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Strengthening nurses in prenatal care through reflection-action.

Deisi Cristine Forlin Benedet1, Marilene Loewen Wall1, Maria Ribeiro Lacerda1

  • 1Universidade Federal do Paraná (UFPR), Departamento de Enfermagem, Programa de Pós-Graduação em Enfermagem. Curitiba, Paraná, Brasil.

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Summary

Nurses improved prenatal care competence through reflection and action. Identifying and addressing obstacles, like understanding work processes, strengthened their professional role and patient care.

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Area of Science:

  • Nursing Science
  • Public Health
  • Healthcare Management

Background:

  • Nurses' competence in prenatal care is crucial for maternal and infant health outcomes.
  • Developing effective strategies to enhance nurses' skills in prenatal care is an ongoing challenge in primary healthcare settings.

Purpose of the Study:

  • To describe the reflection-action process for enhancing nurses' competence in providing prenatal care.
  • To identify facilitators and barriers to nurses' professional development in prenatal care.

Main Methods:

  • Action research methodology was employed with 30 primary healthcare nurses.
  • Workshops were conducted between June and August 2019 to facilitate the reflection-action process.
  • Data analysis followed Creswell's guidelines for qualitative research.

Main Results:

  • Nurses recognized nursing consultation as a key differentiator in prenatal care.
  • Lack of knowledge regarding work processes was identified as an obstacle to nurses' proactive role.
  • Activity registration and communication of the nurse's role were highlighted as crucial for professional advancement.

Conclusions:

  • The reflection-action process effectively enabled nurses to identify and overcome challenges in their practice.
  • Strengthening nurses' understanding of work processes facilitated discussions and implementation of care improvements.
  • The study underscores the importance of continuous professional development for enhancing prenatal care quality.