Objetivos: Identificar as boas práticas desenvolvidas pela Enfermeira Obstétrica em uma Maternidade Municipal do Rio de Janeiro e analisar a assistência das Enfermeiras Obstétricas nas Boas Práticas no momento do parto. Método: Estudo documental, que foi realizado em uma maternidade municipal da cidade do Rio de Janeiro no período de janeiro a julho de 2015. O estudo foi encaminhado à Plataforma Brasil e o Parecer liberado com o nº CAAE: 51008015.0.0000.5285. Resultados: Foi constatado que as Enfermeiras Obstétricas ofereceram assistência à 367 parturientes utilizando as boas práticas de forma segura. O estudo demonstrou que o uso das boas práticas tem grande influência na recuperação da fisiologia materna, na adaptação do recém-nascido e redução da anemia na primeira infância. Conclusão: Ocorre a assistência dentro das boas práticas obstétricas no parto e nascimento de forma humanizada e no contexto das evidências científicas como segue as recomendações do Ministério da Saúde.Descritores: Enfermeira Obstétrica, Parto Humanizado, Assistência ao Parto.
The nurse practice model at the family health strategy is characterized by direct involvement in the patient's health-disease recovery process, deconstruction of social stigma involving mental health disorders, and the restoration of patient autonomy their social ties. This descriptive study follows a qualitative approach to document and analyse practices performed by mental health nurses at the family health strategy (FHS) in Rio das Ostras, Brazil. The study identifies practices implemented by Mental Health Nurses at FHS and the nurses’ own reflection and analysis on these mental health practices. Data was collected through semi-structured interviews. All interviewed nurses had worked in the primary mental health care for at least one year at the FHS units in Rio das Ostras. Data was analysed, grouped, and coded according to two categories: 1) The nurses’ professional practices in mental health at the FHS, and 2) The nurses’ view on mental health practices at the FHS. Results show that the main activities in mental health at FHS involve working with the matricial team, continuing education, reception, home visits, referrals, therapeutic workshops and community therapy. Nurse perspectives on professional practices involve prevention, establishment of bonds with patient, and nurses’ training to deliver care to patients who are suffering. The bond with and care for the patient, family and community, is one of the FHS differentiators. In that vein, the study looks at the link between health care delivery, territory and population attended. The health care based on territoriality, allows increased patient and family confidence.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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