FAMILY WELCOME IN A NEONATAL AND PEDIATRIC THERAPY UNIT

Abstract

The neonatal intensive care unit (NICU) is an essential environment for the treatment of high-risk and stressful neonates for patients and their families. The implementation of family-centered care, such as the implementation of humanistic embracement, requires understanding the experiences of fear, anxiety and anguish experienced by family members and addressing care needs that transcend the technical scope and condition the patient's clinical experience. Qualitative review systematic review of the perception of welcoming by nursing professionals and their families during admission to the neonatal intensive care unit. This is a qualitative systematic review with a metasynthesis approach, developed according to the guidelines of the Joanna Briggs Institute. The guiding question is: What is the opinion of nurses and family members regarding hospitalized newborns at risk of admission to the neonatal intensive care unit? The inclusion criteria were: participants (nurses and family members), design (admission), location (neonatal intensive care unit) and type of study: original qualitative study. The searches were carried out in the Scientific Electronic Libraries Online (SciELO), SciVerse Scopus (SCOPUS), Medical Literature Analysis and Retrieval System Online (MEDLINE) and Cumulative Index to Nursing and Allied Health Literature (CINAHL), using the plural term: understanding of cure. . Or kiss and neonatal intensive care unit at home. Language (English, Portuguese, Spanish), publication period (last five years) and total availability were defined as search limitations. The search returned 698 works. Among them, 12 articles were selected as a review set. In terms of methodological quality, the majority of studies met all criteria listed in the JBI Qualitative Research Critical Appraisal Checklist, with 3 studies meeting 7 criteria, 1 study meeting 8 criteria, and 1 study meeting 8 criteria. . 9 out of 10 criteria. The meta-analysis allowed the construction of 4 thematic categories representing the meaning and definition of reception, the necessary conditions, the difficulties and needs necessary to implement reception, and the consequences and consequences associated with (non)receptive practices. The results showed that there are still many gaps in the reception process due to the lack of professionals with the qualifications and equipment necessary to provide more sensitive care, as well as families' understanding of the medical team's workflow Interact and find out more obstacle The complexity of environments such as the neonatal intensive care unit raises issues that need to be addressed, including family leadership, caregiving relationships, and collaboration. Understanding the main meanings of the welcome that caregivers and families receive during the newborn's stay in the NICU is crucial to clarify gaps between experiences and expectations, identify differences and converge meanings to achieve mutual understanding.