Humanization of care in Primary Health Care: social representations of people with pulmonary tuberculosis.
Mayara Del Aguilal Pacheco, Iací Proença Palmeira, Márcia de Assunção Ferreira and 5 others
PMID 41589882WHAT IT FOUND
People with pulmonary tuberculosis in primary care described humanized care as being listened to and treated without arrogance.
Small spaces, few chairs, and missing resources were seen as obstacles, and disrespectful care could make them abandon treatment.
Key findings
01Participants described humanized care as good treatment based on interpersonal relationships, attentive listening, empathy, and patience.
02Participants identified poor physical structure, small space, lack of material resources, and too few professionals as obstacles to humanization.
03Participants said they would abandon treatment or seek care elsewhere if they experienced disrespect or prejudice.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
What it does not show
The study was done in a specific municipality, in four primary care units in Belém, Brazil, so its themes may not fit other places or services. It asked people who had already completed at least two months of treatment, so it may not capture the views of people who never entered care, abandoned early, or could not be interviewed because of communication difficulties or acute mental disorder. The findings are perceptions and themes, not measured effects, so they do not show whether respectful care, better waiting rooms, or more staff actually improve tuberculosis treatment outcomes. The interview script was not pilot tested, and interpretation relied on lexical software and Social Representation Theory, which may shape how themes were named. The paper does not report how many participants were interviewed at each unit or how saturation was determined beyond preliminary analysis.
Declared interests
The first author received a master's scholarship from CAPES, the Brazilian federal agency for improving higher education personnel. The paper does not report industry funding or other conflicts of interest.
The easy way to misread this
Do not read this as evidence that respectful communication or better waiting rooms improve tuberculosis adherence or outcomes. The study reports patients' perceptions and cannot separate the effect of any single part of care, such as nurse behavior, medication support, building space, or staffing.