Kangaroo method: perceptions on knowledge, potencialities and barriers among nurses

Abstract

Objective: To analyze the knowledge, potentialities and barriers related to the implantation of the Kangaroo Method in the perception of nurses who work in the maternal-infant units of a school hospital. Method: An exploratory-descriptive research with a qualitative approach, guided by the Policy of Humanized Attention to the Low Weight Newborn, Kangaroo Method. Held between January and March 2018, with eight nurses from a maternal-infant unit. Data was collected between January and March 2018, through semi-structured interviews, transcribed and submitted to Thematic Content Analysis associated with Atlas Ti version eight resources. Results: Three categories emerged: Barriers to the development of the Kangaroo Method; Knowledge about the Kangaroo Method; and Potentialities of the Kangaroo Method. Conclusions and implications for practice: The nurses' speeches revealed partial knowledge, lack of practical experience and barriers related to team resistance and lack of institutional support, although they considered the method with potential benefits to provide bonding and indicate continuing education as a necessary strategy for its implementation.

Terceira etapa do método canguru: experiência de mães e profissionais da atenção primária

“…A similar reality was found in a study developed with nurses in tertiary care, signaling the need for training for the professionals, given their superficial knowledge about the KM, its stages and proposals. 19 Thus, there is a need for qualification and training strategies for the PHC professionals, in order to enable the followup of the KM third stage with safety and accountability for care on the part of the physicians and the nurses.…”

“…9 Another study identified weakness in knowledge and lack of KM experience among nurses. 10 It is worth highlighting that the continuity of the third KM stage depends on the maternal and family commitment, as well as on the responsibility of the hospital team and of PHC to carry out the shared care. Therefore, the commitment of Primary Care in this situation is essential to encourage the binomial to continue the method and, thus, reduce health problems for the child.…”

A perspectiva dos pais de recém-nascidos pré-termo acerca do método canguru

“…Esta percepção também foi evidenciada por enfermeiras atuantes na unidade materno-infantil de um hospital universitário, do interior de Minas Gerais, Brasil, que descreveram como potencialidades do MC a criação de vínculo e a construção de laços afetivos entre o neonato e a mãe, estendendo-se à promoção de vínculo junto ao pai, familiares ou outras pessoas próximas ao RN (Ferreira, et. al., 2019).…”

“…A formação do vínculo mãe-pai-bebê ocorre de maneira gradativa (Souza, et. al., 2019), e quanto mais oportunidades forem oferecidas, maior será a probabilidade de resposta afetiva (Ferreira, et. al., 2019).…”

A Percepção Da Equipe De Enfermagem Sobre O Método Canguru

“…Apesar disso, percebe-se uma resistência na adoção do processo por parte dos profissionais de saúde, favorecendo o prolongamento dos períodos de internação. Essa resistência é derivada da fragilidade no conhecimento sobre o impacto do Método Canguru, na vida dos recém-nascidos e de seus familiares (FERREIRA et al, 2019).…”