Autonomy for obstetric nurse on low-risk childbirth care

• Main Authors: Flávia Andréia Pereira Soares dos Santos (Author), Bertha Cruz Enders (Author), Rosineide Santana de Brito (Author), Pedro Henrique Silva de Farias (Author), Gracimary Alves Teixeira (Author), Dândara Nayara Azevêdo Dantas (Author), Sonaira Larissa Varela de Medeiros (Author), Adriana Souza da Silva Rocha (Author)
• Format: Book
• Published: Instituto Materno Infantil de Pernambuco.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 1806-9304; 10.1590/1806-93042019000200012
• Keywords: Enfermagem Obstétrica; Autonomia Profissional; Tocologia; Salas de Parto; Saúde da Mulher; Gynecology and obstetrics; RG1-991
• Source: Revista Brasileira de Saúde Materno Infantil, Vol 19, Iss 2, Pp 471-479

Abstract Objectives: to understand the cultural context presented in hospitals and its relation to the obstetric nurse's autonomous practice on low-risk childbirth care. Methods: ethnographic research performed in three public maternities in Rio Grande do Norte, Brazil. Three managers and twenty-three obstetric nurses participated in this research. Results: distinctive on cultural, organizational and structural aspects of the hospital institution interfering directly with the obstetric nurse's autonomous practice. Among these aspects, professional appreciation on low-risk childbirth care contributes for the nurse's autonomy Conclusions: it was noticed that obstetric nurses undergo different contexts of action, which directly interfere with their autonomy on low-risk childbirth care and their decisionmaking abilities. It is necessary, then, to eradicate the relation of dominance and submission that it is still imposed by medical hegemony.