Made available in DSpace on 2016-04-28T20:39:09Z (GMT). No. of bitstreams: 1 Ana Paula Marson.pdf: 673352 bytes, checksum: 9c50a1e9a8526b3c7e6ee5ad0a0cfb26 (MD5) Previous issue date: 2015-09-18 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study investigates the Kangaroo Care intervention possibilities concerning the mother's approach to her premature baby, surrounded by a technological barrier that permeates treatment. The survival and development of the baby depend on technology, medicines and health professionals, as they represent, in his early life, safety for him and his mother. In the face of the adversities of this situation, the aim of the study is to analyze the challenges of the implementation of the 1st phase of the Kangaroo Care in a neonatal unit. Kangaroo Care not only provides early skin-to-skin contact between the infant and the mother and father, allowing greater participation in caring, but also enables the organization of the neonatal environment as to noise and lighting, and pain control, in order to decrease the negative effects on the infant s development. The basis of Winnicott's thought shows that the consistency of maternal care ensures continuity of being or continuing baby's existence. Thus, the baby depends emotionally on the mother for his survival and, in the neonatal unit, depends on the professionals present there. Thus, the concern of this research is to look closer at the medical professionals who work in the neonatal unit, because the physical and mental health of the premature baby depends on them. The research was conducted at the Neonatal Unit of the University Hospital of the State University of Londrina. We used a qualitative research method, participant observation and interviews, contextualizing the first stage of the Kangaroo Care implementation through evaluation of benefits and difficulties / O presente estudo investiga as possibilidades de intervenção do Método Canguru no que diz respeito à aproximação da mãe com seu bebê prematuro, envolto em toda barreira tecnológica que permeia o tratamento. A sobrevivência e desenvolvimento do bebê dependem do maquinário, de medicamentos e de profissionais atuantes nesse contexto, visto que se tornam, no início da sua vida, a segurança para ele e para a sua mãe. Diante das adversidades que essa situação coloca, o interesse deste estudo consiste em analisar os desafios da implantação da 1ª etapa do Método Canguru em uma unidade neonatal. O Método Canguru proporciona o contato pele a pele precoce entre a mãe-bebê e o pai, permitindo uma maior participação desses no cuidado com seu bebê, como também permite toda a organização do ambiente neonatal no sentido de diminuição de ruídos, de luminosidade, controle de dor, a fim de minimizar os efeitos negativos no desenvolvimento do prematuro. A base de todo pensamento winnicottiano evidencia que a constância do cuidado materno assegura a continuidade do ser ou existência continuada do bebê. Sendo assim, o bebê depende emocionalmente da mãe para sua sobrevivência e, na unidade neonatal depende dos profissionais lá presentes. Desse modo, a preocupação desta pesquisa consiste em voltar um olhar mais atento aos personagens que participam da neonatal, pois deles dependem o seguimento da saúde física e mental do bebê prematuro. A pesquisa foi desenvolvida na Unidade Neonatal do Hospital Universitário da Universidade Estadual de Londrina. Para isso, utilizou-se do método qualitativo de pesquisa, com uso da observação participante e de entrevistas, contextualizando a primeira etapa da implantação do Método Canguru mediante avaliação de benefícios e dificuldades

This research explored the information needs of patient families and hospital staff at a pediatric hospital system in Dallas, Texas. Library statistics recorded in four hospital libraries from 2011 - 2013 were used to analyze the information requests from patient families and hospital staff. Crosstabulations revealed the extent to which patient families and hospital staff used the libraries to satisfy their information needs. The data showed that patient families used the libraries very differently than hospital staff. Chi-square tests for independence were performed to identify the relationships between the Classification (Patient Family, Hospital Staff) and two descriptors of information needs (Request Type, Resources Used). There were a total of 1,406 information requests analyzed. The data showed that patient families and hospital staff information requests differed greatly in the number of information requests, the type of information requested, the resources used and the time the library staff spent on the requests. Chi-square analyses revealed relationships statistically significant at the p < .05 level; however, the strength of the relationships varied.

Att möta och stödja närstående till svårt sjuka patienter är en av sjuksköterskans många uppgifter. Författarparet har genomfört en empirisk kvalitativ intervjustudie om hur närstående uppfattar att de blivit bemötta inom kirurgisk verksamhet. Semistrukturerade intervjuer genomfördes med fem stycken deltagare vars anhöriga vårdas eller vårdats för malign sjukdom i övre mag- tarm kanalen inom kirurgisk verksamhet. Syftet med studien var att få ökad kunskap i hur närstående uppfattar bemötandet. Vidare var syftet att ta reda på hur anhöriga önskar bli bemötta. Resultatet visade att närstående uppfattade brister i bland annat informationen och stödet de fick från personalen. / One of many tasks that nurses have is to meet and support significant others to severely ill patients. The authors´ aim with this empirical qualitative study was to examine how significant others get treated by hospital staff in surgery care sector. Semi structured interviews were held with five significant others to patients who were treated for cancer diseases in a surgical division. The aim of this study was to improve the knowledge of how significant others perceive the treatment they got from the hospital staff. Furthermore was the aim to examine how significant others would like to be received by the hospital staff. The results of this study showed that significant others had experienced, that the availability of information and support from the hospital staff, were inadequate.