Discursos sobre tecnologías en la atención domiciliaria: contradicciones entre innovar, inventar e invertir

Silva, Kênia Lara da; Braga, Patrícia Pinto; Silva, Alexandre Ernesto; Lopes, Lucas Frederico Luiz; Souza, Thiago de Medeiros

Kênia Lara da Silva

Universidade Federal de Minas Gerais (UFMG), Escola de Enfermagem, Departamento de Enfermagem Aplicada. Belo Horizonte, Minas Gerais, Brasil.

https://orcid.org/0000-0003-3924-2122

Patrícia Pinto Braga

Universidade Federal de São João del Rei (UFSJ), Campus Centro-Oeste Dona Lindu, Curso de Enfermagem. Divinópolis, Minas Gerais, Brasil.

https://orcid.org/0000-0002-1756-9186

Alexandre Ernesto Silva

Universidade Federal de São João del Rei (UFSJ), Campus Centro-Oeste Dona Lindu, Curso de Enfermagem. Divinópolis, Minas Gerais, Brasil.

https://orcid.org/0000-0001-9988-144X

Lucas Frederico Luiz Lopes

Pesquisador Autônomo. Belo Horizonte, Minas Gerais, Brasil

https://orcid.org/0000-0002-8400-4089

Thiago de Medeiros Souza

Universidade Federal de Juiz de Fora (UFJF), Faculdade de Enfermagem, Programa de Pós-Graduação em Enfermagem. Juiz de Fora, Minas Gerais, Brasil.

https://orcid.org/0000-0002-8222-917X

Corresponding author:
Kênia Lara da Silva E-mail: kenialara17@gmail.com

Associate editor:

Rosana Maffacciolli

Editor-in-chief:

Maria da Graça Oliveira Crossetti

Authorship contribution:

Conceptualization: Kênia Lara da Silva; Formal analysis: Kênia Lara da Silva, Alexandre Ernesto Silva, Patrícia Pinto Braga, Lucas Frederico Luiz Lopes, Thiago de Medeiros Souza; Funding acquisition: Kênia Lara da Silva; Investigation: Kênia Lara da Silva, Alexandre Ernesto Silva, Patrícia Pinto Braga, Thiago de Medeiros Souza; Writing-original draft: Kênia Lara da Silva, Alexandre Ernesto Silva, Patrícia Pinto Braga, Lucas Frederico Luiz Lopes, Thiago de Medeiros Souza; Writing-review & editing: Kênia Lara da Silva, Alexandre Ernesto Silva, Patrícia Pinto Braga, Lucas Frederico Luiz Lopes, Thiago de Medeiros Souza; Visualization: Kênia Lara da Silva, Alexandre Ernesto Silva, Patrícia Pinto Braga, Lucas Frederico Luiz Lopes, Thiago de Medeiros Souza.

The authors declare that there is no conflict of interest

Carrier	Relational process	Attribute	Purpose, cause or reason	Code
Technology	is	one thing	that makes life easier	(M2SW1)
	is	everything	you use to reach the ultimate goal, right?	(M2CO5)
In this service [circumstance, technology]	it is like	facilitator		(M3CO1)
	is	a resource	a resource to make it more practical, more usable; make it more functional, more practical, more useful	(M2NU1)
	is	everything all equipment	that helps you that helps you at work	(M4AA1)
Technology	is	what	I'm going to use to optimize, improve, make life easier for my patient in some way	(M3OT1)
		all	that come to add right?	(M1N5)
		Positive things	for care, right	(M1N5)
	is	everything	Interventions aimed at the well-being of the patient and family. (which adds something positive to intervention in a certain case)	(M2PS1)
		every specific thing	used for the benefit of the patient, of us.	(M3PH2)
the technology today [circumstance]	came		to be able to improve or give a better quality of life to these patients of ours	(M1N3)
	is	the evolution of each thing at the moment	to be able to follow up and be able to improve every day what is involved in our work	(M4NU1)
		a new thing	that we can apply to our patient care.	(M3PT1)
technology	is	everything new that is coming. This thing more related to devices, new exams, devices, applications.		(M4ST1)
De tecnologia		only the systems	where we put our services	(M4ST1)
one technology	is	the computer	for us to have communication and, for example, this access to this patient demand.	(M3PT1)
		Oximeter	is a micro technology that solves on time	(MEPT2)

Experiencer	Mental Process	Phenomenon	Circumstance	Code
I	guess (cognitive)	that we develop no technology		M3PH1
We	try (desiderative)	to adapt	as much as possible so that we can do our best to provide the best care for the patient.
I	think that (cognitive)	We always want more, We want the best.
But also we	have to understand (cognitive)	the limitations within a household	facing a SUS approach.
You	can’t want (desiderative)	everything exactly the same as you would have in a hospital.
I	think that (cognitive)	we improvise various situations.
I	think that (cognitive)	[to have innovations]	it would need [...] research aimed at this, innovations, technologies for the household, for the home patient, research, projects aimed at this area. [...] Not very expensive, because otherwise it ends up out of reality and it won’t be a technology that will be used, that will enter	M2ST1
	would be good (perceptive)	if we [experiencer] had the possibility; if we could easily do imaging exams.	In case of rehabilitation of swallowing at home,	M4ST1
[I]	don’t see (perceptive)	nothing	nowadays, there’s no way.	M4ST1
[Most patients here have sequelae of (CVA), for example, many also of head trauma, which for some reason have paraplegia] - Circumstance	so,if it had (desiderative)	This [elevating crane] for the patient, would make the work easier, would give more autonomy to the patient, because the patient could do everything with the crane on his own, he would have much more autonomy.	but, unfortunately, it’s very expensive.	M3OT1
I	think today, I believe (cognitive)	that already has very good technology support for home care.	Unfortunately, however, for the SUS, for the social conditions of our patients, there are still things that are lacking. But on the other hand, we have a Trilogy, which costs 40 thousand BRL, which a lot... doesn’t even have a plan and that the service offers. Oxygen therapy is also very expensive. That hub SUS offers, got it?	(M1N2)
We	are managing	to take this [fan] home.	Because until recently, it was only for restricted use	(M3PH2)

Experiencer	Mental Process	Phenomenon	Circumstance	Code
I	guess (cognitive)	that we develop no technology		M3PH1
We	try (desiderative)	to adapt	as much as possible so that we can do our best to provide the best care for the patient.
I	think that (cognitive)	We always want more, We want the best.
But also we	have to understand (cognitive)	the limitations within a household	facing a SUS approach.
You	can’t want (desiderative)	everything exactly the same as you would have in a hospital.
I	think that (cognitive)	we improvise various situations.
I	think that (cognitive)	[to have innovations]	it would need [...] research aimed at this, innovations, technologies for the household, for the home patient, research, projects aimed at this area. [...] Not very expensive, because otherwise it ends up out of reality and it won’t be a technology that will be used, that will enter	M2ST1
	would be good (perceptive)	if we [experiencer] had the possibility; if we could easily do imaging exams.	In case of rehabilitation of swallowing at home,	M4ST1
[I]	don’t see (perceptive)	nothing	nowadays, there’s no way.	M4ST1
[Most patients here have sequelae of (CVA), for example, many also of head trauma, which for some reason have paraplegia] - Circumstance	so,if it had (desiderative)	This [elevating crane] for the patient, would make the work easier, would give more autonomy to the patient, because the patient could do everything with the crane on his own, he would have much more autonomy.	but, unfortunately, it’s very expensive.	M3OT1
I	think today, I believe (cognitive)	that already has very good technology support for home care.	Unfortunately, however, for the SUS, for the social conditions of our patients, there are still things that are lacking. But on the other hand, we have a Trilogy, which costs 40 thousand BRL, which a lot... doesn’t even have a plan and that the service offers. Oxygen therapy is also very expensive. That hub SUS offers, got it?	(M1N2)
We	are managing	to take this [fan] home.	Because until recently, it was only for restricted use	(M3PH2)

Circumstance	Actor	Process	Goal, scope or beneficiary affected by process	Code
I need spatulas,	the city hall	does not make these things available to us,	we work with a spoon instead of a spatula.	(M2ST1)
	I	took	the ceiling fan, put a wire and adapted the serum support there. Tall, with gravity, to be gravitational.	(M1N2)
Sometimes a gastrostomy, at night that	the patient	loses		(M1N2)
	or the balloon	deflates,	we have to improvise, because when you try to reintroduce it, sometimes you can’t. Then what do you do? Pass a Foley catheter into a gastrostomy. This is an improvisation, understand?	(M1N2)
You see it’s a bedside nail routine for patients in our Program		very practiced.	It’s an adaptation, right?!	(M1N4)
The patient has asbestos tile ceiling.	He	put	Styrofoam plate on the ceiling, above the patient,	(M1N4)
		put	Styrofoam plates on the ceiling to acclimatize the environment
[because it wasn’t too hot]	Then, he	he took the wood, put it on the wire and tied the electric heater

[1] Corresponding author:
Kênia Lara da Silva E-mail: kenialara17@gmail.com

Brasil

Brasil

Discursos sobre tecnologías en la atención domiciliaria: contradicciones entre innovar, inventar e invertir

RESUMEN

Objetivo:

Resultados:

Conclusión: