Preceptorship in nursing-midwifery: a training-intervention in health work

Abstract

Objectives: to analyze how certified nurse-midwives identify preceptorship in a nursing-midwifery enhancing course conducted by the Universidade Federal Fluminense as a possibility of training to promote institutional support and intervention. Methods: a descriptive, exploratory research with qualitative approach. Six certified nurse-midwife preceptors from the Nursing-Midwifery Enhancing Course participated in the study in 2019. Two public maternity hospitals in Rio de Janeiro were settings of the research. Individual interview and thematic content analysis were used to collect and analyze data. Results: exchange of knowledge between preceptors and trainees encouraged learning and reflection stemming from delivery and birth, contributing to expansion of autonomy and professional leading role in training, health care, and management. Final Considerations: collective meetings that promote work analysis and value the performance of certified nurse-midwives have led to intervention processes and institutional support in maternity hospitals in Rio de Janeiro, Brazil.

First hour of life and COVID-19 from the view of obstetric nurses:adescriptivestudy

“…As this process is influenced by the medical conduct, some interventions are justified according to the clinical assessment required at each moment, hampering, to some extent, actions that should be carried out based on the health team's collective assessments. This movement induces the guarantee of routines that ensure skin-to-skin contact and breastfeeding at birth, as indicated in the scientific literature (6)(7)(8)(9)(10)(11)(12) . Thus, it can be highlighted that the guarantee of skin-to-skin contact and breastfeeding at birth depends heavily on institutional routines and the involvement and relationship between the various obstetric professionals.…”

“…The possibility of carrying out activities that characterize different ways of organizing the work process in the same institution, complementing and configuring a collaborative work, with a focus on women's health safety, makes it possible to observe that there are convergent points in the relationship between nursing and medicine; this, in one hand may cause tension, but in the other hand stimulate balance in power relationships (18) . The WHO recommends encouraging the training and qualification of obstetric nurses due to the importance of this profession in interprofessional teams working in hospitals and maternity hospitals, prepared to assist in the pregnancy-puerperal cycle (7,8) . Thus, it is necessary to emphasize that the ON has a significant role in assisting parturient women, as, in addition to knowing the physiological process of childbirth, recognizes the individuality of each woman, respects, guide, and welcome her, answer questions, and detect complications during labor and concerning skin-to-skin contact and breastfeeding at birth (7,8,18) .…”

“…The WHO recommends encouraging the training and qualification of obstetric nurses due to the importance of this profession in interprofessional teams working in hospitals and maternity hospitals, prepared to assist in the pregnancy-puerperal cycle (7,8) . Thus, it is necessary to emphasize that the ON has a significant role in assisting parturient women, as, in addition to knowing the physiological process of childbirth, recognizes the individuality of each woman, respects, guide, and welcome her, answer questions, and detect complications during labor and concerning skin-to-skin contact and breastfeeding at birth (7,8,18) . Currently, the presence of the ON has been highly valued by women and health institutions, as among the various aspects that involve the care provided by these professionals is that of guaranteeing the rights of mothers and newborns in the process of delivery and birth.…”

“…The WHO recommends encouraging the training of ON, a group of specialized professionals able to carry out the practices they are responsible for, according to the health recommendations regarding the pregnancy-puerperal cycle. In addition, they are essential members of the interprofessional obstetric team, which offers qualified care to the woman and newborn, based on scientific evidence (7,8) . Thus, given the COVID-19 pandemic that reconfigures the work processes related to delivery and birth, the care of women and babies should be the object of study, aiming at reorganizing obstetric services, of great value to health managers, the assistant professionals, and the population served.…”

Mapeamento Da Produção Científica Sobre a Enfermagem Obstétrica No Brasil: Uma Revisão De Escopo

“…35,66,[88][89][90][91][92][93][94] Os modelos formativos, cursos de especialização em enfermagem obstétrica e as residências foram discutidos nos estudos, com destaque para potencialidades e limitações dessas modalidades na formação dos recursos humanos para o campo. 12,29,[37][38][61][62]66,89,[92][93][95][96][97][98][99][100][101][102][103][104][105][106][107][108][109][110][111] Dentre as potencialidades da formação profissional, realçaram-se as contribuições para melhoria da assistência à mulher e formação de novos profissionais para o mercado de trabalho; ampliação do horizonte de atuação profissional; aumento da capacidade técnico-científica das enfermeiras; maior reconhecimento da equipe médica e redução da violência obstétrica e de práticas intervencionistas, na assistência ao parto. 88-89,93-95,97,101,105,109-110 .…”