Nursing care experiences with Hansen’s disease patients: contributions from hermeneutics

To analyze the experience of caring for Hansen's disease patients in the practice of nurses in the city of Rio de Janeiro. Qualitative study based on philosophical hermeneutics conducted in the programmatic areas of health in the city of Rio de Janeiro, which presented high or medium rates of H...

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Bibliographic Details
Published in:Acta paulista de enfermagem 2017-07, Vol.30 (4), p.435-441
Main Authors: da Silva, Maria Cristina Dias, Paz, Elisabete Pimenta Araújo
Format: Article
Language:English
Subjects:
Data collection
Disease detection
Exegesis & hermeneutics
Health services
Leprosy
Medical personnel
Medical treatment
Nurses
Nursing
Nursing care
Occupational health
Primary care
Qualitative research
Stigmas (botany)
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Summary:To analyze the experience of caring for Hansen's disease patients in the practice of nurses in the city of Rio de Janeiro. Qualitative study based on philosophical hermeneutics conducted in the programmatic areas of health in the city of Rio de Janeiro, which presented high or medium rates of Hansen's disease detection in 2014. Services with the following profiles were selected: exclusively Family Health Strategy (FHS), services with specialized clinics, and hybrid units in which the FHS and the traditional care model coexist. Nineteen nurses working in the priman/ and secondary health services of these areas participated in the research. The inclusion criteria were having at least five years of experience in following up Hansen's disease patients, and technical ability acquired from specific training. Exclusion criterion was being absent from work during the whole data collection stage, which happened between February 2015 and March 2016. Interviews were scheduled in agreement with participants and recorded with their authorization. Two categories were established: For nurses, care for Hansen's disease patients lost its quality, and nurses recognize stigma as a problem that compromises Hansen's disease treatment and cure. Treatment of Hansen's disease patients was limited to eventual actions, where the professional-user relationship has a fragile link. The stigma and discrimination that harm treatment are still present in attitudes and behaviors of health professionals, and represent an obstacle for reestablishing health.
ISSN:0103-2100
1982-0194
DOI:10.1590/1982-0194201700064