Nurses- puerperal mothers interaction: searching for cultural care

Abstract

Objective: To identify the importance of the cultural care dimension in the nurse-puerperal mother interaction. Method: Qualitative study based on content analysis. To collect data, 36 semi structured interviews were applied (21 nurses and 15 women who had recently given birth). The participants’ free and informed consent was ensured and all ethical requirements were respected. Data analysis was supported by NVivo 10 software. Results: The following categories were considered the most relevant: (i) nurses’ attitudes that puerperal mothers consider crucial in health care provision; (ii) nurses’ cultural competence; (iii) language resources used by nurses in their interaction with people from other cultures; (iv) the limitations that were observed during nurses-new mothers interactions. Conclusion: Evidence shows that, generally speaking, nurses claim to provide personalized health care assistance. However data revealed that the kind of interaction observed between nurses and women who had just given birth has not always been the most effective and that the former often show they lacked the appropriate cultural competence to deal with the latter’s expectations and needs.

Professional practice in caring for maternal grief in the face of stillbirth in two countries

“…Interventions, assistance, and training for care provision in these situations represent an outstanding issue. The experience shows weakness in professionals' performance, who do not know how they should behave, nor how to monitor and care for women after suffering a fetal loss (6,8,(21)(22) .…”

“…Still, not all women return for consultation, approximately 70% of mothers are assisted in Basic Health Units (BHU) with a Family Health Strategy and 47% of mothers are assisted in a traditional BHU (5) . This non-adherence to puerperal consultation is influenced by the inequity factor; women with lower income and education are the ones who do not have puerperal consultation in primary care (6) .…”

Vivências e percepções de puérperas em relação ao parto

“…As enfermeiras que atuam na área da obstetrícia devem demonstrar disponibilidade, envolvimento, disposição, diálogo, criatividade, além de ter um olhar empático sobre essas parturientes, por ser um momento único, particular e exclusivo. Também é importante que se respeite todas as variações de culturas dessas gestantes, pois dessa forma, pode-se entender os diferentes modos de comportamento, costume e pensamento (Coutinho et al, 2019).…”

Estratégia nutricional para o emagrecimento pós-parto

“…O aumento de peso pós-parto é um reflexo do ganho de gordura armazenado e a retenção de gordura induzida pela gravidez, ou seja, uma mudança fundamental no metabolismo materno, que resulta em menos calorias e aumento de peso (Coutinho et al, 2019;Barroso et al, 2021).…”

“…Em geral, durante o pós-parto há aumento de calorias e redução de atividades fisicas. Logo aproximadamente 20% das mães mantêm ou, aumenta o peso, e com isso desenvolve a obesidade (Roveri, 2015;Coutinho et al, 2019).…”