Objective: to understand humanization practices in the parturitive course from the point of view of purperae and nurse-midwives. Methods: an exploratory, descriptive, qualitative research carried out in a maternity hospital in Bahia State. Semi-structured interviews were carried out, with a structured script applied to 11 mothers and 5 nurse-midwives from March to June 2019. Analysis followed Bardin’s content structure. Results: this study unveiled the importance of using soft care technologies, respect for female role, active participation and women’s autonomy as a positive impact on the parturition process. Final considerations: nurse-midwives are qualified professionals to assist women in labor and birth. They can favor the implantation and implementation of care with humanization practices, respect for women’s choices and incentive to the normal way of delivery with an expanded view of individual and multidisciplinary needs.
Introdução: A COVID-19 é um problema de saúde pública mundial que possui potencial risco à vida e amplo potencial de disseminação fazendo-se necessário a implementação de estratégias que visem a qualidade da assistência em saúde. Objetivo: Identificar estratégias de enfrentamento do estresse ocupacional dos trabalhadores de enfermagem em ambiente hospitalar no cenário da pandemia COVID-19, por meio de uma revisão bibliográfica. Métodos: Trata-se de uma revisão integrativa, descritiva, qualitativa, realizada nos meses de junho a julho de 2020. Foram selecionados 12 artigos. Três com abordagem quantitativa e nove qualitativas. Resultados: Foi identificado o consenso entre os autores acerca dos efeitos psicológicos negativos que a pandemia trouxe para os profissionais de enfermagem, com destaque para o estresse e a depressão, assim como a importância da realização de estratégias de controle. Conclusão: O Coping, a “sala de bem-estar”, o treinamento de habilidades de comunicação, inteligência emocional, gestão participativa, corresponsabilização dos sujeitos, reflexão das práticas de risco e a tomada de consciência, foram identificados como importantes estratégias de enfrentamento das condições negativas promovidas nesse período de pandemia.
Objective: to understand healthcare experiences from the perspective of women who are or were pregnant while in homelessness. Methods: qualitative study based on Heideggerian phenomenology adapted to the field of health. There were ten participants. The technique of phenomenological interview and a semi-structured instrument were used. The comprehensive analysis methodically followed the stages of phenomenological reduction, construction,and destruction. Results: the existence of pregnant homeless women represents difficulties, discrimination, violence, prejudice, racism,and vulnerability. It is a violation of human dignity, revealing specificities and nuances of the triad women-maternity-street. Conclusion: the research made it possible to understand that healthcare, from the perspective of women who are pregnant while homeless, offers risks both to the mother and to the child. Both the self-care and the healthcare offered by health workers and services is precarious and has weaknesses, being different from any type of care that could be understood as solicitous, zealous, and concerned.
Objetivo: Identificar a abordagem sobre a saúde das mulheres transgêneras em situação de rua nas produções científicas. Métodos: Revisão integrativa realizada nas seguintes fontes: Scientific Electronic Library Online, Medical Literature Analysis and Retrievel System Online e Biblioteca Virtual de Saúde. Utilizou-se como descritores: “transgender persons”, “health” e “Homeless persons” em português, inglês e espanhol. A pesquisa foi realizada seguindo às recomendações do fluxograma Prisma e suporte do software EndNote Web, submetidos à análise de conteúdo de Bardin. Resultados: 07 artigos que obedeceram aos critérios de inclusão e exclusão, no qual a vulnerabilidade social e seu impacto à saúde se mostrou mediante a falta de habitação, vivência de violências físicas e verbais e exclusão social. Considerações Finais: Essa revisão integrativa abordou majoritariamente a vulnerabilidade e a discriminação interseccional relacionados ao tema da saúde da mulher transgênera em situação de rua, sendo necessário estratégias de cuidado, oferecendo assim a essas mulheres meios para que tenham a oportunidade de uma vida saudável.
Objective: to unveil the vulnerabilities of homeless women linked to the social markers of gender and race/color. Methods: qualitative study, developed with ten homeless women through participant observation, field diary, and sociodemographic questionnaire, systematized based on content analysis. Results: it was found that gender identity and race/color act as potentiators of the situation of vulnerability of women. It is believed that structural racism and machismo feed back into the streets and perpetuate themselves in a perverse cycle of denial of women's rights, which is potentiated by the omission of the State and extensive social and economic inequality. Conclusion: gender and race/color potentiate the vulnerabilities of homeless women that intersect precarious social conditions, denial of rights, and favor illness. Contributions to practice: to present information that enables reflections and creation of care strategies for homeless women, understood in their singularities.
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