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Evaluation of implementation of humanized care to low weight newborns - the Kangaroo Method.
Gontijo, Tarcísio L; Meireles, Adriana L; Malta, Deborah C; Proietti, Fernando A; Xavier, César C.
Afiliación
  • Gontijo TL; Programa de Pós-Graduação em Ciências da Saúde/Saúde da Criança e do Adolescente, Faculdade de Medicina, Universidade Federal de Minas Gerais (UFMG), Belo Horizonte, MG, Brazil. enftarcisio@yahoo.com.br
J Pediatr (Rio J) ; 86(1): 33-9, 2010.
Article en En | MEDLINE | ID: mdl-20151092
OBJECTIVE: To evaluate the implementation of the kangaroo mother method in hospitals trained by the Brazilian Ministry of Health. METHOD: Cross-sectional study, evaluating 176 (60.1%) out of 293 hospitals that were trained by the Brazilian Ministry of Health from 2000 to 2003 in Brazil. This study was conducted in two phases. The first phase consisted of sending a questionnaire to 293 hospitals; in the second phase an in loco visit was made in a sample of 29 among those hospitals. The instrument for data collection was sent to all hospitals by mail, fax or e-mail through the Ministry of Health and they addressed the three dimensions of the normative assessment: structure, processes, and results. The second phase consisted of an evaluation of the process, using a structured guide of non-participant observation. To estimate the reliability of the variable "deployment of the steps of the method" between questionnaire and site visit, we used the kappa test. RESULTS: The first stage of the kangaroo mother method was implemented in 84.9% of the hospitals, but only 47.3% of them implemented the three stages according to the Brazilian norm. The kappa test results indicated a moderate agreement for the first stage, and substantial for the second and third stages of the method. CONCLUSION: Hospital training was important for triggering the implementation process of the kangaroo mother method. However, they were not enough to promote the implementation of the three phases of the method.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recién Nacido de Bajo Peso / Implementación de Plan de Salud / Cuidado del Lactante Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies / Sysrev_observational_studies Aspecto: Implementation_research Límite: Humans / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: J Pediatr (Rio J) Año: 2010 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Recién Nacido de Bajo Peso / Implementación de Plan de Salud / Cuidado del Lactante Tipo de estudio: Observational_studies / Prevalence_studies / Qualitative_research / Risk_factors_studies / Sysrev_observational_studies Aspecto: Implementation_research Límite: Humans / Newborn País/Región como asunto: America do sul / Brasil Idioma: En Revista: J Pediatr (Rio J) Año: 2010 Tipo del documento: Article País de afiliación: Brasil Pais de publicación: Brasil