Banca de DEFESA: FLÁVIA ANDRÉIA PEREIRA SOARES DOS SANTOS
Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.DISCENTE : FLÁVIA ANDRÉIA PEREIRA SOARES DOS SANTOS
DATA : 22/12/2016
HORA: 09:00
LOCAL: Departamento de Enfermagem da UFRN
TÍTULO:
Autonomy of the obstetrician nurse care to minimal risk births
PALAVRAS-CHAVES:
Obstetrical Nursing. Professional Autonomy. Birth Care. Health Services. Culture.
PÁGINAS: 145
GRANDE ÁREA: Ciências da Saúde
ÁREA: Enfermagem
RESUMO:
The new health care model in Brazil denotes the obstetrical nurse´s importance for the improvement of quality care for the pregnant or puerperal woman. However, the presence of this professional in the birthing process ocorring in the Unified Health of System institutions is a challenge primarily because the beliefs, values, strutural and organizational conditions of the work places that model the power relations of the professional. The tensions and conflicts that result from the construction of the obstetrical nurse´s autonomy in providing care in minimal risk births within the cultural context need to explained so as to identify the enhancers and inhibitors of the process. Qualitative study with an ethnographic theoretical-methodological design based on Spradley, and conducted in three public maternities in the State of Rio Grande do Norte, Brazil. Three managers and 23 obstetrical nurses participated in the study. Data was collected during July and October in 2016 after approval from the Research Ethics Committee of the Universidade Federal do Rio Grande do Norte, reports n°1.535.089 and n°1.713.075. Information about the nurses actions were collected by participant observation, individual and focal group interviews with nurses, and registered in field notes. The collection was stopped when no new data emerged. The Atlas.ti software and Spradley´s tenets were used for data analysis conducted simultaneously. Four cover terms emerged: Obstetrical nurse´s experience in diferent hospital care contexts; Social relations and power presente in the institutional care to minimal risk births; Professional and institutional aspects related to the obstetrical nurse´s autonomy; Professional autonomy from the perspective of the obstetrical nurses. The themes were conceptualized based on Foucault´s principles about power and autonomy construction. The concepts and their relations conform a theoretical explanation of the obstetrical nurse´s autonomy contribution to the care of the minimal risk birth in the hospital cultural context. This space, the structural conditions, oranized practies, and the hospital´s cultural ambiance contribute to the dependence or autonomy of the obstetrical nurse. The institutions and the professionals develop social and power relations that enhance the concept of autonomy connected to the dominant individualistic paradigm and dominance/submissive relations. It is concluded that the connstructed model unveils the obstetrical nurse in the state of Rio Grande do Norte in the experience with diferent cultural contexts that influence the decision power in birthcare. The model projcts na autonomy constructed by a power/knowledge that expands and supports the nurse´s actions by na ethical value and enhances the multiprofissional work in that challenges and barriers are resolved by dialogue, not imposition. Those considerations enable to affirm that autonomy is not given but conquered by those that are aware of their role in the transformation of the práxis based on the power relations that are established with others in a perspective for joint growth.
MEMBROS DA BANCA:
Presidente - 347971 - BERTHA CRUZ ENDERS
Externo à Instituição - MARIA DJAIR DIAS - UFPB
Externo ao Programa - 336982 - MARIA HELENA SOARES DA NOBREGA MAZZO
Externo à Instituição - NORMÉLIA MARIA FREIRE DINIZ - UFBA
Interno - 347635 - REJANE MARIA PAIVA DE MENEZES
Interno - 346795 - ROSINEIDE SANTANA DE BRITO