Contextual analysis of gynaecological care provided to women with physical disability (original) (raw)
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Revista Latino-americana De Enfermagem, 2011
This research aimed to identify global changes in the way of practicing and understanding care, as well as the demands population change has generated and the implications for family and professional caregivers. An integrative literature review was performed, identifying 284 papers with the following descriptors: care and caregivers, associated with the descriptor "Nursing", published between 2005 and 2010. Forty-one papers were selected that correspond to the intended goal. The results point towards a care transition model, reconfigured by new care demands, which are mainly associated with the increase in chronic conditions and population aging. In addition, the change in social and individual roles takes care beyond the family sphere and closer to shared social responsibility. Care is the axis around which nurses rotate. Hence, it is fundamental to analyze this context, which demands evolution in professional care development.
What about the context in family medicine?
British Journal of General Practice, 2010
De Stroom (meaning stream or river) started at the end of the 80s in the neighbourhood of 'Den Bosch-Oost' as an initiative of some of the inhabitants as well as care providers of the health centre 'Samen Beter'. The aim was to give women with serious psychosocial and psychiatric problems in the neighbourhood sufficient support and help. These women consult family physicians very frequently. 'De Stroom' offers tailored care programmes, that are developed jointly by professionals and volunteers. The contact with other women, the mutual trust, enables women to decide to participate in parts of the programme, such as self-help groups, creative and educative groups, or relaxation groups. The use of 'experience-based-knowledge' of volunteers, with the support of professionals, has been labelled as 'duo-care'. Evaluation documented a steady increase in the self-confidence of the women, participating in the programme. It was concluded that the programme avoided institutionalisation in psychiatry. Moreover, the frequency of visits to the family physician decreased, but the main result was that the women learned to discover their capabilities. They went through a process of 'empowerment'. 8
Making 'context' concrete: A dialogical approach to the society-health relation
To understand the role of context in constituting health is recognized as a key challenge facing contemporary health psychology. However, few models or theories are available which pinpoint the processes linking individual health with community or societal contexts. This article draws on dialogical and sociocultural psychological theory, to make context concrete by proposing the concepts of 'mediating moments' and 'reflected mediating moments'. These concepts are further developed through their application to the empirical case of the constitution of condom use in sex-worker-client interactions in Calcutta. Interviews and group discussions with sex workers and other 'red light area' residents are interpreted to examine at what moments the societal phenomena of poverty and gender relations come to mediate condom use behaviour.
Análise das construções possíveis de maternidades nos estudos feministas e da deficiência
2020
This theoretical essay analyzes proximities and distances between feminist and disability studies in care and motherhood constructions. It discusses the elaboration of a norm for human experiences, of disability studies as well as ethics of care, social construction of a normative motherhood and its implications for women living with disabilities. Within feminist disability studies, women with disabilities or mothers of people with disabilities point out that the patriarchal motherhood institution interpellates them differently, for they are not compelled, but discouraged to reproduce and care, unfavorably positioned in the reproductive hierarchy. With their own experiences as starting point, they indicated diverse maternal experiences, beyond motherhood norms.
This study aimed to characterize the experience of sexuality in women with physical disability in Southern Brazil, emphasizing the intersection of gender and disability as limiting sexual and reproductive rights. The study included eight women with physical disability, aged 24 to 68 years, members of an association of people with physical disability. The information was obtained through in-depth interviews and later analyzed based on the method of discourse analysis. The theoretical framework was established by studies on disability based on the social model of disability and gender theories. The information gathered showed that women with disability face a process of oppression in the exercise of their sexuality. Such process is intrinsically related to the intersection of gender and disability, gives rise to vulnerability, and limits the guarantee of sexual and reproductive rights.
2014
This paper regards a concern for the quality of analyses made on the basis of qualitative interviews in some parts of qualitative health research. Departing in discussions on studies exploring 'patient delay' in healthcare seeking, it is argued that an implicit and simplified notion of causality impedes reflexivity on social context, on the nature of verbal statements and on the situatedness of the interview encounter. Further, the authors suggest that in order to improve the quality of descriptive analyses, it is pertinent to discuss the relationship between notions of causality and the need for contextualization in particular. This argument targets several disciplines taking a qualitative approach, including medical anthropology. Especially researchers working in interdisciplinary fields face demands of producing knowledge ready to implement, and such demands challenge basic notions of causality and explanatory power. In order to meet these, the authors suggest an analytic focus on process causality linked to contextualization.
A Critical Investigation of the Concept of Context
2019
The idea of context and contextual relations is so widespread in all sub-disciplines of the humanities and social sciences that one might call it a key paradigm. However, exactly how theory conceives of context and how context is analyzed deserves critical examination. For various reasons, some theories’ presuppose¬tions especially can be contested. This investigation aims to clarify the idea of context and contextual relations, explore a number of critical positions, and offer a generic model for contextual analysis. Its overall argument rejects the critique that context is a sociological simulacrum, positing instead that “context” has an open and plural meaning, which needs to be modeled on a case specific basis.