Browsing by Author "Amorim, Rita da Cruz"
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Item Família e trabalhador/a de saúde na clínica médica: um estudo etnográfico sobre as interações(Universidade Católica do Salvador, 2016-05-12) Amorim, Rita da Cruz; Costa, Lívia Alessandra Fialho da; http://lattes.cnpq.br/0710584663045726; Aguiar, Maria Geralda Gomes; Nascimento, Maria Ângela Alves do; Rabinovich, Elaine Pedreira; Sá, Sumaia Midlej PimentelThe present research aims to understand the experience of illness and hospitalization for the family group from their integrants and healthcare workers who develop caring activity in the medical clinic of a public hospital within Bahia. Anchored in an interdisciplinary perspective, the research follows a qualitative approach, focused on participant observation, interviews and sensitive listening that supported the holding of interaction ethnography in the medical clinic. Participants were 14 families and 17 workers of the clinic, including accompanying family members who performed the activity, from 48 hours in the clinic, and excluding accompanying family members receiving income and private caregivers. Observations were carried out in the hospital lobby, in the hall, at the nursing station and in the wards, totaling eight months of systematic observation. Collected data were treated methodologically and epistemologically as narratives, within a biographical perspective, from the combination of obtained information, originating the "narratives of narratives”. Biographical focus support was possible on narrative (re)elaboration of the data collected, as evidenced by the lived experience as a whole. As ethnography results and from the understanding that the hospital is a setting of dramas, inter-family support network aspects were revealed, faith as a mobilizing force to face the illness and hospitalization, as well as a series of motivating situations of tensions and conflicts in the infirmary. The nurses' station has been presented as a place of corporatism expression, hierarchies, but also of jokes. Interactions analysis still points to the dimension of "care" involved in communicative action. Three important categories emerged from families’ narratives on the hospital follow-up experience: "follow-up and care as mutual comfort"; "follow-up and care as an act of love"; "follow-up and care as an obligation." Research indicates the importance of investments in new ethnographic studies in the hospital that involve the family, highlighting this group that integrates the hospital setting.Item Qualidade do atendimento educacional especializado: a instituição, o estudante e sua família(Universidade Catolica de Salvador, 2017-12-15) Santos, Fernanda Pereira; Costa, Lívia Alessandra Fialho da; http://lattes.cnpq.br/0710584663045726; Portela, Cláudia Paranhos de Jesus; Amorim, Rita da Cruz; Filho, Teófilo Alves Galvão; Moreira, Lúcia Vaz de CamposThe present research had the objective of evaluating the quality of the Specialized Educational Assistance service, conducting a field study in the two Federal Institutes of Education, Science and Technology located in the state of Bahia, considering the students' perception of special education, their families, coordinators of the NAPNE and other professionals who worked with these students. The methodology of the study involved interviews with 8 (eight) visually impaired students, the mother of one of these students and 6 (six) professionals. We also carried out studies of the institutional documents that are available and participant observation of the researched sites. In field research and data analysis, three dimensions were observed: 1) the structure of physical and human resources; 2) Specialized Educational Assistance implementation and implementation process; 3) the results in the areas of permanence and performance of the students assisted. It was observed that there are good points and faults in the service provision of Specialized Educational Assistance, and the absence of qualified professionals is one of the main problems in the school inclusion of these students. It was concluded that the permanence of the students in the institution is associated to the type of family accompaniment - despite the low participation of the families within the school environment - and to the constant attempt of the professionals who work in NAPNE to make possible the success of the assisted students. Alongside this, the fact that the IF offer medium and higher level professional education makes the existence of ESA teachers insufficient to meet the demands of the students.Item Repercussões psicossociais e espirituais da doença renal crônica e dos tratamentos de hemodiálise e diálise peritoneal sobre os familiares(Universidade Católica do Salvador, 2020-11-26) Almeida, Aline Mota de; Rabinovich, Elaine Pedreira; http://lattes.cnpq.br; Carvalho, Evanilda Souza de Santana; http://lattes.cnpq.br; Amorim, Rita da Cruz; http://lattes.cnpq.br; Sá, Kátia Nunes; http://lattes.cnpq.br; Brito, Eliana Sales; http://lattes.cnpq.br; Sá, Sumaia Midlej Pimentel; http://lattes.cnpq.brChronic kidney disease causes physical, emotional and social changes in the person affected, with repercussions on the family, which is subject to the various adaptive demands imposed by the disease and dialysis therapy. From the literature, quality of life, spirituality, hope, resilience and social support were highlighted as elements that may be present and be influenced by illness, and even present themselves differently among family members of people on hemodialysis and on peritoneal dialysis. General objective: To analyze the psychosocial and spiritual repercussions that chronic kidney disease and hemodialysis and peritoneal dialysis treatments can have on the sick person's family members. Method: Mixed study with qualitative (n = 20) and quantitative (n = 160), descriptive, cross-sectional and comparative study, carried out with family members of people with chronic kidney disease undergoing dialysis therapy, in a dialysis unit in Salvador-Bahia, Brazil. Data collection was carried out from September to December 2019, after approval by the Ethics Committee, using the following instruments: sociodemographic questionnaire; semi-structured interview script; WHOQOL-bref; WHOQOL-SRPB; Resilience Scale for Adults; Herth's Hope Scale and Perceived Social Support Multidimensional Scale. The data obtained from the scales wereanalyzed with descriptive statistics and association tests adequate to the nature of the variables. Content analysis was used to treat narratives and discussions were carried out through the triangulation of methods. Results: illness and treatment repercussions on the investigated elements were identified and quality of life, spirituality, religiosity and social support obtained higher scores for the peritoneal dialysis group; while in hope and resilience the scores had similar values between treatment groups. Negative self-perception of life quality emerged after the disease and treatment, dealing with it through overcoming mechanisms, reorganization of family, personal and social everyday life, and through passive acceptance of the experienced situation. As sources of support, spirituality, religiosity, hope, and support from family, friends, and health professionals were mentioned. Correlations were identified showing that age, gender, belief, income and length of care influenced the quality of life. There were positive correlations between the averages of quality of life domains; general quality of life index; spirituality, religiosity and personal belief; resilience; hope; and perceived social support, indicating that the higher the score of one of these elements, the higher the score of the others. Main conclusions: this study confirm the thesis that the statistically significant differences in the quality of life of family members of peritoneal dialysis with a higher score in the environment domain, when compared to those of hemodialysis, do not occur due to the type of treatment, considering that this treatment causes greater care overload for the family, but due to the socioeconomic characteristics of the families of the people who are indicated for the referred treatment. Given the differences in scores between groups of family members, specific care actions and programs for family members are required by type of treatment.