Women-centered care in high-risk pregnancy during childbirth from a nursing perspective
Cuidado centrado en la mujer con embarazo de riesgo durante el parto en la perspectiva de la enfermería
Cuidados centrados na mulher com gravidez de risco durante o parto na perspectiva da enfermagem
Adriana Lenho de Figueiredo Pereira; Priscila da Silva Almeida Pessanha; Juliana Amaral Prata; Marianne de Lira Maia; Evelyn Lima Teixeira do Nascimento; Juliana de Souza Fernandes
Abstract
Objective: to describe the nursing team's perspectives on women-centered care during childbirth and its attendance practice of high-risk pregnant women.
Method: a descriptive study with a qualitative approach. The participants were nine nurses and eleven nursing technicians who worked in a tertiary maternity hospital in Rio de Janeiro. Data were obtained through semi-structured interviews from July to August 2020. Qualitative content analysis and Concepts of Person-Centered Care Practice were applied.
Results: the following categories “Conceptions of women-centered care during childbirth” and “Perceptions about the practice of women-centered care during high-risk pregnancies” emerged from the analysis. The concepts included values of respect for women and their rights to protagonism and centrality in care. The perceptions covered professional, organizational, and sociocultural barriers, as well as environmental conditions that facilitate practice.
Conclusion and implications for practice: the participants showed adherence to the humanistic values of woman-centered care, but perceived professional challenges and organizational barriers that require changes in cultures and processes to enable this care viable for women with high-risk pregnancies.
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Resumo
Objetivo: descrever as perspectivas da equipe de Enfermagem sobre os cuidados centrados na mulher durante o parto e a sua prática no atendimento às gestantes de risco.
Método: estudo descritivo, com abordagem qualitativa. As participantes foram nove enfermeiras e 11 técnicas de Enfermagem que trabalhavam em uma maternidade terciária do Rio de Janeiro. Os dados foram obtidos por meio da entrevista semiestruturada, no período de julho a agosto de 2020. A Análise de Conteúdo qualitativa e os Conceitos da Prática dos Cuidados Centrados na Pessoa foram aplicados.
Resultados: as categorias: “Concepções sobre os cuidados centrados na mulher no parto” e “Percepções sobre a prática dos cuidados centrados na mulher com a gestação de risco” emergiram da análise. As concepções contemplaram os valores de respeito às mulheres e aos seus direitos de protagonismo e centralidade nos cuidados. As percepções abarcaram as barreiras profissionais, organizacionais e socioculturais, assim como as condições do ambiente facilitadoras para a prática.
Conclusão e implicações para a prática: as participantes denotaram uma aderência aos valores humanísticos dos cuidados centrados na mulher, mas perceberam os desafios profissionais e as barreiras organizacionais que exigem as mudanças de culturas e de processos para viabilizar estes cuidados para a mulher com a gestação de risco.
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Referências
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Submetido em:
25/09/2024
Aceito em:
13/12/2024
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