1
|
Gifalli M, Antonio CT, Aparecida Pezzato da Silva V, Aroteia Capone F, Capelato Prado P, Trettene ADS. Adolescents with orofacial clefts: understanding their experiences. Rev Paul Pediatr 2024; 42:e2023131. [PMID: 38716994 PMCID: PMC11073468 DOI: 10.1590/1984-0462/2024/42/2023131] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/30/2023] [Accepted: 02/18/2024] [Indexed: 05/12/2024]
Abstract
OBJECTIVE To understand the experience of young people with orofacial clefts regarding life as an adolescent. METHODS Descriptive, qualitative study, developed in a Brazilian public and tertiary hospital, a reference center in the care of patients with craniofacial anomalies and related syndromes, between February and April 2019. The sample was defined by theoretical saturation. The following inclusion criteria were established: age between ten and 19 years old and having previously operated on orofacial cleft (lip and/or palate). Individuals with fissure associated with syndromes or other malformations were excluded. Data collection was performed through semi-structured interviews, which were audio recorded and transcribed in full. The trigger element was: how has it been for you to experience your adolescence? For the construction of the results, content analysis was used in the thematic modality. RESULTS Seventeen adolescents participated. From the speeches, three categories were revealed: interacting socially, feeling supported, and experiencing and facing prejudice. CONCLUSIONS The biopsychosocial and conflicting complexity that adolescents with orofacial clefts experience was noticed, as well as the importance of receiving support and establishing modalities of situational coping.
Collapse
|
2
|
da Silva JB, Henriques NL, Rigo FL, Guerreiro GMCD, Fernandes SJD, Duarte ED. The child's experience of becoming ill with COVID-19. Rev Esc Enferm USP 2024; 57:e20230165. [PMID: 38315804 PMCID: PMC10849679 DOI: 10.1590/1980-220x-reeusp-2023-0165en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Accepted: 11/01/2023] [Indexed: 02/07/2024] Open
Abstract
OBJECTIVE To understand the experience of children when they become ill with COVID-19. METHOD Qualitative-descriptive and exploratory study, guided by the World Health Organization's concept of Quality of Life. Twenty-four children participated, aged between seven and nine years, 11 months and 29 days, diagnosed with COVID-19. Data were collected through semi-structured interviews and underwent deductive thematic analysis. RESULTS The children understood what COVID-19 is, its high lethality and transmissibility, and its forms of contagion and prevention. COVID-19 has been identified as something negative. The experience of children becoming ill with COVID-19 was permeated by changes in their routines, especially due to having activities limited to the home, emotional changes, and physical symptoms due to infection with the virus. CONCLUSION The children understood the seriousness of the pandemic and identified the changes that had occurred. They also expressed understanding about the disease and its control. Knowing children's experience of illness can guide care actions aimed at them, recognizing that children's adequate understanding of what they experience can contribute to coping with illness and their participation in control actions.
Collapse
Affiliation(s)
- Juliana Barony da Silva
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| | - Nayara Luiza Henriques
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| | - Felipe Leonardo Rigo
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| | | | - Sérgio Joaquim Deodato Fernandes
- Universidade Católica Portuguesa, Faculdade de Ciências da Saúde e Enfermagem, Centro de Investigação Interdisciplinar em Saúde, Lisboa, Portugal
| | - Elysangela Dittz Duarte
- Universidade Federal de Minas Gerais, Escola de Enfermagem, Departamento de Enfermagem Materno-infantil e Saúde Pública, Belo Horizonte, MG, Brazil
| |
Collapse
|
3
|
Gonçalves H, Soares ALG, Domingues MR, Bertoldi AD, Santos MGD, Silveira MFD, Coll CDVN. Why are pregnant women physically inactive? A qualitative study on the beliefs and perceptions about physical activity during pregnancy. CAD SAUDE PUBLICA 2024; 40:e00097323. [PMID: 38198382 PMCID: PMC10775962 DOI: 10.1590/0102-311xen097323] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/26/2023] [Revised: 08/25/2023] [Accepted: 09/29/2023] [Indexed: 01/12/2024] Open
Abstract
This study aimed to describe the beliefs and perceptions of pregnant women and healthcare providers about physical activity during pregnancy. Using a qualitative approach, 30 pregnant women and the 14 healthcare providers caring for them were interviewed in the second trimester of pregnancy. We included women who maintained, decreased, or stopped physical activity since becoming pregnant. They were divided into low (≤ 8 years) and high schooling (> 8 years). Semi-structured, in-depth interviews were conducted and guided by three key questions: (1) When does physical activity during pregnancy start to be considered a wrong behavior?; (2) What are the main barriers (biological or others) to physical activity?; and (3) Do the actions of healthcare providers and people close to pregnant women reinforce barriers? Interviews were audio recorded, transcribed, and analyzed based on recurring themes. All women changed their physical activity behavior (decreased or stopped) when they discovered their pregnancy. Fear of miscarriage, contractions, bleeding, and of causing malformations in the baby were the most reported reasons for decreasing or stopping physical activity. Participants also lacked access to consistent information and healthcare providers' support on the benefits of physical activity. Despite the current international recommendations to regular physical activity during pregnancy, uncertainty regarding its benefits remains. Interventions to promote physical activity during this period should include the training of healthcare providers so they can advise and discard ideas contrary to mother-child health benefits.
Collapse
|
4
|
Mendes LMC, da Silva AS, Barbosa NG, Cardoso LDF, de Andrade RF, Gomes-Sponholz FA. Representations of COVID-19: the pandemic in the context of international commuting migration from mining. Rev Esc Enferm USP 2023; 57:e20220382. [PMID: 37992302 PMCID: PMC10665081 DOI: 10.1590/1980-220x-reeusp-2022-0382en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/03/2022] [Accepted: 09/16/2023] [Indexed: 11/24/2023] Open
Abstract
OBJECTIVE To analyze the conceptions about COVID-19 among Brazilians who carry out commuting to work in clandestine mines located on the borders between Brazil, French Guiana and Suriname. METHOD This is qualitative research, from an analytical perspective, based on Social Representation Theory. Semi-structured, audio-recorded interviews were carried out with 10 Brazilians who experience work routine in clandestine mining on the border between Brazil, French Guiana and Suriname. RESULTS Two analytical categories emerged: "The disease of otherness"; and "Health access dimension". CONCLUSION Disease severity was attributed to another or a human body organ, and not to individuals as a whole. Access to health services was established on issues of inequity, violence and illegal practices. The nature of a transient population, which carries out commuting and informal and clandestine work, demonstrates vulnerability to COVID-19 and a lower propensity to receive care.
Collapse
Affiliation(s)
- Lise Maria Carvalho Mendes
- Universidade de São Paulo, Programa de Pós-Graduação em Enfermagem em Saúde Pública, Ribeirão Preto, SP, Brazil
| | | | - Nayara Gonçalves Barbosa
- Universidade Federal de Juiz de Fora, Departamento de Enfermagem Materno-Infantil e Saúde Pública, Juiz de Fora, MG, Brazil
| | - Larissa de Freitas Cardoso
- Universidade de São Paulo, Programa de Pós-Graduação em Enfermagem em Saúde Pública, Ribeirão Preto, SP, Brazil
| | | | | |
Collapse
|
5
|
Barreto MDS, Marques FRDM, Gallo AM, Garcia-Vivar C, Carreira L, Salci MA. Striking a new balance: A qualitative study of how family life has been affected by COVID-19. Rev Lat Am Enfermagem 2023; 31:e4043. [PMID: 37937598 PMCID: PMC10631297 DOI: 10.1590/1518-8345.6705.4043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/06/2023] [Accepted: 08/07/2023] [Indexed: 11/09/2023] Open
Abstract
OBJECTIVE to examine the repercussions of the pandemic on the family system by focusing on the perspective of family members who contracted and experienced COVID-19. METHOD an exploratory study with a qualitative approach conducted with 27 individuals who had COVID-19. Data collection took place through telephone interviews that were audio-recorded and guided by a semi-structured instrument. Data analysis was based on an inductive process supported by Reflexive Thematic Analysis. RESULTS the pandemic and illness of a family member acted as driving forces generating new and intense movements in the family system. Initially, they noticed negative repercussions such as concerns, fear, anguish, stress, distancing and social isolation. As time progressed and by using technologies to ease communication, they began to perceive positive repercussions such as increased proximity, strengthening of ties, development of new roles and care. The families also identified recovery of a balanced position, with return of certain readjustment in family dynamics and functioning. CONCLUSION health professionals need to recognize that the COVID-19 disease has imposed repercussions on family systems, proposing interventions that help families face this moment and more easily recover a balanced position for their functioning.
Collapse
Affiliation(s)
| | - Francielle Renata Danielli Martins Marques
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brasil
- Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Adriana Martins Gallo
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brasil
- Bolsista da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brasil
| | - Cristina Garcia-Vivar
- Universidad Pública de Navarra, Departamento de Ciencias de la Salud, Pamplona, NA, España
| | - Lígia Carreira
- Universidade Estadual de Maringá, Departamento de Enfermagem, Maringá, PR, Brasil
- Bolsista do Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brasil
| | | |
Collapse
|
6
|
Padrón GJ, Flores YYR. Perspectives and practices of personnel involved in family planning with women at reproductive risk. Rev Esc Enferm USP 2023; 57:e20230001. [PMID: 37930234 PMCID: PMC10631745 DOI: 10.1590/1980-220x-reeusp-2023-0001en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/23/2023] [Accepted: 07/20/2023] [Indexed: 11/07/2023] Open
Abstract
OBJECTIVE To analyze the perspectives and practices of personnel involved in family planning with women at reproductive risk due to chronic diseases. METHOD Qualitative study in which physicians and nurses from primary care centers in a state in central Mexico were interviewed. Interviews were transcribed and analyzed under the Grounded Theory proposal. RESULTS The perspectives and practices in family planning interventions are unilaterally framed in the biomedical model. Three categories of analysis emerged: "The battle", "Convince by imposing", "Monitor them and catch them". CONCLUSION It is necessary to promote competencies in interculturality, gender perspective and human rights to make the intervention more of a counseling and less of a prescription for life projects.
Collapse
Affiliation(s)
| | - Yesica Yolanda Rangel Flores
- Universidad Autónoma de San Luis Potosí, Facultad de Enfermería y Nutrición. Maestría en Salud Pública, San Luis Potosí, México
| |
Collapse
|
7
|
de Souza DM, Fernandes RDF, Costa CTDS, Borghi CA, Rossato LM. From theory to practice: the inclusion of hospitalized children's families in painful procedures. Rev Esc Enferm USP 2023; 57:e20230152. [PMID: 37624383 PMCID: PMC10453425 DOI: 10.1590/1980-220x-reeusp-2023-0152en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2023] [Accepted: 06/29/2023] [Indexed: 08/26/2023] Open
Abstract
OBJECTIVE To understand nursing team professionals' strategies to include the family in painful procedures performed on hospitalized children. METHOD An exploratory-descriptive, qualitative study, carried out with nursing professionals. Data were collected through semi-structured interviews, guided by a script of topics, transcribed and submitted to thematic content analysis, in the light of Symbolic Interactionism, discussed considering the Family-Centered Care philosophy assumptions. RESULTS Two central categories emerged, "Theoretical perspective: the family as a care agent in painful procedures" and "Practical perspective: experiences, challenges and strategies in painful procedures for family inclusion", with their respective subcategories. CONCLUSION Nursing professionals have theoretical knowledge about family inclusion in painful procedures based on the assumptions: Family-Centered Care: dignity and respect; information sharing; joint participation; and family collaboration. However, knowledge is not applied in clinical practice; consequence of the interaction between beliefs and attitudes unfavorable to family presence.
Collapse
Affiliation(s)
- Danton Matheus de Souza
- Universidade de São Paulo, Escola de Enfermagem, Programa de Pós-Graduação em Enfermagem, São Paulo, SP, Brazil
| | | | | | | | - Lisabelle Mariano Rossato
- Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil
| |
Collapse
|
8
|
Gurgel RB, Silva JLPD, Monteiro EMLM, da Silva SL, Lima TRDME, Coriolano-Marinus MWDL. Parenting of mothers of children in early childhood during the COVID-19 pandemic: qualitative research. Rev Bras Enferm 2023; 76Suppl 1:e20220478. [PMID: 37531482 PMCID: PMC10389648 DOI: 10.1590/0034-7167-2022-0478] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2022] [Accepted: 02/06/2023] [Indexed: 08/04/2023] Open
Abstract
OBJECTIVES to understand practices of mothers of children in early childhood who live in contexts of poverty in the face of the COVID-19 pandemic. METHODS an exploratory, descriptive and qualitative study. Participants were selected in the community context, composing an intentional sample to be collected through semi-structured online interviews. Data were analyzed inductively and anchored in the Bioecological Model of Human Development. RESULTS eight mothers participated in the research. Mothers highlighted pleasure in taking care of their children, although they were overloaded with activities and comprehensive care at the time of the pandemic. Children, in mothers' perception, showed a higher frequency of challenging behaviors, which may be related to negative parenting practices, such as punishment and physical violence. FINAL CONSIDERATIONS interventions to support parenting become urgent in the face of changes brought about by the COVID-19 pandemic in families living in a context of poverty.
Collapse
Affiliation(s)
| | | | | | - Suzana Lins da Silva
- Instituto de Medicina Integral Professor Fernando Figueira. Recife, Pernambuco, Brazil
| | | | | |
Collapse
|
9
|
Kramar MJF, García-Caro MP, Ternero AM, Martí-García C. Migrant women caregivers' experiences in end-of-life formal care. Rev Esc Enferm USP 2023; 57:e20230031. [PMID: 37552833 PMCID: PMC10414973 DOI: 10.1590/1980-220x-reeusp-2023-0031en] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/27/2023] [Accepted: 06/01/2023] [Indexed: 08/10/2023] Open
Abstract
OBJECTIVE To describe and understand the experience of Latin American migrant women as caregivers of elderly people in situations of advanced illness and end of life. METHOD Qualitative study using Gadamer's hermeneutic phenomenology. Data were collected in 2019 through 9 semi-structured interviews with Latin American women caregivers, who had cared for people at the end of life, in the Province of Granada (Spain). RESULTS Two themes emerged: "Migrant caregiver at the end of life" and "And now, what should I do?": the impact of the loss at the economic, emotional and labor level. CONCLUSION Care during the end of life of the cared person generates an additional overload to the situation of migrant women. The experience of this stage is related to the bond with the persons cared and their families, which may affect the development of complicated grief and personal problems related to the loss of employment and the absence of economic support.
Collapse
Affiliation(s)
| | - María Paz García-Caro
- Universidad de Granada, Facultad de Ciencias de la Salud, Departamento de Enfermería, Granada, España
| | | | - Celia Martí-García
- Universidad de Málaga, Facultad de Ciencias de la Salud, Departamento de Enfermería, Málaga, España
| |
Collapse
|
10
|
Henriques NL, Silva JBD, Charepe ZB, Braga PP, Duarte ED. Factors that promote and threaten Hope in caregivers of children with chronic conditions. Rev Lat Am Enfermagem 2023; 31:e3896. [PMID: 37194892 PMCID: PMC10202231 DOI: 10.1590/1518-8345.6366.3896] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 11/26/2022] [Indexed: 05/18/2023] Open
Abstract
to identify the factors that promote and threaten Hope in family caregivers of 2- to 3-year-old children with chronic conditions. qualitative study with 46 family caregivers of children between 2 and 3 years old with a chronic condition, discharged from two Neonatal Intensive Care Units. Data was collected through semi-structured interviews guided by the Model for Intervention in Mutual Help Promoter of Hope. Data were submitted to deductive thematic analysis. the following were identified as factors that promote Hope: The experience shared with members of the social support network; The relationship with the child; Clinical improvement of the child; Spirituality; Positive guidance for the future. The following were identified as factors that threaten Hope: Conflictual relationships and discredit of the child by close people; Uncertainties about the future; Insecurities about the ability to care for the child. the threatening factors of Hope generated suffering, pain, anguish, anxiety, and loneliness in caregivers. The promoting factors of Hope generated comfort, motivation, strength and joy. The findings allow Nurses to recognize the strengths and weaknesses of caregivers and adopt behaviors that promote Hope in caregivers of children with chronic conditions.
Collapse
Affiliation(s)
| | - Juliana Barony da Silva
- Universidade Federal de Minas Gerais, Grupo de Estudos sobre o Recém-nascido, Criança, Adolescentes e suas Famílias (RECRIA). Belo Horizonte, MG, Brasil
| | | | - Patrícia Pinto Braga
- Universidade Federal de São João del-Rei, Faculdade de Enfermagem. Belo Horizonte, MG, Brasil
| | - Elysângela Dittz Duarte
- Universidade Federal de São João del-Rei, Núcleo de Estudos sobre Criança e Adolescente (NECA). Divinópolis, MG, Brasil
| |
Collapse
|
11
|
Orlando-Romero L, Vives-Vergara A, Valdebenito R, Cortinez-O'Ryan A, Baeza F, Rasse A. ["My life will be much better than before": a qualitative study on the relationship between renewal of public housing, quality of life, and health]. CAD SAUDE PUBLICA 2023; 39:e00149822. [PMID: 37162114 PMCID: PMC10549979 DOI: 10.1590/0102-311xes149822] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/23/2022] [Revised: 02/17/2023] [Accepted: 03/01/2023] [Indexed: 05/11/2023] Open
Abstract
The objective was to understand the link between housing, health and quality of life in a context of social housing regeneration, through the experiences and perceptions of its inhabitants, exploring the mechanisms that sustain this link before regeneration, and those elements derived from housing regeneration that result in improvements in quality of life and potentially in health. Between 1980 and the 2000s, Chile faced a massive quantitative housing deficit through a policy that delivered more than 120,000 low-cost social housing apartments. Today, thousands present severe habitability problems, generating negative consequences for their inhabitants, their health and well-being. Seeking to solve the deterioration of housing and neighborhoods, the Chilean Ministry of Housing and Urbanism developed the Housing Complex Regeneration Program. The RUCAS project seeks to evaluate the effects of the program on health and to assess the impact of interventions such as these on vulnerable populations in Latin America. We present results of 8 interviews and 2 focus groups conducted in a social housing complex in process of intervention in Viña del Mar. Using discursive content analysis, results show that the poor material quality of housing is perceived as harmful to health. Regenerated housing, on the other hand, promotes the recovery and re-appropriation of spaces and their uses, sociability, new healthy practices, positive feelings and psychological well-being, bringing to the fore the psychosocial component of people's relationship with their house. It is concluded that housing regeneration has the potential to benefit physical and mental health through both direct mechanisms, derived from the renovated materiality, and indirect mechanisms related to the practices and experiences of the lived space.
Collapse
Affiliation(s)
- Laura Orlando-Romero
- Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Alejandra Vives-Vergara
- Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile
- Centro de Desarrollo Urbano Sustentable, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Roxana Valdebenito
- Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile
| | | | - Fernando Baeza
- Departamento de Salud Pública, Pontificia Universidad Católica de Chile, Santiago, Chile
- Instituto de Geografía, Pontificia Universidad Católica de Chile, Santiago, Chile
| | - Alejandra Rasse
- Centro de Desarrollo Urbano Sustentable, Pontificia Universidad Católica de Chile, Santiago, Chile
| |
Collapse
|
12
|
Faria-Schützer DB, Borovac-Pinheiro A, Rodrigues L, Surita FG. Pregnancy and postpartum experiences of women undergoing hemodialysis: a qualitative study. J Bras Nefrol 2023; 45:180-191. [PMID: 36200883 PMCID: PMC10627136 DOI: 10.1590/2175-8239-jbn-2022-0001en] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/01/2022] [Accepted: 07/08/2022] [Indexed: 11/22/2022] Open
Abstract
INTRODUCTION There are particularities of chronic kidney disease (CKD) in women and their treatment. The biology of women exposes them to greater risk factors for CKD and both pregnancy and the postpartum period place an additional burden on renal health. Pregnancy complications may cause or worsen CKD. OBJECTIVE To explore the experiences of women with CKD undergoing hemodialysis in relation to their reproductive history. METHODS This study consisted of clinical-qualitative design with semi-structured individual interviews and open-ended questions. The sample selection was intentional and according to the theoretical saturation criterion. The data analysis was carried out based on the seven steps of the clinical-qualitative content analysis and validated by Nvivo11. This study was conducted in a public hemodialysis clinic of the Brazilian National Health System. RESULTS Twelve women undergoing hemodialysis were interviewed. The results from the analysis revealed three categories: 1) Association of pregnancy with CKD; 2) Nebulosity in relation to diagnosis and reproductive history 3) Being a woman undergoing hemodialysis. CONCLUSION Our study showed the importance of considering the specificities of CKD in women, suggesting that these issues are important for diagnosis and treatment adherence. Consideration of reproductive life history allows the health of women undergoing hemodialysis to be promoted holistically, including aspects of mental health.
Collapse
Affiliation(s)
- Débora Bicudo Faria-Schützer
- Universidade Estadual de Campinas, Faculdade de Ciências Médicas,
Departamento de Tocoginecologia, Campinas, SP, Brazil
| | - Anderson Borovac-Pinheiro
- Universidade Estadual de Campinas, Faculdade de Ciências Médicas,
Departamento de Tocoginecologia, Campinas, SP, Brazil
| | - Larissa Rodrigues
- Universidade Estadual de Campinas, Faculdade de Ciências Médicas,
Departamento de Tocoginecologia, Campinas, SP, Brazil
| | - Fernanda Garanhani Surita
- Universidade Estadual de Campinas, Faculdade de Ciências Médicas,
Departamento de Tocoginecologia, Campinas, SP, Brazil
| |
Collapse
|
13
|
de Mattos CX, da Silva LF, Braga TRL, Bubadué RDM, Partelli ANM, Cabral IE. Family caregivers' itineraries of preschool children who survived leukemia: implications for primary healthcare nursing. Rev Bras Enferm 2023; 76:e20220193. [PMID: 36753256 PMCID: PMC9901353 DOI: 10.1590/0034-7167-2022-0193] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2022] [Accepted: 10/01/2022] [Indexed: 02/09/2023] Open
Abstract
OBJECTIVES to analyze the path taken by family caregivers of preschool children who survived leukemia and discuss the implications for primary healthcare nursing. METHODS the narrative interview guided by a talking map and body knowledge was used with family members of children who survived leukemia, living in Rio de Janeiro (capital) and São Paulo (countryside). Conversation analysis was applied to the data. RESULTS five family groups (seven people) of five children started their journey in the professional subsystem of private services; four were assisted in the private sector since the onset of the illness; one was assisted in public and private services. Living conditions reduced barriers to accessing supplementary health, facilitating coordination, and listening to a reference professional. FINAL CONSIDERATIONS the itinerary was marked by attentive listening to family caregivers by reference professionals, favoring early diagnosis, initiation of treatment, and resolution of leukemia with the cure of children.
Collapse
|
14
|
da Silva VAP, Gifalli M, Capone FA, Farinha FT, Prado PC, Trettene ADS. Prenatal diagnosis of orofacial clefts: unveiling the parents' experience. Rev Paul Pediatr 2023; 41:e2022004. [PMID: 36700568 PMCID: PMC9869735 DOI: 10.1590/1984-0462/2023/41/2022004] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/06/2022] [Accepted: 05/06/2022] [Indexed: 01/27/2023]
Abstract
OBJECTIVE To understand the experience of parents regarding prenatal diagnosis of orofacial cleft in their children. METHODS Descriptive study with a qualitative approach, carried out in a Brazilian public tertiary hospital between January and March 2019. Parents who were accompanying their children during hospitalization for primary surgeries and who had received the diagnosis of malformation during pregnancy were included in this study. Data was collected through semi-structured interviews, which were audio-recorded and transcribed in full. To prepare the results, Content Analysis was used in the Thematic modality. RESULTS The sample had 17 participants: 16 mothers and one father. From the speeches, three categories were unveiled: dealing with the unknown, assimilating the diagnosis, and positive and negative implications of prenatal diagnosis. CONCLUSIONS We learned how complex and conflicting it was for parents to receive the diagnosis of malformation in their children, and that family and professional support was essential to the process of assimilation and coping. The findings point to the need for planning and implementing interventions, protocols and/or public policies aimed at assisting these parents in this period.
Collapse
|
15
|
Jerez Molina C, Lahuerta Valls L, Fernandez Villegas V, Santos Ruiz S. Nursing evaluation of pediatric preoperative anxiety: a qualitative study. Rev Lat Am Enfermagem 2023; 31:e3738. [PMID: 36888788 PMCID: PMC9991007 DOI: 10.1590/1518-8345.6230.3738] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/21/2022] [Accepted: 07/15/2022] [Indexed: 03/08/2023] Open
Abstract
OBJECTIVE to explore and describe how perioperative nurses assess and interpret the child's behavior before entering the operating room, identifying the strategies they use to reduce anxiety and the proposals for improvements. METHOD descriptive qualitative study using semi-structured interviews and participant observation of daily routines. Thematic analysis of data. This study follows the recommended criteria for publication of articles of the qualitative methodology Consolidated Criteria for Reporting Qualitative Research. RESULTS four topics emerged from the data: a) assessment of anxiety or close communication with the child and their family; b) evaluating what was observed; c) managing anxiety and d) improving the assessment or proposals for improvements in daily practice. CONCLUSION nurses assess anxiety in their daily practice through observation using their clinical judgment. The nurse's experience is decisive for the appropriate assessment of the preoperative anxiety in child. Insufficient time between waiting and entering the operating room, lack of information from child and their parents about the surgical procedure, and parental anxiety make it difficult to assess and properly manage anxiety.
Collapse
Affiliation(s)
- Carmen Jerez Molina
- Campus Docent Sant Joan de Déu, School of Nursing, Barcelona, Spain.,Hospital Sant Joan de Déu, Nursing Department, Ambulatory Surgery, Barcelona, Spain
| | | | | | | |
Collapse
|
16
|
Wisnesky UD, Olson J, Paul P, Dahlke S. Older people's perceptions and experiences of older people with the Sit-to-stand activity: An ethnographic pre-feasibility study. Rev Lat Am Enfermagem 2023; 31:e3813. [PMID: 36722635 PMCID: PMC9886074 DOI: 10.1590/1518-8345.6128.3813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2022] [Accepted: 08/18/2022] [Indexed: 02/02/2023] Open
Abstract
OBJECTIVE the purpose of this pre-feasibility study was to examine perceptions and experiences of a Sit-to-stand activity with urban Brazilian community-dwelling older people in their homes. METHOD the exploration method was focused ethnography. Purposive sampling was used to recruit 20 older people. Five means of data generation were used, namely: socio-demographic surveys, participant observations, informal interviews, formal semi-structured interviews, and field notes. Data analysis was qualitative content analysis. RESULTS the experience of mobility-challenged older people with the Sit-to-stand activity was dependent on their mobility expectations involving many factors that worked together to influence their beliefs and attitudes towards the activity, preferences, behaviors, and cultural perceptions. The participants of this study seemed to find the activity enjoyable; however, the most noticeable shortcomings for their engagement in the Sit-to-stand activity emerged as gaps in their personal and intrapersonal needs. CONCLUSION the recommendations generated from the study findings call for the design of implementation strategies for the Sit-to-stand intervention that are tailored to this particular population's needs.
Collapse
Affiliation(s)
- Uirá Duarte Wisnesky
- University of Alberta, Faculty of Medicine and Dentistry, Edmonton, Alberta, Canada., University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada., Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil, Uirá Duarte Wisnesky E-mail:
| | - Joanne Olson
- University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada
| | - Pauline Paul
- University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada
| | - Sherry Dahlke
- University of Alberta, Faculty of Nursing, Edmonton, Alberta, Canada
| |
Collapse
|
17
|
Arias Valencia MM. Principles, Scope, and Limitations of the Methodological Triangulation. Invest Educ Enferm 2022; 40:e03. [PMID: 36264691 PMCID: PMC9714985 DOI: 10.17533/udea.iee.v40n2e03] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
This article sought to collect basic and relevant information about methodological triangulation and make a first approach to the principles underlying its use, potentiality and scope, advances and limitations, and some alternative proposals to surpass them. In that sense, it is an attempt to operationalize concepts and present the procedures to conduct it rigorously. In the first place, conceptual aspects and types of triangulation are presented, and in the second place, the principles, uses and difficulties. But, beyond what must be done, an approach is made to how to do it. The assumption underlying through the article is the complementarity among methods. It is emphasized in the principle through which the nature of objects must guide the selection of the methods and of the most effective techniques to approach and account for phenomena that are socially pertinent of being studied.
Collapse
|
18
|
Backes DS, Gomes EB, Rangel RF, Rolim KMC, Arrusul LS, Abaid JLW. Meaning of the spiritual aspects of health care in pregnancy and childbirth. Rev Lat Am Enfermagem 2022; 30:e3774. [PMID: 36629729 PMCID: PMC9818247 DOI: 10.1590/1518-8345.5980.3774] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/14/2022] [Accepted: 07/26/2022] [Indexed: 01/11/2023] Open
Abstract
OBJECTIVE to know the importance of the spiritual aspects of health care during pregnancy and childbirth, in the light of complexity thinking. METHOD qualitative research, based on complexity thinking. Twenty-seven postpartum women with children between one month and six months old participated in the study. The data were collected between August and November 2021, based on individual interviews with guiding questions. Thematic analysis was used for data analysis. RESULTS three themes were obtained: The inseparability of spiritual care and emotional care; Connection between spirituality and the uterus - sacred temple; Alternative techniques for spiritual health care. CONCLUSION the spiritual aspect of health care during pregnancy and childbirth can be considered an essential resource in the support of autonomy, security, and comfort. In addition, it can enable favorable outcomes in childbirth by strengthening the maternal-fetal attachment.
Collapse
Affiliation(s)
- Dirce Stein Backes
- Universidade Franciscana, Saúde/Enfermagem, Santa Maria, RS, Brazil.,Scholarship holder at the Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq), Brazil
| | | | | | | | | | | |
Collapse
|
19
|
Leite ACAB, García-Vivar C, DeMontigny F, Nascimento LC. Waves of family hope: narratives of families in the context of pediatric chronic illness. Rev Lat Am Enfermagem 2021; 29:e3504. [PMID: 34816873 PMCID: PMC8616230 DOI: 10.1590/1518-8345.5515.3504] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/01/2021] [Accepted: 09/06/2021] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to analyze narratives about the experience of hope of families in the context of pediatric chronic illness. METHOD a narrative research using Family Systems Nursing as a conceptual framework. Three families of children and adolescents diagnosed with complex chronic illness participated in this study, totaling 10 participants. Data collection was developed using family photo-elicitation interviews. Family narratives were constructed and analyzed according to inductive thematic analysis with theoretical data triangulation. RESULTS the analytical theme - Waves of Family Hope in the Context of Pediatric Chronic Illness - is composed of four different types of hope: uncertain hope, caring hope, latent hope, and expectant hope. Movement through these hopes generates a driving energy and depends on a number of factors: support, information, searching for normality, and thoughts and comparisons. CONCLUSION the results highlight the interaction and reciprocities of the members of the family unit, and the dynamics of hope, and illustrate the different types of hope and the factors that influence them. This study highlights the experience of hope as a family resource rather than just an individual resource, and supports health professionals in the planning of family care considering hope as an essential and dynamic family resource.
Collapse
Affiliation(s)
- Ana Carolina Andrade Biaggi Leite
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
- Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal
de Nível Superior (CAPES), Brazil
| | - Cristina García-Vivar
- Universidad Pública de Navarra, Departamento de Ciencias de la
Salud, Pamplona, Navarra, Spain
| | - Francine DeMontigny
- Université du Québec en Outaouais, Department of Nursing, Gatineau,
Quebec, Canada
| | - Lucila Castanheira Nascimento
- Universidade de São Paulo, Escola de Enfermagem de Ribeirão Preto,
PAHO/WHO Collaborating Centre for Nursing Research Development, Ribeirão Preto, SP,
Brazil
- Scholarship holder at the Conselho Nacional de Desenvolvimento
Científico e Tecnológico (CNPq), Brazil
| |
Collapse
|
20
|
Angelo BHDB, Pontes CM, Sette GCS, Leal LP. Knowledge, attitudes and practices of grandmothers related to breastfeeding: a meta-synthesis. Rev Lat Am Enfermagem 2020; 28:e3214. [PMID: 32074204 PMCID: PMC7021479 DOI: 10.1590/1518-8345.3097.3214] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2018] [Accepted: 08/04/2019] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE Evaluate the knowledge, attitudes and practices of grandmothers that support or discourage the breastfeeding process. METHOD This is a meta-synthesis based on the theoretical and methodological framework of meta-ethnography developed by Noblit and Hare. A critical evaluation of the articles was conducted using the consolidated criteria for reporting qualitative research (Coreq). Primary and secondary constructs derived from the results of nine articles were grouped into a new theory, leading to tertiary constructs that were presented in a diagram based on the functionality of Sanicola's Social Network Theory. RESULTS Grandmothers know the benefits of breastfeeding, the importance of a special diet and proper hydration for the production of good quality milk, but report inadequacies in the treatment of breast complications and the need for breast milk complementation before the sixth month of life. These aspects were also observed: religious interference, opposition of ideas about breastfeeding, and family decisions based on the grandmother figure. CONCLUSION Through knowledge, attitudes and practices, grandmothers, central figures in breastfeeding support, support their daughters and daughters-in-law in breastfeeding or discourage breastfeeding with contrary opinions and inadequate guidance.
Collapse
Affiliation(s)
- Bárbara Helena de Brito Angelo
- Universidade Federal de Pernambuco, Recife, PE, Brasil
- Universidade Federal de Pernambuco, Hospital das Clínicas, Núcleo
Interno de Regulação, Recife, PE, Brasil
| | - Cleide Maria Pontes
- Universidade Federal de Pernambuco, Departamento de Enfermagem,
Recife, PE, Brasil
| | | | - Luciana Pedrosa Leal
- Universidade Federal de Pernambuco, Departamento de Enfermagem,
Recife, PE, Brasil
| |
Collapse
|
21
|
Laza-Vásquez C, Cortés-Martínez KV, Cano-Rivillas JP. "It was God's will": Continuing pregnancy after perinatal infection by Zika virus. Rev Lat Am Enfermagem 2020; 28:e3310. [PMID: 32876288 PMCID: PMC7458580 DOI: 10.1590/1518-8345.3485.3310] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2019] [Accepted: 03/27/2020] [Indexed: 11/22/2022] Open
Abstract
OBJECTIVE to understand the influence of the religious beliefs on the decision of a group of women residing in the Huila Department to continue their pregnancies despite perinatal infection by the Zika virus. METHOD a focused ethnography. The participants were 21 women who had presented a perinatal infection by the Zika virus and whose babies were born with congenital microcephaly. 2 discussion groups and 6 semi-structured interviews were conducted, and thematic analysis was used for data treatment. RESULTS three themes emerged, namely: "God, why me?" is the initial questioning of the women to God for the prenatal diagnosis of microcephaly in their babies, "Clinging to a divine miracle" describes how the women did not lose their faith and begged for a divine miracle for their babies to be born healthy, and "It was God's will" means acceptance, resignation, and respect for God's will, as well as the denial to abort despite the medical recommendations. CONCLUSION religiosity and religious beliefs were determinant factors in the women's decision to continue their pregnancies. It becomes necessary to continue investigating this theme to understand their experiences and to generate follow-up and support actions from nursing care.
Collapse
Affiliation(s)
- Celmira Laza-Vásquez
- Facultad de Enfermería y Fisioterapia, Universitat de Lleida, Lleida, Cataluña, Spain
| | | | | |
Collapse
|
22
|
Bernhardt IS, Nissen-Lie H, Moltu C, McLeod J, Råbu M. "It's both a strength and a drawback." How therapists' personal qualities are experienced in their professional work. Psychother Res 2018; 29:959-970. [PMID: 29950137 DOI: 10.1080/10503307.2018.1490972] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/28/2022] Open
Abstract
Objective: The aim of this study was to gain knowledge about how the integration of personal and professional experiences affects therapeutic work. Method: Therapists (N = 14) who had been recommended by their leaders at their individual workplaces were interviewed twice with semi-structured qualitative interviews, which were then subjected to thematic and Interpretative Phenomenological Analysis. Results: All the therapists in the sample described their personal qualities as an experienced tension between their personal strengths and vulnerabilities in the therapeutic setting. This tension came to expression through four subordinate themes: (a) The tension between perceiving oneself as a helper while dealing with one's own needs for attention and care; (b) The tension between the ability for embodied listening to the patient while tuning into oneself; (c) The tension between staying present while handling aggression and rejection from clients; and (d) The tension in striving for a constructive balance between closeness and distance. Conclusion: The results point to ways in which the personal selves of the therapists may affect their professional role performance. Drawing upon previous research and literature on the topic, the paper discusses how therapists' personal qualities are experienced as affecting their work and suggests several implications for psychotherapy training and practice.
Collapse
Affiliation(s)
| | | | - Christian Moltu
- Department of Psychiatry, District General Hospital of Førde, Førde, Norway
| | - John McLeod
- Department of Psychology, University of Oslo, Oslo, Norway
| | - Marit Råbu
- Department of Psychology, University of Oslo, Oslo, Norway
| |
Collapse
|
23
|
Abstract
OBJECTIVE To analyze how physicians, as part of a sociocultural group, handle the different types of death, in a metropolitan emergency service. METHODS This is an ethnography carried out in one of the largest emergency services in Latin America. We have collected the data for nine months with participant observation and interviews with 43 physicians of different specialties - 25 men and 18 women, aged between 28 and 69 years. RESULTS The analysis, guided by the model of Signs, Meanings, and Actions, shows a vast mosaic of situations and issues that permeate the medical care in an emergency unit. The results indicate that physicians may consider one death more difficult than another, depending on the criteria: age, identification or not with the patient, circumstances of the death, and medical questioning as to their responsibility in the death process. CONCLUSIONS For physicians, no death is easy. Each death can be more or less difficult, depending on different criteria that permeate the medical care in an emergency unit, and it reveals different social, ethical, and moral issues.
Collapse
Affiliation(s)
- Janaína de Souza Aredes
- Instituto René Rachou. Fundação Oswaldo Cruz. Programa de Pós-Graduação em Saúde Coletiva. Belo Horizonte, MG, Brasil
| | | | - Josélia Oliveira Araújo Firmo
- Instituto René Rachou. Fundação Oswaldo Cruz. Núcleo de Estudos em Saúde Pública e Envelhecimento. Belo Horizonte, MG, Brasil
| |
Collapse
|
24
|
Araújo A, Rocha RL, Alvim CG. [Adolescence and asthma management: the perspective of adolescents receiving primary health care]. Rev Paul Pediatr 2014; 32:171-6. [PMID: 25479845 PMCID: PMC4227336 DOI: 10.1590/0103-0582201432304] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 11/26/2013] [Accepted: 03/18/2014] [Indexed: 11/21/2022]
Abstract
OBJECTIVE To study the influence of adolescence characteristics on asthma management. METHODS This is a qualitative study conducted in the city of Divinópolis, in Minas Gerais, Southeast Brazil. The data were collected by semi-structured interviews guided by an interview guide with seven asthmatic adolescents followed in primary public health service of the city. RESULTS Using content analysis, three thematic categories were found in the adolescents responses: 1) Family relationships in the treatment of asthma in adolescence; 2) The asthmatic adolescent and their peers; and 3) The role of the school in the asthmatic adolescents. CONCLUSIONS The results showed that peers, family and school should be more valued by professionals and by health services and care for asthmatic adolescents since these social relationships are intimately connected with teenagers and have an important role for the asthma treatment. Attempts to meet the demands of adolescents contribute to improve asthma management.
Collapse
Affiliation(s)
- Alisson Araújo
- Universidade Federal de São João del-Rei (UFSJ), Divinópolis, MG, Brasil.
| | | | | |
Collapse
|
25
|
Gonçalves MDCN, Bellodi PL. Mentors also need support: a study on their difficulties and resources in medical schools. SAO PAULO MED J 2012; 130:252-8. [PMID: 22965367 PMCID: PMC10619947 DOI: 10.1590/s1516-31802012000400009] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/18/2011] [Revised: 07/18/2011] [Accepted: 03/30/2012] [Indexed: 11/21/2022] Open
Abstract
CONTEXT AND OBJECTIVE Mentors have been recognized as important elements in the personal and professional development of medical students. However, few investigations have sought to understand their development, needs and difficulties. Our objective was to investigate the perceptions of a group of mentors regarding difficulties experienced over time and the resources used to face up to them. DESIGN AND SETTING Qualitative exploratory study on mentors at Faculdade de Medicina da Universidade de São Paulo (FMUSP). In the FMUSP Mentoring Program, mentors follow and guide students throughout the course, and are responsible for heterogeneous group of students, in relation to the academic year. METHOD Semi-structured interviews were conducted with 14 FMUSP mentors. RESULTS For many of the mentors, the difficulties related to initial doubts about the role, frustration with the students' attendance and overloading of daily tasks. To address such difficulties, these mentors used external resources and their own life experience and personal way of dealing with situations. Some mentors did not perceive difficulties for themselves or for students. CONCLUSIONS Like in other mentoring programs, many difficulties perceived by mentors seem to be derived from the context of medical education itself. However, unlike in other experiences, FMUSP mentors do not feel that there is lack of support for their role, since this is regularly provided in the structure and dynamics of the program. The "difficulty in perceiving difficulties", presented by some mentors, demands further investigation for better and greater understanding.
Collapse
Affiliation(s)
| | - Patricia Lacerda Bellodi
- PhD. Psychologist and Mentoring Program Coordinator, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, Brazil.
| |
Collapse
|