Abstract

To know the beliefs, values and practices of families in the care of hospitalized children. Qualitative study developed at the Pediatrics Unit of a University Hospital in southern Brazil through non-participant observation, participant observation and interview with children's family members. The methodological framework of Ethnonursing was adopted. Data were coded, classified and scrutinized to identify saturation of similar or different ideas and patterns, and recoded by making theoretical formulations and recommendations. Beliefs, values and practices of families depend on cultural references and are manifested in the care with feeding, clothing and hygiene, maintenance of sleep and rest, presence, care with medication and exercise of religious belief. Family members care for the hospitalized child based on their cultural reference and it is important that nurses take this aspect into consideration during care practice. Cultural care aggregates knowledge and can be considered a new paradigm for nursing care that allows an affective, reflective, human, empathic relationship between nurse/child/family.

Highlights

  • Hospitalization itself is a disturbing situation in a child’s life, affects and changes the life and routine of the whole family

  • 12 mothers and three grandparents, aged between 18 and 58 years participated in the study

  • Data from the observations and interviews showed how the beliefs, values and practices of families in the care of hospitalized children depend on their cultural references and are manifested in this context, through care with the diet, clothing and hygiene, with playing, maintaining the sleep and rest, being present, taking care of medication and exercising religious belief

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Summary

Introduction

Hospitalization itself is a disturbing situation in a child’s life, affects and changes the life and routine of the whole family. Children experience a new situation, go through a loss process characterized by the withdrawal of family, school, friends and their toys, and need to adapt to changes in their routine[1,2]. The family provides care by reproducing the care practices performed at home, based on their beliefs, habits, resources and worldviews, which are not always compatible with the care culture of the multidisciplinary team. In this sense, the nursing professional working at the hospital needs to consider the client’s culture when planning care[4]

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