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

to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births. 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, throu...

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Bibliographic Details
Published in:Revista Brasileira de Enfermagem 2023-01, Vol.76 (2), p.e20220388
Main Authors: Webler, Natália, Almeida, Lilian Conceição Guimarães de, Carneiro, Jordana Brock, Campos, Luana Moura, Glaeser, Tanila Amorim, Couto, Telmara Menezes, Lima, Samara Garcia de, Silva, Ingrid Bonfim
Format: Article
Language:eng ; por
Subjects:
Female
Home Childbirth
Humans
Midwifery
Nurses
NURSING
Obstetrics
Original
Pregnancy
Professional Autonomy
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Summary:to understand the exercise of professional autonomy by obstetric nurses in dealing with complications in planned home births. 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. 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. 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.
ISSN:1984-0446
0034-7167
1984-0446
DOI:10.1590/0034-7167-2022-0388