Neonatal sepsis in mother-child dyad of ethnic minority: a case study

Abstract

Objective: This paper aimed to describe the nursing diagnoses and interventions in the mother-child dyad consistent with the neonatal sepsis situation by applying the NANDA-I taxonomy. Methods: This is a case study research, conducted with a newborn hospitalized at 72 hours of life in a neonatology service and with his mother who followed him up during hospitalization. Data collected in December 2017. Ethical principles have been observed. Results: The dyad lives in the social condition of an ethnic minority, drawing attention to fragile social contexts in the area of mother and child. Sociodemographic data show poor housing, family planning, prenatal surveillance and gender roles. The initial nursing assessment was based on seven diagnoses. In children: 1) ineffective breathing pattern (0032); 2) risk for unstable blood glucose level (00179); 3) neonatal jaundice (00194); 4) risk of poor fluid volume (00028). In mothers: 1) ineffective health control (00078); 2) interrupted breastfeeding (00105); 3) willingness for improved decision-making (00184). Expected outcomes and successful nursing interventions were defi ned. The dyad as discharged at ten days of hospitalization. Conclusion: Social inclusion and ethnic minority care programs may decrease maternal and child morbidity.