助产士应对妇产医院工作条件的策略。
Strategies of nurse-midwives in relation to working conditions in maternity hospitals.
作者信息
Vieira Manoel Luís Cardoso, Prata Juliana Amaral, Oliveira Elias Barbosa de, Rodrigues Fernanda Alves Bittencourt, Almeida Bárbara Christine Dantas Silva de, Progianti Jane Márcia
机构信息
Universidade do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Rev Bras Enferm. 2021 Mar 24;74(1):e20200201. doi: 10.1590/0034-7167-2020-0201. eCollection 2021.
OBJECTIVES
to understand the working conditions and strategies adopted by nurse-midwives in maternity hospitals.
METHODS
a qualitative, descriptive, exploratory study with 20 nurse-midwives from public maternity hospitals in the city of Rio de Janeiro. Data were collected from June to September 2018 through semi-structured interviews, submitted to thematic content analysis and discussed in the light of the psychodynamics of work.
RESULTS
working conditions are inadequate due to poor infrastructure and resource deficit. Therefore, they develop defensive strategies to mitigate suffering, avoid destabilization of professional identity and minimize losses on care, through material purchase, lunch hour abdication, task reorganization and break implementation.
FINAL CONSIDERATIONS
the strategies adopted hide work precariousness and suggest alienation of workers, evidencing the need to foster political awareness of this collective to promote concrete transformations in their work reality.
目的
了解产科医院助产士的工作条件及所采用的策略。
方法
对里约热内卢市公立产科医院的20名助产士进行定性、描述性、探索性研究。2018年6月至9月通过半结构化访谈收集数据，进行主题内容分析，并根据工作心理动力学进行讨论。
结果
由于基础设施差和资源短缺，工作条件不足。因此，她们通过购买物资、放弃午餐时间、重新安排任务和安排休息等方式，制定防御策略以减轻痛苦、避免职业身份的不稳定并尽量减少护理方面的损失。
最终结论
所采用的策略掩盖了工作的不稳定状况，并表明工人的疏离感，这证明有必要培养这个群体的政治意识，以促进其工作现实的具体转变。
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