Reorganização da assistência de enfermagem no processo do parto e nascimento no HUPAA com enfoque na: implantação das boas práticas nas ações de enfermagem e equipe interdisciplinar ao recém-nascido em sala de parto e alojamento conjunto

Abstract

Brazil has signed internal and external commitments to improve the quality of health care provided to pregnant women and newborns, with the objective of reducing maternal and infant mortality. The present study came up with the need to improve and intervene in the care given to the newborns in the delivery room and in the HUPAA joint housing, with the following objectives: To implement good practices in nursing actions and interdisciplinary teams in the delivery room and joint housing; implement the Standard Operating Procedure - POP of Nursing Assistance to the Newborn in the delivery room and in the Joint Housing; to promote the multiprofessional discussion about the importance of good practices to improve care for the newborn. Methodology: it is an intervention project, with HUPAA maternity scenario and methodological strategies: elaboration of the situational diagnosis; discussions with the other specializers and among the nurses of ALCON; presentation of the proposal to the heads; meetings with the nursing team; preparation of the MAGP; reformulation of ALCON's newborn prescription; meetings with the interdisciplinary team; Workshop for Parents; Project Support and Physical Activity in gestation. Results: creation of opportunities for collective analysis of work; discussions with management; inter- and inter-team interaction and maternity inter- strengthening care for the newborn with good vitality at birth; implementation of good practices in nursing actions and interdisciplinary team; awareness of the interdisciplinary team on good practice; improvement and standardization of assistance through POPs; empowerment of professionals, pregnant women, puerperal women and caregivers in the care of newborns; increased confidence of the puerperas and companions in the care provided by the team to their newborns; holistic and humanistic view of the situation and, as an expected result, improvement of quality indicators of obstetric and neonatal care. Conclusion: it is possible to implement good practices, through a collective analysis and transformation movement in Obstetric and Neonatal Care.