Aline Bastos Porfírio

A preservação perineal como prática de enfermeiras obstétricas

ResumenTrata-se de pesquisa qualitativa que teve por objetivos analisar os efeitos percebidos pela mulher diante da nao-realizacao da episiotomia e analisar as acoes de enfermagem que foram determinantes para a nao-intervencao cirurgica sob a otica da mulher. O estudo foi realizado no periodo de janeiro a junho de 2005. Foi aplicada uma entrevista semi- estruturada para a coleta de dados em mulheres que pariram de parto natural sem episiotomia. A analise seguiu a proposta de Bardin e apoia-se na teoria da diversidade e universalidade do cuidado cultural de Madeleine Leininger. Os resultados apontaram os efeitos positivos sentidos pela mulher em sua vida e em seu relacionamento sexual decorrentes da nao-realizacao da episiotomia. As mulheres tambem reconheceram as acoes profissionais de enfermagem obstetrica que visavam a acomodacao do cuidado humanizado como repadronizadoras do cuidado medicalizado e fundamentais para a preservacao de seus perineos.

Participação das enfermeiras no processo de implantação de práticas obstétricas humanizadas na maternidade Alexander Fleming (1998-2004)

Se trata de un estudio de caracter historico y social cuya finalidad es analizar el proceso de insercion de las enfermeras en el momento de la entrega y la lucha de estos profesionales para implementar las practicas obstetricas humanizadas en la Maternidade Alexander Fleming. El metodo utilizado fue la historia oral tematica. Los pasos del analisis fueron: ordenacion, clasificacion y triangulacion de los datos. Para sustentacion del analisis se utilizo los conceptos de campo, habitus, poder simbolico y capital, de Pierre Bourdieu. Los resultados mostraron que la inclusion de las enfermeras en la atencion del parto se produjo a traves de la capacidad de recursos humanos para este proyecto y de un entrenamiento intensivo. Al ser insertado en el centro obstetrico, las enfermeras han creado su propio espacio para la accion y han desarrollado un protocolo de atencion. Concluimos que las estrategias de lucha simbolica utilizadas por las enfermeras contribuyeron para la conquista de espacios que las distinguieron en el campo por el desarrollo de practicas humanizadas que estaban en consonancia con su habitus.The objective of this historical-social study is to analyze the battle strategies in the process of implementing humanized practice at the Alexander Fleming maternity. The method used was oral thematic history. The analysis was performed using data triangulation, by articulating the oral statements with the written documents. The foundations of the study are the theoretical notions of field, habitus, symbolic power, symbolic battle and capital of the sociologist Pierre Bourdieu. The results showed that the inclusion of nurses in delivery care occurred through human resource capacity for this project and an intensive training. By being inserted in the center obstetric nurses have created their own space for action and developed a protocol of care. Obstetrical nurses, by means of battle their strategies, have taken over areas and positions that distinguished them for the development of humanized practices that agree with their updated habitus.

The perineal preservation as an obstetrics nurses' practice

ResumenTrata-se de pesquisa qualitativa que teve por objetivos analisar os efeitos percebidos pela mulher diante da nao-realizacao da episiotomia e analisar as acoes de enfermagem que foram determinantes para a nao-intervencao cirurgica sob a otica da mulher. O estudo foi realizado no periodo de janeiro a junho de 2005. Foi aplicada uma entrevista semi- estruturada para a coleta de dados em mulheres que pariram de parto natural sem episiotomia. A analise seguiu a proposta de Bardin e apoia-se na teoria da diversidade e universalidade do cuidado cultural de Madeleine Leininger. Os resultados apontaram os efeitos positivos sentidos pela mulher em sua vida e em seu relacionamento sexual decorrentes da nao-realizacao da episiotomia. As mulheres tambem reconheceram as acoes profissionais de enfermagem obstetrica que visavam a acomodacao do cuidado humanizado como repadronizadoras do cuidado medicalizado e fundamentais para a preservacao de seus perineos.

Capacitação de enfermeiras no Japão: contribuição para a implantação da Casa de Parto no Rio de Janeiro

This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro. DESCRIPTORS: History of nursing. Humanizing delivery. Womens health. Obstetrical nursing. Education, nursing.This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro. DESCRIPTORS: History of nursing. Humanizing delivery. Womens health. Obstetrical nursing. Education, nursing.

Nurse training in Japan: contribution to the foundation of the Casa de Parto birthing center in Rio de Janeiro

This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro. DESCRIPTORS: History of nursing. Humanizing delivery. Womens health. Obstetrical nursing. Education, nursing.This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro. DESCRIPTORS: History of nursing. Humanizing delivery. Womens health. Obstetrical nursing. Education, nursing.

Capacitación de enfermeras en Japón: contribución para la implantación de la Casa de Parto en Rio de Janeiro

This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro. DESCRIPTORS: History of nursing. Humanizing delivery. Womens health. Obstetrical nursing. Education, nursing.This study was performed using a historical-social approach and aimed at discussing how the Brazilian nurse midwives trained in the Japanese birthing centers helped implement Casa de Parto in Rio de Janeiro-RJ in 2003. The primary sources of information were written and oral documentation found in collections and semi-structured interviews. The analysis happened in three steps: organization, classification and data triangulation. In order to support the analysis, concepts of habitus, field, symbolic capital and power were adopted. Results showed that the training of nurses at the Japanese birthing centers by taking a course on birth assistance was a government strategy to reconfigure the obstetrics field, which updated the habitus of these nurse midwives. Both Rio de Janeiro nurses appointed by the City to take the training course acquired better positions, which contributed to the foundation of the Casa de Parto birthing center in Rio de Janeiro. DESCRIPTORS: History of nursing. Humanizing delivery. Womens health. Obstetrical nursing. Education, nursing.

Participation of nurses in the process of implementation of obstetrical practices in the maternity humanized Alexander Fleming (1998-2004)

Se trata de un estudio de caracter historico y social cuya finalidad es analizar el proceso de insercion de las enfermeras en el momento de la entrega y la lucha de estos profesionales para implementar las practicas obstetricas humanizadas en la Maternidade Alexander Fleming. El metodo utilizado fue la historia oral tematica. Los pasos del analisis fueron: ordenacion, clasificacion y triangulacion de los datos. Para sustentacion del analisis se utilizo los conceptos de campo, habitus, poder simbolico y capital, de Pierre Bourdieu. Los resultados mostraron que la inclusion de las enfermeras en la atencion del parto se produjo a traves de la capacidad de recursos humanos para este proyecto y de un entrenamiento intensivo. Al ser insertado en el centro obstetrico, las enfermeras han creado su propio espacio para la accion y han desarrollado un protocolo de atencion. Concluimos que las estrategias de lucha simbolica utilizadas por las enfermeras contribuyeron para la conquista de espacios que las distinguieron en el campo por el desarrollo de practicas humanizadas que estaban en consonancia con su habitus.The objective of this historical-social study is to analyze the battle strategies in the process of implementing humanized practice at the Alexander Fleming maternity. The method used was oral thematic history. The analysis was performed using data triangulation, by articulating the oral statements with the written documents. The foundations of the study are the theoretical notions of field, habitus, symbolic power, symbolic battle and capital of the sociologist Pierre Bourdieu. The results showed that the inclusion of nurses in delivery care occurred through human resource capacity for this project and an intensive training. By being inserted in the center obstetric nurses have created their own space for action and developed a protocol of care. Obstetrical nurses, by means of battle their strategies, have taken over areas and positions that distinguished them for the development of humanized practices that agree with their updated habitus.

Participación de las enfermeras en el proceso de implementación de prácticas de obstetricia humanizada en la maternidade Alexander Fleming (1998-2004)

Se trata de un estudio de caracter historico y social cuya finalidad es analizar el proceso de insercion de las enfermeras en el momento de la entrega y la lucha de estos profesionales para implementar las practicas obstetricas humanizadas en la Maternidade Alexander Fleming. El metodo utilizado fue la historia oral tematica. Los pasos del analisis fueron: ordenacion, clasificacion y triangulacion de los datos. Para sustentacion del analisis se utilizo los conceptos de campo, habitus, poder simbolico y capital, de Pierre Bourdieu. Los resultados mostraron que la inclusion de las enfermeras en la atencion del parto se produjo a traves de la capacidad de recursos humanos para este proyecto y de un entrenamiento intensivo. Al ser insertado en el centro obstetrico, las enfermeras han creado su propio espacio para la accion y han desarrollado un protocolo de atencion. Concluimos que las estrategias de lucha simbolica utilizadas por las enfermeras contribuyeron para la conquista de espacios que las distinguieron en el campo por el desarrollo de practicas humanizadas que estaban en consonancia con su habitus.The objective of this historical-social study is to analyze the battle strategies in the process of implementing humanized practice at the Alexander Fleming maternity. The method used was oral thematic history. The analysis was performed using data triangulation, by articulating the oral statements with the written documents. The foundations of the study are the theoretical notions of field, habitus, symbolic power, symbolic battle and capital of the sociologist Pierre Bourdieu. The results showed that the inclusion of nurses in delivery care occurred through human resource capacity for this project and an intensive training. By being inserted in the center obstetric nurses have created their own space for action and developed a protocol of care. Obstetrical nurses, by means of battle their strategies, have taken over areas and positions that distinguished them for the development of humanized practices that agree with their updated habitus.

La preservación del perineo como una práctica de enfermeras obstetricas

ResumenTrata-se de pesquisa qualitativa que teve por objetivos analisar os efeitos percebidos pela mulher diante da nao-realizacao da episiotomia e analisar as acoes de enfermagem que foram determinantes para a nao-intervencao cirurgica sob a otica da mulher. O estudo foi realizado no periodo de janeiro a junho de 2005. Foi aplicada uma entrevista semi- estruturada para a coleta de dados em mulheres que pariram de parto natural sem episiotomia. A analise seguiu a proposta de Bardin e apoia-se na teoria da diversidade e universalidade do cuidado cultural de Madeleine Leininger. Os resultados apontaram os efeitos positivos sentidos pela mulher em sua vida e em seu relacionamento sexual decorrentes da nao-realizacao da episiotomia. As mulheres tambem reconheceram as acoes profissionais de enfermagem obstetrica que visavam a acomodacao do cuidado humanizado como repadronizadoras do cuidado medicalizado e fundamentais para a preservacao de seus perineos.