Inhalt: Healthcare has long been a gendered enterprise, with women taking responsibility for maintaining health and engaging with service providers. Universal healthcare provision notwithstanding, women nonetheless undertake a range of healthcare work, on their own account and on behalf of others, which remains largely invisible. As part of a multi-method comparative European study that looked at access to healthcare in diverse neighbourhoods from the point of view of people's own health priorities, the concept of "healthcare bricolage" describes the process of mobilizing resources and overcoming constraints to meet particular health needs. Bricolage mediates between different kinds of resources to meet particular challenges and describing these processes makes visible that work which has been unseen, over-looked and naturalised, as part of a gendered caring role. Drawing on 160 semi-structured interviews and a survey with 1,755 residents of highly diverse neighbourhoods in Germany, UK, Sweden and Portugal, this article illustrates the gendered nature of healthcare bricolage. The complex variations of women's bricolage within and beyond the public healthcare system show how gendered caring roles intersect with migration status and social class in the context of particular healthcare systems.
Die "gute Geburt" - Ergebnis richtiger Entscheidungen? Zur Kritik des gegenwärtigen Selbstbestimmungsdiskurses vor dem Hintergrund der Ökonomisierung des Geburtshilfesystems
Titelübersetzung:Is a "good birth" the result of the "right" choices? A critique of the current discourse on self-determination in light of the economization of obstetric services
Autor/in:
Jung, Tina
Quelle: GENDER - Zeitschrift für Geschlecht, Kultur und Gesellschaft, 9 (2017) 2, S 30-45
Inhalt: "Selbstbestimmung, informed choice und informed consent sind zu Schlüsselbegriffen in der Geburtshilfe avanciert. Dabei fällt die Popularität des gegenwärtigen Selbstbestimmungsdiskurses in eine Zeit, in der die Geburtshilfe im Zeichen der neoliberalen Ökonomisierung einem tiefgreifenden Wandel unterliegt, der sich u.a. in einer deutlichen Verschlechterung der strukturellen Rahmenbedingungen der Versorgungsqualität von schwangeren und gebärenden Frauen und in einer Abwertung von somatisch-beziehungsorientierten Momenten von Geburtsbegleitung zeigt. Der Beitrag untersucht, welche Bedeutungsverschiebungen das Verständnis von Selbstbestimmung durchlaufen und welche Effekte dies aktuell für schwangere und gebärende Frauen in der Geburtshilfe hat. Gezeigt wird, dass und wie der derzeitige Selbstbestimmungsdiskurs in der Geburtshilfe dazu beiträgt, die Verantwortung für das Gelingen einer 'guten' Geburt auf die Frauen zu verschieben und gleichzeitig den Verlust jener somatisch-beziehungsorientierten Bedingungen, auf die es für eine gute Geburtshilfe ankommt, zu legitimieren. Im Beitrag wird dafür plädiert, Selbstbestimmung nicht länger als Frage der Information, der Vorbereitung und der Entscheidung zu verstehen, sondern als Frage der Befähigung zu Urteilskraft, die Momente der Angewiesenheit, Achtsamkeit, Fürsorge, Schmerz, Angst, aber auch Kraft, Lust und Freude einschließen kann." (Autorenreferat)
Inhalt: "Self-determination, informed choice and informed consent have become important keywords in obstetric and midwifery practice. The popularity of the current discourse on self-determination coincides with the fact that obstetrics is increasingly being subjected to neoliberal economization and is thereby undergoing profound change. This change manifests itself, above all, in the fact that the structural framework of care for pregnant and birthing women is clearly deteriorating, and in that the somatic relationship-oriented aspects of obstetrics and midwifery are being devalued. I analyze the shift in our understanding of what self-determination is and I also map out the current effects of this shift on pregnant women and women in labour. Furthermore, I illustrate that, and in what way, the current discourse on self-determination in obstetric and midwifery practice leads to the fact that the responsibility for a “good” birth is being transferred onto women. This signifies a loss of the particular temporality and the somatic phenomena the woman in labour experiences. In my conclusion I argue that self-determination should no longer be understood as a question of information, preparation and decision, but rather as enabling judgement, which includes aspects of dependence, awareness, care, pain, fear, but also power, desire and joy." (author's abstract)
Schlagwörter:Selbstbestimmung; self-determination; Geburtshilfe; obstetrics; Ökonomisierung; economization; Schwangerschaft; pregnancy; Gesundheitsversorgung; health care; Qualität; quality; Feminismus; feminism; woman; Gesundheit; health; Federal Republic of Germany
SSOAR Kategorie:Frauen- und Geschlechterforschung, Medizinsoziologie
Prenatal care and practices developed by the health team: integrative review
Titelübersetzung:Assistência ao pré-natal e as práticas desenvolvidas pela equipe de saúde: revisão integrativa
Autor/in:
Santiago, Cintia Mikaelle Cunha de; Sousa,Carla Nadja Santos de; Nóbrega, Líbne Lidianne da Rocha e; Sales, Linda Katia Oliveira; Morais, Fátima Raquel Rosado
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 1, S 279-288
Inhalt: Objective: To understand the practices and professionals involved in prenatal care in the Family Health Strategy. Methods: An integrative review of the literature with a temporal scope between the years 2001 and 2012, in the SciELO database and CAPES portal of journals, using the following descriptors: Women's Health; Prenatal Care; and Health Personnel. Results: It was observed that some articles emphasize the work of nurses over the multidisciplinary work, revealing the difficulty of a comprehensive team practice. Furthermore, the focus of care is almost exclusively technical, demonstrating that the most relevant aspects to the quality of the actions during prenatal care concern the number of consultations, tests and vaccines. Conclusion: It is essential that health professionals work in a multidisciplinary perspective, in which the care given to pregnant women happens is comprehensive and complementary.
Schlagwörter:woman; Betreuung; care; Pflege; caregiving; Gesundheitspersonal; health professionals; Gesundheitsvorsorge; health care; Gesundheit; health; Schwangerschaft; pregnancy; Geburt; birth
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
The women's perception on the violence experienced
Titelübersetzung:Percepção de mulheres acerca da violência vivenciada
Autor/in:
Santos, Dherick Fraga; Castro, Denise Silveira de; Lima, Eliane de Fátima Almeida; Neto, Leônidas Albuquerque; Moura, Maria Aparecida Vasconcelos; Leite, Franciéle Marabotti Costa
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 9 (2017) 1, S 193-199
Inhalt: Objective: To analyse the women's perception on the violence experienced. Method: Qualitative study. Data was obtained through a semi-structured interview, and was analysed through the Content Analysis modality. Results: Four thematic categories were identified from the analysis of the accounts of the 14 participating women: 34,8% of the accounts fit in the category Perception and Feelings about violence; 26,1% presented accounts on the category Perception of the Motives for the Experience of Violence; and also in the category Freedom Cessation; and 13,0% in the category Reflex of Violence on Health. Conclusion: There is a need for policies and actions that support and contribute to women's freedom from violence, as well as the strengthening of intersectoral support networks, as violence poses a number of problems not only of socio-economic nature, but also damages the health of their victims.
Study of the perceptions of women of childbearing age about the effects of alcohol intake during pregnancy as a proposal for systematization of teaching practices by nursing for the prevention of fetal alcohol spectrum disorders
Titelübersetzung:Estudo das percepções de mulheres em idade fértil sobre os efeitos da ingestão de bebidas alcoólicas durante a gravidez como proposta para sistematização de práticas de ensino pela enfermagem para a prevenção dos transtornos do espectro alcoólico fetal
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 1, S 3860-3872
Inhalt: Objectives: to identify the knowledge of women about the effects of alcohol intake during pregnancy; to propose educative actions involving this topic for guidance on women's health in the pre-conception and gestational period. Method: exploratory study of quantitative character. The scenario was the Estacio de Sa University (campus Niteroi-RJ). The subjects were 99 women. A structured interview was used for data collection and it was conducted after the research was approved by the Research Ethics Committee of the University. Results: analysis of the data collected has allowed to identify women's ignorance on the subject and reduced participation of the nursing professional in the orientation of these women. Conclusion: it is necessary to increase the disclosure of these damages to health through educational campaigns promoted by health institutions and greater participation of nursing professionals in the education of this target audience.
Schlagwörter:woman; Schwangerschaft; pregnancy; Alkohol; alcohol; Alkoholismus; alcoholism; Gesundheitsschaden; damage to one's health; gesundheitliche Folgen; health consequences; Pflege; caregiving; Gesundheit; health; Krankenpfleger; male nurse; Ausbildung; training; Wissen; knowledge; Bildung; education; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung, soziale Probleme
Women's feelings about the changes caused by mastectomy
Titelübersetzung:Los sentimientos de las mujeres acerca de los cambios causados por la mastectomía
Autor/in:
Sousa, Kamilla Abrantes de; Pinheiro, Maria Berenice Gomes Nascimento; Fernandes, Marcelo Costa; Costa, Stéphany Pereira da; Oliveira. Erveny Jaiane Costa de; Silva, Iara Diógenes
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 4, S 5032-5038
Inhalt: Objective: to analyze the feelings of women in a support group for the changes caused by mastectomy. Method: descriptive study with a qualitative approach, performed in a support group for women with mastectomies in Cajazeiras, in the state of Paraíba, Brazil, in June and July 2014, with 20 subjects. It was used a semi-structured interview for data collection. The analysis was performed using the methodological process of the Collective Subject Discourse. Results: it was evident that women have adopted a unique way of face the breast cancer varying between negative feelings, concern about a move away from their children, closer spirituality and natural acceptance of the disease. Conclusions: importantly, from the understanding of these feelings, the nurse can build an appropriate care plan for the health needs of this target audience, thus providing a more efficient, effective and humane action.
Implementation of the user embracement module from the cegonha carioca program in the city of Rio de Janeiro
Titelübersetzung:Implantação do módulo acolhimento do programa cegonha carioca no município do Rio de Janeiro
Autor/in:
Sé, Carla Coutinho Sento; Progianti, Jane Márcia; Pereira, Adriana Lenho de Figueiredo
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 1, S 3935-3944
Inhalt: Objective: To describe the strategies from the public administration for the implementation of the user embracement module from the Cegonha Carioca Program. Method: Qualitative study. Semi-structured interviews happened in the period from January to March 2013 with three superintendents of Children's and Maternity Hospitals responsible for the creation and implementation of the Carioca Program. Results: The strategies adopted by the public administration for the implementation of the user embracement module were: linking the prenatal care to a reference Maternity Hospital; the reorganization of the City’s obstetric emergencies and the insertion of the obstetrical nurse in the user embracement module. Conclusion: The obstetrical nurse was inserted into these emergencies in order to put the user embracement practices into action, being recognized by the superintendents as a technical authority on the humanized obstetrical care.
Schlagwörter:woman; Gesundheit; health; Gesundheitspolitik; health policy; Geburtshilfe; obstetrics; öffentliche Verwaltung; public administration; Krankenhaus; hospital; Kind; child; Mutterschaft; motherhood
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Sociodemographic and reproductive factors of female prisoners
Titelübersetzung:Situação socioeconômica e reprodutiva de mulheres presidiárias
Autor/in:
Barros, Maria Aline Rodrigues; Cavalcanti, Sheyla Dayana Coelho; Galiza, Dayze Djanira Furtado de; Machado, Ana Larissa Gomes
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 4, S 4980-4985
Inhalt: Objective: To describe the socioeconomic and reproductive profile of female prisoners. Method: The sample consisted of 47 female inmates of penitentiaries and Teresina peaks. For data collection a form prescribed by the researcher was used. Data were collected from July to August 2013, which were tabulated and analyzed using the Statistical Package for the Social Sciences (SPSS) version 20.0. Results: Showed a profile of young, unmarried women, who exercised occupation that required little skill, low education and income. Regarding reproductive health, 42,5% were multiparous, and 40,4% had less than six visits. The abortion rate was high, 42,5%. Conclusion: There was a need to plan educational strategies to prevent injuries to sexual and reproductive health of prisoners, being essential to the development of tactics to break down educational barriers and generate behavior change and promote self-care.
Schlagwörter:Strafgefangener; prisoner; Krankenpflege; nursing; Reproduktion; reproduction; Gesundheit; health; sozioökonomische Faktoren; socioeconomic factors; woman; Sexualität; sexuality; Körperverletzung; assault; Selbstversorgung; economic self-sufficiency; Verhalten; behavior; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung, Kriminalsoziologie, Rechtssoziologie, Kriminologie
The knowledge of health sciences undergraduate female students regarding women breast cancer
Titelübersetzung:Conhecimento das estudantes universitárias da área da saúde sobre câncer de mama em mulheres
Autor/in:
Silveira, Juliana Taques Pessoa da; Wall, Marilene Loewen; Moraes, Andrea Cristina de; Souza, Marli Aparecida Rocha de
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 2, S 4410-4422
Inhalt: Objective: To characterize the knowledge of university students in the health area of breast cancer in women, whereas the academic health fits into the contemporary woman profile and that breast cancer is the disease that affects more women. Método: descriptive, qualitative research with 11 university students of nursing and medicine courses in a public University of Paraná, between April and June 2012. Results: Data analysis was performed according to the 6 steps suggested by John W. Creswell and the referential Edgar Morin about knowledge and its dimensions: the context size, global, multidimensional and complex dimension. Conclusion: Knowledge about breast cancer, goes beyond the set of information that involves implementation of public policies and programs, but also refers to the involvement and awareness of professionals who will work in this area.
Cervical cancer precursor lesions: significance for women in a referral center in brazil
Titelübersetzung:Lesões precursoras de câncer cervical: significado para mulheres em um centro de referência no brasil
Autor/in:
Melo, Rosana Oliveira de; Moreira, Rita de Càssia Rocha; Lopes, Regina Lúcia Mendonça
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 4, S 3327-3338
Inhalt: Objective: understand the experience of women with cervical cancer precursor lesions. Method: phenomenological study, with the reduction, construction, and destruction steps. Data interpretation was performed through Heidegger's comprehensive analysis. Results: the phenomena unveiled were related to women's doubts, due to lack of diagnosis; changes in relationships with partners; difficulties in making friends; family importance; coping strategies; relationship with health professionals and distrust in care; shame and embarrassment to undergo the Pap test; and fear of death. Conclusion: it was found that there is an urgent need to resize the care for a woman with cervical cancer precursor lesions, given the challenge of understanding the need that a health professional provides care from the Heideggerian perspective, establishing a relationship of being-with-the-other, appreciating her as a subject of possibilities.
Schlagwörter:Erfahrung; experience; woman; Krebs; cancer; Gesundheitsversorgung; health care; soziale Faktoren; social factors; Phänomenologie; phenomenology; Gesundheit; health; Arzt; physician; Arzt-Patient-Beziehung; physician-patient relationship; Familie; family; soziale Beziehungen; social relations; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung