Humanization of neonatal care: the conception of the nursing team

Abstract

Objective: To understand the concept of humane neonatal care in view of the nursing staff. Method: this is a qualitative study that used for data collection to semi-structured interviews with 23 members of nursing staff in a NICU of a university hospital in the city of Curitiba in the first half of 2010. Results: Four categories were obtained through content analysis. Conclusion: it was noted that professionals recognize the importance of the presence of parents with newborns, providing humane care of the nursing staff to the newborn

Empowering Nurses to Provide Humanized Care in Canadian Hospital Care Units

“…In these primary studies, the main difficulties were a disproportionate patient-to-nurse ratio creating a lack of time for nurses to interact with patients,9,11,16,17,20–23 a focus on performing tasks as quickly as possible,10,11,22 and job dissatisfaction 9,16,17,20,22,23. Influencing factors included the following: a lack of information about patients' diagnoses,23 a lack of continuity of care,21 the fragmentation of patient care activities among different workers,16 a lack of supportive relationships between team members and constantly changing teams,17,20 patients' attitudes exacerbating stress,19 and the high technicality of care 16,18,23. Recommendations were to reinforce professional training15–17,21,22 and managerial recognition of nurses' work,16,17,21 to create an environment that tempers the stressors on the unit,15,17,21–24 and to develop institutional norms,16,21,22 protocols,9,16,21 and leadership1,6–8,22, that support humanized care.…”

“…Second, almost all of these studies were conducted in Latin American countries, primarily Colombia [9][10][11] and Brazil, in the latter case spurred by the implementation of a National Humanization Policy in 2013. [15][16][17][18][19][20][21]23,24 Finally and most importantly, most studies focused on exploring nurses' experiences with and perceived barriers to humanized care without developing strategies to overcome these barriers. 10,[17][18][19][20][21][22]24 It is therefore crucial to bridge the gap between the theory and practice of humanized care and to explore ways to operationalize humanized care in our complex health services.…”

“…[15][16][17][18][19][20][21]23,24 Finally and most importantly, most studies focused on exploring nurses' experiences with and perceived barriers to humanized care without developing strategies to overcome these barriers. 10,[17][18][19][20][21][22]24 It is therefore crucial to bridge the gap between the theory and practice of humanized care and to explore ways to operationalize humanized care in our complex health services. 21…”

“…Similarly, studies of nurses' perspectives on humanized care consistently find that nurses also deplore the gap between that they perceive as the core of their profession—providing humanized care—and the practical requirements that impede them from doing so 9–11,15–24. Organizational constraints and unsupportive work environments have been demonstrated to have negative consequences on nurses' ability to provide humanized care.…”

<b>Valorização da família no processo de cuidado: atitudes de enfermeiros em unidade neonatal / Valorization of the family in the care process: nurses’ attitudes in a neonatal unit<b>

“…Nessa perspectiva, o enfermeiro se mostra como agente promotor de mudança e seus conhecimentos objetivam um novo nível de estabilidade, pois o foco é o funcionamento familiar, em especial no contexto da Unidade de Terapia Intensiva Neonatal (UTIN). A inclusão da família no cuidado exige que os enfermeiros estejam abertos às interações e adotem atitudes de cuidar numa dinâmica de relações e intervenções que excedam o cuidado clínico (2) . Portanto, atitude é compreendida como a disposição ou comportamento que permite efetuar alternativas de valor de uma determinada situação (3) ou uma tendência psicológica avaliativa, envolvendo tomada de decisão, favorável ou desfavorável, em relação a um objeto.…”