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

Rev Esc Enferm USP

Universidade de São Paulo, Escola de Enfermagem, Departamento de Enfermagem Materno-Infantil e Psiquiátrica, São Paulo, SP, Brazil.

Published: December 2015

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.

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http://dx.doi.org/10.1590/S0080-623420150000600004DOI Listing

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