Accessibility to prenatal care at the Street Outreach Office: nurse perceptions in northern Brazil

to understand nurse perspectives regarding homeless pregnant women's accessibility to prenatal care. a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil. nu...

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Published inRevista Brasileira de Enfermagem Vol. 77Suppl 2; no. Suppl 2; p. e20240090
Main Authors Barbosa, Nayara Gonçalves, Netto, Karoline Cardoso, Mendes, Lise Maria Carvalho, Gozzo, Thaís de Oliveira, Jorge, Herla Maria Furtado, Paiva, Andyara do Carmo Pinto Coelho, Amorim, Thaís Vasconcelos, Gomes-Sponholz, Flávia Azevedo
Format Journal Article
LanguageEnglish
Published Brazil Associação Brasileira de Enfermagem 01.01.2024
Subjects
Adult
Brazil
Female
Health Services Accessibility
Health Services Accessibility - standards
Homeless Persons
Humans
Ill-Housed Persons - psychology
Ill-Housed Persons - statistics & numerical data
Interviews as Topic - methods
Nurses
Nurses - psychology
Nurses - statistics & numerical data
Original
Perception
Pregnancy
Prenatal Care
Prenatal Care - methods
Prenatal Care - standards
Qualitative Research
Women’s Health
Brazil
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Abstract to understand nurse perspectives regarding homeless pregnant women's accessibility to prenatal care. a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil. nurses are faced with geographic barriers and dangerous situations in border regions, recognizing that there is a context of physical, sexual and psychological violence that involves homeless pregnant women who seek care at the Street Outreach Office. Street Outreach Office nurses' work occurs in conjunction with other services in the Health Care Network. The implementation of educational measures is a powerful strategy, as is establishing links with women. the Street Outreach Office's work provides meetings with pregnant women on site in the territory, which can provide geographic and socio-organizational accessibility to prenatal care.
AbstractList ABSTRACT Objectives: to understand nurse perspectives regarding homeless pregnant women’s accessibility to prenatal care. Methods: a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil. Results: nurses are faced with geographic barriers and dangerous situations in border regions, recognizing that there is a context of physical, sexual and psychological violence that involves homeless pregnant women who seek care at the Street Outreach Office. Street Outreach Office nurses’ work occurs in conjunction with other services in the Health Care Network. The implementation of educational measures is a powerful strategy, as is establishing links with women. Final Considerations: the Street Outreach Office’s work provides meetings with pregnant women on site in the territory, which can provide geographic and socio-organizational accessibility to prenatal care. RESUMEN Objetivos: comprender la perspectiva de enfermeros sobre la accesibilidad de las mujeres embarazadas en situación de calle a la atención prenatal. Métodos: estudio cualitativo, con análisis basado en el concepto de accesibilidad. Se realizaron entrevistas semiestructuradas con 11 enfermeros que trabajan en Consultorio en la Calle en el Norte de Brasil. Resultados: los enfermeros enfrentan barreras geográficas y situaciones peligrosas en regiones fronterizas, reconociendo que existe un contexto de violencia física, sexual y psicológica que involucra a mujeres embarazadas en situación de calle que acuden a atención en Consultorio en la Calle. El trabajo de los enfermeros en Consultorio en la Calle se da en conjunto con otros servicios de la Red de Atención a la Salud. La implementación de medidas educativas es una estrategia poderosa, al igual que establecer vínculos con las mujeres. Consideraciones Finales: las actividades de Consultorio en la Calle brindan encuentros con mujeres embarazadas in situ en el territorio, lo que puede brindar accesibilidad geográfica y socioorganizacional a la atención prenatal. RESUMO Objetivos: compreender a perspectiva de enfermeiros acerca da acessibilidade de gestantes em situação de rua ao cuidado pré-natal. Métodos: estudo qualitativo, com análise baseada no conceito de acessibilidade. Foram realizadas entrevistas semiestruturadas, com 11 enfermeiros que trabalham no Consultório na Rua na região Norte do Brasil. Resultados: enfermeiros se deparam com barreiras geográficas e situações de perigo nas regiões de fronteira, reconhecendo que há um contexto de violência física, sexual, psicológica que envolve gestantes em situação de rua que procuram atendimento no Consultório na Rua. A atuação dos enfermeiros do Consultório na Rua ocorre articulada a outros serviços da Rede de Atenção à Saúde. A implementação de medidas educativas é uma estratégia potente, assim como o estabelecimento de vínculos com mulheres. Considerações Finais: a atuação do Consultório na Rua proporciona encontro com as gestantes in loco no território, o que pode propiciar a acessibilidade geográfica e socio-organizacional ao cuidado pré-natal.
ABSTRACT Objectives: to understand nurse perspectives regarding homeless pregnant women’s accessibility to prenatal care. Methods: a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil. Results: nurses are faced with geographic barriers and dangerous situations in border regions, recognizing that there is a context of physical, sexual and psychological violence that involves homeless pregnant women who seek care at the Street Outreach Office. Street Outreach Office nurses’ work occurs in conjunction with other services in the Health Care Network. The implementation of educational measures is a powerful strategy, as is establishing links with women. Final Considerations: the Street Outreach Office’s work provides meetings with pregnant women on site in the territory, which can provide geographic and socio-organizational accessibility to prenatal care.
to understand nurse perspectives regarding homeless pregnant women's accessibility to prenatal care. a qualitative study, with analysis based on the concept of accessibility. Semi-structured interviews were carried out with 11 nurses who work at the Street Outreach Office in northern Brazil. nurses are faced with geographic barriers and dangerous situations in border regions, recognizing that there is a context of physical, sexual and psychological violence that involves homeless pregnant women who seek care at the Street Outreach Office. Street Outreach Office nurses' work occurs in conjunction with other services in the Health Care Network. The implementation of educational measures is a powerful strategy, as is establishing links with women. the Street Outreach Office's work provides meetings with pregnant women on site in the territory, which can provide geographic and socio-organizational accessibility to prenatal care.
Author Mendes, Lise Maria Carvalho
Amorim, Thaís Vasconcelos
Paiva, Andyara do Carmo Pinto Coelho
Gomes-Sponholz, Flávia Azevedo
Gozzo, Thaís de Oliveira
Netto, Karoline Cardoso
Jorge, Herla Maria Furtado
Barbosa, Nayara Gonçalves
AuthorAffiliation III Universidade Federal do Amapá. Macapá, Brazil
I Universidade Federal de Juiz de Fora. Juiz de Fora, Minas Gerais, Brazil
II Universidade de São Paulo. São Paulo, São Paulo, Brazil
IV Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil
V Universidade Federal do Piauí. Teresina, Piauí, Brazil
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– name: IV Universidade de São Paulo. Ribeirão Preto, São Paulo, Brazil
– name: V Universidade Federal do Piauí. Teresina, Piauí, Brazil
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  doi: 10.1186/s40834-020-00113-w
  contributor:
    fullname: Corey E
– volume: 31
  start-page: 869
  issue: 3
  year: 2021
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  article-title: Pobreza multidimensional no Brasil, 1991, 2000 e 2010: uma abordagem espacial para os municípios brasileiros
  publication-title: Nova Econ
  doi: 10.1590/0103-6351/6196
  contributor:
    fullname: Brambilla MA
– start-page: 398
  year: 2021
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  contributor:
    fullname: Creswell JW
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Snippet to understand nurse perspectives regarding homeless pregnant women's accessibility to prenatal care. a qualitative study, with analysis based on the concept of...
ABSTRACT Objectives: to understand nurse perspectives regarding homeless pregnant women’s accessibility to prenatal care. Methods: a qualitative study, with...
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StartPage e20240090
SubjectTerms Adult
Brazil
Female
Health Services Accessibility
Health Services Accessibility - standards
Homeless Persons
Humans
Ill-Housed Persons - psychology
Ill-Housed Persons - statistics & numerical data
Interviews as Topic - methods
Nurses
Nurses - psychology
Nurses - statistics & numerical data
Original
Perception
Pregnancy
Prenatal Care
Prenatal Care - methods
Prenatal Care - standards
Qualitative Research
Women’s Health
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Title Accessibility to prenatal care at the Street Outreach Office: nurse perceptions in northern Brazil
URI https://www.ncbi.nlm.nih.gov/pubmed/39230097
https://pubmed.ncbi.nlm.nih.gov/PMC11370769
https://doaj.org/article/22035db249fb4e38ab8fbfbeb6e5a2cc
Volume 77Suppl 2
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