Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica

Detalhes bibliográficos
Autor(a) principal: ALMEIDA, Rebeca Aranha Arrais Santos
Data de Publicação: 2023
Tipo de documento: Tese
Idioma: por
Título da fonte: Biblioteca Digital de Teses e Dissertações da UFMA
Texto Completo: https://tedebc.ufma.br/jspui/handle/tede/tede/4640
Resumo: Objective: to analyze the experiences of health professionals who worked in obstetric care during the Covid-19 pandemic, according to reports from health professionals. The research question was: what are the experiences of health professionals who worked in obstetric care during the Covid-19 pandemic, according to reports by health professionals in obstetric care? Method: qualitative research carried out with managers, physicians, nurses, residents and nursing technicians working in sectors (prenatal outpatient clinic, obstetric emergency, delivery center and obstetric hospitalization) of a highly complex federal public hospital in Northeast Brazil, from December 2020 to August 2021. The intentional sample was closed by the sense saturation criterion. A structured questionnaire and a semi-structured script were used for individual, recorded and transcribed interviews. Content analysis was used in the thematic modality. Results: 28 professionals were interviewed. The results were presented in the form of articles. Changes in the dynamics of obstetric care were identified. In prenatal care, there was a decrease in elective consultations; increased time between appointments; delay in service due to gowning; implementation of new hygiene protocols; limiting the number of companions; creation of new environments for symptomatic pregnant women; implementation of teleassistance and an increase in unmet demand in Primary Health Care. In childbirth/puerperium, reports pointed to a reduction in the number of beds; testing and isolation of symptomatic patients; limitation of walking, restriction of companions and mandatory use of a mask by the parturient. Changes in the dynamics of professional relationships in obstetric care during the covid-19 pandemic were categorized into: “Conflicts, insecurities and work overload” and “Cooperation, empathy and solidarity”. The first category analyzes the impact of the pandemic on the work environment based on the lack of knowledge about the disease and the illness of professionals and dissatisfaction with the perception of lack of institutional support for professionals. in the midst of so many changes in hospital organization. Conclusion: the pandemic caused the restructuring of services and the creation of spaces for patients with Covid-19, causing a reduction in the number of vacancies for prenatal and postpartum care. These changes were accompanied by new attendance rules. There were conflicts between professionals, as they saw themselves susceptible to contamination and overloaded with work, however, there was also cooperation, motivated by a feeling of identification that united them. Therefore, this work makes contributions to health research, as it enables the understanding of the effects of the pandemic on obstetric care during the covid-19 pandemic and identifies evidence that can support future decisions to mitigate the impacts of health crises on professional relationships, favoring adequate working conditions for health professionals and thus, better care for the population.
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spelling CARVALHO, Ruth Helena de Souza Britto Ferreira dehttp://lattes.cnpq.br/6914279050780248CARVALHO, Ruth Helena de Souza Britto Ferreira dehttp://lattes.cnpq.br/6914279050780248LOYOLA, Cristina Maria Douathttp://lattes.cnpq.br/5128815127967620CORREA, Rita da Graça Carvalhal Frazãohttp://lattes.cnpq.br/6872046904873372LAMY, Zeni Carvalhohttp://lattes.cnpq.br/9896819318523369ALVES, Maria Teresa Seabra Soares de Britto ehttp://lattes.cnpq.br/3910533965773430http://lattes.cnpq.br/8612240966816283ALMEIDA, Rebeca Aranha Arrais Santos2023-04-13T18:00:37Z2023-02-15ALMEIDA, Rebeca Aranha Arrais Santos. Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica. 2023. 106 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2023.https://tedebc.ufma.br/jspui/handle/tede/tede/4640Objective: to analyze the experiences of health professionals who worked in obstetric care during the Covid-19 pandemic, according to reports from health professionals. The research question was: what are the experiences of health professionals who worked in obstetric care during the Covid-19 pandemic, according to reports by health professionals in obstetric care? Method: qualitative research carried out with managers, physicians, nurses, residents and nursing technicians working in sectors (prenatal outpatient clinic, obstetric emergency, delivery center and obstetric hospitalization) of a highly complex federal public hospital in Northeast Brazil, from December 2020 to August 2021. The intentional sample was closed by the sense saturation criterion. A structured questionnaire and a semi-structured script were used for individual, recorded and transcribed interviews. Content analysis was used in the thematic modality. Results: 28 professionals were interviewed. The results were presented in the form of articles. Changes in the dynamics of obstetric care were identified. In prenatal care, there was a decrease in elective consultations; increased time between appointments; delay in service due to gowning; implementation of new hygiene protocols; limiting the number of companions; creation of new environments for symptomatic pregnant women; implementation of teleassistance and an increase in unmet demand in Primary Health Care. In childbirth/puerperium, reports pointed to a reduction in the number of beds; testing and isolation of symptomatic patients; limitation of walking, restriction of companions and mandatory use of a mask by the parturient. Changes in the dynamics of professional relationships in obstetric care during the covid-19 pandemic were categorized into: “Conflicts, insecurities and work overload” and “Cooperation, empathy and solidarity”. The first category analyzes the impact of the pandemic on the work environment based on the lack of knowledge about the disease and the illness of professionals and dissatisfaction with the perception of lack of institutional support for professionals. in the midst of so many changes in hospital organization. Conclusion: the pandemic caused the restructuring of services and the creation of spaces for patients with Covid-19, causing a reduction in the number of vacancies for prenatal and postpartum care. These changes were accompanied by new attendance rules. There were conflicts between professionals, as they saw themselves susceptible to contamination and overloaded with work, however, there was also cooperation, motivated by a feeling of identification that united them. Therefore, this work makes contributions to health research, as it enables the understanding of the effects of the pandemic on obstetric care during the covid-19 pandemic and identifies evidence that can support future decisions to mitigate the impacts of health crises on professional relationships, favoring adequate working conditions for health professionals and thus, better care for the population.Objetivo: analisar as vivências de profissionais de saúde que atuaram na assistência obstétrica durante a pandemia da Covid-19, segundo relatos dos profissionais de saúde. A pergunta de investigação foi: quais as vivências de profissionais de saúde que atuaram na assistência obstétrica durante a pandemia da Covid-19, segundo relatos de profissionais de saúde da assistência obstétrica? Método: pesquisa qualitativa realizada com gestores, médicos, enfermeiros, residentes e técnicos de enfermagem atuantes em setores (ambulatório pré-natal, emergência obstétrica, centro de parto e internação obstétrica) de um hospital público federal de alta complexidade, no Nordeste do Brasil, de dezembro de 2020 a agosto 2021. A amostra intencional foi encerrada pelo critério da saturação de sentidos. Utilizou-se questionário estruturado e roteiro semiestruturado para entrevistas individuais, gravadas e transcritas. Empregou-se análise de conteúdo, na modalidade temática. Resultados: entrevistaram-se 28 profissionais. Os resultados foram apresentados na forma de artigos. Foram identificadas alterações na dinâmica da assistência obstétrica. No pré-natal, houve diminuição das consultas eletivas; aumento do tempo entre consultas; atraso no atendimento devido à paramentação; implantação de novos protocolos de higienização; limitação do número de acompanhantes; criação de novos ambientes para gestantes sintomáticas; implantação de teleatendimento e aumento da demanda não atendida na Atenção Primária à Saúde. No parto/puerpério, relatos apontaram redução do número de leitos; testagem e isolamento das pacientes sintomáticas; limitação da deambulação, restrição de acompanhantes e obrigatoriedade do uso de máscara pela parturiente. As mudanças na dinâmica das relações profissionais na assistência obstétrica durante a pandemia de covid -19 foram categorizadas em: “Conflitos, inseguranças e sobrecarga de trabalho” e “Cooperação, empatia e solidariedade”. A primeira categoria analisa a repercussão da pandemia no ambiente de trabalho a partir do desconhecimento sobre a doença e do adoecimento de profissionais e da insatisfação com a percepção de falta de apoio institucional aos profissionais.. A segunda, analisa as experiências de estreitamento de laços em meio a tantas mudanças na organização hospitalar. Conclusão: a pandemia causou a reestruturação dos serviços e criação de espaços para pacientes com Covid-19, ocasionando redução na oferta de vagas para atendimento pré- natal e pós-parto. Estas mudanças foram acompanhadas por novas regras de atendimento. Houve conflitos entre os profissionais, por se verem suscetíveis à contaminação e sobrecarregados de trabalho, porém, houve também cooperação, motivada por um sentimento de identificação que os uniu. Portanto este trabalho traz contribuições para a pesquisa em saúde, uma vez que possibilita a compreensão de efeitos da pandemia na assistência obstétrica durante a pandemia de covid-19 e identifica evidências que podem fundamentar futuras decisões para atenuar impactos de crises sanitárias nas relações profissionais, favorecendo condições de trabalho adequadas para os profissionais de saúde e assim, melhor atenção à população.Submitted by Jonathan Sousa de Almeida (jonathan.sousa@ufma.br) on 2023-04-13T18:00:37Z No. of bitstreams: 1 REBECAARANHAARRAISSANTOSALMEIDA.pdf: 10734782 bytes, checksum: 13d6f8b69d323f70f49afd3df68ce061 (MD5)Made available in DSpace on 2023-04-13T18:00:37Z (GMT). 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dc.title.por.fl_str_mv Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
dc.title.alternative.eng.fl_str_mv Pandemic Covid-19 in the workplace: perspective of obstetric care workers
title Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
spellingShingle Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
ALMEIDA, Rebeca Aranha Arrais Santos
Covid 19;
pandemias;
profissionais de saúde;
obstetrícia.
Covid-19;
pandemics;
health personnel;
obstetrics.
Obstetrícia
Ciências da Saúde
title_short Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
title_full Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
title_fullStr Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
title_full_unstemmed Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
title_sort Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica
author ALMEIDA, Rebeca Aranha Arrais Santos
author_facet ALMEIDA, Rebeca Aranha Arrais Santos
author_role author
dc.contributor.advisor1.fl_str_mv CARVALHO, Ruth Helena de Souza Britto Ferreira de
dc.contributor.advisor1Lattes.fl_str_mv http://lattes.cnpq.br/6914279050780248
dc.contributor.referee1.fl_str_mv CARVALHO, Ruth Helena de Souza Britto Ferreira de
dc.contributor.referee1Lattes.fl_str_mv http://lattes.cnpq.br/6914279050780248
dc.contributor.referee2.fl_str_mv LOYOLA, Cristina Maria Douat
dc.contributor.referee2Lattes.fl_str_mv http://lattes.cnpq.br/5128815127967620
dc.contributor.referee3.fl_str_mv CORREA, Rita da Graça Carvalhal Frazão
dc.contributor.referee3Lattes.fl_str_mv http://lattes.cnpq.br/6872046904873372
dc.contributor.referee4.fl_str_mv LAMY, Zeni Carvalho
dc.contributor.referee4Lattes.fl_str_mv http://lattes.cnpq.br/9896819318523369
dc.contributor.referee5.fl_str_mv ALVES, Maria Teresa Seabra Soares de Britto e
dc.contributor.referee5Lattes.fl_str_mv http://lattes.cnpq.br/3910533965773430
dc.contributor.authorLattes.fl_str_mv http://lattes.cnpq.br/8612240966816283
dc.contributor.author.fl_str_mv ALMEIDA, Rebeca Aranha Arrais Santos
contributor_str_mv CARVALHO, Ruth Helena de Souza Britto Ferreira de
CARVALHO, Ruth Helena de Souza Britto Ferreira de
LOYOLA, Cristina Maria Douat
CORREA, Rita da Graça Carvalhal Frazão
LAMY, Zeni Carvalho
ALVES, Maria Teresa Seabra Soares de Britto e
dc.subject.por.fl_str_mv Covid 19;
pandemias;
profissionais de saúde;
obstetrícia.
topic Covid 19;
pandemias;
profissionais de saúde;
obstetrícia.
Covid-19;
pandemics;
health personnel;
obstetrics.
Obstetrícia
Ciências da Saúde
dc.subject.eng.fl_str_mv Covid-19;
pandemics;
health personnel;
obstetrics.
dc.subject.cnpq.fl_str_mv Obstetrícia
Ciências da Saúde
description Objective: to analyze the experiences of health professionals who worked in obstetric care during the Covid-19 pandemic, according to reports from health professionals. The research question was: what are the experiences of health professionals who worked in obstetric care during the Covid-19 pandemic, according to reports by health professionals in obstetric care? Method: qualitative research carried out with managers, physicians, nurses, residents and nursing technicians working in sectors (prenatal outpatient clinic, obstetric emergency, delivery center and obstetric hospitalization) of a highly complex federal public hospital in Northeast Brazil, from December 2020 to August 2021. The intentional sample was closed by the sense saturation criterion. A structured questionnaire and a semi-structured script were used for individual, recorded and transcribed interviews. Content analysis was used in the thematic modality. Results: 28 professionals were interviewed. The results were presented in the form of articles. Changes in the dynamics of obstetric care were identified. In prenatal care, there was a decrease in elective consultations; increased time between appointments; delay in service due to gowning; implementation of new hygiene protocols; limiting the number of companions; creation of new environments for symptomatic pregnant women; implementation of teleassistance and an increase in unmet demand in Primary Health Care. In childbirth/puerperium, reports pointed to a reduction in the number of beds; testing and isolation of symptomatic patients; limitation of walking, restriction of companions and mandatory use of a mask by the parturient. Changes in the dynamics of professional relationships in obstetric care during the covid-19 pandemic were categorized into: “Conflicts, insecurities and work overload” and “Cooperation, empathy and solidarity”. The first category analyzes the impact of the pandemic on the work environment based on the lack of knowledge about the disease and the illness of professionals and dissatisfaction with the perception of lack of institutional support for professionals. in the midst of so many changes in hospital organization. Conclusion: the pandemic caused the restructuring of services and the creation of spaces for patients with Covid-19, causing a reduction in the number of vacancies for prenatal and postpartum care. These changes were accompanied by new attendance rules. There were conflicts between professionals, as they saw themselves susceptible to contamination and overloaded with work, however, there was also cooperation, motivated by a feeling of identification that united them. Therefore, this work makes contributions to health research, as it enables the understanding of the effects of the pandemic on obstetric care during the covid-19 pandemic and identifies evidence that can support future decisions to mitigate the impacts of health crises on professional relationships, favoring adequate working conditions for health professionals and thus, better care for the population.
publishDate 2023
dc.date.accessioned.fl_str_mv 2023-04-13T18:00:37Z
dc.date.issued.fl_str_mv 2023-02-15
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
dc.type.driver.fl_str_mv info:eu-repo/semantics/doctoralThesis
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dc.identifier.citation.fl_str_mv ALMEIDA, Rebeca Aranha Arrais Santos. Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica. 2023. 106 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2023.
dc.identifier.uri.fl_str_mv https://tedebc.ufma.br/jspui/handle/tede/tede/4640
identifier_str_mv ALMEIDA, Rebeca Aranha Arrais Santos. Pandemia de Covid-19 no ambiente de trabalho: perspectiva de profissionais da assistência obstétrica. 2023. 106 f. Tese (Programa de Pós-Graduação em Saúde Coletiva/CCBS) - Universidade Federal do Maranhão, São Luís, 2023.
url https://tedebc.ufma.br/jspui/handle/tede/tede/4640
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dc.publisher.none.fl_str_mv Universidade Federal do Maranhão
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dc.publisher.initials.fl_str_mv UFMA
dc.publisher.country.fl_str_mv Brasil
dc.publisher.department.fl_str_mv DEPARTAMENTO DE SAÚDE PÚBLICA/CCBS
publisher.none.fl_str_mv Universidade Federal do Maranhão
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