Nurse training in Japan: contribution to the foundation of the Casa de Parto birthing center in Rio de Janeiro

Abstract

This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro.

What Are The Strategies for Implementing Primary Care Models in Maternity? A Systematic Review On Midwifery Units

“…Study authors reported that the concept of cost effectiveness associated with MUs was not always clear to commissioners, managers and professionals (14,17,18). The concept of MU being "cost-saving" was often mentioned together with the status of nancial constraint and the urgent need for healthcare organisations to save money (14,(17)(18)(19)(21)(22)(23)(24)(25):…”

“…Similarly, in Canada and Brazil, the new national guideline promoting the MU model of care was reported as a key trigger for an implementation process towards MUs (22,24,26).…”

“…Midwifery and midwifery-led care was established with different level of autonomy. England and Canada had midwives that could practice autonomously in these units (14,17,18,20,26,27); Brazilian midwives went to Japan to gain more exposure of the midwifery model of care as they were not used to work with that autonomy (24), whilst China, US and Iran (19,21,23,25) reported not having a wellestablished and autonomous midwifery workforce in the healthcare system at that time.…”

“…Contexts in which midwifery was not established as an autonomous profession seem to struggle more, especially in the rst phase of the implementation when the idea needed to be accepted by other stakeholders (21,24,25). In the Chinese case study, the opportunity of implementing a MU was reported to be the means to achieve a proper and recognised professional status (21).…”

“…A strategy identi ed in all studies was offering training to the staff as an enabler of the change. In some cases, midwives identi ed their own educational needs prior the implementation of the MU model of care and this helped engaging them in the project and create sense of ownership (21,24,26,27). The autonomy and skills gained via the training helped increasing not just the clinical con dence but also the con dence in the midwifery scope of practice, the vision of the MU and its implementation (24,26).…”