Enfermagem neonatal: o sentido existencial do cuidado na unidade de terapia intensiva

Abstract

Understanding that care to preterm infants goes through the various steps that are sometimes intertwined in the predominant routine in neonatal intensive care units, requires that the professionals understand the subtleties that hold between caring in the sense of activities and procedures performed in day-to-day, and caring in the existential sense of being and caring for others. This study, in a Heideggerian phenomenological approach, aimed to reveal the existential sense of caring for mothers of premature babies admitted to Neonatal Intensive Care Units. After approval by the Research Ethics Committee, it was conducted interviews with nine mothers. The analysis by the Heideggerian method unveiled that the being-mother, while being-with-the-son, also feel cared for by professionals who provide that faces this existential moment in a safer manner.

Assessment of the product of nursing care in specialized hospitals

“…Hematological patients and those who demand hospitalization in the BMT often required complex care regarding nursing care, similar to intensive units, and need, therefore, a greater number of private interventions by nurses (16) . In the neonatal ICU, prematurity is the leading cause of hospitalization and, in addition to technological resources, the newborns demand specialized care and prioritized care of nurses on the technical activities (17) . On the other hand, the kangaroo method does not demand physical-structural investment, but requires training and organization of the nursing professionals, aiming at humanization and attention to the binomial (18) .…”

“…Different values from those of the validation study were found for NCS: "meeting the care needs" (0.79) and "patient/family care" (0.79), "care monitoring and transfer" (0.79) and "nursing care planning" (0.77) (7) . Therefore, it seems that, in inpatient units of specialized hospitals, structural factors (nursing staff and other resources) significantly contribute in the production of care, ensuring the quality of care and safety of patients (17) .…”

Continuous positive pressure on aircraft in neonates: care provided by the nursing team

“…As well as the carrying out of constant trainings and qualifications courses with the whole health team. 8,24 However, most interviewees did not have specialization in neonatology. And even with the offer of the institution of specific capacitation courses in neonatal care, as is the case of the nasal CPAP associated with prong, there are still some factors that makes it difficult for the participation of the professionals.…”

“…6 The implementation of the protocols are expected to reduce the iatrogenic events caused by the use of nasal CPAP nasal with prong. 23,24,28 It was noticeable the concern of the interviewees in formulating care protocols for the neonates in use of prong. However, it was still possible to note the distance of some professionals in participating in the creation of these protocols.…”

Método canguru: benefícios e desafios experienciados por profissionais de saúde

“…20 Vale ressaltar que a família dos RNs de baixo peso sente medo e receio em cuidar dos seus filhos. Desse modo, os profissionais de saúde necessitam de uma educação permanente para a ampliação do conhecimento sobre os benefícios do MC.…”