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Satisfação da mulher com o parto
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Enquadramento: O Curso de Mestrado em Enfermagem de Saúde Materna e Obstétrica integra a unidade curricular Estágio com Relatório Final, orientada para a formação de mestres e especialistas em Enfermagem de Saúde Materna e Obstétrica, exigindo o desenvolvimento de competências sustentadas na integração entre conhecimento científico, prática clínica e reflexão crítica. A componente clínica, concretizada através do estágio, constitui um eixo estruturante do processo formativo, permitindo a aquisição e desenvolvimento dessas competências. Paralelamente, a componente de investigação, visou a produção de conhecimento científico relevante, tendo incidido na satisfação da mulher com o parto, enquanto indicador multidimensional da qualidade dos cuidados em saúde materna e obstétrica.
Objetivos: Analisar, de forma crítico-reflexiva, o processo de aquisição e desenvolvimento de competências comuns e específicas do EEESMO ao longo do estágio; Analisar a associação entre fatores sociodemográficos, obstétricos, assistenciais e contextuais e a satisfação da mulher com o parto.
Metodologia: Na componente clínica adotou-se uma abordagem descritiva, crítica e reflexiva, sustentada na prática clínica desenvolvida ao longo de 36 semanas de estágio. A análise centrou-se na qualidade dos cuidados prestados, na mobilização fundamentada do conhecimento e no desenvolvimento do raciocínio clínico especializado. Na componente de investigação, desenvolveu-se um estudo quantitativo, descritivo, relacional e transversal, com uma amostra de 454 mulheres. A análise estatística foi realizada com recurso ao IBM SPSS Statistics, AMOS e JASP. Foi obtido parecer favorável da Comissão de Ética do Instituto Politécnico de Viseu.
Resultados: A componente clínica permitiu dar resposta às exigências mínimas preconizadas pela Diretiva 2005/36/CE, transpostas para o ordenamento jurídico português pela Lei n.º 9/2009. Na componente de investigação, os resultados evidenciaram que a satisfação com o parto se associa predominantemente a fatores assistenciais, obstétricos e contextuais à gravidez, em detrimento de variáveis sociodemográficas e contextuais ao recém-nascido.
Conclusão: O estágio e o relatório constituem elementos estruturantes do percurso académico e profissional, promovendo o desenvolvimento e consolidação de competências especializadas, pensamento crítico-reflexivo e uma prática orientada pela qualidade e segurança. Paralelamente, os resultados da investigação evidenciam a natureza multidimensional da satisfação com o parto, reforçando a sua associação predominante a fatores assistenciais e obstétricos, destacando-se a importância da humanização dos cuidados, da promoção de cuidados centrados na mulher e da adoção de uma prática baseada na evidência, que integre dimensões relacionais, emocionais, culturais e organizacionais inerentes ao processo de cuidar.
Palavras-chave: competência profissional; enfermagem obstétrica; saúde materna; satisfação com o parto
Abstract Background: The Master's Degree in Maternal and Obstetric Health Nursing includes the curricular unit Clinical Placement with Final Report, aimed at training master's-level and specialist nurses in Maternal and Obstetric Health Nursing. This requires the development of competencies grounded in the integration of scientific knowledge, clinical practice, and critical reflection. The clinical component, implemented through the clinical placement, constitutes a fundamental pillar of the educational process, enabling the acquisition and development of these competencies. Simultaneously, the research component aimed to generate relevant scientific knowledge, focusing on women's satisfaction with childbirth as a multidimensional indicator of the quality of maternal and obstetric healthcare. Objectives: To analyze, in a critical-reflective manner, the process of acquisition and development of common and specific competencies of the Maternal and Obstetric Health Nursing Specialist throughout the internship; To analyze the association between sociodemographic, obstetric, care-related, and contextual factors and women's satisfaction with childbirth. Methodology: In the clinical component, a descriptive, critical, and reflective approach was adopted, grounded in the clinical practice undertaken over 36 weeks of placement. The analysis focused on the quality of care provided, the evidence-based application of knowledge, and the development of specialised clinical reasoning. In the research component, a quantitative, descriptive-relational, and cross-sectional study was conducted with a sample of 454 women. Statistical analyses were performed using IBM SPSS Statistics, AMOS, and JASP software. Ethical approval was obtained from the Ethics Committee of the Polytechnic Institute of Viseu. Results: The clinical component fulfilled the minimum requirements established by Directive 2005/36/EC, as transposed into Portuguese law through Law No. 9/2009. Within the research component, the findings demonstrated that childbirth satisfaction is predominantly associated with healthcare-related, obstetric, and pregnancy-related contextual factors, rather than with sociodemographic characteristics or newborn-related contextual variables. Conclusion: The clinical placement and final report constitute key components of the academic and professional pathway, fostering the development and consolidation of specialised competencies, critical-reflective thinking, and a practice guided by quality and safety principles. Simultaneously, the research findings highlight the multidimensional nature of childbirth satisfaction, reinforcing its predominant association with healthcare-related and obstetric factors. These findings underscore the importance of humanised care, the promotion of woman-centred care, and the adoption of evidence-based practice that integrates the relational, emotional, cultural, and organisational dimensions inherent to the caregiving process. Keywords: professional competence; obstetric nursing; maternal health; satisfaction with childbirth.
Abstract Background: The Master's Degree in Maternal and Obstetric Health Nursing includes the curricular unit Clinical Placement with Final Report, aimed at training master's-level and specialist nurses in Maternal and Obstetric Health Nursing. This requires the development of competencies grounded in the integration of scientific knowledge, clinical practice, and critical reflection. The clinical component, implemented through the clinical placement, constitutes a fundamental pillar of the educational process, enabling the acquisition and development of these competencies. Simultaneously, the research component aimed to generate relevant scientific knowledge, focusing on women's satisfaction with childbirth as a multidimensional indicator of the quality of maternal and obstetric healthcare. Objectives: To analyze, in a critical-reflective manner, the process of acquisition and development of common and specific competencies of the Maternal and Obstetric Health Nursing Specialist throughout the internship; To analyze the association between sociodemographic, obstetric, care-related, and contextual factors and women's satisfaction with childbirth. Methodology: In the clinical component, a descriptive, critical, and reflective approach was adopted, grounded in the clinical practice undertaken over 36 weeks of placement. The analysis focused on the quality of care provided, the evidence-based application of knowledge, and the development of specialised clinical reasoning. In the research component, a quantitative, descriptive-relational, and cross-sectional study was conducted with a sample of 454 women. Statistical analyses were performed using IBM SPSS Statistics, AMOS, and JASP software. Ethical approval was obtained from the Ethics Committee of the Polytechnic Institute of Viseu. Results: The clinical component fulfilled the minimum requirements established by Directive 2005/36/EC, as transposed into Portuguese law through Law No. 9/2009. Within the research component, the findings demonstrated that childbirth satisfaction is predominantly associated with healthcare-related, obstetric, and pregnancy-related contextual factors, rather than with sociodemographic characteristics or newborn-related contextual variables. Conclusion: The clinical placement and final report constitute key components of the academic and professional pathway, fostering the development and consolidation of specialised competencies, critical-reflective thinking, and a practice guided by quality and safety principles. Simultaneously, the research findings highlight the multidimensional nature of childbirth satisfaction, reinforcing its predominant association with healthcare-related and obstetric factors. These findings underscore the importance of humanised care, the promotion of woman-centred care, and the adoption of evidence-based practice that integrates the relational, emotional, cultural, and organisational dimensions inherent to the caregiving process. Keywords: professional competence; obstetric nursing; maternal health; satisfaction with childbirth.
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Palavras-chave
Competência profissional Enfermagem obstétrica Parto Psicometria Satisfação do paciente Trabalho de parto Labor obstetric Obstetric nursing Parturition Patient satisfaction Professional competence Psychometrics