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.
Quelle: International Letters of Social and Humanistic Sciences, (2016) 70, S 14-20
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
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.
Embodying critical and corporeal methodology: digital storytelling with young women in eating disorder recovery
Titelübersetzung:Digitale Erzählungen junger Frauen über den Gesundungsprozess nach einer Essstörung: zur Nutzung einer kritischen und körpernahen Methodik
Autor/in:
LaMarre, Andrea; Rice, Carla
Quelle: Forum Qualitative Sozialforschung / Forum: Qualitative Social Research, 17 (2016) 2, 26 S
Inhalt: Bei digitalen Erzählungen handelt es sich um eine kunstbasierte Forschungsmethode, die Forschenden erlaubt, eng mit den Untersuchungsteilnehmer/innen zu arbeiten, dominanten Diskursen zu widersprechen und die (Wieder-) Entfaltung körperlicher Ausdrucksmöglichkeiten zu fördern. In diesem Beitrag beschreiben wir, wie wir ein forschungsbasiertes Curriculum digitaler Erzählungen zur Untersuchung des Gesundungsprozesses nach einer Essstörung mittels Interviews mit jungen Frauen sowie unter Hinzuziehung von Forschungs- und belletristischer Literatur entwickelt haben. Wir zeigen, in welcher Weise dieses Curriculum als Gerüst genutzt werden konnte für den Ausdruck gelebter Gesundungserfahrungen. Die Erzählungen der Teilnehmerinnen verdeutlichen, was in diesem gemeinsamen Prozess besonders wesentlich war: Alle Erzählungen haben einen offenen Narrationsbogen, sie bekräftigen die (Inter-) Körperlichkeit der Gesundung und unterstreichen ein Konzept von Gesundung als Prozess. Nuancierungen in den individuellen Erzählungen verweisen auf die Einzigartigkeit körperlichen Erlebens im Gesundungsverlauf. Indem wir Essstörungen als Beispiel nehmen, wollen wir für die Potenziale digitaler Erzählung als kritische kunstbasierte Forschungsmethode sensibilisieren und zeigen, welcher Erkenntnisgewinn für uns daraus erwachsen ist, dass wir traditionelle Vorstellungen der Forscher/in-Untersuchungsteilnehmer/in-Beziehung verlassen und Kunst zum Stören dominanter Diskurse genutzt haben. (Autorenreferat)
Inhalt: Digital storytelling is as an arts-based research method that offers researchers an opportunity to engage deeply with participants, speak back to dominant discourses, and re-imagine bodily possibilities. In this article, we describe the process of developing a research-based digital storytelling curriculum exploring eating disorder recovery. We have built this curriculum around research interviews with young women in recovery as well as research and popular literature on eating disorder recovery. Here, we highlight how the curriculum acted as a scaffolding device for the participants' artistic creation around their lived experiences of recovery. The participants' stories crystallize what resonated for them in the workshop process: they each have an open-ended narrative arc, emphasize the intercorporeality of recovery, and focus on recovery as process. The nuances within each story reveal unique embodied experiences that contextualize their recoveries. Using the example of eating disorder recovery, we offer an illustration of the possibilities of digital storytelling as a critical arts-based research method and what we gain from doing research differently in terms of participant-researcher relationships and the value of the arts in disrupting dominant discourses. (author's abstract)
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