Best Practices in Neonatal Nursing Care Management

Abstract

Objective: to build a theoretical matrix of care system/organization of Nursing in a Neonatal Intensive Care Unit based on the meanings attributed by the Nursing Team professionals and other involved actors in the relationships and interactions of care in dealing with the fragility of living/surviving newborn. Method: a qualitative study adopting the theoretical framework the Complexity Paradigm and the Grounded Theory as research design. The participants were 22 subjects divided into four sample groups. Data was obtained from interviews and analyzed through comparative analysis, performed from May to August 2012. Results: nursing care practices management is based on the experience of the relationships/interactions with the family members and other health team actors, aiming to incorporate best practices. Thus, nursing care practices management seeks to address the fragility that surrounds prematurity, minimizing the sequelae when seeking newborn’s survival. Conclusion: the organization of nursing care system in a Neonatal Intensive Care Unit is complex, dynamic, interactive and interdependent with other health systems, mobilized by a management process of care and/or good care management practices that enables pre-term and his family a care focused on the fragility and uncertainties of living/surviving in singular conditions of life. The nurse stands out with the fundamental role of articulation in the light of the relationships/interactions in the care and organizational daily routine.

Developmental Care of Premature Newborns: Study on Practices in Portuguese Neonatal Units

“…:19194 Early intervention by mental health professionals reduces symptoms of trauma, anxiety and depression, and encourages parent-child connection and safe bonding 16,24 . In view of the results, it is also useful to implement parental support programs with peers; the inclusion of parents in handovers, associated with the principle of respect and dignity, rights to information, collaboration and participation; culturally sensitive care, respecting their values, beliefs and behaviors, as well as sociocultural and linguistic characteristics 10,24,28,31 .…”

Cuidados Centrados No Desenvolvimento Do Recém-Nascido Prematuro: Estudo Sobre as Práticas Em Unidades Neonatais Portuguesas

“…:19194 A intervenção precoce de profissionais de saúde mental reduz os sintomas de trauma, ansiedade e depressão, e promove a ligação pais-filho e a vinculação segura 16,24 . Face aos resultados, revela-se também útil a implementação de programas de apoio parental por pares; a inclusão dos pais nas passagens de serviço, associada ao princípio do respeito e da dignidade, aos direitos à informação, à colaboração e à participação; os cuidados culturalmente sensíveis, respeitando os seus valores, crenças e comportamentos, bem como características socioculturais e linguísticas 10,24,28,31 .…”

Caracterização dos referenciais das dissertações e teses dos programas mineiros de pós-graduação

“…A Teoria Fundamentada nos Dados (TFD) objetiva compreender as experiências e as interações das pessoas inseridas em um determinado contexto social, buscando evidenciar as estratégias desenvolvidas diante dessas situações vivenciadas. A utilização da TDF em pesquisa na enfermagem mostra que o referencial está em consonância com a prática profissional do enfermeiro, pois esse assume papel crucial e fundamental na articulação das relações/interações no âmbito assistencial e organizacional e propicia uma intersecção entre paciente/família/profissionais/comunidade, com vista à busca de soluções e alternativas para os desafios e limitações que emergem na sua práxis (24) .…”