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ORIGINAL ARTICLE
Analysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view
- Lediana Dalla Costa
, - Késsia Helen Dalmuth ,
- Mayeli Thais Fernandes Vieira ,
- Emanueli Girardi ,
- Gisely Fachinello , [ ... ],
- Alessandro Rodrigues Perondi
11-27-2023
Resumo
ORIGINAL ARTICLEAnalysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view
Revista Brasileira de Enfermagem. 2023;76(5):e20220717
11-27-2023DOI 10.1590/0034-7167-2022-0717
- Lediana Dalla Costa ,
- Késsia Helen Dalmuth ,
- Mayeli Thais Fernandes Vieira ,
- Emanueli Girardi ,
- Gisely Fachinello ,
- Ângela Morais da Silva ,
- Jolana Cristina Cavalheiri ,
- Alessandro Rodrigues Perondi
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the development of children discharged from the Neonatal Intensive Care Unit and how hospitalization interferes with child development, from parents’ point of view.
Methods:
a descriptive-exploratory, documentary and qualitative study, carried out with parents of children discharged from the Intensive Care Unit through a telephone survey and supplementation in medical records. Data were analyzed using Bardin’s tool and discussed according to scientific evidence.
Results:
from parents’ point of view, delay in physical development was not observed, however difficulties in breastfeeding and weight gain were reported. Changes in speech and changes in behavior considered abnormal were also delays in child evolution.
Final Considerations:
from parents’ point of view, changes in speech may be associated with hospitalization in an Intensive Care Unit, while difficulties related to breastfeeding and delays in cognition may be altered by conditions of prematurity and low weight at birth.
Visualizações0
Resumo
ORIGINAL ARTICLEAnalysis of the development of children discharged from the Neonatal Intensive Care Unit from parents’ point of view
Revista Brasileira de Enfermagem. 2023;76(5):e20220717
11-27-2023DOI 10.1590/0034-7167-2022-0717
- Lediana Dalla Costa ,
- Késsia Helen Dalmuth ,
- Mayeli Thais Fernandes Vieira ,
- Emanueli Girardi ,
- Gisely Fachinello ,
- Ângela Morais da Silva ,
- Jolana Cristina Cavalheiri ,
- Alessandro Rodrigues Perondi
Visualizações0Ver maisABSTRACT
Objectives:
to analyze the development of children discharged from the Neonatal Intensive Care Unit and how hospitalization interferes with child development, from parents’ point of view.
Methods:
a descriptive-exploratory, documentary and qualitative study, carried out with parents of children discharged from the Intensive Care Unit through a telephone survey and supplementation in medical records. Data were analyzed using Bardin’s tool and discussed according to scientific evidence.
Results:
from parents’ point of view, delay in physical development was not observed, however difficulties in breastfeeding and weight gain were reported. Changes in speech and changes in behavior considered abnormal were also delays in child evolution.
Final Considerations:
from parents’ point of view, changes in speech may be associated with hospitalization in an Intensive Care Unit, while difficulties related to breastfeeding and delays in cognition may be altered by conditions of prematurity and low weight at birth.
- Lediana Dalla Costa
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ORIGINAL ARTICLE
Neurobehavioral signals in preterm infants in body weight check: a quasi-experimental study
- Bárbara Bertolossi Marta de Araújo ,
- Juliana Mello Duarte Soares ,
- Giullia Taldo Rodrigues ,
- Mariana dos Santos Souza ,
- Flávia dos Santos Barbosa Brito , [ ... ],
- Cristiano Bertolossi Marta
09-19-2022
Resumo
ORIGINAL ARTICLENeurobehavioral signals in preterm infants in body weight check: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210584
09-19-2022DOI 10.1590/0034-7167-2021-0584
- Bárbara Bertolossi Marta de Araújo ,
- Juliana Mello Duarte Soares ,
- Giullia Taldo Rodrigues ,
- Mariana dos Santos Souza ,
- Flávia dos Santos Barbosa Brito ,
- Adriana Teixeira Reis ,
- José Antônio de Sá Neto ,
- Cristiano Bertolossi Marta
Visualizações0ABSTRACT
Objective:
to describe and compare the frequency of neurobehavioral signs in preterm infants in traditional and humanized body weight check.
Methods:
a quantitative, quasi-experimental, cross-over study, carried out in a Neonatal Unit at a university hospital with a sample of 30 preterm newborns, randomly assigned and allocated in control group (traditional) and intervention group (humanized), with collection of general data, vital signs before and after procedures and footage.
Results:
there was a higher frequency of approach signs in humanized weight check compared to traditional check. Moreover, withdrawal signs were more frequent in traditional weight check compared to humanized check.
Conclusion:
in this regard, humanized body weight check provided greater benefits to preterm infants, making it necessary to foster discussions about humanization of care, so that this practice can be performed routinely in health units.
Palavras-chave: Body WeightHumanization of AssistanceInfantIntensive CareNeonatalNeurobehavioral SignsPrematureVer maisVisualizações0Resumo
ORIGINAL ARTICLENeurobehavioral signals in preterm infants in body weight check: a quasi-experimental study
Revista Brasileira de Enfermagem. 2022;75(Suppl 2):e20210584
09-19-2022DOI 10.1590/0034-7167-2021-0584
- Bárbara Bertolossi Marta de Araújo ,
- Juliana Mello Duarte Soares ,
- Giullia Taldo Rodrigues ,
- Mariana dos Santos Souza ,
- Flávia dos Santos Barbosa Brito ,
- Adriana Teixeira Reis ,
- José Antônio de Sá Neto ,
- Cristiano Bertolossi Marta
Visualizações0ABSTRACT
Objective:
to describe and compare the frequency of neurobehavioral signs in preterm infants in traditional and humanized body weight check.
Methods:
a quantitative, quasi-experimental, cross-over study, carried out in a Neonatal Unit at a university hospital with a sample of 30 preterm newborns, randomly assigned and allocated in control group (traditional) and intervention group (humanized), with collection of general data, vital signs before and after procedures and footage.
Results:
there was a higher frequency of approach signs in humanized weight check compared to traditional check. Moreover, withdrawal signs were more frequent in traditional weight check compared to humanized check.
Conclusion:
in this regard, humanized body weight check provided greater benefits to preterm infants, making it necessary to foster discussions about humanization of care, so that this practice can be performed routinely in health units.
Palavras-chave: Body WeightHumanization of AssistanceInfantIntensive CareNeonatalNeurobehavioral SignsPrematureVer mais
- Bárbara Bertolossi Marta de Araújo
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ORIGINAL ARTICLE
Effect of music combined with swaddling on pain in full-term newborns: randomized clinical trial
- Gleicia Martins de Melo ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Paulo César de Almeida ,
- Elisa Conceição Rodrigues
10-25-2022
Resumo
ORIGINAL ARTICLEEffect of music combined with swaddling on pain in full-term newborns: randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(3):e20210017
10-25-2022DOI 10.1590/0034-7167-2021-0017
- Gleicia Martins de Melo ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Paulo César de Almeida ,
- Elisa Conceição Rodrigues
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the effect of music applied within ten and 15 minutes, combined with swaddling, on behavioral (facial action) and physiological (heart rate) responses to pain in full-term newborns, before and during venipuncture for blood sampling.
Methods:
a randomized, triple-blind, clinical trial with 52 rooming in infants randomly assigned to four groups of 13: Experimental 1 (music [ten minutes] plus swaddling), Experimental 2 (music [15 minutes] plus swaddling), Control 1 (no music [ten minutes] plus swaddling), and Control 2 (no music [15 minutes] plus swaddling). Pain was measured using the Neonatal Facial Coding System in the basal and procedural moments.
Results:
experimental 2 group showed high pain absence (p < 0.05); low heart rate mean (p < 0.0001) in the basal and procedural (antisepsis, puncture, blood squeezing/aspiration, compression) moments.
Conclusions:
neonates who listened to 15 minutes of music plus swaddling showed a greater absence of facial pain actions.
Visualizações0Resumo
ORIGINAL ARTICLEEffect of music combined with swaddling on pain in full-term newborns: randomized clinical trial
Revista Brasileira de Enfermagem. 2022;75(3):e20210017
10-25-2022DOI 10.1590/0034-7167-2021-0017
- Gleicia Martins de Melo ,
- Maria Vera Lúcia Moreira Leitão Cardoso ,
- Paulo César de Almeida ,
- Elisa Conceição Rodrigues
Visualizações0Ver maisABSTRACT
Objectives:
to evaluate the effect of music applied within ten and 15 minutes, combined with swaddling, on behavioral (facial action) and physiological (heart rate) responses to pain in full-term newborns, before and during venipuncture for blood sampling.
Methods:
a randomized, triple-blind, clinical trial with 52 rooming in infants randomly assigned to four groups of 13: Experimental 1 (music [ten minutes] plus swaddling), Experimental 2 (music [15 minutes] plus swaddling), Control 1 (no music [ten minutes] plus swaddling), and Control 2 (no music [15 minutes] plus swaddling). Pain was measured using the Neonatal Facial Coding System in the basal and procedural moments.
Results:
experimental 2 group showed high pain absence (p < 0.05); low heart rate mean (p < 0.0001) in the basal and procedural (antisepsis, puncture, blood squeezing/aspiration, compression) moments.
Conclusions:
neonates who listened to 15 minutes of music plus swaddling showed a greater absence of facial pain actions.
- Gleicia Martins de Melo
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ORIGINAL ARTICLE
Training of intensive care nurses to handle continuous hemodialysis: a latent condition for safety
- Bianca Ribeiro Porto de Andrade ,
- Fabiana de Mello Barros ,
- Honorina Fátima Ângela de Lúcio ,
- Juliana Faria Campos ,
- Rafael Celestino da Silva
02-01-2019
Resumo
ORIGINAL ARTICLETraining of intensive care nurses to handle continuous hemodialysis: a latent condition for safety
Revista Brasileira de Enfermagem. 2019;72(suppl 1):105-113
02-01-2019DOI 10.1590/0034-7167-2018-0013
- Bianca Ribeiro Porto de Andrade ,
- Fabiana de Mello Barros ,
- Honorina Fátima Ângela de Lúcio ,
- Juliana Faria Campos ,
- Rafael Celestino da Silva
Visualizações0Ver maisABSTRACT
Objective:
To analyze the repercussions of the training of nurses working in the Intensive Care Unit for the management of continuous hemodialysis regarding the safety of critical patients with acute renal failure.
Method:
Qualitative research developed considering James Reason's reference in the Intensive Care Unit of a private hospital. The data was collected with 23 nurses who worked for more than three months in the management of continuous hemodialysis through a semi-structured interview, and analyzed with the thematic content analysis technique.
Results:
There are weaknesses in the training of intensive care nurses for the management of continuous hemodialysis that become a latent failure. Such a failure results in difficulties in handling hemodialysis, with risks for these professionals to commit active failures.
Final considerations:
The training program in service for the management of continuous hemodialysis must be perfected, to develop skills and competencies in nurses and improve their performance.
Visualizações0Resumo
ORIGINAL ARTICLETraining of intensive care nurses to handle continuous hemodialysis: a latent condition for safety
Revista Brasileira de Enfermagem. 2019;72(suppl 1):105-113
02-01-2019DOI 10.1590/0034-7167-2018-0013
- Bianca Ribeiro Porto de Andrade ,
- Fabiana de Mello Barros ,
- Honorina Fátima Ângela de Lúcio ,
- Juliana Faria Campos ,
- Rafael Celestino da Silva
Visualizações0Ver maisABSTRACT
Objective:
To analyze the repercussions of the training of nurses working in the Intensive Care Unit for the management of continuous hemodialysis regarding the safety of critical patients with acute renal failure.
Method:
Qualitative research developed considering James Reason's reference in the Intensive Care Unit of a private hospital. The data was collected with 23 nurses who worked for more than three months in the management of continuous hemodialysis through a semi-structured interview, and analyzed with the thematic content analysis technique.
Results:
There are weaknesses in the training of intensive care nurses for the management of continuous hemodialysis that become a latent failure. Such a failure results in difficulties in handling hemodialysis, with risks for these professionals to commit active failures.
Final considerations:
The training program in service for the management of continuous hemodialysis must be perfected, to develop skills and competencies in nurses and improve their performance.
- Bianca Ribeiro Porto de Andrade
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ORIGINAL ARTICLE
Critical health-disease transition in the family: Nursing intervention in the lived experience
Revista Brasileira de Enfermagem. 2019;72(1):154-161
01-01-2019
Resumo
ORIGINAL ARTICLECritical health-disease transition in the family: Nursing intervention in the lived experience
Revista Brasileira de Enfermagem. 2019;72(1):154-161
01-01-2019DOI 10.1590/0034-7167-2018-0616
Visualizações0Ver maisABSTRACT
Objective:
To analyse the strategies found by families to deal with the situation of critical illness, in their lived experience in a family and in an inpatient context.
Method:
This research fits into a qualitative paradigm and a phenomenological approach, according to Van-Manen. Participants were referred to a "snowball" effect method and the data was collected through interviews with open-ended questions.
Results:
From the collected data three essential themes emerged revealing the strategies: Being aware; Building dialogue; Ensuring comfort.
Final considerations:
In the therapeutic intervention nurses verify that families facing a critical-illness interact between themselves and with the ICU team. Families interacting with nurses can find cognitive and emotional support allowing them to be aware of the situation and to speak about it in order to strengthen and to comfort themselves.
Visualizações0Resumo
ORIGINAL ARTICLECritical health-disease transition in the family: Nursing intervention in the lived experience
Revista Brasileira de Enfermagem. 2019;72(1):154-161
01-01-2019DOI 10.1590/0034-7167-2018-0616
Visualizações0Ver maisABSTRACT
Objective:
To analyse the strategies found by families to deal with the situation of critical illness, in their lived experience in a family and in an inpatient context.
Method:
This research fits into a qualitative paradigm and a phenomenological approach, according to Van-Manen. Participants were referred to a "snowball" effect method and the data was collected through interviews with open-ended questions.
Results:
From the collected data three essential themes emerged revealing the strategies: Being aware; Building dialogue; Ensuring comfort.
Final considerations:
In the therapeutic intervention nurses verify that families facing a critical-illness interact between themselves and with the ICU team. Families interacting with nurses can find cognitive and emotional support allowing them to be aware of the situation and to speak about it in order to strengthen and to comfort themselves.
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RESEARCH
Critical incidents connected to nurses’ leadership in Intensive Care Units
Revista Brasileira de Enfermagem. 2017;70(5):1018-1025
01-01-2017
Resumo
RESEARCHCritical incidents connected to nurses’ leadership in Intensive Care Units
Revista Brasileira de Enfermagem. 2017;70(5):1018-1025
01-01-2017DOI 10.1590/0034-7167-2016-0137
Visualizações0Ver maisABSTRACT
Objective:
The goal of this study is to analyze nurses’ leadership in intensive care units at hospitals in the state of São Paulo, Brazil, in the face of positive and negative critical incidents.
Method:
Exploratory, descriptive study, conducted with 24 nurses by using the Critical Incident Technique as a methodological benchmark.
Results:
Results were grouped into 61 critical incidents distributed into categories. Researchers came to the conclusion that leadership-related situations interfere with IC nurses’ behaviors. Among these situations they found: difficulty in the communication process; conflicts in the daily exercise of nurses’ activities; people management; and the setting of high quality care targets.
Final considerations:
Researchers identified a mixed leadership model, leading them to the conclusion that nurses’ knowledge and practice of contemporary leadership theories/styles are crucial because they facilitate the communication process, focusing on behavioral aspects and beliefs, in addition to valuing flexibility. This positively impacts the organization’s results.
Visualizações0Resumo
RESEARCHCritical incidents connected to nurses’ leadership in Intensive Care Units
Revista Brasileira de Enfermagem. 2017;70(5):1018-1025
01-01-2017DOI 10.1590/0034-7167-2016-0137
Visualizações0Ver maisABSTRACT
Objective:
The goal of this study is to analyze nurses’ leadership in intensive care units at hospitals in the state of São Paulo, Brazil, in the face of positive and negative critical incidents.
Method:
Exploratory, descriptive study, conducted with 24 nurses by using the Critical Incident Technique as a methodological benchmark.
Results:
Results were grouped into 61 critical incidents distributed into categories. Researchers came to the conclusion that leadership-related situations interfere with IC nurses’ behaviors. Among these situations they found: difficulty in the communication process; conflicts in the daily exercise of nurses’ activities; people management; and the setting of high quality care targets.
Final considerations:
Researchers identified a mixed leadership model, leading them to the conclusion that nurses’ knowledge and practice of contemporary leadership theories/styles are crucial because they facilitate the communication process, focusing on behavioral aspects and beliefs, in addition to valuing flexibility. This positively impacts the organization’s results.
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PESQUISA
Mother recognition in the Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(2):228-234
01-01-2015
Resumo
PESQUISAMother recognition in the Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(2):228-234
01-01-2015DOI 10.1590/0034-7167.2015680207i
Visualizações0ABSTRACT
Objective:
analyze the maternal experience in a neonatal intensive care unit, focusing on relations of recognition.
Method:
a qualitative study, built on the perspective of Gadamer’s hermeneutics, based on Honneth’s concept of recognition. In-depth interviews were conducted with 10 mothers of children admitted to a neonatal intensive care unit.
Results:
failures were reported in the process of mother recognition in the unit, with consequent feelings of insecurity and obligation to child care, resulting in fragility of self-esteem.
Conclusion:
interactions with health professionals in the NICU and its standards and protocols cause vulnerabilities and affect maternal recognition and autonomy.
Palavras-chave: Humanization of AssistanceIntegrality in HealthIntensive CareNeonatalProfessional-Family RelationsVer maisVisualizações0Resumo
PESQUISAMother recognition in the Neonatal Intensive Care Unit
Revista Brasileira de Enfermagem. 2015;68(2):228-234
01-01-2015DOI 10.1590/0034-7167.2015680207i
Visualizações0ABSTRACT
Objective:
analyze the maternal experience in a neonatal intensive care unit, focusing on relations of recognition.
Method:
a qualitative study, built on the perspective of Gadamer’s hermeneutics, based on Honneth’s concept of recognition. In-depth interviews were conducted with 10 mothers of children admitted to a neonatal intensive care unit.
Results:
failures were reported in the process of mother recognition in the unit, with consequent feelings of insecurity and obligation to child care, resulting in fragility of self-esteem.
Conclusion:
interactions with health professionals in the NICU and its standards and protocols cause vulnerabilities and affect maternal recognition and autonomy.
Palavras-chave: Humanization of AssistanceIntegrality in HealthIntensive CareNeonatalProfessional-Family RelationsVer mais
Intensive Care Archives - Page 2 of 7 - Revista Brasileira de Enfermagem
