Protagonismo de enfermeiras obstétricas nas transformações das situações reais de trabalho após um curso de aprimoramento

• Ano de defesa: 2018
• Autor(a) principal: Debora Cecilia Chaves de Oliveira
• 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; Protagonismo; Enfermagem Obstétrica; Competências de Campo; Formação-Intervenção; Educação Continuada em Enfermagem; Relações Interprofissionais; Estudos Retrospectivos; Tocologia/educação; Enfermagem; Pesquisa Qualitativa; Enfermagem Obstétrica/educação
• Link de acesso: http://hdl.handle.net/1843/BUOS-B2ZKFF

The present dissertation had as object of research the protagonism of obstetrical nurses in the real working situations after an Enhancement Course. Objective: To understand the transformations of real work situations, experienced by obstetrical nurses after an Enhancement Course. Method: This is a research with a qualitative approach, like multiple case studies, with a qualitative approach, based on the theoretical and methodological assumptions of the fourth generation evaluation. Interviews were conducted to collect data. The subjects of the study were eight obstetric nurses who participated in an Improvement Course offered by the Federal University of Minas Gerais and funded by the Ministry of Health. The research comprised the period from April 2017 to February 2018. A Case analysis was based on theoretical propositions developed through the theoretical reference "Clinic of the Activity" described by Yves Clot (2011) and in the methodological proposal of "Logical Models" of Robert K. Yin (2015), besides adapted components of the matrix of Ziel-Orientierte Projekt Planung "ZOOP". Results: The analysis revealed that obstetric nurses faced challenges, such as: i) difficulty in communication between multiprofessional teams and institutional management; (ii) the need to strengthen the identity of obstetric nurses; iii) limited performance in delivery and birth care; iv) the lack of access of women and their families to the autonomous services of the obstetric nurses. In addition, the Enhancement Course favored obstetrical nurses to acquire and develop protagonism for action and intervention in their services. A movement in the collective, provided a greater centrality of the care to the woman and family, better communication among the professionals, greater number of deliveries assisted by Obstetric Nursing, encouragement to the team in relation to Obstetrical Nursing, greater security and autonomy of the nurses, obstetric care in relation to care in childbirth and birth, better bonding with vulnerable women, and appropriation of noninvasive care technologies. Final Thoughts: The "Activity Clinic" theory and its concepts proved to be adequate for the analysis of the power to act, allowing the co-construction of the role of obstetrical nurses in real work situations