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Humanization Strategies for Prenatal Care: Integrative Review Estratégias De Humanização Do Cuidado No Pré-natal: Revisão Integrativa Estrategias De Humanización Del Cuidado En El Prenatal: Revisión Integradora
| Content Provider | Semantic Scholar |
|---|---|
| Author | Paiva, Carla Cardi Nepomuceno De Lemos, Adriana Souza, Maria Das Dores De |
| Copyright Year | 2016 |
| Abstract | Objective: to summarize the humanization strategies used in the health services that perform prenatal care. Method: this is an integrative review aiming to answer the question << What are the humanization strategies used in the care of pregnant women in prenatal care? Scientific publications were searched in the SciELO virtual library. The inclusion criteria were: national articles, available in full, observing the time limits of 2009 and 2014. The bibliographic survey was carried out in October 2014. Results: only 10 publications were selected, analyzed and condensed in one figure, the qualitative approach was predominantly performed by nurses. Conclusion: the actions to humanize prenatal care are varied and can be implemented. However, it is necessary to reflect on the professionals inserted in this context. Descriptors: Humanization of Assistance; Prenatal Care; Pregnant Women. RESUMO Objetivo: sumarizar as estratégias de humanização utilizadas nos serviços de saúde que realizam o cuidado no pré-natal. Método: revisão integrativa visando a responder a questão << Quais as estratégias de humanização empregadas na assistência à gestante no Pré-natal?>>. Realizou-se busca das publicações científicas na biblioteca virtual SciELO. Os critérios de inclusão foram: artigos nacionais, disponíveis na íntegra, observando os limites temporal de 2009 e 2014. O levantamento bibliográfico foi realizado em outubro de 2014. Resultados: foram selecionadas apenas 10 publicações, analisadas e condensadas em uma figura, a abordagem qualitativa foi predominante, sendo realizadas em sua maioria por enfermeiras. Conclusão: as ações para humanizar o pré-natal são variadas e passíveis de ser implementadas, porém, para isso é necessária uma reflexão a respeito por parte dos profissionais inseridos neste contexto. Descritores: Humanização da Assistência; Cuidado Pré-Natal; Gestantes. RESUMEN Objetivo: sumarizar las estrategias de humanización utilizadas en los servicios de salud que realizan el cuidado en el prenatal. Método: revisión integradora para responder la pregunta << Cuáles son las estrategias de humanización empleadas en la asistencia a la gestante en el Prenatal?>>. Se realizó una búsqueda de las publicaciones científicas en la biblioteca virtual SciELO. Los criterios de inclusión fueron: artículos nacionales, disponibles en su íntegra, observando los límites temporales de 2009 y 2014. El levantamiento bibliográfico fue realizado en octubre de 2014. Resultados: fueron seleccionadas apenas 10 publicaciones, analizadas y condensadas en una figura, el enfoque cualitativo fue predominante, siendo realizados en su mayoría por enfermeras. Conclusión: las acciones para humanizar el prenatal son variadas y pasibles de ser implementadas, pero, para eso es necesaria una reflexión al respecto por parte de los profesionales inseridos en este contexto. Descriptores: Humanización de la Atención; Atención Prenatal; Mujeres Embarazadas. Nurse, Master in Nursing, Graduate Program in Nursing, Federal University of Rio de Janeiro State/PPGENF/UNIRIO. Rio de Janeiro (RJ), Brazil. E-mail: carlacardiufjf@gmail.com; Nurse, Ph.D. Professor, Graduate Program in Nursing, Federal University of Rio de Janeiro State/PPGENF/UNIRIO. Rio de Janeiro (RJ), Brazil. E-mail: adrianalemos@unirio.br; Nurse, Ph.D. Professor, Nursing School, Federal University of Juiz de Fora/FACENF/UFJF. Juiz de Fora (MG), Brazil. E-mail: mdores.souza@gmail.com INTEGRATIVE REVIEW ARTICLE Paiva CCN de, Lemos A, Souza MD de. Humanization strategies for prenatal... English/Portuguese J Nurs UFPE on line., Recife, 11(1):214-23, Jan., 2017 215 ISSN: 1981-8963 DOI: 10.5205/reuol.9978-88449-6-1101201726 Pregnancy is a complex and unique experience for every woman because there are biological and emotional changes that involve the pregnant woman, the society, the health services and the family members. Considering this complexity, prenatal care for women is guided by health policies to reduce maternal and neonatal morbidity and mortality, as well as to be qualified and humanized. The Ministry of Health describes prenatal care as a period before the childbirth, in which actions are implemented to promote maternal and child well-being in an individual and collective way, since during this period, pregnant women should be accompanied and assisted in their needs so they can maintain a healthy pregnancy and, when necessary, performing clinical and laboratory examinations, receiving guidance and taking prophylactic medication and/or vaccines. The emphasis is given to the humanization during gestation further comprises childbirth, so the other stages of birth are not given equal importance. However, it is known that humanized care in prenatal care is the first step and the one of fundamental importance for a healthy and safe birth, since this assistance reduces the cases of maternal and fetal morbidity and mortality, besides being a period in which the woman is prepared for motherhood, and man for fatherhood, strengthening the acquisition of autonomy and safe living the process of birth, from preconception to the time of childbirth and then, from the puerperium. Prenatal care is also offered in basic care, in the Family Health Strategy by meeting and acting near the homes of the patients, facilitating the creation of the bond, the humanized care and the implementation of individual and collective actions to promote the health of the population. However, studies show that prenatal consultation is almost always characterized as a routine, technical, fast time, and not as an occasion to share knowledge and experiences; that is, it is a service that is bound to fulfill only institutional protocols that value measurements and measures. In June 2000, the Ministry of Health instituted the Prenatal and Birth Humanization Program (PHPN), aiming at ensuring that pregnant women and the newborn improved access, coverage, and quality of follow-up prenatal care and childbirth and puerperium care, to citizenship rights. Thus, in this scenario, humanization as a strategy materializes in the assistance through the integral reception of the pregnant women in their needs aiming at reducing the risks to which they are exposed, among other initiatives. The Ministry of Health recognizes that quality and humanized prenatal care is fundamental to maternal and newborn health, and that for its humanization and qualification a new look at the health/their total body/mind, and understand the social, economic, cultural and physical contexts in which they live. It also shows that it is necessary to create new bases for the relationship between health professionals, patients, and managers, as well as to build a culture of respect for human rights, which includes sexual and reproductive rights and the appreciation of aspects Involved in care. In the humanization of care in the health services, the professional has the duty to accept with dignity the woman and the newborn, considering them as subjects of rights, and not as passive objects of attention. In this context, to make humanization effective, the aforementioned Governing Body advises that employees and managers should be valued, in addition to their coresponsibility; the construction of solidarity bonds and collective participation in the management process; the implementation of actions that seek to know the social needs of health; the commitment to the environment and the conditions of work and service infrastructure, to anticipate and provide the necessary resources to improve assistance; the organization of routines, ruling out unnecessary interventions; the implementation of inter and multidisciplinary work actions based on ethical principles, ensuring to women and their families, resolution, shared care, privacy and autonomy in the conduct and decisions to be adopted. The interest for the theme originated during the Specialization Nursing Prenatal Care course at the Federal University of São Paulo and the author ́s experience in the forums on prenatal care. Thus, after 14 years of implementation of PHPN, considering the implications contained in this assistance context regarding prenatal care, the objective was determined: ● To summarize the humanization strategies used in the health services that perform prenatal care. This is an integrative review carried out in compliance with the six steps: the first step INTRODUCTION |
| File Format | PDF HTM / HTML |
| Alternate Webpage(s) | https://periodicos.ufpe.br/revistas/revistaenfermagem/article/download/11896/14367 |
| Language | English |
| Access Restriction | Open |
| Content Type | Text |
| Resource Type | Article |
