Mapeamento dos cuidados de enfermagem sobre fototerapia ao neonato

Abstract

The objective was to map the care provided by the nursing team to newborns undergoing phototherapy in a maternity ward and compare them to what is evidenced in the literature. This is a cross-sectional study and literature review developed in two stages. In the first stage, an integrative review of the literature was carried out in the databases Lilacs, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Library, Pubmed, Brazilian Digital Library of Theses and Dissertations (BDTD), SCOPUS , and Web of Science. In the second stage, an interview was conducted with nursing professionals who provide direct care to newborns undergoing phototherapy. The sample included 20 participants, and data collection was carried out in September 2023, using a questionnaire developed for the research. Four articles were found in the integrative literature review that supported the construction of the instrument with the main care aimed at newborns undergoing phototherapy. The interview highlighted the care related to the mandatory placement of eye protection in newborns using

phototherapy and the importance of guidance on breastfeeding and strengthening the mother- baby bond (100%). Furthermore, 85% emphasized the evaluation of skin characteristics and

physiological eliminations, while 80% highlighted body exposure during phototherapy, and 70% stated that they checked the comfort and well-being of the newborn. As for institutional protocols, 60% of professionals did not incorporate them and 90% do not participate in training on neonatal phototherapy. It is concluded that not all phototherapy care evidenced in the literature is implemented by the nursing team in the maternity ward with this population.