Gestão do cuidado de enfermagem a puérperas e recém-nascidos na Atenção Primária à Saúde

Tamiris Scoz  Amorim; Marli Terezinha Stein  Backes

doi:10.15253/2175-6783.20202143654

Authors

Tamiris Scoz Amorim Secretaria Municipal de Saúde de São José http://orcid.org/0000-0003-0220-7526
Marli Terezinha Stein Backes Universidade Federal de Santa Catarina http://orcid.org/0000-0003-3258-359X

DOI:

https://doi.org/10.15253/2175-6783.20202143654

Keywords:

Primary Health Care; Patient Care Management; Nursing Care; Postpartum Period; Infant, Newborn.

Abstract

Objective: understanding the meaning of managing nursing care for puerperae and newborns in primary healthcare. Methods: qualitative study, based on the theoretical framework of Data-based Theory. Participant observation and semi-structured individual interviews were conducted with eleven primary healthcare nurses. The analytical process involved open, axial, and selective coding/integration. Results: the central phenomenon, Promoting the management of nursing care in primary healthcare, indicates the leadership of nurses when dealing with challenges in the context of care. That suggests actions and interactions to guarantee autonomy and the quality of care, in addition to empowering the parents. Conclusion: the management of care from nurses who participated in the research aims to embrace the mother-child and family particularities since the prenatal, and to promote a singular, multidimensional, continuous, vigilant, and systematized care, which values the subjectivity and the main role of the woman-mother and the care they should have with themselves and the newborn.

References

Amorim TS, Backes MTS, Santos EKA, Cunha KS, Collaço VS. Obstetric/neonatal care: expansion of nurses’ clinical practice in Primary Care. Acta Paul Enferm. 2019; 32(4):358-64. doi: https://doi.org/10.1590/1982-0194201900050

Dodou HD, Oliveira TDA, Oriá MOB, Rodrigues DP, Pinheiro PNC, Luna IT. Educational practices of nursing in the puerperium: social representations of puerperal mothers. Rev Bras Enferm. 2017; 70(6):1250-8. doi: https://doi.org/10.1590/0034-7167-2016-0136

Kahl C, Meirelles BHS, Cunha KS, Bernardo MS, Erdmann AL. Contributions of the nurse’s clinical practice to Primary Care. Rev Bras Enferm. 2019; 72(2):354-9. doi: https://doi.org/10.1590/0034-7167-2018-0348

Umpiérrez AF. La gestión del cuidado em la legislación profesional: algunas consideraciones para su regulación. Cienc Enferm. 2013; 19(3):103-9. doi: https://doi.org/10.4067/S0717-95532013000300011

Backes MTS, Ribeiro LN, Amorim TS, Vieira BC, Souza J, Dias HHZR, et al. Desafios da gestão do cuidado de enfermagem para a qualidade da atenção obstétrica e neonatal em maternidades públicas brasileiras. Investig Qual Saúde [Internet]. 2017 [cited Mar. 10, 2020];2:411-20. Available from: https://proceedings.ciaiq.org/index.php/ciaiq2017/article/view/1232/1193

Rodrigues ACRL, Souza JM, Lacerda LDRC, Pedebos LA, Oliveira NF, Fraga TV, et al. Protocolo de Enfermagem - Saúde da Mulher: acolhimento às demandas da mulher nos diferentes ciclos de vida [Internet]. 2017 [cited Mar 10, 2020]; 1-90. Available from: http://www.pmf.sc.gov.br/arquivos/arquivos/f/14_09_2017_15.14.09.259fa5a81e020c350f433fd673d6a319.pdf

Corbin J, Strauss A. Basics of qualitative research: techniques and procedures for developing Grounded Theory. California: SAGE; 2015.

Baratieri T, Natal S. Postpartum program actions in primary health care: an integrative review. Ciênc Saúde Coletiva. 2019; 24(11):4227-38. doi: https://doi.org/10.1590/1413-812320182411.28112017

Parada CMGL. Women’s health during pregnancy, childbirth and puerperium: 25 years of recommendations from international organizations [Editorial]. Rev Bras Enferm. 2019; 72(suppl. 3):1-2. doi: https://doi.org/10.1590/0034-7167-2019-72suppl301

Lucena DBA, Guedes ATA, Cruz TMAV, Santos NCCB, Collet N, Reichert APS. First week of integral health for the newborn: nursing actions of the Family Health Strategy. Rev Gaúcha Enferm. 2018; 39:e2017-0068. doi: https://doi.org/10.1590/1983-1447.2018.2017-0068

Livramento DVP, Backes MTS, Damiani PR, Castillo LDR, Backes DS, Simão AMS. Perceptions of pregnant women about prenatal care in primary health care. Rev Gaúcha Enferm. 2019; 40:e20180211. doi: https://doi.org/10.1590/1983-1447.2019.20180211

Carvalho NR, Ayres LFA, Silva EA, Jesus MVN. The living of puerperas in front of nursing assistance received during the puerperal gravid cycle. Interdisciplinary Sci J. 2017; 4(3):1-17. doi: https://doi.org/10.17115/2358-8411/v4n3a1

Fusquine RS, Lino NCF, Chagas ACF, Muller KTC. Adherence and rejection of puerperal Consultation by women of a basic health unit. Arch Health Sci. 2019; 26(1):37-40. doi: https://doi.org/10.17696/2318-3691.26.1.2019.1241

Medeiros LS, Costa ACM. Postpartum period: the importance of home visits given by the nurse in Primary Health Care. Rev Rene. 2016; 17(1):112-9. doi: https://doi.org/10.15253/2175-6783.2016000100015

Holanda GSE, Lima VKS, Oliveira BMM, Bezerra RA, Carvalho CML, Santos LVF. Visitas domiciliares puerperais: promoção da saúde do binômio mãe-filho. J Nurs Health. 2019; 9(3):e199307. doi: http://dx.doi.org/10.15210/jonah.v9i3.17027

Soder R, Oliveira IC, Silva LAA, Santos JLG, Peiter CC, Erdmann AL. Desafios da gestão do cuidado na atenção básica: perspectiva da equipe de enfermagem. Enferm Foco. 2018; 9(3):76-80. doi: https://doi.org/10.21675/2357-707X.2018.v9.n3.1496