0089/2019 - Avaliação das boas práticas de atenção ao parto por profissionais dos hospitais públicos do Distrito Federal. Evaluation of good practices of childbirth care by professionalspublic hospitals in Distrito Federal.
O objetivo deste estudo foi avaliar a adesão às boas práticas de atenção ao parto e nascimento entre médicos, enfermeiros e residentes dos programas de residência em obstetrícia, dos hospitais públicos do Distrito Federal (DF). Os dados foram coletados mediante um estudo transversal do tipo inquérito aplicado a profissionais em 11 hospitais públicos do DF, de janeiro a março de 2015. Instrumento com 20 questões sociodemográficas e 50 itens do tipo escala Likert. Para análise estatística, os profissionais foram em 4 grupos (enfermeiros, enfermeiros residentes, médicos e médicos residentes). Foram também avaliados os escores de cada hospital estudado. As práticas baseadas em evidência científica apresentaram maior escores entre os enfermeiros (57,8±12,9). Na organização do processo de trabalho, o maior escore foi entre médicos (72 ±8,5). Já na organização da rede de atenção ao parto, o maior escore foi dos médicos residentes (56,5±8,5). Não houve diferença estatística significativa entre os grupos. Os escores dos hospitais variaram de 55 a 64, sem diferença estatística significativa. A maioria dos profissionais estimula o parto natural. Verificou-se que é necessário reforçar as ações para maior adesão às boas práticas de atenção ao parto, tanto na organização da rede de serviços quanto nas atitudes e valores da formação dos novos profissionais de saúde.
Palavras-chave:
Saúde da Mulher; Conhecimentos, Atitudes e Prática em Saúde; Parto Humanizado; Pesquisa sobre Serviços de Saúde.
Abstract:
This study had as aim to evaluate the adherence to good practices of care for childbirth and birth among physicians, nurses and residents of the obstetrical residency programs of the public hospitals in Distrito Federal (DF). The data were collected through a cross-sectional survey of the type applied to professionals in 11 public hospitals in Distrito Federal,January to March 2015. Instrument with 20 sociodemographic questions and 50 items of the Likert scale type. For statistical analysis, the professionals were in 4 groups (nurses, resident nurses, doctors and resident physicians). The scores of each hospital were also evaluated. The practices based on scientific evidence showed higher scores among the nurses (57.8 ± 12.9). In the organization of the work process, the highest score was among physicians (72 ± 8.5). Already, in the organization of the network of attention to childbirth, the highest score was of resident physicians (56.5 ± 8.5). There was no statistically significant difference between groups. Hospital scores ranged55 to 64, with no statistically significant difference. Most professionals encourage natural childbirth. It has been found necessary to reinforce the actions for greater adherence to good practices of attention to childbirth, both in the organization of the service network and in the attitudes and values of health professionals.
Keywords:
Women’s Health; Health Knowledge, Attitudes, Practice; Humanizing Delivery; Health Services Research.
Evaluation of good practices of childbirth care by professionalspublic hospitals in Distrito Federal.
Resumo (abstract):
This study had as aim to evaluate the adherence to good practices of care for childbirth and birth among physicians, nurses and residents of the obstetrical residency programs of the public hospitals in Distrito Federal (DF). The data were collected through a cross-sectional survey of the type applied to professionals in 11 public hospitals in Distrito Federal,January to March 2015. Instrument with 20 sociodemographic questions and 50 items of the Likert scale type. For statistical analysis, the professionals were in 4 groups (nurses, resident nurses, doctors and resident physicians). The scores of each hospital were also evaluated. The practices based on scientific evidence showed higher scores among the nurses (57.8 ± 12.9). In the organization of the work process, the highest score was among physicians (72 ± 8.5). Already, in the organization of the network of attention to childbirth, the highest score was of resident physicians (56.5 ± 8.5). There was no statistically significant difference between groups. Hospital scores ranged55 to 64, with no statistically significant difference. Most professionals encourage natural childbirth. It has been found necessary to reinforce the actions for greater adherence to good practices of attention to childbirth, both in the organization of the service network and in the attitudes and values of health professionals.
Palavras-chave (keywords):
Women’s Health; Health Knowledge, Attitudes, Practice; Humanizing Delivery; Health Services Research.
Carvalho, E. M. P., Reis, MLR, Santana, LA, Tavares, AB, Amorim, FF, Gottems, L.B.D.. Avaliação das boas práticas de atenção ao parto por profissionais dos hospitais públicos do Distrito Federal.. Cien Saude Colet [periódico na internet] (2019/Abr). [Citado em 04/07/2024].
Está disponível em: http://cienciaesaudecoletiva.com.br/artigos/avaliacao-das-boas-praticas-de-atencao-ao-parto-por-profissionais-dos-hospitais-publicos-do-distrito-federal/17163?id=17163
