Strategies of nurse-midwives in relation to working conditions in maternity hospitals

ABSTRACT Objectives: to understand the working conditions and strategies adopted by nurse-midwives in maternity hospitals. Methods: a qualitative, descriptive, exploratory study with 20 nurse-midwives from public maternity hospitals in the city of Rio de Janeiro. Data were collected from June to S...

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Main Authors: Manoel Luís Cardoso Vieira, Juliana Amaral Prata, Elias Barbosa de Oliveira, Fernanda Alves Bittencourt Rodrigues, Bárbara Christine Dantas Silva de Almeida, Jane Márcia Progianti
Format: Article
Language:English
Published: Associação Brasileira de Enfermagem 2021-03-01
Series:Revista Brasileira de Enfermagem
Subjects:
Online Access:http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100177&tlng=en
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author Manoel Luís Cardoso Vieira
Juliana Amaral Prata
Elias Barbosa de Oliveira
Fernanda Alves Bittencourt Rodrigues
Bárbara Christine Dantas Silva de Almeida
Jane Márcia Progianti
author_facet Manoel Luís Cardoso Vieira
Juliana Amaral Prata
Elias Barbosa de Oliveira
Fernanda Alves Bittencourt Rodrigues
Bárbara Christine Dantas Silva de Almeida
Jane Márcia Progianti
author_sort Manoel Luís Cardoso Vieira
collection DOAJ
description ABSTRACT Objectives: to understand the working conditions and strategies adopted by nurse-midwives in maternity hospitals. Methods: a qualitative, descriptive, exploratory study with 20 nurse-midwives from public maternity hospitals in the city of Rio de Janeiro. Data were collected from June to September 2018 through semi-structured interviews, submitted to thematic content analysis and discussed in the light of the psychodynamics of work. Results: working conditions are inadequate due to poor infrastructure and resource deficit. Therefore, they develop defensive strategies to mitigate suffering, avoid destabilization of professional identity and minimize losses on care, through material purchase, lunch hour abdication, task reorganization and break implementation. Final Considerations: the strategies adopted hide work precariousness and suggest alienation of workers, evidencing the need to foster political awareness of this collective to promote concrete transformations in their work reality.
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spelling doaj.art-b5477d42da7442c8bc9a616d5a50d0462022-12-22T04:15:57ZengAssociação Brasileira de EnfermagemRevista Brasileira de Enfermagem1984-04462021-03-0174110.1590/0034-7167-2020-0201Strategies of nurse-midwives in relation to working conditions in maternity hospitalsManoel Luís Cardoso Vieirahttps://orcid.org/0000-0003-1614-5848Juliana Amaral Pratahttps://orcid.org/0000-0003-1315-7595Elias Barbosa de Oliveirahttps://orcid.org/0000-0001-5834-7312Fernanda Alves Bittencourt Rodrigueshttps://orcid.org/0000-0001-9181-105XBárbara Christine Dantas Silva de Almeidahttps://orcid.org/0000-0002-4421-4516Jane Márcia Progiantihttps://orcid.org/0000-0003-3843-5192ABSTRACT Objectives: to understand the working conditions and strategies adopted by nurse-midwives in maternity hospitals. Methods: a qualitative, descriptive, exploratory study with 20 nurse-midwives from public maternity hospitals in the city of Rio de Janeiro. Data were collected from June to September 2018 through semi-structured interviews, submitted to thematic content analysis and discussed in the light of the psychodynamics of work. Results: working conditions are inadequate due to poor infrastructure and resource deficit. Therefore, they develop defensive strategies to mitigate suffering, avoid destabilization of professional identity and minimize losses on care, through material purchase, lunch hour abdication, task reorganization and break implementation. Final Considerations: the strategies adopted hide work precariousness and suggest alienation of workers, evidencing the need to foster political awareness of this collective to promote concrete transformations in their work reality.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100177&tlng=enNurse MidwivesWorkHospitals, MaternityNursing CareOccupational Stress
spellingShingle Manoel Luís Cardoso Vieira
Juliana Amaral Prata
Elias Barbosa de Oliveira
Fernanda Alves Bittencourt Rodrigues
Bárbara Christine Dantas Silva de Almeida
Jane Márcia Progianti
Strategies of nurse-midwives in relation to working conditions in maternity hospitals
Revista Brasileira de Enfermagem
Nurse Midwives
Work
Hospitals, Maternity
Nursing Care
Occupational Stress
title Strategies of nurse-midwives in relation to working conditions in maternity hospitals
title_full Strategies of nurse-midwives in relation to working conditions in maternity hospitals
title_fullStr Strategies of nurse-midwives in relation to working conditions in maternity hospitals
title_full_unstemmed Strategies of nurse-midwives in relation to working conditions in maternity hospitals
title_short Strategies of nurse-midwives in relation to working conditions in maternity hospitals
title_sort strategies of nurse midwives in relation to working conditions in maternity hospitals
topic Nurse Midwives
Work
Hospitals, Maternity
Nursing Care
Occupational Stress
url http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672021000100177&tlng=en
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