Amplifying voices on obstetric violence: recommendations for advocacy by an obstetric nurse
Expandiendo las voces sobre la violencia obstétrica: recomendaciones para la advocacy por enfermera(o) obstetra
Ampliando vozes sobre violência obstétrica: recomendações de advocacy para enfermeira(o) obstetra
Margareth Santos Zanchetta; Walterlânia Silva Santos; Kleyde Ventura de Souza; Vanessa Rodrigues Pina; Hilary Hwu; Hannah Stahl; Hannah Argumedo-Stenner; Juliet Osei-Boateng; Rebecca Zimmerman; Érica Dumont Pena; Ivone Evangelista Cabral; Ana Luiza de Oliveira Carvalho; Audrey Vidal Pereira; Bianca Dargam Gomes Vieira; Valdecyr Herdy Alves; Ingryd Cunha Ventura Felipe; Sepali Guruge; Oona St. Amant; Edwaldo Costa; Haydée Padilla Vda de Escobar
Abstract
Objectives: Explore women’s and the general public’s demands to improve the quality of obstetric care. Discuss respondents’ suggestions to improve obstetric care, and propose recommendations for nursing advocacy in matters of obstetric violence.
Method: A multi-site online survey (in three cities in Brazil’s southeastern region) hosted by Opinio platform exploring the respondents’ opinions. Data was analyzed by descriptive statistics and thematic analysis.
Results: Respondents (n=414) aged 33-37 years (26%), including women (75%) with more than 15 years of schooling, who are married (45%) and with one child (35%), demonstrated a knowledge gap on obstetric violence and women’s rights. Newspapers, radio, and television were cited as the main sources of information. Family support was a suggested strategy to deal with obstetric violence. For the renewed praxis, collective education on obstetric care rights (53.1%) and humanized care (38.2%) were suggested to mobilize professional power to consolidate humanization in care. Central analytical themes included situations faced by women and an idealized context of practice.
Conclusion and implications for practice: Discussion in organizations increases humanization and shared governance. Recommendations proposed for advocacy are consistent with the global perspective of women’s health promotion and social leadership.
Keywords
Resumen
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Resumo
Objetivos: explorar as demandas das mulheres, bem como do público em geral, para melhorar a qualidade da assistência obstétrica; discutir as mudanças potenciais sugeridas pelos respondentes para tal prática assistencial.
Método: pesquisa multicêntrica realizada por meio da plataforma Opinio, explorando opiniões dos participantes de três cidades da região Sudeste do Brasil. Tratamento dos dados por estatística descritiva e análise temática.
Resultados: respondentes (n=414) na faixa etária 33-37 anos (26%), incluindo mulheres (75%) com mais de 15 anos de escolaridade, casadas (45%) e com um filho (35%), revelaram lacuna de conhecimentos sobre a violência obstétrica e os direitos da mulher. Jornal, rádio e televisão são as principais fontes de informação. O enfrentamento da violência obstétrica dar-se-ia por apoio familiar. Para a práxis renovada sugeriu-se a educação coletiva sobre direitos aos cuidados obstétricos (53,1%) e o atendimento humanizado (38,2%) mobilizando o poder profissional para consolidar a humanização. Temas analíticos centrais incluíram situação vivenciada pelas mulheres e contexto idealizado de prática.
Conclusão e Implicações para a prática: o debate incrementa a humanização e a governança compartilhada. Recomendações propostas para advocacy coadunam com a perspectiva global da promoção de saúde das mulheres e liderança social.
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Referências
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Submetido em:
24/10/2020
Aceito em:
29/06/2021
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