Nursing perceptions about abortion management and care: a qualitative study

Abstract

ABSTRACT:This study aimed to describe management and implementation of care for women hospitalized due to an abortion, from the perspective of nursing professionals. A qualitative study performed in an obstetric hospital unit of a University Hospital in the extreme South of Brazil, by means of a semi-structured interview with 19 nursing professionals. For the analysis, the Collective Subject Discourse technique was used. The statements were ambivalent. Some nursing professionals reported interference in discriminatory behavior and little interaction with the woman, resulting in care being organized with a focus on clinical aspects. Others considered care to be appropriate, regardless of the etiology of abortion, pointing out some humanized initiatives such as emotional support and provision of a private therapeutic environment. This research broadens the range of information about the management and implementation of care for women hospitalized due to abortion, highlighting the importance of articulating perceptions, feelings and ethical behavior with actions to plan, manage and provide care. DESCRIPTORS:Abortion. Nursing care. Health management. Health policy. PERCEPÇÕES DA ENFERMAGEM SOBRE GESTÃO E CUIDADO NO ABORTAMENTO: ESTUDO QUALITATIVORESUMO: Objetivou-se descrever a gestão e realização do cuidado às mulheres hospitalizadas por abortamento sob a perspectiva dos profissionais de enfermagem. Estudo qualitativo, realizado na unidade de internação obstétrica de um hospital universitário do extremo sul do Brasil, por meio de entrevista semiestruturada com 19 profissionais de enfermagem. Para análise, utilizou-se a técnica do Discurso do Sujeito Coletivo. Os discursos mostraram-se ambivalentes. Alguns profissionais de enfermagem referiram que há interferência do comportamento discriminatório e pouca interação com a mulher, resultando na organização do cuidado focado nos aspectos clínicos. Outros consideraram o atendimento bom, independentemente da etiologia do aborto, apontando algumas iniciativas humanizadas como apoio emocional e provisão de um ambiente terapêutico privativo. Esta pesquisa amplia o leque de informações acerca da gestão e realização do cuidado às mulheres hospitalizadas por abortamento, destacando a importância de articular percepções, sentimentos e comportamento ético com ações de planejar, gerenciar e cuidar. DESCRITORES:Aborto. Cuidados de enfermagem. Gestão em saúde. Política de saúde. LAS PERCEPCIONES DE ATENCIÓN DE ENFERMERÍA EN ABORTO Y GESTIÓN: ESTUDIO CUALITATIVO RESUMEN:Este estudio tiene el objetivo de describir la gestión y realización de las mujeres hospitalizadas por abortamiento bajo la perspectiva de los profesionales de enfermería. Estudio cualitativo, llevado a cabo en una unidad de Obstetricia del hospital universitario en el extremo sur de Brasil, mediante una entrevista semiestructurada con 19 profesionales de enfermería. Para el análisis, se utilizó la técnica del discurso sujeto colectivo. Los discursos eran ambivalientes. Algunos profesionales de la enfermería, comentar...

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