Assistance to high-risk newborns: from the hospital to their homes

Keywords: Infant, Newborn; Primary Health Care; Child Care; Nursing; Caregivers.

Abstract

Objective: to apprehend the perceptions of caregivers of high-risk newborns about care provided by health professionals. Methods: a qualitative study with 11 main caregivers of newborns. Data were collected through semi-structured interview, audio recorded, and submitted to content analysis. Results: caregivers of high-risk newborns emphasized the reception at birth and information on the health and evolution of the baby during hospitalization and at discharge, as factors that made the difference in the hospital setting. In the context of Primary Care, those that reflected on the safety/trust and satisfaction with the assistance provided were: multi professional care, follow up with the pediatrician in the reference center, home visit and nursing consultation. Conclusion: caregivers of high-risk newborns perceived positively the care provided by health professionals, both in the hospital environment and at home.

References

Lapão LV, Arcêncio RA, Popolin MP, Rodrigues LBB. The role of Primary Healthcare in the coordination of Health Care Networks in Rio de Janeiro, Brazil, and Lisbon region, Portugal. Ciênc Saúde Coletiva. 2017; 22(3):713-23. doi: https://doi.org/10.1590/1413-81232017223.33532016

Ministério da saúde (BR). Informações de saúde. Institui, no âmbito do Sistema Único de Saúde - SUS - a Rede Cegonha. Brasília: Ministério da Saúde; 2011.

Mohammadi E, Nourizadeh R, Simbar M, Rohana N. Iranian women’s experiences of dealing with the complexities of an unplanned pregnancy: a qualitative study. Midwifery. 2018; 62:81-85. doi: https://doi.org/10.1016/j.midw.2018.03.023

Van der Waerden J, Galéra C, Saurel-Cubizolles MJ, Sutter-Dallay AL, Melchior M.

Predictors of persistent maternal depression trajectories in early childhood: results from the EDEN mother-child cohort study in France. Psychol Med. 2015; 45(9):1999-2012. doi: https://dx.doi.org/10.1017/S003329171500015X

Wenjuan W, Rathavuth H. Levels and determinants of continuum of care for maternal and newborn health in Cambodia-evidence from a population-based survey. BMC Pregnancy Childbirth. 2015; 15:62. doi: https://dx.doi.org/10.1186/s12884-015-0497-0

Araújo MAN, Lunardi Filho WD, Silveira RS, Souza JC, Barlem ELD, Teixeira NS. Segurança do paciente na visão de enfermeiros: uma questão multiprofissional. Enferm Foco. 2017; 8(1):52-6. doi: https://doi.org/10.21675/2357-707X.2017.v8.n1.984

Bardin L. Análise de conteúdo. São Paulo: Edições 70; 2016.

Silva PLN, Barbosa SL, Rocha RG, Nunes T. Experience and needs of parents from premature neonates hospitalized in a neonatal intensive care unit. Rev Enferm UFPI [Internet]. 2018 [citado 2019 Jan. 13]; 7(1):15-9. Disponível em: http://www.ojs.ufpi.br/index.php/reufpi/article/view/6667

Jaramillo L, Osorio S, Salazar D. Quality of nursing care: perception of parents of newborns hospitalized in neonatal units. Invest Educ Enferm. 2018; 36(10):e08. doi: http://dx.doi.org/10.17533/udea.iee.v36n1e08

Gerstein ED, Poehlmann-Tynan J, Clark R. Mother-child interactions in the NICU: relevance and implications for later parenting. J Pediatr Psychol. 2015; 40(1):33-44. doi: http://dx.doi.org/10.1093/jpepsy/jsu064

Dias RB, Boery RNSO, Vilela ABA. Knowledge of nurses and incentive strategies for family participation in breastfeeding. Ciênc Saúde Coletiva. 2016; 21(8):2527-36. doi: http://dx.doi.org/10.1590/1413-81232015218.08942015

Lucchini RC, Márquez DF, Rivera MMS. I want to breastfeed my baby: Unvealing the experiences of women who lived process difficulties in their breastfeeding. Rev Chil Pediatr. 2017; 88(5):622-8. doi: http://dx.doi.org/10.4067/S0370-41062017000500008

Ribas EN, Bernadinho E, Larrocca LM, Poli Neto P, Aued GK, Silva CPC. Nurse liaison: a strategy for counter-referral. Rev Bras Enferm. 2018; 71(suppl.1):546-53. doi: http://dx.doi.org/10.1590/0034-7167-2017-0490

Lucena DBA, Guedes ATA, Cruz TMAV, Santos NCCB, Collet N, Reichert APS. First week of integral health for the newborn: nursing actions of the Family Health Strategy. Rev Gaúcha Enferm. 2018; 39:e2017-0068. doi: http://dx.doi.org/10.1590/1983-1447.2018.2017-0068

Medeiros LS, Costa ACM. Postpartum period: the importance of home visits given by the nurse in Primary Health Care. Rev Rene. 2016; 17(1):112-9. doi: http://dx.doi.org/10.15253/2175-6783.2016000100015

Milani HS, Amiri P, Mohseny M, Abadi A, Vaziri SM, Vejdani M. Postpartum home care and its effects on mothers’ health: A clinical trial. J Res Med Sci. 2017; 16(22):96. doi: http://dx.doi.org/10.4103/jrms.JRMS_319_17

Rocha GM, Cordeiro RC. Assistência domiciliar puerperal de enfermagem na estratégia saúde da família: intervenção precoce para promoção da saúde. Rev Universidade Vale Rio Verde. 2015; 13(2):483-93. doi: http://dx.doi.org/10.5892/ruvrd.v13i1.2345

Furtado MCC, Mello DF, Pina JC, Vicente JB, Lima PR, Rezende VD. Nurses’ actions and articulations in child care in primary health care. Texto Contexto Enferm. 2017; 27(1):e0930016. doi: http://dx.doi.org/10.1590/0104-07072018000930016

Reichert APS, Rodrigues PF, Albuquerque TM, Collet N, Minayo MCS. Bond between nurses and mothers of children younger than two years: perception of nurses. Ciênc Saúde Coletiva. 2016; 21(8):2375-82. doi: https://doi.org/10.1590/1413-81232015218.07662016

Agbozo F, Colecraft E, Albrecht J, Timothy G. Understanding why child welfare clinic attendance and growth of children in the nutrition surveillance programme is below target: lessons learnt from a mixed methods study in Ghana. BMC Nurs. 2018; 17:25. doi: https://doi.org/10.1186/s12912-018-0294-y

Published
2019-04-25
Section
Research Article