The vulnerabilities of premature children: home and institutional contexts

• Autor(a) principal: Silva,Rosane Meire Munhak da
• Data de Publicação: 2020
• Outros Autores: Zilly,Adriana, Toninato,Ana Paula Contiero, Pancieri,Letícia, Furtado,Maria Cândida Carvalho, Mello,Débora Falleiros de
• Tipo de documento: Artigo
• Idioma: eng
• Título da fonte: Revista Brasileira de Enfermagem (Online)
• Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020001600171
• topic: Infant, Premature; Health Promotion; Health Vulnerability; Child Care; Mother-Child Relations

ABSTRACT Objective: To analyze situations in which premature children are vulnerable in home care, in the first six months after hospital discharge. Method: Qualitative study, from the perspective of philosophical hermeneutics, carried out in a Brazilian city on the border. In-depth interviews were conducted, with a data analysis considering the method of interpretation of meanings. 18 mothers of premature children discharged from a hospital unit participated. 25 home visits and 56 calls were made. Results: The reports from the mothers express situations of vulnerability, concerns, needs for care, singularities of the development of the premature baby, and repercussions of institutional routines in home care. Final considerations: There are vulnerable circumstances in prematurity that reaffirm interconnected individual, social, and institutional dimensions. It is important to highlight that the institutional dimension involves the responsibility of health professionals not to increase individual and social vulnerabilities, but to promote care and seek to reduce situations that generate risks, uncertainties, concerns, and damages.