Nursing workload in rooming-in at a university hospital
Joint accommodation; Postpartum period; Nursing assessment; Nursing care.
The nursing team has sought to ensure care with scientific support and autonomy, for which it is necessary to design coherent nursing professionals. The rooming-in is the place within a hospital system where the healthy mother and newborn binomial will go soon after birth and continue together until hospital discharge. In this perspective, the present study has as its guiding questions: which care indicators arouse a greater need for assistance in puerperal women and newborns? And what are the existing classifications for the binomial in rooming-in?. The general objective is to apply the workload instrument to classify the mother-child binomial in rooming-in that subsidizes the sizing of nursing professionals. This is an observational, descriptive study with a quantitative approach, which will be carried out in the rooming-in sector of a University Hospital. The data collection instrument will be organized in three stages, in which the first is composed of seven care indicators, as follows: Mode of delivery; Maternal morbidity and complications; Neonatal morbidity and complications; Breastfeeding; Social aggravating factors; Education and care guidance and Interaction and bonding, with scores from one to four being assigned, the second will be sociodemographic, personal and obstetric data and the third will collect data from the Safe Childbirth Checklist, present in the medical record, the The search will be active in the rooming-in daily, every 24 hours, in the form of an interview. The information collected will be stored and processed in a computerized database using Microsoft Office Excel and Statistical Package for the Social Sciences, version 20.0. The descriptive treatment will be through the means and medians, the data analysis will be used the chi-square test. It is noteworthy that this research will follow the ethical precepts in research with human beings described in Resolution nº 466, of December 12, 2012, of the National Health Council upon approval by the Research Ethics Committee of the Faculty of Health Sciences of Traíri / Federal University of Rio Grande do Norte, under Certificate of Ethical Appreciation No. 54027921.7.0000.5568. The present investigation consisted of 211 mother-child binomials and 471 evaluations, with (105; 49.3%) being vaginal/normal delivery and (108; 50.7%) cesarean delivery, with regard to the guidelines of childbirth (124; 58.2%) received it during prenatal care and (89; 41.8%) did not obtain it, while breastfeeding guidelines (131; 61.5%) received and (82; 38.5%) %) did not receive, in the care of the newborn (124; 58.2) received and (89: 41.8%) did not receive. 64.8 were in rooming-in, while 35.2 were in the pre-delivery, delivery and post-delivery room. It is concluded that from the present study, it became possible to classify the binomials in relation to the levels of care and, based on the importance of the life and well-being of the mother and the newborn, it is possible, despite the accommodation together being a seasonal sector, establish a number of professionals.