The vulnerabilities of premature children: home and institutional contexts

To analyze situations in which premature children are vulnerable in home care, in the first six months after hospital discharge. 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 analy...

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Bibliographic Details
Published in:Revista Brasileira de Enfermagem 2020-01, Vol.73 (suppl 4), p.e20190218-e20190218
Main Authors: Silva, Rosane Meire Munhak da, Zilly, Adriana, Toninato, Ana Paula Contiero, Pancieri, Letícia, Furtado, Maria Cândida Carvalho, Mello, Débora Falleiros de
Format: Article
Language:English
Subjects:
Brazil
Child
Child Care
Female
Health Promotion
Health Vulnerability
Home Care Services
House Calls
Humans
Infant
Infant, Premature
Mother-Child Relations
Mothers
NURSING
Patient Discharge
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Summary:To analyze situations in which premature children are vulnerable in home care, in the first six months after hospital discharge. 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. 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. 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.
ISSN:0034-7167
1984-0446
1984-0446
DOI:10.1590/0034-7167-2019-0218