Objetivo: compreender a percepção dos enfermeiros da atenção primária a saúde acerca do parto humanizado. Método: trata-se de estudo descritiva, com abordagem qualitativa realizado com dez enfermeiros que trabalham na unidade básica de saúde, realizado em outubro a novembro de 2018, por meio das entrevistas semiestruturado. Os dados foram organizados em temáticas e interpretados de acordo com a Técnica de Análise de conteúdo. O estudo foi submetido ao Comitê de Ética em Pesquisa da Faculdade Terra Nordeste, sendo aprovado com parecer nº 1.891.559. Resultados: percebe-se que as enfermeiras, demonstram ter conhecimento das práticas de humanização do parto, porém relatam encontrarem dificuldades para colocar em prática; como também para   identificar como se dá a preparação das gestantes para o parto normal. Conclusão: Os enfermeiros compreendem os aspectos inerentes à humanização, bem como valorizam as ações práticas que a compõem, enfatizando a importância da legislação sobre o assunto.Descritores: Enfermagem; Atenção primária à saúde; Parto; Parto humanizado.NURSE’S PERCEPTION OF PRIMARY CARE ABOUT HUMANIZED BIRTH Objective: To understand the perception of nurses in primary health care about humanized childbirth. Methods: This is a descriptive study with a qualitative approach carried out with ten nurses who work in the basic health unit, conducted in october to november 2018, through semi-structured interviews. The data were organized into themes and interpreted according to the Content Analysis Technique. Results: It is clear that nurses demonstrate knowledge of the humanization practices of childbirth, but they report finding difficulties to put into practice; as well as to identify how pregnant women prepare for normal childbirth. Conclusion: Nurses understand the aspects inherent to humanization, as well as value the practical actions that compose it, emphasizing the importance of legislation on the subject.Descriptors: Nursing; Primary health care; Childbirth; Humanized birth.PERCEPCIÓN DE LA ENFERMERA DE LA ATENCIÓN PRIMARIA SOBRE EL NACIMIENTO HUMANIZADO Objetivo: Comprender la percepción de las enfermeras en la atención primaria de salud sobre el parto humanizado. Métodos: Este es un estudio descriptivo con un enfoque cualitativo realizado con diez enfermeras que trabajan en la unidad básica de salud, realizado en octubre a noviembre de 2018, a través de entrevistas semiestructuradas. Los datos fueron organizados en temas e interpretados de acuerdo con la técnica de análisis de contenido. Resultados: Está claro que las enfermeras demuestran conocimiento de las prácticas de humanización en el parto, pero informan que encuentran dificultades para ponerlas en práctica; así como para identificar cómo las mujeres embarazadas se preparan para un parto normal. Conclusión: Las enfermeras entienden los aspectos inherentes a la humanización, y valoran las acciones prácticas que la componen, enfatizando la importancia de la legislación sobre el tema.Descriptores: Enfermería; Atención primaria de salud; Parto; Parto humanizado.

Background:Primary care health professionals (HPs) are essential for continuity of care, especially for chronic conditions like rheumatic diseases. Therefore, knowledgeable and skilled HPs are needed in both settings, with close contact, to improve quality and safety. Primary care nurses may be pivotal to assure this continuity and liaison between care players. However, there is a lack of postgraduate rheumatology education for HPs working in this field1, a lack expected to be even greater in primary care.Objectives:We aimed to: 1) determine the knowledge on Disease Modifying Anti-Rheumatic Drugs (DMARDs) of nurses working in primary care in Portugal; 2) determine their confidence in providing patient education (PE) on (i) the rheumatic diseases they contact most, (ii) biological DMARDs and (iii) Methotrexate (MTX); 3) explore professional factors influencing these confidence levels; 4) explore their educational needs in rheumatology.Methods:A national online survey was performed among nurses working in primary settings for ≥6 months. The survey assessed their certifications, experience in primary care, and their practice, knowledge, and confidence (from 0 to 10) in providing PE to these patients. Their educational needs and communication with their colleagues in rheumatology were also assessed. Educational leaflets were provided at the survey's end for didactic purpose. Spearman's correlation and Mann-Whitney tests were used to test nurse's confidence levels on PE.Results:There were 290 individuals accessing the survey, but only 129 (44.5%) completed it [mean age (SD)=42.6 (7.8) years, experience in primary care=13.7 (8.2) years; 47.3% having a post-graduate specialization].Osteoarthritis (69.0%), low back pain (68.2), and rheumatoid arthritis (62.8%) were the diseases that nurses contact the most. Only 5.4% of nurses recognized an image with five sc bDMARDs pens, reporting frequent contact with them; 18.6% reported rare contact. Knowledge on bDMARDS was poor (table 1). More than half of nurses reported not knowing what PE to provide (55.0%) and when these drugs should be suspended for patient's safety (63.6%); 55% never contacted with MTX and only 6.2% reported to know its side effects.Table 1Nurse's knowledge on bDMARDS (n=129)bDMARDS% yes are:Immunosuppressant’sNSAIDsCorticosteroidsPowerful analgesicsHormone therapyI don't know 27.110.19.31.60.851.1most common side effects are:Local reactionsInfectionsKidney insuf.CytopeniaWorsening of heart failureNeoplasmsRespiratory insuf.TuberculosisGastritis and peptic ulcersHepatotoxicityDemyelinating diseaseI don't know 15.520.27.06.23.16.21.614.73.116.32.358.9Confidence levels in providing PE were low (figure 1) and not correlated (p>0.05) with years of experience on primary care or with post-graduate specializations.Nurses' doubts are answered mainly via internet (68.2%) or by local colleagues (51.2%). Only 2 nurses (1.6%) had formal, although minor, rheumatology education but 88.4% would like to have it (delivery preferences were expressed).Conclusions:Knowledge and ...

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