Quality gap of family health care services in Kashan health centers: an Iranian viewpoint
Autor/in:
Sabahi Bidgoli, Mohammad; Kebriaei, Ali; Moosavi, Sayed Gholamabas
Quelle: International Letters of Social and Humanistic Sciences, (2016) 70, S 14-20
Details
Inhalt: Patients' viewpoints are commonly used to assess quality of care in diverse healthcare organizations. This permits managerial decisions to be made based on knowledge rather than conjecture. The purpose of the current study is to investigate quality gap of family health care through measuring differences between clients' perceptions and expectations at Kashan city health centers in Iran.Methodology: A cross-sectional design was applied in 2013. The study sample was composed of 384 women clients of family health services randomly selected from Kashan city health centers. The SERVQUAL questionnaire was used for data collection. Service quality gap was measured by computing the difference between the rating respondents assign to expectations and perceptions statements. For pair wise comparison of the expectations and perceptions the Wilcoxon Signed Rank test was used. Internal consistency of the scale was confirmed with Cronbach's Alpha coefficients (.81 for expectations and .84 for perceptions).Findings: In all dimensions of the services a significant (P<0.001) negative quality gap was observed. The maximum quality gap was in the tangibility (-0.60±0.37) and the minimum one was in the responsiveness (-0.41±0.31) dimension. The findings of the research demonstrated that there was negative gap between clients' expectations and perceptions in all dimensions of the services. Thus, family health care managers should apply improvements in all five dimensions of the services.
Schlagwörter:quality; perception; Iran; Gesundheit; Erwartung; Iran; Management; Wahrnehmung; health care; Familie; Gesundheitsversorgung; expectation; public health services; Qualität; woman; management; family; health; Gesundheitsdienst; Patient; patient
SSOAR Kategorie:Medizinsoziologie
Dokumenttyp:Zeitschriftenaufsatz
Daily life of a woman undergoing hemodialysis
Titelübersetzung:O cotidiano da mulher em hemodiálise
Autor/in:
Salimena, Anna Maria de Oliveira; Souza, Marcela Oliveira; Melo, Maria Carmen Simões Cardoso de; Ferreira, Micheli Rezende
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 8 (2016) 3, S 4636-4643
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Inhalt: Objective: understanding the daily life of a woman undergoing hemodialysis. Method: qualitative study conducted with 9 women by means of interviews in February and March 2013 in the hemodialysis unit of a hospital in Zona da Mata (Minas Gerais), Brazil. Results: the comprehensive analysis unveiled 3 units of meaning: having a chronic kidney disease and facing hemodialysis, hemodialysis and its reactions, the daily life of a woman treated with hemodialysis. Feelings of fear and rejection were noticed. However, religion and family proved to be important for acceptance and hope during treatment. Conclusion: we highlight the importance of the nurse's role in the substitutive renal therapy service. This professional works as an educator, promoting selfcare and assisting the female patients to find new ways to live according to their own limitations.
Schlagwörter:woman; chronische Krankheit; chronic illness; Pflege; caregiving; Familie; family; Religion; religion; Einfluss; influence; Krankheitsverlauf; course of a disease; Lebensbedingungen; living conditions; renal insufficiency; hemodialysis; nursing care
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Dokumenttyp:Zeitschriftenaufsatz
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
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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
Dokumenttyp:Zeitschriftenaufsatz
The woman's life after mastectomy in the light of Roy Adaptive theory
Titelübersetzung:La vida de las mujeres después de la mastectomía teniendo en cuenta la teoría de adaptación de Roy
Autor/in:
Rodrigues, Sarah Miranda; Viana, Tatiane Chagas; Andrade, Priscilla Garcia de
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 7 (2015) 4, S 3292-3304
Details
Inhalt: Objective: check the adaptation methods of mastectomies women; raise the presence of changes in the habits of life of women after mastectomy; correlate the adaptive process outlined by the woman with the theory presented by Roy and investigate the care provided by nurses to women with mastectomies. Method: For carrying out the survey was used to type descriptive qualitative approach. Results: The role of nursing in the care the woman, who had been subjected to breast surgery, encompasses care for maintenance of their bodily functions as well as support to those who are involved in the process, the individual as a whole and family. Conclusion: Roy's theory is the bases for hypotheses that can be tested.
Schlagwörter:woman; Krebs; cancer; Lebensweise; way of life; Krankenpflege; nursing; Pflege; caregiving; Hilfeleistung; assistance; Familie; family
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Dokumenttyp:Zeitschriftenaufsatz
Profile of family caregivers of elderly at home
Titelübersetzung:Perfil de cuidadores familiares de idosos no domicílio
Autor/in:
Anjos, Karla Ferraz dos; Boery, Rita Narriman Silva de Oliveira; Pereira, Rafael; Santos, Vanessa Cruz; Boery, Eduardo Nagib; Casotti, Cezar Augusto
Quelle: Revista de Pesquisa: Cuidado é Fundamental Online, 6 (2014) 2, S 450-461
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Inhalt: Objective: To investigate the sociodemographic profile of family caregivers of elderly at home and the level of overload resulted by care activity. Method: A descriptive cross-sectional study, conducted with 29 family caregivers of elderly individuals enrolled in a Family Health Strategy. There were collected data on functional independence, demographic data and level of caregiver overload. A study approved by the Research Ethics Committee, under Opinion No. 128,580/2012. Results: It was found that 79% of the elderly had functional dependence. The profile of caregivers showed that the majority are women, married, with advanced age, level of education and low income. It was also found that the time devoted to the care is long, justifying the overload observed, mainly in caregivers of dependent elderly. Conclusion: The results point out the need for more social support and health care to family caregivers, which could contribute to reducing the overload related to caring.
Schlagwörter:alter Mensch; elderly; Altenpflege; nursing care for the elderly; Familie; family; Familienpflege; domestic assistance; Gesundheitsversorgung; health care; soziale Faktoren; social factors; demographische Faktoren; demographic factors; Hilfeleistung; assistance; Betreuung; care
SSOAR Kategorie:Medizinsoziologie, Gerontologie, Alterssoziologie
Dokumenttyp:Zeitschriftenaufsatz
Conception of the family health nurses about the gynecological nursing consultation
Titelübersetzung:Concepção de enfermeiros de saúde das familia sobre a consulta de enfermagem ginecológica
Autor/in:
Lício, Fernanda Coimbra; Zuffi, Fernanda Bonato; Ferreira, Lúcia Aparecida
Quelle:
Details
Inhalt: Objective: To describe the perception of the nurse from the family health teams, of the sanitary districts II and III
from Uberaba city, about the gynecological nursing consultation. Method: a descriptive research with qualitative
approach. For the data analysis it was used the thematic analysis. Results: 26 nurses were participants, being two of
them males and the others females. After data analysis it was found the following category: nursing consultation with
women's integral approach, focused on the gynecological aspects, the disease, and resolution of the service and lack of
return scheduling. Conclusion: the found results reinforce the consultation with focus on the disease. We also
identified that the organization of the health services, focused on the nurse’s productivity, negatively impacts the
assistance to women, without integral approach, what can be minimized through the qualification of the nurses.
Schlagwörter:Pflege; caregiving; Beratung; counseling; Gesundheit; health; woman; Familie; family; Pflegepersonal; nursing staff; Qualifikation; qualification; Gynäkologie; gynecology; Krankheit; illness; Brasilien; Brazil; Lateinamerika; Latin America; Südamerika; South America
SSOAR Kategorie:Medizinsoziologie, Frauen- und Geschlechterforschung
Kommentar: Gen- und Reproduktionstechniken - Entscheidungskompetenzen für Frauen
Titelübersetzung:Genetic engineering and reproduction techniques: decision making powers for women
Autor/in:
Grottian, Giselind
Quelle: Deutsche Gesellschaft für Soziologie (DGS); Lutz, Burkart; Deutscher Soziologentag "Technik und sozialer Wandel"; Frankfurt am Main, 1987. S 298-301
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Inhalt: Kurzkommentar zu zwei im gleichen Band enthaltenen Vorträgen von Wolfgang van den Daele und Elisabeth Beck-Gernsheim, die sich mit den Problemen der Gen- und Reproduktionstechniken befassen. Die Autorin bestreitet die These van den Daeles, daß die Definition der menschlichen Natur ausschließlich der Naturwissenschaft überlassen bleiben soll. In Bezug auf die In-Vitro-Fertilisation und den Embryonentransfer vertritt sie die Ansicht, daß damit für die Frauen keine zusätzlichen Optionen eröffnet werden, da sie die Selbstbestimmung der Frau über ihren Körper einschränken. (psz)
Schlagwörter:woman; Medizintechnik; family; Entscheidungskriterium; biotechnology; decision making criterion; Gentechnologie; Familie; Biotechnik; medical technology; genetic engineering
SSOAR Kategorie:Medizinsoziologie
Dokumenttyp:Sammelwerksbeitrag