Diego Pereira Rodrigues

REFLEXÕES SOBRE O VALOR DA AMAMENTAÇÃ O COMO PRÁTICA DE SAÚDE: UMA CONTRIBUIÇÃ O DA ENFERMAGEM

The study aims at the identification and analysis, under the view of the nurses, of the axiological value process of the promotion, protection and support related to the maternal breastfeeding. It presents a qualitative and descriptive approach. 11 acting nurses had participated on the Program of Maternal Breastfeeding - Amiga da Amamentacao (Breatsfeeding Friend) Basic Unit Initiative in Rio de Janeiro city. In the analysis, the formulation of thematic categories and the articulation with Max Scheler Value Theory were chosen. The data demonstrated the operational form linked to the guidelines of Health Ministry, as nutritional approach, instead of recovering the breastfeeding woman as a familiar and social value of the care net, which threatens the value of breastfeeding and prevents the entire potential of feeling/knowing/doing. We conclude that the comprehension of the value of care related to biological, cultural and social aspects, grants the breastfeeding caring quality and that it has to be more and more valued and stimulated, as breastfeeding deepens the affection link between mother and child. DESCRIPTORS: Nursery. Breast feeding. Social values.Resumen pt: O estudo objetiva identificar e analisar, sob a otica de enfermeiros, o processo de valoracao axiologica da promocao, protecao e apoio ao aleitamento mat...

O manejo clínico da amamentação: saberes dos enfermeiros

Objetivo:Discutir el conocimiento de las enfermeras en el manejo clinico de la lactancia materna, visando los beneficios del amamantamiento en la salud de las mujeres y de los ninos.Metodo:Estudio descriptivo, exploratorio, cualitativo, realizado en maternidades publicas de Niteroi con 59 enfermeras que trabajan en el centro obstetrico, en el alojamiento conjunto y en la enfermeria de gestantes. Los datos fueron recolectados a traves de entrevistas semiestructuradas y analizados de acuerdo con la construccion de categorias tematicas.Resultados:El conocimiento de las enfermeras sobre el manejo clinico de la lactancia materna resulta de una experiencia tecnica de asistencia basada en actitudes de apoyo a la lactancia, envolviendo la madre, el recien-nacido y la familia.Conclusion:El conocimiento tecnico-cientifico es muy importante debido al favorecimiento de las estrategias para promover la lactancia materna en el manejo clinico del amamantamiento.Objective: Discuss the knowledge of nurses in the clinical management of breastfeeding, so the benefits of breastfeeding on the health of women and children. Method: A descriptive, exploratory qualitative study conducted in public hospitals of Niteroi with fifty-nine nurses working in obstetrics center, rooming and ward pregnant. Data were collected through semi-structured interviews and analyzed according to the construction of thematic categories. Results: Knowledge of nurses about the clinical management of breastfeeding, the result of an assistance expertise based on attitudes to support lactation involving women-nursing mother, the newborn and family. Conclusion: The technical and scientific knowledge it becomes very important because the strategies to promote breastfeeding in the clinical management of breastfeeding.

Information for the option of planned home birth: women's right to choose

This article is part of an investigation which used the institutional ethnography of Dorothy Smith, aiming to describe womens process of choice in planned home birth. It used interviews held with 17 women who gave birth at home between 2008 and 2010 in Rio de Janeiro. We selected one category: information - a step for the option for planned home birth. The category was constructed based on six subcategories: knowing persons who had a home birth; knowing persons with negative experiences; the Internet as a source of information; books as a source of information, information from health professionals; and, the exchanging of information between women. The information acts as a network of knowledge, reports and experiences in their symbolic dimensions, favoring the raising of consciousness and the social organization of support. These knowledges and practices are a foundation for a social understanding and the womens discourse in the option for planned home birth. DESCRIPTORS: Health policy. Normal birth. Information. Obstetric nursing.This article is part of an investigation which used the institutional ethnography of Dorothy Smith, aiming to describe womens process of choice in planned home birth. It used interviews held with 17 women who gave birth at home between 2008 and 2010 in Rio de Janeiro. We selected one category: information - a step for the option for planned home birth. The category was constructed based on six subcategories: knowing persons who had a home birth; knowing persons with negative experiences; the Internet as a source of information; books as a source of information, information from health professionals; and, the exchanging of information between women. The information acts as a network of knowledge, reports and experiences in their symbolic dimensions, favoring the raising of consciousness and the social organization of support. These knowledges and practices are a foundation for a social understanding and the womens discourse in the option for planned home birth. DESCRIPTORS: Health politicy. Natural childbirth. Information. Nursing obstetrics.

Manejo clínico da amamentação: Valoração axiológica sob a ótica da mulher-nutriz

Objective: To analyze the axiological value of nurturing women regarding the clinical management of breastfeeding. Methods: This is a phenomenological qualitative study based on the theory of Max Schelers values, conducted between May and June 2014 in the joint quarters of two university hospitals in Niteroi/RJ and Santa Maria/RS. Twenty nursing mothers participated in the study and The data was organized, subjected to the comprehensive analysis technique and was interpreted according to the value theory and the specific policies of breastfeeding. Results: Two thematic units emerged in the study: breastfeeding clinical management and its vital value and the health network to support breastfeeding care: a utility value. Conclusion: The management of breastfeeding enables a health care that goes beyond the interests, intentions and views of health professionals and institutions; human and existential questions must be seized by rational experiences, linked to those relating to the perception of the nurturer. This perception provides a reframing that is centered in the care provided to women, children and the family.Objective: To analyze the axiological value of nurturing women regarding the clinical management of breastfeeding. Methods: This is a phenomenological qualitative study based on the theory of Max Schelers values, conducted between May and June 2014 in the joint quarters of two university hospitals in Niterói/RJ and Santa Maria/RS. Twenty nursing mothers participated in the study and The data was organized, subjected to the comprehensive analysis technique and was interpreted according to the value theory and the specific policies of breastfeeding. Results: Two thematic units emerged in the study: breastfeeding clinical management and its vital value and the health network to support breastfeeding care: a utility value. Conclusion: The management of breastfeeding enables a health care that goes beyond the interests, intentions and views of health professionals and institutions; human and existential questions must be seized by rational experiences, linked to those relating to the perception of the nurturer. This perception provides a reframing that is centered in the care provided to women, children and the family.

Manejo clínico da amamentação: atuação do enfermeiro na Unidade de Terapia Intensiva Neonatal

Aim: to understand the clinical management of breastfeeding performed by nurses in the Neonatal Intensive Care Unit (NICU) of the University Hospital Antonio Pedro, Universidade Federal Fluminense. Method: a descriptive, exploratory study with qualitative approach, through semi-structured interviews with 11 nurses working in this Unit, whose statements were submitted to content analysis in the thematic mode. Results: two categories emerged: the guidance strategies of nurses in the clinical management of breastfeeding in the NICU; and Network of promotion and support for nursing mothers at hospital discharge: a path to successful breastfeeding. Both categories focus on the guidelines as a strategy for encouraging and supporting breastfeeding. Final considerations: nurses trained and sensitized to the practice of clinical management of breastfeeding contribute to the support of breastfeeding and coping with early weaning

A peregrinação no período reprodutivo: uma violência no campo obstétrico

Objective: To describe and analyze the perceptions of women about obstetric care in reference to the attendance of their right of access to health care during the process of labor and birth. Method: Descriptive and exploratory study. Were interviewed 56 women in sets of four public hospitals in Metropolitan Region II of Rio de Janeiro State, developed in 2014. Data analysis were the thematic content mode. Results: Showed a recurring problem for women, the pilgrimage, which has three connotations about the law, lack of care and feelings experienced by women who searches service care. These points are interconnected by the logic of failure with action to ensure sexual rights, reproductive and human, in addition to unpreparedness of the institutions in providing quality care. Conclusion: It was found the need for changes in obstetric care paradigms, valuing respect, care to women in behalf of your health.Objetivo: Describir y analizar las percepciones de las mujeres acerca de la atencion obstetrica en relacion con el cuidado de su derecho de acceso a la asistencia sanitaria durante el proceso de parto y el nacimiento. Metodos: Descriptivo, exploratorio celebro 56 mujeres en grupos de cuatro hospitales publicos especiales Metropolitana Region II del Estado de Rio de Janeiro, desarrollado en 2014. El analisis de datos fue el modo de contenido tematico. Resultados: Mostro un problema recurrente para las mujeres, la peregrinacion, que tiene tres connotaciones acerca de la ley, la falta de atencion y sentimientos experimentados por el servicio de busqueda. Estos puntos estan interconectados por la logica del incumplimiento de las medidas para garantizar los derechos sexuales, reproductivos y humanos, ademas de la falta de preparacion de las instituciones en la prestacion de una atencion de calidad. Conclusion: Se encontro la necesidad de cambios en los paradigmas de atencion obstetrica, valorando el respeto, la atencion a las mujeres por el bien de su salud.

Informação para a opção pelo parto domiciliar planejado: um direito de escolha das mulheres

This article is part of an investigation which used the institutional ethnography of Dorothy Smith, aiming to describe womens process of choice in planned home birth. It used interviews held with 17 women who gave birth at home between 2008 and 2010 in Rio de Janeiro. We selected one category: information - a step for the option for planned home birth. The category was constructed based on six subcategories: knowing persons who had a home birth; knowing persons with negative experiences; the Internet as a source of information; books as a source of information, information from health professionals; and, the exchanging of information between women. The information acts as a network of knowledge, reports and experiences in their symbolic dimensions, favoring the raising of consciousness and the social organization of support. These knowledges and practices are a foundation for a social understanding and the womens discourse in the option for planned home birth. DESCRIPTORS: Health policy. Normal birth. Information. Obstetric nursing.This article is part of an investigation which used the institutional ethnography of Dorothy Smith, aiming to describe womens process of choice in planned home birth. It used interviews held with 17 women who gave birth at home between 2008 and 2010 in Rio de Janeiro. We selected one category: information - a step for the option for planned home birth. The category was constructed based on six subcategories: knowing persons who had a home birth; knowing persons with negative experiences; the Internet as a source of information; books as a source of information, information from health professionals; and, the exchanging of information between women. The information acts as a network of knowledge, reports and experiences in their symbolic dimensions, favoring the raising of consciousness and the social organization of support. These knowledges and practices are a foundation for a social understanding and the womens discourse in the option for planned home birth. DESCRIPTORS: Health politicy. Natural childbirth. Information. Nursing obstetrics.

Reflexions about the value of breastfeeding as a health practice: a nursing contribution

The study aims at the identification and analysis, under the view of the nurses, of the axiological value process of the promotion, protection and support related to the maternal breastfeeding. It presents a qualitative and descriptive approach. 11 acting nurses had participated on the Program of Maternal Breastfeeding - Amiga da Amamentacao (Breatsfeeding Friend) Basic Unit Initiative in Rio de Janeiro city. In the analysis, the formulation of thematic categories and the articulation with Max Scheler Value Theory were chosen. The data demonstrated the operational form linked to the guidelines of Health Ministry, as nutritional approach, instead of recovering the breastfeeding woman as a familiar and social value of the care net, which threatens the value of breastfeeding and prevents the entire potential of feeling/knowing/doing. We conclude that the comprehension of the value of care related to biological, cultural and social aspects, grants the breastfeeding caring quality and that it has to be more and more valued and stimulated, as breastfeeding deepens the affection link between mother and child. DESCRIPTORS: Nursery. Breast feeding. Social values.Resumen pt: O estudo objetiva identificar e analisar, sob a otica de enfermeiros, o processo de valoracao axiologica da promocao, protecao e apoio ao aleitamento mat...

Quality care of the bank of human milk: the perception of users

Objective: to describe the role of the Human Milk Bank of Antonio Pedro University Hospital in assisting users. Method: a descriptive exploratory study with a qualitative approach, with 13 of the Human Milk Bank who experienced some complications during breastfeeding. Data were collected through individual semi-structured interviews, analyzed according to the method proposed by Bardin content. The research project was approved by the Research Ethics in the opinion paragraph 0175.0.258.000-09. Results: data analysis revealed the importance of implementing the line of care for women with breastfeeding problems and the existence of inadequate structure factors can be detrimental to care. Conclusion: problems in lactation may be reflections of a line not set properly care and quality of care Human Milk Bank satisfactorily shown to the users. Descriptors: Breastfeeding; Nursing; Human Milk.

A saúde física de mulheres privadas de liberdade em uma penitenciária do estado do Rio de Janeiro

Objetivo: Identificar fatores que interferem na saude fisica de mulheres encarceradas numa instituicao prisional no Estado do Rio de Janeiro. Metodos: Estudo descritivo, abordagem qualitativa, realizado com quarenta encarceradas, utilizando-se entrevistas semiestruturadas que foram submetidas a analise tematica. Resultados: Fatores como dificuldade relacionada a alimentacao, falta de atividade fisica, sedentarismo, tabagismo e restricao a exposicao ao sol, afetam a saude fisica das mulheres entrevistadas. Conclusao: Mesmo que o entendimento dessas mulheres sobre a propria saude esteja condicionado a ausencia de doencas, torna-se fundamental a existencia de politicas publicas que incentivem acoes de prevencao de agravos e promocao e atencao integral a saude, pois, no cotidiano da instituicao pesquisada as mulheres encarceradas convivem com dificuldades que interferem nas condicoes de saude. Desse modo, ao longo do tempo, poderao surgir concepcoes de saude ampliadas, que estimulem a garantia de melhores condicoes de saude e de vida para esse grupo vulneravel de mulheres.Objective: To identify factors that influence the physical health of women imprisoned in a prison institution in the State of Rio de Janeiro. Methods: A descriptive study with a qualitative approach, undertaken with forty incarcerated women, using semistructured interviews, subjected to thematic analysis. Results: Factors such as difficulty related to diet, lack of physical activity, sedentary lifestyle, smoking and restriction of exposure to the sun affect the physical health of the women interviewed. Conclusion: Although these womens understanding regarding their own health is conditioned by the absence of diseases, it is fundamental to have public policies that encourage actions to prevent ill health and promote health and comprehensive health care, as, in the daily life of the institution studied, incarcerated women live with difficulties that influence health conditions. Thus, over time, expanded health concepts may emerge that will stimulate better health and living conditions for this vulnerable group of women.