Importance of physiotherapy/nursing multidisciplinary integration about update newborn position in the neonatal intensive care unit

Abstract

Introduction The high-risk newborns may require long periods of hospitalization until they reach clinical stability for hospital discharge. Avoiding babies to be in only one body position may be an effective way to cause respiratory and neuro-psycho-motor benefits, comfort and preventing pressure ulcers.Objectives This study investigated the impact of physiotherapy/nursing integration in update on body positioning of the newborn in the Neonatal Intensive Care Unit.Methods A questionnaire was administered to nurses and nursing technicians of the neonatal unit of Maternity School of UFRJ and nurses of the Advanced Course in Neonatal Nursing from the same institution. Two classes were taught by the physical therapist of the sector and the questions answered before and after these lessons. It was also a brief characterization of professional participants of the study. We used the Student's t test to compare the correct answers before (PRE) and after (POST) the classes, considering p < 0.05.Results There was a significant increase in the degree of knowledge of nurses and nursing technicians when compared the responses before (nurses: 68.8%; technicians: 70.1%) and after classes (nurses: 78.4 %; technicians: 88.9%). The nurses were less than five years of graduated (45%) and little time of professional experience in neonatology (60%). Forty-seven percent of technicians had less than five years of training and 82% had less than 10 years of experience.Conclusion The use of training by the nursing staff was significant, showing the importance of multidisciplinary approach and the integration of knowledge in the search for a humanized and effective care.

Interprofessional Practice in the Emergency Service: specific and shared assignments of nurses

“…The assignment identified as shared with physiotherapists was the oxygen therapy, which composes respiratory care, a prominent area in the practice of these professionals in the ES. National studies cite the oxygen therapy as a responsibility both of the physical therapist (25) and the nurses (26) from the ES, which proves to be their duties and a need of common action between them (27) . However, it has not been reported sharing in activities such as pain control, whereas the review study describes the reduction of pain complaint associated with musculoskeletal disorders as one of the pillars of physical therapy indication in the ES (28) .…”

A Dermato Funcional Em Ferida Causada Por Retirada De Células Cancerígenas E Miíase No Braço – Relato De Caso

“…Apesar dos 17 artigos selecionados nesta pesquisa abordarem aspectos relacionados à atuação do fisioterapeuta dentro da equipe multiprofissional, somente Alves (2014), Arakaki et al (2015), Campos et al (2017), Vilela e Amado ( 2018) e Lavôr et al (2019) abordam sobre as práticas terapêuticas utilizadas pelo fisioterapeuta dentro da UTI. Santuzzi et al (2013), Sanches et al (2015), Evangelista et al (2016) e Mondadore et al (2016) discutem acerca da humanização no atendimento pelos membros da equipe multiprofissional ao paciente crítico internado na UTI.…”

Benefícios do round multidisciplinar na unidade de terapia intensiva / Benefits of the multidisciplinary round in the intensive therapy unit

“…Buscando uma compreensão da unidade de terapia intensiva neonatal (UTIN), Arakaki, et al, (2015) destaca que a interdisciplinaridade é a forma para alcançar excelência no cuidado pois ocorre a orientação e planejamento que facilitará a compreensão que o recém-nascido é um ser humano em desenvolvimento e, após a alta, esse indivíduo precisará ser capaz para saudável desenvolver e potencialmente normal.…”

“…Na UTIN a compreensão fragmentada e não compreensão da complexidade do recémnascido (RN) como um único sujeito pode se tornar um obstáculo para a busca de humanização global do cuidado, levando em conta as perdas que possam surgir e os compromissos no desenvolvimento infantil (ARAKAKI, et al, 2015).…”