Cuidado humanizado no pré-natal: revisão integrativa sobre concepções e a formação do enfermeiro

Abstract

Introduction: Humanization of care in prenatal care emerges as a central strategy in Brazilian public policies, such as the PNH, Rede Cegonha, and the recent Rede Alyne, aiming to overcome the fragmentation of care and reduce maternal mortality. In this context, the nurse assumes a strategic role, supported by the Professional Exercise Law and COFEN resolutions, to promote welcoming and therapeutic bonds. However, reflections from academic practice question whether current education effectively prepares this professional for the subjective dimensions of care. Objective: To analyze, from the scientific nursing literature, the conceptions of humanization related to the care of pregnant women during prenatal care and the implications they generate for nursing education. Methodology: This is an integrative literature review with a qualitative approach conducted in the BDENF, BVS, and SciELO databases, covering the period from 2011 to 2026. Data analysis was processed with the aid of webQDA software, resulting in thematic categories. Results: The analysis of the 26 articles revealed a predominance of the qualitative approach and the use of normative frameworks such as the PNH. The categorization resulted in seven thematic axes: 1) Conceptions of humanization (n=16), divided into political, social, and philosophical strands; 2) Implications for nursing education (n=4); 3) Formative needs (n=4); 4) Contributions to care (n=2); 5) Humanizing actions (n=17); 6) Humanizing strategies (n=8); and 7) Contradictions (n=13). Conclusion: The study revealed that humanization in prenatal care is still strictly anchored in official political guidelines, lacking its own theoretical deepening in nursing that explicates philosophical, sociological, and anthropological bases. A formative and care paradox was evidenced: a humanistic nurse is required, but the structure and nursing education still prioritize technicism and protocol execution, neglecting social justice and the material support of services. As a limitation, the theoretical nature of the review is pointed out, recommending future empirical studies in daily care.