Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review
Ano de defesa: | 2020 |
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Autor(a) principal: | |
Orientador(a): | |
Banca de defesa: | |
Tipo de documento: | Dissertação |
Tipo de acesso: | Acesso aberto |
Idioma: | por |
Instituição de defesa: |
Universidade Federal de São Carlos
Câmpus São Carlos |
Programa de Pós-Graduação: |
Programa de Pós-Graduação em Enfermagem - PPGEnf
|
Departamento: |
Não Informado pela instituição
|
País: |
Não Informado pela instituição
|
Palavras-chave em Português: | |
Palavras-chave em Inglês: | |
Área do conhecimento CNPq: | |
Link de acesso: | https://repositorio.ufscar.br/handle/ufscar/12723 |
Resumo: | Healthcare centered on the pregnant woman and on collective prenatal care has been growing internationally and aims at valuing the needs of pregnant women, information sharing and social support for the construction of support networks, in addition to the clinical evaluation and other procedures of a traditional prenatal care. In the Brazilian scenario, there has been an increase in the coverage of prenatal care, as well as in the availability for procedure and routine protocols. However, the quality and effectiveness of the developed actions are less than expected. Thus, our study has as Objective: mapping the state of the art of prenatal care in primary care, according to the integrality of care; identifying the factors that are articulated with comprehensive prenatal care and assess the challenges and scope of comprehensive prenatal care in Brazil. Methods: It is a literature review, following the scoping review method, structured according to the protocol of the Joanna Briggs Institute. For the selection of the studies, we consulted digital libraries and multidisciplinary and health databases such as BDTD, CINAHL, COCHRANE, LILACS PUBMED, SCIELO, SCOPUS and WEB OF SCIENCE, selecting individual and international published material, available online from the beginning of 1980 until June 2019. 1,848 records were identified in the search, from which a sample of 26 studies was selected, among theses, dissertations and scientific articles, described in the recommendation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Prisma) flow diagram. Tables were made aiming at showing the selected studies, following numerical order, Study title, Place/Country/Year of publication, Type of Study, Theoretical-methodological approach, Population, Main results, Care Comprehensiveness Definition and Scope or Challenge, as well as the profile of the journals according to their year of publication, databases, continent, publication, country, study type, type of journal, approach, and study population. The thematic analysis followed four axes: Axis of Needs, Axis of Purposes, Axis of Articulation and Axis of Interactions, taking as parameters the axes of integrality idealized by Ayres, seeking a critical discussion on the scope and challenges of comprehensive prenatal treatment. Results: The most contemplated category in the achievement of comprehensive care was the one on the needs, which is, at the same time, the one that shows most challenges. The axis on articulation and the other ones showed the difficulties in reaching interdisciplinary knowledge and practices, pointing to the need for training and changes in professional posture, articulation of healthcare networks, cooperation between health and social sectors, participation and social mobilization. Final Considerations: The analyses we carried out allow us to conclude that, to achieve comprehensive care, it is necessary to value the quality of the intersubjective interactions in the care for pregnant women and in the construction of interdisciplinary teamwork. Care centered on the needs of pregnant women and their family has been shown to be an exemplary model of care and could be a guide for the reorganization of the work process. |
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Barbieri, Melina Renata BlasckeFabbro, Márcia Regina Cangianihttp://lattes.cnpq.br/6978014098495031http://lattes.cnpq.br/712913098627699173140266-50a7-42b1-b73c-e4fa247e05232020-05-15T22:42:01Z2020-05-15T22:42:01Z2020-02-12BARBIERI, Melina Renata Blascke. Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review. 2020. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/12723.https://repositorio.ufscar.br/handle/ufscar/12723Healthcare centered on the pregnant woman and on collective prenatal care has been growing internationally and aims at valuing the needs of pregnant women, information sharing and social support for the construction of support networks, in addition to the clinical evaluation and other procedures of a traditional prenatal care. In the Brazilian scenario, there has been an increase in the coverage of prenatal care, as well as in the availability for procedure and routine protocols. However, the quality and effectiveness of the developed actions are less than expected. Thus, our study has as Objective: mapping the state of the art of prenatal care in primary care, according to the integrality of care; identifying the factors that are articulated with comprehensive prenatal care and assess the challenges and scope of comprehensive prenatal care in Brazil. Methods: It is a literature review, following the scoping review method, structured according to the protocol of the Joanna Briggs Institute. For the selection of the studies, we consulted digital libraries and multidisciplinary and health databases such as BDTD, CINAHL, COCHRANE, LILACS PUBMED, SCIELO, SCOPUS and WEB OF SCIENCE, selecting individual and international published material, available online from the beginning of 1980 until June 2019. 1,848 records were identified in the search, from which a sample of 26 studies was selected, among theses, dissertations and scientific articles, described in the recommendation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Prisma) flow diagram. Tables were made aiming at showing the selected studies, following numerical order, Study title, Place/Country/Year of publication, Type of Study, Theoretical-methodological approach, Population, Main results, Care Comprehensiveness Definition and Scope or Challenge, as well as the profile of the journals according to their year of publication, databases, continent, publication, country, study type, type of journal, approach, and study population. The thematic analysis followed four axes: Axis of Needs, Axis of Purposes, Axis of Articulation and Axis of Interactions, taking as parameters the axes of integrality idealized by Ayres, seeking a critical discussion on the scope and challenges of comprehensive prenatal treatment. Results: The most contemplated category in the achievement of comprehensive care was the one on the needs, which is, at the same time, the one that shows most challenges. The axis on articulation and the other ones showed the difficulties in reaching interdisciplinary knowledge and practices, pointing to the need for training and changes in professional posture, articulation of healthcare networks, cooperation between health and social sectors, participation and social mobilization. Final Considerations: The analyses we carried out allow us to conclude that, to achieve comprehensive care, it is necessary to value the quality of the intersubjective interactions in the care for pregnant women and in the construction of interdisciplinary teamwork. Care centered on the needs of pregnant women and their family has been shown to be an exemplary model of care and could be a guide for the reorganization of the work process.O cuidado centrado na gestante e no pré-natal coletivo vem crescendo no cenário internacional, e visa, além da avaliação clínica e demais procedimentos de um pré-natal tradicional, valorizar as necessidades das gestantes, o compartilhamento de informações e o suporte social para a construção de redes de apoio. No cenário brasileiro houve um aumento da cobertura do pré-natal, bem como a disponibilização de protocolos de procedimentos e rotina, porém a qualidade e efetividade das ações desenvolvidas deixam a desejar. O presente estudo tem como Objetivo: Mapear o estado da arte do cuidado Pré-Natal na atenção primária, segundo a integralidade do cuidado, Identificar os fatores que se articulam com a integralidade do cuidado no pré-natal e avaliar os desafios e alcances da integralidade do cuidado no Pré-natal no Brasil. Método: Trata-se de uma revisão de literatura, seguindo o método scoping review, estruturado conforme protocolo do Instituto Joanna Briggs. Para a seleção dos estudos, foram consultadas as bibliotecas digitais e bases de dados multidisciplinares e da área da saúde, como, BDTD, CINAHL, COCHRANE, LILACS PUBMED, SCIELO, SCOPUS e WEB OF SCIENCE, selecionadas publicações nacionais e internacionais disponíveis online na integra e publicadas com o marco de início de 1980 até junho 2019. Identificaram-se nas buscas 1.848 registros, dos quais foi selecionada uma amostra de 26 estudos, entre teses, dissertações e artigos científicos, descrita no fluxograma de recomendação Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Prisma). Foram feitos quadros visando expor os estudos selecionados, segundo ordem numérica, Título do estudo, Local/Pais/Ano de publicação, Tipo de Estudo, Abordagem teórico-metodológica, População, Principais resultados, Definição de Integralidade do Cuidado e Alcance ou Desafio, bem como o perfil dos periódicos segundo ano de publicação, bases de dados, continente, publicação, país, tipo de estudo, tipo de periódico, abordagem e população do estudo. A análise de conteúdo – modalidade temática seguiu quatro eixos: Eixo das Necessidades, Eixo das Finalidades, Eixo da Articulação e Eixo das Interações, tomando como parâmetro os eixos da integralidade idealizados por Ayres, buscando uma discussão crítica dos alcances e desafios da integralidade do cuidado no pré-natal. Resultados: A categoria mais contemplada no alcance da integralidade do cuidado foi a das necessidades e, ao mesmo tempo a que mais aponta desafios. A do eixo articulação e as demais mostram as dificuldades no alcance dos saberes e práticas interdisciplinares, apontando a necessidade das capacitações e mudanças na postura profissional, articulação de redes de atenção à saúde, cooperação entre setores da saúde e sociais, participação e mobilização social. Considerações Finais: As análises efetuadas permitiram concluir que, para o alcance da integralidade do cuidado, é preciso valorizar a qualidade das interações intersubjetivas no cuidado à gestante e na construção do trabalho em equipe interdisciplinar. O cuidado centrado nas necessidades da gestante e sua família tem sido evidenciado como um modelo exemplar de cuidado e pode ser um guia para a reorganização do processo de trabalho.Não recebi financiamentoporUniversidade Federal de São CarlosCâmpus São CarlosPrograma de Pós-Graduação em Enfermagem - PPGEnfUFSCarAttribution-NonCommercial-NoDerivs 3.0 Brazilhttp://creativecommons.org/licenses/by-nc-nd/3.0/br/info:eu-repo/semantics/openAccessCuidado pré-natalAssistência integral à saúdeGarantia da qualidade dos cuidados de saúdePessoal de saúdeGestantesPrenatal careComprehensive health careHealth care quality guarantyHealth workersPregnant womenCIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM OBSTETRICAMapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping reviewMapping comprehensive care during prenatal care in primary care: scoping reviewinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/masterThesis60060040a34035-edb0-4b65-b11f-892e8ca332b7reponame:Repositório Institucional da UFSCARinstname:Universidade Federal de São Carlos (UFSCAR)instacron:UFSCARORIGINALTEXTO DISSERTAÇÃO final.pdfTEXTO DISSERTAÇÃO final.pdfArquivo principal: Dissertação :Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping reviewapplication/pdf1492153https://repositorio.ufscar.br/bitstream/ufscar/12723/3/TEXTO%20DISSERTA%c3%87%c3%83O%20final.pdf2d3e3d6eb88b171d63dabf8885da6203MD53Carta de Orientador.pdfCarta de Orientador.pdfCarta Orientadorapplication/pdf255110https://repositorio.ufscar.br/bitstream/ufscar/12723/5/Carta%20de%20Orientador.pdf15b0684c7727bd7278ca31f213a0d411MD55CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8811https://repositorio.ufscar.br/bitstream/ufscar/12723/6/license_rdfe39d27027a6cc9cb039ad269a5db8e34MD56TEXTTEXTO DISSERTAÇÃO final.pdf.txtTEXTO DISSERTAÇÃO final.pdf.txtExtracted texttext/plain437956https://repositorio.ufscar.br/bitstream/ufscar/12723/7/TEXTO%20DISSERTA%c3%87%c3%83O%20final.pdf.txt7506baa05842a1d7b93a4c5ca3299906MD57Carta de Orientador.pdf.txtCarta de Orientador.pdf.txtExtracted texttext/plain2https://repositorio.ufscar.br/bitstream/ufscar/12723/9/Carta%20de%20Orientador.pdf.txtd784fa8b6d98d27699781bd9a7cf19f0MD59THUMBNAILTEXTO DISSERTAÇÃO final.pdf.jpgTEXTO DISSERTAÇÃO final.pdf.jpgIM Thumbnailimage/jpeg6117https://repositorio.ufscar.br/bitstream/ufscar/12723/8/TEXTO%20DISSERTA%c3%87%c3%83O%20final.pdf.jpg5be3b9ba1a348678dfe76415ed225ac9MD58Carta de Orientador.pdf.jpgCarta de Orientador.pdf.jpgIM Thumbnailimage/jpeg9595https://repositorio.ufscar.br/bitstream/ufscar/12723/10/Carta%20de%20Orientador.pdf.jpg6d42cdee8ff1ba13d5191243c95c1658MD510ufscar/127232023-09-18 18:31:54.624oai:repositorio.ufscar.br:ufscar/12723Repositório InstitucionalPUBhttps://repositorio.ufscar.br/oai/requestopendoar:43222023-09-18T18:31:54Repositório Institucional da UFSCAR - Universidade Federal de São Carlos (UFSCAR)false |
dc.title.por.fl_str_mv |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
dc.title.alternative.eng.fl_str_mv |
Mapping comprehensive care during prenatal care in primary care: scoping review |
title |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
spellingShingle |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review Barbieri, Melina Renata Blascke Cuidado pré-natal Assistência integral à saúde Garantia da qualidade dos cuidados de saúde Pessoal de saúde Gestantes Prenatal care Comprehensive health care Health care quality guaranty Health workers Pregnant women CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM OBSTETRICA |
title_short |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
title_full |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
title_fullStr |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
title_full_unstemmed |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
title_sort |
Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review |
author |
Barbieri, Melina Renata Blascke |
author_facet |
Barbieri, Melina Renata Blascke |
author_role |
author |
dc.contributor.authorlattes.por.fl_str_mv |
http://lattes.cnpq.br/7129130986276991 |
dc.contributor.author.fl_str_mv |
Barbieri, Melina Renata Blascke |
dc.contributor.advisor1.fl_str_mv |
Fabbro, Márcia Regina Cangiani |
dc.contributor.advisor1Lattes.fl_str_mv |
http://lattes.cnpq.br/6978014098495031 |
dc.contributor.authorID.fl_str_mv |
73140266-50a7-42b1-b73c-e4fa247e0523 |
contributor_str_mv |
Fabbro, Márcia Regina Cangiani |
dc.subject.por.fl_str_mv |
Cuidado pré-natal Assistência integral à saúde Garantia da qualidade dos cuidados de saúde Pessoal de saúde Gestantes |
topic |
Cuidado pré-natal Assistência integral à saúde Garantia da qualidade dos cuidados de saúde Pessoal de saúde Gestantes Prenatal care Comprehensive health care Health care quality guaranty Health workers Pregnant women CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM OBSTETRICA |
dc.subject.eng.fl_str_mv |
Prenatal care Comprehensive health care Health care quality guaranty Health workers Pregnant women |
dc.subject.cnpq.fl_str_mv |
CIENCIAS DA SAUDE::ENFERMAGEM::ENFERMAGEM OBSTETRICA |
description |
Healthcare centered on the pregnant woman and on collective prenatal care has been growing internationally and aims at valuing the needs of pregnant women, information sharing and social support for the construction of support networks, in addition to the clinical evaluation and other procedures of a traditional prenatal care. In the Brazilian scenario, there has been an increase in the coverage of prenatal care, as well as in the availability for procedure and routine protocols. However, the quality and effectiveness of the developed actions are less than expected. Thus, our study has as Objective: mapping the state of the art of prenatal care in primary care, according to the integrality of care; identifying the factors that are articulated with comprehensive prenatal care and assess the challenges and scope of comprehensive prenatal care in Brazil. Methods: It is a literature review, following the scoping review method, structured according to the protocol of the Joanna Briggs Institute. For the selection of the studies, we consulted digital libraries and multidisciplinary and health databases such as BDTD, CINAHL, COCHRANE, LILACS PUBMED, SCIELO, SCOPUS and WEB OF SCIENCE, selecting individual and international published material, available online from the beginning of 1980 until June 2019. 1,848 records were identified in the search, from which a sample of 26 studies was selected, among theses, dissertations and scientific articles, described in the recommendation of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (Prisma) flow diagram. Tables were made aiming at showing the selected studies, following numerical order, Study title, Place/Country/Year of publication, Type of Study, Theoretical-methodological approach, Population, Main results, Care Comprehensiveness Definition and Scope or Challenge, as well as the profile of the journals according to their year of publication, databases, continent, publication, country, study type, type of journal, approach, and study population. The thematic analysis followed four axes: Axis of Needs, Axis of Purposes, Axis of Articulation and Axis of Interactions, taking as parameters the axes of integrality idealized by Ayres, seeking a critical discussion on the scope and challenges of comprehensive prenatal treatment. Results: The most contemplated category in the achievement of comprehensive care was the one on the needs, which is, at the same time, the one that shows most challenges. The axis on articulation and the other ones showed the difficulties in reaching interdisciplinary knowledge and practices, pointing to the need for training and changes in professional posture, articulation of healthcare networks, cooperation between health and social sectors, participation and social mobilization. Final Considerations: The analyses we carried out allow us to conclude that, to achieve comprehensive care, it is necessary to value the quality of the intersubjective interactions in the care for pregnant women and in the construction of interdisciplinary teamwork. Care centered on the needs of pregnant women and their family has been shown to be an exemplary model of care and could be a guide for the reorganization of the work process. |
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2020 |
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2020-05-15T22:42:01Z |
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2020-05-15T22:42:01Z |
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2020-02-12 |
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BARBIERI, Melina Renata Blascke. Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review. 2020. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/12723. |
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https://repositorio.ufscar.br/handle/ufscar/12723 |
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BARBIERI, Melina Renata Blascke. Mapeamento da integralidade do cuidado durante o pré-natal na atenção primária: scoping review. 2020. Dissertação (Mestrado em Enfermagem) – Universidade Federal de São Carlos, São Carlos, 2020. Disponível em: https://repositorio.ufscar.br/handle/ufscar/12723. |
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