Maria de Fátima da Silva Vieira Martins

ONCOLOGY NURSING PROFESSIONALS' JOB SATISFACTION AND DISSATISFACTION IN BRAZIL AND PORTUGAL

The aim of this research was to identify the reasons of satisfaction and dissatisfaction among nursing professionals working in oncological care in Brazil an...

Imagens construídas em torno da gravidez

The present article is based on a study carried in six municipalities of Braga district where we performed semi-structured interviews to 100 women who had just given birth in a maternity hospital in the northern area of the country and whose residence were located in the municipalities of Amares, Braga, Povoa de Lanhoso, Vila Verde, Vieira do Minho and Terras de Bouro. We tried to identify the representations of these women in reference to their pregnancy experience, where we point out that the origin of these representations is connected to a triangulate vision of the concept of health, illness and of the body. And all these concepts constitute extraordinarily positive aspects since some contribute towards an affectionate connection to the baby or a prenatal bond. It is important to point out that the knowledge hereby revealed is at most times a result of beliefs culturally rooted and that should be analysed or demystified upon the prenatal surveillance consultation.

O programa de assistência pré-natal nos Cuidados de Saúde Primários em Portugal: uma reflexão

The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or absent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care.A melhoria da qualidade dos cuidados prestados a gravida e ao recem-nascido e uma das areas de intervencao prioritaria do Plano Nacional de Saude. Embora se reconheca que as medidas introduzidas nos ultimos anos tem contribuido para diminuir os valores da mortalidade materna e perinatal, e necessario referir, tambem, que continuam a ocorrer gravidezes nao planeadas que, nao raras vezes, resultam do inicio tardio, ou mesmo da ausencia, da assistencia pre-natal. Neste artigo, procuramos refletir sobre a assistencia pre-natal no contexto de saude reprodutiva, de forma a constituir um contributo para os enfermeiros que prestam uma assistencia integral e humanizada as gravidas e as suas familias. Concluimos que a assistencia pre-natal engloba um conjunto de cuidados especificos dirigidos a um grupo vulneravel, constituindo uma area muito importante na avaliacao dos cuidados de saude primarios.The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or absent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care.

Representações da enfermeira obstetra na perspetiva da mulher grávida

Neste estudo, procurou-se identificar as representacoes sociais da enfermeira especialista em saude materna e obstetrica sob o olhar da mulher gravida, realizando, para o efeito, um estudo qualitativo com 50 mulheres gravidas, residentes em tres municipios do Noroeste Portugues e que realizaram a vigilância pre-natal no Centro de Saude da sua area de residencia. Os dados foram colhidos por meio de entrevista semiestruturada realizada entre os meses de fevereiro e julho de 2007, e foram analisados com base na analise de conteudo. Os resultados demonstram que a enfermeira obstetra e, quase sempre, considerada como uma amiga, uma guia e um suporte fundamental que ajuda a gravida na vivencia de todo o processo inerente ao nascimento. Esta pesquisa pode constituir um contributo para um incremento da qualidade dos cuidados a prestar ao longo da gravidez.Este estudio busco identificar las representaciones sociales de enfermera especialista en salud materna y obstetrica bajo la mirada de la mujer mediante un estudio cualitativo con 50 mujeres embarazadas, en tres municipios del noroeste portugues, que realizaran su vigilancia prenatal en el centro de salud de su zona de residencia. Los datos fueron recogidos a traves de entrevistas semi-estructuradas entre febrero y julio de 2007 y se analizaron con base en el analisis de contenido. Los resultados muestran que la enfermera partera se contempla como una amiga, una guia y un apoyo fundamental para ayudarle a experimentar todo el proceso inherente en el nacimiento. Esta investigacion puede ser una contribucion a la mejora de la calidad de la atencion prestada durante el embarazo.This study aimed to identify the social representations of the nurse specialist in maternal health and obstetrical care under the gaze of the pregnant woman using a qualitative study of 50 pregnant women in three municipalities of the Northwest Portugal, which carry out their antenatal care in the health center of their residence area. Data were collected through semi-structured interviews between February and July 2007 and analyzed based on content analysis. The results showed that the nurse midwife is faced as a friend, guide and support in helping to experience the whole process inherent in the birth. This research can be a contribution for the improvement of the quality of care provided during pregnancy.

Representations of the midwife in the perspective of the pregnant woman

Neste estudo, procurou-se identificar as representacoes sociais da enfermeira especialista em saude materna e obstetrica sob o olhar da mulher gravida, realizando, para o efeito, um estudo qualitativo com 50 mulheres gravidas, residentes em tres municipios do Noroeste Portugues e que realizaram a vigilância pre-natal no Centro de Saude da sua area de residencia. Os dados foram colhidos por meio de entrevista semiestruturada realizada entre os meses de fevereiro e julho de 2007, e foram analisados com base na analise de conteudo. Os resultados demonstram que a enfermeira obstetra e, quase sempre, considerada como uma amiga, uma guia e um suporte fundamental que ajuda a gravida na vivencia de todo o processo inerente ao nascimento. Esta pesquisa pode constituir um contributo para um incremento da qualidade dos cuidados a prestar ao longo da gravidez.Este estudio busco identificar las representaciones sociales de enfermera especialista en salud materna y obstetrica bajo la mirada de la mujer mediante un estudio cualitativo con 50 mujeres embarazadas, en tres municipios del noroeste portugues, que realizaran su vigilancia prenatal en el centro de salud de su zona de residencia. Los datos fueron recogidos a traves de entrevistas semi-estructuradas entre febrero y julio de 2007 y se analizaron con base en el analisis de contenido. Los resultados muestran que la enfermera partera se contempla como una amiga, una guia y un apoyo fundamental para ayudarle a experimentar todo el proceso inherente en el nacimiento. Esta investigacion puede ser una contribucion a la mejora de la calidad de la atencion prestada durante el embarazo.This study aimed to identify the social representations of the nurse specialist in maternal health and obstetrical care under the gaze of the pregnant woman using a qualitative study of 50 pregnant women in three municipalities of the Northwest Portugal, which carry out their antenatal care in the health center of their residence area. Data were collected through semi-structured interviews between February and July 2007 and analyzed based on content analysis. The results showed that the nurse midwife is faced as a friend, guide and support in helping to experience the whole process inherent in the birth. This research can be a contribution for the improvement of the quality of care provided during pregnancy.

PROPOSTA DE PASSOS PARA A SEGURANÇA DO PACIENTE NO ATENDIMENTO PRÉ-HOSPITALAR MÓVEL

Objective: propose steps for patient safety based on the analysis of risks in mobile emergency care from nurses’ perspective. Method: quantitative and descriptive study. Intentional sample consisting of 23 nurses. The photographic research method was used to identify the risks for patient safety in a Mobile Emergency Care Service in a city in Rio Grande do Norte (Brazil). The data were collected between March and June 2012 and organized in five phases: collection of pictures from safe and non-safe situations; selection of pictures based on the image quality; selection of pictures by experts on the theme; random selection of ten images; and application of picture analysis tool by the professionals. Content analysis and descriptive analysis were used. Results: the risks appointed in the study were: difficulties to store equipment and material; particularities of work in mobile emergency care; risk of infection; risk of traumas; and medication administration difficulties. Based on this information and confrontations with the literature, ten steps were suggested towards patient safety in emergency care, focused on the needs to reduce the risks presented. Conclusion: the risk analysis and the intervention proposal towards patient safety favor the quality of health care, with benefits in the following spheres: patient, team, equipment, professional and environment. These should be developed in accordance with the needs of each service

SATISFAÇÃO E INSATISFAÇÃO NO TRABALHO DE PROFISSIONAIS DE ENFERMAGEM DA ONCOLOGIA DO BRASIL E PORTUGAL

The aim of this research was to identify the reasons of satisfaction and dissatisfaction among nursing professionals working in oncological care in Brazil an...

SATISFACCIÓN E INSATISFACCIÓN EN EL TRABAJO DE PROFESIONALES DEL ENFERMERÍA DE ONCOLOGÍA DEL BRASIL Y PORTUGAL

The aim of this research was to identify the reasons of satisfaction and dissatisfaction among nursing professionals working in oncological care in Brazil an...

The prenatal care program in Primary Care in Portugal – a reflection

The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or absent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care.A melhoria da qualidade dos cuidados prestados a gravida e ao recem-nascido e uma das areas de intervencao prioritaria do Plano Nacional de Saude. Embora se reconheca que as medidas introduzidas nos ultimos anos tem contribuido para diminuir os valores da mortalidade materna e perinatal, e necessario referir, tambem, que continuam a ocorrer gravidezes nao planeadas que, nao raras vezes, resultam do inicio tardio, ou mesmo da ausencia, da assistencia pre-natal. Neste artigo, procuramos refletir sobre a assistencia pre-natal no contexto de saude reprodutiva, de forma a constituir um contributo para os enfermeiros que prestam uma assistencia integral e humanizada as gravidas e as suas familias. Concluimos que a assistencia pre-natal engloba um conjunto de cuidados especificos dirigidos a um grupo vulneravel, constituindo uma area muito importante na avaliacao dos cuidados de saude primarios.The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or absent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care.

El programa de vigilancia prenatal en la Atención Primaria en Portugal – una reflexión

The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or absent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care.A melhoria da qualidade dos cuidados prestados a gravida e ao recem-nascido e uma das areas de intervencao prioritaria do Plano Nacional de Saude. Embora se reconheca que as medidas introduzidas nos ultimos anos tem contribuido para diminuir os valores da mortalidade materna e perinatal, e necessario referir, tambem, que continuam a ocorrer gravidezes nao planeadas que, nao raras vezes, resultam do inicio tardio, ou mesmo da ausencia, da assistencia pre-natal. Neste artigo, procuramos refletir sobre a assistencia pre-natal no contexto de saude reprodutiva, de forma a constituir um contributo para os enfermeiros que prestam uma assistencia integral e humanizada as gravidas e as suas familias. Concluimos que a assistencia pre-natal engloba um conjunto de cuidados especificos dirigidos a um grupo vulneravel, constituindo uma area muito importante na avaliacao dos cuidados de saude primarios.The quality improvement of care provided to the pregnant women and newborn is one of the priority areas for intervention of the National Health Plan. While acknowledging that the measures introduced in recent years have contributed to lower the values of maternal and perinatal mortality, it should also be mentioned that unplanned pregnancies continue to occur, and that they often result in a delayed or absent prenatal surveillance. In this paper, we seek to reflect on the prenatal surveillance program under Primary Health Care relating to quality of health care provided in the context of reproductive health. We concluded that prenatal surveillance includes a set of specific care services targeted at a vulnerable group, constituting an important and susceptible area of evaluation in primary care.