Obstetric/neonatal care: expansion of nurses' clinical practice in Primary Care

Objective: To understand the meaning of the expansion of nurses' clinical practice in obstetric and neonatal care in the primary care context. Methods: Qualitative study in which were adopted the theoretical-philosophical reference of Edgar Morin's Complex Thought and the methodological fr...

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Bibliographic Details
Published in:Acta paulista de enfermagem 2019-07, Vol.32 (4), p.358-364
Main Authors: Amorim, Tamiris Scoz, Backes, Marli Terezinha Stein, dos Santos, Evangelia Kotzias Atherino, da Cunha, Kamylla Santos, Collaço, Vânia Sorgatto
Format: Article
Language:English
Subjects:
Clinical medicine
Codification
Computer programs
Expansion
Health care
Health services
Internet
Medical personnel
Neonatal care
Neonates
Newborn babies
Nurses
Nursing
Nursing care
Obstetrics
Posture
Prenatal care
Primary care
Qualitative research
Quality
Software
Theory
Training
Womens health
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Summary:Objective: To understand the meaning of the expansion of nurses' clinical practice in obstetric and neonatal care in the primary care context. Methods: Qualitative study in which were adopted the theoretical-philosophical reference of Edgar Morin's Complex Thought and the methodological framework of the Grounded Theory. The stages of collection, analysis and construction of the theory occurred in alternating sequences between September 2016 and September 2017. The theoretical saturation of data was reached after including 11 individual interviews with primary care nurses and four participant observations. Data were organized using the NVIVO10® software and analyzed in three steps: open, axial and integration coding. Results: The central phenomenon "Provoking changes in the performance of primary care nurses" and three categories emerged: Understanding the meanings of nursing care management in primary care; Dealing with the antagonistic and regulating movement that influences quality; and Improving quality to promote the resolution of primary care. Conclusion: The meanings of the leadership movement in favor of the expansion of nurses' clinical practice in primary care are related to the resistant posture of some professionals, the inconstancy of human and material resources, but above all, the search for the care essence.
ISSN:0103-2100
1982-0194
DOI:10.1590/1982-0194201900050