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1.
PLoS One ; 17(10): e0272483, 2022.
Article in English | MEDLINE | ID: mdl-36190989

ABSTRACT

INTRODUCTION: Safe spaces are an alternative to emergency departments, which are often unable to provide optimum care for people experiencing emotional distress and/or suicidal crisis. At present, there are several different safe space models being trialled in Australia. However, research examining the effectiveness of safe space models, especially in community settings, is rare. In this paper, we present a protocol for a study in which we will investigate the implementation, effectiveness, and sustainability of safe space models as genuine alternatives for people who might usually present to the emergency department or choose not to access help due to past negative experiences. MATERIAL AND METHODS: We will use a mixed methods, co-designed study design, conducted according to the principles of community-based participatory research to obtain deep insights into the benefits of different safe space models, potential challenges, and facilitators of effective practice. We developed the study plan and evaluation framework using the RE-AIM framework, and this will be used to assess key outcomes related to reach, effectiveness, adoption, implementation, and maintenance. Data collection will comprise quantitative measures on access, use, satisfaction, (cost) effectiveness, distress, and suicidal ideation; and qualitative assessments of service implementation, experience, feasibility, acceptability, community awareness, and the fidelity of the models to service co-design. Data will be collected and analysed concurrently throughout the trial period of the initiatives. DISCUSSION: This study will enable an extensive investigation of safe spaces that will inform local delivery and provide a broader understanding of the key features of safe spaces as acceptable and effective alternatives to hospital-based care for people experiencing emotional distress and/or suicidal crisis. This study will also contribute to a growing body of research on the role and benefits of peer support and provide critical new knowledge on the successes and challenges of service co-design to inform future practice.


Subject(s)
Psychological Distress , Suicidal Ideation , Emergency Service, Hospital , Humans , Research Design , Translational Research, Biomedical
2.
Rev. enferm. UERJ ; 22(6): 798-802, nov.-dez. 2014.
Article in Portuguese | LILACS, BDENF - Nursing | ID: lil-749381

ABSTRACT

Objetivou-se analisar percepções de clientes com o Vírus da Imunodeficiência Humana (HIV) e com a Síndromeda Imunodeficiência Adquirida (AIDS) durante o uso de cartilha para o autoexame ocular. Estudo descritivo e exploratório, com abordagem qualitativa, desenvolvido em ambulatório de hospital de referência no atendimento de doenças infecciosas, em Fortaleza - CE, com 130 pessoas com HIV/AIDS, de maio a agosto de 2010. Os dados foram coletados mediante entrevista semiestruturada e submetidos à análise crítica com base na literatura selecionada. A cartilha obteve aceitação favorável e os sujeitos apontaram as ilustrações como facilitadoras para o autoexame ocular. Contudo, destacaram como dificuldade a existência de termos técnicos e apresentaram sugestões, sobretudo a inclusão de mais figuras e a redução dos enunciados. As sugestões referidas estão contribuindo para reformular a cartilha, com vistas a torná-la mais adequada ao uso cotidiano, diminuindo as barreiras e facilitando a execução dos passos.


This study aimed at analyzing the perceptions of clients with Human Immunodeficiency Virus (HIV) and with the Acquired Immunodeficiency Syndrome (AIDS) while using an educational guide for eye self-examination. Descriptive and exploratory study with qualitative approach, developed from May to August 2010, in outpatient care of referral hospital in infectious diseases in Fortaleza, CE, Brazil, with 130 people living with HIV/AIDS. Data was collected through semi-structured interviews, and analyzed critically on the basis of selected literature. The educational guide received favorable acceptance, with the illustrations regarded as facilitators for the conduction of eye self-examination. However, technical terms were found difficult and suggestions were made, especially for the inclusion of more images and reduction of statements. The suggestions are helping rephrase the guide, and make it more suitable for everyday use, reducing barriers, and facilitating the performance of steps.


El objetivo fue analizar las percepciones de clientes con el Virus de la Inmunodeficiencia Adquirida (VIH) y comel Síndrome de Inmunodeficiencia Adquirida (SIDA) durante el uso de cartilla para autoexamen ocular. Estudio descriptivo, exploratorio, con enfoque cualitativo, desarrollado en hospital de referencia de atención ambulatoria en enfermedades infecciosas, en Fortaleza – CE – Brasil, con 130 personas que viven con el VIH/SIDA, de mayo a agosto de 2010. Los datos fueron recolectados a través de entrevistas semiestructuradas y sometidos al análisis crítico, según la literatura seleccionada. La cartilla obtuvo aceptación favorable y los sujetos indicaron las ilustraciones como facilitadores para la realización del autoexamen ocular. Sin embargo, destacaron como dificultad la presencia de términos técnicos y presentaron sugerencias, en especial la inclusión de más figuras y la reducción de declaraciones. Las sugerencias están ayudando a remodelar la cartilla, haciendo que sea más adecuada para uso diario, reduciéndose barreras para facilitar el logro de los pasos.


Subject(s)
Humans , Male , Female , Adult , Middle Aged , Nursing Care , HIV Infections , Health Promotion , Eye Health , Acquired Immunodeficiency Syndrome , Educational Technology , Brazil , Epidemiology, Descriptive
3.
Rev Rene (Online) ; 13(3): 542-551, 2012. tab
Article in Portuguese | LILACS, BDENF - Nursing | ID: lil-693903

ABSTRACT

O estudo objetivou descrever os diagnósticos de enfermagem a partir da identificação dos déficits de autocuidado de pessoas com deficiência visual, usando como referencial a Teoria do Déficit de Autocuidado de Orem. Estudo de caso desenvolvido com quatro pessoas com deficiência visual, mediante entrevista semiestruturada, baseado na Teoria do Déficit do Autocuidado, e com identificação dos diagnósticos de enfermagem segundo a taxonomia da NANDA-I. Os diagnósticos de enfermagem identificados foram: interação social prejudicada; déficit no autocuidado; controle ineficaz do regime terapêutico; risco de síndrome do estresse por mudança; disfunção sexual; e mobilidade física prejudicada. Conclui-se que o grupo apresentou um grau considerável de limitação na capacidade de realização do autocuidado. Ressalta-se, porém, que o grupo possui potencial para desenvolver habilidades necessárias para a execução segura de suas atividades de vida diária, o que representa um campo fértil para as ações de enfermagem.


Subject(s)
Humans , Male , Female , Self Care , Nursing Diagnosis , Visually Impaired Persons
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