Humanising brain injury rehabilitation: a qualitative study examining humanising approaches to engagement in the context of a storytelling advocacy programme

2021 ◽  
pp. 1-13
Author(s):  
Kate D’Cruz ◽  
Jacinta Douglas ◽  
Tanya Serry

Abstract Objectives: Building upon the findings of an earlier study that explored the experience and impact of narrative storytelling following acquired brain injury (ABI), this study sought to examine the engagement of storytelling facilitators with storytellers. Methods: Transcripts of in-depth interviews conducted with six storytelling facilitators were analysed drawing upon content analysis. The analysis included a process of mapping previously analysed data (D’Cruz et al., 2020b) to a humanising values framework (Galvin & Todres, 2013; Todres et al., 2009). Results: The findings of this study provide insights into how facilitators engaged in humanising practice within the context of a storytelling advocacy programme. The facilitator participants ranged in years of facilitation experience from 1 to 11 years, with a mix of professional backgrounds, including health care (3), journalism (1) and community development (2). Analysed facilitator data mapped to each of the eight dimensions of the framework (insiderness, agency, uniqueness, togetherness, sense-making, personal journey, sense of place and embodiment), with a breadth of codes represented in each dimension, revealing the depth of humanisation. Conclusions: This study extends our understanding of approaches to engagement with adults living with ABI, demonstrating the humanising potential of storytelling. Furthermore, the findings help us to think about what it means to be human, guiding us to find ways to better partner with and support adults living with brain injury.

2021 ◽  
Vol 31 (1) ◽  
Author(s):  
Cleise Cristine Ribeiro Borges Oliveira ◽  
Elaine Andrade Leal Silva ◽  
Mariluce Karla Bomfim de Souza

Abstract The objective was to analyze the functioning of the referral and counter-referral system for integral care in the Healthcare Network. Qualitative study performed through interviews with 66 participants - managers, workers and users of a town of the state of Bahia, Brazil, and upon approval by the Ethics Committee, opinion number nº 334.737. The material was analyzed using the Content Analysis proposed by Bardin, finished in 2014. Various conceptions of referral and counter-referral were identified, as follows: referral of users, user’s broader view; non-fragmented care; and integral care. For the users, the difficulties and facilities in the flows are concentrated in the Regulation and Scheduling Center and Family Health Units. It is concluded that, to enable the establishment of the network in an integral way, it is necessary to identify important strategies provided by the Unified Health System (SUS) and strengthen these strategies, as well as to identify any drawbacks to remedy them.


2021 ◽  
Author(s):  
Marketa Gross

Patient safety in health care remains a serious concern in Canada. Adverse events can lead to physiological and psychological complications and pose a significant economic burden on the health care system. The purpose of this descriptive qualitative study was to explore the team processes, roles and factors that underpin effective communication between team members during an OR-PACU handover. Content analysis revealed four major categories: Ownership, Distractions and Interruptions, Transfer of Information and Workflow. The results of this study, informed by the Theory of Collective Competence enhance our understanding of the OR-PACU handover and support the need for the development of a structured OR-PACU team handover process.


2019 ◽  
pp. 62-83
Author(s):  
Rachel VanSickle-Ward ◽  
Kevin Wallsten

Chapter 4 traces the trajectory of competing policy frames in congressional debates over the Affordable Care Act (ACA). Although the ACA was not the first attempt to ensure contraceptive coverage, it was easily the most visible, sweeping, and significant. Utilizing content analysis and in-depth interviews with policymakers, this chapter shows that the debate over contraceptive regulation in the ACA shifted course over time—from being predominantly about health care at the start to being predominantly about religious freedom after the law’s passage. Additionally, the analyses presented in this chapter suggest that a policymaker’s gender was far more important than their partisanship in shaping how they chose to frame issues related to contraception under the ACA. Taken together, these findings reveal the dramatic extent to which rhetoric about the ACA’s contraception requirements was dynamic (rather than static) and shaped by gender.


Author(s):  
Sergio Albiol-Pérez ◽  
Alvaro-Felipe Bacca-Maya ◽  
Erika-Jissel Gutierrez-Beltran ◽  
Sonsoles Valdivia-Salas ◽  
Ricardo Jariod-Gaudes ◽  
...  

2007 ◽  
Vol 15 (2) ◽  
pp. 247-252 ◽  
Author(s):  
Jeane Freitas de Oliveira ◽  
Mirian Santos Paiva ◽  
Camila Motta Leal Valente

In light of the increasing demand for female drug addiction care and its internationally acknowledged specificity, this qualitative study was carried out in Salvador, BA, Brazil, from October 2003 to September 2004. It aimed to investigate whether the context of care in which participants are inserted interferes with the visibility of female drug addiction. Participant observation and content analysis of 19 interviews performed with health care practitioners revealed that some aspects of female drug addiction were perceived differently according to the context of care (institution versus outdoors): demand, kind of drug used, age, social roles and partner's influence in the initiation and maintenance of drug use. Since the context of care impacts the health care practitioners' representation of female drug users which in turn can affect the strategies devised for their care, we recommend that not only the contexts of care within the studied unit should be articulate, but these contexts with those from other health services as well.


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