Cleci de Fátima Enderle

Parto de adolescentes: elementos qualitativos da assistência

The objective of this study was to learn what adolescents understand as appropriate delivery care. Data were collected through individual interviews with adolescents who delivered at a University Hospital in southern Brazil, between July 2008 and October 2009. A thematic analysis was performed, based on the recommendations of the Ministry of Health regarding humanized delivery. Theme nuclei emerged related to the need for care, guidance and respect. Care appeared as a significant and primordial factor, characterized by understanding, dialogue and an active participation in the delivery process, marked by a timely attention to their needs, understanding their unfamiliarity with the routines and procedures, having a good interaction with the team and not being seen as passive subjects.The objective of this study was to learn what adolescents understand as appropriate delivery care. Data were collected through individual interviews with adolescents who delivered at a University Hospital in southern Brazil, between July 2008 and October 2009. A thematic analysis was performed, based on the recommendations of the Ministry of Health regarding humanized delivery. Theme nuclei emerged related to the need for care, guidance and respect. Care appeared as a significant and primordial factor, characterized by understanding, dialogue and an active participation in the delivery process, marked by a timely attention to their needs, understanding their unfamiliarity with the routines and procedures, having a good interaction with the team and not being seen as passive subjects.

Delivery in adolescents: qualitative factors of care

The objective of this study was to learn what adolescents understand as appropriate delivery care. Data were collected through individual interviews with adolescents who delivered at a University Hospital in southern Brazil, between July 2008 and October 2009. A thematic analysis was performed, based on the recommendations of the Ministry of Health regarding humanized delivery. Theme nuclei emerged related to the need for care, guidance and respect. Care appeared as a significant and primordial factor, characterized by understanding, dialogue and an active participation in the delivery process, marked by a timely attention to their needs, understanding their unfamiliarity with the routines and procedures, having a good interaction with the team and not being seen as passive subjects.The objective of this study was to learn what adolescents understand as appropriate delivery care. Data were collected through individual interviews with adolescents who delivered at a University Hospital in southern Brazil, between July 2008 and October 2009. A thematic analysis was performed, based on the recommendations of the Ministry of Health regarding humanized delivery. Theme nuclei emerged related to the need for care, guidance and respect. Care appeared as a significant and primordial factor, characterized by understanding, dialogue and an active participation in the delivery process, marked by a timely attention to their needs, understanding their unfamiliarity with the routines and procedures, having a good interaction with the team and not being seen as passive subjects.

Constraints and/or determinants of return to sexual activity in the puerperium

OBJECTIVE to identify factors which constrain or determine the return to sexual activity in the puerperium. METHOD exploratory and descriptive study undertaken in a university hospital in the South of Brazil. Fifteen women who had recently given birth, who received a consultation with the nurse in the period August - October 2011, took part in the study. Data was collected after the consultation had finished through semi-structured interviews, in which the women who had recently given birth were asked about the return to sexual activity and the feelings involved in this process. RESULTS the principal determinant/constraint for return to sexual activity in the post-natal period was the fear of a new pregnancy. Fear of feeling pain, permission from the health professional, shame of their own bodies and changes in libido emerged as constraining and/or determinant factors in the thematic analysis. CONCLUSION it is considered fundamental for the issue of contraception to be addressed with the woman/couple during the pre-natal consultation, so that there may be opportunities for reflection and dialog prior to the critical time itself.Objetivo: identificar factores que condicionan y/o determinan el retorno de las actividades sexuales en el puerperio. Metodo: estudio exploratorio y descriptivo desarrollado en un hospital universitario del Sur de Brasil. Hicieron parte del estudio 15 puerperas que realizaron la consulta de enfermeria, en el periodo de agosto a octubre de 2011. La recoleccion de datos acontecio por entrevista semiestructurada, despues del termino de la consulta, preguntandoles sobre el retorno de la actividad sexual y las sensaciones involucradas en este proceso. Resultados: el miedo de un nuevo embarazo fue el principal determinante/condicionante del retorno sexual en el posparto. En el analisis tematico sobresalieron como factores condicionantes y/o determinantes, el miedo de sentir dolor, la liberacion del profesional de salud, la verguenza del propio cuerpo y las alteraciones en la libido. Conclusion: se considera fundamental que la tematica de la anticoncepcion sea abordada con la mujer/pareja durante el prenatal, para que tenga oportunidad de reflexionar y dialogar, antes del momento critico en si.

Avaliação da atenção ao parto por adolescentes em um hospital universitário

OBJECTIVES: evaluate birthing care from the perspective of adolescents seen at a university hospital. METHODS: a quantitative descriptive study deve-loped at a university hospital in the south of Brazil. The research sample was comprised of 269 adolescents, between 10 and 19 years of age, from July 2008 to October 2009. The data was collected through interviews about the practices of vaginal childbirth. Statistical analysis was performed using Fishers Exact Test. The fin-dings were then compared with the recommended practices for perinatal care recommended by the Ministry of Health (MH). RESULTS: the lithotomic position was adopted in 99% of cases; an episiotomy was performed on 89.6% of delivering women; digital vaginal examinations were conducted by more than one examiner in 69.4% of deliveries; routine preventive venous catheterization was performed in 91.8% of adolescent girls and food and water restrictions were put in place in 87.4% of cases. These findings are not consistent with MH guidelines for birthing care. CONCLUSIONS: many of the guidelines recommended by MH for birthing care are disregarded at the reviewed institution and must be revised in order to address the directives of the Ministry of Health.

Teaching strategies: promoting the development of moral competence in undergraduate students

OBJECTIVE To identify strategies and spaces used by professors to promote the development of the moral competence of nursing undergraduate students. METHOD Qualitative research, developed with 20 nursing professors, through a semi-structured interview, from July to October 2016. Data were submitted to discursive textual analysis. RESULTS Three categories were constructed: Active methodologies as strategies for the development of moral competence; Knowledge and development of clinical reasoning as motivating spaces of moral competence; Attitude of professors as a strategy for dialogue, empathy, recovery of moral values and development of caring skills. FINAL CONSIDERATIONS The use of strategies and spaces to develop pedagogical actions favors the search for knowledge, clinical reasoning and the approach of ethical and moral aspects that collaborate for the development of the moral competence of nursing undergraduate students.

Condicionantes e/ou determinantes do retorno à atividade sexual no puerpério

OBJECTIVE to identify factors which constrain or determine the return to sexual activity in the puerperium. METHOD exploratory and descriptive study undertaken in a university hospital in the South of Brazil. Fifteen women who had recently given birth, who received a consultation with the nurse in the period August - October 2011, took part in the study. Data was collected after the consultation had finished through semi-structured interviews, in which the women who had recently given birth were asked about the return to sexual activity and the feelings involved in this process. RESULTS the principal determinant/constraint for return to sexual activity in the post-natal period was the fear of a new pregnancy. Fear of feeling pain, permission from the health professional, shame of their own bodies and changes in libido emerged as constraining and/or determinant factors in the thematic analysis. CONCLUSION it is considered fundamental for the issue of contraception to be addressed with the woman/couple during the pre-natal consultation, so that there may be opportunities for reflection and dialog prior to the critical time itself.Objetivo: identificar factores que condicionan y/o determinan el retorno de las actividades sexuales en el puerperio. Metodo: estudio exploratorio y descriptivo desarrollado en un hospital universitario del Sur de Brasil. Hicieron parte del estudio 15 puerperas que realizaron la consulta de enfermeria, en el periodo de agosto a octubre de 2011. La recoleccion de datos acontecio por entrevista semiestructurada, despues del termino de la consulta, preguntandoles sobre el retorno de la actividad sexual y las sensaciones involucradas en este proceso. Resultados: el miedo de un nuevo embarazo fue el principal determinante/condicionante del retorno sexual en el posparto. En el analisis tematico sobresalieron como factores condicionantes y/o determinantes, el miedo de sentir dolor, la liberacion del profesional de salud, la verguenza del propio cuerpo y las alteraciones en la libido. Conclusion: se considera fundamental que la tematica de la anticoncepcion sea abordada con la mujer/pareja durante el prenatal, para que tenga oportunidad de reflexionar y dialogar, antes del momento critico en si.

Condicionantes y/o determinantes del retorno a la actividad sexual en el puerperio

OBJECTIVE to identify factors which constrain or determine the return to sexual activity in the puerperium. METHOD exploratory and descriptive study undertaken in a university hospital in the South of Brazil. Fifteen women who had recently given birth, who received a consultation with the nurse in the period August - October 2011, took part in the study. Data was collected after the consultation had finished through semi-structured interviews, in which the women who had recently given birth were asked about the return to sexual activity and the feelings involved in this process. RESULTS the principal determinant/constraint for return to sexual activity in the post-natal period was the fear of a new pregnancy. Fear of feeling pain, permission from the health professional, shame of their own bodies and changes in libido emerged as constraining and/or determinant factors in the thematic analysis. CONCLUSION it is considered fundamental for the issue of contraception to be addressed with the woman/couple during the pre-natal consultation, so that there may be opportunities for reflection and dialog prior to the critical time itself.Objetivo: identificar factores que condicionan y/o determinan el retorno de las actividades sexuales en el puerperio. Metodo: estudio exploratorio y descriptivo desarrollado en un hospital universitario del Sur de Brasil. Hicieron parte del estudio 15 puerperas que realizaron la consulta de enfermeria, en el periodo de agosto a octubre de 2011. La recoleccion de datos acontecio por entrevista semiestructurada, despues del termino de la consulta, preguntandoles sobre el retorno de la actividad sexual y las sensaciones involucradas en este proceso. Resultados: el miedo de un nuevo embarazo fue el principal determinante/condicionante del retorno sexual en el posparto. En el analisis tematico sobresalieron como factores condicionantes y/o determinantes, el miedo de sentir dolor, la liberacion del profesional de salud, la verguenza del propio cuerpo y las alteraciones en la libido. Conclusion: se considera fundamental que la tematica de la anticoncepcion sea abordada con la mujer/pareja durante el prenatal, para que tenga oportunidad de reflexionar y dialogar, antes del momento critico en si.

Parto de adolescentes: elementos cualitativos de la atención

The objective of this study was to learn what adolescents understand as appropriate delivery care. Data were collected through individual interviews with adolescents who delivered at a University Hospital in southern Brazil, between July 2008 and October 2009. A thematic analysis was performed, based on the recommendations of the Ministry of Health regarding humanized delivery. Theme nuclei emerged related to the need for care, guidance and respect. Care appeared as a significant and primordial factor, characterized by understanding, dialogue and an active participation in the delivery process, marked by a timely attention to their needs, understanding their unfamiliarity with the routines and procedures, having a good interaction with the team and not being seen as passive subjects.The objective of this study was to learn what adolescents understand as appropriate delivery care. Data were collected through individual interviews with adolescents who delivered at a University Hospital in southern Brazil, between July 2008 and October 2009. A thematic analysis was performed, based on the recommendations of the Ministry of Health regarding humanized delivery. Theme nuclei emerged related to the need for care, guidance and respect. Care appeared as a significant and primordial factor, characterized by understanding, dialogue and an active participation in the delivery process, marked by a timely attention to their needs, understanding their unfamiliarity with the routines and procedures, having a good interaction with the team and not being seen as passive subjects.