Sharing uncertainty : comparing patient narratives of help-seeking in the first year of the Covid-19 pandemic across the UK, USA, Brazil, Germany and Spain

Dowrick, Anna; Evered, Jane Alice; Souza, Alicia Navarro Dias de; Thier, Anne; Conceição, Maria Inês Gandolfo; Holmberg, Christine; Chugani, Vinita Mahtani

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Campo DC	Valor	Idioma
dc.contributor.author	Dowrick, Anna	-
dc.contributor.author	Evered, Jane Alice	-
dc.contributor.author	Souza, Alicia Navarro Dias de	-
dc.contributor.author	Thier, Anne	-
dc.contributor.author	Conceição, Maria Inês Gandolfo	-
dc.contributor.author	Holmberg, Christine	-
dc.contributor.author	Chugani, Vinita Mahtani	-
dc.date.accessioned	2024-10-29T18:51:12Z	-
dc.date.available	2024-10-29T18:51:12Z	-
dc.date.issued	2023-07-23	-
dc.identifier.citation	DOWRICK, Anna et al. Sharing uncertainty: comparing patient narratives of help-seeking in the first year of the Covid-19 pandemic across the UK, USA, Brazil, Germany and Spain. SSM - Qualitative Research in Health, [S. l.], v. 4, 100306, dez. 2023. DOI: https://doi.org/10.1016/j.ssmqr.2023.100306. Disponível em: https://www.sciencedirect.com/science/article/pii/S2667321523000902?via%3Dihub. Acesso em: 29 out. 2024.	pt_BR
dc.identifier.uri	http://repositorio.unb.br/handle/10482/50764	-
dc.language.iso	eng	pt_BR
dc.publisher	Elsevier Ltd.	pt_BR
dc.rights	Acesso Aberto	pt_BR
dc.title	Sharing uncertainty : comparing patient narratives of help-seeking in the first year of the Covid-19 pandemic across the UK, USA, Brazil, Germany and Spain	pt_BR
dc.type	Artigo	pt_BR
dc.subject.keyword	Covid-19	pt_BR
dc.subject.keyword	Estudo comparativo	pt_BR
dc.subject.keyword	Incerteza	pt_BR
dc.subject.keyword	Pandemia	pt_BR
dc.rights.license	This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).	pt_BR
dc.identifier.doi	https://doi.org/10.1016/j.ssmqr.2023.100306	pt_BR
dc.description.abstract1	The early stages of the Covid-19 pandemic generated profound global uncertainty that disrupted health systems. This paper examines uncertainty about Covid-19 from the perspective of patients who sought clinical help in Spain, the UK, the USA, Brazil and Germany in 2020. We conduct a narrative analysis to explore how patients sought to involve health care teams in addressing the ontological and epistemological uncertainties of Covid illness. Patients wanted clinical support to make sense of Covid as a novel illness and interpret their journey to recovery. Access to this support varied. Help-seeking was enabled when health services perceived patient needs as legitimate, alongside an infrastructure that enabled them access to care despite health system strain. In Brazil and Spain, candidacy for support in the early stages of illness was unquestioned, whereas in Germany, the UK and USA patients had to convince health professionals to support them. Where patients did access clinical support, they valued clinicians sharing the work of developing knowledge that would address epistemological uncertainty about Covid. Patients valued clinicians’ potential to acquire relevant expertise, rather than what they knew about Covid in a given encounter. Comparing experiences across different national settings demonstrates that patients wanted health systems to engage in the uncertainty of the pandemic through being accessible and present during novel illness experiences, sharing responsibility for learning more, and having a curiosity about the unknown.	pt_BR
dc.identifier.orcid	https://orcid.org/0000-0002-2937-6728	pt_BR
dc.contributor.affiliation	University of Oxford	pt_BR
dc.contributor.affiliation	University of Wisconsin-Madison	pt_BR
dc.contributor.affiliation	Federal University of Rio de Janeiro, Faculty of Medicine	pt_BR
dc.contributor.affiliation	Institute of Social Medicine and Epidemiology, Medical School Brandenburg Theodor Fontane (MHB), Brandenburg an der Havel, Germany	pt_BR
dc.contributor.affiliation	University of Brasília, Institute of Psychology	pt_BR
dc.contributor.affiliation	Institute of Social Medicine and Epidemiology, Medical School Brandenburg Theodor Fontane (MHB), Brandenburg an der Havel, Germany	pt_BR
dc.contributor.affiliation	Faculty of Health Sciences Brandenburg, Joint Faculty of the Brandenburg University of Technology Cottbus - Senftenberg, The University of Potsdam and the Brandenburg Medical School Theodor Fontane, Potsdam, Germany	pt_BR
dc.contributor.affiliation	Research Unit University Hospital Nuestra Señora de Candelaria and Primary Care Management, Ctra. Gral. Del Rosario	pt_BR
dc.description.unidade	Instituto de Psicologia (IP)	pt_BR
dc.description.unidade	Departamento de Psicologia Clínica (IP PCL)	pt_BR
Aparece nas coleções:	Artigos publicados em periódicos e afins UnB - Covid-19