Objective: To analyze the implications of professional practice of these nurses graduated from the CEEO EEAN / UFRJ for quality health care for women. Method: This was a qualitative study, where the subjects were twenty (20) obstetrician nurses graduated at CEEO / EEAN who work in the city of Rio de Janeiro. Results: The autonomy and ownership of the practice of midwives are legitimized and enforces the law as a nurse midwife, however, the autonomy of childbirth care is limited by its lack of knowledge about the legal support to serve in this area of care, due to the impediment professional practice and prejudice from health institutions and medical staff through verbal violence and its derivations, generating negative implications for the quality of care and practice. Conclusion: So, professional recognition by the acceptance of nursing practice in its entirety should be legitimized.
Objetivo: este comunicado pretende provocar la reflexión de los profesionales de Enfermería obstétrica para que prosigan en la lucha por la garantía de los derechos de las mujeres y de sus bebés, en plena pandemia de COVID-19.Desarrollo: concentra la atención en la violación de los Derechos Humanos de las mujeres, de sus hijos y de las enfermeras obstétricas y obstetras, principalmente por el efecto de la pandemia. Apoya la Declaración de la International Confederation of the Midwives llamada "Los derechos de las mujeres en el parto deben mantenerse durante la pandemia", y evoca a la Enfermería obstétrica a un comportamiento solidario y pautado por la justicia social, construido y anunciado por los cuerpos y las voces tanto de quienes prestan servicios de cuidado como de quienes los reciben.Consideraciones finales: señalamos el compromiso político-social con la democracia con respecto al proceso que legitima a la ciudadanía en un campo especial de interés: la vida y la salud de las mujeres, a partir del derecho constitucional y de los desafíos éticos que nos impone la pandemia. ; Objective: This release aims to promote the reflection of obstetric nurses so that they continue to fight to guarantee the rights of women and their babies amidst the COVID-19 pandemic.Development: This paper draws the attention to the violation of the Human Rights of women, their children, and obstetric nurses and midwives, mainly due to the impact of the pandemic. It endorses the Official Statement of the International Confederation of the Midwives named "Women's Rights in Childbirth Must be Upheld During the Coronavirus Pandemic", and evokes Obstetric Nursing to a solidary work guided by social justice, built and announced by the bodies and voices of those who provide care and those who receive it.Final Considerations: We signal the political and social commitment to democracy as a process that legitimizes citizenship in a special field of interest: women's life and health, based on the constitutional law and on the ethical challenges that are imposed by the pandemic. ; Objetivo: esta comunicação tem por objetivo provocar a reflexão de enfermeiras(os) obstétricas(os) a seguir na luta pela garantia de direitos das mulheres e de seus bebês, em meio à pandemia de COVID-19.Desenvolvimento: chama a atenção a violação dos Direitos Humanos das mulheres, seus filhos e de enfermeiras obstétricas e obstetrizes, principalmente pelo impacto da pandemia. Endossa a Declaração da International Confederation of the Midwives intitulada "Os direitos das mulheres no parto devem ser mantidos durante a pandemia", e evoca a Enfermagem Obstétrica a um quefazer, solidário e pautado pela justiça social, construído e anunciado pelos corpos e vozes daquelas(es) que cuidam e são cuidadas(os).Considerações Finais: sinalizamos o compromisso político-social com a democracia enquanto processo que legitima a cidadania num campo especial de interesse: a vida e a saúde das mulheres, a partir do direito constitucional e dos desafios éticos que nos convoca a pandemia.
Objetivo: este comunicado pretende provocar la reflexión de los profesionales de Enfermería obstétrica para que prosigan en la lucha por la garantía de los derechos de las mujeres y de sus bebés, en plena pandemia de COVID-19.Desarrollo: concentra la atención en la violación de los Derechos Humanos de las mujeres, de sus hijos y de las enfermeras obstétricas y obstetras, principalmente por el efecto de la pandemia. Apoya la Declaración de la International Confederation of the Midwives llamada "Los derechos de las mujeres en el parto deben mantenerse durante la pandemia", y evoca a la Enfermería obstétrica a un comportamiento solidario y pautado por la justicia social, construido y anunciado por los cuerpos y las voces tanto de quienes prestan servicios de cuidado como de quienes los reciben.Consideraciones finales: señalamos el compromiso político-social con la democracia con respecto al proceso que legitima a la ciudadanía en un campo especial de interés: la vida y la salud de las mujeres, a partir del derecho constitucional y de los desafíos éticos que nos impone la pandemia. ; Objective: This release aims to promote the reflection of obstetric nurses so that they continue to fight to guarantee the rights of women and their babies amidst the COVID-19 pandemic.Development: This paper draws the attention to the violation of the Human Rights of women, their children, and obstetric nurses and midwives, mainly due to the impact of the pandemic. It endorses the Official Statement of the International Confederation of the Midwives named "Women's Rights in Childbirth Must be Upheld During the Coronavirus Pandemic", and evokes Obstetric Nursing to a solidary work guided by social justice, built and announced by the bodies and voices of those who provide care and those who receive it.Final Considerations: We signal the political and social commitment to democracy as a process that legitimizes citizenship in a special field of interest: women's life and health, based on the constitutional law and on the ethical challenges that are imposed by the pandemic. ; Objetivo: esta comunicação tem por objetivo provocar a reflexão de enfermeiras(os) obstétricas(os) a seguir na luta pela garantia de direitos das mulheres e de seus bebês, em meio à pandemia de COVID-19.Desenvolvimento: chama a atenção a violação dos Direitos Humanos das mulheres, seus filhos e de enfermeiras obstétricas e obstetrizes, principalmente pelo impacto da pandemia. Endossa a Declaração da International Confederation of the Midwives intitulada "Os direitos das mulheres no parto devem ser mantidos durante a pandemia", e evoca a Enfermagem Obstétrica a um quefazer, solidário e pautado pela justiça social, construído e anunciado pelos corpos e vozes daquelas(es) que cuidam e são cuidadas(os).Considerações Finais: sinalizamos o compromisso político-social com a democracia enquanto processo que legitima a cidadania num campo especial de interesse: a vida e a saúde das mulheres, a partir do direito constitucional e dos desafios éticos que nos convoca a pandemia.
Objectives: analyzing nursing care established for newborns in accommodation set who, subsequently, underwent intra-hospital transfer. Method: a descriptive, exploratory, quantitative and qualitative research approved by the Ethics Committee of the Faculty of Medicine of the University Hospital Antonio Pedro (HUAP), under protocol: 182.253/2012; and conducted with eight nurses of the accommodation set through document analysis through survey in the bank records with the application of a checklist on line of nursing care and semistructured interview. Results: in the analysis of the data, the results showed the importance of women and newborn in the same space and guidelines to escorts. The conduction of physical examination shows its effectiveness in monitoring. Conclusion: thus, nurses must perform their care upon admission and stay of the newborn in its entirety, favoring comfort and safety.
Objective: identifying the limits and the capabilities of the nurse's performance in the prenatal consultation. Method: a narrative review of literature. The choice of articles was conducted between 2005 and 2009, carried out at VHL with the following descriptors: prenatal care, prenatal assistance, nursing care and nurse assistance. The subject matters dealt in two sections: those which reported to the limits and those related to nurse's the capabilities of the nurse in prenatal appointment. Discussion: 26 productions: 21 scientific and 5 institutional. Regarding the limits of nurse's performance in prenatal care, there are: the attention focused on the biomedical model; the precariousness of resources and the ignorance of the nurse's work were identified as nurse's limits of performance. Capabilities: acceptance, bond and interaction, education practice of education in health and the professional commitment of the nurse's commitment. Conclusion: the positive impact of their actions on prenatal consultation is obvious, particularly when regarding the recognition of women's needs and effort to the integrality of health actions.
ABSTRACT Objective: to analyze practices considered violent in obstetric care. Method: integrative review, with data collection in the Web of Science, CINAHL, Scopus, MEDLINE, LILACS databases and the SciELO virtual library with articles of the last five years in English, Spanish and Portuguese, obtaining 13 selected articles that were submitted to the Content Analysis technique, in the Thematic Analysis modality. Results: the following categories have been identified: 'Obstetric violence: typology, definitions, legislation'; « Obstetric violence in the perception of the obstetric team »; « Obstetric violence in the perception of users ». Conclusion: obstetric violence is inserted with the practices of health professionals, such as episiotomy, kristeller maneuver, medicalization of childbirth, and care in the context of the birth process should occur in a respectful way and, thus, face acts of violence. Thus, the study contributes to the knowledge about disrespectful practices with women in the context of parturition. Descritores: Obstetrics; Labor, Obstetric; Natural Childbirth; Violence Against Women; Humanizing Delivery; Reproductive Rights.RESUMOObjetivo: analisar as práticas consideradas violentas na atenção obstétrica. Método: revisão integrativa, com coleta de dados nas bases de dados Web of Science, CINAHL, Scopus, MEDLINE, LILACS e a biblioteca virtual SciELO, com artigos dos últimos cinco anos, em idioma inglês, espanhol e português, obtendo 13 artigos selecionados que foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: foram identificadas as seguintes categorias «Violência obstétrica: tipologia, definições, legislação»; ; . Conclusão: a violência obstétrica está inserida com as práticas dos profissionais de saúde, como a episiotomia, a manobra de kristeller, a medicalização do parto, e o cuidado no contexto do processo de nascimento deve ocorrer de forma respeitosa e, assim, enfrentar atos de violência. Desse modo, o estudo contribui para o conhecimento acerca das práticas desrespeitosas com a mulher no contexto da parturição. Descritores: Obstetrícia; Trabalho de Parto; Parto Normal; Violência contra a Mulher; Parto Humanizado; Direitos Sexuais e Reprodutivos.RESUMEN Objetivo: analizar las prácticas consideradas violentas en la atención obstétrica. Método: revisión integrativa, con recolección de datos en las bases de datos Web of Science, CINAHL, Scopus, MEDLINE, LILACS y la biblioteca virtual SciELO, con artículos de los últimos cinco años, en Inglés, español y portugués lenguaje, obteniendo 13 artículos seleccionados, que fueron sometidos a la técnica de Análisis de Contenido, en el modo de análisis temático. Resultados: se identificaron las siguientes categorías « Violencia obstétrica: tipología, definiciones, legislación »; « La violencia obstétrica en la percepción del equipo obstétrico »; « La violencia obstétrica en la percepción de las usuarias ». Conclusión: la violencia obstétrica está inserida con las prácticas de los profesionales de salud, como la episiotomía, la maniobra de kristeller, la medicalización del parto, y el cuidado en el contexto del proceso de nacimiento debe ocurrir de forma respetuosa y, así, enfrentar actos de violencia. De ese modo, el estudio contribuye al conocimiento acerca de las prácticas irrespetuosas con la mujer en el contexto de la parturición. Descritores: Obstétrica; Trabajo de Parto; Parto Normal; Parto Humanizado; Violencia contra la Mujer; Parto Humanizado; Derechos Sexuales y Reproductivos. ; RESUMOObjetivo: analisar as práticas consideradas violentas na atenção obstétrica. Método: revisão integrativa, com coleta de dados nas bases de dados Web of Science, CINAHL, Scopus, MEDLINE, LILACS e a biblioteca virtual SciELO, com artigos dos últimos cinco anos, em idioma inglês, espanhol e português, obtendo 13 artigos selecionados que foram submetidos à técnica de Análise de Conteúdo, na modalidade Análise Temática. Resultados: foram identificadas as seguintes categorias «Violência obstétrica: tipologia, definições, legislação»; ; . Conclusão: a violência obstétrica está inserida com as práticas dos profissionais de saúde, como a episiotomia, a manobra de kristeller, a medicalização do parto, e o cuidado no contexto do processo de nascimento deve ocorrer de forma respeitosa e, assim, enfrentar atos de violência. Desse modo, o estudo contribui para o conhecimento acerca das práticas desrespeitosas com a mulher no contexto da parturição. Descritores: Obstetrícia; Trabalho de Parto; Parto Normal; Violência contra a Mulher; Parto Humanizado; Direitos Sexuais e Reprodutivos.ABSTRACT Objective: to analyze practices considered violent in obstetric care. Method: integrative review, with data collection in the Web of Science, CINAHL, Scopus, MEDLINE, LILACS databases and the SciELO virtual library with articles of the last five years in English, Spanish and Portuguese, obtaining 13 selected articles that were submitted to the Content Analysis technique, in the Thematic Analysis modality. Results: the following categories have been identified: 'Obstetric violence: typology, definitions, legislation'; « Obstetric violence in the perception of the obstetric team »; « Obstetric violence in the perception of users ». Conclusion: obstetric violence is inserted with the practices of health professionals, such as episiotomy, kristeller maneuver, medicalization of childbirth, and care in the context of the birth process should occur in a respectful way and, thus, face acts of violence. Thus, the study contributes to the knowledge about disrespectful practices with women in the context of parturition. Descritores: Obstetrics; Labor, Obstetric; Natural Childbirth; Violence Against Women; Humanizing Delivery; Reproductive Rights.RESUMEN Objetivo: analizar las prácticas consideradas violentas en la atención obstétrica. Método: revisión integrativa, con recolección de datos en las bases de datos Web of Science, CINAHL, Scopus, MEDLINE, LILACS y la biblioteca virtual SciELO, con artículos de los últimos cinco años, en Inglés, español y portugués lenguaje, obteniendo 13 artículos seleccionados, que fueron sometidos a la técnica de Análisis de Contenido, en el modo de análisis temático. Resultados: se identificaron las siguientes categorías « Violencia obstétrica: tipología, definiciones, legislación »; « La violencia obstétrica en la percepción del equipo obstétrico »; « La violencia obstétrica en la percepción de las usuarias ». Conclusión: la violencia obstétrica está inserida con las prácticas de los profesionales de salud, como la episiotomía, la maniobra de kristeller, la medicalización del parto, y el cuidado en el contexto del proceso de nacimiento debe ocurrir de forma respetuosa y, así, enfrentar actos de violencia. De ese modo, el estudio contribuye al conocimiento acerca de las prácticas irrespetuosas con la mujer en el contexto de la parturición. Descritores: Obstétrica; Trabajo de Parto; Parto Normal; Parto Humanizado; Violencia contra la Mujer; Parto Humanizado; Derechos Sexuales y Reproductivos.
ABSTRACT Objective: analyze the insertion of the nurse midwife in a teaching hospital in Rio de Janeiro State. Method: descriptive, exploratory study of qualitative nature, study case type, carried out in a maternity in the mountain region, with nine healthcare professionals and six managers. The data collection occurred from December 2016 to March 2017, by semi-structured interviews that subsequently transcribed and submitted to content analysis in the thematic modality. Results: difficulties were observed for the insertion of the nurse midwife such as: lack of specialist nurses in the delivery room; absence of space for the professional autonomy; political partisans influence in the health management; acting conflict with the obstetricians; no team support, mainly with regard to workers qualification. Conclusion: this study shows the need for direct insertion of the nurse midwife in delivery and birth, especially valuing humanized care and autonomy for professional practice.
Objectives: to know the expertise of nurses in caring for postpartum women seropositive for HIV on breastfeeding; identify the interaction of nurses with women with HIV about the impossibility of breastfeeding. Method: this was a descriptive, exploratory and qualitative in nature, with twenty-three women in the rooming Antônio Pedro University Hospital (HUAP) through structured interviews and analyzed with the precepts of content analysis in thematic, after approval by the Ethics Committee of the HUAP, under nº 254.060/13. Results: the following categories emerged: disparities in the guidelines at the rooming set: natural breastfeeding; interaction of nurses rooming with HIV-positive mothers for HIV on the impossibility of breastfeeding. Conclusion: the need for guidance and awareness of women about their reasons and issues related to the inability to breastfeed.
Objective: understanding the practice of health professionals in the Human Milk Bank of protection actions and breastfeeding support. Method: a descriptive, exploratory, and a qualitative study, twenty-five health professionals of the HMB of the State of Rio de Janeiro participated through semi-structured interviews during the months from July 2012 to February 2013, and analyzed according to content analysis by thematic modality. Results: in the data analysis, the results showed that the mechanisms of the praxis of human milk bank of health professionals formed the basis for the protection and support of breastfeeding. Conclusion: it has a positive effect for breastfeeding success and contributes to the encouragement of breastfeeding in the country.
Objective: Recognizing the concerns of primiparous women about labor and birth, the nurse identify actions to mitigating the feelings of women. Method: this was a descriptive, exploratory research, qualitative in nature, with six primiparous women rooming at the University Hospital Antonio Pedro through semistructured interviews and analyzed with the principles of thematic analysis, after approval by the Ethics Committee of the University Hospital Antonio Pedro, under nº 218 283. Results: in the data analysis, the results showed their feelings and expectations regarding their relationship with labor and birth, such as fear, insecurity and anxiety. However, the presence of a companion proved to be important for inhibition of these feelings. Conclusion: the health professional should facilitate and promote care to the mother, with a resulting assistance of a trust and bond.
Objective: analyzing the perceptions of nurses about the clinical pain in neonates in neonatal intensive care unit. Method: a descriptive, exploratory study, of a qualitative approach conducted with ten nurses in the neonatal intensive care unit of the University Hospital Antônio Pedro applying a semi-structured interview for data collection, and analyzed according to thematic content analysis method. Results: understanding the mechanism of neonatal pain, which does not depend upon complete formation of myelination; lack of verbalization of the newborn and this fact complicates the assessment of pain; however we must be sensitive to other physiological and behavioral signs, such as: facial mimicry, heart and respiratory rate, systolic blood pressure, oxygen saturation, palmar sweating and vagal tone. Conclusion: it is a practice to be rethought the use of protocols and scales for the evaluation of indicators of neonatal pain.
RESUMO Objetivo: promover a reflexão de conceitos acerca da violência obstétrica durante o processo parturitivo contra as mulheres desenvolvidos pelos serviços e profissionais de saúde. Método: estudo reflexivo, realizado a partir da leitura de artigos e manual. A busca de informações foi realizada em abril de 2014, pelo acesso on-line, e após a leitura e fichamento da literatura, procedeu-se a análise descritiva, o que contribuiu para a reflexão sobre a violência obstétrica. Resultados: buscou-se entender as práticas institucionais caracterizadas como violentas, possibilitando uma discussão respaldada nas politicas públicas do parto e nascimento, além dos direitos humanos e dos direitos sexuais e reprodutivos para o regaste da mulher na cena do parto. Conclusão: enfatiza-se a importância de o profissional de saúde promover a autonomia da mulher no trabalho de parto e parto, como o respeito ao direito de escolha de práticas criticamente empregadas conforme os seus critérios de elegibilidade, os quais estão respaldados em evidências científicas. Descritores: Enfermagem; Parto Normal; Obstetrícia; Violência. ABSTRACT Objective: to promote the reflection of concepts on obstetric violence against women during the childbirth process developed by health services and professionals. Method: reflective study, performed from reading of articles and manual. The search for information was made in April 2014 by online access. After reading and recording the literature, we proceeded to descriptive analysis, which contributed to the reflection on obstetric violence. Results: we sought to understand the institutional practices characterized as violent, enabling debate grounded on public policies of labor and birth, in addition to human rights and sexual and reproductive rights to women's ransom in the birth scene. Conclusion: we emphasize the importance of health professionals in promoting empowerment of women in labor and delivery and also respect for the right to choose practices that are critically employed according to their eligibility criteria, which are based on scientific evidence. Descriptors: Nursing; Normal childbirth; Obstetrics; Violence. RESUMEN Objetivo: promover la reflexión de conceptos acerca de la violencia obstétrica durante el proceso de parto contra las mujeres desarrollado por los servicios y profesional de salud. Método: estudio reflexivo, realizado a partir de la lectura de artículos y manual. La búsqueda de informaciones fue realizada en abril de 2014, por acceso on-line, y luego la lectura y registro de la literatura, se procedió a análisis descriptivo, lo que contribuye para la reflexión sobre la violencia obstétrica. Resultados: se buscó entender las prácticas institucionales caracterizadas como violentas, posibilitando una discusión respaldada en las políticas públicas del parto y nacimiento, además de los derechos humanos y de los derechos sexuales y reproductivos para el rescate de la mujer en la escena del parto. Conclusión: se enfatiza la importancia del profesional de salud promover la autonomía de la mujer en el trabajo de parto y parto, como el respeto al derecho de elección de prácticas críticamente empleadas conforme sus criterios de elegibilidad, los cuales están respaldados en evidencias científicas. Descriptores: Enfermería; Parto Normal; Obstetricia; Violencia. ; ABSTRACT Objective: to promote the reflection of concepts on obstetric violence against women during the childbirth process developed by health services and professionals. Method: reflective study, performed from reading of articles and manual. The search for information was made in April 2014 by online access. After reading and recording the literature, we proceeded to descriptive analysis, which contributed to the reflection on obstetric violence. Results: we sought to understand the institutional practices characterized as violent, enabling debate grounded on public policies of labor and birth, in addition to human rights and sexual and reproductive rights to women's ransom in the birth scene. Conclusion: we emphasize the importance of health professionals in promoting empowerment of women in labor and delivery and also respect for the right to choose practices that are critically employed according to their eligibility criteria, which are based on scientific evidence. Descriptors: Nursing; Normal childbirth; Obstetrics; Violence. RESUMO Objetivo: promover a reflexão de conceitos acerca da violência obstétrica durante o processo parturitivo contra as mulheres desenvolvidos pelos serviços e profissionais de saúde. Método: estudo reflexivo, realizado a partir da leitura de artigos e manual. A busca de informações foi realizada em abril de 2014, pelo acesso on-line, e após a leitura e fichamento da literatura, procedeu-se a análise descritiva, o que contribuiu para a reflexão sobre a violência obstétrica. Resultados: buscou-se entender as práticas institucionais caracterizadas como violentas, possibilitando uma discussão respaldada nas politicas públicas do parto e nascimento, além dos direitos humanos e dos direitos sexuais e reprodutivos para o regaste da mulher na cena do parto. Conclusão: enfatiza-se a importância de o profissional de saúde promover a autonomia da mulher no trabalho de parto e parto, como o respeito ao direito de escolha de práticas criticamente empregadas conforme os seus critérios de elegibilidade, os quais estão respaldados em evidências científicas. Descritores: Enfermagem; Parto Normal; Obstetrícia; Violência. RESUMEN Objetivo: promover la reflexión de conceptos acerca de la violencia obstétrica durante el proceso de parto contra las mujeres desarrollado por los servicios y profesional de salud. Método: estudio reflexivo, realizado a partir de la lectura de artículos y manual. La búsqueda de informaciones fue realizada en abril de 2014, por acceso on-line, y luego la lectura y registro de la literatura, se procedió a análisis descriptivo, lo que contribuye para la reflexión sobre la violencia obstétrica. Resultados: se buscó entender las prácticas institucionales caracterizadas como violentas, posibilitando una discusión respaldada en las políticas públicas del parto y nacimiento, además de los derechos humanos y de los derechos sexuales y reproductivos para el rescate de la mujer en la escena del parto. Conclusión: se enfatiza la importancia del profesional de salud promover la autonomía de la mujer en el trabajo de parto y parto, como el respeto al derecho de elección de prácticas críticamente empleadas conforme sus criterios de elegibilidad, los cuales están respaldados en evidencias científicas. Descriptores: Enfermería; Parto Normal; Obstetricia; Violencia.
Objective: analyzing the values expressed in the speech of women/mothers in the accessibility of monitoring examinations of prenatal care. Method: a phenomenological, descriptive, exploratory study with a qualitative approach. There were interviwed fifty women/pregnant of the Prenatal Program of Niteroi, Rio de Janeiro, Brazil. The data analyzed allowed formulating themes articulated with the Theory of Values. Results: barriers experienced by women on laboratory/images examinations: delay in results, misinformation and lack of a service of quality, a value considered of vital use for them. We realize the need for change in monitoring prenatal, considering a network of unified and integrated health with quality services at different levels of care, promoting wellness, comfort and safety to pregnant women as a vital value to their health. Conclusion: the health network should be unified for a better quality of services offered to women.
Objectives: to understand the indicators of quality of care for intravenous therapy in the neonatal intensive care unit of a university hospital. Method: a non-experimental descriptive study with a quantitative approach in the NICU of a university hospital, through a systematic survey on the protocol of intravenous care: peripheral venous access, PICC and central venous catheter. Excel and presented in tables - statistical treatment, where the data were pooled and processed in Microsoft Office program was conducted. The study was approved by the CEP HUAP/UFF under Protocol 01660412.9.0000.5243 . Results: in the data analysis, the results showed a greater need for technical training and maintenance of venous access catheter peripheral, PICC, and umbilical catheter. Conclusion: so, the health professional should facilitate and promote patient safety for the sake of your well being and quality of life, avoiding the risks and adverse effects.
