| Name: | Description: | Size: | Format: | |
|---|---|---|---|---|
| 3.85 MB | Adobe PDF |
Authors
Advisor(s)
Abstract(s)
Introdução: O posicionamento dos recém-nascidos pré-termo (RNPT) durante a
hospitalização numa UCIN tem impacto no seu sono, conforto, ventilação e
desenvolvimento do sistema músculo-esquelético, entre outros, melhorando as suas
respostas adaptativas ao ambiente extrauterino. Neste âmbito, as evidências científicas
demonstram que a implementação de protocolos e escalas de posicionamento são
ferramentas facilitadoras da uniformização dessa atuação, com impacto na qualidade
dos cuidados de Enfermagem.
Objetivos: Avaliar as práticas dos enfermeiros no posicionamento do RNPT, através da
aplicação da escala IPAT-PT; Relacionar a idade, a formação dos enfermeiros e a
experiência profissional em Neonatologia com as práticas de posicionamento do RNPT.
Metodologia: Estudo quantitativo do tipo exploratório e descritivo-correlacional. Tipo de
amostragem não aleatória por conveniência, constituída por 22 enfermeiros da
Neonatologia dos CHUC com pelo menos 2 anos de experiência em UCIN e que
previamente realizaram a formação FINE 1, no âmbito dos cuidados centrados no
desenvolvimento do RN, que inclui formação sobre o posicionamento. O Instrumento de
colheita de dados foi a escala IPAT-PT validada para a população portuguesa por Cruz
et al (2023), no qual se incluiu um questionário de caracterização dos RN e dos
enfermeiros que aceitaram participar no estudo. Foram realizadas 70 observações de
posicionamento dos RNPT, durante o mês de julho de 2023. O estudo teve parecer
favorável da Comissão de Ética. O tratamento dos dados foi efetuado com recurso ao
programa estatístico SPSS, versão 28.0.0.
Resultados: A amostra era predominantemente do sexo feminino (81%), com idades
compreendidas entre os 28 e 60 anos, com média de anos de experiência em
Neonatologia de 14,91. A pontuação média obtida por observação do posicionamento
pela IPAT-PT foi de 6,83, indicando posicionamento inadequado, sobretudo das zonas
superiores do corpo. Não se apurou relação significativa entre as diversas variáveis em
estudo.
Conclusão: O estudo permitiu apurar que as práticas de posicionamento não são
adequadas e são independentes das variáveis em estudo. Pretende-se que este
trabalho dê continuidade a um projeto de melhoria continua no serviço de Neonatologia,
neste âmbito e que contribua, não apenas para a otimização desta prática clínica, mas
também para a investigação científica em enfermagem.
Palavras-chave: Posicionamento do Paciente; Recém-nascido; Unidades de Terapia
Intensiva Neonatal; Escalas
Abstract Introduction: The positioning of preterm newborns (PTNB) during hospitalization in a NICU has an impact on their sleep, comfort, ventilation and development of the musculoskeletal system, among others, improving their adaptive responses to the extrauterine environment. In this context, scientific evidence demonstrates that the implementation of protocols and positioning scales are tools that facilitate the standardization of this action, with an impact on the quality of Nursing care. Objectives: To evaluate nurses' practices in positioning PTNBs, through the application of the IPAT-PT scale; To Relate the age, training of nurses and professional experience in Neonatology with the positioning practices of the PTNBs. Methodology: Quantitative exploratory and descriptive-correlational study. Type of nonrandom sampling for convenience, consisting of 22 CHUC Neonatology nurses with at least 2 years of experience in the NICU and who previously completed FINE 1 training, within the scope of care focused on the development of the NB, which includes training on positioning . The data collection instrument was the IPAT-PT scale validated for the Portuguese population by Cruz et al (2023), which included a questionnaire characterizing the RNs and nurses who agreed to participate in the study. 70 observations of the positioning of PTNBs were carried out during the month of July 2023. The study was approved from the Ethics Committee. Data analysis was carried out using the SPSS statistical program, version 28.0.0. Results: The sample was predominantly female (81%), aged between 28 and 60 years, with an average number of years of experience in Neonatology of 14.91. The average score obtained by observing positioning using IPAT-PT was 6.83, indicating inadequate positioning, especially in the upper areas of the body. No significant relationship was found between the various variables under study. Conclusion: The study allowed us to determine that positioning practices are not appropriate and are independent of the variables under study. It is intended that this work will continue a project of continuous improvement in the Neonatology service, in this context and that it will contribute, not only to the optimization of this clinical practice, but also to scientific research in nursing. Keywords: Patient Positioning; Newborn; Neonatal Intensive Care Units; Scales
Abstract Introduction: The positioning of preterm newborns (PTNB) during hospitalization in a NICU has an impact on their sleep, comfort, ventilation and development of the musculoskeletal system, among others, improving their adaptive responses to the extrauterine environment. In this context, scientific evidence demonstrates that the implementation of protocols and positioning scales are tools that facilitate the standardization of this action, with an impact on the quality of Nursing care. Objectives: To evaluate nurses' practices in positioning PTNBs, through the application of the IPAT-PT scale; To Relate the age, training of nurses and professional experience in Neonatology with the positioning practices of the PTNBs. Methodology: Quantitative exploratory and descriptive-correlational study. Type of nonrandom sampling for convenience, consisting of 22 CHUC Neonatology nurses with at least 2 years of experience in the NICU and who previously completed FINE 1 training, within the scope of care focused on the development of the NB, which includes training on positioning . The data collection instrument was the IPAT-PT scale validated for the Portuguese population by Cruz et al (2023), which included a questionnaire characterizing the RNs and nurses who agreed to participate in the study. 70 observations of the positioning of PTNBs were carried out during the month of July 2023. The study was approved from the Ethics Committee. Data analysis was carried out using the SPSS statistical program, version 28.0.0. Results: The sample was predominantly female (81%), aged between 28 and 60 years, with an average number of years of experience in Neonatology of 14.91. The average score obtained by observing positioning using IPAT-PT was 6.83, indicating inadequate positioning, especially in the upper areas of the body. No significant relationship was found between the various variables under study. Conclusion: The study allowed us to determine that positioning practices are not appropriate and are independent of the variables under study. It is intended that this work will continue a project of continuous improvement in the Neonatology service, in this context and that it will contribute, not only to the optimization of this clinical practice, but also to scientific research in nursing. Keywords: Patient Positioning; Newborn; Neonatal Intensive Care Units; Scales
Description
Keywords
Conhecimentos, atitudes e prática em saúde Enfermagem pediátrica Posicionamento do doente Recém nascido prematuro Unidades de cuidados intensivos neonatais Health knowledge, attitudes, practice Infant, premature Intensive care units, neonatal Patient positioning Pediatric nursing