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Development of premature children: caregivers' understanding according to the Bioecological Theory

Desarrollo de niños nacidos prematuros: la comprensión de los cuidadores a la luz de la teoría bioecológica

Abstract

OBJECTIVE

Understanding the conceptions of premature children caregivers on child development and associated factors.

METHOD

An exploratory-descriptive qualitative study of 12 families with children under three years of age. Interviews were submitted to thematic content analysis, systematized into the categories of Bioecological Theory of Human Development: Process, Person, Context and Time, and in the Functional Development category.

RESULTS

There are concerns about impairment in the current and future development of a Person/child defined as fragile as a result of premature birth (Time dimension), minimized by the scope of observable competencies such as motor skills. The Context, especially family and health services, and Proximal Processes, described as one-way caregiver interactions, are considered determinants of development. Functional Development is considered a natural consequence and result of education. The support network is crucial, supporting or limiting care.

CONCLUSION

Concerns about the development mobilize caregivers to stimulate the premature child/person and requests family and healthcare assistance.

Descriptors
Child Development; Infant, Premature; Caregivers; Family; Pediatric Nursing

Universidade de São Paulo, Escola de Enfermagem Av. Dr. Enéas de Carvalho Aguiar, 419 , 05403-000 São Paulo - SP/ Brasil, Tel./Fax: (55 11) 3061-7553, - São Paulo - SP - Brazil
E-mail: reeusp@usp.br