Objective. To identify the main difficulties first-time mothers experience in the postpartum period, during the first six months of the baby's life. Methods. Level I qualitative, exploratory-descriptive study. The sample consisted of 11 first-time mothers of full-term healthy newborns. The data were collected through the "focus group" method. The mothers' discourse was subject to content analysis, categorizing the registry units. Results. Three categories emerged from the data analyzed that indicate the mothers' main difficulties in this period: postpartum recovery; baby care; marital relationship. Conclusion.The results indicate that, although motherhood is an event marked by positive emotions, the difficulties that emerge in the mothers' daily life can interfere negatively in the quality of parenthood. In this scenario, the nurses play a determinant role in the enhancement of interventions that are sensitive to these needs and that, at the same time, favor these mothers and their families' empowerment, thus optimizing the children's development trajectories.Descriptors: adaptation; focus groups; mothers; parenting; postpartum period. Desafíos de la maternidad en la voz de las primíparas: dificultades inicialesObjetivo. Identificar las principales dificultades de las madres primíparas en el posparto y durante los primeros seis meses de vida del bebé. Métodos.

Introduction: To explore Portuguese pregnant women' knowledge on breastfeeding and to correlate knowledge scores with the socio-demographic variables. Methods: A cross-sectional design was used to assess 621 pregnant women' knowledge on breastfeeding at three health centers in the North of Portugal. The face-to-face interviewing was used to collected data using a clinical instrument composed by 18 knowledge breastfeeding descriptors. The reliability of the instrument was very good (KR-20 = 0.88). Descriptive and inferential statistics were used to examine pregnant women' knowledge and the relation with socio-demographics variables. Results: Pregnant women were found to be more knowledgeable in benefits of breastfeeding. In 14 knowledge descriptors more than 60% of pregnant women revealed lack of knowledge. The most usual lack of knowledge concerned how to increase lactation and how to deal with breastfeeding complications. The pregnant women more knowledgeable were the oldest, with higher education, and with previous experience on breastfeeding. Discussion: Pregnant women revealed a significant lack of knowledge to support basic breastfeeding decisions. The focus of care should emphasize on the younger, the first-time mothers and less well-educated women as particular vulnerable and poorer prepared groups concerning breastfeeding knowledge.

Aims (1) To identify and analyse diagnoses documented by nurses in Portugal within the scope of universal self‐care requisites; (2) to determine the main problems with nursing diagnoses syntaxes for semantic interoperability purposes; and (3) to suggest unified nursing diagnoses syntaxes within the scope of universal self‐care requisites. Background/Introduction Ageing societies and the increase in chronic diseases have led to significant concern regarding individuals' dependence to ensure self‐care. ICNP is widely used by Portuguese nurses in electronic health records for documentation of nursing diagnoses and interventions. Methods A qualitative study using inductive content analysis and focus group: 1. nursing e‐documentation content analysis and 2. focus group to explore implicit criteria or insights from content analysis results. Results From a corpus of analysis with 1793 nursing diagnoses, 432 nursing diagnoses centred on universal self‐care requisites emerged from the content analysis. One hundred ten nursing diagnoses resulted from the application of new encoding criteria that emerged after a focus group meeting. Conclusion Results reveal that nursing diagnoses related to universal self‐care requisites can emphasize the impairment or potentialities of the individuals performing self‐care. It also shows a lack of consensus on nominating the nursing diagnoses of people with a deficit in universal self‐care requisites, resulting in different diagnoses to express the same needs. Implications for nursing practice Representation of most relevant nursing diagnoses within the scope of universal self‐care requisites. Implications for health policy Incorporating standardized language into electronic health records is not enough for improving quality and continuity of care and semantic interoperability achievement. Electronic health records need to work with a nursing ontology in the backend to meet these requirements.

The study confirmed that ICNP® is an important instrument to identify the concepts needed to describe mother and child needs during the perinatal period.

RESUMO Objetivo Conhecer as potencialidades e limitações da atuação do enfermeiro no Centro de Parto Normal (CPN). Método abordagem qualitativa, do tipo exploratório e descritivo, realizado em 2018, com seis enfermeiras atuantes em CPN intra-hospitalar público na região metropolitana de Fortaleza, Ceará, Brasil. A coleta das informações ocorreu por meio de entrevista individual, com análise a partir dos pressupostos da sociologia das profissões, com foco nos temas: conhecimento e autonomia; credencialismo; divisão do trabalho; mercado de trabalho e quadro de valores. Resultado A atuação do enfermeiro no CPN potencializa as boas práticas para o parto e nascimento, bem como amplia a importância e visibilidade deste profissional no cuidado materno-infantil. O cuidado clínico e a gestão emergem como foco da ação do enfermeiro no CPN. No entanto, mesmo com a indução do Estado para essa atuação, ainda há a necessidade de reconhecimento das competências e autonomia do enfermeiro no cuidado obstétrico por outros profissionais. Conclusão e implicações para a prática Há desafios que precisam ser superados como a ampliação da autonomia e do respeito ao credenciamento do enfermeiro para atuação no CPN e a harmonização entre a gestão do processo de trabalho e gestão do cuidado clínico por este profissional.

This review aims to continuously map the nursing knowledge on skin ulcer healing in any context of care.Introduction: Chronic wounds are an increasing concern for society and health care providers. Pressure ulcers and venous ulcers, among others, have devastating effects on morbidity and quality of life and require a systematic approach. The nursing process is an important method that allows a better organization and overall care quality for a systematic and continuous professional approach to nursing management of skin ulcers. The integration of this nursing knowledge in informatics systems creates an opportunity to embed decision-support models in clinical activity, promoting evidence-based practice.Inclusion criteria: This scoping review will consider articles on nursing data, diagnosis, interventions, and outcomes focused on people with skin ulcers in all contexts of care. This review will include quantitative, qualitative, and mixed methods study designs as well as systematic reviews and dissertations.Methods: JBI's scoping review guidance, as well as the Cochrane Collaboration's guidance on living reviews, will be followed to meet the review's objective. Screening of new literature will be performed regularly, with the review updated according to new findings. The search strategy will map published and unpublished studies. The databases to be searched include MEDLINE, CINAHL, Scopus, JBI Evidence Synthesis, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PEDro. Searches for unpublished studies will include OpenGrey and Reposito ´rios Cientı ´ficos de Acesso Aberto de Portugal. Studies published in English and Portuguese since 2010 will be considered for inclusion.

Objectives: assess mothers’ parenting knowledge and skills associated with the parental competence health promotion and monitoring for newborns and infants aged up to six months and determine the key characteristics of mothers who are better prepared for parenting. Method: cross-sectional study conducted in three health centers belonging to a Local Health Unit in the Northern Region of Portugal. Data was collected using clinical interviews conducted with pregnant women or mothers with a child aged up to six months. The tool used contained 21 child health promotion and monitoring indicators associated with different assessment moments: pregnancy, 1st/2nd week, 1st/2nd month, 3rd/4th month, and 5th/6th month. Results: we assessed the knowledge and skills of 629 women. Learning needs were identified for each of the indicators. The mothers who were better prepared for parenting tended to have a higher level of schooling, resided with the child’s father, had other children, had planned pregnancy, and intended to breastfeed. Conclusions: the results showed that knowledge and skills were lacking for each of the periods assessed by this study. First-time single mothers whose pregnancy was unplanned and who did not prepare themselves for parenthood may be considered a vulnerable group.

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