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Am J Perinatol ; 37(12): 1271-1279, 2020 10.
Artigo em Inglês | MEDLINE | ID: mdl-32757185


OBJECTIVE: This study was aimed to describe the hospitalization and early postpartum psychological experience for asymptomatic obstetric patients tested for severe acute respiratory syndrome-coronavirus-2 (SARS-CoV-2) as part of a universal testing program and report the impact of this program on labor and delivery health care workers' job satisfaction and workplace anxiety. STUDY DESIGN: This is a cohort study of asymptomatic pregnant women who underwent SARS-CoV-2 testing between April 13, 2020 and April 26, 2020. Semistructured interviews were conducted via telephone at 1 and 2 weeks posthospitalization to assess maternal mental health. Depression screening was conducted using the patient health questionnaire-2 (PHQ-2). An online survey of labor and delivery health care workers assessed job satisfaction and job-related anxiety before and during the novel coronavirus disease 2019 (COVID-19) pandemic, as well as employees' subjective experience with universal testing. Patient and employee responses were analyzed for recurring themes. RESULTS: A total of 318 asymptomatic women underwent SARS-CoV-2 testing during this 2-week period. Six of the eight women (75%) who tested positive reported negative in-hospital experiences secondary to perceived lack of provider and partner support and neonatal separation after birth. Among the 310 women who tested negative, 34.4% of multiparous women reported increased postpartum anxiety compared with their prior deliveries due to concerns about infectious exposure in the hospital and lack of social support. Only 27.6% of women, tested negative, found their test result to be reassuring. Job satisfaction and job-related anxiety among health care workers were negatively affected. Universal testing was viewed favorably by the majority of health care workers despite concerns about delays or alterations in patient care and maternal and neonatal separation. CONCLUSION: Universal testing for SARS-CoV-2 in obstetric units has mixed effects on maternal mental health but is viewed favorably by labor and delivery employees. Ongoing evaluation of new testing protocols is paramount to balance staff and patient safety with quality and equality of care. KEY POINTS: · Women with SARS-CoV-2 had a negative hospital experience.. · A negative SARS-CoV-2 test was not reassuring for patients.. · COVID-19 negatively impacts healthcare workers' well-being..

Atitude Frente a Saúde , Infecções por Coronavirus/diagnóstico , Pessoal de Saúde/psicologia , Programas de Rastreamento/psicologia , Isolamento de Pacientes/psicologia , Pneumonia Viral/diagnóstico , Período Pós-Parto/psicologia , Gestantes/psicologia , Apoio Social , Adulto , Ansiedade , Infecções Assintomáticas/psicologia , Atitude do Pessoal de Saúde , Betacoronavirus , Técnicas de Laboratório Clínico , Feminino , Hospitalização , Humanos , Recém-Nascido , Satisfação no Emprego , Tocologia , Enfermeiras e Enfermeiros/psicologia , Enfermagem Obstétrica , Estresse Ocupacional/psicologia , Pandemias , Parto , Questionário de Saúde do Paciente , Médicos/psicologia , Gravidez
PLoS One ; 15(7): e0234184, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32609775


INTRODUCTION: This paper reports on the findings of the Nursing and Midwifery Exchange Program, initiated to promote rural and remote nursing and midwifery, and to facilitate clinical skills development and clinical collaboration between health services in Queensland, Australia. The project was undertaken over an 18-month period in one state of Australia, offering structured, temporary exchange of personnel between metropolitan and rural health services. BACKGROUND: Globally, there is an increasing awareness of nursing shortages, and with it, the need to ensure that nurses and midwives are prepared for specialist roles and practice. This is particularly important in rural and remote areas, where there are pre-existing barriers to access to services, and difficulties in attracting suitably qualified, permanent staff. METHODS: A mixed methods approach to the evaluation was undertaken with two cohorts. One cohort was the nurses and midwives who participated in the exchange (n = 24) and the other cohort were managers of the participating health services (n = 10). The nurses and midwives who participated in the exchange were asked to complete a questionnaire that included questions related to embeddedness and job satisfaction. The managers participated in a Delphi series of interviews. RESULTS: Those who participated in exchange reporting a higher score on the reported degree of understanding of rural client, which was accompanied with a moderate-to-large effect size estimate (d = 0.61). Nurses/midwives in the exchange group reported higher scores on their perceptions of aspects of their home community that would be lost if they had to leave, which was accompanied with a large effect size (d = 0.83). Overall, NMEP was reported by the participants to be a positive way to improve professional development opportunities for nurses and midwives. The findings also show the program supported practical collaboration and raised the profile of nursing and midwifery in rural areas. CONCLUSION: Exchange programs support clinical and professional development, raising the awareness of different contexts of practice and related skills requirements, and thereby supporting a greater understanding of different nursing roles. In the light of increasingly complex care required by patients with chronic conditions being managed in community-based services, programs such as NMEP provide the opportunity to build collaborative networks between referring and referral centres as well as contribute to the ongoing skills development.

Tocologia/tendências , Enfermagem Obstétrica/tendências , Adulto , Austrália , Competência Clínica , Hospitais Urbanos , Humanos , Satisfação no Emprego , Pessoa de Meia-Idade , Enfermeiras Obstétricas , Papel do Profissional de Enfermagem , Queensland , Serviços de Saúde Rural , População Rural , População Urbana
PLoS One ; 15(6): e0234318, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32530944


BACKGROUND: Efforts to expand access to institutional delivery alone without quality of care do not guarantee better survival. However, little evidence documents the quality of childbirth care in Ethiopia, which limits our ability to improve quality. Therefore, this study assessed the quality of and barriers to routine childbirth care signal functions during intra-partum and immediate postpartum period. METHODS: A sequential explanatory mixed method study was conducted among 225 skilled birth attendants who attended 876 recently delivered women in primary level facilities. A multi stage sampling procedure was used for the quantitative phase whilst purposive sampling was used for the qualitative phase. The quantitative survey recruitment occurred in July to August 2018 and in April 2019 for the qualitative key informant interview and Focus Group Discussions (FGD). A validated quantitative tool from a previous validated measurement study was used to collect quantitative data, whereas an interview guide, informed by the literature and quantitative findings, was used to collect the qualitative data. Principal component analysis and a series of univariate and multivariate linear regression analysis were used to analyze the quantitative data. For the qualitative data, verbatim review of the data was iteratively followed by content analysis and triangulation with the quantitative results. RESULTS: This study showed that one out of five (20.7%, n = 181) mothers received high quality of care in primary level facilities. Primary hospitals (ß = 1.27, 95% CI:0.80,1.84, p = 0.001), facilities which had staff rotation policies (ß = 2.19, 95% CI:0.01,4.31, p = 0.019), maternal involvement in care decisions (ß = 0.92, 95% CI:0.38,1.47, p = 0.001), facilities with maternal and newborn health quality improvement initiatives (ß = 1.58, 95% CI:0.26, 3.43, p = 0.001), compassionate respectful maternity care training (ß = 0.08, 95% CI: 0.07,0.88, p = 0.021), client flow for delivery (ß = 0.19, 95% CI:-0.34, -0.04, p = 0.012), mentorship (ß = 0.02, 95% CI:0.01, 0.78, p = 0.049), and providers' satisfaction (ß = 0.16, 95% CI:0.03, 0.29, p = 0.013) were predictors of quality of care. This is complemented by qualitative research findings that poor quality of care during delivery and immediate postpartum related to: work related burnout, gap between providers' skill and knowledge, lack of enabling working environment, poor motivation scheme and issues related to retention, poor providers caring behavior, unable translate training into practice, mismatch between number of provider and facility client flow for delivery, and in availability of essential medicine and supplies. CONCLUSIONS: There is poor quality of childbirth care in primary level facilities of Tigray. Primary hospitals, facilities with staff rotation, maternal and newborn health quality improvement initiatives, maternal involvement in care decisions, training on compassionate respectful maternity care, mentorship, and high provider satisfaction were found to have significantly increased quality of care. However, client flow for delivery service is negatively associated with quality of care. Efforts must be made to improve the quality of care through catchment-based mentorship to increase providers' level of adherence to good practices and standards. More attention and thoughtful strategies are required to minimize providers' work-related burnout.

Acesso aos Serviços de Saúde , Assistência Perinatal/normas , Qualidade da Assistência à Saúde , Adolescente , Adulto , Estudos Transversais , Etiópia , Feminino , Grupos Focais , Instalações de Saúde , Acesso aos Serviços de Saúde/estatística & dados numéricos , Humanos , Recém-Nascido , Pessoa de Meia-Idade , Tocologia/normas , Tocologia/estatística & dados numéricos , Enfermagem Obstétrica/normas , Enfermagem Obstétrica/estatística & dados numéricos , Obstetrícia/normas , Obstetrícia/estatística & dados numéricos , Parto , Assistência Perinatal/estatística & dados numéricos , Período Pós-Parto , Gravidez , Atenção Primária à Saúde/normas , Atenção Primária à Saúde/estatística & dados numéricos , Qualidade da Assistência à Saúde/estatística & dados numéricos , Inquéritos e Questionários , Adulto Jovem
Saude e pesqui. (Impr.) ; 13(1): 93-104, jan/mar 2020. tab
Artigo em Português | LILACS | ID: biblio-1052905


O objetivo deste trabalho foi identificar as necessidades das gestantes referentes a assuntos que possam ser abordados em atividades de educação em saúde, no momento de espera, em um ambulatório de referência de gestação de alto risco. Trata-se de um estudo descritivo, qualitativo e de campo, utilizando a análise de conteúdo temática de Bardin. Participaram 35 gestantes presentes no dia da consulta de pré-natal. Emergiram então seis categorias: Percepção de desconforto durante o momento de espera; Sentimento de abandonado no momento de espera e preocupação com o retorno ao trabalho; Referência a sintomas de ordem física e emocional; Participação (ou não) de educação em saúde; Sugestão de desenvolvimento de atividades educativas no momento de espera; Proposição de oferta oportuna de lanches durante o momento de espera. Assim, a partir das necessidades identificadas, sugere-se a prática de educação em saúde como forma de otimizar o tempo de espera para a consulta de pré-natal deste serviço.

Current paper identifies the needs of pregnant females with regard to themes within health education when they are waiting in a high-risk hospital outpatient clinic. Through a descriptive, qualitative and field studies and employing Bardin´s thematic contents, thirty-five pregnant females participated on the occasion of their pre-natal visit to the doctor. Six categories emerged: perception of discomfort while waiting; feeling of abandonment while waiting; concern on return to work; reference to physical and emotional symptoms; participation or not in health education; suggestion to the development of educational activities while waiting; offering of meals while waiting. When needs are identified, health education should optimize waiting time prior to pre-natal service.

Humanos , Feminino , Gravidez , Ambulatório Hospitalar , Educação em Saúde , Saúde da Mulher , Gravidez de Alto Risco , Enfermagem Obstétrica
REME rev. min. enferm ; 24: e-1297, fev.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1096497


O abortamento está entre as principais causas de morte materna e se configura como um problema de saúde pública. Na assistência às mulheres nessa situação, nota-se despreparo dos profissionais de saúde, o que interfere na qualidade da assistência ao abortamento, com prejuízos para a mulher e para o profissional. Objetivo: analisar o preparo ético, legal, biomédico e psíquico sobre o abortamento, dos acadêmicos de Enfermagem, Medicina, Psicologia e Serviço Social das instituições de ensino superior de um município do centrooeste de Minas Gerais, Brasil. Método: em 2018, foram realizadas entrevistas com 46 acadêmicos, transcritas considerando-se as características próprias da fala e analisadas pelo conteúdo. Resultados: os achados revelaram que a formação acadêmica dos profissionais de saúde para atuar na assistência integral e humanizada às mulheres em situação de abortamento abrange o preparo ético, legal, biomédico e psíquico. Os contextos acadêmicos mais favoráveis à formação desses profissionais são os que comportam a afinidade intrínseca com a temática, a aquisição de ensinamentos mediante vivências, além de haver questionamentos sobre o conhecimento adquirido, associado às limitações sociais ao tema. Conclusão: aposta-se na articulação entre educação superior e sistema de saúde e sugerem-se mudanças no processo de formação que reflitam diretamente na qualidade da assistência prestada, como reavaliação das matrizes curriculares, estímulo aos docentes e aos futuros profissionais a se capacitarem sobre a temática e ampliação da discussão do tema na sociedade, visto que os cursos são propostos em conformidade com as demandas sociais e os contextos locais.(AU)

Abortion is among the main causes of maternal death and is a public health problem. In assisting women in this situation, health professionals are unprepared, which interferes with the quality of abortion care, with losses for women and professionals. Objective: to analyze the ethical, legal, biomedical and psychic preparation on abortion, of Nursing, Medicine, Psychology and Social Work students from higher education institutions in a city in the center-west of Minas Gerais, Brazil. Method: in 2018, 46 academics were interviewed, transcribed considering the characteristics of the speech and analyzed by the content. Results: the findings revealed that the academic training of health professionals to work in comprehensive and humanized care for women in situations of abortion includes ethical, legal, biomedical and psychological preparation. The academic contexts most favorable to the training of these professionals are those that contain the intrinsic affinity with the theme, the acquisition of teachings through experiences...(AU)

El aborto es una de las principales causas de muerte materna y está considerado como un problema de salud pública. Se observa falta de preparación de los profesionales de la salud para atender a las mujeres en dicha situación, lo cual interfiere con la calidad de la atención del aborto y perjudica tanto a las mujeres como a los profesionales. Objetivo: analizar la preparación ética, legal, biomédica y psíquica sobre el aborto de estudiantes de enfermería, medicina, psicología y trabajo social de las instituciones de educación superior de una ciudad del centro-oeste del estado de Minas Gerais, Brasil. Método: en 2018 se realizaron entrevistas a 46 académicos, se transcribieron, se consideraron las características del discurso y se analizaron según el contenido. Resultados: los hallazgos revelaron que la capacitación académica de los profesionales de la salud para trabajar en atención integral y humanizada de mujeres en situaciones de aborto incluye preparación ética, legal, biomédica y psicológica. Los contextos académicos más favorables para la formación de estos profesionales son aquéllos que contienen la afinidad intrínseca con el tema, la adquisición de enseñanzas a través de experiencias, además de preguntas sobre el conocimiento adquirido, asociado con las limitaciones sociales del tema. Conclusión: debe haber articulación entre la educación superior y el sistema de salud y cambios en el proceso de capacitación que reflejen directamente en la calidad de la asistencia brindada, como la reevaluación de las matrices curriculares, alentando a los profesores y futuros profesionales a capacitarse en el tema y a ampliar su discusión en la sociedad, ya que los cursos se proponen de acuerdo con las demandas sociales y los contextos locales.(AU)

Humanos , Feminino , Gravidez , Estudantes de Ciências da Saúde , Fatores de Risco , Enfermagem Materno-Infantil , Aborto , Morte Materna , Enfermagem Obstétrica , Capacitação Profissional
Nursing (Säo Paulo) ; 23(261): 3607-3615, fev.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1095669


Objetivou-se identificar o conhecimento das parturientes sobre violência obstétrica, levantar se conseguem identificar as principais ações presentes na violência obstétrica, detectar os impactos físicos e psicológicos da violência obstétrica. Os sujeitos desse estudo foram 14 puérperas residentes do estado do Rio de Janeiro. Foi realizado um estudo do tipo descritivo, exploratório com abordagem quali-quantitativa. A coleta de dados foi realizada por meio de um formulário eletrônico online, na qual foi viabilizado um formulário individual composto de perguntas relacionadas ao objetivo da pesquisa sendo de fácil e rápido acesso ao sujeito participante. Concluiu-se através dos resultados desta pesquisa que as mulheres possuem um conhecimento limitado acerca da violência obstétrica, podendo estar relacionado à falta de informação durante o pré-natal.(AU)

The aim was to identify the parturients' knowledge about obstetric violence, to get up if they can identify the main actions present in obstetric violence, to detect the physical and psychological impacts of obstetric violence. The subjects of this study were 14 puerperal women living in the state of Rio de Janeiro. A descriptive, exploratory study with a qualitative and quantitative approach was carried out. Data collection was performed using an online electronic form, in which an individual form was made available, consisting of questions related to the research objective, being easily and quickly accessed by the participating subject. It was concluded through the results of this research that women have limited knowledge about obstetric violence, which may be related to the lack of information during prenatal care.(AU)

El objetivo era identificar el conocimiento de las parturientas sobre la violencia obstétrica, levantarse si pueden identificar las principales acciones presentes en la violencia obstétrica, detectar los impactos físicos y psicológicos de la violencia obstétrica. Los sujetos de este estudio fueron 14 mujeres puerperales que viven en el estado de Rio de Janeiro. Se realizó un estudio exploratorio descriptivo con enfoque cualitativo y cuantitativo. La recopilación de datos se realizó mediante un formulario electrónico en línea, en el que se puso a disposición un formulario individual, que consta de preguntas relacionadas con el objetivo de la investigación, de fácil y rápido acceso por parte del sujeto participante. A través de los resultados de esta investigación, se concluyó que las mujeres tienen un conocimiento limitado sobre la violencia obstétrica, que puede estar relacionada con la falta de información durante la atención prenatal.(AU)

Humanos , Feminino , Gravidez , Parto Obstétrico/instrumentação , Dor do Parto , Saúde Materna , Complicações do Trabalho de Parto , Enfermagem Obstétrica
Nursing (Säo Paulo) ; 23(260): 3529-3532, jan.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1095543


Objetivo: Conhecer, através da revisão integrativa de literatura, a produção científica sobre violência obstétrica. Método: Trata-se de uma revisão integrativa de literatura, método que tem como finalidade sintetizar as pesquisas publicadas, para obter novas conclusões a partir de um tema de interesse. Foi realizado um levantamento nas bases de dados da Biblioteca Virtual em Saúde, a saber: Literatura Latino-Americana e do Caribe em Ciências da Saúde (LILACS) e Base de Dados em Enfermagem (BDENF). Resultado: Evidenciou-se como fator predominante a formação dos profissionais de saúde e a negligência como parte estruturante no desenho atual da assistência. Destacando em alguns artigos que a prática da violência institucional obstétrica ocorre por negligência, pela violência verbal, e a violência física. Conclusão: A pesquisa revelou que, para a melhoria da violência obstétrica, serão necessárias adequações no serviço de saúde. Para que as mudanças aconteçam o processo de formação dos profissionais de saúde são fundamentais deverão ser modificados.(AU)

Objective: To know, through an integrative literature review, the production of knowledge about obstetric violence. Method: This is an integrative review, a method whose purpose is to synthesize the published researches, to obtain new conclusions from a topic of interest. Through a bibliographical survey, in the databases of the Virtual Health Library, as of August 2017, namely: Latin American and Caribbean Literature in Health Sciences (LILACS) and Nursing Database (BDENF). Outcome: The training of health professionals and neglect as a structuring part of the current assistance design was evidenced as a predominant factor. Emphasizing in some articles that the practice of institutional obstetric violence occurs through neglect, verbal violence, and physical violence. Conclusion: The research revealed that, for the improvement of obstetric violence, adjustments will be necessary in the health service. For changes to occur the process of training of health professionals are fundamental must be modified.(AU)

Objetivo: Conocer, a través de la revisión integrativa de literatura, la producción científica sobre violencia obstétrica. Método: Se trata de una revisión integrativa de literatura, método que tiene como finalidad sintetizar las investigaciones publicadas, para obtener nuevas conclusiones a partir de un tema de interés. Se realizó un levantamiento en las bases de datos de la Biblioteca Virtual en Salud, a saber: Literatura Latinoamericana y del Caribe en Ciencias de la Salud (LILACS) y Base de Datos en Enfermería (BDENF). Resultado: Se evidenció como factor predominante la formación de los profesionales de salud y la negligencia como parte estructurante en el diseño actual de la asistencia. Destacando en algunos artículos que la práctica de la violencia institucional obstétrica ocurre por negligencia, por la violencia verbal, y la violencia física. Conclusión: La investigación reveló que, para la mejora de la violencia obstétrica, serán necesarias adecuaciones en el servicio de salud. Para que los cambios ocurran el proceso de formación de los profesionales de salud son fundamentales deben ser modificados.(AU)

Humanos , Feminino , Gravidez , Parto Obstétrico , Complicações do Trabalho de Parto , Serviços de Saúde Materna , Enfermagem Obstétrica , Saúde Materno-Infantil
Rev. Rol enferm ; 43(1,supl): 24-31, ene. 2020. tab
Artigo em Espanhol | IBECS | ID: ibc-193159


Introduction: The birth plan (BP) is a written document prepared by the couple to express their wishes regarding birth. It has been the subject of health studies, although in Portugal there is a lack of research. Objective: To identify the perception of health professionals (HP) about the BP in Portugal. Methods: qualitative, exploratory, descriptive study with self-completed questionnaire on an online platform. Anonymity and confidentiality guaranteed. We used the content analysis according to Bardin and the INVivo12 tool. The non-probabilistic, intentional sample with 44 nurses midwives. Results and discussion: The BP was associated with the descriptors: empowerment and decision, humanization, choice and respect. 72.7% informed the woman/couple during the prenatal appointment and in childbirth classes. 47.7% assisted in its construction; 50% reported difficulties due to lack of model, non-acceptance and fears of HP reactions. 93.1% thought that their presentation to the team is important; 63.6% considered that BP isn't respected in maternities for institutional and professional reasons; 90.9% considered that the HP reacts in several ways to the presentation of the BP, from the devaluation to the need for its institutionalization. The results show that, although we are in different stages of BP implementation, the difficulties presented are similar to those developed in Europe. Conclusions: The results show that the HP recognize the advantages of the BP as a facilitating and reorientation strategy for women/couples in childbirth, promoting respectful and citizen-centered care. From conception to implementation, the BP seems to be a still incipient practice in Portugal. The HP considers necessary to create policies for the implementation and development of BP, important for citizens as well as for the HP

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Humanos , Masculino , Feminino , Adulto , Pessoa de Meia-Idade , Idoso , Entorno do Parto/tendências , Planejamento Antecipado de Cuidados/organização & administração , Parto Humanizado , Enfermagem Obstétrica/organização & administração , Pesquisas sobre Serviços de Saúde/estatística & dados numéricos , Portugal/epidemiologia , Relações Enfermeiro-Paciente , Pesquisa Qualitativa
Rev. Rol enferm ; 43(1,supl): 146-153, ene. 2020. graf
Artigo em Português | IBECS | ID: ibc-193174


Maternal health care for migrant women poses new challenges to countries in the WHO European Region. Migrant women tend to have worse perinatal health outcomes as a result of migration conditions, socioeconomic needs, health status, language or health literacy. These women may manifest different representations and cultural practices associated with motherhood that need to be understood and respected during nursing care in the host country. The aim was to explore the meanings attributed by migrant women to nursing interventions implemented during prenatal care to postpartum period. Qualitative study using Grounded Theory. Thirty interviews were conducted with pregnant migrant women and mothers from various countries, between February 2015 to December 2016, in Primary Health Care. Emerging coding of data determined the central category BUILDING TRUST, representative of the use of professional skills and competencies to help migrant women gain confidence and expose emotions, insecurities and needs: "Feeling recognized" highlights sensitivity to cultural differences and transition experiences; "Explaining with simplicity" by the clarity, simplicity, practical and grounded meaning, contributing to the acquisition of skills in the exercise of motherhood and a quality of intercultural communication; "Getting answer", nurse acting in accordance with the needs exposed by the Other, promoting autonomy, confidence and satisfaction. The development of a trusting relationship has emerged as an essential component of maternal care. The study results may contribute to knowledge and quality of care indicators by showing the migrant client's perspective on the care received

No disponible

Humanos , Feminino , Gravidez , Adulto Jovem , Adulto , Cuidados de Enfermagem/psicologia , Enfermagem Obstétrica/estatística & dados numéricos , Avaliação de Resultados da Assistência ao Paciente , Parto Obstétrico/enfermagem , Cuidado Pré-Natal/classificação , Assistência à Saúde Culturalmente Competente/estatística & dados numéricos , Emigrantes e Imigrantes/estatística & dados numéricos , Percepção Social , Período Pós-Parto/psicologia , Pesquisa Qualitativa
Rev. Esc. Enferm. USP ; 54: e03526, 2020. tab, graf
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1115163


Abstract Objective: To analyze the association between gestational risk factors and type of delivery in high-risk pregnancies. Method: A cross-sectional epidemiological study involving a retrospective analysis of secondary data from 4,293 medical records of high-risk pregnant women. The primary outcome was composed of risks associated with cesarean delivery and spontaneous abortion compared with normal delivery. Results: There were 3,448 women analyzed in the study. The primary outcome rates were cesarean delivery (72.8%), spontaneous abortion (0.9%) versus vaginal delivery (26.2%). Common risk factors for cesarean delivery and spontaneous abortion were age ≥35 years (OR = 1.4; 95% CI 1.1-1.7 / OR = 11.5; 95% CI 4.2-31.0), evangelical religion (OR = 1.4; 95% CI 1.2-1.7 / OR = 2.6; 95% CI 1.0-6.7), high blood pressure (OR = 1.4; 95% CI 1.1-1.8 / OR = 74.9; 95% CI 13.7-410.2) and twinning (OR = 3.1; 95% CI 1.9-5.0 / OR = 68.6, 95% CI 9.7-487.7). Conclusion: Identifying the relationship of gestational risks with the type of delivery and abortion can contribute to developing strategies and assist in planning actions in women's healthcare networks, developing specific and individualized lines of care for each gestational risk.

Resumen Objetivo: Analizar la relación entre factores de riesgo gestacional y tipo de parto en el embarazo de alto riesgo. Método: Estudio epidemiológico transversal abarcando análisis retrospectivo de datos secundarios de 4.293 fichas de gestantes de alto riesgo. El desenlace primario estuvo compuesto de riesgos asociados con el parto cesárea y con el aborto espontáneo comparados con el parto natural. Resultados: Formaron parte del análisis 3.448 mujeres. Los índices del desenlace primario fueron parto cesárea (72,8%), aborto espontáneo (0,9%) versus parto vaginal (26,2%). Fueron identificados como factores de riesgo en común para parto cesárea y el aborto espontáneo, respectivamente, la edad ≥35 años (OR=1,4; IC95% 1,1-1,7/OR=11,5; IC95% 4,2-31,0), religión evangélica (OR=1,4; IC95% 1,2-1,7/OR=2,6; IC95% 1,0-6,7), hipertensión arterial (OR=1,4; IC95% 1,1-1,8/OR=74,9; IC95% 13,7-410,2) y gemelaridad (OR=3,1; IC95% 1,9-5,0/OR=68,6; IC95% 9,7-487,7). Conclusión: La identificación de la relación de los riesgos gestacionales con el tipo de parto y aborto pueden contribuir al desarrollo de estrategias y auxiliar la planificación de acciones en las redes de atención a la salud de la mujer, desarrollando líneas de cuidados específicos e individualizados para cada riesgo gestacional.

Resumo Objetivo: Analisar a associação entre fatores de risco gestacional e tipo de parto na gravidez de alto risco. Método: Estudo epidemiológico transversal envolvendo a análise retrospectiva de dados secundários de 4.293 prontuários de gestantes de alto risco. O desfecho primário foi composto de riscos associados ao parto cesárea e ao aborto espontâneo comparados com o parto normal. Resultados: Fizeram parte da análise 3.448 mulheres. As taxas do desfecho primário foram parto cesárea (72,8%), aborto espontâneo (0,9%) versus parto vaginal (26,2%). Foram identificados como fatores de risco em comum para parto cesárea e o aborto espontâneo, respectivamente, a idade ≥35 anos (OR=1,4; IC95% 1,1-1,7/OR=11,5; IC95% 4,2-31,0), religião evangélica (OR=1,4; IC95% 1,2-1,7/OR=2,6; IC95% 1,0-6,7), hipertensão arterial (OR=1,4; IC95% 1,1-1,8/OR=74,9; IC95% 13,7-410,2) e gemelaridade (OR=3,1; IC95% 1,9-5,0/OR=68,6; IC95% 9,7-487,7). Conclusão: A identificação da relação dos riscos gestacionais com o tipo de parto e aborto podem contribuir para o desenvolvimento de estratégias e auxiliar no planejamento de ações nas redes de atenção à saúde da mulher, desenvolvendo linhas de cuidados específicos e individualizados para cada risco gestacional.

Humanos , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Complicações na Gravidez , Aborto Espontâneo , Cesárea , Gravidez de Alto Risco , Estudos Transversais , Estudos Retrospectivos , Enfermagem Materno-Infantil , Parto Normal , Enfermagem Obstétrica
Rev. Esc. Enferm. USP ; 54: e03547, 2020. tab, graf
Artigo em Inglês, Português | LILACS, BDENF - Enfermagem | ID: biblio-1091972


Abstract Objective: To characterize ethnographic research in the area of obstetric nursing regarding its theoretical, methodological and analytical aspects. Method: An integrative review performed in the MEDLINE®, LILACS, BDENF and CINAHL databases, as well as the SciELO virtual library. Results: Thirty (30) articles formed the analytical corpus after screening and reading the primary references in full. The most used methods were ethno-nursing, ethnography and institutional ethnography; the immersion time in the field ranged from 12 visits to 48 months occurring in institutional contexts. The main data collection techniques were observation, individual interviews and training guides for ethno-nursing. The data were organized as themes and subthemes, analyzed through the ethno-nursing analysis guide, implementing the Theory of Diversity and Universality of Cultural Care as theoretical reference. Conclusion: Ethnographic studies in the area of obstetric nursing are within the scope of microethnographies and are operationalized based on theoretical-methodological nursing references, being useful to analyze the complexity of phenomena involving obstetric nursing care, and focusing on the etic (professional) and emic (women) perspectives.

Resumen Objetivo: Caracterizar las investigaciones etnográficas en el área de enfermería obstétrica en cuanto a sus aspectos teóricos, metodológicos y analíticos. Método: Revisión integrativa llevada a cabo en las bases de datos MEDLINE®, LILACS, BDENF y CINAHL, así como en la biblioteca virtual SciELO. Resultados: Tras el proceso de cribado y lectura integral de las referencias primarias, 30 artículos formaron el corpus analítico. Los métodos más utilizados fueron etnoenfermería, etnografía y etnografía institucional; el tiempo de inmersión en el campo varió entre 12 visitas y 48 meses, ocurriendo en contextos institucionales. La principales técnicas de recolección de datos fueron observación, entrevistas individuales y guías capacitadoras de la etnoenfermería. Los datos fueron organizados bajo la forma de temas y subtemas, analizados mediante la guía de análisis de la etnoenfermería, teniendo con marco de referencia teórico la Teoría de la Diversidad y Universalidad del Cuidado Cultural. Conclusión: Estudios etnográficos en el área de enfermería obstétrica se ubican en el marco de las microetnografías y se operacionalizan con aporte en marcos de referencia teóricos metodológicos de la enfermería, siendo útiles para analizarse la complejidad de los fenómenos que involucran el cuidado de enfermería obstétrico, con enfoque en las perspectivas etic (profesionales) y emic (mujeres).

Resumo Objetivo: Caracterizar as pesquisas etnográficas na área de enfermagem obstétrica quanto a seus aspectos teóricos, metodológicos e analíticos. Método: Revisão integrativa realizada nas bases de dados MEDLINE®, LILACS, BDENF e CINAHL, bem como na biblioteca virtual SciELO. Resultados: Após processo de triagem e leitura na íntegra das referências primárias, 30 artigos formaram o corpus analítico. Os métodos mais utilizados foram etnoenfermagem, etnografia e etnografia institucional; o tempo de imersão no campo variou entre 12 visitas e 48 meses, ocorrendo em contextos institucionais. As principais técnicas de coleta de dados foram observação, entrevistas individuais e guias capacitadores da etnoenfermagem. Os dados foram organizados sob a forma de temas e subtemas, analisados por meio do guia de análise da etnoenfermagem, tendo como referencial teórico a Teoria da Diversidade e Universalidade do Cuidado Cultural. Conclusão: Estudos etnográficos na área de enfermagem obstétrica situam-se no âmbito das microetnografias e são operacionalizados com aporte em referenciais teórico-metodológicos da enfermagem, sendo úteis para se analisar a complexidade dos fenômenos que envolvem o cuidado de enfermagem obstétrico, com foco nas perspectivas etic (profissionais) e emic (mulheres).

Antropologia Cultural/métodos , Cuidados de Enfermagem/métodos , Enfermagem Obstétrica/métodos , Saúde da Mulher , Revisão
Nurse Educ Today ; 84: 104252, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31698289


BACKGROUND: The international literature highlights patient safety as a critical issue in contemporary health care. Poor interpersonal relationships and ineffective health care team communication are identified as dominant human factors contributing to clinical errors and adverse events. Of concern is that some students appear to lack the skills to speak up for themselves, their patients and others when witnessing unsafe practice on clinical placement. STUDY AIMS: To elicit student and staff perspectives on the quality, effectiveness and appropriateness of an assertiveness-based communication activity prior to clinical placement. DESIGN: The study used a qualitative design. A communication module was offered in the second week of the practice laboratory and involved the use of two graded assertiveness frameworks. SETTING: School of Nursing, Midwifery and Paramedicine, at a regional university in South East Queensland, Australia. PARTICIPANTS: Of the 535 first year undergraduate nursing students enrolled in the laboratory courses, 73 (13.6%) completed an anonymous online survey. Individual interviews were conducted with a university student wellbeing coordinator and student mentor to gain their perspectives of the data. METHODS: An evaluation survey with seven qualitative questions and individual semi-structured interviews were employed. Data was analysed using a thematic approach. RESULTS: Five major themes emerged from the survey data: vicarious learning, establishing boundaries, support in practice, advocacy awareness and practice utility. Three themes emerged from the interviews: empowerment and confidence; support and preparation for advocacy; and authentic learning. CONCLUSIONS: Findings indicate that teaching assertiveness skills and establishing a preparatory framework for 'speaking up for safety' early in a nursing students tertiary education can have important psychosocial implications for their confidence, empowerment and success. The activity provided an authentic learning experience with perceived practical application to the workplace and, has the potential to enhance first year curricula by improving communication tools used for students preparing for practice.

Assertividade , Docentes de Enfermagem/psicologia , Tocologia/educação , Enfermagem Obstétrica/educação , Segurança do Paciente , Estudantes de Enfermagem/psicologia , Currículo , Bacharelado em Enfermagem , Feminino , Humanos , Entrevistas como Assunto , Masculino , Queensland , Inquéritos e Questionários , Adulto Jovem
Nurse Educ Today ; 84: 104235, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31706203


BACKGROUND: In today's health care context, nurse educators teach with limited clinical placement availability, competition for available spaces and increasingly complex clients. SETTING: As part of the baccalaureate of nursing program at the University of Calgary in Qatar, students are required to complete 208 h of maternal-child clinical. Unfortunately, due to social and cultural norms in this predominantly Muslim country, male nursing students are prohibited from practicing with mothers and babies in Qatar. In order to address this need, we developed a fully simulated clinical practice module for these male students. OBJECTIVES: The aim of the current study was to better understand the learning experiences of the students undertaking this experience. DESIGN: The authors developed and implemented a fully simulated, campus-based, maternity clinical experience that used a variety of levels of fidelity, incorporated the tenets of Kolb's (1984) experiential learning theory, and Jeffries' (2005) simulation design framework. Post-simulation debriefing sessions were recorded and transcribed. Typed weekly reflections were provided. All data was blinded. PARTICIPANTS: A convenience sample of ten adult, male participants was obtained. METHODS: Using an inductive qualitative approach, researchers analyzed transcripts of debriefing sessions and reflective journals. RESULTS: The main themes were knowledge application, clinical judgement, communication, and crossing cultural barriers. CONCLUSIONS: Themes from this study can be used to support and/or change existing practices in a way that supports learner-centered, experiential teaching practices.

Currículo , Enfermeiros , Enfermagem Obstétrica/educação , Simulação de Paciente , Estudantes de Enfermagem , Características Culturais , Bacharelado em Enfermagem , Feminino , Humanos , Entrevistas como Assunto , Masculino , Gravidez , Catar
Nurse Educ Today ; 84: 104263, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31715475


BACKGROUND: The past two decades has seen significant change in nursing and midwifery education in Australia. Although, regulatory documents explicate expectations of teaching, and supervising in the context of being a nurse or midwife, the move from hospital-based to higher education learning nessitated a change in how students receive their education and who provides it. The quality of teaching by nurse or midwife academics is subject to the academic's ability to transition from a clinical educator to academic. OBJECTIVE: To explore the experiences of nurse and midwife academics teaching in the academic environment. DESIGN: Appreciative Inquiry (AI) was used to explore the experiences of academics teaching final year nursing and midwifery students. SETTING: Two regional universities in Australia. PARTICIPANTS: Seven nursing and midwifery academics teaching a unit of study focusing on mentorship, leadership and teaching. METHODS: Narrative data from interviews conducted using AI were collected, transcribed and analysed to produce themes. RESULTS: Three key themes were identified; 'Feeling valued', 'Feeling safe' and 'Having connections'. These themes and related subthemes impacted teaching experiences and role transition from experienced clinician to academic. CONCLUSION: Nursing and midwifery academics would benefit from organisational support in their role transition from clinician to academic. Further research is crucial regarding initiatives that can support academics to feel safe, valued and connected when teaching the next generation of nurses and midwives.

Docentes de Enfermagem/psicologia , Tocologia/educação , Enfermagem Obstétrica/educação , Local de Trabalho , Bacharelado em Enfermagem , Humanos , Entrevistas como Assunto , New South Wales
Cien Saude Colet ; 25(1): 79-88, 2020 Jan.
Artigo em Português, Inglês | MEDLINE | ID: mdl-31859857


This article presents a methodology for professional training in obstetrics nursing (ON) that goes beyond teaching specific competencies and contributes to the change in the model of childbirth care as proposed by Brazilian Unified Health System. This methodology addresses gaps and challenges in the current ON model and it builds on existing initiatives for the inclusion of ON in the teamwork environment. The training-intervention-evaluation method proposes the inclusion of evaluation as part of the training, which is in line with methods for intervention research. A triangulation of strategies, techniques, and instruments is conducted articulated to analytical dimensions of obstetric and neonatal care. This methodology was implemented in multicentric ON courses coordinated by the Federal University of Minas Gerais (UFMG) between 2016 and 2018. A total of 20 ON courses across states, 1,150 professionals (students, faculty, coordinators, preceptors, and supervisors), and 400 health services (internship fields and teaching hospitals) participated in the process. In conclusion, based on the experiences of those participating in this project, the implementation of this methodology produced nurses more qualified and better prepared for practice and for adapting the model of childbirth care.

Competência Clínica , Educação em Enfermagem/métodos , Educação em Enfermagem/organização & administração , Enfermagem Obstétrica/educação , Brasil , Avaliação Educacional/métodos
Nursing (Säo Paulo) ; 23(265): 4221-4226, jun.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1118238


Este artigo objetiva analisar a percepção de puérperas a respeito da violência obstétrica em uma maternidade de um município paraibano. Trata-se de um estudo de campo, descritivo, com abordagem quantitativa. A amostra do estudo foi composta por 132 mulheres. A coleta de dados foi realizada no mês de fevereiro de 2019. Os dados foram analisados e apresentados em forma de tabelas, tabulados e analisados no pacote estatístico Statistical Package for the Social Sciences, versão 21, sendo todos discutidos à luz da literatura pertinente ao tema e outros trabalhos publicados na área. Em meio aos questionamentos quanto á violência obstétrica, 79 (59,8%) relataram não conhecer o termo "violência obstétrica"; 126 (95,5%) puérperas expuseram que não receberam informações sobre violência obstétrica no acompanhamento do pré-natal, quando questionadas, 121 (91,7%) dessas não narraram nenhum episódio. Dentre as participantes 97 (73,5%) pronunciaram que acham que o uso de ocitocina é um tipo de violência; a episiotomia foi considerada por 48 (36,4%) das mulheres como um tipo de violência obstétrica. Os dados alertam que a falta de informações no pré-natal pela equipe de enfermagem pode levar a consequências maiores como a violência obstétrica.(AU)

This article aims to analyze the perception of puerperal women regarding obstetric violence in a maternity hospital in a municipality in Paraíba. It is a descriptive field study with a quantitative approach. The study sample consisted of 132 women. Data collection was carried out in February 2019. The data were analyzed and presented in tables, tabulated, and analyzed in the statistical package Statistical Package for the Social Sciences, version 21, all of which were discussed in the light of the relevant literature. and other works published in the area. Amid questions about obstetric violence, 79 (59.8%) reported not knowing the term "obstetric violence"; 126 (95.5%) mothers stated that they did not receive information about obstetric violence during prenatal care, when questioned, 121 (91.7%) of these did not report any episode. Among the participants, 97 (73.5%) said that they think the use of oxytocin is a type of violence; episiotomy was considered by 48 (36.4%) of women as a type of obstetric violence. The data warns that the lack of information in prenatal care by the nursing staff can lead to greater consequences such as obstetric violence.(AU)

Este artículo tiene como objetivo analizar la percepción de las mujeres puerperales con respecto a la violencia obstétrica en un hospital de maternidad en un municipio de Paraíba. Es un estudio de campo descriptivo con un enfoque cuantitativo. La muestra del estudio consistió en 132 mujeres. La recolección de datos se realizó en febrero de 2019. Los datos se analizaron y presentaron en tablas, tabuladas y analizadas en el paquete estadístico Paquete estadístico para las ciencias sociales, versión 21, todo lo cual se discutió a la luz de la literatura relevante. y otros trabajos publicados en el área. En medio de preguntas sobre violencia obstétrica, 79 (59.8%) informaron no conocer el término "violencia obstétrica"; 126 (95.5%) madres declararon que no recibieron información sobre violencia obstétrica durante la atención prenatal, cuando se les preguntó, 121 (91.7%) de estas no informaron ningún episodio. Entre los participantes, 97 (73.5%) dijeron que piensan que el uso de oxitocina es un tipo de violencia; La episiotomía fue considerada por 48 (36,4%) de las mujeres como un tipo de violencia obstétrica. Los datos advierten que la falta de información en la atención prenatal por parte del personal de enfermería puede tener mayores consecuencias, como la violencia obstétrica.(AU)

Humanos , Feminino , Gravidez , Período Pós-Parto , Violência contra a Mulher , Enfermagem Obstétrica , Cuidado Pré-Natal , Saúde Materna
Nursing (Säo Paulo) ; 23(262): 3729-3735, abr.2020.
Artigo em Português | LILACS, BDENF - Enfermagem | ID: biblio-1100605


Objetivo: Verificar se as tecnologias não invasivas apresentadas as gestantes durante o pré-natal promovem o protagonismo no pré-parto e parto. Metodologia: Estudo de campo do tipo exploratório-descritivo com abordagem qualitativa, Parecer n.º 3.208.521. Resultados: Foram feitas 16 entrevistas com mulheres jovens, 68,75%referiram ser solteiras, com um filho (62,5%) e parto nos últimos 12 meses. Verificou-se que as mulheres vinculam tecnologias não invasivas ao conceito de parto humanizado; que a presença de um acompanhante se tornou demanda social e vai de encontro ao direito e protagonismo da mulher no momento do parto; que a incidência dos procedimentos invasivos diminuíram, porém continua a existir e causar a insatisfação das mulheres. As tecnologias alternativas reconhecidas foram a deambulação, a movimentação, o banho, a música e chamou atenção para o não reconhecimento da bola suíça, recomendado na rede Cegonha. Por fim, a satisfação das mulheres esta interligada a uma experiência mais tranquila e natural, enquanto a insatisfação a utilização de procedimentos invasivos, a falta de orientação e acompanhante. ainda persiste. Conclusão: Observou-se que o enfermeiro deverá focar mais em ações educativas voltadas ao reconhecimento das tecnologias não invasivas, durante o pré-natal, tornando as mulheres aptas a tornarem-se protagonistas do ato de gerar outro ser humano e de seu próprio corpo.(AU)

Objective: To verify if the non-invasive technologies presented to pregnant women during prenatal care promote prominence in pre-delivery and childbirth. Methodology: Exploratory-descriptive field study with a qualitative approach, Opinion No. 3,208,521. Results: 16 interviews were conducted with young women, 68.75% reported being single, with a child (62.5%) and giving birth in the last 12 months. It was found that women link non-invasive technologies to the concept of humanized childbirth; that the presence of a companion has become a social demand and goes against the right and protagonism of women at the time of delivery; that the incidence of invasive procedures has decreased, but continues to exist and cause women's dissatisfaction. The recognized alternative technologies were walking, moving, bathing, music and called attention to the non-recognition of the Swiss ball, recommended in the Cegonha network. Finally, women's satisfaction is linked to a more peaceful and natural experience, while dissatisfaction with the use of invasive procedures, the lack of guidance and a companion. still persists. Conclusion: It was observed that nurses should focus more on educational actions aimed at the recognition of non-invasive technologies, during prenatal care, making women able to become protagonists in the act of generating another human being and their own body.(AU)

Objetivo: Verificar si las tecnologías no invasivas presentadas a las mujeres embarazadas durante la atención prenatal promueven la prominencia en el parto previo y el parto. Metodología: Estudio exploratorio descriptivo de campo con enfoque cualitativo, Opinión No. 3,208,521. Resultados: se realizaron 16 entrevistas con mujeres jóvenes, 68.75% informaron ser solteras, con un hijo (62.5%) y dar la luz en los últimos 12 meses. Se descubrió que las mujeres vinculan las tecnologías no invasivas con el concepto de parto humanizado; que la presencia de un compañero se ha convertido en una demanda social y va en contra del derecho y el protagonismo de las mujeres en el momento del parto; que la incidencia de procedimientos invasivos ha disminuido, pero continúa existiendo y causa insatisfacción de las mujeres. Las tecnologías alternativas reconocidas fueron caminar, moverse, bañarse, escuchar música y llamaron la atención sobre el no reconocimiento del balón suizo, recomendado en la red Cegonha. Finalmente, la satisfacción de las mujeres está vinculada a una experiencia más pacífica y natural, mientras que la insatisfacción con el uso de procedimientos invasivos, la falta de orientación y un compañero. Aún persiste. Conclusión: se observó que las enfermeras deberían centrarse más en acciones educativas dirigidas al reconocimiento de tecnologías no invasivas, durante la atención prenatal, haciendo que las mujeres puedan convertirse en protagonistas en el acto de generar otro ser humano y su propio cuerpo.(AU)

Humanos , Feminino , Gravidez , Cuidado Pré-Natal , Trabalho de Parto , Parto , Enfermagem Materno-Infantil , Parto Humanizado , Enfermagem Obstétrica
Rev. latinoam. enferm. (Online) ; 28: e3330, 2020. tab, graf
Artigo em Inglês | LILACS, BDENF - Enfermagem | ID: biblio-1115738


Objective: to assess the technical quality of a decision support system for reception and risk classification in obstetrics. Method: a methodological study of assessment of the system. 12 nurses and 11 information technology (IT) professionals were invited to evaluate the Obstetrics Reception and Risk Classification System (Sistema de Acolhimento e Classificação de Risco em Obstetrícia, SACR-O). Based on the standards of the International Organization for Standardization, the minimum number of evaluators and the characteristics to be evaluated were established: functional suitability, reliability, usability, performance efficiency, compatibility, safety, maintainability, and portability. The characteristics assessed should be given a ≥70% positive assessment to be considered suitable. Results: the characteristics assessed by the nurses and the IT professionals, respectively, were considered adequate: Functional suitability (97% and 98%), Reliability (91% and 94%), Usability (89% and 93%), Performance efficiency (97% and 98%), Compatibility (93% and 100%), and System security (95% and 97%). Maintainability (87%) and Portability (97%) were also evaluated by IT professionals. Conclusion: the technical quality of the SACR-O system was considered excellent by nurses and IT professionals.

Objetivo: avaliar a qualidade técnica de um sistema de apoio à decisão para acolhimento e classificação de risco em obstetrícia. Método: estudo metodológico de avaliação de sistema. Foram convidados a avaliarem o Sistema de Acolhimento e Classificação de Risco em Obstetrícia (SACR-O) 12 enfermeiros e 11 profissionais de informática. A partir das normas da Organização Internacional de Normatização se estabeleceu o número mínimo de avaliadores e as características a serem avaliadas: adequação funcional, confiabilidade, usabilidade, eficiência de desempenho, compatibilidade, segurança, manutenibilidade e portabilidade. As características avaliadas deveriam ter avaliação positiva ≥70% para serem consideradas adequadas. Resultados: as características avaliadas por enfermeiros e profissionais de informática, respectivamente, foram consideradas adequadas, a saber: Adequação funcional (97% e 98%), Confiabilidade (91% e 94%), Usabilidade (89% e 93%), Eficiência de desempenho (97% e 98%), Compatibilidade (93% e 100%) e Segurança do sistema (95% e 97%). Por profissionais de informática foram também avaliadas as características de Manutenibilidade (87%) e Portabilidade (97%). Conclusão: a qualidade técnica do sistema SACR-O foi considerada como excelente por enfermeiros e profissionais de informática.

Objetivo: evaluar la calidad técnica de un sistema de soporte de decisiones para la recepción y clasificación de riesgos en obstetricia. Método: estudio metodológico de evaluación del sistema. Fueron invitados a evaluar el Sistema de Recepción y Clasificación de Riesgos en Obstetricia (SACR-O) 12 enfermeros y 11 profesionales de la informática. Con base en las normas de la Organización Internacional de Estandarización, se estableció el número mínimo de evaluadores y las características a evaluar: adecuación funcional, fiabilidad, usabilidad, eficiencia de desempeño, compatibilidad, seguridad, mantenibilidad y portabilidad. Las características evaluadas deberían tener una evaluación positiva ≥70% para considerarse adecuadas. Resultados: las características evaluadas por enfermeros y profesionales de la informática, respectivamente, se consideraron adecuadas, a saber: Adecuación funcional (97% y 98%), Fiabilidad (91% y 94%), Usabilidad (89% y 93%), Eficiencia de desempeño (97% y 98%), Compatibilidad (93% y 100%) y Seguridad del sistema (95% y 97%). Por los profesionales de informática también fueron evaluados las características de Mantenibilidad (87%) y Portabilidad (97%). Conclusión: la calidad técnica del sistema SACR-O fue considerada excelente por los enfermeros y los profesionales de la informática.

Fatores de Risco , Informática em Enfermagem , Acolhimento , Sistemas de Informação em Saúde , Assistência Ambulatorial , Enfermagem Obstétrica