Taking care of the newborn dying and their families: Nurses' experiences of neonatal intensive care

Almeida, Fabiane de Amorim; Moraes, Mariana Salim de; Cunha, Mariana Lucas da Rocha

doi:10.1590/s0080-623420160000300018

Cited by 42 publications

(62 citation statements)

References 9 publications

(16 reference statements)

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“…Intensive care unit (ICU) nurses have to provide high quality care for fragile patients (1) . Such care occurs in a technology-rich and rapidly changing environment, which gives rise to both human and nonhuman sources of error (2) .…”

Section: Introductionmentioning

confidence: 99%

Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Ferreira¹,

Moreira

Guo

et al. 2017

Rev. esc. enferm. USP

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Objective:To assess the effect of a 12-hour shift on mood states and sleepiness at the beginning and end of the shift. Method: Quantitative, cross-sectional and descriptive study. It was conducted with 70 neonatal intensive care unit nurses. The Brunel Mood Scale (BRUMS), Karolinska Sleepiness Scale (KSS), and a socio-demographic profile questionnaire were administered. Results: When the KSS and BRUMS scores were compared at the beginning of the shift associations were found with previous sleep quality (p ≤ 0.01), and quality of life (p ≤ 0.05). Statistical significant effects on BRUMS scores were also associated with previous sleep quality, quality of life, liquid ingestion, healthy diet, marital status, and shift work stress. When the beginning and end of the shift were compared, different KSS scores were seen in the group of all nurses and in the night shift one. Significant vigor and fatigue scores were observed within shift groups. Conclusion: A good night's sleep has positive effects on the individual`s mood states both at the beginning and the end of the shift. The self-perception of a good quality of life also positively influenced KSS and BRUMS scores at the beginning and end of the shift. Proper liquid ingestion led to better KSS and BRUMS scores. DESCRIPTORS INTRODUCTIONIntensive care unit (ICU) nurses have to provide high quality care for fragile patients (1) . Such care occurs in a technology-rich and rapidly changing environment, which gives rise to both human and nonhuman sources of error (2) . Workers with high demands have significantly enhanced risks of developing psychiatric disorders, with stress and fatigue as important contributing factors. Both acute fatigue and chronic fatigue negatively affect quality of life and performance (2) . Stress is a complex phenomenon that includes the psychophysiological stress event and its perception, intrinsic and extrinsic mediating factors, and the response (3) . It has been suggested that perceptions of stress in work situations are more influential than the stressors themselves. Stress can affect the physical health of nurses, manifesting as headaches, skin rashes, intestinal disorders and weight variations. Ultimately, and importantly, it affects the quality of patient care. Care of children with poor prognoses, workload, distrust of nurses' opinions by physicians, lack of knowledge and the limited experience of staff are possible stressors (4) . In addition, lack of support and respect within a team, long hours of work and the responsibility of taking care of critically ill patients, can be added to the list of stressors (5) . ICU nurses must also deal with the patients' family members (3) . Intensive care unit nurses usually work shifts; according to a number of studies 12-h shifts are associated with difficulty in staying awake, sleep deprivation and a threefold risk of making mistakes (6)(7) . A number of studies have quantified the negative impact of sleep deprivation on shift work, fatigue, performance and learning (8) .Comparisons betw...

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Section: Introductionmentioning

confidence: 99%

Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Ferreira¹,

Moreira

Guo

et al. 2017

Rev. esc. enferm. USP

View full text Add to dashboard Cite

show abstract

“…A antecipação do parto pode acarretar em comprometimento ou intercorrências ao longo do crescimento do recém-nascido prematuro decorrente da imaturidade de órgãos ou sistema corporal. A Unidade de Terapia Intensiva Neonatal (UTIN) surge como alternativa de um ambiente com tecnologias avançadas e com intervenções cada vez mais modernas em prol de uma assistência de qualidade para a melhora do bebê prematuro 21 .…”

Section: Resultsunclassified

Necessidades humanas básicas alteradas em neonatos com cateter central de inserção periférica

et al. 2019

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Objetivo: identificar as necessidades humanas básicas alteradas nos neonatos com cateter central de inserção periférica em Unidade de Terapia Intensiva Neonatal, à luz da Teoria das Necessidades Humanas Básicas. Método: estudo transversal de abordagem quantitativa, realizado com 108 recém-nascidos em uma maternidade do Nordeste brasileiro entre os meses de fevereiro e dezembro de 2017. O instrumento de coleta de dados utilizado foi um roteiro de anamnese e exame físico. Os resultados foram analisados por meio da Teoria de Wanda Horta. Resultados: foram identificadas dez necessidades alteradas, com destaque para as mais prevalentes: integridade cutâneo-mucosa, ambiente, nutrição, hidratação, oxigenação e atenção. Conclusão: a identificação das necessidades humanas básicas alteradas nos neonatos com cateter central de inserção periférica pode subsidiar a elaboração de um plano de cuidados baseado em evidências e direcionado para essa população.

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“…Nurses play an important role in palliative care since they are responsible for the early assessment, identification and management of physical, social, psychological, spiritual and cultural needs (18) . They are those who, due to the proximity of their relationship with the NB and his family, have to deal with hard emotional situations and who, in most cases, experience firsthand feelings like failure and defeat (31) . We found out that caring for a NB facing an end-of-life condition is difficult for everyone involved, however health professionals understand that the suffering experienced by the parents is much greater than the one felt by anyone else and, despite the close relationship they have established with the parents/family, it is extremely difficult to find a way to deal with them in a time of so much pain and suffering (31) .…”

Section: Discussionmentioning

confidence: 99%

Perception of health professionals about neonatal palliative care

Silva¹,

Silva

Silva³

2019

Rev. Bras. Enferm.

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Objective: To identify the perception of health professionals about neonatal palliative care. Method: A phenomenological qualitative study, a non-probabilistic sample, of 15 health professionals from a neonatal intensive care unit in northern Portugal. Content analysis was performed. Results: Despite their lack of training in palliative care, the health professionals showed concern for the dignity, quality of life and comfort of the newborn and family. They expressed emotional and relational difficulties in following the trajectories of serious illness and death and in the ethical decisions regarding the end-of-life. Conclusion: It is emphasized that professionals are sensitive to pain and suffering and reveal dedicated and committed in the care of the newborn and family. They are available to train and embrace the current challenges posed by the constitution of pediatric palliative care teams and to help achieve an organizational culture that advances in such care.

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Taking care of the newborn dying and their families: Nurses' experiences of neonatal intensive care

Cited by 42 publications

References 9 publications

Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Effects of a 12-hour shift on mood states and sleepiness of Neonatal Intensive Care Unit nurses

Necessidades humanas básicas alteradas em neonatos com cateter central de inserção periférica

Perception of health professionals about neonatal palliative care

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