Cultura hospitalaria y el proceso narrativo en el niño enfermo

Sandoval, Verónica Miriam Guzmán; Hernández, Jorge Torres; Hernández, Arturo Plascencia; de la Luz Castellanos Morin, Juana; Montoya, Roque Quintanilla
June 2011
Estudios Sobre las Culturas Contemporáneas;jun2011, Vol. 17 Issue 33, p23
Academic Journal
This article focuses in the traumatic experiences of girls and boys hospitalized, which impact their perception of wellness, as well as how do they construct their reality during the internment. This is part of the hospital culture, institutional vision that influences the way for users to perceive and interact with them, then that the hospital becomes a transmitter of meanings which strengthen or weaken the role of patients and their families. The narrative of the events experienced during a medical placement shapes an active and daily process of reconstructing of the reality. The goal of the investigation was to analyze the narrative of girls and boys in infectious orthopaedics and paediatrics services to know how they perceive the hospital, and analyze the impact of narrative in the restructuring and resignification of the trauma experience. Methodology: we worked with five children and girls with ages between 7 and 14 years, interned in the field of infected pediatrics' and orthopedics of the civil hospital Fray Antonio Alcalde in Guadalajara, Mexico. The working sessions were individual and consecutive, with a duration of one hour and a half. For the exploration two interview guides were used, the first one covered life prior hospitalization and the hospital experience; the second one explored indicators of anxiety and strategies for confronting stress. The narrative of each child was analyzed using the methodology of Bertaux. Results: the factors that affected the perception of the hospitable culture were: the age of the participants, the internment time, previous hospitalizations, the capacity for confrontation and the duration of the received psychological support. It was observed that the narrative process allowed to the participants to go out of his saturated plot and to view the problematics from other perspectives and to identify positive aspects of the hospitalization like: constant familiar accompaniment, support of the medical personnel and paramedic, acquired learning and the importance of the hospital in his recovery. Thus the narrative is associated with a cultural process through which patients modify and resignify their traumatic experiences in order to cope with their health plan for life.


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