Objectives: to understand the perception of managers of public maternity hospitals in the Metropolitan Region II of the state of Rio de Janeiro regarding obstetric violence and the measures to face it aiming at guaranteeing the quality of care. Method: a descriptive, exploratory study with a qualitative approach, conducted with 16 health managers from five maternity hospitals in Metropolitan Region II in the state of Rio de Janeiro. Data were collected through interviews, applied from May 2017 to May 2018, and submitted to content analysis in the thematic modality. Results: the research pointed out thenon-reception, technocratic principles of childbirth, refusal of the companion, disrespect to humanized practices centered on physiology and the choice of women, the need for health training as a guide for the humanization policy and the management of health units, professional unpreparedness for performance and lack of involvement of professionals with longer service time to modify practices in obstetric care. Thus, the need to break away from obstetric violence at the structural/institutional level was evident in order to guarantee quality care for women. Conclusion: it is the responsibility of the managers to provide training to health professionals regarding performance that respects the scientific evidence, the centrality and the axes of policies and recommendations in the area of sexual and reproductive health, especially to women regarding their autonomy.
Objetiva-se analisar as percepções das mulheres acerca da assistência do enfermeiro no atendimento pré-hospitalar do Programa Cegonha Carioca. Estudo descritivo, exploratório, com quartoze puérperas da Maternidade Municipal Mariska Ribeiro, que tiveram contato com o enfermeiro quanto ao módulo Transporte Seguro no Programa Cegonha Carioca. Todas foram submetidas à entrevista semiestruturada individual, transcritas posteriormente e submetidas à análise de conteúdo na modalidade temática. As categorias formadas foram: Acolhimento da enfermagem no cuidado domiciliar à gestante: a construção do vínculo para uma assistência segura; Transporte seguro: expressões das mulheres para o sentimento positivo; A qualidade da ambulância e o transporte seguro; Enfermeiros na assistência pré-hospitalar do Programa Cegonha Carioca: satisfação, agilidade e segurança. Conclui-se que as mulheres reconhecem e valorizam o enfermeiro como integrante do processo do cuidado durante todo o atendimento e assistência ao parto e nascimento. Palavras-chave: Serviços de saúde materno-infantil; Serviços médicos de emergência; Obstetrícia; Saúde da Mulher.
The time of pregnancy is generally expected that women with high expectations, but not always the same feel prepared for this period, generating some doubts and fear. When faced in a positive way, it is special, but for that to happen, it is necessary that this woman, to want to get pregnant, go through a pre-conception consultation, accompanied by a skilled health Identify adopted guidance strategies the nurse to pregnant women with HIV to reduce the risk of vertical transmission; analyze the influences of guidance provided to that pregnant women during prenatal, postpartum. We opted for the realization of an integrative review, was held search in the Virtual Health Library (VHL) in August 2015, using the keywords: Vertical transmission of infectious disease, HIV and Nursing associated with the Boolean AND operator. Results: Analyzing the articles appeared two themes: Nursing guidelines for reducing the risk of vertical transmission: the importance of nurses to reduce vertical transmission of HIV in Brazil is important, no doubt this professional develops activities relevant to public health from the instances of the grievances of the reduction policy to instances of comprehensive care to pregnant women, new mothers and mothers. Nursing orientation consequences of postpartum: health professionals, including nurses is critical to support families living with or affected by HIV. Conclusion: This research aims at the importance of professional training for nurses working in the area, as a skilled and sensitive nurse makes the advice of active listening process, generating trust between you and the woman, during consultations, one must realize a return that offered guidelines are being absorbed and practiced the same.
RESUMO -Introdução: Primeiros Socorros podem ser definidos como ações iniciais e rápidas que têm de ser imediatamente oferecido a uma pessoa, vítima de acidente ou de mal súbito. Objetivo: Avaliar a percepção de alunos universitários acerca de condutas básicas de primeiros socorros. Metodologia: Trata-se de uma pesquisa transversal, descritiva com abordagem quantitativa. A população do estudo compreendeu os discentes do curso de enfermagem de uma faculdade privada do município de João Pessoa, Paraíba. A determinação da amostra foi do tipo probabilística, por meio da técnica de amostragem simples, tendo como número inicial 100 indivíduos. A análise dos dados efetivou-se numa abordagem quantitativa por meio da estatística descritiva de natureza univariada e inferencial. Durante todo o processo da pesquisa, especialmente na fase da coleta de informações empíricas, foram observados os aspectos éticos que normatizam a pesquisa
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