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.

Objetivo: Conocer los significados dados por la familia a los cuidados ofrecidos a los niños hospitalizados.Metodología: Se trata de una investigación cualitativa basada en la Teoría Fundamentada en Datos. La recolección de datos se realizó a través de entrevistas a 15 cuidadores familiares de niños internados en la Unidad de Pediatría de un hospital universitario en el sur de Brasil, en el primer semestre de 2010. Los datos del estudio fueron validados por tres familiares más.Resultados: Surgieron cuatro categorías relacionadas con la principal referencia de cuidado, el control sobre los profesionales, el cuidado de la seguridad y la fuente de información acerca de los niños en el hospital. La recolección y el análisis de los datos, realizados de forma sistemática y comparativa, mostraron que el familiar cuidador es reconocido como la principal referencia de cuidado del niño. Además lleva el control en el hospital, se ocupa de la seguridad y se identifica, tanto para el equipo de salud como para otros parientes, como una fuente de información sobre el niño.Conclusión: El profesional de enfermería debe apoyar, instrumentalizar y empoderar a los familiares de los niños para que adquieran las habilidades y las competencias del cuidado, teniendo en cuenta el significado que se le atribuye a la experiencia vivida.

Trata-se de um estudo descritivo que objetiva identificar as alterações causadas por uma ostomia no viver de seus portadores. Foram realizadas entrevistas com oito ostomizados de uma cidade do Rio Grande do Sul. A resolução 196/96 foi seguida. Os dados foram analisados pela técnica de Análise de Conteúdo. Verificamos que estes pacientes têm sua perspectiva de vida alterada, precisam adaptar-se ao uso de equipamentos, sentem medo da nova situação, têm sua imagem corporal desfeita, sua auto-estima diminuída e sua sexualidade comprometida, perdem o controle sobre o corpo e sentem-se estigmatizados. Algumas pessoas afastam-se do seu convívio enquanto outras se fazem mais presentes como forma de apoio. Verificamos que são complexas as alterações causadas pela ostomização e que a compreensão destas pelo enfermeiro tornam-se importantes no sentido de propiciar o planejamento de um cuidado mais efetivo, humano e de qualidade.Living with an ostomy: knowing for better caringAbstractThis is a descriptive study aiming to identify the changes caused by ostomy in ostomates’ daily lives. Complying with 196/96 resolution, eight ostomates were interviewed in a city in Rio Grande do Sul State/Brazil. Data were analyzed by the technique of Content Analysis. It was verified that these patients’ life perspective has changed. They need to adapt to the use of the equipment, so they fear the new situation. They have their self-image disrupted, their self-esteem diminished and their sexuality hindered; they lose control over their body and they feel stigmatized. Some people from their relations turn their back to them while others stand by them even more than they used to. It was evidenced that changes caused by ostomy are very complex, and it is important for nurses to understand them in order to provide a more effective, humanized and qualified care planning.

Objective: To know the barriers in the process of building family cultural care for the child in the hospital. Methodology: This is a qualitative study with a cross-cultural theoretical reference of Madeleine Leininger, called Theory of Diversity and Cultural Universality of Care, and with a methodological reference of the ethno-inference. It was developed in 2017 at the pediatric unit of a university hospital in the south of Brazil, through non-participant observation, participant observation and interview with 15 family caregivers of hospitalized children. The data was coded, classified and scrutinized to identify the saturation of ideas and similar or different patterns; also, it was re-coded and the theoretical formulations and recommendations were performed. Ethical aspects were followed, according to the Resolution of the National Research Ethics Council 466/2012. Results: The data showed as a barrier the need for hospitalization as a factor of family vulnerability, control of the unit’s health team members, hospital norms and routines, and the need to transgress as a manifestation of family care. Conclusion: Cultural care is a process that aggregates knowledge and can be considered a new paradigm for the accomplishment of nursing care by providing the mutual growth and construction of new knowledge, an affective, reflexive, human and empathic relationship between the nurse, the child and the family.

No abstract