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ORIGINAL ARTICLE
The (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy
Revista Brasileira de Enfermagem. 2024;77(2):e20230363
06-14-2024
Resumo
ORIGINAL ARTICLEThe (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy
Revista Brasileira de Enfermagem. 2024;77(2):e20230363
06-14-2024DOI 10.1590/0034-7167-2023-0363
Visualizações0Ver maisABSTRACT
Objective:
To analyze the social representations of fibromyalgia based on its symptoms and their influences on diagnosis and therapy.
Methods:
Qualitative research with the application of the Theory of Social Representations and snowball sampling method. Semi-structured interviews were conducted with 30 adults diagnosed with fibromyalgia in the city of Rio de Janeiro, Brazil, between April 2020 and January 2021. Statistical and lexicographical analysis was performed using Alceste software.
Results:
Pain, as a subjective phenomenon, complicates its legitimacy, diagnosis, and therapy, enhancing suffering. Insufficient information generates judgments, stereotypes, and prejudices.
Final Considerations:
Stigmas, prejudices, the variety and invisibility of symptoms make it difficult to objectify the disease within the Cartesian-biomedical frameworks, generating diagnostic pilgrimage, mistakes, and challenges in treatment. Such representations hinder relationships and the management of the disease. Deconstructing them is a way to better care for those with fibromyalgia. Raising awareness and spreading qualified information are important allies.
Visualizações0
Resumo
ORIGINAL ARTICLEThe (in)visibility of fibromyalgia through its symptoms and the challenges of its diagnosis and therapy
Revista Brasileira de Enfermagem. 2024;77(2):e20230363
06-14-2024DOI 10.1590/0034-7167-2023-0363
Visualizações0Ver maisABSTRACT
Objective:
To analyze the social representations of fibromyalgia based on its symptoms and their influences on diagnosis and therapy.
Methods:
Qualitative research with the application of the Theory of Social Representations and snowball sampling method. Semi-structured interviews were conducted with 30 adults diagnosed with fibromyalgia in the city of Rio de Janeiro, Brazil, between April 2020 and January 2021. Statistical and lexicographical analysis was performed using Alceste software.
Results:
Pain, as a subjective phenomenon, complicates its legitimacy, diagnosis, and therapy, enhancing suffering. Insufficient information generates judgments, stereotypes, and prejudices.
Final Considerations:
Stigmas, prejudices, the variety and invisibility of symptoms make it difficult to objectify the disease within the Cartesian-biomedical frameworks, generating diagnostic pilgrimage, mistakes, and challenges in treatment. Such representations hinder relationships and the management of the disease. Deconstructing them is a way to better care for those with fibromyalgia. Raising awareness and spreading qualified information are important allies.
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ORIGINAL ARTICLE
Social representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
- Juliana de Lima Brandão
, - Antonio Marcos Tosoli Gomes ,
- Laércio Deleon de Melo ,
- Sergio Corrêa Marques ,
- Gerson Lourenço Pereira , [ ... ],
- Adriana da Silva Moço
12-04-2023
Resumo
ORIGINAL ARTICLESocial representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
Revista Brasileira de Enfermagem. 2023;76(6):e20220787
12-04-2023DOI 10.1590/0034-7167-2022-0787
- Juliana de Lima Brandão ,
- Antonio Marcos Tosoli Gomes ,
- Laércio Deleon de Melo ,
- Sergio Corrêa Marques ,
- Gerson Lourenço Pereira ,
- Renê dos Santos Spezani ,
- Vívian Monteiro de Melo ,
- Adriana da Silva Moço
Visualizações0Ver maisABSTRACT
Objective:
to analyze the social representation of spiritual surgeries in Umbanda for Bantu-Amerindian ritual mediums and their contributions to the cross-cultural care proposed by Madeleine Leininger.
Methods:
a descriptive-exploratory, qualitative study, supported by the procedural approach of Social Representation Theory and Transcultural Nursing Theory, carried out with 30 Umbanda mediums of the Bantu-Amerindian ritual through interviews, submitted to the Iramuteq software for lexical analysis.
Results:
mostly women, white, with an average of 46 years old and approximately 14 years of practice in Umbanda participated. The social representation of spiritual surgeries in Umbanda is objectified and anchored through a biomedical vision of care, encompassing a set of beliefs, values and practices as religious treatments, through faith, whose main objective is healing.
Final considerations:
spiritual surgeries are a form of transcultural care, according to Madeleine Leininger’s propositions, as they integrate the culture of a group through health care in Umbanda.
Visualizações0Resumo
ORIGINAL ARTICLESocial representation of spiritual surgeries in Umbanda: culture, religion and contributions of nursing theory
Revista Brasileira de Enfermagem. 2023;76(6):e20220787
12-04-2023DOI 10.1590/0034-7167-2022-0787
- Juliana de Lima Brandão ,
- Antonio Marcos Tosoli Gomes ,
- Laércio Deleon de Melo ,
- Sergio Corrêa Marques ,
- Gerson Lourenço Pereira ,
- Renê dos Santos Spezani ,
- Vívian Monteiro de Melo ,
- Adriana da Silva Moço
Visualizações0Ver maisABSTRACT
Objective:
to analyze the social representation of spiritual surgeries in Umbanda for Bantu-Amerindian ritual mediums and their contributions to the cross-cultural care proposed by Madeleine Leininger.
Methods:
a descriptive-exploratory, qualitative study, supported by the procedural approach of Social Representation Theory and Transcultural Nursing Theory, carried out with 30 Umbanda mediums of the Bantu-Amerindian ritual through interviews, submitted to the Iramuteq software for lexical analysis.
Results:
mostly women, white, with an average of 46 years old and approximately 14 years of practice in Umbanda participated. The social representation of spiritual surgeries in Umbanda is objectified and anchored through a biomedical vision of care, encompassing a set of beliefs, values and practices as religious treatments, through faith, whose main objective is healing.
Final considerations:
spiritual surgeries are a form of transcultural care, according to Madeleine Leininger’s propositions, as they integrate the culture of a group through health care in Umbanda.
- Juliana de Lima Brandão
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ORIGINAL ARTICLE
Social representations of HIV/AIDS by older people and the interface with prevention
Revista Brasileira de Enfermagem. 2019;72(5):1129-1136
09-16-2019
Resumo
ORIGINAL ARTICLESocial representations of HIV/AIDS by older people and the interface with prevention
Revista Brasileira de Enfermagem. 2019;72(5):1129-1136
09-16-2019DOI 10.1590/0034-7167-2017-0748
Visualizações0Ver maisABSTRACT
Objective:
To apprehend the social representations elaborated by older people about HIV/AIDS and to understand how they relate to the prevention of HIV infection.
Method:
Descriptive and qualitative research based on the Theory of Social Representations with 42 older people assisted at primary care. Data were produced through in-depth interviews with a semi-structured instrument, processed in the IRaMuTeQ software, and analyzed by means of the descending hierarchical classification.
Results:
Five classes emerged: “HIV/AIDS: a problem of young people”; “Quality of life improvement for people living with HIV/AIDS”; “Vulnerability to HIV/AIDS among heterosexual women in a stable union”; “HIV/AIDS Information Network: process of creation and transformation of social representations” and “Prevention versus stigma”.
Final considerations:
The social representations that older people have about HIV/AIDS influence the adoption of preventive measures negatively because stigma is present and HIV/AIDS is attributed to young men, and to men who have sex with other men.
Visualizações0Resumo
ORIGINAL ARTICLESocial representations of HIV/AIDS by older people and the interface with prevention
Revista Brasileira de Enfermagem. 2019;72(5):1129-1136
09-16-2019DOI 10.1590/0034-7167-2017-0748
Visualizações0Ver maisABSTRACT
Objective:
To apprehend the social representations elaborated by older people about HIV/AIDS and to understand how they relate to the prevention of HIV infection.
Method:
Descriptive and qualitative research based on the Theory of Social Representations with 42 older people assisted at primary care. Data were produced through in-depth interviews with a semi-structured instrument, processed in the IRaMuTeQ software, and analyzed by means of the descending hierarchical classification.
Results:
Five classes emerged: “HIV/AIDS: a problem of young people”; “Quality of life improvement for people living with HIV/AIDS”; “Vulnerability to HIV/AIDS among heterosexual women in a stable union”; “HIV/AIDS Information Network: process of creation and transformation of social representations” and “Prevention versus stigma”.
Final considerations:
The social representations that older people have about HIV/AIDS influence the adoption of preventive measures negatively because stigma is present and HIV/AIDS is attributed to young men, and to men who have sex with other men.
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ORIGINAL ARTICLE
The impact of the diagnosis of tuberculosis through its social representations
- Kamila Nancy Gonçalves da Gama ,
- Iací Proença Palmeira ,
- Ivaneide Leal Ataíde Rodrigues ,
- Angela Maria Rodrigues Ferreira ,
- Claudia dos Santos Ozela
09-16-2019
Resumo
ORIGINAL ARTICLEThe impact of the diagnosis of tuberculosis through its social representations
Revista Brasileira de Enfermagem. 2019;72(5):1189-1196
09-16-2019DOI 10.1590/0034-7167-2017-0881
- Kamila Nancy Gonçalves da Gama ,
- Iací Proença Palmeira ,
- Ivaneide Leal Ataíde Rodrigues ,
- Angela Maria Rodrigues Ferreira ,
- Claudia dos Santos Ozela
Visualizações0ABSTRACT
Objective:
To identify people’s way of acting after the diagnosis of tuberculosis, through their social representations about the disease.
Method:
Qualitative and descriptive study based on the Theory of Social Representations, in which 23 patients of a school health center in Belém, PA, Brazil, participated. The software ALCESTE was used to generate a class concerning the impact of the diagnosis in people’s lives.
Results:
The dimension of a new reality caused by the diagnosis of tuberculosis is linked with the image of dirt, (process of objectification) communicable/mortal disease that exclude, causing sorrow, despair and revolt (dimension of the affections), reverberating in the patients’ actions (dimension of action).
Final considerations:
global knowledge about tuberculosis, linking the knowledge of everyday life with the reified universe, pointing the multidimensionality of the phenomenon. The conclusion is that investing in the deconstruction of archaic beliefs about the tuberculosis that kills, replacing it with the curable tuberculosis, is necessary.
Palavras-chave: DiagnosisKnowledge, Attitudes and Practice in HealthPsychosocial ImpactSocial PsychologyTuberculosisVer maisVisualizações0Resumo
ORIGINAL ARTICLEThe impact of the diagnosis of tuberculosis through its social representations
Revista Brasileira de Enfermagem. 2019;72(5):1189-1196
09-16-2019DOI 10.1590/0034-7167-2017-0881
- Kamila Nancy Gonçalves da Gama ,
- Iací Proença Palmeira ,
- Ivaneide Leal Ataíde Rodrigues ,
- Angela Maria Rodrigues Ferreira ,
- Claudia dos Santos Ozela
Visualizações0ABSTRACT
Objective:
To identify people’s way of acting after the diagnosis of tuberculosis, through their social representations about the disease.
Method:
Qualitative and descriptive study based on the Theory of Social Representations, in which 23 patients of a school health center in Belém, PA, Brazil, participated. The software ALCESTE was used to generate a class concerning the impact of the diagnosis in people’s lives.
Results:
The dimension of a new reality caused by the diagnosis of tuberculosis is linked with the image of dirt, (process of objectification) communicable/mortal disease that exclude, causing sorrow, despair and revolt (dimension of the affections), reverberating in the patients’ actions (dimension of action).
Final considerations:
global knowledge about tuberculosis, linking the knowledge of everyday life with the reified universe, pointing the multidimensionality of the phenomenon. The conclusion is that investing in the deconstruction of archaic beliefs about the tuberculosis that kills, replacing it with the curable tuberculosis, is necessary.
Palavras-chave: DiagnosisKnowledge, Attitudes and Practice in HealthPsychosocial ImpactSocial PsychologyTuberculosisVer mais
- Kamila Nancy Gonçalves da Gama
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ORIGINAL ARTICLE
Newly undergraduate nurses and intensive care in units of non-critical patients
- Rute de Oliveira Almeida ,
- Francimar Tinoco de Oliveira ,
- Márcia de Assunção Ferreira ,
- Rafael Celestino da Silva
02-01-2019
Resumo
ORIGINAL ARTICLENewly undergraduate nurses and intensive care in units of non-critical patients
Revista Brasileira de Enfermagem. 2019;72(suppl 1):243-251
02-01-2019DOI 10.1590/0034-7167-2017-0713
- Rute de Oliveira Almeida ,
- Francimar Tinoco de Oliveira ,
- Márcia de Assunção Ferreira ,
- Rafael Celestino da Silva
Visualizações0Ver maisABSTRACT
Objective:
To identify the social representations of newly undergraduate nurses on the intensive care of Nursing to critical patients hospitalized in non-critical patient units.
Method:
Qualitative and descriptive research. Twenty-six newly undergraduate nurses from a private university participated. An in-depth interview was conducted with semi-structured script. The analysis was of lexical type with the help of Alceste 2012 software.
Results:
The social representations were built according to the image of the intensive care unit, although patients were out of this environment. Care is understood as complex and specialized, requiring graduate training. Therefore, undergraduation training was considered insufficient to provide this type of care, creating fear and insecurity in the newly undergraduate nurses.
Final considerations:
Intensive care confronts newly undergraduate nurses with feelings of unpreparedness to care for, but it mobilizes to broaden the knowledge to provide care. There is evidence of a theory-practice dichotomy and weaknesses in teaching-learning experiences in undergraduate education.
Visualizações0Resumo
ORIGINAL ARTICLENewly undergraduate nurses and intensive care in units of non-critical patients
Revista Brasileira de Enfermagem. 2019;72(suppl 1):243-251
02-01-2019DOI 10.1590/0034-7167-2017-0713
- Rute de Oliveira Almeida ,
- Francimar Tinoco de Oliveira ,
- Márcia de Assunção Ferreira ,
- Rafael Celestino da Silva
Visualizações0Ver maisABSTRACT
Objective:
To identify the social representations of newly undergraduate nurses on the intensive care of Nursing to critical patients hospitalized in non-critical patient units.
Method:
Qualitative and descriptive research. Twenty-six newly undergraduate nurses from a private university participated. An in-depth interview was conducted with semi-structured script. The analysis was of lexical type with the help of Alceste 2012 software.
Results:
The social representations were built according to the image of the intensive care unit, although patients were out of this environment. Care is understood as complex and specialized, requiring graduate training. Therefore, undergraduation training was considered insufficient to provide this type of care, creating fear and insecurity in the newly undergraduate nurses.
Final considerations:
Intensive care confronts newly undergraduate nurses with feelings of unpreparedness to care for, but it mobilizes to broaden the knowledge to provide care. There is evidence of a theory-practice dichotomy and weaknesses in teaching-learning experiences in undergraduate education.
- Rute de Oliveira Almeida
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RESEARCH
Social representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71(suppl 2):851-859
01-01-2018
Resumo
RESEARCHSocial representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71(suppl 2):851-859
01-01-2018DOI 10.1590/0034-7167-2017-0258
Visualizações0Ver maisABSTRACT
Objective:
To understand the symbolic elements and the hierarchical system of representations of elderly people on falls, according to Abric’s structural analysis and Neuman’s theory.
Method:
Abric structural approach developed at the home of primary care users in a city of Minas Gerais. A free evocation technique of images triggered by images was performed in 2016 with elderly individuals (≥65 years old). Data treated by dictionary of equivalent terms; processed in Evoc 2000 software converging, analytically, according to Neuman. Ethical/legal criteria were met.
Results:
195 people participated, 78.5% were women, and 45.1% were aged ≥75 years. Summarized 897 words; 155 different ones. Central nucleus containing cognates: dizziness-vertigo-labyrinthitis and slipper-shoes (behavioral and objective dimension). The word disease integrated the area of contrast. Environmental and personal stressors were identified according to Neuman.
Final considerations:
Objects and risk behaviors for falls integrated the representations, although environmental and personal stressors indicate the need for preventive interventions in the environment and in the intrapersonal dimension.
Visualizações0Resumo
RESEARCHSocial representation of elderly people on falls: structural analysis and in the light of Neuman
Revista Brasileira de Enfermagem. 2018;71(suppl 2):851-859
01-01-2018DOI 10.1590/0034-7167-2017-0258
Visualizações0Ver maisABSTRACT
Objective:
To understand the symbolic elements and the hierarchical system of representations of elderly people on falls, according to Abric’s structural analysis and Neuman’s theory.
Method:
Abric structural approach developed at the home of primary care users in a city of Minas Gerais. A free evocation technique of images triggered by images was performed in 2016 with elderly individuals (≥65 years old). Data treated by dictionary of equivalent terms; processed in Evoc 2000 software converging, analytically, according to Neuman. Ethical/legal criteria were met.
Results:
195 people participated, 78.5% were women, and 45.1% were aged ≥75 years. Summarized 897 words; 155 different ones. Central nucleus containing cognates: dizziness-vertigo-labyrinthitis and slipper-shoes (behavioral and objective dimension). The word disease integrated the area of contrast. Environmental and personal stressors were identified according to Neuman.
Final considerations:
Objects and risk behaviors for falls integrated the representations, although environmental and personal stressors indicate the need for preventive interventions in the environment and in the intrapersonal dimension.
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PESQUISA
Humanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
01-01-2016
Resumo
PESQUISAHumanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
01-01-2016DOI 10.1590/0034-7167.2016690211i
Visualizações0Ver maisABSTRACT
Objective:
identify the senses and practices representative of humanization in the training of undergraduate nursing students.
Method:
a qualitative study, supported on the national policy of humanization and the concept of social representation. An interview was conducted with 40 undergraduate nursing students from a public institution. ALCESTE software was used for lexical content analysis.
Results:
the sense of humanization is built on the practice and disciplines of social and human sciences. The coordination between theory and practice is representative of humanization, but does not take place in learning experiences. The professor's participation and teamwork are elements that influence humanization.
Conclusion:
humanization should be reinforced in the training of undergraduate nursing students, using learning-teaching strategies and experiences that make sense to students, including alliances between theory and practice, learning and service, research and care.
Visualizações0Resumo
PESQUISAHumanization knowledge of undergraduate nursing students
Revista Brasileira de Enfermagem. 2016;69(2):282-289
01-01-2016DOI 10.1590/0034-7167.2016690211i
Visualizações0Ver maisABSTRACT
Objective:
identify the senses and practices representative of humanization in the training of undergraduate nursing students.
Method:
a qualitative study, supported on the national policy of humanization and the concept of social representation. An interview was conducted with 40 undergraduate nursing students from a public institution. ALCESTE software was used for lexical content analysis.
Results:
the sense of humanization is built on the practice and disciplines of social and human sciences. The coordination between theory and practice is representative of humanization, but does not take place in learning experiences. The professor's participation and teamwork are elements that influence humanization.
Conclusion:
humanization should be reinforced in the training of undergraduate nursing students, using learning-teaching strategies and experiences that make sense to students, including alliances between theory and practice, learning and service, research and care.
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PESQUISA
Social representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
01-01-2016
Resumo
PESQUISASocial representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
01-01-2016DOI 10.1590/0034-7167.2016690316i
Visualizações0Ver maisABSTRACT
Objective:
to describe the social representation of nurses on tuberculosis and identify the implications on nursing care.
Method:
qualitative research with the participation of 52 nurses from 23 Basic Health Units of Belém, Pará. A semi-structured interview was conducted with subsequent analysis of the thematic content according to the Theory of Social Representations.
Results:
the social representations of tuberculosis were organized into two categories: infection, evidencing the clinical-epidemiological aspects of the disease, and stigma and prejudice, representing the social aspect. Care is affected by fear - a fact that explains the distance adopted by some nurses when handling ill people.
Conclusion:
the social representations of nurses on tuberculosis remain grounded in fear, leading professionals to keep a certain distance from patients and generating stigma and prejudice, which may affect adherence to treatment.
Visualizações0Resumo
PESQUISASocial representations of nurses on tuberculosis
Revista Brasileira de Enfermagem. 2016;69(3):532-537
01-01-2016DOI 10.1590/0034-7167.2016690316i
Visualizações0Ver maisABSTRACT
Objective:
to describe the social representation of nurses on tuberculosis and identify the implications on nursing care.
Method:
qualitative research with the participation of 52 nurses from 23 Basic Health Units of Belém, Pará. A semi-structured interview was conducted with subsequent analysis of the thematic content according to the Theory of Social Representations.
Results:
the social representations of tuberculosis were organized into two categories: infection, evidencing the clinical-epidemiological aspects of the disease, and stigma and prejudice, representing the social aspect. Care is affected by fear - a fact that explains the distance adopted by some nurses when handling ill people.
Conclusion:
the social representations of nurses on tuberculosis remain grounded in fear, leading professionals to keep a certain distance from patients and generating stigma and prejudice, which may affect adherence to treatment.
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