O nascimento de um bebê malformado, especialmente, quando a aparência é defigurada, provoca um impacto nos profissionais que prestam atendimento ao recémnascido, imediatamente, após o nascimento, repercutindo na qualidade da assistência prestada. Este estudo foi motivado pela inquietação da pesquisadora procurar compreender as ações e reações dos enfermeiros quando assistem o nascimento de recém-nascidos com malformação desfigurante no contexto da sala de parto. O estudo teve como objetivo: compreender a experiência dos enfermeiros que assistem o nascimento de um recém-nascido com malformação desfigurante. Optou-se por realizar uma pesquisa com abordagem qualitativa, estudo de caso coletivo, e os dados foram analisados à luz do referencial teórico do Interacionismo Simbólico. A coleta de dados ocorreu por meio de entrevista semi-estruturada com enfermeiros que atuam no centro obstétrico de um Hospital Municipal, situado na zona sul da cidade de São Paulo. As entrevistas foram gravadas em fita cassete, posteriormente, transcritas em sua íntegra e analisadas. A análise dos dados permitiu identificar categorias conceituais que compuseram os dois temas: Compartilhando com a equipe médica a assistência ao recém-nascido e Assumindo a responsabilidade da assistência ao binômio mãe-recém-nascido. Os resultados do estudo salientaram a dificuldade enfrentada pelo enfermeiro na assistência do nascimento de um bebê malformado em decorrência do despreparo na formação profissional, relacionada ao processo de comunicação enfermeiro-paciente e dificuldade de lidar com as próprias emoções / The birth of a malformed child, specially when the malformation affects the baby appearance, provokes impact on caregivers who attend the baby immediately after childbirth and on quality of attendance. This study was motivated by the necessity of understanding the performance of nurses when they attend babies with visible congenital malformation. The aim of this study was to understand the nurse`s experience for attending babies with visible congenital disfigurement in the context of delivery room. The qualitative methodological approach used in this study was the Collective Case Study and to analyse data it was used the Symbolic Interactionism theoretical framework. The sample was composed by ten nurses that work at the birth center of a public hospital located in the south district of São Paulo city. Data was obtained by interview that was recorded, transcripted and analysed. From data analysis categories emerged that composed two themes: Sharing the newborn care with medical staff and Assuming the responsibility of the mother-infant care. The results point out the difficulties faced by the nurses when they need to take care of the babies who have visible congenital disfigurement due to their unprepared formation related to the nurse-patient relationship and the difficulties to deal with their emotions

Tanto na formação de enfermeiros como na capacitação de profissionais que atuam na assistência ao pré-termo, há escassez de material didático-pedagógico sobre semiotécnica e semiologia. A revisão da literatura sugere que este tema seja ministrado aos alunos, utilizando tecnologia que permita a aproximação máxima da realidade. Desta forma, é importante elaborar estratégias e instrumentos que apresentem, gradativamente, a complexidade e a especificidade do recém-nascido prétermo. Na era da informática, vislumbra-se as inúmeras possibilidades do uso do computador na educação. Assim, o objetivo do presente estudo é desenvolver e validar um software educacional sobre a semiotécnica e semiologia do recém-nascido pré-termo. Para tal, utilizou-se o referencial pedagógico da problematização e a metodologia de desenvolvimento de software de Bernardo. O software foi desenvolvido utilizando tecnologia avançada, informatizada, interativa e com simulações. Por meio de recursos de hipertexto apresenta-se uma série de mídias integradas, como fotos, figuras, vídeos e sons. O conteúdo foi organizado em quatro partes: 1. apresentação, que inclui também a justificativa e o objetivo do software educativo e uma lista das abreviaturas utilizadas; 2. semiotécnica, contendo conceitos teóricos e práticos das técnicas de inspeção, palpação, percussão e ausculta utilizadas na avaliação clínica; 3. semiologia, contendo aspectos conceituais e históricos, o contexto da avaliação clínica na unidade neonatal (o recém-nascido pré-termo, o avaliador, o ambiente e a família) e os tipos de avaliação (ao nascimento, de transição e sistemática). A avaliação clínica sistemática foi organizada por necessidades humanas básicas (psicobiológica-oxigenação, circulação, termorregulação, alimentação e hidratação, eliminação, integridade tecidual, sono e repouso, sexualidade e percepção sensorial; psicossocial-segurança, amor e aceitação, gregária e atenção; e psicoespiritual); 4. simulações, com 143 questões de múltipla escolha e respectivos feedback de resposta certa ou errada, visando testar os conhecimentos adquiridos com o uso do software, que são apresentadas aleatoriamente, considerando-se que houve aprendizado adequado quando o estudante acertar pelo menos 70% das questões. O software apresenta também os links galeria, referências e ficha técnica. A validação de conteúdo e aparência do software foi feita com a participação de três especialistas em informática, dois técnicos em audiovisual e onze enfermeiros (docentes e enfermeiros assistenciais). A grande maioria dos itens avaliados no software recebeu conceitos bom e muito bom de mais de 70% dos avaliadores, sendo portanto validado sua aparência e seu conteúdo. Assim, consideramos que o produto desenvolvido Resumo está adequado para ser disponibilizado para uso no ensino de enfermagem sobre a semiotécnica e semiologia do recém-nascido pré-termo, inserido no referencial pedagógico da problematização. / In nursing education as well as in preterm care professional training, there is a lack of didactical-pedagogical material on physical examination. A literature review suggests that this theme be presented to students with the help of technology that permits the closest possible approximation of reality. Hence, it is important to elaborate strategies and instruments that gradually present the complexity and specificity of preterm infants. In the age of informatics, the use of computers in education offers countless possibilities. This study aims to develop and validate an educational software on physical examination of preterm infants. We used the problematizing pedagogical reference framework and Bernardo s software development methodology. The software was developed through advanced interactive computer technology and simulations. Hypertext resources were used to present a series of integrated media, such as pictures, figures, videos and sound fragments. The content was organized in four parts: 1. the presentation, which also included the justification and objective of the educational software, and a list of used abbreviations; 2. semiological techniques, containing theoretical and practical concepts of inspection, palpation, percussion and auscultation techniques used in clinical assessment; 3. semiology, discussing conceptual and historical aspects, the context of clinical assessment at the neonatal unit (preterm infant, evaluator, environment and family) and assessment types (at birth, transition and systematic assessment). Systematic clinical assessment was organized according to basic human needs (psychobiological-oxygenation, circulation, thermoregulation, feeding and hydration, elimination, tissue integrity, sleep and rest, sexuality and sensory perception; psychosocial-security, love and acceptance, gregarious and attention; and psychospiritual); 4. simulations, covering 143 multiple choice questions and the respective feedback on right or wrong answers, with a view to testing the knowledge acquired through the software, in a random presentation. Learning was considered adequate if the student answered correctly at least 70% of questions. The software also presents links to gallery, references and technical card. Content and face validation involved three informatics specialists, two audiovisual technicians and eleven nurses (faculty members and clinical nurses). More than 70% of the experts assessed a large majority of the assessed software items as good or very good, so that its face and contents were validated. Thus, we consider that the developed product is adequate for use in nursing teaching about physical examination of preterm infants, in the context of the problematizing pedagogical reference framework.

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No. of bitstreams: 2 Dissertação - Lucyana Silva Luz - 2016.pdf: 1776714 bytes, checksum: 604ffdfdf76f3f046fd4b7fc19fb5810 (MD5) license_rdf: 0 bytes, checksum: d41d8cd98f00b204e9800998ecf8427e (MD5) Previous issue date: 2016-04-14 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES / Prematurity is one of the main causes of infant mortality and morbidity associated with perinatal conditions, being responsible for the majority of neonatal deaths in Brazil. Exclusive Breastfeeding (EBF) is one of the main interventions for neonatal deaths reduction, being recommended for early start and keeping until six months of age. However, breastfeeding a premature infant (PT) is a challenge given its physiological and biological immaturity, unstable health and hospitalization. EBF level is low among PT and early weaning is frequent. It is important to know the factors that contribute to this circumstance. Thus, this study assessed EBF incidence and associated risk factors for EBF interruption in PT after 15 days of hospital discharge. It is a prospective cohort accomplished in a public maternity of Goiás with 113 PT admitted in the neonatal unit. Data about PT feeding, since birth until 15 days after hospital discharge, were collected from PT’s medical chart and interview with the mother using a semi-structured questionnaire. EBF interruption of PT 15 days after hospital discharge was considered as the outcome variable and several maternal and neonatal exposure variables were tested. Data quantitative analysis of PT’s gestation, birth and health conditions was done through descriptive statistics. Maternal and neonatal exposure effects on the outcome variable were evaluated through COX regression model. Variables that presented statistical significance (p<0.10) in the univariate analysis were included in the backward multivariate regression model. Significant variables in the model (p<0.05) were interpreted by the hazard ratio (Hazard Risk – HR) and the respective 95% confidence interval. EBF incidence was 81.4% in hospital discharge and 66.4% 15 days after hospital discharge. In the univariate analysis, variables: breast problems, double pregnancy, gestational age at birth, birth weight, admittance time, ventilation time and effective breastfeeding in the first week of life were statistically significant. In the multivariate analysis, variables double gestation, ventilation time and birth weight were statistically significant. A 15% decrease in EBF incidence can be verified 15 days after hospital discharge. EBF interruption risk at home is higher when PT is born from double pregnancy and the lower the PT’s birth weight. On the other side, EBF interruption risk at home is lower the lower the mechanic ventilation time. The implementation of actions is necessary by a multi-professional staff that promotes early start and keeping of EBF during hospitalization in the neonatal unit, as well as the articulation of these actions with basic care and public policies to increase EBF levels from birth up to six months of life. / A prematuridade é uma das principais causas de mortalidade e morbidade infantil associada a condições perinatais, sendo responsável pela maioria das mortes neonatais no Brasil. O Aleitamento Materno Exclusivo (AME) é uma das principais intervenções para redução das mortes neonatais, sendo recomendado o início precoce e a manutenção do AME até os seis meses de idade. No entanto, amamentar um prematuro (PT) é um desafio diante da sua imaturidade fisiológica e biológica, a saúde instável, e a própria hospitalização. A taxa de AME é baixa entre os PT, sendo frequente o desmame precoce. É importante conhecer os fatores que contribuem para esta situação. Assim, este estudo avaliou a incidência do AME e fatores de risco associados à interrupção de AME em PT após 15 dias da alta hospitalar. Trata-se de uma coorte prospectiva realizada em uma maternidade pública de Goiás com 113 PT admitidos na unidade neonatal. Os dados sobre a alimentação do PT, desde o nascimento até 15 dias a alta hospitalar, foram coletados no prontuário do PT e entrevista com a mãe utilizando um questionário semiestruturado. Considerou-se como desfecho a interrupção do AME do PT 15 dias após a alta hospitalar e foram testadas diversas variáveis de exposição maternas e neonatais. A análise quantitativa dos dados de gestação, nascimento e condições de saúde do PT foi feita por meio de estatística descritiva. O efeito das variáveis de exposição maternas e neonatais na variável de desfecho foi avaliado por meio do modelo de regressão de COX. As variáveis que apresentaram significância estatística (p<0,10) na análise univariada foram incluídas no modelo de regressão multivariada backward. As variáveis significantes no modelo (p<0,05) foram interpretadas pela razão de risco (Hazard Risk – HR) e o respectivo intervalo de confiança de 95%. A incidência de AME foi de 81,4% na alta hospitalar e 66,4% 15 dias após a alta hospitalar. Na análise univariada, as variáveis: problemas com as mamas, gestação dupla, idade gestacional ao nascer, peso ao nascer, tempo de internação, tempo de ventilação, e amamentação eficaz na primeira semana de vida foram estatisticamente significantes. Na análise multivariada, as variáveis gestação dupla, tempo de ventilação e peso ao nascer se mostraram estatisticamente significativas. Verifica-se uma queda de 15% na incidência de AME após a alta hospitalar. O risco de interrupção de AME no domicílio é maior quando o PT nasce de gestação dupla, e quanto menor o peso do PT ao nascer. Por outro lado, o risco de interrupção do AME no domicílio é menor quanto menor o tempo em ventilação mecânica. É necessária a implementação de ações pela equipe multiprofissional que promovam o início precoce e manutenção do AME durante a hospitalização em unidade neonatal, bem como articulação dessas ações com a atenção básica e políticas públicas para aumentar a taxa de AME desde o nascimento até os seis meses de vida

As práticas educativas dirigidas às mães de prematuros ainda ocorrem, em alguns hospitais, de maneira tradicional, ministradas por profissionais sem a participação ativa da clientela nesse processo. Num esforço para o preparo mais adequado de mães para a alta hospitalar de bebês prematuros, vislumbrando a possibilidade de construir com mães conhecimentos acerca dos cuidados com o filho, motivou-se realizar o presente estudo tendo como objetivos específicos: descrever o processo de desenvolvimento de um Programa de Educação em Saúde mediado pelo uso de uma cartilha educativa dirigida às mães de prematuros, utilizando a metodologia participativa; analisar a percepção destas mães sobre a vivência no Programa e avaliar a aquisição de conhecimentos cognitivos destas sobre os cuidados com seus filhos, proporcionados pela participação no Programa. Trata-se de pesquisa de intervenção educacional fundamentado no referencial da problematização de Paulo Freire e que utiliza as abordagens quantitativa e qualitativa. Participaram do estudo 38 mães de prematuros internados na unidade de cuidados intermediários neonatal de um hospital público universitário de Ribeirão Preto - SP. O Programa de Educação em Saúde consistiu em atividades educativas grupais mediadas pelo uso da cartilha educativa \"Cuidados com o bebê prematuro: orientações para a família\". As participantes receberam a cartilha educativa para leitura e, posteriormente, participaram de grupos educativos coordenados pela pesquisadora, utilizando o método da problematização. A atividade grupal era iniciada com uma apresentação, seguida por uma técnica de relaxamento e, posteriormente, eram trabalhados participativamente os conteúdos abordados na cartilha e outros levantados pelas participantes relacionados ao cuidado do filho prematuro visando à alta hospitalar. As participantes também foram estimuladas a expressarem suas percepções acerca da vivência no Pprograma. Os grupos educativos foram filmados e as falas e os comportamentos não-verbais foram transcritos na íntegra a partir das filmagens. Outra técnica de coleta de dados foi a entrevista estruturada, pré e pós intervenção, orientada por um roteiro contendo 46 afirmações sobre os cuidados com o bebê prematuro. O conhecimento de cada participante foi classificado em insuficiente, regular, bom e ótimo ao apresentar quantidade total de respostas corretas nos seguintes intervalos: até 11, de 12 a 23, 24 a 35, 36 a 46 questões, respectivamente. Na análise qualitativa das falas das mães foi utilizada a análise temática. O projeto foi aprovado pelo Comitê de Ética do hospital. Cada mãe participou de uma a duas reuniões educativas, com duração média de 1h a 2h, desenvolvidas utilizando a metodologia participativa auxiliada por técnicas da comunicação terapêutica como a permanência em silêncio, a escuta reflexiva, a verbalização de interesse e aceitação e a devolução de perguntas, promovendo assim o diálogo e a troca de experiências. A cartilha, apesar de não ter sido amplamente lida pelas participantes do estudo, mostrou ser um instrumento de grande importância para posterior consulta após a alta do prematuro além de auxiliar na aquisição de conhecimentos de familiares. Com relação à percepção acerca da vivência no Programa, verificou-se que todas as participantes consideraram-no importante, apreendendo-se quatro núcleos temáticos: o aprendizado proporcionado pelo Programa de Educação em Saúde; a criação de possibilidades de socializar o conhecimento com a família; o Programa de Educação em Saúde como espaço para descontração e escuta e desenvolvendo o vínculo afetivo com outras mães e enfermeira. Verificouse, no pré-teste, que 5 mães (13,2%) apresentaram conhecimento regular, 29 (76,3%) bom e 4 (10,5%) ótimo, enquanto que, no pós-teste, todas (100%) passaram a apresentar conhecimento ótimo, o que demonstra o impacto positivo da intervenção educativa. Obteve-se ganho relativo estatisticamente significante na comparação do pré com o pós-teste, entre as mães de menor escolaridade, do lar e que participaram de grupos educativos com menor duração e menor número de participantes. A questão com menor número de acertos refere-se à vestimenta adequada do prematuro. Concluiu-se que a participação destas mães nas atividades educativas utilizando a metodologia participativa, mediada por uma cartilha educativa, possibilitou a aquisição de conhecimentos cognitivos além de tornar os momentos de educação em saúde prazerosos e possibilitar a troca de experiências e o estabelecimento de vínculos afetivos. Destaca-se a importância de propostas de Educação em Saúde dirigida a essa clientela a fim de contribuir com a construção de uma assistência integral mais criativa, inovadora e participativa. / The educational practice directed to mothers of preterm babies in some hospitals still happens in a traditional way without any active participation of the clientele in the process. In an effort to better prepare mothers for the hospital leave of their preterm babies, visualizing the possibility of building with them knowledge concerning the care to their preterm children, we felt motivated to perform the present study having as specific objectives: describing the development process of a Health Educational Program mediated by the use of an educational booklet directed to the mothers of preterm babies using participative methodology ; analyzing the perception of these mothers on the experience lived in the program and evaluating their acquisition of cognitive knowledge about the care to their children by participating in the program. This project is an educational intervention research based on Paulo Freire\'s problematization referential and using quantitative and qualitative approaches.38 mothers of preterm babies staying in the Intermediate Care Neonatal Unit of a public university hospital in the city of Ribeirão Preto -SP participated in the study. The Health Educational Program consisted of group educational activities supported by the use of the booklet: \"Care to the preterm baby: family orientation\'. The participants received the educational booklet and after reading it joined the educational groups coordinated by the researcher using the problematization method. The group activity was initiated with a presentation followed by relaxation techniques and, later on, the contents of the booklet as well as the information received from these mothers in relation to the care to their preterm babies aiming at the hospital leave were compiled in a participative way. The participants were also stimulated to express their opinions about their experience in the program. The educational groups were filmed and the non verbal behaviors were transcripted in full from the film footage. Another data collection technique was a structured interview pre and post intervention oriented by a questionnaire with 46 questions about the care to the preterm. The knowledge of each participant was classified according to the number of correct answers to the questionnaire as follows: insufficient (up to 11), fair (12 to 23) good (24 to 35) and excellent (36 to 46). A thematic analysis was used in the qualitative analysis of the mothers` dialogs. The project has been approved by the Ethics Committee of the hospital. Each mother attended one or two educational meetings, with an average duration of one to two hours, developed through a participative methodology supported by techniques of therapeutic communication such as staying silent, reflexive listening, verbalizing of interests and acceptance and, asking questions thus promoting the dialog and exchange of experiences. The educational booklet in spite of not being thoroughly read by the participants in the study, proved to be an important tool for consultation after the preterm hospital discharge besides assisting the family in the acquisition of knowledge. In relation to the mothers perception of the experience lived in the Health Educational Group, we verified that all the participants considered it to be important in four thematic levels: the knowledge received from the Health Educational Program, the possibility of socializing the knowledge with the family members, the Health Educational Program as a space for relaxation and listening and the development of an affective link with other mothers and with the nurse. We verified in the pretest that 5 mothers (13, 2%) presented fair knowledge, 29 (76, 3%) good and 4 (10, 5%) excellent, and in the post test all of them (100%) presented excellent knowledge thus demonstrating the positive impact of the educational intervention. Comparing the results of the pre and post tests there was a statistically significant relative gain with the mothers with lower schooling level and who participated in Educational Groups with less duration and fewer participants. The questions with the highest number of wrong answers were related to clothing of the baby. The conclusion was that the participation of these mothers in educational activities using the participative methodology, with the use of the educational booklet, made the acquisition of cognitive knowledge and the exchange of experiences possible as well as making the moments of education in health more pleasant. What stands out is the importance of new proposals in Education in Health, in order to contribute to the construction of a thorough more creative, innovative and participative assistance.

More than 85% of American adults do not consume recommended amounts of fruits or vegetables. Preterm birth and hypertensive disorders of pregnancy are common adverse conditions affecting pregnancy and are leading causes of maternal and fetal morbidity and mortality. Preterm birth affects nearly 10% of all births in the United States and is on the rise, as are hypertensive disorders, which have increased by 25% over the last two decades. Pregnancy is a state of controlled inflammation, and dysregulation has been linked to preterm birth and other adverse gestational outcomes. A healthy diet is recommended in pregnancy, but little is known about the effect fruit and vegetable intake on perinatal outcomes. Omega-3 (n-3) fatty acids are essential dietary components and are known to affect inflammatory state, but little is known about how they affect inflammation in pregnancy. As current evidence is lacking, further research is needed to investigate the relationships between maternal nutrition in pregnancy, inflammation and birth outcomes. The purposes of this dissertation were to: 1) to review and evaluate the current evidence on the relationship between n-3 fatty acids and inflammation in pregnancy; 2) to evaluate the current state of the science on the impact of maternal dietary consumption of fruits and vegetables on preterm birth, gestational diabetes, preeclampsia, small for gestational age, gestational weight gain and measures of inflammation or oxidative stress in pregnancy; and 3) to examine relationships between maternal dietary intake of fruits and vegetables, cytokine expression in early and mid-pregnancy, preterm birth and gestational hypertension. A critical review of literature examining the relationship between inflammation and n-3 intake during pregnancy found that multiple inflammatory cytokines in maternal and fetal tissues were lower in women who received n-3 supplements. A second review of literature review supported an inverse relationship between fruit and vegetables and risk of preeclampsia and suboptimal fetal growth. The available evidence was insufficient to establish relationships between fruit and vegetable intake and gestational diabetes, preterm birth or inflammation. A study evaluating the relationships between maternal fruit and vegetable intake, inflammation and birth outcomes was conducted. This study provided evidence supporting a relationship between first and second trimester cytokine expression and maternal dietary intake of fruits and vegetables. Those who met recommended vegetable intake in the first trimester had higher first trimester serum CRP, IL1-α, IL-6 and TNF-α and lower first trimester cervicovaginal IL-6 levels. Those who met recommendations for first trimester fruit intake had 56% lower risk for preterm birth. Those who met second trimester vegetable intake recommendations had more than twice the risk of developing gestational hypertension. The results of this dissertation provide support for the beneficial effects of omega-3 fatty acids and fruit and vegetable intake in pregnancy. Maternal intake of these dietary components may promote optimal immune status during pregnancy. Supplementation of maternal omega-3 fatty acids may help regulate inflammation via the anti-inflammatory effects their bioactive eicosanoids exert. Fruit and vegetables have antioxidant and anti-inflammatory effects that may also help balance the inflammatory state during pregnancy. These dietary components may help promote favorable immune status during pregnancy and reduce risk of adverse perinatal outcomes such as poor fetal growth, hypertensive disorders of pregnancy and preterm birth.

Introduktion: I Sverige föds det varje år cirka 120 000 barn, där 10% är i behov av vård på en neonatalavdelning. Orsaken till inläggning är många, och vårdtiden kan sträcka sig från ett par dagar upp till månader. För föräldrarna kan tiden mellan förlossning till utskrivning från neonatalavdelningen vara påfrestande, och många föräldrar upplever både fysisk och psykisk ohälsa. Föräldrarnas hälsa och behov kan tillgodoses med en familjefokuserad omvårdnad.  Syfte: Syftet med arbetet var att utforska föräldrars omvårdnadsbehov i samband med att deras barn vårdas på en neonatalavdelning, och hur omvårdnadspersonal kan tillgodose dessa med hjälp av familjefokuserad omvårdnad.  Metod: En kvalitativ litteraturstudie med deskriptiv design. Litteratursökningen genomfördes via databaserna PubMed och CINAHL. Studiens resultat baseras på en analys av tio kvalitativa originalartiklar. I analysprocessen utformades meningsbärande enheter från artiklarnas resultat, som sedan grupperades i koder, subkategorier och kategorier. Samtliga inkluderade artiklar kvalitetsgranskades och var av hög- eller medelhög kvalitet.  Resultat: Studiens resultat är utformat efter sex kategorier: 1) ny situation skapar osäkerhet och behov av stöd, 2) familjefokuserad omvårdnad och sätt som främjar den, 3) förbättringspotential och försvårande omständigheter, 4) att vara far på en neonatalavdelning, 5) informationsbehov från olika kanaler och 6) brister i vården som påverkar föräldrarnas delaktighet och engagemang.  Slutsats: När vårdpersonal gav föräldrarna anpassad information och ett bra bemötande, samt inkluderade dem i barnets omvårdnad blev upplevelsen av den familjefokuserade omvårdnaden bra. Familjerna lyfte även aspekter som kunde försvåra den familjecentrerade omvårdnaden, och som påverkade deras upplevelse. / Background: In Sweden, 12 000 newborn children need care at a neonatal intensive care unit (NICU) each year. There are many reasons for a child to be placed in a NICU, and the length of stay can vary from days to months. Parents can experience both physical and mental illness during the hospitalization. Family nursing is used to cater the parents needs.  Aim: The aim of this study was to investigate parents' needs of nursing care when their newborn child is hospitalized in a NICU. The study also examines how nursing staff can use family nursing to meet the parent’s needs.  Method: A qualitative literature review with descriptive design. The results are based on an analysis of ten original articles, found on the databases PubMed and CINAHL. In the data analysis, relevant findings from each study were designed into data units. The data units were synthesized into codes, subcategories and categories. The quality of the included articles was examined.  Result: The result is based on six categories: 1) need of support in a new setting, 2) family nursing and ways to enhance, 3) difficult situations and suggestions for improvement, 4) to be a father, 5) information from different sources and 6) the shortcomings of healthcare and its effect on participation.  Conclusion: Parents’ experience of family nursing was seen as positive when healthcare professionals had a good approach, gave them adapted information and included them in their child’s care. Parents also reported aspects that made the hospitalization more challenging.

Background: According to the World Health Organization (WHO), perinatal depression (PD) is the most common childbirth complication. About 10% of pregnant women and about 13% of postpartum women experience a mental health disorder, primarily depression (WHO, 2016). One of the WHO (2015 a) goals for maternal mental health includes providing strategies for the promotion of psychosocial well-being and prevention of mental disorders of mothers during and after delivery. Purpose: The purpose of this performance improvement project was to establish a perinatal depression risk screening protocol and improve nursing knowledge on PD at a community-based hospital in Miami. Theoretical Framework: Beck’s postpartum depression theory Method: The project gained support and buy-in from the administration and management team of the healthcare institution. It included a comprehensive literature review used as a guide to establishing a perinatal depression screening protocol. Finally, staff nurses received education on PD, followed by an assessment for improved knowledge and retention of information. Result: A paired-samples t-test was conducted to compare pretest and posttest results for Registered nurses after receiving education on perinatal depression, N = 70. The results suggested improved knowledge and retention of new information. Conclusion: The perinatal depression screening protocol provided a framework for the assessment and first-line management for perinatal depression. There was evidence of improved nursing knowledge and retention of information on maternal mood disorders, especially perinatal depression.

Pediatric and neonatal patients are especially vulnerable to suffering from distress. This literature review identifies research which applies passive music listening to distressed neonatal and pediatric acute care patients. Databases searched to find relevant studies include CINAHL plus with full text, MEDLINE, Alt HealthWatch, APA PsycArticles, and APA PsycInfo from EBSCOhost. Six studies were identified to meet search criteria. The studies that supported music listening with the neonatal and pediatric populations had a positive effect in reducing distress levels. Additional research is warranted to further validate these findings. Music listening with neonatal and pediatric patients is a simple, cost-effective intervention that nurses can implement at the bedside.

More than 324,000 women each year are estimated as having experienced intimate partner violence (IPV) during pregnancy. Correctly identifying women experiencing all forms and severity of IPV is necessary to inform the implementation of interventions to prevent and treat IPV. This can optimally be accomplished with data from accurate screening instruments. The United States Preventative Services Task force has recently recommended that all women who are pregnant should be screened for IPV over the course of their pregnancy and postnatal visits. Currently, clinical practice and research are hindered by the lack of validated IPV screening measurements for a pregnant population. The current review examined accuracy measures of empirically tested IPV screening measures, and evaluated them for use in prenatal health care settings. Based on the information collected and presented, recommendations regarding which screens are, and are not, appropriate to use in prenatal care settings to identify IPV were presented. Further rigorous studies are needed to identify and evaluate screening measurements and procedures to increase sensitivity and suitability for use in a variety of clinical settings for pregnant women.

Book Summary: This quick reference serves as an authoritative clinical guide to diagnostic treatment and monitoring recommendations for patients with mental disorders in the primary care setting. It offers fast and efficient access to evidence-based diagnostic and therapeutic guidelines for managing psychiatric and mental health conditions. The book guides family and adult advanced practice nurses in making clinical decisions that are supported by the best available evidence, reflecting current research and expert consensus. Additionally, researchers may use this book to identify important clinical questions where more research could be conducted to improve treatment decision making. This comprehensive text is organized by major diagnostic categories, such as anxiety disorders, with specific diagnoses organized alphabetically within each category. It supports informed practice, which increases confidence in differential diagnosis, safe and effective treatment decision making, reliable treatment monitoring and, ultimately, improved patient outcomes. Additionally, DSM-IV-TR diagnostic standard summaries and ICD-9 codes are incorporated for use in the clinical setting. It is an essential resource in everyday practice for all health care providers.