健康专业人员提供的分娩护理：产科中的相互冲突的做法。
Childbirth care by health professionals: conflicting practices in obstetrics.
作者信息
Mattei Greici Naiara, Lanzoni Gabriela Marcellino de Melo, Higashi Giovana Dorneles Callegaro, Schapko Taís Regina, Baggio Maria Aparecida
机构信息
Universidade Estadual do Oeste do Paraná. Cascavel, Paraná, Brazil.
Universidade Federal de Santa Catarina. Florianópolis, Santa Catarina, Brazil.
出版信息
Rev Bras Enferm. 2024 Dec 16;77(6):e20230129. doi: 10.1590/0034-7167-2023-0129. eCollection 2024.
OBJECTIVES
to understand the perceptions of women and health professionals regarding childbirth care at a teaching hospital in the western state of Paraná, Brazil.
METHODS
this qualitative study employed Grounded Theory, conducted in an obstetric care service with 38 participants (women and health professionals) through semi-structured interviews.
RESULTS
limitations in physical infrastructure and management of care, along with the women's limited knowledge about the childbirth process and the decision-making and guidance of professionals, show conflicting obstetric practices-a discrepancy between good practices and obstetric violence. Training in obstetric nursing and active participation in care, alongside the presence of a companion, were identified as intervening conditions and strategies in the process.
FINAL CONSIDERATIONS
childbirth care is characterized by dichotomous practices. While some professionals base their practices on scientific evidence, others rely on teachings and experiences from the time of their training.
目的
了解巴西西部巴拉那州一家教学医院中女性和卫生专业人员对分娩护理的看法。
方法
这项定性研究采用扎根理论，在一家产科护理服务机构中，通过半结构化访谈对38名参与者（女性和卫生专业人员）进行了研究。
结果
物理基础设施和护理管理方面的限制，以及女性对分娩过程的了解有限，加上专业人员的决策和指导，显示出产科实践存在冲突——良好实践与产科暴力之间存在差异。产科护理培训和积极参与护理，以及有陪伴人员在场，被确定为该过程中的干预条件和策略。
最终思考
分娩护理的特点是二元化实践。一些专业人员的实践基于科学证据，而另一些则依赖于他们培训时期的教义和经验。
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