O curso de aprimoramento para enfermeiras obstétricas: desenvolvendo e ampliando o poder de agir de um coletivo profissional no seu meio de trabalho

• Ano de defesa: 2018
• Autor(a) principal: Fernanda Manso Maselli Coutinho
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal de Minas Gerais; UFMG
• Palavras-chave em Português: Avaliação; Clínica da Atividade; Parto; Enfermagem Obstétrica; Autonomia; Educação Continuada em Enfermagem; Tocologia/educação; Enfermagem; Educação Obstétrica/educação; Pesquisa Qualitativa; Capacitação
• Link de acesso: http://hdl.handle.net/1843/ENFC-B4GRFK

In order to change the model in obstetric care, the Ministry of Health has invested in the training and qualification of obstetrical nurses and one of the modalities is a short-term training course, titled an Improvement Course for Obstetric Nurses. This study aimed to analyze the Course of Improvement for Obstetric Nurses as an articulator of the transformation of real work situations in the field of childbirth care. It is a cut of an evaluative research with a qualitative approach in which the conceptual reference of the "Clinic of the Activity" of Yves Clot (2010) was used. Participants were professional obstetrician nurses from four regions of Brazil inserted in maternity hospitals and who met the inclusion criteria of the study, totaling 64 participants. For data gathering, an identification card was used and eight focal groups were performed. The analysis of the data was performed through the direct content analysis using the software MAXQDA © version 2018. The recorded material of the focus groups was transcribed and analyzed through the software, systematized and categorized to compose the database, considering recurrent opinions, dissent and consensus of the participants. Four categories of analysis were constructed guided by the theoretical reference: a) feelings and expectations of the course in relation to the nurse's power to act; b) the autonomy of the obstetric nurse to strengthen the professional gender; c) care as the driving force for change; d) the course as articulator of the collective at work. The first category reveals the feelings, expectations and meanings that the experience in other daily work that has served as a model for childbirth and childbirth care has for the obstetric nurses in training. The first one was built based on the participants's feelings about the course and their experiences in the field of practice, as well as their expectations. The second category refers to the autonomy of the obstetric nurse and was defined because of the several times that the term "nurse´s autonomy" was used by the obstetrics nurses in training during the discussion in the focus groups. The third category shows the resumption of the meaning of care in nursing by obstetrician nurses in training, from the experience of practice of the Course serving as inspiration for personal and professional change. The fourth and last category emphasizes action / intervention plans in childbirth and childbirth care processes, elaborated at the end of the first stage of the course by the learners, together with the researchers, reflecting the confrontations that will be necessary for changes in attitudes and practices in care, training and management. Through this study, it can be inferred that the course of improvement for obstetrical nurses was important for the reaffirmation of the professional gender and an articulator of the transformation of the real work situations in delivery assistance. Therefore, it is hoped that this work will contribute to the creation of other courses for nursing professionals, using this methodology so that its repercussions can potentialize the practice of the obstetric nurse in an autonomous way, thus strengthening the role of these professionals in the transformation of real work situations.