Distanciamento e pertencimento da enfermeira na assistência pré-natal no contexto da pandemia da Covid 19

Abstract

Prenatal cares constitute an important moment to exercise the healthcare functions, including health promotion, sorting, diagnosis and disease prevention, constituting a set of actions that are simultaneously preventive, health promoting, diagnostical and healing, aiming good outcomes of the pregnancy for women and newborns. The objectives of this thesis are: understand, describe and evaluate Prenatal Nursing Care (PN), aiming at it’s qualification, in the context of the COVID-19 pandemic; understand the potentialities and needs of nurses for the qualification of the PN in the context of the pandemic; identify practical measures to qualify prenatal care; redirect actions to implement the activities proposed by the health teams. Methods: the action research was used because it is an interventionist method, in which the researcher leaves the position of spectator and together with the studied population, tests the hypotheses about the phenomenon of interest, implementing and accessing changes in the real scenario. For this, six nurses from the main Basic Health Units in Primary Health Care in the city of São Carlos participated in this research. Results and Discussion:This study showed that there is a distance between the nurse and Prenatal Care, whose current model of care does not belong to pregnant and puerperal women and also does not belong to nurses. The pandemic intensified this distance and the nurses remained agents of information and guidance. The nurse's role is solitary and subordinate to the doctor's work. Without enough strength to do their actions differently, the nurses prefer the comfort of safe stability than the turbulence of a fight for freedom, as a result of the perception that the challenge is bigger than the condition of confrontation. Final considerations: there is an evident need to recognize the importance of health care, the creation of spaces for dialogue and knowledge exchanges between nurses and pregnant women, favored by the group of pregnant women as well as between the nurses, provided by the study group/work. The model of care lines must be recognized as a strategy to overcome the fragmentation of the attention and management in the search for the challenges and scope of comprehensive care for the pregnant woman and her family, which will imply in a work processes review, the association, interactions, support and commitment of the management team with the identified tensions. The qualification of Nurses' Prenatal Care will only be possible with a change in the work process and greater commitment from the municipal public management.