A complexidade do cuidado para o controle térmico do recém-nascido prematuro

Aimone Carneiro de Oliveira; Climene Laura de Camargo; Maria Carolina Ortiz Whitaker; Lucas Amaral Martins; Laiane Farias Santos; Emanuela de Almeida Oliveira; Larissa de Carvalho Silveira

doi:10.15253/2175-6783.20232485215

Autores

Aimone Carneiro de Oliveira Universidade Federal da Bahia https://orcid.org/0000-0002-8926-0778
Climene Laura de Camargo Universidade Federal da Bahia https://orcid.org/0000-0002-4880-3916
Maria Carolina Ortiz Whitaker Universidade Federal da Bahia https://orcid.org/0000-0003-0253-3831
Lucas Amaral Martins Universidade Federal do Recôncavo da Bahia https://orcid.org/0000-0003-1497-6576
Laiane Farias Santos Universidade Federal da Bahia https://orcid.org/0000-0002-0689-766X
Emanuela de Almeida Oliveira Universidade Federal da Bahia https://orcid.org/0000-0001-5921-3826
Larissa de Carvalho Silveira Universidade Federal da Bahia https://orcid.org/0000-0002-7082-7279

DOI:

https://doi.org/10.15253/2175-6783.20232485215

Palavras-chave:

Recém-Nascido Prematuro; Regulação da Temperatura Corporal; Enfermagem Neonatal; Neonatologia; Dinâmica não Linear.

Resumo

Objetivo: compreender a percepção dos enfermeiros sobre a complexidade do cuidado para o controle térmico do recém-nascido prematuro. Métodos: estudo qualitativo realizado com 13 enfermeiros de maternidade pública, por meio de entrevista virtual, com roteiro semiestruturado, submetido à Análise de Conteúdo e interpretado pelo suporte teórico do modelo do sistema adaptativo complexo de cuidado. Resultados: os fatores presentes nos cuidados dos enfermeiros no controle térmico do recém-nascido prematuro estão relacionados à complexidade permeada por fatores ambientais como a temperatura da unidade e a distribuição das correntes de ar condicionado; fatores institucionais como a disponibilização e uso correto de tecnologias, e aos relacionados com o profissional, como atuação, treinamento e capacitação. Conclusão: adequar a temperatura da unidade; melhor distribuição das correntes do ar condicionado; a disponibilidade de tecnologias; política de educação continuada no serviço; treinamentos de manuseio dos equipamentos; fiscalização e exigência de manutenção preventiva e corretiva dos aparelhos podem influenciar a redução dos eventos de instabilidade térmica do recém-nascido prematuro. Contribuições para a prática: estimular a qualificação profissional, planejamento de ações intersetoriais para a estruturação tecnológica e manutenção preventiva das unidades, sistematização da assistência ao recém-nascido prematuro no controle térmico minimizando o risco de morbimortalidade neonatal por instabilidade térmica.

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