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Authors
Advisor(s)
Abstract(s)
Enquadramento: Em 2020 a OMS declarou situação de Emergência de Saúde Pública de
âmbito Internacional face ao aparecimento de um novo vírus denominado SARS-COV2,
decretando posteriormente situação de pandemia pelo elevado poder de contágio e
consequente disseminação intercontinental. A OMS e a DGS implementaram medidas
restritivas com o intuito de diminuir as taxas de infeção, especialmente desafiadoras para as
famílias, provocando mudanças profundas no seu quotidiano. Paralelamente a esta
conjuntura, as necessidades de cuidados da população pediátrica mantiveram-se e as
crianças hospitalizadas e respetivas famílias depararam-se com condições diferentes das até
então oferecidas, nomeadamente as que se relacionavam com o acompanhamento e
desempenho do Papel Parental a nível hospitalar.
Objetivo geral: Determinar o impacto da pandemia no exercício da parentalidade durante a
hospitalização da criança.
Métodos: Trata-se de um estudo qualitativo, do tipo exploratório-descritivo, com colheita de
dados efetuada através de entrevistas semiestruturadas e gravação em áudio. A recolha de
dados decorreu em três serviços de internamento de um hospital pediátrico, envolvendo 8
mães que acompanhavam as respetivas crianças hospitalizadas. A análise de conteúdo foi
baseada nos pressupostos sugeridos por Bardin (2014) e com recurso ao software Nvivo®.O
estudo foi aprovado pela comissão de Ética do Centro Hospitalar onde decorreu.
Resultados: A pandemia teve impacto no exercício da parentalidade durante a hospitalização
da criança. As dificuldades mencionadas remetem para a carência afetiva pela ausência do
pai, a falta de descanso e a alteração na gestão familiar. Das 8 mães entrevistadas, 6 tiveram
necessidade de adaptações familiares e profissionais, tendo como recurso o apoio do pai e
da família alargada. Os enfermeiros foram preponderantes na minimização deste impacto,
através do apoio psicológico ao binómio criança/mãe e em ações concretas, como a prestação
de cuidados familiares na ausência da mãe, bem como no apoio à mãe na prestação de
cuidados/tratamentos à criança, intervenções que permitiram às mães a satisfação de
algumas das suas necessidades parentais básicas e ilustram uma parceria de cuidados
efetiva na prática de cuidados.
Conclusões: As entrevistas realizadas espelham os desafios e as dificuldades vivenciadas
pelas mães durante a hospitalização dos seus filhos em contexto de pandemia, quer a nível
das suas necessidades bem como, a nível do seu papel parental. O estudo cria oportunidade
para futuras investigações nesta área, com o objetivo de minimizar o impacto de situações
com repercussões semelhantes, no exercício do papel parental durante a hospitalização da
criança.
Palavras-chave: Parentalidade, hospitalização da criança, pandemia COVID 19, cuidados de
enfermagem, Teoria das Transições.
Abstract Context: In 2020, the WHO declared a Public Health Emergency of international scope due to the emergence of a new virus called SARS-COV2, later declaring a pandemic situation due to the high power of contagion and consequent intercontinental spread. WHO and DGS implemented restrictive measures to reduce infection rates, especially challenging for families, causing profound changes in their daily lives. In parallel with this situation, the care needs of the pediatric population remained, and hospitalized children and their families faced different conditions from those offered until then, namely those related to the monitoring and performance of the Parental Role at the hospital level. Objectives: To determine the impact of the pandemic on the exercise of parenting during the child's hospitalization. Methods: This is a qualitative, exploratory-descriptive study, with data collection carried out through semi-structured interviews and audio recording. Data collection took place in three inpatient services of a pediatric hospital, involving 8 mothers who accompanied their hospitalized children. The content analysis was based on the assumptions suggested by Bardin (2014) and using the Nvivo® software. The study was approved by the Ethics Committee of the Hospital Center where it took place. Results: The pandemic had an impact on the exercise of parenting during the child's hospitalization. The difficulties mentioned refer to the affective lack due to the absence of the father, the lack of rest and the change in family management. Of the 8 mothers interviewed, 6 needed family and professional adaptations, having as a resource the support of the father and the extended family. Nurses were instrumental in minimizing this impact, through psychological support to the child/mother binomial and in concrete actions, such as providing family care in the absence of the mother, as well as supporting the mother in providing care/treatment to the child, interventions that enabled mothers to meet some of their basic parenting needs and illustrate an effective care partnership in care practice. Conclusions: The interviews carried out reflect the challenges and difficulties experienced by mothers during the hospitalization of their children in the context of a pandemic, both in terms of their needs and in terms of their parental role. The study creates an opportunity for future investigations in this area, with the objective of minimizing the impact of situations with similar repercussions, in the exercise of the parental role during the child's hospitalization. Keywords: Parenting, child hospitalization, COVID 19 pandemic, nursing care, Tansition Theory.
Abstract Context: In 2020, the WHO declared a Public Health Emergency of international scope due to the emergence of a new virus called SARS-COV2, later declaring a pandemic situation due to the high power of contagion and consequent intercontinental spread. WHO and DGS implemented restrictive measures to reduce infection rates, especially challenging for families, causing profound changes in their daily lives. In parallel with this situation, the care needs of the pediatric population remained, and hospitalized children and their families faced different conditions from those offered until then, namely those related to the monitoring and performance of the Parental Role at the hospital level. Objectives: To determine the impact of the pandemic on the exercise of parenting during the child's hospitalization. Methods: This is a qualitative, exploratory-descriptive study, with data collection carried out through semi-structured interviews and audio recording. Data collection took place in three inpatient services of a pediatric hospital, involving 8 mothers who accompanied their hospitalized children. The content analysis was based on the assumptions suggested by Bardin (2014) and using the Nvivo® software. The study was approved by the Ethics Committee of the Hospital Center where it took place. Results: The pandemic had an impact on the exercise of parenting during the child's hospitalization. The difficulties mentioned refer to the affective lack due to the absence of the father, the lack of rest and the change in family management. Of the 8 mothers interviewed, 6 needed family and professional adaptations, having as a resource the support of the father and the extended family. Nurses were instrumental in minimizing this impact, through psychological support to the child/mother binomial and in concrete actions, such as providing family care in the absence of the mother, as well as supporting the mother in providing care/treatment to the child, interventions that enabled mothers to meet some of their basic parenting needs and illustrate an effective care partnership in care practice. Conclusions: The interviews carried out reflect the challenges and difficulties experienced by mothers during the hospitalization of their children in the context of a pandemic, both in terms of their needs and in terms of their parental role. The study creates an opportunity for future investigations in this area, with the objective of minimizing the impact of situations with similar repercussions, in the exercise of the parental role during the child's hospitalization. Keywords: Parenting, child hospitalization, COVID 19 pandemic, nursing care, Tansition Theory.
Description
Keywords
COVID 19 Criança Cuidados de enfermagem Enfermagem pediátrica Hospitalização Pais Relação profissional família Responsabilidade parental Teoria de enfermagem Child Hospitalization Nursing care Nursing theory Parenting Parents Pediatric nursing Professional family relations