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OBJECTIVE: To describe nurses' experience in the care of high-risk newborns. METHOD: This is a descriptive study with a qualitative approach, based on Merleau-Ponty's phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty. RESULTS: Three categories emerged: "experienced body of the nurse practitioner on the high-risk newborn"; "experienced world of the nurse practitioner on the high-risk newborn"; and "time spent by the nurse practitioner with the high-risk newborn". FINAL CONSIDERATIONS: The study allowed us to describe, through the participants' speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.

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OBJECTIVE: to analyze the cohort profile of at-risk newborns attended by nurses in a multidisciplinary follow-up clinic, with emphasis on the type of feeding and weight gain, after hospital discharge. METHOD: retrospective cohort, whose population is composed of at-risk newborns attended in a 4-year period. Data came from medical records and attendance report, later exported to R Program. The outcome variables were number of the nursing consultation, type of feeding, daily weight gain and main guidelines. We used descriptive statistics, frequency distribution and applied Mann-Whitney, Chi-Square, Spearman correlation, Variance and Tukey analysis, with p <0.05 being significant. RESULTS: a total of 882 consultations with 629 infants and families were analyzed. The frequencies of exclusive breastfeeding and weight gain increased as the consultations progressed. The infants who needed more consultations and with lower weight gain were those with lower gestational age (p = 0.001) and birth weight (p = 0.000), longer length of hospital stay (p <0.005), and diagnoses related to extreme prematurity (p <0.05), among others. CONCLUSION: nurses verified the importance of outpatient follow-up of at-risk newborns, especially in promoting breastfeeding and healthy growth.

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PURPOSE: To analyze the accuracy of the defining characteristics of hypothermia in newborns and to verify associations between defining characteristics and clinical variables. METHODS: A cross-sectional accuracy study with statistical analysis. FINDINGS: Slow capillary refill, decrease in ventilation, peripheral vasoconstriction, and insufficient weight gain were the defining characteristics with the highest specificity values, while slow gastric emptying, skin cool to touch, irritability, and bradycardia were the defining characteristics with the highest values for both sensitivity and specificity. CONCLUSION: Slow gastric emptying, skin cool to touch, irritability, and bradycardia are good clinical indicators to infer initial stages of hypothermia and to confirm its presence. IMPLICATIONS FOR NURSING PRACTICE: Accuracy measures may contribute to the improvement of the diagnostic inferential process. OBJETIVO: Analisar acurácia das características definidoras de Hipotermia em recém-nascidos e identificar a associação delas com variáveis clínicas. MÉTODO: Estudo de acurácia transversal com análise estatística. RESULTADOS: Preenchimento capilar lento, diminuição da ventilação, vasoconstrição periférica e ganho de peso insuficiente apresentaram valores altos de especificidade enquanto esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia apresentaram valores elevados de sensibilidade e especificidade. CONCLUSÃO: Esvaziamento gástrico lento, pele fria, irritabilidade e bradicardia são úteis para inferir estágios iniciais de hipotermia e para confirmação diagnóstica. IMPLICAÇÕES PARA PRÁTICA DE ENFERMAGEM: Medidas de acurácia podem contribuir para o processo de inferência do diagnóstico hipotermia.

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ABSTRACT Objective: To describe nurses' experience in the care of high-risk newborns. Method: This is a descriptive study with a qualitative approach, based on Merleau-Ponty's phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty. Results: Three categories emerged: "experienced body of the nurse practitioner on the high-risk newborn"; "experienced world of the nurse practitioner on the high-risk newborn"; and "time spent by the nurse practitioner with the high-risk newborn". Final considerations: The study allowed us to describe, through the participants' speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.

RESUMEN Objetivo: Describir las experiencias del enfermero en el cuidado del recién nacido de alto riesgo. Método: Estudio descriptivo de tipo cualitativo, con base en la fenomenología de Merleau-Ponty, siendo realizado en el Hospital Maternidad Fernando Magalhães del estado de Río de Janeiro, en el que se entrevistaron 30 enfermeros que actúan en el cuidado neonatal. Resultados: Se encontraron tres categorías: "el cuerpo vivido del profesional enfermero sobre el recién nacido de alto riesgo"; "el mundo vivido del profesional enfermero sobre el recién nacido de alto riesgo"; y "el tiempo vivido del profesional enfermero sobre el recién nacido de alto riesgo". Consideraciones finales: A partir de los relatos de los participantes, este estudio nos permitió describir que es amplio el cuidado del recién nacido de alto riesgo, es decir, objetivo, subjetivo y realizado con tecnologías avanzadas, que presenta vivencias y perfeccionamiento científico según la teoría y la práctica compartidas con la familia, los profesionales y los iniciantes en el universo neonatal, lo que promueve un cuidado diferenciado y humanizado.

RESUMO Objetivo: Descrever a vivência do enfermeiro no cuidado ao recém-nascido de alto risco. Método: Estudo descritivo com abordagem qualitativa, pautado na fenomenologia de Merleau-Ponty e realizado no Hospital Maternidade Fernando Magalhães do estado do Rio de Janeiro, por meio de entrevistas com 30 enfermeiros que atuam no cuidado neonatal, segundo o pensamento fenomenológico de Maurice Merleau-Ponty. Resultados: Emergiram três categorias: "corpo vivido do profissional enfermeiro sobre o recém-nascido de alto risco"; "mundo vivido do profissional enfermeiro sobre o recém-nascido de alto risco"; e "tempo vivido do profissional enfermeiro sobre o recém-nascido de alto risco". Considerações finais: O estudo nos permitiu descrever, através das falas dos participantes, que o cuidado ao recém-nascido de alto risco é amplo, ou seja, objetivo, subjetivo e realizado com tecnologias avançadas, suas vivências e aprimoramento científico composto do teórico prático compartilhado com a família, profissionais e iniciantes no universo neonatal favorecendo um cuidado diferenciado e humanizado.

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El presente estudio es titulado: "Validación de un registro de enfermería en la Atención Inmediata del recién nacido en el Hospital II Essalud Huaraz", tuvo como objetivo determinar la validez de un registro de enfermería en la atención inmediata del recién nacido en el Hospital II EsSalud Huaraz, el cual es de nivel aplicativo, tipo cuantitativo, método descriptivo, de corte transversal. La población estuvo conformada por 10 enfermeras y el instrumento fue una escala tipo Likert modificada. Los resultados fueron que de un total de 10 (100 por ciento), 70 por ciento (7) tienen una opinión favorable del registro y 30 por ciento (3) tienen una opinión desfavorable al contenido y estructura del registro, por lo que se concluye que el instrumento según la opinión de las enfermeras es válido para la utilización en el atención inmediata del Recién Nacido...

This study is entitled: ôReview of nurses on track nursing Immediate Newborn Care in the Hospital II Essalud Huarazõ, aimed to determine the validity of track nursing Care immediate newborn in the Hospital II Essalud Huaraz, which is level application, quantitative, descriptive method of cross section. The population consisted of 10 nurses and the instrument was modified Likert scale. The results were that of a total of 10 (100 per cent), 70 per cent (7) have a favorable opinion of recording and 30 per cent (3) have an unfavorable view the contents and structure of the registry, so it is concluded that the instrument in the opinion of nurses is valid for use in the immediate attention of the newborn...

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El objetivo fue determinar el nivel de satisfacción de la madre del recién nacido hospitalizado sobre la calidad del cuidado del profesional de enfermería en el Servicio de Neonatología del Instituto Nacional Materno Perinatal-2013. Material y Método: El estudio fue de nivel aplicativo, tipo cuantitativo, método descriptivo de corte transversal. La muestra fue obtenida mediante el muestreo probabilístico de proporción para poblaciones finitas conformado por 33 madres. La técnica fue la entrevista y el instrumento un formulario tipo Likert, que se aplicó previo consentimiento informado. Resultados: Del 100 por ciento (33), 61 por ciento (20) tienen satisfacción media, 21 por ciento (7) alta y 18 por ciento (6) baja; en la dimensión Técnico-Científica, 61 por ciento (20) tienen satisfacción media; en la dimensión Humana 46 por ciento (15) tienen satisfacción media, en la dimensión Entorno 70 por ciento (23) tienen satisfacción media. Conclusiones: La mayoría de las madres tienen satisfacción media a alta, referida a que algunas veces la enfermera se demora cuando tiene que atender al bebe, frecuentemente sintió que influyó positivamente en la salud de su bebe y aprecian que las instalaciones están adecuadamente distribuidas, son modernas y limpias, sienten comodidad en el área que se extraen leche y que su bebe se mantuvo protegido por nidos de contención y cunetas apropiadas. Se pudo detectar satisfacción baja ya que muy pocas veces se identificó y la saludó por su nombre, algunas veces cuando le informó utilizó un lenguaje difícil de entender y a veces estuvo dispuesta a atenderla en lo que le solicitaba...

The objective was to determine the level of satisfaction of the mother of the newborn on the quality of hospital care nurse in the Department of Maternal and Neonatal Perinatal National Institute-2013. Materials and Methods: The study was level application, quantitative, cross-sectional method. The sample was obtained by probability sampling from finite population ratio comprised 33 mothers. The technique was the interview and the instrument performs a Likert form, that prior informed consent is given. Results: 100 per cent (33), 61 per cent (20) have average satisfaction, 21 per cent (7) high and 18 per cent (6) low; in Technical and Scientific dimension, 61 per cent (20) have average satisfaction; Human dimension in 46 per cent (15) have average satisfaction, the Environment dimension 70 per cent (23) have average satisfaction. Conclusions: Most mothers have average satisfaction high, relative to that sometimes the nurse promptly when he has to attend to the baby, often he felt positively influenced the health of your baby and appreciate the facilities are properly distributed, they are modern and clean, feel comfort in the area pumping milk and your baby remained protected nests proper containment and gutters. Could be detected as low satisfaction rarely were identified and greeted by name, sometimes used when he reported a difficult language to understand and sometimes she was willing to treat her as you requested...

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El estudio "Reacciones Emocionales de los padres frente a la hospitalización de su Recién Nacido en el Instituto Nacional Materno Perinatal", tuvo como Objetivo determinar las reacciones emocionales que presentan los padres de los recién nacidos hospitalizados en el IMAPE. Material y Método: El estudio fue de nivel aplicativo, tipo cuantitativo, método descriptivo de corte transversal. La muestra fue obtenida mediante el muestreo probabilístico de proporciones para población finita aleatoria simple; conformada por 50 padres. La técnica fue la encuesta y el instrumento un formulario tipo escala de Likert modificado, aplicado previo consentimiento informado. Resultados: Del 100 por ciento (50) padres. En cuanto a las reacciones psicológicas en 44 por ciento (22) estuvieron presente y 56 por ciento (28) ausente; mientras que las reacciones emocionales psicosomáticas 52 por ciento (26) presente y 48 por ciento (24) ausente. Conclusiones: Las reacciones emocionales de los padres frente a la hospitalización de su recién nacido en su mayor porcentaje estuvo presente referida a las reacciones psicosomáticas que esta dado por sudoración, cefalea, gastritis, seguido de reacciones psicológicas dado por inseguridad, ira e irritabilidad respectivamente...

The study "emotional reactions of parents against their newborn hospitalization at the National Perinatal Maternal", aimed to determine the emotional reactions that have parents of newborns hospitalized in IMAPE. Material and Methods: The study was level application, quantitative, descriptive cross-sectional method. The sample was obtained by sampling probabilistic finite population proportions for simple random comprised of 50 parents. The technique was the survey instrument and a form modified Likert type scale, applied prior informed consent. Resulted: Of 100 per cent (50) parents. In terms of physiological reactions in 44 per cent (22) were present and 56 per cent (28) absent, whereas emotional reactions psychosomatic 52 per cent (26) present and 48 per cent (24) absent. Conclusions: Emotional reactions of parents against their newborn hospitalization mostly attended percentage referred to psychosomatics reactions is given by sweating, headache, gastritis, followed reactions psychological by insecurity, anger and irritability respectively...

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This is a qualitative research with a socio-historical approach. It aims to understand how practices of care to the newborn were established in a Neonatal Intensive Care Unit (NICU) in Florianopolis, Brazil, in the 1980's. The study's context was the Child's Hospital Joana de Gusmão. Interviewed for this research were health professionals that had a role in the NICU implementation. The analysis of the data was performed using Foucault's genealogical method. Four discursive groups were identified: Many children had gains with that; We learned how to care for newborns; A more scientific view of care was lacking; Sensible, humanized and individualized care. The establishment of a specific unit directed to newborns resulted in a reduction in neonatal morbimortality and in the acquisition of scientific knowledge. The health professionals' speeches show that, since the beginning of the NICU, there was a concern with the sensible, humanized and individualized care of the newborn.

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Pesquisa qualitativa, com abordagem sócio-histórica. O objetivo é compreender como se instituíram as práticas de cuidado ao recém-nascido na Unidade de Terapia Intensiva Neonatal (UTIN) em Florianópolis, na década de 1980. O contexto do estudo foi o Hospital Infantil Joana de Gusmão. Os sujeitos foram profissionais de saúde que participaram da implantação da UTIN. Para análise dos dados utilizamos o método genealógico proposto por Foucault. Identificamos quatro agrupamentos discursivos: Muita criança saiu ganhando com isso; A gente aprendeu a cuidar do recém-nascido, cuidando; Faltava um olhar mais científico para a assistência; Cuidado sensível, humanizado e individualizado. A implantação de uma unidade específica para o cuidado do recém-nascido resultou numa redução da morbi-mortalidade neonatal e na aquisição do conhecimento científico. Os discursos dos profissionais de saúde revelam que, desde os primórdios da UTIN, já havia uma preocupação com o cuidado sensível, humanizado e individualizado ao recém-nascido.

Investigación cualitativa, con abordaje socio-histórica, objetivo comprender como se instituyeron las prácticas de cuidado al recién nacido en la Unidad de Terapia Intensiva Neonatal (UTIN) en Florianópolis, Brasil, en la década de 1980. El contexto del estudio fue el Hospital Infantil Joana de Gusmão. Los sujetos fueron profesionales de salud que participaron de la implantación de la UTIN. Para análisis de los datos fue utilizado el método genealógico propuesto por Foucault. Identificamos 4 formaciones discursivas: Muchas niños salieron ganando con eso; Aprendimos a cuidar del recién nacido, cuidando; Faltaba un mirar más científico para la asistencia; Cuidado sensible, humanizado e individualizado. La implantación de una unidad para cuidado del recién nacido resultó en reducción de la morbimortalidad neonatal y adquisición del conocimiento científico. Los discursos de los profesionales de salud revelan que desde los primordios de la UTIN, existía preocupación con el cuidado sensible, humanizado e individualizado al recién nacido.

A qualitative research with a socio-historical approach. The aim is to understand how the established practices of the newborn Intensive Care Units Neonatal (ICUN) in Florianopolis, Brazil, in the 1980's. The study's context was the Child's Hospital Joana de Gusmão. The interviewed for this research were health professionals that had a role in the ICUN implantation. Data analysis was performed using the genealogical method proposed by Foucault. Four discursive groups were identified: Many children won with that; It was learned how to care of newborns; A more scientific view to assistance was lacking; Sensitive, humanized and individualized care. The establishment of a specific unit directed to the newborns resulted in a reduction in the neonatal mortality and scientific knowledge acquisition. The health professionals' speeches reveal that since the beginning of the ICUN, a concern with the sensible, humanized and individualized care with the newborn was present.

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The present study aims to describe how families perceive the communication of bad news about hospitalized newborns given by professionals. A qualitative and descriptive study was carried out with families of hospitalized newborns in the neonatal unit. Five mothers and one father were interviewed The thematic analysis of data revealed four categories: Message content in relation to clarity, detailing and not disclosed information. The way the news was transmitted: leads to ambiguity in reactions. Families' perceptions aboutprofessionals' attitudes to transmit the news: sometimes attitudes are different depending on the professional's experience and involvement with the customer. Use of communication strategies for message transmission: considered by the families as a mean to minimize the gravity of the baby's problem. The results pointed out the use of a non symmetrical communication between professional-family The adoption of a team practice, which incorporates it in its interventions, may meet the families' needs of information and social support.

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The hospitalization process of neonates makes them vulnerable to several care practices. The aim of this study was to get to know the care practices adopted by health professionals while setting up a neonatal unit at the Hospital de Clínicas of Porto Alegre, Rio Grande do Sul, Brazil. This is a qualitative study based on the New History Theory. The study collected data from October 2006 to January 2007. Fifteen health professionals responsible for the project and/or its implementation from 1972 to 1984 provided information. The thematic data analysis highlighted the concern among health professionals of making good use of technological advances, as well as unifying scientifically-based conducts. Besides, they tried to establish routines enabling neonate's parents to stay at the bedside during the whole hospitalization period. Finally, it was inferred that the main objective of these practices was to increase the survival of neonates.

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The present study is related to the academic education of nursing students who participated in a public service program designed for parents of high-risk newborns assisted in neonatal units. It is a descriptive study that has as its objective to analyze the contribution of such professional experience for those students. The subjects of this investigation were nursing students aged 18 to 22 years old. These students performed ludic, educational and leisure activities with parents of high-risk newborns assisted in a university school in the city of Ribeirão Preto. Data were collected by means of a questionnaires through which the subjects reported their experience in the project (advantages, disadvantages and contributions to their education). The answers were analyzed through the thematic analysis technique. Results showed that the program expanded students' view concerning nursing care and hospital care (beyond disease). It also improved interpersonal relationships; promoted the development of skills and the acquisition of knowledge and values. Thus contributing to students academic education and creativity.

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The present study evaluates through nursing registers the assistance afforded to two newborns groups. These children were evaluated by the pediatrician in the delivery room. After that they were conducted to newborn unit, where received the first hygienic care. However, the study shows that the evaluation made by the nurse in the newborn admission, resulted in two groups: one of them composed by children which had signals of difficulty to life adaptation, and the other group composed by children with normal reactions. The nursing assistance given to those newborns is the subject of this paper.

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A sample of forty newborns that remained at nursery were studied. From these, 82% showed clinics problems as predicted by the Benson's Study. The results suggested the used of Babson & Benson's morbility table as a technical source by planning nursing assistance to the newborns at the first hours of life.

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Evolution of the newborn infant weighing 1,000-1,499 g, was studied in 1986 in the "Mariana Grajales" Gynecologic and Obstetric Teaching Provincial Hospital, Department of Neonatology, Santa Clara. Data was obtained from the clinical histories of the newborns and of their mothers. A control group was selected in order to analyze and compare the causes of low birthweight, and as causes of it were determined age and height, and as associated diseases, urinary sepsis, anemia and toxemia of pregnancy. Premature rupture of membranes was significant. Half of the infants of the group under study was severe and moderately depressed. At the somatic evolution was observed a trend to increment and a high coefficient of correlation within the three variables under study. Main nursing actions offered fit up to the attention of these neonates.

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