Cuidado de enfermagem frente a instabilidade térmica em recém-nascido prematuro sob o olhar do sistema adaptativo complexo

Abstract

This study aims to describe the care provided by nurses regarding the thermal instability of the PTNB: To identify, in the nurses' perception, the factors that are present in the care given the thermal instability of the PTNB. This is a descriptive and exploratory study with a qualitative approach. Data were collected from September to December 2020. For data analysis, the Content Analysis method was used. Thus, the results showed a description of the care provided by nurses in face of the thermal instability of the PTNB with the organization of the unit, in addition to 18 actions performed during the admission and hospitalization of the newborn in the NICU. Furthermore, it showed that the factors present in the care of nurses in controlling the thermal instability of premature newborns in the NICU are related to environmental conditions, institutional factors and factors related to the professional. In short, the research findings reveal the care provided by nurses facing the thermal instability of the PTNB that starts even before their arrival at the NICU with the organization of the unit to receive them, as well as the direct and indirect care that prevent thermal instability and maintains the temperature of the PTNB during their arrival and stay in the NICU. It appears that the assistance of nurses to the PTNB takes place through the performance of multiple actions considering the particularities of each of them in different contexts, which makes decision-making independent and, at the same time, linked to environmental conditions and interactions that occur with the multidisciplinary team.