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[The family in the Pediatric Unit: living with rules and hospital routines]
Daiani Modernel Xavier1, Giovana Calcagno Gomes1, Silvana Sidney Costa Santos1
1Programa de Pós-Graduação em Enfermagem, Escola de Enfermagem, Universidade Federal do Rio Grande, Rio Grande, RS, Brasil.
Insights
Family caregivers navigate hospital rules and routines by conforming, adapting, or resisting to maintain autonomy. Understanding this dynamic is key for balancing structure with patient and family needs.
Area of Science:
- Medical Sociology
- Qualitative Health Research
- Foucauldian Studies
Abstract:
The study aimed to know, in Foucault's view, how the family caregiver of the child deals with the rules and routines in the hospital. Descriptive qualitative study, conducted in the second half of 2011. It had the Grounded Theory as methodological framework. It was developed in the pediatric unit of a university hospital in southern Brazil, with eighteen family caregivers. The data collection was performed by semi-structured interviews and the analysis through open, axial and selective coding. It was noticed that the family tends to conform to such rules and routines in the hospital, but recognizes the importance of its flexibility, exercising endurance, as dialoguing, or as trespassing such rules and routines, in search of autonomy, when they realize that these do not address their needs. It is important to use rules and routines to enable the family practices and spaces of freedom, autonomy and resistance.
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