Relações estabelecidas pelas enfermeiras com a família durante a hospitalização infantil

Abstract

RESUMO:Estudo qualitativo que objetivou analisar as relações que as enfermeiras estabelecem com a família durante o período de hospitalização de seus filhos e verificar como tem sido a participação da família nos cuidados à criança hospitalizada. Os dados empíricos foram coletados por meio da observação participante e da entrevista semi-estruturada. A interpretação dos dados seguiu os fundamentos da análise temática. Os resultados evidenciam que as relações que as enfermeiras estabelecem com as famílias das crianças hospitalizadas não contemplam as necessidades destas, comprometendo a assistência à díade criança-família. Estas relações são objetivas, sucintas, formais e unilaterais, com predominância da enfermagem. Percebe-se que a família foi inserida na realização dos cuidados à criança, porém tem havido uma delegação de cuidados sem uma coparticipação por parte das enfermeiras, e nem uma negociação dessas ações, remetendo a uma reflexão sobre essas relações de modo que a assistência à díade possa estar balizada pelo princípio da integralidade.DESCRITORES: Enfermagem pediátrica. Criança hospitalizada. Família. Relações profissional-família. RELATIONSHIPS ESTABLISHED BY NURSES WITH FAMILIES DURING CHILD HOSPITALIZATION ABSTRACT:This qualitative study aimed to analyze the relationships between nurses and the families during their children's hospitalization and investigate how the family had participated in the care. Empirical data was collected through participant observation and semi-structured interview. The data interpretation was based on foundations of thematic analysis. The results have shown that the relationships between nurses and families during the children's hospitalization have not reached their needs, compromising the assistance to the duo child-family frame. These relationships are objective, concise, formal and unilateral, with nursing predominance. It was noticed that the families were included in the implementation of the child care, although it had been a negligence of care coparticipation by nurses, and even a negotiation of such actions, taking them to reflect on these relationships so that the duo child-family assistance can be reasoned by the principle of integrality.DESCRIPTORS: Pediatric nursing. Hospitalized child. Family. Professional-family relationships. RELACIONES ESTABLECIDAS POR LAS ENFERMERAS CON LA FAMILIA DURANTE LA HOSPITALIZACIÓN INFANTIL RESUMEN:Estudio cualitativo que tuvo por objetivo analizar las relaciones que las enfermeras establecen con la familia durante el período de hospitalización de sus hijos y examinar cómo la familia participa de los cuidados del niño hospitalizado. Los datos empíricos fueron levantados por medio de la observación participante y de la entrevista semi-estructurada. La interpretación de los datos siguió los fundamentos del análisis temático. Los resultados evidencian que las relaciones que las enfermeras establecen con las familias de los niños hospitalizados no contemplan las necesidades de éstos, comprometiendo la asistencia a la díada niño-fam...

Self-efficacy scale for the establishment of good relationships with families in neonatal and pediatric hospital settings

“…In the pediatric context, despite the physical proximity between families and nurses, professionals impose limits on the interpersonal relationships they establish and the care approach is characterized by detachment and provision of information, marginalizing the relational aspect of care (2)(3) . Nurses need to acquire knowledge and develop skills and competencies to relate properly with families.…”

“…Relationships between nurses and the families of hospitalized children are characterized by a lack of clarity regarding both roles; as a result, the difficulties of negotiation permeate the relationships established. Interpersonal relations between nurses and parents are inadequate, inappropriate and ineffective (2,(7)(8)(9)(10) . At present, no tool is available for the assessment of nurses' self-efficacy for establishing a good relationship with the family.…”

Humanization nursing care in neonatal intensive care unit / Humanização da assistência de enfermagem em unidade de terapia intensiva neonatal

“…A percepção do enfermeiro quanto ao sofrimento da família, o fato da doença e hospitalização, constitui-se num aspecto de grande relevância na relação enfermeiro-família (14) . …”

Therapeutic communication between health professionals and mothers accompanying children during inpatient treatment

“…Often, the accompanying mother's fear and insecurity result from insufficient or inadequate guidance during the child's period of hospitalization. It therefore falls to the health professionals to be more active with her, offering her real knowledge in a clear way of the child's conditions 3 . The health professionals in the unit studied have sought to offer this information in a clear and appropriate way, as they understand better the mother's need to understand the child's state, a fact which -as the studies show -favors the reduction of the anxiety created by so many worries.…”

“…It is also noteworthy that the family can become a mediator in the relationship between the child and the health team, facilitating both the work done by the health professionals and the child's recuperation, which reduces the cost and duration of the inpatient treatment 2,3 . Generally, it is the mother who accompanies the sick child, or who visits her most frequently, as she feels responsible for her protection, as well as having an intense desire to care for her sick child while the latter is in hospital, as a way of transmitting love and minimizing the feeling of guilt which is often shown when the child becomes ill 4 .…”