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O enfermeiro obstetra na segurança da grávida/parturiente em ambiente extra hospitalar
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Abstract(s)
Objetivo: Apresentar o percurso efetuado no decurso do estágio com relatório do 2º
ano do Curso de Mestrado/Pós Licenciatura em Enfermagem de Saúde Materna e
Obstetrícia realizado na Escola Superior de Enfermagem de Lisboa, no que se refere
ao desenvolvimento de competências técnico-cientificas e relacionais e à
vigilância/acompanhamento por parte do enfermeiro obstetra da grávida em
ambiente extra hospitalar promovendo a sua segurança. Metodologia: Foi realizada
uma scoping review segundo a metodologia de JBI, utilizando para tal o meta
pesquisador EBSCOhost, envolvendo as bases de dados CINAHL Plus with Full
Text, MEDLINE with Full Text e Nursing & Allied Health Collection: Comprehensive.
Para a literatura cinzenta foi utilizada a base de dados Google schoolar .Foi utilizado
o método P C C e foram selecionados 15 artigos dos 205 encontrados. Foram
realizadas notas de conversas informais com enfermeiros e médicos que trabalham
no extra hospitalar e que tinham vivenciado partos nesse ambiente, bem como de
enfermeiros especialistas que acompanharam grávidas nas transferências intra
hospitalares, de forma a conhecer a sua perceção e abordagem do parto, bem como
no acompanhamento da grávida e parturiente em ambientes fora do hospital.
Resultados: Relativamente à scoping review, foram encontrados artigos que
referem que de entre o grupo profissional de enfermagem, o Enfermeiro Obstetra, à
semelhança do que é o comum num bloco de partos, é um dos profissionais de
saúde mais capacitado para prestar os cuidados à grávida e parturiente que
promovam a segurança da mesma e recém nascido em caso de parto. A literatura e
o obtido nas notas de conversas informais com os agentes do extra hospitalar,
apoiam que quem trabalha em urgência e emergência sente sérias dificuldades e
refere não estar preparado para assistir uma mulher grávida ou em trabalho de
parto. As(os) enfermeiras(os) obstetras que realizam transferências inter
hospitalares por seu turno referem que existe uma lacuna aquando do
acompanhamento de grávidas seja em trabalho de parto ou não, desde os recursos
humanos até às ambulâncias uma vez que estas não se assemelham nada em
termos de equipamento e segurança a uma sala de bloco de partos para prestar
cuidados de emergência e reanimação.
Conclusões: É urgente promover uma alteração no atual sistema de emergência
médica afim de fornecer um suporte mais especializado, efetivo e seguro para as
grávidas e recém nascidos em ambiente pré e inter hospitalar durante as fases do
trabalho de parto.
Objective: To present the path taken during the internship with a report of the 2nd year of the Master's / Postgraduate Course in Maternal Health and Obstetrics Nursing held at the Escola Superior de Enfermagem de Lisboa, with regard to the development of technical and scientific skills and relationships and the monitoring of the obstetric nurse and the safety of the pregnant woman in an extra hospital environment. Methodology: A scoping review was carried out according to the JBI methodology, using the meta researcher EBSCOhost, involving the databases CINAHL Plus with Full Text, MEDLINE with Full Text and Nursing & Allied Health Collection: Comprehensive. For the gray literature, the Google schoolar database was used. The P C C method was used and 15 articles were selected from the 205 found. Informal conversations were made with nurses and doctors who work in the extra hospital and who had witnessed births in that environment, as well as specialist nurses who accompanied pregnant women in intra hospital transfers, in order to know their perception and approach to childbirth, as well as in monitoring the pregnant and parturient in environments outside the hospital. Results: Regarding the scoping review, articles were found that mention that among the professional nursing group, the Obstetrical Nurse, similarly to what is common in a delivery block, is the most qualified health professional to provide care to pregnant women and parturient women that promote the safety of the baby and newborn in case of delivery. The literature and what was obtained from the notes of informal conversations with the extra hospital agents, support that those who work in urgent and emergency situations feel serious difficulties and report not being prepared to assist a pregnant woman or in labor. The obstetrical nurses who perform inter-hospital transfers in turn refer that there is a gap when monitoring pregnant women whether in labor or not, from human resources to ambulances since they do not resemble anything in terms of equipment and security to a delivery room to provide emergency care and resuscitation. Conclusions: It is urgent to promote a change in the current medical emergency system in order to provide more specialized, effective and safe support for pregnant women and newborns in pre- and inter-hospital environments during the phases of labor.
Objective: To present the path taken during the internship with a report of the 2nd year of the Master's / Postgraduate Course in Maternal Health and Obstetrics Nursing held at the Escola Superior de Enfermagem de Lisboa, with regard to the development of technical and scientific skills and relationships and the monitoring of the obstetric nurse and the safety of the pregnant woman in an extra hospital environment. Methodology: A scoping review was carried out according to the JBI methodology, using the meta researcher EBSCOhost, involving the databases CINAHL Plus with Full Text, MEDLINE with Full Text and Nursing & Allied Health Collection: Comprehensive. For the gray literature, the Google schoolar database was used. The P C C method was used and 15 articles were selected from the 205 found. Informal conversations were made with nurses and doctors who work in the extra hospital and who had witnessed births in that environment, as well as specialist nurses who accompanied pregnant women in intra hospital transfers, in order to know their perception and approach to childbirth, as well as in monitoring the pregnant and parturient in environments outside the hospital. Results: Regarding the scoping review, articles were found that mention that among the professional nursing group, the Obstetrical Nurse, similarly to what is common in a delivery block, is the most qualified health professional to provide care to pregnant women and parturient women that promote the safety of the baby and newborn in case of delivery. The literature and what was obtained from the notes of informal conversations with the extra hospital agents, support that those who work in urgent and emergency situations feel serious difficulties and report not being prepared to assist a pregnant woman or in labor. The obstetrical nurses who perform inter-hospital transfers in turn refer that there is a gap when monitoring pregnant women whether in labor or not, from human resources to ambulances since they do not resemble anything in terms of equipment and security to a delivery room to provide emergency care and resuscitation. Conclusions: It is urgent to promote a change in the current medical emergency system in order to provide more specialized, effective and safe support for pregnant women and newborns in pre- and inter-hospital environments during the phases of labor.
Description
Keywords
Enfermagem obstétrica Gestantes Segurança do paciente Transferência de pacientes Serviços médicos de emergência