Nursing Staff and the Care Devices in the Childbirth Process: Focus on Humanization

Abstract

Objetivo: Conhecer os dispositivos que possibilitam a humanização do cuidado no cotidiano da equipe de enfermagem durante o processo de parturição. Métodos: Estudo descritivo, com abordagem qualitativa, desenvolvido em uma maternidade pública de Maceió/AL, Brasil. Participaram da pesquisa quinze profissionais da equipe de enfermagem. Os dados foram coletados por meio da observação livre e da entrevista semiestruturada e submetidos à análise de conteúdo categorial por temática proposta por Bardin. Resultados: O acolhimento e vínculo estabelecido com a mulher, assim como as orientações fornecidas, remetem à mulher uma sensação de segurança e contribui favoravelmente para o processo de parturição, também se evidencia que a satisfação profissional mostra-se como elemento importante para o desenvolvimento de um cuidado humanizado. Conclusão: A equipe de enfermagem tem papel importante no cuidado à mulher no processo de parturição, implementando dispositivos importantes na condução da integralidade da assistência.

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units

“…15,23 The fourth recommendation is to provide nurses with sufficient human resources. In line with previous studies, 11,16,17,20,74 participating nurses felt that nursing and ward attendant shortages are leading to work overload, lack of time spent with patients, and a strong focus on merely completing tasks and providing the basic, necessary, mainly physical care. 9,11,16,17,[20][21][22][23] For respondents, this situation was aggravated by an increase in administrative tasks.…”

“…Similar results were obtained in other studies carried out among nurses on humanized care 9–11,15–24. In these primary studies, the main difficulties were a disproportionate patient-to-nurse ratio creating a lack of time for nurses to interact with patients,9,11,16,17,20–23 a focus on performing tasks as quickly as possible,10,11,22 and job dissatisfaction 9,16,17,20,22,23.…”

“…Second, almost all of these studies were conducted in Latin American countries, primarily Colombia [9][10][11] and Brazil, in the latter case spurred by the implementation of a National Humanization Policy in 2013. [15][16][17][18][19][20][21]23,24 Finally and most importantly, most studies focused on exploring nurses' experiences with and perceived barriers to humanized care without developing strategies to overcome these barriers. 10,[17][18][19][20][21][22]24 It is therefore crucial to bridge the gap between the theory and practice of humanized care and to explore ways to operationalize humanized care in our complex health services.…”

“…Although all of the aforementioned text shows that much research has been conducted on nurses' experiences with humanized care, at least 3 limitations should be noted. First, the vast majority of studies were conducted in neonatology15,17,19–21,24 and intensive care,18,23,51,69 which are not representative of most health care units. Second, almost all of these studies were conducted in Latin American countries, primarily Colombia9–11 and Brazil, in the latter case spurred by the implementation of a National Humanization Policy in 2013 15–21,23,24.…”

“…Similarly, studies of nurses' perspectives on humanized care consistently find that nurses also deplore the gap between that they perceive as the core of their profession—providing humanized care—and the practical requirements that impede them from doing so 9–11,15–24. Organizational constraints and unsupportive work environments have been demonstrated to have negative consequences on nurses' ability to provide humanized care.…”