Acolhimento no contexto da assistência de enfermagem à mulher: revisão sistemática com metassíntese

Abstract

The present study had as objective to identify and to analyse the conceptions of embracement, from the nursing’s scientific publications in woman’s health care. It was performed based on the ideas that women are the majority of the population and the main users of health services, and that the embracement has been configured as a humanization strategy for care. In an attempt to overcome the errors and limitations of the current technocratic care model and to produce positive changes in ways of managing and caring for oneself, SUS launches in 2003, the National Humanization Policy (PNH), which seeks to put SUS principles into practice. Its directives and devices guide the work of the HNP, such as: reception, participative management and co-management, ambience, extended and shared clinic, valorization of the worker, protection of users' rights and training and intervention. This study was carried out based on the systematic review of the literature of 24 articles about the embracement, we sought to integrate the different meanings of the term, from the perspective of users and nurses. The conceptions lead to 7 themes created from the association of different ideas / conceptions, grouped by their affinity, similarity or function. In the 1st theme embracement is conceived by the nurses as a technique of organization of the service and work process that especially involves the nurse. The other theme involve the conception of nurses and women / users, being conceived in the 2nd nucleus as a relation of mutual interest, an affective attitude or manifestation of approximation and inclusion. In the 3rd theme it takes the configuration of a tool or an element to make a humanized attention. In the 4th theme embracement represents a way of communication between professional and assisted woman that involves verbal and non-verbal communication. In the 5th theme it acquires the value of an attribute or quality indispensable to professional practice. In the 6th theme is seen as the establishment of link in the network and between professionals and user. In the 7th theme it manifests itself through feelings of confidence and security that the professional transmits during the assistance. Through the analysis, it was concluded that the conception of reception involves two dimensions: a humanized one associated with the perceptions of the women / users and professionals, and another technique linked to a perception exclusively of the professionals showing that the nursing adds an extra value to the term embracement, And that they will have as their basis for their actions the meaning they associate with the term embracement. Each idea / conception has a link, perceived as a search or as an expectation of promoting the empowerment and protagonism of women assisted during their health and disease process.