Análise de programas de seguimento ao recém-nascido de risco : perspectiva de gestores, profissionais e familiares

Abstract

The continuity of care for high-risk newborns after hospital discharge presents weaknesses, especially with regard to health monitoring through follow-up programs aimed at this population group. This study aims to analyze the assistance provided by follow-up programs for newborns at risk in municipalities of Mato Grosso, from the perspective of managers, health professionals, and family members. This is a descriptive study with a qualitative approach. The collection took place between March and April 2022, based on face-to-face interviews and telephone calls, directed through a semi-structured questionnaire. After transcribing the data, thematic analysis was performed. The study is part of a multicentric research: Follow-up of newborns at risk in the Midwest region, approved by the Research Ethics Committee of the Hospital Universitário Júlio Müller. Twelve professionals participated in this research, in the areas of nursing, physiotherapy, human resources, administrative agent, psychology, social assistance, and medicine; and 38 family members responsible for children assisted in the outpatient follow-up of highrisk newborns. The participants' narratives were analyzed and organized based on five central themes: 1. Challenges of the RNR outpatient follow-up program from the perspective of managers, professionals and family members; 2. (Dis)articulation of the high-risk newborn follow-up program with other child care services; 3. Recommendations from managers, professionals and family members to improve the RN outpatient follow-up; 4. Potentialities of RNR outpatient follow-up; 5. Care needs of the RNR according to the family's perspective. This study will allow follow-up managers to explore new diagnoses and interventions to link the outpatient level with primary care services. In this way, the third stage of the Kangaroo Method will be effective, providing full health care to newborns at risk and their families, articulation between the care network, so professionals will be directly and indirectly closer to these families, accompanying their post-natal adaptation. high, and intrinsically in the growth and development of RNR. Finally, with the data obtained in this research, it verifies the need for constant evaluation of the "follow-up" of the RNR, in order to avoid discontinuity and evasion, and to provide integral care to newborns at risk.