Elements of fatherhood involved in the gestational period: a scoping review

OBJECTIVE

To identify in the literature and summarize the elements and characteristics of fatherhood involved during pregnancy.

METHOD

Scoping review that used PRISMA-ScR guide to report this review. Searches were carried out in PubMed, CINAHL, PsycInfo, LILACS and Scopus. Google search engines and public health agency websites assisted in searches of gray literature and Rayyan in screening studies.

RESULTS

A total of 406 articles were identified, of which 16 made up the final sample. Five elements make up an involved fatherhood: feeling like a father, being a provider and protector, being a partner and participant in pregnancy, participating in prenatal appointments and feeling prepared to take care of a baby.

CONCLUSION

Fathers want to be involved in prenatal care, but feel excluded from this process. Public policies that encourage paternal involvement and healthcare professional training to better welcome and promote paternal involvement are of paramount importance.

Five tips for conducting remote qualitative data collection in COVID times: theoretical and pragmatic considerations

OBJECTIVE

To provide five methodological and pragmatic tips for conducting remote qualitative data collection during the context of the COVID-19 pandemic.

METHOD

The tips presented in this article are drawn from insights of our own experiences as researchers conducting remote qualitative research and from the evidence from the literature on qualitative methods. The relevant literature was identified through searches using relevant keywords in the following databases: CINAHL, PubMed, SCOPUS, and Web of Science. Searches were limited to articles in English and Portuguese, published from 2010 to 2021, to ensure a current understanding of the phenomenon.

RESULTS

Five tips are provided: 1) Pay attention to ethical issues; 2) Identify and select potential participants; 3) Choose the type of remote interview; 4) Be prepared to conduct the remote interview; and 5) Build rapport with the participant.

CONCLUSION

Despite the challenges in conducting remote data collection, strengths are also acknowledged and our experience has shown that it is feasible to recruit and interview participants remotely. The discussions presented in this article will benefit, now and in the future, other research teams who may consider collecting data for their qualitative studies remotely.

Waves of family hope: narratives of families in the context of pediatric chronic illness

OBJECTIVE

to analyze narratives about the experience of hope of families in the context of pediatric chronic illness.

METHOD

a narrative research using Family Systems Nursing as a conceptual framework. Three families of children and adolescents diagnosed with complex chronic illness participated in this study, totaling 10 participants. Data collection was developed using family photo-elicitation interviews. Family narratives were constructed and analyzed according to inductive thematic analysis with theoretical data triangulation.

RESULTS

the analytical theme - Waves of Family Hope in the Context of Pediatric Chronic Illness - is composed of four different types of hope: uncertain hope, caring hope, latent hope, and expectant hope. Movement through these hopes generates a driving energy and depends on a number of factors: support, information, searching for normality, and thoughts and comparisons.

CONCLUSION

the results highlight the interaction and reciprocities of the members of the family unit, and the dynamics of hope, and illustrate the different types of hope and the factors that influence them. This study highlights the experience of hope as a family resource rather than just an individual resource, and supports health professionals in the planning of family care considering hope as an essential and dynamic family resource.

PRIORITY NEEDS REFERRED BY FAMILIES OF RARE DISEASE PATIENTS

ABSTRACT Rare diseases cause strong impact in families and generate needs beyond those associated with the most frequent diseases. Some of these needs are the inclusion of new responsibilities and the relationship with the healthcare and social services. This study is aimed at identifying the priority needs of families of rare disease patients as perceived from the time of diagnosis. This is a qualitative study conducted with 16 relatives of rare disease patients who live in the state of Rio Grande do Sul. Data were collected from November 2012 to March 2013, through semi-structured interviews and submitted to content analysis, based on the bioecological system of human development. The results indicated the following priority needs: access to social and healthcare services; knowledge about rare diseases; social support structures; acceptance and social integration; preservation of personal and family life. It was concluded that (re)organizing services and meeting the specific needs are preconditions to qualify nursing care and soften the impact the rare disease has on the family.

Doenças raras: itinerário diagnóstico e terapêutico das famílias de pessoas afetadas

Resumo Objetivo Caracterizar o itinerário diagnóstico e terapêutico realizado pelas famílias de pessoas com doenças raras, no âmbito da rede de serviços públicos brasileiros. Métodos Trata-se de pesquisa qualitativa. Utilizou-se a teoria bioecológica do desenvolvimento humano, de Urie Bronfenbrenner, para a compreensão dos dados. O instrumento de pesquisa foi uma entrevista semiestruturada, e os dados foram analisados pelo método de análise de conteúdo. Resultados Foram agrupados três núcleos temáticos: “Itinerário das famílias em busca do diagnóstico da doença”; “Itinerário das famílias no pós-diagnóstico da doença”; “Itinerário de manutenção terapêutica”. Conclusão O acesso aos serviços especializado possibilitou a obtenção do diagnóstico da doença rara. O tratamento foi um desafio, pois há poucos medicamentos disponíveis na escolha terapêutica para essas doenças. A judicialização foi fundamental para o acesso e a manutenção terapêutica.