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The prevalence of the technocratic model in obstetric care from the perspective of health professionals.

Authors :
Backes MTS
Carvalho KM
Ribeiro LN
Amorim TS
Santos EKAD
Backes DS
Source :
Revista brasileira de enfermagem [Rev Bras Enferm] 2021 Aug 16; Vol. 74 (suppl 4), pp. e20200689. Date of Electronic Publication: 2021 Aug 16 (Print Publication: 2021).
Publication Year :
2021

Abstract

Objectives: to identify the reasons for the prevalence of the technocratic model in obstetric care from the perspective of health professionals.<br />Methods: Grounded Theory. Study approved by two Research Ethics Committees and conducted by theoretical sampling, from July 2015 to June 2017. Twenty-nine interviews were conducted with health professionals from two maternity hospitals in the Southern Region of Brazil. Data collection and analysis was performed alternately; and analysis by open, axial, and selective coding/integration.<br />Results: the technocratic model still persists because the assistance is performed in a mechanized way, centered on the professionals. There is a lack of systematization of care, and under-dimensioning of the nursing staff.<br />Final Considerations: obstetric nurses need to review their performance in obstetric centers, the internal organization, the dimensioning of nursing professionals, and become protagonists of care. Investment in academic training/updating the knowledge of midwifery professionals, based on scientific evidence and user-centered care is necessary.

Details

Language :
English; Portuguese
ISSN :
1984-0446
Volume :
74
Issue :
suppl 4
Database :
MEDLINE
Journal :
Revista brasileira de enfermagem
Publication Type :
Academic Journal
Accession number :
34406273
Full Text :
https://doi.org/10.1590/0034-7167-2020-0689