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Updated: Feb 27, 2026

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care
Published on: February 16, 2011
Qualitative study on experiences reported by people with complex wounds In Primary Health Care
Dalila Reis Barbosa1, Caio Vieira de Barros Arato1, Rodrigo Almeida Bastos1
1Universidade Estadual de Campinas. Campinas, São Paulo, Brazil.
Objectives:
to explore expressed and unexpressed senses and meanings that may reveal subjective elements necessary for patients' emotional management.
Methods:
a clinical-qualitative approach was used within the Brazilian Health System with individuals who have had chronic wounds for more than six months. Data were collected through in-depth individual interviews, audio-recorded and transcribed verbatim using a semi-structured script. The sample was calculated based on theoretical saturation. The corpus was analyzed using the "Seven Steps" technique, and the theoretical framework supporting the analysis and discussion was health psychology.
Results:
eight interviews were conducted with patients treated at Family Health Units. The meanings and significances characterized three categories: distress beyond physical pain; communication between patient and professional; and religiosity as a coping strategy.
Final Considerations:
living with difficult-to-heal wounds compromises adherence to treatment and self-care.
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