Impact of promoting self-care in nursing workload

Abstract

Objective:To assess the impact of promoting self-care in nursing workload and associate it to the variables: age, gender, socioeconomic status, education, marital status and number of children of caregivers. Methods: Prospective study with 31 children and their caregivers. Participants were assessed at two moments, 1 st and 2 nd hospitalization, the nursing workload was measured by the Nursing Activities Score (NAS). Results: The mean NAS in the 1 st hospitalization was 60.9% and in the 2 nd hospitalization was 41.6%, that is, 14.6 and 9.9 hours of nursing, respectively. The nursing workload on the first day of hospitalization was higher compared to the last day, both for the 1 st (p<0.001) and for the 2 nd hospitalization (p<0.001), and higher in the first (p<0.001) and in the last day (p=0.025) in the 1 st hospitalization. Comparing the 1 st hospitalization to the 2 nd hospitalization, the first was higher (p<0.001), and NAS items related to the training of self-care was influenced (p<0.001). Conclusion: The nursing workload associated to self-care promotion corresponded to 14.6 hours and was higher than determined by the existing legislation.

Applicability of Orem: training of caregiver of infant with Robin Sequence

“…In this way, the supportive-educative nursing system is used for caregivers' guidance and training (6)(7)(8) . In addition to teaching about care, nurses and their staff should supervise and make sure of its effectiveness (4) . Different instruments can be used for caregivers' training.…”

“…Promotion of self-care related to feeding-facilitating techniques FFT are effective, and after an average of seven days of treatment, there is possibility of the child being orally fed (3,4) . As cases are evaluated individually and evolution will depend on several factors, results cannot be generalized.…”

“…The nurse guides the caregiver about the preparation of materials and the diet, which include slowly filling the equipment with the diet to be administered, attaching it to the container without presence of air, connecting the equipment at the end of the NGT, and opening the equipment clamp to control the drip. The caregiver is instructed to keep the prone position continuously elevated to at least 30º (4) . Care related to this management includes checking the tube marking to verify its correct positioning, and checking the gastric residue prior to dietary administration.…”

“…Nurses and the team should promote caregivers' training, and develop strategies and instruments to formalize this training (3) . The nursing work process in the care of these infants and their caregivers is based on the Self-Care Theoretical Framework (4)(5) . Self-care is "the practice of activities by people for their own benefit, in the sense of maintaining vitality, wellbeing and health".…”

“…Thus, nurses must be aware of self-care action needs, including for example, deficits related to oxygenation or feeding. Among the performed interventions, are direct infant care, and caregivers' guidance and training (4)(5) . In view of the above, emerges the question: how have nurses been acting in the training promotion of caregivers of infants with specific care demands, aiming at maintaining care at home after hospital discharge?…”