The objective was to report the experience of obstetric nurses on the obstetric violence experienced, witnessed and observed during their professional careers. This study is based on an account of experience of working in several health institutions such as basic health units, private and public hospitals, located in São Paulo, Brazil, in a period 5-36 years of technical training and professional experience from 1977 to 2013. The technique to expose the professional experiences was brainstorming. The results were divided into violent utterances of health professionals to patients, unnecessary and/or iatrogenic experiences procedures performed by health professionals and the institutional unpreparedness with unstructured environment. It is concluded that through the speeches of the obstetric nurses there are several obstetric violence experienced and witnessed in their work routines, with differences between two types of delivery care: evidence-based obstetrics and traditional care model. Descriptors: Violence Against Women; Gender and Health; Humanizing Delivery; Obstetric Nursing.Objetivou-se relatar a experiência de enfermeiras obstetras sobre a violência obstétrica vivenciada, presenciada e observada durante suas trajetórias profissionais. Este estudo baseia-se em um relato de experiência na atuação em diversas instituições de saúde, como unidade básica de saúde, hospitais privados e públicos, localizados no município de São Paulo/Brasil, em um período de 5 a 36 anos de formação técnica e atuação profissional de 1977 a 2013. A técnica para expor as experiências foi a de "tempestade de ideias". Os resultados encontrados foram divididos em verbalizações violentas dos profissionais de saúde às pacientes, procedimentos desnecessários e/ou iatrogênicos realizados pelos profissionais de saúde e o despreparo institucional com ambientes desestruturados. Concluiu-se, por meio das falas das enfermeiras obstetras, inúmeras violências obstétricas vivenciadas e presenciadas em suas rotinas de trabalho, havendo diferenças entre dois tipos de assistência ao parto: a obstetrícia baseada em evidências e o modelo assistencial tradicional. Descritores: Violência Contra a Mulher; Gênero e Saúde; Parto Humanizado; Enfermagem Obstétrica.El objetivo fue relatar la experiencia de enfermeras obstetras sobre la violencia obstétrica vivenciada, presenciada y observada durante sus carreras profesionales. Este estudio se basa en un relato de experiencia de trabajo en diversas instituciones de salud, como unidad básica de salud, hospitales privados y públicos, en São Paulo/Brasil, en un período de 5 a 36 años de formación técnica y actuación profesional de 1977-2013. La técnica para exponer las experiencias profesionales fue la "tempestad de ideas". Los resultados se dividieron en expresiones violentas de profesionales de salud a las pacientes, procedimientos innecesarios e/o iatrogénicos por profesionales de salud y falta de preparación institucional con entornos no estructurados. En conclusión, a través de las hablas de las enfermeras ob...

Resumo OBJETIVO Compreender as vivências de enfermeiras obstétricas que atenderam ao parto em ambiente com baixa luminosidade. MÉTODOS Estudo qualitativo, exploratório e descritivo. Realizou-se entrevista com oito enfermeiras obstétricas, em um hospital municipal de São Paulo, entre dezembro de 2015 e março de 2016. Os dados foram analisados por análise temática de conteúdo proposta por Bardin. RESULTADOS Foram apreendidas três temáticas: 1- Benefícios atribuídos à baixa luminosidade em sala de parto; 2- Dificuldades atribuídas à baixa luminosidade em sala de parto e 3- Efeitos da baixa luminosidade sobre a atuação do profissional. CONCLUSÕES A baixa luminosidade pode tornar o parto mais tranquilo e aumentar a atenção ao momento vivido pela mulher e seu bebê, proporcionando autonomia para a mulher e atendimento humanizado por parte da equipe. Surgiram como dificuldades, a dinâmica de trabalho do setor e a falta de familiaridade com o método, por parte de alguns profissionais e parturientes.

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IntroductionThe relationship between parents and children is a complex link. In the process of pregnancy-birth-puerperium, frequent feelings such as responsibility, love, fear, uncertainty, generate strong expectations at birth. The death of a newborn may not be perceived as natural by the parents, considering the local culture and the context of great technological development of neonatology.ObjectiveTo explore possible guilt and fantasies in life experiences of parents during mourning process due to death of their newborn.MethodClinical-qualitative design, a particularization of qualitative methods here applied in clinical assistance settings with highlight to psychological aspects. Data collection with the technique of semi-directed interview with open-ended questions, in-depth. Sample intentionally constructed, with closure by theoretical saturation of information. The participants were 7 parents, mourning by the death of their child at the neonatal intensive care unit, in a university hospital of Campinas, São Paulo State.ResultsFeelings of guilt - conscious or not - lead to an internal and particular movement so that mourning can be lived. The participants showed certain embarrassment, accompanied by natural suffering facing to the cultural pattern that permeates the emotional experience. It predicts types of psychological meanings that the experience will give to the person.ConclusionHealth professionals working with bereaved parents should consider more deeply the moment these one experienced, with emphasis on the details of the death scenery, beside the problems of illness and death properly so called.Disclosure of interestThe authors have not supplied their declaration of competing interest.

IntroductionDespites nursing holistic trends for caring, in psychiatric wards of general hospitals the spiritual dimension remains controversy. Evidence shows spirituality rule in recovering and also alerts about complications associated to mental disorders and spirituality.AimTo describe spirituality meanings attributed by a psychiatric nursing team and discuss how they apply them on professional cares.MethodClinical-qualitative design is a particularization of generic qualitative strategies brought from humanities to approach symbolic research questions in clinical settings. A semi-directed interview with open-ended question, in-depth, was carried out with a team of 22 nursing professionals in the psychiatric ward of a general hospital in Southeast Brazil. Data analysis was driven under the Ricoeur understanding of Freudian symbolic meaning, which affirm that a statement revels multiple meanings overwritten.ResultsSpirituality is developed from several sources of restlessness and living together. The function of spirituality is to help fulfill social roles, keep internal balance and to maintain sacred practice attitudes towards life that brings symbolic salvation: help or redemption to hard life times. Nature of mental illness remains as spiritual stigma and a suspicion contradictorily to spiritual approach caring to patients in inpatients services, which is described, as inappropriate or confusable.ConclusionsEven spirituality meanings are covered by symbolism, which expresses human attitudes to help in life crises they are surrounded by contradictions that situate this dimension in the limit of reason, which approximates carriers and patients causing weirdness. Nursing staff still needs training to deliver holistic care, and spiritual counseling to gain clarity in this issue.Disclosure of interestThe authors have not supplied their declaration of competing interest.