , Humanos
2.
Med Care ; 58 Suppl 2 9S: S80-S87, 2020 09.
Artículo en Inglés | MEDLINE | ID: mdl-32826776

RESUMEN

BACKGROUND: Veterans Affairs (VA) has rolled out a holistic, multicomponent Whole Health care model nationwide, yet no pragmatic trials have been conducted in real-world clinical settings to compare its effectiveness against other evidence-based approaches for chronic pain management in veterans. OBJECTIVES: We describe the adaptation of the first large pragmatic randomized controlled trial of the Whole Health model for chronic pain care for diverse VA clinical settings. RESEARCH DESIGN: Informed by the Promoting Action on Research Implementation in Health Systems implementation framework, we conducted qualitative semistructured interviews to obtain feedback on trial design from VA leadership, frontline clinicians, and veterans with chronic pain at 5 VA enrollment sites. Next, we convened in-person evidence-based quality improvement (EBQI) meetings with study stakeholders (including frontline clinicians and administrators) at each site to discuss study design; review interview themes; and identify site-specific barriers, facilitators, and approaches to implementation. Ethnographic observations from EBQI meetings provided additional insight into implementation strategies. SUBJECTS: Seventy-four veteran and VA staff stakeholders were interviewed; 71 stakeholders participated in EBQI meetings. RESULTS: At each site, unique clinical contexts and varying resources for Whole Health and pain care delivery affected plans for trial implementation. We present examples of local adaptations that emerged through the formative evaluation process to facilitate implementation and yield a more pragmatic trial design. CONCLUSIONS: A systematic formative evaluation can facilitate engagement and buy-in of study stakeholders. Locally tailored pragmatic implementation strategies may improve the likelihood of successful trial execution as well as future implementation of evidence-based pain care approaches in real-world clinical settings.


Asunto(s)
Dolor Crónico/terapia , Medicina Integral/organización & administración , Proyectos de Investigación , United States Department of Veterans Affairs/organización & administración , Antropología Cultural , Actitud del Personal de Salud , Medicina Basada en la Evidencia , Humanos , Entrevistas como Asunto , Selección de Paciente , Mejoramiento de la Calidad/organización & administración , Estados Unidos , Veteranos , Salud de los Veteranos
3.
PLoS One ; 15(7): e0236085, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32730277

RESUMEN

Developing professional identity is a vital part of health professionals' education. In Auckland four tertiary institutions have partnered to run an interprofessional simulation training course called Urgent and Immediate Patient Care Week (UIPCW) which is compulsory for Year Five medical, Year Four pharmacy, Year Three paramedicine and Year Three nursing students. We sought to understand student experiences of UIPCW and how those experiences informed student ideas about professional identity and their emergent practice as health professionals within multidisciplinary teams. In 2018, we commenced ethnographic research involving participant observation, field notes, interviews, photography and observational ethnographic film. A total of 115 students participated in this research. The emergent findings concern the potentially transformative learning opportunity presented within high fidelity multi-disciplinary simulations for students to develop their professional identity in relation to peers from other professions. Our work also exposes the heightened anxiety and stress which can be experienced by students in such interdisciplinary simulations. Student experience suggests this is due to a range of factors including students having to perform in front of peers and staff in such simulation scenarios when their own professional identity and capabilities are still in emergent stages. Staff-led simulation debriefs form a critical success factor for transformative learning to be able to occur in any such simulations so that students can reflect on, and move beyond, the emotion and uncertainty of such experiences to develop future-focused concepts of professional identity and strategies to support effective interprofessional teamwork.


Asunto(s)
Competencia Clínica , Prestación de Atención de Salud/normas , Personal de Salud/psicología , Relaciones Interprofesionales , Grupo de Atención al Paciente/normas , Profesionalismo/educación , Entrenamiento Simulado/métodos , Antropología Cultural , Personal de Salud/estadística & datos numéricos , Humanos , Estudiantes de Medicina/psicología , Estudiantes de Medicina/estadística & datos numéricos , Estudiantes de Enfermería/psicología , Estudiantes de Enfermería/estadística & datos numéricos , Estudiantes de Farmacia/psicología , Estudiantes de Farmacia/estadística & datos numéricos
4.
PLoS One ; 15(6): e0235169, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32579596

RESUMEN

A country's cultural landscapes are an important part of its heritage. The growing need to identify, catalogue and preserve these resources has led to a rapid change in the management and inventorying of heritage in general and of cultural landscapes in particular. The main aim of this work is to develop and apply an updated and integrated methodology for capturing and processing geo-information for the digital documentation of cultural heritage. The proposed case study is the atomic garden in the Finca El Encín (Madrid), a singular space with unique biogeographical features created over 60 years ago. The results of the case study validate the method, consisting of an unmanned aerial platform equipped with sensors to obtain point clouds and aerial images in conjunction with point clouds and images captured with a terrestrial laser scanner.


Asunto(s)
Antropología Cultural/métodos , Jardinería/métodos , Jardines , Imagenología Tridimensional/métodos , Fotogrametría/métodos , Geografía , Humanos , Imagenología Tridimensional/instrumentación , Fotogrametría/instrumentación , Reproducibilidad de los Resultados , España
5.
Sante Publique ; HS1(S1): 105-111, 2020.
Artículo en Francés | MEDLINE | ID: mdl-32374089

RESUMEN

INTRODUCTION: Driven by international programs specifically targeting neonatal survival, a set of recommended care practices is being promoted in West Africa. Using data from a multi-centered anthropological study, we enquire as to how local practices integrate the recommendations disseminated by these programs. METHOD: The surveys were conducted in rural localities in five countries: Benin, Burkina Faso, Mali, Mauritania, and Togo. In every site, the investigations combined ethnography of newborn care and in-depth interviews in maternity homes and homes. RESULTS: The care of newborns is based on a set of local social representations and logics, where medical recommendations are integrated heterogeneously. In maternity wards, health professionals face difficulties in implementing recommended practices, and make various conciliations when faced with local material and social constraints. In private homes, the "messages" promoting life-saving care for newborns punctuate conversations, but lead to various interpretations and variations in care. DISCUSSION: The irregular integration of medical recommendations in neonatal care is analyzed around three areas: the divergence of intentions around the birth, the dissonances between the recommended care and the local conceptions of the newborn, the influence of intra-family power relations. Considering the complexity of the changes in neonatal care, we argue for the implementation of programs that respect local cultures, and for health professionals to skillfully accommodate conflicting constraints.


Asunto(s)
Actitud del Personal de Salud , Cuidado del Lactante/métodos , Población Rural , Cordón Umbilical , África Occidental , Antropología Cultural , Benin , Femenino , Adhesión a Directriz , Guías como Asunto , Humanos , Recién Nacido , Embarazo , Encuestas y Cuestionarios
6.
Sante Publique ; HS1(S1): 81-91, 2020.
Artículo en Francés | MEDLINE | ID: mdl-32374098

RESUMEN

INTRODUCTION: In Mauritania, as in other West African countries, a series of actions has been taken to combat neonatal mortality. Considering the mixed success of these programs, we wondered how health workers are investing in neonatal care. METHOD: An anthropological study was carried out in a locality in the Senegal River Valley. The surveys consisted of an ethnography of a health center, which resulted in detailed observations of care and interviews with health workers. RESULTS: Our observations reveal that in the crucial minutes and hours following a normal birth, the attention of caregivers tends to turn away from the newborn. Recommended care such as keeping warm, examining and monitoring the newborn is not provided, while early breast-feeding occurs in a fluctuating manner. The newborn is quickly handed over to the family. Newborn care is thus "forgotten", both in the sequence of actions around childbirth and in the collective distribution of professional responsibilities. DISCUSSION: Newborn care at birth remains poorly medicalized. We analyze the least involvement of health workers with newborns in two aspects : the perception of the uncertainty of neonatal survival, and the predominance of local childbearing. We are making proposals to put the spotlight back on the newborn in order to promote a better quality of neonatal care.


Asunto(s)
Actitud del Personal de Salud , Lactancia Materna , Cuidado del Lactante/métodos , Parto , Atención Perinatal/métodos , Calidad de la Atención de Salud , África Occidental , Antropología Cultural , Femenino , Humanos , Lactante , Cuidado del Lactante/psicología , Mortalidad Infantil , Recién Nacido , Mauritania , Relaciones Enfermero-Paciente , Embarazo , Senegal
7.
Sante Publique ; HS1(S1): 93-104, 2020.
Artículo en Francés | MEDLINE | ID: mdl-32374099

RESUMEN

INTRODUCTION: The latest global reports show that in 2016, 2.6 million children died worldwide during their first month of birth. Also, the proportion of neonatal deaths among the deaths of children under 5 increased between 1990 and 2015: from 26% in 1990 to 35% in 2015 [1]. METHOD: An anthropological study in public health and home-based structures in north Togo (Savanes region) allowed us to observe and perform a clinical ethnography of different perinatal death situations. RESULTS: The nursing staff, consider the mother as responsible: She didn't come to the hospital early; she was ill but did not get treated or she was late for the expulsion leaving the newborn suffocating. The health care staff is rarely called into question in the face of such a situation. In addition to the guilt of grieving mothers, these tragic situations are in most cases erased as having never occurred by the nursing staff and also by the family: silence and many things left unsaid surround these deaths. CONCLUSION: This study shows that we need to initiate death audits in the maternity wards in order to improve care for mothers and newborns.


Asunto(s)
Actitud del Personal de Salud/etnología , Trabajo de Parto , Partería , Madres/psicología , Muerte Perinatal , Antropología Cultural , Niño , Femenino , Muerte Fetal , Humanos , Recién Nacido , Embarazo , Resultado del Embarazo , Togo
8.
Evol Anthropol ; 29(3): 117-124, 2020 May.
Artículo en Inglés | MEDLINE | ID: mdl-32472595

RESUMEN

The human evolutionary sciences place high value on quantitative data from traditional small-scale societies that are rapidly modernizing. These data often stem from the sustained ethnographic work of anthropologists who are today nearing the end of their careers. Yet many quantitative ethnographic data are preserved only in summary formats that do not reflect the rich and variable ethnographic reality often described in unpublished field notes, nor the deep knowledge of their collectors. In raw disaggregated formats, such data have tremendous scientific value when used in conjunction with modern statistical techniques and as part of comparative analyses. Through a personal example of longitudinal research with Batek hunter-gatherers that involved collaboration across generations of researchers, we argue that quantifiable ethnographic records, just like material artifacts, deserve high-priority preservation efforts. We discuss the benefits, challenges, and possible avenues forward for digitizing, preserving, and archiving ethnographic data before it is too late.


Asunto(s)
Antropología Cultural/normas , Pueblos Indígenas , Registros/normas , Antropología Cultural/instrumentación , Humanos , Malasia , Registros/estadística & datos numéricos
10.
Memorandum ; 37: 1-21, 20200401.
Artículo en Portugués | LILACS | ID: biblio-1103118

RESUMEN

Analisa-se o agenciamento da memória coletiva e os processos de reconstrução e representação do passado de uma das principais escolas de samba do Rio de Janeiro ­a Portela ­por meio de um rito comensal: a feijoada da família portelense. Esta é promovida regularmente por representantes da ala de compositores dessa escola de samba. Examinam-se diversos aspectos que singularizam este evento de comensalidade: seu sistema culinário, seu modo de organização, seus conteúdos afetivos, os processos de identificação e de corporalidade lá produzidos. Os procedimentos de coletas de dados foram: revisão bibliográfica, entrevistas semiestruturadas e etnografia. No que tange aos resultados, infere-se que o processo de construção da identidade portelense é uma marca social de distinção cujos principais esteios são: memória do passado da agremiação, considerado cheio de glórias e vitórias e o compartilhamento de práticas ditas tradicionais como rodas de sambas e feijoadas.


We analyze the agency of collective memory and the processes of reconstruction and representation of the past of one of Rio de Janeiro's main samba schools ­Portela ­through a commensal rite: the feijoada of the Portelense family. This rite is regularly promoted by representatives of the composers of the samba school. Several aspects that characterize this event of commensality are examined: its culinary system, its mode of organization, its affective contents, the processes of identification and corporality produced there. The procedures for data collection were: bibliographic review, semi-structured interviews and ethnography. Regarding the results, it is inferred that the process of the identity of being Portelense is a social mark of distinction whose main pillars are: memory of the past of the association, that is considered full of glory and victories, and the sharing of so-called traditional practices such as events with sambas and feijoadas.


Asunto(s)
Culinaria , Características Culturales , Antropología Cultural
11.
Memorandum ; 37: 1-21, 20200401.
Artículo en Portugués | LILACS | ID: biblio-1103112

RESUMEN

A figura de Òsàlá ou Oxalá é muito presente na cultura religiosa brasileira, principalmente por conta do sincretismo religioso. A forma orgânica como se desenvolveram as religiões de matriz africana no Brasil estabeleceu hoje um quadro complexo, mas infelizmente folclorizado e muitas vezes reduzido a uma simplicidade, fruto de estigmas e de uma trajetória racista em essência. O Candomblé e a Umbanda estão presentes na vida do brasileiro, tal como seus cultos. Mesmo para aqueles não iniciados, Òsàlá está no imaginário social justamente por essa popularidade. É no intuito de sintetizar essas muitas ideias que esse artigo se dedicou a organizar as percepções existentes sobre Òsàlá e Oxalá, traçando-as sob as perspectivas do Candomblé de nação Ketu e da Umbanda. Perpassando por problemáticas históricas, ritos de culto, questões raciais e reflexões epistemológicas e etimológicas, apresenta-se um material reflexivo e crítico sobre a presença de Òsàlá em solo brasileiro.


The figure of Òsàlá or Oxalá is very present in Brazilian religious culture, mainly because of religious syncretism. The organic way in which African religions developed in Brazil has established today a complex but unfortunately folklorized picture, often reduced to simplicity, the result of stigmas and a racist trajectory inessence. Candomblé and Umbanda are present in the life of Brazilians, as well as intheir cults. Even for those uninitiated, Òsàlá is in the social imagination of society precisely because of its popularity. It is in order to synthesize these many ideas that this essay is devoted to organizing the existing perceptions of Òsàlá and Oxalá, tracing them from the perspective of the Ketu Nation Candomblé and Umbanda. Going through historical problems, rites of worship, racial issues andepistemological and etymological reflections, we present a reflexive and criticalmaterial about the presence of Òsàlá in Brazilian ground.


Asunto(s)
Religión , Antropología Cultural
12.
Psychiatry ; 83(2): 115-127, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32338566

RESUMEN

OBJECTIVE: The Coronavirus disease (COVID-19) outbreak has evolved into a pandemic crisis, with King County in Washington State emerging as the early US epicenter. A literature review revealed few reports providing front-line clinical and research teams guidance related to multilevel, rapidly evolving COVID-19 directives. METHOD: The Rapid Assessment Procedure Informed Clinical Ethnography (RAPICE) method was used to develop a clinical case series and conduct participant observation during an ongoing comparative effectiveness trial of peer-integrated, patient-centered interventions after traumatic injury. Participants were patients enrolled in the intervention arm of the ongoing trial, as well as front-line clinicians, patient peer interventionists, and clinical research team members implementing the trial. All participants were exposed to the Washington State COVID-19 outbreak. RESULTS: Primary and secondary COVID-19 prevention strategies were feasibly integrated into ongoing care coordination and behavioral interventions for at-risk patients. Beyond the compilation of case studies, as an iterative method, RAPICE data collection naturalistically evolved to include observations of intervention team activity occurring within the larger pandemic epicenter context. A daily clinical research team huddle that flexibly accommodated virtual participation was also feasibly implemented. CONCLUSIONS: Primary and secondary COVID-19 prevention strategies can be feasibly integrated into ongoing clinical interventions during the pandemic. Routine, proactive clinical and research team communication that transparently addresses ethical tensions and health-sustaining activities may promote well-being for providers grappling with rapidly evolving pandemic directives. Proactive assessments of individual provider vulnerabilities for severe COVID-19 related respiratory illness may also be a crucial element of the health care system pandemic responses.


Asunto(s)
Infecciones por Coronavirus/prevención & control , Control de Infecciones/métodos , Pandemias/prevención & control , Grupo de Atención al Paciente , Grupo Paritario , Neumonía Viral/prevención & control , Heridas y Traumatismos/terapia , Accidentes de Tránsito , Adolescente , Anciano de 80 o más Años , Antropología Cultural , Betacoronavirus , Servicios de Salud Comunitaria , Femenino , Fracturas del Fémur , Fracturas Múltiples , Humanos , Masculino , Persona de Mediana Edad , Atención Primaria de Salud , Cuadriplejía , Ensayos Clínicos Controlados Aleatorios como Asunto , Medición de Riesgo , Traumatismos de la Médula Espinal , Washingtón , Heridas y Traumatismos/psicología , Heridas por Arma de Fuego
15.
J Environ Public Health ; 2020: 4283027, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32322283

RESUMEN

Method: Using MeSH keywords, we searched major electronic databases including Medline, EMBASE, CINAHL, and PsycINFO in order to identify relevant publications published between January 2000 and October 2018. We included 19 qualitative studies which met inclusion criteria and were focused on physical activity determinants among adults. Results: Determinants emerging from these studies were grouped into six themes: (i) urban environment, (ii) financial constraints, (iii) work-life integration, (iv) community engagement, (v) social support, and (vi) psychosocial factors. After conceptualising these six themes into a social ecological model, we identified potential research gaps for physical activity among adults with low socioeconomic status living in industrialized countries. Conclusion: Our major insight was that, in industrialized countries, physical activity overlooks potential strengths to maintain health and well-being of those people with low socioeconomic status. A more complex understanding of contradictions between positive and deficit frames would lead to more critical insights of research gaps of physical activity in adult population with low socioeconomic status.


Asunto(s)
Países Desarrollados/estadística & datos numéricos , Ejercicio Físico , Clase Social , Antropología Cultural , Femenino , Humanos , Masculino
16.
Memorandum ; 37: 1-21, Abril 01, 2020.
Artículo en Portugués | Index Psicología - Revistas técnico-científicas | ID: psi-72080

RESUMEN

Analisa-se o agenciamento da memória coletiva e os processos de reconstrução e representação do passado de uma das principais escolas de samba do Rio de Janeiro –a Portela –por meio de um rito comensal: a feijoada da família portelense. Esta é promovida regularmente por representantes da ala de compositores dessa escola de samba. Examinam-se diversos aspectos que singularizam este evento de comensalidade: seu sistema culinário, seu modo de organização, seus conteúdos afetivos, os processos de identificação e de corporalidade lá produzidos. Os procedimentos de coletas de dados foram: revisão bibliográfica, entrevistas semiestruturadas e etnografia No que tange aos resultados, infere-se que o processo de construção da identidade portelense é uma marca social de distinção cujos principais esteios são: memória do passado da agremiação, considerado cheio de glórias e vitórias e o compartilhamento de práticas ditas tradicionais como rodas de sambas e feijoadas.


We analyze the agency of collective memory and the processes of reconstruction and representation of the past of one of Rio de Janeiro's main samba schools –Portela –through a commensal rite: the feijoada of the Portelense family. This rite is regularly promoted by representatives of the composers of the samba school. Several aspects that characterize this event of commensality are examined: its culinary system, its mode of organization, its affective contents, the processes of identification and corporality produced there. The procedures for data collection were: bibliographic review, semi-structured interviews and ethnography. Regarding the results, it is inferred that the process of the identity of being Portelense is a social mark of distinction whose main pillars are: memory of the past of the association, that is considered full of glory and victories, and the sharing of so-called traditional practices such as events with sambas and feijoadas.


Asunto(s)
Psicología , Culinaria/historia , Antropología Cultural
17.
Cad Saude Publica ; 36(3): e00213918, 2020.
Artículo en Portugués | MEDLINE | ID: mdl-32187289

RESUMEN

Public policies for the crack cocaine scene known as Crackland (São Paulo, Brazil) have been implemented for decades, but there has been no comprehensive description of such policies. We conducted this study due to the importance and innovative nature of the Open Arms program, in order to provide a comprehensive picture of the program, from its beginning until it was closed down. The description involves: (i) a survey of the activities developed by public agents who preceded the program and who directly influenced its formulation; (ii) a description of the status of Crackland when Open Arms was launched; (iii) specification of the institutional actors and their respective roles; and (iv) an explanation of the main events marking this public policy's development until its extinction. We drew on our ethnographic experience at Crackland, comparable to an important share of the literature on this topic. We identified strong influence from prior work by the professional staff, especially in the field of mental health in the municipal government in designing and developing the Open Arms program; however, the program developed with active participation by various entities, with important collaboration between municipal departments and agencies. The study revealed a close and adaptive relationship between the program and the Crackland scene, as well as clashes with organized crime and the police, requiring the development of specific skills by the municipal agents. When the program was dismantled, it left an important legacy with the emergence of activism in defense of the rights recently acquired by crack users, which should certainly play out in the form of some resistance to government measures.


Asunto(s)
Cocaína Crack , Política Pública , Trastornos Relacionados con Sustancias , Antropología Cultural , Brasil , Humanos , Gobierno Local
18.
BMC Health Serv Res ; 20(1): 111, 2020 Feb 12.
Artículo en Inglés | MEDLINE | ID: mdl-32050960

RESUMEN

BACKGROUND: The World Health Organization (WHO) Surgical Safety Checklist (SSC) has demonstrated beneficial impacts on a range of patient- and team outcomes, though variation in SSC implementation and staff's perception of it remain challenging. Precisely how frontline personnel integrate the SSC with pre-existing perioperative clinical risk management remains underexplored - yet likely an impactful factor on how SSC is being used and its potential to improve clinical safety. This study aimed to explore how members of the multidisciplinary perioperative team integrate the SSC within their risk management strategies. METHODS: An ethnographic case study including observations (40 h) in operating theatres and in-depth interviews of 17 perioperative team members was carried out at two hospitals in 2016. Data were analysed using content analysis. RESULTS: We identified three themes reflecting the integration of the SSC in daily surgical practice: 1) Perceived usefullness; implying an intuitive advantage assessment of the SSC's practical utility in relation to relevant work; 2) Modification of implementation; reflecting performance variability of SSC on confirmation of items due to precence of team members; barriers of performance; and definition of SSC as performance indicator, and 3) Communication outside of the checklist; including formal- and informal micro-team formations where detailed, specific risk communication unfolded. CONCLUSION: When the SSC is not integrated within existing risk management strategies, but perceived as an "add on", its fidelity is compromised, hence limiting its potential clinical effectiveness. Implementation strategies for the SSC should thus integrate it as a risk-management tool and include it as part of risk-management education and training. This can improve team learning around risk comunication, foster mutual understanding of safety perspectives and enhance SSC implementation.


Asunto(s)
Lista de Verificación , Atención Perioperativa , Gestión de Riesgos/organización & administración , Especialidades Quirúrgicas , Antropología Cultural , Femenino , Investigación sobre Servicios de Salud , Humanos , Masculino , Observación , Quirófanos , Estudios Prospectivos , Investigación Cualitativa , Gestión de Riesgos/métodos , Organización Mundial de la Salud
19.
PLoS One ; 15(2): e0228529, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32027688

RESUMEN

Postpartum care is a critical element for ensuring survival and health of mothers and newborns but is often inadequate in low- and middle-income countries due to barriers to access and resource constraints. Newly delivered mothers and their families often rely on traditional forms of postnatal care rooted in social and cultural customs or may blend modern and traditional forms of care. This ethnographic study sought to explore use of biomedical and traditional forms of postnatal care. Data were collected through unstructured observation and in-depth interviews with 15 mothers. Participants reported embracing traditional understandings of health and illness in the post-partum period centered on heating the body through diet, steaming, and other applications of heat, yet also seeking injections from private health care providers. Thematic analysis explored concepts related to transitioning forms of postnatal care, valuing of care through different lenses, and diverse sources of advice on postnatal care. Mothers also described concurrent use of both traditional medicine and biomedical postnatal care, and the importance of adhering to cultural traditions of postnatal care for future health. Maternal and newborn health are closely associated with postnatal care, so ensuring culturally appropriate and high-quality care must be an important priority for stakeholders including understand health practices that are evolving to include injections.


Asunto(s)
Antropología Cultural , Temperatura Corporal/fisiología , Calor/uso terapéutico , Inyecciones , Medicina Tradicional/métodos , Atención Posnatal/métodos , Adulto , Cambodia/epidemiología , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Hipertermia Inducida/métodos , Hipertermia Inducida/psicología , Hipertermia Inducida/estadística & datos numéricos , Salud del Lactante , Recién Nacido , Inyecciones/psicología , Inyecciones/estadística & datos numéricos , Masculino , Medicina Tradicional/estadística & datos numéricos , Madres , Aceptación de la Atención de Salud , Atención Posnatal/estadística & datos numéricos , Periodo Posparto , Pautas de la Práctica en Medicina/estadística & datos numéricos , Embarazo , Encuestas y Cuestionarios
20.
PLoS One ; 15(2): e0229719, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-32101571

RESUMEN

In the last decade, a cross-national community of like-minded young men has emerged, commonly known as 'the seduction community'. This community is led by professional 'pick-up artists' who teach these young men a variety of techniques and mindsets with the stated aim of improving their success with women, or 'game'. There has been little research on the men who participate in this community, and none from a mental health angle. As such, this study is propelled by two specific objectives, namely documenting and understanding (i) the reasons why young men join the seduction community; and (ii) the impacts of community involvement on participants' lives. To meet these aims, we used an inductive qualitative methodology giving ample scope for bottom-up understandings to emerge. Specifically, we recruited young men participating in the seduction community for an in-depth qualitative interview (N = 34) to explore self-reported motives and impacts. Interviews were augmented by lengthy participant observation, and data was analyzed by content analysis techniques. The results reveal that men often join the community to address a range of psychosocial deficits, and that community involvement successfully equips participants with numerous valued social and communication skills. The community appears to fill a void in providing a place of hope, fellowship and learning for young (often immigrant) men. The findings are summarized in five themes (i) loneliness and social inclusion; (ii) lack of male role models and need for guidance; (iii) mental health and well-being issues; (iv) skill acquisition and personal development; and (v) the dark side of pick-up. Interestingly, some of the practices commonly taught and utilized within the community resemble aspects of Cognitive Behavioral Therapy and mental health peer support. This may explain its evident appeal. We conclude by reflecting on the implications of the findings for official mental health service provision for young men.


Asunto(s)
Consejo/métodos , Matrimonio/psicología , Adolescente , Adulto , Antropología Cultural/métodos , Humanos , Masculino , Hombres/psicología , Salud Mental/tendencias , Servicios de Salud Mental/tendencias , Investigación Cualitativa , Autoinforme , Reino Unido , Adulto Joven
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