Nurses and care delivery to elderly women: a social phenomenological approach

Abstract

Objective: To understand how nurses see care delivery to elderly women. Methods: In this phenomenological study, ten nurses working at Primary Health Care Units were interviewed between September 2010 and January 2011. Results: In care delivery, nurses consider the elderly women's knowledge background and biographical situation, and also value the family's participation as a care mediator. These professionals have the acuity to capture these women's specific demands, but face difficulties to deliver care to these clients. Nurses expect to deliver qualified care to these women. Conclusion: The theoretical and methodological approach of social phenomenology permitted revealing that the nurse designs qualified care to elderly women, considering the possibilities in the context. This includes the participation of different social actors and health sectors, assuming collective efforts in action strategies and professional training, in line with the particularities and care needs of elderly women nurses identify. de conhecimentos e a situação biográfica da mulher idosa e valoriza a participação da família como mediadora do cuidado. Esse profissional possui acuidade para captar as demandas específicas da idosa, contudo, depara-se com dificuldades para cuidar dessa clientela. Espera realizar um cuidado qualificado para essas mulheres. Conclusão: a abordagem teórico-metodológica da fenomenologia social permitiu develar que o enfermeiro projeta o cuidado qualificado à mulher idosa como uma possibilidade no contexto em que está inserto. Tal perspectiva de cuidado inclui a participação de diversos atores sociais e setores da saúde, pressupondo investimento coletivo em estratégias de ação e formação profissional, consoantes às particularidades e necessidades de cuidado da mulher idosa, identificadas pelo enfermeiro.Descritores: Enfermagem; Saúde do Idoso; Cuidados de Enfermagem; Assistência Integral à Saúde; Pesquisa Qualitativa.El enfermero y el cuidado para la mujer adulta mayor: enfoque desde la fenomenología social Objetivo: Comprender la acción de cuidar a la mujer adulta mayor, a partir de la perspectiva del enfermero. Método: En este estudio fenomenológico se entrevistaron, entre septiembre del 2010 y enero del 2011, diez enfermeros que trabajaban en Centros de Salud. Resultados: Para la realización del cuidado, el enfermero considera el bagaje de conocimientos y la situación biográfica de la mujer adulta mayor, así como, valoriza la participación de la familia como mediadora del cuidado. Ese profesional posee acuidad para captar las demandas específicas de la mujer adulta mayor, sin embargo se depara con dificultades para cuidar a esa clientela. El enfermero tiene la expectativa de realizar un cuidado calificado para esas mujeres. Conclusión: El abordaje teórico-metodológico de la fenomenología social permitió develar que el enfermero se proyecta para ofrecer un cuidado calificado para la mujer adulta mayor, considerando las posibilidades en el contexto en el que está inserto. Eso incluye la participación de diversos...

Aconselhamento em doenças sexualmente transmissíveis na atenção primária: percepção e prática profissional

“…The natural attitude is influenced by prior knowledge and personal background of each subject. (10) Thus, professionals attribute the meaning of counseling on the basis of knowledge and experienced practice.…”

“…It is apprehended that professionals have discourse in common, constituting part of their classification. (10) It was evident that counseling is minimized in the practice of family planning and school educational activities. Reduced counseling practice is justified by the difficulty of working the issue into primary care because of the associated preconceptions and stigma.…”

“…This is a qualitative study based on the social phenomenology theory of Alfred Schütz, (10) which allows understanding of the social issues of human action. It is designed in the meanings of inter-subjective experience of social relationships and to meet social needs that have contextualized meaning and configure a social sense.…”

“…In this framework, (10) action is based on existential reasons related to past and present experienced (reasons why), and orientation for future action comprises the possibility of proper, early, and imaginative action, based on the subjective meaning of the action (reasons for). It addresses the classification of concepts that is the action of a particular social group.…”

“…For data analysis, we used the social phenomenology steps: (10) reading and careful rereading; grouping of significant aspects present in the statements to compose the categories; and analysis of categories, trying to understand the "reasons for" and "reasons why" of the participants' actions. Two researchers independently analyzed data from the focus group.…”