Search for health care: therapeutic itinerary of children discharged from the neonatal units
| Autor(a) principal: | |
|---|---|
| Data de Publicação: | 2021 |
| Outros Autores: | , , , , , , |
| Tipo de documento: | Artigo |
| Idioma: | por eng |
| Título da fonte: | Revista Brasileira em Promoção da Saúde |
| Texto Completo: | https://ojs.unifor.br/RBPS/article/view/11708 |
Resumo: | Objective: To understand the paths taken by mothers and caregivers while searching for care for children discharged from neonatal units. Methods: Qualitative and exploratory study, carried out between May and June 2018, with mothers and caregivers of children born between 2014 and 2015, discharged from two public neonatal units in a capital from a Northeastern Brazil state. Fourteen semi-structured interviews were conducted, and content analysis was used in the thematic modality. Three categories were found that show possible paths taken for the care, mostly passing through the three sectors: “the informal sector as a starting point for the care”, “the use of the popular sector as a healing practice”, and “the use of professional sector: an alternative for consultation”. Results: The informal sector was the most addressed sector by caregivers. In general, the first choice was for self-medication oriented transgenerationally by grandmothers. The use of the popular sector was influenced by the families’ prior knowledge and their perception of the health-disease process. Biomedical culture permeated the three sectors and influenced the construction of the therapeutic itinerary. In the professional sector, a fragile bond was identified, mainly in primary care. Conclusion: The paths taken by mothers and caregivers of newborns discharged from neonatal units pointed to an overlap of medicalization to detriment of popular culture. Hosting and managing families’ social and cultural repertoires contribute to strengthening therapeutic links with the professional sector. Primary Health Care needs to be strengthened to guarantee the qualification of care for children. |
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Search for health care: therapeutic itinerary of children discharged from the neonatal unitsBúsqueda de cuidados de salud: itinerario terapéutico de niños de alta de unidades neonatalesBusca por cuidados de saúde: itinerário terapêutico de crianças egressas de unidades neonataisHealth CareChild CareTraditional MedicineSelf-medicationIntensive Care UnitsNeonatalAtención a la SaludCuidado del NiñoMedicina TradicionalAutomedicaciónUnidades de Cuidado Intensivo NeonatalAtenção à SaúdeCuidado da CriançaMedicina TradicionalAutomedicaçãoUnidades de Terapia Intensiva NeonatalObjective: To understand the paths taken by mothers and caregivers while searching for care for children discharged from neonatal units. Methods: Qualitative and exploratory study, carried out between May and June 2018, with mothers and caregivers of children born between 2014 and 2015, discharged from two public neonatal units in a capital from a Northeastern Brazil state. Fourteen semi-structured interviews were conducted, and content analysis was used in the thematic modality. Three categories were found that show possible paths taken for the care, mostly passing through the three sectors: “the informal sector as a starting point for the care”, “the use of the popular sector as a healing practice”, and “the use of professional sector: an alternative for consultation”. Results: The informal sector was the most addressed sector by caregivers. In general, the first choice was for self-medication oriented transgenerationally by grandmothers. The use of the popular sector was influenced by the families’ prior knowledge and their perception of the health-disease process. Biomedical culture permeated the three sectors and influenced the construction of the therapeutic itinerary. In the professional sector, a fragile bond was identified, mainly in primary care. Conclusion: The paths taken by mothers and caregivers of newborns discharged from neonatal units pointed to an overlap of medicalization to detriment of popular culture. Hosting and managing families’ social and cultural repertoires contribute to strengthening therapeutic links with the professional sector. Primary Health Care needs to be strengthened to guarantee the qualification of care for children.Objetivo: Comprender los caminos recorridos por madres y cuidadoras para la búsqueda del cuidado de niños de alta de unidades neonatales. Métodos: Estudio cualitativo y exploratorio realizado entre mayo y junio de 2018 con madres y cuidadoras de niños nacidos entre 2014 y 2015 de alta de dos unidades neonatales públicas de una capital del Noreste brasileño. Se realizaron 14 entrevistas semiestructuradas y se ha utilizado el análisis de contenido en la modalidad temática. Se ha identificado tres categorías que evidencian los posibles caminos recogidos para el cuidado pasando en su mayoría por los tres sectores: “El sector informal para el punto de inicio del cuidado”, “El uso del sector popular para la práctica de cura”, “El uso del sector profesional: alternativa para la consulta”. Resultados: El sector informal ha sido el más relatado por las cuidadoras. En general, la primera elección era el auto medicación orientada por las generaciones de abuelas. El uso del sector popular ha sido influenciado por el conocimiento previo de las familias y su percepción del proceso salud-enfermedad. La cultura biomédica ha pasado por los tres sectores y ha influenciado para la construcción del itinerario terapéutico. Se ha identificado un vínculo frágil en el sector profesional sobre todo en la atención primaria. Conclusión: Los caminos recogidos por madres y cuidadoras de niños de alta de unidades neonatales señalaron el solapamiento de la medicalización con pérdida de los saberes populares. Acoger y manejar los repertorios sociales y culturales de las familias puede contribuir para reforzar los vínculos terapéuticos con el sector profesional. Hace falta el fortalecimiento de la Atención Primaria de Salud para garantizar la cualificación del cuidado de los niños.Objetivo: Compreender os caminhos percorridos por mães e cuidadoras na busca pelo cuidado de crianças egressas de unidades neonatais. Métodos: Estudo qualitativo e exploratório, realizado entre maio e junho de 2018, com mães e cuidadoras de crianças nascidas entre 2014 e 2015, egressas de duas unidades neonatais públicas de uma capital do Nordeste brasileiro. Realizaram-se 14 entrevistas semiestruturadas, e se utilizou análise de conteúdo na modalidade temática. Apreenderam-se três categorias que evidenciam possíveis caminhos percorridos para o cuidado, perpassando, em sua maioria, pelos três setores: “O setor informal como ponto de partida para o cuidado”, “O uso do setor popular como prática de cura”, “O uso do setor profissional: alternativa para consulta”. Resultados: O setor informal foi o mais relatado pelas cuidadoras. Em geral, a primeira escolha era pela automedicação orientada de forma transgeracional, pelas avós. O uso do setor popular foi influenciado pelo conhecimento prévio das famílias e sua percepção do processo saúde-doença. A cultura biomédica perpassou os três setores e influenciou na construção do itinerário terapêutico. No setor profissional identificou-se vínculo frágil, principalmente na atenção primária. Conclusão: Os caminhos percorridos por mães e cuidadoras de egressos de unidades neonatais apontaram sobreposição da medicalização em detrimento dos saberes populares. Acolher e manejar os repertórios sociais e culturais das famílias pode contribuir para fortalecer vínculos terapêuticos com o setor profissional. A Atenção Primária à Saúde precisa ser fortalecida para garantir a qualificação do cuidado às crianças.Universidade de Fortaleza2021-04-23info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersion"Peer-reviewed Article""Avaliado pelos pares""Avaliado pelos pares"application/pdfapplication/pdfhttps://ojs.unifor.br/RBPS/article/view/1170810.5020/18061230.2021.11708Brazilian Journal in Health Promotion; Vol. 34 (2021)Revista Brasileña en Promoción de la Salud; Vol. 34 (2021)Revista Brasileira em Promoção da Saúde; v. 34 (2021)1806-1230reponame:Revista Brasileira em Promoção da Saúdeinstname:Universidade de Fortaleza (Unifor)instacron:UFORporenghttps://ojs.unifor.br/RBPS/article/view/11708/pdfhttps://ojs.unifor.br/RBPS/article/view/11708/pdf_1Copyright (c) 2021 Revista Brasileira em Promoção da Saúdeinfo:eu-repo/semantics/openAccessda Rocha, Hortênsia CoutinhoLamy, Zeni Carvalhode Aguiar, Lia CardosoMoreira, Joama Gusmão PereiraPereira, Marina Uchoa LopesAlbuquerque, Yanca LacerdaSouza, Tadeu de PaulaLamy-Filho, Fernando2021-08-25T11:43:11Zoai:ojs.ojs.unifor.br:article/11708Revistahttps://periodicos.unifor.br/RBPS/oai1806-12301806-1222opendoar:2021-08-25T11:43:11Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor)false |
| dc.title.none.fl_str_mv |
Search for health care: therapeutic itinerary of children discharged from the neonatal units Búsqueda de cuidados de salud: itinerario terapéutico de niños de alta de unidades neonatales Busca por cuidados de saúde: itinerário terapêutico de crianças egressas de unidades neonatais |
| title |
Search for health care: therapeutic itinerary of children discharged from the neonatal units |
| spellingShingle |
Search for health care: therapeutic itinerary of children discharged from the neonatal units da Rocha, Hortênsia Coutinho Health Care Child Care Traditional Medicine Self-medication Intensive Care Units Neonatal Atención a la Salud Cuidado del Niño Medicina Tradicional Automedicación Unidades de Cuidado Intensivo Neonatal Atenção à Saúde Cuidado da Criança Medicina Tradicional Automedicação Unidades de Terapia Intensiva Neonatal |
| title_short |
Search for health care: therapeutic itinerary of children discharged from the neonatal units |
| title_full |
Search for health care: therapeutic itinerary of children discharged from the neonatal units |
| title_fullStr |
Search for health care: therapeutic itinerary of children discharged from the neonatal units |
| title_full_unstemmed |
Search for health care: therapeutic itinerary of children discharged from the neonatal units |
| title_sort |
Search for health care: therapeutic itinerary of children discharged from the neonatal units |
| author |
da Rocha, Hortênsia Coutinho |
| author_facet |
da Rocha, Hortênsia Coutinho Lamy, Zeni Carvalho de Aguiar, Lia Cardoso Moreira, Joama Gusmão Pereira Pereira, Marina Uchoa Lopes Albuquerque, Yanca Lacerda Souza, Tadeu de Paula Lamy-Filho, Fernando |
| author_role |
author |
| author2 |
Lamy, Zeni Carvalho de Aguiar, Lia Cardoso Moreira, Joama Gusmão Pereira Pereira, Marina Uchoa Lopes Albuquerque, Yanca Lacerda Souza, Tadeu de Paula Lamy-Filho, Fernando |
| author2_role |
author author author author author author author |
| dc.contributor.author.fl_str_mv |
da Rocha, Hortênsia Coutinho Lamy, Zeni Carvalho de Aguiar, Lia Cardoso Moreira, Joama Gusmão Pereira Pereira, Marina Uchoa Lopes Albuquerque, Yanca Lacerda Souza, Tadeu de Paula Lamy-Filho, Fernando |
| dc.subject.por.fl_str_mv |
Health Care Child Care Traditional Medicine Self-medication Intensive Care Units Neonatal Atención a la Salud Cuidado del Niño Medicina Tradicional Automedicación Unidades de Cuidado Intensivo Neonatal Atenção à Saúde Cuidado da Criança Medicina Tradicional Automedicação Unidades de Terapia Intensiva Neonatal |
| topic |
Health Care Child Care Traditional Medicine Self-medication Intensive Care Units Neonatal Atención a la Salud Cuidado del Niño Medicina Tradicional Automedicación Unidades de Cuidado Intensivo Neonatal Atenção à Saúde Cuidado da Criança Medicina Tradicional Automedicação Unidades de Terapia Intensiva Neonatal |
| description |
Objective: To understand the paths taken by mothers and caregivers while searching for care for children discharged from neonatal units. Methods: Qualitative and exploratory study, carried out between May and June 2018, with mothers and caregivers of children born between 2014 and 2015, discharged from two public neonatal units in a capital from a Northeastern Brazil state. Fourteen semi-structured interviews were conducted, and content analysis was used in the thematic modality. Three categories were found that show possible paths taken for the care, mostly passing through the three sectors: “the informal sector as a starting point for the care”, “the use of the popular sector as a healing practice”, and “the use of professional sector: an alternative for consultation”. Results: The informal sector was the most addressed sector by caregivers. In general, the first choice was for self-medication oriented transgenerationally by grandmothers. The use of the popular sector was influenced by the families’ prior knowledge and their perception of the health-disease process. Biomedical culture permeated the three sectors and influenced the construction of the therapeutic itinerary. In the professional sector, a fragile bond was identified, mainly in primary care. Conclusion: The paths taken by mothers and caregivers of newborns discharged from neonatal units pointed to an overlap of medicalization to detriment of popular culture. Hosting and managing families’ social and cultural repertoires contribute to strengthening therapeutic links with the professional sector. Primary Health Care needs to be strengthened to guarantee the qualification of care for children. |
| publishDate |
2021 |
| dc.date.none.fl_str_mv |
2021-04-23 |
| dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion "Peer-reviewed Article" "Avaliado pelos pares" "Avaliado pelos pares" |
| format |
article |
| status_str |
publishedVersion |
| dc.identifier.uri.fl_str_mv |
https://ojs.unifor.br/RBPS/article/view/11708 10.5020/18061230.2021.11708 |
| url |
https://ojs.unifor.br/RBPS/article/view/11708 |
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10.5020/18061230.2021.11708 |
| dc.language.iso.fl_str_mv |
por eng |
| language |
por eng |
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https://ojs.unifor.br/RBPS/article/view/11708/pdf https://ojs.unifor.br/RBPS/article/view/11708/pdf_1 |
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Copyright (c) 2021 Revista Brasileira em Promoção da Saúde info:eu-repo/semantics/openAccess |
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Copyright (c) 2021 Revista Brasileira em Promoção da Saúde |
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openAccess |
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application/pdf application/pdf |
| dc.publisher.none.fl_str_mv |
Universidade de Fortaleza |
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Universidade de Fortaleza |
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Brazilian Journal in Health Promotion; Vol. 34 (2021) Revista Brasileña en Promoción de la Salud; Vol. 34 (2021) Revista Brasileira em Promoção da Saúde; v. 34 (2021) 1806-1230 reponame:Revista Brasileira em Promoção da Saúde instname:Universidade de Fortaleza (Unifor) instacron:UFOR |
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Universidade de Fortaleza (Unifor) |
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UFOR |
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UFOR |
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Revista Brasileira em Promoção da Saúde |
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Revista Brasileira em Promoção da Saúde |
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Revista Brasileira em Promoção da Saúde - Universidade de Fortaleza (Unifor) |
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