Lack of motivation in the use of non-invasive technologies by the nursing team in high-risk maternity wards
Falta de motivación en el uso de tecnologías no invasivas por parte del equipo de enfermería en maternidades de alto riesgo
Desmotivação no uso das tecnologias não invasivas pela equipe de enfermagem na maternidade de alto risco
Juliana Amaral Prata; Midian Oliveira Dias; Sônia Regina da Silva Gonçalves; Tatiana Beatriz Leandro de Castro; Débora Cecília Chaves de Oliveira; Danielle Gonçalves Ferreira
Abstract
Objective to understand the lack of motivation among nurses to use non-invasive care technologies in high-risk maternity wards.
Method a qualitative study with seven nurses and eight nursing technicians from the obstetric center of the maternity ward of a university hospital in the state of Rio de Janeiro. Data were produced through focus groups in July 2019 and submitted to thematic content analysis.
Results participants felt unmotivated in the face of: conflicts and disrespectful attitudes displayed by physicians; lack of support from nursing management, expressed in feelings of helplessness in the face of adversities in the work environment, scarcity of resources used in some technologies, and lack of incentives for professional development; and hospital routines that interfere with good practices during childbirth.
Final considerations and implications for practice the lack of motivation of the nursing team in high-risk maternity wards can be modified through actions by management to provide opportunities for problematizing the work reality, with the participation of the nursing and medical team, making routines more flexible, and providing material resources that strengthen nursing autonomy.
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Resumo
Objetivo: compreender a desmotivação da enfermagem para o uso das tecnologias não invasivas de cuidado na maternidade de alto risco.
Método: estudo qualitativo com sete enfermeiras e oito técnicas de enfermagem do centro obstétrico da maternidade de um hospital universitário do estado do Rio de Janeiro, Brasil. Os dados foram produzidos através de grupos focais, em julho de 2019, e submetidos à análise de conteúdo temática.
Resultados: as participantes se mostram desmotivadas diante de: embates e atitudes desrespeitosas manifestadas pelos médicos; falta de apoio da chefia de enfermagem, expressa no sentimento de desamparo diante das adversidades do ambiente laboral, da escassez de recursos utilizados em algumas tecnologias e da ausência de incentivos à atualização profissional; e rotinas hospitalares que interferem nas boas práticas no parto.
Considerações finais e implicações para a prática: a desmotivação da equipe de enfermagem na maternidade de alto risco pode ser modificada por meio de ações das chefias, para oportunizar a problematização da realidade laboral, com a participação da equipe de enfermagem e médica, flexibilizar as rotinas, e disponibilizar recursos materiais que fortalecem a autonomia da enfermagem.
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Referências
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Aceito em:
02/05/2025
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