Introduction: Communication plays a central role in the formation of social relationships, mainly through hearing. Therefore, people with hearing disabilities and their relatives face difficulties adapting to new circumstances in everyday life. Objective: To analyze the experiences of relatives in communicating with adults with hearing disabilities. Methods: A descriptive qualitative study was conducted with 15 relatives of adults with hearing disabilities registered with the National Council for the Integration of People with Disabilities in the city of Trujillo between December 2022 and February 2023. The interviews were conducted virtually from the participants’ homes and were recorded, transcribed and organized in a database. The analysis was performed using IRaMuTeQ software (Corpus organization, Lexical analysis, Top-down hierarchical classification (HHC)-Reinert method, Similarity analysis, and Category building assistance). The categorical thematic content analysis technique was also used. Results: The dendrogram revealed five thematic classes: Confrontations in sign language communication; Readaptations in the way of communicating in daily family life; Challenges in the process of communicating with adults with hearing impairment; Written and verbal communication as communication aids; and the concern of family members for the future of the adult with hearing impairment. Conclusion: The experiences of family members showed that their strategies and feelings regarding the uncertain future of people with hearing impairment are influenced by communication and interpersonal, economic and social relationships.
Introduction: With population growth and technological and scientific advances in the health field, chronic non-communicable and degenerative diseases have become increasingly common. However, palliative care is still poorly integrated into the Unified Health System, reflecting the low utilization of this service in hospitals, in addition to the shortage of qualified professionals in this area, which makes it difficult to provide adequate care to patients. Objective: This study aims to describe the perception of the multidisciplinary team regarding the palliative care service and the care provided to patients receiving palliative care. Methods: This is an exploratory descriptive study with a qualitative approach, conducted between December 2022 and February 2023, involving the management team, consulting team, and multidisciplinary team involved in the care of patients receiving palliative care at a hospital in the interior of Bahia. The analysis was conducted using IRAMUTEQ through Descending Hierarchical Classification (DHC). Results: Based on the central idea of describing the multidisciplinary team's perception regarding the implementation of the palliative care center and the care provided to patients receiving palliative care, four classes were identified after processing the results: challenges faced by the multidisciplinary team in palliative care; exclusion or inclusion: where to provide care?; implementation of the palliative care committee: the story as told by the management and consulting team; and practice: the role of the multidisciplinary team in palliative care. Conclusion: Challenges were identified, including a shortage of dedicated beds and a lack of knowledge among professionals. In addition, the workload faced by the consulting team, among other factors, negatively affects the quality and scope of the concept inherent to palliative care.
Introduction: Moderate or severe pain in hospitalized children is common but is often poorly evaluated and managed. Objective: To analyze the knowledge of the nursing team on pediatric pain assessment instruments. Methods: A descriptive-exploratory, qualitative study involving nurses and nursing technicians from the urgency and emergency sectors, medical clinic, and Intensive Care Unit of a pediatric reference hospital in southwestern Maranhão. Data were collected, between November 2019 and March 2020, through individual interviews, saturation occurred with the 20th participant. A thematic content analysis was carried out. Results: Most of the participants were female, between the ages of 23 and 58 years old, brunettes, and had worked between 5 months to 20 years at the pediatric clinic. The nursing team considers the adequate assessment of childhood pain to be of great importance. From the data analysis emerged the following categories: Understanding of professionals on the importance of assessing childhood pain; Lack of knowledge of professionals about assessment instruments and their lack of application in the hospital environment; Strategies used to relieve pain; The perspectives of nursing professionals in coping with pediatric pain. Conclusion: The nursing team should know and use pediatric pain assessment instruments as well as encourage non-pharmacological practices in line with pharmacological strategies for pain relief in hospital environments.
Introduction: The nursing resident is exposed to stressful situations that impact the quality of their professional life. Integrative and complementary health practices can contribute to promoting physical, mental, and spiritual well-being. Objective: To evaluate the effect of flower essence therapy on the aspects of the professional quality of life (compassion fatigue – burnout and secondary traumatic stress – and compassion satisfaction) of nursing residents in the context of the COVID-19 pandemic. Methods: Quasi-experimental pilot before and after study with 16 resident nurses from teaching hospitals, who answered a sociodemographic questionnaire and the Professional Quality of Life Scale 4 (ProQOL-4). The emergency formula associated with Walnut of the Bach Flower Remedies (FiveW) was used for three weeks with a three-week follow-up. Data were analyzed descriptively. The effect of the intervention was evaluated by the paired Student's t-test and by the mixed effects model, with a significance level of 5%. Results: Floral therapy reduced the score of the Secondary Traumatic Stress subscale of ProQOL-4 (p=0.017) with a residual effect after the follow-up. There was interaction between the year of residency and the program specialty in the Satisfaction for Compassion and Burnout subscales; and also between the program specialty and the COVID-19 infection of a close person in the Secondary Traumatic Stress and Burnout subscales (p<0.05). Conclusion: The FiveW floral formula showed a reduction in Secondary Traumatic Stress scores, evidencing that floral therapy can contribute as a complementary strategy to improve the quality of professional life.
Introduction: Dental follow-up in prenatal care represents a unique strategy with interdisciplinary action for the prevention of injuries in pregnant women and complications during childbirth. Objective: To identify the interdisciplinarity in prenatal dental care from the nurses’ perspective. Methodology: This will be a qualitative approach study with based on the Gadamer and Habermas's hermeneutics-dialectic in six primary health care units in a metropolis in Northeast Brazil, with six nurses through in-depth interviews in 2018. The organization of the data occurred through Minayo´s thematic analysis. Results: After the thematic analysis, the categories of “The interdisciplinary care of the doctor, dentist, and nurse” and “Nurse referral during prenatal dental care” were evidenced. There are implications for the development of interdisciplinary practices in prenatal dental care such as weaknesses in the continuity of care, communication, and the team’s interaction. Conclusion: There is a need to expand the comprehensiveness for the quality in the development of healthcare for pregnant women and the reduction of maternal and neonatal complications in populations of Brazilian women.
