Sistemas de jerarquización del campo médico en México: un análisis sociológico

Villanueva, Marcia; Castro, Roberto

doi:10.1590/1413-81232020256.28142019

Cited by 6 publications

(2 citation statements)

References 25 publications

(26 reference statements)

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“…The medical field and its culture, particularly the authoritarian medical habitus, have been widely explored by Castro (2014), who explains the enormous asymmetries existing in the relationships between doctors and their patients, especially in the case of pregnant and laboring women. In recent work, Villanueva and Castro (2020) describe the highly hierarchical functioning occurring within this field, which operates from four classification systems: professional, subfields, specialties, and division of labor.…”

Section: Obstetric Violence Concept and Legislationmentioning

confidence: 99%

Obstetric Violence in Childbirth Care in Baja California: Nursing Personnel Perceptions

Flores-Romero¹,

Velázquez

Treviño-Siller

et al. 2022

Frontera norte

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This article aims to analyze nursing staff perceptions regarding the mistreatment of women during pregnancy and childbirth. A qualitative study was conducted using discourse analysis of 23 interviews with nursing staff in Baja California, Mexico. Two categories were identified: direct and indirect obstetric violence and institutional factors. The findings show that all study participants reported cases of obstetric violence against women. Factors such as the lack of medical equipment and trained professionals stand out as causes of stress that manifest as obstetric violence. Other causes are the culture of medicalization, limited knowledge of international and Mexican standards, and inadequate personnel training. In conclusion, it is essential to improve obstetric care by promoting the NOM-007-SSA2-2016 to achieve a woman-centered care model based on international recommendations. Furthermore, sufficient trained staff and medical equipment are imperative.

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Section: Obstetric Violence Concept and Legislationmentioning

confidence: 99%

Obstetric Violence in Childbirth Care in Baja California: Nursing Personnel Perceptions

Flores-Romero¹,

Velázquez

Treviño-Siller

et al. 2022

Frontera norte

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“…Las posiciones que ocupan los trabajadores dentro de las instituciones que prestan servicios de salud se definen a partir de los múltiples sistemas de jerarquización. Un estudio realizado en México identificó la existencia de tres (Castro y Villanueva, 2020).…”

Section: Sistemas De Jerarquización En El Campo Médicounclassified

De las emociones a la razón en la práctica asistencial : una mirada bioética desde el principio de autonomía

García¹

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The experience of obstetric nursing students in an innovative maternal care programme in Chiapas, Mexico: a qualitative study

Montaño¹,

Macias

Molina

et al. 2022

Sexual and Reproductive Health Matters

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In Mexico, over the last decade, more non-physician medical professionals have been participating in birth care according to recent federal regulations. So far, very few sites have been able to implement birth care models where midwives and obstetric nurses participate. We describe the experience of a group of intern obstetric nurses participating in a model that provides respectful birth care to rural populations, managed by an international NGO in partnership with the Ministry of Health of Chiapas, Mexico. We conducted a case study including individual interviews and focus group discussions with obstetric nurse interns participating in the Compañeros En Salud programme over four years from 2016 to 2019. We applied targeted content analysis to the qualitative data. There were 28 participants from 4 groups of interns. Informants expressed their opinions in four areas: (a) training as a LEO, (b) training experience at CES, (c) LEO role in health care delivery; and (d) LEOs' perspectives about respectful maternity care. Interns identified gaps in their training including a higher load of theoretical content vs practical experience, as well as little supervision of clinical care in public hospitals. Their adaptation to the health services model has increased over time, and recent classes acknowledge the difficulties that earlier ones had to confront, including the challenging interactions with hospital staff. Interns have incorporated the value of respectful birth care and their role to protect this right in rural populations. Findings could be useful to call for the expansion of the model in public birth centres.

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Sistemas de jerarquización del campo médico en México: un análisis sociológico

Cited by 6 publications

References 25 publications

Obstetric Violence in Childbirth Care in Baja California: Nursing Personnel Perceptions

Obstetric Violence in Childbirth Care in Baja California: Nursing Personnel Perceptions

De las emociones a la razón en la práctica asistencial : una mirada bioética desde el principio de autonomía

The experience of obstetric nursing students in an innovative maternal care programme in Chiapas, Mexico: a qualitative study

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