Objective: To analyze maternal care for siblings of preterm babies hospitalized in the neonatal intensive care unit. Method: Qualitative research using symbolic interactionism as a theoretical reference and narrative research as a methodological reference. Ten mothers were surveyed through semi-structured interviews. Results: Three thematic units emerged from the analysis of data: “social support in the sharing of child care”; “promotion of adaptation to the arrival of a sibling” and “maternal feelings and coping”. Final considerations: Care for the premature child’s sibling is developed under mothers’ physical distance from him/her, justified by the need to remain close to the premature child due to risks and fragility related to the condition.
Objective: to analyze the Developmental Care in nursing care for Newborns in critical Neonatal Intensive Care Units. Method: a qualitative study with 11 nurses from Neonatal Intensive Care Units of a city in the State of São Paulo countryside, based on the Developmental Care. Data collection was based on non-participant observation, documentary research in medical records and semi-structured interviews. The Symbolic Interactionism was adopted as theoretical framework, and the Bardin Content Analysis, as method of analysis. Results: nurses have knowledge about Developmental Care; however, there are dissonances with doing them. The analysis is presented from two thematic categories: "Nurses' performance in the Developmental Care" and "Nurse, Family and Developmental Care". Final considerations: it is necessary to encourage reflections on the care of nurses regarding Developmental Care, and to foster sensitivity and perception in relation to the executed and registered.
Objective: to unveil the interrelation of childhood colic management by mothers and Family Health Strategy professional. Methods: a qualitative, exploratory and descriptive research carried out with 4 Family Health Strategy teams and 31 mothers who experienced childhood colic. Data collection included, respectively, focus group and individual unstructured interview. Symbolic Interactionism was adopted as the theoretical framework, and Narrative Research as methodological. Results: two themes emerged: “Colic approach” and “Social support and care”. Professional childhood colic management is based on diagnosis and drug interventions. For mothers, the child’s suffering and impotence in the face of the disease stand out. Final considerations: childhood colic is socially widespread because it is a physiological and self-limiting event. Mothers felt helpless in the face of childhood colic. Professionals felt the need to expand their care, with a view to achieving maternal suffering and alleviating it.
doi: 10.5216/ree.v15i2.17419 - http://dx.doi.org/10.5216/ree.v15i2.17419 RESUMO Estudo descritivo e exploratório, de natureza qualitativa, que teve como objetivo compreender a percepção de enfermeiros de uma unidade pediátrica sobre a inserção de familiares/acompanhantes no processo de cuidado. Realizou-se nos meses de junho e julho de 2011, por meio de entrevistas gravadas, com enfermeiras do setor de Pediatria de um hospital de ensino público que adota a prática de “Internação Conjunta Pediátrica”. Mediante a Análise de Conteúdo, na modalidade Análise Temática, estabeleceram-se três eixos temáticos: Inserção do acompanhante na unidade de internação pediátrica; Desvelando a realidade de compartilhamento do cuidado com o acompanhante; Perspectivas para a efetividade da negociação do cuidado. Os resultados apontaram que há inconsistências no modo como o enfermeiro compreende a negociação do cuidado da criança e também na inserção do acompanhante nesse processo. Descritores: Enfermagem Pediátrica; Negociação; Criança Hospitalizada; Família.
Objective:To analyze the influence of health professionals' receptiveness on parental care of children with retinopathy of prematurity (ROP). Method: A qualitative study developed under the theoretical framework of Symbolic Interactionism and using a narrative research methodology. Six women and three men, being parents of children with retinopathy of prematurity were individually interviewed in depth. Results: From the scope of information, emotions and their rights, the parents experienced receptiveness from some professionals and unreceptiveness from others. The predominance of unreceptive attitudes in the parental narratives originated the following analysis themes: Informational (un)receptiveness, Emotional (un)receptiveness, and (Un)receptiveness of rights. Conclusion: The study supports human and comprehensive healthcare in the context of retinopathy of prematurity by pointing out the interactive process with health professionals as a potential stressor of parental care. The results signal a nuclear of attitudinal changes and reinforce challenges to the child and family-centered approach.
DESCRIPTORSRetinopathy of Prematurity; Parents; Professional-Family Relations; Neonatal Nursing; User Embracement.(Un)receptiveness in interactions with professionals: experiences of parents of children with retinopathy of prematurity* (Des)acolhimento nas interações com os profissionais: experiências de pais de crianças com retinopatia da prematuridade (Des)acogida en las interacciones con los profesionales: experiencias de padres de niños con retinopatía de la prematuridad
Objectives: To analyze the motivation of neonatal intensive care nurses and the meanings attributed to the continuity of professional training. Methods: qualitative study, developed between August and December 2018, based on interviews with 16 nurses working in Neonatal Intensive Care in cities in seven Health Regions in the State of São Paulo. The theory of self-determination and narrative analysis supported this study. Results: the search for specialization and qualification of care is the plot, with the motivation for training initially based on the specialization and qualification of care. Over time, they revisit understandings carried out about care, making considerations about training, factors that influence motivation. Final Considerations: the motivation expressed by the nurse in the search for training is shown through movements marked by the limitations apprehended in practice on the care of the risk neonate and the acquisition of knowledge to act with quality in this specific health scenario.
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