Discourses of healthcare professionals about health surveillance actions for Tuberculosis control

Abstract

OBJECTIVE To analyze the meanings produced in the Health Surveillance actions for tuberculosis control, carried out by healthcare professionals in Mozambique. METHOD Qualitative study using the theoretical and methodological framework of the French Discourse Analysis. RESULTS A total of 15 healthcare professionals with more than one year of experience in disease control actions participated in the study. Four discursive blocks have emerged from the analysis: tuberculosis diagnosis process; meeting, communication and discussion of treatment; local strategies for tuberculosis control; involvement of family and community leaders in the tuberculosis control. CONCLUSION The statements of the healthcare professionals suggest, as Health Surveillance actions, practices that include collecting sputum in the patient's home and sending it to the laboratory; deployment of the medical team with a microscope for tuberculosis testing; and testing for diseases that may be associated with tuberculosis. In this context, the actions of Health Surveillance for tuberculosis control involve valuing all actors: family, community leaders, patients and health professionals.

Patients’ perceptions regarding multidrug-resistant tuberculosis and barriers to seeking care in a priority city in Brazil during COVID-19 pandemic: A qualitative study

“…This was an exploratory qualitative study [20], which used the theoretical-methodological framework of the Discourse Analysis (DA) of French matrix [21], guided by the Consolidated Criteria for Reporting Qualitative Research (COREQ) [22].…”

Discursos De Enfermeiras Sobre Ações E Estratégias Do Cuidado Ao Idoso Com Tuberculose

“…Conforme a teoria do conhecimento funde-se em uma filosofia linguística, materialista e psicanalítica (9) . A AD identifica-se pelo discurso no qual se compreende os sentidos produzidos em função das Formações Discursivas (FDs) de uma dada ideologia, sendo possível compreender o discurso individual e coletivo (10) . Durante a análise, com o objetivo de resguardar o anonimato do entrevistados, empregou-se a sigla "E", representando a abreviatura de Enfermeiras, sendo distribuídos de E1 a E5.…”

“…Em relação ao cuidado dos idosos com TB na APS, cada uma dessas participantes acompanhou apenas um idoso, nos seguintes anos: 2016 (E2 e E4), 2017 (E1 e E5), 2018 (E3).Para melhor expor e analisar os depoimentos, e em razão da densidade do objeto de estudo, foi constituído o seguinte bloco discursivo: Ações e estratégias utilizadas para subsidiar o cuidado ao idoso com tuberculose na APS. Esse bloco surgiu das marcas textuais identificadas nos discursos dos sujeitos enunciadores, que são consideradas "janelas" de entrada para a análise(10) , conforme sinaliza o Quadro 1.As marcas textuais foram agrupadas de acordo com a semelhança dos sentidos que a interpelam, com base nos procedimentos heurísticos do analista. Dessa forma, após uma leitura flutuante do corpus, foi identificado o bloco discursivo referentes às ações e estratégias.…”

The Discourses of Health Professionals on the Tuberculosis Patient in Mozambique: Reproduction and Resistance

“…Initially, we observed that the subjects affected by the bacillus are not identified by name, surname, cognomen, surname, or initials. They are referred to as "the patient," which allows us to think about the enrollment of health professionals in discursive formations in which stigmatizations about the disease are prevalent, for example, TB would be associated with poor behaviors such as prostitution, alcohol consumption and other drugs, lack of hygiene, and poverty [16,17].…”