Vivências de profissionais de saúde no processo de cuidar de mulheres soropositivas no ciclo gravídico puerperal

• Ano de defesa: 2011
• Autor(a) principal: Fonseca, Emanuel Nildivan Rodrigues da
• Tipo de documento: Dissertação
• Tipo de acesso: Acesso aberto
• Idioma: por
• Instituição de defesa: Universidade Federal da Paraí­ba; BR; Enfermagem; Programa de Pós-Graduação em Enfermagem; UFPB
• Palavras-chave em Português: Pessoal de saúde; Assistência à saúde; Health personnel; Delivery of health care; Pregnant womem; HIV; Gestantes; CIENCIAS DA SAUDE::ENFERMAGEM
• Link de acesso: https://repositorio.ufpb.br/jspui/handle/tede/5062

Aids constitutes an important public health problem worldwide, especially in emerging and poor countries. The disease, initially present in the gay category located in major cities, had a change in its configuration with the epidemic pauperization and feminization. Public policies were intensified to decrease the rate of vertical transmission of HIV. Prenatal care quality improving, health professionals training, pregnant women early diagnosis, specialized mother-baby care services creation and the expansion of maternity hospitals involved in the project Nascer are some of the strategies used to control HIV maternal-fetal transmission. The research general goal was to analyze health professionals discourses regarding the experiences in care and the operational and technical aspects provided to contaminated pregnant women of HIV. The specific objectives are: to know the experience of health professionals regarding the care provided to contaminated pregnant women and parturients; to identify the operational and technical conditions provided by health professionals to pregnant women and parturients living with HIV. This is an exploratory study following a qualitative approach. To do the research, we could count on the participation of eighteen health professionals, among them five nurses, five doctors and eight nursing technicians, all of them Lauro Wanderley University Hospital(HULW) employees, working in obstetrical units and SAE-MI, both references in the care of pregnant women and parturient for HIV. The data were collected in December of 2010 by using interview techniques and a recorder. Later, they were transcribed and organized using software Atlas.ti version 6.0 and, afterwards, they were analyzed qualitatively using the technique of discourse analysis (DA) following Orlandi approach. From the discourses, four discursive formations emerged: the professionals‟ experience in the care of HIV contaminated women during pregnancy and puerperium; health professionals‟ perceptions about pregnancy in women with HIV, in a notion of reproductive rights; operational conditions to achieve the care of contaminated pregnant and postpartum women in HULW; health professionals‟ preparation to perform the care of pregnant and postpartum women with HIV. From the analysis units drawn from the discursive formations, we found out that the experience of caring provided by these professionals to pregnant with HIV still reflects feelings of fear, contempt of reproductive rights, lack of operational conditions and technical and humane absence of preparation to exercise what is more sublime in the practice of nursing and medicine: the caring attitude. This study is intended to stimulate reflection on professional practice, provide subsidies for education and enable more research involving the subject of caring regarding pregnant women with HIV / aids.