One-to-one relationship in high-risk prenatal care: a case study

ABSTRACT Objective: To analyze the one-to-one relationship in the context of home visits by nurses to high-risk pregnant women. Method: A case study focused on the relationship established between the nurse and the pregnant woman during home visits. A total of 17 high-risk pregnant women participa...

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Main Authors: Bruna Felisberto de Souza, Monika Wernet, Aline Oliveira Silveira, Vilma Constancia Fioravante dos Santos, Bruna de Souza Lima Marski
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul 2025-05-01
Series:Revista Gaúcha de Enfermagem
Subjects:
Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100424&lng=en&tlng=en
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author Bruna Felisberto de Souza
Monika Wernet
Aline Oliveira Silveira
Vilma Constancia Fioravante dos Santos
Bruna de Souza Lima Marski
author_facet Bruna Felisberto de Souza
Monika Wernet
Aline Oliveira Silveira
Vilma Constancia Fioravante dos Santos
Bruna de Souza Lima Marski
author_sort Bruna Felisberto de Souza
collection DOAJ
description ABSTRACT Objective: To analyze the one-to-one relationship in the context of home visits by nurses to high-risk pregnant women. Method: A case study focused on the relationship established between the nurse and the pregnant woman during home visits. A total of 17 high-risk pregnant women participated, each receiving biweekly visits from nurses for a total of six to 10 visits throughout the prenatal period and into the first month postpartum. Evidence sources included audio recordings and field notes of the visits. The analysis was guided by Joyce Travelbee’s theory which defines five phases for an interpersonal relationship, including original encounter, emerging identities, empathy, sympathy and rapport, necessary to achieve therapeutic interaction in care. Results: The development of the one-to-one relationship allowed nurses to understand the individual needs of the pregnant women. Based on an understanding of each woman’s uniqueness and determining factors, the nurse developed a personalized care plan in collaboration with the patient. Through this relationship, each party revealed themselves, leading to increased autonomy of the woman, who took the lead in achieving her projects, supported by the framework created by the nurse. Final considerations: The one-to-one relationship during home visits produced practical outcomes by identifying specific needs through a therapeutic and collaborative interaction.
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spelling doaj-art-64b34dfdbe3b4513b682616e51b87d212025-08-20T03:12:26ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472025-05-014610.1590/1983-1447.2025.20240141.enOne-to-one relationship in high-risk prenatal care: a case studyBruna Felisberto de Souzahttps://orcid.org/0000-0003-1858-8896Monika Wernethttps://orcid.org/0000-0002-1194-3261Aline Oliveira Silveirahttps://orcid.org/0000-0003-4470-7529Vilma Constancia Fioravante dos Santoshttps://orcid.org/0000-0003-1075-1871Bruna de Souza Lima Marskihttps://orcid.org/0000-0002-8661-2424ABSTRACT Objective: To analyze the one-to-one relationship in the context of home visits by nurses to high-risk pregnant women. Method: A case study focused on the relationship established between the nurse and the pregnant woman during home visits. A total of 17 high-risk pregnant women participated, each receiving biweekly visits from nurses for a total of six to 10 visits throughout the prenatal period and into the first month postpartum. Evidence sources included audio recordings and field notes of the visits. The analysis was guided by Joyce Travelbee’s theory which defines five phases for an interpersonal relationship, including original encounter, emerging identities, empathy, sympathy and rapport, necessary to achieve therapeutic interaction in care. Results: The development of the one-to-one relationship allowed nurses to understand the individual needs of the pregnant women. Based on an understanding of each woman’s uniqueness and determining factors, the nurse developed a personalized care plan in collaboration with the patient. Through this relationship, each party revealed themselves, leading to increased autonomy of the woman, who took the lead in achieving her projects, supported by the framework created by the nurse. Final considerations: The one-to-one relationship during home visits produced practical outcomes by identifying specific needs through a therapeutic and collaborative interaction.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100424&lng=en&tlng=enPrenatal careHigh-risk pregnancyHome visitInterpersonal relationshipsCase study
spellingShingle Bruna Felisberto de Souza
Monika Wernet
Aline Oliveira Silveira
Vilma Constancia Fioravante dos Santos
Bruna de Souza Lima Marski
One-to-one relationship in high-risk prenatal care: a case study
Revista Gaúcha de Enfermagem
Prenatal care
High-risk pregnancy
Home visit
Interpersonal relationships
Case study
title One-to-one relationship in high-risk prenatal care: a case study
title_full One-to-one relationship in high-risk prenatal care: a case study
title_fullStr One-to-one relationship in high-risk prenatal care: a case study
title_full_unstemmed One-to-one relationship in high-risk prenatal care: a case study
title_short One-to-one relationship in high-risk prenatal care: a case study
title_sort one to one relationship in high risk prenatal care a case study
topic Prenatal care
High-risk pregnancy
Home visit
Interpersonal relationships
Case study
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472025000100424&lng=en&tlng=en
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