Confronting death at birth: dialogues and solutions from health teachers and students.

Revista da Escola de Enfermagem da U S P Pub Date : 2026-04-10 eCollection Date: 2026-01-01 DOI:10.1590/1980-220X-REEUSP-2025-0381en
Isadora Ferrante Boscoli de Oliveira Alves, Margarete Maria de Lima, Juanah Oliveira Debetio, Kênia Lara Silva, Maria Ligia Dos Reis Bellaguarda, Roberta Costa
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Abstract

Objective: To identify solutions to prepare health professionals to deal with death in the context of birth based on the experiences of teachers and students.

Methods: A qualitative, problematizing study was conducted with 10 teachers and 2 students from the medicine, nursing, and psychology courses at a university in southern Brazil. Data collection was carried out through focus groups, organized according to the stages of Charles Maguerez's problematization arc. The analysis followed Minayo's operationalization and Paulo Freire's theoretical framework.

Results: Health professionals reported difficulties in welcoming different types of grief, associated with gaps in education, institutional limitations, and a lack of spaces for listening. As solutions, they highlighted the cross-cutting inclusion of the theme in undergraduate courses, the creation of spaces for emotional support, the encouragement of interdisciplinary groups, and the strengthening of professional leadership in the face of ethical and care challenges.

Conclusion: The sharing of experiences revealed educational and transformative potential, highlighting the urgency of curricular and institutional changes to improve the quality of care.

面对出生时死亡:卫生教师和学生的对话和解决办法。
目的:根据教师和学生的经验,确定解决办法,使卫生专业人员准备好处理出生背景下的死亡。方法:对巴西南部一所大学医学、护理和心理学课程的10名教师和2名学生进行定性、问题化研究。数据收集是通过焦点小组进行的,根据查尔斯·马格雷斯的问题化弧线的各个阶段进行组织。分析遵循了Minayo的操作化和Paulo Freire的理论框架。结果:卫生专业人员报告说,在欢迎不同类型的悲伤方面存在困难,这与教育差距、制度限制和缺乏倾听空间有关。作为解决方案,他们强调了在本科课程中跨领域纳入主题,为情感支持创造空间,鼓励跨学科小组,以及在面对道德和护理挑战时加强专业领导。结论:经验的分享揭示了教育和变革的潜力,突出了课程和制度改革的紧迫性,以提高护理质量。
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