{"title":"卫生专业人员COVID-19社会表征的结构分析","authors":"Manuela de Mendonça Figueirêdo Coelho, Viviane Mamede Vasconcelos Cavalcante, Riksberg Leite Cabral, Michell Ângelo Marques Araújo, Antônio Marcos Tosoli Gomes, Jamylle Lucas Diniz, Janaina Fonseca Victor Coutinho, Eveline Pinheiro Beserra, Mariana Cavalcante Martins, Mônica Oliveira Batista Oriá, Rachel Gabriel Bastos Barbosa, Marília Braga Marques, Thalia Alves Chagas Menezes, Fabiane do Amaral Gubert","doi":"10.1080/15325024.2023.2267423","DOIUrl":null,"url":null,"abstract":"AbstractThe COVID-19 pandemic has had significant repercussions, particularly among healthcare professionals who have faced drastic changes in their work routines, increased exposure to risk, the precariousness of services, and experiences of loss and anxiety. This study aimed to analyze the structure of social representations of COVID-19 among health professionals in Ceará, located in Northeastern Brazil. A qualitative study was conducted using the Theory of Social Representations and included nursing professionals (nurses, nursing technicians, and assistants), physicians, and physical therapists who were 18 years of age or older. The sample consisted of 1317 participants who were selected using convenience sampling. Due to restrictive measures, data collection was carried out remotely through a questionnaire created using Google Forms. Out of the 1317 participants, 737 (55.5%) were nurses, 191 (14.4%) were nursing technicians, 254 (19.1%) were physicians, and 145 (11%) were physical therapists. Additionally, 1123 (84.6%) of the participants were women, with a mean age of 34 ± 8.9 years. A total of 6635 words were elicited during the study, with 1316 different evocations. The central core of the social representations was composed of the terms “fear,” “anxiety,” and “anguish.” The similarity tree analysis revealed that “fear” (n = 802) served as the organizing structure, with 18 associated terms and five cores: “death” (n = 502), “sadness” (n = 203), “anguish” (n = 185), “anxiety” (n = 171), and “insecurity” (n = 144). The structural analysis of the social representations of COVID-19 among health professionals indicated that fear, anxiety, and anguish formed the central axis, highlighting the prevalence of negative emotions. This finding was supported by the presence of terms such as death, isolation, sadness, insecurity, and pain in the first periphery of the representation.Keywords: Social representationshealth professionalsCovid-19structural analysis Open ScholarshipThis article has earned the Center for Open Science badges for Open Data. The data are openly accessible at https://osf.io/jfg9u/?view_only=223754ec1f0841aca84fa62268eda679.Additional informationNotes on contributorsManuela de Mendonça Figueirêdo CoelhoManuela de Mendonça Figueirêdo Coelho Nurse. Stomal therapist. PhD in Clinical Care in Nursing and Health Professor at the UFC Nursing Department. Experience in Nursing, with an emphasis on quantitative research, stomatherapy, urinary incontinence, educational technologies, and mental health.Viviane Mamede Vasconcelos CavalcanteViviane Mamede Vasconcelos Cavalcante Nurse. Stomal therapist. Adjunct Professor of the Nursing Department at the Federal University of Ceará - UFC. PhD in Nursing. Experience in Nursing, with an emphasis on quantitative research, stomatherapy, and educational technologies.Riksberg Leite CabralRiksberg Leite Cabral Nurse. Master in Family Health. Specialist in Epidemiology and Health Surveillance. Specialist in Health Management. Administrative Director of the Municipal Hospital Dr. João Elísio de Holanda. Nursing specialist with emphasis on management and qualitative Research.Michell Ângelo Marques AraújoMichell Ângelo Marques Araújo Nurse. Doctor in Nursing. Specialist in Mental Health and Family Health. Adjunct Professor at the Federal University of Ceará. Professor of the RENASF/FIOCRUZ Postgraduate Program. Works mainly on the following topics: mental health, thanatology, spirituality and philosophy of care.Antônio Marcos Tosoli GomesAntônio Marcos Tosoli Gomes Doctor of Nursing. Post-Doctorate in Nursing. Full Professor of the Department of Medical-Surgical Nursing and the Postgraduate Program in Nursing at the Faculty of Nursing of the State University of Rio de Janeiro (UERJ). Develops research with the theoretical-methodological support of the Theory of social representations and analysis of speech.Jamylle Lucas DinizJamylle Lucas Diniz Nurse. PhD and Master’s student in Nursing from the Federal University of Ceará. Member of the Research Group on Health Policies, Care and Technologies for Vulnerable Populations, in the area of elderly health.Janaina Fonseca Victor CoutinhoJanaina Fonseca Victor Coutinho Nurse. Doctorate in Nursing. Associate Professor III at the Federal University of Ceará. Has experience in the area of Elderly Health and in the development and evaluation of educational technologies.Eveline Pinheiro BeserraEveline Pinheiro Beserra Nursing. PhD in Nursing. Professor of the Nursing course at the Federal University of Ceará. It operates in the following areas: Public health, Health Promotion, Health Education, Child and adolescent health, Management of health services; Environmental health and Communicable Diseases.Mariana Cavalcante MartinsMariana Cavalcante Martins Nurse. Doctor in Nursing.Associate Professor 2 of the UFC nursing course; Permanent Professor of the Postgraduate Program in Family Health (RENASF-FIOCRUZ) - Professional; Collaborating Professor of the postgraduate nursing program at UFC - Academic.Mônica Oliveira Batista OriáMônica Oliveira Batista Oriá Nurse. PhD in Nursing. Associate Professor IV at the Federal University of Ceará. She is coordinator of the Postgraduate Nursing Program at UFC. Coordinates the National Institute of Science and Technology in Clinical Simulation and Virtual Reality.Rachel Gabriel Bastos BarbosaRachel Gabriel Bastos Barbosa Nurse. PhD in Nursing. Professor of the Undergraduate Nursing Course at the Federal University of Ceará. She has experience in developing research, teaching and extension projects, applying quantitative or qualitative methodology.Marília Braga MarquesMarília Braga Marques Nurse. PhD in Nursing. Adjunct Professor 4 of the Undergraduate Nursing Course at the Federal University of Ceará. Nursing. She has experience in the field of Nursing, with an emphasis on Gerontology, Primary Care and Diabetes Mellitus.Thalia Alves Chagas MenezesThalia Alves Chagas Menezes Nurse. Resident in Oncology at Hospital Haroldo Juaçaba. Experience in Nursing, with an emphasis on stomatherapy, and educational technologies.Fabiane do Amaral GubertFabiane do Amaral Gubert Nurse. PhD in Nursing. Associate Professor II at the Federal University of Ceará, she works on Undergraduate and Postgraduate Nursing courses. 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PhD and Master’s student in Nursing from the Federal University of Ceará. Member of the Research Group on Health Policies, Care and Technologies for Vulnerable Populations, in the area of elderly health.Janaina Fonseca Victor CoutinhoJanaina Fonseca Victor Coutinho Nurse. Doctorate in Nursing. Associate Professor III at the Federal University of Ceará. Has experience in the area of Elderly Health and in the development and evaluation of educational technologies.Eveline Pinheiro BeserraEveline Pinheiro Beserra Nursing. PhD in Nursing. Professor of the Nursing course at the Federal University of Ceará. It operates in the following areas: Public health, Health Promotion, Health Education, Child and adolescent health, Management of health services; Environmental health and Communicable Diseases.Mariana Cavalcante MartinsMariana Cavalcante Martins Nurse. 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引用次数: 0
摘要
2019冠状病毒病大流行产生了重大影响,特别是在医疗保健专业人员中,他们的工作惯例发生了巨大变化,面临的风险增加,服务不稳定,以及失去和焦虑的经历。本研究旨在分析巴西东北部塞埃尔<e:1>卫生专业人员对COVID-19的社会表征结构。使用社会表征理论进行了一项定性研究,研究对象包括18岁以上的护理专业人员(护士、护理技术人员和助理)、医生和物理治疗师。样本由1317名参与者组成,采用方便抽样法选择。由于限制措施,数据收集是通过使用Google表单创建的问卷远程进行的。在1317名参与者中,737名(55.5%)是护士,191名(14.4%)是护理技师,254名(19.1%)是医生,145名(11%)是物理治疗师。此外,1123名(84.6%)参与者为女性,平均年龄为34±8.9岁。在研究过程中,共有6635个单词被激发出来,有1316种不同的唤起。社会表征的核心是“恐惧”、“焦虑”和“痛苦”。相似树分析显示,以“恐惧”(n = 802)为组织结构,有18个相关词和5个核心:“死亡”(n = 502)、“悲伤”(n = 203)、“痛苦”(n = 185)、“焦虑”(n = 171)和“不安全感”(n = 144)。对卫生专业人员COVID-19社会表征的结构分析表明,恐惧、焦虑和痛苦构成了中轴线,突出了负面情绪的普遍存在。这一发现得到了诸如死亡、孤立、悲伤、不安全感和痛苦等词语在画作第一边缘的存在的支持。关键词:社会表征卫生专业人员scovid -19结构分析开放奖学金本文因开放数据获得开放科学中心徽章这些数据可在以下网站公开获取:https://osf.io/jfg9u/?view_only=223754ec1f0841aca84fa62268eda679.Additional information贡献者说明manuela de mendon<s:2> Figueirêdo CoelhoManuela de mendon<s:2> Figueirêdo Coelho Nurse。口的治疗师。UFC护理系临床护理与健康博士教授。有护理经验,重点是定量研究、口腔治疗、尿失禁、教育技术和心理健康。维维安娜·马梅德·瓦斯孔塞洛斯·卡瓦尔康蒂维维安娜·马梅德·瓦斯孔塞洛斯·卡瓦尔康蒂护士。口的治疗师。奥地利联邦大学护理系兼职教授。护理学博士。有护理经验,重点是定量研究、口腔治疗和教育技术。瑞克斯伯格,瑞克斯伯格,瑞克斯伯格,瑞克斯伯格,瑞克斯伯格,瑞克斯伯格护士。家庭健康硕士流行病学和健康监测专家。健康管理专家。市医院行政主任jo<s:1> o Elísio de Holanda博士。护理专家,重点是管理和定性研究。米歇尔Ângelo马奎斯AraújoMichell Ângelo马奎斯Araújo护士。护理学博士。心理健康和家庭健康专家。谢尔<e:1>联邦大学兼职教授。RENASF/FIOCRUZ研究生课程教授。主要从事以下工作:心理健康、死亡学、灵性和护理哲学。Antônio Marcos Tosoli GomesAntônio Marcos Tosoli Gomes护理博士。护理学博士后。里约热内卢州立大学(UERJ)护理学院内科外科护理系和护理研究生课程的全职教授。在社会表征理论和言语分析的理论方法支持下开展研究。Jamylle Lucas Diniz护士。谢尔<e:1>联邦大学护理学博士、硕士研究生。老年人保健领域弱势群体保健政策、护理和技术研究小组成员。Janaina Fonseca Victor Coutinho护士。护理学博士。谢尔<e:1>联邦大学副教授。在老年人健康领域和教育技术的发展和评价方面有经验。伊芙琳·皮涅罗·贝塞拉护理。护理学博士。谢尔<e:1>联邦大学护理课程教授。它在以下领域开展工作:公共卫生、健康促进、健康教育、儿童和青少年健康、卫生服务管理;环境卫生和传染病。玛丽安娜·卡瓦尔坎特·马丁斯玛丽安娜·卡瓦尔坎特·马丁斯护士。护理学博士。 UFC护理课程副教授2;家庭健康研究生课程(RENASF-FIOCRUZ)常任教授-专业;UFC研究生护理课程合作教授-学术。Mônica Oliveira Batista OriáMônica Oliveira Batista ori<e:1>护士。护理学博士。谢尔<e:1>联邦大学副教授。她是UFC研究生护理项目的协调员。协调国家临床模拟和虚拟现实科学技术研究所。Rachel Gabriel Bastos Barbosa护士。护理学博士。谢尔<e:1>联邦大学本科护理课程教授。她有开发研究、教学和推广项目的经验,应用定量或定性方法。Marília布拉加MarquesMarília布拉加马奎斯护士。护理学博士。谢尔<e:1>联邦大学本科护理课程兼职教授。护理。她在护理领域有丰富的经验,重点是老年学、初级保健和糖尿病。塔利亚·阿尔维斯·查加斯·梅内塞斯护士。Haroldo jua<s:1>医院肿瘤科住院医师。有护理经验,重点是口腔治疗和教育技术。Fabiane do Amaral Gubert, Fabiane do Amaral Gubert护士。护理学博士。谢尔联邦大学二级副教授,负责本科和研究生护理课程。家庭健康专业研究生课程(Nucleadora UFC)与FIOCRUZ网络的协调员。
Structural Analysis of Social Representations of COVID-19 Among Health Professionals
AbstractThe COVID-19 pandemic has had significant repercussions, particularly among healthcare professionals who have faced drastic changes in their work routines, increased exposure to risk, the precariousness of services, and experiences of loss and anxiety. This study aimed to analyze the structure of social representations of COVID-19 among health professionals in Ceará, located in Northeastern Brazil. A qualitative study was conducted using the Theory of Social Representations and included nursing professionals (nurses, nursing technicians, and assistants), physicians, and physical therapists who were 18 years of age or older. The sample consisted of 1317 participants who were selected using convenience sampling. Due to restrictive measures, data collection was carried out remotely through a questionnaire created using Google Forms. Out of the 1317 participants, 737 (55.5%) were nurses, 191 (14.4%) were nursing technicians, 254 (19.1%) were physicians, and 145 (11%) were physical therapists. Additionally, 1123 (84.6%) of the participants were women, with a mean age of 34 ± 8.9 years. A total of 6635 words were elicited during the study, with 1316 different evocations. The central core of the social representations was composed of the terms “fear,” “anxiety,” and “anguish.” The similarity tree analysis revealed that “fear” (n = 802) served as the organizing structure, with 18 associated terms and five cores: “death” (n = 502), “sadness” (n = 203), “anguish” (n = 185), “anxiety” (n = 171), and “insecurity” (n = 144). The structural analysis of the social representations of COVID-19 among health professionals indicated that fear, anxiety, and anguish formed the central axis, highlighting the prevalence of negative emotions. This finding was supported by the presence of terms such as death, isolation, sadness, insecurity, and pain in the first periphery of the representation.Keywords: Social representationshealth professionalsCovid-19structural analysis Open ScholarshipThis article has earned the Center for Open Science badges for Open Data. The data are openly accessible at https://osf.io/jfg9u/?view_only=223754ec1f0841aca84fa62268eda679.Additional informationNotes on contributorsManuela de Mendonça Figueirêdo CoelhoManuela de Mendonça Figueirêdo Coelho Nurse. Stomal therapist. PhD in Clinical Care in Nursing and Health Professor at the UFC Nursing Department. Experience in Nursing, with an emphasis on quantitative research, stomatherapy, urinary incontinence, educational technologies, and mental health.Viviane Mamede Vasconcelos CavalcanteViviane Mamede Vasconcelos Cavalcante Nurse. Stomal therapist. Adjunct Professor of the Nursing Department at the Federal University of Ceará - UFC. PhD in Nursing. Experience in Nursing, with an emphasis on quantitative research, stomatherapy, and educational technologies.Riksberg Leite CabralRiksberg Leite Cabral Nurse. Master in Family Health. Specialist in Epidemiology and Health Surveillance. Specialist in Health Management. Administrative Director of the Municipal Hospital Dr. João Elísio de Holanda. Nursing specialist with emphasis on management and qualitative Research.Michell Ângelo Marques AraújoMichell Ângelo Marques Araújo Nurse. Doctor in Nursing. Specialist in Mental Health and Family Health. Adjunct Professor at the Federal University of Ceará. Professor of the RENASF/FIOCRUZ Postgraduate Program. Works mainly on the following topics: mental health, thanatology, spirituality and philosophy of care.Antônio Marcos Tosoli GomesAntônio Marcos Tosoli Gomes Doctor of Nursing. Post-Doctorate in Nursing. Full Professor of the Department of Medical-Surgical Nursing and the Postgraduate Program in Nursing at the Faculty of Nursing of the State University of Rio de Janeiro (UERJ). Develops research with the theoretical-methodological support of the Theory of social representations and analysis of speech.Jamylle Lucas DinizJamylle Lucas Diniz Nurse. PhD and Master’s student in Nursing from the Federal University of Ceará. Member of the Research Group on Health Policies, Care and Technologies for Vulnerable Populations, in the area of elderly health.Janaina Fonseca Victor CoutinhoJanaina Fonseca Victor Coutinho Nurse. Doctorate in Nursing. Associate Professor III at the Federal University of Ceará. Has experience in the area of Elderly Health and in the development and evaluation of educational technologies.Eveline Pinheiro BeserraEveline Pinheiro Beserra Nursing. PhD in Nursing. Professor of the Nursing course at the Federal University of Ceará. It operates in the following areas: Public health, Health Promotion, Health Education, Child and adolescent health, Management of health services; Environmental health and Communicable Diseases.Mariana Cavalcante MartinsMariana Cavalcante Martins Nurse. Doctor in Nursing.Associate Professor 2 of the UFC nursing course; Permanent Professor of the Postgraduate Program in Family Health (RENASF-FIOCRUZ) - Professional; Collaborating Professor of the postgraduate nursing program at UFC - Academic.Mônica Oliveira Batista OriáMônica Oliveira Batista Oriá Nurse. PhD in Nursing. Associate Professor IV at the Federal University of Ceará. She is coordinator of the Postgraduate Nursing Program at UFC. Coordinates the National Institute of Science and Technology in Clinical Simulation and Virtual Reality.Rachel Gabriel Bastos BarbosaRachel Gabriel Bastos Barbosa Nurse. PhD in Nursing. Professor of the Undergraduate Nursing Course at the Federal University of Ceará. She has experience in developing research, teaching and extension projects, applying quantitative or qualitative methodology.Marília Braga MarquesMarília Braga Marques Nurse. PhD in Nursing. Adjunct Professor 4 of the Undergraduate Nursing Course at the Federal University of Ceará. Nursing. She has experience in the field of Nursing, with an emphasis on Gerontology, Primary Care and Diabetes Mellitus.Thalia Alves Chagas MenezesThalia Alves Chagas Menezes Nurse. Resident in Oncology at Hospital Haroldo Juaçaba. Experience in Nursing, with an emphasis on stomatherapy, and educational technologies.Fabiane do Amaral GubertFabiane do Amaral Gubert Nurse. PhD in Nursing. Associate Professor II at the Federal University of Ceará, she works on Undergraduate and Postgraduate Nursing courses. Coordinator of the Professional Postgraduate Program in Family Health (Nucleadora UFC) in a network with FIOCRUZ.
期刊介绍:
In one forum, Journal of Loss and Trauma brings together scholarship on personal losses relating to family, health, and aging issues. The journal addresses issues dealing with psychological and physical health and interpersonal losses relative to extended family, community life, and society as a whole. In order to broaden the reader"s perspective on loss and bereavement, the journal defines loss as a major reduction in a person"s resources, whether personal, material, or symbolic, to which the person was emotionally attached. Types of loss covered include: death and dying; dissolution and divorce; loss of employment; life-threatening diseases and long-term disability; loss of possessions; homelessness.