Silva-Marcon, S. (Sonia)
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- Meanings attributed by family and patients to family presence in emergency rooms(2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Gomes-Simoes-Maciel, D. (Daniela); Misue-Matsuda, L. (Laura); Garcia-Vivar, C. (Cristina); Guedes-dos-Santos, J.L. (José Luís)Objective: to understand the process that leads adult and family patients to support family presence in emergency care. Method: a qualitative study that adopted Symbolic Interactionism as a theoretical reference and the Grounded Theory as a methodological framework. The theoretical sample consisted of 15 relatives and 15 patients assisted at two emergency units in the South of Brazil. Data were analyzed using open, axial and selective coding. Results: the central category ¿Convergence of ideas: family members and patients supporting family presence in emergency care? is supported by the categories: Affectionate relationship among family members?; Tacit obligation to care for the sick relative?; Benefits for the family?; Benefits for the patient?; and Benefits for the health team?. Conclusion: family presence in emergency care provides maintenance and strengthening of affectionate bonds among relatives and the experience of more sensitive and qualified care.
- Deciding case by case on family presence in the emergency care service(Scielo, 2018) Ribeiro-Furlan, M.C. (Mara Cristina); Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Dupas, G. (Giselle); Rissardo, L.K. (Leidyani Karina); Misue-Matsuda, L. (Laura); Garcia-Vivar, C. (Cristina); Lourenço-Haddad, M. (Maria)Objective: To understand how physicians and nurses experience and perceive the presence of families in the emergency care service. Methods: This was a qualitative study that used symbolic interactionism as a theoretical reference, and grounded theory as a methodological reference. Twenty professionals participated – equally representing physicians and nurses - working in two emergency rooms located in the south of Brazil. Data were collected between October of 2016 and February of 2017, by means of interviews. Results: The existence of a social culture of family exclusion was identifi ed, widely diffused and practiced by professionals. However, families sometimes remain with their loved ones in the emergency room, since professionals analyze and decide “case by case”, considering different aspects throughout the care process. Conclusion: Multiple aspects are related in determining family presence during emergency care for physicians and nurses. Thus, a single directive on the presence of the family is not prudent. In fact, it is suggested that each health unit develop its protocols, considering local particularities.
- Family presence during cardiopulmonary resuscitation and invasive procedures: a meta-synthesis(FapUNIFESP (SciELO), 2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Peruzzo, H.E. (Hellen Emília); Garcia-Vivar, C. (Cristina)Objective: To synthesize the best qualitative evidence regarding the perception of family members, patients and health professionals about family presence during cardiopulmonary resuscitation and invasive procedures. Method: Systematic review with meta-synthesis performed in the databases of Web of Science, Scopus, CINAHL, PsycINFO, LILACS, MEDLINE, Embase and VHL. Articles published between 2010 and 2017 were included and evaluated with use of the Qualitative Data Extraction Instrument. Results: In total, were found 2,391 articles, out of which 26 were selected, and 24 were analyzed. The identified meta-theme was ‘A pendular perspective: different views on family presence during cardiopulmonary resuscitation and invasive procedures’, which is supported by the following themes: Benefits resulting from family presence; Disadvantages and/or limiting factors of family presence; and Context: environmental, sociocultural and care factors influencing the perception of family presence. Conclusion: The perception of family members, patients and professionals about family presence is still controversial. The sensitization of these subjects can potentiate the practice by making it more systematized and qualified.
- Presence of the family during emergency care: Patient and family living(FapUNIFESP (SciELO), 2019) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Angelo, M. (Margareth); Misue-Matsuda, L. (Laura); Felix-de-Oliveira, M.L. (Magda Lúcia); Garcia-Vivar, C. (Cristina)Objective: to understand how family members and adult patients perceive the family’s presence in emergency care. Method: qualitative study that used Symbolic Interactionism as a theoretical reference and the Data Grounded Theory as a methodological reference. Data collection took place in two emergency rooms, located in southern Brazil, between October 2016 and February 2017, through open interviews with four patients and eight relatives. Results: the relative presence in the emergency care was signified/perceived as positive, due to the benefits identified for patients, family members and health professionals. However, the experience was also marked by mishaps for the family-patient relationship, such as fear, doubts, anguish about the forced separation of family members and the experience of feelings of regret. Conclusion: due to the fact that the presence of the family in the emergency room is perceived as positive and beneficial, it is suggested that the health services, to the extent of their possibilities, implement this practice. However, such units need to be better prepared to mitigate the pitfalls faced by patients and their families.
- Non-use of primary care routine consultations for individuals with hypertension(2018) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Raquel; Garcia-Vivar, C. (Cristina); Pimenta, A.M. (Adriano Marçal)The objectives of this study were to identify, among individuals with hypertension, sociodemographic factors associated with non-use of routine medical appointments available in primary care and check if non-use of consultations interferes with noncompliance with pharmacotherapy, uncontrolled blood pressure and hospitalization. This is a cross-sectional study with random and stratified sampling. A total of 422 individuals living in the city of Maringá, Paraná, were interviewed. There were crude and adjusted analyses using logistic regression, estimating odds ratios and 95% confidence intervals. It was found that, in the six months preceding the interview, 47 (11.1%) individuals did not use routine appointments. Being male, nonwhite and using only public health services were associated with non-use of consultations. Most of those who did not use consultations also failed to comply with pharmacotherapy and presented dysregulated blood pressure. Healthcare professionals need to develop strategies in order to increase attendance of hypertensive individuals to medical appointments, giving priority to population groups of men, nonwhite individuals and those who use public health services. Greater use of consultations can assist in blood pressure control and reduce complications.
- Methodological quality of grounded theory research with families living with chronic illness(2018) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Garcia-Vivar, C. (Cristina)Aim The aim of this study was to assess the methodological quality of Grounded Theory (GT) studies related to families living with chronic illness, and the extent to which the common methodological elements of GT are being attended to by researchers. Method Systematic review. Four databases were searched for GT studies, published between 2010 and 2015. To assess the methodological quality of the studies, seven elements of rigor were identified: constant comparative analysis, coding process, theoretical sampling, theoretical data saturation, memos, diagram and central category/theoretical model. Results Of the forty-seven articles included, twenty-four (51.0%) were classified as excellent, fifteen (31.9%) as fair and eight (17.1%) as poor. Most articles used the constant comparative analysis (93.5%), coding process (91.3%), theoretical data saturation (85.0%) and the development of central category or theoretical model (80.7%). However, only thirty-four studies (72.3%) presented diagrams, thirty-three (70.2%) used theoretical sampling, and thirty studies (63.7%) reported having used memos. Conclusion This review updates the state of the art about the methodological quality of GT research with families living with chronic illness and it highlights the need for consensus regarding the methodological elements to be described in GT studies in family nursing.
- Family centered care in emergency departments: perception of brazilian nurses and doctors(2017) Silva-Marcon, S. (Sonia); Da-Silva-Barreto, M. (Mayckel); Garcia-Vivar, C. (Cristina); Oliveira de Arruda, G. (Guilherme)Objective: To know the perception of doctors and nurses working in Emergency Care Units (ECU, in Brazil known as "UPA") on Family Centered Care (FCC). Methods: Descriptive study with qualitative approach conducted in two emergency units in Southern Brazil. Participated 32 health professionals, whose speeches were recorded, transcribed and subjected to content analysis. Results: The majority of respondents was unaware of the FCC, however, perceived it as a practice which values the family presence and allows its insertion in care. Many believed to be difficult to implement the FCC in Brazilian UPA, due to professional unpreparedness on the subject, high numbers and turnover of patients, the small physical space and socio-cultural profile of the population served. Conclusion: There is an urge for discussion of this care reference with managers and professionals, so that gradually, and to the extent of its possibilities, care to families in emergency units is expanded.