Banca de DEFESA: ISABELA BARBOZA GOMES

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : ISABELA BARBOZA GOMES
DATE: 04/12/2023
TIME: 13:00
LOCAL: Sala 05 (3º andar) do Instituto de Saúde Coletiva
TITLE:

Analysis of the degree of implementation of the kangaroo method in Salvador, Bahia: experiences of two reference public maternity hospitals.

KEY WORDS:

Kangaroo Care. Skin-to-skin contact. Low birth weight newborn. Prematurity. Health assessment.

PAGES: 120
BIG AREA: Ciências da Saúde
AREA: Saúde Coletiva
SUMMARY:

Children weighing less than 2500 grams at birth and prematurity are associated with an increase in functional sequelae, the need for specialized care and a greater risk of death. The kangaroo method is considered a lightweight, low-cost, and easy-to-operate technology, with a view to improving care and reducing neonatal morbidity and mortality. Through a biopsychosocial approach to the newborn and their family, it focuses on early skin-to-skin contact, exclusive breastfeeding at discharge, and early hospital discharge with outpatient follow-up. This dissertation had the general objective of analyzing the degree of implementation of the kangaroo method in two public maternity hospitals in Salvador, Bahia, and was constructed in the format of two articles. The first article had a theoretical-methodological character in three stages and aimed to validate an operational logical model of the kangaroo method and an assessment tool of the degree of implementation of this policy. After reviewing the literature in the Pubmed and Scielo databases, and legal regulations, the logical model and assessment tool were submitted to a consensus of experts using the Delphi technique. As a result, 25 criteria were validated. And the second article aimed to analyze the degree of implementation of the kangaroo method in two public maternity hospitals in Salvador, Bahia, through a validated evaluation tool. Evaluation research on the level of implementation was carried out between August 2021 and October 2022, through the triangulation of information obtained through interviews with key actors and non-participant observation. The sample consisted of 29 mothers with hospitalized newborns, 43 care professionals and 2 involved in the management of the kangaroo method. Through the assessment tool, the structure and processes of the kangaroo method were considered partially implemented. Among the facilitators detected is the guarantee of an adequate environment for the mother to stay in the maternity ward for 24 hours, the role of psychology and social services as mediators of this stay, and the availability of the home of the pregnant woman, the baby, and the postpartum woman. While the weaknesses were: work overload of professionals with weakened employment relationships, low adherence to recommended care practices, the clinical complexity of hospitalized newborns. The use of the assessment tool supported the detection of potential and weaknesses, which could be used to adjust care and management practices related to the kangaroo method.

COMMITTEE MEMBERS:
Externa ao Programa - 2334417 - ALCIONE BRASILEIRO OLIVEIRA - nullExterna ao Programa - 4434134 - ANA CECILIA TRAVASSOS SANTIAGO - nullPresidente - 3498044 - MONIQUE AZEVEDO ESPERIDIAO