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REVIEW
Analysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190649
09-21-2020
Resumo
REVIEWAnalysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190649
09-21-2020DOI 10.1590/0034-7167-2019-0649
Visualizações0Ver maisABSTRACT
Objective:
to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy.
Method:
an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020).
Result:
the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept.
Conclusion:
concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.
Visualizações0
Resumo
REVIEWAnalysis of the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy: integrative review
Revista Brasileira de Enfermagem. 2020;73(suppl 4):e20190649
09-21-2020DOI 10.1590/0034-7167-2019-0649
Visualizações0Ver maisABSTRACT
Objective:
to analyze the NANDA-I taxonomy “maternal-fetal dyad” concept in high-risk pregnancy.
Method:
an integrative literature review based on the Conceptual Analysis model proposed by Walker and Avant. It was conducted at PUBMED, CINAHL, SCOPUS, LILACS and SciELO, with the descriptors: Complications of pregnancy, Risk Factors, and Pregnancy, High-Risk (from 2008-2020).
Result:
the sample consisted of 44 articles, which identified two attributes and 21 antecedents of the concept.
Conclusion:
concept analysis allowed to identify the attributes and antecedents of the “maternal-fetal dyad” concept in high-risk pregnancy, in addition to raising and clarifying ideas. It was possible to identify 12 antecedents that are not included in NANDA-I as well as the need to review the definition of the diagnosis proposed by the taxonomy.
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ORIGINAL ARTICLE
Institutional violence in high-risk pregnancy in the light of pregnant women and nurses
Revista Brasileira de Enfermagem. 2020;73(5):e20180816
07-01-2020
Resumo
ORIGINAL ARTICLEInstitutional violence in high-risk pregnancy in the light of pregnant women and nurses
Revista Brasileira de Enfermagem. 2020;73(5):e20180816
07-01-2020DOI 10.1590/0034-7167-2018-0816
Visualizações0Ver maisABSTRACT
Objective:
to understand the perception of high-risk nurses and pregnant women about institutional violence in access to basic and specialized care networks in pregnancy.
Method:
a qualitative study developed from March to June 2017 in the city of Fortaleza, state of Ceará, with nurses and pregnant women at high risk. A semi-structured interview was used, analyzed by the thematic analysis technique. Three categories emerged: access of pregnant women to care networks; institutional violence in the perception of nurses; and institutional violence in the perception of pregnant women.
Results:
participants revealed deficiencies in knowledge about institutional violence. Nurses perceived this violence in the lack of resources and access, few recognized as a violation of rights. The pregnant women reported deficient access to care networks, medicines, tests, and did not perceive this difficulty as violence.
Final considerations:
institutional violence is present in high-risk pregnancy, nurses and pregnant women do not always perceive this violence as a violation of rights.
Visualizações0Resumo
ORIGINAL ARTICLEInstitutional violence in high-risk pregnancy in the light of pregnant women and nurses
Revista Brasileira de Enfermagem. 2020;73(5):e20180816
07-01-2020DOI 10.1590/0034-7167-2018-0816
Visualizações0Ver maisABSTRACT
Objective:
to understand the perception of high-risk nurses and pregnant women about institutional violence in access to basic and specialized care networks in pregnancy.
Method:
a qualitative study developed from March to June 2017 in the city of Fortaleza, state of Ceará, with nurses and pregnant women at high risk. A semi-structured interview was used, analyzed by the thematic analysis technique. Three categories emerged: access of pregnant women to care networks; institutional violence in the perception of nurses; and institutional violence in the perception of pregnant women.
Results:
participants revealed deficiencies in knowledge about institutional violence. Nurses perceived this violence in the lack of resources and access, few recognized as a violation of rights. The pregnant women reported deficient access to care networks, medicines, tests, and did not perceive this difficulty as violence.
Final considerations:
institutional violence is present in high-risk pregnancy, nurses and pregnant women do not always perceive this violence as a violation of rights.
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ORIGINAL ARTICLE
Case management as a high-risk prenatal care strategy
Revista Brasileira de Enfermagem. 2019;72(3):692-699
06-27-2019
Resumo
ORIGINAL ARTICLECase management as a high-risk prenatal care strategy
Revista Brasileira de Enfermagem. 2019;72(3):692-699
06-27-2019DOI 10.1590/0034-7167-2018-0483
Visualizações0ABSTRACT
Objective:
to discuss the benefits of using high-risk prenatal case management.
Method:
a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer.
Results:
case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills.
Final considerations:
case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.
Palavras-chave: High Risk PregnancyMaternal and Child HealthMaternal Health ServicesObstetric NursingPrenatal CareVer maisVisualizações0Resumo
ORIGINAL ARTICLECase management as a high-risk prenatal care strategy
Revista Brasileira de Enfermagem. 2019;72(3):692-699
06-27-2019DOI 10.1590/0034-7167-2018-0483
Visualizações0ABSTRACT
Objective:
to discuss the benefits of using high-risk prenatal case management.
Method:
a qualitative, convergent care study with six high-risk pregnant women, performed in a municipality in the south of Brazil. Data were produced by case management from April to August of 2017 through observation-participant. Analysis followed the processes of Convergent Care Research: apprehension, synthesis, theorization and transfer.
Results:
case management identified important elements in the care of pregnant women, which denoted a greater complexity to the cases; was shown as a relevant space for nurses to act, because it is an intervention that requires knowledge and specific skills.
Final considerations:
case management provides differentiated management in complex cases, facilitates the flow between health services, concretizing the comprehensiveness and equity of the care. It was found, in the convergence between research and care, that participants were benefited by case management.
Palavras-chave: High Risk PregnancyMaternal and Child HealthMaternal Health ServicesObstetric NursingPrenatal CareVer mais -
RESEARCH
The work of nurses in high-risk prenatal care from the perspective of basic human needs
Revista Brasileira de Enfermagem. 2018;71(suppl 3):1257-1264
01-01-2018
Resumo
RESEARCHThe work of nurses in high-risk prenatal care from the perspective of basic human needs
Revista Brasileira de Enfermagem. 2018;71(suppl 3):1257-1264
01-01-2018DOI 10.1590/0034-7167-2017-0328
Visualizações0Ver maisABSTRACT
Objective:
To analyze the work of nurses in high-risk prenatal care in secondary care, considering nursing problems and the basic human needs of pregnant women.
Method:
Cross-sectional and quantitative study, developed in a high-risk prenatal care clinic. Data were selected in the records of the nursing consultation. The studied variables were related to sociodemographic and obstetric characteristics, in addition to nursing problems. We performed the descriptive analysis of the data and the grouping of nursing problems within the levels of Basic Human Needs (BHN).
Results:
We evaluated 54 nursing consultations of pregnant women, mostly young, multiparous, and with nine or more years of study. Every pregnant woman reported, on average, 7.4 nursing problems. The psychobiological BHN prevailed in relation to psychosocial ones.
Conclusion:
In high-risk prenatal care, nurses can use the nursing consultation considering their mastery of light technologies to engage with hard and light-hard technologies.
Visualizações0Resumo
RESEARCHThe work of nurses in high-risk prenatal care from the perspective of basic human needs
Revista Brasileira de Enfermagem. 2018;71(suppl 3):1257-1264
01-01-2018DOI 10.1590/0034-7167-2017-0328
Visualizações0Ver maisABSTRACT
Objective:
To analyze the work of nurses in high-risk prenatal care in secondary care, considering nursing problems and the basic human needs of pregnant women.
Method:
Cross-sectional and quantitative study, developed in a high-risk prenatal care clinic. Data were selected in the records of the nursing consultation. The studied variables were related to sociodemographic and obstetric characteristics, in addition to nursing problems. We performed the descriptive analysis of the data and the grouping of nursing problems within the levels of Basic Human Needs (BHN).
Results:
We evaluated 54 nursing consultations of pregnant women, mostly young, multiparous, and with nine or more years of study. Every pregnant woman reported, on average, 7.4 nursing problems. The psychobiological BHN prevailed in relation to psychosocial ones.
Conclusion:
In high-risk prenatal care, nurses can use the nursing consultation considering their mastery of light technologies to engage with hard and light-hard technologies.
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PESQUISA
Experiences with severe maternal morbidity: a qualitative study on the perception of women
Revista Brasileira de Enfermagem. 2016;69(4):662-668
01-01-2016
Resumo
PESQUISAExperiences with severe maternal morbidity: a qualitative study on the perception of women
Revista Brasileira de Enfermagem. 2016;69(4):662-668
01-01-2016DOI 10.1590/0034-7167.2016690407i
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Objective:
to know and analyze the experiences of women who developed an episode of Severe Maternal Morbidity.
Method:
this is a qualitative study, in which we interviewed 16 women admitted to a tertiary level hospital, as a result of this morbid state. We used content analysis in data processing.
Results:
two categories were identified: "Understanding maternal morbidity as a negative presence" and "Moving ahead: on constant alert". The interviewees mentioned negative aspects, such as treatment difficulties and hospitalization, feelings of fear, concern for the fetus, frustration with the idealized pregnancy, trauma; and positive aspects, such as learning and the expression of the divine will in the experience of illness.
Conclusion:
effective care during the prenatal period, delivery and postpartum period should provide adequate support for the prevention and assistance in Severe Maternal Morbidity.
Visualizações0Resumo
PESQUISAExperiences with severe maternal morbidity: a qualitative study on the perception of women
Revista Brasileira de Enfermagem. 2016;69(4):662-668
01-01-2016DOI 10.1590/0034-7167.2016690407i
Visualizações0Ver maisABSTRACT
Objective:
to know and analyze the experiences of women who developed an episode of Severe Maternal Morbidity.
Method:
this is a qualitative study, in which we interviewed 16 women admitted to a tertiary level hospital, as a result of this morbid state. We used content analysis in data processing.
Results:
two categories were identified: "Understanding maternal morbidity as a negative presence" and "Moving ahead: on constant alert". The interviewees mentioned negative aspects, such as treatment difficulties and hospitalization, feelings of fear, concern for the fetus, frustration with the idealized pregnancy, trauma; and positive aspects, such as learning and the expression of the divine will in the experience of illness.
Conclusion:
effective care during the prenatal period, delivery and postpartum period should provide adequate support for the prevention and assistance in Severe Maternal Morbidity.
High Risk Pregnancy Archives - Revista Brasileira de Enfermagem
