Nursing care for newborns in different scenarios: an integrative review of the literature
DOI:
https://doi.org/10.5433/anh.2021v3.id41478Keywords:
Newborn, Neonatal Nursing, Nursing care, Review, Technology, Evidence-Based Nursing.Abstract
Objective: To identify nursing care for newborns.Method: an integrative review with Ganong's methodological framework, which used the keywords “neonatal nursing”, ‘nursing care” and “newborns”, interspersed with the Boolean operator “and”, in the Cinahl, Pubmed, Scopus, Web of databases Science and Medline databases, between 2015 and 2017. The inclusion criterion was mediated by the guiding question structured from the acronym PICo: What is the state of the art of humanized neonatal nursing care performed in different care settings? After selecting the articles (n=16), the Measuring Study Quality instrument was applied to assess the methodological quality of the articles, through double checking and it was decided to include a total of 10 articles in the sample.
Results: Of the analyzed publications, 60% are national, the international ones are from the USA, Netherlands, Italy and Indonesia, and most of them (80%) are related to the care of premature newborns. They talk about care related to: respiratory support, safe sleep practice, minimal handling, reduction of sensory and environmental stimuli, comfort, positioning, body hygiene, weighing, and prevention of skin lesions.
Conclusion: the publications focus on the production of knowledge for the qualification of professionals in the Neonatal Intensive Care Unit (NICU), with a focus on premature infants. There was a gap in research on neonatal care in the Delivery Room, Joint Accommodation, in the Kangaroo Intermediate Care Unit (UCINCa) and in Primary Health Care.
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References
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Corrêa AR, Andrade AC, Manzo BF, Couto DL, Duarte ED. The family-centered care practices in newborn unit nursing perspective. Esc. Anna Nery [Internet]. 2015; 19(4) [acesso em 06 mar 2021] Disponível: https://doi.org/10.5935/1414-8145.20150084
Costa JVS, Sanfelice CFO, Carmona EV. Humanização da assistência neonatal na ótica dos profissionais de enfermagem. Rev enferm UFPE [Internet] 2019;13(242) [acesso em: 26 de abr. 2020] Disponivel: https://doi.org/10.5205/1981-8963.2019.242642
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Hwang SS, O'Sullivan A, Fitzgerald E, Melvin P, Gorman T, Fiascone JM. Implementation of safe sleep practices in the neonatal intensive care unit. J Perinatol [Internet] 2015;35(10) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1038/jp.2015.79
Joanna Briggs Institute [Internet] Adelaide: The University of Adelaide; [acesso em 06 mar 2021]. The JBI Model of Evidence-Based Healthcare; [3 telas]. Disponivel: https://jbi.global/jbi-approachto-EBHC
Lissauer T, Duke T, Mellor K, Molyneux L.Nasal CPAP for neonatal respiratory support in low and middle-income countries. Arch Dis Child Fetal Neonatal Ed. [Internet] 2017;102(3) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1136/archdischild-2016-311653
Llaguno NS, Pedreira MLG, Avelar AFM, Avena MJ, Tsunemi MH, Pinheiro EM. Avaliação polissonográfica do sono e vigília de recém-nascidos prematuros. Rev Bras Enferm [Internet] 2015;68(6) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1590/0034-7167.2015680616i
Lopes TRG, Oliveira SS, Pereira IRRBO, Romeiro IMM, Carvalho JBL. Humanization of care to newborns in the kangaroo method: experience report. J Nurs UFPE online. [Internet] 2017; 11(11) [acesso em 02 jun 2019]. Disponível: https://doi.org/10.5205/1981-8963-v11i11a25089p4492-4497-20
Ma M, Noori S, Maarek JM, Holschneider DP, Rubinstein EH, Seri I. Prone positioning decreases cardiac output and increases systemic vascular resistance in neonates. J Perinatol [Internet] 2015;35(6) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1038/jp.2014.230
Maki MT, Orsi KCSC, Tsunemi MH, Hallinan MP, Pinheiro EM, Avelar AFM. O efeito da manipulação sobre o sono do recém-nascido prematuro. Acta paul. enferm. [Internet]. 2017;30(5) [acesso em: 22 mar 2018] Disponível: http://dx.doi.org/10.1590/1982-0194201700071.
Ministério da Saúde (BR). Portaria nº 1.459, de 24 de junho de 2011, institui a Rede Cegonha no âmbito do SUS. Diário Oficial da União, [Internet] 24 jun 2011 [acesso em 06 mar 2021]. Disponível: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt1459_24_06_2011.html
Ministério da Saúde (BR). Portaria nº1.683, de 12 de julho de 2007, institui Normas de Orientação para a Implantação do Método Canguru. Diário Oficial da União, [Internet] 12 jul 2007 [acesso em 06 mar 2021]. Disponível: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2007/prt1683_12_07_2007.html
Modesto IF, Avelar AF, Pedreira L, Pradella-Hallinan M, Avena MJ, Pinheiro EM. Effect of sleeping position on arousals from sleep in preterm infants. J Spec Pediatr Nurs [Internet] 2016;21(3) [acesso em: 17 abr 2018] Disponível: http://dx.doi.org/10.1111/jspn.12147
Motta GCP, Cunha MLC. Prevention and non-pharmacological management of pain in newborns. Rev. Bras. Enferm. [Internet] 2015; 68(1) [acesso em 04 jun 2019]. Disponível: http://dx.doi.org/10.1590/0034-7167.2015680118p
Noda LM, Alves MVMFF, Gonçalves MF, Silva FS, Fusco SFB, Avila MAG. Humanization in the Neonatal Intensive Care Unit from parents’ perspective. REME – Rev Min Enferm. [Internet] 2018:22(1078) [acesso em: 27 ago. 2020]. Disponivel:http://www.dx.doi.org/10.5935/1415-2762.20180008
Orsi KCSC, Llaguno NS, Avelar AFM, Tsunemi MH, Pedreira MLG, Sato MH, et al. Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep. Rev. esc. enferm. [Internet] 2015;49(4) [acesso em: 17 abr 2018] Disponível:http://dx.doi.org/10.1590/s0080-623420150000400003
Ruschel LM, Pedrini DB, Cunha MLC. Hypothermia and the newborn’s bath in the first hours of life. Rev Gaúcha Enferm. [Internet] 2018;39 [acesso em 01 jun 2019]. Disponível: https://doi. org/10.1590/1983-1447.2018.20170263.
Santos SV, Costa R. Prevenção de lesões de pele em recém-nascidos: o conhecimento da equipe de enfermagem. Texto contexto-enferm. [Internet]. 2015;24(3) [acesso em: 18 abr 2018]. Disponível: http://dx.doi.org/10.1590/0104-0707201501123_014
Shehab MM, Youssef DM, Khalil MM. Prevalence of cutaneous skin lesions in neonatal intensive care unit: A single center study. J Clin Neonatol. [Internet] 2015; 4(3) [acesso em 01 jun 2019]. Disponível: http://dx.doi.org/10.4103/2249-4847.159872
Toso BRGO, Viera CS, Valter JM, Delatore S, Barreto GMS. Validação de protocolo de posicionamento de recém-nascido em Unidade de Terapia Intensiva. Rev. Bras. Enferm. [Internet] 2015;68(6) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1590/0034-7167.2015680621i
Tripodi, M., Siano, M. A., Mandato, C., De Anseris, A. G. E., Quitadamo, P., Guercio Nuzio, S., Vajro, P. Humanization of pediatric care in the world: focus and review of existing models and measurement tools. Italian Journal of Pediatrics [Internet] 2017;43(1). [acesso em: 26 de abr. 2020] Disponivel: https://doi.org/10.1186/s13052-017-0394-4
Utario Y, Rustina Y, Waluyanti FT. The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure. Compr Child Adolesc Nurs [Internet]. 2017;40(sup1) [acesso em: 18 abr 2018]. Disponível: http://dx.doi.org/10.1080/24694193.2017.1386976
Van Zanten HA, Pauws SC, Beks EC, Stenson BJ, Lopriore E, Te Pas ABVAN. Improving manual oxygen titration in preterm infants by training and guideline implementation. Eur J Pediatr [Internet] 2017;176(1) [acesso em: 18 abr 2018] Disponível em: http://dx.doi.org/10.1007/s00431-016-2811-x
Wilson E, Maier RF, Norman M, Misselwitz B, Howell EA, Zeitlin J. Admission Hypothermia in Very Preterm Infants and Neonatal Mortality and Morbidity. J Pediatr. [Internet] 2016; 175 [acesso em 31 mai 2019]. Disponível: http://dx.doi.org/10.1016/j.jpeds.2016.04.016
World Health Organization Born too Soon The Global Action Report on Preterm Birth Geneva WHO 2012
Bembich S, Fiani G, Strajn T, Sanesi C, Demarini S, Sanson G. Longitudinal Responses to Weighing and Bathing Procedures in Preterm Infants. J Perinat Neonatal Nurs [Internet] 2017;31(1) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1097/jpn.0000000000000228]
Brasil. Lei Federal n. 8069, de 13 de julho de 1990. Dispõe sobre o Estatuto da Criança e do Adolescente e dá outras providências. Diário Oficial da República Federativa do Brasil, Brasília, 13 jul. 1990. Seção 1:1.
Brummelte S, Chau CM, Cepeda IL, Degenhardt A, Weinberg J, Synnes AR et al. Cortisol levels in former preterm children at school age are predicted by neonatal procedural pain-related stress. Psychoneuroendocrinology[Internet] 2015;51 [acesso em: 18 abr 2018] Disponível:http://dx.doi.org/10.1016/j.psyneuen.2014.09.018
Corrêa AR, Andrade AC, Manzo BF, Couto DL, Duarte ED. The family-centered care practices in newborn unit nursing perspective. Esc. Anna Nery [Internet]. 2015; 19(4) [acesso em 06 mar 2021] Disponível: https://doi.org/10.5935/1414-8145.20150084
Costa JVS, Sanfelice CFO, Carmona EV. Humanização da assistência neonatal na ótica dos profissionais de enfermagem. Rev enferm UFPE [Internet] 2019;13(242) [acesso em: 26 de abr. 2020] Disponivel: https://doi.org/10.5205/1981-8963.2019.242642
Downs SH, Black N. The feasibility of creating a checklist for the assessment of the methodological quality both of randomised and nonrandomised studies of health care interventions. J Epidemiol Community Health [Internet] 1998;52 (6) [acesso em: 17 abr 2018]. Disponível: http://dx.doi.org/10.1136/jech.52.6.377.PMid:9764259.
Ferreira JHP, Amaral JJF, Lopes MMCO. Nursing team and promotion of humanized care in a neonatal unit. Rev Rene [Internet] 2016;17(6) [Acesso em: 18 abr 2018] Disponível:http://dx.doi.org/10.15253/2175-6783.2016000600003
Filho GGF, Passos JOS, Almeida VA, Ribeiro CMA, Souza JC, Silva GFA, et al. Thermal and cardiorespiratory newborn adaptations during hot tub bath. Int Arch Of Med [Internet] 2017;10(85) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.3823/2355
Galvão TF, Pansani TSA, Harrad D. Principais itens para relatar Revisões sistemáticas e Meta-análises: A recomendação PRISMA. Epidemiol. Serv. Saúde [Internet] 2015;24(2) [acesso em: 23 mar 2018] Disponível: http://dx.doi.org/10.5123/S1679-49742015000200017
Ganong L. Integrative reviews of nursingresearch. Res Nurs Health. 1987 ;10(1) [acesso em: 17 abr 2018] Disponivel: https://doi.org/10.1002/nur.4770100103.
Gomes T, Sant’ana A, Neto M, Porto F. Fundamentals of care in weighing the newborn / Fundamentos do cuidado na pesagem do recém-nascido. Revista de Pesquisa: Cuidado é Fundamental Online [Internet]. 2019 Jan 1; [acesso em 2019 Jul 3]; 11(1): 74-79. Disponível: http://dx.doi.org/10.9789/2175-5361.2019.v11i1.74-79.
Haveri FTTS, Inamadar AC. A CrossSectional Prospective Study of Cutaneous Lesions in Newborn. ISRN Dermatol [Internet] 2014; 20(2014) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1155/2014/360590
Hwang SS, O'Sullivan A, Fitzgerald E, Melvin P, Gorman T, Fiascone JM. Implementation of safe sleep practices in the neonatal intensive care unit. J Perinatol [Internet] 2015;35(10) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1038/jp.2015.79
Joanna Briggs Institute [Internet] Adelaide: The University of Adelaide; [acesso em 06 mar 2021]. The JBI Model of Evidence-Based Healthcare; [3 telas]. Disponivel: https://jbi.global/jbi-approachto-EBHC
Lissauer T, Duke T, Mellor K, Molyneux L.Nasal CPAP for neonatal respiratory support in low and middle-income countries. Arch Dis Child Fetal Neonatal Ed. [Internet] 2017;102(3) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1136/archdischild-2016-311653
Llaguno NS, Pedreira MLG, Avelar AFM, Avena MJ, Tsunemi MH, Pinheiro EM. Avaliação polissonográfica do sono e vigília de recém-nascidos prematuros. Rev Bras Enferm [Internet] 2015;68(6) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1590/0034-7167.2015680616i
Lopes TRG, Oliveira SS, Pereira IRRBO, Romeiro IMM, Carvalho JBL. Humanization of care to newborns in the kangaroo method: experience report. J Nurs UFPE online. [Internet] 2017; 11(11) [acesso em 02 jun 2019]. Disponível: https://doi.org/10.5205/1981-8963-v11i11a25089p4492-4497-20
Ma M, Noori S, Maarek JM, Holschneider DP, Rubinstein EH, Seri I. Prone positioning decreases cardiac output and increases systemic vascular resistance in neonates. J Perinatol [Internet] 2015;35(6) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1038/jp.2014.230
Maki MT, Orsi KCSC, Tsunemi MH, Hallinan MP, Pinheiro EM, Avelar AFM. O efeito da manipulação sobre o sono do recém-nascido prematuro. Acta paul. enferm. [Internet]. 2017;30(5) [acesso em: 22 mar 2018] Disponível: http://dx.doi.org/10.1590/1982-0194201700071.
Ministério da Saúde (BR). Portaria nº 1.459, de 24 de junho de 2011, institui a Rede Cegonha no âmbito do SUS. Diário Oficial da União, [Internet] 24 jun 2011 [acesso em 06 mar 2021]. Disponível: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2011/prt1459_24_06_2011.html
Ministério da Saúde (BR). Portaria nº1.683, de 12 de julho de 2007, institui Normas de Orientação para a Implantação do Método Canguru. Diário Oficial da União, [Internet] 12 jul 2007 [acesso em 06 mar 2021]. Disponível: https://bvsms.saude.gov.br/bvs/saudelegis/gm/2007/prt1683_12_07_2007.html
Modesto IF, Avelar AF, Pedreira L, Pradella-Hallinan M, Avena MJ, Pinheiro EM. Effect of sleeping position on arousals from sleep in preterm infants. J Spec Pediatr Nurs [Internet] 2016;21(3) [acesso em: 17 abr 2018] Disponível: http://dx.doi.org/10.1111/jspn.12147
Motta GCP, Cunha MLC. Prevention and non-pharmacological management of pain in newborns. Rev. Bras. Enferm. [Internet] 2015; 68(1) [acesso em 04 jun 2019]. Disponível: http://dx.doi.org/10.1590/0034-7167.2015680118p
Noda LM, Alves MVMFF, Gonçalves MF, Silva FS, Fusco SFB, Avila MAG. Humanization in the Neonatal Intensive Care Unit from parents’ perspective. REME – Rev Min Enferm. [Internet] 2018:22(1078) [acesso em: 27 ago. 2020]. Disponivel:http://www.dx.doi.org/10.5935/1415-2762.20180008
Orsi KCSC, Llaguno NS, Avelar AFM, Tsunemi MH, Pedreira MLG, Sato MH, et al. Effect of reducing sensory and environmental stimuli during hospitalized premature infant sleep. Rev. esc. enferm. [Internet] 2015;49(4) [acesso em: 17 abr 2018] Disponível:http://dx.doi.org/10.1590/s0080-623420150000400003
Ruschel LM, Pedrini DB, Cunha MLC. Hypothermia and the newborn’s bath in the first hours of life. Rev Gaúcha Enferm. [Internet] 2018;39 [acesso em 01 jun 2019]. Disponível: https://doi. org/10.1590/1983-1447.2018.20170263.
Santos SV, Costa R. Prevenção de lesões de pele em recém-nascidos: o conhecimento da equipe de enfermagem. Texto contexto-enferm. [Internet]. 2015;24(3) [acesso em: 18 abr 2018]. Disponível: http://dx.doi.org/10.1590/0104-0707201501123_014
Shehab MM, Youssef DM, Khalil MM. Prevalence of cutaneous skin lesions in neonatal intensive care unit: A single center study. J Clin Neonatol. [Internet] 2015; 4(3) [acesso em 01 jun 2019]. Disponível: http://dx.doi.org/10.4103/2249-4847.159872
Toso BRGO, Viera CS, Valter JM, Delatore S, Barreto GMS. Validação de protocolo de posicionamento de recém-nascido em Unidade de Terapia Intensiva. Rev. Bras. Enferm. [Internet] 2015;68(6) [acesso em: 18 abr 2018] Disponível: http://dx.doi.org/10.1590/0034-7167.2015680621i
Tripodi, M., Siano, M. A., Mandato, C., De Anseris, A. G. E., Quitadamo, P., Guercio Nuzio, S., Vajro, P. Humanization of pediatric care in the world: focus and review of existing models and measurement tools. Italian Journal of Pediatrics [Internet] 2017;43(1). [acesso em: 26 de abr. 2020] Disponivel: https://doi.org/10.1186/s13052-017-0394-4
Utario Y, Rustina Y, Waluyanti FT. The Quarter Prone Position Increases Oxygen Saturation in Premature Infants Using Continuous Positive Airway Pressure. Compr Child Adolesc Nurs [Internet]. 2017;40(sup1) [acesso em: 18 abr 2018]. Disponível: http://dx.doi.org/10.1080/24694193.2017.1386976
Van Zanten HA, Pauws SC, Beks EC, Stenson BJ, Lopriore E, Te Pas ABVAN. Improving manual oxygen titration in preterm infants by training and guideline implementation. Eur J Pediatr [Internet] 2017;176(1) [acesso em: 18 abr 2018] Disponível em: http://dx.doi.org/10.1007/s00431-016-2811-x
Wilson E, Maier RF, Norman M, Misselwitz B, Howell EA, Zeitlin J. Admission Hypothermia in Very Preterm Infants and Neonatal Mortality and Morbidity. J Pediatr. [Internet] 2016; 175 [acesso em 31 mai 2019]. Disponível: http://dx.doi.org/10.1016/j.jpeds.2016.04.016
World Health Organization Born too Soon The Global Action Report on Preterm Birth Geneva WHO 2012
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2021-04-24
How to Cite
Peres, A. L., Freire, M. H. de S., Migoto, M. T., & Saganski, G. F. (2021). Nursing care for newborns in different scenarios: an integrative review of the literature. Advances in Nursing and Health, 3. https://doi.org/10.5433/anh.2021v3.id41478
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