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Att vårda kvinnor utsatta för våld : En litteraturstudie / To care for battered women : A literature studyEl Abdouni, Sarah January 2019 (has links)
Bakgrund: Våld mot kvinnor är ett globalt hälsoproblem, 35% av samtliga kvinnor i världen har någon gång blivit utsatta för våld. Sjuksköterskans ansvar syftar till att identifiera behov och erbjuda god omvårdnad till kvinnan utsatt för våld utifrån rådande situation. En bristande sjukvård leder till sjuksköterskor som tvivlar på sin förmåga och patienter som känner sig otrygga till att avslöja våldet. Identifieras inte kvinnans utsatthet föreligger det en risk att hon kvarblir i en osund relation och i värsta fall dör till följd av våldet. Syfte: Att beskriva hindrande och möjliggörande faktorer för att identifiera kvinnor som utsatts för våld i nära relationer. Metod: En allmän litteraturstudie utifrån tio artiklar med både kvantitativ och kvalitativ ansats. Huvudresultat: Identifierade utmaningar var vårdpersonalens bristande kunskap, känslor och attityder samt organisatoriska brister. Vikten av identifiering och den betydelsefulla vårdrelationen identifierades som möjligheter till upptäckten av kvinnor utsatta för våld. Både utmaningar och möjligheter hade anknytningar till sjuksköterskans kunskap, attityd, identifiering, bemötande och ansvar. Slutsats: Slutsatsen tyder på att bristfällig kunskap, organisatoriska brister såväl som känslor och attityder hos vårdpersonal står till grund för en del svårigheter såsom att inte veta hur de ska förhålla sig, inte veta var de ska vända sig och obehagskänslor. Bättre identifieringsstrategier och en betydelsefull vårdrelation visade påverka sjuksköterskans förhållningssätt till det bättre vilket kunde leda till fler avslöjanden från kvinnor. / Background: Violence against women is a global health problem, of which 35% of all women in the world sometime during their lifetime has experienced. The nurse has a significant part in the encounter with women exposed to violence due to the nurses responsability of identification and providing of a tailor-made nursing. An inadequate healthcare leads to nurses who discredit themselves and patients who feel unsafe to disclose the violence. If the nurse doesn’t identify battered women there is a risk that she stays in the abusing relationship and in worst case, dies. Aim: Was to describe obstructive and enabling factors for identifying women who were exposed to domestic violence. Method: A litterature study was applied based on ten articles that were of both quantitative and qualitative approach. Results: Identified challenges were the lack of knowledge, feelings and attitudes of healthcare professionals and organizational deficiencies. The importance of identification and the important care relationship were identified as opportunities for the discovery of women subjected to violence. Both challenges and opportunities had links to the nurse's knowledge, attitude, identification, treatment and responsibility. Conclusion: The conclusion suggests that insufficient knowledge is the basis for both organizational deficiencies but also feelings and attitudes among healthcare personnel, this was also the area that was most in need of development. Better identification strategies and a meaningful relationship to the patients turned out having positive effects on nurses approach, which could lead to more disclosures from women.
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Struggling for clarity cultural context, gender and a concept of depression in general practice /Lehti, Arja, January 2009 (has links)
Diss. (sammanfattning) Umeå : Umeå universitet, 2009. / Härtill 5 uppsatser.
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Dental hygienists' beliefs, norms, attitudes, and intentions toward treating HIV/AIDS patientsClark-Alexander, Barbara. January 2008 (has links)
Dissertation (Ph.D.)--University of South Florida, 2008. / Title from PDF of title page. Document formatted into pages; contains 239 pages. Includes vita. Includes bibliographical references.
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The influence of staff and organizational characteristics on social environment in substance abuse treatment facilities /Wilson, William T. Kennedy, Virginia C. January 1992 (has links)
Thesis (Dr. P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 1992. / Typescript. Includes bibliographical references (leaves 57-62).
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Healthcare provider perspectives on parental refusal of medical interventions : a qualitative study.Gaspers, Mary Glas. Shegog, Ross. Frankowski, Ralph F. January 2008 (has links)
Thesis (M.P.H.)--University of Texas Health Science Center at Houston, School of Public Health, 2008. / Source: Masters Abstracts International, Volume: 46-04, page: 2059. Adviser: Ross Shegog. Includes bibliographical references.
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Health care restructuring in acute care settings : implications for registered nurses' attitudes /Baker, Norma G. L., January 2002 (has links)
Thesis (M.N.)--Memorial University of Newfoundland, School of Nursing, 2002. / Typescript. Bibliography: leaves 216-228.
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The primary health care experiences of gay men in AustraliaSinclair, Andrew January 2006 (has links)
Thesis (doctoral)--Swinburne University of Technology, 2006. / Title from PDF title page (viewed on Nov. 30, 2006). Includes bibliographical references (p. 177-188).
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Violência contra a criança: formação, conhecimento, percepção e atitude de profissionais da saúde e da educaçãoDossi, Ana Paula [UNESP] 17 February 2009 (has links) (PDF)
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dossi_ap_dr_araca.pdf: 576265 bytes, checksum: 6280dce9c65518449b4ddb9f44ba4492 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A violência intrafamiliar contra a criança é, sem dúvida, uma das mais cruéis formas de agressão. Este estudo tem por objetivos: a) evidenciar possíveis situações de violência vividas na infância por adolescentes; b) avaliar a formação e o conhecimento dos professores de educação infantil sobre o tema; c) averiguar o conhecimento dos profissionais da saúde que atuam na atenção básica do Sistema Único de Saúde (SUS) sobre a notificação de violência contra crianças. O projeto foi aprovado pelo Comitê de Ética em Pesquisa da FOA-UNESP (2007-01343). Para aferir a ocorrência e a severidade de maus-tratos na infância, realizou-se estudo tipo inquérito com 372 adolescentes com idade entre 14 a 17 anos, matriculados em uma instituição pública de formação profissional de Araçatuba-SP em 2008. Utilizou-se instrumento traduzido, validado e auto-aplicável. O segundo estudo desenvolveu-se nas escolas de Araçatuba-SP e contou com a participação de 236 professores de educação infantil. Utilizou-se instrumento desenvolvido para o estudo e as questões receberam tratamento quanti-qualitaivo. A terceira investigação foi realizada em 4 municípios da região noroeste do Estado de São Paulo: Adolfo, Bady Bassit, Mendonça e Nova Aliança. Por meio de entrevista estruturada com os profissionais de saúde, abordou-se a temática violência contra a criança e a notificação compulsória. De acordo com os resultados: a) 72,3% dos adolescentes sofreram violência na infância, prevalecendo a emocional no grau leve (28,7%). Foram encontradas associações significativas entre: violência física/emocional (p=0,0001); física/sexual (p=0,0001); física/negligência emocional (p=0,0001); sexual/emocional (p=0,0007); emocional/negligência emocional (p=0,0001). b) Quanto ao recebimento de informações sobre violência contra a criança... / The violence against children is undoubtedly the most cruel among all forms of aggression. This study aims to: a) highlight possible situations of violence experienced in childhood by adolescents, b) assess the training of teachers in early childhood education on the subject; c) investigate the knowledge of health professionals who work in primary care of Unified Health System (SUS) on the reporting of violence against children. The project was approved by the Research Ethics Committee of the FOA-UNESP (2007-01343). To assess the occurrence and severity of ill-treatment in childhood, study are type investigation with 372 adolescents aged 14 to 17 years, enrolled in a public institution for training of Araçatuba-SP in 2008. Instrument used was translated, validated and self-administered. The second study was developed in schools in Araçatuba-SP, with the participation of 236 teachers in early childhood education. It was used instrument developed to study the issues and received treatment quanti-qualitaivo. The third study was carried out in 4 counties in the northwestern region of São Paulo State: Adolfo, Bady Bassit, Mendonça and Nova Aliança. Through semi-structured interviews with health professionals, we dealt with issues violence against children and compulsory notification. According to the results: a) 72.3% of adolescents have experienced violence in childhood, the emotional prevailing in mild (28.7%). We found significant associations between: physical / emotional (p = 0.0001), physical / sexual (p = 0.0001), physical / emotional neglect (p = 0.0001), sexual / emotional (p = 0.0007); emotional / emotional neglect (p = 0.0001). b) On the receipt of information on violence against children, 80.9% of teachers have said it received and 19.1% denied. 86.9% claimed to know the signs of violence on children, while 6.4% claimed not to have prepared for this; 6.7% did not respond... (Complete abstract click electronic access below)
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Violência doméstica: o que se espera do profissional de saúde?Dossi, Ana Paula [UNESP] 07 December 2006 (has links) (PDF)
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dossi_ap_me_araca.pdf: 878106 bytes, checksum: abc80d79beadc08af40dcb6de33c8a40 (MD5) / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) / A violência intrafamiliar caracteriza-se pelo abuso físico, psicológico e sexual de um membro da família por outro. Mesmo este sendo um problema que envolve vários setores sociais, os serviços de saúde e as instituições policiais acabam sendo procurados, devido às seqüelas decorrentes da agressão. Este estudo tem por objetivos, avaliar qual a responsabilidade dos profissionais de saúde ante a legislação e aos casos confirmados ou suspeitos de violência doméstica; verificar a prevalência do problema nos últimos 5 anos em Araçatuba-SP e analisar as impressões das vítimas sobre a situação após sofrerem violência. O projeto contou com aprovação do Comitê de Ética em Pesquisa da FOA-UNESP, processo 2005-01861. A primeira parte do estudo contou com pesquisa bibliográfica na legislação civil e penal pertinente e nos Códigos de Ética da Medicina, Odontologia, Enfermagem e Psicologia. Num segundo momento foram analisados os Termos Circunstanciados e Inquéritos Policiais registrados na Delegacia de Defesa da Mulher de Araçatuba-SP, entre os anos de 2001 a 2005. Por fim, foram feitas entrevistas semi-estruturadas com 21 vítimas de violência doméstica física que recorreram à referida unidade policial, no período de julho a agosto de 2006. Os resultados demonstraram que no referente à legislação civil e penal, a obrigação está disposta nas Leis 8.069/90, 10.741/03, 10.778/03 bem como no Decretolei 3.688/41 que prevêem sanções aos que omitirem a notificação destes casos. Dentre os Códigos de Ética, todos trazem implícita ou explicitamente a obrigação do profissional diante da situação de violência. A pesquisa epidemiológica foi realizada em 7.750 registros de ocorrências, dos quais 1.844 estavam relacionadas à agressão física cometida por pessoa da família... / The familiar violence presents characteristics as physical, psychological and sexual abuse of a family member by another. Even if this problem involves many social sectors, the health services and police institutions are looked for victims, due to sequel from agression. The aim of this study is to evaluate what is the responsibility of health professional in relation to legislation and to confirmed or suspected cases of domestic violence; to verify the prevalence of this problem in the last 5 years in Araçatuba/SP - Brazil and to analyse victim's perceptions about situation after suffering violence. The project received ethical approval from the Research Ethics Committee of the Araçatuba School of Dentistry (file: FOA 2005-01861). The first part of the study was represented by the bibliographic research on civil and penal legislation and on Medicine, Dentistry, Nursing and Psychology Ethics Code. After, Circumstanced Terms and Police Assizes were analysed. They were registered on Police Post, between 2001 and 2005. Finaly, interviews were done with 21 physical domestic violence victims that appealed to Woman Defense Post Police Post of Araçatuba/SP - Brazil, on period from July to August, 2006. The results showed that about civil and penal legislation, the duty is disposed on Laws number 8.069/90, 10.741/03, 10.778/03 as well as on Decree-Law 3.688/41 that supposed sanctions for person that omits notification of these cases. Among Ethics Codes, all show implicitly and explicitly the duty of professional related to violence situation. Epidemiologic research was conducted on 7.750 registers of occurrence. Among them, 1.844 were associated with physical aggression committed by a family member. This kind of occurrence take place more frequently between Saturday and Sunday (37.30%), at 6pm-12am (44.20%) ...(Complete abstract, click electronic address below)
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Caracterização do perfil de residentes no enfrentamento das incertezas clínicas relacionadas com o atendimento médico / How do residents in a general hospital in Brazil react to clinical uncertainty?Marcelo Rozenfeld Levites 04 May 2015 (has links)
Objetivo: Caracterizar o perfil de percepções e atitudes de médicos residentes frente às diferentes situações geradoras de incertezas na prática assistencial aos pacientes. Método: Estudo descritivo, comparativo e transversal. Amostra não aleatória de 90 residentes da instituição. O estudo foi conduzido entre abril e julho de 2013. Para a avaliação da percepção do enfrentamento da incerteza no cenário clínico foi realizada usando a escala \"Physician Reaction\'s to Uncertainty\", após realizados uma tradução transcultural para português do Brasil. A \"Physician Reaction\'s to Uncertainty\", contém 15 itens que são respondidos de acordo com a variante de escala de Likert de seis pontos (discorda completamente = 1; concorda plenamente = 6). Avaliamos os residentes de acordo com o gênero; idade, menores de 26 anos e 26 anos ou maiores; residentes de primeiro ano comparados com os segundo e terceiro anos e residentes clínicos comparados com os cirurgiões, ortopedistas e ginecologistas/obstetras. Resultados: As residentes mulheres mais jovens e os com menos tempo de treinamento (residentes do primeiro ano), tiveram uma pior percepção do enfrentamento da incerteza na atuação clínica quando comparados aos homens (p=0,002) aos >= 26 anos (p= 0,001) e com mais tempo de treinamento (p < 0,001). Não houve diferença entre os residentes clínicos comparados com os de ortopedia, cirurgia e ginecologia obstetrícia (p=0,792). Conclusões: Os médicos residentes mais jovens e com menor tempo de prática merecem um uma atenção especial para um melhor enfrentamento da incerteza na atuação clínica. São eles que apresentam as maiores dificuldades com o tema. Atuar junto a professores mais experientes e a inserção da formação humanística e filosófica podem ajudar aos colegas residentes com menos prática na medicina / Purpose: The aim of this study was to develop a characterization profile of the perceptions and attitudes of resident physicians in a general hospital in São Paulo, Brazil addressing the uncertainties related to the care of patients. Methods: Descriptive, comparative and cross-sectional study conducted from April to July 2013 with a convenience sample of 90 medical residents who completed the Physicians´ Reactions to Uncertainty (PRU) scale and provided demographic variables of gender, age and specialty. Results: Comparing the Physician´s Reaction to Uncertainty score, authors identified a significant difference between age, year of residence and gender. Physicians who were female, less than 26 years old and who were in their first year of residency and had greater clinical uncertainty than men (p=0.002), older residents (p= 0,001), those in their second and third year of residency (p < 0,001). There were no significant differences by medical speciality (p=0,792). Conclusion: Practical experience and age are important factors in clinical uncertainty in residence groups. The longer physicians are in practice, the less uncertainty they will experience. Ways to decrease the anxiety of and reluctance to disclose uncertainty to patient can include: 1) Practice together with experience doctors; 2) Clinical epidemiology; 3) knowledge of philosophy and 4) Humanistic teaching
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