RESUMO
The purpose of this study was to evaluate the impact of implementing a care bundle for preventing peri-intraventricular hemorrhage (PIVH) in preterm newborns. A longitudinal, quantitative, quasi-experimental study was conducted with preterm newborns from a neonatal unit. The study was divided into 2 stages: the first consisted of a retrospective cohort of newborns (control group) not exposed to the bundle, and the second consisted of 5 practical steps of implementing a care bundle for preventing PIVH in eligible newborns. The results show that a significant reduction in PIVH occurred, from 34.8% before the intervention to 26.3% after application of the bundle. Also, after implementation of the bundle, there was a reduction in the severe forms of PIVH in the newborns who presented with hemorrhage compared with the control group. The study shows how the use of a low-cost and easy operationalization tool can contribute to the health of preterm newborns. It was found that the bundle is directly related to the decrease in the incidence of PIVH. The results may contribute to the improvement in care quality, thus promoting safe care for premature newborns.
Assuntos
Hemorragia Cerebral , Doenças do Prematuro , Enfermagem Neonatal , Pacotes de Assistência ao Paciente , Brasil/epidemiologia , Hemorragia Cerebral/epidemiologia , Hemorragia Cerebral/enfermagem , Hemorragia Cerebral/prevenção & controle , Idade Gestacional , Humanos , Incidência , Recém-Nascido , Recém-Nascido Prematuro , Doenças do Prematuro/epidemiologia , Doenças do Prematuro/enfermagem , Doenças do Prematuro/prevenção & controle , Enfermagem Neonatal/métodos , Enfermagem Neonatal/normas , Ensaios Clínicos Controlados não Aleatórios como Assunto , Pacotes de Assistência ao Paciente/métodos , Pacotes de Assistência ao Paciente/enfermagem , Melhoria de QualidadeRESUMO
The use of nursing diagnoses in the rooming unit aims to guide nursing actions, qualifying the assistance. The aim was to identify the Nursing Diagnoses (ND) according to the taxonomy NANDA II 2007/2008, in newborns, and to describe the facts related to it and the risk factors. It is an exploratory descriptive study, conducted with 35 newborns, in January 2008. After physical examination, one identified the ND. The data were organized in charts. Out of the results the most common diagnoses were efficient and inefficient breastfeeding, risk of infection and damaged skin integrity. The use of ND makes nursing service more structured, favoring the nurse's autonomy in the care rendered to the newborn.