Faculdade de Medicina de Marília. Av. Monte Carmelo 800. 17519-030 Marília SP Brasil.
Cien Saude Colet. 2022 May;27(5):1793-1802. doi: 10.1590/1413-81232022275.23602021. Epub 2021 Dec 5.
The movement aimed at the humanization of childbirth has found resistance to the implementation of a new care model. This article aims to analyze the challenges experienced in the implantation and implementation of the Apice On Project in a large hospital in Brazil. A study was carried out with a qualitative approach, through interviews with health professionals using content analysis, thematic modality. An ineffective management was verified when conducting health work, as well as a biomedical care model and insufficient training to promote changes in health practices. It is important to review the implementation strategies of the Apice On Project proposals, incorporating Permanent Education in Health as a strategy for the reflection and reconstruction of health practices. Expanding the investigation beyond the hospital service, contemplating the perspective of other scenarios, such as, for instance, assistance in primary health care, are recommended.
该运动旨在实现分娩人性化,却在实施新的护理模式方面遇到了阻力。本文旨在分析巴西一家大医院在植入和实施 Apice On 项目时所经历的挑战。研究采用定性方法,通过对卫生专业人员进行访谈,使用内容分析法,以主题模式进行。在开展卫生工作时,管理不善,以及促进卫生实践变革的生物医学护理模式和培训不足的情况得到了证实。重要的是,要审查 Apice On 项目提案的实施策略,将健康领域的永久教育纳入其中,作为反思和重建卫生实践的策略。建议将调查范围扩大到医院服务之外,考虑其他场景的视角,例如初级卫生保健方面的援助。