Professional autonomy in dealing with complications: discourse of obstetric nurses working in planned home births

OBJECTIVE: to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births. METHODS: this is a qualitative study, supported by the Discourse of the Collective Subject methodological framework, whose data collection took place from January...

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Detalles Bibliográficos
Autores principales: Webler, Natália, de Almeida, Lilian Conceição Guimarães, Carneiro, Jordana Brock, Campos, Luana Moura, Glaeser, Tanila Amorim, Couto, Telmara Menezes, de Lima, Samara Garcia, Silva, Ingrid Bonfim
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Associação Brasileira de Enfermagem 2023
Materias:
Original Article
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10021941/
https://www.ncbi.nlm.nih.gov/pubmed/36946813
http://dx.doi.org/10.1590/0034-7167-2022-0388
Descripción
Sumario:OBJECTIVE: to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births. METHODS: this is a qualitative study, supported by the Discourse of the Collective Subject methodological framework, whose data collection took place from January to March 2021, through interviews guided by a semi-structured script, in which seven midwives who are members of a childbirth care collective in northeastern Brazil and who work in the home context participated. RESULTS: four central ideas emerged from the collective discourses related to the exercise of professional autonomy by obstetric nurses: shared decisions; theoretical-practical instrumentalization; professional expertise; and teamwork. FINAL CONSIDERATIONS: obstetric nurses’ autonomy in the face of complications reflects the safety of planned home births and is based on collective critical thinking, reinforcing this professional’ leading role in obstetrics.

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