scholarly journals Meanings attributed by family members in pediatrics regarding their interactions with nursing professionals

2015 ◽  
Vol 49 (6) ◽  
pp. 951-957 ◽  
Author(s):  
Giovana Calcagno Gomes ◽  
Daiani Modernel Xavier ◽  
Aline Campelo Pintanel ◽  
Dóris Helena Ribeiro Farias ◽  
Valéria Lerch Lunardi ◽  
...  

Abstract OBJECTIVE Understanding the meanings attributed by family caregivers of children in hospital environments about their interactions with nursing professionals. METHODS This qualitative study used Symbolic Interactionism as a theoretical reference and Grounded Theory as the methodological framework. It was carried out in a Pediatrics Center in southern Brazil, in the first half of 2013. Participants were 15 family caregivers of hospitalized children. Data were collected through interviews and submitted to open and axial analysis. RESULTS Interactions with the nursing team enable family to trust or distrust in the provided child care and to positively evaluate the care received. CONCLUSION Interactions between family members and the nursing team contribute to the significance attributed by the family to the nursing care received by the child. Nurses should be aware of the attitudes of the nursing team regarding the child and their family, prioritizing humanized care.

2020 ◽  
Vol 73 (suppl 4) ◽  
Author(s):  
Dóris Helena Ribeiro Farias ◽  
Mauro Francisco Ferreira de Almeida ◽  
Giovana Calcagno Gomes ◽  
Valéria Lerch Lunardi ◽  
Maria Veraci de Oliveira Queiroz ◽  
...  

ABSTRACT Objective: To know the beliefs, values and practices of families in the care of hospitalized children. Method: Qualitative study developed at the Pediatrics Unit of a University Hospital in southern Brazil through non-participant observation, participant observation and interview with children’s family members. The methodological framework of Ethnonursing was adopted. Data were coded, classified and scrutinized to identify saturation of similar or different ideas and patterns, and recoded by making theoretical formulations and recommendations. Results: Beliefs, values and practices of families depend on cultural references and are manifested in the care with feeding, clothing and hygiene, maintenance of sleep and rest, presence, care with medication and exercise of religious belief. Conclusion: Family members care for the hospitalized child based on their cultural reference and it is important that nurses take this aspect into consideration during care practice. Cultural care aggregates knowledge and can be considered a new paradigm for nursing care that allows an affective, reflective, human, empathic relationship between nurse/child/family.


2015 ◽  
Vol 24 (3) ◽  
pp. 731-739 ◽  
Author(s):  
Simone Vidal Santos ◽  
Roberta Costa

ABSTRACTA qualitative study was conducted using a convergent care approach, whose aim was to identify the knowledge of the neonatal nursing team about the prevention of skin lesions in hospitalized newborns. This study was conducted in the neonatal unit of a hospital in southern Brazil with 14 nursing professionals. Data were obtained through semi-structured interviews performed in November and December 2012. Data analysis was through apprehension, synthesis, theorization and a recontextualization processes. The results show nursing professionals are aware of newborn skin particularities, recognizing the need for skin protection, body temperature regulation, transepidermal water loss, and proper hygiene. The team also recognized the need for hydration and proper handling, as well as the need for precautions in invasive procedures, prevention of pressure and puncture lesions, care in device fixation and use of antiseptics. The results of this study demonstrated the need for providing sensitive and risk-free care, thus promoting comfort and safety for these patients.


2019 ◽  
Vol 23 (4) ◽  
Author(s):  
Rita de Cássia Melão de Morais ◽  
Tania Vignuda de Souza ◽  
Isabel Cristina dos Santos Oliveira ◽  
Juliana Rezende Montenegro Medeiros de Moraes ◽  
Elena Araújo Martinez ◽  
...  

ABSTRACT Objective: To analyze the role of the social network configured by the family/companion and their implications for their stay during the hospitalization of the child in the pediatric hospitalization unit. Method: Qualitative study with ten family members/companions of hospitalized children. Data collection was done through the technique of individual interview, which occurred in the period from February to December 2015. The analysis was thematic, in light of the theoretical reference of "Social Networks" described by Lia Sanicola. Results and discussion: The main role of the social network was emotional and material support, and the main components of this network were: companion, mother, aunt and daughter, as well as nursing team, physician and other family members/companions. Final considerations and implications for the practice: It was verified that the totality of the interviewees was female, however, the husband was the most important member of the social network for the family members involved, since they perform the material/financial and emotional function. In addition, the participants consider that they are responsible for all care to the family and, in the condition in that they are, they understand it as a favor provided by the other members of the network. Identifying the composition of the social networks of family members/companions provides a better targeting of care in order to strengthen the social support received.


2020 ◽  
Vol 11 (2.ESP) ◽  
Author(s):  
Larissa Coelho Barbosa ◽  
Catiuscia Santos do Nascimento ◽  
Jacilene Santiago do Nascimento Trindade dos Santos

Resumo: Introdução: Na pandemia do Novo Coronavírus, observou-se a importância de preparar a equipe de enfermagem para essa nova realidade. Objetivo: descrever o desafio de implantar protocolos de enfermagem na pandemia de coronavírus. Metodologia: Relato de experiência sobre o desafio de implantar protocolos de enfermagem na pandemia de COVID – 19, a fim de mostrar os benefícios para a assistência segura. O cenário foi uma instituição particular de grande porte na cidade do Salvador – Bahia. O processo ocorreu nos meses de fevereiro, março e abril de 2020. Resultados: A implantação dos protocolos de enfermagem durante a pandemia ocorreu em 3 fases: Primeiro houve uma reunião e formação de um Comitê de Crise para definição dos fluxos e protocolos de enfermagem. Depois, a equipe multiprofissional foi treinada de acordo com as determinações do Comitê de Crise. Por fim, os profissionais de enfermagem se tornaram agentes multiplicadores de informações a respeito dos protocolos do Novo Coronavirus. Considerações Finais: Portanto, ao implantar protocolos de enfermagem durante a pandemia de coronavírus a equipe multiprofissional, os pacientes e os familiares relataram sentimento de gratidão e de segurança em relação aos protocolos implantados.Descritores: Protocolos; Equipe de Enfermagem; Pandemias; Coronavírus; Hospitalização.THE CHALLENGE TO IMPLEMENT PROTOCOLS FOR NURSING IN THE NEW CORONAVIRUS PANDEMIC: AN EXPERIENCE REPORTIntroduction: In the new coronavirus pandemic, there has been observed the importance of preparing the nursing team for this new reality. Objective: To describe the challenge to implement protocols for nursing in the coronavirus pandemic. Methodology: This is an experience report on the challenge to implement protocols for nursing in the COVID - 19 pandemic, in order to show the benefits for the safe assistance. The scenario was a large-sized private institution in the city of Salvador - Bahia. The process occurred during February, March and April 2020. Results: The implementation of the nursing protocols during the pandemic occurred in three phases: the first was the meeting and creation of a Crisis Committee to define nursing flows and protocols. Then, the multiprofessional team was trained in accordance with the determinations of the Crisis Committee. Finally, the nursing professionals become multipliers of information about the protocols of the new coronavirus. Final Considerations: Therefore, when implementing nursing protocols during the coronavirus pandemic, the multidisciplinary team, patients and family members reported feelings of gratitude and security in relation to the implanted protocols.Descriptors: Protocols; Nursing, Team; Pandemics; Coronavirus; Hospitalization. EL DESAFÍO DE IMPLEMENTAR PROTOCOLOS DE ENFERMERÍA EN LA PANDEMIA DEL NUEVO CORONAVIRUS: UN RELATO DE EXPERIENCIAIntroducción: En la pandemia del nuevo coronavirus, ha se observado la importancia de preparar el equipo de enfermería para esta nueva realidad. Objetivo: describir el desafío de implementar protocolos de enfermería en la pandemia del coronavirus.Metodología: Informe de experiencia sobre el desafío de implementar protocolos de enfermería en la pandemia del COVID - 19, con el fin de demostrar los beneficios para la manipulación segura. El escenario fue una institución particular de grande porte en la ciudad de Salvador, Bahia. El proceso se produjo durante los meses de febrero, marzo y abril de 2020. Resultados: La aplicación de los protocolos de enfermería durante la pandemia ocurrió en tres fases: en primer, hubo una reunión y la formación de un Comité de Crisis para la definición de flujos y protocolos de enfermería. Entonces, el equipo multiprofesional fue entrenado de acuerdo con las determinaciones del Comité de Crisis. Por último, los profesionales de enfermería se convierten en multiplicadores de la información acerca de los protocolos del nuevo coronavirus. Consideraciones Finales: Por lo tanto, al implementar protocolos de enfermería durante la pandemia de coronavirus, el equipo multidisciplinario, los pacientes y los familiares informaron un sentimiento de gratitud y seguridad en relación con los protocolos implantados.Descriptores: Protocolos; Grupo de Enfermería; Pandemias; Coronavirus; Hospitalización.


2020 ◽  
Vol 73 (6) ◽  
Author(s):  
Hellen Emília Peruzzo ◽  
Sonia Silva Marcon ◽  
Ítalo Rodolfo Silva ◽  
Laura Misue Matsuda ◽  
Maria do Carmo Fernandez Lourenço Haddad ◽  
...  

ABSTRACT Objective: to understand the meanings attributed by the Family Health Strategy (FHS) nurses to the management competencies essential to the performance of their actions. Method: explanatory, qualitative study, whose methodological framework was based on Grounded Theory. A total of 12 Family Health Strategy nurses from a municipality in southern Brazil participated through semi-structured interviews, between December 2018 and February 2019. Results: the experience was understood by the phenomenon “Lapidating management competencies daily to play the role of a nurse in the context of the Family Health Strategy”. As action/interaction strategies, the following categories emerged: “Evidencing the management skills of Family Health Strategy nurses” and “Recognizing the need for strategies to work on specificities in the context of the Family Health Strategy”. Final considerations: according to the meanings attributed by nurses, there are several essential management skills for the work in the Family Health Strategy, but they are still little worked and developed in this context, mainly because it is a complex health care scenario.


2021 ◽  
Vol 15 (9) ◽  
pp. 2979-2983
Author(s):  
Stephanie Hurado Hinojoza ◽  
Doris Ortiz Morales ◽  
Maria Olalla Garcia

Introduction: Currently the responsibilities and role of each nursing professional has been put to the test with the need to care for thousands of Covid-19 patients, whose demands for technical, cognitive and personal care have exceeded the capacities of many healthcare professionals. Aims & Objective: To know the perspectives of nursing professionals regarding the care of patients diagnosed with Covid-19. Material & Method: the qualitative method was applied with a phenomenological approach, with the consensual participation of 10 HANM professionals, for convenience. The information was collected through in-depth interviews and analyzed in the atlas ti software. V9, using 6 core categories and 11 subcategories with which the hermeneutical unit was built. Results: Nursing care in the time of Covid-19 has faced uncertainty and fear, not knowing accurately the procedures and treatments due to the lack of information in this regard, despite this they maintain the humanization in the treatment of the patient and the Family members, through emotional intelligence, manage their feelings and fears to provide support to their patients. Conclusions: Despite the limited accessibility to protection barriers and biosafety standards, mechanisms were established to provide comprehensive care, considering the needs of the patient and their families, and accompanying them throughout the disease process. The greatest impact for nursing professionals has been to be in constant contact with death, increasing their fear of catching it and bringing the disease to their family members. Keywords: Covid-19, nursing, care, patients.


2010 ◽  
Vol 4 (4) ◽  
pp. 1587
Author(s):  
Natália Celião Leite ◽  
Josilene De Melo Buriti Vasconcelos ◽  
Wilma Dias de Fontes

ABSTRACTObjectives: to report the experience of the nursing team and family members of ICU patients as regards communication; to learn the meaning they attribute to the communication process. Methodology: a quantitative and qualitative exploratory study carried out at the Intensive Care Unit of the school hospital. Consisting of 15 family members and 15 nursing professionals who happened to be available there during the data collection, the sample resulted from semi-structured interview guidance. The data were analyzed by means of descriptive statistics, taking into account the absolute and percentage numbers, and the technique of the Collective Subject Discourse, with presentation throughout graph, table and charts. Results: the data showed gaps in the communication, which are inherent to some professionals who neither practice nor value the communication process with the family, mainly as regards the need to prepare them for the ICU environment and the real conditions of their family members. Conclusion: the need to adopt an efficient system of communication with relatives of ICU patients is widely known. Thus, the nurse will be adopting new ways of caring, which include valuing the family members as integrating part of the nursing care, with view to humanizing the assistance. Descriptors: communication; humanization of the assistance; intensive care unit. RESUMOObjetivos: relatar a experiência da equipe de enfermagem e de familiares de pacientes internados em uma UTI, na perspectiva da comunicação; apreender o significado por eles atribuído ao processo de comunicação. Métodologia: estudo exploratório, quantiqualitativo, realizado na Unidade de Terapia Intensiva de hospital escola. A amostra foi formada por 15 familiares e 15 profissionais de enfermagem que se encontravam no local, por ocasião da coleta de dados, a qual ocorreu por meio de um roteiro de entrevista semi-estruturado. Os dados foram analisados por meio da estatística descritiva, levando-se em conta os números absolutos e percentuais, e da técnica do Discurso do Sujeito Coletivo, com apresentação em gráfico, tabela e quadros. Resultados: os dados mostram lacunas na comunicação, as quais são inerentes a alguns profissionais que não praticam e não valorizam o processo de comunicação com a família, principalmente no que diz respeito à necessidade de prepará-los para compreender o ambiente da UTI e as reais condições de seus familiares. Conclusão: é notória a necessidade de se adotar um sistema eficaz de comunicação com os familiares de pacientes internados na UTI. Assim, o enfermeiro estará adotando novas formas de cuidar, que incluem a valorização dos familiares como parte integrante do cuidado de enfermagem na perspectiva da humanização da assistência. Descritores: comunicação; humanização da assistência; unidade de terapia intensiva.RESUMENObjetivos: relatar la experiencia del equipo de enfermería y parientes de pacientes de UTI, en cuanto a la comunicación; aprender el significado que ellos atribuyen al proceso de comunicación. Metodología: estudio exploratorio, cuantitativo y cualitativo, realizado en la Unidad de Terapia Intensiva del hospital escuela. Formada por 15 parientes y 15 profesionales de enfermería que se encontraban disponibles en el sitio durante el recogimiento de los datos, la muestra resultó de la rutina de una entrevista semi-estructurada. Los datos fueron analizados a través de la estadística descriptiva, llevándose en cuenta los números absolutos y porcentajes, la técnica del Discurso del Sujeto Colectivo, con presentación en gráfico, tabla y cuadros. Resultado: los datos enseñan brechas en la comunicación, las cuales son propias de algunos profesionales que no practican y no valoran el proceso de comunicación con la familia, principalmente en cuanto a la necesidad de les preparar a entender el ambiente de la UTI y las reales condiciones de sus parientes. Conclusión: es notoria la necesidad de adoptarse un sistema de comunicación eficiente con los parientes de pacientes de UTI. Así, el enfermero estará adoptando nuevas maneras de cuidar, las cuales incluyen la valoración de los parientes como parte del cuidado de enfermero, con vista a la humanización de la asistencia. Descriptores: comunicación; humanización de la asistencia; unidad de terapia intensiva. 


2016 ◽  
Vol 50 (spe) ◽  
pp. 107-113 ◽  
Author(s):  
Marina Menezes ◽  
Carmen Leontina Ojeda Ocampo Moré ◽  
Luísa Barros

Objective To identify and analyze the significant networks of family, social and hospital support described by the family caregivers of hospitalized children 5-12 years during the hospital stay. Method Descriptive study, exploratory and qualitative study conducted with 20 caregivers of children hospitalized in a hospital in a city in southern Brazil, through semi-structured interviews and significant social networks maps, tailored to the hospital setting. Results Data analysis showed that the most active social network was comprised of families through emotional support, material aid and services. Relations with hospital health care team and the hospital context were cited as providing support to the caregivers of the hospitalized child. Conclusions The identification of social networks in the child’s hospitalization course enables equip professionals working in the institution aiming at better targeting of actions and care for the family and hospitalized children.


2020 ◽  
pp. 025371762095025
Author(s):  
N. Padmavathi ◽  
Sailaxmi Gandhi ◽  
Manjula M ◽  
Biju Viswanath ◽  
Sanjeev Jain

Caregivers of patients with bipolar disorder (BD) undergo a considerable amount of burden. In India, family caregivers are the primary source of support and care for their ill relatives. The burden faced by family members of patients with BD often results in physical and mental health consequences. This may lead to negative interaction patterns such as hostility, criticality, and overinvolvement, termed as expressed emotions (EE). Here, we report how we addressed the EE in family members, using a single-subject design that involved the family caregivers (n = 2) of two adults who presented with a diagnosis of BD with a current episode of mania. An assessment of family caregivers, using the family questionnaire, revealed high EE. Family focused therapy (FFT) of 12 sessions was delivered over 3–4 weeks on an inpatient basis, with positive outcomes of reductions in EE and family stress and improved psychosocial functioning in patient that were sustained over 9–10 months. FFT can be an important add on psychosocial therapy to reduce EE and stress and to facilitate functioning and communication.


2020 ◽  
Vol 73 (2) ◽  
Author(s):  
Daiani Modernel Xavier ◽  
Giovana Calcagno Gomes ◽  
Marta Regina Cezar-Vaz

ABSTRACT Objectives: to understand the meanings assigned by family caregivers about children’s chronic disease diagnosis. Methods: qualitative study, which used as theoretical framework the Symbolic Interactionism, and methodological, the Grounded Theory. It was held in a pediatric unit in Southern Brazil, in 2016, through interviews submitted to open and axial analysis, with the participation of 20 family caregivers of hospitalized children. Results: relatives, interacting with the nursing/health staff, perceive children’s disease at birth. They are diagnosed with chronic disease by the physician and deny it. Subsequently, they accept and seek information on care. Conclusions: the results pointed out the stages that relatives experience by assigning meanings to about children’s chronic disease diagnosis. These meanings provide subsidies for nurses’ actions, which need to be aware of children’s and family’s needs in order to offer comprehensive and humanized care.


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