A complex intervention to support breastfeeding: A feasibility and acceptability study.

AIMS: The aims of this study are to assess the acceptability and feasibility of a multicomponent intervention to support breastfeeding women and their families and explore its effectiveness. METHODS: A pilot study with control and intervention groups was conducted using the complex intervention framework in two primary healthcare centres. Overall, 44 childbearing women, their partners/relatives and 20 healthcare professionals participated in the study. The intervention's feasibility and acceptability were measured. The percentage of exclusive breastfeeding rates and women's self-efficacy were measured at pre-intervention, at 10 days postpartum, and again at 2, 4 and 6 months postpartum. Postpartum depression risk was measured at 2 and 6 months postpartum. Professional self-efficacy was measured at pre-intervention and 3 months later. RESULTS: The intervention was feasible and acceptable. No difference in self-efficacy existed between the intervention and control groups. Preliminary effects of the intervention were found in exclusive breastfeeding percentage and postpartum depression risk in the intervention group. CONCLUSION: The intervention is feasible and acceptable. The results are promising not only for breastfeeding maintenance but also for preventing postpartum depression and recovering exclusive breastfeeding during pandemics. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT03944642.

Experiencia de vivir el proceso de enfermar de cáncer y recibir quimioterapia, siendo acompañado por una Enfermera de Enlace / The experience of being accompanied by a primary nurse during chemotherapy. A qualitative study

BACKGROUND: The diagnosis of an oncological disease exposes people to a greater state of vulnerability and health care models are not focused on their subjective needs. In this scenario, the primary nurse becomes a professional who contributes to the comprehensive care of people with cancer. AIM: To understand the lived experience of patients with cancer undergoing chemotherapy treatment, when being cared for by a primary nurse. MATERIAL AND METHODS: Qualitative phenomenological study. Nine cancer survivors who were cared for by primary nurses during chemotherapy were interviewed. RESULTS: The analysis revealed two comprehensive categories, namely experiences around becoming ill with cancer, and experiences when navigating the health system, each with subcategories. CONCLUSIONS: This study demonstrates the impact that personalized attention focused on people's needs has on their lives. It also contributes to visualize the work of primary nurses in the care and accompaniment of patients with cancer and their families. The need for specialized professionals such as Advanced Practice Nursing is underlined.

Acompañando la lactancia materna con eHealth: revisión integrativa

Resumen: Introducción: La Organización Mundial de la Salud recomienda la lactancia materna exclusiva durante los primeros 6 meses de vida, así como continuar complementada con alimentos apropiados hasta los 2 años y más. Es por esto, que se observa la necesidad del apoyo profesional en torno a esta, para las madres durante el embarazo y una vez iniciado el amamantamiento. La Asamblea Mundial de la Salud, reconoció el potencial de las tecnologías digitales para la mejora de la salud pública, destacando que el uso de eHealth ha transformado la salud, permitiendo la entrega de cuidados en los hogares de las personas de manera remota. Objetivo: Determinar si el apoyo profesional por medio de eHealth es una estrategia que favorece el acompañamiento a las madres que viven el proceso de amamantamiento y mejora sus resultados en la lactancia materna. Metodología: Se realizó una revisión integrativa buscando la comprensión del fenómeno o tema de interés desde diversas perspectivas. Para llevarla a cabo en junio de 2020 se consultaron las bases de datos Pubmed, Scopus, CINAHL, ProQuest, ClinicalKey y Science Direct. Resultados: Se organizaron en dos grupos: estrategias de acompañamiento profesional a través de eHealth a las madres en proceso de amamantamiento y resultados de eHealth como herramienta para el acompañamiento profesional a las madres en proceso de amamantamiento. Conclusión: La eHealth es una herramienta efectiva para brindar apoyo a mujeres embarazadas o en proceso de amamantamiento.

Resumo: Introdução: A A Organização Mundial da Saúde recomenda o aleitamento materno exclusivo durante os primeiros 6 meses de vida, e também que seja complementado com alimentos apropriados até os 2 anos ou mais. É por isso que se faz necessário o apoio profissional às mães neste processo, desde a gestação até o início da amamentação. A Assembléia Mundial da Saúde reconheceu os benefícios das tecnologias digitais para o aprimoramento da saúde pública, destacando a ferramenta eHealth, cuja utilização transformou a saúde e permitiu um atendimento especializado nos lares das pessoas, de maneira remota. Objetivo: Determinar se o apoio profissional por meio da eHealth é uma estratégia que favorece o acompanhamento às mães que estão atravessando o processo de amamentação e melhora seus resultados do aleitamento. Metodologia: Foi realizada uma revisão integrativa, procurando compreender o fenômeno ou tópico de interesse a partir de diferentes perspectivas. Para implementá-la em junho de 2020 foram consultadas as bases de dados Pubmed Scopus, CINAHL, ProQuest, ClinicalKey e Science Direct. Resultados: Eles foram organizados em dois grupos: estratégias de apoio profissional por meio da eHealth para mães em processo de amamentação e resultados da eHealth como ferramenta de apoio profissional para mães em processo de amamentação. Conclusão: A eHealth é uma ferramenta efetiva oferecem um suporte significativo às gestantes e às mães durante o aleitamento.

Abstract: Introduction: The World Health Organization recommends exclusive breastfeeding during the first 6 months of life, as well as continuing it supplemented with appropriate foods up, to 2 years and more. Therefore, the need of professional support around it is observed for mothers during pregnancy and once breastfeeding has begun. The World Health Assembly recognized the potential of digital technologies to improve public health, highlighting that the use of eHealth has transformed health, allowing the delivery of care in people's homes remotely. Objective: To determine if professional support through eHealth is a strategy that favors the support to mothers who are going through the breastfeeding process and improves their breastfeeding results. Methodology: A integrative review was carried out seeking to understand the phenomenon or topic of interest from different perspectives. To carry it out in June 2020, the databases Pubmed, Scopus, CINAHL, ProQuest, ClinicalKey and Science Direct were consulted. Results: They were organized into two groups: professional support strategies through eHealth to mothers in breastfeeding process and results of eHealth as a tool for professional support to mothers in breastfeeding process. Conclusion: eHealth is an effective tool to provide meaningful support to pregnant or breastfeeding women.

[The experience of being accompanied by a primary nurse during chemotherapy. A qualitative study]. / Experiencia de vivir el proceso de enfermar de cáncer y recibir quimioterapia, siendo acompañado por una Enfermera de Enlace.

BACKGROUND: The diagnosis of an oncological disease exposes people to a greater state of vulnerability and health care models are not focused on their subjective needs. In this scenario, the primary nurse becomes a professional who contributes to the comprehensive care of people with cancer. AIM: To understand the lived experience of patients with cancer undergoing chemotherapy treatment, when being cared for by a primary nurse. MATERIAL AND METHODS: Qualitative phenomenological study. Nine cancer survivors who were cared for by primary nurses during chemotherapy were interviewed. RESULTS: The analysis revealed two comprehensive categories, namely experiences around becoming ill with cancer, and experiences when navigating the health system, each with subcategories. CONCLUSIONS: This study demonstrates the impact that personalized attention focused on people's needs has on their lives. It also contributes to visualize the work of primary nurses in the care and accompaniment of patients with cancer and their families. The need for specialized professionals such as Advanced Practice Nursing is underlined.

[Advanced practice nursing as a proposal to improve access and coverage in oncology for Latin America]. / Una propuesta para mejorar el acceso y cobertura en oncología para Latinoamérica: enfermería de práctica avanzada.

PAHO/WHO proposes to implement the role of Advanced Practice Nurse (APN) in Latin America, to reduce gaps in coverage and access to health care. For this purpose, it is necessary to train nursing professionals with an expanded role, which allows them to collaborate in the diagnosis, treatment, and monitoring of people with specific diseases, under established protocols and clinical guidelines and within consolidated interdisciplinary health teams in a cost-effective way. One of the areas with the greatest coverage deficit in Latin America is adult oncology, with inequality in care opportunities for these patients. Part of the premature deaths attributable to this disease are due to the lack of access to timely diagnosis and treatment. As a contribution to the reduction of this gap, a training program of Advanced Nursing Practice was developed, addressing the most urgent needs in the field of oncology. The necessary competencies were defined to develop a professional-level master's degree program, considering prevention, early detection, diagnosis, treatment, and monitoring of people with oncological diseases at different levels of care. A program of this kind is an opportunity to reduce the access gap and coverage of health care for people with cancer, improving their quality of life and their survival.

Meaning and social participation of man when become a father for the first time. / Significado y participación social del hombre al transformarse en padre por primera vez.

OBJECTIVE: To analyze the meanings attributed to fatherhood by first-time fathers. PARTICIPANTS AND METHOD: Qualitative research of Hermeneutic-Dialectic design. Data collection was carried out through in-depth interviews with fathers and mothers (10 of each) of children older than 12 months. The analysis of the data was carried out through the participants' discourse analysis and their articu lation with the historical-social context and the theoretical references of the research. RESULTS: The meaning and social participation of men when they became a first-time father were grouped in five categories: meaning of the fatherhood experience; meaning of fatherhood from a gender perspective; meaning of the experience in the father-child relationship; meaning of the parenting experience in the couple relationship; and exercising fatherhood and its relationship with the health system. Con clusions: It is necessary to implement strategies to include the father in the upbringing and care of the children, favoring his participation, and thus, the growth and comprehensive development of the child conceived in the different types of families.

Una propuesta para mejorar el acceso y cobertura en oncología para Latinoamérica: enfermería de práctica avanzada / Advanced practice nursing as a proposal to improve access and coverage in oncology for Latin America

PAHO/WHO proposes to implement the role of Advanced Practice Nurse (APN) in Latin America, to reduce gaps in coverage and access to health care. For this purpose, it is necessary to train nursing professionals with an expanded role, which allows them to collaborate in the diagnosis, treatment, and monitoring of people with specific diseases, under established protocols and clinical guidelines and within consolidated interdisciplinary health teams in a cost-effective way. One of the areas with the greatest coverage deficit in Latin America is adult oncology, with inequality in care opportunities for these patients. Part of the premature deaths attributable to this disease are due to the lack of access to timely diagnosis and treatment. As a contribution to the reduction of this gap, a training program of Advanced Nursing Practice was developed, addressing the most urgent needs in the field of oncology. The necessary competencies were defined to develop a professional-level master's degree program, considering prevention, early detection, diagnosis, treatment, and monitoring of people with oncological diseases at different levels of care. A program of this kind is an opportunity to reduce the access gap and coverage of health care for people with cancer, improving their quality of life and their survival.

Significado de la experiencia materna en torno al apoyo durante su proceso de amamantamiento

Introducción: Se ha descrito la existencia de experiencias de la vida de las personas que tienen la capacidad de modular el sistema nervioso, lo que influye directamente en el desarrollo humano. Intervenir oportunamente en la primera infancia tiene el potencial de impactar positivamente en su desarrollo. En esta lógica, la lactancia materna cobra especial protagonismo, ya que aumenta la probabilidad de sobrevivir, brinda una nutrición y estimulación adecuada, favorece un entorno seguro, además de ser un inmenso aporte en el fortalecimiento de los lazos sociales, entre otros beneficios. El apoyo que reciba la madre durante el proceso es fundamental para lograr un amamantamiento exitoso. Objetivo: Develar el significado de la experiencia materna en torno al apoyo en el proceso de amamantamiento. Metodología: Estudio de diseño fenomenológico en el cual se realizó un análisis con datos secundarios, según la perspectiva de Edmund Husserl. Para asegurar el rigor metodológico de esta investigación se aplicaron los criterios de Guba y Lincoln. Los aspectos éticos de la investigación fueron abordados desde los siete requisitos éticos de Ezekiel Emanuel. Resultados: El significado de la experiencia materna en torno al apoyo en el proceso de amamantamiento se develó en cuatro categorías comprensivas: la experiencia materna de amamantamiento, experiencia de apoyo de los profesionales de la salud, experiencia de apoyo de la pareja y experiencia de apoyo de otros familiares. Conclusiones: Las tres fuentes de apoyo identificadas nutren y modulan la experiencia de amamantamiento de manera complementaria, por lo que la indivisibilidad de las influencias ejercidas por ellas es una característica constitutiva para que el apoyo sea percibido por las madres como comprensivo y contenedor.

Introdução: Descreveu-se a existência de experiências de vida de pessoas que têm a capacidade de moldar o sistema nervoso, o que influencia diretamente no desenvolvimento humano. Intervir oportunamente na primeira infância tem o potencial de impactar positivamente no seu desenvolvimento. Seguindo esta lógica, o aleitamento materno ganha um protagonismo especial, já que aumenta a probabilidade de sobrevivência, oferece nutrição e estimulacão adequadas, favorece um ambiente seguro, além de ser uma imensa contribuição no fortalecimento de laços sociais, entre outros benefícios. O apoio que a mãe recebe durante o processo é fundamental para conseguir uma amamentação de sucesso. Objetivo: Revelar o significado da experiência materna ao redor do apoio no processo do aleitamento materno. Metodologia: Estudo do desenho fenomenológico, para o qual se realizou a análise com dados secundários, conforme a perspectiva de Edmund Husserl. Para garantir o rigor metodológico desta investigação foram aplicados os critérios de Guba e Lincoln. Os aspectos éticos da investigação foram abordados desde os sete requisitos éticos de Ezekiel Emanuel. Resultados: O significado da experiência materna ao redor do apoio no processo da amamentação foi dividido em quatro categorias compreensivas: a experiência materna do aleitamento, a experiência do apoio dos profissionais da saúde, a experiência do apoio do parceiro e a experiência do apoio de outros familiares. Conclusões: As três fontes de apoio identificadas nutrem e moldam a experiência do aleitamento de forma complementária. Por tanto, a indivisibilidade das influências que cada um destes atores exercem é uma característica constitutiva para que o apoio seja percebido pelas mães como compreensivo e acolhedor.

Introduction: It has been described that there are experiences in people's lives that have the capacity to modulate the nervous system, which directly influences human development. Timely intervention in early childhood has the potential to have a positive impact on their development. In this logic, breastfeeding takes on special importance, since it increases the probability of survival, provides adequate nutrition and stimulation, favors a safe environment, and is an immense contribution to the strengthening of social ties, among other benefits. The support the mother receives during the process is fundamental for successful breastfeeding. Objective: To unveil the meaning of the maternal experience on support during the breastfeeding process. Methodology: A phenomenological design study in which an analysis was carried out with secondary data, according to Edmund Husserl's perspective. To ensure the methodological rigor of this research, the criteria of Guba and Lincoln were applied. The ethical aspects of the research were approached from Ezekiel Emanuel's seven ethical requirements. Results: The meaning of the maternal experience of support during the breastfeeding process was unveiled in four comprehensive categories: maternal experience of breastfeeding, experience of support from health professionals, experience of support from partners, and experience of support from other family members. Conclusions: The three sources of support identified nurture and modulate the breastfeeding experience in a complementary manner, so that the indivisibility of the influences exerted by them is a constitutive characteristic for the support to be perceived by the mothers as comprehensive and supportive.

The CRIAA Program complex intervention in primary care to support women and their families in breastfeeding: Study protocol for a pilot trial.

AIM: To report a pilot study protocol to assess the feasibility of a complex intervention, in the primary healthcare context, to support women and their families in breastfeeding. DESIGN: A pilot/feasibility trial with control and intervention groups. METHODS: The study will be conducted in two primary healthcare centres with 40 childbearing women (20 control group; 20 intervention group), with their partner/meaningful person and their respective healthcare professionals. Intervention group participants will receive the intervention: (a) in a breastfeeding workshop during their third trimester of pregnancy; and (b) via virtual breastfeeding support for six months postpartum. Health professionals will be trained to deliver the intervention. The control group will receive standard care in the outpatient clinic. The pilot will help determine the intervention's feasibility. Data collected pre-intervention, 10-days postpartum and two-, four-, and six-months postpartum will provide estimates of the intervention's preliminary effects on self-efficacy and main outcomes. Research Ethics Committee approval was obtained in April 2019. DISCUSSION: Breastfeeding support is a complex reality influenced by multiple factors. Therefore, approaches to breastfeeding are also, requiring interventions that address its multidimensional nature, including all actors involved. The proposed intervention will be applied by an interdisciplinary professional health team, allowing for its incorporation into standard practice and its perpetual maintenance. IMPACT: The study will produce an original, comprehensive, complex intervention addressing contextual, and organizational factors to promote breastfeeding support using an interdisciplinary and family-based approach; breastfeeding self-efficacy is the core concept. The program evaluation and feasibility study will permit exploration of the integration of the intervention's novel aspects into the daily work of professionals and reveal how to better use existing resources in a full-scale clinical trial. TRIAL REGISTRATION: ClinicalTrials.gov ID: NCT03944642.

Care during Breastfeeding: Perceptions of Mothers and Health Professionals.

OBJECTIVES: To know the perceptions of mothers and health professionals in relation to the care provided and received during breastfeeding at primary health care level. METHODS: A qualitative exploratory study was conducted with breastfeeding mothers (10) and primary health care professionals (24). Data was gathered through in-depth interviews and focus groups. Data analysis was performed through thematic content analysis. The rigor of the study was ensured by the Guba and Lincoln criteria for qualitative research. Ethical aspects were addressed through the informed consent process, confidentiality, and methodological rigor. RESULTS: The experience of providing/receiving breastfeeding support was revealed as a dynamic, multidimensional care and support process, through three central themes: 1. Influence of previous care and support experiences during the breastfeeding process; 2. Importance of the context within which care is framed; and 3. Addressing emotions to establish trust between professionals and mothers. CONCLUSIONS: The study findings contribute to further understanding a complex phenomenon, such as breastfeeding support and care for mothers/families, from the experience of the actors involved, deepening the experiences of both in integrated manner. In addition, the relational, organizational, and contextual dimensions that influence support, and that should guide care, are also highlighted.

Care during Breastfeeding: Perceptions of Mothers and Health Professionals

Abstract Purpose. To know the perceptions of mothers and health professionals in relation to the care provided and received during breastfeeding at primary health care level. Methods. A qualitative exploratory study was conducted with breastfeeding mothers (10) and primary health care professionals (24). Data was gathered through indepth interviews and focus groups. Data analysis was performed through thematic content analysis. The rigor of the study was ensured by the Guba and Lincoln criteria for qualitative research. Ethical aspects were addressed through the informed consent process, confidentiality, and methodological rigor. Results. The experience of providing/receiving breastfeeding support was revealed as a dynamic, multidimensional care and support process, through three central themes: 1. Influence of previous care and support experiences during the breastfeeding process; 2. Importance of the context within which care is framed; and 3. Addressing emotions to establish trust between professionals and mothers. Conclusion. The study findings contribute to further understanding a complex phenomenon, such as breastfeeding support and care for mothers/families, from the experience of the actors involved, deepening the experiences of both in integrated manner. In addition, the relational, organizational, and contextual dimensions that influence support, and that should guide care, are also highlighted.

Resumen Objetivo. Conocer las percepciones de madres y profesionales de salud en relación con los cuidados que se brindan y que reciben durante el proceso de amamantamiento en el nivel primario de atención. Métodos. Estudio cualitativo exploratorio realizado en Santiago (Chile) con la participación de 10 madres en proceso de lactancia y 24 profesionales de la salud. La recolección de datos se realizó a partir de entrevistas en profundidad y grupos focales. El análisis de la información se obtuvo mediante el análisis de contenido temático. El rigor de la investigación se guardó con los criterios de Guba y Lincoln. Los aspectos éticos se abordaron mediante el proceso de consentimiento informado, confidencialidad y rigor metodológico. Resultados. La experiencia de brindar y recibir apoyo durante el proceso de amamantamiento se develó como un proceso de cuidado y apoyo dinámico, multidimensional, a partir de tres temas centrales: Influencia de las experiencias previas de cuidado y apoyo durante el proceso de amamantamiento; Importancia del contexto en el que se enmarca el cuidado; y Abordaje de las emociones para el establecimiento de la confianza entre profesionales y madres. Conclusión. Las percepciones de madres y profesionales de salud en relación a los cuidados que se brindan y que reciben durante el proceso de amamantamiento son un fenómeno con dimensiones contextuales, organizacionales y relacionales que influyen en el apoyo, por lo que deberían orientar el cuidado.

Resumo Objetivo. Conhecer as percepções de mães e profissionais de saúde em relação aos cuidados que se brindam e recebem durante o processo de amamentação no nível primário de atenção. Métodos. Estudo qualitativo exploratório realizado em Santiago (Chile) com a participação de 10 mães em processo de amamentação e 24 profissionais da saúde. O recolhimento de dados se realizou através de entrevistas em profundidade e grupos focais. A análise da informação se obteve através da análise de conteúdo temático. O rigor da investigação se cautelou por meio dos critérios de Guba e Lincoln. Os aspectos éticos se abordaram mediante o processo de consentimento informado, confidencialidade e rigor metodológico. Resultados. A experiência de brindar e receber apoio durante o processo de amamentação se revelou como um processo de cuidado e apoio dinâmico, multidimensional, através de três temas centrais: Influência das experiências prévias de cuidado e apoio durante o processo de amamentação; Importância do contexto no qual se enquadra o cuidado; e Abordagem das emoções para o estabelecimento da confiança entre profissionais e mães. Conclusão. As percepções de mães e profissionais de saúde em relação aos cuidados que se brindam e recebem durante o processo de amamentação são um fenômeno com dimensões contextuais, organizacionais e relacionais que influem no apoio e que deveriam orientar o cuidado.

The lived experience of undergraduate student parents: roles compatibility challenge.

OBJECTIVES: To reveal the meanings attributed by university students to their experience of becoming a mother/father during their studies. METHODS: A phenomenological study was conducted with students at a private Chilean University. Sixteen students from different undergraduate careers (eight women and eight men) participated in in-depth interviews, which were recorded. A phenomenological analysis of the data that followed the Streubert method was carried out, ensuring rigor by the criteria established by Guba and Lincoln during the research process. The ethical aspects were addressed through the process of informed consent, confidentiality and methodological rigor. RESULTS: The phenomenon of becoming a mother/father during the university studies was revealed through four central themes: Emotions in conflict; Internal mobilization to address the situation; Position oneself in a new role; and Need for support. The central contribution of the study is the revelation of the transformation process towards the integrated role of father/mother-student. CONCLUSIONS: This study provides qualitative evidence that contributes to a comprehensive understanding of the experience of becoming a mother/father during the university studies; concluding that this life experience is presented as a process of role compatibility, which is necessary to support. For this, it is necessary to make visible the role of parents/students in university policies, with the aim of providing concrete support during this process of parallel transition in the lives of young people.

La experiencia de estudiantes universitarios que son madres/padres: desafíos en la compatibilidad de roles / A experiência vivida por estudantes universitários que são mães/pais: desafios na compatibilidade dos papéis / The lived experience of undergraduate student parents: roles compatibility challenge

Objective. To reveal the meanings attributed by university students to their experience of becoming a mother/father during their studies. Methods. A phenomenological study was conducted with students at a private Chilean University. Sixteen students from different undergraduate careers (eight women and eight men) participated in in-depth interviews, which were recorded. A phenomenological analysis of the data that followed the Streubert method was carried out, ensuring rigor by the criteria established by Guba and Lincoln during the research process. The ethical aspects were addressed through the process of informed consent, confidentiality and methodological rigor. Results. The phenomenon of becoming a mother/father during the university studies was revealed through four central themes: Emotions in conflict; Internal mobilization to address the situation; Position oneself in a new role; and Need for support. The central contribution of the study is the revelation of the transformation process towards the integrated role of father/mother-student. Conclusion. This study provides qualitative evidence that contributes to a comprehensive understanding of the experience of becoming a mother/father during the university studies; concluding that this life experience is presented as a process of role compatibility, which is necessary to support. For this, it is necessary to make visible the role of parents/students in university policies, with the aim of providing concrete support during this process of parallel transition in the lives of young people. (AU)

La experiencia de estudiantes universitarios que son madres/padres: desafíos en la compatibilidad de roles Objetivo. Develar los significados atribuidos por estudiantes universitarios a su experiencia de convertirse en madre/padre durante sus estudios. Métodos. Se realizó un estudio fenomenológico en una universidad privada chilena. Dieciséis estudiantes de diferentes carreras de pregrado (ocho mujeres y ocho hombres) participaron en entrevistas en profundidad las cuales se grabaron. Se realizó un análisis fenomenológico de los datos que siguió el método de Streubert, cuidando el rigor de la investigación mediante el cumplimiento de los criterios establecidos por Guba y Lincoln durante el proceso de investigación. Resultados. El fenómeno de convertirse en madre/padre durante la etapa universitaria se develó a través de cuatro temas centrales: Emociones en conflicto; Movilización interna para abordar la situación; Posicionarse en un nuevo rol; y Necesidad de apoyo. La contribución central del estudio es la revelación del proceso de transformación hacia el rol integrado de padre/madre-alumno. Conclusión. Este estudio proporciona evidencia cualitativa que contribuye a una comprensión integral de la experiencia de convertirse en madre/padre durante la etapa universitaria. Como conclusión, esta experiencia de vida se presenta como un proceso de compatibilidad de roles, que es necesario apoyar. Para ello se requiere visibilizar el papel de los padres/madres estudiantes en las políticas universitarias con el objetivo de proporcionar un apoyo concreto durante este proceso de transición paralelo en la vida de los jóvenes.(AU)

A experiência vivida por estudantes universitários que são mães/pais: desafios na compatibilidade dos papéis Objetivo. Revelar os significados atribuídos por estudantes universitários à sua experiência de tornar-se em mãe/pai durante seus estudos. Métodos. Se realizou um estudo fenomenológico com estudantes numa Universidade particular chilena. Dezesseis estudantes de diferentes cursos de graduação (oito mulheres e oito homens) participaram em entrevistas em profundidade as quais foram gravadas. Se realizou uma análise fenomenológico dos dados que seguiu o método de Streubert, cautelando o rigor da investigação por meio do cumprimento dos critérios estabelecidos por Guba e Lincoln durante o processo de investigação. Resultados. O fenômeno de tornar-se em mãe/pai durante a etapa universitária se revelou através de quatro assuntos centrais: Emoções em conflito; Mobilização interna para abordar a situação; Posicionar-se num novo papel; e Necessidade de apoio. A contribuição central do estudo é a revelação do processo de transformação para o papel integrado de pai/mãe-aluno. Conclusão. Este estudo proporciona evidência qualitativa que contribui a uma compreensão integral da experiência de tornar-se em mãe/pai durante a etapa universitária; concluindo que esta experiência de vida se apresenta como um processo de compatibilidade de papéis, que é necessário apoiar. Para isto se requere visibilizar o papel dos pais/mães alunos nas políticas universitárias, com o objetivo de proporcionar um apoio concreto durante este processo de transição paralelo na vida dos jovens. (AU)

[I want to breastfeed my baby: Unvealing the experiences of women who lived process difficulties in their breastfeeding]. / “Yo quiero amamantar a mi hijo”: Develando la experiencia de mujeres que enfrentaron dificultades en su proceso de lactancia.

Breastfeeding is the most beneficial feeding practice for infants. However, it is not always the first choice for mothers and their encouragement and support from health professionals is variable. OBJECTIVE: To understand the experience of mothers who had difficulties with their breastfeeding process. PATIENTS AND METHOD: A phenomenological study was conducted in a University Health center. Twelve breastfeeding women were included. Data collection technique was in depth interviews, taped recorded with participants’ consent. Phenomenological analysis of data followed Streubert´s method. The rigor of the study was guarded by criteria for qualitative research and the research process. Ethical aspects were sheltered through the informed consent process, confidentiality and methodological rigor. RESULTS: The experience of living difficulties in the breastfeeding process is revealed in five comprehensive categories: recognizing the difficulties with breastfeeding; emotional impact when unable to breastfeed; motivation to overcome the difficulty and ask for help; support for breastfeeding recovery; and transition process from stress and anxiety to peace, gratification and empowerment. CONCLUSION: The understanding of this experience is qualitative evidence that contributes to a comprehensive understanding of the situation of each mother and child, allowing to improve support care interventions in health.

In-depth Knowledge of the Role of the Clinical Mentor.

OBJECTIVES: This work sought to unveil the meaning expressed by clinical nurses by being mentors for students from the nursing internship level. METHODS: Phenomenological research. In-depth interviews were conducted with nine clinical nurses from a hospital in Santiago de Chile, who participate as mentors of nursing students in their last stage of university formation. RESULTS: Four comprehensive categories were obtained with their respective units of meaning by nursing: 1) vocation and gratification, 2) personal and professional challenge, 3) big responsibility, and 4) transmission of experience. CONCLUSIONS: Clinical mentorship is a relevant experience in the professional lives of nurses, which implies overcoming challenges, self-training, and delivering the best of oneself, for the purpose of training future professionals prepared to practice nursing integrally.

Intervenciones que promueven el inicio, duración y exclusividad de la lactancia materna: Una revisión de revisiones / Interventions that promote iniciation, duration and exclusivity of breastfeeding. An umbrella review

El propósito de este estudio es aportar una síntesis de los resultados de revisiones sistemáticas (RS) disponibles en torno a la efectividad de intervenciones destinadas a promover la LM, a través de la realización de una revisión de revisiones (RR). Para ello, se realizó una búsqueda bibliográfica utilizando las palabras clave: "breastfeeding", "promotion", "intervention" y "systematic review", encontrándose nueve RS que cumplieron con los criterios de inclusión. Los resultados se presentan en relación a nueve dimensiones de análisis, que se aplicaron a cada una de las RS seleccionadas: objetivos, participantes, criterios de inclusión/exclusión, número y tipos de estudios incluidos, tipos de intervenciones realizadas, escenarios donde se desarrollaron las intervenciones, marco conceptual que sustentó la intervención, resultados evaluados e instrumentos de medida y conclusiones de cada una de las RS. Los resultados de esta RR no permiten extraer información concluyente en cuanto a la evidencia del impacto que tienen las intervenciones sobre la promoción, el inicio, la duración y la exclusividad de la LM. Lo anterior, debido a la diversidad de intervenciones realizadas, la multiplicidad de variables intervinientes y por falta de rigurosidad metodológica y sustento teórico de algunas de las RS analizadas.

The aim of this study is to provide a synthesis of the results available of systematic reviews (SR) on the effectiveness of interventions of breastfeeding (BF) promotion, through an umbrella review (UR). A bibliographic search was carried out using the keywords: "breastfeeding", "promotion", "intervention" and "systematic review", finding nine SR that met the inclusion criteria. The results are presented in relation to nine dimensions of analysis, which were applied to each of the SR selected: objectives, participants, inclusion/exclusion criteria, number and types of studies included, types of interventions performed, settings, conceptual framework that supported the intervention, results and instruments, and conclusions of each SR. The results of this UR do not allow the extraction of conclusive information about the evidence of the impact of the interventions on the promotion, initiation, duration and exclusivity of BF. This, due to the diversity of interventions, the multiplicity of intervening variables and the lack of methodological rigor and theoretical support of some SRs analyzed.

Yo quiero amamantar a mi hijo: develando la experiencia de mujeres que enfrentaron dificultades en su proceso de lactancia / I want to breastfeed my baby: unvealing the experiences of women who lived process difficulties in their breastfeeding

La lactancia materna es el método de elección para alimentar a los niños pequeños por sus múltiples y reportados beneficios. Sin embargo, es una práctica que no siempre es de primera elección para las madres y su estímulo y apoyo por parte de los profesionales de la salud es variable. OBJETIVO: Comprender la experiencia vivida por madres que presentaron dificultades durante su proceso de amamantamiento. PACIENTES Y MÉTODO: Estudio fenomenológico realizado en centro de salud universitario, participantes 12 mujeres. Se utilizó la entrevista en profundidad, grabada con consentimiento de las participantes. Análisis fenomenológico de los datos según método de Streubert. Se cauteló el rigor del estudio a través de criterios de investigación cualitativa y del proceso de investigación. Aspectos éticos resguardados a través de proceso de consentimiento informado, confidencialidad y rigor metodológico. RESULTADOS: La experiencia de vivir dificultades en el proceso de amamantamiento se reveló en cinco categorías comprensivas: reconociendo las dificultades con el amamantamiento; impacto emocional al no poder amamantar; motivación para superar la dificultad y pedir ayuda; apoyo en la recuperación de la lactancia; y proceso de transición desde el estrés y angustia a la tranquilidad, gratificación y empoderamiento. CONCLUSIÓN: La comprensión de esta experiencia constituye evidencia cualitativa que contribuye al conocimiento integral de la situación de cada madre con su hijo, permitiendo mejorar las intervenciones de apoyo en salud.

Breastfeeding is the most beneficial feeding practice for infants. However, it is not always the first choice for mothers and their encouragement and support from health professionals is variable. OBJECTIVE: To understand the experience of mothers who had difficulties with their breastfeeding process. PATIENTS AND METHOD: A phenomenological study was conducted in a University Health center. Twelve breastfeeding women were included. Data collection technique was in depth interviews, taped recorded with participants’ consent. Phenomenological analysis of data followed Streubert´s method. The rigor of the study was guarded by criteria for qualitative research and the research process. Ethical aspects were sheltered through the informed consent process, confidentiality and methodological rigor. RESULTS: The experience of living difficulties in the breastfeeding process is revealed in five comprehensive categories: recognizing the difficulties with breastfeeding; emotional impact when unable to breastfeed; motivation to overcome the difficulty and ask for help; support for breastfeeding recovery; and transition process from stress and anxiety to peace, gratification and empowerment. CONCLUSION: The understanding of this experience is qualitative evidence that contributes to a comprehensive understanding of the situation of each mother and child, allowing to improve support care interventions in health.

[Meaning of becoming mother and son/daughter through massage]. / Significado de ser madre e hijo/a por medio del masaje.

OBJECTIVE: Revealing the experience of mothers when massaging their children to know the phenomenon in the context of a mother-child healthy development. METHOD: This is a qualitative study with a phenomenological approach carried out with 11 women who massaged their children and answered the guiding question: What did the experience of massaging your child mean to you? RESULTS: The experience of massaging their children meant the development of their being a mother and of being a son/daughter, in addition to developing the attachment relationship between them. The massage can operationalize this integrality, become a tool of communication, stimulation and promotion of secure attachment, by promoting the loving interaction between mother and child. CONCLUSION: This practice should be considered as an option in the programs that promote the comprehensive health of the mother and child.