Abstract
To describe nurses' experience in the care of high-risk newborns. This is a descriptive study with a qualitative approach, based on Merleau-Ponty's phenomenology and performed at the Fernando Magalhães Maternity Hospital in the state of Rio de Janeiro, through interviews with 30 nurses who work in neonatal care, according to the phenomenological thinking of Maurice Merleau- Ponty. Three categories emerged: "experienced body of the nurse practitioner on the high-risk newborn"; "experienced world of the nurse practitioner on the high-risk newborn"; and "time spent by the nurse practitioner with the high-risk newborn". The study allowed us to describe, through the participants' speeches, that the care of the high-risk newborn is broad, that is, objective, subjective and carried out with advanced technologies, their experiences and scientific improvement are composed of shared practice and theory with the family, professionals and beginners in the neonatal universe, favoring a differentiated and humanized care.
Highlights
The practice of neonatal nursing consists of at least three components: implementing nursing care, intervening with care, and interacting with other health professionals
When the interview data were analyzed, it was possible to describe the meanings attributed by the participants in the context of neonatal intensive care unit (NICU) experiences with high-risk newborns, allowing the apprehension of three categories, which will be shown as follows:“experienced body of the nurse practitioner on the high-risk newborn”; “experienced world of the nurse practitioner on the high-risk newborn”; and“time spent by the nurse practitioner with the high-risk newborn”
With the immersion of the third category, “time spent by the nurse practitioner with the high-risk newborn”, the nurse has a different look at the care given to high-risk newborns through their relationship with their involvement in a single stroke of the future in the present
Summary
The practice of neonatal nursing consists of at least three components: implementing nursing care, intervening with care, and interacting with other health professionals. Corroborating with the line of thought in relation to care, the author Margaret Jean Watson developed the Human Care Theory, which considers care that transcends time, space and matter of patient and professional, so that they form a single element in tune, beyond the moment of interaction, in a way that favors the restoration. Often in the physical dimension, with the execution of technical procedures at a more advanced level of care, nursing is able to access emotional and subjective aspects, in order to objectify transpersonality through communication and empathy, which can be developed and maintain the harmony and confidence necessary for this process(2). Most nursing professionals take pleasure in caring for such fragile beings, they experience moments of anguish related to complex and painful procedures in such a delicate moment of this being that is between life and death(3)
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