Qualificação da gestão e atenção pré-natais no contexto da atenção primária à saúde

Dirce Stein Backes; Alice Guadagnini Leite; Camila Cioquetta Pereira; Gabriele Hadwig Knob; Marli Terezinha Stein Backes; Josiane Lieberknecht Wathier Abaid

doi:10.5294/aqui.2023.23.4.4

Autores/as

Dirce Stein Backes Autor/a Franciscan University https://orcid.org/0000-0001-9447-1126
Alice Guadagnini Leite Autor/a Franciscan University https://orcid.org/0000-0003-4950-4966
Camila Cioquetta Pereira Autor/a Franciscan University https://orcid.org/0000-0002-0212-0706
Gabriele Hadwig Knob Autor/a Franciscan University https://orcid.org/0000-0003-2125-415X
Marli Terezinha Stein Backes Autor/a Universidade Federal de Santa Catarina https://orcid.org/0000-0003-3258-359X
Josiane Lieberknecht Wathier Abaid Autor/a Franciscan University https://orcid.org/0000-0002-5746-5349

DOI:

https://doi.org/10.5294/aqui.2023.23.4.4

Palabras clave:

Investigación en enfermería, equipo de atención al paciente, formación continuada, salud materno-infantil, estrategias de salud, atención primaria de salud

Resumen

Introducción: la colaboración entre diferentes profesionales del área de la salud es esencial para garantizar atención prenatal segura y de calidad, y resultados favorables en el parto. Objetivo: describir estrategias interprofesionales de la gestión y atención prenatal en el contexto de la atención primaria de salud. Materiales y método: investigación cualitativa realizada entre agosto y diciembre de 2022. Los datos se recogieron mediante un instrumento de análisis del contenido de infografías producidas por 26 profesionales que trabajan en la atención primaria de salud en el sur de Brasil, como actividad de evaluación de un curso de cualificación. El contenido de las infografías se analizó mediante el proceso de codificación propuesto por Minayo. Resultados: los datos analizados permitieron identificar tres categorías temáticas: “La necesaria coordinación intersectorial e interprofesional”; “Responsabilidades construidas y compartidas entre gestantes y profesionales”; “Planificación y cualificación de flujos y procesos de trabajo”. Conclusiones: las estrategias interprofesionales de gestión y atención prenatal en el contexto de la atención primaria de salud se asocian a la superación de enfoques fragmentados y dicotómicos, así como a la perspectiva de procesos de gestión y atención prenatal más participativos, dialógicos e interactivos con la inclusión de diversos actores de la salud.

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Biografía del autor/a

Dirce Stein Backes, Franciscan University

Pós-doutorado em Enfemragem pela Universität Osnabrück - Alemanha.

Docente e Pesquisadora do Centro Universitário Franciscano.

Líder do Grupo de Estudos e Pesquisa em Empreendedorismo Social da Enfemragem e Saúde - GEPESES.

Citas

Ricaurte C, Flórez-Lozano K, Florez-García V. Implementation of a clinical guideline for detection of gestational diabetes in primary care. Rev Med Chile. 2019;147(2):190-8. DOI: https://doi.org/10.4067/s0034-98872019000200190

Tomasi E, de Assis TM, Muller PG, da Silveira DS, Neves RG, Fantinel E et al. Evolution of the quality of prenatal care in the primary network of Brazil from 2012 to 2018: What can (and should) improve? PLoS ONE. 2022;17(1):e0262217. DOI: https://doi.org/10.1371/journal.pone.0262217

Rodrigues CB, Thomaz EBAF, Batista RFL, Riggirozzi P, Moreira DSdO, Gonçalves LLM et al. Prenatal care and human rights: Addressing the gap between medical and legal frameworks and the experience of women in Brazil. PLoS ONE. 2023;18(2): e0281581. DOI: https://doi.org/10.1371/journal.pone.0281581

Livramento DVP, Backes MTS, Damiani PR, Castillo LDR, Backes DS, Simão MAS. Perceptions of pregnant women about prenatal care in primary health care. Rev Gaúcha Enferm. 2019;40:e20180211. DOI: http://dx.doi.org/10.1590/1983-1447.2019.20180211

Claire R, McNellan ED, Marielle CG, Wallace DV, Colombara EB, Palmisano EB et al. Antenatal care as a means to increase participation in the continuum of maternal and child healthcare: An analysis of the poorest regions of four Mesoamérican countries. BMC Pregnancy Childbirth. 2019;19(1):66. DOI: https://doi.org/10.1186/s12884-019-2207-9

Mendes RB, Santos JMJ, Prado DS, Gurgel RQ, Bezerra FD, Gurgel RQ. Evaluation of the quality of prenatal care based on the recommendations Prenatal and Birth Humanization Program. Cien Saude Colet. 2020;25(3):793-804. DOI: https://doi.org/10.1590/1413-81232020253.13182018

Udenigwe O, Okonofua FE, Ntoimo LFC, Imongan W, Igboin B, Yaya Sanni. Perspectives of policymakers and health providers on barriers and facilitators to skilled pregnancy care: Findings from a qualitative study in rural Nigeria. BMC Pregnancy Childbirth. 2021;21(20). DOI: https://doi.org/10.1186/s12884-020-03493-8

Ghimire PR, Agho KE, Renzaho AMN, Nisha MK, Dibley M, Greenow CR. Factors associated with perinatal mortality in Nepal: Evidence from Nepal demographic and health survey 2001-2016. BMC Pregn Childbirth. 2019;19:88. DOI: https://doi.org/10.1186/s12884-019-2234-6

Bain PG, Kroonenberg PM, Johansson LO, Milfont TL, Crimston CR, Kurz T et al. Public views of the Sustainable Development Goals across countries. Nat Sustain. 2019;2(9):819-25. DOI: https://doi.org/10.1038/s41893-019-0365-4

Monteiro BR, Souza NL, Silva PP, Pinto ESG, França DF, Andrade ACA et al. Health care in the prenatal and childbirth context from puerperal women’s perspective. Rev Bras Enferm. 2020;73(4):e20190222. DOI: http://dx.doi.org/10.1590/0034-7167-2019-0222

Brandstetter S, Rothfuß D, Seelbach-Göbel B, Melter M, Kabesch M, Apfelbacher C et al. Information on, knowledge and utilisation of support services during pregnancy and after childbirth: Cross-sectional analyses of predictors using data from the KUNO-Kids health study. BMJ Open. 2020;10(10):e037745. DOI: http://dx.doi.org/10.1136/bmjopen-2020-037745

Amorim TS, Backes MTS, Carvalho KM, Santos EKA, Dorosz PAE, Backes DS. Nursing care management for the quality of prenatal care in Primary Health Care. Esc. Anna Nery. 2022;26:e20210300. DOI: https://doi.org/10.1590/2177-9465-ean-2021-0300

Gourevitch RA, Hatfield LA. Changes in prenatal care and birth outcomes after federally qualified health center expansion. Health Serv Res. 2023;58(2):489-97. DOI: https://doi.org/10.1111/1475-6773.14099

Veiga ACda, Medeiros LdaS, Backes DS, Sousa FGM, Hämel K, Kruel CS et al. Interprofessional qualification of prenatal care in the context of primary health care. Ciênc Saúde Colet. 2023;28(4). DOI: https://doi.org/10.1590/1413-81232023284.14402022

Souza VR, Marziale MH, Silva GT, Nascimento PL. Translation and validation into Brazilian Portuguese and assessment of the COREQ checklist. Acta Paul Enferm. 2021;34:eAPE02631. DOI: https://doi.org/10.37689/acta-ape/2021AO02631

Minayo MCS, Costa AP. Theoretical Base of the Qualitative Research Techniques. Revista Lusófona de Educação. 2018;40(40):139-53. Available from:: http://hdl.handle.net/10773/26788

Evans K, Spiby H, Morrell CJ. Developing a complex intervention to support pregnant women with mild to moderate anxiety: Application of the Medical Research Council framework. BMC Pregnancy Childbirth. 2020;20(1):777. DOI: https://doi.org/10.1186/s12884-020-03469-8

Rodrigues DB, Backes MTS, Delziovo CR, Santos EKA, Damiani PR, Vieira VM. Complexity of high-risk pregnancy care in the health care network. Rev Gaúcha Enferm. 2022;43:e20210155. DOI: https://doi.org/10.1590/1983-1447.2022.20210155.en

Atif N, Nazir H, Zafar S, Chaudhri R, Atiq M, Mullany L et al. Development of a psychological intervention to address anxiety during pregnancy in a low-income country. Front Psychiatry. 2020;10:927. DOI: https://doi.org/10.3389/fpsyt.2019.00927

Bleijenberg N, Ginkela Jm, Trappenburga J, Ettemab R, Sinob C, Heima N et al. Increasing value and reducing waste by optimizing the development of complex interventions: Enriching the development phase of the Medical Research Council (MRC) framework. Int J Nurs Stud. 2018;79:86-93. DOI: https://doi.org/10.1016/j.ijnurstu.2017.12.001

Baena-Rojas JJ, Ramírez-Montoya MS, Mazo-Cuervo DM, López-Caudana EO. Traits of complex thinking: A bibliometric review of a disruptive construct in education. J Intell. 2022;10(3):37. DOI: https://doi.org/10.3390/jintelligence10030037

Jobe I, Lindberg B, Engström Å. Health and social care professionals’ experiences of collaborative planning-Applying the person-centred practice framework. Nurs Open. 2020;7(6):2019-28. DOI: https://doi.org/10.1002/nop2.597

Wei H, Corbett RW, Ray J, Wei TL. A culture of caring: The essence of healthcare interprofessional collaboration. Jour Interprof Care. 2020;34(3):324-31. DOI: https://doi.org/10.1080/13561820.2019.1641476

Santana MJ, Manalili K, Jolley RJ, Zelinsky S, Quan H, Lu M. How to practice person‐centred care: A conceptual framework. Health Expectat. 2018;21(2):429-40. DOI: https://doi.org/10.1111/hex.12640

Zheng Y, Hu J, Li L, Dai T. Practice and enlightenment of chronic disease management at the county level in China from the perspective of professional integration: A qualitative case study of Youxi County, Fujian Province. Int J Integr Care. 2023;23(3):6. DOI: https://doi.org/10.5334/ijic.7550

Backes DS, Gomes RCC, Rupolo I, Büscher A, Silva MJP, Ferreira CLL. Leadership in nursing and health care in the light of complexity thinking. Rev Esc Enferm. 2022;56:e20210553. DOI: https://doi.org/10.1590/1980-220X-REEUSP-2021-0553en

Dick P, Faems D, Harley B. An introduction to the special issue on managing complexity within and across organizational boundaries. J Manag Stud. 2017;54(2):129-31. DOI: http://dx.doi.org/10.1111/joms.12261

Steinmann B, Klug HJP, Maier GW. The path is the goal: How transformational leaders enhance followers’ job attitudes and proactive behavior. Front Psychol. 2018;9:2338. DOI: http://dx.doi.org/10.3389/fpsyg.2018.02338

Schulz AA, Wirtz MA. Assessment of interprofessional obstetric and midwifery care from the midwives’ perspective using the Interprofessional Collaboration Scale (ICS). Front Psychol. 2023;14:1143110. DOI: http://dx.doi.org/10.3389/fpsyg.2023.1143110

Lorenz L, Krebs F, Nawabi F, Alayli A, Stock S. Preventive counseling in routine prenatal care: A qualitative study of pregnant women’s perspectives on a lifestyle intervention, contrasted with the experiences of healthcare providers. Int J Environ Res Public Health. 2022;19(10):6122. DOI: http://dx.doi.org/10.3390/ijerph19106122