scholarly journals Self-Fetal Wellbeing Monitoring and Ante-Natal Care during the COVID-19 Pandemic: A Qualitative Descriptive Study among Pregnant Women in Indonesia

Author(s):  
Restuning Widiasih ◽  
Dini Hidayat ◽  
Hasballah Zakaria ◽  
Dody Qori Utama ◽  
Maria Komariah ◽  
...  

Pregnant women are expected to have a high level of awareness when it comes to checking their fetal health and ensuring their welfare. This study explored the experiences of pregnant women in Indonesia who were monitoring their fetal wellbeing during the COVID-19 pandemic. A qualitativedescriptive study design with a constructivist paradigm was used. Twenty-two pregnant women were recruited and participated in a semi-structured interview. Analysis of the transcribed interviews used a content, thematic and comparative process. Three themes emerged from the analysis: feelingsand responses, changes to the ante natal care service during the COVID-19 pandemic, and the fetal wellbeing monitoring, tools, and methods used. Advice on how pregnant women should conduct fetal wellbeing monitoring during COVID-19 is urgently needed. The results of this study indicate there is a need for interventions to help pregnant women carry out self-fetal wellbeing monitoring in times where they have fewer contacts with health professionals such as during the COVID-19 pandemic.

2015 ◽  
Vol 24 (3) ◽  
pp. 706-712 ◽  
Author(s):  
Bianca de Macêdo Meira ◽  
Pauliany Alencar de Souza Pereira ◽  
Maria de Fátima Araújo Silveira ◽  
Dulce Maria Rosa Gualda ◽  
Hudson Pires Oliveira Santos Jr

ABSTRACT The aim of this study was to explore the challenges for primary healthcare professionals in caring for women with postpartum depression, in order to learn which tools are used for the identification of these women, as well as ways of working to restore their health. This qualitative descriptive study was conducted in healthcare units in Campina Grande, Paraíba. Data were collected by field observation and a semi-structured interview, which was administered to 16 healthcare professionals. The results describe healthcare professionals' difficulties in identifying and treating women with postpartum depression, because of the limited focus on physiological developmental aspects of gestation and postpartum. The professionals reported limited knowledge on how to assess emotional changes related to the postpartum period. Primary healthcare professionals need to be educated to identify and treat women with postpartum depression, and practice guidelines and protocols must be established to guide evidence-based practice.


2016 ◽  
Vol 15 ◽  
pp. 530
Author(s):  
Marcella Simões Timm ◽  
Lisie Alende Prates ◽  
Gabriela Oliveira ◽  
Luiza Cremonese ◽  
Andrêssa Batista Possati ◽  
...  

Aim:  to  know  the  meaning  of  humanization  in  prenatal  care for pregnant women. Method: Qualitative descriptive study, to be developed with pregnant women in prenatal care services linked to the Primary Care services of a city in Southern Brazil. For the production of data, the Almanac creativity and sensitivity technique will be used  associated  with  semi-structured  individual  interviews.  The  analysis  will  use  the operative proposal as reference. Expected results: to produce more knowledge about the subject  and  promote  discussions  and  reflections  that  allow  the qualification  of  prenatal care,  as  well  as  to  provide  support  for  health  professionals  and  make  them  agents  of change in the reality of prenatal care services humanization.


2021 ◽  
Vol 9 (02) ◽  
pp. 77-81
Author(s):  
Shristi Bajracharya ◽  
Saraj Gurung ◽  
Binita Khatri

INTRODUCTION: The perceived fear of COVID-19 is expected to have a significant positive impact on preventive behaviors as it triggers people to prevent themselves against threats. People take necessary actions to engage in preventive behaviors if they perceive high fear of transmission of disease. MATERIAL AND METHODS: Cross-sectional analytical study was conducted to find out the perceived fear and preventive behaviors of pregnant women during COVID-19 pandemic. One hundred and fifty normal pregnant women attending Antenatal Checkup (ANC) out-patient department and ward of Universal College of Medical Sciences Teaching Hospital (UCMSTH), Rupandehi were selected by using purposive sampling technique. Structured interview schedule was used for data collection. Descriptive statistics and inferential statistics were used for analysis with Statistical Package for Social Science (SPSS) software version 16. RESULTS: The study findings revealed that more than half of the respondents had high level of fear regarding COVID-19. Although participants were largely engaged in all preventive behaviors like wearing facemask, hand washing, covering nose and mouth, cleaning and disinfecting and maintaining healthy diet, while maintaining social distance, avoiding public transport, avoiding crowd, exercising regularly and quitting tobacco and alcohol were the least. There was positive correlation between perceived fear and preventive behaviors although it was not proved significantly. CONCLUSION: The study findings concluded that more than half of the respondents had high level of fear regarding COVID-19. Adequate counseling and reassurance of these pregnant women in the current scenario might reduce their fears and increase the probability of adapting preventive measures against the spread of COVID-19.


2018 ◽  
Vol 12 (7) ◽  
pp. 1870
Author(s):  
Daniela Pereira Martins ◽  
Fernanda Garcia Bezerra Góes ◽  
Fernanda Maria Vieira Pereira ◽  
Laura Johanson da Silva ◽  
Liliane Faria da Silva ◽  
...  

RESUMOObjetivo: descrever o conhecimento e as dúvidas de nutrizes sobre o aleitamento materno. Método: estudo qualitativo, do tipo descritivo, desenvolvido com 20 nutrizes do Alojamento Conjunto de um hospital municipal localizado em Rio das Ostras/RJ, Brasil, a partir de um roteiro de entrevista semiestruturado cujos dados foram submetidos à análise temática. Resultados: as nutrizes reconhecem que o aleitamento materno é benéfico para imunidade/prevenção de doenças, nutrição, crescimento e desenvolvimento da criança. Contudo, existe um misto de saberes e dúvidas relacionado à duração, exclusividade e manejo prático da amamentação, envolvendo tempo entre mamadas, pega, posição e cuidados com as mamas. Conclusão: existe deficit no conhecimento de nutrizes sobre o aleitamento materno.  As implicações dos achados do estudo recaem para o necessário investimento em estratégias educativas dialógicas que possibilitem ao enfermeiro reconhecer as dúvidas maternas para a promoção de apoio e orientação efetivos. Descritores: Criança; Aleitamento Materno; Enfermagem; Educação em Saúde; Conhecimento; Período Pós-Parto. ABSTRACT Objective: to describe the knowledge and doubts of mothers about breastfeeding. Method: this is a qualitative, descriptive study, developed with 20 nursing mothers of the Joint Housing of a municipal hospital located in Rio das Ostras/RJ, Brazil, from a semi-structured interview script, whose data were submitted to thematic analysis. Results: nurses recognize that breastfeeding is beneficial for immunity/disease prevention, nutrition, and child growth and development. However, there is a mix of knowledge and doubts regarding the duration, exclusivity and practical management of breastfeeding, involving time between breastfeeding, nursing, position and breast care. Conclusion: there is a lack of nursing mothers' knowledge about breastfeeding. The implications of the study findings lie in the necessary investment in dialogic educational strategies that allow nurses to recognize maternal doubts to promote effective support and guidance. Descriptors: Child; Breast Feeding; Nursing; Health Education; Knowledge; Postpartum Period. RESUMEN Objetivo: describir el conocimiento y las dudas de nutrices sobre la lactancia materna. Método: estudio cualitativo, del tipo descriptivo, desarrollado con 20 nutrices del Alojamiento Conjunto de un hospital municipal localizado en Rio das Ostras/RJ, Brasil, a partir de una guía de entrevista semi-estruturada, cuyos datos fueron sometidos a análisis temático. Resultados: las nutrices reconocen que la lactancia materna es benéfica para inmunidad/prevención de enfermedades, nutrición y crecimiento y desarrollo del niño. Con todo, existe un mixto de saberes y dudas relacionado a la duración, exclusividad y manejo práctico del amamantamiento, envolviendo tiempo entre mamadas, tomadas, posición y cuidados con las mamas. Conclusión: existe déficit en el conocimiento de nutrices sobre la lactancia materna.  Las implicaciones de los hallados del estudio recaen para la necesaria inversión en estrategias educativas dialógicas que posibiliten al enfermero reconocer las dudas maternas para la promoción de apoyo y orientación efectivos. Descriptores: Niño; Lactancia Materna; Enfermería; Educación en Salud; Conocimiento; Periodo Posparto. 


2018 ◽  
Vol 12 (4) ◽  
pp. 865
Author(s):  
Sâmia Jucá Pinheiro ◽  
Juliany Kelly Moreno ◽  
Vanessa Peres Cardoso Pimentel ◽  
Maria Gabriela Bezerra Gomes Moura ◽  
Lívia Braga Costa de Oliveira ◽  
...  

RESUMOObjetivo: identificar os riscos da Síndrome de Burnout e fatores de estresse em enfermeiros nefrologistas. Método: estudo qualitativo, descritivo, realizado em clínicas de nefrologia em Fortaleza-Ceará. Foi aplicada uma entrevista semiestruturada com os enfermeiros nefrologistas. Resultados: após a coleta de dados, organização e análise, foram elaboradas cinco categorias para a descrição e a compreensão dos resultados. 1) Esgotamento físico e emocional; 2) frustração; 3) tensão; 4) sobrecarga de trabalho desencadeando conflitos de funções e 5) convivência diária com situações críticas. Conclusão: há existência de sinais e sintomas da Síndrome de Burnout e fatores de estresse nas enfermeiras nefrologistas entrevistadas apresentando, principalmente, fatores estressores como tensão, medo e cansaço. Observou-se que esses fatores são decorrentes da sobrecarga de trabalho e da convivência diária com situações conflituosas. Descritores: Saúde Mental; Esgotamento Profissional; Nefrologia; Enfermagem em Nefrologia; Cuidados de Enfermagem; Enfermeiras e Enfermeiros.ABSTRACTObjective: to identify the risks of Burnout Syndrome and stress factors in nephrologist nurses. Method: qualitative, descriptive study, performed at nephrology clinics in Fortaleza-Ceará. A semi-structured interview with the nephrologist nurses was applied. Results: After data collection, organization and analysis, five categories were elaborated to describe and understand the results. 1) Physical and emotional exhaustion; 2) frustration; 3) tension; 4) work overload triggering conflicts of functions and 5) daily coexistence with critical situations. Conclusion: There are signs and symptoms of Burnout Syndrome and stress factors in the nephrologist nurses interviewed, mainly presenting stressors such as tension, fear and fatigue. It was observed that these factors are due to the work overload and the daily coexistence with conflicting situations. Descriptors: Mental Health; Burnout, Professional; Nephrology; Nephrology Nursing; Nursing care; Nurse.RESUMEN Objetivo: identificar los riesgos del Síndrome de Burnout y factores de estrés en enfermeros nefrologistas. Método: estudio cualitativo, descriptivo, realizado en clínicas de nefrología en Fortaleza-Ceará. Se aplicó una entrevista semiestructurada con los enfermeros nefrologistas. Resultados: después de la recolección de datos, organización y análisis, se elaboraron cinco categorías para la descripción y comprensión de los resultados. 1) Agotamiento físico y emocional; 2) la frustración; 3) tensión; 4) sobrecarga de trabajo desencadenando conflictos de funciones; y 5) convivencia diaria con situaciones críticas. Conclusión: existen señales y síntomas del Síndrome de Burnout y factores de estrés en las enfermeras nefrologistas entrevistadas, presentando, principalmente, factores estresores, como: tensión, miedo y cansancio. Se observó que estos factores se debían a la sobrecarga de trabajo y la convivencia diaria con situaciones conflictivas. Descriptores: Salud Mental; Agotamiento Profesional; Nefrología; Enfermería en Nefrología; Atención de Enfermería; Enfermeros.


Author(s):  
Manoja Kumar Das ◽  
Reva Tripathi ◽  
Neeraj Kumar Kashyap ◽  
Sunita Fotedar ◽  
Surender Singh Bisht ◽  
...  

Objective: Electronic fetal monitoring (EFM) using cardiotocograph (CTG) is commonly used both to assess fetal wellbeing in late antepartum and for intervention during intrapartum period. We validated the performance of indigenously developed mobile cardiotocograph (CTG) device with wireless probes compared to standard CTG device. Materials and methods: We sequentially used mobile and standard CTG devices in 495 pregnant women in labour and 359 pregnant women with gestation > 32 weeks. The CTG interpreted by two independent obstetricians in a blinded manner were compared to estimate the agreement by kappa (k) statistic. Results: High level of agreements between mobile and standard CTG devices for both intrapartum (87.9%; kappa 0.61) and antepartum monitoring (91.2%; kappa 0.60) were observed. Most of the pregnant women (80% in intrapartum and 70% in antepartum groups) and all nurses and obstetricians preferred the mobile CTG device over standard CTG device. Conclusion: The mobile CTG device can reliably be used for both intrapartum and antepartum monitoring instead of the standard CTG devices. The smaller size, portability and ability to transmit the recordings for second opinion make it suitable for use by midwives for appropriate triaging and referral. Wider availability of CTG and interpretation support at the peripheral facilities would assist identifying at-risk pregnancies and foetuses for timely referral and appropriate action to reduce perinatal deaths, stillbirths and birth asphyxi.


2018 ◽  
Vol 12 (6) ◽  
pp. 1532 ◽  
Author(s):  
Aline Teixeira Silva ◽  
Silvia Helena Henriques Camelo ◽  
Fábio Souza Terra ◽  
Eliza Maria Rezende Dázio ◽  
Roberta Seron Sanches ◽  
...  

RESUMOObjetivo: analisar a atuação de enfermeiros na segurança do paciente em instituição hospitalar. Método: estudo qualitativo, descritivo, realizado com 42 enfermeiros de uma instituição hospitalar. Os dados foram reunidos a partir de entrevista semiestruturada e submetidos à técnica da hermenêutica dialética identificando as categorias “Qualidade - base para uma práxis segura”; “Segurança do paciente” e “Os caminhos para a humanização da assistência e atuação do enfermeiro no ambiente hospitalar”. Resultados: verificou-se que a utilização de estratégias, como a comunicação, a educação permanente e a participação do acompanhante, foi essencial para o fortalecimento da segurança do paciente na instituição. Já a superlotação e a sobrecarga de trabalho foram apresentadas como prejudiciais à sua atuação. Conclusão: a atuação do enfermeiro está pautada nas legislações e no exercício da gerência e da assistência contribuindo para a melhoria da assistência, da qualidade e para o avanço do conhecimento científico. Descritores: Enfermeiros; Cuidados de Enfermagem; Segurança do Paciente; Gestão da Qualidade; Humanização da Assistência; Hospitais.ABSTRACT Objective: to analyze the performance of nurses in patient safety in a hospital. Method: qualitative, descriptive study with 42 nurses from a hospital. The data was collected from a semi - structured interview and submitted to the dialectical hermeneutics technique, identifying these categories "Quality - basis for a safe praxis"; "Patient safety" and "Pathways to the humanization of nursing care and performance in the hospital environment". Results: It was verified that the use of strategies, such as communication, permanent education and the participation of the companion, was essential for the strengthening of patient safety in the institution. Yet, the overcrowding and the work overload were presented as detrimental to their performance. Conclusion: the nurses' performance is based on the legislations and the exercise of management and the assistance contributing to the improvement of care, quality and for the advancement of scientific knowledge. Descritores: Nurses; Nursing Care; Patient Safety; Quality Management; Humanization of Assistance; Hospitals. RESUMEN Objetivo: analizar la actuación de enfermeros en la seguridad del paciente en institución hospitalaria. Método: estudio cualitativo, descriptivo, realizado con 42 enfermeros de una institución hospitalaria. Los datos fueron reunidos a partir de la entrevista semiestructurada y sometidos a la técnica de la hermenéutica dialéctica, identificando las categorías: “Calidad: base para una praxis segura”; “Seguridad del paciente” y “Los caminos para la humanización de la asistencia y actuación del enfermero en el ambiente hospitalario”. Resultados: se verificó que la utilización de estrategias, como la comunicación, la educación permanente y la participación del acompañante, fue esencial para el fortalecimiento de la seguridad del paciente en la institución. Ya la superpoblación y la sobrecarga de trabajo fueron presentadas como perjudiciales para su actuación. Conclusión: la actuación del enfermero está pautada en las legislaciones y en el ejercicio de la gerencia y de la asistencia, contribuyendo para mejorar la asistencia, la calidad y el avance del conocimiento científico.Descritores: Enfermeros; Atención de Enfermería; Seguridad del Paciente; Gestión de la Calidad; Humanización de la Atención; Hospitales.                                                                                                         


2019 ◽  
Vol 10 (1) ◽  
Author(s):  
Franciana Gabaglia Da Silva ◽  
Abigail De Paulo Andrade ◽  
Keila Maria De Azevedo Ponte ◽  
Verena Emmanuelle Soares Ferreira ◽  
Beatriz Da Silva Sousa ◽  
...  

Objetivo: conhecer a predisposição para a Síndrome de Burnout na equipe de Enfermagem do Serviço de Atendimento Móvel de Urgência (SAMU). Metodologia: pesquisa exploratória, descritiva realizada com 08 enfermeiros e 11 técnicos de enfermagem do SAMU de Sobral-Ceará. Utilizou-se o Questionário para Identificação Preliminar do Burnout de Chafic Jbeli, o Maslach Burnout Inventary (MBI) e um questionário sócio demográfico e profissional. Projeto aprovado pelo Comitê de Ética em Pesquisa com Seres Humanos. Resultados: a maioria dos profissionais apresenta nível baixo para exaustão emocional; nível moderado para despersonalização; e nível alto de reduzida realização profissional, evidenciando predisposição à Síndrome de Burnout. Conclusão: a equipe de enfermagem do SAMU tem predisposição a Síndrome de Burnout, sendo primordial o enfrentamento dos fatores estressores da Enfermagem e adoção de medidas preventivas para reduzir o estresse laboral.Descritores: Enfermagem; Estresse ocupacional; Assistência Pré-Hospitalar.PREDISPOSITION FOR BURNOUT SYNDROME IN THE NURSING TEAM OF THE URGENT MOBILE CARE SERVICESObjective: to know the predisposition for Burnout Syndrome in the nursing team of the Mobile Emergency Care Service (SAMU). Methodology: exploratory, descriptive study performed with 08 nurses and 11 nursing technicians from SAMU of Sobral- Ceará. The Chafic Jbeli Burnout Preliminary Identification Questionnaire, the Maslach Burnout Inventary (MBI) and a sociodemographic and professional questionnaire were used. Project approved by the Committee of Ethics in Research with Human Beings. Results: most professionals present low level of emotional exhaustion; moderate level for depersonalization; and high level of reduced professional achievement, evidencing a predisposition to Burnout Syndrome. Conclusion: the SAMU nursing team is predisposed to Burnout Syndrome, and it is essential to address the stressors of Nursing and to adopt preventive measures to reduce work stress.Descriptors: Nursing; Occupational stress; Prehospital Care.PREDISPOSICIÓN PARA SÍNDROME DE BURNOUT EN EL EQUIPO DE ENFERMERÍA DEL SERVICIO DE ATENCIÓN MÓVIL DE URGENCIAObjetivo: conocer la predisposición para el Síndrome de Burnout en el equipo de Enfermería del Servicio de Atención Móvil de Urgencia (SAMU). Metodología: investigación exploratoria, descriptiva realizada con 08 enfermeros y 11 técnicos de enfermería del SAMU de Sobral-Ceará. Se utilizó el Cuestionario para Identificación Preliminar del Burnout de Chafic Jbeli, el Maslach Burnout Inventario (MBI) y un cuestionario socio demográfico y profesional. Proyecto aprobado por el Comité de Ética en Investigación con Seres Humanos. Resultados: la mayoría de los profesionales presentan un nivel bajo para el agotamiento emocional; nivel moderado para despersonalización; y nivel alto de reducida realización profesional, evidenciando predisposición al Síndrome de Burnout. Conclusión: el equipo de enfermería del SAMU tiene predisposición al Síndrome de Burnout, siendo primordial el enfrentamiento de los factores estresores de la Enfermería y adopción de medidas preventivas para reducir el estrés laboral.Descriptores: Enfermería; Estrés ocupacional; Asistencia Pre-Hospitalaria. 


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Anniina Väliaho ◽  
Liisa Lehtonen ◽  
Anna Axelin ◽  
Riikka Korja

Abstract Background Surviving children born at 23 gestational weeks are a growing population. As many of these children face developmental challenges during childhood and adolescence, more knowledge is needed about the everyday life of this group. The parental perspective is important, as developmental problems often pose a challenge for the parents. The aim of this qualitative study was to explore mothers’ experiences of parenting children born at 23 gestational weeks and of the children’s everyday lives. Methods This was a qualitative descriptive study conducted with mothers of children born at 23 weeks of gestation. These purposively sampled eight mothers were interviewed using a semi-structured interview. Thematic analysis was used to analyse the interviews. Results Seven themes were formed on the basis of the interview data and they are presented in three dimensions: 1) the child seen from maternal perspective included themes ‘emphasizing strengths in the midst of challenges’, ‘relations with peers and siblings’, and ‘emotional well-being and active life’; 2) the parenting experience included themes ‘intensive mothering’ and ‘gratitude’; 3) the support included themes ‘support from the social network’ and ‘support from society’. Conclusions The mothers described how the lives of their children were active and rich. The mothers were dedicated to motherhood and they also expressed feelings of gratitude. Mothers received support from social networks and from society. This qualitative study provided an important complementary perspective to the discussion on extremely premature children’s quality of life. It also highlighted the importance of parental perspectives in assessing neonatal care and its outcomes.


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