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Unit 14 e8 describe the role of

This study aimed to comprehend the experience of nurses working in a Neonatal Intensive Care Unit. The units of meaning identified were grouped into three categories: Developing actions; Perceiving their actions and Expectations.

The analysis was based on social phenomenology. It was concluded that the overload of activities, the reduced number of staff, the lack of materials, equipment and the need for professional improvement are the reality of the work of the nurse in this sector. To supervise the care is the possible; integral care of the newborn, involving the parents, is the ideal desired.

The fragility of these NBs, the increasing implementation of high-risk procedures and the low tolerance to medication errors are some of the concerns of nursing professionals working in the NICU 1.

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  • The medical model shows the importance of preventing and labelling children with disabilities, this means that children with disabilities are being sent to specialist schools or being isolated at home where only their basic needs are being met;
  • The nurse experiences autonomy when evaluating the needs and conditions of the patient, communicating concerns and priorities and meeting the goals of care
  • Barries to provision of developmental care in the neonatal intensive care unit:

The constant interaction with the family members of newborns requires training of the health team to offer support to them in this moment of weakness. Furthermore, the nurse is responsible for implementing a care that valorizes the physical, mental and social development of the NB 2.

Among the professionals involved in perinatal care, the nurse is one of the most essential 3. Another study conducted in the United States highlights the neonatal nurse as the mainstay of the NICU, it is she who works, together with the physician, on the treatment procedure decision, performs the direct care of the newborn and provides emotional support to the family members 4.

Unit 14 e2 special needs

In Brazil, Article 11 of Law No. The importance of the role of the nurse in the NICU can be found in the international literature ,4,however, a dichotomy is observed in the quotidian, between what is learned during training and what is performed in practice. In theory, it is perceived that the care for the NB in the NICU is an activity that is the responsibility of the nurse: The following concerns guided this study: Which activities are being prioritized?

Are the working conditions influencing the prioritization of the direct care for the NB? What do the nurses of this unit think about their role?

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  • Developing actions; Perceiving their actions and Expectations;
  • Unit 14 — Working with children with special needs Course;
  • I end up losing a lot of time with the papers of the medical records, things that we, nurses, have to fill in [
  • However, the possibility of achieving nursing care of the desired quality was emphasized

This study aimed to comprehend the experience of the nurse working in a Neonatal Intensive Care Unit. The reality of their experience and meaning of their action in the context of caring for the newborn and parents was sought, aiming to produce knowledge that subsidizes the teaching and practice of care in this specialty.

Methodological framework This is a qualitative study from the social phenomenology perspective. In reflecting on the role of nurses in the neonatal intensive care unit 14 e8 describe the role of, the comprehension of the social group of nurses who care for newborns in the NICU was sought from the individual action. In this phenomenological approach, social action is understood as being the interpersonal relationship that is established in the life-world and that provides the intersubjective experience of the human meanings 8.

The actions of people are reasoned and these reasons are existential and not merely psychological. At the time of the action, people base themselves on past experiences, on the typifications about the world and on the practical situations that are transmitted by their family members, friends and teachers - their store of available of knowledge.

The "reasons-why" are related to these experiences and typifications 9. The "reasons-for" constitute the subjective point of view of human behavior, i. Individual actions originate from conscious thoughts that are voluntary and directed toward the future. In the context of intersubjectivity, what is individual is configured in a social sense. Thus, human behavior is directed towards the realization of a project that constitutes the action, primarily interpreted by the person 9. In total 12 nurses were interviewed who worked in public and private hospitals which neither have the Baby-Friendly Hospital certification, nor systematically implement the Kangaroo method, although they do encourage skin to skin contact between the parents and newborn.

The length of time working in the NICU of the nurses ranged from two months to 11 years, all were specialists, the majority ten in the area of neonatal and pediatric nursing, one in collective health and one in emergency nursing. From the issues that were highlighted during the interviews, the expectations and the way that each nurse comprehends their plans, objectives, actions, or their "reasons-for" acting in the NICU were brought into focus.

The context of meaning that serves as a foundation for life projects were identified during the speech of the nurses, constituting the "reasons-why" of this social group. The interviews were conducted at a time and place chosen by the nurses and had the guiding questions: Can you tell me unit 14 e8 describe the role of your daily routine in the NICU?

How do you carry out the direct care of the NB? In addition to the activities that you have already developed, is there any other activity that you would like to perform here in the NICU? Care was taken so that the nurses felt free to describe their experiences of working in the NICU and to express their future expectations. The number of participants of this study was not predetermined.

Data collection was concluded when the data began to be repeated, showing that the phenomenon had been revealed.

  1. A continuing effort to resignify the practices of care by the nurses is required. When studying for a course with us you are assigned a personal tutor with indepth knowledge and experience in your chosen subject.
  2. Data collection was concluded when the data began to be repeated, showing that the phenomenon had been revealed.
  3. Home cache level 3 question. However, they reported that they are not always available to be with the parents, there are no protocols for the care of the family and, to some team members, the presence of the parents in the NICU hinders their performance, which can be perceived in the following statements [
  4. View test prep - unit 14 social from psyc at university of british columbia introduction needs belief unit 14 social psychology behaviours social thinking what is schemas.
  5. This means that children with special needs are being sent to specialist schools. This means that children with special needs are being sent to specialist schools.

For the data analysis, the following took place: This study met the ethical standards proposed in Resolution No. In order to maintain the anonymity of the nurses, the interviewees were identified as: Results and Discussion Data were grouped into categories, considering the motivations, similarities and differences, based on the "reasons-why" and "reasons-for" of the nurses that constitute human behavior.

The categories revealed were: The way these professionals perform these actions is determined by their body of knowledge and their biographically determined situation. The body of knowledge is constructed from what is inherited and learned of the social relationships and their own previous constitutions, which may be conserved and reformulated 9. The management activity is one of four activities that guide the nurse and must be interlinked with educational and care activities, and research The standardization of nursing care directs the thinking of the nurses toward appropriate decisions regarding nursing care to the patients, the results they want to achieve and what is the best care to meet the needs, considering the desirable outcomes In this study, nurses perform management activities, including Nursing Care Systematization NCSand directly assisting the newborn when it is possible, due to the reduced number of auxiliary personnel, as exemplified by the following reports: If there is not enough staff, we will perform the care, I will stay in the ward to provide assistance E2.

The systematization of nursing guides and qualifies the nursing unit 14 e8 describe the role of, although, in practice, not all steps are systematically applied.

Estimating Sums

Another study conducted in Mexico showed that the experience of nurses in relation to the systematization of nursing care is a routine and unnoticed action. The care was partially recorded and the professionals spent little time carefully listening and fostering a close relationship with patients Thus, the systematization of nursing care needs to transcend the limits of disciplinary knowledge and to move in the direction of the dialogical perspective directed toward the other health professionals, considering the necessity of interdisciplinary work, continuity of care and connectivity of the health practices Some nurses reported that they feel responsible for the direct care of the newborns in a critical condition and that they prioritize this, assuming the integral care, considering this the central focus of their work, as can be seen in the following statements: I always try to treat the pain [ I usually take on the most severe patients [ Here there are cardiac surgery patients, the complexity is very high [ However, other nurses said they did not have time for such care, because they need to pay attention to all newborns and to the organization, performing more explicit care and in specific situations: I assume all the invasive care, which are functions of the nurse, such as punctures, sample collection, insertion of probes.

A study on nursing care in the NICU showed that, for the professionals, the excess of hospitalized newborns, their gravity and the reduced number of nurses hinder their work. Thus, they consider that they could provide more comprehensive and humane care if the quantity of nurses in the Neonatal Care Unit was higher The nurses in the present study reported also meeting the care needs of the parents of the newborns, especially in relation to the bond between them.

In this type of relationship, there is reciprocity of intentions, i. An international study highlighted the need for family participation in the care of newborns in the NICU, care that must be individualized and focused on their development. The Newborn Individualized Developmental Care and Assessment Program NIDCAP has as its main objective the promotion of work focused on the relationship with the newborns and their families, increasing family participation in the care Some nurses reported involving the parents in the care of the newborns through touch and breastfeeding.

However, they reported that they are not always available to be with the parents, there are no protocols for the care of the family and, to some team members, the presence of the parents in the NICU hinders their performance, which can be perceived in the following statements [ But there are many staff who are resistant, they prefer the baby to be restricted to the incubator and say that the mother will disturb the baby.

Other nurses reported that the presence of the family in the NICU is positive and that it differentiates the care, considering the attention given to the NBs and to their parents: This is gratifying [ They seek to communicate with the baby because they like to unit 14 e8 describe the role of them with care and because they recognize their physical and emotional dependence, in addition to the need for the formation of a bond with the NB and the family A qualitative study conducted in the Intensive Care Unit indicated as a reason for the distress and anguish of nurses the daily contact with extremes in relation to technology: The overload of administrative work generates dissatisfaction in the professional due to the difficulty in dedicating themselves to the direct care of the NB and to training activities, as in the following statements: I end up losing a lot of time with the papers of the medical records, things that we, nurses, have to fill in [ A study regarding ongoing education as a tool to think and act in nursing work corroborates unit 14 e8 describe the role of findings of this study in the sense that the care is closer to the auxiliary nurse and nursing technicians than the nurse, the latter being more concerned with administrative matters, which promotes distancing from the care.

  1. This means that children with special needs are being sent to specialist schools.
  2. If there is not enough staff, we will perform the care, I will stay in the ward to provide assistance E2. Unit working with children with special needs e1 children who are classed as special needs are 'statemented' which means the local authority will e2 the.
  3. The social model a... Years ago children would be put in residential care if they were to have a disability as they were said to have no cure, where as now children will be sent to a mainstream or a special needs school which will have the right support to help them care for the children.
  4. In this phenomenological approach, social action is understood as being the interpersonal relationship that is established in the life-world and that provides the intersubjective experience of the human meanings 8. The potential issues from this model are that children are being isolated from their peers and community and those children with a disability are being given limited education because their expectations were portrayed as low.
  5. The number of participants of this study was not predetermined. Thus, they consider that they could provide more comprehensive and humane care if the quantity of nurses in the Neonatal Care Unit was higher

Ongoing education should constitute part of the thinking and doing of the workers, providing personal and professional growth and contributing to the organization of the work Some nurses reported dissatisfaction with the work and association this with the fact that they feel undervalued by the work team, as well as the lack of autonomy, as shown by the following statements: The difficulties of teamwork should be discussed and shared so that better integration can be established which would consequently benefit the team, patient, family and institution Mexican nurses consider themselves to be exercising autonomy when they plan and carry out interactions with the patient and family based on their needs, based on understanding and knowledge, in critical thinking and in decision making The nurse experiences autonomy when evaluating the needs and conditions of the patient, communicating concerns and priorities and meeting the goals of care The nurses also stressed that the lack of synchrony in the teamwork prejudices the performance of all of the professionals, complicates nursing care quality and generates dissatisfaction, as indicated by the following statements: This ends up giving a certain dissatisfaction [ There are physicians who are more unit 14 e8 describe the role of, others are not [ In this sense, the theory of reciprocal intentions can be used, which is established when the person involved in a given situation reasons as if in the place of the other, experiencing the common situation from the perspective of the other person, and vice versa 9.

Thus, there will only be effective teamwork in the NICU when each professional, as well as understanding the care needs of the newborns and their families, puts themselves in the place of the other professional, valorizing the performance of each team member. After the comprehension of the motivational context, i. The nurses want to minimize the suffering, the pain and the sequelae of the newborn and to promote the affective bond between them and their parents, as can be found in the following reports: They envisioned changes that could contribute to improving care in the NICU such as: Another study also mentions the need for education and sensitization for the care of newborns in the neonatal ICU.

Unit 14 childcare and education level 3

It is emphasized that nurses need to have scientific knowledge and ability in order to provide quality nursing care While recognizing that direct care is performed, in most cases, by the auxiliary staff and the importance of the nurses in the management of the care of the newborns in the NICU, the nurse manifests the desire to be closer to the care activities, as explained in the following statement: I would like to do a little less administrative work, there are many roles that nurses have to fill [ A study performed in a philanthropic hospital in Brusque, Santa Catarina, Brazil, involving the nursing team noted as the main difficulty the fact that, when developing nursing care systematization in the intensive care unit, the nurse spends more of their quotidian time on this activity than on the usual activities.

However, the possibility of achieving nursing care of the desired quality was emphasized According to their store of knowledge, nurses can project their expectations regarding unit 14 e8 describe the role of care given to the newborn and the family - to develop projects for the improvement of care and for the development of their work in the NICU. Final considerations Through the statements of the nurses, it was possible to comprehend the reality experienced by them in the NICU, such as the overload of work, the lack of materials, the difficulty of teamwork, the lack of improvement courses and lack of professional autonomy.