Dimensions of nursing-midwifery care during the COVID-19 pandemic in light of Jean Watson

Rev Esc Enferm USP. 2024 Dec 6:58:e20240169. doi: 10.1590/1980-220X-REEUSP-2024-0169en. eCollection 2024.
[Article in English, Portuguese]

Abstract

Objective: To understand the theoretical dimensions of nursing-midwifery care for women in labor during the COVID-19 pandemic.

Method: A qualitative study with 40 nurse-midwives. Data were collected from May to July 2021, through interviews, subjected to thematic content analysis and discussed in light of Jean Watson's Theory of Transpersonal Human Caring.

Results: The creative dimension encompassed the sixth, eighth and ninth elements of the process, manifesting itself in adaptations implemented in care. The humanistic and cultural dimensions were formed from the first, second, fourth and fifth elements, expressed in the way nurse-midwives care for, which subsidized the educational dimension, which encompassed the tenth element, as well as the spiritual dimension, elucidating the third element.

Conclusion: The care provided by nurse-midwives to women in labor presented dimensions that permeated the ten elements of the Clinical Caritas process, enabling transpersonality in care in the face of COVID-19 control measures that, almost always, led to procedural, prescriptive and impersonal care.

Objetivo:: Comprender las dimensiones teóricas de la atención brindada por enfermeras obstétricas a las parturientas durante la pandemia de COVID-19.

Método:: Estudio cualitativo con 40 enfermeras obstétricas. Los datos se recopilaron de mayo a julio de 2021, a través de entrevistas, sometidas a análisis de contenido temático y discutidas a la luz de la Teoría del Cuidado Humano Transpersonal de Jean Watson.

Resultados:: La dimensión creativa abarcó los elementos sexto, octavo y noveno del proceso, manifestándose en las adaptaciones implementadas en el cuidado. Las dimensiones humanística y cultural se formaron a partir del primer, segundo, cuarto y quinto elementos, expresados en la forma de cuidar a las enfermeras obstétricas, que subvencionó la dimensión educativa, que abarcó el décimo elemento, así como la dimensión espiritual, dilucidando el tercer elemento.

Conclusión:: La atención brindada por enfermeras obstétricas a las parturientas presentó dimensiones que permearon los diez elementos del proceso de Cáritas Clínica, posibilitando la transpersonalidad en la atención frente a las medidas de control de la COVID-19 que, casi siempre, derivaron en asistencia procesal, prescriptiva e impersonal.

MeSH terms

  • Adult
  • COVID-19*
  • Female
  • Humans
  • Midwifery
  • Nurse Midwives
  • Pandemics
  • Pregnancy
  • Qualitative Research

Grants and funding

This work was carried out with the support of the Fundação Carlos Chagas Filho de Amparo à Pesquisa do Estado do Rio de Janeiro (FAPERJ). Notice 26/2021 – Basic Research Aid (APQ) in state ICTs UERJ, UENF and UEZO-2021. Process SEI-260003/015406/2021 – APQ1.