O cuidado de enfermagem e a comunicação na instrumentalização da puérpera - família no Alojamento Conjunto.

Abstract

The health of the neonate began to receive greater attention in 1993, with the creation of the Basic Norms for Joint Accommodation (CA), which contributed to a reduction in neonatal mortality rates, since prior to this health was focused on women only. Coupled with this, nursing care in the puerperal instrumentalization in this environment becomes essential, considering both verbal and nonverbal communication between professionals and mother / father / family in the CA as a care allowance after discharge. However, efficient care is still a challenge for health professionals, faced with limitations in the practice of services. Objective: To understand the nursing care and communication in the instrumentation of the puerpera-family in the joint accommodation. Methodology: This is an exploratory study with a qualitative approach, performed at the Family Health Units (FHU) in the urban area of Cuité, Paraíba, Brazil, with thirteen puerperal women. The data collection was carried out from July to August of 2018, through the interview technique, guided by a semi-structured script, and the reports analyzed by the thematic analysis technique. Results: The empirical material appreciation made it possible to construct two thematic categories: 1. Nursing care; 2. The communication of the nursing team in the instrumentation of the puerpera-family. Discussion: The guidelines provided by nursing professionals in joint housing still require necessary care with the mother during the puerperal period at home, such as the need for rest throughout the puerperal period, a healthy diet, continued with supplementation of ferrous sulfate and to some care with the NB, such as exclusive breastfeeding up to six months, umbilical stump care, some neonatal screening and sunbathing of the newborn through verbal and / or nonverbal communication. However, other key guidelines for disease prevention and mother-child health promotion have not been addressed, indicating gaps in the team's communication with the woman and the family. In response, suggestions were made by the interviewees with the intention of improving the care offered and the communication form of the nursing team. Final considerations: Based on this study, it is understood that the nursing care and the communication for instrumentation of the puerperal woman in the joint accommodation present fragilities that hinder the integral care of the mother-infant-family, which requires professional qualification. Keywords: Nursing,