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[在新生儿重症监护病房护理新生儿:鉴于复杂性应对生存的脆弱性]

[Caring for newborns in a NICU: dealing with the fragility of living/surviving in the light of complexity].

作者信息

Klock Patrícia, Erdmann Alacoque Lorenzini

机构信息

Universidade Federal de Santa Catarina, São José, SC, Brasil.

出版信息

Rev Esc Enferm USP. 2012 Feb;46(1):45-51. doi: 10.1590/s0080-62342012000100006.

DOI:10.1590/s0080-62342012000100006
PMID:22441264
Abstract

The objective of this study was to understand the meaning of being a nurse and providing care in the Neonatal Intensive Care Unit (NICU) of a general hospital in Southern Brazil, developing an explanatory theoretical model. The Grounded Theory and the Complexity Paradigm were used to develop the Theoretical Model: Caring for newborns in the NICU: Dealing with the fragility of living/surviving in the light of complexity. Data was collected from 11 subjects through an open interview, and organized using NVIVO software. A central category was identified: Dealing with the fragility of living/surviving: a care that is highly complex, sensitive, unique and shared. Care in the NICU, valuing the everyday interrelationships, aims to address all domains of complex health care, integrating and applying scientific knowledge. It is necessary to practice the strengths already inherent to nursing professionals, in addition to pursuing new strengths, an invitation to new models of care for newborns, their family, and the members of this complex system.

摘要

本研究的目的是了解在巴西南部一家综合医院的新生儿重症监护病房(NICU)担任护士并提供护理的意义,构建一个解释性理论模型。扎根理论和复杂性范式被用于构建理论模型:在NICU护理新生儿:鉴于复杂性应对生存的脆弱性。通过开放式访谈从11名受试者收集数据,并使用NVIVO软件进行整理。确定了一个核心类别:应对生存的脆弱性:一种高度复杂、敏感、独特且共享的护理。NICU的护理重视日常的相互关系,旨在解决复杂医疗护理的所有领域,整合并应用科学知识。除了追求新的优势之外,还需要发挥护理专业人员已有的优势,这是对新生儿、其家庭以及这个复杂系统的成员采用新护理模式的一种倡导。

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