Nurses' adherence to the Kangaroo Care Method: support for nursing care management

Abstract

OBJECTIVE: construct an explanatory theoretical model about nurses' adherence to the Kangaroo Care Method at the Neonatal Intensive Care Unit, based on the meanings and interactions for care management. METHOD: qualitative research, based on the reference framework of the Grounded Theory. Eight nurses were interviewed at a Neonatal Intensive Care Unit in the city of Rio de Janeiro. The comparative analysis of the data comprised the phases of open, axial and selective coding. A theoretical conditional-causal model was constructed. RESULTS: four main categories emerged that composed the analytic paradigm: Giving one's best to the Kangaroo Method; Working with the complexity of the Kangaroo Method; Finding (de)motivation to apply the Kangaroo Method; and Facing the challenges for the adherence to and application of the Kangaroo Method. CONCLUSIONS: the central phenomenon revealed that each nurse and team professional has a role of multiplying values and practices that may or may not be constructive, potentially influencing the (dis)continuity of the Kangaroo Method at the Neonatal Intensive Care Unit. The findings can be used to outline management strategies that go beyond the courses and training and guarantee the strengthening of the care model.

Nurses’ Kangaroo Mother Care practice implementation and future challenges: an integrative review

“…Based on the quality score, two studies (Da Silva et al. and Dykes et al. ) received the lowest quality score of 85% (see Table ).…”

Humanização da assistência neonatal na ótica dos profissionais da enfermagem

“…This inconsistency occurs in a hierarchical, centralizing work structure in which professionals are most valued for their mastery of knowledge, techniques and technological apparatus, while performing routine and standardized tasks rather than actions in the relational field. 2,14 A limitation of this study is the reduced number of nurses in relation to the largest contingent of nursing technicians, which made it impossible to broaden the discussion of nurses' perception in the sample. On the other hand, it is emphasized that, in the Brazilian reality, technicians are the majority among nursing professionals.…”

“…Thus, it is pointed out that the humanization of neonatal care should focus on ensuring the technology that enables the safety of the baby and the care of him and his family. 14 Regarding the category of care that covers the newborn and the family, the professionals mentioned family, parents and father. It is stated that mothers were the most present in their speeches, since, among all other family members, they are the ones who intensely experience the context of neonatal hospitalization.…”

“…It is emphasized that the appropriation of public policies related to humanization is fundamental for the implementation of changes in such management. 14 It is therefore considered necessary to value the professional and promote the participation of workers in the discussion spaces, advocating https://periodicos.ufpe.br/revistas/revistaenfermagem/index participatory management and continuing education actions. 3 It is revealed that the category Contradictions of humanized care brings some considerations about the need for an educational process aimed at helping professionals to understand some practices that do not contemplate the humanized approach that advocate and discourse to perform.…”

“…2,6,11 Among the problems that hinder the implementation of a humanization policy, the professionals' understanding of this proposal stands out. 2,6,11,14 It is pointed out that one cannot think about the humanization of unattached assistance to aspects such as subject's role (coresponsibility), the professional's working conditions and participative management. 1,6,9,11 Thus, the participation of workers and the subjects to be taken care of to change the organization of the routine, in different management, facilitates the legitimation of processes and the personalization of actions.…”