Interatividade Educativa Preservando o Desenvolvimento de Prematuros: Pesquisa Convergente Assistencial

Abstract

Introduction: New technologies are relevant allies to reduce morbidity and mortality in neonatal care, supported by environmental adequacy and minimization of stimuli, through singular care and behavioral observation. However, integrating care with new technologies, in neonatal intensive care practice, requires educational interactivity. Therefore, the research question was: How to promote reflection with interactivity, with the team of professionals in the intensive care unit, based on scientific evidence, about the care with the development of premature newborns? Objective: to describe a Convergent Care Research, anchored by the Instructional Design Matrix, for intervention in the care of preterm infants in a Neonatal Intensive Care Unit. Method: Convergent Care Research supported by a pedagogical process structured in an Instructional Design Matrix, carried out between June and August 2020. There were nine certified workshops (20h), made available by Wiki® tool, on the Moodle Platform. Participated 68 professionals who provide intensive care to preterm infants, including those who were away from the service, because it was remote. Results: nine instructional workshops were organized for the fulfillment of one of the stages of the research process convergent to care. With interactive audiovisual classes recorded by the institution's health professionals, invited due to their expertise. Included in each workshop, scientific publications, related videos, triggering questions and chat for reflective and purposeful discussion. All resources transmit aspects of care for the premature infants, encouraging the acknowledgment of the physiological repercussions of immaturity, among them: immaturity and deficiencies; intellectual and neurological impairment; consequences of excessive manipulation; the thermoregulation and survival of neonates; contexts of family vulnerability and, the importance of reception; the challenges of breastfeeding to preterm infants; the physiological process of stress and pain; also the relevance of an institutional protocol for relief. Conclusion: the remote non-synchronous interactive process, methodologically conducted by Convergent Care Research, culminated in the participatory establishment of an innovative institutional protocol for minimal handling of premature infants. It prompted professionals to reread their practice and discover new knowledge favorable to care for the development of critical premature infants.