Unveiling family relationships based on the context of domestic violence: a Grounded Theory

OBJECTIVE

To understand the meanings attributed to family relationships by women who have experienced domestic violence.

METHOD

Explanatory study using Symbolic Interactionism and Grounded Theory as references. Data were collected from March to November 2021, through online interviews with 23 women found on the social media application Facebook®.

RESULTS

Data analysis allowed the construction of a theoretical model consisting of three processes: "We learned that it was normal to be mistreated": experiencing a context of violence in the family of origin; "I just wanted a family": experiencing partner violence and redefining family relationships in the context of violence.

CONCLUSION

The meanings attributed to family relationships are elaborated and modified according to the interpretation, trajectory of confrontation, and interactions of women with other individuals and objects in the social web, over time. When experiencing domestic violence, women give new meaning to their feelings and begin to attribute new values, emotions, and empathy to family relationships, expanding their understanding of their weaknesses and potential.

Perception and performance of the nursing team in caring for patients with suicide behavior

Objective: to understand the perception and performance of the Nursing team in a hospital emergency service in the care of patients after attempting suicide. Methods: exploratory study, with a qualitative approach, carried out through semi-structured interviews with Nursing professionals who work in an Emergency Service. The interviews were transcribed and analyzed as to their content following Bardin's thematic model. Results: seven nurses and four Nursing technicians participated in the study, with an average age of 36 years, most of them female. Suicide attempts are often associated with ‘psychic pain’ that is opposed to the principles of life preservation; such an attitude has caused suicidal behavior to be misinterpreted by health professionals. Conclusion: most professionals demonstrated a stereotyped ‘pre-concept’ and full of taboos about patients who attempted suicide, which triggered a service more directed to physical needs and protocol formalities. Few professionals reported carrying out holistic and empathic care, which is so necessary for these people. In this sense, the importance and urgency of training the team in the identification of suicide risks and in the continuity of treatment of surviving individuals is emphasized.

Factors associated with quality of life in retirement: a systematic review

The purpose of this review was to determine the effects of retirement on quality of life and associated factors among older adults. This integrative review addressed the following question: what factors are associated with the health and quality of life of retired older adults? Biblioteca Virtual em Saúde and PubMed databases were searched using the following terms: retirement, quality of life, and health. Searches were conducted between June and December 2020. A total of 22 studies were included in the sample, categorized as follows: financial situation, social life, health conditions, and retirement preparation programs. The results indicate that quality of life among retirees is influenced by socioeconomic conditions, and the factors associated with this phenomenon differ according to culture, education, income, and professional category.

Mortalidade por causas externas em adolescentes

Objetivo: analisar a tendência da mortalidade por causas externas em adolescentes residentes no estado do Paraná, no período de 2007 a 2016. Métodos: Estudo ecológico de séries temporais, de tendência dos óbitos por causas externas em adolescentes no Estado do Paraná, no período de 2007 a 2016. A coleta ocorreu no primeiro semestre de 2019. Os dados foram extraídos do Sistema de Informação sobre Mortalidade por meio de formulário estruturado, os quais após tabulados foram analisados por meio de análise de tendência, utilizando o modelo de regressão polinomial. Resultados: Os óbitos foram mais frequentes na faixa etária de 15 a 19 anos, no sexo masculino e raça/cor branca. A via pública foi o local de maior ocorrência. Há tendência decrescente de mortes por agressão, enquanto que os óbitos por lesões autoprovocadas apresentaram aumento significativo. Conclusões: Os resultados permitiram conhecer melhor a magnitude da mortalidade por causas externas em adolescentes. Entender os fatores envolvidos nestas mortes e as mudanças ocorridas ao longo do tempo, é importante para estabelecer estratégias de prevenção junto a este público.

Prisoners of suffering: perception of women on violence practiced by intimate partners

OBJECTIVE

to describe the perceptions of women, prisoners or partners of imprisoned men who experience/experienced intimate partner violence, and how they cope with this situation.

METHOD

a descriptive exploratory study with a qualitative approach conducted with 21 women. Empirical data collected between March and August 2018, through audio-recorded semi-structured interviews, were submitted to thematic content analysis.

RESULTS

women reported experiencing different forms of violence, which triggered suffering and negative commitment in their lives, far beyond the act itself, especially by the emotional and physical marks and their consequences. They also realize that coping with violence is individual responsibility, lived in the counterpoint between the desire to overcome it and passivity. Final considerations: intimate partner violence was uniquely revealed by women as a solitary experience, with permanent consequences in the physical, emotional, patrimonial, sexual and moral spheres, and limited internal and external resources make it difficult to cope with it.

O Experience of mothers in the care of children and adolescents with special health needs

To describe the family's experience in home care for children and adolescents with special health needs. Qualitative research supported by the theoretical framework of Patient- and Family-Centered Care, carried out in an Association that serves Children and Adolescents who need special health care in a municipality in the southern region of Brazil. Data were collected through semi-structured interviews with eight mothers of children and adolescents with special health care needs, which were recorded and transcribed verbatim, and subjected to content analysis in the thematic modality. Two categories were identified: Family reorganization to care for children with special health care needs at home; and Invisibility of the woman/mother. Caring for CSHCN at home imposes on families the need to reorganize themselves, so that the mother can dedicate herself, almost entirely, to this function, including neglecting health care. Despite this dedication, mothers do not recognize activities developed as difficult; however they make self-care invisible in relation to child care.

Prevalência e fatores relacionados a sintomas depressivos em pessoas com Diabetes mellitus tipo 2

O objetivo do estudo foi identificar a prevale?ncia e os fatores relacionados a sintomas depressivos em pessoas com Diabetes mellitus tipo 2 (DM2). Estudo transversal realizado com 104 pessoas com DM2, utilizando questiona?rio com caracteri?sticas sociodemogra?ficas e cli?nicas e o Inventa?rio de Depressa?o de Beck. Realizou-se ana?lise descritiva e de correlac?a?o entre sintomas depressivos e as varia?veis de interesse, com uso dos testes Spearman e Kruskal-Wallis. Dentre os participantes, 25% (n=26) manifestavam sintomas depressivos, sendo estes mais frequentes entre idosos, com mais de cinco anos de diagno?stico e que estavam com sobrepeso. Conclui-se pela necessidade de rastreamento e identificac?a?o precoce de sintomas depressivos em indivi?duos com DM2, em especial nos idosos, com maior tempo de diagno?stico e com alterac?a?o do estado nutricional. Nestes casos, sa?o bem-vindas intervenc?o?es profissionais pautadas em ac?o?es de promoc?a?o da sau?de, qualidade de vida e prevenc?a?o de complicac?o?es relacionadas a? combinac?a?o destas condic?o?es cro?nicas.

Organizational climate and teamwork at the Family Health Strategy

ABSTRACT Objective: to measure the organizational climate in the work of professionals from Family Health Strategy (FHS) teams. Method: a cross-sectional study carried out with 458 professionals belonging to 72 FHS teams in a municipality in Southern Brazil. Data collection occurred between March and July of 2016 with self-application of the Team Climate Inventory (TCI). Data were analyzed by means of a non-parametric ANOVA. Results: “Team Participation” was the best-rated domain (8.11), while “Task orientation” was the worst (7.51). Nurses obtained the highest mean in TCI (8.05), and dentists, the lowest (7.45). Conclusion: TCI is an appropriate and innovative tool for assessing the teamwork climate at the FHS. Identifying fragilities such as “task orientation” and relationships among professional categories of the team supports the planning of actions for organizational climate improvements and teamwork at the FHS.