Your browser doesn't support javascript.
Mostrar: 20 | 50 | 100
Resultados 1 - 20 de 865
Filtrar
1.
Rev. Esc. Enferm. USP ; 53: e03495, Jan.-Dez. 2019.
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1020381

RESUMO

RESUMO Objetivo Descrever o ambiente de trabalho e reconhecer os riscos ocupacionais a que a equipe do Consultório na Rua está exposta, bem como as medidas preventivas aplicáveis segundo a percepção dos profissionais integrantes da equipe. Método Pesquisa qualitativa, exploratória, descritiva, realizada com profissionais representantes das seis equipes de Consultório na Rua existentes em um estado do Nordeste brasileiro. As informações foram coletadas a partir da técnica de grupo focal, e os dados foram analisados à luz da análise temática. Resultados Participaram 14 profissionais. O ambiente de trabalho foi descrito como de tensões, dificuldades e vulnerabilidades, mas também de crescimento pessoal. Foram reconhecidos riscos ocupacionais ocasionados por fatores físicos, biológicos, químicos, de acidentes e psicossociais. As medidas de prevenção utilizadas foram predominantemente tecnologias leves. Sugeriu-se a inclusão de novos equipamentos de proteção individual. Conclusão A reflexão grupal sobre o ambiente e processo de trabalho permitiu o reconhecimento de seus riscos, dificuldades e desafios, demonstrando a necessidade de implementação de medidas de enfrentamento dos fatores identificados.


RESUMEN Objetivo Describir el ambiente laboral y reconocer los riesgos ocupacionales a que está expuesto el equipo del Consultorio en la Calle, así como las medidas preventivas aplicables según la percepción de los profesionales integrantes del equipo. Método Investigación cualitativa, exploratoria, descriptiva, realizada con profesionales representantes de los seis equipos del Consultorio en la Calle existentes en un Estado del Nordeste brasileño. Las informaciones fueron recogidas mediante la técnica de grupo focal, y los datos fueron analizado a la luz del análisis temático. Resultados Participaron 14 profesionales. El ambiente de trabajo fue descrito como de tensiones, dificultades y vulnerabilidades, pero también de crecimiento personal. Fueron reconocidos los riesgos ocupacionales ocasionados por factores físicos, biológicos, químicos, de accidentes y psicosociales. Las medidas de prevención utilizadas fueron predominantemente tecnologías ligeras. Se sugirió la inclusión de nuevos equipos de protección individual. Conclusión La reflexión en grupo acerca del ambiente y el proceso laboral permitió el reconocimiento de sus riesgos, dificultades y retos, demostrando la necesidad de implementación de medidas de enfrentamiento de los factores identificados.


ABSTRACT Objective To describe the work environment and recognize the occupational hazards to which Street Medical Consultation teams are exposed, as well as the applicable preventive measures according to the perception of the professionals who are part of the team. Method A qualitative, exploratory and descriptive study carried out with professionals representing the six Street Medical Consultation teams existing in a Northeast Brazilian state. The information was collected from the focus group technique, and the data were analyzed by the thematic analysis technique. Results Fourteen (14) professionals participated. The work environment was described as stressful, with difficulties and vulnerabilities, but also enabling personal growth. Occupational risks caused by physical, biological, chemical, accident and psychosocial factors were recognized. Implemented preventive measures were predominantly light technologies. New personal protective equipment was suggested to be included/used. Conclusion The group reflection on the environment and work process enabled recognizing its risks, difficulties and challenges, demonstrating the need to implement measures to address the identified factors.


Assuntos
Humanos , Ambiente de Trabalho , Pessoas em Situação de Rua , Riscos Ocupacionais , Saúde do Trabalhador , Grupos Focais/métodos , Assistência à Saúde , Pesquisa Qualitativa , Enfermagem de Atenção Primária
2.
Rev. Ciênc. Plur ; 5(2): 68-93, ago. 2019. ilus
Artigo em Português | LILACS, BBO - Odontologia | ID: biblio-1021761

RESUMO

Introdução:A Educação Popular em Saúde (EPS) remete indivíduos e grupos à troca de saberes e experiências, permitindo-lhes associar a saúde ao resultado das suas condições de vida levando a uma emancipação do sujeito. Objetivo:Promover ações educativas com portadores de Diabetes Mellitus (DM);realizar oficinas de capacitação em EPS com trabalhadores de saúde; e avaliar os resultados das ações realizadas para os trabalhadores e usuários, em uma Unidade de Saúde da Família em Natal/RN. Método:Trata-se de uma pesquisa-ação com o referencial teórico da Teoria da Educação Libertadora, centrada na pedagogia problematizadora. Participaram da pesquisa trinta trabalhadores de saúde e trinta e seis usuários diabéticos. As ações foram organizadas através de rodas de conversa, dinâmicas de grupo, narrativas de vida, relatos de experiências, e explicitação de saberes, desejos, limitações, crenças e valores socialmente construídos. A coleta dos dados foi realizada através da Técnica de Associação Livre de Palavras, entrevista semiestruturada e grupo focal. O material empírico foi submetido à análise de ocorrência com auxílio do programa IRAMUTEQ. Resultados:Foram geradas palavras, expressões e categorias, a partir dos temas abordados e de situações criativas mostrando que a EPS vem sendo incorporada timidamente no processo educativo dos sujeitos deste estudo e bem distante dos princípios de participação, organização de um trabalho político, ampliação dos espaços de diálogo, respeito, de solidariedade e tolerância entre os diversos atores envolvidos no enfrentamento dos problemas de saúde, fundamentais para o aperfeiçoamento na construção de práticas saudáveis da atenção básica. Conclusões:A utilização de práticas ativas de ensino-aprendizagem, centradas na ampliação da escuta e em capacitações sobre EPS, poderá possibilitar mudanças no cenário onde os usuários e trabalhadores de saúde atuam com a diabetes mellitus (AU).


Introduction:Popular Health Education (EPS) refers to individuals and groups to exchange knowledge and experiences, allowing them to associate health to the outcomes of their living conditions.Objective:To know and promote educational actions with patients with diabetes Mellitus (DM); Perform training workshops in EPS with health workers; To know and develop participatory educative actions with diabetic groups; and evaluate the results of theactions performed for workers and users, in a family health unit in Natal/RN.Methods:This is an action research with the theoretical framework of liberating education theory, centered on problematizing pedagogy. Thirty health workers and 36 diabetic users participated in the study. The actions were organized through conversation wheels, group dynamics, life narratives, reports of experiences, and explication of knowledge, desires, limitations, beliefs and socially constructed values. Data collection was performed through the free word association technique, semi-structured interview and focal group. The empirical material was subjected to occurrence analysis (Bardin) with the aid of the Iramuteq program (Ratinaud; Marchand).Results:The data analyses originated words, expressions, categories, themes and creative situations showing that EPS is in process of construction, but still very incipient in primary care. words, expressions and categories were generated from the themes addressedand creative situations showing that the EPS has been incorporated timidly in the educational process of the subjects of this study and far from the principles of participation, organization of a political work, expansion of the spaces of dialogue, respect, solidarity and tolerance among the various actors involved in coping with health problems, fundamental for the improvement in the construction of Healthy practices of primary care.Conclusions:The use of active teaching-learning practices, centered on the amplification of listening and in training on EPS, may enable changes in the scenario where users and health workers act with diabetes mellitus (AU).


Assuntos
Humanos , Masculino , Feminino , Saúde da Família , Saúde do Idoso , Educação em Saúde , Grupos Focais/métodos , Pesquisa Qualitativa , Brasil , Diabetes Mellitus , Aprendizagem
3.
BMC Palliat Care ; 18(1): 61, 2019 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337388

RESUMO

BACKGROUND: Providing quality palliative care in residential aged care facilities (RACFs) (aged care homes) is a high priority for ageing populations worldwide. Older people admitted to these facilities have palliative care needs. Nursing assistants (however termed) are the least qualified staff and provide most of the direct care. They have an important role at the frontline of care spending more time with residents than any other care provider but have been found to lack the necessary knowledge and skills to provide palliative care. The level of competence of this workforce to provide palliative care requires evaluation using a valid and reliable instrument designed for nursing assistants' level of education and the responsibilities and practices of their role. METHOD: The overall study purpose was to develop and test an instrument capable of evaluating the knowledge, skills and attitudes of nursing assistants within a palliative approach in RACFs. Development consisted of a four-phase mixed-methods sequential design. In this paper, the results and key findings following psychometric testing of the instrument in Phase 4 is reported using data collected from a random sample of 17 RACFs and 348 nursing assistants in the Greater Sydney region. Study hypotheses were tested to confirm discriminative validity and establish the utility of the instrument in both research and training assessment. RESULTS: Individual item properties were analysed for difficulty, discrimination and item-total correlations. Discriminative and structural validity, and internal consistency and test-retest reliability were demonstrated. Three separate questionnaires comprising 40 items were finalised: The Palliative Approach for Nursing Assistants (PANA)_Knowledge Questionnaire (17 items), the PANA_Skills Questionnaire (13 items) and the PANA_Attitudes Questionnaire (10 items). CONCLUSIONS: This study provides preliminary evidence for the validity and reliability of three new questionnaires that demonstrate sensitivity for nursing assistants' level of education and required knowledge, skills and attitudes for providing a palliative approach. Implications for practice include the development of palliative care competencies through structured education and training across this workforce, and ongoing professional development opportunities for nursing assistants, especially for those with the longest tenure.


Assuntos
Determinação de Necessidades de Cuidados de Saúde , Assistentes de Enfermagem/educação , Cuidados Paliativos/métodos , Adulto , Feminino , Grupos Focais/métodos , Humanos , Masculino , New South Wales , Assistentes de Enfermagem/estatística & dados numéricos , Casas de Saúde/organização & administração , Casas de Saúde/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
4.
BMC Palliat Care ; 18(1): 55, 2019 Jul 11.
Artigo em Inglês | MEDLINE | ID: mdl-31296209

RESUMO

BACKGROUND: Health care providers' perception of pediatric palliative care might negatively influence timely implementation. The aim of the study was to examine understanding of and attitudes towards pediatric palliative care from the perspective of health care providers working in pediatric oncology in Switzerland to promote the timely implementation of pediatric palliative care. METHODS: Five mixed focus groups were conducted with 29 health care providers (oncologists, nurses, psychologists, and social workers) at five Swiss pediatric oncology group centers. The focus group interviews were analyzed using thematic coding. RESULTS: Most participants associated pediatric palliative care with non-curative treatment. They regularly reported difficulties in addressing palliative care services to families due to the strong stigma surrounding this term. They also thought that the notion of palliative care is very much linked to a policy context, and difficult to reconcile with children's everyday life. To overcome these obstacles many participants used synonyms such as comfort or supportive care. A few providers insisted on the need of using palliative care and reported the importance of positive "word of mouth". CONCLUSIONS: The use of synonyms might be a pragmatic approach to overcome initial barriers to the implementation of palliative care in pediatrics. However, this tactic might ultimately prove to be ineffective as these terms might acquire the same negative connotations as palliative care. Positive word-of-mouth by satisfied families and healthcare providers might be a more sustainable way to advocate for pediatric palliative care than replacing it with a euphemistic term.


Assuntos
Cuidados Paliativos/normas , Pediatria/métodos , Percepção , Adulto , Atitude do Pessoal de Saúde , Feminino , Grupos Focais/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Cuidados Paliativos/psicologia , Pediatria/normas , Pesquisa Qualitativa , Suíça
5.
Lancet Psychiatry ; 6(9): 778-785, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31296444

RESUMO

Developed in collaboration with WHO Department of Mental Health and Substance Abuse, this study (conducted in India, the UK, and the USA) integrated feedback from mental health service users into the development of the chapter on mental, behavioural, and neurodevelopmental disorders for ICD-11. The ICD-11 will be used for health reporting from January, 2022. As a reporting standard and diagnostic classification system, ICD-11 will be highly influential by informing policy, clinical practice, and research that affect mental health service users. We report here the first study to systematically seek and collate service user perspectives on a major classification and diagnostic guideline. Focus groups were used to collect feedback on five diagnoses: depressive episode, generalised anxiety disorder, schizophrenia, bipolar type 1 disorder, and personality disorder. Participants were given the official draft diagnostic guidelines and a parallel lay translation. Data were then thematically analysed, forming the basis of co-produced recommendations for WHO, which included features that could be added or revised to better reflect lived experience and changes to language that was confusing or objectionable to service users. The findings indicated that an accessible lay language version of the ICD-11 could be beneficial for service users and their supporters.


Assuntos
Grupos Focais/métodos , Classificação Internacional de Doenças/normas , Transtornos Mentais/diagnóstico , Serviços de Saúde Mental/organização & administração , Organização Mundial da Saúde/organização & administração , Transtornos de Ansiedade/classificação , Transtornos de Ansiedade/diagnóstico , Transtorno Bipolar/classificação , Transtorno Bipolar/diagnóstico , Transtorno Depressivo/classificação , Transtorno Depressivo/diagnóstico , Estudos de Avaliação como Assunto , Feminino , Guias como Assunto , Humanos , Índia/epidemiologia , Masculino , Transtornos Mentais/classificação , Transtornos Mentais/psicologia , Serviços de Saúde Mental/normas , Transtornos da Personalidade/classificação , Transtornos da Personalidade/diagnóstico , Esquizofrenia/classificação , Esquizofrenia/diagnóstico , Reino Unido/epidemiologia , Estados Unidos/epidemiologia
6.
BMC Palliat Care ; 18(1): 58, 2019 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-31311536

RESUMO

BACKGROUND: Health care professionals should prevent and relieve suffering in carers of patients with advanced cancer. Despite known positive effects of systematic carer support, carers still do not receive sufficient support. Carers have reported to be less satisfied with coordination of care and involvement of the family in treatment and care decisions than patients. In a rural district of Mid-Norway, cancer palliative care services across specialist and community care were developed. Participants' experiences and opinions were investigated as part of this development process. METHODS: The aim of this qualitative study was to explore and describe health care professionals' experiences with carer support from their own perspective. Data were collected in focus groups. Purposeful sampling guided the inclusion. Six groups were formed with 21 professionals. The discussions were audio-recorded, transcribed, and analyzed using systematic text condensation. RESULTS: In the analyzis of the focus group discussions, ten categories emerged from the exploration of health care professionals' carer support, assessment of needs, and factors hampering carer support: 1) dependent on profession, role, and context, 2) personal relationship, 3) personal skills and competence, 4) adjusted to the stage of the disease, 5) informal assessment of carers' needs, 6) lack of education 7) lack of systems for carer consultations, 8) lack of systems for documentation, 9) lack of systems for involving GPs, and 10) lack of systematic spiritual care. CONCLUSIONS: Health care professionals built a personal relationship with the carers as early as possible, to facilitate carer support throughout the disease trajectory. Systematic carer support was hampered by lack of education and system insufficiencies. Organizational changes were needed, including 1) education in carer support, communication, and spiritual care, 2) use of standardized care pathways, including systematic carer needs assessment, 3) systematic involvement of general practitioners, and 4) a system for documentation of clinical work with carers.


Assuntos
Cuidadores/psicologia , Pessoal de Saúde/normas , Apoio Social , Adulto , Idoso , Cuidadores/estatística & dados numéricos , Assistência à Saúde/métodos , Assistência à Saúde/normas , Educação/métodos , Feminino , Grupos Focais/métodos , Pessoal de Saúde/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade , Determinação de Necessidades de Cuidados de Saúde , Noruega , Pesquisa Qualitativa
7.
Nurse Educ Pract ; 38: 138-144, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31279924

RESUMO

Critical thinking in nursing is largely theorized as a clinically-based idea. In the context of mental health education, this presents a problem, given documented evidence of a shift to demedicalize mental illness. Using institutional ethnography, this article examines the critical thinking of nursing faculty in a baccalaureate nursing program in a Canadian university by way of focus group interviews, observation periods, and the analysis of a number of institutional and legislative texts. The findings suggest that the critical thinking of nursing faculty is caught within a constrained institutional-textual order. Drawing on critical theory and Foucauldian philosophy, recommendations for nursing education are made in order to diversify and extend critical thinking in mental health nursing.


Assuntos
Educação em Enfermagem/métodos , Enfermagem Psiquiátrica/educação , Pensamento , Educação em Enfermagem/tendências , Grupos Focais/métodos , Humanos , Serviços de Saúde Mental , Enfermagem Psiquiátrica/métodos , Pesquisa Qualitativa
8.
JMIR Mhealth Uhealth ; 7(7): e12952, 2019 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-31267979

RESUMO

BACKGROUND: In contrast to the use of traditional unidimensional paper-based scales, a mobile health (mHealth) assessment of pain in children and young people (CYP) with juvenile idiopathic arthritis (JIA) enables comprehensive and complex multidimensional pain data to be captured remotely by individuals. However, how professionals use multidimensional pain data to interpret and synthesize pain reports gathered using mHealth tools is not yet known. OBJECTIVE: The aim of this study was to explore the salience and prioritization of different mHealth pain features as interpreted by key stakeholders involved in research and management of pain in CYP with JIA. METHODS: Pain and rheumatology specialists were purposively recruited via professional organizations. Face-to-face focus groups were conducted for each specialist group. Participants were asked to rank order 9 static vignette scenarios created from real patient mHealth multidimensional pain data. These data had been collected by a researcher in a separate study using My Pain Tracker, a valid and acceptable mHealth iPad pain communication tool that collects information about intensity, severity, location, emotion, and pictorial pain qualities. In the focus groups, specialists discussed their decision-making processes behind each rank order in the focus groups. The total group rank ordering of vignette scenarios was calculated. Qualitative data from discussions were analyzed using latent thematic analysis. RESULTS: A total of 9 pain specialists took part in 1 focus group and 10 rheumatology specialists in another. In pain specialists, the consensus for the highest pain experience (44%) was poorer than their ranking of the lowest pain experiences (55%). Conversely, in rheumatology specialists, the consensus for the highest pain experience (70%) was stronger than their ranking of the lowest pain experience (50%). Pain intensity was a high priority for pain specialists, but rheumatology specialists gave high priority to intensity and severity taken together. Pain spread was highly prioritized, with the number of pain locations (particular areas or joints) being a high priority for both groups; radiating pain was a high priority for pain specialists only. Pain emotion was challenging for both groups and was only perceived to be a high priority when specialists had additional confirmatory evidence (such as information about pain interference or clinical observations) to validate the pain emotion report. Pain qualities such as particular word descriptors, use of the color red, and fire symbols were seen to be high priority by both groups in interpretation of CYP pain reports. CONCLUSIONS: Pain interpretation is complex. Findings from this study of specialists' decision-making processes indicate which aspects of pain are prioritized and weighted more heavily than others by those interpreting mHealth data. Findings are useful for developing electronic graphical summaries which assist specialists in interpreting patient-reported mHealth pain data more efficiently in clinical and research settings.


Assuntos
Manejo da Dor/instrumentação , Dor/classificação , Reumatologistas/psicologia , Adulto , Artrite Juvenil/complicações , Artrite Juvenil/psicologia , Feminino , Grupos Focais/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Dor/psicologia , Manejo da Dor/psicologia , Manejo da Dor/normas , Medição da Dor/métodos , Pesquisa Qualitativa , Reumatologistas/estatística & dados numéricos , Reumatologia/instrumentação , Reumatologia/métodos , Telemedicina/tendências
9.
BMC Palliat Care ; 18(1): 53, 2019 Jul 09.
Artigo em Inglês | MEDLINE | ID: mdl-31288821

RESUMO

BACKGROUND: Parkinson's disease (PD) is a chronic and neurodegenerative disease associated with a wide variety of symptoms. The risk of complications increases with progression of the disease. These complications have a tremendous impact on the quality of life of people with PD. The aim of this study was to examine health care professionals' experiences of potential barriers and facilitators in providing palliative care for people with PD in the Netherlands. METHODS: This was a qualitative descriptive study. The data were collected from 10 individual in-depth interviews and three focus groups (n = 29) with health care professionals. Health care professionals were selected based on a positive answer to the question: "In the past 2 years, did you treat or support a person with PD who subsequently died?" The data were analyzed by thematic text analysis. RESULTS: Health care professionals supported the development of a palliative care system for PD but needed to better understand the essence of palliative care. In daily practice, they struggled to identify persons' needs due to interfering PD-specific symptoms such as cognitive decline and communication deficits. Timely addressing the personal preferences for providing palliative care was identified as an important facilitator. Health care professionals acknowledged being aware of their lack of knowledge and of their little competence in managing complex PD. Findings indicate a perceived lack of care continuity, fragmentation of services, time pressure and information discontinuity. CONCLUSIONS: Health care professionals experienced several facilitators and barriers to the provision of palliative care to people with PD. There is a need to improve the knowledge on complex PD and the continuity of information, as well as optimize coordination and deliver care based on a persons' preferences. Additional training can help to become more knowledgeable and confident.


Assuntos
Pessoal de Saúde/psicologia , Doença de Parkinson/complicações , Adulto , Idoso , Idoso de 80 Anos ou mais , Atitude do Pessoal de Saúde , Feminino , Grupos Focais/métodos , Pessoal de Saúde/estatística & dados numéricos , Humanos , Entrevistas como Assunto/métodos , Acontecimentos que Mudam a Vida , Masculino , Pessoa de Meia-Idade , Países Baixos , Cuidados Paliativos/métodos , Cuidados Paliativos/normas , Doença de Parkinson/fisiopatologia , Pesquisa Qualitativa
10.
Nurse Educ Pract ; 38: 132-137, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31276972

RESUMO

INTRODUCTION: Recent attention has been drawn to the absence of caring behaviours in health services globally, termed a "crisis of care" and policies are developing to address this shortfall. To obtain accounts of caring behaviours and attitudes in nursing practice and to identify how nurses manage student learning, we spoke to nurses and students in university and hospital locations across 2 NHS England Regions. METHOD: Using the principles of appreciative inquiry, we conducted focus groups with BSc and MSc pre-registration nursing students, mentors, link lecturers and practice educators (n = 69). FINDINGS: Participants spoke powerfully about skilful, caring nursing practice, identifying plentiful examples of caring behaviours and attitudes. Four main themes emerged: "going the extra mile" (beyond routine policy, demanding commitment, flexibility and adaptation); time spent or invested (moderated by personal or organisational resources); caring as a personalised experience; communication practices and culture/role modelling. DISCUSSION/CONCLUSIONS: Positive caring attitudes and behaviours shown to patients, staff and work were highly valued. An ability to regulate and sustain an emotional connection with patients framed student learning. Observations of nurses who preserved caring practices amidst organisational pressures were frequently chosen by students as role models who "fight" inadequate or missed care. Theoretical links between caring and resilience are strengthened by these findings.


Assuntos
Bacharelado em Enfermagem/normas , Enfermeiras e Enfermeiros/psicologia , Atitude do Pessoal de Saúde , Bacharelado em Enfermagem/métodos , Inglaterra , Grupos Focais/métodos , Humanos , Pesquisa Qualitativa
11.
Rev Bras Enferm ; 72(3): 663-670, 2019 06 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269130

RESUMO

OBJECTIVE: to analyze the self-reported knowledge of professors in the use of feedback in the teaching of nursing practice; train professors to use this process; and evaluate the results of this training. METHOD: a qualitative study of research-action type. The focus group technique was used with seven collaborators of a nursing technical school. For content analysis, the Bardin framework was used and, for intervention, the Problematization Methodology supported by Pendleton's Rules. RESULTS: most present in their curricula training to teach. It is pointed out that feedback is a simple and essential assessment tool, although universal discourse does not express the exact dimension of feedback potentialities. The intervention was effective to solidify feedback. FINAL CONSIDERATION: this study shows that feedback should be disseminated and consolidated among the teaching staff of nursing technical education [corrected].


Assuntos
Retroalimentação , Cuidados de Enfermagem/normas , Adulto , Feminino , Grupos Focais/métodos , Humanos , Cuidados de Enfermagem/métodos , Psicometria/instrumentação , Psicometria/métodos , Pesquisa Qualitativa , Inquéritos e Questionários
12.
Rev Bras Enferm ; 72(3): 753-759, 2019 Jun 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269142

RESUMO

OBJECTIVE: To know the perception of nursing professionals about the essential aspects to provide safe care to polytraumatized patients in emergency services. METHOD: Descriptive and mixed study, performed with a focus group and projective techniques. The sample was made of seven nursing professionals. Data analysis took place through the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires and SPSS 22.0 softwares. RESULTS: Based on the analysis of participants' speeches, three content partitions emerged in the Descending Hierarchical Classification. 1) Structure: need for changes; 2) The process: safe actions by the nursing team; and 3) Care free from damage as the sought result. CONCLUSION: Patient safety in emergency situations must rely on a proper environment and an organized sector, good conditions to transport patients, use of routines and protocols, identification and organization of the beds.


Assuntos
Enfermeiras e Enfermeiros/psicologia , Equipe de Assistência ao Paciente/normas , Segurança do Paciente/normas , Percepção , Adulto , Atitude do Pessoal de Saúde , Serviço Hospitalar de Emergência/organização & administração , Feminino , Grupos Focais/métodos , Humanos , Masculino , Pessoa de Meia-Idade , Enfermeiras e Enfermeiros/normas , Pesquisa Qualitativa
13.
Nurse Educ Pract ; 38: 72-78, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31195366

RESUMO

Ensuring student nurses, when in clinical placement areas, receive good quality Higher Education Institution (HEI) lecturer support is challenging. This is because conventional HEI placement support, is resource intensive and arguably infeasible with growing student numbers. Evidence suggests, however, that online collaborative learning solutions (e.g., virtual classrooms, web conferencing tools) have the potential to ameliorate resource pressures. To test this idea, an online learning solution called Blackboard Collaborate was piloted. It virtually connected, students and their preceptors to a university lecturer. Its usefulness was explored by obtaining qualitative, focus group data, from the students and preceptor participants. The findings were thematically analysed. Collaborate ensured all three parties were connected. It was a time efficient, easy to use technology. Despite technical glitches, i.e. occasional time delay and audio echo, participants concluded Collaborate was an efficient medium when placement needs were routine. Face-to-face was preferable when more intensive support was required. In today's busy times, HEI's must explore time effective methods of placement collaboration. Online collaborative tools are one solution. Students will, however, need to develop their digital literacy in using this technology. The benefit being when qualified they are more likely to embrace this form of technology to promote their efficiency.


Assuntos
Comportamento Cooperativo , Internet/instrumentação , Estudantes de Enfermagem/psicologia , Bacharelado em Enfermagem/métodos , Grupos Focais/métodos , Humanos , Projetos Piloto , Pesquisa Qualitativa , Inquéritos e Questionários
14.
Compr Child Adolesc Nurs ; 42(sup1): 234-244, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192714

RESUMO

This study aimed to explore Bugis culture related to feeding practice in children age 0-23 months. The study used a qualitative research method with an ethnographic study approach. Observations and focused group discussions were conducted on 22 caregivers, while in-depth interviews were conducted with a customary leader, two cadres, and a village mindwife. Data analysis applied a thematic analysis with an ethnonursing approach. This study resulted in three themes: giving sweet food, choosing a qualified person to give the first bribe, and delayed feeding of animal-sourced food (ASF) before the age of one year. These results affirm that culture is one of the most influential aspects of feeding children. The culture embraced by parents and society can affect the nutritional intake of children, especially during the first 1000 days of life.


Assuntos
Antropologia Cultural/métodos , Comportamento Alimentar/psicologia , Mães/psicologia , Adulto , Antropologia Cultural/tendências , Cuidadores/psicologia , Feminino , Grupos Focais/métodos , Humanos , Indonésia , Lactente , Recém-Nascido , Entrevistas como Assunto/métodos , Masculino , Pessoa de Meia-Idade , Relações Mãe-Filho , Pesquisa Qualitativa
15.
Compr Child Adolesc Nurs ; 42(sup1): 108-114, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31192723

RESUMO

Emotional response toward menarche is a psychological problem for female adolescents. In addition menarche is considered taboo and embarrassing by female adolescents. Many female adolescents have a negative feeling and do not prepare for menarche. The purpose of this paper is to identify female adolescents' preparation and emotional response toward menarche. This study used a qualitative method including focus group discussion (FGD) and in-depth interview. FGD was carried out with five female adolescents in a school setting about female adolescents' preparations and emotional response toward menarche. The participants were female adolescent students who had not entered menarche yet. Some teachers were also interviewed as key persons. The results of this study indicate that female adolesents do not prepare for menarche. The participants did not have adequate knowledge and felt ashamed and worried about menarche. This study recommended the use of reproductive health education related to menarcheal preparations in school and community settings to prepare female adolescents to confidently face menarche.


Assuntos
Comportamento do Adolescente/fisiologia , Conhecimentos, Atitudes e Prática em Saúde , Menarca/psicologia , Adolescente , Emoções , Feminino , Grupos Focais/métodos , Humanos , Pesquisa Qualitativa , Saúde Reprodutiva/educação , Saúde Reprodutiva/normas , Estudantes/psicologia , Inquéritos e Questionários
16.
BMC Res Notes ; 12(1): 308, 2019 May 30.
Artigo em Inglês | MEDLINE | ID: mdl-31146766

RESUMO

OBJECTIVE: The Illness Perception Questionnaire (IPQ) is the only available and empirically validated tool used to gain insight into patient illness beliefs. However, the IPQ has reliability and validity problems when used with African Americans (AAs) and needs to be culturally-adapted and validated for use with this group. This study aimed to utilize findings from focus groups to culturally adapt the IPQ for use in AAs with diabetes. Ten cognitive interviews among AAs with type 2 diabetes explored patients' interpretation and understanding of the adapted IPQ. RESULTS: Forty-four new survey items were added to the IPQ. Twenty-nine of the forty-four items were determined as the appropriate number of questions to be tested because of time, and to reduce respondent burden. After the first round of interviews, an item-by-item review of the new items identified problems related to AA comprehension of certain items, their applicability, and wording/tone. Five items identified as problematic were related to AAs understanding of a cure for diabetes, their perception of how food influences their diabetes, how their identity as AAs influence diabetes control, and the dialogue about diabetes within their families and/or community. Findings support the newly developed illness perception questions as culturally specific to AAs with diabetes after being tested for content validity and participant understanding using cognitive interviews.


Assuntos
Afro-Americanos/estatística & dados numéricos , Cognição , Diabetes Mellitus Tipo 2/diagnóstico , Grupos Focais/métodos , Inquéritos e Questionários , Diabetes Mellitus Tipo 2/etnologia , Diabetes Mellitus Tipo 2/psicologia , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Estados Unidos
17.
Nurse Educ Pract ; 38: 96-104, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31234120

RESUMO

Reflective practice is widely considered to be an integral part of contemporary pedagogical practice in higher education. The integration of reflection and reflective practice into professional education curricula in areas such as nursing, education and the social sciences, has coincided with an expansion of the reflective practice literature which continues to proliferate within a range of disciplinary fields. However, an interesting paradox is beginning to emerge whereby educators who are charged with developing students reflective ability are often required to do so in the absence of practical educator-focused frameworks and/or guidelines. The purpose of this paper is to contribute to the debate by presenting the 'Blended Reflective Inquiry Educators Framework' which is designed for educators who wish to support students to develop their reflective abilities and reflective capacity. This innovative framework was developed following a two stage action research study which was designed to investigate how registered nurses can be facilitated to develop reflective practice skills and abilities. The study resulted in the development of this innovative educator's framework which uses an inquiry based, blended learning approach, to facilitate reflective practice.


Assuntos
Desenvolvimento de Pessoal/métodos , Pensamento , Grupos Focais/métodos , Pesquisa sobre Serviços de Saúde , Humanos , Pesquisa Qualitativa
18.
JMIR Mhealth Uhealth ; 7(6): e11310, 2019 06 27.
Artigo em Inglês | MEDLINE | ID: mdl-31188130

RESUMO

BACKGROUND: Research on mobile health (mHealth) app use during adolescence is growing; however, little attention has been paid to black adolescents, particularly black girls, who are generally underresearched and underserved in psychological intervention research. Cognitive restructuring is an important tool in anxiety and fear management and involves two parts: (1) recognizing and deconstructing erroneous thoughts and (2) replacing negative anxiety and stress-provoking thoughts with positive thoughts. In our work with black adolescent females, we found that cognitive restructuring is a difficult skill to practice on one's own. Thus, drawing upon the importance of music in the black community, we developed the Build Your Own Theme Song (BYOTS) app to deliver a musical form of the technique to middle-school black girls. OBJECTIVE: Our aim in this mixed methods study is to evaluate the effectiveness of the BYOTS app. We hypothesize that participants will expect the app to be effective in reducing negative thoughts and that the app will meet their expectations and data generated from the app will demonstrate a reduction in negative thinking and anxiety. METHODS: A total of 72 black or biracial seventh- and eighth-grade adolescent females were enrolled in Sisters United Now (SUN), an eight-session culturally infused and app-augmented stress and anxiety sister circle intervention. Before using the BYOTS app, girls completed the Multidimensional Anxiety Scale for Children 2 and the App Expectations Survey. Usage data collected from the app included an assessment of negative thinking before and after listening to their song. After completion of the intervention, focus groups were held to gather qualitative data on participants' app experience. RESULTS: Results using paired sample t tests indicated negative thinking was significantly lower at day 7 than day 1 (t31=1.69, P=.05). Anxiety from preuse to postuse of the app was also reduced (t38=2.82, P=.004). Four effectiveness themes emerged from the focus groups: difference in behavior and temperament, promoted calmness, helpfulness in stressful home situations, and focused thinking via the SUN theme song. CONCLUSIONS: The BYOTS app is a useful tool for delivering musical cognitive restructuring to reduce negative thinking and anxiety in an underserved urban population. Changes were supported both quantitatively and qualitatively. Participants, their peers, and their family noted the difference. Findings support expanding the research to black girls of various socioeconomic statuses and geographic diversity. Currently, the app augments SUN, a culturally relevant intervention. Future research will explore BYOTS as a stand-alone app.


Assuntos
Aplicativos Móveis/normas , Musicoterapia/normas , Adolescente , Afro-Americanos/etnologia , Afro-Americanos/psicologia , Afro-Americanos/estatística & dados numéricos , Criança , Feminino , Grupos Focais/métodos , Humanos , Masculino , Aplicativos Móveis/estatística & dados numéricos , Musicoterapia/métodos , Musicoterapia/estatística & dados numéricos , Ohio , Pesquisa Qualitativa , Estudantes/psicologia , Estudantes/estatística & dados numéricos , Inquéritos e Questionários , População Urbana/estatística & dados numéricos
19.
Matern Child Health J ; 23(8): 1087-1097, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31190127

RESUMO

OBJECTIVES: Limited research has been conducted on the maternal and child health situation of garment factory workers in Cambodia. This qualitative study investigated the health-seeking behaviours for maternal and infant care of female garment factory workers in Kampong Tralach district, Cambodia. METHODS: We conducted 54 in-depth interviews, six focus group discussions and observed two factories. Participants were pregnant women and mothers of infants who have worked in factories, young women currently working in factories, caregivers of children, village leaders, healthcare workers, and factory managers. Deductive and inductive thematic analysis was performed. RESULTS: The women were accessing regular antenatal and facility-based delivery care. Most factory managers provided maternity leave, and some also provided leave for regular antenatal (ANC) visits. Women often returned to work 2 months post-delivery and this triggered the cessation of exclusive breastfeeding. Feeding was also compromised for the 6-12 months old children as carers, delayed the introduction of complementary feeds. Factories were equipped with childcare and breastfeeding spaces, however these were not used due to both feasibility issues and distrust of factory management. Instead, grandmothers were the preferred childcare providers. CONCLUSIONS FOR PRACTICE: Current factory policies regarding ANC, maternity leave and childcare provisions are context insensitive to rural workers who live far from the workplace to avail themselves of mandated ANC leave or breastfeeding breaks. Our study suggest that the increasing number of young women working in garment factories is compromising the early nutrition of their children, with a reduction in exclusive breastfeeding and inadequate complementary feeding.


Assuntos
Instalações Industriais e de Manufatura/estatística & dados numéricos , Mães/estatística & dados numéricos , Estado Nutricional , Adulto , Camboja , Feminino , Grupos Focais/métodos , Humanos , Pesquisa Qualitativa , Mulheres Trabalhadoras/estatística & dados numéricos , Local de Trabalho/psicologia , Local de Trabalho/normas
20.
Midwifery ; 76: 125-131, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31202108

RESUMO

BACKGROUND: There has been an increase in recent publications, in high and medium resource settings, documenting women's dissatisfaction with the quality of maternity care they receive. Their discontent is mostly related to their midwives' disrespectful or negative attitudes. OBJECTIVE: To explore women's experiences and perceptions of disrespect and abuse from their maternity care providers in a low resource rural setting in Zimbabwe. DESIGN: A critical, qualitative research methodology, using in-depth interviews and two focus group discussions, was employed to capture rural women's experiences during antenatal care, postpartum care, and the use of maternity waiting homes' services. SETTING: Three rural health centres in Mutare district, Manicaland Province in eastern Zimbabwe. PARTICIPANTS: A total of 20 purposively sampled women, 16-30 years of age, who were accessing various stages of maternal health services, were recruited from three conveniently selected rural health centres. Eight women participated in the in-depth interviews. A further eight women were discussants in the first focus group, and a further four women participated in the second focus group. FINDINGS: Multifaceted and interconnected factors contribute to midwives' attitudes and behaviours towards their clients. Midwives' subjective perceptions, women's social status, and health system constraints (i.e., availability of trained midwives and quality of midwifery training) in rural and poorly resourced community, often result in inappropriate services, negative attitudes, abusive treatment, and disrespectful behaviour towards women. Poor treatment in maternity care directly contribute to adverse health outcomes and women's satisfaction with services. CONCLUSION AND IMPLICATIONS FOR PRACTICE: Women's social status, level of education and age, were perceived to influence the quality of care or treatment they received. Improving women's experience of maternal care requires targeted interventions at the interpersonal level between a woman and her health care providers, as well as at the level of the health care facility and the health system. The results of this study challenge all tiers of health personnel including policy makers, in low resource settings to reappraise the present situation thereby challenging these established behaviours, to ensure that the continuum of maternity care is respectfully and socio-culturally delivered.


Assuntos
Serviços de Saúde Materna/normas , Qualidade da Assistência à Saúde/normas , Respeito , Adolescente , Adulto , Atitude do Pessoal de Saúde , Feminino , Grupos Focais/métodos , Humanos , Satisfação do Paciente , Percepção , Relações Profissional-Paciente , Pesquisa Qualitativa , População Rural/estatística & dados numéricos , Zimbábue
SELEÇÃO DE REFERÊNCIAS
DETALHE DA PESQUISA