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VivĂȘncias dos enfermeiros no cuidado a recĂ©m-nascidos internados em unidades de neonatologia durante a pandemia COVID-19
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Advisor(s)
Abstract(s)
A declaração pela OMS da COVID-19 como pandemia, a 11 de março de 2020, acarretou
mudanças drĂĄsticas na vida de todos. As implicaçÔes desta emergĂȘncia de saĂșde pĂșblica
afetaram utentes, famĂlias e profissionais de saĂșde, de modo particular os cuidados
neonatais, em que prevalece um modelo de parceria de cuidados num atendimento
personalizado a crianças de especial vulnerabilidade.
Com o objetivo de compreender a experiĂȘncia vivida pelos enfermeiros no cuidado a
recém-nascidos internados em unidades de neonatologia durante a pandemia COVID-19, foi
desenvolvido um estudo subordinado ao tema âVivĂȘncias dos Enfermeiros no Cuidado a
RecĂ©m-Nascidos Internados em Unidades de Neonatologia Durante a Pandemia COVID-19â.
Este estudo pretende descrever as vivĂȘncias dos enfermeiros e o sino exercĂcio da sua
atividade durante esta pandemia e compreender o significado atribuĂdo por estes Ă s suas
vivĂȘncias neste contexto.
Trata-se de um estudo qualitativo, de abordagem descritiva e exploratĂłria e de cariz
fenomenológico. Foram realizadas entrevistas a 15 enfermeiros que exerciam funçÔes em
diferentes unidades de neonatologia do paĂs entre março de 2020 e junho de 2022. A
anĂĄlise de dados foi realizada utilizando a tĂ©cnica de anĂĄlise de conteĂșdo de Bardin, tendo
desta emergido dois temas principais: O EU Pessoa e O EU Enfermeiro, que apresentam
diversas categorias, subcategorias e sub-subcategorias.
Das vivĂȘncias enquanto pessoa, os enfermeiros revelam-nos sentimentos como medo,
sensação de isolamento, cansaço, culpa e dificuldade em separar a sua vida pessoal da sua
vida profissional. Das vivĂȘncias enquanto enfermeiro, desvelam um rol de sentimentos,
como insegurança, revolta, raiva, confusão, ansiedade, preocupação, receio, stress,
desĂąnimo, desmotivação, discriminação, desvalorização, angĂșstia e ambivalĂȘncia.
Emergem também as suas preocupaçÔes com o alvo dos seus cuidados, os recém-nascidos e
seus pais, nas categorias: a parceria de cuidados em risco; a procura da humanidade;
aprender a ser enfermeiro em tempos de COVID; viver a experiĂȘncia em equipa e
perspetivando o retorno Ă normalidade. Afirmam ainda a dificuldade em manter a mesma
atenção ao cuidar do outro, quando eles próprios sentiam necessidade de ser cuidados e
cuidar dos seus.
A compreensĂŁo da experiĂȘncia vivida por estes enfermeiros e o significado que atribuĂram
a tudo o que viveram, pode permitir o desenvolvimento de estratégias que possibilitem
uma tomada de decisão mais fundamentada perante novas situaçÔes de crise. A meta serå
sempre a manutenção dos melhores e mais humanizados cuidados e a atenção ao bemestar
dos enfermeiros que todos os dias exercem funçÔes em neonatologia.
The WHO declaration of COVID-19 as a pandemic on March 11th of 2020 resulted in drastic changes among everyone's lives. The implications regarding this public health emergency affected not only patients, but also families and health care professionals, with particular relevance on neonatal care, where a model of shared partnership for care in a personalized approach for particularly vulnerable children prevails. In order to better understand the nurses' experience and perspective when caring for newborns hospitalized in neonatal units during the COVID-19 pandemic, a study was developed regarding the subject "Nurses' Experiences in Caring for Newborns Hospitalized in Neonatal Units During the COVID-19 Pandemicâ. The present study aims to describe the experiences of nurses during the exercise of their activity during this pandemic and to understand the meaning attributed by them to their experiences in this context. It is a qualitative study, with a descriptive and exploratory approach and of a phenomenological nature. Interviews with 15 nurses who worked in different neonatal units across the country between March 2020 and June 2022 were conducted. Data analysis was performed using Bardin's content analysis technique, from which two main themes emerged: the âI Personâ and the âI Nurseâ, each presenting several categories, subcategories and sub-subcategories. When considering their experiences as a person, nurses reveal feelings such as fear, feeling of isolation, fatigue, guilt and difficulty in separating their personal life from their professional life. When experiencing as a nurse, they unveil a diverse sphere of feelings, such as insecurity, uprising, anger, confusion, anxiety, concern, fear, stress, discouragement, demotivation, discrimination, devaluation, anguish and ambivalence. Their concerns regarding the subject of their care, newborns and their parents, also emerge and including the following categories: shared partnership of care at risk; the search for humanity; learn to be a nurse in times of COVID; to live the experience as a team and envisioning a return to normality. They also claim the difficulty in maintaining the same attention when caring for others, when they themselves felt the need to be cared for and to take care of their own. The understanding of the experience lived by these nurses and the meaning they ascribed to everything they lived through, can enable the development of strategies that will allow a more informed decision-making when facing new critical situations. And with the goal of always to maintain the best and most humanized care as well as attending to the wellbeing of nurses working in neonatology on a daily basis.
The WHO declaration of COVID-19 as a pandemic on March 11th of 2020 resulted in drastic changes among everyone's lives. The implications regarding this public health emergency affected not only patients, but also families and health care professionals, with particular relevance on neonatal care, where a model of shared partnership for care in a personalized approach for particularly vulnerable children prevails. In order to better understand the nurses' experience and perspective when caring for newborns hospitalized in neonatal units during the COVID-19 pandemic, a study was developed regarding the subject "Nurses' Experiences in Caring for Newborns Hospitalized in Neonatal Units During the COVID-19 Pandemicâ. The present study aims to describe the experiences of nurses during the exercise of their activity during this pandemic and to understand the meaning attributed by them to their experiences in this context. It is a qualitative study, with a descriptive and exploratory approach and of a phenomenological nature. Interviews with 15 nurses who worked in different neonatal units across the country between March 2020 and June 2022 were conducted. Data analysis was performed using Bardin's content analysis technique, from which two main themes emerged: the âI Personâ and the âI Nurseâ, each presenting several categories, subcategories and sub-subcategories. When considering their experiences as a person, nurses reveal feelings such as fear, feeling of isolation, fatigue, guilt and difficulty in separating their personal life from their professional life. When experiencing as a nurse, they unveil a diverse sphere of feelings, such as insecurity, uprising, anger, confusion, anxiety, concern, fear, stress, discouragement, demotivation, discrimination, devaluation, anguish and ambivalence. Their concerns regarding the subject of their care, newborns and their parents, also emerge and including the following categories: shared partnership of care at risk; the search for humanity; learn to be a nurse in times of COVID; to live the experience as a team and envisioning a return to normality. They also claim the difficulty in maintaining the same attention when caring for others, when they themselves felt the need to be cared for and to take care of their own. The understanding of the experience lived by these nurses and the meaning they ascribed to everything they lived through, can enable the development of strategies that will allow a more informed decision-making when facing new critical situations. And with the goal of always to maintain the best and most humanized care as well as attending to the wellbeing of nurses working in neonatology on a daily basis.
Description
Keywords
Enfermagem pediĂĄtrica Neonatologia COVID-19 Pandemia