Humanización de los servicios reproductivos desde las experiencias de las mujeres: aportes para la reflexión

Abstract

Introducción: La atención humanizada del parto observa atributos en el cuidado a la gestante, orientados a hacer satisfactoria la experiencia reproductiva. Objetivos: Recoger, a partir de la voz de las mujeres, y analizar, desde una perspectiva de humanización, experiencias con la atención del embarazo y parto y sugerencias para fortalecer el parto humanizado en una subred integrada de servicios de salud de Bogotá. Materiales y Métodos: Estudio cualitativo fenomenológico, basado en entrevistas semiestructuradas y grupos focales, que exploraron experiencias de embarazo y parto con 16 participantes. Se implementó un análisis temático. Resultados: La falta de oportunidad y falencias en la coordinación, información y trato a las usuarias afectan la atención del embarazo. En el trabajo de parto y parto, se relatan experiencias de desconocimiento de la privacidad, sentirse “conejillos de indias”, intervenciones no informadas y ejercicio autoritario de las relaciones de poder profesionales-usuarias. Discusión: Se evidencia la necesidad de garantizar la atención prioritaria a las gestantes, eliminando barreras y mejorando la información y trato a las usuarias. En el parto, se reconoce la existencia de prácticas de deshumanización, naturalizadas en la atención reproductiva, que deben ser erradicadas. Conclusiones: Se requiere romper paradigmas culturales y de género que afectan la humanización en la atención al embarazo y parto mediante formación al personal, reconociendo las necesidades de las usuarias y cualificando la organización institucional para la atención del parto. El respeto a los derechos de las gestantes debe primar en procesos formativos con estudiantes. El acompañamiento permanente a las usuarias es crucial.
 Como citar este artículo: Ospina Vanegas Diana Paola; Cristancho Gómez Sandra Milena; Lafaurie Villamil María Mercedes; Rubio León Diana Carolina. Humanización de los servicios reproductivos desde las experiencias de las mujeres: aportes para la reflexión. Revista Cuidarte. 2020; 11(2): e1005. http://dx.doi.org/10.15649/cuidarte.1005

Perception of Humanised Care in Hospitalised Patients in a Public Institution in Post-Pandemic Lima, Peru

“…Illness is a delicate situation that implies alteration of health, which makes the person vulnerable and fragile morally and/or spiritually, plunging him/her into a condition of suffering, fear and dread of the risk of losing his/her life and is an obstacle to communication (Ugarte Chang, 2017). Consequently, the process of care in critical areas requires nursing professionals with high cognitive, procedural and attitudinal competences, because they will help to provide the support for the stabilization and recovery of the person's state of health, during the process of care intervention, where the nurse interacts with various emotional responses of the patient, most of which can be negative and affect the health condition (Romero Massa et al, 2016), (Ospina Vanegas et al, 2014. In addition, during the process of the final outcome of a historical and earthly life, it is necessary to accompany the patient and family in order to maintain adequate transpersonal and interpersonal relationships for a dignified death (Melita-Rodríguez et al, 2021).…”

“…These results coincide with the study of Blanco-Nistal et al, (2021), who in each dimension of humanised care, highlighted a good level in the qualities of caring practice, openness to nurse-patient communication and willingness to care. On the other hand, Almanza-Rodríguez, (2020), argue that nursing professionals and the health care team are articulating care actions that provide confidence and security in the face of the risks of nosocomial infections (Ospina Vanegas et al, 2014).…”

“…The practice of humanised care for people with health problems or who are at the end of their lives requires a sensitive and loving care approach of readiness to deal with the unseen phenomena of pain and fear of death (Romero Massa et al, 2016), (Ospina Vanegas et al, 2014. Therefore, the correct route to raising the standards of quality of care in health services has a connotation of the right to live or die with dignity (Melita-Rodríguez et al, 2021), (Salazar, 2016b).…”

Humanized Care From the Nurse–Patient Perspective in a Hospital Setting: A Systematic Review of Experiences Disclosed in Spanish and Portuguese Scientific Articles

“…Also, Ospina Vanegas et al ( 43 ) point out that health professionals show a lack of soft and social skills, which makes it difficult for them to achieve adequate interpersonal relationships, especially in critical situations experienced by patients ( 21 , 24 ). In fact, the health problems faced by patients lead to strict changes in their lifestyle, which generates emotional and even existential crises, with some physical limitations to carrying out their daily activities.…”

Differences in Humanized Care Perceived by Hospitalized Patients from Urban and Rural Areas during the COVID-19 Pandemic: Evidence Collected in Peru

“…Therefore, end-of-life care practices of care nurses must meet the indispensable attributes of humanized care (Fernandes et al, 2022;Henao-Castaño & Quiñonez-Mora, 2019). The main characteristics of a nurse with humanized care are: attention for the human being, providing a professional-user relationship, subject of care, communication and holistic approach (Ospina Vanegas et al, 2020).…”