[Study of urine pH and density in the rehydration of infants. Introduction to nursing care].
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Biomedical subjects
Publications and source records attributed to S M Rocha.
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Neonatal care has improved greatly in recent years, focusing its efforts on low weight and premature children. Literature has considered prematurity under several focuses, recommending the following of growth and development in a systematic way. The present study tries to present a review of the literature on nursing care in the follow-up to premature children, in order to promote a reflection about the health care given to this customers. Authors searched in the data bank of the University of São Paulo, international periodicals and recent books. In general, studies focus on nursing role and strategies, such as home visits, in order to provide follow-up for the children and give orientations to mothers, as well as give support to the families. Studies emphasize the importance of multiprofessional teams working with mothers, children and families from neonatal intensive care to the post-neonatal period. The following of children brings out the need of reorganization and integration of health services, as well as the improvement of the relationships between professionals and families. Therefore, it is important to characterize the follow-up of this children, enabling the way for a more effective role in nursing care.
The relationship established between health professionals and newborns is analysed in this study. The research focuses mainly on the fact that this interaction is mediated by scientific knowledge, technology and the equipment used on the care of babies. This is a exploratory qualitative research. The data was collected in two nurseries in the city of Ribeirão Preto, SP, Brazil. It was verified that the procedures used in these nurseries fulfilled the necessities of newborns regarding the control and maintenance of vital functions (cardio-respiratory, thermoregulation, oxygenation, fluid-electrolyte balance and nutrition), as well as the administration of medicines, and collection of organic material for diagnosis and therapy. It was also observed that nursery professionals prepare, install, control and do the maintenance of the equipment, while doctors are in charge of installing and controlling it in more invasive procedures.
Parental involvement in the care of children who are hospitalized has been encouraged by the government in Brazil, as it has in the United Kingdom (UK). In this paper, key aspects of the UK, North American, and Latin American literature concerning parental participation are discussed, and implications for hospital care of children in Brazil are considered. A study of the division of work between nurses and the mothers (or other relatives) of 10 children hospitalized with chronic illnesses is reported. Data were collected by participant observation of child care in a Brazilian hospital. The results highlight some of the difficulties that arise in the integration of the work of mothers and nurses in hospital care of children and the fragmentation of care into "manual" and "intellectual" work. The results are considered within the theoretical framework of the model of technologic organization of work (Gonçalves, 1979, 1994). Implications for the organization of child care in the hospital are discussed.
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