A narrativa nas pesquisas qualitativas em saúde

Castellanos, Marcelo Eduardo Pfeiffer

doi:10.1590/1413-81232014194.12052013

Cited by 58 publications

(71 citation statements)

References 23 publications

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“…O sentido se refere às ações e descrições da experiência vivida pelos participantes com estoma intestinal por CCR no primeiro ano de pós-operatório, em seu contexto sociocultural e de assistência à saúde, com explicitação de seus comportamentos, decisões, motivos e justificativas sobre a busca pela definição do diagnóstico no sistema de saúde pública em decorrência de desconfortos intestinais e a falta de resolução do seu problema de saúde (BRAUN;CLARKE, 2006;CASTELLANOS, 2014). Além disso, foram relatados a busca e as estratégias utilizadas para conseguir realizar o exame de colonoscopia e o tratamento cirúrgico oncológico, o gerenciamento do estoma intestinal e suas consequências no cotidiano e no contexto de atendimento à saúde, assim como a convivência da pessoa com a sua nova condição e os desdobramentos na esfera individual, familiar e social.…”

Section: Resultados E Discussão Dos Dados Do Trabalho De Campounclassified

Primeiro ano de pós-operatório: significado para a pessoa com estoma intestinal por câncer colorretal

Lenza¹

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Section: Resultados E Discussão Dos Dados Do Trabalho De Campounclassified

Primeiro ano de pós-operatório: significado para a pessoa com estoma intestinal por câncer colorretal

Lenza¹

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“…A narrativa é, portanto, mais do que uma mera descrição sequencial de ações e eventos; ela consiste em uma forma de estabelecimento da visão dos indivíduos no mundo, na medida em que situam os eventos e ações em histórias instituídas na ordem temporal do vivido (CASTELLANOS, 2014). Ao contar e interpretar experiências, a narrativa estabelece uma mediação entre o mundo interior de pensamento-sentimento e um mundo exterior de ações e comportamentos observáveis (GARRO; MATTINGLY, 2000).…”

Section: O Pensamento (Sistêmico) é Contextual Pois a Análise Das Prunclassified

“…E, já é conhecido que esta visão linear leva a uma atitude culpabilizante que só afasta os indivíduos e, principalmente a família do tratamento e da assistência (GALERA et al, 2011;DUHAMEL, 2015;TOMM, 1981;CAMPBELL;CRUTCHLEY, 1991;BROWN, 2010;WRIGHT;LEAHEY, 2013 (KLEINMAN, 1988;ROBINSON, 1990;RABELO;SOUZA, 2014;CASTELLANOS, 2014;GOMES et al, 2014). Assim, a pesquisa qualitativa demonstrou ser a forma mais adequada para captar em profundidade a percepção dos sujeitos sobre o processo da situação de rua em usuários de crack.…”

Section: ) No Brasil Dados Indicam Que O áLcool E O Tabaco São unclassified

“…Do nascimento à morte, nos encontramos entremeados em narrativas, não apenas pessoais ou familiares, mas também em grandes narrativas sobre o mundo e o viver (CASTELLANOS, 2014).…”

Section: A Narrativaunclassified

“…Nesse sentido, narrativa e self são inseparáveis. Self é entendido aqui, como aponta Castellanos (2014), mais amplamente, como o desdobramento de uma consciência reflexiva dos indivíduos, incluindo sentidos do seu próprio passado e futuro.…”

Section: Kleinman E Os Estudos De Histórias De Vida Da Escola De Chigunclassified

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A trajetória de usuários de crack para a situação de rua na perspectiva de familiares

Seleghim¹

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The crack cocaine phenomenon nowadays has attracted attention due to the gravity of the social and health consequences experienced by users that can reach the extreme to lead homelessness experiences. Although people living on streets for different reasons, crack cocaine users have potentiated the characteristics linked to homelessness, which may cause marginalization and difficulties to remain with families. The aim of this research was to comprehend how happens the crack cocaine user's trajectories to the street situation from the families' perspective. Qualitative study that used the systems approach as a theoretical framework and the narrative as methodological framework. The study was conducted in a Psycho-Social Care Centre for substance misuse of Ribeirão Preto city, São Paulo, firstly from family therapy groups and later by indications of professionals from this service. The participants were 11 families of crack users intentionally chosen according to criteria established previously. The following data collection instruments were used: 1) questionnaire with socioeconomic and demographic information of the relatives and the families, 2) questionnaire with user's data, 3) genogram, 4) in-depth interview with narrative and systemic focus, from a guiding question and 5) field diary. The dynamic of the interviews followed the composition of the data collection instruments, and all participants were interviewed twice. After the full transcript of the first interview, was prepared a report containing the main topics addressed by the subjects, as well as construction of questions for deepening in the second interview. The narratives produced by both interviews were grouped and transcribed fullly. Was used the inductive thematic analysis and validation of the categories by judges. Was found that the family understands the crack cocaine user's trajectories from two moments, configuring the categories of study: one before the process of the street situation, where they return to the past to narrate events about the life history of the users, entitled "On the road of stones": the return to the past to explain the present"; and later, where they narrated about related events specifically related to the initiation to the crack cocaine use and the process of homelessness, called "There is a nut among us": the familiar understanding of the occurrence of the street situation.In conclusion, we belive that drug use prevention strategies should begin early, especially in the school system, and actions to take knowledge about drugs to the family system of crack cocaine users is urgent need.

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Health workers’ perspectives on asthma care coordination between primary and specialised healthcare in the COVID-19 pandemic: a protocol for a qualitative study in Ecuador and Brazil

et al. 2021

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IntroductionAsthma is a common long-term disorder and strategies to improve asthma control are still a challenge. Integrated delivery of health systems is critical for effective asthma care: there is limited information on experiences of care coordination for asthma from Latin America, especially on perspectives of health personnel and in the context of the COVID-19 pandemic.Methods and analysisThis protocol details a qualitative approach to analyse health workers’ perspectives of healthcare coordination for asthma control during COVID-19 pandemic in Ecuador and Brazil, at primary and specialised levels, through in-depth semistructured interviews using a video communications platform. The analysis will identify knowledge and perspectives based on coordination of clinical information, clinical management and administrative coordination. Theoretical sampling will be used to obtain approximately equal numbers of women and men within each level of healthcare; data saturation will be used to determine sample size. Transcripts will be analysed using content-coding procedures to mark quotations related to major topics and subthemes included in the interview guide, and narrative analysis will be based on a theoretical framework for healthcare coordination to identify new themes and subthemes.Ethics and disseminationEthical approval was obtained from the ethics committees of Hospital General Docente Calderón, Quito, Ecuador; and Universidade Federal da Bahia, Salvador, Brazil. The findings of this study will be disseminated through peer-reviewed articles, conference presentations and condensed summaries for key stakeholders and partners.

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A narrativa nas pesquisas qualitativas em saúde

Cited by 58 publications

References 23 publications

Primeiro ano de pós-operatório: significado para a pessoa com estoma intestinal por câncer colorretal

Primeiro ano de pós-operatório: significado para a pessoa com estoma intestinal por câncer colorretal

A trajetória de usuários de crack para a situação de rua na perspectiva de familiares

Health workers’ perspectives on asthma care coordination between primary and specialised healthcare in the COVID-19 pandemic: a protocol for a qualitative study in Ecuador and Brazil

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