Be Bold: Use Nursing Knowledge to Guide the Practice / Sé audaz: utiliza el conocimiento de enfermería para guiar la práctica / Seja ousado: use o conhecimento de enfermagem para guiar a prática

The imagination, bravery, and audacity that many nurses have shown throughout the history of our profession lead to the recognition of nursing as a discipline, profession, and science. For maintaining it, the Sigma Theta Tau International Honor Society of Nursing ­Sigma­ (1) and other associated organizations promote the science-guided exercise of the practice through the creation and transfer of knowledge, emphasizing the three elements that nurture, legitimize, consolidate, and guarantee disciplinary autonomy: theory, research, and practice. Sigma, in its presidential call 2022-2023, invited nurses to be bold and contribute to the development of nursing knowledge.

La imaginación, valentía y audacia que muchas enfermeras han mostrado a lo largo de la historia de nuestra profesión llevaron a que hoy en día se reconozca a la enfermería como disciplina, profesión y ciencia. Para mantener este reconocimiento, la Sociedad Internacional de Honor de la Enfermería ­Sigma­ y organizaciones asociadas promueven el ejercicio de la práctica guiado por la ciencia a través de la creación y la traslación de conocimientos, haciendo énfasis en los tres elementos que nutren, legitiman, consolidan y garantizan la autonomía disciplinar: la teoría, la investigación y la práctica. Sigma, en su llamado presidencial 2022-2023, invita a las enfermeras de la práctica a que sean audaces y contribuyan al desarrollo del conocimiento de enfermería.

A imaginação, a coragem e a audácia que muitos profissionais de enfermagem demonstraram ao longo da história da nossa profissão fizeram com que a enfermagem fosse hoje reconhecida como disciplina, profissão e ciência. Para manter este reconhecimento, a International Nursing Honor Society (Sigma) e as organizações associadas promovem o exercício da prática guiada pela ciência através da criação e transferência de conhecimento, enfatizando os três elementos que nutrem, legitimam, consolidam e garantem a autonomia disciplinar: teoria, pesquisa e prática. A Sigma, na sua chamada presidencial 2022-2023, convida os profissionais de enfermagem praticantes a serem ousados ​​e a contribuírem para o desenvolvimento do conhecimento de enfermagem.

Donar leche humana salva vidas: percepciones de mujeres donantes y receptoras de leche en un banco de leche humana en Colombia / A doação de leite humano salva vidas: conhecimentos de mulheres dadoras e receptoras de leite num banco de leite humano na Colômbia / Donating human milk saves lives: insights from women donors and recipients of milk at a human milk bank in Colombia

Objective: To learn about the experiences of women who are milk donors and users of thehuman milk bank, who are mothers of pre-term infants, low birth weight infants and sick newbornshospitalized in a neonatal intensive care unit (NICU). Method Descriptive, qualitative, micro ethnographic study following the method proposed by James Spradley, focused semi-structured interviews were conducted with 10 human milk donor/receiver mothers. Results: six categories wereestablished: human milk for humans, motivation and maintenance of human milk donation, recognition of Human Milk Banks (HMLB) as a suitable place for donation, donating human milk requires commitment and technique, feelings of women donors and recipients, barriers to donation,from these categories emerged the central category "Donating human milk saves lives" ConclusionsDonating and receiving human milk is an experience in which biological, cultural, emotional and political aspects are linked. Women demand social recognition of the work of Human Milk Banksin the promotion, protection, support of breastfeeding, nutrition and protection of premature and sick newborns in neonatal units. (AU)

Objetivo: conocer las experiencias de las mujeres donantes de leche y usuarias receptoras del banco de leche humana, que son madres de recién nacidos pre-término, recién nacidos debajo peso y recién nacidos enfermos hospitalizados en una unidad de cuidado intensivo neonatal(UCIN). Método Estudio descriptivo, de tipo cualitativo, micro etnográfico siguiendo el métodopropuesto por James Spradley, se realizaron entrevistas semiestructuradas focalizadas a 10 madresdonantes/receptoras de leche humana. Resultados: seis categorías fueron establecidas: leche de humanos para humanos, motivación y mantenimiento de la donación de leche humana, reconocer losBancos de Leche Humana (BLH) como un lugar idóneo para la donación, donar leche humana exigecompromiso y técnica, sentimientos de las mujeres donantes y receptoras, barreras para la donación,de estas categorías emergió la categoría central “Donar leche humana salva vidas” ConclusionesDonar y recibir leche humana es una experiencia en la cual se vinculan aspectos biológicos, culturales, emocionales y políticos. Las mujeres reclaman el reconocimiento social, a la labor de los Bancosde Leche Humana en la promoción, protección, apoyo a la lactancia materna, la nutrición y protección de los prematuros y recién nacidos enfermos en las unidades neonatales. (AU)

Objectivo: Conhecer as experiências de mulheres dadoras de leite e utilizadorasdo banco de leite humano, mães de bebés pré-termo, bebés de baixo peso ao nascer e recém-nascidos doentes hospitalizados numa unidade de cuidados intensivos neonatais(UCIN). Método Estudo descritivo, qualitativo, microecnográfico seguindo o método proposto por James Spradley, foram realizadas entrevistas semi-estruturadas com 10 mãesdoadoras/receptoras de leite humano. Resultados: foram estabelecidas seis categorias:leite humano para consumo humano, motivação e manutenção da doação de leite humano, reconhecimento dos Bancos de Leite Humano (HMLB) como local adequado paraa doação, a doação de leite humano requer empenho e técnica, sentimentos das mulheresdadoras e receptoras, obstáculos à doação, destas categorias surgiu a categoria central"Doar leite humano salva vidas" Conclusões Doar e receber leite humano é uma experiência em que os aspectos biológicos, culturais, emocionais e políticos estão ligados. As mulheres exigem o reconhecimento social do trabalho dos Bancos de Leite Humano na promoção, protecção, apoio à amamentação, nutrição e protecção de recém-nascidos prematuros e doentes em unidades neonatais. (AU)

Parental Decision-Making in Pediatric Intensive Care: A Concept Analysis.

The development of nursing knowledge requires a close relationship between theory, research, and practice. The purpose of the analysis of the concept of "parental decision-making in pediatric critical care" is to facilitate nurses' therapeutic care of critically ill children and their families. To construct, structure, and give meaning to the concept, we use our experience in the field, critical reading of the literature, and careful analysis of data that have emerged about parental decision-making in pediatric intensive care. Several factors affect parent's ability to act as decision-makers: the psychosocial and physical disorders they develop, the subordination of their parental roles by the health care team, and the child's critical state of health. While different disciplines, including nursing, have well described the decision-making concept, parental decision-making in the context of pediatric intensive care has not been as well delineated. Nursing science recognizes the importance of decision-making and has incorporated the concept as an essential domain of its philosophical and disciplinary interests. Following the method proposed by Walker and Avant, the concept was analyzed, attributes, background, and consequences described. A model case was presented and discussed. An operational definition emerges, providing knowledge for professional nursing practice and will be the basis for an essential theoretical development around this phenomenon. Parents' recognition, the promotion of family-centered care, and shared decisions are ideal for encouraging parental participation.

An International Perspective of Transition of Neurological Disease: The Latin American and the Caribbean Region.

There are roughly 600 million people in the Latin America and the Caribbean region, of whom approximately 36% are living at or below the poverty line. According to this, neurologic injury disorders disproportionately affect this population, which faces not only most risk factors, but also has less developed health systems to deal with illness recovery. Further, most of the risk factors can be attributed to classic preventable cardiovascular risk factors, although there are important differences in demographics, socioeconomic status, and injury mechanisms that may influence the patient's outcome.

Necesidades de información para la toma de decisiones de los padres frente a la hospitalización de sus hijos en unidades de cuidado intensivo pediátrico / Information needs for decision-making of parents regarding the hospitalization of their children in pediatric intensive care units

Introducción: La hospitalización de un niño en una unidad de cuidado intensivo es un evento complejo que causa en sus padres y familiares trastornos psicosociales y psicosomáticos. Las restricciones en el acceso a la información, que empeoran estos cuadros y limitan su participación en el cuidado, crean necesidades en los padres que la enfermera debe satisfacer para ayudarlos a sobrellevar el estrés padecido. Infortunadamente, con frecuencia la perspectiva que padres y enfermeras tienen de estas necesidades difiere y genera conflictos. Identificar estas necesidades es entonces una prioridad para el cuidado de enfermería. Objetivos: Determinar las necesidades de información de los padres para la toma de decisiones frente a la hospitalización de sus hijos en la Unidad de Cuidado Intensivo Pediátrica del Hospital Federico Lleras Acosta de Ibagué, Colombia. Métodos: Se realizó un estudio de cohorte descriptivo, cualitativo, micro etnográfico. El contenido de la información, recolectada a través de entrevistas semiestructuradas (n=12) y notas de campo, fue analizado y constantemente comparado, hasta determinar categorías y subcategorías temáticas, de las cuales emergió una idea central. Resultados: Cinco categorías principales fueron establecidas: (i) la hospitalización de un niño afecta a la familia; (ii) cambios en el estado de ánimo; (iii) necesidades de comunicación; (iv) tomar decisiones; y (v) factores que influyen en la toma de decisiones. A partir de estas categorías emergió una idea central, Conocer para decidir. Conclusiones: Conocer y satisfacer las necesidades de información de los padres de niños hospitalizados le permitiría a la enfermera incluirlos en los planes de cuidado, ayudando así a todos a sobrellevar las consecuencias del estrés causado por la hospitalización. Al comparar nuestros resultados con los reportados en otras culturas, encontramos que las necesidades de los padres de niños hospitalizados en unidades de cuidado intensivo son similares, pero que su grado de acceso y participación en el cuidado y en la toma de decisiones difiere de acuerdo a la cultura.

Introduction: Hospitalization of a child in the intensive care unit is a complex process that is a cause of numerous psychosocial and psychosomatic issues to parents and families. Restrictions on access to information, which worsen these problems and limit parental participation in care, create needs in parents that the nurse should meet to help cope with the suffered stress. Unfortunately, a conflict is very often created between the perspective of parents and nurses of these needs. Identifying these needs is therefore a priority for nursing care. Purpose: To determine the informational needs of parents for making critical decisions over their hospitalized children in the Hospital Federico Lleras Acosta Pediatric Intensive Care Unit, in Ibagué, Colombia. Methods: A qualitative, descriptive, microethnographic study was conducted. The content of the data, collected through semi-structured interviews (n=12) and field notes, was analyzed and compared constantly, until determining thematic categories and subcategories, out of which emerged the core variable. Results: Five main categories were established: (i) child´s hospitalization affects the whole family; (ii) changes in mood; (iii) communication needs; (iv) decision making; and (v) factors influencing the decision making process. From these categories emerged the core variable: Knowing for Deciding. Conclusions: To meet and satisfy the need for information of parents of hospitalized children would allow the nurse to include them in care plans, thereby helping everyone to cope with the consequences of the stress of hospitalization. After comparing our results with those reported in other cultures, we found that the needs of parents of hospitalized children in Pediatric Intensive Care Units are similar, but their level of access and participation in care and decision-making differs significantly.