Abstract
to analyze how certified nurse-midwives identify preceptorship in a nursing-midwifery enhancing course conducted by the Universidade Federal Fluminense as a possibility of training to promote institutional support and intervention. a descriptive, exploratory research with qualitative approach. Six certified nurse-midwife preceptors from the Nursing-Midwifery Enhancing Course participated in the study in 2019. Two public maternity hospitals in Rio de Janeiro were settings of the research. Individual interview and thematic content analysis were used to collect and analyze data. exchange of knowledge between preceptors and trainees encouraged learning and reflection stemming from delivery and birth, contributing to expansion of autonomy and professional leading role in training, health care, and management. collective meetings that promote work analysis and value the performance of certified nurse-midwives have led to intervention processes and institutional support in maternity hospitals in Rio de Janeiro, Brazil.
Highlights
The use of strategies to empower, or improve people in the workplace has been used by management in health institutions due to the need to foster dialogues and experiences that approach the practical reality
This descriptive, exploratory, and qualitative research was guided by COREQ[20], having as participants certified nurse-midwives preceptors from NMEC funded by Ministry of Health (MoH) and conducted by the Escola de Enfermagem Aurora de Afonso Costa of Universidade Federal Fluminense (UFF)
Looking at training process in the setting of delivery and birth, from the preceptorship performed by certified nurse-midwives in maternity hospitals following APICEON/MoH, practical fields of NMEC/MoH/UFF in Rio de Janeiro, allowed considering the work with the perspective of strengthening collectives and changing the institutional daily reality
Summary
The use of strategies to empower, or improve people in the workplace has been used by management in health institutions due to the need to foster dialogues and experiences that approach the practical reality. In the context of delivery and birth, the World Health Organization (WHO)(1) and the Ministry of Health (MoH) in Brazil have encouraged implementing actions based on the Brazilian National Humanization Policy of care and management of the Brazilian Health System (Sistema Único de Saúde, abbreviated SUS) (Política Nacional de Humanização, abbreviated PNH, 2003), the Prenatal and Birth Humanization Program (Programa de Humanização de Pré-Natal e Nascimento, abbreviated PHPN, 2002), the Brazilian National Policy for Comprehensive Women’s Health Care (Política Nacional de Atenção Integral à Saúde da Mulher, 2004 and 2011) and the Stork Network (Rede Cegonha, 2011)(2-3) They signal permanent need to institutionalize a model of delivery care, whose health practices qualify a less interventionist and more humanized care network[4,5]. The project expanded enhances qualification of health care, management, and training in university hospitals and teaching maternity hospitals[9]
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