Qualitative Health research procedures that are not always applied, mainly in the analysis phase. Our objective is to present a systematized technique of step-by-step procedures for qualitative content analysis in the health field: Clinical-Qualitative Content Analysis. Our proposal consider that the qualitative research applied to the field of health, can acquire a perspective analogous to clinical practice and aims to interpret meanings expressed in reports through individual interviews or statements. This analysis takes part of the Clinical-Qualitative Method. The literature review was realized through: a book chapter, eight original articles and three methodological articles. The Clinical-qualitative Content Analysis technique comprises seven steps: 1) Editing material for analysis; 2) Floating reading; 3) Construction of the units of analysis; 4) Construction of codes of meaning; 5) General refining of the codes and the Construction of categories; 6) Discussion; 7) Validity. The clinical-qualitative analysis presupposes and involves a critical reflection on the processes carried out at each step. This reflection is an extremely rich process, if carried out collectively and in dialogue with other researchers with some proficiency in qualitative methods.

The COVID-19 pandemic has seen a major disruption to undergraduate and postgraduate clinical medical education. The aim of this rapid review was to identify and synthesize published literature rela...

O trabalho docente em pós-graduação: prazer e sofrimento

Resumo Houve mudança de paradigma quanto ao prognóstico da infecção pelo vírus da imunodeficiência humana, passando da morte para problema crônico, mas ainda hoje a infecção implica revisão de vida da mulher que convive com a doença. O objetivo deste artigo foi apresentar as fases psicológicas pelas quais passam as gestantes após descobrirem a contaminação. Foi realizado estudo clínico-qualitativo a partir de entrevistas individuais, e a amostra foi intencional e fechada pelo critério de saturação teórica. Após análise qualitativa de conteúdo, foram estabelecidas três fases psicológicas evolutivas: confusão emocional, dúvida existencial e ambiguidade funcional. A notícia do teste positivo desencadeia emoções intensas e mecanismos de defesa, sobretudo devido ao medo de transmissão vertical. Dessa forma, é fundamental que equipes de saúde ampliem a compreensão sobre esta vivência tão significativa para gestantes e seus familiares.

Aim. To explore the managerial competencies engaged in innovative actions among Brazilian nurses working in primary health care. Background. The mobilization of managerial competencies favors environments that are in transformation. There is a lack of studies that recognize the managerial skills which influence the implementation of innovative actions in PHC. Method. A qualitative exploratory descriptive approach was developed in the PHC of a municipality in Brazil. A total of 76 nurses who worked in management and care participated with a semistructured script being applied on innovative actions implemented in the service. The data were processed in IraMuTeQ 0.7 and later analyzed by descending hierarchical classification. Results. The managerial competencies that influenced the development of innovative actions implemented were as follows: communication and teamwork in planning innovative actions, continuing education for application and implementation, and leadership and people management. Conclusions. Managerial competencies were used as strategies by nurses to implement innovative actions and contribute to engagement and generating positive results, emphasizing autonomy and the role of nurses as agents of change. Implications for Nursing Management. The identified management competencies contribute to directing and sustaining innovative actions, as well as to identifying critical nodes that need support and innovation.

Background In Brazil, previous research has highlighted that clinical teachers have little interest in teaching palliative care to undergraduate medical students and there is a need to obtain greater understanding of the reasons for this disinterest. Objectives Our objective was to explore the challenges experienced by Brazilian clinical teachers responsible for palliative care in undergraduate medical education. Design, setting, participants A qualitative exploratory study using semistructured interviews and analysed by thematic analysis. A total of six teachers responsible for teaching palliative care to medical students in the state of São Paulo, Brazil, were recruited. Interviews were conducted via video conferencing. Results Four themes were identified from the data: (1) conflicting ideals on clinical care, (2) teaching in palliative care: from the possible to the ideal, (3) missed teaching opportunities in palliative care and (4) challenges of palliative care in the health system. The main challenge of teaching palliative care was the lack of understanding of the concept and importance of palliative care within the healthcare system. Conclusion Challenges in teaching palliative care in Brazil include limited understanding of its importance, conflicting clinical care perspectives and emotional discomfort. Targeted strategies are recommended to prepare clinical teachers, integrate palliative care into curricula and address systemic barriers in similar low and middle income contexts.