Os desafios na atuação do enfermeiro no pré-natal na atenção básica de saúde: um relato de experiência

Abstract

We estabilished as goals: a) describe the role of the prenatal nurse on basic health attention from a experience report and b) analyze the challenges found on the performance of the prenatal nurse on basic health attention in the publics politics for women health. The prenatal accompaniment has as an objective ensure the gestation development, since it allows a health childbirth, with no impact for maternal health. Nowadays the nurse has been the major key on the assistence improvement to the woman on the pregnancy cicle. Metodology: study of qualitative approach, descriptive, exploratory, of the experience report type. The scenario was a Municipal Health Centre (CMS) located in the neighborhood of Campo Grande, West Zone of Rio de Janeiro. It englobed the programs of: child health, women health, adult health and elderly health. The collect period happened in 2016 from the description of the following steps by the author on the nurse daily from a Basic Health Unit (UBS). The data was analyzed on the Content Analysis (AC) technique. And organized in thematic axes. Results: after the data treatment emerged the thematics axes that presented relevant levels, as: a) The prenatal: insertion of the nurse in a place of knowledge change, b) The rush of the nurse in a Bacic Health Unit and c) The prenatal value for the health service user. Discussion: The prenatal service on the health units has been modified throughout time as a result from the governmental replies to the female population. Since the implantation of the Prenatal Humanization Program, childbirth and nativity to the “Rede Cegonha”, deep modifications that improved the assistence of woman health on the pregnancy cycle. The nurse consult to the pregnant has a pre-scheduling on the health unit which should allow sufficient time for adequate reception, performing the physical examination and strengthening the professional-user bond. However, the increase in demand has reduced the necessary time for a humanized assistence that attend the family and pregnant necessities, as well to the professional that needs time to execute his duties. Finals considerations: The search for the improvement of the prenatal assistence aims minimize the damages to the woman and its conception has brought the nurse as a support in this scenario. The UBS has been a strategic place where the reception and bond between the patient and the professional happens. Nevertheless, it is noticed that the outsourcing has cristalized nonhumanized attitudes that pass through the professionals that act in this scenario. This study doesn't end, it is believed that it's necessary others studies that brings to he surface the act of the nurse in the basic health units, and to what extend it wouldn't be a handling in using cheaper workmanship.