Escola Anna Nery Revista de Enfermagem
https://app.periodikos.com.br/journal/ean/article/doi/10.1590/2177-9465-EAN-2021-0040
Escola Anna Nery Revista de Enfermagem
Research

Parents’ perception of health education practices in Neonatal Unit

Percepción de los padres sobre las prácticas de educación para la salud en una Unidad Neonatal

Percepção dos pais sobre as práticas de educação em saúde na Unidade Neonatal

Nisa Rubina Pereira Souto Rosa; Maria Alice dos Santos Curado; Maria Adriana Pereira Henriques

Downloads: 0
Views: 154

Abstract

Objective: to analyze parents’ perception of health education practices developed by nurses in a Neonatal Unit that facilitated the acquisition of parenting skills for an informed decision-making.

Method: this is an exploratory, descriptive and qualitative study. We included 13 parents with children hospitalized for the first time in a Portuguese Neonatal Unit. Data were collected between February and August 2020, through focus groups, processed in the software Interface de R pour Multidimensionnelles de Textes et de Questionneires, through Descending Hierarchical Classification and Similitude Analysis.

Results: four classes emerged from the Descending Hierarchical Classification: “Information needs”; “Information gaps”; “Availability to inform”; “Facilitating health education practices”.

Conclusion and implications for practice: parents considered digital technology combined with nurses’ availability to inform and explain, as well as provide an empathetic and informal environment as facilitating practices for health education. These results can support health education nursing interventions for parents at the Neonatal Units using digital technology.

Keywords

Neonatology; Nursing; Parents; Health Education; Health Literacy

Resumen

Objetivo: analizar la percepción de los padres sobre las prácticas de educación en salud desarrolladas por enfermeras de la Unidad Neonatal que facilitaron la adquisición de habilidades parentales para la toma de decisiones informada.

Método: estudio exploratorio descriptivo, con abordaje cualitativo. Participaron 13 padres con hijos hospitalizados, por primera vez, en una Unidad Neonatal Portuguesa. Los datos fueron recolectados entre febrero y agosto de 2020, a través de grupos focales, procesados en el software Interface de R pour Multidimensionnelles de Textes et de Questionneires, a través de la Clasificación Jerárquica Descendente y el Análisis de Similitud.

Resultados: surgieron cuatro clases de la Clasificación Jerárquica Descendente: “Necesidades de información”; “Brechas de información”; “Disponibilidad para informar”; “Prácticas facilitadoras de la educación para la salud”.

Conclusión e implicaciones para la práctica: los padres consideraron prácticas facilitadoras para la educación en salud la tecnología digital combinada con la disponibilidad de enfermeras para informar y explicar, además de brindar un ambiente empático e informal. Este resultado puede apoyar el desarrollo de intervenciones de enfermería de educación para la salud para los padres en Unidad Neonatal, con el uso de tecnología digital.

Palabras clave

Neonatología; Enfermería; Padres; Educación para la Salud; Alfabetización en Salud

Resumo

Objetivo: analisar a percepção dos pais sobre as práticas de educação em saúde desenvolvidas pelos enfermeiros na Unidade Neonatal que facilitaram a aquisição de competências parentais para uma tomada de decisão fundamentada.

Método: estudo exploratório e descritivo, com abordagem qualitativa. Participaram 13 pais com filhos internados, pela primeira vez, em uma Unidade Neonatal portuguesa. Os dados foram colhidos entre fevereiro e agosto de 2020, por meio de grupos focais, processados no software Interface de R pour Analyses Multidimensionnelles de Textes et de Questionneires, através da Classificação Hierárquica Descendente e da Análise de Similitude.

Resultados: da Classificação Hierárquica Descendente, emergiram quatro classes: “Necessidades de informação”, “Lacunas na informação”, “Disponibilidade para informar”; “Práticas facilitadoras da educação em saúde”.

Conclusão e implicações para a prática: os pais consideraram como práticas facilitadoras da educação em saúde a tecnologia digital aliada à disponibilidade dos enfermeiros para informar e explicar, bem como propiciar um ambiente empático e informal. Tal resultado pode subsidiar o desenvolvimento de intervenções de enfermagem de educação em saúde para pais na Unidade Neonatal, com recurso à tecnologia digital.

Palavras-chave

Neonatologia; Enfermagem; Pais; Educação em Saúde; Letramento em Saúde

References

1 Gibbs DP, Boshoff K, Stanley MJ. The acquisition of parenting occupations in neonatal intensive care: a preliminary perspective. Can J Occup Ther. 2016 mar 29;83(2):91-102. http://dx.doi.org/10.1177/0008417415625421. PMid:27026720.

2 Celenza JF, Zayack D, Buus-Frank ME, Horbar JD. Family involvement in quality improvement: from bedside advocate to system advisor. Clin Perinatol. 2017 set;44(3):553-66. http://dx.doi.org/10.1016/j.clp.2017.05.008. PMid:28802339.

3 Ballantyne M, Orava T, Bernardo S, McPherson AC, Church P, Fehlings D. Parents’ early healthcare transition experiences with preterm and acutely ill infants: a scoping review. Child Care Health Dev. 2017 Mar 30;43(6):783-96. http://dx.doi.org/10.1111/cch.12458. PMid:28370174.

4 Lima VF, Mazza VA. Necessidades de informações das famílias sobre saúde. Texto Contexto Enferm. 2019 Feb 14;28:e20170474. http://dx.doi.org/10.1590/1980-265x-tce-2017-0474.

5 Smith VC. Discharge planning considerations for the neonatal intensive care unit. Arch Dis Child Fetal Neonatal Ed. 2021;106(4):442. http://dx.doi.org/10.1136/fetalneonatal-2017-reviewers. PMid:33046524.

6 Brett J, Staniszewska S, Newburn M, Jones N, Taylor L. A systematic mapping review of effective interventions for communicating with, supporting and providing information to parents of preterm infants. BMJ Open. 2011 jun;1(1):e000023. http://dx.doi.org/10.1136/bmjopen-2010-000023. PMid:22021730.

7 Brazy JH, Anderson B, Becker P, Becker M. How parents of premature infants gather information and obtain support. Neonatal Netw. 2001;20(2):41-8. http://dx.doi.org/10.1891/0730-0832.20.2.41. PMid:12144111.

8 Monaghan J, Kim T, Dol J, Orovec A, Campbell-Yeo M. Parents’ learning needs and preferences in a neonatal intensive care unit: a desire for enhanced communication and eHealth technology. J N Nurs. 2019 abr;26(2):101-5. http://dx.doi.org/10.1016/j.jnn.2019.09.001.

9 Skeens K, Logsdon MC, Stikes R, Ryan L, Sparks K, Hayes P et al. Health literacy and preferences for sources of child health information of mothers with infants in the Neonatal Intensive Care Unit. Adv Neonatal Care. 2016 ago;16(4):308-14. http://dx.doi.org/10.1097/ANC.0000000000000280. PMid:27391561.

10 Mackley A, Winter M, Guillen U, Paul DA, Locke R. Health literacy among parents of newborn infants amy. Adv Neonatal Care. 2016 ago 01;16(4):283-8. http://dx.doi.org/10.1097/ANC.0000000000000295. PMid:27391562.

11 Nutbeam D, McGill B, Premkumar P. Improving health literacy in community populations: a review of progress. Health Promot Int. 2018;33(5):901-11. http://dx.doi.org/10.1093/heapro/dax015. PMid:28369557.

12 Stars I. Health literacy as a challenge for health education. SHS Web of Conferences; 2018; France. France: EDP Sciences; 2018. http://dx.doi.org/10.1051/shsconf/20184002004.

13 Moreira L. Health literacy for people-centred care: where do OECD countries stand? Paris: OECD Publishing; 2018. (OECD Health Working Papers; no. 107). https://doi.org/10.1787/d8494d3a-en.

14 Lebel V, Héon M, Juneau AL, Collette K, Feeley N. The development of a digital educational program with parents of preterm infants and neonatal nurses to meet parents educational needs. J Neonatal Nurs. 2020;27(1):52-7. http://dx.doi.org/10.1016/j.jnn.2020.06.004.

15 Anwar Siani S, Dol J, Campbell-Yeo M. Impact of parent-targeted ehealth on parent and infant health outcomes. J Perinat Neonatal Nurs. 2017 out/dez;31(4):332-40. http://dx.doi.org/10.1097/JPN.0000000000000265. PMid:28621700.

16 Orr T, Campbell-Yeo M, Benoit B, Hewitt B, Stinson J, McGrath P. Smartphone and internet preferences of parents: information needs and desired involvement in infant care and pain management in the NICU.. Adv Neonatal Care. 2017 abr;17(2):131-8. http://dx.doi.org/10.1097/ANC.0000000000000349. PMid:27759567.

17 Morgan D. Basic and advanced focus groups. Washington: Sage Publications; 2018.

18 Nyumba T, Wilson K, Derrick C, Mukherjee N. The use of focus group discussion methodology: Insights from two decades of application in conservation. Methods Ecol Evol. 2018 jul;9(9):201-32. http://dx.doi.org/10.1111/2041-210X.12860.

19 Camargo BV, Justo AM. Tutorial para uso do software Iramuteq [Internet]. IRaMuTeQ; 2018 [citado 2021 mar 24]. Disponível em: http://www.iramuteq.org/documentation/fichiers/Tutorial IRaMuTeQ em portugues_17.03.2016.pdf

20 Souza MAR, Wall ML, Thuler ACMC, Lowen IMV, Peres AM. The use of IRAMUTEQ software for data analysis in qualitative research. Rev Esc Enferm USP. 2018 out 04;52:e03353. http://dx.doi.org/10.1590/S1980-220X2017015003353. PMid:30304198.

21 De Rouck S, Leys M. Information needs of parents of children admitted to a neonatal intensive care unit: a review of the literature (1990-2008). Patient Educ Couns. 2009 ago;76(2):159-73. http://dx.doi.org/10.1016/j.pec.2009.01.014. PMid:19321288.

22 Williams KG, Patel KT, Stausmire JM, Bridges C, Mathis MW, Barkin JL. The neonatal intensive care unit : environmental stressors and supports. Int J Environ Res Public Health. 2018 jan 3;15(1):60. http://dx.doi.org/10.3390/ijerph15010060. PMid:29301343.

23 Globus O, Leibovitch L, Maayan-Metzger A, Schushan-Eisen I, Morag I, Mazkereth R et al. The use of short message services (SMS) to provide medical updating to parents in the NICU. J Perinatol. 2016 maio 19;36(9):739-43. http://dx.doi.org/10.1038/jp.2016.83. PMid:27195981.

24 Epstein EG, Arechiga J, Dancy M, Simon J, Wilson D, Alhusen JL. Integrative review of technology to support communication with parents of infants in the NICU. J Obstet Gynecol Neonatal Nurs. 2017 maio/jun;46(3):357-66. http://dx.doi.org/10.1016/j.jogn.2016.11.019. PMid:28263727.

25 Gómez-Cantarino S, García-Valdivieso I, Moncunill-Martínez E, Yáñez-Araque B, Ugarte Gurrutxaga MI. Developing a family-centered care model in the Neonatal Intensive Care Unit (NICU): a new vision to manage healthcare. Int J Environ Res Public Health. 2020 out 1;17(19):7197. http://dx.doi.org/10.3390/ijerph17197197.
 


Submitted date:
03/24/2021

67d09bb9a9539569057ba7cb ean Articles

Esc. Anna Nery

Share this page
Page Sections