Discourse Of The Collective Subject Research Articles

Oral health in home care: Perspectives and experiences of dentists in a Brazilian region.

Home care provided by dentists is crucial for ensuring adequate oral care. However, oral health professionals face challenges in delivering treatment at patients' residences due to a lack of resources. Our objective was to explore dentists' perspectives and experiences of dental home care and potential challenges for its implementation. The study took a qualitative approach. Guided by a semi-structured interview schedule, data were gathered using recorded interviews with 22 dental professionals. After transcription, data were analysed thematically using the Discourse of the Collective Subject (DCS) method, using Qualiquantisoft. The majority of participants were female (n = 20), aged between 30 and 40 years old, and predominantly specialising in primary care (n = 6) or endodontics (n = 6). All participants provided home care, performing general dental procedures, normally responding to requests from the work team (n = 13) or family (n = 7). Six main categories on to the topic emerged: importance and access to home care, procedures performed during home visits, discussions about post-home care, professional competence and patient-centred care, positive aspects of home care, and negative aspects and challenges faced in this type of care. This study highlights the fundamental, yet complex, role of home care in dentistry. Continuity of treatment through adaptability and a patient-centred approach are important.

The Discourse of the Collective Subject in academic publications in Brazil: bibliometric analysis: bibliometric analysis

The Discourse of the Collective Subject in academic publications in Brazil: bibliometric analysis: bibliometric analysis

Home Care for the Elderly: An Integrated Approach to Perception, Quality of Life, and Cognition.

This study investigated the impact of home care, health status, and cognition. A qualitative and quantitative approach was employed through a cross-sectional study with a sample of 60 elderly individuals in need of home care in the municipality of Itatiba, São Paulo, Brazil. The analysis utilized the Discourse of the Collective Subject (DCS), EQ-5D, EQ VAS, and Mini-Mental State Examination (MMSE). The sample consisted of 40.0% male and 60.0% female individuals. The majority (61.6%) received weekly visits, mainly from community health agents, who were responsible for the majority of the care (45%). Positive considerations were highlighted, with 36.6% emphasizing the contribution to treatment continuity. The EQ VAS assessment indicated a moderately good perception of health. The EQ-5D analysis revealed significant differences between genders in personal care (p = 0.04). There were significant differences between clinical characteristics and EQ-5D dimensions, such as neoplasia and reduced mobility (p = 0.04), and arthritis/osteoarthritis/rheumatism and a limitation in common activities (p = 0.01). The presence of anxiety/depression was significant in cases of neoplasia (p = 0.006), arthritis/osteoarthritis/rheumatism (p = 0.01), and stroke (p = 0.04). The logistic regression analysis showed associations between usual activities and arthritis, osteoarthritis, rheumatism (p = 0.034), pain/malaise and arthritis, osteoarthritis, rheumatism (p = 0.038), and anxiety/depression and stroke (p= 0.028). The average MMSE scores (17.52) suggested a mild cognitive impairment, with no statistical differences between genders. Based on these results, it can be concluded that home care can provide a comprehensive approach and continuous assistance, emphasizing the importance of personalized care based on perceived and clinical differences.

Perceptions about the Relationship between Oral Health and Digestion: A Qualitative Study Relationship between Oral Health and Digestion

Tooth loss can be closely associated with malnutrition and the risk of systemic diseases. This study evaluated the perceptions of patients with gastrointestinal diseases about the importance of teeth and their relationship with gastroenterological conditions. A total of 14 patients with gastrointestinal diseases were included to answer a script with 12 questions (qualitative study). The responses were transcribed and analyzed using Fernando Lefèvre’s methodological approach: “Discourse of the collective subject”. 71.42% (n= 9) of the volunteers felt some discomfort/pain when eating caused by problems with their mouth/prosthesis, and 28.57% (n= 3) responded that they were unable to eat any food they wanted due to problems with their mouth or limbs Teeth. The results show that only 28.57% (n=3) associate the loss of teeth with worsening chewing and digestion capacity. It can be concluded that most patients do not understand the association between tooth loss and the digestion process, causing gastroenterological alterations.

Organization of health services in the family health strategy: perspectives of basic unit managers

To analyze the organization of services offered in the Family Health Strategy, from the perspective of Basic Units managers. Analytical, qualitative study, carried out through a focus group, with the participation of 25 managers of Basic Family Health Units in a pole city in the West of Santa Catarina. For systematization and data analysis, the Discourse of the Collective Subject was used, based on the theory of social representations, which resulted in three Central Ideas. Three Central Ideas emerged: ‘The influence of Structural Factors for the Development of Services in the Family Health Strategy’, ‘Care and management organization of work in the Family Health Strategy’ and ‘Access and user’s satisfaction from the perspective of Basic Health Units managers’. Some challenges were evidenced in management practices, such as inadequate infrastructure, professional turnover and conduct based on the medical-hegemonic model. The difficulty in offering comprehensive, individualized, and longitudinal care was emphasized, which directly influences user’s satisfaction. The health care model and the articulation of the network determine the forms of care and management organization of services, which impact on guaranteeing access and resolution in the care provided to users.

Educators' perception of oral health in children's schools in Brazil

This study aimed to explore educators' perceptions regarding oral health promotion and the application of Atraumatic Restorative Treatment in the school environment. It is an exploratory descriptive observational study with a qualitative approach. The sample consisted of 18 educators from an Early Childhood Education Center. For data collection, a form was used with open and closed questions about oral health care for children: recreational and educational activities, supervised brushing and Atraumatic Restorative Treatment. Data were analyzed by descriptive analysis and by the Discourse of the Collective Subject. About 60% of educators considered caries a disease, 50% having observed toothache in children in the school environment. The educators considered the educational/preventive activities and the use of Atraumatic Restorative Treatment beneficial to the children. They reported relevance in oral health prevention and promotion actions carried out in the school environment, observing the generation of autonomy and empowerment in children. They also cited a favorable opinion on the use of Atraumatic Restorative Treatment.

Transition between preclinical and clinical training: Perception of dental students regarding the adoption of ergonomic principles.

This study aimed to evaluate the perceptions of third-year dental students regarding the application of ergonomic principles in the transition between preclinical and clinical training in Restorative Dentistry. We conducted a qualitative observational cross-sectional study. The sample consisted of forty-six third-year dental students at São Paulo State University (Unesp), School of Dentistry, Araraquara. Data was collected using an individual interview recorded on a digital voice recorder. A script containing questions related to the process of adaptation of students to clinical care with a view to ergonomic work posture was used. Data analysis was based on the quali-quantitative technique of Discourse of the Collective Subject (DCS), using Qualiquantisoft®. Most students (97.80%) perceived the need for an adaptation period in the transition from the preclinic to the clinic regarding ergonomic posture requirements; a part of them (45.65%) claimed that they still could not adapt, primarily due to the difference between the laboratory and clinic in the workstation (50.00%). Some students suggested longer preclinical training in a clinical environment to facilitate this transition (21.74%). The dental stool (32.60%) and the dental chair (21.74%) were the external factors that contributed most to making this transition difficult. The difficulty of the restorative dentistry procedure (10.87%) also interfered with posture. Additionally, the most challenging ergonomic posture requirements in the transition period were maintaining 30 to 40 cm between the patient's mouth and operator's eyes (45.65%), positioning the patient in the dental chair correctly (15.22%), and working with the elbows close to the body (15.22%). Most students perceived the need for an adaptation period in the preclinical transition to the clinic, attributing difficulties to adopt the ergonomic posture requirements, to use the workstation and to perform the procedures on real patients.

End-User Assessment of an Innovative Clothing-Based Sensor Developed for Pressure Injury Prevention: A Mixed-Method Study.

This study aimed to evaluate a clothing prototype that incorporates sensors for the evaluation of pressure, temperature, and humidity for the prevention of pressure injuries, namely regarding physical and comfort requirements. A mixed-method approach was used with concurrent quantitative and qualitative data triangulation. A structured questionnaire was applied before a focus group of experts to evaluate the sensor prototypes. Data were analyzed using descriptive and inferential statistics and the discourse of the collective subject, followed by method integration and meta-inferences. Nine nurses, experts in this topic, aged 32.66 ± 6.28 years and with a time of profession of 10.88 ± 6.19 years, participated in the study. Prototype A presented low evaluation in stiffness (1.56 ± 1.01) and roughness (2.11 ± 1.17). Prototype B showed smaller values in dimension (2.77 ± 0.83) and stiffness (3.00 ± 1.22). Embroidery was assessed as inadequate in terms of stiffness (1.88 ± 1.05) and roughness (2.44 ± 1.01). The results from the questionnaires and focus groups' show low adequacy as to stiffness, roughness, and comfort. The participants highlighted the need for improvements regarding stiffness and comfort, suggesting new proposals for the development of sensors for clothing. The main conclusions are that Prototype A presented the lowest average scores relative to rigidity (1.56 ± 1.01), considered inadequate. This dimension of Prototype B was evaluated as slightly adequate (2.77 ± 0.83). The rigidity (1.88 ± 1.05) of Prototype A + B + embroidery was evaluated as inadequate. The prototype revealed clothing sensors with low adequacy regarding the physical requirements, such as stiffness or roughness. Improvements are needed regarding the stiffness and roughness for the safety and comfort characteristics of the device evaluated.

PERCEPÇÃO DOS ENFERMEIROS SOBRE TELECONSULTA DE ENFERMAGEM NA ATENÇÃO PRIMÁRIA

ABSTRACT Objective analyze the nurse’s perception about nursing teleconsultation in Primary Health Care through the workflows characterization, potential, challenges and teleconsultation in nursing feasibility. Method exploratory-descriptive study with a qualitative approach. Data were collected, between the months of May and June 2021, with 19 nurses from four health districts of a capital in south of Brazil, using digital questionnaire. Data were systematized in Microsoft ExcelⓇ and analyzed following the criteria of the Discourse of the Collective Subject. This process was carried out with the support of the DSCsoftⓇ Program. Results the results were organized into five thematic categories: Nursing teleconsultation flow in Primary Health Care; Teleconsultation process; Instruments used during the teleconsultation; Potentialities and challenges identified during the teleconsultation in the Primary Health Care; and, Applicability: services that can be resolved through teleconsultation. Among the challenges are the inherent problems of communication and internet connectivity and the distrust of users in relation to this new consultation modality. Conclusion telecare in nursing is a recent technological innovation, with several challenges as: the possible failure in communication between the professional and the user; internet connection problems; lack of ability to travel from new tools; lack of privacy and excessive noise and distrust of users about the service provided. With the teleconsultation, there was an extension of the users' access to the health services, there was greater agility and efficiency in the services provided to the population.

Discourse of the collective subject of river dwellers in the Brazilian Amazon regarding the transmission of knowledge about medicinal plants.

This paper investigates the perception of river dwellers in the Brazilian Amazon region about factors that influence the transmission of Traditional Ecological Knowledge (TEK) regarding medicinal plants. Semi-structured interviews were conducted with 43 residents of Vila Franca community (Pará, Brazil). The data were analyzed using the methodological strategy of the Discourse of the Collective Subject. The determining factors in the transmission of TEK were found to be: illness, family coexistence, and necessity, which were represented in the discourses as the most important factors for the acquisition of TEK. In the community context, the locally developed Natural Remedies Project, the beneficial effects of natural remedies, and the lack of resources to purchase allopathic medicines were cited as collaborative factors in the maintenance of TEK. Finally, the most significant determining factors in the decrease or loss of transmission of TEK found in the interviews were: lack of commitment, disbelief, and the valorization of allopathic medicines. A complex network of interactions between the villagers and their natural environment affects the transmission of TEK about medicinal plants. However, we found that the perpetuation of TEK is being threatened by various socio-economic and cultural factors.

Gender and Empowerment by Nursing Students: Representations, Discourses and Perspectives.

Nursing history is marked by stigmas of gender, race and class. Nowadays, this scenario is evidenced by the social disqualification of the profession and biomedical and male supremacy. Nevertheless, the profession has the potential to change this paradigm with an intersectional approach. The current study aims to understand how the relationships of gender, feminism and empowerment are experienced by nursing students at a Brazilian public university. This is a qualitative study, exploratory-explanatory, with the application of interviews with nursing students in their five years of training. The chosen method of analysis was the Discourse of the Collective Subject based on the central ideas categorized after the interviews: (a) Profession-female and stigmatized due to its historical construction influenced by religiosity and moral; (b) Formation-far from gender relations by the perpetuation of stereotypes; and (c) Perspectives-empowerment of the profession if close to the feminist movement. The students' discourse alert to the historical reflexes of oppressive ideological mechanisms of women and nursing in their ongoing professional training, claiming transversal learning spaces for the critical expansion of gender awareness and consequent empowerment of nursing in a feminist and intersectional perspective.

Clinical and epidemiological characteristics and individual experiences of illness in men with COVID-19: mixed method study.

Since the beginning of the coronavirus disease 2019 (COVID-19) pandemic, studies have shown that this disease has affected the male population on a significant scale in various parts of the world, making men one of the main risk groups. To analyze the clinical and epidemiological characteristics and experiences of illness in men with COVID-19. A mixed sequential-explanatory study with cross-sectional and exploratory-descriptive approaches. Data was collected from a small municipality located in the central-north region of the state of Bahia, Brazil. Primary quantitative data was extracted from compulsory notification forms from 598 men. Qualitative data from individual interviews of 30 men was analyzed by the Discourse of the Collective Subject method. The findings identified the characterization of reports of suspected and confirmed cases of COVID-19 in men, the organization of the healthcare system, and strategies for the control and combat of COVID-19 directed towards the men of the investigated municipality. They revealed the clinical characteristics based on the collective discourse of men with COVID-19. In men, the individual experience of disease explicitly explains the clinical markers of COVID-19 expressed by the self-reported syndromic approach. Additionally, this understanding also explains the behaviors observed in their search for health care, as well as the adoption of prevention and control measures and therapies recommended by health professionals.

Metodologia ativa na educação permanente para abordar ética e bioética

Abstract This qualitative research, based on the discourse of the collective subject, analyzes distance education as an active methodology in the continuing education of a nursing team at a university hospital in Minas Gerais. Data were collected by means of a questionnaire and a focus group, and organized according to three central ideas that emerged in the meetings. Research participants see distance education as an active teaching methodology that enables interventions at work, provided that there is necessary infrastructure for developing the work process and implementing training in the work environment. The analysis also emphasizes the importance of nursing workers being an active subject in their teaching-learning process, using continuing health education to provide integral, ethical, and safe care to the Unified Health System users.

The Implementation of an Integrated Oral Care Protocol for Pediatric Cancer Patients: a Qualitative Study.

In this study, we evaluated the impact of an integrated oral care protocol for pediatric patients undergoing antineoplastic treatment from the perspective of the multidisciplinary team, oral healthcare team, and caregivers. This was a qualitative study carried out in the pediatric sector of a reference cancer hospital in Brazil. Focus group and individual semi-structured interview techniques were used, and the data were analyzed by the Discourse of the Collective Subject (DCS) method. A total of 44 professionals involved in providing care to children and adolescents with cancer and 38 caregivers were interviewed. All interviewees perceived an improvement in the patients' oral health condition. Health professionals reported a reduction in the occurrence and severity of oral mucositis (OM). Communicating with the medical team and understanding the importance of oral care to the patient's systemic condition were the greatest difficulties reported by the oral healthcare team. This implementation project contributed to establishing a complete multidisciplinary team to assist pediatric patients in all their needs during antineoplastic treatment. The integrated oral care protocol further contributed to reducing the occurrence and severity of OM by increasing its surveillance and diagnostic efficiency, which, altogether, improved the patients' quality of life.

The strategies of the players of an RPG game in the context of water resources management: an analysis based on the discourse of the collective subject

Games are widely used in Education because they enable analyzing strategies that come close to reality. In Environmental Education, the game helps understand a particular theme and allows the observation of the approach from a player’s perspective. In this way, each person can develop strategies that s/he considers relevant in the game. This study analyzes players’ strategies in an RPG (Role-Playing Game) in water resources. This work's main contribution is an empirical and qualitative study on individuals’ motivation and how they developed their strategies. As a result, we present the analysis of the players' habits through a semi-structured interview, which resulted in a set of speeches based on the Collective Subject Discourse (CSD).

Perceptions on the effectiveness of environmental education programs as environmental licensing tools for port-related enterprise in Brazil.

Environmental Education Programs (EEPs) are considered environmental management tools in Brazilian environmental licensing processes, within the scope of mitigatory and compensatory measures to the social, environmental, and economic impacts caused by development projects or new enterprises. Here, we assess the perceptions and expectations regarding environmental education programs of three groups of actors (communities, environmental managers, and environmental agency technicians) involved in the licensing processes of port activities in the region of Paranaguá, in the State of Paraná, Brazil. Paranaguá is the largest coastal municipality of the state of Paraná, in the southern region of Brazil, and is home to Brazil`s second largest port. Since this is environmental conservation area, the conflicts between the port activities, environmental protection and needs of the local communities require efficient environmental management practices, with EEPs as one of their main implementation tools. The evaluation was based on semi-structured interviews which were analyzed using the methods of content analysis and discourse of the collective subject. The actors understand that environmental education is a potentially effective tool to promote the mitigation or compensation of environmental impacts generated by port developments undergoing licensing processes. The groups considered that the continuity, promotion of social organization, and correlation with the actual environmental impacts related to each enterprise are essential qualities for good EEPs. The evaluated perceptions were complementary and indicate a complex but effective ideal scenario for EEPs in the region.

Solid waste management performance: a case study in a research institution / Desempenho da gestão de resíduos sólidos: um estudo de caso em uma instituição de pesquisa

Waste is a environmental problem. Waste generation increases exponentially, and the management to minimize environmental impacts. The launch of the 17 (SDGs), by the U. N., aimed to mobilize to implement public policies based on the pillars of sustainability. At (studied company) routines of research laboratorial activities, farms and administrative areas generate waste. We evaluated the waste management at the (studied company) research institution. We applied methodologies for a comprehensive view. Gravimetric method for characterization of waste in each category. Monitoring of waste generator points resulted in the diagnosis of waste separation. The methodology of the Discourse of the Collective Subject was used to understand the perception of employees. We development the SWOT matrix, to identify the factors that affect the waste management. We understand and rank the strengths, weaknesses, opportunities and threats, and they can be used for the development of management.

Transitional care of nurses to older adults with artificial pacemaker.

to understand how the transitional care of nurses to olde adults with artificial pacemaker occurs. a qualitative research, carried out in a philanthropic hospital in the city of Salvador, Bahia, Brazil. Fourteen nurses working in surgical and cardiac inpatient units participated. Data were collected between August and November 2020, through semi-structured interviews, and analyzed using the methodological framework Discourse of the Collective Subject and discussed in the light of Afaf Meleis' theory of transitions. nurses' incipient knowledge about transitional care was identified. It was observed that the nursing discharge report is a facilitating instrument for transitional care. the study pointed out that the transitional care of nurses to older adults with artificial pacemakers does not have a theoretical foundation, reporting as a priority the care with the pacemaker identification card and with the surgical wound.

Organizational climate and nurses' turnover intention: a mixed method study.

to describe the organizational climate perceived by nurses of a hospital linked to the Brazilian Hospital Services Company and the reasons for the turnover intention. mixed, concomitant triangulation type. Qualitative data were analyzed according to the discourse of the collective subject, in addition to quantitative data analysis, descriptive analysis, Pearson correlation, and multiple linear regression. Data collection was carried through a semi-structured interview with 116 nurses. the study presented the speeches in five categories: Leadership and organization support; Reward; Physical comfort; Control/pressure; and Cohesion among colleagues. It showed that, with increased Reward factor, there is a decrease in turnover intention; and, with decreased Physical comfort, there is an increase in turnover intention. there is a dichotomy in the organizational climate perceived by nurses, and personal reasons mainly justify the turnover intention. The reason could be the current processes of institutional reorganization and the hiring of experienced staff.

Challenges Faced by Nurses in the Provision of Health Care to Men in Primary Care, Brazil

Introduction: The provision of primary care to men by nurses has been relevant, but there are challenges to be overcome. Objective: To analyze the challenges faced by Brazilian nurses in the provision of primary care to men. Methods: This was a qualitative descriptive study carried out by including 40 nurses working in the Family Health Strategy of a Basic Health Unit in Northeastern Brazil. Individual in-depth interviews were carried out and analyzed using the Discourse of the Collective Subject (CSD) method, supported by the Praxis Intervention Theory for Nursing in Collective Health – Tipesc. Results: The challenges faced by nurses in the provision of care to men originate in the academy and are transposed into professional practice, manifesting as limitations in the work process, lack of a specific health agenda, difficulties in raising male adherence, and professional demotivation. Conclusion: These challenges significantly affect the development and promotion of men’s health, resulting in the maintenance of the indicators of male morbidity and mortality in Brazil.