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护士对新生儿重症监护病房中新生儿生命末期护理的信念。

Nurses' beliefs in the care of newborns at the end of life in the neonatal intensive care unit.

机构信息

Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, SP, Brazil.

Universidade de São Paulo, Escola de Enfermagem, Programa Interunidades de Doutoramento em Enfermagem, São Paulo, SP, Brazil.

出版信息

Rev Esc Enferm USP. 2024 Oct 28;58:e20240065. doi: 10.1590/1980-220X-REEUSP-2024-0065en. eCollection 2024.

Abstract

OBJECTIVE

To describe nurses' beliefs and attitudes related to care during the end-of-life process and death in a neonatal intensive care unit.

METHOD

Descriptive and qualitative study with nurses working in a neonatal intensive care unit who experienced care for newborns who died in these units. Data collection was carried out through recorded interviews that were analyzed following thematic analysis from the perspective of the Health Belief Model.

RESULTS

Nurses' beliefs were categorized in relation to death, nursing care, and perceptions about newborns. The influence of these beliefs on behaviors and care practices was denoted, with the need for emotional support and specific training to manage these situations being highlighted.

CONCLUSION

Knowledge of the beliefs described in the study is essential to develop more sensitive and comprehensive care strategies, contributing to improve the quality of care in neonatal intensive care units.

摘要

目的

描述新生儿重症监护病房护士在临终关怀和死亡过程中的信念和态度。

方法

对在新生儿重症监护病房工作并经历过在这些病房中死亡的新生儿护理的护士进行描述性和定性研究。通过记录访谈收集数据,然后从健康信念模型的角度进行主题分析。

结果

护士的信念与死亡、护理和对新生儿的看法有关。强调了这些信念对行为和护理实践的影响,突出了对情感支持和特定培训的需求,以管理这些情况。

结论

了解研究中描述的信念对于制定更敏感和全面的护理策略至关重要,有助于提高新生儿重症监护病房的护理质量。

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