Objective: to describe the conduct related to feeding care through gastric tube in neonates hospitalized in the Neonatal Intensive Care Unit, from scientific articles published in the last five years. Method: an integrative literature review was developed in the databases: MEDLINE, LILACS, SciELO, CINAHL and BDENF. The search for the studies was carried out in August 2016, in English, Spanish and Portuguese. Results: 33 articles were analyzed. The level of evidence was classified as level IV (30%), level VI (27%), level II (15%), level III (18%), level I, V and VII with 3% each. The analytical categories were: Gastric tubes, their materials and their use in the Neonatal Intensive Care Unit, Nursing care for enteral nutrition through gastric tube in the Neonatal Intensive Care Unit, From the tube the oral route. The time to reach total enteral nutrition is lower, as is the decrease in length of hospital stay. The largest losses of milk fat are during gastroclysis at the expense of gavage. The relationship of food tolerance to dietary dosage form and volumes is not yet conclusive. Nursing stands out: in favor of the bond with the family, in the physical examination and evaluation, in the positioning, in the non-nutritive suction during the diet, in the oral stimulus, in the observation and conduct regarding the gastric residue. Conclusion: due to the heterogeneity of the data, more randomized and qualitative clinical trials are required to better support the conduct and improvement of nursing care.
Objective: to describe nursing care in peripheral intravenous catheterization in hospitalized children. Method: integrative review carried out in November 2020 in LILACS, CINAHL, MEDLINE, SciELO, BDENF and COCHRANE databases. The analysis was constructed from the processes of this review. Results: 19 articles were analyzed, classified according to the level of evidence: level II (5%), level IV (21%), level V (5%), level VI (63%) and level VII (5%). Analytical category "Care for hospitalized child requiring peripheral intravenous catheter". Ultrasound was considered a useful technology. The most used and recommended catheter is the 24 Gauge caliber and the ideal dressing is to use sterile transparent film. Venipuncture in children is more difficult than adults and is often associated with adverse events. Elective catheter replacement is not recommended in children, but there are still doubts. The Difficult Intravenous Access score determines the probability of catheterization failure. Specialized and trained nursing professionals make a difference in this procedure. One should be concerned with pain, using pharmacological and non-pharmacological devices to minimize it. Conclusion: this review contributes to good practices in the care of peripheral intravenous catheterization in children and was based on data on the main technologies used, forms of prevention of adverse events, as well as nursing actions that ensure the safest and least stressful process for children and their families.
O presente trabalho foi desenvolvido a partir do Subprojeto de Geografia (Niterói) da Universidade Federal Fluminense, vinculado ao Programa Institucional de Bolsa de Iniciação à Docência (Pibid) da Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES). Adotamos como temática central os desafios que atravessam as práticas curriculares no ensino de geografia e a formação inicial docente. Buscamos trazer reflexões e alguns dos resultados de trabalho em torno das técnicas de ensino, sua importância nas práticas docentes cotidianas, e, sobretudo, as que vêm sendo desenvolvidas no âmbito desse Projeto. Articulamos essas reflexões à relação ensino-aprendizagem e à relação teoria e prática na formação inicial docente. Esse foi o ponto central de nosso trabalho na unidade escolar Colégio Estadual Manuel de Abreu, situado no bairro Icaraí, no município de Niterói (RJ), no decorrer dos anos letivos de 2014 e de 2015. A nossa investigação acerca das técnicas de ensino desenvolvidas nas aulas de geografia do 2º e 3º ano e do Ensino Médio desdobra-se nas seguintes indagações: quais os resultados trazidos para a formação inicial docente e quais as representações que os bolsistas licenciandos envolvidos apreendem sobre tais técnicas e o seu “fazer docente”? Este estudo está baseado em alguns pressupostos, dentre eles as considerações acerca da (1) organização de um curso de geografia escolar; (2) a relação entre teoria e prática na formação inicial docente; e, (3) o papel da abordagem filosófica no desenvolvimento dos objetos/conceitos que dêem sentidos à transformação social essencialmente “positiva”.
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