scholarly journals The training of neonatologists and the paradigms implied in their relationship with the parents of babies in the Neonatal Intensive Care Unit

2014 ◽  
Vol 32 (1) ◽  
pp. 11-16 ◽  
Author(s):  
Ethel Cukierkorn Battikha ◽  
Maria Teresa de M. Carvalho ◽  
Benjamin Israel Kopelman
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Professional Practice ◽  
Neonatal Intensive Care ◽  
Structured Interview ◽  
Public Institutions ◽  
Training And Education ◽  
Resident Physicians ◽  
Child's Death

Objective: To analyze and to interpret the psychological repercussions generated by the presence of parents in the Neonatal Intensive Care Unit for residents in Neonatology. Methods: Study based on the psychoanalytic theory, involving a methodological interface with qualitative surveys in Health Sciences. Twenty resident physicians in Neonatology, from five public institutions of São Paulo state, responded to a single semi-structured interview. Based on several readings of the material, achieving the core of emergent meanings that would be significant to the object of the survey, six categories were elected for analysis and interpretation: parents' staying at the Neonatal Intensive Care Unit and its effects on the neonatologists' professional practice; communication of the diagnosis and what parents should know; impasses between parents and doctors when the diagnosis is being communicated; doctor's identification with parents; communication of the child's death and their participation in the interview. Results: The interpretation of the categories provided an understanding of the psychic mechanisms mobilized in doctors in their relationships with the children's parents, showing that the residents experience anguish and suffering when they provide medical care and during their training process, and also that they lack psychological support to handle these feelings. Conclusions: There is a need of intervention in neonatologists training and education, which may favor the elaboration of daily experiences in the Unit, providing a less anguishing and defensive way out for young doctors, especially in their relationship with patients and parents.

scholarly journals MATERNAL ROLE DURING CHILD'S HOSPITALIZATION IN THE NEONATAL INTENSIVE THERAPY UNIT

2019 ◽  
Vol 28 ◽  
Author(s):  
Aliniana da Silva Santos ◽  
Lidiane do Nascimento Rodrigues ◽  
Maria Solange Nogueira dos Santos ◽  
George Jó Bezerra Sousa ◽  
Maria Corina Amaral Viana ◽  
...  
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Neonatal Intensive Care ◽  
Intensive Therapy ◽  
Hierarchical Classification ◽  
Structured Interview ◽  
Exploratory Research ◽  
Maternal Role ◽  
Hospitalization Period

ABSTRACT Objective: to identify the experience of motherhood during the hospitalization period of the newborn in a neonatal intensive care unit. Method: a descriptive and exploratory research, with a qualitative approach, based on the Maternal Role Attainment Theory. A semi-structured interview was conducted in June 2018 with 23 mothers of newborns in a neonatal therapy unit of a public teaching hospital in the state of Ceará (Brazil). The method for data analysis was the Descending Hierarchical Classification based on the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. Results: with the codings and analysis of the empirical material, it was found that mothers presented negative feelings such as fear, sadness and anguish. Consolidated feelings were based on experiences faced by these women, making it difficult to exercise the maternal role in the neonatal intensive care unit. Conclusion: data from this research signaled at the lack of maternal protagonism considered important by the theory used, so that the bond between mother and child is established in the neonatal intensive care unit.

scholarly journals INFORMATION NEEDS OF FAMILIES ON THE HEALTH/DISEASE OF PRETERM INFANTS IN A NEONATAL INTENSIVE CARE UNIT

2019 ◽  
Vol 28 ◽  
Author(s):  
Vanessa Ferreira de Lima ◽  
Verônica de Azevedo Mazza
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Preterm Infants ◽  
Neonatal Intensive Care ◽  
Information Needs ◽  
Structured Interview ◽  
Qualitative Approach ◽  
On Line ◽  
Technological Means

ABSTRACT Objective: to identify the information needs of the families of preterm infants hospitalized to the Neonatal Intensive Care Unit on health/disease. Method: exploratory study, with a qualitative approach, performed with 33 relatives of preterm infants admitted to the Neonatal Intensive Care Unit, through a semi-structured interview, recorded in audio, transcribed and analyzed with the aid of the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software. Results: two categories were identified, which are called: Reality versus expectation of obtaining information about the preterm infant; and Information on health/disease on-line: useful, positive and unattractive aspects. Conclusion: it has been found that the information needs of family members are wide, and different means are employed to satisfy them, ranging from the traditional and every day to the use of technological means to find data and used for different purposes.

scholarly journals Developing Nursing Standard Guidelines for Nurses in a Neonatal Intensive Care Unit: A Delphi Study

Healthcare ◽  
2020 ◽  
Vol 8 (3) ◽  
pp. 320
Author(s):  
Hanna Lee ◽  
Da-Jung Kim ◽  
Jeong-Won Han
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Professional Practice ◽  
Clinical Education ◽  
Delphi Study ◽  
Neonatal Intensive Care ◽  
Nursing Practice ◽  
Practice Standards ◽  
Nursing Standard

The purpose of this study is to develop nursing standard guidelines for nurses in a neonatal intensive care unit. The Delphi method was used in this study to elicit expert consensus. Thirteen experts who were nurses and pediatric adolescent specialists working in the neonatal intensive care unit participated in the study. In this study, 178 items were developed based on 5 nursing practice standards and 7 standards of professional practice. An additional 10 items were included based on observation in the neonatal intensive care unit. After expert validation, a final total of 184 items was developed. The standard guidelines for high-risk neonatal care developed in this study for practical clinical education in nursing are significant because they reflect the nursing practice standards in Korea and characteristics of nursing practice in the neonatal intensive unit.

scholarly journals Online information use on health/illness by relatives of hospitalized premature infants

2019 ◽  
Vol 72 (suppl 3) ◽  
pp. 79-87
Author(s):  
Vanessa Ferreira de Lima ◽  
Verônica de Azevedo Mazza ◽  
Carmen Gracinda Silvan Scochi ◽  
Luciana Schleder Gonçalves
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Premature Infants ◽  
Neonatal Intensive Care ◽  
Structured Interview ◽  
University Hospital ◽  
Care Process ◽  
Online Information ◽  
Sources Of Information

ABSTRACT Objective: To analyze the use of online information on health/illness by relatives of premature infants admitted to the Neonatal Intensive Care Unit. Method: Exploratory, qualitative study conducted at a Neonatal Intensive Care Unit from a University Hospital in the state capital of southern Brazil, with 33 relatives of hospitalized premature infants. The data were collected through a semi-structured interview and were submitted to thematic analysis, with the aid of the software Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires (IRAMUTEQ®). Results: From the data analysis, two thematic categories emerged: Online information on health/illness researched by relatives; and Online sources of information consulted by relatives. Final considerations: Health professionals need to consider the use of online information by relatives in the care process, adding it in their practice in relation to the informational needs presented, and stimulating spaces for dialogue about the data found.

The Psychosocial Aspects of Feeding in the Neonatal Intensive Care Unit and Beyond

2019 ◽  
Vol 4 (6) ◽  
pp. 1507-1515
Author(s):  
Lauren L. Madhoun ◽  
Robert Dempster
Keyword(s):  
Intensive Care Unit ◽  
Intensive Care ◽  
Neonatal Intensive Care Unit ◽  
Hospital Discharge ◽  
Neonatal Intensive Care ◽  
Oral Feeding ◽  
Medical Attention ◽  
Primary Role ◽  
Speech Language Pathologists ◽  
The Family

Purpose Feeding challenges are common for infants in the neonatal intensive care unit (NICU). While sufficient oral feeding is typically a goal during NICU admission, this can be a long and complicated process for both the infant and the family. Many of the stressors related to feeding persist long after hospital discharge, which results in the parents taking the primary role of navigating the infant's course to ensure continued feeding success. This is in addition to dealing with the psychological impact of having a child requiring increased medical attention and the need to continue to fulfill the demands at home. In this clinical focus article, we examine 3 main areas that impact psychosocial stress among parents with infants in the NICU and following discharge: parenting, feeding, and supports. Implications for speech-language pathologists working with these infants and their families are discussed. A case example is also included to describe the treatment course of an infant and her parents in the NICU and after graduation to demonstrate these points further. Conclusion Speech-language pathologists working with infants in the NICU and following hospital discharge must realize the family context and psychosocial considerations that impact feeding progression. Understanding these factors may improve parental engagement to more effectively tailor treatment approaches to meet the needs of the child and family.

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