De Texte Research Articles

POTENCIALIDADE DA ATUAÇÃO DA EDUCAÇÃO FÍSICA NA ATENÇÃO PRIMÁRIA À SAÚDE: UMA REVISÃO SISTEMÁTICA

Physical education in primary health care plays a vital role in promoting health, preventing disease and improving quality of life. Despite the clear benefits, implementing physical education practices in primary health care faces some challenges. In this sense, this research aims to investigate the role of physical education in primary health care, through a systematic review of the literature. This research was carried out through a systematic bibliographic review of the literature, of a qualitative nature. The articles used in this study were searched in the databases SciELO, Virtual Health Library (VHL), in Portuguese. The following descriptors were used: Educational practices; Health Education; Hypertension. The time frame comprises articles published from 2019 to January 2024. The data were analyzed with the help of the software Interface de R by Analyzes Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ). 35 qualified studies were found, however, 9 of these were included in the research. The analysis of studies on Physical Education practices in Primary Health Care reveals a convergence of opinions on the importance and need for integration of these professionals into the Unified Health System (SUS). There is agreement that physical activities and body practices are essential tools for promoting health and preventing diseases, and that their implementation must be carried out comprehensively, considering individual and collective contexts.

Away from Feminist Radicalism

Calixthe Beyala’s creative works and public comments on her artistic productions and her life in general have enjoyed a remarkable attention without any doubt. However, there is a particular aspect of her literary creativity begging for attention. This study, therefore, is set to investigate Beyala’s religious disposition with a view to establishing the fact that African women do not only reject being restricted to the kitchen but also demonstrate that they should be considered when it comes to the matter of exercising their faith. The two novels selected for this study are Calixthe Beyala’s Mama a un amant and La petite fille du réverbère. They can be translated as Mama has a Lover and The little girl under the street lamp. Adopting sociological conceptual framework, data are analyzed using the French explication de texte which can be interpreted as the close reading technique or content analysis of a text, verbal or non-verbal. Findings from the study suggest that the new generation of African female writers focuses on an attempt to establish and reconnect womenfolk with their most fundamental human rights through artistic designs and their creative writings. Besides being a means of socialization, religion is a ritualistic act of worship, and it reflects a significant part of a people’s way of life. The study, however, concludes that there is a need for check and balance between the idea of masculinity and the concept of feminism to curtail the excesses there-in for the progress of human societies.

POSTCOLONIAL READING OF WOLE SOYINKA’S THE LION AND THE JEWEL AND JEAN PLIYA’S LA SECRÉTAIRE PARTICULIÈRE

In literary criticism, both the context and the content of a given text; speech, graph, image, or picture are essential. It is the totality of these two elements that pave the way for a better understanding of any given text. Hence, since the purpose of every communication or speech act is comprehension, this study examines the stylistic profile of Wole Soyinka and Jean Pliya in The Lion and the Jewel (1964) and La secrétaire particulière (2001) respectively. The study adopts the French ‘explication de texte’ technique as its methodology to carry out a textual analysis of the two selected plays. As a theoretical framework, the study uses Edward Said and Homi Bhabha’s Postcolonial theory which interrogates the effects of the interactions between the centre and the margin with the view to reconstructing the worldview on matters of history, race, identity, and culture. Findings reveal that in resisting colonial domination and imposition, the two African playwrights take advantage of linguistic manipulations in the composition of their literary texts. With the application of transliteration, direct translation, proverbs, figures of speech, allusions, lexical borrowing, and grammatical and phonemic corruption, the writers are able to foreground their intention to post-colonialize and africanize their literary works.

Nursing students' knowledge regarding sexuality, sex, and gender diversity in a multicenter study.

Sexuality is an integral part of development and personality, and is important in healthcare. Nurses are among the most representative healthcare professionals. For holistic and inclusive nursing care practice and to improve equality, human rights, well-being, and health of individuals, the curricula of nursing courses must integrate broad knowledge about sexuality and its diversity. This study aimed to identify and analyze nursing students' knowledge of sexuality, sex, and gender diversity. The present study was part of a multicenter study conducted in Europe. Questionnaires were administered in three nursing schools to assess nursing students' knowledge (n = 75). Data processing was performed using Excel® software version 20 and IRaMuTeQ (R Interface pour les Analysis Multidimensionnelles de Textes et de Questionnaires) 0.7 alpha 2, allowing organization by category and subsequent thematic analysis using content analysis. The textual corpus "Nursing students' knowledge about sexuality in its diversity," was divided into two sub-corpus: "Students' perception of sexuality" and "Students' perception of gender identity," originating Class 6 "Eroticism" (14.23%) and Classes 4 "Sexual Orientation" (16.07%) and 3 "Heteronormative" (16.07%), the latter with greater proximity to each other and consequently to Class 6. Similarly, Classes 1 "Gender" (20.36%) and 5 "Cisgender" (12.14%) also presented a greater interrelationship between themselves and consecutively with Class 2 "Gender Identity" (15.36%). The analyses revealed that though nursing students possessed knowledge about sexuality and its diversity, this knowledge was elementary and did not reveal a sustained appropriation of concepts related to sexuality, sexual orientation, and gender diversity. For some questions, the absence of students' answers were noteworthy, and may be associated with their personal reservation in expressing themselves on this sensitive and intimate theme. To ensure diversity, inclusivity, and impartiality in nursing practice, it is imperative to change the curriculum plans of nursing courses to address the theme of sexuality during the training process of nurses in Europe.

Learning needs and the orientation received by patients in the preoperative period of myocardial revascularization.

To identify the learning needs and the orientations received by patients in the preoperative period of coronary artery bypass surgery (CABG). Descriptive study, with a qualitative approach. Data collection took place from January to April 2021, through interviews carried out with 13 pre-operative patients admitted to the cardiovascular unit of a university hospital in Northeastern Brazil. The data was analyzed using descriptive statistics and the content of the interviews was processed in the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires. Next, an analysis of textual and similarity classes was carried out. The learning needs that were analyzed were divided in five classes: events that precede the surgery in the hospital; instructions received about the surgery; sites and recovery time after surgery; general questions about the surgery and content for the educational resource. Patients reported needs related to the process of disease, surgical procedures, and care before and after surgery. With regard to orientation, 53.85% reported not having received any. The study identified that patients seldom received orientation. They need education on topics related to the process of the illness, the heart, surgical procedures, exams, care environments, risks, benefits, results, and changes in lifestyle to maintain health and quality of life.

Efficacy of reading strategies on text-level reading comprehension in people with post-stroke chronic aphasia: A repeated measures study.

People with aphasia (PWA) frequently experience difficulties in understanding longer written content such as paragraphs or books. Reading strategies are a promising approach to treat text-level reading comprehension deficits in PWA. Nevertheless, empirical evidence for their efficacy remains rare. The primary objective of this study was to analyse the efficacy of a strategy-based intervention on text-level reading comprehension in PWA. Secondary objectives were to compare the effects of two strategy-based intervention components and to explore potential moderator effects. A protocol was published prior to data acquisition. In a repeated measures trial, 26 German participants with chronic, post-stroke aphasia participated in a waiting period without aphasia treatment (control condition) followed by a strategy-based intervention called 'Strategiebasierte Textverständnis-Therapie bei Aphasie' (StraTexT, 14 face-to-face-sessions, twice per week, 60 min each). Two strategy combinations, Intervention Micro targeting microstructure and Intervention Macro targeting macrostructure, were applied to newspaper and magazine articles. Participants were randomly allocated to two parallel groups that received these strategy combinations in interchanged sequences. Assessments were implemented before and after each period as well as 3 and 6 months after the intervention. The primary outcome measure was text-level reading comprehension measured with the total score of a German version of the Test de Compréhension de Textes (TCT-D). Secondary outcome measures addressed the self-reported perception of reading abilities, reading activities and feelings about reading (German version of the Comprehensive Assessment of Reading in Aphasia CARA reading questionnaire) as well as selected cognitive functions. The per-protocol-analysis included data from 22 participants. We found significant small improvements up to 6 months post-intervention compared to pre-intervention in the TCT-D Total (d = 0.35-0.46) as well as medium to large improvements in the CARA questionnaire (d = 0.68-0.96). Up to 3 months after the intervention, treatment-induced improvements in the TCT-D Total were significantly larger than change without treatment during the control condition. There was no evidence of moderator effects. Furthermore, we found improvements in several cognitive functions. Reading strategies can lead to long-term improvements in text-level reading comprehension and in self-reported reading abilities, feelings about reading and reading activities in aphasia. In regular clinical settings, it seems reasonable to implement both Intervention Micro and Intervention Macro. It remains important to investigate participant characteristics that contribute to treatment success. What is already known on the subject Systematic reviews and multiple case studies suggest that reading strategies are a promising approach to treat text-level reading comprehension in aphasia. The efficacy of reading strategies has been demonstrated for different populations. However, to date no group study has evaluated the efficacy of reading strategies on text-level reading comprehension in people with aphasia. What this study adds This study provides the first group-level evidence about the efficacy of a systematic strategy-based intervention in 22 people with post-stroke chronic aphasia. During 14 treatment sessions, participants applied four reading strategies to newspaper and magazine articles within two intervention components called Intervention Micro and Intervention Macro (two strategies per intervention component). We found improvements in text-level reading comprehension for at least 3 months post-intervention, as well as effects on selected cognitive functions and self-reported reading abilities, thoughts and feelings about reading and the ability to engage in reading activities. What are the clinical implications of this work? The strategies and materials evaluated in this study could be used in clinical practice with people with aphasia. In order to replicate treatment effects in clinical practice, we suggest applying the strategy combination with the same protocol features (e.g., frequency, duration, homework, product orientation) as in this study, implementing Intervention Micro and Intervention Macro sequentially in either order. As treatment response was not equal in all individuals, it seems important to investigate individual features that contribute to treatment success.

Vaccine hesitancy in families of children during the COVID-19 pandemic

Objective: to identify the reasons that led families of children to vaccine hesitancy during the COVID-19 pandemic. Methods: qualitative study with semi-structured interviews carried out with 20 children's relatives, all of which were mothers of hospitalized children. Data was submitted to lexicographical analysis in the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires, using descending hierarchical classification. Results: the fear of leaving one’s house during the pandemic and the lack of vaccine supplies were the reasons found for vaccine hesitancy in the family of children during the COVID-19 pandemic. Conclusion: the reasons for vaccine hesitancy in the families of children found in this study threaten advancements in the struggle against vaccine-preventable diseases. Contributions to the practice: government bodies, managers, and health unit nurses should be co-responsible for efficient measures to implement health education in this public, creating a bond of trust to reduce the risks from the increase in vaccine hesitancy and reduction in vaccine coverage in the country.

Voluntary giving up for adoption: analysis of comments by followers on the National Council of Justice (CNJ) Facebook page

The aim of the article was to analyze the comments of followers on the CNJ's Facebook page, regarding the voluntary giving up for adoption. This is a research with an analytical-exploratory character and a quantitative and qualitative approach in the treatment of data. Secondary data were used, obtained from the examination of comments made in the publication on the voluntary giving up of babies for adoption on the CNJ's Facebook page. Data were processed using the IRaMuTeQ software (Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires), based on the Descending Hierarchical Classification test, for subsequent content analysis. 3 thematic classes emerged: 1) The woman and her choices, 2) Criticism of judicial procedures and 3) The subjugated woman. The main results refer to the judgment of values and subjectivation to which women are exposed, the lack ofknowledge of the law and the myth of maternal love crystallized in the social imaginary. It reflects on the need to invest in the continuing education of all professionals in the Rights Assurance System, developing strategic actions to disseminate and deconstruct prejudices with the law and with women.

Nursing work during the COVID-19 pandemic: (dis)satisfaction and (de)motivation

Objective: to show the factors that lead to (dis)satisfaction and (de)motivation in the work of nursing professionals in the COVID-19 pandemic. Methods: qualitative study, developed virtually, with professionals from nursing teams. Data was processed using the software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires and analyzed according to Thematic Analysis. Results: 72 workers participated. 45 (62.5%) stated to be satisfied and 46 (63.9%) to be motivated for work. The text segments were separated into four classes, each showing a factor that interfered in work (dis)satisfaction and (de)motivation. Conclusion: factors that intervene in satisfaction and motivation were mostly associated with patient recovery and helping one another. Among the factors that impacted on dissatisfaction and demotivation, the lack of needed supplies and work overload stood out. Contributions to practice: we identified needs and strategies relevant to improve the work environment.

Bridges between families and foster children: family reintegration and adoption of disabled children and adolescents

The study aimed to describe the perception of caregivers and the role of professionals in the process of family reintegration and adoption of children and adolescents with disabilities in a host institution in Belém/PA. Ten family members of five children and three professionals from the technical team participated. The data were collected during the execution of the Pontes Project, by means of recording in a field diary, and the analysis was carried out with the content analysis technique using the software Iramuteq (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires). The main findings showed the importance of the families being monitored by the technical team for the process of family reintegration and adoption.

Cross-cultural Mobility Representations of Academically Talented Brazilians: Triggers and Challenges

The present study investigated the cross-cultural mobility mental representations of a sample of forty-one academically talented Brazilians living in countries that offer opportunities to improve their talents. Technical-empirical instruments such as a demographic survey and a semi-structured interview script were used, and the Descending Hierarchical Classification Analysis (Iramuteq—Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) was employed to compare the classes of words (clusters). Descriptive and inferential statistics (e.g., chi-square) with a 1 degree of freedom and 5% significance level were run as default. Results indicated an increase in the number of academically talented Brazilians going abroad over the last decade, with notable mobility triggers (e.g., development opportunities, quality of life, professional recognition) identified. As opportunities for these people are not always available in their countries, not migrating can represent an interruption in their talent development process, which extends throughout their life course. Cross-cultural mobility not only represents an exercise of personal agency or academic collaboration but also an escape from adverse social and political conditions.

The care for oncologic patients undergoing pediatric palliative care and the griefs of a health team

Introduction: The health care offered to children and adolescents with cancer has been expanded, giving space to orthothanasia and palliative care, with a comprehensive look at the subject facing the threat to the continuity of life, as well as challenging professionals to access issues related to grief. Objectives: In order to explore this reality, this study intended to analyze how professionals experience grieving processes in the exercise of palliative care in pediatric oncology. Method: A qualitative research was conducted with the participation of 23 health professionals working in palliative oncology and pediatric care, who responded to a semi-structured interview script, whose analyses were performed with the support of the IRaMuTeQ (Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires) software. Results: The results were organized in four classes: in class 1, the specificities of the treatment of children with cancer and other aspects related to chronic illness are portrayed; class 2 shows that health trainings do not prepare professionals to deal with death and with patients with no possibility of cure, and these professionals have (pre-) concepts about palliative care; class 3 highlights the principles of palliative care and other factors of the work in this therapy; and class 4 deals with the bonds formed by professionals and their grieving experiences. Conclusions: Cure must not be a requirement for the provision of care in relation to children with cancer that can benefit from the adoption of palliative care therapy and the validation of the sensitivity of professionals.

Nurse perception regarding cytopathological exams in physically disabled women

Objective: to understand the perspective of nurses regarding the obstacles faced by physically disabled women in regard to cytopathological examinations. Methods: qualitative study with 11 nurses from Basic Health Units, including urban and rural areas. Data was processed and analyzed using the software IRAMUTEQ (R pour les Analyses Multidimensionnelles de Textes et de Questionnaires). Results: classes 1 and 5 were grouped into the class “Inadequate infrastructure”; class 2 was “Results of the collected exams”; class 3, “Feelings at the time of examination”; and 4 “Team training”. Conclusion: we revealed that women presented negative feelings during the examination, professionals lacked further training, there were no strategies to deal with the situation in the unit, and facilities were inadequate to attend the needs of the users. Contributions to practice: we demonstrated that it is essential to provide care to physically disabled women and carry out routine exams in this population. Furthermore, this study can give support to strategies to adapt and improve the knowledge of the workers who provide care.

Continuing breastfeeding upon returning to work: feelings, challenges and strategies of breastfeeding nurses.

To describe feelings, challenges and strategies related to the continuity of breastfeeding after returning to work in the perception of lactating nurses. Descriptive, exploratory, qualitative study, with snowball sampling. Data collection occurred virtually between August and September 2020 in the State of Rio de Janeiro. Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software and a thematic analysis were used. 42 breastfeeding nurses participated and cited fear, missing the child, anguish, and pleasure in returning to work. Challenges such as lack of infrastructure for pumping the breast in health services, unfavorable scales, and multiple jobs were reported. Support networks, listening spaces, and appropriate times and places for breast milk pumping were mentioned as strategies. Different feelings and challenges for the continuity of breastfeeding upon returning to work were identified; some strategies found were common to other working women while others related to the specific nursing work context.

Family Nurse Practitioners: an exploratory study.

To understand Family Nurse Practitioners' practice, educational process and policy in the United States. This is an exploratory, quantitative and qualitative study, developed in 2019 based on clinical observations and interviews with seven Family Nurse Practitioners in the state of New York. The interviews were transcribed and analyzed by the researcher through the observations made and also by the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. The research was approved under Opinion IRB19-49. Three content partitions emerged in the Descending Hierarchical Classification: 1) Being a nurse practitioner; 2) Educational paths and possibilities for action; and 3) Being political: a path to transformation. It was possible to describe skills and competencies considered outstanding in relation to other professional categories, points of improvement in their educational background and the importance of political representation and being active in role performance. This study highlights the similarities with the nurse working in Primary Care in Brazil and serves as a subsidy in the process of implementing this category in Brazilian Primary Care.

Social representations of pregnant women about high-risk pregnancy: repercussions for prenatal care.

To analyze the Social Representations of pregnant women about high-risk pregnancy and its repercussions for prenatal care. Qualitative study, based on the procedural aspect of the Theory of Social Representations, carried out with 62 high-risk prenatal pregnant women at a High Complexity Maternity, in Belém, PA, Brazil. Data from semi-structured interviews were processed by the software Interface de R pour les Analyzes Multidimensionnelles de Textes et de Questionnaires. Four categories emerged, in which three dimensions of the Theory composing the genesis of Social Representations are considered: the affective dimension, the biological dimension and the sociocultural dimension. Affects, negative feelings, and adaptations were revealed, with high-risk pregnancy being represented as an unusual and uncomfortable event, influenced by common sense and science, communication means, and dialogues with health professionals, with family support being considered of paramount importance. and prenatal care a propitious moment for establishing bonds with the health professional, seen as essential for their adherence to the care offered.

Repercussions of sickle cell disease and sickle cell ulcers for men inserted in the world of work.

To analyze the repercussions of sickle cell disease and sickle cell ulcer for men in the world of work and discuss the challenges faced to remain in the work environment. A qualitative study, developed at the dressing clinic and at a stomatherapy clinic. Twenty men with sickle cell disease and sickle cell ulcer participated, applying a semi-structured interview script. The software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires was used for treatment and lexical data analysis. The Descending Hierarchical Classification enabled the creation of classes: Man with sickle cell disease and sickle cell ulcer: experiences and repercussions; and Coping measures adopted by men with sickle cell disease and sickle cell ulcer to stay at work. Disease and injury repercussions involve biopsychosocial dimensions, highlighting the need for professional training to assist with competence and humanity. Strategies adopted to maintain work are breaks in the working day, use of analgesics to relieve pain, allocating time during work to apply dressings.

Saberes e práticas sobre saúde entre homens quilombolas: contribuições para a atenção à saúde

ABSTRACT Objective: to analyze health knowledge and practices among Quilombola men. Methods: a qualitative, descriptive study, carried out with 40 men from two Quilombola communities in Santa Izabel do Pará, state of Pará, Brazil. Individual interviews were carried out using a semi-structured script. Text corpus was subjected to analysis with Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires 0.6, alpha 3, through Descending Hierarchical Classification. Results: among participants, eight (20.00%) were aged 55 to 59 years. 382 text segments were identified, with 299 (78.27%) being used, generating five lexical classes, which made up two subcorpora. The classes were organized into four thematic axes, covering knowledge about health and practices to prevent and solve health problems. Final considerations: men highlighted popular/traditional wisdom permeated by biomedical knowledge, translating their understanding of how to act to remain or become healthy.

SABERES E PRÁTICAS DE MÃES RIBEIRINHAS SOBRE VACINAÇÃO

ABSTRACT Objective: to analyze the knowledge of riverine mothers about vaccination and its influence on the practice of taking their children for vaccination. Method: qualitative/descriptive study, conducted at the Combú Family Health Unit, Belém-Pará, Brazil, with 30 riverine mothers who had children of vaccination age. Data were produced by individual interviews, whose corpus was analyzed with the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires 0.7, alpha 2, using Descending Hierarchical Classification. Results: the software generated six classes, composing two categories: “Knowledge and practices of riverine mothers about vaccination” and “Importance of health education and the role of health professionals in sharing information about vaccination”. Conclusion: discussing the knowledge of riverside mothers about vaccination and its influence on decision-making allowed a critical reflection on the practices in the daily life of this population, providing health professionals with the opportunity to rethink strategies, especially in educational actions.

Estresse em universitários: conhecendo o efeito das atividades remotas no cotidiano pandêmico

ABSTRACT The coronavirus pandemic brought an unprecedented disruption to society, with this, the impacts fostered by the crisis also extended to educational institutions. The aim of this study was to investigate whether higher education activities can be considered a stressor in a pandemic context. The sample consisted of 136 students with remote academic activities and 131 with suspended academic activities, who answered a sociodemographic questionnaire and an open question about the factors that have raised the level of stress in the months of April, May, June and July 2020. The textual corpus was processed with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. As a result, there were several stressors related or not related to academic activities for both groups, although the performance of digital academic activities has been pointed out with great frequency. Thus, digital academic activities are related to the level of stress among students.