scholarly journals Non-invasive technologies in assisting high-risk parturient women: nurse-midwives’ perceptionss

Rev Rene ◽  
2021 ◽  
Vol 22 ◽  
pp. e61385
Author(s):  
Lana Priscila Meneses Ares ◽  
Juliana Amaral Prata ◽  
Jane Marcia Progianti ◽  
Adriana Lenho de Figueiredo Pereira ◽  
Ricardo José Oliveira Mouta ◽  
...  
Keyword(s):  
High Risk ◽  
Collaborative Work ◽  
Maternity Hospital ◽  
University Hospital ◽  
Limiting Factors ◽  
Structured Interviews ◽  
Hospital Data ◽  
Non Invasive ◽  
Female Autonomy ◽  
Nurse Midwives

Objective: to know nurse-midwives’ perceptions about factors related with the use of non-invasive care technologies in the care of high-risk parturient women. Methods: qualitative study, with 10 nurse-midwives from the obstetric center of a high-risk maternity hospital in a university hospital. Data were collected by semi-structured interviews and subjected to content analysis. Results: prenatal care with a focus on female autonomy, the availability of specific materials and the sector’s infrastructure are facilitating factors. Work overload, the devaluation of nurse-midwives’ knowledge by some medical professionals and the lack of institutional support for teamwork are limiting factors. Conclusion: the factors referred to show the need to boost collaborative work in assisting high obstetric risk, encourage the use of non-invasive care technologies and improve nurses’ working conditions.

scholarly journals Non-invasive care technologies: nurses' contributions to the demedicalization of health care in a high-risk maternity hospital

2019 ◽  
Vol 23 (2) ◽  
Author(s):  
Juliana Amaral Prata ◽  
Lana Priscila Meneses Ares ◽  
Octávio Muniz da Costa Vargens ◽  
Carlos Sérgio Corrêia dos Reis ◽  
Adriana Lenho de Figueiredo Pereira ◽  
...  
Keyword(s):  
High Risk ◽  
Structured Interview ◽  
Maternity Hospital ◽  
University Hospital ◽  
Care Process ◽  
Care Model ◽  
Human Relationships ◽  
Non Invasive ◽  
Maternity Hospitals ◽  
Nurse Midwives

ABSTRACT Objective: to discuss the use of non-invasive care technologies by nurse-midwives in a high-risk maternity hospital. Method: a descriptive and qualitative study with ten nurse-midwives who work at the obstetric center of a high-risk maternity at a university hospital in Rio de Janeiro City. Data collection took place in June and July 2017, through a semi-structured interview. The material was submitted to content analysis. Results: The participants use non-invasive care technologies from the perspective of health work technologies and demedicalization, setting up a care process centered on sensitive work and soft technologies. Thus, they shift the focus away from interventionist procedures and develop a care based on human relationships, integrality and female protagonism. Conclusion: with these technologies, nurse-midwives perform a new way of caring in high-risk maternity hospitals, contributing to the humanization of care and rearrangement of these fields. Implications for the practice: the use of these technologies drives the change of the care model by focusing on sensitive work and soft technologies instead of rough work and procedural hegemony.

scholarly journals Couples’ experiences with expanded carrier screening: evaluation of a university hospital screening offer

2021 ◽  
Author(s):  
Ivy van Dijke ◽  
Phillis Lakeman ◽  
Naoual Sabiri ◽  
Hanna Rusticus ◽  
Cecile P. E. Ottenheim ◽  
...  
Keyword(s):  
High Risk ◽  
Medical Center ◽  
Informed Choice ◽  
Carrier Screening ◽  
University Hospital ◽  
Structured Interviews ◽  
Expanded Carrier Screening ◽  
Post Test ◽  
Future Child ◽  
Clinically Significant

AbstractPreconception carrier screening offers couples the possibility to receive information about the risk of having a child with a recessive disorder. Since 2016, an expanded carrier screening (ECS) test for 50 severe autosomal recessive disorders has been available at Amsterdam Medical Center, a Dutch university hospital. This mixed-methods study evaluated the experiences of couples that participated in the carrier screening offer, including high-risk participants, as well as participants with a general population risk. All participants received genetic counselling, and pre- (n = 132) and post-test (n = 86) questionnaires and semi-structured interviews (n = 16) were administered. The most important reason to have ECS was to spare a future child a life with a severe disorder (47%). The majority of survey respondents made an informed decision (86%), as assessed by the Multidimensional Measure of Informed Choice. Among the 86 respondents, 27 individual carriers and no new carrier couples were identified. Turn-around time of the test results was considered too long and costs were perceived as too high. Overall, mean levels of anxiety were not clinically elevated. High-risk respondents (n = 89) and pregnant respondents (n = 13) experienced higher levels of anxiety before testing, which decreased after receiving the test result. Although not clinically significant, distress was on average higher for carriers compared to non-carriers (p < 0.0001). All respondents would opt for the test again, and 80.2% would recommend it to others. The results suggest that ECS should ideally be offered before pregnancy, to minimise anxiety. This study could inform current and future implementation initiatives of preconception ECS.

The experiences of maternity in front of hospitalization in high risk pregnances

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
M Ciciliotti da Silva ◽  
B Heintze Ferreira ◽  
D Fraga Santos ◽  
F Fernandes ◽  
Bersot Magalhães ◽  
...  
Keyword(s):  
Public Health ◽  
High Risk ◽  
Pregnant Women ◽  
Maternity Hospital ◽  
High Risk Pregnancy ◽  
Structured Interviews ◽  
The Public ◽  
Prenatal Consultation ◽  
Risk Pregnancy ◽  
Specialized Care

Abstract Introduction The pregnancy-puerperal cycle is defined as a moment that involves physical, psychological and social changes. There are pregnancies that require specialized care and attention due to the presence of risk factors that may be prior to pregnancy and / or that may be associated with the pregnancy condition itself, which characterize them as high-risk pregnancies. Currently, prenatal care with risk stratification is the main care strategy for pregnant women, once the risk classification is identified, it is possible to promote interventions according to the health needs of each pregnant woman. For this, the risk assessment is carried out at each prenatal consultation, so that, depending on the course of pregnancy, hospitalization becomes necessary. The diagnosis of high-risk pregnancies accompanied by hospitalization has impacts on the woman's life, such as loss of autonomy, a sense of failure and the incidence of greater care and interventions by the health team and the family that can configure practices to control their bodies. Objective This work aims to identify the hospitalization process during high-risk pregnancy as a space for the production of projects, resistance and protagonism through the protocols and regulations that configure the hospital context. Methodology This is an exploratory analysis of a qualitative approach in public health. A reference maternity hospital in high-risk pregnancy located in a teaching hospital in Greater Vitória was chosen. It will be used to define sampling for convenience. The data will be collected through semi-structured interviews and on-site observations by the researcher. The data analysis methodology used will be content analysis. Expected Results It is expected to understand the various practices of protagonism and resistance that permeate the care of hospitalized pregnant women. Key messages This work has an impact on the improvement of the maternal and child care network of the public health system in Brazil. This work allows to evaluate the quality of the assistance provided in the public maternity.

scholarly journals Contributions of the nursing team in the second stage of the Kangaroo-Mother Care Method: Implications for hospital discharge of the newborn

2018 ◽  
Vol 22 (4) ◽  
Author(s):  
Isabela Maria Magalhães Sales ◽  
José Diego Marques Santos ◽  
Silvana Santiago da Rocha ◽  
Márcia Teles de Oliveira Gouveia ◽  
Nalma Alexandra Rocha de Carvalho
Keyword(s):  
Hospital Discharge ◽  
Educational Interventions ◽  
Maternity Hospital ◽  
Kangaroo Mother Care ◽  
Warning Sign ◽  
Structured Interviews ◽  
Hospital Data ◽  
Second Stage ◽  
Nursing Team ◽  
Nursing Professionals

Abstract Objective: To know the main care procedures of the nursing team in the second stage of the Kangaroo Care Method that contribute to the hospital discharge of the newborn and the continuation of home care, and to prepare an explanatory brochure to guide professionals in the management of hospital discharge. Method: Qualitative, convergent care study, carried out with 17 nursing professionals from a reference maternity hospital. Data were collected through semi-structured interviews and focus groups and analyzed through content analysis. Results: There were relevant concerns about the use of kangaroo position, about the skin-to-skin care and hygiene of the newborn, and about respiratory changes as a warning sign for intervention. A brochure was developed to showcase the essential care provided by the nursing professionals - its goal is the proper continuation of health care of premature or underweight babies. Conclusion and implications for the practice: Nursing teams can contribute to the clinical stability of the newborn in the second stage of the Kangaroo-Mother Care Method and elaborate educational interventions that guarantee the continuation of care.

scholarly journals Patterns of knowledge used by nurses in caring for the patient in the first psychotic outbreak

2017 ◽  
Vol 21 (3) ◽  
Author(s):  
Andressa de Oliveira ◽  
Ana Paula Rigon Francischetti Garcia ◽  
Vanessa Pellegrino Toledo
Keyword(s):  
Psychosocial Care ◽  
Ways Of Knowing ◽  
Phenomenological Approach ◽  
University Hospital ◽  
Psychiatric Ward ◽  
Structured Interviews ◽  
Hospital Data ◽  
Know How ◽  
Patterns Of Knowing ◽  
Action Methods

Abstract Objective: To know how the nurse provides care in the first psychotic outbreak of patients, and to identify the Barbara Carper patterns of knowing used for this action. Methods: A qualitative study using a phenomenological approach was performed in four Psychosocial Care Centers and in a psychiatric ward of a university hospital. Data collection was carried out with ten nurses participating in semi-structured interviews using the following guiding question: "Tell me your experience in caring for a patient in their first psychotic outbreak". Results: Carper's fundamental ways of knowing (empirical, aesthetic, ethical and personal) were identified in the caring of the patient in their first psychotic outbreak. Conclusion and Implications: A fragmented practice is implied when patterns of knowledge are taken in isolation. This reflects on specific actions of nursing work, such as the nursing practice and its stages.

scholarly journals Paradox of life among survivors of bladder cancer and treatments

2016 ◽  
Vol 50 (2) ◽  
pp. 224-231 ◽  
Author(s):  
Miriam Lopes ◽  
Lucila Castanheira Nascimento ◽  
Márcia Maria Fontão Zago
Keyword(s):  
Bladder Cancer ◽  
Methodological Approach ◽  
University Hospital ◽  
Social Dimensions ◽  
Structured Interviews ◽  
Hospital Data ◽  
Narrative Methodology ◽  
Journal Entries ◽  
Inductive Thematic Analysis

Abstract OBJECTIVE: To interpret the meanings attributed to the experience of bladder cancer among survivors in therapeutic follow-up. METHOD: Qualitative methodological approach, based on medical anthropology and narrative methodology. After approval by the research ethics committee of a public university hospital, data were collected from January 2014 to February 2015, by means of recorded semi-structured interviews, direct observation and field journal entries on daily immersion with a group of six men and six women, aged between 57 and 82 years, in therapeutic follow-up. Narratives were analyzed by means of inductive thematic analysis. RESULTS: The meanings revealed difficulties with the processes of disease and treatment, such as breakdown of normal life, uncertainty about the future due to possible recurrence of the disease, difficulty with continuity of care and emotional control, relating it to conflicting ways of understanding the present life. Thus, the meaning of this narrative synthesis is paradox. CONCLUSION: Interpretation of the meaning of experience with bladder cancer among patients provides nurses with a comprehensive view of care, which encompasses biological, psychological and social dimensions, and thereby systematizes humanized care.

scholarly journals Humanization practices in the parturitive course from the perspective of puerperae and nurse-midwives

2021 ◽  
Vol 74 (suppl 4) ◽  
Author(s):  
Mariana Silveira Leal ◽  
Rita de Cássia Rocha Moreira ◽  
Keila Cristina Costa Barros ◽  
Maria Lúcia Silva Servo ◽  
Tânia Christiane Ferreira Bispo
Keyword(s):  
Qualitative Research ◽  
Positive Impact ◽  
Maternity Hospital ◽  
Active Participation ◽  
Point Of View ◽  
Structured Interviews ◽  
Content Structure ◽  
Female Role ◽  
Nurse Midwives ◽  
Descriptive Qualitative

ABSTRACT Objective: to understand humanization practices in the parturitive course from the point of view of purperae and nurse-midwives. Methods: an exploratory, descriptive, qualitative research carried out in a maternity hospital in Bahia State. Semi-structured interviews were carried out, with a structured script applied to 11 mothers and 5 nurse-midwives from March to June 2019. Analysis followed Bardin’s content structure. Results: this study unveiled the importance of using soft care technologies, respect for female role, active participation and women’s autonomy as a positive impact on the parturition process. Final considerations: nurse-midwives are qualified professionals to assist women in labor and birth. They can favor the implantation and implementation of care with humanization practices, respect for women’s choices and incentive to the normal way of delivery with an expanded view of individual and multidisciplinary needs.

scholarly journals A enfermagem obstétrica e sua interface com o modelo obstétrico brasileiro

2019 ◽  
Vol 87 (25) ◽  
Author(s):  
Rosangela da Conceição Sant’anna Amaral ◽  
Valdecyr Herdy Alves ◽  
Audrey Vidal Pereira ◽  
Diego Pereira Rodrigues ◽  
Luana Asturiano da Silva ◽  
...  
Keyword(s):  
Rio De Janeiro ◽  
Care Setting ◽  
Maternity Hospital ◽  
Child Health Services ◽  
Maternal Child Health ◽  
Structured Interviews ◽  
Obstetric Nurses ◽  
Qualitative Nature ◽  
Nurse Midwives ◽  
The City

Objetiva-se analisar a inserção das enfermeiras obstétricas no cenário assistencial de uma maternidade de ensino no Riode Janeiro. Estudo descritivo, exploratório, de natureza qualitativa, realizado com 15 profissionais de saúde e gestores emuma maternidade de ensino no município de Petrópolis, Estado do Rio de Janeiro, no período de dezembro de 2016 àmarço de 2017. A coleta de dados ocorreu por meio de entrevistas semiestruturada, e posteriormente foram transcritas esubmetidas à análise de conteúdo na modalidade temática. Observou-se que a inserção das enfermeiras obstetras ocorreupelo cumprimento de determinações da rede cegonha; para a transformação de um modelo biomédico para um humanizado na atenção ao parto e nascimento. Conclui-se que a estratégia da rede cegonha permitiu a inserção das enfermeiras,para se promover uma mudança de modelo, e trazer na sua prática a humanização do cuidado.Palavras-chave: Serviços de saúde materno-infantil; Saúde da mulher; Parto; Parto humanizado; Enfermeiras obstétricas. ABSTRACTThe objective of this study was to analyze the insertion of obstetric nurses into the care setting of a teaching maternityhospital in Rio de Janeiro. A descriptive, exploratory study of a qualitative nature, carried out with 15 health professionalsand managers in a teaching maternity hospital in the city of Petrópolis, State of Rio de Janeiro, from December 2016 toMarch 2017. Data collection was by semi-structured interviews, and were subsequently transcribed and submitted tocontent analysis in the thematic modality. It was observed that the insertion of the obstetrical nurses occurred by thefulfillment of determinations of the stork network; for the transformation of a biomedical model to a humanized one inthe attention to childbirth and birth. It is concluded that the strategy of the stork network allowed the insertion of nurses,to promote a change of model, and to bring in their practice the humanization of care.Keywords: Maternal-child health services; Women´s health; Parturition; Humanizing delivrey; Nurse Midwives.

scholarly journals Evaluation of non-invasive continuous physiological monitoring devices for neonates in Nairobi, Kenya: a research protocol

BMJ Open ◽  
2020 ◽  
Vol 10 (4) ◽  
pp. e035184
Author(s):  
Amy Sarah Ginsburg ◽  
Evangelyn Nkwopara ◽  
William Macharia ◽  
Roseline Ochieng ◽  
Mary Waiyego ◽  
...  
Keyword(s):  
High Risk ◽  
Vital Signs ◽  
Maternity Hospital ◽  
Physiological Monitoring ◽  
Accuracy Evaluation ◽  
Low Resource Settings ◽  
Low Resource ◽  
Non Invasive ◽  
Evaluation Phase ◽  
Monitoring Devices

IntroductionContinuous physiological monitoring devices are often not available for monitoring high-risk neonates in low-resource settings. Easy-to-use, non-invasive, multiparameter, continuous physiological monitoring devices could be instrumental in providing appropriate care and improving outcomes for high-risk neonates in these low-resource settings.Methods and analysisThe purpose of this prospective, observational, facility-based evaluation is to provide evidence to establish whether two existing non-invasive, multiparameter, continuous physiological monitoring devices developed by device developers, EarlySense and Sibel, can accurately and reliably measure vital signs in neonates (when compared with verified reference devices). We will also assess the feasibility, usability and acceptability of these devices for use in neonates in low-resource settings in Africa. Up to 500 neonates are enrolled in two phases: (1) a verification and accuracy evaluation phase at Aga Khan University—Nairobi and (2) a clinical feasibility evaluation phase at Pumwani Maternity Hospital in Nairobi, Kenya. Both quantitative and qualitative data are collected and analysed. Agreement between the investigational and reference devices is determined using a priori-defined accuracy thresholds.Ethics and disseminationThis trial was approved by the Aga Khan University Nairobi Research Ethics Committee and the Western Institutional Review Board. We plan to disseminate research results in peer-reviewed journals and international conferences.Trial registration numberNCT03920761.

scholarly journals Understanding low chemoprevention uptake by women at high risk of breast cancer: findings from a qualitative inductive study of women’s risk-reduction experiences

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tasleem J. Padamsee ◽  
Megan Hils ◽  
Anna Muraveva
Keyword(s):  
Breast Cancer ◽  
African American ◽  
High Risk ◽  
Risk Reduction ◽  
White Women ◽  
Future Research ◽  
Structured Interviews ◽  
Critical Gap ◽  
High Risk Women ◽  
Parent Project

Abstract Background Chemoprevention is one of several methods that have been developed to help high-risk women reduce their risk of breast cancer. Reasons for the low uptake of chemoprevention are poorly understood. This paper seeks a deeper understanding of this phenomenon by drawing on women’s own narratives about their awareness of chemoprevention and their risk-related experiences. Methods This research is based on a parent project that included fifty in-depth, semi-structured interviews with a purposive sample of African American and White women at elevated risk of breast cancer. This specific study draws on the forty-seven interviews conducted with women at high or severe risk of breast cancer, all of whom are eligible to use chemoprevention for breast cancer risk-reduction. Interviews were analyzed using grounded theory methods. Results Forty-five percent of participants, and only 21% of African American participants, were aware of chemoprevention options. Women who had seen specialists were more likely to be aware, particularly if they had ongoing specialist access. Aware and unaware women relied on different types of sources for prevention-related information. Those whose main source of information was a healthcare provider were more likely to know about chemoprevention. Aware women used more nuanced information gathering strategies and worried more about cancer. Women simultaneously considered all risk-reduction options they knew about. Those who knew about chemoprevention but were reluctant to use it felt this way for multiple reasons, having to do with potential side effects, perceived extreme-ness of the intervention, similarity to chemotherapy, unknown information about chemoprevention, and reluctance to take medications in general. Conclusions Lack of chemoprevention awareness is a critical gap in women’s ability to make health-protective choices. Future research in this field must consider complexities in both women’s perspectives on chemoprevention and the reasons they are reluctant to use it.

Sign in / Sign up

Export Citation Format

Share Document