Banca de DEFESA: THUANNY NAYARA DO NASCIMENTO DANTAS

Uma banca de DEFESA de MESTRADO foi cadastrada pelo programa.
STUDENT : THUANNY NAYARA DO NASCIMENTO DANTAS
DATE: 27/02/2024
TIME: 14:00
LOCAL: Departamento de Enfermagem
TITLE:

Middle Range Theory for the Nursing Diagnosis of Neonatal Abstinence Syndrome.

KEY WORDS:

Nursing Theory; Nursing Diagnosis; Neonatal Abstinence Syndrome;

PAGES: 80
BIG AREA: Ciências da Saúde
AREA: Enfermagem
SUMMARY:

Introduction: In the health concept, Neonatal Abstinence Syndrome is a post-birth
complication identified in newborns based on the observation of a set of signs and
symptoms resulting from exposure to psychoactive substances during pregnancy or as a
consequence of pharmacological exposure to the pain relief and control or sedation. In
the context of Nursing, Neonatal Abstinence Syndrome is configured as a Nursing
diagnosis that belongs to the NANDA International classification system and that,
currently, requires the development of its diagnostic indicators (related factors and
defining characteristics) to make it valid with a higher level of evidence. Thus, with the
aim of identifying the etiological elements and clinical characteristics of this diagnosis,
reducing the existing gaps between theory and practice and contributing to improving
the quality of nursing care for newborns undergoing abstinence, it is proposed to
develop a Theory of Medium Range (MRT) for the diagnosis under study. Objective:
Develop a Middle Range Theory for the nursing diagnosis of Neonatal Abstinence
Syndrome. Method: This is a methodological study of theoretical-causal validity,
proposed by the Lopes e Silva framework, carried out in six stages: Definition of the
approach for constructing the MRT; Definition of the theoretical-conceptual models
adopted for MRT; Definition of key MRT concepts; Construction of a pictorial
diagram; Construction of MRT propositions; and Establishment of causal relationships
and practice-based evidence. Two approaches were adopted to construct the MRT:
literature review, through the execution of two systematic reviews (on etiology and risk
and diagnostic accuracy); and based on Callista Roy's Adaptation Model. Data
collection occurred by searching the following data sources: SciELO, Web of Science,
Science Direct, PubMed, COCHRANE, SCOPUS, CINAHL, EMBASE and LILACS.
As a search strategy, the following descriptors were used: Newborn, Etiology,
Causality, Signs and Symptoms and Neonatal Abstinence Syndrome, interspersed with
the Boolean operator AND. The inclusion criteria were: studies addressing the Neonatal
Abstinence Syndrome phenomenon, complete studies, available and free in any
language. Exclusion criteria include: abstracts, editorials, letters to the editor, theses,
dissertations, review articles, reviews, preliminary notes, reflection articles. Results:
Eight etiological factors (related factors) and 12 clinical characteristics (defining
characteristics) were identified. Based on these findings, conceptual and operational
definitions were created for each of these clinical antecedents and consequences of
MRT, which were summarized in a pictorial scheme and which also supported the
construction of MRT propositions and causal relationships. These results were
presented through the description and construction of flowcharts, tables, charts and
figures. Conclusion: The MRT for the diagnosis of Neonatal Abstinence Syndrome was
developed to describe, explain and predict the phenomenon, in order to guide nursing
interventions more assertively, in order to meet the human needs of the population in
focus and improve practice nursing, through the theoretical-causal validation study.

COMMITTEE MEMBERS:
Presidente - 1552864 - ALLYNE FORTES VITOR
Externa à Instituição - JESSICA NAIARA DE MEDEIROS ARAUJO - UERN
Interna - 1220986 - RHAYSSA DE OLIVEIRA E ARAUJO