Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns

ABSTRACT Objective: To understand the relationships that promote and threaten family hope during pregnancy and in the care of high-risk newborns. Method: Qualitative research, guided by the theoretical framework of Understanding the Complex Nature of Hope, carried out between December 2021 and Mar...

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Main Authors: Bruna Camargos de Lima Ramos, Renata de Oliveira Costa, Lucila Castanheira Nascimento, Patrícia Pinto Braga
Format: Article
Language:English
Published: Universidade Federal do Rio Grande do Sul 2025-01-01
Series:Revista Gaúcha de Enfermagem
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Online Access:http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000100468&lng=en&tlng=en
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author Bruna Camargos de Lima Ramos
Renata de Oliveira Costa
Lucila Castanheira Nascimento
Patrícia Pinto Braga
author_facet Bruna Camargos de Lima Ramos
Renata de Oliveira Costa
Lucila Castanheira Nascimento
Patrícia Pinto Braga
author_sort Bruna Camargos de Lima Ramos
collection DOAJ
description ABSTRACT Objective: To understand the relationships that promote and threaten family hope during pregnancy and in the care of high-risk newborns. Method: Qualitative research, guided by the theoretical framework of Understanding the Complex Nature of Hope, carried out between December 2021 and March 2022, with 28 members of 14 families attended at a multidisciplinary outpatient clinic for at-risk newborns in Minas Gerais, Brazil. Data obtained from interviews in thematic oral history allowed the construction of narratives, genograms and ecomaps, which were subjected to deductive thematic analysis procedures. Results: The study highlighted relationships that promote and threaten family hope. Conflicting relationships, insecurity, indifference to the situation and unavailability to build bonds threatened hope. Reciprocity, attachment, relationship with God, self-confidence and protection of the newborn were constituent elements of relationships that promote hope during pregnancy and neonatal care. Conclusion: Family hope was constructed and given new meaning in intrapersonal and interpersonal relationships. Despite the uncertainties experienced by families, hope was strengthened in the relationship with oneself, with family members, professionals and with the transcendent, generating intimidation and a feeling of belonging. Knowing this context can help nurses promote family hope, through attentive and resolute listening, assertive guidance on gestational and neonatal risk, and support in neonatal care.
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spelling doaj-art-dbda2f276ce0468eafc953ff3c6658882025-01-14T07:35:18ZengUniversidade Federal do Rio Grande do SulRevista Gaúcha de Enfermagem1983-14472025-01-014510.1590/1983-1447.2024.20240014.enRelationships that promote and threaten family hope during pregnancy and care for high-risk newbornsBruna Camargos de Lima Ramoshttps://orcid.org/0000-0001-6654-5618Renata de Oliveira Costahttps://orcid.org/0000-0003-3942-126XLucila Castanheira Nascimentohttps://orcid.org/0000-0002-7900-7111Patrícia Pinto Bragahttps://orcid.org/0000-0002-1756-9186ABSTRACT Objective: To understand the relationships that promote and threaten family hope during pregnancy and in the care of high-risk newborns. Method: Qualitative research, guided by the theoretical framework of Understanding the Complex Nature of Hope, carried out between December 2021 and March 2022, with 28 members of 14 families attended at a multidisciplinary outpatient clinic for at-risk newborns in Minas Gerais, Brazil. Data obtained from interviews in thematic oral history allowed the construction of narratives, genograms and ecomaps, which were subjected to deductive thematic analysis procedures. Results: The study highlighted relationships that promote and threaten family hope. Conflicting relationships, insecurity, indifference to the situation and unavailability to build bonds threatened hope. Reciprocity, attachment, relationship with God, self-confidence and protection of the newborn were constituent elements of relationships that promote hope during pregnancy and neonatal care. Conclusion: Family hope was constructed and given new meaning in intrapersonal and interpersonal relationships. Despite the uncertainties experienced by families, hope was strengthened in the relationship with oneself, with family members, professionals and with the transcendent, generating intimidation and a feeling of belonging. Knowing this context can help nurses promote family hope, through attentive and resolute listening, assertive guidance on gestational and neonatal risk, and support in neonatal care.http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000100468&lng=en&tlng=enHopeFamilyHigh-risk pregnancyNewborn infantNursing research
spellingShingle Bruna Camargos de Lima Ramos
Renata de Oliveira Costa
Lucila Castanheira Nascimento
Patrícia Pinto Braga
Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns
Revista Gaúcha de Enfermagem
Hope
Family
High-risk pregnancy
Newborn infant
Nursing research
title Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns
title_full Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns
title_fullStr Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns
title_full_unstemmed Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns
title_short Relationships that promote and threaten family hope during pregnancy and care for high-risk newborns
title_sort relationships that promote and threaten family hope during pregnancy and care for high risk newborns
topic Hope
Family
High-risk pregnancy
Newborn infant
Nursing research
url http://revodonto.bvsalud.org/scielo.php?script=sci_arttext&pid=S1983-14472024000100468&lng=en&tlng=en
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AT lucilacastanheiranascimento relationshipsthatpromoteandthreatenfamilyhopeduringpregnancyandcareforhighrisknewborns
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