Family culture versus institutional hospital culture: a relation between two worlds

Abstract

Objective: To understand the relation between family culture and hospital institutional culture. Method: Qualitative study, carried out in 2017, with relatives of children admitted to a Hospital in southern Brazil. The study included non-participant observation, to gain familiarity with the investigated cultural context; participant observation, to know the respondents’ experiences; and interviews. The data were coded and theoretical formulations and recommendations were made. Results: Fifteen family members participated. Hospitalization is a time of encounter and interaction between family culture and institutional culture. Conclusion: Hospital culture is presented as an instrument of family care and adaptation and flexibility of norms and routines to humanize cultural care.

From theory to practice: the inclusion of hospitalized children’s families in painful procedures

“…Investigations report health professionals' restrictive beliefs, such as the stereotype of a "difficult family", questioning and demanding, who do not understand the procedure, anxious, that conveys this feeling to children, in addition to the suffering that the procedure will always cause the family, excluding them with the belief in protection and the fear of criticism of professional performance. In common, they result in the belief of the family disturbing the procedure, which, added to previous experiences, leads to exclusion as a protective measure (2,6,12,17) , corroborating the discourses of this study. This aspect is in accordance with a basic premise of SI: "Human beings act according to the meaning they attribute to phenomena and the dispositions that individuals are in a given context, activity and institution."…”

International Portuguese Nurse Leaders’ Insights for Multicultural Nursing

“…The inclusion of family as cultural mediators is also a strategy advocated to improve culturally sensitive and appropriate care practices in healthcare organizations [55]. Nurses need to understand the family's care practices and how they can influence the care experience [56]. Embracing family in patient care benefits the patient, helps nurses to overcome communication difficulties, improves their cultural knowledge and strengthens their bond with the patient, strengthens the family's trust in nurses and enables decision-making that promotes culturally congruent and ethical practices to patients [57].…”

Da teoria à prática: a inclusão da família de crianças hospitalizadas nos procedimentos dolorosos

“…Investigações relatam crenças restritivas dos profissionais de saúde, como estereótipo de "família difícil", questionadora e exigente, que não compreende o procedimento, ansiosa, que transmite esse sentimento à criança, além do sofrimento que o procedimento sempre causará à família, excluindo-a com a crença de proteção e o medo da crítica ao desempenho profissional. Em comum, resultam na crença da família atrapalhando o procedimento, que, somada às experiências prévias, leva à exclusão como medida protetiva (2,6,12,17) , corroborando com os discursos deste estudo. Esse aspecto vai de acordo com uma premissa básica do IS: "O ser humano age de acordo com o significado que atribui aos fenômenos e nas disposições que os indivíduos estão em determinado contexto, atividade e instituição" (11) .…”