Nursing diagnoses in primary health care consultations to newborns

Abstract

Objective: To describe and analyze nursing diagnoses established on newborns’ medical consultations in a primary health care service. Method: Descriptive, analytical and quantitative study performed in a primary health care clinic in São Paulo. Data were collected from the medical records of 37 children treated in 39 nursing consultations during their neonatal period. The identified nursing diagnoses were analyzed regarding: frequency, classification in strengthening or exhaustion in light of the health-disease process, and the correspondence with the essential needs of infants. Results: 372 diagnoses were identified, most of them of strengthening (71%), such as efficient development (n = 37) and effective growth (n = 36). Among the exhaustion diagnoses (29%), there was a predominance of risk for suffocation (n = 15) and impaired tissue integrity (n = 14). Most diagnoses corresponded to the need of physical protection and security. Conclusion: Families are strengthened in the care of the essential needs of newborns, however, preventing diseases is necessary.

Nursing diagnoses of newborns in rooming-in care using ICNP®

“…Concerning elimination, which is related to the need to remove undesirable or excessive substances from the body to maintain its homeostasis (18) , literature shows that it is common to record bladder and bowel eliminations (83.3%) (3) . The diagnoses "Effective Elimination" was found in 89.2% of the newborns from another study (22) .…”

ICNP® terminology subset to infants in Primary Health Care

“…Nursing diagnoses and results focus on child morbidity situations, meeting the local health diagnosis. In this regard, problems related to skin and mucous membrane integrity were observed in other studies (6,20,(23)(24) , which selected these nursing diagnoses, mainly diaper dermatitis, miliaria, heat erythema, diaper erythema, perineal and oral candidiasis.…”

“…These needs are aligned with the aspects that involve the infant's development and that occur in a relatively short period of time, requiring the effective participation of the family. Situations related to parenting reflect behavioral manifestations in childhood, in which practices involving parent engagement in care, in communication, expression of affection and in constructive conflict resolution strategies are considered positive practices (6,25) .…”

“…This monitoring is, especially, developed in the scope of Primary Health Care (PHC) in performing childcare Nursing Consultation (NC). Childcare aims to identify individual and comprehensive health needs; carry out periodic and systematic monitoring of growth and development; provide care; assess the results; promote child health and, consequently, reduce child morbidity and mortality (2,(6)(7) .…”

Reações e sentimentos maternos frente a internação do filho em uma Unidade de Terapia Intensiva Neonatal: uma revisão narrativa de literatura

“…Define-se como neonatal período que compreende de 0 a 28 incompletos de vida pós-parto e trata-se da fase mais vulnerável para a sobrevivência humana. A taxa de mortalidade infantil é um indicador para avaliar o índice de qualidade de vida, considerando a análise do desenvolvimento socioeconômico ao longo dos anos e a efetividade do acesso da população aos serviços de saúde (Costa et al, 2018). Estudo ecológico realizado por meio da análise temporal dos óbitos neonatais ocorridos no Brasil, obtidos através das informações disponibilizadas pelo Sistema de Informações sobre Mortalidade (SIM) e Sistema de Informações sobre Nascidos Vivos (SINASC) no período de 2007 a 2017 demonstrou tendência decrescente da mortalidade neonatal no país (Bernadino et al, 2022).…”