Acute care nurse practitioners (ACNPs) are a new addition to the Canadian health care system, having been introduced in the Canadian health care system in the late 1980s. While some authors have suggested that nurse practitioners offer “something special” to patient care, no evidence to date has substantiated this claim. The findings of this grounded theory study offer a theory (Acute Care Health Professional-Patient Relationship (ACHPPR) Theory) to describe how three types of health care professionals establish relationships with patients in acute care settings (Figure 7). This qualitative study explored relationships that ACNPs, physicians and staff nurses establish with patients in a large urban multi-site university-affiliated hospital. Six quartets (patient, ACNP, physician, staff nurse) were recruited and interviews, using a semi-structured guide were audio-taped and subsequently transcribed verbatim. Each type of relationship was found to have a unique focus; ACNPs focus on making connections with patients, physicians focus on managing patients’ diseases and staff nurses focus on meeting patients’ needs. In order to establish relationships with patients, readiness conditions must be met. Health professionals use strategies to influence the achievement of readiness conditions as well as to move forward with relationship development. Each type of relationship varies in the range of potential intensity that can be achieved, which is influenced by various dimensions. Relational intensity ranges from the uncommon clinical relationship, which focuses on the patient’s disease, through the more typical professional relationship characterized by a comfortable rapport and then finally to the most relationally intense, but rare, personal relationship. If a relationship reaches professional or personal levels of relational intensity, relational products become evident. When comparing these three health professional-patient relationships, similarities and differences have been identified. Analysis of patient interviews yielded themes that substantiate the ACHPPR theory. The ACHPPR theory offers a beginning understanding of the complementary nature of three types of health professional-patient relationships in the acute care setting and has the potential to influence practice, education, theory development and future research related to ACNP-patient relationships.

Acute care nurse practitioners (ACNPs) are a new addition to the Canadian health care system, having been introduced in the Canadian health care system in the late 1980s. While some authors have suggested that nurse practitioners offer “something special” to patient care, no evidence to date has substantiated this claim. The findings of this grounded theory study offer a theory (Acute Care Health Professional-Patient Relationship (ACHPPR) Theory) to describe how three types of health care professionals establish relationships with patients in acute care settings (Figure 7). This qualitative study explored relationships that ACNPs, physicians and staff nurses establish with patients in a large urban multi-site university-affiliated hospital. Six quartets (patient, ACNP, physician, staff nurse) were recruited and interviews, using a semi-structured guide were audio-taped and subsequently transcribed verbatim. Each type of relationship was found to have a unique focus; ACNPs focus on making connections with patients, physicians focus on managing patients’ diseases and staff nurses focus on meeting patients’ needs. In order to establish relationships with patients, readiness conditions must be met. Health professionals use strategies to influence the achievement of readiness conditions as well as to move forward with relationship development. Each type of relationship varies in the range of potential intensity that can be achieved, which is influenced by various dimensions. Relational intensity ranges from the uncommon clinical relationship, which focuses on the patient’s disease, through the more typical professional relationship characterized by a comfortable rapport and then finally to the most relationally intense, but rare, personal relationship. If a relationship reaches professional or personal levels of relational intensity, relational products become evident. When comparing these three health professional-patient relationships, similarities and differences have been identified. Analysis of patient interviews yielded themes that substantiate the ACHPPR theory. The ACHPPR theory offers a beginning understanding of the complementary nature of three types of health professional-patient relationships in the acute care setting and has the potential to influence practice, education, theory development and future research related to ACNP-patient relationships.

Made available in DSpace on 2014-12-17T14:47:08Z (GMT). No. of bitstreams: 1 SimonePL.pdf: 367978 bytes, checksum: 92f8358b98111bbab5566cdabe217d43 (MD5) Previous issue date: 2006-05-19 / Empathy is a basic facilitating element of the therapeutic helping relationship and the humanization process in health care. The objectives of this study were to identify the empathy level of health professionals working in the obstetrical sector of a university hospital recognized for its humanistic care and the perceptions of the women under their care regarding the empathic behavior shown by these professionals during hospitalization. We conducted a quanti/qualitative study with 47 health professionals that worked in the obstetrical sector (13 obstetricians, 12 nurses, 22 nurse technicians) and an intentional sample of 101 women that received cared from these professionals during the study period. We collected data by means of the Jefferson Empathy Scale for Health Professioals (JEPS-HR) and the Patient?s Perception of Health Professional Empathy (PPHPE), and two additional open questions designed to obtain the subjective opinion about the empathic behavior during the care. We utilized thematic analysis for the data obtained through the open questions and descriptive and inferential statistics for the quantitative data. We identified five thematic categories that represent the aspects valued by the professionals in their relationship with the women under their care: emotional involvement, communication, warm environment, integral vision and technical/scientific knowledge. The mean score on the JEPS-HR reported for the health professionals was 120,40, being that the maximum possible was 140.The Cronbach Alpha for the JEPS-HR was 0,83, indicating an acceptable level of reliability for this population. We consider therefore, that these professionals presented an acceptable empathy level when compared to other populations observed with the JEPS-HR. The results also indicated that women had statistically significant (p ≤ 0,05) higher scores than men and that professionals with higher working hours tended to have lower scores in the empathy scale (r = -0,288; p ≤ 0,05). The analysis of the subjective responses of the women indicated that they were satisfied with the humanistic care provided by the professionals but they also point out the existence of some power relationships. There were no significant differences in the empathy level of the medical or nursing team perceived by the women who registered means of 41,90 and 41,20 respectively on the PPHPE. In view of these results and considering the relevance of the element of empathy for care based on humanistic values, we reiterate the importance of further in-service training for the health team of the hospital in focus, on the topics of empathy and global aspects of humanized care for the implementation of its mission / Os relacionamentos voltados a ajudar o outro s?o conceituados como terap?uticos, sendo a empatia, elemento fundamental e facilitador desse relacionamento e conseq?ente processo de humaniza??o da assist?ncia em sa?de. O presente estudo tem como objetivos, identificar o n?vel de empatia dos profissionais do setor obst?trico de um hospital universit?rio reconhecido pela assist?ncia human?stica prestada ?s parturientes e a percep??o das mulheres receptoras do cuidado acerca da empatia demonstrada no atendimento. Realizamos uma pesquisa de abordagem quanti/qualitativa, na qual participaram do estudo, os 47 profissionais que atuam no setor obst?trico (13 m?dicos, 12 enfermeiros, 22 t?cnicos de enfermagem) e uma amostra intencional de 101 mulheres atendidas por esses profissionais durante o per?odo do estudo. Dados foram coletados atrav?s das escalas Jefferson de Empatia dos Profissionais de Sa?de (EJEPS) e Percep??o do Paciente sobre a Empatia dos Profissionais de Sa?de (PPEPS) e duas quest?es abertas inicias, objetivando verificar as opini?es subjetivas sobre a empatia prestada durante o atendimento. Utilizamos an?lise estat?stica descritiva e inferencial para os dados quantitativos e an?lise tem?tica das respostas ?s quest?es abertas. Foram identificadas cinco categorias que representam os aspectos que os profissionais valorizam no relacionamento com as mulheres: envolvimento emocional, comunica??o, ambiente acolhedor, vis?o integral e o conhecimento t?cnico-cient?fico. Na an?lise quantitativa, o escore de empatia encontrado nos profissionais foi, em m?dia, de 120,40 , sendo o m?ximo poss?vel 140. Neste estudo, o EJEPS apresentou um coeficiente alfa de Cronbach de 0,83 demonstrando um n?vel aceit?vel de confiabilidade com essa popula??o. Consideramos, portanto, que esses profissionais apresentam um bom n?vel de empatia quando comparados com outras popula??es observadas com o EJEPS. Os resultados tamb?m demonstram que a empatia adquiriu maior n?vel entre as mulheres (p ≤ 0,05) e que os profissionais com maior jornada de trabalho tendiam possuir menores n?veis de empatia (r = -0,288; p ≤ 0,05). A an?lise das respostas subjetivas das mulheres indicam que elas est?o satisfeitas com o cuidado human?stico, mas identificam a exist?ncia de express?es de poder nos profissionais. Na percep??o das mulheres, n?o houve diferen?a na empatia demonstrada pela equipe m?dica e a de enfermagem conforme os escores m?dios no PPEPS (41,90 e 41,20 respectivamente).Diante desses resultados e considerando a relev?ncia da empatia para operacionaliza??o de uma assist?ncia voltada para os valores human?sticos, refor?amos a import?ncia da capacita??o dos profissionais que atuam no hospital em foco, abordando a empatia e aspectos globais da humaniza??o para melhor implementa??o de sua miss?o

Introdução: A convivência com a doença crônica da criança torna a presença dos profissionais de saúde uma constante na vida das famílias, havendo na literatura lacunas no que diz respeito à perspectiva da unidade familiar quanto ao apoio profissional recebido. A asma é uma doença que geralmente inicia-se na infância, e tem ganhado destaque nas políticas de saúde brasileiras, em virtude da transição epidemiológica vivida pelo país. A família da criança com asma passa a necessitar do apoio profissional para lidar com este novo evento. Objetivo: Esta pesquisa objetivou compreender a experiência da família acerca do apoio dos profissionais de saúde no convívio com a doença crônica da criança. Método: Teve como referencial teórico o Interacionismo Simbólico e a Pesquisa de Narrativa como referencial metodológico. Os dados foram coletados através de entrevistas com nove famílias, totalizando 30 sujeitos, que convivem com a asma da criança, selecionadas por meio do Ambulatório de Cuidados Pediátricos de um hospital universitário. Resultados: Da análise dos dados emergiram três temas que descrevem a experiência da família em relação ao apoio recebido dos profissionais da saúde na sua convivência com a asma da criança: O QUE É PRECISO PARA COMEÇAR; COM QUEM CONTAR: PROFISSIONAIS DE REFERÊNCIA; A FORÇA QUE VEM DA AJUDA: REDEFINIÇÃO DE CAMINHOS. Conclusões: Este estudo propiciou um maior entendimento das potencialidades da atuação profissional no cuidado à família que experiência a asma da criança. Os resultados evidenciam a necessidade de novas abordagens que considerem o caminho que a família percorre na convivência com a doença da criança. Os profissionais devem conscientizar-se de que sua atuação é importante elemento na construção dos significados que a família atribui à convivência com a asma da criança. É necessário pensar em novas praticas para a relação profissional com a família, pois esta relação é capaz de suscitar e/ou fortalecer na família habilidades amenizadoras de sofrimento / Introduction: Living with a chronic illness of the child makes the presence of health professionals is a constant in the lives of families, with gaps in the literature with regard to the perspective of the family unit as the professional support received. Asthma is a disease that usually begins in childhood, and has gained prominence in health policies in Brazil, due to the epidemiological transition experienced by the country. The family of the child with asthma starts to require professional support to deal with this new event. Objective: This study aimed to understand the experience of the family about the support of health professionals to living with the chronic illness of the child. Method: Had the theoretical Symbolic Interaction and Narrative Research as a methodological reference. Data were collected through interviews with nine families, totaling 30 people, who live with childhood asthma were selected by the Ambulatory Pediatric Care of a university hospital. Results: Data analysis revealed three themes that describe the experience of the family in relation to the support received from health professionals in their coexistence with childhood asthma: WHAT YOU NEED TO START, WITH WHO COUNT: PROFESSIONAL REFERENCE; STRENGTH COMING OF HELP: WAYS RESET. Conclusions: This study provided a better understanding of the potential of professional practice in the care of family experience childhood asthma. The results highlight the need for new approaches that consider the road that runs in the family living with the child\'s illness. Practitioners should be aware that their performance is an important element in the construction of meanings that the family attaches to living with childhood asthma. It is necessary to think of new practices to the professional relationship with the family, because this relationship is able to raise and / or strengthen family skills decrease suffering

Introdução: A convivência com a doença crônica da criança torna a presença dos profissionais de saúde uma constante na vida das famílias, havendo na literatura lacunas no que diz respeito à perspectiva da unidade familiar quanto ao apoio profissional recebido. A asma é uma doença que geralmente inicia-se na infância, e tem ganhado destaque nas políticas de saúde brasileiras, em virtude da transição epidemiológica vivida pelo país. A família da criança com asma passa a necessitar do apoio profissional para lidar com este novo evento. Objetivo: Esta pesquisa objetivou compreender a experiência da família acerca do apoio dos profissionais de saúde no convívio com a doença crônica da criança. Método: Teve como referencial teórico o Interacionismo Simbólico e a Pesquisa de Narrativa como referencial metodológico. Os dados foram coletados através de entrevistas com nove famílias, totalizando 30 sujeitos, que convivem com a asma da criança, selecionadas por meio do Ambulatório de Cuidados Pediátricos de um hospital universitário. Resultados: Da análise dos dados emergiram três temas que descrevem a experiência da família em relação ao apoio recebido dos profissionais da saúde na sua convivência com a asma da criança: O QUE É PRECISO PARA COMEÇAR; COM QUEM CONTAR: PROFISSIONAIS DE REFERÊNCIA; A FORÇA QUE VEM DA AJUDA: REDEFINIÇÃO DE CAMINHOS. Conclusões: Este estudo propiciou um maior entendimento das potencialidades da atuação profissional no cuidado à família que experiência a asma da criança. Os resultados evidenciam a necessidade de novas abordagens que considerem o caminho que a família percorre na convivência com a doença da criança. Os profissionais devem conscientizar-se de que sua atuação é importante elemento na construção dos significados que a família atribui à convivência com a asma da criança. É necessário pensar em novas praticas para a relação profissional com a família, pois esta relação é capaz de suscitar e/ou fortalecer na família habilidades amenizadoras de sofrimento / Introduction: Living with a chronic illness of the child makes the presence of health professionals is a constant in the lives of families, with gaps in the literature with regard to the perspective of the family unit as the professional support received. Asthma is a disease that usually begins in childhood, and has gained prominence in health policies in Brazil, due to the epidemiological transition experienced by the country. The family of the child with asthma starts to require professional support to deal with this new event. Objective: This study aimed to understand the experience of the family about the support of health professionals to living with the chronic illness of the child. Method: Had the theoretical Symbolic Interaction and Narrative Research as a methodological reference. Data were collected through interviews with nine families, totaling 30 people, who live with childhood asthma were selected by the Ambulatory Pediatric Care of a university hospital. Results: Data analysis revealed three themes that describe the experience of the family in relation to the support received from health professionals in their coexistence with childhood asthma: WHAT YOU NEED TO START, WITH WHO COUNT: PROFESSIONAL REFERENCE; STRENGTH COMING OF HELP: WAYS RESET. Conclusions: This study provided a better understanding of the potential of professional practice in the care of family experience childhood asthma. The results highlight the need for new approaches that consider the road that runs in the family living with the child\'s illness. Practitioners should be aware that their performance is an important element in the construction of meanings that the family attaches to living with childhood asthma. It is necessary to think of new practices to the professional relationship with the family, because this relationship is able to raise and / or strengthen family skills decrease suffering

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2015-12-09T12:36:35Z No. of bitstreams: 1 Glauco Barbosa Cardoso.pdf: 839821 bytes, checksum: b810bed43581a057dd68b5aeed98b330 (MD5) / Made available in DSpace on 2015-12-09T12:36:35Z (GMT). No. of bitstreams: 1 Glauco Barbosa Cardoso.pdf: 839821 bytes, checksum: b810bed43581a057dd68b5aeed98b330 (MD5) Previous issue date: 2008 / Mestrado Profissional em Enfermagem Assistencial / Este estudo apresenta os resultados de uma investigação do Programa de Pósgraduação Strictu Senso Mestrado Profissional Enfermagem Assistencial, da Escola de Enfermagem Aurora de Afonso Costa/UFF, Niterói/Rio de Janeiro. Neste sentido, busca trabalhar com o profissional da área de saúde, especificamente a equipe de enfermagem, a partir das relações presentes neste processo, sejam elas com o paciente ou com a equipe multidisciplinar, entendendo que a ação profissional, não pode ser pensada sem levar em conta a importância das ações de comunicação nela inserido. O presente estudo tem como objetivo descrever e analisar o processo de trabalho, realizado pela equipe de enfermagem em um estabelecimento público de saúde. Para tanto, caracteriza-se como um estudo qualitativo, que emprega em sua metodologia a técnica do sósia. Uma técnica originária da ergologia, que a partir da discrição do processo de trabalho realizado pelo profissional, busca identificar quais os elementos empregados durante o cuidado. O campo de pesquisa foi a unidade de Doenças Infecciosas e Parasitarias do Hospital Universitário Antônio Pedro. A opção pelo hospital se dá por este ser uma instituição organizada e preparada para proteger e manter a vida dentro dos limites da doença e dos recursos tecnológicos disponíveis, que finda por valorizar mais o corpo doente do que o ser que vivencia a doença. A análise do material indicou que o processo de trabalho desenvolvido pela equipe de enfermagem da unidade estudada caracteriza-se por uma sólida estrutura organizativa, permitindo um trânsito das diferentes tecnologias durante o cuidado, com foco no uso das tecnologias leves-duras pelos enfermeiros e das tecnologias leves por parte dos técnicos e auxiliares de enfermagem / This study presents the results of an investigation of the Graduate Program strictest sense Master Professional Nursing Care, of the School of Nursing called Aurora Afonso Costa of UFF, in Niterói, Rio de Janeiro. In this sense, it intends to work with the professional in the area of health, specifically the nursing staff, from the present relations in this process, whether with patients or with the multidisciplinary team, realizing that the action work, cannot be considered without taking into account the importance of actions of communication in this process include. This study aims to describe and analyze the process of work, performed by the nursing staff in a public health. To that end, it is characterized as a qualitative study, which employs in its methodology the technical ”double”. A technique originating from the “ergologic” that as of the description of the work done by professional, seeks to identify which items employees during the caution. The field of research was the unit of Infectious and Parasitic Diseases of the University Hospital Antonio Pedro. The decision by the hospital was based on the fact that the institution be organized and prepared to protect and maintain the life within the boundaries of illness and technological resources available, which just ended by giving more attention to the ill body than to the experience of the sick person. The analysis of the material indicated that the process of the work done by the nursing staff of the unit studied is characterized by a solid organizational structure, allowing a transit of different technologies during the care, with a focus on the use of soft-hard technology by nurses and soft technology on the part of technicians and auxiliary nurses