Purpose. To know the perceptions of mothers and health professionals in relation to the care provided and received during breastfeeding at primary health care level.Methods. A qualitative exploratory study was conducted with breastfeeding mothers (10) and primary health care professionals (24). Data was gathered through indepth interviews and focus groups. Data analysis was performed through thematic content analysis. The rigor of the study was ensured by the Guba and Lincoln criteria for qualitative research. Ethical aspects were addressed through the informed consent process, confidentiality, and methodological rigor.Results. The experience of providing/receiving breastfeeding support was revealed as a dynamic, multidimensional care and support process, through three central themes: 1. Influence of previous care and support experiences during the breastfeeding process; 2. Importance of the context within which care is framed; and 3. Addressing emotions to establish trust between professionals and mothers.Conclusion. The study findings contribute to further understanding a complex phenomenon, such as breastfeeding support and care for mothers/families, from the experience of the actors involved, deepening the experiences of both in integrated manner. In addition, the relational, organizational, and contextual dimensions that influence support, and that should guide care, are also highlighted.Descriptors: breastfeeding; mothers; primary care nursing; qualitative research.How to cite this article: Lucchini-Raies C, Márquez-Doren F, Garay Unjidos N, Contreras J, Jara D, Calabacero C, et al., Care during Breastfeeding: Perceptions of Mothers and Health Professionals. Invest. Educ. Enferm. 2019; 37(2):e09ReferencesWorld Health Organisation. Infant and young child feeding [Internet]. 2017; (cited 03 May 2019):23–5. Available from: http://www.who.int/mediacentre/factsheets/fs342/en/ Rosso F, Skarmeta N, Sade A. 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Aim To report a pilot study protocol to assess the feasibility of a complex intervention, in the primary healthcare context, to support women and their families in breastfeeding. Design A pilot/feasibility trial with control and intervention groups. Methods The study will be conducted in two primary healthcare centres with 40 childbearing women (20 control group; 20 intervention group), with their partner/meaningful person and their respective healthcare professionals. Intervention group participants will receive the intervention: (a) in a breastfeeding workshop during their third trimester of pregnancy; and (b) via virtual breastfeeding support for six months postpartum. Health professionals will be trained to deliver the intervention. The control group will receive standard care in the outpatient clinic. The pilot will help determine the intervention's feasibility. Data collected pre‐intervention, 10‐days postpartum and two‐, four‐, and six‐months postpartum will provide estimates of the intervention's preliminary effects on self‐efficacy and main outcomes. Research Ethics Committee approval was obtained in April 2019. Discussion Breastfeeding support is a complex reality influenced by multiple factors. Therefore, approaches to breastfeeding are also, requiring interventions that address its multidimensional nature, including all actors involved. The proposed intervention will be applied by an interdisciplinary professional health team, allowing for its incorporation into standard practice and its perpetual maintenance. Impact The study will produce an original, comprehensive, complex intervention addressing contextual, and organizational factors to promote breastfeeding support using an interdisciplinary and family‐based approach; breastfeeding self‐efficacy is the core concept. The program evaluation and feasibility study will permit exploration of the integration of the intervention's novel aspects into the daily work of professionals and reveal how to better use existing resources in a full‐scale clinical trial. Trial registration ClinicalTrials.gov ID: NCT03944642.
The experience of being accompanied by a primary nurse during chemotherapy.A qualitative study Background:The diagnosis of an oncological disease exposes people to a greater state of vulnerability and health care models are not focused on their subjective needs. In this scenario, the primary nurse becomes a professional who contributes to the comprehensive care of people with cancer. Aim: To understand the lived experience of patients with cancer undergoing chemotherapy treatment, when being cared for by a primary nurse. Material and Methods: Qualitative phenomenological study. Nine cancer survivors who were cared for by primary nurses during chemotherapy were interviewed. Results: The analysis revealed two comprehensive categories, namely experiences around becoming ill with cancer, and experiences when navigating the health system, each with subcategories. Conclusions: This study demonstrates the impact that personalized attention focused on people's needs has on their lives. It also contributes to visualize the work of primary nurses in the care and accompaniment of patients with cancer and their families. The need for specialized professionals such as Advanced Practice Nursing is underlined.
Objetivo: Analizar los significados atribuidos a la paternidad por hombres al ser padres por primera vez.Participantes y Método: Investigación cualitativa de diseño Hermenéutico-Dialéctico. La recolección de datos fue realizada a través de entrevistas en profundidad a padres y madres (10 de cada uno), de niños/as mayores de 12 meses. El análisis de la información se llevó a cabo a través del análisis de discurso de los participantes y su articulación con el contexto histórico-social y los referenciales teóricos de la investigación.Resultados: El significado y participación social del hombre al transformarse en padre por primera vez se conformó por cinco categorías: significado de la experiencia de la paternidad; significado de la paternidad desde una perspectiva de género; significado de la experiencia en la relación padre-hijo/a; significado de la experiencia de paternidad en la relación de pareja; y ejercitando la paternidad y su relación con el sistema de salud.Conclusiones: Se requiere implementar estrategias de inclusión del padre en la crianza y cuidado de los hijos/as, favoreciendo su participación, y de este modo, el crecimiento y desarrollo integral del niño/a concebido en los diversos tipos de familia.
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