Objective to identify the challenges pediatric nursing workers face as a result of the COVID-19 pandemic. Method qualitative study, using a semi-structured electronic form applied to nursing workers from pediatric services in the state of Rio de Janeiro, Brazil. Data were submitted to lexicographic analysis using the Interface de R pour Analyses Multidimensionnelles de Textes et de Questionnaires, Word Cloud technique, and Similitude Analysis. Results different challenges concerning the COVID-19 pandemic were reported, including the need to promote comprehensive and quality care while being concerned with protecting oneself and others, with an emphasis on fear. A lack of protective equipment, training, diagnostic tests, and knowledge/information concerning the disease was also reported, in addition to a reduced number of nursing workers and a lack of appreciation for the profession. Conclusion managerial guidelines need to be adopted for properly allocating human and material resources in the health field, including the pediatric services, in addition to providing training on standard precautions. Actions to encourage, value, motivate, and support the nursing staff are needed during and after the pandemic to protect the physical and mental health of these professionals.

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Objective: To understand the conditions that influence the adherence and application of best practices by nurses in the context of the Nursing care management in the Kangaroo Mother Care in the Neonatal ICU. Method: Study of qualitative approach, whose theoretical and methodological frameworks were Symbolic Interactionism and Grounded Theory, respectively. We used the in-depth interview with 8 nurses from the Neonatal ICU of a public maternity hospital in the city of Rio de Janeiro. Results: The conditions involved in adhering to the best practices of humanization in the Neonatal ICU are related mainly to human resources, interaction among professionals, work processes and leadership strategies; and care management. Conclusion: Professional and institutional challenges have been identified that need to be addressed to improve adherence and implementation of the Kangaroo Mother Care best practices.

Subjective, educational, sociocultural and institutional conditions influence the nurse interactions, causing order/disorder on care management.

Cambios en la vida y en el cuerpo: experiencias frente al embarazo en la perspectiva afectiva de los padres.Esc Anna Nery Rev Enferm 2009 abr-jun; 13 (2): 393-401 RESUMOPesquisa do tipo descritivo-exploratório, com abordagem qualitativa, que teve como objetivos: descrever as vivências destacadas pelos pais diante da gravidez e analisar tais vivências sob a perspectiva da afetividade, construída pelos pais diante da gravidez. Os participantes foram seis mães e três pais. A técnica de coleta utilizada foi a entrevista em profundidade. Os dados foram submetidos à análise pela modalidade temática, emergindo duas categorias: Vivendo intensas mudanças na vida e Vivendo intensas mudanças no corpo. Concluiu-se que, na gestação, os enfrentamentos podem oscilar em momentos de desequilíbrio e outros de superação. Nesse entremeio, a afetividade está ligada a essas respostas adaptativas dos pais e da família.Palavras-chave: Afeto. Gravidez. Família. Enfermagem. Abstract ResumenInvestigación del tipo descriptivo y exploratorio, con abordaje cualitativo que tenía como objetivos: Describir las experiencias de relieve por los padres enfrente del embarazo y, Examinar esas experiencias desde la perspectiva de la afectividad, construido por los padres enfrente del embarazo. Los participantes fueron seis madres y tres padres. La técnica de colecta fue la entrevista en profundidad. Los datos habían sido presentados al análisis por la modalidad temática, emergiendo dos categorías: Viviendo intensos cambios en la vida y; Viviendo intensos cambios en el cuerpo. Se concluye que en la gestación, las confrontaciones pueden oscilar en los momentos del desequilibrio y otros de superación. De esta manera, la afectividad está conectada a esas respuestas adaptantes de los padres y de la familia. Research of the descriptive and exploratory type, with qualitative approach that had as objectives: describe the experiences detached by parents before the pregnancy and, to analyze these experiences from the perspective of affectivity, built by parents before the pregnancy. The participants had been six mothers and three fathers. The collection technique used was the interview in depth. The data had been submitted to the analysis for the thematic modality, emerging two categories: Living intense changes in life e; Living intense changes in the body. It is concluded that in the gestation, the confrontations can oscillate at disequilibrium moments and others of overcoming. In this way, the affectivity is connected to adaptive responses of the parents and the family.