DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO

Detalhes bibliográficos
Autor(a) principal: Ragagnin, Denise Vendruscolo
Data de Publicação: 2023
Tipo de documento: Dissertação
Idioma: por
Título da fonte: Repositório Institucional Universidade Franciscana
Texto Completo: http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/1260
Resumo: The golden hour refers to the first sixty minutes of a newborn's life after birth, also called golden hour, it represents a series of care, considered good practices that must be prioritized to qualify assistance in the first hour of newborns. born. Objective: to develop, together with the multidisciplinary team, postpartum women and companions, a protocol of good care practices during the golden hour. Specific objectives: develop a protocol of good care practices during the golden hour; implement a protocol of good care practices at the golden hour with the multidisciplinary team of an obstetric center; validate with the multidisciplinary team, postpartum women and companions a protocol of good care practices during the golden hour; promote good care practices during the golden hour. Method: this is a methodological study subdivided into three phases, definition of content and development of the protocol; content validation by health professionals and face validation by postpartum women and companions. The research participants were 71 professionals from the multidisciplinary team, 30 postpartum women and 30 companions from a large private maternity hospital in the interior of Rio Grande do Sul. Data collection occurred through an integrative review to create the protocol, presentation and validation through a questionnaire with professionals and semi-structured interviews for implementation and validation with postpartum women and companions. Data analysis and treatment followed simple descriptive statistics, the Content Validity Index was used for each of the protocol care and thematic content analysis. The study was developed from April to June 2023. It was approved by the Research Ethics Committee under opinion 6,022,118. All participants received and signed the Informed Consent Form and were guaranteed confidentiality and anonymity. Results: The health professionals who participated were mostly female doctors, with an average age of 38 years and had postgraduate degrees. Regarding the protocol, 94.3% believe that it is possible to implement, 100% say that it is a viable technology in all births and cesarean sections, however, some professionals are still unaware of the care carried out in the first hour and its importance. All items/care items in the protocol were validated and the instrument presented a total Agreement Validation Index of 0.94. Final Considerations: the golden hour care protocol is a viable practice in this context, in order to humanize and qualify care in the first hour of newborns. It helps professionals optimize the work process and promotes maternal and neonatal health. Product and its applicability: demonstrates a relevant impact by contributing to the process of continuing education of professionals in the multidisciplinary team, as well as raising awareness about the topic, instigating reflections and promoting good practices among companions and women in labor. The protocol as an instructional technology also has implications for the possibility of impacting the reframing of care in the first hour of life, by health professionals as they start to use evidence-based practice. Providing greater safety for women and newborns.
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spelling Silva, Silvana Cruz daSantos, Maria Margarida da Silva ReisWilhelm, Laís AntunesCostenaro, Regina Gema SantiniSoccol, Keity Lais SiepmannRagagnin, Denise Vendruscolo2024-03-25T12:05:23Z2023-12-20Ragagnin, Denise Vendruscolo. DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO. 2023. 106f. Dissertação( Mestrado Profissional em Saúde Materno Infantil) - Universidade Franciscana, Santa Maria - RS.http://www.tede.universidadefranciscana.edu.br:8080/handle/UFN-BDTD/1260The golden hour refers to the first sixty minutes of a newborn's life after birth, also called golden hour, it represents a series of care, considered good practices that must be prioritized to qualify assistance in the first hour of newborns. born. Objective: to develop, together with the multidisciplinary team, postpartum women and companions, a protocol of good care practices during the golden hour. Specific objectives: develop a protocol of good care practices during the golden hour; implement a protocol of good care practices at the golden hour with the multidisciplinary team of an obstetric center; validate with the multidisciplinary team, postpartum women and companions a protocol of good care practices during the golden hour; promote good care practices during the golden hour. Method: this is a methodological study subdivided into three phases, definition of content and development of the protocol; content validation by health professionals and face validation by postpartum women and companions. The research participants were 71 professionals from the multidisciplinary team, 30 postpartum women and 30 companions from a large private maternity hospital in the interior of Rio Grande do Sul. Data collection occurred through an integrative review to create the protocol, presentation and validation through a questionnaire with professionals and semi-structured interviews for implementation and validation with postpartum women and companions. Data analysis and treatment followed simple descriptive statistics, the Content Validity Index was used for each of the protocol care and thematic content analysis. The study was developed from April to June 2023. It was approved by the Research Ethics Committee under opinion 6,022,118. All participants received and signed the Informed Consent Form and were guaranteed confidentiality and anonymity. Results: The health professionals who participated were mostly female doctors, with an average age of 38 years and had postgraduate degrees. Regarding the protocol, 94.3% believe that it is possible to implement, 100% say that it is a viable technology in all births and cesarean sections, however, some professionals are still unaware of the care carried out in the first hour and its importance. All items/care items in the protocol were validated and the instrument presented a total Agreement Validation Index of 0.94. Final Considerations: the golden hour care protocol is a viable practice in this context, in order to humanize and qualify care in the first hour of newborns. It helps professionals optimize the work process and promotes maternal and neonatal health. Product and its applicability: demonstrates a relevant impact by contributing to the process of continuing education of professionals in the multidisciplinary team, as well as raising awareness about the topic, instigating reflections and promoting good practices among companions and women in labor. The protocol as an instructional technology also has implications for the possibility of impacting the reframing of care in the first hour of life, by health professionals as they start to use evidence-based practice. Providing greater safety for women and newborns.A hora ouro refere-se aos primeiros sessenta minutos de vida do recém-nascido após o nascimento, chamada também hora dourada, representa uma série de cuidados, considerados boas práticas que devem ser priorizados para qualificar a assistência na primeira hora dos recém-nascidos. Objetivo geral: desenvolver junto a equipe multiprofissional, puérperas e acompanhantes um protocolo de boas práticas de cuidado na hora ouro. Objetivos específicos: elaborar um protocolo de boas práticas de cuidado na hora ouro; implementar um protocolo de boas práticas de cuidado na hora ouro com a equipe multiprofissional de um centro obstétricos; validar com a equipe multiprofissional, puérperas e acompanhantes um protocolo de boas práticas de cuidado na hora ouro; promover as boas práticas de cuidado na hora ouro. Método: trata-se de um estudo metodológico subdividido em três fases, definição do conteúdo e desenvolvimento do protocolo; validação de conteúdo pelos profissionais da saúde e validação de face pelas puérperas e acompanhantes. Os participantes da pesquisa foram 71 profissionais da equipe multiprofissional, 30 puérperas e 30 acompanhantes de uma maternidade privada de grande porte do interior do Rio Grande do Sul. A coleta de dados ocorreu por meio de uma revisão integrativa para criação do protocolo, apresentação e validação por meio de um questionário com os profissionais e entrevistas semiestruturada para implementação e validação com as puérperas e os acompanhantes. A análise e tratamento dos dados seguiu estatística descritiva simples, foi empregado o Índice de Validade de Conteúdo para cada um dos cuidados do protocolo e análise de conteúdo temática. O estudo foi desenvolvido no período de abril a junho de 2023. Obteve aprovação do Comitê de Ética em Pesquisa sob parecer 6.022.118. Todos os participantes receberam e assinaram o Termo de Consentimento Livre e Esclarecido e foram garantidos sigilo e anonimato. Resultados: Os profissionais da saúde que participaram eram na maioria médicos, do sexo feminino, com média de idade de 38 anos e possuíam pós-graduação. Quanto ao protocolo, 94,3% acreditam que é de possível implementação, 100% referem que é uma tecnologia viável em todos os partos e cesarianas, contudo, alguns profissionais ainda desconhecem os cuidados realizados na primeira hora e sua importância. Todos os itens/cuidados do protocolo foram validados e o instrumento apresentou Índice de Validação de Concordância total de 0,94. Considerações Finais: o protocolo de cuidado na hora ouro é uma prática viável neste contexto, a fim de humanizar e qualificar a assistência na primeira hora dos recém-nascidos. Auxilia os profissionais a otimizarem o processo de trabalho e promove a saúde materna e neonatal. Produto e sua aplicabilidade: demonstra relevante impacto por contribuir no processo de educação continuada dos profissionais da equipe multiprofissional, bem como em sensibilizar sobre a temática, instigar reflexões e promover as boas práticas junto aos acompanhantes, parturientes. O protocolo como tecnologia instrucional tem implicação também pela possibilidade de impactar na resignificação dos cuidados na primeira hora de vida, pelos profissionais da saúde por passarem a utilizar a prática baseada em evidências. Proporcionando maior segurança para as mulheres e os recém-nascidos.Submitted by Clarice Rosa Machado (clarice.machado@ufn.edu.br) on 2024-03-25T12:05:23Z No. of bitstreams: 2 Dissertacao_Denise Vendruscolo Ragagnin_TEDE.pdf: 2440159 bytes, checksum: eaec4034811e25db87efc4082e88e408 (MD5) Template_Denise Vendruscolo Ragagnin.pdf: 3497060 bytes, checksum: 4a51e868b6aa75a30f0556fb5b8cab43 (MD5)Made available in DSpace on 2024-03-25T12:05:23Z (GMT). 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dc.title.por.fl_str_mv DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
title DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
spellingShingle DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
Ragagnin, Denise Vendruscolo
Período Pós-parto; Parto Humanizado; Recém-nascido; Cuidados de Enfermagem; Saúde Materno-Infantil.
Postpartum Period; Humanizing Delivery; Infant, Newborn; Nursing Care; Maternal and Child Health.
Saúde Materno Infantil
title_short DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
title_full DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
title_fullStr DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
title_full_unstemmed DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
title_sort DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO
author Ragagnin, Denise Vendruscolo
author_facet Ragagnin, Denise Vendruscolo
author_role author
dc.contributor.advisor1.fl_str_mv Silva, Silvana Cruz da
dc.contributor.referee1.fl_str_mv Santos, Maria Margarida da Silva Reis
dc.contributor.referee2.fl_str_mv Wilhelm, Laís Antunes
dc.contributor.referee3.fl_str_mv Costenaro, Regina Gema Santini
dc.contributor.referee4.fl_str_mv Soccol, Keity Lais Siepmann
dc.contributor.author.fl_str_mv Ragagnin, Denise Vendruscolo
contributor_str_mv Silva, Silvana Cruz da
Santos, Maria Margarida da Silva Reis
Wilhelm, Laís Antunes
Costenaro, Regina Gema Santini
Soccol, Keity Lais Siepmann
dc.subject.por.fl_str_mv Período Pós-parto; Parto Humanizado; Recém-nascido; Cuidados de Enfermagem; Saúde Materno-Infantil.
topic Período Pós-parto; Parto Humanizado; Recém-nascido; Cuidados de Enfermagem; Saúde Materno-Infantil.
Postpartum Period; Humanizing Delivery; Infant, Newborn; Nursing Care; Maternal and Child Health.
Saúde Materno Infantil
dc.subject.eng.fl_str_mv Postpartum Period; Humanizing Delivery; Infant, Newborn; Nursing Care; Maternal and Child Health.
dc.subject.cnpq.fl_str_mv Saúde Materno Infantil
description The golden hour refers to the first sixty minutes of a newborn's life after birth, also called golden hour, it represents a series of care, considered good practices that must be prioritized to qualify assistance in the first hour of newborns. born. Objective: to develop, together with the multidisciplinary team, postpartum women and companions, a protocol of good care practices during the golden hour. Specific objectives: develop a protocol of good care practices during the golden hour; implement a protocol of good care practices at the golden hour with the multidisciplinary team of an obstetric center; validate with the multidisciplinary team, postpartum women and companions a protocol of good care practices during the golden hour; promote good care practices during the golden hour. Method: this is a methodological study subdivided into three phases, definition of content and development of the protocol; content validation by health professionals and face validation by postpartum women and companions. The research participants were 71 professionals from the multidisciplinary team, 30 postpartum women and 30 companions from a large private maternity hospital in the interior of Rio Grande do Sul. Data collection occurred through an integrative review to create the protocol, presentation and validation through a questionnaire with professionals and semi-structured interviews for implementation and validation with postpartum women and companions. Data analysis and treatment followed simple descriptive statistics, the Content Validity Index was used for each of the protocol care and thematic content analysis. The study was developed from April to June 2023. It was approved by the Research Ethics Committee under opinion 6,022,118. All participants received and signed the Informed Consent Form and were guaranteed confidentiality and anonymity. Results: The health professionals who participated were mostly female doctors, with an average age of 38 years and had postgraduate degrees. Regarding the protocol, 94.3% believe that it is possible to implement, 100% say that it is a viable technology in all births and cesarean sections, however, some professionals are still unaware of the care carried out in the first hour and its importance. All items/care items in the protocol were validated and the instrument presented a total Agreement Validation Index of 0.94. Final Considerations: the golden hour care protocol is a viable practice in this context, in order to humanize and qualify care in the first hour of newborns. It helps professionals optimize the work process and promotes maternal and neonatal health. Product and its applicability: demonstrates a relevant impact by contributing to the process of continuing education of professionals in the multidisciplinary team, as well as raising awareness about the topic, instigating reflections and promoting good practices among companions and women in labor. The protocol as an instructional technology also has implications for the possibility of impacting the reframing of care in the first hour of life, by health professionals as they start to use evidence-based practice. Providing greater safety for women and newborns.
publishDate 2023
dc.date.issued.fl_str_mv 2023-12-20
dc.date.accessioned.fl_str_mv 2024-03-25T12:05:23Z
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dc.identifier.citation.fl_str_mv Ragagnin, Denise Vendruscolo. DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO. 2023. 106f. Dissertação( Mestrado Profissional em Saúde Materno Infantil) - Universidade Franciscana, Santa Maria - RS.
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identifier_str_mv Ragagnin, Denise Vendruscolo. DESENVOLVIMENTO, IMPLEMENTAÇÃO E VALIDAÇÃO DE UM PROTOCOLO DE BOAS PRÁTICAS DE CUIDADO NA HORA OURO. 2023. 106f. Dissertação( Mestrado Profissional em Saúde Materno Infantil) - Universidade Franciscana, Santa Maria - RS.
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