Objective:To analyze nurses' knowledge and practices regarding pain management of newborns admitted to Neonatal Intensive Care Units. Method: A descriptive and crosssectional study. Data were collected from 51 nurses based on an adapted questionnaire aimed at evaluating knowledge and practices regarding the management of neonatal pain in six hospitals in Curitiba and its Metropolitan Region. Results: For most nurses (86.0%), neonates feel pain. A total of 34.7% of the nurses reported never using pain assessment scales. Pain management was recorded by 84.3% of the nurses. Administered pharmacological measures were Paracetamol and Fentanyl (47.1%) and Morphine (17.6%); while non-pharmacological measures adopted were sweetened solution (68.6%), non-nutritive sucking (58.8%) and positioning (56.9%). Conclusion: Nurses considered neonatal pain a real event; however, they do not perform pain assessment or treatment of newborns in a systematized way. It is necessary to implement knowledge translation strategies in order to improve pain management in newborns.

Objective:to determine the frequency of pain, to verify the measures adopted for pain relief during the first seven days of hospitalization in the Neonatal Intensive Care Unit and to identify the type and frequency of invasive procedures to which newborns are submitted. Method:cross-sectional retrospective study. Out of the 188 hospitalizations occurred during the 12-month period, 171 were included in the study. The data were collected from the charts and the presence of pain was analyzed based on the Neonatal Infant Pain Scale and on nursing notes suggestions of pain. For statistical analysis, the Statistical Package for the Social Sciences was used, and the significance level was set at 5%. Results:there was at least one record of pain in 50.3% of the hospitalizations, according to the pain scale adopted or nursing note. The newborns underwent a mean of 6.6 invasive procedures per day. Only 32.5% of the pain records resulted in the adoption of pharmacological or non-pharmacological intervention for pain relief. Conclusion:newborns are frequently exposed to pain and the low frequency of pharmacological or non-pharmacological interventions reinforces the undertreatment of this condition.

Palliative care settings in many countries acknowledge families as their prime focus of care, but in Brazil, to date, researchers have devoted scant attention to that practice setting. In this article, we report the findings of a study that explored how families define and manage their lives when they have a child or adolescent undergoing palliative care at home. Data included individual semistructured interviews with 14 family members of 11 different families. Interviews were transcribed and the coding procedure featured qualitative content analysis methods. The deductive coding was based on the major components of the Family Management Style Framework and the eight dimensions comprising these components. The analysis provides insight into families' daily practices and problems inherent in managing their everyday lives that are encountered when they have a child in palliative care. The article features discussion of implications for the palliative care related development of family nursing practice.

No abstract

Postoperative pain management in children is a complex, multidimensional and subjective phenomenon. It represents a challenge for children, parents and health professionals. This study aimed to understand how mothers assess their children's pain management by the nursing team in the late postoperative phase of cardiac surgery. Empirical data collection was carried out through semistructured interviews with 17 mothers who accompanied their children. Data were subject to qualitative analysis, revealing that, for the mothers, taking good care results from the confidence they vest in the nursing team and from the observation of the medication interventions this team performs. Not taking good care of their children is a consequence of lack of information or inadequate communication between the team and the mothers. The results of this study permit identifying aspects that strengthen and weaken nursing care for these clients, contributing to the improvement of the delivered care. El manejo del dolor en niños, en el posoperatorio tardío de cirugía cardíaca, por los profesionales de enfermería, bajo la perspectiva de las madresEl manejo del dolor posoperatorio en el niño es un fenómeno complejo, multidimensional y subjetivo; siendo que se constituye en un desafío para los niños, padres y profesionales de la salud. El objetivo de este trabajo fue comprender como las madres evalúan el manejo del dolor de sus hijos, realizado por el equipo de enfermería, en el posoperatorio tardío de cirugía cardíaca. La recolección de datos empíricos fue realizada por medio de entrevista semiestructurada con 17 madres que acompañaron a sus hijos. Los datos fueron analizados cualitativamente. Aprendimos que para las madres cuidar bien es resultante de la confianza que ellas depositan en el equipo de enfermería y de la observación de las intervenciones medicamentosas que ese equipo realiza. El no cuidar bien de sus hijos es consecuencia de la falta de información o comunicación inadecuada entre el equipo y las madres. Los resultados de este estudio posibilitaron identificar aspectos que pueden fortalecer o fragilizar el cuidado de enfermería a esa clientela, de esa manera contribuyendo para la mejoría del cuidado prestado.

No abstract

Objective: To evaluate the effects of Dramatic Therapeutic Play (DTP) technique on the degree of anxiety in hospitalized schoolage children. Method: Randomized clinical trial performed in two hospitals of São Paulo, between May and October 2015. The intervention consisted of the application of DTP and the outcome was evaluated through the Child Drawing: Hospital (CD: H) instrument. The Wilcoxon-Mann Whitney, Corrected t, Fisher's exact and Chi-square tests were used in the analysis. Statistical significance was set at 5%. Results: In all, 28 children participated in the study. The majority of children (75%) had a low anxiety score, with a mean CD: H score of 73.9 and 69.4 in the intervention and control groups respectively, and with no significant difference. Conclusion: Children submitted to DTP had the same degree of anxiety as those in the control group. However, it is suggested that new studies be performed with a larger number of children in different hospitalization scenarios. Descriptors: Hospitalized Child; Games and Toys; Anxiety; Randomized Controlled Clinical Trial; Pediatric Nursing. RESUMO Objetivo: Avaliar os efeitos da aplicação da técnica do Brinquedo Terapêutico Dramático (BTD) no grau de ansiedade em crianças escolares hospitalizadas. Método: Ensaio clínico randomizado realizado em dois hospitais de São Paulo, entre maio e outubro de 2015. A intervenção consistiu na aplicação do BTD e o desfecho foi avaliado por meio do instrumento Child Drawing: Hospital (CD:H). Utilizaram-se na análise os testes Wilcoxon-Mann Whitney, T corrigido, Exato de Fisher e Qui-quadrado com significância de 5%. Resultados: Participaram do estudo 28 crianças. A maioria das crianças de ambos os grupos (75%) apresentou classificação de baixo grau de ansiedade, sendo o escore médio do instrumento CD: H no grupo intervenção de 73,9 e no grupo controle de 69,4, sem diferença significativa. Conclusão: As crianças submetidas ao BTD apresentaram o mesmo grau de ansiedade que as do grupo controle. Entretanto, sugere-se que novos estudos sejam realizados com maior número de crianças em variados cenários da hospitalização. Descritores: Criança Hospitalizada; Jogos e Brinquedos; Ansiedade; Ensaio Clínico Controlado Aleatório; Enfermagem Pediátrica. RESUMENObjetivo: Evaluar los efectos de la aplicación de la técnica del Juguete Terapéutico Dramático (BTD) en el grado de ansiedad en niños en edad escolar hospitalizados. Método: Ensayo clínico aleatorizado realizado en dos hospitales de São Paulo, entre mayo y octubre de 2015. La intervención consistió en la aplicación del BTD y el resultado fue evaluado por medio del instrumento Child Drawing: Hospital (CD:H). Se utilizó en el análisis los testesWilcoxon-Mann Whitney, T corregido, Exacto de Fisher y Qui-cuadrado con significancia de 5%. Resultados: Participaron del estudio 28 niños. La mayoría de los niños de ambos los grupos (75%) presentó clasificación de bajo grado de ansiedad, siendo la puntuación media del instrumento CD:H Rev Bras Enferm [Internet]. 2017 nov-dez;70(6)...

O crescente corpo de informações sobre família presente na literatura de enfermagem significa progresso neste campo de conhecimento. As contribuições da pesquisa de enfermagem sobre família incluem a experiência da doença, o contexto de cuidado e intervenções. A ampliação da pesquisa sobre família em enfermagem torna imperativa a reflexão acerca da qualidade da pesquisa considerando a complexidade inerente aos estudos de família. Pesquisar famílias representa mais do que definir um grupo peculiar de estudo. O objetivo deste artigo é discutir aspectos teóricos e metodológicos que devem ser considerados quando o pesquisador planeja pesquisar a família. As reflexões e os desafios da pesquisa sobre família apresentados são frutos de um processo de investigação sobre famílias e doenças que vivenciamos em nosso grupo de pesquisa ao longo de mais de uma década.