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Updated: Jun 6, 2026

Assessment and Evaluation of the High Risk Neonate: The NICU Network Neurobehavioral Scale
Published on: August 25, 2014
[Nursing diagnoses of premature infant under intermediary care]
Natália Del'Angelo1, Fernanda dos Santos Nogueira de Góes, Maria Célia Barcellos Dalri
1Programa de Pós-graduação Enfermagem, Escola de Enfermagem de Ribeirão Preto, Universidade de São Paulo, Ribeirão Prero, SP.
Insights
This study identified common nursing diagnoses for premature infants in a Brazilian neonatal unit. Sleep deprivation and infection risk were most frequent, highlighting areas for improved care systematization.
Area of Science:
- Neonatal Nursing
- Pediatric Care
- Nursing Diagnoses
Context:
- Premature infant care in a rural Brazilian neonatal intermediary care unit.
- Retrospective analysis of 118 hospitalized premature infant records.
Purpose:
- To identify and analyze the most frequent nursing diagnoses in premature infants.
- To correlate diagnosis frequency with NANDA domains for care systematization.
Summary:
- The most common nursing diagnoses identified were sleep deprivation (83.1%), risk for infection (76.3%), and dysfunctional family processes (75.4%).
- These diagnoses primarily fall within the NANDA domains of Activity/Rest, Security/Protection, and Role Relations.
- The study highlights limitations in current care approaches and identifies key domains for optimizing care for premature newborns.
Impact:
- Informs clinical practice by identifying prevalent nursing diagnoses in premature infants.
- Provides data to refine nursing interventions and care planning in neonatal intermediary care.
- Contributes to the understanding of nursing needs for premature infants in resource-limited settings.
Abstract:
The study aims at identifying nursing diagnoses of premature infants attended in a neonatal intermediary care unit in the countryside of São Paulo State, Brazil. That was a retrospective study conducted from 118 patient records of hospitalized premature infants. The most frequent nursing diagnosis were sleep deprivation (83.1%), risk for infection (76.3%) and dysfunctional family processes (75.4%), belonging to NANDA domains: activity/rest, security/protection and role relations, this order. Study results articulated the diagnosis frequency with NANDA domain to which they belong identifying their approach limitation and main domains pointed in assistance systematization to premature newborn in intermediary care.
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