Flávia Simphronio Balbino

Ruído no interior das incubadoras em unidade de terapia intensiva neonatal

Objectives: To identify levels of sound pressure level (NPS) inside the incubator and the sources of noise in that microenvironment of the Neonatal Intensive Care Unit of a university hospital. Methods: Descriptive quantitative study, conducted in incubators for the Neonatal Intensive Care Unit of a university hospital in Sao Paulo. The records were obtained by NPS dosimeter, totaling 261 hours, 48 hours of records of the sources producing noise. Results: There were high NPS inside the incubators. Greater Leq levels were 79.7 dBA in room A, and 74.3 dBA in room B. The main sources of noise were: water circulation fan, maintaining open doors on the incubators during periods of care, equipment alarms, and conversation among professionals close to the incubator. Conclusions: The results showed that the NPS inside the incubator are far above those recommended by regulations. Based on these results, we developed a protocol and educational program.RESUMO Objetivos: Identificar niveis de pressao sonora (NPS) no interior das incubadoras e as fontes geradoras de ruido nesse microambiente de Unidade de Terapia Intensiva Neonatal de um hospital universitario. Metodos: Pesquisa quantitativa, descritiva, conduzida nas incubadoras de Unidade de Terapia Intensiva Neonatal de um hospital universitario do Municipio de Sao Paulo. Os registros de NPS foram obtidos por meio de dosimetro, totalizando 261 horas, 48 horas de registros das fontes produtoras de ruidos. Resultados: Constataram-se elevados NPS no interior das incubadoras. Maiores Leq medios foram 79,7 dBA na sala A e 74,3 dBA na B. As principais fontes de ruido foram: barulho da agua do ventilador, permanencia das portinholas abertas da incubadora, durante os cuidados prestados, alarmes dos equipamentos e conversa entre profissionais proxima a incubadora. Conclusoes: Os resultados evidenciaram que os NPS no interior das incubadoras estao distantes do recomendado pelos orgaos regulamentadores. Com base nesses resultados, foram desenvolvidos um protocolo e programa educativo. Descritores: Ruido; Unidades de terapia intensiva neonatal; Enfermagem neonatal; Humanizacao da assistencia

Internal noise levels in neonatal intensive care unit incubators

Objectives: To identify levels of sound pressure level (NPS) inside the incubator and the sources of noise in that microenvironment of the Neonatal Intensive Care Unit of a university hospital. Methods: Descriptive quantitative study, conducted in incubators for the Neonatal Intensive Care Unit of a university hospital in Sao Paulo. The records were obtained by NPS dosimeter, totaling 261 hours, 48 hours of records of the sources producing noise. Results: There were high NPS inside the incubators. Greater Leq levels were 79.7 dBA in room A, and 74.3 dBA in room B. The main sources of noise were: water circulation fan, maintaining open doors on the incubators during periods of care, equipment alarms, and conversation among professionals close to the incubator. Conclusions: The results showed that the NPS inside the incubator are far above those recommended by regulations. Based on these results, we developed a protocol and educational program.RESUMO Objetivos: Identificar niveis de pressao sonora (NPS) no interior das incubadoras e as fontes geradoras de ruido nesse microambiente de Unidade de Terapia Intensiva Neonatal de um hospital universitario. Metodos: Pesquisa quantitativa, descritiva, conduzida nas incubadoras de Unidade de Terapia Intensiva Neonatal de um hospital universitario do Municipio de Sao Paulo. Os registros de NPS foram obtidos por meio de dosimetro, totalizando 261 horas, 48 horas de registros das fontes produtoras de ruidos. Resultados: Constataram-se elevados NPS no interior das incubadoras. Maiores Leq medios foram 79,7 dBA na sala A e 74,3 dBA na B. As principais fontes de ruido foram: barulho da agua do ventilador, permanencia das portinholas abertas da incubadora, durante os cuidados prestados, alarmes dos equipamentos e conversa entre profissionais proxima a incubadora. Conclusoes: Os resultados evidenciaram que os NPS no interior das incubadoras estao distantes do recomendado pelos orgaos regulamentadores. Com base nesses resultados, foram desenvolvidos um protocolo e programa educativo. Descritores: Ruido; Unidades de terapia intensiva neonatal; Enfermagem neonatal; Humanizacao da assistencia

Percepção do cuidado centrado na família em unidade neonatal

Doi: 10.5902/2179769216340 Objetivo: estudo com o objetivo de compreender a percepcao da familia do recem-nascido hospitalizado em unidade neonatal em relacao ao cuidado prestado pela equipe de saude. Metodo: pesquisa qualitativa, descritiva, que utilizou como referencial teorico os pressupostos do Cuidado Centrado no Paciente e Familia. A coleta de dados foi realizada por meio de entrevistas semiestruturadas com sete familiares de recem-nascidos internados em uma unidade neonatal de um hospital universitario em 2011. Resultados: Os dados foram analisados conforme a Analise Qualitativa de Conteudo, emergindo duas categorias analiticas: satisfacao com o cuidado na unidade e dificuldades enfrentadas em relacao a equipe e a hospitalizacao. Conclusao: ha uma distância entre a teoria e a pratica, sendo o Cuidado Centrado no Paciente e Familia um ideal a ser alcancado.

Measurement of Family-centered care perception and parental stress in a neonatal unit

ABSTRACT Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of São Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the familys experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of Sao Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the familys experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.

Evaluación de la percepción del cuidado centrado en la familia y del estrés parental en una unidad neonatal

ABSTRACT Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of São Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the familys experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of Sao Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the familys experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.

Avaliação da percepção do cuidado centrado na família e do estresse parental em unidade neonatal

ABSTRACT Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of São Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the familys experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.Objective: to evaluate the effects of the implementation of the Patient and Family-Centered Care Model on parents and healthcare perceptions and parental stress. Method: a quasi-experimental study developed in a neonatal unit of a university hospital in the municipality of Sao Paulo, Brazil, with the implementation of this model of care. Data collection were performed by two sample groups, one using non-equivalent groups of parents, and another using equivalent groups of healthcare professionals. The instruments Perceptions of Family-Centered Care-Parent Brazilian Version, Perceptions of Family-Centered Care-Staff Brazilian Version and Parental Stress Scale: Neonatal Intensive Care Unit, were applied to 132 parents of newborns hospitalized and to 57 professionals. Results: there was a statistically significant improvement in the perceptions of the parents in most items assessed (p ≤0,05) and for the staff in relation to the family welcome in the neonatal unit (p = 0.041) and to the comprehension of the familys experience with the infant´s hospitalization (p = 0,050). There was a reduction in the average scores of parental stress, with a greater decrease in the Alteration in Parental Role from 4,2 to 3,8 (p = 0,048). Conclusion: the interventions improved the perceptions of parents and healthcare team related to patient and family-centered care and contributed to reducing parental stress.

Grupo de apoio aos pais como uma experiência transformadora para a família em unidade neonatal

Objetivo: Comprender el significado de la participacion de la familia en el Grupo de Apoyo a los Padres en una unidad neonatal. Metodos: Estudio cualitativo descriptivo realizado en un Hospital Universitario de Sao Paulo. Los datos fueron recolectados a traves de entrevistas semiestructuradas con las familias de los recien nacidos hospitalizados y despues sometidas al analisis de contenido cualitativo. Resultados: El grupo de apoyo es una experiencia transformadora para la familia, ya que promueve la aclaracion de dudas. Ademas de representar apoyo durante la hospitalizacion del recien nacido, promueve el intercambio de experiencias entre los padres y una mayor interaccion entre el equipo de salud y amigos. Conclusion: Gracias al apoyo de un equipo multidisciplinario, se refuerza la importancia del grupo para fortalecer el vinculo afectivo entre padres e hijos, amenizar el sufrimiento de la familia y ampliar la autonomia de los padres en el cuidado de los ninos.

Grupo de apoyo a los padres como una experiencia transformadora para la familia en una unidad neonatal

Objetivo: Comprender el significado de la participacion de la familia en el Grupo de Apoyo a los Padres en una unidad neonatal. Metodos: Estudio cualitativo descriptivo realizado en un Hospital Universitario de Sao Paulo. Los datos fueron recolectados a traves de entrevistas semiestructuradas con las familias de los recien nacidos hospitalizados y despues sometidas al analisis de contenido cualitativo. Resultados: El grupo de apoyo es una experiencia transformadora para la familia, ya que promueve la aclaracion de dudas. Ademas de representar apoyo durante la hospitalizacion del recien nacido, promueve el intercambio de experiencias entre los padres y una mayor interaccion entre el equipo de salud y amigos. Conclusion: Gracias al apoyo de un equipo multidisciplinario, se refuerza la importancia del grupo para fortalecer el vinculo afectivo entre padres e hijos, amenizar el sufrimiento de la familia y ampliar la autonomia de los padres en el cuidado de los ninos.

Parent's support group as a transforming experience for families at a neonatal unit

Objetivo: Comprender el significado de la participacion de la familia en el Grupo de Apoyo a los Padres en una unidad neonatal. Metodos: Estudio cualitativo descriptivo realizado en un Hospital Universitario de Sao Paulo. Los datos fueron recolectados a traves de entrevistas semiestructuradas con las familias de los recien nacidos hospitalizados y despues sometidas al analisis de contenido cualitativo. Resultados: El grupo de apoyo es una experiencia transformadora para la familia, ya que promueve la aclaracion de dudas. Ademas de representar apoyo durante la hospitalizacion del recien nacido, promueve el intercambio de experiencias entre los padres y una mayor interaccion entre el equipo de salud y amigos. Conclusion: Gracias al apoyo de un equipo multidisciplinario, se refuerza la importancia del grupo para fortalecer el vinculo afectivo entre padres e hijos, amenizar el sufrimiento de la familia y ampliar la autonomia de los padres en el cuidado de los ninos.

Ruido en el interior de las incubadoras en unidad de Cuidados Intensivos Neonatal

Objectives: To identify levels of sound pressure level (NPS) inside the incubator and the sources of noise in that microenvironment of the Neonatal Intensive Care Unit of a university hospital. Methods: Descriptive quantitative study, conducted in incubators for the Neonatal Intensive Care Unit of a university hospital in Sao Paulo. The records were obtained by NPS dosimeter, totaling 261 hours, 48 hours of records of the sources producing noise. Results: There were high NPS inside the incubators. Greater Leq levels were 79.7 dBA in room A, and 74.3 dBA in room B. The main sources of noise were: water circulation fan, maintaining open doors on the incubators during periods of care, equipment alarms, and conversation among professionals close to the incubator. Conclusions: The results showed that the NPS inside the incubator are far above those recommended by regulations. Based on these results, we developed a protocol and educational program.RESUMO Objetivos: Identificar niveis de pressao sonora (NPS) no interior das incubadoras e as fontes geradoras de ruido nesse microambiente de Unidade de Terapia Intensiva Neonatal de um hospital universitario. Metodos: Pesquisa quantitativa, descritiva, conduzida nas incubadoras de Unidade de Terapia Intensiva Neonatal de um hospital universitario do Municipio de Sao Paulo. Os registros de NPS foram obtidos por meio de dosimetro, totalizando 261 horas, 48 horas de registros das fontes produtoras de ruidos. Resultados: Constataram-se elevados NPS no interior das incubadoras. Maiores Leq medios foram 79,7 dBA na sala A e 74,3 dBA na B. As principais fontes de ruido foram: barulho da agua do ventilador, permanencia das portinholas abertas da incubadora, durante os cuidados prestados, alarmes dos equipamentos e conversa entre profissionais proxima a incubadora. Conclusoes: Os resultados evidenciaram que os NPS no interior das incubadoras estao distantes do recomendado pelos orgaos regulamentadores. Com base nesses resultados, foram desenvolvidos um protocolo e programa educativo. Descritores: Ruido; Unidades de terapia intensiva neonatal; Enfermagem neonatal; Humanizacao da assistencia