Interactions in the Management of Nursing Care to Hospitalized Children With Chronic Conditions: Showing Intervening Conditions

Abstract

The study aimed to understand the intervening conditions in the interactions of nurses in managing the nursing care for hospitalized children with chronic conditions. To do that, it used Complex Thinking and Grounded Theory as theoretical and methodological references, respectively. Eighteen subjects participated in the study, pooled into three sample groups: nurses, nursing technicians, and their families. A semi-structured interview was used for data collection. Data analysis followed three stages of coding: open, axial, and selective. The study considered family members, professional experience, the physical structure of the unit, human and material resources, good mood, job satisfaction, confidence, dialogue, and empathy as conditions that influence nurses' interactions in care management. It found that subjective, cognitive, socio-cultural and institutional conditions influence the interactions of nurses, creating order/disorder in nursing care management.

The meaning of the care of hospitalized children: experiences of nursing professionals

“…Other researches in the field of pediatric nursing also advocate that communication should be used as a tool for interaction between the child, family and team, allowing the formation of a bond and the better understanding of the specificities and needs of each child and family (18)(19)(20) .…”

“…Factors such as communication, empathy, trust, leadership, professional achievement and work experience are described in the literature as facilitating conditions of care relationships. The need for nurses to develop relational, cognitive, subjective, personal and ethical skills is also emphasized (20) .…”

Cuidado à família da criança com doença crônica

“…To evaluate the factors associated with the time taken to access the specialists and explore the issues experienced by parents before evaluation in a specialized service. As for the year of publication, there was one (2.57%) article published in the years 2007 43 , 2009 14 and 2010 37 , three (7.69%) articles published in the year 2016 12,40,47 , five (12.82%) in 2012 20,29,31,41,44 , six (15,38%) in 2011 21,26,34,36,39,49 seven (17,95%) in 2015 22,24,45,48 and 2014 13,23,30,32,35 and eight (20,51%) in 2013 25,33,38,42,46,50 .…”

“…Regarding the object of the studies, 11 (28.20%) articles focused on the family 12,14,19,21,31,39, , three (7,69%) on the mothers 13,40-1 , one (2.57%) on the children, parents and health professionals 15 , seven (17.95%) studies dealt with children 16,20,22,25,28,34,48 , four (10,26 %) with children and their families 17,35 , six (15,38%) studies focused on parents (mother and father) 18,24,27,38,[49][50] , two (5,12%) studies on parents and health professionals 23,26 , one (2.57%) on the child and the parents 29 , one (2.57%) on the health professionals 30 , two (5.12%) on the nursing professionals, 45,47 and, finally, one (2.57%) focused on the nursing professionals and the family. 46 A synthesis of the results found in the articles gave origin to two thematic categories: Facing the diagnosis of a chronic disease, change of habits and family reorganization; Care routines of families with children with chronic conditions.…”

Cuidados De Enfermagem Prestados À Criança Hospitalizada Com Dor Oncológica Crônica: Percepções Dos Profissionais De Saúde

“…Este fato imprime dificuldades nas relações de cuidado estabelecidas com a família da criança hospitalizada. (13) . Na complexidade dos fenômenos sociais, é preciso considerar a relação do todo e das partes (7) .…”