Estratégias para a formação de enfermeiras obstetras na atuação no parto domiciliar planejado

Abstract

To find out about the strategies used to train obstetric nurses to work with planned home births. This is a study with a quantitative-qualitative and exploratory approach, including a documentary study of course plans and documents from postgraduate courses in obstetric nursing in Brazil and interviews with 13 obstetric nurses working in planned home births in different regions of Brazil. The interviews were organized according to the Collective Subject Discourse (CSD) and analyzed based on the Lifelong Learning (LLL) theory. The document analysis revealed a gap in obstetric nursing training, as the educational scope does not include PHB in postgraduate curricula. The study identified the need for educational strategies guided by the PHB model, emphasizing practical, home-based pedagogical proposals conducted by specialists. It also highlighted learning elements crucial for building the identity of this model within obstetric nursing. Given the lack of a training structure for PHB in the postgraduate obstetric nursing model in Brazil, the study presents strategies that support the necessary and urgent advances to break down the current pedagogical barriers. In this way, it alerts us to the paradigm shift in obstetric nursing, presenting the possibility of instrumentalizing the training of obstetric nurses in PHB care.