A qualitative study was conducted using a convergent care approach, whose aim was to identify the knowledge of the neonatal nursing team about the prevention of skin lesions in hospitalized newborns. This study was conducted in the neonatal unit of a hospital in southern Brazil with 14 nursing professionals. Data were obtained through semi-structured interviews performed in November and December 2012. Data analysis was through apprehension, synthesis, theorization and a recontextualization processes. The results show nursing professionals are aware of newborn skin particularities, recognizing the need for skin protection, body temperature regulation, transepidermal water loss, and proper hygiene. The team also recognized the need for hydration and proper handling, as well as the need for precautions in invasive procedures, prevention of pressure and puncture lesions, care in device fixation and use of antiseptics. The results of this study demonstrated the need for providing sensitive and risk-free care, thus promoting comfort and safety for these patients.
Objetivou-se mensurar os ruídos e construir, junto com a equipe de enfermagem de uma unidade neonatal, estratégias para a redução dos níveis de ruídos produzidos no ambiente de trabalho. Pesquisa qualitativa, exploratório descritiva, realizada em outubro e novembro de 2016, em um hospital do sul do Brasil. Foi realizada a mensuração dos ruídos na unidade neonatal e rodas de conversa com 19 profissionais da enfermagem. Os dados foram analisados a partir da análise de conteúdo de Bardin, à luz da Política de atenção humanizada ao recém-nascido. O nível de ruídos variou de 53 a 75 decibéis e os participantes identificaram o ruído como um problema, apontando seus malefícios, levantando suas causas e propondo intervenções no ambiente e nas ações do profissional. Este estudo confirma que processos educativos promovem a transformação da realidade, garantindo o envolvimento da equipe na busca de soluções para o problema.
Objective: to build a theoretical matrix of care system/organization of Nursing in a Neonatal Intensive Care Unit based on the meanings attributed by the Nursing Team professionals and other involved actors in the relationships and interactions of care in dealing with the fragility of living/surviving newborn. Method: a qualitative study adopting the theoretical framework the Complexity Paradigm and the Grounded Theory as research design. The participants were 22 subjects divided into four sample groups. Data was obtained from interviews and analyzed through comparative analysis, performed from May to August 2012. Results: nursing care practices management is based on the experience of the relationships/interactions with the family members and other health team actors, aiming to incorporate best practices. Thus, nursing care practices management seeks to address the fragility that surrounds prematurity, minimizing the sequelae when seeking newborn’s survival. Conclusion: the organization of nursing care system in a Neonatal Intensive Care Unit is complex, dynamic, interactive and interdependent with other health systems, mobilized by a management process of care and/or good care management practices that enables pre-term and his family a care focused on the fragility and uncertainties of living/surviving in singular conditions of life. The nurse stands out with the fundamental role of articulation in the light of the relationships/interactions in the care and organizational daily routine.
RESUMO: Objetivo: compreender os sentimentos maternos vivenciados nas diferentes etapas do Método Canguru. Método: estudo descritivo, qualitativo, desenvolvido em uma unidade neonatal de um hospital escola no sul do Brasil, com a participação de nove mães. A coleta dos dados ocorreu no segundo semestre de 2013, quando foram aplicadas entrevistas semiestruturadas. Os dados foram submetidos à análise de conteúdo. Resultados: emergiram as seguintes categorias: Expectativas do nascimento: Nascer a termo, Aproximação da mãe com o bebê, Sentindo-se mais mãe e Quando cheguei em casa. Conclusão: os sentimentos maternos relacionam-se intimamente com o grau de conhecimento e adaptabilidade da mãe. Cabe ao profissional de saúde fornecer informações e apoio de forma individualizada, respeitando a história de cada mãe e sua família.
Treatment of skin lesions in newborn children: meeting the needs of nursing staff RESUMEN Objetivo: Conocer, junto al equipo de enfermería, los cuidados necesarios para el tratamiento de lesiones de piel en recién nacidos internados en una Unidad Neonatal. Método: Investigación cualitativa del tipo Convergente Asistencial. Los datos fueron obtenidos por medio de entrevistas semiestructuradas, realizadas en los meses de noviembre a deciembre de 2012, en la Unidad Neonatal de un hospital del Sur de Brasil. Participaron de la investigación cuatro auxiliares de enfermería, seis téc-nicos de enfermería y cuatro enfermeras. Resultados: Se originaron tres categorías: dudas acerca de lo que se puede utilizar en el recién nacido; la estancia hospitalaria puede causar lesiones en la piel del recién nacido; y el conocimiento del cuidado promueve autonomía profesional. Conclusión: Se hace urgente la necesidad de conocimiento del equipo acerca del tratamiento de las lesiones, a fin de proporcionar una atención más segura al recién nacido y favorecer la autonomía del profesional enfermero en la puesta en marcha del cuidado. DESCRIPTORES ABSTRACTObjective: to understand, together with nursing staff, the care needed to treat skin lesions in newborn children hospitalized in a neonatal unit. Method: qualitative research, of the convergent care type. The data was collected through semi-structured interviews, which were conducted from November to December 2012, in the neonatal unit of a hospital in southern Brazil. The participants were four auxiliary nurses, six nursing technicians and four nurses. Results: the following three categories were designated: questions about what can be used in relation to newborn children; hospitalization can cause lesions on the skin of newborn children; and knowledge about care promotes professional autonomy. Conclusion: there is an urgent need for staff to know more about the treatment of skin lesions, which would provide safer care for newborn children and would also support the autonomy of professional nurses in providing that care.
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