Selisvane Ribeiro da Fonseca Domingos

Nurses and care delivery to elderly women: a social phenomenological approach

Objetivo: Comprender la accion de cuidar a la mujer adulta mayor, a partir de la perspectiva del enfermero. Metodo: En este estudio fenomenologico se entrevistaron, entre septiembre del 2010 y enero del 2011, diez enfermeros que trabajaban en Centros de Salud. Resultados: Para la realizacion del cuidado, el enfermero considera el bagaje de conocimientos y la situacion biografica de la mujer adulta mayor, asi como, valoriza la participacion de la familia como mediadora del cuidado. Ese profesional posee acuidad para captar las demandas especificas de la mujer adulta mayor, sin embargo se depara con dificultades para cuidar a esa clientela. El enfermero tiene la expectativa de realizar un cuidado calificado para esas mujeres. Conclusion: El abordaje teorico-metodologico de la fenomenologia social permitio develar que el enfermero se proyecta para ofrecer un cuidado calificado para la mujer adulta mayor, considerando las posibilidades en el contexto en el que esta inserto. Eso incluye la participacion de diversos actores sociales y sectores de salud, reconociendo un esfuerzo colectivo en estrategias de accion y formacion profesional consonantes con las particularidades y necesidades del cuidado para la mujer adulta mayor identificadas por el enfermero.Descriptores: Enfermeria; Salud del Anciano; Atencion de Enfermeria; Atencion Integral de Salud; Investigacion Cualitativa.OBJECTIVE To understand how nurses see care delivery to elderly women. METHODS In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. RESULTS In care delivery, nurses consider the elderly womens knowledge background and biographical situation, and also value the familys participation as a care mediator. These professionals have the acuity to capture these womens specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. CONCLUSION The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify.OBJECTIVE: To understand how nurses see care delivery to elderly women. METHODS: In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. RESULTS: In care delivery, nurses consider the elderly womens knowledge background and biographical situation, and also value the familys participation as a care mediator. These professionals have the acuity to capture these womens specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. CONCLUSION: The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify.

Care needs of pregnant women with a private health insurance: a comprehensive social phenomenology approach

1 Doctor en enfermeria, Profesor Asociado; e-mail: merighi@usp.br; 2 Graduanda, e-mail: tavares_re@yahoo.com.br. Escuela de Enfermeria, de la Universidad de Sao Paulo, Brasil; 3 Maestria en enfermeria; Profesor Asistente de la Facultad de Enfermeria, del Centro Universitario de Caratinga, Minas Gerais, Brasil, e-mail: selisvane@yahoo.com.br NECESIDADES DE CUIDADO DE MUJERES EMBARAZADAS QUE POSEEN SEGURO DE SALUD: UNA APROXIMACION COMPRENSIVA DE LA FENOMENOLOGIA SOCIAL

El enfermero y el cuidado para la mujer adulta mayor: enfoque desde la fenomenología social

Objetivo: Comprender la accion de cuidar a la mujer adulta mayor, a partir de la perspectiva del enfermero. Metodo: En este estudio fenomenologico se entrevistaron, entre septiembre del 2010 y enero del 2011, diez enfermeros que trabajaban en Centros de Salud. Resultados: Para la realizacion del cuidado, el enfermero considera el bagaje de conocimientos y la situacion biografica de la mujer adulta mayor, asi como, valoriza la participacion de la familia como mediadora del cuidado. Ese profesional posee acuidad para captar las demandas especificas de la mujer adulta mayor, sin embargo se depara con dificultades para cuidar a esa clientela. El enfermero tiene la expectativa de realizar un cuidado calificado para esas mujeres. Conclusion: El abordaje teorico-metodologico de la fenomenologia social permitio develar que el enfermero se proyecta para ofrecer un cuidado calificado para la mujer adulta mayor, considerando las posibilidades en el contexto en el que esta inserto. Eso incluye la participacion de diversos actores sociales y sectores de salud, reconociendo un esfuerzo colectivo en estrategias de accion y formacion profesional consonantes con las particularidades y necesidades del cuidado para la mujer adulta mayor identificadas por el enfermero.Descriptores: Enfermeria; Salud del Anciano; Atencion de Enfermeria; Atencion Integral de Salud; Investigacion Cualitativa.OBJECTIVE To understand how nurses see care delivery to elderly women. METHODS In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. RESULTS In care delivery, nurses consider the elderly womens knowledge background and biographical situation, and also value the familys participation as a care mediator. These professionals have the acuity to capture these womens specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. CONCLUSION The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify.OBJECTIVE: To understand how nurses see care delivery to elderly women. METHODS: In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. RESULTS: In care delivery, nurses consider the elderly womens knowledge background and biographical situation, and also value the familys participation as a care mediator. These professionals have the acuity to capture these womens specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. CONCLUSION: The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify.

O enfermeiro e o cuidado à mulher idosa: Abordagem da fenomenologia social

Objetivo: Comprender la accion de cuidar a la mujer adulta mayor, a partir de la perspectiva del enfermero. Metodo: En este estudio fenomenologico se entrevistaron, entre septiembre del 2010 y enero del 2011, diez enfermeros que trabajaban en Centros de Salud. Resultados: Para la realizacion del cuidado, el enfermero considera el bagaje de conocimientos y la situacion biografica de la mujer adulta mayor, asi como, valoriza la participacion de la familia como mediadora del cuidado. Ese profesional posee acuidad para captar las demandas especificas de la mujer adulta mayor, sin embargo se depara con dificultades para cuidar a esa clientela. El enfermero tiene la expectativa de realizar un cuidado calificado para esas mujeres. Conclusion: El abordaje teorico-metodologico de la fenomenologia social permitio develar que el enfermero se proyecta para ofrecer un cuidado calificado para la mujer adulta mayor, considerando las posibilidades en el contexto en el que esta inserto. Eso incluye la participacion de diversos actores sociales y sectores de salud, reconociendo un esfuerzo colectivo en estrategias de accion y formacion profesional consonantes con las particularidades y necesidades del cuidado para la mujer adulta mayor identificadas por el enfermero.Descriptores: Enfermeria; Salud del Anciano; Atencion de Enfermeria; Atencion Integral de Salud; Investigacion Cualitativa.OBJECTIVE To understand how nurses see care delivery to elderly women. METHODS In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. RESULTS In care delivery, nurses consider the elderly womens knowledge background and biographical situation, and also value the familys participation as a care mediator. These professionals have the acuity to capture these womens specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. CONCLUSION The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify.OBJECTIVE: To understand how nurses see care delivery to elderly women. METHODS: In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. RESULTS: In care delivery, nurses consider the elderly womens knowledge background and biographical situation, and also value the familys participation as a care mediator. These professionals have the acuity to capture these womens specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. CONCLUSION: The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify.

Necessidades de cuidado das mulheres grávidas que possuem convênio saúde: abordagem compreensiva da fenomenologia social

1 Doctor en enfermeria, Profesor Asociado; e-mail: merighi@usp.br; 2 Graduanda, e-mail: tavares_re@yahoo.com.br. Escuela de Enfermeria, de la Universidad de Sao Paulo, Brasil; 3 Maestria en enfermeria; Profesor Asistente de la Facultad de Enfermeria, del Centro Universitario de Caratinga, Minas Gerais, Brasil, e-mail: selisvane@yahoo.com.br NECESIDADES DE CUIDADO DE MUJERES EMBARAZADAS QUE POSEEN SEGURO DE SALUD: UNA APROXIMACION COMPRENSIVA DE LA FENOMENOLOGIA SOCIAL

Homosexual adolescents and their relations with relatives: a phenomenological study

Objetivo: compreender a vivencia de adolescentes homossexuais frente as relacoes com seus familiares. Metodo: pesquisa fundamentada na fenomenologia social de Alfred Schutz. Utilizou-se a entrevista com questoes abertas para obter depoimentos de 12 adolescentes homossexuais. Os dados foram organizados e analisados em categorias tematicas. Resultado: as relacoes de adolescentes homossexuais e seus familiares sao marcadas por conflitos desencadeados pela cultura heteronormativa, ratificada pelas instituicoes familiar e religiosa. Embora vivenciem rejeicao, preconceitos, coercao da liberdade, entre outros, estes adolescentes esperam ser respeitados em relacao a sua orientacao sexual e desejam a manutencao dos lacos familiares. Discussao: os conflitos vivenciados no ambiente familiar interferiram na expressao da homossexualidade do adolescente nesse espaco. Conclusao: os resultados deste estudo propiciam reflexoes voltadas a inclusao de adolescentes homossexuais nos cenarios sociais, considerando o respeito a diversidade afetivo-sexual.

Adolescent abortion: experience and care needs

This is a qualitative research based on the social phenomenology approach, performed in 2010 with eight adolescents who experienced abortion and were assisted in a philanthropic hospital institution in the state of Minas Gerais. This research aimed at understanding the experience and care needs regarding adolescents in an abortion situation. The results show that the pregnancy impact led to the fear of non acceptance by the family and at the same time, the feeling of happiness for the possibility of being a mother. The abortion experience was marked by suffering and the care provided was considered satisfactory, being highlighted the need for more attention and information. The adolescents plan to continue their studies and have in mind the possibility of a new pregnancy. The planning of preventive actions aimed at this audience, and the development of new scientific investigations that include the perspective of family members and health professionals begin to emerge.Trata-se de uma pesquisa qualitativa, com abordagem da fenomenologia social, realizada em 2010, com oito adolescentes que passaram pela experiencia do aborto e foram atendidas em uma instituicao hospitalar filantropica de Minas Gerais. Objetivou-se, com ela, compreender a experiencia e as necessidades de cuidado das adolescentes em situacao de abortamento. Os resultados mostram que o impacto da gravidez levou-as ao medo da nao aceitacao da familia e, ao mesmo tempo, a felicidade, pela possibilidade de ser mae. A experiencia do aborto foi marcada por sofrimento, e o atendimento foi considerado satisfatorio, mas foi realcada a necessidade do recebimento de mais atencao e informacao. As adolescentes planejam dar continuidade aos estudos e tem em vista a possibilidade de engravidar novamente. Vislumbram-se o planejamento de acoes preventivas destinadas a este publico e o desenvolvimento de novas investigacoes cientificas que incluam a perspectiva de familiares e de profissionais de saude.

Aborto en la adolescencia: experiencia y necesidades de cuidado

This is a qualitative research based on the social phenomenology approach, performed in 2010 with eight adolescents who experienced abortion and were assisted in a philanthropic hospital institution in the state of Minas Gerais. This research aimed at understanding the experience and care needs regarding adolescents in an abortion situation. The results show that the pregnancy impact led to the fear of non acceptance by the family and at the same time, the feeling of happiness for the possibility of being a mother. The abortion experience was marked by suffering and the care provided was considered satisfactory, being highlighted the need for more attention and information. The adolescents plan to continue their studies and have in mind the possibility of a new pregnancy. The planning of preventive actions aimed at this audience, and the development of new scientific investigations that include the perspective of family members and health professionals begin to emerge.Trata-se de uma pesquisa qualitativa, com abordagem da fenomenologia social, realizada em 2010, com oito adolescentes que passaram pela experiencia do aborto e foram atendidas em uma instituicao hospitalar filantropica de Minas Gerais. Objetivou-se, com ela, compreender a experiencia e as necessidades de cuidado das adolescentes em situacao de abortamento. Os resultados mostram que o impacto da gravidez levou-as ao medo da nao aceitacao da familia e, ao mesmo tempo, a felicidade, pela possibilidade de ser mae. A experiencia do aborto foi marcada por sofrimento, e o atendimento foi considerado satisfatorio, mas foi realcada a necessidade do recebimento de mais atencao e informacao. As adolescentes planejam dar continuidade aos estudos e tem em vista a possibilidade de engravidar novamente. Vislumbram-se o planejamento de acoes preventivas destinadas a este publico e o desenvolvimento de novas investigacoes cientificas que incluam a perspectiva de familiares e de profissionais de saude.

Ser madre de adolescente embarazada: vivencia y expectativas

OBJETIVO: Comprender la tipica actitud de la madre frente al embarazo de su hija adolescente. METODOS: Investigacion de abordaje cualitativo, fundamentada en el referencial teorico-metodologico de la fenomenologia social de Alfred Schutz. Los datos fueron recolectados, en el 2009, y los sujetos fueron nueve madres de adolescentes primigestas. RESULTADOS: La madre de adolescente embarazada es tipificada como aquella que reacciona con sorpresa y decepcion frente a la noticia del embarazo y que, posteriormente, se conforma con la nueva realidad. Al reflexionar sobre su propia experiencia de madre en la adolescencia, tiene expectativas de apoyar a su hija en la gestacion y ofrecerle soporte, para que el curso de su vida no se perjudique como consecuencia de su embarazo. CONCLUSION: Considerando la vivencia y las expectativas de la madre de adolescente embarazada, este estudio puede conferir subsidios a la planificacion y efectividad del cuidado a ese binomio, disminuyendo asi la distancia entre las demandas presentadas y la practica de los profesionales de salud.Objective: To understand the typical actions of the mother during the pregnancy of her teenage daughter. Methods: Qualitative study, based on the theoretical-methodological framework of social phenomenology of Alfred Schutz. The data were collected in 2009, and the subjects were nine mothers of adolescent primigravidae. Results: The mother of the pregnant adolescent is typified as one that reacts with surprise and disappointment to being notified of the pregnancy and who, subsequently, conforms to the new reality. In reflecting on her own experience of an adolescent mother, she has expectations to support her daughter during the pregnancy and to offer support, so that the course of her life is not impaired as a result of pregnancy. Conclusion: Considering the experience and expectations of the mother of the pregnant adolescent, this study could give subsidies to the planning and execution of the care for this binomial, decreasing the distance between the demands made

Being the mother of a pregnant adolescent: experiences and expectations

OBJETIVO: Comprender la tipica actitud de la madre frente al embarazo de su hija adolescente. METODOS: Investigacion de abordaje cualitativo, fundamentada en el referencial teorico-metodologico de la fenomenologia social de Alfred Schutz. Los datos fueron recolectados, en el 2009, y los sujetos fueron nueve madres de adolescentes primigestas. RESULTADOS: La madre de adolescente embarazada es tipificada como aquella que reacciona con sorpresa y decepcion frente a la noticia del embarazo y que, posteriormente, se conforma con la nueva realidad. Al reflexionar sobre su propia experiencia de madre en la adolescencia, tiene expectativas de apoyar a su hija en la gestacion y ofrecerle soporte, para que el curso de su vida no se perjudique como consecuencia de su embarazo. CONCLUSION: Considerando la vivencia y las expectativas de la madre de adolescente embarazada, este estudio puede conferir subsidios a la planificacion y efectividad del cuidado a ese binomio, disminuyendo asi la distancia entre las demandas presentadas y la practica de los profesionales de salud.Objective: To understand the typical actions of the mother during the pregnancy of her teenage daughter. Methods: Qualitative study, based on the theoretical-methodological framework of social phenomenology of Alfred Schutz. The data were collected in 2009, and the subjects were nine mothers of adolescent primigravidae. Results: The mother of the pregnant adolescent is typified as one that reacts with surprise and disappointment to being notified of the pregnancy and who, subsequently, conforms to the new reality. In reflecting on her own experience of an adolescent mother, she has expectations to support her daughter during the pregnancy and to offer support, so that the course of her life is not impaired as a result of pregnancy. Conclusion: Considering the experience and expectations of the mother of the pregnant adolescent, this study could give subsidies to the planning and execution of the care for this binomial, decreasing the distance between the demands made