ABSTRACT
This study examines the applicability of the theoretical model "Looking to maintain the balance to meet the demands and take care of the hospitalized child" to families of children with chronic diseases in intensive care. This is a qualitative study that complied with Resolution 466/2012, and was approved by the Ethics Committee through the Resolution 0111.0.441.099-11. The Grounded Theory was adopted as methodological framework. The data were collected through semi-structured interviews with seven families of children hospitalized for chronic diseases. The research identified three phenomena, which were analyzed according to the theoretical model cited above: Difficult experience for the family; Modifying the functioning and family routine; and Receiving support in coping with chronic illness. The study showed that the theoretical model used can be applied to families of children with chronic illnesses because they experience an unexpected event that disrupts their daily life and demand the search for new strategies for coping.
Subject(s)
Child, Hospitalized , Chronic Disease/therapy , Critical Care , Family , Models, Theoretical , Child , HumansABSTRACT
The objective was to understand the puerpera's experience during the first skin to skin contact with the newborn in the immediate postpartum period, the obstetric ward of a public hospital in a city in Bahia. Exploratory, descriptive and qualitative study, approved by the Ethics Committee and conducted with fourteen postpartum women, through semi-structured interviews in the period July-August 2011. The data were analyzed using Grounded Theory, identifying the phenomenon "Experiencing skin to skin contact as a mechanical act" and its three subcategories: "Encouraging the only contact", "Contact as a mechanical act" and "Being forced to initiate breastfeeding. "Encouraging the skin to skin contact and immediate breastfeeding occur mechanically, being highlighted only the contact, requiring the puerperas to initiate breastfeeding in sudden and abrupt manner, not respecting their willingness to perform or not this practice.
Subject(s)
Mother-Child Relations/psychology , Postpartum Period/psychology , Skin , Touch , Female , Humans , Infant, NewbornABSTRACT
Estudo qualitativo que objetivou compreender a percepção materna sobre as mudanças familiares decorrentes da hospitalização do recém-nascido prematuro na Unidade de Terapia Intensiva Neonatal e analisar as estratégias para o enfrentamento destas mudanças. Realizado através de entrevistas semiestruturadas com dez mães, no período de janeiro a abril de 2010. Os dados foram analisados através da Análise de Conteúdos, baseado na filosofia do Cuidado Centrado na Família. As mães percebem as mudanças no funcionamento familiar; os familiares são considerados pelos trabalhadores da saúde como visitantes; a família utiliza diversas estratégias para apoiar a puérpera no hospital e esta considera a sua espiritualidade/religiosidade como um recurso de apoio. Os dados deste estudo poderão possibilitar aos trabalhadores da saúde subsídios para a utilização de intervenções baseadas nas necessidades de reajustes cognitivos, afetivos e comportamentais das famílias, como recursos para ajuda-las a se fortalecer. Descritores: Enfermagem Neonatal; Unidades de Terapia Intensiva Neonatal; Prematuros.
The premature newborn hospitalization in Neonatal Intensive Care Unit impacts the family dynamics and structure and can cause insecurity, frustration, stress, fear, uncertainty and guilt, especially for the parents. This study aimed to understand the mothers perceptions on changes in the family resulting from the hospitalization of premature infants in the Neonatal Intensive Care Unit and analyze the strategies for coping with these changes. A qualitative study conducted through semi-structured interviews during the period from January to April, 2010. Data analyzed using content analysis, based on the philosophy of Family Centered Care. The mothers realize the changes in family functioning; the family members are considered visitors by healthcare workers; the family uses several strategies to support postpartum in the hospital and considers spirituality/religiosity as a support resource. Thus, the mothers investigated in the present study realize the changes in family routine through the adjustment of parents and grandparents and through their relay in caring for children who stayed at home, working as a support network that is used as a coping strategy.
La hospitalización de los recién nacidos prematuros (RNPT) en la Unidad de Cuidados Intensivos Neonatales (UCIN) impacta en la dinámica y en la estructura familiar y puede causar inseguridad, frustración, el estrés, el miedo, la incertidumbre y la culpa, especialmente a los padres. Este estudio tuvo como objetivo comprender la percepción de la madre acerca de los cambios familiares resultantes de la hospitalización de niños prematuros en la UCIN, y analizar las estrategias para hacer frente a estos cambios. Estudio cualitativo donde la colecta de datos fue realizada por medio de entrevistas semiestructuradas, de enero a abril de 2010. Los datos fueron analizados utilizando el análisis de contenido basada en la propuesta de la atención centrada en la familia. Las madres perciben los cambios en el funcionamiento familiar; miembros de la familia son considerados por los trabajadores de la salud como visitantes; la familia utiliza varias estrategias para apoyar a las mujeres después del parto en este hospital y ella considera su espiritualidad / religiosidad como un recurso de apoyo. Se concluyó que las madres investigadas en este estudio perciben el cambio en la rutina de la familia por medio de la adaptación de los padres y abuelos y los turnos en el cuidado de los niños que se quedaron en casa, actuando como una red de apoyo que se utiliza como una estrategia de enfrentamiento.
Subject(s)
Humans , Female , Adult , Young Adult , Infant, Premature , Intensive Care Units, Neonatal , Neonatal Nursing , Maternal-Child Health Services , Critical CareABSTRACT
This study aimed to analyze the process of pain identification in premature by the professional staff of the Neonatal Intensive Care Unit of a public hospital in the interior of Bahia, Brazil. This is a quantitative descriptive exploratory study that was made through a form applied to twenty-four health professional of a Neonatal Intensive Care Unit. The data were analyzed in the Statistical Package for Social Sciences. The results showed 100% of professionals believed that newborns feel pain, 83.3% knew the pain as the fifth vital sign to be evaluated; 54,8% did not know the pain assessment scales; 70.8% did not use scales and highlighted behavioral and physiological signs of the newborn as signs suggestive of pain. Thus, it is important that professionals understand the pain as a complex phenomenon that demands early intervention, ensuring the excellence of care.