Published 2020-01-30
Keywords
- nursing,
- NICU,
- preterm infant,
- neurodevelopment,
- sleep
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Abstract
Introduction and Objectives: Neonatal Intensive Care Units (NICU) are fundamental to the survival of the preterm infant, eventhough, they provide a different space from the maternal uterus. A guideline of care practices in this units the “Neonatal Model of Care Centered in Development” were developed and established, which includes seven neuroprotective measures, being the “safe sleep promotion” measure this article focus. Therefore, the objective of the worked Narrative Review of Literature was to uncover the scientific evidence to support the care practices in neonatal intensive care units, on promoting safe sleep, as well as, a situational reflection about pratices in two neonatal intensive care units. Metodology: Narrative review of literature with resource to MEDLINE, CINAHL and grey literature. Descriptors: NICU, preterm infant, neurodevelopment, sleep, neonatology, nursing. Results: The findings of the scientific evidence (28 articles about sleep) allowed a reflection of the care practices for the promotion of safe sleep, which involved the discussion between students and health care professionals and the elaboration and promotion of health education meetings. The evidence showed the importance of the Educational Programs development, on Sleep Promotion, with intervention in Hospital and at Home areas, empowering the parents to provide care during the hospitalization, in order to
prepare them for discharge. Conclusion: The reflection on care practices allowed us to conclude that in both units preterm infant confort and bond with their parents are granted, aiming safe sleep. A lot of work has been developed in those units to promote safe sleep, but there is still a long way to go, which demands investigation in an area as important as neurodevelopment.