{"title":"Transition of the insertion of nurse midwives in the delivery room of a teaching hospital.","authors":"Thalita Rocha Oliveira, Valdecyr Herdy Alves","doi":"10.1590/0034-7167-2025-0190","DOIUrl":null,"url":null,"abstract":"<p><strong>Objectives: </strong>to understand the transition of the insertion of nurse midwives in the delivery room based on the Apice On Project in a teaching hospital.</p><p><strong>Methods: </strong>a mixed-method study - Embedded Concurrent Design. Qualitative data were collected from 18 professionals from a maternity hospital in the city of Rio de Janeiro through semi-structured interviews and submitted to content analysis. Quantitative data were extracted from the obstetric indicators logbook and processed using descriptive statistical analysis.</p><p><strong>Results: </strong>the correlation of data indicated determining factors for the performance of specialists: institutional profile, deficiencies in communication flows regarding the Apice On guidelines, and limitations of residency programs in articulating principles of interprofessional education for collaborative practice in obstetrics.</p><p><strong>Final considerations: </strong>experiencing processes of organizational transition in care models requires horizontal communication, awareness, professional engagement, and role definition to overcome institutional barriers.</p>","PeriodicalId":21200,"journal":{"name":"Revista Brasileira De Enfermagem","volume":"79 ","pages":"e20250190"},"PeriodicalIF":1.2000,"publicationDate":"2026-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13679595/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Revista Brasileira De Enfermagem","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1590/0034-7167-2025-0190","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"NURSING","Score":null,"Total":0}
引用次数: 0
Abstract
Objectives: to understand the transition of the insertion of nurse midwives in the delivery room based on the Apice On Project in a teaching hospital.
Methods: a mixed-method study - Embedded Concurrent Design. Qualitative data were collected from 18 professionals from a maternity hospital in the city of Rio de Janeiro through semi-structured interviews and submitted to content analysis. Quantitative data were extracted from the obstetric indicators logbook and processed using descriptive statistical analysis.
Results: the correlation of data indicated determining factors for the performance of specialists: institutional profile, deficiencies in communication flows regarding the Apice On guidelines, and limitations of residency programs in articulating principles of interprofessional education for collaborative practice in obstetrics.
Final considerations: experiencing processes of organizational transition in care models requires horizontal communication, awareness, professional engagement, and role definition to overcome institutional barriers.
期刊介绍：
The Revista Brasileira de Enfermagem created in 1932, March 20 is the official publication of the Associação Brasileira de Enfermagem (Brazilian Nursing Association) has as purpose to disseminate the scientific production from different nursing interest areas of knowledge, including those which express the political project of the Association. The Revista Brasileira de Enfermagem is the oldest journal of the Brazilian nursing. Its first title was "Annaes de Enfermagem" from 1932 to 1941, being entitled Anais de Enfermagem" until 1955, when its title was changed to the current.
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