Aim: to analyze the practical knowledge of nurses on clinical management of neonatal pain. Methods: a descriptive, exploratory and qualitative study held with 20 Neonatal Intensive Care Unit nurses of two public maternity hospitals in the city of Niterói. Data were collected through semi-structured interviews and analysed targeting the construction of thematic categories. Results: the categories found were associated with the perception of nurses regarding neonatal pain and their knowledge and actions regarding the clinical management of this neonatal symptom. It was found nurses lack knowledge of the clinical management of pain, which is not a part of the neonatal care daily routine, also being unaware of the application of rating scales for pain assessment. Conclusion: possessing scientific knowledge is crucial, as it provides required methods for neonatal care, focusing on the improvement of the quality of the health care provided and in the humanization of nursing care, considering pain as the fifth vital sign
Objective: analyzing the perceptions of nurses about the clinical pain in neonates in neonatal intensive care unit. Method: a descriptive, exploratory study, of a qualitative approach conducted with ten nurses in the neonatal intensive care unit of the University Hospital Antônio Pedro applying a semi-structured interview for data collection, and analyzed according to thematic content analysis method. Results: understanding the mechanism of neonatal pain, which does not depend upon complete formation of myelination; lack of verbalization of the newborn and this fact complicates the assessment of pain; however we must be sensitive to other physiological and behavioral signs, such as: facial mimicry, heart and respiratory rate, systolic blood pressure, oxygen saturation, palmar sweating and vagal tone. Conclusion: it is a practice to be rethought the use of protocols and scales for the evaluation of indicators of neonatal pain
RESUMOObjetivo: analisar o conhecimento dos enfermeiros da Unidade de Terapia Intensiva Neonatal acerca da inserção, manuseio, manutenção e retirada do cateter central de inserção periférica. Método: estudo descritivo, exploratório e qualitativo, com nove enfermeiros da Unidade de Terapia Intensiva Neonatal do Hospital Universitário Antônio Pedro, da Universidade Federal Fluminense, entrevistados com base em roteiro semiestruturado. Os dados obtidos, submetidos à análise de conteúdo, originaram categorias temáticas. Resultados: o conhecimento do enfermeiro quanto à indicação, inserção, manutenção e retirada do cateter, as normas e protocolos e a capacitação profissional para o processo de cuidado são decisivos para a segurança da assistência ao recém-nascido. Conclusão: a utilização do PICC é importante na Neonatologia por seus benefícios para o neonato. Todavia, os enfermeiros precisam aprofundar seus conhecimentos para que o processo assistencial na UTIN seja pautado pela ética e fundamentado em protocolos de enfermagem visando embasar e legitimar essa assistência.Descritores: Cateterismo Venoso Central; Recém-Nascido; Enfermagem Neonatal.
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