AUTONOMY AND CHALLENGES FROM THE PERSPECTIVE OF THE OBSTETRIC NURSE

Abstract

Introduction: The interventional care model is closely linked to unfavorable maternal-fetal outcomes, highlighting the need for a shift in perspective, in which obstetric nursing plays a fundamental role in providing humanized care. Thus, the autonomy of the obstetric nurse becomes essential to ensuring that the woman’s protagonism and the natural physiology of childbirth are respected. Objective: To understand the perception of obstetric nurses regarding autonomy, advancements, and challenges in their professional practice. Methodology: This is a qualitative study, with data collection conducted between June and October 2024 through semi-structured interviews with three guiding questions. Twenty obstetric nurses who assist women in labor and childbirth participated. Results: Two major analytical categories emerged: Autonomy and Challenges in Care. The study revealed that professional autonomy is linked to knowledge and scientific evidence, fostering respect within the multidisciplinary team. It also highlighted the humanization of care when obstetric nurses lead the labor process. However, challenges persist, such as a lack of awareness among senior professionals about the roles of obstetric nurses and a shortage of essential supplies. Final considerations: The role of obstetric nurses in maternal and infant health presents both advancements and challenges, particularly regarding professional autonomy and collaboration within multidisciplinary teams. Overcoming these obstacles requires a reassessment of health policies, continuous professional training, and improved resource management.