Promoção de vínculo afetivo na Unidade de Terapia Intensiva Neonatal: um desafio para as enfermeiras

Abstract

The study was motivated by observations of the routine at neonatal intensive care units (NICU), thoughts about the dichotomy between theory, discourse, and the practice of many nurses towards the newborns' parents. The objectives were to learn about nurses' experiences regarding neonatal care to newborns and their parents, and to understand how nurses experience the process of affective attachment between newborns hospitalized at NICUs and their parents. This study was developed according to the social phenomenology approach of Alfred Schütz. Study subjects were eight practical nurses who had worked at NICU of public and private hospitals. Categories of experience emerged from the discourses, including Human Contact. The analysis revealed that nurses see themselves as the connection between parents and children, and believe they play an important role in creating the affective attachment between parent and child.

Perceptions and actions of healthcare professionals regarding the mother-child relationship with premature babies in an intermediate neonatal intensive care unit: a qualitative study

“…The importance of the HCPs’ support for the parents of babies hospitalized in an NICU following delivery has been the subject of several studies [2, 14, 27]. Our results contributed to this discussion showing that the support given to the mothers by the medical staff was different from that given by the nursing staff.…”

“…The nursing team taking care of hospitalized infants has been considered a mediator that may facilitate or interfere in the development of the mother-child relationship [6, 13], responsible for carrying out actions aimed at providing practical care [9, 13]; however, there are often difficulties in promoting actions to improve mother-child bonding [14]. With respect to this difficulty, the results of this study showed the nursing staff took certain actions to facilitate the mother-child relationship such as encouraging contact between the mother and her baby, supporting different ways of bringing her closer to the infant, and promoting informal conversations that allowed the mothers to talk about their difficulties.…”

“…Despite recognition of the importance of the parents’ proximity for the infant’s recovery, HCPs working at these units report that interaction with the family of the hospitalized child is one of the difficult aspects of their work [13]. Furthermore, these HCPs were aware of the difficulties involved in taking on the role of facilitators of the development of the early relationship between parents and their infants [14, 15]. There are reports that refer that HCPs often provide instrumental support and technical care that, albeit necessary and indeed vital for the babies’ recovery, does not focus on the desires and needs of the parents, frequently marginalizing their role during the hospitalization period [5, 16, 17].…”

A Relação Da Família Com Crianças Hospitalizadas Na Unidade De Terapia Intensiva Neonatal Com a Equipe De Enfermagem

“…(22) O excesso de trabalho que a tecnologia demanda favorece o distanciamento da equipe no cuidado humanizado com a família. (27) A participação da família no cuidado ao RN contribui para um melhor estabelecimento do víncu-lo afetivo entre os mesmos, facilita a adaptação da criança ao ambiente hospitalar, desenvolve uma relação de confiança entre equipe e família, e minimiza as consequências relacionadas à separação. (18,26,28) Na percepção dos pais, essa aproximação proporciona uma maior segurança nos procedimentos realizados no filho, e permite-os acompanhar e participar do cuidado, reduzindo seu distanciamento.…”

Educação permanente de profissionais de enfermagem da atenção básica à saúde a partir de indicadores clínicos de risco para o desenvolvimento infantil

“…(Conz, Merighi e Jesus, 2009, p.854) Rocha (2005) realizou entrevistas com enfermeiros que atuam em equipes interdisciplinares de Centros de Atenção Psicossociais e constatou de maneira relevante a necessidade de obter conhecimento específico em saúde mental com a exigência de uma formação adequada e concluiu ainda que a formação em Enfermagem necessita de redirecionamentos e o estilo de aulas e as experiências que devem contemplar também precisam ser rediscutidos, dado que vem corroborar com a argumentação citada anteriormente. (Conz, Merighi & Jesus, 2009 Vale ressaltar que a formação ocorre também muito além de aulas teóricas: é no cotidiano, no trabalho em equipe e nas discussões com demais profissionais que o aprendizado é incorporado. Rocha (2005, p.354) relata que "o ensino se dá na interdisciplinaridade"; "na reunião de equipe aprendi mais do que no curso de especialização", como refere uma de suas entrevistadas.…”