Professional autonomy in dealing with complications: discourse of obstetric nurses working in planned home births.

Autor:	Webler N; Universidade Federal da Bahia. Salvador, Bahia, Brasil., Almeida LCG; Universidade Federal da Bahia. Salvador, Bahia, Brasil., Carneiro JB; Universidade Federal da Bahia. Salvador, Bahia, Brasil., Campos LM; Universidade Federal da Bahia. Salvador, Bahia, Brasil., Glaeser TA; SobreParto - Coletivo de Assistência ao Parto de Salvador. Salvador, Bahia, Brasil., Couto TM; Universidade Federal da Bahia. Salvador, Bahia, Brasil., Lima SG; SobreParto - Coletivo de Assistência ao Parto de Salvador. Salvador, Bahia, Brasil., Silva IB; SobreParto - Coletivo de Assistência ao Parto de Salvador. Salvador, Bahia, Brasil.
Jazyk:	English; Portuguese
Zdroj:	Revista brasileira de enfermagem [Rev Bras Enferm] 2023 Mar 17; Vol. 76 (2), pp. e20220388. Date of Electronic Publication: 2023 Mar 17 (Print Publication: 2023).
DOI:	10.1590/0034-7167-2022-0388
Abstrakt:	Objective: to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births. Methods: this is a qualitative study, supported by the Discourse of the Collective Subject methodological framework, whose data collection took place from January to March 2021, through interviews guided by a semi-structured script, in which seven midwives who are members of a childbirth care collective in northeastern Brazil and who work in the home context participated. Results: four central ideas emerged from the collective discourses related to the exercise of professional autonomy by obstetric nurses: shared decisions; theoretical-practical instrumentalization; professional expertise; and teamwork. Final Considerations: obstetric nurses' autonomy in the face of complications reflects the safety of planned home births and is based on collective critical thinking, reinforcing this professional' leading role in obstetrics.
Databáze:	MEDLINE
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