Nurses' adherence to the Kangaroo Care Method: support for nursing care management

Revista Latino-Americana de Enfermagem

Laura Johanson Da Silva¹  Josete Luzia Leite¹  Carmen Gracinda Silvan Scochi¹  Leila Rangel Da Silva¹  Thiago Privado Da Silva¹ 

关键词: Neonatal Nursing;    Intensive Care Units;    Neonatal;    Kangaroo-Mother Care Method;    Personnel Administration;    Hospital;    Enfermagem Neonatal;    Unidades de Terapia Intensiva Neonatal;    Método Mãe-Canguru;    Administração de Recursos Humanos em Hospitais;    Enfermería Neonatal;    Unidades de Cuidado Intensivo Neonatal;    Método Madre-Canguro;    Administración de Personal en Hospitales;   

DOI  :  10.1590/0104-1169.0339.2579

来源: SciELO

【 摘 要 】

OBJECTIVE: construct an explanatory theoretical model about nurses' adherence to the Kangaroo Care Method at the Neonatal Intensive Care Unit, based on the meanings and interactions for care management.METHOD: qualitative research, based on the reference framework of the Grounded Theory. Eight nurses were interviewed at a Neonatal Intensive Care Unit in the city of Rio de Janeiro. The comparative analysis of the data comprised the phases of open, axial and selective coding. A theoretical conditional-causal model was constructed.RESULTS: four main categories emerged that composed the analytic paradigm: Giving one's best to the Kangaroo Method; Working with the complexity of the Kangaroo Method; Finding (de)motivation to apply the Kangaroo Method; and Facing the challenges for the adherence to and application of the Kangaroo Method.CONCLUSIONS: the central phenomenon revealed that each nurse and team professional has a role of multiplying values and practices that may or may not be constructive, potentially influencing the (dis)continuity of the Kangaroo Method at the Neonatal Intensive Care Unit. The findings can be used to outline management strategies that go beyond the courses and training and guarantee the strengthening of the care model.

【 授权许可】

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