Cargas De Trabalho E as Inter-Relações Com O Programa De Humanização Do Pré-Natal E Nascimento

Biondi, Heitor Silva; Pinho, Eliana Cardia de; Kirschhof, Ana Lucia Cardoso; Rocha, Laurelize Pereira; Kerber, Nalú Pereira da Costa

doi:10.5380/ce.v23i3.52801

Cited by 2 publications

(5 citation statements)

References 10 publications

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“…p Ayiasi 2013 (Uganda); Baffour‐Awuah 2015 (Ghana); Biondi 2018 (Brazil); Conrad 2012 (Uganda); Heaman 2015 (Canada); Gheibizadeh 2016 (Iran); Leal 2018 (Brazil); Mathole 2005 (Zimbabwe).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…u Baffour‐Awuah 2015 (Ghana); Biondi 2018 (Brazil); Chimezie 2013 (Nigeria); Franngard 2006 (Uganda); Graner 2010 (Vietnam); Heaman 2015 (Canada); Larsen 2004 (PNG); Manithip 2013 (Laos); Mathole 2005 (Zimbabwe); Mrisho 2009 (Tanzania); Mugo 2018 (South Sudan).…”

Section: Summary Of Findingsmentioning

confidence: 99%

“…k Andrew 2014 (PNG); Ayiasi 2013 (Uganda); Biondi 2018 ( Brazil); Gheibizadeh 2016 (Iran); Gross 2011 (Tanzania); Heaman 2015 (Canada); Hunter 2017 (Ireland); Leal 2018 (Brazil); LeMasters 2018 (Romania); Manithip 2013 (Laos); Mathole 2005 (Zimbabwe); Miteniece 2018 (Georgia); Rahmani 2013 (Afghanistan); Saftner 2017 (USA); Sword 2012 (Canada); Wilmore 2015 (Australia); Wright 2018 (Australia).…”

Section: Summary Of Findingsmentioning

confidence: 99%

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Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Downe

Finlayson²,

Tunçalp

et al. 2019

Cochrane Database of Systematic Reviews

109

110

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Background Antenatal care (ANC) is a core component of maternity care. However, both quality of care provision and rates of attendance vary widely between and within countries. Qualitative research can assess factors underlying variation, including acceptability, feasibility, and the values and beliefs that frame provision and uptake of ANC programmes.  This synthesis links to the Cochrane Reviews of the effectiveness of different antenatal models of care. It was designed to inform the World Health Organization guidelines for a positive pregnancy experience and to provide insights for the design and implementation of improved antenatal care in the future. Objectives To identify, appraise, and synthesise qualitative studies exploring: · Women’s views and experiences of attending ANC; and factors influencing the uptake of ANC arising from women’s accounts; · Healthcare providers’ views and experiences of providing ANC; and factors influencing the provision of ANC arising from the accounts of healthcare providers. Search methods To find primary studies we searched MEDLINE, Ovid; Embase, Ovid; CINAHL, EbscoHost; PsycINFO, EbscoHost; AMED, EbscoHost; LILACS, VHL; and African Journals Online (AJOL) from January 2000 to February 2019. We handsearched reference lists of included papers and checked the contents pages of 50 relevant journals through Zetoc alerts received during the searching phase. Selection criteria We included studies that used qualitative methodology and that met our quality threshold; that explored the views and experiences of routine ANC among healthy, pregnant and postnatal women or among healthcare providers offering this care, including doctors, midwives, nurses, lay health workers and traditional birth attendants; and that took place in any setting where ANC was provided.  We excluded studies of ANC programmes designed for women with specific complications. We also excluded studies of programmes that focused solely on antenatal education. Data collection and analysis Two authors undertook data extraction, logged study characteristics, and assessed study quality. We used meta‐ethnographic and Framework techniques to code and categorise study data. We developed findings from the data and presented these in a 'Summary of Qualitative Findings' (SoQF) table. We assessed confidence in each finding using GRADE‐CERQual. We used these findings to generate higher‐level explanatory thematic domains. We then developed two lines of argument syntheses, one from service user data, and one from healthcare provider data. In addition, we mapped the findings to relevant Cochrane effectiveness reviews to assess how far review authors had taken account of behavioural and organisational factors in the design and implementation of the interventions they tested. We also translated the findings into logic models to explain full, partial and no up...

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Section: Summary Of Findingsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

Section: Summary Of Findingsmentioning

confidence: 99%

See 1 more Smart Citation

Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Downe

Finlayson²,

Tunçalp

et al. 2019

Cochrane Database of Systematic Reviews

109

110

View full text Add to dashboard Cite

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“…31 Personnel sizing of personnel is directly related to developing humanization actions, since its inadequacy may expose women to obstetric violence resulting from neglect and inadequate care. This can be understood as institutional violence, since it precludes the fullness of humanization principles, 32 generating MS. 10 The listed factors add up to the rate of alienating work associated with the multiplicity of tasks, which result not only in the physical and emotional exhaustion of the professional, but also in the difficulty in reflecting on their practice 15 and being able to discern, based on their moral values, on the actions to be developed and the actions to be postponed.…”

Section: /16mentioning

confidence: 99%

“…Regarding the way of delivery, it is emphasized that the cesarean surgery indication is predominantly relative and not based on scientific evidence, 20 which constitutes obstetric violence, especially when the surgical act is performed against the desire of the woman. 43 The choice on cesarean surgery is justified mainly by the personal desires or preferences of professionals, especially physicians 20,44 who do not always consider the knowledge obtained in scientific investigations on the effectiveness and risks of interventional actions and surgical delivery, 32 as well as the desires of women for cesarean surgery. 20,44 The option of the medical team for cesarean section is related to the fact that these professionals have a significant part of the technical responsibility for the delivery management, leading to a defensive attitude stemming from the fear of being penalized.…”

Section: /16mentioning

confidence: 99%

Moral Suffering in Assistance to Childbirth: Situations Present in the Work of Nurses of Obstetric Centers and Maternities

Biondi

Barlem

Pinho

et al. 2019

Texto contexto - enferm.

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Objective: to know the situations found in the work of nurses working in maternity hospitals and obstetric centers that can lead to moral suffering. Method: qualitative, exploratory and descriptive study, developed with 14 nurses working in bstetric centers and maternities of two hospitals in southern Brazil. Data were collected from October 2015 to January 2016, through a semi-structured interview, analyzed based on Content Analysis. Results: there was an occurrence of moral distress related to the activities that supplanted nurses’ execution capacity, leading them to prioritize administrative and managerial activities, for which they are charged by the institutions, failing to participate directly in the care, an aspect enhanced by the quantitative nursing professionals. Asymmetric relations of power and conflicting interactions compose an atmosphere of toleration for the autonomy of the nurses, preventing them from acting in harmony with their knowledge and moral values. The fruitless attempts to change the dehumanizing context through advocacy and the visualization of disrespectful, interventionist and violent behaviors against women, generate moral suffering. Conclusion: the plurality of nurse actions, reduced autonomy, disrespect for their practice and the visualization of dehumanizing behaviors generate moral suffering. It is important to seek alternatives so that nurses may act and advocate in line with their moral knowledge and values, in an autonomous and empowered way, aiming to provide a dignified and safe childbirth assistance, and an environment that respects the woman and her autonomy.

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Cargas De Trabalho E as Inter-Relações Com O Programa De Humanização Do Pré-Natal E Nascimento

Cited by 2 publications

References 10 publications

Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Provision and uptake of routine antenatal services: a qualitative evidence synthesis

Moral Suffering in Assistance to Childbirth: Situations Present in the Work of Nurses of Obstetric Centers and Maternities

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